This document, the HLE2, is an updated version of the "Health Literacy Environment of Hospitals and Health Centers" [see ED508596]. The original workbook and assessment tool has been widely used in the U.S. and has been translated and adapted for different health systems in Europe, Australia, and New Zealand. This revision, HLE2 (The Health Literacy Environment of Hospitals and Health Centers, version 2) is the product of a partnership between Rima Rudd, Sandy Oelschlegel and members of the Health Literacy Task Force at the University of Tennessee Medical Center: Kelsey Leonard Grabeel, Emily Tester, and Eric Heidel. It is an updated assessment tool for identifying facilitating factors and barriers to information, care, and services. The HLE2 tool is organized into 5 sections, each of which provides a rating scale and a metric to indicate both a total score and a percentage score. The sections are: (1) Organizational Policies; (2) Institutional Practices; (3) Navigation; (4) Culture and Language; and (5) Communication: Print Materials, Forms, Websites, and Patient Portals. [This assessment tool was co-prepared by the Health Literacy Task Force of the University of Tennessee Medical Center.]