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Shands Teaching Hospital And Clinics Inc
Gainesville, FL 32610
(click a facility name to update Individual Facility Details panel)
Bed count | 1095 | Medicare provider number | 100113 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
Shands Teaching Hospital And Clinics IncDisplay data for year:
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
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 $ 2,021,872,101 Total amount spent on community benefits as % of operating expenses$ 205,066,942 10.14 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 63,747,722 3.15 %Medicaid as % of operating expenses$ 30,839,479 1.53 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 34,149,878 1.69 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 18,247,833 0.90 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 3,442,943 0.17 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 54,639,087 2.70 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? NO Number of activities or programs (optional) 0 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 0 Other 0 Persons served (optional) 0 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 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 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 $ 0 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$ 0 0 %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 agency Not 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
- 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 $ 1716904888 including grants of $ 235443127) (Revenue $ 2171460932) "SHANDS TEACHING HOSPITAL AND CLINICS, INC. (""STHC"") IS A FLORIDA NOT-FOR-PROFIT CORPORATION AND OPERATES A MULTI-HOSPITAL SYSTEM. INCLUDED IS A TERTIARY CARE TEACHING INSTITUTION OF 1030 BEDS, AN INPATIENT PSYCHIATRIC AND SUBSTANCE ABUSE FACILITY OF 81 BEDS AND A HOSPITAL BASED HOME CARE AGENCY. SHANDS' COMMUNITY BENEFIT IS A PLANNED, MANAGED, ORGANIZED, AND MEASURED APPROACH TO A HEALTH CARE ORGANIZATION'S PARTICIPATION IN MEETING IDENTIFIED COMMUNITY HEALTH NEEDS. IT IS A COLLABORATION TO MEET THE NEEDS OF ITS RESIDENTS - PARTICULARLY THE POOR AND OTHER UNDERSERVED GROUPS - BY IMPROVING HEALTH STATUS AND QUALITY OF LIFE. COMMUNITY BENEFIT PROJECTS AND SERVICES ARE IDENTIFIED AS A RESULT OF A COMMUNITY HEALTH NEEDS ASSESSMENT, STRATEGIC AND/OR CLINICAL PRIORITIES AND PARTNERSHIP AREAS OF ATTENTION. COMMUNITY BENEFIT CATEGORIES INCLUDE FINANCIAL ASSISTANCE, COMMUNITY HEALTH SERVICES, HEALTH PROFESSIONS EDUCATION, RESEARCH AND DONATIONS. UF HEALTH SHANDS HOSPITAL HAS A LONG HISTORY OF PROVIDING COMMUNITY BENEFITS. UF HEALTH SHANDS HOSPITAL HAS POLICIES PROVIDING FINANCIAL ASSISTANCE FOR PATIENTS REQUIRING CARE BUT HAVE LIMITED OR NO MEANS TO PAY FOR THAT CARE. THESE POLICIES PROVIDE FREE OR DISCOUNTED HEALTH AND HEALTH-RELATED SERVICES TO PERSONS WHO QUALIFY UNDER CERTAIN INCOME AND ASSET CRITERIA. COMMUNITY HEALTH SERVICES INCLUDES COMMUNITY HEALTH EDUCATION, COUNSELING AND SUPPORT SERVICES AND HEALTH CARE SCREENINGS. HEALTH PROFESSIONS EDUCATION INCLUDES EDUCATION PROVIDED IN CLINICAL SETTINGS SUCH AS INTERNSHIPS AND PROGRAMS FOR PHYSICIANS, NURSES AND ALLIED HEALTH PROFESSIONALS. IT ALSO INCLUDES SCHOLARSHIPS FOR HEALTH PROFESSIONAL EDUCATION RELATED TO PROVIDING COMMUNITY HEALTH IMPROVEMENT SERVICES AND SPECIALTY IN-SERVICE PROGRAMS TO PROFESSIONALS IN THE COMMUNITY. RESEARCH INCLUDES STUDIES ON HEALTH CARE DELIVERY, UNREIMBURSED STUDIES ON THERAPEUTIC PROTOCOLS, EVALUATION OF INNOVATIVE TREATMENTS, AND RESEARCH PAPERS PREPARED FOR PROFESSIONAL JOURNALS. DONATIONS INCLUDE FUNDS AND IN-KIND SERVICES BENEFITING THE COMMUNITY-AT-LARGE."
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Facility Information
Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - UF HEALTH SHANDS HOSPITAL. THE PRIMARY DATA ELEMENT IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS DIRECT INPUT FROM THE COMMUNITIES SERVED BY UF HEALTH SHANDS. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF KEY INFORMANT INTERVIEWS. FINDINGS FROM THESE INTERVIEWS EXPANDED UPON INFORMATION GATHERED FROM OUR SECONDARY DATA ANALYSIS (DATA SUPPORTING HEALTH OUTCOMES, BEHAVIORS AND SOCIAL DETERMINANTS OF HEALTH) TO INFORM THE COMMUNITY HEALTH NEEDS ASSESSMENT. TWENTY KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GAIN A DEEPER UNDERSTANDING OF HEALTH ISSUES IMPACTING THE RESIDENTS OF THE COMMUNITY SERVED BY UF HEALTH SHANDS. COMMUNITY MEMBERS INVITED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, AND/OR BEING ABLE TO SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR AT-RISK POPULATIONS. PRIMARY AND SECONDARY DATA REVEALED COMMUNITY HEALTH DISPARITIES BASED ON RACE/ETHNICITY, PARTICULARLY AMONG THE BLACK AND HISPANIC COMMUNITIES. KEY INFORMANT PARTICIPANTS MENTIONED THAT THE BLACK/AFRICAN AMERICAN AND RURAL COMMUNITIES ARE MORE LIKELY TO BE NEGATIVELY IMPACTED BY POVERTY, WHICH CONTRIBUTES TO POOR HEALTH OUTCOMES. KEY INFORMANTS DID NOT SPECIFICALLY CALL OUT A PARTICULAR RACE OR ETHNIC GROUP IN THE COMMUNITY AS STRUGGLING MORE WITH SOCIAL DETERMINANTS OF HEALTH BUT STATED THAT MINORITIES SEEM TO BE MORE NEGATIVELY IMPACTED BY ISSUES LIKE POVERTY WHICH CONTRIBUTES TO POOR HEALTH OUTCOMES. ADDITIONALLY, OLDER ADULTS WERE THE AGE GROUP THAT KEY INFORMANTS BROUGHT UP THE MOST AS HAVING MORE BARRIERS TO ACCESSING HEALTH CARE AND SERVICES COMPARED TO YOUNGER POPULATIONS. THEY ALSO MENTIONED LOW-INCOME FAMILIES STRUGGLING TO ACCESS SERVICES. A TOTAL OF FOURTEEN ORGANIZATIONS PARTICIPATED IN THE PROCESS, INCLUDING THE FLORIDA DEPARTMENT OF HEALTH IN ALACHUA COUNTY, THE UNITED WAY OF NORTH CENTRAL FLORIDA, HEALTHY START COALITION OF NORTH CENTRAL FLORIDA, RURAL WOMEN'S HEALTH PROJECT, MERIDIAN BEHAVIORAL HEALTH, AND VARIOUS OTHERS INCLUDING SOCIAL SERVICE ORGANIZATIONS, LOCAL BUSINESSES AND HEALTH CARE ORGANIZATIONS. DUE TO THE ONGOING COVID-19 PANDEMIC, EACH DISCUSSION WAS CONDUCTED VIRTUALLY BY PHONE AND/OR WEBINAR. THESE DISCUSSIONS TOOK PLACE BETWEEN NOVEMBER 2021 AND DECEMBER 2021. A QUESTIONNAIRE WAS DEVELOPED TO GUIDE EACH INTERVIEW AND FOCUS GROUP DISCUSSION. DISCUSSION TOPICS INCLUDED (1) THE GREATEST PERCEIVED HEALTH NEEDS IN THE COMMUNITY, (2) BARRIERS OF CONCERN AND (3) THE IMPACT OF HEALTH ISSUES ON VULNERABLE POPULATIONS. INTERVIEWEES WERE ALSO ASKED ABOUT THEIR KNOWLEDGE OF HEALTH TOPICS WHERE THERE WERE DATA GAPS IN THE SECONDARY DATA. THE COMMUNITY INPUT DERIVED FROM THE KEY INFORMANT INTERVIEWS SUPPLEMENTED BY SECONDARY DATA IS INTENDED TO HELP VALIDATE, ASSESS, AND PRIORITIZE THE DATA COLLECTED FOR THE COMMUNITY NEEDS ASSESSMENT. COMMON THEMES AND AREAS OF FOCUS WERE DEVELOPED AS A RESULT OF THESE CONVERSATIONS WITH COMMUNITY MEMBERS AND ORGANIZATIONS AND ANALYSIS OF DATA COLLECTED.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - UF HEALTH SHANDS HOSPITAL. BASED ON THE PRIMARY DATA GATHERED FROM KEY INFORMANT INTERVIEWS AND SECONDARY DATA IDENTIFYING COMMUNITY HEALTH OUTCOMES, BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH, UF HEALTH SHANDS IDENTIFIED NINE KEY HEALTH NEEDS INCLUDING: -ADOLESCENT HEALTH -CANCER -CHRONIC CONDITIONS -MATERNAL, FETAL & INFANT HEALTH -MENTAL HEALTH & MENTAL DISORDERS -OLDER ADULTS -ORAL HEALTH -TOBACCO USE -WOMEN'S HEALTH UF HEALTH SHANDS' LEADERS ELECTED TO DEVELOP IMPLEMENTATION PLANS THAT FOCUS ON THREE OF THESE AREAS - ADOLESCENT HEALTH, CANCER, AND CHRONIC CONDITIONS - AS THESE WERE CONSIDERED BY UF HEALTH SHANDS TO BE THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITY AND THOSE NEEDS THAT UF HEALTH SHANDS HAD THE GREATEST ABILITY TO IMPACT. THE RATIONALE FOR SELECTING THESE PRIORITY AREAS AND ACTIVITIES PLANNED TO IMPACT THEM INCLUDE: ADOLESCENT HEALTH ADOLESCENT HEALTH WAS IDENTIFIED AS A TOP HEALTH CONCERN PRIMARILY DUE TO SECONDARY DATA WARNING INDICATORS THAT SHOW A HIGH NEED TO ADDRESS TEEN OBESITY AND TEENS WITHOUT SUFFICIENT PHYSICAL ACTIVITY. PHYSICAL ACTIVITY HAS BEEN SHOWN TO IMPROVE HEALTH, PREVENT UNHEALTHY WEIGHT GAIN, AND REDUCE RISKS OF MANY CHRONIC CONDITIONS. UF HEALTH SHANDS AND THE UF COLLEGE OF MEDICINE ACKNOWLEDGE THAT PHYSICAL INACTIVITY IS A MAJOR PUBLIC HEALTH CHALLENGE AND CAN CAUSE A RANGE OF HEALTH PROBLEMS FOR ALL AGES. TO ADDRESS THIS ISSUE, UF HEALTH OFFERS A PEDIATRIC METABOLIC & OBESITY PROGRAM, WHICH OFFERS TREATMENT FOR CHILDHOOD OBESITY AND SEEKS TO PREVENT SERIOUS COMORBIDITIES THROUGH SPECIALIZED ASSESSMENT OF UNDERLYING PREDISPOSING FACTORS AND TAILORED THERAPY WITH A FOCUS ON HEALTHIER LIFESTYLES. PATIENTS AND FAMILIES ARE GUIDED THROUGH THE PROCESS OF DEVELOPING A HEALTHIER LIFESTYLE AND WEIGHT LOSS BY A TEAM OF EXPERTS, INCLUDING PEDIATRIC ENDOCRINOLOGISTS, REGISTERED DIETICIANS, AND LICENSED CLINICAL MENTAL HEALTH PROVIDERS. THE PROGRAM EFFORT IS NOT SOLELY BASED ON BMI MANAGEMENT, BUT FOCUSES ON A COMORBID-CENTRIC APPROACH THAT DETERMINES THE THERAPEUTIC DECISION PLAN FOR INDIVIDUAL PATIENTS SETTING SPECIFIC GOALS BASED ON DESIRED OUTCOMES. RESOURCES AND GUIDANCE ARE PROVIDED TO FAMILIES TO ASSIST THEM WITH SUPPORTING THEIR CHILDREN IN LIVING A MORE ACTIVE LIFESTYLE. CANCER CANCER WAS IDENTIFIED AS A TOP HEALTH NEED ACROSS THE UF HEALTH SHANDS' SEVEN-COUNTY REGION. CANCER IS STILL THE LEADING CAUSE OF DEATH WORLDWIDE, HOWEVER, MORTALITY CAN BE REDUCED WHEN CASES ARE DETECTED AND TREATED EARLY. THE UF HEALTH CANCER CENTER IN GAINESVILLE IS DEDICATED TO SERVING THE RESIDENTS OF FLORIDA WITH STATE-OF-THE-ART CANCER TREATMENT, PREVENTION, CONTROL, AND EDUCATION. IT HAS BEEN RECOGNIZED AS A CANCER CENTER OF EXCELLENCE FOR NORTH CENTRAL FLORIDA. THE ADULT CANCER SURVIVORSHIP PROGRAM GOAL IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR PATIENTS, USING A PERSONALIZED APPROACH THROUGH CLINICAL CARE, EDUCATION, COUNSELING, SURVEILLANCE, AND COORDINATION OF CARE. THIS PROGRAM ALIGNS WITH THE HEALTHY PEOPLE 2030 GOAL OF INCREASING QUALITY OF LIFE FOR CANCER SURVIVORS. KEY OBJECTIVES OF THIS PROGRAM ARE TO CONTINUE WORKING WITH COMMUNITY PARTNERS TO REDUCE BARRIERS TO ACCESSING CARE. ADDITIONALLY, UF HEALTH SHANDS HOSTS WEBINARS AND SEMINARS AND PARTICIPATES IN COMMUNITY EVENTS RELATED TO CANCER SCREENING AND DETECTION. RECENT TOPICS ADDRESSED THROUGH THESE OUTLETS INCLUDE CANCER RISKS FACTORS, PANCREATIC CANCER, BREAST CANCER, KIDNEY CANCER, WOMEN'S CANCER SCREENING GUIDELINES, AND PEDIATRIC BRAIN TUMORS. CHRONIC CONDITIONS OLDER ADULTS WITH CHRONIC CONDITIONS WERE IDENTIFIED WITHIN THE COMMUNITY MEMBERS' FEEDBACK AND DATA COLLECTION. IN THE UNITED STATES THERE IS AN UNPRECEDENTED INCREASE IN THE NUMBER OF ADULTS AGED 65 OR OLDER WITH CHRONIC CONDITIONS. AGING INCREASES THE RISK OF CHRONIC DISEASES SUCH AS DEMENTIA, HEART DISEASE, TYPE 2 DIABETES, ARTHRITIS AND CANCER. THE UNIVERSITY OF FLORIDA INSTITUTE ON AGING PROMOTES THE HEALTH, INDEPENDENCE AND QUALITY OF LIFE FOR OLDER ADULTS. THE INSTITUTE'S GOALS ARE TO BE AT THE FOREFRONT OF RESEARCH, EDUCATION AND CAREER DEVELOPMENT IN THE AREA OF AGING, AND MAKE SIGNIFICANT CONTRIBUTIONS TO THE PRESERVATION OF INDEPENDENCE AND PREVENTION AND REHABILITATION OF DISABILITIES AFFECTING SENIOR CITIZENS. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, UF HEALTH PUBLISHED FINDINGS RELATED TO CHRONIC CONDITIONS, INCLUDING: -DISPARITIES IN CARDIAC HEALTH AND RELATED TREATMENTS, PARTICULARLY BETWEEN MEN AND WOMEN AND BETWEEN MEMBERS OF DIFFERENT RACES -CHANGE IN LIFE EXPECTANCY BASED ON TYPE 2 DIABETES CONTROL -OVERDIAGNOSIS OF THYROID CANCER -PRECISION RADIATION PROCEDURE FOR EYE CANCER -DEVELOPMENT OF A NEW COMPOUND THAT SIMULTANEOUSLY ATTACKS TWO KEY PROTEINS CRITICAL FOR A CANCER CELL'S SURVIVAL, A DISCOVERY THAT COULD AID IN THE DEVELOPMENT OF MORE EFFECTIVE LEUKEMIA, LUNG AND COLON CANCER DRUGS -STRUGGLES WITH BLOOD PRESSURE CONTROL -AI-DEVELOPED PRECISION DOSING FOR TREATMENT AIMED AT PREVENTING DEMENTIA IN ADDITION, THE UF MOBILE OUTREACH CLINIC CREATES ENVIRONMENTS THAT PROVIDE IMMERSIVE EDUCATIONAL EXPERIENCES THAT FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH AND THEIR IMPACT ON PATIENTS' HEALTH AND WELL-BEING. THEY HAVE CREATED A SIX-WEEK IN-HOME CHRONIC DISEASE SELF- MANAGEMENT PROGRAM THAT INTRODUCES BASIC LIFE STRATEGIES AND TOOLS AND TRAINED GROUP LEADERS TO FACILITATE EDUCATIONAL TRAINING AIMED TO IMPROVE KNOWLEDGE ON NUTRITION, MEAL PLANNING, EXERCISE, FINANCES AND EFFECTIVE COMMUNICATION WITH A HEALTHCARE PROVIDER. HEALTH NEEDS NOT ADDRESSED THE FOLLOWING ADDITIONAL SIGNIFICANT HEALTH NEEDS EMERGED FROM REVIEW OF THE PRIMARY AND SECONDARY DATA. WHILE NOT DIRECTLY TARGETED, THESE TOPICS OVERLAP WITH THE PRIORITIZED HEALTH NEEDS AND WILL BE POSITIVELY IMPACTED THROUGH EXISTING COLLABORATIVE STRATEGIES AND ACTIVITIES. -MATERNAL, FETAL & INFANT HEALTH -MENTAL HEALTH AND MENTAL DISORDERS -OLDER ADULTS -ORAL HEALTH -TOBACCO USE -WOMEN'S HEALTH
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Supplemental Information
Schedule H, Part V, Section B, Line 16a The FAP was widely available on a website THE FINANCIAL ASSISTANCE POLICY FOR EACH HOSPITAL CAN BE FOUND AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/financial-assistance UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/
Schedule H, Part V, Section B, Line 16b The FAP application form was widely available on a website THE FINANCIAL ASSISTANCE APPLICATION FOR EACH HOSPITAL CAN BE FOUND AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/financial-assistance UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/
Schedule H, Part V, Section B, Line 16c Plain language summary of FAP widely available on website A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY FOR EACH HOSPITAL CAN BE FOUND AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/financial-assistance UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/financial-assistance/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/
Schedule H, Part V, Section B, Line 7 CHNA MADE AVAILABLE ON HOSPITAL FACILITY'S WEBSITE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR EACH HOSPITAL IS AVAILABLE TO THE PUBLIC AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/social-mission-community UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/community-health-needs-assessment/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/
Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY POSTED TO WEBSITE THE IMPLEMENTATION STRATEGY FOR EACH HOSPITAL IS AVAILABLE AT THE FOLLOWING WEBSITES: UF HEALTH SHANDS HOSPITAL: https://ufhealth.org/social-mission-community UF HEALTH REHAB HOSPITAL: https://rehabhospital.ufhealth.org/patients-and-caregivers/admissions/community-health-needs-assessment/ SELECT SPECIALTY HOSPITAL GAINESVILLE: https://www.selectspecialtyhospitals.com/locations-and-tours/fl/gainesville/gainesville/
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE ESTIMATED COST OF FINANCIAL ASSISTANCE PROVIDED WAS DETERMINED BY APPLYING SHANDS' OVERALL COST TO CHARGE RATIO TO TOTAL CHARGES FOREGONE. COST OF BENEFITS FOR THE BROADER COMMUNITY REPRESENTS ACTUAL EXPENSES INCURRED.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION DIRECTLY REDUCES THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS BY THE AMOUT OF BAD DEBT EXPENSE. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION REPORTS $0 BAD DEBT EXPENSE BECAUSE BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE. THEREFORE, THE AMOUNT OF BAD DEBTS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS ALSO $0.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS AND OTHER FACTORS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER SHANDS' POLICIES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE AMOUNTS REPORTED ON LINES 5 AND 6 WERE DERIVED FROM THE FYE 6/30/2022 MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance "FINANCIAL ASSISTANCE APPLICANTS HAVE 240 DAYS FROM THE ISSUANCE OF THE FIRST POST-DISCHARGE BILLING STATEMENT TO APPLY FOR CHARITY CARE. DURING THE FIRST 120 DAYS OF THIS APPLICATION WINDOW, ""EXTRAORDINARY COLLECTION ACTIONS"" (ECAS) MAY NOT BE INITIATED. ECAS INCLUDE THE REPORTING OF ADVERSE INFORMATION TO A CREDIT AGENCY AND ATTORNEY ENGAGEMENT IN A COLLECTION ACTION WHICH MAY OR MAY NOT LEAD TO A LAWSUIT. NO ECAS WILL BE INITIATED WITHOUT A MINIMUM OF 30 DAYS WRITTEN NOTICE. SUCH NOTICE SHALL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY INCLUDING THE TELEPHONE NUMBER(S) TO CALL ABOUT APPLYING FOR ASSISTANCE AND THE WEBSITE WHERE THE POLICY AND ASSOCIATED DOCUMENTS CAN BE FOUND. UF HEALTH WILL MAKE A REASONABLE EFFORT TO DETERMINE CHARITY ASSISTANCE ELIGIBILITY BEFORE ENGAGING IN ANY ECA. UPON SUCCESSFUL DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE, ACCOUNTS FOR CURRENT EPISODES OF CARE WILL BE WRITTEN OFF TO ZERO PATIENT RESPONSIBILITY. CURRENT EPISODES OF CARE WILL INCLUDE ALL ACCOUNTS AT THE TIME OF APPROVAL AND THE PRIOR TWO MONTHS. UF HEALTH SHANDS MAY ANALYZE ACCOUNTS FURTHER BACK THAN TWO MONTHS FOR 100% CHARITY CARE RELATED TO THE FINANCIAL ASSISTANCE APPLICATION. ALL ECAS WILL BE STOPPED AND/OR REVERSED WHERE APPROPRIATE AND FULL REFUNDS OF ANY PATIENT PAYMENTS WILL BE PROCESSED FROM ALL ACCOUNTS COVERED WITHIN THE SCOPE OF THE CHARITY ASSISTANCE APPROVAL. CHARITY CARE WILL BE APPROVED FOR A PERIOD OF SIX MONTHS FORWARD BASED ON THE INITIAL EVALUATION."
Schedule H, Part V, Section B, Line 16a FAP website A - UF HEALTH SHANDS HOSPITAL: Line 16a URL: SEE STATEMENT ON SCHEDULE H PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website A - UF HEALTH SHANDS HOSPITAL: Line 16b URL: SEE STATEMENT ON SCHEDULE H PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - UF HEALTH SHANDS HOSPITAL: Line 16c URL: SEE STATEMENT ON SCHEDULE H PART VI;
Schedule H, Part VI, Line 2 Needs assessment PRIMARY AND SECONDARY DATA COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE EVERY THREE YEARS IS SUPPLEMENTED WITH ONGOING PROFESSIONAL RELATIONSHIPS AND COMMUNITY COLLABORATIVES SUCH AS THE ALACHUA SAFETY NET COUNCIL, ALACHUA HEALTHY COMMUNITIES AND ALACHUA HEALTH CARE ADVISORY COMMITTEE WHICH MEET MONTHLY, QUARTERLY AND BI-MONTHLY, RESPECTIVELY, TO DISCUSS AND ACTIVELY WORK TOWARDS COMMUNITY HEALTH IMPROVEMENT EFFORTS IDENTIFIED IN THE COMMUNITY HEALTH IMPLEMENTATION PLAN. EMERGING AND ONGOING COMMUNITY HEALTH CHALLENGES AND PROVIDER STATUS UPDATES ARE PROVIDED AT COMMUNITY MEETINGS AND WITH OTHER COMMUNITY ORGANIZATION RELATIONSHIPS - SUCH AS THE UNITED WAY. THE HOSPITAL ALSO PARTICIPATES IN A NUMBER OF HEALTH FAIRS THAT INCLUDE AUDIENCES AT SPECIFIC LOCAL EMPLOYERS AS WELL AS GENERAL PUBLIC EVENTS THAT HELP IDENTIFY COMMUNITY ISSUES AND CONCERNS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance "THE HOSPITAL HAS SEVERAL MECHANISMS FOR EDUCATING PATIENTS ABOUT ITS FINANCIAL ASSISTANCE POLICY: A PLAIN-LANGUAGE SUMMARY OF THE POLICY IS POSTED IN THE ""BILLING & INSURANCE FAQS"" PORTION OF THE HOSPITAL'S WEBSITE, ALONG WITH LOCAL AND TOLL-FREE TELEPHONE NUMBERS WHERE FINANCIAL REPRESENTATIVES MAY BE REACHED TO DISCUSS QUESTIONS; SIGNAGE IS POSTED IN THE EMERGENCY DEPARTMENTS, ADMISSIONS DEPARTMENTS, AND OTHER ANCILLARY DEPARTMENTS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR THOSE UNINSURED AND UNDERINSURED PATIENTS MEETING ELIGIBILITY REQUIREMENTS, AND AFTER EMTALA SCREENING AND STABILIZATION REQUIREMENTS ARE MET, FINANCIAL COUNSELORS WORK WITH THOSE PATIENTS WHO MOST LIKELY QUALIFY FOR MEDICAID OR UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY; NEARLY EVERY HOSPITAL INPATIENT IS VISITED BY A REPRESENTATIVE FROM ADMISSIONS, TO ENSURE WE HAVE THEIR CORRECT INSURANCE INFORMATION AND TO INFORM THEM ABOUT THE ASSISTANCE POLICY; AND INFORMATION ON THE FINANCIAL ASSISTANCE POLICY IS INCLUDED WITH THE INVOICES/FINANCIAL STATEMENTS THAT ARE MAILED TO PATIENTS. IN ADDITION, THE HOSPITAL PROVIDES FINANCIAL COUNSELING AND INFORMATION TO INDIVIDUAL PATIENTS AND ASSISTS THEM IN APPLYING FOR LOCAL, STATE, AND FEDERAL HEALTH CARE PROGRAMS SUCH AS MEDICARE AND MEDICAID OR ENROLLING IN AN INSURANCE PLAN THROUGH THE FEDERAL HEALTH CARE EXCHANGE. SHANDS PROVIDES A SELF-PAY DISCOUNT FOR UNDER-INSURED PATIENTS WHO DO NOT OTHERWISE QUALIFY UNDER THE FINANCIAL ASSISTANCE PROGRAMS."
Schedule H, Part VI, Line 5 Promotion of community health THE MAJORITY OF STHC'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE UF HEALTH SYSTEM'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF STHC, NOR FAMILY MEMBERS THEREOF. STHC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY AND USES SURPLUS FUNDS TO INVEST IN PATIENT CARE NEEDS. UF HEALTH SHANDS IS A PRIVATE, NOT-FOR-PROFIT HOSPITAL SYSTEM AFFILIATED WITH THE UNIVERSITY OF FLORIDA. IT IS PART OF UNIVERSITY OF FLORIDA HEALTH, THE SOUTHEAST'S MOST COMPREHENSIVE ACADEMIC HEALTH CENTER, WITH CAMPUSES IN GAINESVILLE, JACKSONVILLE, LEESBURG, AND THE VILLAGES. UF HEALTH SHANDS IS BASED IN GAINESVILLE. IT FEATURES A TEACHING HOSPITAL, UF HEALTH SHANDS HOSPITAL, WHICH ALSO INCLUDES UF HEALTH SHANDS CANCER HOSPITAL, UF HEALTH SHANDS CHILDREN'S HOSPITAL, UF HEALTH HEART & VASCULAR HOSPITAL, UF HEALTH NEUROMEDICINE HOSPITAL, AND UF HEALTH SHANDS PSYCHIATRIC HOSPITAL; A NETWORK OF OUTPATIENT REHABILITATION CENTERS; AND A HOME HEALTH AGENCY. UF HEALTH SHANDS IS AFFILIATED WITH MORE THAN 50 UF HEALTH PHYSICIANS' PRIMARY CARE AND SPECIALTY MEDICAL PRACTICES LOCATED THROUGHOUT FLORIDA. UF HEALTH SHANDS HOSPITAL IS ALSO HOME TO A STATE-DESIGNATED LEVEL I TRAUMA CENTER, A LEVEL III NEONATAL INTENSIVE CARE UNIT, A REGIONAL BURN CENTER AND AN EMERGENCY AIR AND GROUND TRANSPORT PROGRAM. UF HEALTH SHANDS HAS AFFILIATION RELATIONSHIPS WITH COMMUNITY HOSPITALS LOCATED THROUGHOUT FLORIDA. IT HAS BUILT RELATIONSHIPS WITH AFFILIATES THROUGHOUT THE STATE IN SERVICES SUCH AS CANCER, HEART SURGERY, NEUROSURGERY, PEDIATRICS, PEDIATRIC CARDIOLOGY, PEDIATRIC NEPHROLOGY, VASCULAR SURGERY AND ADDICTION MEDICINE. UF HEALTH SHANDS ALSO IS AFFILIATED WITH URGENT CARE CENTERS IN GAINESVILLE AND OCALA AND COLLABORATES WITH OTHER HOSPITALS AND HEALTH CARE PROVIDERS TO EXPAND CLINICAL PROGRAMS AND RESEARCH AND EDUCATION EFFORTS. MORE THAN 1,200 UF COLLEGE OF MEDICINE FACULTY AND COMMUNITY PHYSICIANS ON THE UF HEALTH SHANDS MEDICAL STAFF PROVIDE CARE IN MORE THAN 100 SPECIALTY AND SUBSPECIALTY MEDICAL AREAS, FROM PRIMARY CARE TO HIGHLY SPECIALIZED AND COMPLEX CARE, INCLUDING CANCER, HEART AND VASCULAR, NEUROMEDICINE, PEDIATRICS AND TRANSPLANTATION SERVICES. EACH YEAR, PATIENTS COME TO UF HEALTH SHANDS FROM ALL 67 FLORIDA COUNTIES, THROUGHOUT THE NATION AND MORE THAN A DOZEN COUNTRIES. FOOTNOTE 3 TO THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS SUMMARIZES THE FY22 COMMUNITY BENEFIT PROVIDED BY UF HEALTH, THROUGH COLLABORATIONS WITH UF'S HEALTH SCIENCE COLLEGES, RESEARCH CENTERS AND INSTITUTES, UF HEALTH SHANDS HOSPITAL AND OTHER HEALTH CARE ENTITIES.
Schedule H, Part VI, Line 4 Community information "UF HEALTH SHANDS' PRIMARY SERVICE AREA INCLUDES SEVEN COUNTIES (ALACHUA, BRADFORD, COLUMBIA, LEVY, MARION, PUTNAM, AND SUWANNEE) AND HAD AN ESTIMATED POPULATION OF 908,877 IN 2020 WHICH REPRESENTS 4% OF FLORIDA'S TOTAL POPULATION. GEOGRAPHICALLY, THERE ARE 6,089 TOTAL SQUARE MILES IN THE SERVICE AREA, OR 11% OF THE TOTAL LANDMASS OF FLORIDA, ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2015-2019 5-YEAR ESTIMATES. THE GEOGRAPHY ENCOMPASSES A MIX OF URBAN AND RURAL AREAS. POPULATION DENSITY FOR THIS ENTIRE AREA, ESTIMATED AT 139.2 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 90.2 PERSONS PER SQUARE MILE, BUT LESS THAN THE STATE DENSITY OF 371.6 PERSONS PER SQUARE MILE. THE POPULATION IN VARIOUS COUNTIES WITHIN UF HEALTH SHANDS' PRIMARY SERVICE AREA WAS PROJECTED TO GROW BETWEEN 0.65% AND 12.41% FROM 2010-2021. MARION COUNTY WAS PROJECTED TO HAVE THE LARGEST GROWTH, AT 12.41%, FOLLOWED BY ALACHUA COUNTY, AT 10.32%. BRADFORD AND PUTNAM COUNTIES WERE PROJECTED TO SEE THE SLOWEST GROWTH, BOTH UNDER 1%. THE TOTAL POPULATION MIX BY GENDER IS SIMILAR TO FLORIDA AND THE UNITED STATES OVERALL (49% MALE AND 51% FEMALE). WITH A 55% MALE POPULATION, BRADFORD COUNTY STANDS OUT DUE TO THE PRESENCE OF SEVERAL STATE CORRECTIONAL FACILITIES IN THE COUNTY. THE TOTAL POPULATION BY AGE GROUP FOR THE REGION VARIES SIGNIFICANTLY ACROSS COUNTIES. THE TWO LARGEST COUNTIES IN THE SERVICE AREA, ALACHUA AND MARION, HAVE INCREASED VARIATIONS IN AGE DEMOGRAPHICS. THE ALACHUA COUNTY POPULATION, WHICH INCLUDES THE UNIVERSITY OF FLORIDA, TRENDS TO A YOUNGER DEMOGRAPHIC (19% OF POPULATION AGES 18-24) WHEN COMPARED TO THE STATE OF FLORIDA (8% AGES 18-34). MARION COUNTY, WHICH INCLUDES THE CITY OF OCALA AND SEVERAL LARGE RETIREMENT COMMUNITIES, HAS A SIGNIFICANTLY HIGHER PROPORTION OF 65+ RESIDENTS (30.1% AGES 65 OR OLDER) THAN THE OVERALL DEFINED PRIMARY SERVICE AREA (23% AGES 65+), FLORIDA (20.9% AGES 65+) OR THE UNITED STATES (16.5% AGES 65+). RACE AND ETHNICITY CONTRIBUTE TO THE OPPORTUNITIES INDIVIDUALS AND COMMUNITIES HAVE TO BE HEALTHY. THE MAJORITY OF THE PRIMARY SERVICE AREA IDENTIFIES AS WHITE, WITH 75% OF THE RESIDENTS CLASSIFIED AS WHITE. LEVY COUNTY HAS THE LARGEST WHITE POPULATION AT 84.5% (NON-HISPANIC), WITH 9.2% CLASSIFIED AS HISPANIC OR LATINO, 9% AS BLACK OR AFRICAN AMERICAN (NON-HISPANIC), AND LESS THAN 1% ASIAN (NON-HISPANIC). ALACHUA COUNTY HAS 6.3% OF ITS RESIDENTS (17,286 INDIVIDUALS) REPORTED AS ASIAN. WITHIN THE PRIMARY SERVICE AREA, ALACHUA COUNTY HAS THE LARGEST PROPORTION OF ASIANS. THE PROPORTION OF INDIVIDUALS IDENTIFYING AS BLACK/AFRICAN AMERICAN IN EACH COUNTY RANGES FROM 9% IN LEVY COUNTY TO 20.3% IN ALACHUA COUNTY. THE PROPORTION OF THE POPULATION IDENTIFYING AS ""ANOTHER RACE"" ALSO RANGES FROM 0.8% IN BRADFORD COUNTY TO 4.4% IN PUTNAM COUNTY. COMPARED TO FLORIDA OR THE UNITED STATES, THE PRIMARY SERVICE AREA HAS A LOWER POPULATION OF HISPANIC RESIDENTS. THE SERVICE AREA REFLECTS A 12.0% HISPANIC OR LATINO POPULATION VERSUS 27.7% FOR FLORIDA AND 17.3% FOR THE UNITED STATES. UNDERSTANDING COUNTRIES OF ORIGIN AND LANGUAGES SPOKEN AT HOME CAN HELP INFORM THE CULTURAL AND LINGUISTIC CONTEXT FOR THE HEALTH AND PUBLIC HEALTH SYSTEM. LANGUAGE IS AN IMPORTANT FACTOR TO CONSIDER FOR OUTREACH EFFORTS IN ORDER TO ENSURE THAT COMMUNITY MEMBERS ARE AWARE OF AVAILABLE PROGRAMS AND SERVICES. THE MOST COMMON LANGUAGE SPOKEN AT HOME AMONG ALL COUNTIES IN THE PRIMARY SERVICE AREAS IS ENGLISH (83.1%-90.5%). SPANISH IS THE SECOND MOST COMMON. MARION COUNTY HAS THE HIGHEST PROPORTION OF THE POPULATION AGE 5 AND OLDER SPEAKING SPANISH, AT 11.4%, AND BRADFORD COUNTY HAS THE SMALLEST PROPORTION, AT 3.8%. THE PERCENTAGE OF RESIDENTS WHO SPEAK SPANISH AT HOME IS LOWER COMPARED WITH THE STATE OF FLORIDA (14.4%) AND THE U.S. (13.5%). INCOME HAS BEEN SHOWN TO BE STRONGLY ASSOCIATED WITH MORBIDITY AND MORTALITY, INFLUENCING HEALTH THROUGH VARIOUS CLINICAL, BEHAVIORAL, SOCIAL AND ENVIRONMENTAL FACTORS. THOSE WITH GREATER WEALTH ARE MORE LIKELY TO HAVE HIGHER LIFE EXPECTANCY AND REDUCED RISK OF A RANGE OF HEALTH CONDITIONS INCLUDING HEART DISEASE, DIABETES, OBESITY AND STROKE. POOR HEALTH CAN ALSO CONTRIBUTE TO REDUCED INCOME BY LIMITING ONE'S ABILITY TO WORK. UF HEALTH SHANDS CONSIDERED HOUSEHOLD INCOME VALUES FOR ALL SEVEN COUNTIES OVERALL AND BY RACE/ETHNICITY COMPARED WITH STATE AND NATIONAL BENCHMARKS. LEVY COUNTY HAS THE LOWEST MEDIAN INCOME, AT $42,132. THE HIGHEST MEDIAN INCOME WAS ALACHUA COUNTY ($54,429), FOLLOWED BY BRADFORD COUNTY ($50,704), AND COLUMBIA COUNTY ($50,448). ALL SEVEN COUNTIES' MEDIAN INCOME IS LOWER THAN THE STATE'S VALUE OF $61,374. HOWEVER, THERE ARE DISPARITIES BY RACE/ETHNICITY. AMERICAN INDIAN AND NATIVE HAWAIIAN HAVE THE LOWEST INCOME IN PUTNAM AND SUWANNEE, AT $14,999. THIS IS LESS THAN FLORIDA'S MEDIAN INCOME OF $61,374 AND THE LOWEST COMPARED WITH OTHER RACIAL GROUPS ACROSS OTHER COUNTIES. FEDERAL POVERTY THRESHOLDS ARE SET EVERY YEAR BY THE CENSUS BUREAU AND VARY BY SIZE OF FAMILY AND AGES OF FAMILY MEMBERS. PEOPLE LIVING IN POVERTY ARE LESS LIKELY TO HAVE ACCESS TO HEALTH CARE, HEALTHY FOOD, STABLE HOUSING AND OPPORTUNITIES FOR PHYSICAL ACTIVITY. THESE DISPARITIES MEAN PEOPLE LIVING IN POVERTY ARE MORE LIKELY TO EXPERIENCE POORER HEALTH OUTCOMES AND PREMATURE DEATH FROM PREVENTABLE DISEASES. UF HEALTH SHANDS EVALUATED POVERTY LEVELS THROUGHOUT THE PRIMARY SERVICE AREA AND DETERMINED THAT FOUR COUNTIES (ALACHUA, COLUMBIA, MARION, AND SUWANNEE) ARE NEAR FLORIDA'S PERCENTAGE OF FAMILIES LIVING IN POVERTY, AT 10%. BRADFORD COUNTY (16%), LEVY COUNTY (17%) AND PUTNAM COUNTY (18%) ARE HIGHER THAN FLORIDA'S MEDIAN VALUE."
Schedule H, Part VI, Line 6 Affiliated health care system "UF HEALTH PROACTIVELY REACHES OUT BEYOND THE WALLS OF OUR HOSPITALS AND CLINICAL PRACTICES TO SHARE VALUABLE HEALTH INFORMATION WITH AREA RESIDENTS. WE OFFER HEALTH EDUCATION PROGRAMS AND EVENTS AND ALSO PARTNER IN COMMUNITY EFFORTS. WE SUPPORT CIVIC, SOCIAL AND CULTURAL PROGRAMS TO RAISE AWARENESS OF HEALTH ISSUES AND PROMOTE WELLNESS. WE BRING UF HEALTH PHYSICIANS, DENTISTS, NURSES AND OTHER PROVIDERS AND EXPERTS INTO THE COMMUNITY TO SPEAK ABOUT SPECIFIC HEALTH AND WELLNESS TOPICS AT SEMINARS, AND TO OFFER DISEASE PREVENTION INFORMATION AND SCREENINGS AT COMMUNITY HEALTH FAIRS AND OTHER OUTREACH EVENTS. OUR COMMITMENT AS A RESPONSIBLE, ACCOUNTABLE STEWARD OF OUR RESOURCES IS THE CORNERSTONE OF UF HEALTH'S NOT-FOR-PROFIT MISSION. UF HEALTH SHANDS SERVES AS A TRAINING GROUND FOR TOMORROW'S DOCTORS THROUGH UF COLLEGE OF MEDICINE. IN ADDITION, UNDERGRADUATE UF COLLEGE OF NURSING STUDENTS GAIN MEANINGFUL CLINICAL EXPERIENCES AT UF HEALTH SHANDS HOSPITAL AS PART OF THEIR EDUCATION PROGRAM. UF HEALTH SHANDS ALSO SERVES AS A CLINICAL TRAINING SITE FOR RN, ARNP, PA, PT, OT, RADIOLOGY TECH, RESPIRATORY TECH, LAB TECH, PHARMACY TECH, PARAMEDIC AND EMT STUDENTS FROM COMMUNITY COLLEGES THROUGHOUT THE STATE OF FLORIDA AND SURROUNDING STATES. EFFECTIVE JANUARY 1, 2020, STHC ACQUIRED CENTRAL FLORIDA HEALTH, INC. (""CFH""), A COMMUNITY HEALTH CARE PROVIDER IN CENTRAL FLORIDA, PURSUANT TO WHICH STHC BECAME THE SOLE CORPORATE MEMBER OF CFH. CFH MANAGES AND OPERATES TWO ACUTE CARE HOSPITALS IN CENTRAL FLORIDA - LEESBURG REGIONAL MEDICAL CENTER, INC. AND THE VILLAGES TRI-COUNTY MEDICAL CENTER, INC. - AS WELL AS VARIOUS OTHER RELATED HEALTHCARE ORGANIZATIONS. LEESBURG REGIONAL MEDICAL CENTER, INC. IS A 330-BED ACUTE CARE HOSPITAL LOCATED IN LEESBURG, FLORIDA. THE VILLAGES TRI-COUNTY MEDICAL CENTER, INC. IS A 307-BED ACUTE CARE HOSPITAL LOCATED IN THE VILLAGES IN CENTRAL FLORIDA. CFH, THE TWO ACUTE CARE HOSPITALS, AND THEIR OTHER RELATED ORGANIZATIONS BEGAN OPERATING UNDER THE ""UF HEALTH"" BRAND EFFECTIVE JANUARY 1, 2020. UNIVERSITY OF FLORIDA ACADEMIC HEALTH CENTER FACULTY AND STAFF PARTICIPATE IN UF HEALTH SHANDS' COMMUNITY OUTREACH EFFORTS TO OFFER HEALTH SEMINARS AND SCREENINGS TO CONTRIBUTE TO A HEALTHIER COMMUNITY. IN ADDITION, SEVERAL COLLEGES HOST A VARIETY OF OUTREACH EFFORTS TO PROMOTE HEALTH AND WELLNESS. EXAMPLES INCLUDE: - THE UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE PROVIDES CARE THROUGH THE MOBILE OUTREACH CLINIC, A MEANS OF DELIVERING HEALTH CARE TO THE MEDICALLY UNDERSERVED IN LOW-INCOME NEIGHBORHOODS AND RURAL AREAS IN ALACHUA COUNTY. VOLUNTEERS INCLUDED RESIDENTS, PHYSICIAN ASSISTANTS AND MEDICAL STUDENTS. - THE UNIVERSITY OF FLORIDA COLLEGE OF NURSING FACULTY AND STUDENTS VOLUNTEERED THROUGHOUT THE YEAR TO SUPPORT VARIOUS COMMUNITY HEALTH INITIATIVES, INCLUDING HEALTH EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS AND PARTICIPATION IN THE ALACHUA COUNTY SCHOOL-BASED CONTROL FLU PROGRAM. - THE UNIVERSITY OF FLORIDA COLLEGE OF PUBLIC HEALTH AND HEALTH PROFESSIONS FACULTY AND STAFF VOLUNTEER THEIR TIME TO STUDENT-RUN EQUAL ACCESS CLINICS PROVIDING COUNSELING, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY SERVICES TO INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED. IN ADDITION, COLLEGE FACULTY AND STUDENTS ARE MENTORING MIDDLE SCHOOL STUDENTS THROUGH A COLLABORATION WITH HOWARD BISHOP MIDDLE SCHOOL, A COMMUNITY PARTNERSHIP SCHOOL. - WITH CAMPUSES IN GAINESVILLE, JACKSONVILLE AND ORLANDO, FACULTY AND STUDENTS IN THE UF COLLEGE OF PHARMACY ARE IMPROVING THE HEALTH OF FLORIDIANS THROUGHOUT THE STATE THROUGH COMMUNITY HEALTH AND SERVICE ACTIVITIES. AT THE EQUAL ACCESS CLINIC IN GAINESVILLE, UF COLLEGE OF PHARMACY STUDENT VOLUNTEERS ASSIST WITH MEDICATION RECONCILIATIONS, POINT OF CARE TESTING, SMOKING CESSATION COUNSELING, DIABETES EDUCATION AS WELL AS ASSISTING MEDICAL STUDENTS IN DEVELOPING MEDICATION TREATMENT PLANS FOR PATIENTS. PHARMACY STUDENTS VOLUNTEERING AT GRACE PHARMACY IN GAINESVILLE CONDUCT NEW PATIENT INTERVIEWS, DISPENSE MEDICATIONS AND COUNSEL PATIENTS ON THEIR MEDICATIONS. THE NONPROFIT WAS ESTABLISHED BY GRACE HEALTHCARE SERVICES CORPORATION TO SUPPLY MEDICATIONS AT NO CHARGE TO QUALIFYING PATIENTS WHO OTHERWISE COULD NOT AFFORD THEM. UF PHARMACY STUDENTS VOLUNTEER AT THE MUSLIM AMERICAN SOCIAL SERVICES CLINIC IN JACKSONVILLE, WHICH PROVIDES FREE HEALTH CARE TO UNINSURED, LOW-INCOME ADULTS OF ALL FAITHS IN DUVAL COUNTY. THE VOLUNTEERS PROVIDE MEDICATION RECONCILIATIONS FOR NEW AND RETURNING PATIENTS, THEY COLLABORATE WITH OTHER MEMBERS OF THE HEALTH CARE TEAM TO OPTIMIZE PATIENT MEDICATION THERAPY, THEY UPDATE PATIENT MEDICAL RECORDS AND TAKE INVENTORY OF THE DRUGS AVAILABLE. AT THE APOPKA MIGRANT FARMWORKER CLINIC, UF COLLEGE OF PHARMACY STUDENTS WORK WITH THE UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE'S GLOBAL HEALTH ORGANIZATION MEDPACT, TO RUN A VOLUNTEER HEALTH CLINIC SERVING FARMWORKERS AND OTHER UNDERSERVED POPULATIONS. STUDENT VOLUNTEERS PROVIDE GLUCOSE SCREENINGS, BLOOD PRESSURE SCREENINGS AND COUNSEL PATIENTS. - THE UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY FACULTY, STAFF AND STUDENTS VOLUNTEER THEIR TIME IN COMMUNITIES THROUGHOUT FLORIDA AND DURING INTERNATIONAL EDUCATIONAL SERVICE TRIPS. STUDENTS, FACULTY AND STAFF WORKED TOGETHER IN SUPPORT OF COMMUNITY EVENTS, HEALTH FAIRS AND OTHER EVENTS, INCLUDING PROVIDING ORAL HEALTH EDUCATION TO CHILDREN, SPECIAL NEEDS INDIVIDUALS AND OTHERS."