2023-05-10T13:30:15+00:00 2022-06-30 346565596 Ernst & Young US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2021-07-01 352528741 Vanderbilt University Medical Center VAND 6153222381 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 Cecelia Moore CFO & Treasurer 2023-05-10 true Cecelia B Moore 999009999 Aerrial M Orr P01598400 4048748300 2021 2023-04-26 12:10:37Z Jeffrey R Balser MD PhD 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 6937406137 false X www.vumc.org X 2015 TN See Schedule O, Form 990, Part III, Line 1 12 11 33651 836 46783902 0 438346168 505781347 5106259432 5830205703 18217757 41389396 11756841 35923669 5574580198 6413300115 151088546 185663198 0 2836543128 3304332272 427175 655909 18960489 2375649927 2708434526 5363708776 6199085905 210871422 214214210 5443308715 5527589693 3712928574 3607321246 1730380141 1920268447 X See Schedule O Form 990, Part III, Line 1 false false 4154617873 26056466 5356272513 Patient Services - See Schedule O Form 990, Part III, Line 4a 858972890 159606732 212539460 Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b 228331229 276742669 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766 228331229 276742669 5241921992 true false false true false false true false true true false false false true false false true false true true true false true true true true true true true true true false false false false false false false false true false true true false false true true true true false false true X 2193 0 true 33651 true true true true MZ false false false true true false false false false true false X 12 11 true false true false false false false true true false false true true true true true true true true true true X Scott Phillips 6153222381 3841 Green Hills Village Dr Ste 20 Nashville TN 372152691 Jeffrey R Balser MD PHD President and CEO 50.0 X X 5461441 0 1326469 Alexander C Taylor Director (Beginning July 1, 2021) 1.0 X 0 0 0 Daniel Diermeier PHD Director 1.0 X 0 0 0 Edith Scott Carell Johnson JD Director 1.0 X 0 0 0 Gregory Scott Allen JD Director 1.0 X 0 0 0 John F Stein MBA Director 1.0 X 0 0 0 Michael M E Johns MD Director 1.0 X 0 0 0 Richard B Johnston Jr MD Director 1.0 X 0 0 0 Robert C Schiff Jr MD Director 1.0 X 0 0 0 Samuel E Lynch DMD DMSC Director 1.0 X 0 0 0 Sara J Finley JD Director (Beginning January 1, 2022) 1.0 X 0 0 0 Thomas J Sherrard III JD Director 1.0 X 0 0 0 C Wright Pinson MD MBA Deputy CEO and Chief Health System Officer 48.9 1.1 X 5056321 0 614854 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 50.0 X 1935319 0 379642 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 50.0 X 2404355 0 428326 Michael J Regier JD General Counsel and Secretary 50.0 X 2120568 0 340503 Amy Schoeny PHD Chief HR Officer 50.0 X 628621 0 99253 David R Posch EVP for Population Health 49.6 0.4 X 1126030 0 42853 DAVID S RAIFORD MD Chief of Clinical Staff 50.0 X 1874969 0 205681 Jennifer A Pietenpol PHD Chief Scientific and Strategy Officer 50.0 X 1147430 0 201522 Margaret G Rush MD MMHC President and Executive Medical Director, Monroe Carell Jr. Children's Hospital at Vanderbilt 49.1 0.9 X 882032 0 167254 Shon Dwyer MBA RN President, Vanderbilt Adult Hospital 50.0 X 1064588 0 182055 Thomas S Nantais MBA EVP Adult Ambulatory 50.0 X 942435 0 136145 Zeena M Abdulahad MPA EVP and Chief Development Officer 50.0 X 944167 0 158401 Amir M Abtahi MD Asst Professor Comprehensive Spine Center 50.0 X 1724162 0 38528 Byron F Stephens II MD Asst Professor Comprehensive Spine Center 50.0 X 2149624 0 45343 Ginger Holt MD Professor, Ortho-Oncology 50.0 X 1425422 0 54578 Jacob P Schwarz MD Asst Professor, Neurological Surgery 50.0 X 1445226 0 15812 Matthew R Fusco BA MD Asst Professor, Neurological Surgery 50.0 X 1500160 0 53578 WILLIAM W STEAD MD FORMER CHIEF STRATEGY OFFICER (ROLE ENDED DECEMBER 2020) 50.0 X 335746 0 24112 34168616 0 4514909 5266 true true false Vanderbilt University PMB 406310 2301 Vanderbilt Place Nashville TN 37240 Various Services 175845639 Cross Country Staffing Inc 6551 Park of Commerce Blvd Boca Raton FL 33487 Temporary Labor Services 52976859 Trimedx Inc 5451 Lakeview Pkwy S Drive Indianapolis IN 46268 Medical Equipment Servicing 22243751 Messer Construction Co 230 Great Circle Rd 218 Nashville TN 37228 Construction Services 22038637 American Foundation for Donation and Transplantation 8154 Forest Hill Ave STE 3 Richmond VA 23235 Medical Services 16090351 484 1323067 400178358 104279922 13445785 505781347 NET PATIENT SERVICE REVENUE 622110 5356272513 5343090846 13181667 OTHER PROGRAM REVENUE 611310 261393730 227791490 33602240 ACADEMIC AND RESEARCH REVENUE 611310 212539460 212539460 0 0 0 0 5830205703 32527941 -5 32527946 17611515 17611515 7943130 4960522 2982608 0 2982608 2982608 527163687 20500 518297993 24740 8865694 -4240 8861455 8861455 153957 1323067 323555 -169598 -169598 649417 499212 150205 150205 REVENUE FROM UNCONSOLIDATED ORGS 900099 15348939 15348939 0 0 0 0 15348939 6413300115 5798770735 46783902 61964131 141572420 141572420 34295235 34295235 9795543 9795543 26650372 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134367172 26123805 14281448 3426215287 901589700 2470175398 2524625587 1122286008 1179249525 63109442 62079615 0 27028333 7252767 24754759 5443308715 5527589693 1005605267 939548391 7162033 11054149 699979893 770180383 0 0 930173016 866475027 25121239 20829732 1044887126 999233564 3712928574 3607321246 X 1505823954 1651837983 224556187 268430464 1730380141 1920268447 5443308715 5527589693 X 214214210 -80606059 56280155 X false true X true true true X 355841563 378866982 401620114 438346168 505781347 2080456174 0 0 355841563 378866982 401620114 438346168 505781347 2080456174 0 2080456174 29004907 21476633 26063542 12605831 58082586 147233499 0 0 0 0 0 0 4127008 4324295 5057739 8142646 15502896 37154584 2264844257 23304954960 0.9186 0.9315 X Schedule A, Part II, Line 10 THE AMOUNT REPORTED ON LINE 10 COMPRISES GROSS FUNDRAISING REVENUE of $153,957 AND REVENUE FROM UNCONSOLIDATED ORGANIZATIONS of $15,348,939. Schedule A, Part II, Line 10 Other Income DESCRIPTION - UNCONSOLIDATED ORGS AND FUNDRAISING, COLUMN A - 4127008.0, COLUMN B - 4324295.0, COLUMN C - 5057739.0, COLUMN D - 8142646.0, COLUMN E - 15502896.0, COLUMN F - 37154584.0; 131862 131862 6147590670 6147722532 1000000 0 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 379409 249219 132676 131862 893166 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 Schedule C, Part II-A, Line 2 VUMC duly filed Federal Form 5768 electing to have the provisions of 501(h) apply to its tax year ending June 30, 2015. This election was not revoked prior to VUMC's tax year beginning July 1, 2021. 20730 840564 X true 212061255 27282435 -22005027 5522348 211816315 159065950 24390084 32876965 4271744 212061255 141833236 15676038 5609226 4052550 159065950 122002502 17463426 6206602 3839294 141833236 97918225 18514911 8271392 2702026 122002502 0.5881 0.373 0.0389 false false 44229876 44229876 1303473955 400974713 902499242 154486165 47523041 106963124 894309348 269537178 624772170 1029715943 183554768 846161175 2524625587 Short Term Lease Liabilities 68509501 Operating Lease Liabilities 783177666 Fair Value of Interest Rate Swap Agreements 45019304 Tenant Improvement Allowances 45000 Asset Retirement Obligation 6970621 Shared Savings Payable 6447184 Note Payable to Related Organization 88970899 Other Noncurrent Liabilities 93389 999233564 Schedule D, Part V, Line 4 INTENDED USES OF ENDOWMENT FUNDS ENDOWMENT FUNDS ARE UTILIZED TO GENERATE EARNINGS AND SUBSEQUENT DISTRIBUTIONS FOR THE USE OF FUNDING MEDICAL RESEARCH, MEDICAL CHAIRS IN CLINICAL DEPARTMENTS, MEDICAL TRAINING FELLOWSHIPS, MEDICAL DIRECTORSHIPS, AND OTHER PROGRAMS CONSISTENT WITH THE MISSION OF THE INSTITUTION. Schedule D, Part III, Line 4 Collections of art - description of collections VUMC MAINTAINS VARIOUS COLLECTIONS OF ART AND SIMILAR ASSETS. SUCH COLLECTIONS INCLUDE, BUT ARE NOT LIMITED TO, PAINTINGS, PHOTOGRAPHY, SCULPTURES AND OTHER SIMILAR ITEMS. ALL SUCH COLLECTIONS FURTHER VUMC'S EXEMPT PURPOSE BY PROVIDING CULTURAL, HISTORICAL, AND EDUCATIONAL OPPORTUNITIES TO VUMC STAFF AND PATIENTS AND THE COMMUNITY AT LARGE THROUGH EXHIBITS AND DISPLAYS. true Central America and the Caribbean 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 15108 East Asia and the Pacific 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 14447 Europe (Including Iceland and Greenland) 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 172155 Middle East and North Africa 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 2602 North America (Canada & Mexico only) 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 53770 South America 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 711 South Asia 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 1053 Sub-Saharan Africa 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 19704 Central America and the Caribbean 0 1 Grantmaking-subcontracts N/A 157665 East Asia and the Pacific 0 0 Grantmaking-subcontracts N/A 57177 Europe (Including Iceland and Greenland) 0 1 Grantmaking-subcontracts N/A 653697 North America (Canada & Mexico only) 0 0 Grantmaking-subcontracts N/A 410028 Russia and Neighboring States 0 0 Grantmaking-subcontracts N/A 9720 South America 0 5 Grantmaking-subcontracts N/A 1720111 Sub-Saharan Africa 0 6 Grantmaking-subcontracts N/A 6787145 Central America and the Caribbean 0 0 Program Services Education and Health-Care 9718 East Asia and the Pacific 0 0 Program Services Education and Health-Care 16591 Europe (Including Iceland and Greenland) 0 0 Program Services Education and Research 87352 Middle East and North Africa 0 0 Program Services Education and Research 9485 North America (Canada & Mexico only) 0 0 Program Services Education 11445 South America 0 0 Program Services Education and Research 36754 South Asia 0 0 Program Services Education and Research 9629 Sub-Saharan Africa 13 2548 Program Services Education, Health-Care, Research 39392837 0 13 13 2548 13 2561 10084811 39564093 49648904 Sub-Saharan Africa Research 1515165 Wire N/A N/A Sub-Saharan Africa Research 13100 Wire N/A N/A Europe (Including Iceland and Greenland) Research 87549 Wire N/A N/A Europe (Including Iceland and Greenland) Research 229266 Wire N/A N/A Sub-Saharan Africa Research 365989 Wire N/A N/A South America Research 945391 Wire N/A N/A South America Research 89331 Wire N/A N/A South America Research 54737 Wire N/A N/A South America Research 126478 EFT N/A N/A Russia and Neighboring States Research 9720 Wire N/A N/A Central America and the Caribbean Research 95006 Wire N/A N/A North America (Canada & Mexico only) Research 18326 Check N/A N/A Sub-Saharan Africa Research 8756 Wire N/A N/A South America Research 403400 Wire N/A N/A North America (Canada & Mexico only) Research 175027 Wire N/A N/A Sub-Saharan Africa Research 91003 Wire N/A N/A Sub-Saharan Africa General 26290 Wire N/A N/A Central America and the Caribbean Research 62659 Wire N/A N/A North America (Canada & Mexico only) Research 50995 Check N/A N/A East Asia and the Pacific Research 18179 Wire N/A N/A Sub-Saharan Africa General 61984 Wire N/A N/A East Asia and the Pacific General 21761 Wire N/A N/A Europe (Including Iceland and Greenland) Research 28902 Wire N/A N/A Sub-Saharan Africa Research 11058 Wire N/A N/A Sub-Saharan Africa Research 161102 Wire N/A N/A North America (Canada & Mexico only) Research 35726 Check N/A N/A Europe (Including Iceland and Greenland) Research 31446 Wire N/A N/A Europe (Including Iceland and Greenland) Research 166405 Wire N/A N/A Sub-Saharan Africa General 32220 Wire N/A N/A South America Research 28284 Wire N/A N/A Europe (Including Iceland and Greenland) Research 26584 Wire N/A N/A East Asia and the Pacific Research 17236 Wire N/A N/A North America (Canada & Mexico only) Research 78462 Check N/A N/A Sub-Saharan Africa Research 180679 Wire N/A N/A South America Research 72489 Wire N/A N/A Europe (Including Iceland and Greenland) Research 54000 Wire N/A N/A Sub-Saharan Africa General 12420 Wire N/A N/A Sub-Saharan Africa Research 6869 Wire N/A N/A Sub-Saharan Africa Research 32191 Wire N/A N/A Sub-Saharan Africa General 63958 Wire N/A N/A Europe (Including Iceland and Greenland) Research 20736 Wire N/A N/A Sub-Saharan Africa Research 268855 Wire N/A N/A North America (Canada & Mexico only) Research 51493 Check N/A N/A Sub-Saharan Africa General 543647 Wire N/A N/A Sub-Saharan Africa General 16767 Wire N/A N/A Sub-Saharan Africa General 17904 Wire N/A N/A Sub-Saharan Africa General 23236 Wire N/A N/A Sub-Saharan Africa General 10742 Wire N/A N/A Sub-Saharan Africa General 16354 Wire N/A N/A Sub-Saharan Africa General 17688 Wire N/A N/A Sub-Saharan Africa General 10753 Wire N/A N/A Sub-Saharan Africa General 13321 Wire N/A N/A Sub-Saharan Africa General 17983 Wire N/A N/A Sub-Saharan Africa General 50263 Wire N/A N/A Sub-Saharan Africa General 94252 Wire N/A N/A Sub-Saharan Africa General 18049 Wire N/A N/A Sub-Saharan Africa General 56056 Wire N/A N/A Sub-Saharan Africa General 144281 Wire N/A N/A Sub-Saharan Africa General 10927 Wire N/A N/A Sub-Saharan Africa General 79380 Wire N/A N/A Sub-Saharan Africa General 185794 Wire N/A N/A Sub-Saharan Africa General 299640 Wire N/A N/A Sub-Saharan Africa General 68516 Wire N/A N/A Sub-Saharan Africa General 91452 Wire N/A N/A Sub-Saharan Africa General 660908 Wire N/A N/A Sub-Saharan Africa General 82649 Wire N/A N/A Sub-Saharan Africa General 78209 Wire N/A N/A Sub-Saharan Africa General 198775 Wire N/A N/A Sub-Saharan Africa General 75896 Wire N/A N/A Sub-Saharan Africa General 100099 Wire N/A N/A Sub-Saharan Africa General 215552 Wire N/A N/A Sub-Saharan Africa General 11085 Wire N/A N/A Sub-Saharan Africa General 252293 Wire N/A N/A Sub-Saharan Africa General 11419 Wire N/A N/A Sub-Saharan Africa General 250366 Wire N/A N/A Sub-Saharan Africa General 211248 Wire N/A N/A Sub-Saharan Africa General N/A 445892 Medical Supplies & Equipment FMV 37 40 false false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://www.vumc.org/administrators-resource/policies-procedures (Please use lowercase to access the website) Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; RUSSIA AND NEIGHBORING STATES-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; RUSSIA AND NEIGHBORING STATES-Accrual; SOUTH AMERICA-Accrual; SUB-SAHARAN AFRICA-Accrual X X X X X X true Marketeam LLC 1200 Abernathy Road NE Suite 1600 Atlanta GA 30328 Consulting Services Related to Fundraising false 3992670 637909 3354761 PG Calc Inc 129 Mount Auburn St Cambridge MA 02138 Consulting Services Related to Fundraising false 3416506 18000 3398506 7409176 655909 6753267 CA CO CT DE DC FL GA AL HI ID IL IN IA KS KY LA ME AK MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA AZ RI SC SD TN TX UT VT VA AR WA WV WI WY Friends in Fashion 276406 214236 62170 118337 Celebrity Golf Classic 258895 252895 6000 7835 18500 9 941723 855936 85787 9374 31016 3754 134739 1477024 1323067 153957 9374 38851 3754 271576 323555 -169598 649417 317000 182212 false 649417 317000 182212 TN true false true false 1.0 0.0 Patterson Hardee and Ballentine PC 1889 General George Patton Drive Su ite 200 Franklin TN 37067 false Jenny Streams Development Director 18800 Manager of the raffle X false 0 Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I) THE TOTAL AMOUNT PAID TO MARKETEAM, LLC WAS $637,909, WHICH INCLUDES PROFESSIONAL FUNDRAISING FEES AND EXPENSES. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND MARKETEAM, LLC CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY MARKETEAM, LLC, SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL FUNDRAISING EXPENSES. MARKETEAM, LLC PROVIDES CONSULTING SERVICES FOR VANDERBILT UNIVERSITY MEDICAL CENTER'S OVERALL FUNDRAISING PROGRAM AND DOES NOT RAISE FUNDS FOR VANDERBILT UNIVERSITY MEDICAL CENTER OR HELP RAISE FUNDS FOR A SPECIFIC PURPOSE. Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I) THE TOTAL AMOUNT PAID TO PG Calc, Inc. WAS $18,000, WHICH INCLUDES planned giving strategic consulting and technical assistance fees. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND PG Calc, Inc. CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY PG Calc, Inc., SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL services. PG Calc, Inc. PROVIDES CONSULTING SERVICES FOR VANDERBILT UNIVERSITY MEDICAL CENTER'S planned giving program AND DOES NOT RAISE FUNDS FOR VANDERBILT UNIVERSITY MEDICAL CENTER OR HELP RAISE FUNDS FOR A SPECIFIC PURPOSE. Schedule G, Part III (c) - Other Gaming All raffle tickets were sold using an online platform hosted by BUMP, inc. and proceeds were directly deposited into a trust account and held until the raffle concluded, the winner was selected, and all related expenses were paid. The raffle was a joint effort between Vanderbilt University Medical Center and I am Second with net proceeds split equally, with each organization receiving $150,205. true true X true X true X true true true false true true 141426844 141426844 0.0228 992252489 863159423 129093066 0.0208 0 0.0 0 0 1133679333 863159423 270519910 0.0436 6296562 137985 6158577 0.0010 246747666 54373216 192374450 0.0310 0 0.0 875745233 740795513 134949720 0.0218 0 0.0 0 0 1128789461 795306714 333482747 0.0538 0 0 2262468794 1658466137 604002657 0.0974 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 31423236 2612567 559318180 842808260 -283490080 X true true VIP Midsouth LLC Pediatric Clinics 0.6502 0.0 0.3498 Springfield VIP Realty LLC Own Real Estate Used as Medical Facility 0.49 0.0 0.51 6 1 Vanderbilt University Medical Center Hospitals 1211 22nd Avenue South Nashville TN 37212 www.vanderbilthealth.com 0000000027 X X X X X X 2 Vanderbilt Wilson County Hospital 1411 W Baddour Parkway Lebanon TN 37087 https://vanderbiltwilsoncountyhospital.com/ 00000137 X X X 3 Vanderbilt Tullahoma-Harton Hospital 1801 N Jackson St Tullahoma TN 37388 www.vanderbilttullahomahartonhospital.com 00000018 X X X 4 Vanderbilt Bedford Hospital 835 US-231 Shelbyville TN 37160 https://www.vanderbiltbedfordhospital.com/ 00000002 X X X 5 Vanderbilt Stallworth Rehabilitation Hospital 2201 Childrens Way Nashville TN 37212 www.vanderbiltstallworthrehab.com 0000000141 X 6 Tennova Healthcare - Clarksville 651 Dunlop Ln Clarksville TN 37040 https://www.tennovaclarksville.com/ 00000090 X X X Vanderbilt University Medical Center Hospitals 1 false false true X X X X X X X X X 19 true true false true X https://www.vumc.org/communityhealthimprovement/welcome-office-health-equitys-community-health-impro X true 19 true https://www.vumc.org/communityhealthimprovement/welcome-office-health-equitys-community-health-impro false true X 200.0 250.0 X X X true true X X X true X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X X X X X X X true X false X X X X true X false false Vanderbilt Wilson County Hospital 2 false false true X X X X X X X X X 21 true false false true X https://www.vumc.org/communityhealthimprovement/welcome-office-health-equitys-community-health-impro X true 21 true https://www.vumc.org/communityhealthimprovement/welcome-office-health-equitys-community-health-impro false true X 200.0 250.0 X X X true true X X X true X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X X X X X X X true X false X X X X true X false false Vanderbilt Tullahoma-Harton Hospital 3 false true false false true X 200.0 250.0 X X X true true X X X true X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X X X X X X X true X false X X X X true X false false Vanderbilt Bedford Hospital 4 false true false false true X 200.0 250.0 X X X true true X X X true X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X https://www.vanderbilthealth.com/information/financial-assistance X X X X X X X true X false X X X X true X false false Vanderbilt Stallworth Rehabilitation Hospital 5 false false true X X X X X X X X X 19 true true false true X https://encompasshealth.com/locations/vanderbiltstallworth#Vandy-CHNA X true 19 true https://encompasshealth.com/locations/vanderbiltstallworth#Vandy-CHNA false true X 200.0 400.0 X X true true X X X true X https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance X https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance X https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance X X X X X X X true X false X X X X true X false false Tennova Healthcare - Clarksville 6 false true false false true X 200.0 400.0 X X X X true true X X X true X https://www.tennovaclarksville.com/hospital-501-r-information X https://www.tennovaclarksville.com/hospital-501-r-information X https://www.tennovaclarksville.com/hospital-501-r-information X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs identified in the 2019 CHNA of Vanderbilt University Medical Center (VUMC) are a prioritized description of the significant health needs of the community. The 2019 process of prioritizing significant health needs included several phases. VUMC and collaborators collected and analyzed primary data from a broad array of partners and community members. Additionally, VUMC pulled and reviewed hundreds of indicators from publicly available secondary data. In each of the three counties, the CHNA communities served (Davidson, Rutherford, and Williamson Counties), VUMC held a community summit, which included hospital leadership, local health departments, community leaders representing several sectors, community members as well as individuals who participated in interviews and listening sessions as a part of the CHNA process. VUMC also conducted an environmental scan in each county. The results of VUMC's data collection and analysis were presented to the community, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises. The needs prioritized by the community were adopted by VUMC, and each is described at length in VUMC's 2019 CHNA. Through this CHNA process, the community prioritized the significant health needs of Mental Health and Substance Abuse, Access to Resources and Services, Basic Needs and Social Determinants, Prevention, and Education. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. VUMC received input from people representing the broad interests of the community, including those with expertise in public health, through face-to-face interviews and community listening sessions. Interviews took place from February 2018 to May 2018. Listening sessions took place from June 2018 to September 2018. Community summits were held in the fall and winter of 2018 and into 2019. During the 2019 CHNA, VUMC identified leaders from public health, government, education, the faith community, private foundations, community organizations, and academia among others as interviewees. Interviewees were identified in collaboration with Ascension Saint Thomas and local health departments in each county and were selected based on their understanding of the broad interests of the community and marginalized populations. Interviewees also included health department directors from the community served, community physicians, public health researchers, and community-based organizations that have special knowledge and expertise in public health. Sixty-eight community leaders were interviewed with particular attention to marginalized, low-income, and minority populations. Organizations represented in the 2019 Davidson County interviews included Davidson County Metro Council, Nashville Organized for Action and Hope (NOAH), Metro Homeless Impact Division, Metropolitan Government, Nashville Mayor's Office, Meharry Medical College, 58th Legislative District Office, Ascension Saint Thomas, Vanderbilt University Medical Center, Tennessee Office for Refugees, Safety Net Consortium of Middle Tennessee, Salahadeen Center of Nashville, Mental Health Cooperative, Walk Bike Nashville, Sycamore Institute, PFLAG Nashville, Metro Nashville Public Schools, Metro Public Health Department, Interfaith Dental Clinic, Family & Children's Services, Matthew Walker Comprehensive Health Center, Nashville General Hospital, and First Presbyterian. Organizations represented in the 2019 Rutherford County Interviews included Middle Tennessee State University Center for Health & Human Services, Ascension Saint Thomas Rutherford, Rutherford District 13 Office, Nissan Diversity and Inclusion Committee, ATLAS, Murfreesboro Cold Patrol, Rutherford Opioid Taskforce, Middle Tennessee State University, First Baptist Church, Rutherford County EMS, St. Louise Clinic, Rutherford District 21 Office, Smyrna Senior Center, Narcotics Anonymous, Rutherford County Government Office, Veterans' Affairs, Journey Home, Primary Care and Hope Clinic of Rutherford County, Interfaith Dental Clinic, Matthew Walker Comprehensive Health Center - Smyrna, Rutherford County Health Department, and Rutherford County Police Department. Organizations represented in the 2019 Williamson County interviews included Franklin Tomorrow, Williamson County Schools, Fairview Mayor's Office, Williamson Medical Center, Franklin Special School District, Williamson County Public Library, Coordinated School Health, Department of Children's Services, Veterans' Affairs, Williamson County Juvenile Court, Williamson County Health Department, Franklin Mayor's Office, Williamson County Parks & Recreation, Mercy Clinic, Williamson County Anti-Drug Coalition, Franklin Housing Authority, and Graceworks. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic/Latinx communities, the medically marginalized, those experiencing mental illness, those with addiction, children, low-income individuals, minorities, marginalized communities, and other vulnerable populations. To better understand community members' opinions of the health needs present in 2019, VUMC held 13 focus groups. These focus groups were conducted across the three counties that represent the community served. The focus groups in Davidson County were held in collaboration with Ascension Saint Thomas as well as the Metro Public Health Department. In Davidson County, sessions were held at Salahadeen Center, Building Lives Foundation, Outreach Base, Elizabeth Park Center, Hartman Park, and Hadley Park. Populations served by these organizations include Muslim youth, people experiencing homelessness, older adults, African American populations, and Latinx populations. In 2019 VUMC held listening sessions that were coordinated with Ascension Saint Thomas and the Rutherford County Health Department. Recruitment was done in coordination with the host sites, which included First Baptist Church of Rutherford, Rutherford County Health Department, and Journey Home. These organizations primarily serve those experiencing homelessness, Latinx, African American, and older adult populations. For the 2019 CHNA in Williamson County, recruitment was done in collaboration with the Williamson County Health Department. Host sites include the Fairview Branch of the Public Library, Mercy Clinic, and the health department. Rural, uninsured/underinsured, and Latinx populations are served by these organizations. Both English and Spanish speakers were included in listening sessions in each county. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. For the 2019 CHNA, Vanderbilt University Medical Center conducted a community health needs assessment in partnership with its affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center (VUMC) identified four significant health needs in the 2019 CHNA. The four significant health needs identified are - alphabetically - 1) Access to Resources and Services; 2) Basic Needs and Social Determinants; 3) Mental Health and Substance Abuse, and 4) Prevention and Education. VUMC addresses all four needs, with a detailed list of programs, investments, and services in the 2019 Implementation Strategy (IS). The 2019 Implementation Strategy includes 83 activities and programs. To date, we have identified 260 activities and programs. The Community Health Improvement Team released a Request for Proposals for community projects that addressed one or more of the CHNA priority areas, specifically requiring applicants to discuss how their proposal would promote health equity and address broader policy, environmental, or systems change. After a competitive review process with a committee of both academic and community reviewers, organizations were selected as recipients of these awards. The grantees received up to $10,000 to carry out their work over 12 months. The Community Health Improvement team is currently planning for the sixth cycle of this mini-grant program. To date, the program has supported 38 community projects. The Community Health Improvement Team continues to support local health departments and health councils in all three counties in the development of their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Needs Assessment. The team also participates in health and wellness council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's involvement in this work allows the Community Health Improvement Team to bring VUMC resources to the community and align the CHNA priorities with the Community Health Improvement Plan objectives. In Davidson County, VUMC is involved in collaboratives focused on the four prioritized needs. The Safety Net Consortium of Middle Tennessee (SNC), which focused on access to, and quality of care for the uninsured continues to meet monthly and launched My Health Care Home, a web-based tool that facilitates finding and accessing federally qualified health centers, faith-based and charitable clinics that serve the under/uninsured. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the Office of Health Equity both participate in monthly SNC meetings. The Community Health Improvement Team is also active with the Healthy Nashville Leadership Council and the Associate Vice President Chairs this mayoral-appointed committee and continues to co-lead the Health Equity Workgroup. The workgroup's focus is to educate the community on topics related to addressing health inequities as well as strengthening capacity and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in vulnerable communities. Finally, VUMC's Office of Health Equity has increased its working knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 10 times during FY2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, VUMC Community Health Improvement Team is working with community partners in other counties of focus and Vanderbilt Wilson County Hospital to expand the reach of the training. VUMC staff has also participated in the opioid task force (currently known as WE CARE Coalition) spear-headed by Saint Thomas Rutherford, the Prevention Coalition for Success, and the Patterson Park Coalition. VUMC's Community Health Improvement team also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's Community Health Improvement Team also participates in local community groups such as the anti-drug coalition, Franklin Justice, Equity Coalition, and the Williamson County Health Council, which promotes improvements in community health and equity. The VUMC Community Health Improvement Team has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS. In addition to notification on the website, or patient request, VUMC patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care. Schedule H, Part V, Section B, Line 3E The significant health needs identified in the 2022 CHNA of Vanderbilt Wilson County Hospital (VWCH) are a prioritized description of the significant health needs of the community, identified by the CHNA. The 2022 process of prioritizing the significant needs included several phases. VWCH collected and analyzed primary data from a broad array of partners and community members as well as conducted an environmental scan. Additionally, VWCH pulled and reviewed indicators from publicly available secondary data. In collaboration with the local Health Department and Health Council, VWCH convened a subcommittee that included hospital leadership, the local health department, community leaders, and community members as a part of the CHNA process. The results of VWCH's data collection and analysis were presented to the Health Council and participants were asked to prioritize their most pressing health needs through interactive exercises and a electronic survey that was part of the prioritization process. The needs prioritized by the communities were adopted by VWCH, and each is described at length in VWCH's 2022 CHNA. Through this CHNA process, the community prioritized the significant health needs of Mental Health and Substance Abuse, Access to Healthcare, Housing and Transportation, and Health Literacy. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through virtual and face-to-face interviews. Interviews took place from August 2021 to September 2021. In October 2021, the Wilson County Health Council facilitated meetings to prioritize the needs of Wilson County. For the 2022 CHNA, Vanderbilt Wilson County Hospital (VWCH) identified leaders from public health, government, education, the faith community, community organizations, and substance use providers among others as interviewees. Interviewees were identified in collaboration with the local health department and were selected based on their understanding of the broad interests of the community and marginalized populations. Interviewees also included the health department director from the community served, medical providers, and community-based organizations that have special knowledge and expertise in public health. Eleven community leaders were interviewed with particular attention to marginalized, low-income, and minority populations. Organizations represented in Wilson County interviews held in 2021 included Brooks House, Charis Health, DrugFree Wilco, Mt. Juliet Senior Center, Wilson County CASA, Wilson County Chamber of Commerce, Wilson County Health Department, Wilson County Mayor's Office, a member of the Latinx community, Wilson County Schools, and the Wilson County Sheriff's Office. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic and Latinx, the medically marginalized, those experiencing mental illness, those with addiction, children, low-income individuals, minorities, marginalized communities, and other vulnerable populations. To better understand community members' opinions of the health needs present in 2022, VWCH conducted forty-six community member interviews. The interviews were held at Compassionate Hands, Mt. Juliet Senior Center, and the Wilson County Health Department. Populations served by these organizations included people experiencing homelessness, older adults, and the Latinx community. Both English and Spanish speakers were included in the interviews. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. Vanderbilt Wilson County Hospital (VWCH) identified four significant health needs in the 2022 CHNA. The four significant health needs identified are - alphabetically: 1) Access to Healthcare; 2) Health Literacy; 3), Housing and Transportation and 4) Mental Health and Substance Abuse. VWCH addresses all four needs, with a detailed list of programs and services in the 2022 Implementation Strategy (IS). The 2022 Implementation Strategy includes 57 activities and programs. The Community Health Improvement Team released a Request for Proposals for community projects that addressed one or more of the CHNA priority areas, specifically requiring applicants to discuss how their proposal would promote health equity and address broader policy, environmental, or systems change. After a competitive review process with a committee of both academic and community reviewers, organizations were selected as recipients of these awards. The grantees received up to $10,000 to carry out their work over 12 months. The Community Health Improvement team is currently planning for the sixth cycle of this mini-grant program. To date, the program has supported 38 community projects. The Community Health Improvement Team continues to support the local health department and health council in the development of their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Needs Assessment. VWCH's involvement in this work allows the Community Health Improvement Team to bring VWCH resources to the community and align the CHNA priorities with the Community Health Improvement Plan objectives. Finally, VUMC's Office of Health Equity has increased its working knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 10 times during FY2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, VUMC Community Health Improvement Team is working with community partners in other counties of focus and VWCH to expand the reach of the training. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. In addition to notification on the website, or patient request, VWCH patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VWCH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care. Schedule H, Part V, Section B, Line 2 On January 1, 2021, Vanderbilt University Medical Center acquired the assets and operations of Vanderbilt Tullahoma-Harton Hospital (formerly Tennova Healthcare-Harton, State License 00000018), a 135-bed facility, from subsidiaries of Community Health Systems, Inc. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. In addition to notification on the website, or patient request, Vanderbilt Tullahoma-Harton Hospital ("VTHH") patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VTHH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care. Schedule H, Part V, Section B, Line 2 On January 1, 2021, Vanderbilt University Medical Center acquired the assets and operations of Vanderbilt Bedford Hospital (formerly Tennova Healthcare-Shelbyville, State License 00000002), a 60-bed facility, from subsidiaries of Community Health Systems, Inc. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Vanderbilt Bedford Hospital. In addition to notification on the website, or patient request, Vanderbilt Bedford Hospital ("VBCH") patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VBCH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care. Schedule H, Part V, Section B, Line 3E The significant health needs identified in the 2019 CHNA of Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) are a prioritized description of the significant health needs of the community, identified by the CHNA. The 2019 process of prioritizing significant health needs included several phases. Stallworth and collaborators collected and analyzed primary data from a broad array of partners and community members. Additionally, Stallworth pulled and reviewed hundreds of indicators from publicly available secondary data. In each of the three counties, the CHNA communities served (Davidson, Rutherford, and Williamson Counties), Stallworth held a community summit, which included hospital leadership, local health departments, community leaders representing several sectors, community members as well as individuals who participated in interviews and listening sessions as a part of the CHNA process. Stallworth also conducted an environmental scan in each county. The results of Stallworth's data collection and analysis were presented to the community, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises. The needs prioritized by the community were adopted by VUMC and Stallworth, and each is described at length in VUMC's 2019 CHNA. Through this CHNA process, the community prioritized the significant health needs of Mental Health and Substance Abuse, Access to Resources and Services, Basic Needs and Social Determinants, Prevention, and Education. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through face-to-face interviews and community listening sessions. Interviews took place from February 2018 to May 2018. Listening sessions took place from June 2018 to September 2018. Community summits were held in the fall and winter of 2018 and into 2019. For the 2019 CHNA, Stallworth identified leaders from public health, government, education, the faith community, private foundations, community organizations, and academia among others as interviewees. Interviewees were identified in collaboration with local health departments in each county and were selected based on their understanding of the broad interests of the community and underserved populations. Interviewees also included health department directors from the community served, community physicians, public health researchers, and community-based organizations that have special knowledge and expertise in public health. Sixty-eight community leaders were interviewed with particular attention to marginalized, low-income, and minority populations. Organizations represented in Davidson County interviews held in 2019 included Davidson County Metro Council, Nashville Organized for Action and Hope (NOAH), Metro Homeless Impact Division, Metropolitan Government, Nashville Mayor's Office, Meharry Medical College, 58th Legislative District Office, Saint Thomas Health, Vanderbilt University Medical Center, Tennessee Office for Refugees, Safety Net Consortium of Middle Tennessee, Salahadeen Center of Nashville, Mental Health Cooperative, Walk Bike Nashville, Sycamore Institute, PFLAG Nashville, Metro Nashville Public Schools, Metro Public Health Department, Interfaith Dental Clinic, Family & Children's Services, Matthew Walker Comprehensive Health Center, Nashville General Hospital, and First Presbyterian. Organizations represented in the 2019 Rutherford County Interviews included MTSU Center for Health & Human Services, Ascension Saint Thomas Rutherford, Rutherford District 13 Office, Nissan Diversity and Inclusion Committee, ATLAS, Murfreesboro Cold Patrol, Rutherford Opioid Taskforce, Middle Tennessee State University, First Baptist Church, Rutherford County EMS, St. Louise Clinic, Rutherford District 21 Office, Smyrna Senior Center, Narcotics Anonymous, Rutherford County Government Office, Veterans' Affairs, Journey Home, Primary Care and Hope Clinic of Rutherford County, Interfaith Dental Clinic, Matthew Walker Comprehensive Health Center - Smyrna, Rutherford County Health Department, and Rutherford County Police Department. Organizations represented in Williamson County interviews held in 2019 included Franklin Tomorrow, Williamson County Schools, Fairview Mayor's Office, Williamson Medical Center, Franklin Special School District, Williamson County Public Library, Coordinated School Health, Department of Children's Services, Veterans' Affairs, Williamson County Juvenile Court, Williamson County Health Department, Franklin Mayor's Office, Williamson County Parks & Recreation, Mercy Clinic, Williamson County Anti-Drug Coalition, Franklin Housing Authority, and Graceworks. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic and Latinx community leaders, the medically marginalized, those experiencing mental illness, those with addiction, children, low-income individuals, minorities, marginalized communities, and other vulnerable populations. To better understand community members' opinions of the health needs present in 2019 Stallworth held 13 focus groups. These were conducted across the three counties that represent the community served. The focus groups in Davidson County were held in collaboration with Ascension Saint Thomas as well as the Metro Public Health Department. In Davidson County, sessions were held at Salahadeen Center, Building Lives Foundation, Outreach Base, Elizabeth Park Center, Hartman Park, and Hadley Park. Populations served by these organizations include Muslim youth, people experiencing homelessness, older adults, African American populations, and Latinx populations. In 2019 Stallworth held listening sessions that were coordinated with Ascension Saint Thomas and the Rutherford County Health Department. Recruitment was done in coordination with the host sites, which included First Baptist Church of Rutherford (2), Rutherford County Health Department, and Journey Home. These organizations primarily serve those experiencing homelessness and Latino, African American, and older adult populations. For the 2019 CHNA in Williamson County, recruitment was done in collaboration with the Williamson County Health Department. Host sites include the Fairview Branch of the Public Library, Mercy Clinic, and the health department. Rural, uninsured/underinsured, and Latinx populations are served by these organizations. Both English and Spanish speakers were included in listening sessions in each county. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. For the 2019 CHNA, Vanderbilt Stallworth Rehabilitation Hospital conducted a health needs assessment in partnership with its affiliated health system, Vanderbilt University Medical Center. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) identified four significant health needs in the 2019 CHNA. The four significant health needs identified are - alphabetically: 1) Access to Resources and Services; 2) Basic Needs and Social Determinants; 3) Mental Health and Substance Abuse, and 4) Prevention and Education. Stallworth addresses all four needs, with a detailed list of programs, investments, and services in the 2019 Implementation Strategy (IS). The 2019 Implementation Strategy includes 83 activities and programs. To date, we have identified 260 activities and programs. Stallworth holds monthly grand rounds for members of the medical community to discuss topics that have an impact on rehabilitation and post-acute care. In addition, Stallworth offers several support groups and educational classes for patients and caregivers. The monthly stroke support group and stroke education classes, which meet weekly, are open to both patients and caregivers. Stallworth works to build strong collaborations throughout the community and throughout the country and currently supports the work of the American Heart and Stroke Association, United Spinal Association, Achilles Foundation, the Arthritis Foundation, Brain Injury Association of Tennessee, Williamson County Senior Expo, the Annual Harold "Jobe" Bernard Stroke and Neurosciences Symposium, Senior Health Fairs, Fifty Forward assisted living facilities, Maury County Senior Center, and the Hendersonville Senior Center. In December 2020, Stallworth expanded hours for its psychologist's contract to provide a resource for the inpatient population. Stallworth collaborates with the Trauma Survivors Network, which provides a host of free resources to help patients and families cope with the challenges of trauma recovery. In addition, the Spinal Cord Injury Peer Mentor Program, which is held monthly, includes training for peer mentor volunteers who help patients as they make the significant life changes often associated with trauma recovery. Finally, housing evaluations are done during the pre-admission process to assess home readiness after a traumatic injury. Once an individual is admitted as an inpatient at Stallworth, a recurring housing assessment is done, and Stallworth staff often connect patients with community resources to assist in the transition. Through ongoing partnerships and engagement of key stakeholders, Stallworth will continue to collaborate to meet the needs identified in the most recent needs assessment. Stallworth serves a patient demographic that has needs that are unique in the patient landscape of Vanderbilt University Medical Center. As such, the CHNA team conducted a listening session to explore more granular needs of Stallworth's patients related to the identified needs. The listening session was conducted with the patients participating in a support group for traumatic brain injuries hosted at Stallworth. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT STALLWORTH REHABILITATION HOSPITAL. Patients are notified of available assistance under federal, state or local government programs or under Stallworth's charity care policy via signage at the front desk, in the main elevator to the patient care units & along the back hallway of the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-admitting, registration, case management or billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care. Schedule H, Part V, Section B, Line 2 On January 1, 2021, Vanderbilt University Medical Center acquired a minority interest in Tennova Healthcare - Clarksville (State License 00000090), a 270-bed facility, from subsidiaries of Clarksville Volunteer Health Inc. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Tennova Healthcare - Clarksville. IN ADDITION TO NOTIFICATION ON THE WEBSITE, OR PATIENT REQUEST, Tennova Healthcare - Clarksville PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS. 34 Ambulatory Surgery Center of Cool Springs LLC 2009 Mallory Lane Suite 100 Franklin TN 37067 Ambulatory Surgery Treatment Center Spring Hill Surgery Center LLC 1003 Reserve Blvd Suite 210 Spring Hill TN 37174 Ambulatory Surgery Treatment Center Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Boulevard Spring Hill TN 37174 Oncology Services One Hundred Oaks Imaging LLC 719 Thompson Lane Nashville TN 37204 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 134 Pewitt Drive Brentwood TN 37027 Ambulatory Clinic Spring Hill Imaging Center LLC 5421 Main Street Spring Hill TN 37174 Outpatient Diagnostic Center Williamson Imaging LLC (dba Cool Springs Imaging) 2009 Mallory Lane Suite 150 Franklin TN 37067 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 919 Murfreesboro Pike Franklin TN 37064 Ambulatory Clinic Vanderbilt-Gateway Cancer Center GP 375 Alfred Thun Road Clarksville TN 37040 Oncology Services Vanderbilt-Ingram Cancer Center Franklin 2107 Edward Curd Lane Franklin TN 37067 Ambulatory Surgery Treatment Center Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Belle Meade) 4525 Harding Road Suite 102 Nashville TN 37232 Outpatient Diagnostic Center Vanderbilt Imaging Services LLC (dba Hillsboro Imaging Services) 1909 Acklen Avenue Nashville TN 37212 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 1834 West McEwen Dr Suite B Franklin TN 37067 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 3098 Campbell Station Pkwy Spring Hill TN 37174 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 940 Oldham Drive Nolensville TN 37135 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 7601 Highway 70 S Bellevue TN 37221 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1954 Madison Street Clarksville TN 37043 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 9100 Carothers Pkwy Franklin TN 37067 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 585 Nashville Pike Gallatin TN 37066 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 198 E Main Street Hendersonville TN 37075 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Tulip Grove Road Hermitage TN 37076 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5000 Murfreesboro Road Lavergne TN 37086 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1303 W Main Street Lebanon TN 37087 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 2401 Old Fort Pkwy Murfreesboro TN 37128 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 3500 Gallatin Pike Nashville TN 37216 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5555 Edmondson Pike Nashville TN 37211 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 518 Donelson Pike Nashville TN 37214 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 4243 Harding Pike Nashville TN 37205 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Sam Ridley Pkwy Smyrna TN 37167 AMBULATORY CLINIC Vanderbilt Home Dialysis Clinic 2906 Foster Creighton Drive Suite Nashville TN 37204 End Stage Renal Dialysis Vanderbilt Dialysis Clinic 2906 Foster Creighton Drive Suite Nashville TN 37214 End Stage Renal Dialysis Vanderbilt University Medical Center Dialysis Clinic-East 20 Rachel Drive Nashville TN 37214 End Stage Renal Dialysis Vanderbilt Birth Center 3212 West End Ave Suite 100 Nashville TN 37203 Birthing Center Outpatient Diagnostic Center of Nashville 337 22nd Avenue North Nashville TN 37203 Outpatient Diagnostic Center Vanderbilt Integrated Pediatrics - Tullahoma 1440 Cedar Lane Suite 100 Tullahoma TN 37388 Pediatrics clinic Schedule H, Part I, Line 7k VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS Column (f) Community Benefit Expense: The total community benefit expense using Part I, Line 7, Column (c) (before direct offsetting revenue) as a percentage of total expenses is 36.47%. Schedule H, Part V, Section B, Line 20 Extraordinary Collection Actions The VUMC, VWCH, VTHH, and VBCH Financial Assistance Policy permits the use of ECAs. However, VUMC, VWCH, VTHH, and VBCH did not engage in any ECAs during FY2022. The Stallworth Financial Assistance Policy explicitly forbids the use of ECAs. The Tennova Healthcare - Clarksville Financial Assistance Policy permits the use of ECAs. However, the Financial Assistance Policy forbids the use of any ECAs prior to making reasonable efforts to determine the individual's eligibility under the facility's Financial Assistance Policy. Schedule H, Part VI, Line 7 State filing of community benefit report Not applicable. Schedule H, Part III, Line 7 Medicare Shortfall The amount reported as Medicare shortfall on Schedule H, Part III, line 7 does not include Medicare Managed programs. If Medicare Managed programs were included in Schedule H, Medicare costs reported on line 6 would be an additional $563M and Medicare revenue reported on line 5 would be an additional $311M, for a net increase in the Medicare shortfall of $252M. If VUMC includes traditional Medicare and Medicare Managed programs, the Medicare shortfall is $536M for the fiscal year ended June 30, 2022. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY USED TO CALCULATE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS REPORTED WAS BASED ON AN OVERALL COST-TO-CHARGE RATIO FOR ALL PATIENT POPULATIONS. THE COST TO CHARGE RATIO WAS CALCULATED USING IRS WORKSHEET 2. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The costing methodology used to calculate bad debt expense reported in Part III, Lines 2 and 3 was based on an overall cost-to-charge ratio for all patient populations. Discounts and payments on accounts considered as bad debt offset the total bad debt expense recorded. Process to determine amount of bad debt attributable to individuals eligible for financial assistance - The accounts that have not been paid are first reviewed under a presumptive charity policy. For those accounts that do not meet presumptive eligibility criteria, it is estimated that 3% of the balances are attributable to individuals who would qualify for financial assistance. This estimate is based on experience of patient accounting management as well as a methodical review of outstanding patient accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Due to the adoption of ASC 606, the audited financial statements of VUMC no longer disclose the consolidated amount of bad debt expense. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Costing Methodology - Medicare Allowable Costs: The methodology for determining Medicare allowable costs consisted of applying an overall hospital cost-to charge ratio to gross Medicare charges from the hospital billing system. The resulting shortfall is entirely deemed as community benefit because the cost of providing related care consistently exceeds reimbursement from Medicare. The hospital accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the health of the community. The organization believes the Medicare shortfall should be treated as a community benefit because Medicare does not fully compensate hospitals for the cost of providing hospital care to Medicare beneficiaries. In FY22, such shortfalls amounted to 283,490,080. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Collection Practices: Although Vanderbilt University Medical Center's policies do not contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance, in practice, if a patient qualifies for a 100% charity care write off, the account is closed and no further collection efforts are made. If a patient qualifies for a partial charity care write off, the account is reduced for the applicable charity discount and normal collection efforts are made. Although no extraordinary collection actions were taken in FY22, the extraordinary collection actions that may be taken, after reasonable efforts are made to ensure a patient is not eligible for financial assistance on the remaining balance, include: * Attachment or seizure of a bank account or other personal property * Commencement of a civil action against an individual * Wage garnishment Written approval must be obtained from VUMC before any of the above ECAs can take place. Schedule H, Part V, Section B, Line 16a FAP website - Vanderbilt University Medical Center Hospitals: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16a URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16a URL: https://www.tennovaclarksville.com/hospital-501-r-information; Schedule H, Part V, Section B, Line 16b FAP Application website - Vanderbilt University Medical Center Hospitals: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16b URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16b URL: https://www.tennovaclarksville.com/hospital-501-r-information; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Vanderbilt University Medical Center Hospitals: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16c URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16c URL: https://www.tennovaclarksville.com/hospital-501-r-information; Schedule H, Part VI, Line 2 Needs assessment Vanderbilt University Medical Center ("VUMC") and Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) continually assess the healthcare needs of the communities they serve. The Vanderbilt Patient and Family Advisory Council is comprised of community volunteers and partners with VUMC's health care team and leadership to assess needs and evaluate services and programs. VUMC and Stallworth have also formed the Community Health Improvement Working Group, an internal committee of program managers as well as other leadership roles which meet regularly and make recommendations to the CHNA Advisory Committee. The CHNA Advisory Committee comprises VUMC and Stallworth senior leaders who meet continually to assess the needs of the community and drive improvements in care and processes for the communities they serve. To understand in more depth the needs of specific populations, VUMC's Community Health Improvement team has conducted additional listening sessions to determine how their experiences align with the broad categories of needs that were identified in the 2019 CHNA, and what strategies will best address the needs of the community. These listening sessions have included one (1) session with patients served by Stallworth and three (3) with the LGBTQ community. VUMC and Stallworth further assess the health care needs of the communities served by playing an active role in groups such as the Healthy Nashville Leadership Council, Williamson County Health Council, and the Rutherford County Wellness Council. VUMC and Stallworth review the many needs assessments published by these local groups (Alignment Nashville, Saint Thomas Health, Nashville Area Chamber of Commerce, Metro Social Services, Healthy Nashville, and the TN Department of Health, among others) to help gauge the needs and resources within the community. For the 2019 CHNA, VUMC and Stallworth completed a systematic review of 31 recent assessments completed by community partners across the three counties, highlighting populations served, the geographic area covered, and themes highlighted in the report. In addition, VUMC and Stallworth have developed partnerships with the state department of health to stay abreast of important community health needs. The COVID-19 pandemic exposed and exacerbated longstanding drivers of health inequities, disproportionately impacting racial and ethnic minorities and VUMC has been at the forefront of addressing these. VUMC enacted many COVID-19-specific initiatives to ensure that resources and important communications remain available to all community members. For example, the Community Health Improvement Team promptly convened a workgroup with other relevant community organizations to create, share, and distribute resources for populations that speak languages other than English. Along with this effort, VUMC selected a group of leaders to sit on the "VUMC COVID-19 Expert Vaccine Panel," providing expertise and addressing vaccine hesitancy at various town halls or community events. VUMC also embedded strategies to mitigate health inequities in its COVID-19 Command Center early in the pandemic. Led by the Office of Health Equity, an inter-professional COVID Health Equity Team comprised of physicians, nurses, social workers, and operational leaders with expertise in minority health, SDOH, quality improvement, public health, health communication, clinical research, diversity and inclusion, and telehealth was assembled. This team was critical in implementing a systems approach to address the complex drivers of COVID-19 inequities. The creation of interactive dashboards populated with data for all patients tested for SARS-CoV-2 at VUMC facilitated disaggregation of metrics by race, ethnicity, primary language, and ZIP Code. These data points were also linked to community-level socioeconomic data to understand disparities in testing, positivity rates, hospitalizations, treatment, and death. For example, to understand the social and environmental context for patients most impacted by inequities, the Health Equity Workstream mapped the ZIP Codes of patients who tested positive and found the highest number of cases in two adjacent ZIP Codes. In these two zip codes, more than 30% of residents' primary language is not English and the adjusted gross income is $36,384, compared with the county average of $56,507 median. By disaggregating data by REAL, and implementing strategies informed by social context, VUMC may prevent or lessen health inequities and be better positioned to address underlying contributors to health. Vanderbilt Wilson County Hospital (VWCH) continually assesses the healthcare needs of the communities it serves. In October of 2021, VWCH convened its Patient and Family Advisory Council to improve upon the patient experience in Wilson County through regular council meetings and interaction with VWCH patients. VWCH has also formed the Community Health Improvement Working Group, an internal committee of program managers as well as other leadership roles which meet regularly and make recommendations to the CHNA Advisory Committee. The CHNA Advisory Committee comprises senior leaders, including the CEO of VWCH, who meet continually to assess the needs of the community and drive improvements in care and processes for the communities they serve. In February 2021, VWCH and the Office of Government and Community Affairs collaborated with the Wilson County Health Department to offer COVID-19 vaccinations to eligible individuals as determined by the CDC guidelines. During this effort, over 15,000 vaccinations were given to Wilson County residents, which includes many offsite vaccination events. Some of these sites include Del Webb Residents (55+ community), Wilson County Jail, Wilson County Schools Staff, Mt. Juliet Christian Academy Staff, as well as various other events. VWCH donated 4,100 KN95 masks to community organizations in Wilson County. Organizations receiving the donations included shelters and local universities. In collaboration with OHE, the Vanderbilt School of Nursing Mobile Vaccination Program has partnered with VWCH, the local health department, and the health council to increase the percentage of COVID-19-vaccinated individuals living in underserved and/or vulnerable communities within Wilson County. The program has successfully vaccinated 120 people in Wilson County who may not have had access to the vaccine if not for the program. In addition to the initiatives listed above, Vanderbilt's Pediatric Primary Care Clinic located in Wilson County, along with all Vanderbilt pediatric clinics has provided an abundance of online information on the COVID-19 vaccine, as well as supported families as children (5-11 years) became eligible to receive the vaccine. In the first two weeks of this group becoming eligible, these clinics administered 2,000 vaccines to children. VWCH further assesses the health care needs of the communities it serves by playing an active role in groups such as the Wilson County Health Council and Drug-Free Wilco to help gauge the needs and resources within the community. For the 2022 CHNA, VWCH completed a systematic review of 6 recent assessments completed by community partners highlighting populations served, the geographic area covered, and themes highlighted in the report. In addition, VWCH has developed partnerships with the state department of health to stay abreast of important community health needs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance VUMC, VWCH, VTHH, AND VBCH patients are notified of available assistance under Federal, State or local government programs or under VUMC's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital-based clinics; brochures available at registration points; and language included on all statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-Admitting, Registration, or Billing personnel may refer uninsured or low-income patients to financial counseling personnel to discuss qualifications for free or discounted care. Stallworth patients are notified of available assistance under Federal, State or local government programs or under Stallworth's charity care policy via signage posted at various locations within the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-Admitting, Registration, Case Management or Billing personnel may refer uninsured or low-income patients to financial personnel to discuss qualifications for free or discounted care. TENNOVA HEALTHCARE - CLARKSVILLE PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA the facility's website, by patient request, and via SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS. Schedule H, Part VI, Line 4 Community information Vanderbilt University Medical Center, located in Nashville, Tennessee, serves primarily Tennessee, northern Alabama and southern Kentucky. Vanderbilt University Medical Center owns the Vanderbilt University Hospital, the Monroe Carell Jr. Children's Hospital at Vanderbilt, and Vanderbilt Psychiatric Hospital. These facilities operate under one hospital license as Vanderbilt University Medical Center (VUMC). VUMC (excludes Vanderbilt Health Services, LLC and subsidiaries) have approximately 75,000 annual discharges. VUMC also provides approximately 2.8 million annual outpatient visits, including 190,000 to the emergency departments. Vanderbilt University Medical Center Hospitals provide critical and often unique health care resources to the community and provide broad access to care. The majority of VUMC's patients live in four Tennessee counties: Davidson, Williamson, Rutherford and Montgomery. Vanderbilt Wilson County Hospital is a two-campus 245-bed facility located in Mount Juliet, Tennessee and is the sole provider of inpatient and outpatient medical services in Wilson County. Vanderbilt Tullahoma-Harton Hospital is a 135-bed facility located in Tullahoma, Tennessee and serves Coffee County, Tennessee. Vanderbilt Bedford Hospital is a 60-bed facility located in Shelbyville, Tennessee and is the sole provider of inpatient and outpatient medical services in Bedford County, Tennessee. Vanderbilt Stallworth Rehabilitation Hospital, located in Nashville, Tennessee, serves middle Tennessee, southern Kentucky and the northern parts of Mississippi, Alabama and Georgia. This 80-bed hospital is a joint venture between Vanderbilt University Medical Center and Encompass Health and offers comprehensive acute rehabilitation services. Annually, Vanderbilt Stallworth Rehabilitation Hospital has approximately 1,168 discharges. The majority of Stallworth's patients live in four Tennessee counties - Davidson, Williamson, Rutherford and Montgomery. Tennova Healthcare - Clarksville is a 270-bed facility located in Clarksville, Tennessee and is the sole provider of inpatient and outpatient medical services in Montgomery County, Tennessee. Tennova Healthcare - Clarksville is a joint venture between Vanderbilt University Medical Center and Community Health Systems, Inc. Schedule H, Part VI, Line 5 Promotion of community health For information on how VUMC promotes the health of the community please see: "Facts About Vanderbilt University Medical Center" as found at: https://www.vumc.org/about/vanderbilt-university-medical-center (Please use lowercase to access the website) "Vanderbilt in Tennessee: County by County" as found at: https://www.vanderbilt.edu/community-relations/map/ (Please use lowercase to access the website) "2019 Economic Impact Report" as found at: https://www.vanderbilt.edu/reports/2019-economic-impact-report/ (Please use lowercase to access the website) Schedule H, Part VI, Line 6 Affiliated health care system VANDERBILT UNIVERSITY MEDICAL CENTER OWNS THE VANDERBILT UNIVERSITY HOSPITAL, THE MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT, AND VANDERBILT PSYCHIATRIC HOSPITAL. THESE FACILITIES OPERATE UNDER ONE HOSPITAL LICENSE AS VANDERBILT UNIVERSITY MEDICAL CENTER (VUMC). ADDITIONALLY, VUMC OWNS VANDERBILT WILSON COUNTY HOSPITAL, VANDERBILT TULLAHOMA-HARTON HOSPITAL, AND VANDERBILT BEDFORD HOSPITAL WHICH EACH OPERATE UNDER THEIR OWN RESPECTIVE HOSPITAL LICENSES. VUMC ALSO HAS OWNERSHIP INTEREST IN SEVERAL AFFILIATED ENTITIES, WHICH PROVIDE CLINICAL SERVICES. VUMC'S HOSPITALS, CLINICS, AND AFFILIATED ENTITIES PROVIDE THE FOLLOWING HEALTHCARE SERVICES TO THE COMMUNITIES IT SERVES: EMERGENCY CARE, INPATIENT HOSPITAL CARE, OUTPATIENT TREATMENT, DIAGNOSTIC TESTING, ANCILLARY CARE, PRIMARY CARE SERVICES, AND HOME HEALTH CARE. VUMC PROVIDES A NUMBER OF CLINICAL SERVICES UNIQUE TO ITS REGION INCLUDING: A LEVEL 1 TRAUMA CENTER, A LEVEL 1 PEDIATRIC TRAUMA CENTER, A COMPREHENSIVE REGIONAL BURN CENTER, A LEVEL 4 NEONATAL INTENSIVE CARE UNIT, TENNESSEE'S ONLY COMPREHENSIVE SOLID ORGAN TRANSPLANT CENTER, THE VANDERBILT-ESKIND DIABETES CENTER, AND THE VANDERBILT-INGRAM CANCER CENTER, THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN TENNESSEE TO TREAT BOTH ADULT AND PEDIATRIC CANCER PATIENTS. IN ADDITION, VUMC'S HEALTH CARE SYSTEM INCLUDES THE VANDERBILT HEALTH AFFILIATED NETWORK, AN AFFILIATED NETWORK OF DOCTORS, REGIONAL HEALTH SYSTEMS AND OTHER HEALTH CARE PROVIDERS THAT COLLABORATE TO PROVIDE COORDINATED AND COST-EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED. THESE ARE CONTRACTUAL AFFILIATE RELATIONSHIPS ONLY WITH NO OWNERSHIP INTEREST IN THE FACILITIES OR PHYSICIAN PRACTICES. VUMC ALSO COLLABORATES WITH OTHER HOSPITAL SYSTEMS IN THE REGION, PROVIDING HEALTH CARE AND/OR RESEARCH AND ACADEMIC SUPPORT. FOR A LIST OF ALL ORGANIZATIONS RELATED TO VANDERBILT UNIVERSITY MEDICAL CENTER AND THE PRIMARY ACTIVITY OF EACH, PLEASE REFER TO SCHEDULE R. true University of Vermont 85 S Prospect St Burlington VT 05405 030179440 GOVT 16748 Not applicable Not applicable Research Northeastern University 360 Huntington Ave Boston MA 02115 041679980 501(c)(3) 36876 Not applicable Not applicable Research Trustees of Boston University P O Box 28763 New York NY 10087 042103547 501(c)(3) 332099 Not applicable Not applicable Research Harvard Medical School P O Box 415649 Boston MA 02241 042103580 501(c)(3) 224438 Not applicable Not applicable Research Massachusetts Eye & Ear Infirmary PO Box 412356 Boston MA 02241 042103591 501(c)(3) 47653 Not applicable Not applicable Research Massachusetts Institute of Technology 77 Massachusetts Ave Cambridge MA 02139 042103594 501(c)(3) 83055 Not applicable Not applicable Research Newton Wellesley Hospital 2014 Washington St Newton MA 02462 042103611 501(c)(3) 1112197 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Suite 500 Silver Spring MD 20910 521654453 501(c)(3) 363898 Not applicable Not applicable Research University of Maryland Baltimore P O Box 41428 Baltimore MD 21203 526002033 GOVT 283634 Not applicable Not applicable Research MedStar Health Research Institute Inc P O Box 418223 Boston MA 02241 526056274 501(c)(3) 28552 Not applicable Not applicable Research George Washington University P O Box 829896 Philadelphia PA 19182 530196584 501(c)(3) 200841 Not applicable Not applicable Research Sentara Hospitals 835 Glenrock Road Suite 220 Norfolk VA 23502 541547408 501(c)(3) 49900 Not applicable Not applicable Research Kennell and Associates Inc 3130 Fairview Park Drive Suite 450 Falls Church VA 22042 541771141 N/A 75162 Not applicable Not applicable Research US Civilian Research & Development 1776 Wilson Blvd Suite 300 Arlington VA 22209 541773406 501(c)(3) 62944 Not applicable Not applicable Research Virginia Commonwealth University PO Box 843039 800 E Leigh St Suite 3100 Richmond VA 23284 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North Carolina Chapel Hill c/o Bank of America Lock Box PO Box 402420 Atlanta GA 30384 566001393 GOVT 1771363 Not applicable Not applicable Research Carolina Health Centers 313 Main Street Suite B Greenwood SC 29646 570650154 501(c)(3) 20000 Not applicable Not applicable Instruction Medical University of South Carolina 1 South Park Circle Building 1 Suite 402 Charleston SC 29407 576000722 GOVT 114324 Not applicable Not applicable Research University of South Carolina 1600 Hampton Street Suite 612 Columbia SC 29208 576001153 GOVT 786812 Not applicable Not applicable Instruction Mercer University 1501 Mercer University Drive Macon GA 31207 580566167 501(c)(3) 24640 Not applicable Not applicable Research Emory University P O Box 935084 Atlanta GA 31193 580566256 501(c)(3) 1202337 Not applicable Not applicable Instruction Augusta University Research Institute P O Box 945552 Atlanta GA 30394 581418202 501(c)(3) 58353 Not applicable Not applicable Research Morehouse School of Medicine 720 Westview Drive SW Atlanta GA 30310 581438873 501(c)(3) 312493 Not applicable Not applicable Instruction Saint Thomas Health 4220 Harding Rd Nashville TN 37205 581716804 501(c)(3) 21347 Not applicable Not applicable Research Georgia State University Research PO Box 3999 Atlanta GA 30302 581845423 501(c)(3) 50000 Not applicable Not applicable Research Children's Healthcare of Atlanta Inc 3375 Northeast Expressway Suite100 Atlanta GA 30341 582367819 501(c)(3) 12611 Not applicable Not applicable Research Georgia Tech Applied Research Corp P O Box 277004 Atlanta GA 30384 582374837 501(c)(3) 87324 Not applicable Not applicable Research University of Miami Sponsored Programs P O Box 405803 Atlanta GA 30384 590624458 501(c)(3) 2228874 Not applicable Not applicable Research Nemours Foundation ATTN Grant Dept 3 East 10140 Centurion Pkwy North Jacksonville FL 32256 590634433 501(c)(3) 71166 Not applicable Not applicable Research Rural Health Care Inc P O Drawer 817 Palatka FL 32178 591792958 501(c)(3) 220000 Not applicable Not applicable Instruction Caswell Family Medical Center Inc P O Box 1448 Yanceyville NC 27379 591812757 501(c)(3) 60000 Not applicable Not applicable Instruction H Lee Moffitt Cancer Center and 1209 Magnolia Dr M2Gen-INNOV Tampa FL 33612 592451713 501(c)(3) 43972 Not applicable Not applicable Research University of South Florida Attn Research Projects Receivables P O Box 864568 Orlando FL 32886 593102112 GOVT 125159 Not applicable Not applicable Research Mayo Clinic Jacksonville P O Box 860334 Minneapolis MN 55486 593337028 501(c)(3) 117245 Not applicable Not applicable Research Tampa General Hospital P O Box 95000 LB 7870 Philadelphia PA 19195 593458145 501(c)(3) 9160 Not applicable Not applicable Research University of Florida 33 Tigert Hall P O Box 113001 Gainesville FL 32611 596002052 GOVT 2180644 Not applicable Not applicable Instruction University of Louisville Research 300 East Market St Suite 300 Office of Sponsored Programs Admin Louisville KY 40202 611029626 501(c)(3) 541684 Not applicable Not applicable Research Ballad Health Credentialing 311 Princeton Road Suite 3 Johnson City TN 37601 611771290 501(c)(3) 31172 Not applicable Not applicable Research University of Kentucky PNC Bank P O Box 931113 Cleveland OH 44193 616001218 GOVT 27277 Not applicable Not applicable Research University of Kentucky Research PNC Bank P O Box 931113 Cleveland OH 44193 616033693 501(c)(3) 386871 Not applicable Not applicable Public Service Nashville Machine Company Inc P O Box 101603 Nashville TN 37224 620304860 N/A 10730 Not applicable Not applicable Research Council on Aging of Greater Nashville 95 White Bridge Road Suite 250 Nashville TN 37205 620476667 501(c)(3) 106425 Not applicable Not applicable Research Vanderbilt University Contract & Grant PMB 401591 2301 Vanderbilt Place Nashville TN 37240 620476822 501(c)(3) 17156595 Not applicable Not applicable Research Tennessee Valley Healthcare System 1310 24th Avenue South Nashville Campus Nashville TN 37212 620484828 GOVT 70920 Not applicable Not applicable Research David Lipscomb University One University Park Drive Nashville TN 37204 620485733 501(c)(3) 43787 Not applicable Not applicable Research Meharry Medical College 1005 Dr D B Todd Jr Boulevard Nashville TN 37208 620488046 501(c)(3) 1670457 Not applicable Not applicable Research Fort Sanders Regional Medical Center 1420 Centerpoint Blvd Bldg C Knoxville TN 37932 620528340 501(c)(3) 58308 Not applicable Not applicable Research Tennessee Hospital Association 5201 Virginia Way Brentwood TN 37027 620534232 501(c)(3) 65648 Not applicable Not applicable Research Cherokee Health Systems Inc 6350 West Andrew Johnson Hwy Talbott TN 37877 620637925 501(c)(3) 120000 Not applicable Not applicable Instruction St Judes Childrens Research Hospital P O Box 1000 Department 949 Memphis TN 38148 620646012 501(c)(3) 134341 Not applicable Not applicable Research University of Memphis PO Box 1000 Dept 313 Memphis TN 38148 620648618 GOVT 28498 Not applicable Not applicable Research Metro Public Health Department 2500 Charlotte Avenue Suite 100 Nashville TN 37209 620694743 GOVT 60781 Not applicable Not applicable Research Tennessee State University 3500 John A Merritt Blvd Vice President for Business Finance Nashville TN 37209 620786119 GOVT 107463 Not applicable Not applicable Research Memphis Center for Reproductive Health 1203 Poplar Ave Memphis TN 38104 620931089 501(c)(3) 107500 Not applicable Not applicable Instruction Alzheimers Tennessee Inc 5801 Kingston Pike Knoxville TN 37919 621206312 501(c)(3) 47125 Not applicable Not applicable Instruction Nashville CARES 633 Thompson Lane Nashville TN 37204 621274532 501(c)(3) 54042 Not applicable Not applicable Research Middle Tennessee Research Institute 1310 24th Avenue South Room F-201 Nashville TN 37212 621387860 501(c)(3) 37031 Not applicable Not applicable Research Positively Living Inc 317 N Gay St Knoxville TN 37917 621698383 501(c)(3) 31764 Not applicable Not applicable Research University of Tennessee Knoxville 910 Madison Avenue Suite 816 Memphis TN 38163 626001636 GOVT 95307 Not applicable Not applicable Research Jackson Madison County General Hospital 620 Skyline Drive Jackson TN 38301 626010402 GOVT 86839 Not applicable Not applicable Research East Tennessee State University 1276 Gilbreath Drive P O Box 70732 Johnson City TN 37614 626021046 GOVT 110332 Not applicable Not applicable Instruction Montgomery Aids Outreach Inc PO Box 11087 Montgomery AL 36111 630959628 501(c)(3) 297162 Not applicable Not applicable Instruction University of Alabama 1720 2nd Avenue South AB 990 Birmingham AL 35294 636001138 GOVT 93946 Not applicable Not applicable Research University of Alabama at Birmingham 1720 2nd Avenue South AB 990 Birmingham AL 35294 636005396 GOVT 2063990 Not applicable Not applicable Research Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou MS 38762 640443928 501(c)(3) 40000 Not applicable Not applicable Instruction Jefferson Comprehensive Health Center 405 Main St Fayette MS 39069 640667610 501(c)(3) 32500 Not applicable Not applicable Instruction Outreach Health Services Inc PO Box 527 Shubuta MS 39360 640736857 501(c)(3) 107500 Not applicable Not applicable Research University of Mississippi Medical Center 2500 N State St Room U 019 Jackson MS 39216 646008520 501(c)(3) 495892 Not applicable Not applicable Research University of Puerto Rico Medical P O Box 365067 San Juan PR 00936 660433762 GOVT 27467 Not applicable Not applicable Research University of Arkansas Fayetteville P O Box 1404 Treasurers Office Fayetteville AR 72702 716003252 GOVT 34713 Not applicable Not applicable Research University of Arkansas for Medical 4301 West Markham Street Treasurers Office Slot 560 Little Rock AR 72205 716046242 501(c)(3) 152154 Not applicable Not applicable Research Our Lady of the Lake Hospital Inc Office of Research - OLOL 7556 Hennessy Blvd Baton Rouge LA 70808 720423651 501(c)(3) 98056 Not applicable Not applicable Research Administrators of the Tulane Educational 1555 Poydras St Ste 805 Mailbox 8711 New Orleans LA 70112 720423889 501(c)(3) 37882 Not applicable Not applicable Research Ochsner Clinic Foundation P O Box 54996 New Orleans LA 70154 720502505 501(c)(3) 89298 Not applicable Not applicable Research LSU Health Sciences Center New Orleans 433 Bolivar Street Room 519 New Orleans LA 70112 726087770 GOVT 147525 Not applicable Not applicable Research Nazih Zuhdi Transplantation Institute 3300 Northwest Expy Oklahoma City OK 73112 731034824 501(c)(3) 22569 Not applicable Not applicable Research University of Texas Health Science Financial Admin Support PO Box 301418 Dallas TX 75303 741586031 GOVT 194893 Not applicable Not applicable Research Baylor College of Medicine PO Box 301207 Dallas TX 75303 741613878 501(c)(3) 239465 Not applicable Not applicable Research National Jewish Health 1400 Jackson Street Attn Treasury Dept M216 Denver CO 80206 742044647 501(c)(3) 10166 Not applicable Not applicable Research University of Arizona P O Box 41817 Tucson AZ 85717 742652689 GOVT 160584 Not applicable Not applicable Research Texas A & M University Health Science 400 Harvey Mitchell Parkway S Suite 300 College Station TX 77845 742907553 GOVT 5601 Not applicable Not applicable Research University of Texas at Austin P O Box 7159 Austin TX 78713 746000203 GOVT 188896 Not applicable Not applicable Research University of Texas Medical Branch PO Box 660120 Dept 750 Dallas TX 75266 746000949 GOVT 120456 Not applicable Not applicable Research University of Texas M D Anderson Cancer Center PO Box 4461 Houston TX 77210 746001118 GOVT 338831 Not applicable Not applicable Research University of Houston Treasurers Office PO Box 988 Houston TX 77001 746001399 GOVT 10257 Not applicable Not applicable Research University of Texas at Dallas Callier 800 West Campbell Road AD37 Richardson TX 75080 751305566 GOVT 41922 Not applicable Not applicable Research Baylor Research Institute P O Box 846275 Dallas TX 75284 751921898 501(c)(3) 456200 Not applicable Not applicable Research Translational Genomics Research Inst 445 North Fifth Street Suite 600 Phoenix AZ 85004 753065445 501(c)(3) 94482 Not applicable Not applicable Research University of Texas Southwestern Medical PO Box 841765 Dallas TX 75284 756002868 GOVT 665792 Not applicable Not applicable Research Palo Alto Veterans Institute for Post Office Box V-38 Palo Alto CA 94304 770207331 501(c)(3) 14225 Not applicable Not applicable Research MJD Wellness & Community Center Inc 822 NE 125th St Ste 103 Miami FL 33161 815404209 501(c)(3) 40000 Not applicable Not applicable Instruction Premier Mobile Health Services Corp 3903 Dr Martin Luther King Jr Blvd Ste K Fort Myers FL 33916 825372657 501(c)(3) 20000 Not applicable Not applicable Instruction Physicians Care of Clarke 24B Camden Byp Camden AL 36726 832589567 501(c)(3) 32500 Not applicable Not applicable Research Radiology Imaging Associates PC 10700 East Geddes Ave Suite 200 Englewood CO 80112 840597929 N/A 5580 Not applicable Not applicable Research Denver Health and Hospital Authority Post Office Box 17093 UMB Bank of Colorado Denver CO Denver CO 80217 841343242 GOVT 361724 Not applicable Not applicable Research Denver Research Institute 3401 Quebec Street Suite 5000 Denver CO 80207 841392442 501(c)(3) 49124 Not applicable Not applicable Research University of Colorado Denver Office of Grants Contracts F428 P O Box 910238 Denver CO 80291 846000555 GOVT 1804112 Not applicable Not applicable Research University of New Mexico 1 University of New Mexico MSCO9 5225 Albuquerque NM 87131 856000642 GOVT 1731104 Not applicable Not applicable Research Dignity Health File 57431 Los Angeles CA 90074 860096787 N/A 302738 Not applicable Not applicable Research Arizona State University Grant and Contract Accounting PO Box 876011 Tempe AZ 85287 860196696 GOVT 100599 Not applicable Not applicable Research Mayo Clinic Research Finance - Arizona PO Box 860334 Minneapolis MN 55486 860800150 501(c)(3) 141274 Not applicable Not applicable Research Brigham Young University Grants and Contracts Accounting A-261 ASB Provo UT 84602 870217280 501(c)(3) 41064 Not applicable Not applicable Research Methodist Hospital Research Institute Office of Grants and Contracts PO Box 4805 Houston TX 77210 870721923 501(c)(3) 57320 Not applicable Not applicable Research University of Utah 201 S Presidents Cir Rm 406 Salt Lake City UT 84112 876000525 GOVT 350531 Not applicable Not applicable Research Kaiser Foundation Health Plan of Attn Cash Desk PO Box 34587 Seattle WA 98124 910511770 501(c)(3) 5421 Not applicable Not applicable Research University of Nebraska Medical Center 985100 Nebraska Medical Center Omaha NE 68198 911858433 501(c)(3) 931342 Not applicable Not applicable Research University of Washington- Department of 12455 Collections Drive Grant and Contract Accounting Chicago IL 60693 916000153 GOVT 799938 Not applicable Not applicable Research University of Washington 12455 Collections Drive Grant and Contract Accounting Chicago IL 60693 916001537 GOVT 1635092 Not applicable Not applicable Research Providence Portland Medical Center LB 1133 PO Box 35143 Seattle WA 98124 930386906 N/A 11500 Not applicable Not applicable Research Oregon Health & Science University P O Box 3003 Portland OR 97208 931176109 GOVT 757084 Not applicable Not applicable Research Kaiser Foundation Research Institute 1800 Harrison Street 16th Floor Oakland CA 94612 941105628 501(c)(3) 19889 Not applicable Not applicable Research Stanford University P O Box 44253 San Francisco CA 94144 941156365 501(c)(3) 1816265 Not applicable Not applicable Research Intermountain Healthcare P O Box 57828 Salt Lake City UT 84157 942854057 501(c)(3) 946729 Not applicable Not applicable Research Regents of the University of California PSC box 9570891125 Murphy Hall 405 Hilgard Avenue Los Angeles CA 90095 946036493 GOVT 730751 Not applicable Not applicable Research University of Southern California 3500 S Figueroa Street Suite 102 Los Angeles CA 90074 951642394 501(c)(3) 1486476 Not applicable Not applicable Research Cedars Sinai Medical Center 8700 Beverly Boulevard 65-WIL Ste 1150 Los Angeles CA 90048 951644600 501(c)(3) 372324 Not applicable Not applicable Research City of Hope National Medical Center 1500 East Duarte Rd Monrovia 2562 Duarte CA 91010 951683875 501(c)(3) 35079 Not applicable Not applicable Research Scripps Health 10140 Campus Point Drive Suite 200 San Diego CA 92121 951684089 501(c)(3) 99332 Not applicable Not applicable Research Beckman Research Institute of the 1500 East Duarte Road Duarte CA 91010 953432210 501(c)(3) 29256 Not applicable Not applicable Research Aids Healthcare Foundtion 2231 McGregor Blvd Fort Myers FL 33901 954112121 N/A 20000 Not applicable Not applicable Instruction University of California San Diego P O Box 741539 Los Angeles CA 90074 956006144 GOVT 62882 Not applicable Not applicable Research Tennessee Disability Coalition 955 Woodland Street Nashville TN 37206 621447320 501(c)(3) 23792 Not applicable Not applicable Instruction & Contribution Middle Tennessee State University 103 Cope Administration Building 1301 East Main St Murfreesboro TN 37132 626005794 GOVT 15671 Not applicable Not applicable Research & Contribution Good Neighbor Festivals 2817 West End Ave 126 439 Nashville TN 37203 463543791 N/A 5000 Not applicable Not applicable Contribution Smithsonian Institution 1000 Jefferson Drive SW Washington DC 20560 530206027 501(c)(3) 10000 Not applicable Not applicable Contribution Tennessee Walking Horse National Celebration Association 1110 Evans Street Shelbyville TN 37162 620682046 501(c)(5) 5000 Not applicable Not applicable Contribution Franklin Rotary Club at Noon Inc PO Box 1557 Franklin TN 37065 626075146 501(c)(4) 5000 Not applicable Not applicable Contribution Walk Across Wilson 3574 Linwood Rd Watertown TN 37184 813542995 N/A 5000 Not applicable Not applicable Contribution Sherry's Run PO Box 8 Lebanon TN 37088 061799885 501(c)(3) 5000 Not applicable Not applicable Contribution American Cancer Society 3380 Chastain Meadows Pkwy NW Suite 200 Kennesaw GA 30144 131788491 501(c)(3) 5000 Not applicable Not applicable Contribution March of Dimes 1550 Crystal Dr Suite 1300 Arlington VA 22202 131846366 501(c)(3) 6000 Not applicable Not applicable Contribution Alzheimer's Association 225 N Michigan Ave Floor 17 Chicago IL 60601 133039601 501(c)(3) 10000 Not applicable Not applicable Contribution American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 220500 Not applicable Not applicable Contribution National Multiple Sclerosis Society 733 Third Avenue 3rd Floor New York NY 10017 135661935 501(c)(3) 5000 Not applicable Not applicable Contribution JDRF Diabetes Foundation 200 Vesey Street 28th Floor New York NY 10281 231907729 501(c)(3) 10000 Not applicable Not applicable Contribution Heritage Foundation 112 Bridge Street Franklin TN 37064 237042596 501(c)(3) 50000 Not applicable Not applicable Contribution Motlow College Foundation PO Box 8500 Lynchburg TN 37352 237450071 501(c)(3) 11500 Not applicable Not applicable Contribution Tennessee Kidney Foundation PO Box 330989 Nashville TN 37203 270812507 501(c)(3) 16200 Not applicable Not applicable Contribution HIMSS TN Chapter 330 Franklin Road Ste 135A-277 Brentwood TN 37027 300104473 501(c)(6) 5000 Not applicable Not applicable Contribution Williamson Inc 4031 Aspen Grove Drive Suite 630 Franklin TN 37067 364720381 501(c)(6) 25000 Not applicable Not applicable Contribution Spring Hill Chamber of Commerce 5326 Main St Spring Hill TN 37174 450484327 501(c)(6) 7500 Not applicable Not applicable Contribution The Nashville Food Project 5904 CALIFORNIA AVENUE Nashville TN 37209 452905951 501(c)(3) 5000 Not applicable Not applicable Contribution Fund Recovery 306 42nd Ave N Nashville TN 37209 453821946 501(c)(3) 25000 Not applicable Not applicable Contribution Coalition to Protect America's Health Care P0 Box 30211 Bethesda MD 20824 522253225 501(c)(3) 31250 Not applicable Not applicable Contribution South Jackson Civic Center PO Box 326 Tullahoma TN 37388 581309734 501(c)(3) 5000 Not applicable Not applicable Contribution Shelbyville-Bedford County Chamber of Commerce 100 N Cannon Blvd Shelbyville TN 67160 620417185 501(c)(6) 10250 Not applicable Not applicable Contribution Junior League of Nashville 2202 Crestmoor Road Nashville TN 37215 620476815 501(c)(3) 50000 Not applicable Not applicable Contribution Nashville Symphony Orchestra 1 Symphony Place Nashville TN 37201 620550979 501(c)(3) 10000 Not applicable Not applicable Contribution Cumberland University 1 Cumberland Square Lebanon TN 37087 620599339 501(c)(3) 10800 Not applicable Not applicable Contribution Cheekwood Botanical Garden & Museum of Art 1200 Forrest Park Drive Nashville TN 37205 620627921 501(c)(3) 65000 Not applicable Not applicable Contribution Mental Health America of MD TN 446 Metroplex Dr Suite A-224 Nashville TN 37211 620637710 501(c)(3) 10000 Not applicable Not applicable Contribution Pinson Hospital Hospitality House 214 Reidhurst Avenue Nashville TN 37203 620909363 501(c)(3) 52500 Not applicable Not applicable Contribution Leadership Nashville 222 2nd Avenue South 2410 Nashville TN 37201 620986090 501(c)(3) 7200 Not applicable Not applicable Contribution Court Appointed Special Advocates (CASA) 340 21st Avenue North Nashville TN 37203 621203459 501(c)(3) 5000 Not applicable Not applicable Contribution Tennessee Chamber of Commerce & Industry 414 UNION ST Suite 107 Nashville TN 37219 621236022 501(c)(6) 5000 Not applicable Not applicable Contribution Ronald McDonald House Charities of Nashville 2144 Fairfax Ave Nashville TN 37212 621310717 501(c)(3) 11400 Not applicable Not applicable Contribution Rural Health Association PO Box 656 Decaturville TN 38329 621613239 501(c)(3) 10000 Not applicable Not applicable Contribution Cumberland Pediatric Foundation 5141 Virginia Way Suite 230 Brentwood TN 37027 621615913 501(c)(3) 27950 Not applicable Not applicable Contribution Operation Stand Down Tennessee 1125 12TH AVE S Nashville TN 37203 621638832 501(c)(3) 6000 Not applicable Not applicable Contribution Nashville Downtown Partnership 150 4th Avenue North Suite 110 Nashville TN 37219 621774641 501(c)(6) 7500 Not applicable Not applicable Contribution Franklin Tomorrow PO Box 383 Franklin TN 37065 621821869 501(c)(3) 5500 Not applicable Not applicable Contribution Partners for Healing 109 W Blackwell St Tullahoma TN 37388 621834800 501(c)(3) 5000 Not applicable Not applicable Contribution Susan G Komen 13770 Noel Road Suite 801889 Dallas TX 75380 751835298 501(c)(3) 10000 Not applicable Not applicable Contribution National Alliance on Mental Illness Davidson County 392 Harding Place Suite 203 Nashville TN 37211 800597038 501(c)(3) 9000 Not applicable Not applicable Contribution Medical Foundation of Nashville 28 White Bridge Road Suite 400 Nashville TN 37205 824237528 501(c)(3) 12000 Not applicable Not applicable Contribution Coalition for Better Health 3796 Bedford Avenue Suite 302 Nashville TN 37215 834259201 501(c)(3) 20000 Not applicable Not applicable Contribution Hillsboro Village Centennial Celebration 2102 Belcourt Ave Nashville TN 37212 843006251 501(c)(3) 5000 Not applicable Not applicable Contribution Chi Boule Foundation PO Box 210051 Nashville TN 37221 851360222 501(c)(3) 5000 Not applicable Not applicable Contribution The New Beginnings Center 509 Craighead St Nashville TN 37204 900751722 501(c)(3) 10000 Not applicable Not applicable Contribution 251 26 Patient Assistance 332 0 77297 FMV Healthcare supplies & medicine Patient Assistance 91 0 5000 FMV Car Seats & Home Safety Kits Patient Assistance 13330 0 24627844 FMV Prescription drugs Patient Assistance 26 0 97000 FMV Post acute care Awards and Research Grants 609 8238769 0 Patient Assistance 13 0 54475 FMV Patient housing Patient Assistance 3108 0 842797 FMV Ambulance rides Patient Assistance 1418 0 262746 FMV Car Rides Patient Assistance 5000 0 89307 FMV Meal Trays Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient policy is available online at the following web address: https://www.vumc.org/administrators-resource/policies-procedures (Please use lowercase to access the website) X X true true X X X X X false true false false false false false true false Jeffrey R Balser MD PHD President and CEO 2699917 0 2061999 0 699525 0 1304125 0 22344 0 6787910 0 666333 0 C Wright Pinson MD MBA Deputy CEO and Chief Health System Officer 1979805 0 772680 0 2303836 0 594197 0 20657 0 5671175 0 2268623 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 1103620 0 426159 0 874576 0 394998 0 33328 0 2832681 0 860512 0 Michael J Regier JD General Counsel and Secretary 859015 0 331482 0 930071 0 308425 0 32078 0 2461071 0 907007 0 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 1204120 0 459178 0 272021 0 359044 0 20598 0 2314961 0 163390 0 DAVID S RAIFORD MD Chief of Clinical Staff 783565 0 314737 0 776667 0 171646 0 34035 0 2080650 0 742234 0 Jennifer A Pietenpol PHD Chief Scientific and Strategy Officer 791927 0 322312 0 33191 0 175638 0 25884 0 1348952 0 0 0 Shon Dwyer MBA RN President, Vanderbilt Adult Hospital 744855 0 297911 0 21822 0 163426 0 18629 0 1246643 0 0 0 David R Posch EVP for Population Health 806689 0 314107 0 5234 0 14326 0 28527 0 1168883 0 0 0 Zeena M Abdulahad MPA EVP and Chief Development Officer 680344 0 262581 0 1242 0 145744 0 12657 0 1102568 0 0 0 Thomas S Nantais MBA EVP Adult Ambulatory 673480 0 262581 0 6374 0 112890 0 23255 0 1078580 0 0 0 Margaret G Rush MD MMHC President and Executive Medical Director, Monroe Carell Jr. Children's Hospital at Vanderbilt 622207 0 245761 0 14064 0 152125 0 15129 0 1049286 0 0 0 Amy Schoeny PHD Chief HR Officer 419121 0 198286 0 11214 0 86826 0 12427 0 727874 0 0 0 Byron F Stephens II MD Asst Professor Comprehensive Spine Center 1339837 0 760173 0 49614 0 14125 0 31218 0 2194967 0 0 0 Amir M Abtahi MD Asst Professor Comprehensive Spine Center 1076264 0 636912 0 10986 0 14125 0 24403 0 1762690 0 0 0 Matthew R Fusco BA MD Asst Professor, Neurological Surgery 536880 0 952240 0 11040 0 14125 0 39453 0 1553738 0 0 0 Ginger Holt MD Professor, Ortho-Oncology 1405680 0 8000 0 11742 0 14125 0 40453 0 1480000 0 0 0 Jacob P Schwarz MD Asst Professor, Neurological Surgery 969416 0 445000 0 30810 0 14125 0 1687 0 1461038 0 0 0 WILLIAM W STEAD MD FORMER CHIEF STRATEGY OFFICER (ROLE ENDED DECEMBER 2020) 172353 0 153611 0 9782 0 8701 0 15411 0 359858 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel Vanderbilt University Medical Center excludes the benefits from taxable income when a documented business purpose is served. 1 officer received charter travel benefits that were not included in taxable compensation. Schedule J, Part I, Line 1a Tax indemnification and gross-up payments 1 OFFICER and 1 HIGHEST COMPENSATED EMPLOYEE RECEIVED TAX GROSS-UP PAYMENT BENEFITS THAT WERE INCLUDED IN TAXABLE COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Certain individuals listed in Form 990, Schedule J, Part II participate in nonqualified deferred compensation plans. Amounts contributed to the plans include fixed percentages of annual bonus payments and fixed dollar amounts. CONTRIBUTIONS TO THE PLAN VEST ON THE FIRST DAY OF THE FOURTH PLAN YEAR FOLLOWING CONTRIBUTION, OR UPON OCCURRENCE OF OTHER EVENTS SPECIFIED IN THE PLAN (INCLUDING EXPIRATION OF THE PARTICIPANT'S EMPLOYMENT AGREEMENT, IF PARTICIPANT HAS REACHED AGE 65). Current year accruals of compensation associated with these plans are included in the amounts reported for each individual in Schedule J, Part II, Column (C). The payout of these amounts in future years will be included in the amounts reported in Schedule J, Part II, Column (B)(iii) for such individuals. Amounts accrued in prior years and previously reported in Schedule J, Part II, Column (C) are reported in Schedule J, Part II, Column (F). Payouts were made under these plans to 5 officers and 1 key employee during 2021. Jeffrey R. Balser received a payout totaling $666,333; C. Wright Pinson received a payout totaling $2,268,623; John F. Manning, Jr. received a payout totaling $860,512; Cecelia B. Moore received a payout totaling $163,390; Michael J. Regier received a payout totaling $907,007; and David Raiford received a payout totaling $742,234. Schedule J, Part I, Line 7 Non-fixed payments Certain individuals listed in Schedule J, Part II received variable incentive compensation based on the achievement of pre-established goals where judgment was determined by the Compensation Committee. Incentive payments are shown in Schedule J, Part II, Column B(ii). A The Health and Educational Facilities Board of The Metropolitan Government of Nashville and Davidson County Tennessee - Series 2021A 626139016 592041ZV2 2021-11-04 74101302 Capital Projects false false false B THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2018 626139016 000000000 2018-04-20 53385000 Refunding of the 2016F Issue false false false C THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE Series 2017A 626139016 592041YC5 2017-07-26 126334390 (See Statement) false false false D THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2016A 626139016 592041WH6 2016-04-29 536573506 (SEE STATEMENT) false false false A 74101302 578814 73522488 2021 false false true true B 53385000 285000 53100000 2018 true false true true C 127128208 1334390 125793818 2019 false false true true D 536573506 10700399 525873107 2016 false false true true A false true true true true true 0.0 0.0 0.0 false false true B false true true true true true 0.001 0.0 0.001 false false true C false true true true true true 0.0 0.0 0.0 false false true D false true true true true true 0.006 0.002 0.008 false false true A false true false false true false false false true B false false true false true false false false true C false true false false false false false false true D false false true false false false false false true A true B true C true D true Schedule K, Part I, Column (f) Description of Purpose Row (C) - The issue is financing various new capital projects for the medical center. Row (D) - The issue is financing a portion of the costs of acquiring the University's Clinical Services Operations, post-graduate training programs, and clinical research activities, along with related assets and liabilities. Schedule K, Part II, Line 11 Other Spent Proceeds Column (b) - The other spent proceeds are the refunding proceeds no longer in escrow. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE Column (c) - The difference in the issue price and total proceeds of $793,818 is due to investment earnings on the project fund. As of 6/30/2021 all proceeds were spent on capital projects for the issue and are included in the total amount spent on capital expenditures on line 10, as well as the total proceeds of line 3. Schedule K, Part IV, Line 3 Variable Rate Issue Column (a) - The Series 2021A Bonds are currently in Long-Rate Mode, but may be reoffered at a fixed or variable rate on the Conversion Date. Kaylee Lynch FAMILY MEMBER OF CURRENT DIRECTOR, SAMUEL E. LYNCH, DMD, DMSC 16312 EMPLOYMENT AT VANDERBILT UNIVERSITY MEDICAL CENTER false Meaghan C Lynch Family member of current director, Samuel E. Lynch, DMD, DMSC 97368 Employment at Vanderbilt University Medical Center false Kathryn Elese Rush FAMILY MEMBER OF CURRENT key employee, MARGARET G. RUSH, MD, MMHC 113704 EMPLOYMENT AT VANDERBILT UNIVERSITY MEDICAL CENTER false X 23 20730 Market value X 4195 Market value X 49580 Market value X 63 13330215 Market value X 29 35730 Market value X Gift Certificates 41 5335 Market value 0 false true false Schedule M, Part I Column (b) - Number of Contributions or Items Contributed Column (b) reports the number of contributions made. Schedule M, Part I, Line 5 Clothing and household goods Donation of various household items for silent auction benefiting the Monroe Carell Jr. Children's Hospital at Vanderbilt. Schedule M, Part I, Line 20 Drugs and medical supplies DONATION OF VARIOUS HEARING AID SUPPLIES BENEFITING BILL WILKERSON CENTER PATIENTS AT VANDERBILT. Form 990, Part III, Line 1 Vanderbilt University Medical Center ("VUMC") is one of the nation's longest serving and most prestigious academic medical centers. Through its historic bond with Vanderbilt University, VUMC cultivates distinguished research and educational programs to advance a clinical enterprise that provides compassionate and personalized care and support for millions of patients and family members each year. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries, transformational educational and clinical advancements across the entire spectrum of health and disease. The Medical Center's vision is to be the world leader in advancing personalized health while its mission is personalizing the patient experience through its caring spirit and remarkable capabilities. Form 990, Part III, Line 4a 4a. Patient Services - VUMC provides high quality medical and health care services regardless of race, creed, gender, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of VUMC, it is recognized that not all individuals possess the ability to purchase essential medical services, and further that part of VUMC's mission is to serve the community. Therefore, in keeping with VUMC's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by governmental programs at below cost, and health activities and programs to support the community are provided where the need and/or an individual's inability to pay coexists. These activities include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities. Charity care is also provided through many reduced-price services and free programs offered throughout the year based upon activities and services which VUMC believes will serve a bona fide community health need. DURING THE FISCAL YEAR, VUMC SERVICED 74,763 INPATIENTS AND 2,811,500 EMERGENCY AND OUTPATIENT CLINIC VISITS. The Medical Center is the largest non-governmental employer of Middle Tennesseans, with nearly 40,000 staff, including more than 3,000 physicians, advanced practice nurses and scientists appointed to the Vanderbilt University faculty. VUMC's leadership in the delivery of academically based health care is recognized by the nation's most trusted advisory bodies and reporting organizations, including the National Academies, the Magnet Recognition Program, U.S. News & World Report, Becker's Hospital Review and others: * U.S. News & World Report: for 2022 Vanderbilt University Medical Center was named to the 'Honor Roll' of the nation's top 20 hospitals, No. 1 hospital in Tennessee for the 11th consecutive year; No.1 in Metro Nashville; 9 adult clinical specialties ranked among the nation's best; Monroe Carell Jr. Children's Hospital at Vanderbilt was named as one of the elite children's hospital in the nation by U.S. News, and No. 1 in the Southeast and No. 1 in Tennessee with 10 out of 10 specialties nationally ranked in 2022. * Becker's Hospital Review: one of the "100 Great Hospitals in America," the only health care facility in Tennessee to make the list in 2021 * National Institutes of Health: Vanderbilt University School of Medicine currently ranked 12th among the top grant awardees for medical research in the U.S. as of December 2021 * Magnet Designation from American Nurses Credentialing Center: Vanderbilt University Medical Center is the only organization in Middle Tennessee that has been Magnet-designated three consecutive times * For the 11th time, VUMC was named a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign Healthcare Equality Index (HEI) in 2020. VUMC is the only healthcare organization in Tennessee to be similarly recognized for its commitment to adopting LGBTQ-inclusive patient, visitation and employment policies. Along with the various national rankings, there are several VUMC programs unique to Tennessee or the region, which include: * Only Level 1 (highest level) Trauma Center in Middle Tennessee * Only Level 4 (highest level) Neonatal Intensive Care Unit, as well as a dedicated pediatric emergency department and Level 1 pediatric trauma program * Vanderbilt-Ingram Cancer Center, the only National Cancer Institute-designated Comprehensive Cancer Center in Tennessee that conducts research and cares for both children and adults; also, a member of the elite National Comprehensive Cancer Network, a group of the nation's top 21 clinical cancer institutes * Only Joint Commission-accredited program for traumatic brain injury rehabilitation (one of seven nationally) * Dedicated regional burn center * LifeFlight, an integrated air and ground emergency patient transport system * Tennessee Poison Center * Tennessee's only comprehensive solid organ transplant center, serving both adult and pediatric patients For more information regarding health care at Vanderbilt University Medical Center, visit https://www.vanderbilthealth.com/patientandvisitorinfo/48538 Form 990, Part III, Line 4b 4b. Academic and Scientific Research - VUMC is an internationally recognized research institution. A majority of VUMC's research funding, including substantial support from the National Institutes of Health, is received from the federal government. Funding is also received from foundations, associations, corporations, and other sources. VUMC's researchers are at the forefront of discovery and are posing innovative solutions to some of the most challenging questions about diseases affecting humankind. VUMC's programs in Graduate Medical Education are consistently among the most selective, and are nationally recognized for their diversity & inclusion, innovation and capacity to transform the educational experience, while the breadth of the scientific discoveries we make are propelled by a research enterprise that is consistently ranked among the nation's top recipients in total federal funding. For more information regarding research at Vanderbilt University Medical Center visit: https://www.vumc.org/oor/ (Please use lowercase to access the website) Form 990, Part III, Line 4d Description of other program services (Expenses $ 228,331,229 including grants of $)(Revenue $ 276,742,669) 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766 Form 990, Part VI, Line 2 Family/Business Relationships Amongst Interested Parties As a result of VUMC's continuing relationship with Vanderbilt University, Alexander C. Taylor, Robert C. Schiff, Jr., Gregory Scott Allen, and Daniel Diermeier serve on the Vanderbilt University Board of Trust and were appointed by Vanderbilt University to serve on the VUMC Board of Directors. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE OF THE BOARD OF THE DIRECTORS CONSISTS OF AT LEAST THREE DIRECTORS, INCLUDING THE BOARD CHAIRPERSON, THE CEO OF VUMC, AND THE CHANCELLOR OF VANDERBILT UNIVERSITY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO EXERCISE ALL OF THE POWERS OF THE BOARD WHEN THE BOARD IS NOT IN SESSION, SUBJECT TO CERTAIN RESTRICTIONS INVOLVING MAJOR CORPORATE DECISIONS. Form 990, Part VI, Line 4 Significant changes to organizational documents VUMC adopted amended bylaws on November 10, 2021 to incorporate the following changes: Section 3.4(c) was amended to clarify the ability of a Board member who has served three successive terms to request an additional term of Board service. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by VUMC and provided to Ernst & Young, VUMC's independent accounting firm for review. After review by Ernst & Young, VUMC provides a draft copy of the Form 990 and all required schedules for review to all General Officers, which includes the Chief Executive Officer, Chief Financial Officer and Secretary. Once this review process is complete, the Audit and Compliance Committee is provided electronic access to the draft Form 990 and all required schedules for review. The final Form 990 and all required schedules are made available to the full Board of Directors for review prior to the filing of the return. Form 990, Part VI, Line 12c Conflict of interest policy VUMC has a conflict of interest ("COI") policy, which requires that all staff members and VUMC employed faculty complete a Conflict of Interest form annually, disclosing any potential conflicts of interest. If a conflict is disclosed by a staff member, the conflict is reviewed by the individual's supervisor and the COI director, in the Office of Legal Affairs, which reports to the VUMC General Counsel / Corporate Secretary. For VUMC employed faculty, disclosed conflicts are reviewed by the faculty member's department chair and the Associate Dean for Faculty Affairs. VUMC has a Conflict of Interest Committee which consists of representatives from relevant areas across VUMC and are appointed by the CEO upon the recommendation of the Chief of Clinical Staff. The Chief of Clinical Staff serves as chair of the committee. The Conflict of Interest Committee is responsible for reviewing conflict of interest cases of VUMC employees (including those holding VU faculty appointments) where a decision is not made after the initial review of the disclosure; and where VUMC as a party, or in which VUMC as an institution, is subject to a conflict of interest. Any reported conflict is managed or eliminated as appropriate. The Conflict of Interest Committee reports semiannually to the VUMC Board Audit & Compliance Committee. Members of the Board of Directors also must complete annual Conflict of Interest Disclosures. Those with disclosed potential conflicts of interest are presented to the Audit and Compliance Committee of the Board of Directors, along with their respective management action plans, where applicable. Management plans may include restrictions on members, such as recusing themselves during deliberations and decisions in which a potential conflict may exist, with the minutes of the meeting reflecting their recusal. Form 990, Part VI, Line 15a Process to establish compensation of top management official FORM 990, PART VI, LINES 15A & 15B - To ensure that VUMC is paying reasonable total compensation, is not violating the private inurement prohibition, which requires that none of the organization's income or assets unreasonably benefit any of its directors, officers, or key employees, and is in compliance with the intermediate sanctions provisions with respect to the general officers, VUMC's Board of Directors has designated the Management Development and Compensation Committee made up of outside, independent, board members to review and recommend to the Executive Committee of the Board of Directors the total compensation annually for the general officers. The committee utilizes an outside consulting firm to provide expert information regarding industry-wide compensation norms and compliance with all Internal Revenue Service rules concerning executive compensation, including the Internal Revenue Code provision related to intermediate sanctions, deferred compensation, and private inurement. The Management Development and Compensation Committee reviews the executive compensation philosophy and affirms that it is in line with the Board's expectation. Each year the total compensation review and recommendations are recorded in the minutes of the Management Development and Compensation Committee meetings. The full Board is informed annually of the total compensation of the general officers during private session. Form 990, Part VI, Line 19 Required documents available to the public VUMC's governing documents are made available for public inspection upon request. VUMC's financial statements are posted to the EMMA (Electronic Municipal Market Access) website. The conflict of interest policy is available on the following website: https://www.vumc.org/faculty/policies-procedures (Please use lowercase to access the website). Form 990, Part IX, Line 24e UBI Taxes Of the total $15,903,209 reported on Part IX, Line 24e as Other Expenses, UBI taxes comprise $54,738 of the amount reported in Column B. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Temporarily and Permanently Restricted Contributions - 46823693; Net Assets Released From Restrictions - -15646920; Endowment Appreciation - 11168900; Change in Non-Controlling Interest Net Assets - 1704056; Other Changes in Net Assets - 12230426; Vanderbilt Health Services LLC 2100 West End Ave Suite 750 Nashville TN 37203 621176354 Holding Company TN 1770014 3124504 VUMC Friends in Global Health LLC 2525 West End Ave Suite 750 Nashville TN 37203 260170070 Public Health TN 39434665 503198 VHS Vanderbilt-Wilson Radiation Oncology LLC 2100 West End Ave Suite 750 Nashville TN 37203 261241612 Holding Company TN 3156499 1359045 VHS Vanderbilt Health Affiliated Network LLC 3401 West End Ave Suite 290 Nashville TN 37203 461571024 Clinical Network TN 25905434 19339890 VHS Project Holding Company LLC 4350 Lassiter at North Hills Ave Suite 300 Raleigh NC 276095793 813915926 Holding Company TN 0 9645014 VUMC Health Professional Solutions LLC 3319 West End Ave Suite 700 Nashville TN 37203 300964540 Holding Company TN 0 2098344 VUMC Vanderbilt Health Rx Solutions LLC 3319 West End Ave Suite 700 Nashville TN 37203 821456647 Pharmacy Administration TN 3409695 5334532 HPS Vanderbilt Health Pharmacy Group LLC 3319 West End Ave Suite 700 Nashville TN 37203 821462688 Pharmacy Services TN 5956346 623051 VHRxS Retail Health Clinics LLC 2525 West End Ave Suite 700 Nashville TN 37203 821942209 Walk-in Clinics TN 12356080 379889 VHS Nashville BioSciences LLC 2525 West End Ave Suite 930 Nashville TN 37203 824174759 Research & Development in Biotechnology TN 10006659 4984747 VUMC Vanderbilt Health Supply Chain Solutions LLC MCN 1161 21st Ave D-3300 Nashville TN 37203 824143617 Consulting TN 1013171 729489 HPS Vanderbilt Health Purchasing Collaborative LLC MCN 1161 21st Ave D-3300 Nashville TN 37203 824148840 Group Purchasing Organization TN 7392791 11490722 VHSCS ACO of Central Alabama 1 LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821681443 Accountable Care Organization DE 542762 130307 VWRO ACO of Louisiana LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821686154 Accountable Care Organization DE 0 2482 VWRO ACO of North Delaware LLC 3401 West End Ave Suite 290 Nashville TN 372036866 812692564 Accountable Care Organization DE 562148 277883 VWRO Mid South ACO LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821685569 Accountable Care Organization DE 1568822 465 VWRO Vanderbilt Home Care Services LLC 2120 Belcourt Avenue Nashville TN 37212 621404948 Home Health TN 16521853 -6613274 VHS Carefluent Connect LLC 3319 West End Ave Suite 700 Nashville TN 37203 843131467 Comprehensive Care Services TN 294388 -4123222 VHSCS Bundle Payment Services LLC 3319 West End Ave Suite 700 NASHVILLE TN 37203 843700835 ADMINISTRATIVE SERVICES TN 0 0 VUMC Vanderbilt Integrated Providers LLC 3319 West End Ave Suite 700 Nashville TN 37203 621650124 Physician Offices TN 36663891 -3623393 VHS Vanderbilt Bedford Hospital LLC 2835 US-231 Shelbyville TN 37160 853419620 General Medical and Surgical Hospitals TN 43524370 19961567 VUMC Vanderbilt Coffee Hospital LLC 1801 N Jackson Street Tullahoma TN 37388 853420386 General Medical and Surgical Hospitals TN 64515612 23295793 VUMC Vanderbilt Montgomery Holdings LLC 1161 21ST AVENUE SOUTH D-3300 MEDICAL CENTER NORTH Nashville TN 37232 853448238 Holding Company TN 4611996 41589633 VUMC Ambulatory Surgery Center of Cool Springs LLC 40 Burton Hills Blvd Ste 500 Nashville TN 37215 621809227 Ambulatory Surgery TN VHS Related 3042632 3795640 false false 0.5204 New Light Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 141895171 Management Services TN VHS Related 1490295 631039 false false 0.6667 One Hundred Oaks Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 263762022 Diagnostic Imaging TN VHSVIS Related 4157248 4554459 false false 0.776 Springfield VIP Realty LLC 3319 West End Ave Ste 700 Nashville TN 37203 261237360 Real Estate TN VUMC Excluded 22667 391735 false true 0.49 Vanderbilt-Ingram Cancer Center at Tennova Healthcare - 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