PART I, LINE 3C:
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UNIVERSITY MEDICAL CENTER, INC. (UMC)'S FINANCIAL ASSISTANCE POLICY APPLIES TO UNINSURED/UNDERINSURED PATIENTS WHO COME TO OUR FACILITIES FOR TREATMENT. THIS POLICY PROVIDES FINANCIAL RELIEF TO PATIENTS WHO QUALIFY BASED ON A COMPARISON OF THEIR FINANCIAL RESOURCES AND/OR INCOME TO FEDERAL POVERTY GUIDELINES. THE PROGRAM IS DESIGNED SPECIFICALLY FOR NON-ELECTIVE CARE PATIENTS WHOSE HOUSEHOLD FINANCIAL RESOURCES AND/OR INCOME ARE AT OR BELOW 300 PERCENT OF THE FEDERAL POVERTY LEVEL.TO QUALIFY FOR ANY ASSISTANCE, UNINSURED/UNDERINSURED PATIENTS WILL BE ASKED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION WHICH INCLUDES INFORMATION RELATING TO HOUSEHOLD INCOME.
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PART II, COMMUNITY BUILDING ACTIVITIES:
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WE HAVE STRIVED TO DELIVER THE HIGHEST QUALITY MEDICAL CARE TO OUR COMMUNITY DURING THE COVID 19 PANDEMIC. THE WORK OF OUR DOCTORS, NURSES, AND FRONTLINE STAFF WAS NOTHING SHORT OF HEROIC. THE COVID TASK FORCE BEGAN MAKING PLANS BEFORE THE FIRST CASE OF COVID WAS DETECTED IN THE STATE, AND WERE READY TO IMPLEMENT THEIR STRATEGICALLY CRAFTED PLANS WHEN THE FIRST PERSON UNDER INVESTIGATION (PUI) CAME TO US FOR CARE.REGIONAL COVID TESTING SITE - WHEN COVID TESTING BECAME ACCESSIBLE, WE QUICKLY ESTABLISHED A SMALL DRIVE-THRU TESTING SITE FOR SYMPTOMATIC PATIENTS. AS COMMUNITY DEMAND QUICKLY GREW, WE WERE SELECTED AS A REGIONAL TESTING SITE WHICH PROVIDED THE REGION WITH EXPANDED ACCESS TO TESTING. IN JUST OVER A YEAR, MORE THAN 30,000 TEST SPECIMENS WERE ADMINISTERED.COVID CARE AT HOME - THE NEED TO IMPROVE HOSPITAL CAPACITY LED MEMBERS OF THE HOSPITAL TO CREATE AN INNOVATIVE HOME CARE PROGRAM ALLOWING APPROPRIATE COVID PATIENTS TO RECOVER FROM THE VIRUS IN THE COMFORT OF THEIR OWN HOMES. THESE PATIENTS WERE PROVIDED THE SAME MEDICAL EQUIPMENT AND MEDICATIONS THEY WOULD HAVE RECEIVED IN THE HOSPITAL, AND WERE CLOSELY MONITORED BY A TEAM OF HEALTHCARE PROFESSIONALS.VACCINE ADMINISTRATION - THE ANXIOUSLY AWAITED COVID VACCINES WERE WITHOUT QUESTION OUR BEST WEAPON IN THE FIGHT AGAINST COVID-19. WE WERE FORTUNATE TO BE NAMED A REGIONAL VACCINATION SITE AND ADMINISTER VACCINES TO MORE THAN 12,000 PATIENTS.
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PART III, LINE 2:
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THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WERE DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE.
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PART III, LINE 3:
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UNIVERSITY MEDICAL CENTER, INC. HAS TAKEN REASONABLE AND PRUDENT STEPS TO ENSURE NO PORTION OF BAD DEBT COULD BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE.
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PART III, LINE 4:
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SEE AUDITED FINANCIAL STATEMENTS PAGES 10-12 & 15.
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MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF MEDICARE COST REPORT FILED WITH THE 6/30/21 YEAR END.
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PART III, LINE 9B:
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UNIVERSITY MEDICAL CENTER, INC.'S DEBT COLLECTION POLICY PROVIDES THAT UNIVERSITY MEDICAL CENTER, INC. WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE UNIVERSITY MEDICAL CENTER, INC. FINANCIAL ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO UNIVERSITY MEDICAL CENTER, INC. FOR APPROPRIATE FOLLOW-UP. UNIVERSITY MEDICAL CENTER, INC. REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. UMC'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS:- NEITHER UMC NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT,- NEITHER UMC NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE, AND - UMC'S COLLECTION AGENCY MAY NOT SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.
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PART VI, LINE 2:
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UNIVERSITY MEDICAL CENTER (UMC) OPERATES A 24-HOUR EMERGENCY DEPARTMENT 365 DAYS PER YEAR, WHICH IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. UMC PARTICIPATES IN MEDICARE AND MEDICAID, AND AN ACTIVE CHARITY CARE PROGRAM. UMC IS ALSO THE STATE'S FIRST LEVEL 1 TRAUMA CENTER. UNIVERSITY MEDICAL CENTER, A 404-LICENSED-BED FACILITY, IS THE LEADING ACADEMIC MEDICAL CENTER IN THE AREA AND OFFERS THE BENEFITS OF THE LATEST RESEARCH, EQUIPMENT, AND EXPERTISE. IT IS ALSO HOME TO THE REGION'S ONLY LEVEL 1 ADULT TRAUMA CENTER AND THE ADULT BURN UNIT. THE HOSPTIAL IS ALSO THE FIRST NATIONALLY ACCREDITED COMPREHENSIVE STROKE CENTER IN KENTUCKY. ROOTED IN THE NEARLY TWO CENTURIES OF SERVICE TO THE COMMUNITY, UNIVERSITY MEDICAL CENTER HAS A RICH HISTORY OF PROVIDING EXTRAORDINARY PATIENT CARE AND CONDUCTING LEADING-EDGE RESEARCH. TODAY, THE ORGANIZATION'S DIRECT TIE TO THE U OF L HEALTH SCIENCES CENTER ATTRACTS MILLIONS OF RESEARCH DOLLARS TO IMPROVE HEALTH CARE AND EDUCATE PHYSICIANS. THIS HIGH LEVEL OF ACHIEVEMENT OFFERS PATIENTS UNMATCHED ACCESS TO INNOVATIVE AND SPECIALIZED TREATMENT OPTIONS THAT ARE UNAVAILABLE ELSEWHERE IN THE EXCEPTIONALLY HIGH CANCER RATES EXPERIENCED BY THE PEOPLE OF KENTUCKY. ITS MISSION IS TO RELIEVE KENTUCKIANS' DISPROPORTIONATE BURDEN OF PAIN AND SUFFERING CAUSED BY THIS DISEASE, THOUGH STATE-OF-THE-ART CLINICAL, RESEARCH, EDUCATION, AND OUTREACH PROGRAMS. DURING THE PAST 30 YEARS, THE BROWN CANCER CENTER HAS ALSO BECOME HOME TO SOME OF THE BEST CANCER SCIENTESTS AND PHYSICIANS IN THE WORLD. THE JAMES GRAHAM BROWN CANCER CENTER IS A NATIONAL LEADER IN THE PROVISION OF MULTIDISCIPLINARY CANCER CARE, IN WHICH PATIENTS BENEFIT (MEDICALLY AND PRACTICALLY) FROM A TEAM OF PHYSICIANS AND CAREGIVERS FROM EVERY APPLICABLE FIELD WORKING TOGETHER TO PLAN, COORDINATE AND PROVIDE. UMC/3GBCC HAS LONG BEEN ON THE LEADING EDGE OF DEVELOPMENTS AND ACCOLADES IN KEY SERVICE AREAS:- FIRST TRAUMA CENTER IN THE NATION- FIRST CERTIFIED PRIMARY STROKE CENER IN KENTUCKY- FIRST NATIONALLY ACCREDITED COMPREHENSIVE STROKE CENTER IN KENTUCKY- FIRST LEVEL IV EPILEPSY CENTER IN KENTUCKY- FIRST NATIONALLY ACCREDITED BREAST CANCER CENTER IN KENTUCKY- FIRST NATIONALLY ACCREDITED RADIATION ONCOLOGY PROGRAM IN LOUISVILLE- FIRST TO PROVIDE TRUE MULTIDISCIPLINARY CANCER CARE IN KENTUCKY- FIRST AND ONLY BLOOD AND MARROW TRANSPLANTATION PROGRAM IN LOUISVILLE- FIRST AND ONLY STATEWIDE EDUCATIONN LEADER IN KANGAROO CARE UMC IS COMMITTED TO THE PROVISION OF THE HIGHEST QUALITY PATIENT, AND FAMILY, CENTERED CARE REGARDLESS OF ECONOMIC STATUS. THE HOSPITAL AND CANCER CENTER PROVIDED MORE THAN $9.7MILLION OF CHARITY CARE IN FYE 2021.
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PART VI, LINE 3:
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UNIVERSITY MEDICAL CENTER, INC. INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN UNIVERSITY MEDICAL CENTER, INC. OUTPATIENT FACILITIES. IN ADDITION, UNIVERSITY MEDICAL CENTER, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER UNIVERSITY MEDICAL CENTER, INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. UNIVERSITY MEDICAL CENTER, INC.'S REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. UNIVERSITY MEDICAL CENTER, INC.'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
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PART VI, LINE 4:
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LOUISVILLE IS A MAJOR CITY, THE LARGEST IN THE STATE OF KENTUCKY AND THE COUNTY SEAT OF JEFFERSON COUNTY. THE 2017 POPULATION ESTIMATE IN JEFFERSON COUNTY WAS 771,158. THE LOUISVILLE METROPOLITAN AREA IS OFTEN REFERRED TO AS KENTUCKIANA BECAUSE IT INCLUDES COUNTIES IN SOUTHERN INDIANA. LOUISVILLE IS SOUTHEASTERLY SITUATED ALONG THE BORDER BETWEEN KENTUCKY AND INDIANA, THE OHIO RIVER, IN NORTH-CENTRAL KENTUCKY AT THE FALLS OF THE OHIO.THE COMMUNITY SERVED BY U OF L HOSPITAL IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF THE PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. INPATIENT DISCHARGE DATA FOR U OF L HOSPITAL FROM JULY 1, 2017-JUNE 30, 2018 (THE LATEST FISCAL YEAR AVAILABLE AS OF THIS WRITING) SHOWS THAT JEFFERSON COUNTY WAS THE COUNTY OF RESIDENCE FOR 59.21% OF INPATIENTS, OR 10,388 OF 17,543 PATIENTS. THE REMAINING 40.79% OF PATIENTS COME FROM SOUTHERN INDIANA AND OTHER COUNTIES IN KENTUCKY, WITH THE MAJORITY RESIDING SOUTH AND WEST OF JEFFERSON COUNTY, KY. HOWEVER, OF THESE AREAS, THERE IS NO CONCENTRATION LIKE IN JEFFERSON COUNTY.BECAUSE ALMOST 60% OF INPATIENTS LIVED IN THE SAME GEOGRAPHIC AREA IN FY18, THE SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT IS DEFINED AS JEFFERSON COUNTY. ACCORDING TO THE MOST RECENT CENSUS, 22.3% OF THE POPULATION IS BETWEEN 0-18 YEARS OLD AND 15.7% IS 65 YEARS OR OLDER. THE ETHNICITY BREAKDOWN IS 72.3% WHITE, 22% BLACK, AND 5.3% HISPANIC.
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PART VI, LINE 5:
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UMC PROVIDES STAFF AND FINANCIAL SUPPORT TO THE HARAMBEE CLINIC, A NURSE-RUN CLINIC THAT PROVIDES ADDITIONAL ACCESS TO HEALTH CARE SERVICES IN UNDERSERVED AREAS OF JEFFERSON COUNTY. UMC ALSO WORKS TO ENHANCE THE HEALTH OF THE COMMUNITY THROUGH VIOLENCE PREVENTION INTERVENTIONS, HEALTH FAIRS IN UNDERSERVED AREAS, AND COMMUNITY COLLABORATION WITH OTHER NONPROFITS TO ADDRESS THE ISSUES AROUND HOSPITAL SUPER-UTILIZERS, AMONG OTHER INITIATIVES.MOST COMMUNITY OUTREACH IS OPEN TO THE PUBLIC, WHICH SERVES THE BROADER COMMUNITY. ONE INITIATIVE THAT SIMULTANEOUSLY IMPROVES ACCESS TO HEALTHCARE AND PROMOTES HEALTHY LIVING IS WALK WITH A DOC, WHICH IS FREE, OPEN TO THE PUBLIC, AND HELD IN THREE SEPARATE GEOGRAPHIC LOCATIONS IN THE LOUISVILLE MARKET. UMC COMPLETELY ABSORBS THE COST OF THIS PROGRAM, INCLUDING FEES AND ALLOCATING STAFF TIME IN ORDER TO PROVIDE THIS BENEFIT TO THE WHOLE COMMUNITY. AS A TEACHING HOSPITAL, THEY WORK TO ADVANCE MEDICAL KNOWLEDGE FOR MANY DIFFERENT SPECIALIZATIONS OF HEALTH PROFESSIONALS. IN FY 2020, THIS INCLUDED, BUT WAS NOT LIMITED TO, PROVIDING EDUCATION TO MEDICAL STUDENTS, PHYSICIAN RESIDENTS, AND FELLOWS, NURSING STUDENTS, PHARMACY RESIDENTS, MENTAL HEALTH PROFESSIONALS, PHYSICAL AND OCCUPATIONAL THERAPISTS, AND LABORATORY TECHNICIANS. THIS WAS DONE IN COLLABORATION WITH THE UMC, THE UNIVERSITY OF KENTUCKY, SPALDING UNIVERSITY, GALEN COLLEGE OF NURSING, BELLARMINE UNIVERSITY, AND JEFFERSON COMMUNITY AND TECHNICAL COLLEGE, AMONG OTHERS COMMUNITY-BUILDING ACTIVITIES. THE HOSPITAL ALSO WORK TO ENHANCE THE HEALTH OF THE COMMUNITY THROUGH VIOLENCE PREVENTION INTERVENTIONS, HEALTH FAIRS IN UNDERSERVED AREAS, AND COMMUNITY COLLABORATION WITH OTHER NONPROFITS TO ADDRESS THE ISSUES AROUND HOSPITAL SUPER-UTILIZERS, AMONG OTHER INITIATIVES. UMC ALSO DONATE SUPPLIES TO SUPPLIES OVERSEAS COLLABORATING PARTNERS FOR COMMUNITY BUILDING ACTIVITIES WHICH INCLUDE, BUT ARE NOT LIMITED TO JEFFERSON COUNTY PUBLIC SCHOOLS, LOUISVILLE METRO GOVERNMENT, FOOD LITERACY PROJECT, WALK WITH A DOC, UNIVERSITY OF LOUISVILLE, PACT IN ACTION, AND THE CENTER FOR WOMEN AND FAMILIES, AMONG OTHERS. THE FOLLOWING LIST SHOW SERVICES PROVIDED BY UMC:- CANCER CARE-JAMES GRAHAM BROWN CANCER CENTER- EPILEPSY CENTER- HEART CARE- LUNG CARE- PAIN MANAGEMENT CARE- PALLIATIVE CARE- PHARMACY- PSYCHIATRIC SERVICES- RADIOLOGY AND DIAGNOSTIC IMAGING- REGIONAL CLINICAL CARE- ROBOTIC SURGERY- STROKE CENTER- SLEEP CARE- TRAUMA CENTER- WOMEN'S CARE
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PART VI, LINE 6:
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UOFL HEALTH, INC. IS THE PARENT ORGANIZATION FOR A NUMBER OF TAX-EXEMPT HOSPITALS AND HEALTH CARE ORGANIZATIONS (THE "UOFL HEALTH SYSTEM"). ITS GENERAL PURPOSE IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF, EACH ENTITY DIRECTLY OR INDIRECTLY CONTROLLED BY IT THAT IS EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(L) OR SECTION 509(A)(2) OF THE CODE (INDIVIDUALLY, A "SUPPORTED ORGANIZATION AND, COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"). UOFL HEALTH, INC. IS SUPERVISED OR CONTROLLED IN CONNECTION WITH ITS SUPPORTED ORGANIZATIONS BECAUSE THE SAME PEOPLE MANAGE UOFL HEALTH, INC. AND THE SUPPORTED ORGANIZATIONS.THE SUPPORTED ORGANIZATIONS INCLUDE UNIVERSITY MEDICAL CENTER, INC., AND UNIVERSITY OF LOUISVILLE PHYSICIANS, INC., BOTH OF WHICH ARE KENTUCKY NONPROFIT CORPORATIONS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS BEING TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE CODE.ANOTHER OF ITS SUPPORTED ORGANIZATIONS IS UOFL HEALTH-LOUISVILLE, INC., WHICH OPERATES FOUR HOSPITALS IN THE LOUISVILLE METROPOLITAN AREA, EACH OFFERING UNIQUE AND VITAL SERVICES TO APPLICANT'S COMMUNITY OF JEFFERSON COUNTY, KENTUCKY. UOFL HEALTH-JEWISH HOSPITAL OPERATES A 462-LICENSED BED HOSPITAL THAT IS KNOWN FOR ITS MANY GROUNDBREAKING SERVICES, WHICH INCLUDE BEING THE SITE OF THE NATION'S FIRST FOUR HAND TRANSPLANTS. UOFL HEALTH-PEACE HOSPITAL IS A 220-LICENSED BED BEHAVIORAL HEALTH CARE HOSPITAL THAT OFFERS A FULL CONTINUUM OF BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES, AS WELL AS SPECIALTY PROGRAMS FOR BOTH CHILDREN AND ADULTS WHO HAVE COMPLEX TREATMENT NEEDS. UOFL HEALTH-MARY & ELIZABETH HOSPITAL IS A 298-BED PRIMARY CARE HOSPITAL THAT OFFERS ADVANCE TREATMENT IN ORTHOPEDICS, CARDIOLOGY, MEDICAL IMAGING, SURGICAL AND EMERGENCY SERVICES, AND IS THE HOME OF THE REGION'S ONLY WEIGHT LOSS MANAGEMENT PROGRAM (BARIATRIC CARE) UTILIZING THE LAP-BAND SYSTEM. UOFL HEALTH-FRAZIER REHABILITATION INSTITUTE OPERATES A 135-BED REHABILITATION HOSPITAL IN DOWNTOWN LOUISVILLE.UOFL HEALTH-SHELBYVILLE, INC., WHICH OWNS AND OPERATES A 70-BED HOSPITAL LOCATED AT 727 HOSPITAL DRIVE IN SHELBYVILLE, KENTUCKY, IS ANOTHER SUPPORTED ORGANIZATION.
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PART VI, LINE 7, REPORTS FILED WITH STATES
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KY
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