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UCPHA, Inc. does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_150":true,"fpg_reference_discounted_care":true,"discounted_care_percent_200":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":false,"bad_debt_expense":334400,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":2777261,"cost_of_care_reimbursed_by_medicare":2391190,"medicare_surplus_or_shortfall":386071,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":158289,"net_community_benefit_expense":158289,"total_expense_percentage":0.0133},"unreimbursed_medicaid":{"total_community_benefit_expense":460117,"direct_offsetting_revenue":404201,"net_community_benefit_expense":55916,"total_expense_percentage":0.0047},"total_financial_assistance":{"total_community_benefit_expense":618406,"direct_offsetting_revenue":404201,"net_community_benefit_expense":214205,"total_expense_percentage":0.018},"total_community_benefits":{"total_community_benefit_expense":618406,"direct_offsetting_revenue":404201,"net_community_benefit_expense":214205,"total_expense_percentage":0.018}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"University Pointe Surgical Hospital","address_line1":"7750 Discovery Drive","city":"West Chester","state":"OH","zip":"45069","website":"http://surgicalhospital.uchealth.com","licensed_hospital":true,"name":"University Pointe Surgical Hospital","address":"7750 Discovery Drive, West Chester, OH, 45069"}],"facility_policies":[{"business_name_line1":"University Pointe Surgical Hospital","facility_number":1,"chna_conducted":true,"community_definition":true,"community_demographics":true,"existing_resources":true,"how_data_obtained":true,"community_health_needs":true,"other_health_issues":true,"community_health_needs_identification_process":true,"consulting_process":true,"chna_conducted_year":12,"took_into_account_others_input":true,"chna_conducted_with_other_facilities":true,"chna_report_widely_available":true,"report_available_on_own_website":true,"implementation_strategy_adopted":true,"organization_incurred_excise_tax":false,"all_needs_addressed":true,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":150.0,"fpg_family_income_limit_discounted_care_percentage":200.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"other_publicity":true,"fap_actions_on_nonpayment":true,"collection_activities":false,"nondiscriminatory_emergency_care_policy":false,"no_emergency_care":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"information_gaps":true,"name":"University Pointe Surgical Hospital"}],"supplemental_information":[{"explanation":"Part I, Line 7: The net community benefits expenses are estimated using a cost-to-charge ratio. The cost-to-charge ratio is based on allowable cost per the Medicare Cost Report as a percent of total patient charges."},{"explanation":"Part III, Line 4: UCPHA, Inc. offers uninsured patients who are not eligible for any discount under the terms of the charity care policy an uninsured discount of a percentage off billed charges to help ease the burden of medical expenses. The uninsured discount is not included in bad debt expense. Bad debt expense, at cost, is calculated using a cost-to-charge ratio.The organization's share of bad debt expense was $1,377,085 at charges ($334,400 at cost)."},{"explanation":"Part III, Line 9b: The policy states that all patients requiring medical treatment will not be refused due to inability to pay and that patients will receive educational materials about the State of Ohio Care Assurance program if uninsured."},{"explanation":"Part V, Section B, Line 3: To assist in the creation of the CHNAs and implementation plans of the hospitals of UC Health, a related organization, UC Health reviewed and assessed the Greater Cincinnati Health Council's \"AIM for Better Health Assessment\", a community-wide health needs assessment, an initiative in which UC Health supported and participated. UC Health conducted stakeholder interviews and focus groups including public health officials from Hamilton and Butler Counties as well as the City of Cincinnati, local elected officials and local government administrators, leaders of community-based organizations including the NAACP, Hispanic Chamber of Commerce, African American Chamber of Commerce, the Healthcare Connection (a federally qualified health care clinic), Su Casa, Carmel Presbyterian Church, United Way, Lakota School District, the Center for Closing the Health Gap, fire and EMS offices, and Legal Aid. Internal stakeholders included senior clinical and administrative leader from each of the hospitals."},{"explanation":"Part V, Section B, Line 4: UCPHA, Inc. conducted its CHNA in conjuction with West Chester Hospital, of which UC Health is the sole member. The surgical hospital serves the same community as West Chester Hospital due to its location."},{"explanation":"Part V, Section B, Line 5c: The Community Health Needs Assessment (\"CHNA\") of the UCPHA, Inc. (d/b/a University Pointe Surgical Hospital) can be located at the following web address:http://uchealth.com/wp-content/uploads/2013/06/WC_Surgical_CHNA-Report_130523_v3.pdf"},{"explanation":"Part V, Section B, Line 14g: In addition to posting the Charity Care and Financial Assistance Policies to the website and making the policy available upon request, the policy is also referenced in the following ways:- Signs are posted throughout the Emergency Room and other areas withinthe hospital facility providing details of financial assistance available.- Pamphlets are available in facility admitting and registration areasoutlining those financial programs available to the insured.- All Patient Financial Services correspondence, including patientstatements and reminder letters, reference financial assistance programsavailable."},{"explanation":"Part V, Section B, Line 20d: In compliance with state law, UCPHA, Inc. posts a price list containing the charges for room and board, operating room, observation and other procedures. The hospital's charges are the same for all patients, but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured are able to consult with a hospital financial counselor to determine if they qualify for discounts. Such discounts are determined in accordance with UCPHA, Inc.'s Financial Assistance Policy."},{"explanation":"Part VI, Line 2: UCPHA, Inc. utilizes various methods to assess the health care needs of the communities it serves. The primary method includes memberships in various industry organizations including the Greater Cincinnati Health Council, Ohio Hospital Association and American Hospital Association. UCPHA, Inc. utilizes an independent research group to monitor patient satisfaction and solicits feedback from physicians.Additionally, UCPHA, Inc., in conjunction with West Chester Hospital, LLC, of which UC Health is the sole member, conducted a Community Health Needs Assessment to identify and begin to address the health needs of the communities which each hospital serves. Using both qualitative and quantitative feedback as well as publically available and proprietary health indicators, UC Health was able to identify and prioritize community health needs for each hospital."},{"explanation":"Part VI, Line 3: The organization discusses with the patient at the time of admission all of the financial programs available, if they qualify. The organization has the patient complete a financial aid form that determines the qualification of the patient."},{"explanation":"Part VI, Line 4: UCPHA, Inc. is an 8-bed hospital in which both inpatient and outpatient surgeries are performed. UCPHA, Inc. also offers diagnostic imaging services and a sleep center. The facility primarily serves patients from the northern suburbs of Greater Cincinnati, including West Chester, Middletown, Hamilton, and Mason, Ohio. The communities surrounding the facility have experienced population growth in recent years and that trend is expected to continue. The median household income for the surrounding community and Warren County is well above the state of Ohio average."},{"explanation":"Part VI, Line 5: Community physicians have privileges at UCPHA, Inc. UCPHA, Inc. also donates medical supplies to Matthew 25 Ministries who uses them to provide relief in disasters throughout the world."},{"explanation":"Part VI, Line 6: UC Health is a physician-led, integrated health system serving primarily Cincinnati and the Ohio, Kentucky, and Indiana Tristate region with national and international referrals for tertiary services. Affiliated with the University of Cincinnati and sponsored by UC Healthcare System, UC Health includes the 726-licensed bed University of Cincinnati Medical Center, LLC, the largest hospital in Cincinnati and the region's only university-based academic medical center; the 170-licensed bed West Chester Hospital, LLC, one of the region's newest hospitals serving the northern suburbs of Cincinnati; University of Cincinnati Physicians, the University of Cincinnati College of Medicine's multi-specialty physician group; the Daniel Drake Center for Post-Acute Care, LLC, a specialized medical and rehabilitative hospital; and other related facilities and services."},{"explanation":"OH"}]},"ScheduleI":{"grant_records_maintained":false,"reported_domestic_org_grants":495237,"reported_domestic_org_grants_program_services":495237,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":316000989,"irc_section":"Gov't Entity","cash":495237,"purpose":"General Support for Education Mission of University of Cincinnati","address_line1":"2600 Clifton Avenue","city":"Cincinnati","state":"OH","zip":"45222","name":"University of Cincinnati","address":"2600 Clifton Avenue, Cincinnati, OH, 45222"}],"total_domestic_grants":495237,"total_domestic_program_services":495237,"detail_org_grants_total":495237,"detail_domestic_grants_total":495237,"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Hugh R Hinds Jr","title":"President/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":89686,"compensation_based_on_related_orgs":484425,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":222222,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":18652,"other_compensation_filing_org":0,"other_compensation_related_orgs":23200,"total_compensation_filing_org":0,"total_compensation_related_orgs":838185,"name":"Hugh R Hinds Jr"},{"person_name":"Myles Pensak MD","title":"Vice President/Secretary","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":25000,"compensation_based_on_related_orgs":253311,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":28453,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":2505,"other_compensation_filing_org":0,"other_compensation_related_orgs":10582,"total_compensation_filing_org":0,"total_compensation_related_orgs":319851,"name":"Myles Pensak MD"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"UC Health, a related organization of UCPHA, Inc., uses the following methods to establish the compensation of the organization's President: - Compensation Committee, - Independent Compensation Consultant, - Form 990 of Other Organizations, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee."}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":true,"bond_liabilities_discharged":true,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false},"liquidations":[{"business_name_line1":"UC Health","ein":311435820,"irc_section":"501(c)(3)","distribution_date":"2013-06-30T00:00:00","description":"Net Assets","fair_market_value":17511807,"method_of_fmv_determination":"Book Value","address_line1":"3200 Burnet Avenue","city":"Cincinnati","state":"OH","zip":"45229","name":"UC Health","address":"3200 Burnet Avenue, Cincinnati, OH, 45229"}],"supplemental_information":[{"explanation":"Part I, Line 2e: Effective June 30, 2013, UCPHA, Inc. merged into West Chester Hospital, LLC, a single member limited liability company of UC Health. 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The cost-to-charge ratio is based on allowable cost per the Medicare Cost Report as a percent of total patient charges."},{"explanation":"Part III, Line 4: UCPHA, Inc. offers uninsured patients who are not eligible for any discount under the terms of the charity care policy an uninsured discount of a percentage off billed charges to help ease the burden of medical expenses. The uninsured discount is not included in bad debt expense. Bad debt expense, at cost, is calculated using a cost-to-charge ratio.The organization's share of bad debt expense was $1,377,085 at charges ($334,400 at cost)."},{"explanation":"Part III, Line 9b: The policy states that all patients requiring medical treatment will not be refused due to inability to pay and that patients will receive educational materials about the State of Ohio Care Assurance program if uninsured."},{"explanation":"Part V, Section B, Line 3: To assist in the creation of the CHNAs and implementation plans of the hospitals of UC Health, a related organization, UC Health reviewed and assessed the Greater Cincinnati Health Council's \"AIM for Better Health Assessment\", a community-wide health needs assessment, an initiative in which UC Health supported and participated. UC Health conducted stakeholder interviews and focus groups including public health officials from Hamilton and Butler Counties as well as the City of Cincinnati, local elected officials and local government administrators, leaders of community-based organizations including the NAACP, Hispanic Chamber of Commerce, African American Chamber of Commerce, the Healthcare Connection (a federally qualified health care clinic), Su Casa, Carmel Presbyterian Church, United Way, Lakota School District, the Center for Closing the Health Gap, fire and EMS offices, and Legal Aid. Internal stakeholders included senior clinical and administrative leader from each of the hospitals."},{"explanation":"Part V, Section B, Line 4: UCPHA, Inc. conducted its CHNA in conjuction with West Chester Hospital, of which UC Health is the sole member. The surgical hospital serves the same community as West Chester Hospital due to its location."},{"explanation":"Part V, Section B, Line 5c: The Community Health Needs Assessment (\"CHNA\") of the UCPHA, Inc. (d/b/a University Pointe Surgical Hospital) can be located at the following web address:http://uchealth.com/wp-content/uploads/2013/06/WC_Surgical_CHNA-Report_130523_v3.pdf"},{"explanation":"Part V, Section B, Line 14g: In addition to posting the Charity Care and Financial Assistance Policies to the website and making the policy available upon request, the policy is also referenced in the following ways:- Signs are posted throughout the Emergency Room and other areas withinthe hospital facility providing details of financial assistance available.- Pamphlets are available in facility admitting and registration areasoutlining those financial programs available to the insured.- All Patient Financial Services correspondence, including patientstatements and reminder letters, reference financial assistance programsavailable."},{"explanation":"Part V, Section B, Line 20d: In compliance with state law, UCPHA, Inc. posts a price list containing the charges for room and board, operating room, observation and other procedures. The hospital's charges are the same for all patients, but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured are able to consult with a hospital financial counselor to determine if they qualify for discounts. Such discounts are determined in accordance with UCPHA, Inc.'s Financial Assistance Policy."},{"explanation":"Part VI, Line 2: UCPHA, Inc. utilizes various methods to assess the health care needs of the communities it serves. The primary method includes memberships in various industry organizations including the Greater Cincinnati Health Council, Ohio Hospital Association and American Hospital Association. UCPHA, Inc. utilizes an independent research group to monitor patient satisfaction and solicits feedback from physicians.Additionally, UCPHA, Inc., in conjunction with West Chester Hospital, LLC, of which UC Health is the sole member, conducted a Community Health Needs Assessment to identify and begin to address the health needs of the communities which each hospital serves. Using both qualitative and quantitative feedback as well as publically available and proprietary health indicators, UC Health was able to identify and prioritize community health needs for each hospital."},{"explanation":"Part VI, Line 3: The organization discusses with the patient at the time of admission all of the financial programs available, if they qualify. The organization has the patient complete a financial aid form that determines the qualification of the patient."},{"explanation":"Part VI, Line 4: UCPHA, Inc. is an 8-bed hospital in which both inpatient and outpatient surgeries are performed. UCPHA, Inc. also offers diagnostic imaging services and a sleep center. The facility primarily serves patients from the northern suburbs of Greater Cincinnati, including West Chester, Middletown, Hamilton, and Mason, Ohio. The communities surrounding the facility have experienced population growth in recent years and that trend is expected to continue. The median household income for the surrounding community and Warren County is well above the state of Ohio average."},{"explanation":"Part VI, Line 5: Community physicians have privileges at UCPHA, Inc. UCPHA, Inc. also donates medical supplies to Matthew 25 Ministries who uses them to provide relief in disasters throughout the world."},{"explanation":"Part VI, Line 6: UC Health is a physician-led, integrated health system serving primarily Cincinnati and the Ohio, Kentucky, and Indiana Tristate region with national and international referrals for tertiary services. Affiliated with the University of Cincinnati and sponsored by UC Healthcare System, UC Health includes the 726-licensed bed University of Cincinnati Medical Center, LLC, the largest hospital in Cincinnati and the region's only university-based academic medical center; the 170-licensed bed West Chester Hospital, LLC, one of the region's newest hospitals serving the northern suburbs of Cincinnati; University of Cincinnati Physicians, the University of Cincinnati College of Medicine's multi-specialty physician group; the Daniel Drake Center for Post-Acute Care, LLC, a specialized medical and rehabilitative hospital; and other related facilities and services."},{"explanation":"OH"}]},"ScheduleI":{"grant_records_maintained":false,"reported_domestic_org_grants":495237,"reported_domestic_org_grants_program_services":495237,"total_501c3_and_government_organizations":1,"total_other_organizations":0,"grants":[{"ein":316000989,"irc_section":"Gov't Entity","cash":495237,"purpose":"General Support for Education Mission of University of Cincinnati","address_line1":"2600 Clifton Avenue","city":"Cincinnati","state":"OH","zip":"45222","name":"University of Cincinnati","address":"2600 Clifton Avenue, Cincinnati, OH, 45222"}],"total_domestic_grants":495237,"total_domestic_program_services":495237,"detail_org_grants_total":495237,"detail_domestic_grants_total":495237,"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleJ":{"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Hugh R Hinds Jr","title":"President/Treasurer","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":89686,"compensation_based_on_related_orgs":484425,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":222222,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":18652,"other_compensation_filing_org":0,"other_compensation_related_orgs":23200,"total_compensation_filing_org":0,"total_compensation_related_orgs":838185,"name":"Hugh R Hinds Jr"},{"person_name":"Myles Pensak MD","title":"Vice President/Secretary","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":25000,"compensation_based_on_related_orgs":253311,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":28453,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":2505,"other_compensation_filing_org":0,"other_compensation_related_orgs":10582,"total_compensation_filing_org":0,"total_compensation_related_orgs":319851,"name":"Myles Pensak MD"}],"supplemental_information":[{"form_and_line_reference":"Part I, Line 3","explanation":"UC Health, a related organization of UCPHA, Inc., uses the following methods to establish the compensation of the organization's President: - Compensation Committee, - Independent Compensation Consultant, - Form 990 of Other Organizations, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee."}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":true,"bond_liabilities_discharged":true,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false},"liquidations":[{"business_name_line1":"UC Health","ein":311435820,"irc_section":"501(c)(3)","distribution_date":"2013-06-30T00:00:00","description":"Net Assets","fair_market_value":17511807,"method_of_fmv_determination":"Book Value","address_line1":"3200 Burnet Avenue","city":"Cincinnati","state":"OH","zip":"45229","name":"UC Health","address":"3200 Burnet Avenue, Cincinnati, OH, 45229"}],"supplemental_information":[{"explanation":"Part I, Line 2e: Effective June 30, 2013, UCPHA, Inc. merged into West Chester Hospital, LLC, a single member limited liability company of UC Health. 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