4A (Expenses $ 1062994653 including grants of $ 393253744) (Revenue $ 768650254)
See Schedule OInstruction, academic support, student services:The University of Miami (UM) is a private not-for-profit institution with more than 16,000 students. The University's 11 colleges and schools offer the following degree options: 133 bachelors, 139 masters, and 68 doctoral (64 research/scholarship and 4 professional practice).The School of Architecture, founded in 1983, offers accredited professional undergraduate and graduate degrees in architecture and several post-professional graduate degrees. Programs include the professional Bachelor of Architecture (B.Arch) and the Master of Architecture (M.Arch); the post-professional Master of Science in Architecture (M.S.Arch) with 2 possible tracks- Architectural Design and Architectural Studies; the Master of Urban Design (M.U.D); and the Master of Real Estate Development and Urbanism (M.R.E.D.U.), an interdisciplinary one-year graduate program that draws on the real-life experience of Developers-in-Residence and faculty support from the Schools of Business Administration and Law as well as Architecture. The College of Arts and Sciences enrolls over 4,200 undergraduate and 600 graduate students in 20 departments and 10 interdisciplinary programs. Sixteen departments offer graduate degrees in the fine arts, natural sciences, humanities, and social sciences.The College of Engineering comprises five departments that offer degrees in aerospace, architectural, biomedical, civil, computer, electrical, environmental, industrial, and mechanical engineering, as well as engineering science. The College of Engineering offers five-year B.S./M.S. degree programs for our undergraduates, as well as traditional master's and doctoral degrees in a number of disciplines, with several specializations in each field of study. Consistent with the tradition of collaboration among the University of Miami schools and colleges, engineering students participate in a number of interdisciplinary programs as well as joint research projects with other faculty and academic units at UM. Consisting of over 1,000 undergraduate students and over 200 graduate students, the College boasts an impressively diverse student body, consisting of students from 45 different countries. At the undergraduate level, 23% of the student population is Hispanic and 9% is Black. Females represent 31% of the students (compared to an 18% national average, according to the most recent statistics from the American Society for Engineering Education).The School of Law presently enrolls around 1,192 candidates for either J.D., LL.M. or dual degrees, and has over 20,000 alumni worldwide. The J.D. program enrolls approximately 1,026 students from more than 113 colleges and universities throughout the United States. Of the entering J.D. students, approximately 49% are women, 47% are members of minority groups, and 35% are from outside Florida. 60% speak one or more foreign language. The School offers graduate programs in International Law (specializations in Inter-American Law, General International Law, and U.S. and Transnational Law for Foreign Lawyers), International Arbitration, Maritime Law, Entertainment, Art and Sports, Taxation, Taxation of Cross Border Investments, Estate Planning, and Real Property Development, the latter 2 offer courses online as well as on-campus. The graduate program in International Law includes three different specializations. The School also offers several joint degree programs. It is the only law school to offer a J.D./Master's in Music Business, J.D./M.A. in Arts Presenting, and J.D/M.A. in Latin American Studies. In addition, the School offers a J.D./M.B.A., J.D./M.P.S. in Marine Affairs, J.D./M.P.H. in Public Health, J.D./M.S. Ed. in Law, Community and Social Change, J.D./PH.D. in Law and Environmental Policy, J.D./M.D., J.D./M.P.A. in Public Administration, J.D./LL.M. in Tax, International Law, Maritime Law, Estate Planning or Real Property Development, and a J.D./M.B.A./LL.M. in Tax, Real Property Development or Estate Planning. The School is regularly ranked among the top law schools by U.S. News and World Report for Tax Programs, and its alumni are regularly featured in Super Lawyers Magazine.The Leonard M. Miller School of Medicine has grown rapidly in both size and reputation, earning international acclaim for research, clinical care, and biomedical innovations. Our 800 medical students are joined by 1,200 residents, 580 graduate students and over 190 postdoctoral fellows, and we have one of the largest graduate medical education systems in the country. Along with the M.D. degree, the school offers a combined M.D./Ph.D. program, a 5-year M.D./M.B.A. program, a 4-year and a 5-year M.D./M.P.H. program and 4-year M.D./M.S. in Genomic Medicine, a six-year M.D./J.D. program, graduate degrees in ten areas, postdoctoral programs, and continuing medical education courses.

4B (Expenses $ 383442494 including grants of $ 36883499) (Revenue $ 98431015)
See Schedule OResearch and Public Service:UM has been classified by the Carnegie Commission as a Doctoral University with Highest Research Activity. The School of Architecture's areas of focus include Urban Design, Planning & Real Estate Development, Construction Management, Technology and Computation, Coastal Resilience, Health and the Built Environment, Historical Preservation and Adaptive Use, Classical and Traditional Design, Housing and Hospitality Design, Building in the Caribbean, Latin America and the Tropical World, Architectural History, and Theory. Faculty and students are actively engaged in interdisciplinary research with numerous schools including the Miller School of Medicine, The Leonard and Jayne Abess Center for Ecosystem Science and Policy and the Center for Computational Science. The College of Arts and Sciences provides numerous community outreach activities, including student musical theatre productions at the Jerry Herman Ring Theatre and Alvin Sherman Family Stage; student, faculty, and visiting artist exhibitions in the Project Space in the design district of downtown Miami; faculty curated exhibitions at the Lowe Art Museum; lectures and other educational programs sponsored by the Center for the Humanities; volunteer activities in the public schools, hospitals and community clinics for developmentally disabled children; technology workshops for Miami-Dade public school teachers sponsored by the Department of Modern Languages Laboratory; and a series of programs, hosted by several departments and funded by various federal agencies and private foundations, to enhance the diversity of students pursuing scientific careers through research opportunities for pre-college and undergraduate students; and career development opportunities for high-school and community-college faculty.The School of Law offers externship programs and foreign exchange programs in Argentina, Belgium, Brazil, China, Colombia, France, Germany, India, Ireland, Israel, Spain, Switzerland, and Vietnam. The School's award-winning clinics, focusing on different areas of the law, offer exceptional training grounds and give students practical, hands-on lawyering while also helping needy and underrepresented individuals. The School is also home to LawWithoutWalls (LWOW), an innovative academic model that brings together students, faculty, practitioners, and entrepreneurs from around the country and the world to explore innovation in legal education and practice.The Rosenstiel School of Marine & Atmospheric Science is one of the leading oceanographic research and education institutions in the nation. Known originally as the University's marine laboratory, it was founded in 1943. It evolved into the Institute for Marine Science in 1961, and eight years later became the Rosenstiel School of Marine & Atmospheric Science (RSMAS) within the University of Miami. The Virginia Key campus has grown to include modern research and teaching facilities, a dedicated academic library, and an internationally recognized Marine Invertebrate Museum. RSMAS also operates a state-of-the-art 96-foot catamaran research vessel, the F.G. Walton Smith. The latest addition to RSMAS research and education infrastructure is the Helicopter Observation Platform (HOP), a flying scientific laboratory equipped with state-of-the-art technology and scientific instrumentation, which provides scientists with a unique capability to obtain vital information on environmental processes and mechanisms that affect our climate and impact human health. CSTARS (Center for Southeastern Tropical Advanced Remote Sensing), located on the Richmond campus in south Miami-Dade county was launched in 2003, and conducts research with remotely sensed data received from earth-orbiting satellite systems. This state-of-the-art real-time reception and analysis facility provides data for environmental monitoring. The predictive power concentrated on this 78-acre campus is helping to provide vital, life-saving information regarding earthquakes, hurricanes, typhoons, freak waves and other natural and manmade disasters, including monitoring of the earthquakes in Haiti and Chile, and oil spills.The Leonard M. Miller School of Medicine has been designated a Center for AIDS Research (CFAR) in Florida, and is leading the University's prestigious Clinical and Translational Science Institute (CTSI), awarded by the NIH. Other clinical and research programs include the John P. Hussman Institute for Human Genomics, the Interdisciplinary Stem Cell Institute, the Dr. John T. Macdonald Foundation Biomedical Nanotechnology Institute, the Miami Transplant Institute, The Miami Project to Cure Paralysis, the Diabetes Research Institute, the Mailman Center for Child Development, and many more.

4C (Expenses $ 1278183708 including grants of $ 26370) (Revenue $ 1687264325)
"See Schedule OHealth Care:Located north of downtown Miami near the Civic Center in the Miami Health District, the Leonard M. Miller School of Medicine's campus consists of approximately 72-acres of owned and leased land within the 153-acre University of Miami/Jackson Memorial Hospital complex. Each year the University of Miami Health System's nearly 1,400 physicians represent more than 100 specialties and subspecialties and have more than two million scheduled patient encounters with outcomes that are among the best in the nation. The health system is comprised of Sylvester/UMHC, Bascom Palmer Eye Institute, and University of Miami Hospital. Bascom Palmer has been recognized as the number one eye hospital in the country for 16 years by U.S. News & World Report in its annual ""America's Best Hospitals"" issue. In addition to the three University-owned hospitals, there are also three primary hospitals affiliated with UHealth: Jackson Memorial Hospital, the primary teaching hospital for the medical school; Holtz Children's Hospital; and the Bruce W. Carter VA Medical Center. There are also about three dozen outpatient clinics across Miami-Dade, Broward, Palm Beach, and Collier counties. The Lennar Foundation Medical Center, the new Coral Gables campus location of UHealth, opened in 2016. The 200,000-square-foot diagnostic and treatment center provides the local community more convenient access to world-class medical care provided by UM physicians and specialists."

4D (Expenses $ 512384254 including grants of $ 22729369) (Revenue $ 135078659)
Expenses primarily represent auxiliary enterprises, including intercollegiate athletics, parking, student housing and student dining. Other program services revenues primarily represent auxiliary enterprises revenue, investment income, and investment losses.

University of Miami Hospital
Part V, Section B, Line 5: As a part of the Community Health Needs Assessment in 2016, both external and internal consumers were surveyed, and various focus groups were developed to get opinions on leading health issues. A telephone interview methodology was conducted of 2,701 individuals/healthcare consumers throughout Miami-Dade County, ages 18 and above by Professional Research Consultants, Inc. (PRC) Unite for Dignity, a non-profit organization, conducted a 4-week community health needs survey in the top 5 PSAs for UMH, distributed online and in paper format. The paper format was available in English, Spanish, and Creole. This survey focused on union members of 1199SEIU and community members within the target zip codes. Press Ganey surveys were used in 2015-2016 to internally survey patients at UMH following treatment. UMH contracted with Healthcare Council of South Florida (HCSF) to develop focus groups of health system leadership (in early 2016) and to consolidate the data of the community resident surveys and hospital data sets.

University of Miami Hospital & Clinics
Part V, Section B, Line 5: As a part of the Community Health Needs Assessment in 2016, both external and internal consumers were surveyed, and various focus groups were developed to get opinions on leading health issues. A telephone interview methodology was conducted of 2,701 individuals/healthcare consumers throughout Miami-Dade County, ages 18 and above, by Professional Research Consultants, Inc. (PRC). Press Ganey surveys were used in 2015-2016 to internally survey patients at UMHC following treatment. UMHC contracted with Healthcare Council of South Florida (HCSF) to develop focus groups of health system leadership (in early 2016) and to consolidate the data of the community resident surveys and hospital data sets.

Anne Bates Leach Eye Hospital
Part V, Section B, Line 5: As a part of the Community Health Needs Assessment in 2016, both external and internal consumers were surveyed, and various focus groups were developed to get opinions on leading health issues. A telephone interview methodology was conducted of 2,701 individuals/healthcare consumers throughout Miami-Dade County, ages 18 and above by Professional Research Consultants, Inc. (PRC). Press Ganey surveys were used in 2015-2016 to internally survey patients at ABLEH following treatment. ABLEH contracted with Healthcare Council of South Florida (HCSF) to develop focus groups of health system leadership (in early 2016) and to consolidate the data of the community resident surveys and hospital data sets.

University of Miami Hospital
Part V, Section B, Line 11: The hospital completed an Implementation Plan during 2017, which addresses the needs identified in the CHNA. Priority needs include: Availability of Primary Care and Prevention; Cancer Incidence, Mortality, and Screening; Chronic Disease Management; Neurology; and Elder Care/Geriatrics. As indicated in the Implementation Plan, all 5 of these priority needs have been addressed in the Implementation Strategy.

University of Miami Hospital & Clinics
Part V, Section B, Line 11: The hospital completed an Implementation Plan during 2017, which addresses the needs identified in the CHNA. Priority needs include:Cancer Prevention and Treatment; Availability of Primary Care and Prevention; Access to Care (for uninsured); Healthy Life Styles: Exercise/Nutrition; and Chronic Disease Management. As indicated in the Implementation Plan, all 5 of these priority needs have been addressed in the Implementation Strategy.

Anne Bates Leach Eye Hospital
Part V, Section B, Line 11: The hospital completed an Implementation Plan during 2017, which addresses the needs identified in the CHNA. Priority needs include: Access to Care; Chronic Disease Management; Availability of Primary Care and Prevention; Healthy Lifestyles: Exercise and Nutrition; and Elder Care/Geriatrics. As indicated in the Implementation Plan, all 5 of these priority needs have been addressed in the Implementation Strategy.

Part I, Line 3c:
Although each of the organization's three hospitals determine eligibility for discounted care differently (as seen in Schedule H's Part V section B) we have answered the question in Part I line 3b using the organization's largest bed hospital's policy (UMH).

Part I, Line 6a:
The organization did not prepare a community benefit report during the tax year.

Part I, Line 7:
The Medicare cost report was used, except for 7b (Medicaid and other means-tested government programs). For 7b, a cost-to-charge ratio was used. The cost to charge ratio used for Medicaid cost calculation is based on the actual cost of Traditional Medicaid Fee-for-Service claims as reported on the Medicare Cost Report. These calculated costs (Inpatient Routine, Inpatient Ancillary, and Outpatient) are compared to the charges for these services reported on the same cost report. This ratio is used as the Medicaid cost-to-charge ratio to be applied to total gross Medicaid charges (both Traditional Fee for Service and Managed Care) as reported on the AHCA FUHRS report.

Part II, Community Building Activities:
Community building activities include child abuse protection programs

Part III, Line 2:
Total bad debt expense is determined using the hospital's patient accounting records.

Part III, Line 3:
"Patients who render sufficient financial information to make a determination of eligibility under the hospitals' financial assistance policy are either treated as charity care (if they qualify) or given a ""self- pay"" discount (if they do not qualify as charity care)."

Part III, Line 4:
The hospitals' financial statements do not contain a footnote concerning bad debt. The University's financial statements account for bad debt as a reduction of revenue.

Part III, Line 8:
"The source of this information is the Medicare Cost Report data, which uses a ""cost to charge"" ratio methodology. The University of Miami Hospital and Anne Bates Leach Eye Hospital are reimbursed under the Medicare Prospective Payment System (PPS). For inpatient services, the reimbursement methodology is the Inpatient Prospective Payment System (IPPS), which uses the Diagnostic Related Groups (DRGS) methodology to reimburse the hospital. The DRG amounts are updated by the Medicare program annually by an updating factor. However, the amount of the updating factor is always significantly less than the actual healthcare inflation factor because the Medicare program includes a ""budget neutrality"" factor for the overall Medicare program. Thus, the hospital does not receive full reimbursement of its cost for inpatient services. For outpatient services, the reimbursement methodology is the Outpatient Prospective Payment System (OPPS), which uses ambulatory payment classifications (APCS) to reimburse the hospital. The APC amounts are updated by the Medicare program annually by an updating factor. However, the amount of the updating factor is always significantly less than the actual healthcare inflation factor because the Medicare program includes a ""budget neutrality"" factor for the overall Medicare program. Thus, the hospital does not receive full reimbursement for its cost for outpatient services. The University of Miami Hospital and Clinics is a cancer specialty hospital and, as such, is cost based reimbursed for both inpatient and outpatient services. For inpatient services, the limit is the TEFRA target limit. The hospital, on occasion, exceeds the target rate and does not receive full cost reimbursement. The TEFRA target amount is updated by the Medicare program annually by the TEFRA updating factor. However, the amount of the TEFRA updating factor is always significantly less than the actual healthcare inflation factor because the Medicare program includes a ""budget neutrality"" factor for the overall Medicare program. For outpatient services, the limit is the payment to cost ratio (PCR). The PCR was established using a base year, which was 1996, at a rate of 85.5% of cost. The PCR for all exempt cancer centers was 92% through 12/31/16, and then 91% from 1/1/17 to 5/31/17; therefore, the hospital currently does not receive payment for a range of 8% to 9% of its outpatient cost."

Part III, Line 9b:
"Note 3 of the financial statements reads in-part as follows: ""the hospital provides care to patients who are financially unable to pay for the healthcare services they receive, and because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported in revenue."""

Part VI, Line 2:
Needs assessment: The communities' healthcare needs are assessed by the organization in collaboration with the Miami-Dade County Public Health Trust (PHT).

Part VI, Line 3:
Patient education of eligibility for assistance: The organization informs and educates patients through public service announcements, advertising, and development activities. Further, patients are assisted with qualifying for Medicaid and other state programs.

Part VI, Line 4:
Community information: The community served by the organization is Miami-Dade County, Broward County, Collier County and the Palm Beaches, which are large urban areas. Since these South Florida counties have a large immigration population, many patients are uninsured, under-insured, or Medicaid recipients.

Part VI, Line 5:
Promotion of community health: (1) A majority of the Hospital's governing body is comprised of persons who reside in the Hospital's primary service area who are neither employees nor contractors of the Hospital, nor family members thereof. (2) The Hospital extends medical staff privileges to all qualified physicians in its community for some or all of its departments. (3) In order to improve patient care and access to the specialized healthcare services, the organization applies a significant portion of any surplus to capital budget for new technology, new medical equipment, building renovations, and other betterments & improvements.

Part VI, Line 6:
Affiliated health care system: The organization has an affiliation agreement with Miami-Dade County's Public Health Trust (PHT) to provide teaching physicians who supervise PHT's interns and residents at Jackson Memorial Hospital.

Part VI, Line 7:
State filing of community benefit report: Not applicable