SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
UNIVERSITY HEALTH SYSTEM INC
 
Employer identification number

31-1626179
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

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
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
 
 
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) . . . 		    46,254,685   46,254,685 3.17 %
b Medicaid (from Worksheet 3, column a) . . . . .     107,677,111 101,524,218 6,152,893 0.42 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     12,680,218 8,429,845 4,250,373 0.29 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 166,612,014 109,954,063 56,657,951 3.88 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     283,220   283,220 0.02 %
f Health professions education (from Worksheet 5) . . .     31,046,840   31,046,840 2.13 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .         0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     420,750   420,750 0.03 %
j Total. Other Benefits . . 0 0 31,750,810 0 31,750,810 2.18 %
k Total. Add lines 7d and 7j . 0 0 198,362,824 109,954,063 88,408,761 6.06 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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         0 0 %
2 Economic development     35,500   35,500 0 %
3 Community support     52,949   52,949 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building     41,244   41,244 0 %
7 Community health improvement advocacy     521,154   521,154 0.04 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 650,847 0 650,847 0.04 %
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
6,881,468
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
1,412,612
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
460,311,341
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
469,416,950
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-9,105,609
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) 2023
Schedule H (Form 990) 2023
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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 UNIVERSITY HEALTH SYSTEM
9000 EXECUTIVE PARK DRIVE BLDG D-2
KNOXVILLE,TN37923 		X X   X   X X      
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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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 HEALTH SYSTEM
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 21
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   No
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 21
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.utmedicalcenter.org/about/our-story/community-benefit/
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) 2023
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Schedule H (Form 990) 2023
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
UNIVERSITY HEALTH SYSTEM
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
See Statement
b
See Statement
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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Part VFacility Information (continued)

Billing and Collections
UNIVERSITY HEALTH SYSTEM
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) 2023
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Schedule H (Form 990) 2023
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
UNIVERSITY HEALTH SYSTEM
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) 2023
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Schedule H (Form 990) 2023
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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
Schedule H, Part V, Section B, Line 3E UTMC is continullay analyzing data and focusing on populations within our service region for inequalities related to healthcare access and services. In response to the most significant needs identified, UTMC has increased the number of regional health centers and have plans to open additional services in areas that have lost healthcare care services and licensed practioners and physician providers access due to a myriad of factors.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - . Collaboration and data sharing was conducted with Knox County Health Department and the Tennessee Department of Health.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - . UTMC is continually analyzing data and focusing on populations within our service region for inequalities related to healthcare access and services. In response to the most significant needs identified, UTMC has increased the number of regional health centers and have plans to open additional services in areas that have lost healthcare care services and licensed practitioners and physician providers access due to a myriad of factors.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - . Patient statements also include verbiage regarding FAP. Some statements have FAP applications mailed with self addressed stamp envelopes.
Schedule H, Part V, Section B, Line 18d Facility , 1 Facility , 1 - . Legal action may be filed by outside third party legal counsel when the patient has not cooperated and has the financial means to pay. The hospital may pursue the filing of liens but will not force the sale of property.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 9
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?0
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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
Schedule H, Part VI, Line 5 UTMC is a data-informed and data-driven organization that conducts inventory of the hospital's assets to meet the community's ongoing needs. UTMC's major initiatives focused on increasing access to health services for the underserved through partnerships. Among those are current partnerships with Cherokee Health Systems, Interfaith, a other Free Medical Clinics in the region. Preventing injuries and treating traumatic brain injuries is another area of focus; for this reason, UTMC actively seeks out partnerships to increase health education around these topics. Cancer education, screening, diagnosis, and treatment are also some of the key priorities for the organization, particularly what pertains to increasing access to minority and marginalized populations that experience greater barriers to accessing the health care system. Through theBreast Health Outreach Program (BHOP),UTMC provides free education, prevention, diagnostics, and treatment for uninsured women. The Mobile Mammography Unit (MMU) provides free and low-cost screenings to women in our 21-county area. Opioid/Substance Abuse:UTMC has partnered with the Metro Drug Coalition and other state agencies to identify innovative processes to address the opioid epidemic. To support patients with withdrawal from opioids, several physicians have led research efforts to assist individuals in withdrawing safely from chemical dependency. From perinatal withdrawal to implementing pathways for individuals who are admitted with medical issues associated with opioid misuse, UTMC is pioneering research efforts in this field to assist in combating chemical dependency on opioids. Emergency and Trauma Services Prevention and Education-"Stop the Bleed"- a statewide initiative focused on decreasing mortality rates associated with hemorrhage. Education for allied health professionals for Advanced Trauma Life Support (ATLS), Advanced Trauma Certified Nurse (ATCN), Trauma Nurse Core Curriculum (TNCC), Fundamentals of Critical Care (FCCS), and Certified Emergency Nurse (CEN) preparation course Women's and Infants' outreach efforts are for prenatal care, high-risk obstetrics, and pre-term newborn care. KAPA Project Access-UT Medical Center partners with KAPA to provide free or discounted medical services and treatment to individuals who are uninsured or medically underserved.
Schedule H, Part V, Section B, Line 16a https://utmedicalcenter.patientcompass.com/RA/Content/Images/utmedicalcenter/Production/Complete-Financial-Assistance-Policy.pdf
Schedule H, Part V, Section B, Line 16b https://utmedicalcenter.patientcompass.com/RA/Content/Images/utmedicalcenter/Production/Financial-Assistance-App.pdf
Schedule H, Part V, Section B, Line 16c https://utmedicalcenter.patientcompass.com/RA/General/BillingPolicies/_FinancialAssistance
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount We score all patients on their ability to pay 1-4 with 4 being charity eligible.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology We score all patients on their ability to pay 1-4 with 4 being charity eligible.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3, UHS USES ACTUAL EXPENSE DATA ACCUMULATED BY PATIENT WITHIN THE TRENDSTAR SYSTEM BASED ON A COST TO CHARGE RATIO. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER UHS' CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS: 1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY MAY HAVE BEEN GRANTED). 2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISENROLLED BY THE TNCARE PROGRAM. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY CARE). 3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, UHS RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS. THIS PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE. UHS PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UHS DOES NOT REPORT AS NET REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE MEDICARE ALLOWABLE COST REPORTED IN THE UHS MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSE DATA FROM THE UHS GENERAL LEDGER. UHS ALLOCATES THOSE EXPENSES TO PATIENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance We notify patients of the availibility of FAP via statements, posted notices throughout the Hospital including website, and send customized statements with applications attached for assisting patients to apply. If the patient requests FAP we will send them an application up to 240 days from the date of their first statement this includes if the patient is in bad debt. We make all reasonable attempts to have a decision made within 10 days upon receipt of the application.
Schedule H, Part V, Section B, Line 16a FAP website - UNIVERSITY HEALTH SYSTEM: Line 16a URL: See Statement;
Schedule H, Part V, Section B, Line 16b FAP Application website - UNIVERSITY HEALTH SYSTEM: Line 16b URL: See Statement;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - UNIVERSITY HEALTH SYSTEM: Line 16c URL: See Statement;
Schedule H, Part VI, Line 2 Needs assessment For the medical center to serve its region most effectively, it is essential to understand each community's needs. The medical center has conducted the Community Health Needs Assessment to understand the health of the residents within the local region. Activities associated with developing this assessment took place in 2021. They included collecting and analyzing primary data collected through a community survey, which collected responses from 406 respondents from our services area. This survey included questions intended to gather information about the community's perception of the main areas of concern pertaining to health outcomes and health resource needs. Likewise, the network development team analyzed secondary data from state, regional, and country-specific sources. Throughout the assessment, high priority was given to determining each community's health status and available resources. This data evidenced some of the most pressing challenges faced statewide. Tennessee ranked 41st for overall health outcomes. Within the UTMC's service area, 38% of the counties served by UT Medical Center fall in the 4th quartile regarding health outcomes, ranking from 76 to 94 among all 95 counties in Tennessee. Tennessee had high rates of adult obesity, cancer deaths, infant mortality, and diabetes. Additionally, UTMC consulted and utilized the Community Needs Index (CNI) scores to identify areas with the greatest needs to prioritize community interventions. The analysis of CNI scores demonstrated that 21% of the zip codes included in the UTMC's service area have scores of 4 or higher, which is evidence of the areas with the highest and greatest needs. The assessment process also included consultation with community organizations and members to identify current resources and potential solutions. The information gathered from a local perspective, paired with regional, state, and national data, helped evaluate the region's health situation and begin formulating solutions for improvement. After compiling the various sources of information, UTMC identified its four main priorities: cancer, substance use, mental health/depression/anxiety, and obesity.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance TO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND PROCESS) AND FINANCIAL COUNSELORS ALONG WITH CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE BROCHURE INSTRUCTS THE PATIENT TO CONTACT THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS FOR MORE INFORMATION ON CHARITY AND OTHER APPLICABLE DISCOUNTS. FINANCIAL COUNSELORS VISIT PATIENT ROOMS WHEN POSSIBLE TO EXPLAIN THE UHS BILLING PROCESS, PAYMENT PLANS AND SCREENS FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. UNIVERSITY HEALTH SYSTEM, INC. 31-1626179 FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT, AS WELL AS ON OUR WEBSITE. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUMES OF SPANISH-SPEAKING PATIENTS. THE MAJORITY OF STAFF ASSOCIATED WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY.
Schedule H, Part VI, Line 4 Community information The UTMC's service area is comprised of 21 counties, including small and mid-sized cities and rural counties. These counties represent diverse populations with adverse health outcomes and socioeconomic conditions. The residents in this area face distinctive social risk factors that vary depending on their rural/urban designation, racial and ethnic makeup, income, unemployment, education rates, living wages, and median income. According to the Appalachian Regional Commission, 11 of the 21 counties in the UTMC service area fall under the distressed or at-risk counties category. Poor health outcomes are prevalent in this area, and access to healthcare services is challenging and, in some cases, non-existent. Access to healthcare is determined by a myriad of factors, among them health insurance, access to medical providers, and the presence of healthcare facilities in the region. For 52% of all counties in the service area, the rate of uninsured adults is higher than the state (12%) and the US (11%). Likewise, the population-to-primary care physicians ratio is higher than that of the state for all counties except Knox County. This region faces a shortage of providers, not only for specialty care but also for preventative care. For instance, Morgan County had one(1) primary care physician per 7,130, compared to the state (1,400:1) and the US (1,3010:1). According to the Sycamore Institute, "As of April 2019, twenty of the 95 Tennessee counties had no hospital - 17 of which also had no emergency department". The UTMC catchment area has been dramatically affected by the closure of four hospitals, two of them located in Knoxville and two additional ones in rural areas-Fentress and McMinn counties. UTMC serves diverse populations, and their needs vary from county to county, considering various demographic and socioeconomic factors. In particular, income and education are crucial determinants of poor health outcomes. For instance, 17 of the 21 counties in the service area have a poverty rate higher than the state's (13.6%); however, it is essential to note areas in Knoxville with poverty rates as high as 68%. Likewise, although the unemployment rates are low for most counties, the living wage and the median household income are significantly lower than the state's average for 80% of the counties in the catchment area. Statistics related to high school completion rates are lower than the state's (88%) for 15 counties. However, when examining sub-county data, Knoxville includes some areas with high school completion rates as low as 65%. While the majority of the population in the catchment areas is predominantly non-Hispanic white, several counties are experiencing rapid growth in their Hispanic/Latino populations. That is the case for Hamblen (12%), Loudon (9%), and Sevier (7%) counties. There is a greater concentration of Black communities in zip codes included in Knox (56%), Morgan (17%)*, and Blount (14%) counties. The rural population is above 50% for 16 of 21 counties, while four out of 21 counties are considered 100% rural. The region has a significant portion of individuals aged 65 or older, with 20 counties having a higher rate than Tennessee, representing a significant capacity demand for the healthcare system.
Schedule H, Part VI, Line 5 Promotion of community health Senior Leadership and System Management Leadership of the hospital make conscious decisions how the resources of the hospital are used, honoring the mission, vision, and values of the hospital in its work within the hospital and community. Other programs and projects which are developed in the hospital through the various departments and COE's are brought to the Executive Leadership Team (ELT) and then to Strategic Leadership Team (SLT) for approval and then to the Community Board for final review and approval. The hospital works closely with the Graduate School of Medicine for resident support for medical education and program research initiatives through our academic programs of study. Through faculty leadership of GSM and hospital leadership collaboration, future financial considerations for sustainability or program growth are considered based on future prioritized and strategic needs identified by our patient population and needs assessments.
Schedule H, Part VI, Line 6 Affiliated health care system UHS IS CURRENTLY AFFILIATED WITH EAST TENNESSEE CHILDREN'S HOSPITAL IN PROVIDING JOINT HEALTHCARE SERVICES FOR THE PEDIATRIC POPULATION OF OUR REGION. UHS PARTNERS WITH SEVERAL LOCAL ORGANIZATIONS IN SUPPORT OF CHILDREN'S HEALTH AND WELLBEING.
Schedule H, Part VI, Line 7 State filing of community benefit report TN
Schedule H (Form 990) 2023
Additional Data


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