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UCPHA Inc
West Chester, OH 45069
| Bed count | 8 | Medicare provider number | 360271 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2012
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 11,941,775 Total amount spent on community benefits as % of operating expenses$ 214,205 1.79 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 158,289 1.33 %Medicaid as % of operating expenses$ 55,916 0.47 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2012
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 334,400 2.80 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Filed lawsuit Not available Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2012
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2012
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 10197250 including grants of $ 495237) (Revenue $ 12683828) 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.
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Supplemental Information
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.
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).
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.
University Pointe Surgical Hospital "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."
University Pointe Surgical Hospital 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.
University Pointe Surgical Hospital
"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"
University Pointe Surgical Hospital 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.
University Pointe Surgical Hospital 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.
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.
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.
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.
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.
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.
Reports Filed With States Part VI, Line 7 OH
