Annual Report 2014: UCSF Medical Center and UCSF Benioff Children's Hospitals

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Annual Report

Setting a course for the future Dear friends, By any measure, this past year has been extraordinary for UCSF Medical Center. From creating one of the largest and most significant children’s health entities in the nation through our affiliation with Children’s Hospital & Research Center Oakland, to seeing our next-generation hospitals at Mission Bay come to life, 2014 has been a pivotal year for the organization and for the patients and families who entrust us with their care. These two milestones, however, are only part of a larger picture of transformational accomplishments achieved by our clinical staff and the entire UCSF team. This past year has seen significant, continuing improvements in quality, safety and the patient experience. We have watched our census soar in obstetrics, oncology and other services. Teams throughout the medical center have executed lean projects that have maximized value for our patients, while minimizing waste. This principle was also the impetus behind creating UCSF Health, an organizational structure that brings together all the elements of the clinical enterprise whose primary purpose is to provide patient care. Indeed, it would not have been possible to manage these challenges nor pursue these opportunities without the commitment and dedication of the thousands who come to work here each day. I also want to acknowledge the growing community of partners who have made supporting our work the focus of their philanthropy – we could not do it without you. This was a year in which we set our course for the future and embarked on that course in earnest. In the next few years, the work won’t diminish, I can assure you, but the future for this great organization will only get brighter. The best is yet to come. Sincerely,

Mark R. Laret Chief Executive Officer UCSF Health UCSF Medical Center UCSF Benioff Children’s Hospitals

Leadership* The Regents of the University of California (includes ex officio members) Toni Atkins Richard C. Blum Jerry Brown William De La Peña, MD Sheldon Engelhorn Russell S. Gould Eddie Island George Kieffer Sherry L. Lansing Karen Leong Clancy Monica Lozano Hadi Makarechian Janet Napolitano Gavin Newsom Norman J. Pattiz Bonnie Reiss Frederick Ruiz Sadia Saifuddin Richard Sherman Tom Torlakson Bruce D. Varner Paul D. Wachter Charlene Zettel

Elena Fuentes-Afflick, MD Academic Affairs

Clifford Lowell, MD, PhD Laboratory Medicine

Michael Hindery Administration, Finance and Clinical Programs

Stephen D. McLeod, MD Ophthalmology

President Janet Napolitano

Ronald L. Arenson, MD Radiology

UCSF Chancellor Sam Hawgood, MBBS

Nancy L. Ascher, MD, PhD Surgery

Executive Vice Chancellor and Provost Jeffrey Bluestone, PhD

Mitchel S. Berger, MD Neurological Surgery

Senior Vice Chancellor John Plotts Finance and Administration Dean, School of Medicine Bruce U. Wintroub, MD (interim) Executive Vice Dean, School of Medicine Keith R. Yamamoto, PhD Vice Deans, School of Medicine Sue Carlisle, MD, PhD San Francisco General Hospital Neal Cohen, MD, MPH, MS Affiliations and International Relations

Catherine Lucey, MD Medical Education Bruce U. Wintroub, MD Clinical Affairs Dean, School of Nursing David Vlahov, PhD, RN Dean, School of Pharmacy B. Joseph Guglielmo, PharmD Dean, School of Dentistry John D. B. Featherstone, MSc, PhD Dean, Graduate Division Elizabeth Watkins, PhD Clinical Chairs Abul K. Abbas, MBBS Pathology

Peter R. Carroll, MD, MPH Urology Donna Ferriero, MD Pediatrics Linda Giudice, MD, PhD Obstetrics, Gynecology and Reproductive Sciences Michael Gropper, MD (interim) Anesthesia and Perioperative Care

Andrew Murr, MD Otolaryngology Mack Roach III, MD Radiation Oncology

Jennifer Hermann Human Resources and Occupational Health Pamela Hudson Clinical Information Systems Brigid Ide Patient Safety and Quality

Matthew State, MD, PhD Psychiatry

Cindy Lima Mission Bay Hospitals Project and Health System Organizational Program Management

Kimberly Topp, PhD Physical Therapy and Rehabilitation Sciences

Tim Mahaney Facilities and Support Services

Thomas Parker Vail, MD Orthopaedic Surgery

David Morgan Ambulatory Care

Bruce U. Wintroub, MD Dermatology

Kimberly Scurr, RN Children’s Hospital

UCSF Medical Center Chief Officers Mark R. Laret Chief Executive Officer

Michael Skehan Clinical Services

Peter Sokolove, MD Emergency Medicine

Ken Jones Chief Operating Officer Joshua Adler, MD Chief Medical Officer

UCSF Benioff Children’s Hospital Oakland Leadership Bertram H. Lubin, MD President and Chief Executive Officer

Sheila Antrum, RN, MSHA Chief Nursing and Patient Care Services Officer

Richard DeCarlo, RN, BSN, MBA Executive Vice President and Chief of Hospital Operations

Joseph Bengfort Executive Director and Chief Information Officer

David Durand, MD Senior Vice President and Chief Medical Officer

David Odato Chief Administrative and Human Resources Officer

Kathleen Cain, MBA Senior Vice President and Chief Financial Officer

Barrie Strickland Chief Financial Officer

*On June 30, 2014

Kevin Grumbach, MD Family and Community Medicine

UCSF Medical Center Executive Directors Kathleen Balestreri Patient Services

Stephen L. Hauser, MD Neurology

James Bennan Finance

Talmadge E. King Jr., MD Medicine

Reece Fawley Health Plan Strategy and Transplantation

2014 Year in Review In 2014, the budding relationship with Children’s Oakland blossomed, with its renaming as UCSF Benioff Children’s Hospital Oakland; collaborations with other hospitals and health systems took shape;

One of the Nation’s Top Hospitals

and the Mission Bay hospitals

UCSF Medical Center ranked among the nation’s premier hospitals for the 12th consecutive year and is the best in Northern California, according to the 2013-2014 America’s Best Hospitals survey conducted by U.S. News & World Report. UCSF Medical Center was named the seventh best hospital in the country. Just 18 hospitals made the publication’s national Honor Roll, a distinction that signals both rare breadth and depth of medical excellence.

complex steadily came to life. The last year has been transformational for UCSF Medical Center and UCSF Benioff Children’s Hospitals.

Perfect Score for Health Care Equality UCSF Medical Center became the only institution in the United States to have received a perfect score on the national LGBT Healthcare Equality Index (HEI) for six consecutive years. The HEI annually invites health care facilities nationwide to complete a survey describing how they provide equitable, inclusive care for lesbian, gay, bisexual and transgender (LGBT) patients and their families.

UCSF Benioff Children’s Hospital, Children’s Hospital Oakland Complete Affiliation

New Mission Bay Family House to Expand Services for Patient Families For three decades, Family House has offered a supportive home base for families whose children are being treated for cancer and other life-threatening illnesses at UCSF Benioff Children’s Hospital San Francisco. Now, as the children’s hospital moves to a new home at Mission Bay, Family House also is gearing up to relocate to a new facility down the street from the new hospital – one that will more than double its occupancy and offer a long list of special amenities. The 92,000-square-foot Nancy and Stephen Grand Family House at Mission Bay will include 80 bedrooms, each with an en suite bathroom, for a total occupancy of 250 people each night.

UCSF Benioff Children’s Hospital and Children’s Hospital & Research Center Oakland affiliated, building on the hospitals’ mutual commitment to provide outstanding care to children in local communities, and advance medical discovery and treatment for the world. The affiliation, which became effective Jan. 1, 2014, brings together two leading Bay Area children’s hospitals, strengthening their abilities to meet marketplace expectations, including those arising from the Affordable Care Act. The affiliation has the potential to provide better health care value to consumers through higher-quality care, lower costs and more coordinated access to services at hospital locations on both sides of the bay, as well as medical facilities throughout Northern California.

Sam Hawgood Named UCSF Chancellor Renowned pediatrician and medical school Dean Sam Hawgood, MBBS, was appointed chancellor of UCSF, taking the helm on April 1, 2014. Hawgood became dean of the UCSF School of Medicine and vice chancellor for medical affairs in September 2009, after serving as interim dean since December 2007. As dean, he was a core member of the Chancellor’s Executive Council, playing a central role in the University’s leadership and guidance during a time of significant growth and profound change.

Cancer Hospital Name Recognizes Long-Time Supporters

UCSF Benioff Children’s Hospitals Receive $100M Gift from Lynne and Marc Benioff

The naming of UCSF Bakar Cancer Hospital was made in recognition of the long-standing commitment of San Francisco philanthropists Gerson Bakar and Barbara Bass Bakar to cancer programs at UC San Francisco. The Bakars’ support builds upon the generosity of Helen Diller, whose foundation was instrumental in making the Helen Diller Family Cancer Research Building at Mission Bay a reality.

A second gift of $100 million was received from Lynne and Marc Benioff to UCSF Benioff Children’s Hospitals. The gift will be used to strengthen the existing talent and programs in basic and clinical research and patient care at the San Francisco and Oakland hospitals. It will also serve to attract new expertise to accelerate the development of innovative solutions for children’s health on both sides of the San Francisco Bay, as well as nationally and globally.

UCSF Receives $50M Gift for Women’s Health The new women’s hospital at Mission Bay was named in honor of Betty Irene Moore, a patient safety pioneer and advocate. The hospital received a $50 million gift from Bay Area residents Gordon and Betty Moore to help fund the region’s first women’s hospital and to advance the innovative initiatives of the UCSF National Center of Excellence in Women’s Health. The gift was a private donation from the Moores, whose leadership and philanthropy have profoundly influenced health care practices in the United States.

UCSF Benioff Children’s Hospitals Launch Global Initiative on Preterm Birth with $100M from Lynne and Marc Benioff, Bill & Melinda Gates Foundation UCSF Benioff Children’s Hospitals announced a $100 million global initiative to address the epidemic of premature birth, the leading cause of death for newborns and the second-leading cause of death for children under 5. The 10-year, global initiative will be jointly funded by Lynne and Marc Benioff in partnership with the Bill & Melinda Gates Foundation.


Fiscal years ending June 30, 2014, and June 30, 2013 (dollars in thousands). 2014


894,050 1,913,427

845,274 1,630,307

6,744 266,546 3,080,767

8,351 386,863 2,870,795



Long-term debt and capital leases, net of current portion Pension liability Other liabilities Total liabilities

837,536 670,964 506,228 2,298,098

843,951 978,542 360,760 2,472,153

Net assets Total liabilities and net assets

782,669 3,080,767

398,642 2,870,795

2,308,685 81,588 2,390,273

2,098,463 65,846 2,164,309

1,094,283 909,932 98,523 128,131 2,230,869

1,113,873 829,108 100,801 113,958 2,157,740

159,404 22,400 181,804

6,569 12,146 18,715




UCSF Medical Center is self-supporting and uses its margins to meet important needs in our communities, including training physicians and other health professionals, supporting medical research, providing care to the medically and financially needy, and building and operating facilities to serve the diverse needs of our patients.

Total current assets Capital assets, net Cash restricted for hospital construction Other assets Total assets

UCSF Medical Center contributed $170 million to the research and education mission of UC San Francisco, including $61 million in program support grants to academic programs, $69 million in purchased services from the faculty, and $40 million in salaries for student residents who help care for patients. For more information on the myriad ways UCSF Medical Center brings significant resources to an ambitious public mission, go to

Liabilities and Net Assets Total current liabilities


Operating Revenue

OUTPATIENT ACTIVITY Patient visits (in thousands)

Net patient service revenue Other operating revenue Total operating revenue

930 900

Operating Expenses

879 840 810






30.0 29.5

Salaries and employee benefits Supplies and purchased services Depreciation and amortization Other Total operating expenses Income from operations Nonoperating revenues, net Net income


Patient discharges (in thousands)



Uncompensated/ undercompensated care Reinvestment in facilities and equipment






28.0 27.5

2011 27.0




New accounting pronouncements to account for pension obligations and debt issuance costs were adopted in fiscal year 2014 and applied retroactively to fiscal year 2013. Financials do not include UCSF Benioff Children’s Hospital Oakland.

The 2014 annual report of UCSF Medical Center and UCSF Benioff Children’s Hospital San Francisco was produced by the Marketing Department. Marketing Director Erika Smith

Marketing Manager Andrea Eastman

UCSF Medical Center 505 Parnassus Ave. San Francisco, CA 94143 UCSF Benioff Children’s Hospital San Francisco 1975 Fourth St. San Francisco, CA 94158

Managing Editor Brad T. Snyder

Art Director Ellen Camp Heywood

To support UCSF Health: Office of Development 220 Montgomery St., Fifth floor San Francisco, CA 94104 (415) 476-5640 © 2015 The Regents of the University of California Printed on New Leaf Reincarnation 80lb Matte Coated 100% post-consumer waste paper 2.15-MKT-14-01805