UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HEALTH SYSTEM INC (EIN 31-1626179)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202423209349306002
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T10:21:54+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311626179	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	UNIV	BusinessNameControlTxt
Phone	8652514417	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2121 MEDICAL CENTER WAY 200	AddressLine1Txt
City	Knoxville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37920	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Benjamin Cunningham	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8652514417	PhoneNum
Signature	2024-11-15	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Preparation	2024-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Keith D Gray MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2121 MEDICAL CENTER WAY 200	AddressLine1Txt
City	Knoxville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37920	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,498,149,820	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UTMEDICALCENTER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	6752	TotalEmployeeCnt
Total Volunteers	191	TotalVolunteersCnt
Total Gross UBI	$1,223,574	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$944,289	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,933,879	PYContributionsGrantsAmt
CY Contributions Grants	$6,187,160	CYContributionsGrantsAmt
PY Program Service Revenue	$1,271,571,582	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,462,220,217	CYProgramServiceRevenueAmt
PY Investment Income	$1,451,467	PYInvestmentIncomeAmt
CY Investment Income	$21,913,582	CYInvestmentIncomeAmt
PY Other Revenue	$7,108,222	PYOtherRevenueAmt
CY Other Revenue	$7,740,828	CYOtherRevenueAmt
PY Total Revenue	$1,294,065,150	PYTotalRevenueAmt
CY Total Revenue	$1,498,061,787	CYTotalRevenueAmt
PY Grants And Similar Paid	$634,483	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,174,063	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$516,899,691	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$567,102,472	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$90,205	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$2,678	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,678	CYTotalFundraisingExpenseAmt
PY Other Expenses	$788,699,097	PYOtherExpensesAmt
CY Other Expenses	$890,415,410	CYOtherExpensesAmt
PY Total Expenses	$1,306,323,476	PYTotalExpensesAmt
CY Total Expenses	$1,458,694,623	CYTotalExpensesAmt
PY Revenues Less Expenses	-$12,258,326	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$39,367,164	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,153,994,077	TotalAssetsBOYAmt
Total Assets EOY	$1,268,215,876	TotalAssetsEOYAmt
Total Liabilities BOY	$822,317,347	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$860,245,153	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$331,676,730	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$407,970,723	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,333,827,848	ExpenseAmt
Grant	$1,174,063	GrantAmt
Revenue	$1,468,622,226	RevenueAmt
Desc	PATIENT CARE SERVICES PLEASE SEE SCHEDULE O FOR DETAIL REGARDING PATIENT CARE SERVICES IN THE STATEMENT OF COMMUNITY BENEFIT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$46,254,685	ExpenseAmt
Desc	UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNT	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$31,046,840	ExpenseAmt
Desc	AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHOM WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GRADUATE SCHOOL OF MEDICINE AND OTHER ACADEMIC INSTITUTIONS, AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,411,129,373	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	447	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6752	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Benjamin M Cunningham Jr	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8653056600	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2121 MEDICAL CENTER WAY NO 200	AddressLine1Txt
City	Knoxville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37920	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
H W Sherrod jr
Vice Chair	4.0	Yes (X)	Yes (X)	$0	$0	$0
Renda Burkhart
Chair	8.0	Yes (X)	Yes (X)	$0	$0	$0
Sara Rose
Vice Chair	4.0	Yes (X)	Yes (X)	$0	$0	$0
Carolyn Fairbank
Board Member	2.0	Yes (X)		$0	$0	$0
Christopher P Kinney
Board Member	2.0	Yes (X)		$0	$0	$0
Cristen G Haslam
Board Member	2.0	Yes (X)		$0	$0	$0
David L Miller
Board Member	2.0	Yes (X)		$0	$0	$0
Dr Amy Barger Stevens
Board Member	2.0	Yes (X)		$0	$0	$0
Dr Donde A Plowman
Board Member	2.0	Yes (X)		$0	$0	$0
Dr Joseph T Chun
Board Member	2.0	Yes (X)		$0	$0	$0
Dr Patrick O McConville
Board Member	2.0	Yes (X)		$0	$0	$0
Dr Peter F Buckley
Board Member	2.0	Yes (X)		$0	$0	$0
Michael T Strickland
Board Member	2.0	Yes (X)		$0	$0	$0
Randy Boyd
Board Member	2.0	Yes (X)		$0	$0	$0
Renee D Kelley
Board Member	2.0	Yes (X)		$0	$0	$0
Wes Stowers
Board Member	2.0	Yes (X)		$0	$0	$0
William D Edwards
Board Member	2.0	Yes (X)		$0	$0	$0
Benjamin M Cunningham Jr
SR VP & CFO	65.0		Yes (X)	$731,831	$0	$85,562
Bennett Cox
SR VP & GENERAL COUNSEL	65.0		Yes (X)	$1,180,243	$0	$103,082
Bruce R Hartmann
SR VP & CCRO	65.0		Yes (X)	$466,094	$0	$53,721
Cassandra Leake
SR VP & CNO	65.0		Yes (X)	$507,539	$0	$51,226
Dr James E Shamiyeh
Executive Vice President and Chief Operating Officer as of 7/1/23	65.0		Yes (X)	$847,083	$0	$96,035
Dr Jerry J Crook II
SR VP Physician Enterprise	65.0		Yes (X)	$672,276	$0	$75,934
Dr Keith D Gray
SR VP & CHIEF MEDICAL OFFICER, President as of 7/31/23	65.0		Yes (X)	$886,196	$0	$84,640
Dr Lisa D Duncan
SR VP COE	65.0		Yes (X)	$594,320	$0	$61,112
Joseph R Landsman Jr
President & CEO	65.0		Yes (X)	$1,767,063	$0	$307,951
Julia Coco
SR VP Clinical Integration	65.0		Yes (X)	$381,828	$0	$52,651
Katherine Boyd
Senior VP and Chief Philanthropy & Equity Officer	65.0		Yes (X)	$543,755	$0	$47,444
Stephen Clapp
SR VP Strategic Development	65.0		Yes (X)	$397,622	$0	$49,644
Steven R Ross
SR VP Strategic Development	65.0		Yes (X)	$1,012,960	$0	$146,259
William D Hall
Executive Vice President	65.0		Yes (X)	$2,658,359	$0	$296,464
David N Aljadir
Physician	65.0			$1,035,365	$0	$109,498	Yes (X)
Matthew J McCarty
Physician	65.0			$1,293,989	$0	$101,385	Yes (X)
Michael B Freeman
Physician	65.0			$1,243,256	$0	$115,118	Yes (X)
Oscar Grandas
Physician	65.0			$1,069,593	$0	$96,811	Yes (X)
Raymond A Dieter III
Physician	65.0			$1,324,340	$0	$100,692	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,613,712	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,035,229	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	690	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
University Physicians Association
9000 Executive Park Drive	Knoxville	TN	37923	Physician Salaries/CBO Mgmt	$44,836,889
Graduate School of Medicine
1924 Alcoa Hwy	Knoxville	TN	37920	Medical Education	$41,209,562
Laboratory Corporation of America
1924 Alcoa Highway	Knoxville	TN	37920	Laboratory Services	$26,289,844
Qualivis LLC
Dept 3847	Dallas	TX	75312	Temp Agency Medical	$23,334,462
Crothall Healthcare Inc
13028 Collection Center Drive	Chicago	IL	60693	Biomed Mgmt	$20,251,579

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	414	CntrctRcvdGreaterThan100KCnt
Fundraising	$238,089	FundraisingAmt
Related Organizations	$869,099	RelatedOrganizationsAmt
All Other Contributions	$5,079,972	AllOtherContributionsAmt
Noncash Contributions	$1,127,438	NoncashContributionsAmt
Total Contributions	$6,187,160	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621500	$1,254,303,010	$1,254,303,010
EHR MEANINGFUL USE	621400	$320,207	$320,207
PROGRAM SERVICE REVENUE	621400	$205,783,376	$205,713,150	$70,226
Contract Revenue	621400	$1,813,624	$1,813,624

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,462,220,217	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,075,281	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,004,565	UnrelatedBusinessRevenueAmt
Exclusion	$2,070,716	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,472,235	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,472,235	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,472,235	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,472,235	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,636,590	SecuritiesAmt
Other	$15,201,711	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,636,590	SecuritiesAmt
Other	$15,201,711	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,838,301	TotalRevenueColumnAmt
Exclusion	$18,838,301	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$238,089	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$88,033	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$88,033	TotalRevenueColumnAmt
Exclusion	-$88,033	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PARKING REVENUE	812930	$1,207,843	$1,207,843
TELEPHONE SERVICES	812900	$148,783		$148,783

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,356,626	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,498,061,787	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,468,622,226	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,223,574	UnrelatedBusinessRevenueAmt
Exclusion	$22,028,827	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$810,000	TotalAmt
Program Services	$810,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$364,063	TotalAmt
Program Services	$364,063	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,158,898	TotalAmt
Management And General	$14,158,898	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$456,687,373	TotalAmt
Program Services	$447,303,957	ProgramServicesAmt
Management And General	$9,383,416	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$27,040,579	TotalAmt
Program Services	$25,688,550	ProgramServicesAmt
Management And General	$1,352,029	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,270,851	TotalAmt
Program Services	$37,307,308	ProgramServicesAmt
Management And General	$1,963,543	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,944,771	TotalAmt
Program Services	$28,447,532	ProgramServicesAmt
Management And General	$1,497,239	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$11,558,228	TotalAmt
Program Services	$10,980,317	ProgramServicesAmt
Management And General	$577,911	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$33,817,157	TotalAmt
Program Services	$32,126,299	ProgramServicesAmt
Management And General	$1,690,858	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$773,152	TotalAmt
Program Services	$734,494	ProgramServicesAmt
Management And General	$38,658	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$2,678	TotalAmt
Fundraising	$2,678	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$287,774	TotalAmt
Program Services	$273,385	ProgramServicesAmt
Management And General	$14,389	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$236,192,834	TotalAmt
Program Services	$224,383,192	ProgramServicesAmt
Management And General	$11,809,642	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,639,552	TotalAmt
Program Services	$2,507,574	ProgramServicesAmt
Management And General	$131,978	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,291,156	TotalAmt
Program Services	$18,326,598	ProgramServicesAmt
Management And General	$964,558	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$258,943	TotalAmt
Program Services	$245,996	ProgramServicesAmt
Management And General	$12,947	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$34,095,666	TotalAmt
Program Services	$32,390,883	ProgramServicesAmt
Management And General	$1,704,783	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,559,027	TotalAmt
Program Services	$1,481,076	ProgramServicesAmt
Management And General	$77,951	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,723,982	TotalAmt
Program Services	$2,587,783	ProgramServicesAmt
Management And General	$136,199	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,061,056	TotalAmt
Program Services	$18,061,056	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$35,861,995	TotalAmt
Program Services	$35,861,995	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,087,922	TotalAmt
Program Services	$6,087,922	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$261,478,877	$261,478,877
MEDICAL SUPPLIES	$184,776,646	$184,776,646
BAD DEBT EXPENSE	$37,209,957	$35,349,459	$1,860,498
DIETARY	$2,265,151	$2,151,893	$113,258

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,476,335	TotalAmt
Program Services	$1,402,518	ProgramServicesAmt
Management And General	$73,817	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,458,694,623	TotalAmt
Program Services	$1,411,129,373	ProgramServicesAmt
Management And General	$47,562,572	ManagementAndGeneralAmt
Fundraising	$2,678	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$84,659,087	BOYAmt
EOY	$87,654,561	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$190,524,311	BOYAmt
EOY	$258,560,338	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$29,575,558	BOYAmt
EOY	$28,746,926	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,310,838	BOYAmt
EOY	$9,558,294	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$878,007,003	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$471,369,022	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$412,904,103	BOYAmt
EOY	$406,637,981	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$285,373,933	BOYAmt
EOY	$321,319,938	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$141,646,247	BOYAmt
EOY	$155,737,838	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,153,994,077	BOYAmt
EOY	$1,268,215,876	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$333,319,629	BOYAmt
EOY	$369,017,597	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,232,075	BOYAmt
EOY	$1,707,572	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$430,496,671	BOYAmt
EOY	$421,111,755	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,165,170	BOYAmt
EOY	$1,890,294	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,103,802	BOYAmt
EOY	$66,517,935	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$822,317,347	BOYAmt
EOY	$860,245,153	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$294,898,394	BOYAmt
EOY	$363,113,361	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,778,336	BOYAmt
EOY	$44,857,362	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$331,676,730	BOYAmt
EOY	$407,970,723	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,153,994,077	BOYAmt
EOY	$1,268,215,876	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$39,367,164	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$28,847,803	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,079,026	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$174,757	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$174,757	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENDITURES INCLUDE AN ALLOCATION OF THE SALARY OF THE VICE PRESIDENT FOR Community RELATIONS, INCLUDING TIME AND EXPENSES ASSOCIATED WITH CONTACTING LEGISLATORS IN MATTERS IMPACTING THE HEALTH SYSTEM AND COMMUNITIES IN WHICH IT SERVES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,485,152	BeginningYearBalanceAmt
Contributions	$603,000	ContributionsAmt
Investment Earnings Or Losses	$3,078,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$757,000	OtherExpendituresAmt
End Year Balance	$24,409,152	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,386,152	BeginningYearBalanceAmt
Contributions	$1,342,000	ContributionsAmt
Investment Earnings Or Losses	-$3,639,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$604,000	OtherExpendituresAmt
End Year Balance	$21,485,152	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,549,011	BeginningYearBalanceAmt
Contributions	$1,114,055	ContributionsAmt
Investment Earnings Or Losses	$2,135,431	InvestmentEarningsOrLossesAmt
Other Expenditures	$412,345	OtherExpendituresAmt
End Year Balance	$24,386,152	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,638,082	BeginningYearBalanceAmt
Contributions	$3,149,768	ContributionsAmt
Investment Earnings Or Losses	$2,069,643	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,308,482	OtherExpendituresAmt
End Year Balance	$21,549,011	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,504,162	BeginningYearBalanceAmt
Contributions	$2,159,457	ContributionsAmt
Investment Earnings Or Losses	$2,265,675	InvestmentEarningsOrLossesAmt
Other Expenditures	$291,212	OtherExpendituresAmt
End Year Balance	$17,638,082	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,764,693	OtherCostOrOtherBasisAmt
Book Value	$6,764,693	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,528,061	OtherCostOrOtherBasisAmt
Depreciation	$31,441,777	DepreciationAmt
Book Value	$135,086,284	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$346,037,242	OtherCostOrOtherBasisAmt
Depreciation	$190,249,130	DepreciationAmt
Book Value	$155,788,112	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$288,530,919	OtherCostOrOtherBasisAmt
Depreciation	$217,565,185	DepreciationAmt
Book Value	$70,965,734	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,146,088	OtherCostOrOtherBasisAmt
Depreciation	$32,112,930	DepreciationAmt
Book Value	$38,033,158	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$406,637,981	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENTS IN AFFILIATES	$18,715,304	C
Publicly Traded investments	$302,604,634	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$321,319,938	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ASSETS LIMITED AS TO USE	$64,778,178
DEFERRED FINANCING COSTS	$2,516,424
Leases Right-of-Use	$88,443,236

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$155,737,838	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$21,517,935
LINE OF CREDIT	$45,000,000

Field	Value	IRS element (for citing)
Total Liability	$66,517,935	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - Serving through Healing, education, and discovery. THERE ARE THIRTY FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE REALIZED and unrealized INTEREST INCOME IS POSTED TO temporarily restricted investment funds ASSOCIATED WITH THE ENDOWMENTS AND IS FOR SPECIFIC PURPOSES BASED UPON THE INTENT OF THE DONOR. The TRI Funds are maintained on the balance sheet within Net Assets with Donor Restrictions.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	2023 Tee Up for Trauma	Event1Nm
Gross Receipts Event1	$149,267	GrossReceiptsEvent1Amt
Charitable Contri Event1	$149,267	CharitableContriEvent1Amt
Gross Revenue Event1	$0	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$21,662	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$12,780	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$6,568	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$6,365	OtherDirectExpensesEvent1Amt
Event2	2023 Comedy for a Cause	Event2Nm
Gross Receipts Event2	$88,822	GrossReceiptsEvent2Amt
Charitable Contri Event2	$88,822	CharitableContriEvent2Amt
Gross Revenue Event2	$0	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$10,084	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$18,826	FoodAndBeverageEvent2Amt
Entertainment Event2	$7,878	EntertainmentEvent2Amt
Other Direct Expenses Event2	$3,870	OtherDirectExpensesEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$238,089	GrossReceiptsTotalAmt
Charitable Contributions Tot	$238,089	CharitableContributionsTotAmt
Gross Revenue Total Events	$0	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$21,662	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$22,864	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$25,394	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$7,878	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$10,235	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$88,033	DirectExpenseSummaryEventsAmt
Net Income Summary	-$88,033	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,254,685	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,254,685	NetCommunityBenefitExpnsAmt
Total Expense	0.0317	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,677,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,524,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,152,893	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,680,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,429,845	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,250,373	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$166,612,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,954,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,657,951	NetCommunityBenefitExpnsAmt
Total Expense	0.0388	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$283,220	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$283,220	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,046,840	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,046,840	NetCommunityBenefitExpnsAmt
Total Expense	0.0213	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$420,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$420,750	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$31,750,810	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,750,810	NetCommunityBenefitExpnsAmt
Total Expense	0.0218	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$198,362,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,954,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,408,761	NetCommunityBenefitExpnsAmt
Total Expense	0.0606	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,500	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,949	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,949	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,244	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$41,244	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$521,154	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$521,154	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$650,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$650,847	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,881,468	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,412,612	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$460,311,341	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$469,416,950	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,105,609	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 EXECUTIVE PARK DRIVE BLDG D-2	AddressLine1Txt
City	KNOXVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37923	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.utmedicalcenter.org/about/our-story/community-benefit/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.utmedicalcenter.org/about/our-story/community-benefit/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Statement	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Statement	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Statement	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Other Actions	Yes (X)	PermitOtherActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	UTMC is continullay analyzing data and focusing on populations within our service region for inequalities related to healthcare access and services. In response to the most significant needs identified, UTMC has increased the number of regional health centers and have plans to open additional services in areas that have lost healthcare care services and licensed practioners and physician providers access due to a myriad of factors.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - . Collaboration and data sharing was conducted with Knox County Health Department and the Tennessee Department of Health.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - . UTMC is continually analyzing data and focusing on populations within our service region for inequalities related to healthcare access and services. In response to the most significant needs identified, UTMC has increased the number of regional health centers and have plans to open additional services in areas that have lost healthcare care services and licensed practitioners and physician providers access due to a myriad of factors.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - . Patient statements also include verbiage regarding FAP. Some statements have FAP applications mailed with self addressed stamp envelopes.
Schedule H, Part V, Section B, Line 18d Facility , 1	Facility , 1 - . Legal action may be filed by outside third party legal counsel when the patient has not cooperated and has the financial means to pay. The hospital may pursue the filing of liens but will not force the sale of property.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (18 entries)

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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
871 WEISGARGER RD	Knoxville	TN	37909	640329009	501(C)(3)	$27,500	OPERATIONAL SUPPORT
AMERICAN HEART ASSOCIATION
4708 PAPERMILL DR	Knoxville	TN	37909	135613797	501(C)(3)	$50,000	OPERATIONAL SUPPORT
ARTHRITIS FOUNDATION
525 HENLEY STREET	Knoxville	TN	37902	581341679	501(C)(3)	$5,000	OPERATIONAL SUPPORT
AUTISM BREAKTHROUGH OF KNOXVILLE
900 E HILL AVE STE 145	Knoxville	TN	37915	621834568	501(C)(3)	$6,000	OPERATIONAL SUPPORT
CANCER SUPPORT COMMUNITY-EAST TENNESSEE
2230 SUTHERLAND AVE	Knoxville	TN	37919	581846210	501(C)(3)	$17,500	OPERATIONAL SUPPORT
CENTRO HISPANO DE EAST TENNESSEE
2455 SUTHERLAND AVE	Knoxville	TN	37919	203415545	501(C)(3)	$7,500	OPERATIONAL SUPPORT
EAST KNOX FREE MEDICAL CLINIC
2700 E MAGNOLIA AVE	Knoxville	TN	37914	611701479	501(C)(3)	$17,000	OPERATIONAL SUPPORT
EAST TENNESSEE CHILDREN'S HOSPITAL
PO BOX 15010	Knoxville	TN	37901	626002604	501(C)(3)	$5,000	OPERATIONAL SUPPORT
EAST TN ECONOMIC DEVELOPMENT (ETEDA)
10215 TECHNOLOGY DR SUITE 202	Knoxville	TN	37932	621158958	501(C)(3)	$18,000	OPERATIONAL SUPPORT
EMERALD YOUTH FOUNDATION
1718 NORTH CENTRAL STREET	Knoxville	TN	37917	621474791	501(C)(3)	$10,000	OPERATIONAL SUPPORT
FREE MEDICAL CLINIC OF AMERICA
6207 CHAPMAN HIGHWAY	Knoxville	TN	37920	680604388	501(C)(3)	$100,000	OPERATIONAL SUPPORT
GREAT SMOKEY MTNS INSTITUTE AT TREMONT
9275 TREMONT ROAD	Twonsend	TN	37882	621833479	501(C)(3)	$5,000	OPERATIONAL SUPPORT
GREAT SMOKY MOUNTAIN COUNCIL
PO BOX 51885	Knoxville	TN	37950	620476811	501(C)(3)	$15,000	OPERATIONAL SUPPORT
INTERFAITH HEALTH CLINIC
315 GILL AVENUE	Knoxville	TN	37917	581947641	501(C)(3)	$50,750	OPERATIONAL SUPPORT
JDRF INTERNATIONAL (JUVENILE DIABETES)
26 BROADWAY 14TH FLOOR	New York	NY	10004	231907729	501(C)(3)	$5,000	OPERATIONAL SUPPORT
JUNIOR ACHIEVEMENT OF EAST TN
2135 N CHARLES G SEIVERS BLVD	Clinton	TN	37716	620810145	501(C)(3)	$10,000	OPERATIONAL SUPPORT
KIM HEALTH CENTER
6209 CHAPMAN HIGHWAY	Knoxville	TN	37920	680604388	501(C)(3)	$17,000	OPERATIONAL SUPPORT
KNOX COUNTY CAC TRANSPORTATION
PO BOX 51650	Knoxville	TN	37950	621451534		$5,000	OPERATIONAL SUPPORT
KNOX COUNTY SCHOOLS
PO BOX 314	Knoxville	TN	37901	621514781		$10,000	OPERATIONAL SUPPORT
KNOXVILLE ACADEMY OF MEDICINE
9032 CROSS PARK DR	Knoxville	TN	37923	620550978	501(C)(3)	$11,000	OPERATIONAL SUPPORT
KNOXVILLE AREA URBAN LEAGUE
1514 EAST FIFTH AVE	Knoxville	TN	37917	620797293	501(C)(3)	$5,000	OPERATIONAL SUPPORT
LEADERSHIP KNOXVILLE INC
PO BOX 326	Knoxville	TN	37901	621212211	501(C)(3)	$5,000	OPERATIONAL SUPPORT
LEUKEMIA & LYMPHOMA SOCIETY
404 BNA DRIVE	Nashville	TN	37217	135644916	501(C)(3)	$5,000	OPERATIONAL SUPPORT
LOUDON ENTERTAINMENT LLC
263 BROOKVIEW CENTRE WAY	Knoxville	TN	37919	854079508		$25,000	OPERATIONAL SUPPORT
METRO DRUG COALITION
PO BOX 27480	Knoxville	TN	37927	581704454	501(C)(3)	$7,500	OPERATIONAL SUPPORT
MLK COMMERATIVE COMMISSION
PO BOX 155	Knoxville	TN	37901	621378338	501(C)(3)	$5,000	OPERATIONAL SUPPORT
PARKINSON'S FOUNDATION
200 SE 1ST STREET	Miami	FL	33131	131866796	501(C)(3)	$10,000	OPERATIONAL SUPPORT
RANDOM ACTS OF FLOWER
920 VOLUNTEER LANDING LANE 201	Knoxville	TN	37915	263006360	501(C)(3)	$5,000	OPERATIONAL SUPPORT
ROCKEFELLER PHILANTHROPY ADVISOR
PO BOX 7082	New York	NY	10008	133615533	501(C)(3)	$10,000	OPERATIONAL SUPPORT
RONALD MCDONALD HOUSE
1705 W CLINCH AVENUE	Knoxville	TN	37916	581510276	501(C)(3)	$5,250	OPERATIONAL SUPPORT
SURGERY ON SUNDAY-EAST TENNESSEE
PO BOX 10782	Knoxville	TN	37939	832517406	501(C)(3)	$17,000	OPERATIONAL SUPPORT
THE UNIVERSITY OF TENNESSEE (GRADUATE SCHOOL OF MEDICINE)
301 ANDY HOLT TOWER	Knoxville	TN	37996	626001636	501(C)(3)	$50,000	OPERATIONAL SUPPORT
UNITED WAY GREATER KNOX INC
1301 HANNAH AVENUE	Knoxville	TN	37921	620475748	501(C)(3)	$50,000	OPERATIONAL SUPPORT
UNIVERSITY OF TENNESSEE FOUNDATION
1525 UNIVERSITY AVE	Knoxville	TN	37921	621844686	501(C)(3)	$200,000	OPERATIONAL SUPPORT
UPSILON CHI CHAPTER
2509 PLEASANT VIEW LANE	Knoxville	TN	37914	383870936	501(C)(3)	$10,000	OPERATIONAL SUPPORT
ZOO KNOXVILLE
3500 KNOXVILLE ZOO DRIVE	Knoxville	TN	37914	621034633	501(C)(3)	$8,000	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	33	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (10 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Chaplain's Crisis Fund	6518	$36,207
Stephens Fund	413	$123,779
End of Life Care Fund	21	$23,379
Sunshine Fund	14	$3,474
Affel Alzheimer's Patient Assist Fund	19	$6,250
Helping Hands	405	$43,522
Bridge to Recovery	17	$123,309
Gisel Cardiovascular Assistance Fund	14	$2,853
Chad Welch TCT Fund	3	$1,248
Men's Health Cancer Gift Fund	14	$42

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, Part I, Line 2

PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. FOR EMPLOYEE EDUCATION ASSISTANCE SCHOLARSHIPS, APPLICANTS MUST SUBMIT RECEIPTS FOR EXPENDITURES. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

UHS has dedicated staffing focused on monitoring Grant fund receipts and expenditures to ensure appropriateness of use and reporting.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Bruce R Hartmann
SR VP & CCRO	$394,739	$0	$40,470	$0	$30,885	$0	$44,417	$0	$9,304	$0	$519,815	$0	$27,182	$0
Katherine Boyd
Senior VP and Chief Philanthropy & Equity Officer	$373,111	$0	$47,104	$0	$123,540	$0	$42,466	$0	$4,978	$0	$591,199	$0	$120,981	$0
Bennett Cox
SR VP & GENERAL COUNSEL	$499,506	$0	$60,480	$0	$620,257	$0	$102,060	$0	$1,022	$0	$1,283,325	$0	$616,737	$0
Steven R Ross
SR VP Strategic Development	$114,105	$0	$630,000	$0	$268,855	$0	$143,148	$0	$3,111	$0	$1,159,219	$0	$266,482	$0
William D Hall
Executive Vice President	$123,949	$0	$1,310,000	$0	$1,224,410	$0	$291,704	$0	$4,760	$0	$2,954,823	$0	$1,222,034	$0
Benjamin M Cunningham Jr
SR VP & CFO	$584,069	$0	$113,760	$0	$34,002	$0	$70,653	$0	$14,909	$0	$817,393	$0	$31,235	$0
Dr Keith D Gray
SR VP & CHIEF MEDICAL OFFICER, President as of 7/31/23	$749,999	$0	$86,422	$0	$49,775	$0	$83,833	$0	$807	$0	$970,836	$0	$47,866	$0
Dr James E Shamiyeh
Executive Vice President and Chief Operating Officer as of 7/1/23	$719,246	$0	$83,545	$0	$44,292	$0	$81,039	$0	$14,996	$0	$943,118	$0	$42,448	$0
Cassandra Leake
SR VP & CNO	$460,299	$0	$40,770	$0	$6,470	$0	$50,590	$0	$636	$0	$558,765	$0	$4,338	$0
Joseph R Landsman Jr
President & CEO	$1,106,239	$0	$365,128	$0	$295,696	$0	$298,221	$0	$9,730	$0	$2,075,014	$0	$281,218	$0
Dr Lisa D Duncan
SR VP COE	$573,157	$0	$18,915	$0	$2,248	$0	$45,891	$0	$15,221	$0	$655,432	$0	$0	$0
Stephen Clapp
SR VP Strategic Development	$354,562	$0	$41,475	$0	$1,585	$0	$40,306	$0	$9,338	$0	$447,266	$0	$0	$0
Julia Coco
SR VP Clinical Integration	$331,059	$0	$32,175	$0	$18,594	$0	$37,887	$0	$14,764	$0	$434,479	$0	$17,815	$0
Dr Jerry J Crook II
SR VP Physician Enterprise	$589,248	$0	$13,634	$0	$69,394	$0	$61,013	$0	$14,921	$0	$748,210	$0	$67,894	$0
Raymond A Dieter III
Physician	$949,865	$0	$50,742	$0	$323,733	$0	$100,272	$0	$420	$0	$1,425,032	$0	$321,753	$0
Matthew J McCarty
Physician	$493,078	$0	$419,961	$0	$380,950	$0	$92,195	$0	$9,190	$0	$1,395,374	$0	$378,970	$0
Michael B Freeman
Physician	$675,000	$0	$470,404	$0	$97,852	$0	$114,761	$0	$357	$0	$1,358,374	$0	$95,642	$0
Oscar Grandas
Physician	$699,865	$0	$261,935	$0	$107,793	$0	$96,391	$0	$420	$0	$1,166,404	$0	$105,813	$0
David N Aljadir
Physician	$469,247	$0	$473,292	$0	$92,826	$0	$94,874	$0	$14,624	$0	$1,144,863	$0	$92,376	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

THE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT, VICE PRESIDENTS AND EQUIVALENTS, AND PHYSICIANS. ALL EMPLOYER CONTRIBUTIONS ARE SUBJECT TO A SEVEN-YEAR VESTING SCHEDULE OR ATTAINMENT OF AGE 60 AND CONTRIBUTIONS ARE MADE AT THE CLOSE OF EACH PAYROLL CYCLE. THE ORGANIZATION MAINTAINS A SEPARATE NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT. THE EMPLOYER'S CONTRIBUTIONS BECOME VESTED ACCORDING TO THE AGE OF THE PARTICIPANT AT THE TIME THE CONTRIBUTION WAS MADE. CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT MADE IN A YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 57 SHALL VEST FULLY ON JANUARY 1 OF THE YEAR THE PARTICIPANT ATTAINS THE AGE OF 60. FOR CONTRIBUTIONS MADE NO LATER THAN THE YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 58 AND EACH YEAR THEREAFTER SHALL VEST FULLY ON THE LAST BUSINESS DAY OF THE YEAR IN WHICH THE CONTRIBUTION IS MADE. CONTRIBUTIONS ARE MADE AT THE END OF EACH PAYROLL CYCLE. The allocations made to the nonqualified deferred compensation plans for the year were: $83,772 Raymond A Dieter III $75,695 Matthew J McCarty $78,374 David N. Aljadir $79,891 Oscar Grandas $98,261 Michael B. Freeman $27,917 Bruce R. Hartmann $25,966 Katherine Boyd $85,560 Bennett Cox $136,409 Steven R. Ross $275,204 William D. Hall $54,153 Benjamin M. Cunningham, Jr. $67,333 Dr. Keith D. Gray $64,539 Dr. James E. Shamiyeh $34,090 Cassandra Leake $44,513 Dr. Jerry Crook, Jr. $23,806 Stephen Clapp $19,887 Julia Coco $43,507 Dr. Lisa D. Duncan $281,721 Joseph R. Landsman, Jr.

Schedule J, Part I, Line 7 Non-fixed payments

THE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO, WHICH INCLUDES ACHIEVEMENTS OF QUALITY, OPERATIONAL, FINANCIAL, AND STRATEGIC TARGETS. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S HUMAN RESOURCES COMMITTEE WITH BOARD APPROVAL REQUIRED OF THE PLAN. THE INCENTIVE PLAN WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT. DATA COMPILED BY KORN FERRY IS USED FOR COMPARABILITY. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS. THE COMPENSATION PACKAGES OF THE CEO, OFFICERS, EMPLOYED PHYSICIAN BOARD MEMBERS, AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS ANNUALLY. COMPENSATION IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE HUMAN RESOURCES COMMITTEE AND THE FULL BOARD. THE BOARD MAINTAINS COMPARABILITY DATA FROM INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANTS AND COMPENSATION DATA FROM SIMILARLY-SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS. THE BOARD ADHERES TO THE CONFLICT OF INTEREST POLICY AT ALL TIMES WITH REGARD TO APPROVAL OF COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
A	621220275	2015-06-25	$90,000,000	CURRENT REFUNDING AND CAPITAL PROJECT	false	false	false
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
B	621220275	2016-11-17	$120,612,199	CURRENT REFUNDING AND CAPITAL PROJECT	false	false	false	49952MCZ7
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
C	621220275	2017-02-07	$133,311,875	CURRENT REFUNDING	false	false	false	49952MEF9
The Health Educational and Housing Facility Board of the County of Knox
D	621220275	2020-05-19	$81,089,625	Revenue Bonds, Series 2020A (University Health System Inc.)	false	false	false	49952MEJ1

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$2,912,000	$90,000,000	$250,000	$40,445,000	2015	false	Yes (true)	Yes (true)	Yes (true)
B	$13,838,211	$120,613,982	$1,422,017	$66,408,417	2016	false	Yes (true)	Yes (true)	Yes (true)
C	$31,764,000	$133,311,875	$1,119,046		2017	false	Yes (true)	Yes (true)	Yes (true)	$132,192,828
D	$3,354,625	$81,089,651	$1,089,625	$58,636,331		false	false	false	Yes (true)	$37,521,687

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false
C	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	false
D	false	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false
D	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part II, Line 3 Part II, Line 3, Series 2016	FormAndLineReferenceDesc
Explanation	Investment earnings have been included in this line. Because of this, the issue price on part I and the issue price in part II for the series 2016 bond will not match.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	The Health Educational and Housing Facility Board of the County of Knox	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	621220275	BondIssuerEIN
Bond Issued	2021-01-14	BondIssuedDt
Issue Price	$52,000,000	IssuePriceAmt
Purpose	Refunding of Series 2014 bonds and finance capital expenditures	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$315,000	RetiredAmt
Total Proceeds	$52,000,000	TotalProceedsAmt
Issuance Costs From Proceeds	$322,750	IssuanceCostsFromProceedsAmt
Capital Expenditures	$41,677,250	CapitalExpendituresAmt
Other Spent Proceeds	$10,000,000	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Elizabeth Sherrod
Family member of board member	$126,525	Compensation as employee	false
Mary Ellen Cox
Family member of Officer	$141,919	Compensation as employee	false

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$1,118,972	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	In kind donations	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$8,466	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND SENIOR VP/CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990.
Form 990, Part VI, Line 12c Conflict of interest policy	CONFLICT OF INTEREST DISCLOSURES ARE NOW PERFORMED ELECTRONICALLY. STATUS REPORTS WITH DETAILS CAN BE RUN AT ANY TIME TO DETERMINE COMPLETION. THIS IS RUN MANY TIMES ANNUALLY AS THEY ARE COMPLETED. THE ORGANIZATION FURTHER INVESTIGATES ANY DISCLOSURES THAT REQUIRE A CLOSER LOOK AND WORKS TOWARD RESOLUTION OF ANY POTENTIAL COMPLIANCE DISCREPANCIES.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE.
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 7520968, Fundraising Expenses: ; COMMUNICATION SERVICES - Total Expense: 36052554, Program Service Expense: 34249926, Management and General Expenses: 1802628, Fundraising Expenses: ; CLINCAL SERVICES - Total Expense: 40581222, Program Service Expense: 38552161, Management and General Expenses: 2029061, Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 7178592, Program Service Expense: 6819662, Management and General Expenses: 358930, Fundraising Expenses: ; OTHER SERVICES - Total Expense: 1961102, Program Service Expense: 1863047, Management and General Expenses: 98055, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Other Change in Net Assets - 8079026;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UHS ASC LLC
1520 CHEROKEE TRAIL STE 200	KNOXVILLE	TN	37920	311626179	Surgery Center	TN	$1,419,008,569	$1,259,969,590	UNIVERSITY HEALTH SYSTEM INC
REGIONAL TRAUMA SERVICES LLC
1520 CHEROKEE TRAIL STE 330	KNOXVILLE	TN	37920	202769076	TRAUMA MANAGEMENT	TN	$660,921	$391,366	UNIVERSITY HEALTH SYSTEM INC
UNIVERSITY HEALTH NETWORK LLC
1520 CHEROKEE TRAIL STE 200	KNOXVILLE	TN	37920	812770309	CLINICALLY INTEGRATED NETWORK	TN	$8,465,041	$4,003,308	UNIVERSITY HEALTH SYSTEM INC
UT URGENT CARE CENTERS
2121 MEDICAL CENTER WAY	KNOXVILLE	TN	37920		URGENT CARE	TN	$3,638,079	$404,442	UNIVERSITY HEALTH SYSTEM INC
UNIVERSITY HEALTH ACO LLC
2121 MEDICAL CENTER WAY	KNOXVILLE	TN	37920	822250990	coordinator: Health Care	TN	$0	$0	UNIVERSITY HEALTH SYSTEM INC
UHS Sevierville PHarmacy
1130 Middle Creek Rd Ste 180	Sevierville	TN	37862		pharmacy	TN	$725,280	$613,831	UNIVERSITY HEALTH SYSTEM INC
University Emergency Obstetrics LLC
1924 ALCOA HWY	Knoxville	TN	37920		Physician/Obstetrics & Gynecology	TN	$828,360	$316,915	UNIVERSITY HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY DIAGNOSTICS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2121 MEDICAL CENTER WAY STE 300	AddressLine1Txt
City	Knoxville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37920	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	Diagnostics Lab	PrimaryActivitiesTxt
Legal Domicile State	TN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.82	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	UHS VENTURES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 EXECUTIVE PARK DRIVE D-240	AddressLine1Txt
City	KNOXVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37923	ZIPCd

Field	Value	IRS element (for citing)
EIN	621619460	EIN
Primary Activities	MANAGEMENT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	TN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	University Diagnostics LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	A	TransactionTypeTxt
Involved	$325,564	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt