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University of Miami

University Of Miami Hosp & Clinics
1475 Nw 12th Avenue
Miami, FL 33136
Bed count700Medicare provider number100079Member of the Council of Teaching HospitalsYESChildren's hospitalNO
EIN: 590624458
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
5.21%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 4,996,561,078
      Total amount spent on community benefits
      as % of operating expenses
      $ 260,107,488
      5.21 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 6,966,628
        0.14 %
        Medicaid
        as % of operating expenses
        $ 137,696,750
        2.76 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 88,558,894
        1.77 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 20,283,893
        0.41 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 6,053,323
        0.12 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 548,000
        0.01 %
        Community building*
        as % of operating expenses
        $ 119,460
        0.00 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 119,460
          0.00 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          0 %
          Economic development
          as % of community building expenses
          $ 0
          0 %
          Community support
          as % of community building expenses
          $ 0
          0 %
          Environmental improvements
          as % of community building expenses
          $ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          $ 2,000
          1.67 %
          Coalition building
          as % of community building expenses
          $ 90,500
          75.76 %
          Community health improvement advocacy
          as % of community building expenses
          $ 20,182
          16.89 %
          Workforce development
          as % of community building expenses
          $ 6,778
          5.67 %
          Other
          as % of community building expenses
          $ 0
          0 %
          Direct offsetting revenue$ 20,000
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 20,000
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 50,358,261
        1.01 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 1198126525 including grants of $ 570160418) (Revenue $ 1156715153)
      "See Schedule OInstruction, academic support, student services:The University of Miami (UM) is a private not-for-profit institution with more than 17,000 students. The University's 12 colleges and schools offer the following degree options: 138 bachelors, 140 masters, and 67 doctoral (62 research/scholarship and 5 professional practice).The School of Architecture, founded in 1983, offers accredited professional undergraduate and graduate degrees in architecture and several post-professional graduate degrees. Programs include the professional Bachelor of Architecture (B.Arch) and the Master of Architecture (M.Arch); the post-professional Master of Science in Architecture (M.S.Arch) with 2 possible tracks- Architectural Design and Architectural Studies; the Master of Urban Design (M.U.D); the Master of Construction Management (M.C.M)/ Executive Master of Construction Management (E.M.C.M), the Master of Professional Science in Urban Sustainability and Resilience (MPS), and the Master of Real Estate Development and Urbanism (M.R.E.D.U.), an interdisciplinary one-year graduate program that draws on the real-life experience of Developers-in-Residence and faculty support from the Schools of Business Administration and Law as well as Architecture. The College of Arts and Sciences enrolls over 4,400 undergraduate and 640 graduate students in 21 departments and 13 interdisciplinary programs. Seventeen departments offer graduate degrees in the fine arts, natural sciences, humanities, and social sciences.The College of Engineering comprises six departments that offer degrees in aerospace, architectural, biomedical, civil, computer, electrical, environmental, industrial, materials, and mechanical engineering. The College of Engineering offers five-year B.S./M.S. degree programs for our undergraduates, as well as traditional master's and doctoral degrees in a number of disciplines, with several specializations in several fields. Consistent with the tradition of collaboration among the University of Miami schools and colleges, engineering students participate in a number of interdisciplinary programs as well as joint research projects with other academic units at UM. Consisting of over 900 undergraduate students and over 230 graduate students, the College boasts an impressively diverse student body, consisting of students from 45 different countries. At the undergraduate level, 34% of the student population is Hispanic and 9% is Black. Females represent 37% of the students (15% higher than the national average, according to the most recent statistics from the American Society for Engineering Education).The School of Law presently enrolls around 1,388 candidates for either J.D., LL.M. or dual degrees, and has over 23,000 living alumni worldwide. The J.D. program enrolls approximately 1,400 students from more than 133 undergraduate institutions. Of the entering J.D. students, approximately 56% are women, 46% are members of minority groups, and 60% have been out of undergraduate school one year or more. The students are from 32 states plus DC, PR and 11 countries. 65% speak one or more foreign language. The School offers graduate programs in the areas of International Law, International Arbitration, Maritime Law, Entertainment, Art and Sports, Business, Constitutional Law, Criminal Law, Environment, Family, Health Care, Human Rights, Immigration, Intellectual Property, Litigation Arbitration and Dispute Resolution, Social Justice and Public Interest, Technology Law, Estate Planning, Taxation, Taxation of Cross Border Investments, and Real Property Development, the latter 2 offer courses online as well as on-campus. The School also offers several joint degree programs. The law school offers a J.D./Master's in Music Industry, J.D./M.A. in Live Entertainment Management, J.D/M.A in Communications, and J.D/M.A. in Latin American Studies. In addition, the School offers a J.D./M.B.A., J.D./M.Acc, J.D./M.P.S. in Marine Ecosystems and Society, J.D./M.P.H. in Public Health, J.D./M.S. Ed. in Law, Community and Social Change, J.D./M.D., J.D./M.H.A-Health Administration, J.D./LL.M. in Tax, International Law, Maritime Law, Estate Planning, International Arbitration, or Real Property Development, and Entertainment, Arts and Sports Law, and a J.D./M.B.A./LL.M. in Tax, Real Property Development or Estate Planning. The School has been ranked as one of the ""20 Most Innovative Law Schools"" by Pre-Law Magazine. The School has been listed in the Top 10 in the 2022 Princeton Review in its specialty listings in three categories. Its alumni are regularly featured in Super Lawyers Magazine.The Leonard M. Miller School of Medicine has grown rapidly in both size and reputation, earning international acclaim for research, clinical care, and biomedical innovations. Approximately 800 medical students are joined by over 1,000 residents and fellows, about 700 graduate students and around 200 postdoctoral fellows, and we have one of the largest graduate medical education systems in the country. Along with the M.D. degree, the school offers a combined M.D./Ph.D. program, a 4-year and 5-year M.D./M.B.A. program, a 4-year and a 5-year M.D./M.P.H. program and 4-year M.D./M.S. in Genomic Medicine, a 6-year M.D./J.D. program, a 4-year M.D./M.A.I.A in International Administration program, a 4-year M.A. in Medical Humanities and Bioethics program, a 4-year M.D./Certificate in Security Management program, multiple scholarly pathways of emphasis, graduate degrees in ten areas, postdoctoral programs, and continuing medical education courses."
      4B (Expenses $ 514876673 including grants of $ 52681346) (Revenue $ 89196324)
      See Schedule OResearch and Public Service:UM has been classified by the Carnegie Commission as a Doctoral University with Highest Research Activity. The School of Architecture's areas of focus include Urban Design, Planning & Real Estate Development, Construction Management, Technology and Computation, Coastal Resilience, Health and the Built Environment, Historical Preservation and Adaptive Use, Classical and Traditional Design, Housing and Hospitality Design, Building in the Caribbean, Latin America and the Tropical World, Architectural History, and Theory. Faculty and students are actively engaged in interdisciplinary research with numerous schools including the Miller School of Medicine, The Leonard and Jayne Abess Center for Ecosystem Science and Policy and the Center for Computational Science. The College of Arts and Sciences provides numerous community outreach activities, including student musical theatre productions at the Jerry Herman Ring Theatre and Alvin Sherman Family Stage; student, faculty, and visiting artist exhibitions in the Wynwood Gallery in the design district of downtown Miami; faculty curated exhibitions at the Lowe Art Museum; lectures and other educational programs sponsored by the Center for the Humanities, and the Miami Institute for Advanced Study of the Americas; volunteer activities in the public schools, hospitals and community clinics for developmentally disabled children; technology workshops for Miami-Dade public school teachers sponsored by the Department of Modern Languages Laboratory; and a series of programs, hosted by several departments and funded by various federal agencies and private foundations, to enhance the diversity of students pursuing scientific careers through research opportunities for pre-college and undergraduate students; and career development opportunities for high-school and community-college faculty.The School of Law offers externship programs and foreign exchange programs in Argentina, Belgium, Brazil, China, Colombia, France, Germany, Hong Kong, India, Ireland, Israel, Italy, Spain, Switzerland, and Vietnam. The School's award-winning clinics, focusing on different areas of the law, offer exceptional training grounds and give students practical, hands-on lawyering while also helping needy and underrepresented individuals. The School is also home to LawWithoutWalls (LWOW), an innovative academic model that brings together students, faculty, practitioners, and entrepreneurs from around the country and the world to explore innovation in legal education and practice.The Rosenstiel School of Marine & Atmospheric Science is one of the leading oceanographic research and education institutions in the nation. Known originally as the University's marine laboratory, it was founded in 1943. It evolved into the Institute for Marine Science in 1961, and eight years later became the Rosenstiel School of Marine & Atmospheric Science (RSMAS) within the University of Miami. In 2022, its name was expanded to Rosenstiel School of Marine, Atmospheric & Earth Science to better reflect its breadth and depth as it has grown to include studies of earth's geology in addition to its atmosphere and oceans. The Virginia Key campus has grown to include modern research and teaching facilities, a dedicated academic library, and an internationally recognized Marine Invertebrate Museum. RSMAS also operates a state-of-the-art 96-foot catamaran research vessel, the F.G. Walton Smith. In 2014, RSMAS added to its fleet of specialized research vessels a one-of-a-kind Helicopter Observation Platform (HOP), a flying scientific laboratory equipped with state-of-the-art technology and scientific instrumentation, which provides scientists with a unique capability to obtain vital information on environmental processes and mechanisms that affect our climate and impact human health. RSMAS includes a freshwater Scientific Dive Pool. It plays a critical role in providing necessary scientific diving instruction to participants in our science programs and research projects. The facility allows scientists and students to gain a deeper understanding of the marine environment and coral reefs. CSTARS (Center for Southeastern Tropical Advanced Remote Sensing), located on the Richmond campus in south Miami-Dade county was launched in 2003, and conducts research with remotely sensed data received from earth-orbiting satellite systems. This state-of-the-art real-time reception and analysis facility provides data for environmental monitoring. The predictive power concentrated on this 78-acre campus is helping to provide vital, life-saving information regarding earthquakes, hurricanes, typhoons, freak waves and other natural and manmade disasters, including monitoring of the earthquakes in Haiti and Chile, and oil spills.The Leonard M. Miller School of Medicine has been designated a Center for AIDS Research (CFAR) in Florida, and is leading the University's prestigious Clinical and Translational Science Institute (CTSI), awarded by the NIH. Other clinical and research programs include the John P. Hussman Institute for Human Genomics, the Interdisciplinary Stem Cell Institute, the Dr. John T. Macdonald Foundation Biomedical Nanotechnology Institute, the Miami Transplant Institute, The Miami Project to Cure Paralysis, the Diabetes Research Institute, the Mailman Center for Child Development, and many more.
      4C (Expenses $ 2799446810 including grants of $ 46959) (Revenue $ 2943397004)
      "See Schedule OHealth Care:Located north of downtown Miami near the Civic Center in the Miami Health District, the Leonard M. Miller School of Medicine's campus consists of approximately 70-acres of owned and leased land within the 153-acre University of Miami/Jackson Memorial Medical Center complex. Each year the University of Miami Health System's nearly 1,800 providers and scientists represent more than 100 specialties and subspecialties with outcomes that are among the best in the nation. The health system is comprised of Sylvester Comprehensive Cancer Center, Bascom Palmer Eye Institute, and UHealth Tower, operating within UMHC. Sylvester Comprehensive Cancer Center is the only cancer center in South Florida designated by the National Cancer Institute. Bascom Palmer has been recognized as the number one eye hospital in the country for 21 years by U.S. News & World Report in its annual ""America's Best Hospitals"" issue. In addition to the three University-owned hospitals, there are also three primary hospitals affiliated with UHealth: Jackson Memorial Hospital, the primary teaching hospital for the medical school; Holtz Children's Hospital; and the Bruce W. Carter VA Medical Center. There are also about three dozen UHealth outpatient clinics across Miami-Dade, Broward, Palm Beach, and Collier counties. The Lennar Foundation Medical Center, located in Coral Gables, opened in 2016. The 206,000-square-foot diagnostic and treatment center provides the local community more convenient access to world-class medical care provided by UM physicians and specialists. It has been recognized as a national benchmark by Press Ganey and has been awarded the Pinnacle and Guardian of Excellence Awards each year since it opened."
      4D (Expenses $ 194248603 including grants of $ 40868023) (Revenue $ 264817929)
      Expenses primarily represent auxiliary enterprises, including intercollegiate athletics, parking, student housing and student dining. Other program services revenues primarily represent auxiliary enterprises revenue, investment income, and investment losses.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      University of Miami Hospital and Clinics
      Part V, Section B, Line 3j: The University of Miami Health System completed a joint-CHNA with Jackson Health System and Nicklaus Children's Hospital at the start of 2020. The CHNA is a systematic, data-driven approach to determining the health status, behaviors, and needs of Miami-Dade residents. The CHNA report defines the community, describes the health status of the community, identifies the priority health concerns, and links community resources available to address significant health needs. This information was used to guide the decisions and the health system's efforts to improve community health and wellness through the current Implementation Plan.
      University of Miami Hospital and Clinics
      Part V, Section B, Line 5: The University of Miami Health System did consider input from persons who represent the broad interests of the community through an Online Key Informant Survey. A list of recommended participants was provided by the University of Miami Health System, the Jackson Health System, and Nicklaus Children's Hospital. This list included names and contact information of community leaders including individuals working with low-income, minority, or other medically underserved groups. Key informants were contacted via email with an introduction to the purpose of the survey and a link to take the survey online; reminder emails were sent as needed to increase participation. In addition to the input from community stakeholders through the Online Key Informant Survey, personal interviews (via teleconference) were conducted with six representatives of hospital leadership at the University of Miami Health System, Jackson Health System, and Nicklaus Children's Hospital. These surveys and interviews focused on health issues that may be identified as a problem in the communities they work in. These results were used to determine the health priorities in the CHNA.
      University of Miami Hospital and Clinics
      Part V, Section B, Line 6a: The CHNA was completed in conjunction with Jackson Health System and in collaboration with Nicklaus Children's Hospital.
      University of Miami Hospital and Clinics
      Part V, Section B, Line 6b: Yes. Final participation in the CHNA included representatives of the organizations outlined below. Adrienne Arsht Center American Heart Association Avanse Ansanm Beacon Council Borinquen Medical Centers of Miami-Dade Boys Scouts of America Branches, Inc. Brief Strategic Family Therapy Institute Carrollton School of the Sacred Heart Catalyst Miami Center for Family and Child Enrichment Center for Haitian Studies City of Hialeah Gardens City of Miami Gardens City of Miami Springs Community Newspapers Coral Gables Fire Rescue Dan Marino Foundation Florida Blue Florida Department of Health Miami-Dade Friends of the Underline 501-C3 non-profit Greater Miami Jewish Foundation Health Council of South Florida Hispanic Women of Distinction Hope for Miami Jackson Health Foundation Jackson Health System Jessie Trice Community Health Centers La Liga Contra El Cancer Liberty City Reads Marlins Community Program Marlins Foundation Miami Beach Community Health Center Miami Dade College Miami Dade Fire Rescue Miami Dade Gay & Lesbian Chamber Miami Fire Rescue Miami Girls Rock Camp Miami Knight Foundation Miami-Dade Community Action & Human Services Department Miami-Dade Delegation Miami-Dade Homeless Trust Miller School of Medicine (MSOM) Nicklaus Children's Hospital-Neurosurgery Overtown Children and Youth Coalition Overtown Youth Center/ Honey Shine Public Health Trust of Miami-Dade County Ronald McDonald House Roxcy Bolton Rape Treatment Center Service Employees International Union (SEIU) Local 1991 South Florida Hispanic Chamber of Commerce Thelma Gibson Health Initiative United Way of Miami-Dade University of Miami University of Miami Health System - Sylvester Comprehensive Cancer Center, Office of Outreach and Engagement University of Miami Health System (UHealth) University of Miami School of Architecture WIC Program
      University of Miami Hospital and Clinics
      Part V, Section B, Line 11: In the University of Miami Health System's most recent CHNA, the following were identified as priority community health needs: Access to Health Care Services, Cancer, COVID-19, Diabetes, Health Disease and Stroke, Housing, Injury and Violence, Mental Health, Nutrition, Physical Activity, & Weight, Sexual Health, Substance Abuse, and Tobacco Use. Due to limited resources and personnel during the COVID-19 pandemic, five of the twelve areas of opportunity have been specified as priority areas for the implementation plan, which was developed via consensus amongst a multidisciplinary group known as the Community Benefit Committee. The five priority areas are Access to Health Care Services, Cancer, COVID-19, Mental Health, and Physical Activity, Weight, & Nutrition. The Mitchell Wolfson Sr. Department of Community Health (DOCS) has consistently hosted four free health clinics per week around Miami-Dade County while partnering with other community-based organizations and community-focused initiatives such as the IDEA Exchange Clinic and the Pediatric Mobile Clinic. The DOCS program is a student run clinic hosted in various health centers across Miami-Dade County. In FY22, the DOCS clinics have served 764 patients in clinical settings and 682 patients through health fairs, with 4,972 medical student volunteer hours, 551 resident physical volunteer hours, and 521 faculty volunteer hours.The University of Miami Health System also have efforts focused on HIV/AIDS assistance programs and research. The IDEA Exchange clinic offers safe and effective methods to reduce the risk of blood-borne infections, such as Hepatitis B and HIV, among high-risk populations. The TeleMOUD Program is designed to reach marginalized groups most affected by HIV and SUD during the COVID-19 pandemic. This program made treatment accessible through an online format, to facilitate the initiation of care and achieve HIV viral suppression. Through the RAPID Program, HIV prevention and treatment options are made readily available via the Mobile PrEP Program mobile units, the Rapid Access Wellness Clinics, and the GenWell Program. The Department of Infectious Diseases also conducts research studies exploring different aspects of HIV/AIDS including clinical trials. Faculty in this department also research other infectious diseases, including COVID-19 and Monkey Pox. The SIRI (severe injection-related infection) Program exists in conjunction with the Jackson Health System to improve the health outcomes of hospitalized patients. Physicians at the University of Miami Health System also participate in Miami Street Medicine, a team of healthcare providers that addresses access to care by bringing the care to the community. This program primarily cares for the unhoused and aims to build trust and transition patients into housing and primary-care relationships.The Pediatric Mobile Clinic offers free comprehensive medical care to local uninsured children. This mobile clinic improves healthcare access by eliminating financial and physical barriers, such as the cost of care or transportation to clinics. By bringing care to a centralized location that is accessible for families, the mobile clinic ensures families can guarantee care for their children. During American Heart Month in February, the University of Miami Health System offered coronary calcium screenings along with health education and referrals for care. Throughout FY22, the Sylvester Office of Outreach team provided cancer screenings for cervical and colorectal cancer to under-screened and underserved communities throughout the Sylvester catchment areas of Miami-Dade, Monroe, Broward, and Palm Beach counties. The team also provided cancer health education for different types of cancer through education sessions. The educational sessions include Cancer 101, Cervical Cancer, and Colorectal Cancer. Individuals that receive screenings and require follow-up care are referred to local Federally Qualified Health Clinics (FQHCs). The Sylvester Game Changer Vehicle provides health education, cancer screenings, HIV testing, and counseling and referrals to the community for free. The Firefighter Cancer Initiative conducts free skin cancer screenings for firefighters in South Florida due to the high rate of cancer within the first responder community. The primary goals of FCI are to better document and understand the excess burden of cancer among Florida firefighters, and identify novel, evidence-based methods for reducing risk. The initiative is led by a multidisciplinary team of scientists, healthcare practitioners and occupational health and safety experts and uses community engaged approaches to ensure that firefighters' voice and occupational experience is reflected throughout all aspects of program planning and implementation. Regarding education support for the community, the University of Miami Health System supports academic pathway programs designed by the Department of Diversity, Equity, and Inclusion that are aimed at preparing students from economically disadvantaged backgrounds to successfully compete for admission and graduation from allied and health professional schools. These programs include the High School Careers in Medicine Workshop, the Summer Training in Research (STIR), the MCAT Prep Program, and the Health Careers Motivation Program. Participants the pathway programs are offered a variety of resources and opportunities that include but are not limited to individual mentoring, portfolio review and development, mock interview preparation, clinical shadowing, research, and community outreach. The Bascom Palmer Eye Institute has a Vision Van that provides free vision screenings for thousands of people of all ages across South Florida. Bascom Palmer also participates in annual health fairs and health events throughout South Florida.As an academic medical center, the University of Miami Health System engages in research endeavors across a multitude of health disciplines. These research investigations are grant-funded and have a shared goal of advancing health care and expanding general knowledge. Additionally, the University of Miami Health System has many Continuing Medical Education programs that aim to certify or license medical and allied-health professionals.The University of Miami (UM) Health System (UHealth) engaged in multiple efforts to improve community benefit reporting since 2020, beginning with discussions among UHealth Leadership that aligned with the purpose of community benefit and the establishment of the Community Health Department. Additionally, a group of community benefit champions formed the Community Benefit Committee to address the health concerns brought up in the CHNA and implementation plan. This formalized collaboration has improved community benefit reporting by making the sources of data more informed and accessible. In 2022, the organization's Purpose Blueprint, used to guide decision making and strategy, included community health needs as a strategic priority. UHealth hired a program manager to connect siloed programs across the organization and educate on the topic of community benefit. Educational presentations, one-on-one discussions, and training materials improved the organization's awareness and understanding of community benefit. Additionally, Ernst & Young was engaged to identify best practices for community benefit data collection and reporting that the health system could implement and replicate. Through these best practices, the Community Health Department engaged with Leadership in academics and research to collect information that historically was omitted from UM's Schedule H report. UHealth hopes to improve data collection and reporting every year by continuing to prioritize community benefit and establishing policies and procedures that will streamline reporting and ensure data accuracy.
      University of Miami Hospital and Clinics
      Part V, Section B, Line 16j: FAP Full URL: https://umiamihealth.org/sylvester-comprehensive-cancer-center/billing-,-a-,-financial-information/financial-assistance
      Supplemental Information
      Schedule H (Form 990) Part VI
      Part I, Line 6a:
      The organization prepared a community benefit report during the tax year.
      Part I, Line 7:
      The Medicare cost report was used, except for 7b (Medicaid and other means-tested government programs). For 7b, a cost-to-charge ratio was used. The cost to charge ratio used for Medicaid cost calculation is based on the actual cost of Traditional Medicaid Fee-for-Service claims as reported on the Medicare Cost Report. These calculated costs (Inpatient Routine, Inpatient Ancillary, and Outpatient) are compared to the charges for these services reported on the same cost report. This ratio is used as the Medicaid cost-to-charge ratio to be applied to total gross Medicaid charges (both Traditional Fee for Service and Managed Care) as reported on the AHCA FUHRS report.
      Part II, Community Building Activities:
      The University of Miami Health System continues to work on innovative efforts to better meet the needs of vulnerable and under resourced populations that go beyond clinical care to address social determinants of health, which have great impact on health status. Community building activities provide community members with the necessary resources to manage care, interact with the environment, and advocate in a way that is necessary to improve health and well-being.
      Part III, Line 2:
      Total bad debt expense is determined using the hospital's patient accounting records.
      Part III, Line 3:
      "Patients who render sufficient financial information to make a determination of eligibility under the hospitals' financial assistance policy are either treated as charity care (if they qualify) or given a ""self- pay"" discount (if they do not qualify as charity care)."
      Part III, Line 4:
      The University's financial statements do not contain a footnote concerning bad debt for the hospitals. The University's financial statements account for bad debt as a reduction of revenue. For the year ended May 31, 2022, the hospitals recorded $50,358,261 of implicit price concessions as a direct reduction of patient service revenue that would have been reported as a provision for bad debts prior to the adoption of ASU 2014-09.
      Part III, Line 8:
      "The source of this information is the Medicare Cost Report data, which uses a ""cost to charge"" ratio methodology. The University of Miami Hospital and Clinics (UMHC) is a Prospective Payment System (PPS) exempt hospital and, as such, is cost based reimbursed for both inpatient and outpatient services. For inpatient services, the limit is the TEFRA target limit. The hospital, on occasion, exceeds the target rate and does not receive full cost reimbursement. The TEFRA target amount is updated by the Medicare program annually by the TEFRA updating factor. However, the amount of the TEFRA updating factor is always significantly less than the actual healthcare inflation factor because the Medicare program includes a ""budget neutrality"" factor for the overall Medicare program. For outpatient services, the limit is the payment to cost ratio (PCR). The PCR was established using a base year, which was 1996, at a rate of 85.5% of cost. The PCR for all PPS-exempt cancer centers was 89% from 1/1/20 to 5/31/20, and also 89% through 5/31/21; therefore, the hospital currently does not receive payment for about 11% of its outpatient cost."
      Part III, Line 9b:
      "Note 3 of the financial statements reads in-part as follows: ""the hospital provides care to patients who are financially unable to pay for the healthcare services they receive, and because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported in revenue."""
      Part VI, Line 2:
      Needs assessment: The University of Miami Health System completed its most recent community health needs assessment (CHNA) in 2020, evaluating the health needs of individuals living in Miami-Dade County, Florida. The CHNA identifies the target audience when working to improve health outcomes for residents with the greatest needs. The completion of the CHNA and corresponding implementation plan allowed the University of Miami Health System to prioritize the significant health needs of the community and develop a robust strategy to address those needs. A multidisciplinary committee reviewed the CHNA and provided oversight for activities in the implementation plan. The committee leads the efforts in developing the assessment, implementation strategy and working with the Board of Directors to obtain necessary approvals.
      Part VI, Line 3:
      Patient education of eligibility for assistance: The University of Miami Health System provides financial assistance for medically necessary care to patients who are in the U.S. legally with family income levels up to four times the Federal Poverty Income Guidelines. The Financial Assistance Policy is made available in plain language in English, Spanish, and Haitian Creole on the University of Miami Health System's website.
      Part VI, Line 5:
      Promotion of community health: The University of Miami Health System is focused on the well-being of the community served. The Miller School of Medicine, Sylvester Comprehensive Cancer Center, Bascom Palmer Eye Institute, and all clinical departments conduct critical health screenings, provide education and outreach activities to underserved populations through a myriad of activities including health fairs, free clinics, community-based screenings, referrals to low/no-cost programs, and ensure placement of mobile units in underserved communities with limited transportation. The health system's Board of Directors reviews and approved the CHNA and corresponding implementation plan further ensuring the organizational commitment to improving overall community health.
      Part VI, Line 6:
      Affiliated health care system: The organization has an affiliationagreement with Miami-Dade County's Public Health Trust (PHT) to provideteaching physicians who supervise PHT's interns and residents at JacksonMemorial Hospital.
      Part VI, Line 4:
      "Community information: The University of Miami Health System's main campus is situated in and primary serves Miami-Dade County. Miami-Dade County is one of the few counties in the nation that is a ""minority-majority,"" in that a racial/ethnic minority group comprises much of the population with approximated 71.6% Latino or Hispanic residents; 16.3% Black/African American; 11.7% white, non-Hispanic; 1.5% Asian; and 0.2% American Indian and Alaska Native. Miami-Dade has a relatively young population with 80.1% of persons being under the age of 65, and 20.3% under the age of 18. In Miami-Dade County 12.7% of families live below the federal poverty level, with a median household income of $62,500 as compared to 9.4% and $66,251 respectively in the State of Florida. The SocioNeeds Index is a measure of socioeconomic need calculated from several social and economic factors that are correlated with health outcomes. Index values range from 0 to 100, in which 100 represents communities with the greatest socioeconomic need. The median score for Miami-Dade County is 64.1 out of 100, which is indicative of poor health outcomes due to high needs within the community. The SocioNeeds Index further confirms the socioeconomic disparities observed among residents of Miami-Dade County."