Community Benefit Insight - Tax-exempt hospital

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Uintah Basin Medical Center

Uintah Basin Medical Center

250 West 300 North
Roosevelt, UT 84066

Bed count	49	Medicare provider number	460019	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 870276435

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

7.74%

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 679,659 0.64 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 134,492 0.13 %
Subsidized health services as % of operating expenses	$ 7,268,025 6.89 %
Research as % of operating expenses	$ 0 0 %
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.	$ 14,213 0.01 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 69,814 0.07 %
Community building* as % of operating expenses	$ 1,892,468 1.79 %

* = 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 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	$ 1,892,468 1.79 %
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	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 447,401 23.64 %
Other as % of community building expenses	$ 1,445,067 76.36 %
Direct offsetting revenue	$ 25,000
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	$ 0
Other	$ 25,000

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	$ 9,451,108 8.96 %
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 2022 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	$ 1,890,222 20.00 %

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:
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.
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.
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.

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 $ 80695586 including grants of $ 0) (Revenue $ 112422994)
UINTAH BASIN MEDICAL CENTER (UBMC) IS A 49-BED GENERAL ACUTE CARE HOSPITAL THAT OFFERS HOSPITAL SERVICES, EMERGENCY MEDICAL CARE, INPATIENT AND OUTPATIENT PHARMACEUTICAL SERVICES, LONG-TERM HEALTH CARE, REHABILITATION, AND OTHER ESSENTIAL MEDICAL SERVICES. UBMC PROVIDED APPROXIMATELY 4,500 PATIENT DAYS, 12,200 ER VISITS, 2,500 SURGERIES AND 13,200 HOME HEALTH/ HOSPICE VISITS DURING THE YEAR. THE MEDICAL CENTER PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS DURING THE YEAR WAS 1,657,705 FOR CHARITY CARE, 30,655,091 FOR MEDICARE, 21,843,518 FOR MEDICAID AND 46,759,971 FOR OTHER THIRD-PARTY PAYORS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

FACILITY 1, UINTAH BASIN MEDICAL CENTER - PART V, LINE 3E
IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS BEGIN ON PAGE 6 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE.

FACILITY 1, UINTAH BASIN MEDICAL CENTER - PART V, LINE 5
IN CONNECTION WITH ITS MOST RECENT CHNA, UINTAH BASIN MEDICAL CENTER (UBMC) TOOK INTO ACCOUNT INPUT FROM A VARIETY OF PERSONS WHO REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY UBMC. UINTAH BASIN HEALTHCARE PARTNERED WITH THE NATIONAL RURAL HEALTH RESOURCE CENTER (NRHRC) AND THE UNIVERSITY OF DULUTH THE PAST THREE CYCLES (NINE YEARS) TO CONDUCT A THIRD-PARTY COMMUNITY HEALTH NEEDS ASSESSMENT. A SURVEY OF 800 RESIDENTS WAS CONDUCTED WITH AN 17.5% RESPONSE RATE IN THE YEAR 2020. IN ADDITION, 12 KEY PARTICIPANTS COMPLETED A PHONE SURVEY CONDUCTED BY NRHRC. INDIVIDUALS INCLUDED THOSE WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH INCLUDING STATE, LOCAL AND TRIBAL PUBLIC HEALTH ORGANIZATIONS AS WELL AS ORGANIZATIONS SUCH AS UINTAH BASIN ASSOCIATION OF GOVERNMENTS (REPRESENTING UNDERSERVED, LOW-INCOME, UNINSURED AND MINORITY POPULATIONS), TRICOUNTY HEALTH, INDIVIDUALS FROM NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS, LOCAL GOVERNMENTAL ORGANIZATIONS, LOCAL SCHOOL DISTRICTS AND A LOCAL COUNSELING CENTER. HOSPITAL PERSONNEL ATTENDED A COMMUNITY HEALTH NEEDS VIRTUAL MEETING HOSTED BY NRHRC TO DISCUSS THE OUTCOMES OF COMMUNITY PRINT AND PHONE SURVEYS INDICATING SIGNIFICANT HEALTH NEEDS AND DISPARITIES WITHIN THE MEDICAL CENTERS COMMUNITY SERVICE AREA. UBMC DISCLOSED THE RESULTS OF ITS CHNA SURVEY TO PARTICIPANTS, OUR BOARD/LEADERSHIP, AND OUR COMMUNITY. THE MEDICAL CENTER DISCUSSED TOP HEALTH CONCERNS, AND SOLICITED AND GATHERED INPUT REGARDING POSSIBLE SOLUTIONS TO THE HEALTH CONCERNS IDENTIFIED IN THE MEDICAL CENTERS CHNA SURVEY AND FINDINGS.

FACILITY 1, UINTAH BASIN MEDICAL CENTER - PART V, LINE 11
AS OUTLINED BELOW, ALL ASSESSED NEEDS WERE ADDRESSED BY THE HOSPITAL. AS IDENTIFIED IN THE HOSPITAL'S CHNA, THE SIGNIFICANT NEEDS ARE AS FOLLOWS WITH A DESCRIPTION OF THE CHNA PROPOSED METHODS TO ADDRESS THE CONCERNS. ALL PROPOSED NEEDS WERE ADDRESSED ACCORDING TO THE PUBLISHED CHNA. THE TOP THREE CONCERNS WERE DIABETES, ALCOHOL ABUSE AND DRUG USE. 1.DIABETES - UBMC WILL ADDRESS DIABETES BY GROWING OUR DIABETES EDUCATION AND REGISTERED DIETITIAN OFFERINGS, HOSTING A 5K/FUN RUN ANNUALLY, PROMOTING AN EMPLOYEE WELLNESS PROGRAM, AND SPONSORING WELLNESS ACTIVITIES (I.E. YOUTH AND HIGH SCHOOL SPORTS, WALKING TRAILS, THE AQUATIC CENTER, EAT WELL PROGRAMS, HEALTH FAIRS, ETC). OUR PROVIDERS WILL MONITOR CHILDRENS WEIGHT/HEIGHT/BMI ROUTINELY AND CONNECT OR REFER FAMILIES TO BREASTFEEDING SUPPORT (SUCH AS OUR OB DEPARTMENTS CERTIFIED LACTATION COUNSELORS) OR NUTRITION EDUCATION (THROUGH OUR DIABETES EDUCATION PROGRAM). OUR PROVIDERS/DEPARTMENTS ARE ALSO IMPLEMENTING MONITORING SYSTEMS FOR PATIENTS AT RISK FOR DIABETES. 2.ALCOHOL ABUSE & 3. DRUG USE - AT UINTAH BASIN HEALTHCARE, WE ARE IMPLEMENTING SEVERAL INITIATIVES TO ADDRESS DRUG MISUSE AND ALCOHOL ABUSE. OUR HOSPITAL AND CLINIC AREAS ARE WORKING TO EDUCATE AND OFFER ALTERNATIVES TO OPIOIDS, AS WELL AS PROMOTE SAFE DISPOSAL OF UNUSED MEDICATIONS BY PROVIDING A DROPBOX AT THE UBMC PHARMACY AND DVMC PHARMACY. WE WILL RAISE AWARENESS THROUGH INCREASED COMMUNITY EDUCATION AND COLLABORATION, WHILE IDENTIFYING AND PROMOTING RESOURCES FOR DRUG AND ALCOHOL RECOVERY. UBMC PARTNERED WITH THE THOMPSON HOUSE OF HOPE (A LOCAL RECOVERY CENTER) TO PROVIDE A WEBSITE, BUSINESS CARDS, EVENT BANNER, VEHICLE DECALS, AND MARKETING ASSISTANCE TO RAISE AWARENESS FOR LOCAL RECOVERY OPTIONS TO THOSE AFFECTED BY SUBSTANCE ABUSE. THE NEXT RANKING ITEMS INCLUDED TOBACCO/SMOKING/VAPING, MENTAL HEALTH, ADULT OBESITY, CANCER, OPIOID ADDICTION, HEART DISEASE AND CHILDHOOD OBESITY. EACH DEPARTMENT MANAGER AT UBMC SUBMITTED A GOAL TO ADDRESS TOP HEALTH CONCERNS TO ESTABLISH A SHARED VISION OF OUR ABILITY TO MAKE AN IMPACT. GOALS/PROJECTS ARE MONITORED OVER A THREE-YEAR PROCESS.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 7G
THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 15,592,060 IN COLUMN C AND 8,324,035 IN COLUMN D.

SCHEDULE H, PART I, LINE 7
UBMC APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES DERIVED FROM WORKSHEET 2, FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES).

SCHEDULE H, PART II
DUCHESNE COUNTY IS FEDERALLY DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA BY HRSA. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT.

SCHEDULE H, PART III, LINE 2
UBMC REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. UBMC PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS.

SCHEDULE H, PART III, LINE 3
UBMC ANALYZED BAD DEBT ACCOUNTS AND ESTIMATED BAD DEBT EXPENSE THAT IS REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY BUT FOR WHOM INSUFFICIENT INFORMATION WAS OBTAINED TO DETERMINE THEIR ELIGIBILITY. UBMC CALCULATED THE PRIOR YEAR CHARITY CARE AS A PERCENTAGE OF SELF PAY A/R AND APPLIED THAT PERCENTAGE TO THE SELF PAY A/R FOR 2022.

SCHEDULE H, PART III, LINE 4
THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IN INCLUDED IN FOOTNOTE 8 STARTING ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS.

SCHEDULE H, PART III, LINE 8
ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR.

SCHEDULE H, PART III, LINE 9B
THE ACCOUNTS OF UNINSURED OR UNDER-INSURED PATIENTS WHO HAVE APPLIED FOR MEDICAL ASSISTANCE OR FINANCIAL ASSISTANCE ARE HELD WITHOUT FURTHER COLLECTION ACTION, UNTIL THE APPLICATION PROCESS HAS BEEN COMPLETE.

SCHEDULE H, PART VI, LINE 2
SERVICES USES LOCAL AND STATE BASED DATA TO ASSIST ITS MEDICAL STAFF IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AND PROVIDES BASIC FAMILY BASED PRIMARY CARE. WE ARE CONTINUALLY TAKING IN INFORMATION AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://UBH.ORG/WP-CONTENT/UPLOADS/SITES/534/2020/08/CH NA_2020_ WEBSUMMARY.PPTX.PDF

SCHEDULE H, PART VI, LINE 3
ALL PATIENTS PRESENTING TO OUR FACILITY WHO ARE UNINSURED/UNDER-INSURED ARE PRESENTED WITH THE OPPORTUNITY FOR FINANCIAL ASSISTANCE APPLICATION. A PATIENT FINANCIAL ASSISTANCE COUNSELOR IS AVAILABLE FULL TIME FOR INQUIRIES AND CONSULTING REGARDING ALL AVAILABLE FINANCIAL AID PROGRAMS.

SCHEDULE H, PART VI, LINE 4
THE HOSPITAL PROVIDES SERVICES TO RESIDENTS OF THE UINTAH BASIN LOCATED IN ROOSEVELT, UT WHICH IS LOCATED IN DUCHESNE AND UINTAH COUNTIES. DUCHESNE COUNTY IS FEDERALLY DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA BY HRSA. THE COUNTY POPULATION IS APPROXIMATELY 20,000 WITH A MEDIAN HOUSEHOLD INCOME OF 63,000. 11.1% OF DUCHESNE COUNTY FAMILIES LIVE IN POVERTY. UINTAH COUNTY IS FEDERALLY DESIGNATED AS A HEALTH PROFESSIONAL AND MEDICALLY UNDERSERVED PROVIDER SHORTAGE AREA BY HRSA. THE COUNTY POPULATION IS APPROXIMATELY 36,000 WITH A MEDIAN HOUSEHOLD INCOME OF 65,000. 9.8% OF UINTAH COUNTY FAMILIES LIVE IN POVERTY. THE UNEMPLOYMENT RATE WAS 7.8% IN 2021.

SCHEDULE H, PART VI, LINE 5
THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE HOSPITAL'S BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA AND DEDICATE TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. THE HOSPITAL DOES NOT HAVE ANY SHAREHOLDERS AND ANY SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION. THE HOSPITAL HOLDS NUMEROUS COMMUNITY ACTIVITIES SUCH AS HEALTH FAIRS, FREE FLU SHOT CLINICS, PROMOTES SCHOOL PROGRAMS, AND PROVIDES NUMEROUS HEALTH, WELLNESS, AND EDUCATION ACTIVITIES TO PROMOTE HEALTH WITHIN THE COMMUNITY. IN ADDITION, THE HOSPITAL IS CONTINUALLY COLLABORATING WITH OTHER FACILITIES AND ORGANIZATIONS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED.

Operating expenses	$ 105,451,150
Total amount spent on community benefits as % of operating expenses	$ 8,166,203 7.74 %