SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
UNIVERSITY MEDICAL CENTER INC
 
Employer identification number

61-1293786
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    11,439,528   11,439,528 1.680 %
b Medicaid (from Worksheet 3, column a) . . . . .     203,399,892 253,585,612 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     214,839,420 253,585,612 11,439,528 1.680 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     68,246   68,246 0.010 %
f Health professions education (from Worksheet 5) . . .     26,879,937 6,731,433 20,148,504 2.960 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     26,948,183 6,731,433 20,216,750 2.970 %
k Total. Add lines 7d and 7j .     241,787,603 260,317,045 31,656,278 4.650 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
26,421,079
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
113,223,509
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
100,059,300
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
13,164,209
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 UNIVERSITY OF LOUISVILLE HOSPITAL
530 S JACKSON STREET
LOUISVILLE,KY40202
WWW.UOFLHOSPITAL.ORG
100220
X X   X   X X      
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
UNIVERSITY OF LOUISVILLE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://UOFLHEALTH.ORG/COMMUNITY-NEEDS-ASSESSMENT/2020-2022-REPORTS/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
UNIVERSITY OF LOUISVILLE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.UOFLHOSPITAL.ORG/FINANCIAL-ASSISTANCE
b
WWW.UOFLHOSPITAL.ORG/FINANCIAL-ASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Billing and Collections
UNIVERSITY OF LOUISVILLE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
UNIVERSITY OF LOUISVILLE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 3J: IN ORDER TO PRIORITIZE THE HEALTH NEEDS OF OUR COMMUNITY, WE DEVELOPED A RANKING SYSTEM. EACH OF THE 13 HEALTH MEASURES LISTED IN THE COUNTY HEALTH RANKINGS MODEL WAS ASSESSED FOR THE LOUISVILLE COMMUNITY. THERE WERE SIX PRIORITIZATION FACTORS FOR WHICH EACH HEALTH MEASURE WAS ASSESSED: MAGNITUDE IMPACT ON MORTALITY IMPACT ON MORBIDITY TRENDS COMMUNITY INPUT STRATEGIC ALIGNMENTEACH HEALTH MEASURE (TOBACCO USE, ACCESS TO CARE, ETC.) RECEIVED A SCORE OF ZERO TO 13 (GIVEN THAT THERE ARE 13 HEALTH MEASURES IN THE MODEL). A SCORE OF 13 INDICATES THE HEALTH MEASURE OUTRANKED ALL OTHERS IN IMPORTANCE FOR THAT PRIORITIZATION FACTOR. AFTER BEING ASSESSED BY EACH PRIORITIZATION FACTOR AND RECEIVING A SCORE IN EACH AREA, THE TOTAL SCORES FOR EACH HEALTH MEASURE WERE TOTALED.IN OUR EFFORTS TO ADDRESS THE HEALTH NEEDS THAT HEAVILY INFLUENCE HEALTH OUTCOMES, WE CREATED A SYSTEM FOR RANKING COMMUNITY HEALTH NEEDS USING A WEIGHTED SCALE TO ACCOUNT FOR THE MEASURE OF INFLUENCE. THE MEASURE OF INFLUENCE IS THE PERCENTAGE OF EFFECT THAT THIS CATEGORY OF HEALTH FACTORS HAS ON HEALTH OUTCOMES. THE WEIGHTED SCORE WAS CREATED BY MULTIPLYING THE TOTAL SCORE FOR EACH HEALTH MEASURE BY THE PERCENTAGE OF THEIR INFLUENCE ON OVERALL HEALTH. FOR EXAMPLE, COMMUNITY SAFETY IS A SOCIAL AND ECONOMIC FACTOR. IF ALL SIX PRIORITIZATION FACTORS ADDED UP TO A TOTAL SCORE OF 78, WE THEN MULTIPLIED THIS TOTAL SCORE BY 40%THE MEASURE OF INFLUENCE FOR A HEALTH BEHAVIOR ACCORDING THE COUNTY HEALTH RANKINGS MODEL. THIS WEIGHTED SCORE WAS COMPARED AGAINST THE OTHER HEALTH MEASURES. THE FACTORS WITH THE HIGHEST WEIGHTED SCORES WERE IDENTIFIED AS SIGNIFICANT COMMUNITY HEALTH NEEDS TO BE ADDRESSED BY UOFL HOSPITAL. USING SUCH A RANKING SYSTEM ALSO ACKNOWLEDGES THE DISPROPORTIONATELY NEGATIVE IMPACT OF THESE SOCIAL DETERMINANTS ON THE HEALTH OF THE POOR, VULNERABLE, AND UNDERSERVED IN OUR COMMUNITIES. THIS WILL ALLOW UOFL HOSPITAL TO BEST ADDRESS DISAPARTIES IN HEALTH.
UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 5: THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS (LMPHW) CONVENED THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE IN MAY 2017 TO BEGIN THE PROCESS REQUIRED OF TAX-EXEMPT HOSPITAL AND ACCREDITED HEALTH DEPARTMENTS. THE STEERING COMMITTEE BRANCHED INTO MULTIPLE SUB-COMMITTEES, AND A REPRESENTATIVE OF UOFL HOSPITAL JOINED THE SURVEY DESIGN, DATA ANALYSIS, ASSET MAPPING, AND ISSUES AREAS SUB-COMMITTEES. AT THIS TIME, OTHER AGENCIES JOINED THE VARIOUS COMMITTEES, REPRESENTING MEMBERS OF THE MEDICALLY-UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. ALTHOUGH NOT A COMPREHENSIVE LIST, SUCH AGENCIES INCLUDED: NORTON HEALTH BAPTIST HEALTH KIPDA (KENTUCKIANA REGIONAL PLANNING & DEVELOPMENT AGENCY) UNIVERSITY OF LOUISVILLE OFFICE OF COMMUNITY ENGAGEMENT LOUISVILLE METRO GOVERNMENT OFFICE OF COMMUNITY SERVICES GREATER LOUISVILLE PROJECT METRO UNITED WAY COMMUNITY FOUNDATION OF LOUISVILLE KENTUCKY REFUGEE MINISTRIES UNIVERSITY OF LOUISVILLE SCHOOL OF PUBLIC HEALTH JEFFERSON COUNTY PUBLIC SCHOOLS PARK DUVALLE COMMUNITY HEALTH CENTER FAMILY HEALTH CENTERS HUMANAFEEDBACK FROM LMPHW AND THE AFOREMENTIONED ORGANIZATIONS FURTHER REPRESENTS FEEDBACK FROM THE UNDERSERVED IN JEFFERSON COUNTY DUE TO THE SPECIAL KNOWLEDGE OF LOCAL HEALTH DEPARTMENTS.UOFL HOSPITAL WORKED WITH THESE AGENCIES TO DESIGN A COMMUNITY SURVEY TO SOLICIT INPUT FROM THE GENERAL COMMUNITY ON HEALTH NEEDS IN LOUISVILLE METRO (JEFFERSON COUNTY, KY). IQS RESEARCH PROVIDED DATA AND TECHNICAL EXPERTISE, AND, AT THE REQUEST OF UOFL HOSPITAL, DEVELOPED TWO SEPARATE SURVEY LINKS TO USE IN COLLECTING RESPONSES. THE PATIENT SURVEY WAS HTTP://SURVEYS.IQSRESEARCH.COM/S3/CHNA-UOFL-HOSPITAL-PATIENTS AND THE HOSPITAL EMPLOYEE LINK WAS HTTP://SURVEYS.IQSRESEARCH.COM/S3/CHNA-UOFL-HOSPITAL-STAFF. ULH MADE A $5,000 CONTRIBUTION TO THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS TO PUT TOWARDS THE COST OF IQS' SUPPORT IN THE CHNA PROCESS. COMMUNITY INPUT: PATIENTS UOFL HOSPITAL MADE PAPER SURVEYS AVAILABLE FROM DECEMBER 29, 2017 THROUGH JANUARY 31, 2018 IN SEVEN COMMON SPACES AT THE HOSPITAL. TWO SURVEY SITES WERE SET UP IN THE ADJACENT AMBULATORY CARE BUILDING, AND THREE SURVEY SITES WERE SET UP AT THE JAMES GRAHAM BROWN CANCER CENTER. PATIENTS WERE INVITED TO PARTICIPATE IN THE ANONYMOUS SURVEYS WITH A FLYER. SURVEYS WERE AVAILABLE IN FIVE LANGUAGES (ENGLISH, SPANISH, ARABIC, SWAHILI, AND NEPALI) AT ALL TWELVE TOTAL SURVEY SITE LOCATIONS. PAPER SURVEYS WERE SUBMITTED TO IQS TO CONVERT INTO ELECTRONIC DATA. UOFL HOSPITAL'S MARKETING AND COMMUNICATIONS TEAM, HOUSED WITHIN UOFL PHYSICIANS, INCLUDED THE PATIENT LINK TO THE SURVEY IN ITS DECEMBER 28, 2017 PATIENT AND CONSUMER NEWSLETTER, ENTITLED TO YOUR HEALTH. THE NEWSLETTER CAN BE FOUND IN THE ARCHIVE HERE: HTTP://WWW.UOFLPHYSICIANS.COM/NEWSLETTER-ARCHIVE. AS OF DECEMBER 28, 2017, THE NEWSLETTER HAD A DISTRIBUTION LIST OF APPROXIMATELY 30,000 EMAIL ADDRESSES. COMMUNITY INPUT: EMPLOYEESO UOFL HOSPITAL'S MARKETING AND COMMUNICATION TEAM INCLUDED THE EMPLOYEE SURVEY LINK IN WEEKLY OFFICIAL HOSPITAL COMMUNICATIONS BEGINNING DECEMBER 18, 2017 THROUGH JANUARY 22, 2018. THE EMPLOYEE LINK WAS ALSO SENT THROUGH THE OFFICIAL COMMUNICATION CHANNELS TO UOFL PHYSICIANS STAFF AND PHYSICIANS DURING THIS SAME PERIOD. IN TOTAL, 3,500 JEFFERSON COUNTY RESIDENTS TOOK THE SURVEY. SINCE SOME DEMOGRAPHICS WERE UNDERREPRESENTED IN THE SURVEYS, LMPHW HELD EIGHT FOCUS GROUPS WITH A TOTAL OF 82 PARTICIPANTS. A WEIGHTED ANALYSIS WAS COMPLETED TO MATCH THE DEMOGRAPHICS OF JEFFERSON COUNTY AND ENSURE THE SURVEYS WERE REPRESENTATIVE OF THE COMMUNITY.FEEDBACK ON THE PREVIOUS CHNA AND IMPLEMENTATION STRATEGY WAS SOLICITED ONLINE. FROM JUNE 30, 2016-JUNE 30, 2017, THIS FEEDBACK WAS AVAILABLE VIA A LINK ON THE KENTUCKYONE HEALTH WEBSITE (HTTP://WWW.KENTUCKYONEHEALTH.ORG/HEALTHY-COMMUNITY-CONTACT-US). FROM JULY 1, 2017-JUNE 30, 2019, THIS FEEDBACK WAS SOLICITED VIA A LINK ON THE UOFL HOSPITAL WEBSITE (HTTPS://UOFLHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT). NEITHER LINK RECEIVED ANY WRITTEN COMMENTS ON THE CHNAS OR IMPLEMENTATION STRATEGIES REPORTS. THEREFORE, UOFL HOSPITAL SOLICITED FEEDBACK WITH A READILY-ACCESSIBLE TOOL BUT DID NOT RECEIVE ANY WRITTEN COMMENTS AND THUS HAD NO OPPORTUNITY TO EVALUATE THOSE COMMENTS.
UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 6A: NORTON HEALTH BAPTIST HEALTH KENTUCKYONE HEALTH (NOW UOFL HEALTH)
UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 6B: LOUISVILLE METRO PUBLIC HEALTH AND WELLNESSKIPDA (KENTUCKIANA REGIONAL PLANNING & DEVELOPMENT AGENCY)UNIVERSITY OF LOUISVILLE LOUISVILLE METRO GOVERNMENT GREATER LOUISVILLE PROJECTMETRO UNITED WAYCOMMUNITY FOUNDATION OF LOUISVILLEKENTUCKY REFUGEE MINISTRIESJEFFERSON COUNTY PUBLIC SCHOOLSPARK DUVALLE COMMUNITY HEALTH CENTERFAMILY HEALTH CENTERSHUMANA
UNIVERSITY OF LOUISVILLE HOSPITAL PART V, SECTION B, LINE 11: WE HAVE CHOSEN TO IDENTIFY OUR PRIORITIES AS NAMED IN THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS REPORT IN ORDER TO USE CONSISTENT NAMING CONVENTIONS FOR COMMUNITY HEALTH TERMS. ALCOHOL AND DRUG USE THE DATA IN THE HEALTH NEEDS PRIORITIZATION CHART SHOWED ALCOHOL AND DRUG USE TO HAVE THE HIGHEST TOTAL SCORE AND THE HIGHEST WEIGHTED SCORE WHEN CONTROLLING FOR MEASURE OF INFLUENCE. AS A HEALTH BEHAVIOR, ALCOHOL AND DRUG USE IMPACTS ABOUT 30% OF HEALTH OUTCOMES AND FOCUS HERE DEMONSTRATES THE HOSPITAL IS WORKING UPSTREAM TO ADDRESS HEALTH ISSUES. SUBSTANCE USE DISORDER CONTINUES TO PRESENT ITSELF AS A MAJOR CONCERN IN THE COMMUNITY AND THE HOSPITAL HAS ALREADY DEDICATED RESOURCES TO ADDRESSING THIS NEED. CONTINUING TO ADDRESS SUBSTANCE USE IN THIS CHNA TIME FRAME WILL ALLOW UOFL HOSPITAL TO EXPAND ON WORK THAT BEGAN IN THE PREVIOUS CHNA TIME PERIOD.COMMUNITY SAFETY THE DATA IN THE HEALTH NEEDS PRIORITIZATION CHART SHOWED COMMUNITY SAFETY TO HAVE THE THIRD HIGHEST TOTAL SCORE, BUT THE SECOND HIGHEST WEIGHTED SCORE WHEN CONTROLLING FOR MEASURE OF. AS A SOCIAL AND ECONOMIC FACTOR, COMMUNITY SAFETY IMPACTS ABOUT 40% OF HEALTH OUTCOMES AND DEMONSTRATES THE HOSPITAL IS TRYING TO ADDRESS A TRUE ROOT CAUSE OF POOR HEALTH OUTCOMES. UOFL HOSPITAL IS ALREADY DEEPLY INVOLVED IN COMMUNITY SAFETY EFFORTS FROM THE PREVIOUS CHNA TIME PERIOD AND WOULD LIKE TO REALIZE THE IMPACT OF A LONG-TERM COMMITMENT TO VIOLENCE REDUCTION. THE FIRST SIGNIFICANT HEALTH NEED BEING ADDRESSED IS ALCOHOL AND DRUG USE, WITH THESE SPECIFIC INTERVENTIONS: PROVIDE BRIEF INTERVENTIONS (BI'S) TO TRAUMA PATIENTS WHOSE HOSPITAL ADMISSION INCLUDED A POSITIVE TOXICOLOGY SCREENING FOR ALCOHOL OR ILLEGAL SUBSTANCES. PROVIDE RESOURCES AND REFERRALS FOR PATIENTS ACCEPTING TREATMENT. PROVIDE TREATMENT OPTIONS TO PATIENTS WITH SUBSTANCE USE DISORDER. PROVIDE RESOURCES AND REFERRALS FOR PATIENTS ACCEPTING TREATMENT. PROVIDE EDUCATION ON NARCAN USE TO COMMUNITY MEMBERS AND HOSPITAL STAFF FOR PATIENT EDUCATION PROVIDE THERAPEUTIC INTERVENTIONS TO TRAUMA PATIENTS TO ASSIST IN PROCESSING AND COPING WITH A TRAUMATIC INJURY. DEVELOP A NETWORK OF PEER SUPPORTERS WHO CAN ENGAGE PATIENTS WHILE HOSPITALIZED. IDENTIFY PATIENTS ELIGIBLE FOR PEER SUPPORT AND FACILITATE CONNECTION TO PEERS FOR LIVED EXPERIENCE SUPPORT NOT ABLE TO BE OFFERED BY CLINICAL STAFF. TRAUMA-INFORMED CARE CLASSES WILL BE OFFERED TO ALL STAFF ON A SEMI-ANNUAL BASIS TO PROMOTE UNDERSTANDING AND BETTER SUPPORT FOR PATIENTS, ESPECIALLY THOSE IN CRISIS. THE SECOND HEALTH SIGNIFICANT HEALTH NEED BEING ADDRESSES IS COMMUNITY SAFETY, WITH THESE SPECIFIC INTERVENTIONS: ADVOCATE FOR A FUNDING FOR A STAFF-SUPPORTED STRUCTURE OF THE STATEWIDE TRAUMA SYSTEM, WHICH CURRENTLY OPERATES ON VOLUNTEERS AND DONATIONS, TO IMPROVE TRAUMA CARE. PROVIDE ONGOING EDUCATION INTERNALLY TO PHYSICIANS AND STAFF AND EXTERNALLY TO REFERRING HOSPITALS AND EMERGENCY MEDICAL PROVIDERS IN ORDER TO IMPROVE CARE FOR TRAUMA PATIENTS. PROVIDE STOP THE BLEED CLASSES TO IMPROVE COMMUNITY BYSTANDER RESPONSE TO TRAUMATIC INJURIES. USING THE HOSPITAL-BASED VIOLENCE INTERVENTION NETWORK, LINK PATIENTS WHO ARE RECOVERING FROM VIOLENT INJURIES WITH COMMUNITY RESOURCES TO IMPROVE PATIENT OUTCOMES AND REDUCE VIOLENCE. COMMUNITY HEALTH WORKERS WILL RESPOND TO EMERGENCY DEPARTMENT LOCKDOWNS FOR PATIENTS WITH GUNSHOT OR STABBING INJURIES TO MAINTAIN A SAFE ENVIRONMENT FOR PATIENTS AND STAFF BY DE-ESCALATING ANY TENSIONS WITH PATIENTS AND/OR FAMILIES. SCREEN ALL PATIENTS PRESENTING IN THE EMERGENCY DEPARTMENT FOR THE PRESENCE OF DOMESTIC VIOLENCE (DV). POSITIVE SCREENING WILL ALLOW FOR A LINK TO AN ADVOCATE WITH THE CENTER FOR WOMEN AND FAMILIES TO DISCUSS SERVICES AND RESOURCES AVAILABLE TO THAT PATIENT. IDENTIFY VICTIMS OF HUMAN TRAFFICKING AND DOMESTIC VIOLENCE. STOCK PATIENT BATHROOMS WITH RED DOT STICKERS AND SIGNAGE THAT STATES, "UOFL HOSPITAL CARES ABOUT YOUR WELL-BEING. IF YOU ARE CONCERNED ABOUT YOUR SAFETY AFTER DISCHARGE AND WOULD LIKE TO SPEAK TO A STAFF MEMBER IN PRIVATE, PLEASE PLACE A RED DOT STICKER OUTSIDE OF YOUR SPECIMEN CUP. A STAFF MEMBER WILL ARRANGE TO SPEAK TO YOU PRIVATELY TO DISCUSS YOUR CONCERNS." ACTIVATE A COORDINATED RESPONSE TO ASSIST NURSING STAFF WITH DE-ESCALATING AGGRESSIVE PATIENT BEHAVIOR.UOFL HOSPITAL ADDRESSED THE TOP TWO SIGNIFICANT NEEDS AS DETERMINED BY AN ASSESSMENT OF MULTIPLE DATA SOURCES. HOWEVER, ALL HEALTH CATEGORIES AS OUTLINED BY THE COUNTY HEALTH RANKINGS WERE ASSESSED FOR IMPACT ON COMMUNITY HEALTH AND WERE NOT FOUND TO BE SIGNIFICANT HEALTH NEEDS. ALTHOUGH THESE NEEDS WERE NOT DEMINED TO BE SIGNIFICANT FOR THIS COMMUNITY, BELOW ARE SPECIFIC REASONS WHY EACH WAS NOT LISTED AS A SIGNIFICANT NEED AND WOULD NOT BE ADDRESSED.TOBACCO USE THE DATA IN THIS CATEGORY DID NOT INDICATE THIS AREA WAS AS HIGH A NEED AS THE PRIORITY HEALTH NEEDS CHOSEN IN THE PREVIOUS SECTION, ALTHOUGH THIS AREA DID RANK HIGHER THAN OTHERS. THIS IS NOT AN AREA FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE MANY TOBACCO CESSATION PROGRAMS ALREADY IN THE COMMUNITY.DIET AND EXERCISE THE DATA IN THIS CATEGORY DID NOT INDICATE THIS AREA WAS AS HIGH A NEED AS THE PRIORITY HEALTH NEEDS CHOSEN IN THE PREVIOUS SECTION, ALTHOUGH THIS AREA DID RANK HIGHER THAN OTHERS. THIS IS NOT AN AREA FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO MORE APPROPRIATE COMMUNITY ORGANIZATIONS ALREADY WORKING ON INTERVENTIONS IN THIS AREA.SEXUAL ACTIVITY THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO LACK OF SIGNIFICANT NEED.ACCESS TO CARE THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. ALTHOUGH THIS IS AREA WHERE INTERVENTION FROM THE HOSPITAL IS FEASIBLE, THE LACK OF DEMONSTRATED NEED BY THE DATA ANALYSIS MEANS THIS NEED WILL NOT BE ADDRESSED IN THE IMPLEMENTATION STRATEGIES REPORT.QUALITY OF CARE THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. ALTHOUGH THIS IS AREA WHERE INTERVENTION FROM THE HOSPITAL IS FEASIBLE, THE LACK OF DEMONSTRATED NEED BY THE DATA ANALYSIS MEANS THIS NEED WILL NOT BE ADDRESSED IN THE IMPLEMENTATION STRATEGIES REPORT.EDUCATION THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND LACK OF SIGNIFICANT NEED.EMPLOYMENT THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND LACK OF SIGNIFICANT NEED.INCOME THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT.FAMILY AND SOCIAL SUPPORT THE DATA IN THIS CATEGORY DID NOT INDICATE THIS AREA WAS AS HIGH A NEED AS THE PRIORITY HEALTH NEEDS CHOSEN IN THE PREVIOUS SECTION, ALTHOUGH THIS AREA DID RANK HIGHER THAN OTHERS. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND BECAUSE MANY COMMUNITY ORGANIZATIONS ALREADY WORK TO ADDRESS SOCIAL ISOLATION.AIR AND WATER QUALITY THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND THE LACK OF SIGNIFICANT NEED.HOUSING AND TRANSIT THE DATA IN THIS CATEGORY DID NOT DEMONSTRATE THAT THIS WAS AREA OF NEED FOR THIS COMMUNITY. THIS AREA WAS NOT CHOSEN FOR INTERVENTION IN THE IMPLEMENTATION STRATEGIES REPORT DUE TO THE LACK OF FEASIBLE OPPORTUNITIES FOR IMPACT AND LACK OF SIGNIFICANT NEED.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: 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.
PART II, COMMUNITY BUILDING ACTIVITIES: 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.
PART III, LINE 2: 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.
PART III, LINE 3: 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.
PART III, LINE 4: SEE AUDITED FINANCIAL STATEMENTS PAGES 10-12 & 15.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY OFF MEDICARE COST REPORT FILED WITH THE 6/30/21 YEAR END.
PART III, LINE 9B: 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.
PART VI, LINE 2: 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.
PART VI, LINE 3: 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.
PART VI, LINE 4: 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.
PART VI, LINE 5: 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
PART VI, LINE 6: 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.
PART VI, LINE 7, REPORTS FILED WITH STATES KY
Schedule H (Form 990) 2020
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