UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HEALTH SYSTEM INC (EIN 31-1626179)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202333199349301878
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T07:23:20-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311626179	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BENJAMIN M CUNNINGHAM JR	PersonNm
Person Title	SVP/CFO	PersonTitleTxt
Phone	8653056600	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BENJAMIN	PersonFirstNm
Person Last	CUNNINGHAM JR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2023-11-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UNIV OF TN MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH R LANDSMAN JR	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,294,137,749	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UTMEDICALCENTER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	6556	TotalEmployeeCnt
Total Volunteers	176	TotalVolunteersCnt
Total Gross UBI	$1,343,035	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,040,532	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$30,664,464	PYContributionsGrantsAmt
CY Contributions Grants	$13,933,879	CYContributionsGrantsAmt
PY Program Service Revenue	$1,163,271,233	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,271,571,582	CYProgramServiceRevenueAmt
PY Investment Income	$30,848,807	PYInvestmentIncomeAmt
CY Investment Income	$1,451,467	CYInvestmentIncomeAmt
PY Other Revenue	$8,159,562	PYOtherRevenueAmt
CY Other Revenue	$7,108,222	CYOtherRevenueAmt
PY Total Revenue	$1,232,944,066	PYTotalRevenueAmt
CY Total Revenue	$1,294,065,150	CYTotalRevenueAmt
PY Grants And Similar Paid	$732,672	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$634,483	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$490,569,098	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$516,899,691	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$90,205	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$90,205	CYTotalFundraisingExpenseAmt
PY Other Expenses	$700,904,499	PYOtherExpensesAmt
CY Other Expenses	$788,699,097	CYOtherExpensesAmt
PY Total Expenses	$1,192,206,269	PYTotalExpensesAmt
CY Total Expenses	$1,306,323,476	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,737,797	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$12,258,326	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,182,452,993	TotalAssetsBOYAmt
Total Assets EOY	$1,153,994,077	TotalAssetsEOYAmt
Total Liabilities BOY	$805,954,659	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$822,317,347	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$376,498,334	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$331,676,730	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,176,429,613	ExpenseAmt
Grant	$634,483	GrantAmt
Revenue	$1,278,501,733	RevenueAmt
Desc	PATIENT CARE SERVICESPLEASE SEE SCHEDULE O FOR DETAIL REGARDING PATIENT CARE SERVICES IN THE STATEMENT OF COMMUNITY BENEFIT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$27,198,419	ExpenseAmt
Desc	AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHOM WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GRADUATE SCHOOL OF MEDICINE AND OTHER ACADEMIC INSTITUTIONS, AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$49,011,370	ExpenseAmt
Desc	UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNT	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,252,639,402	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	413	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6556	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BENJAMIN M CUNNINGHAM JR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8653056600	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RENDA BURKHART
CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
SHARON M PRYSE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DR STEVE J SCHWAB
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
H W SHERROD JR
VICE CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
WES STOWERS
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
MICHAEL T STRICKLAND
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
CRISTEN G HASLAM
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
RANDY BOYD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
SARA ROSE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
RENEE KELLY
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DR DONDE A PLOWMAN
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DR JOSEPH T CHUN
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
WILLIAM S RUKEYSER
FORMER CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID L MILLER
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DR PETER F BUCKLEY
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DR AMY BARGER STEVENS
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DR PATRICK MCCONVILLE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
BRUCE R HARTMANN
SR VP & CCRO	65.00		Yes (X)	$454,855	$0	$51,773
KATHERINE BOYD
SR VP & CHIEF DEVELOPMENT OFFICER	65.00		Yes (X)	$473,255	$0	$48,545
BENNETT COX
SR VP & GENERAL COUNSEL	65.00		Yes (X)	$657,889	$0	$102,266
STEVEN R ROSS
SR VP STRATEGIC DEVELOPMENT	65.00		Yes (X)	$723,076	$0	$120,475
WILLIAM D HALL
EXECUTIVE VICE PRESIDENT	65.00		Yes (X)	$997,356	$0	$163,177
BENJAMIN M CUNNINGHAM JR
SR VP & CFO	65.00		Yes (X)	$702,483	$0	$82,266
MICHAEL SAAD
SR VP & CIO	65.00		Yes (X)	$495,652	$0	$61,400
DR KEITH D GRAY
SR VP & CHIEF MEDICAL OFFICER	65.00		Yes (X)	$761,070	$0	$71,372
DR JAMES E SHAMIYEH
SR VP & CHIEF QUALITY OFFICER	65.00		Yes (X)	$732,750	$0	$77,259
LEAKE CASSANDRA
SR VP & CNO	65.00		Yes (X)	$497,550	$0	$50,615
DR JERRY CROOK JR
SR VP PHYSICIAN ENTERPRISE	65.00		Yes (X)	$738,412	$0	$80,557
STEPHEN CLAPP
SR VP STRATEGIC DEVELOPMENT	65.00		Yes (X)	$290,611	$0	$37,054
JULIA COCO
SR VP CLINICAL INTEGRATION	65.00		Yes (X)	$355,686	$0	$46,369
DR LISA D DUNCAN
SR VP COE	65.00		Yes (X)	$45,948	$0	$2,355
JOSEPH R LANDSMAN JR
PRESIDENT & CEO	65.00		Yes (X)	$1,864,813	$0	$317,947
DAVID N ALJADIR
PHYSICIAN	65.00			$1,039,030	$0	$106,630	Yes (X)
OSCAR GRANDAS
PHYSICIAN	65.00			$1,297,553	$0	$115,725	Yes (X)
MICHAEL B FREEMAN
PHYSICIAN	65.00			$1,232,747	$0	$220,298	Yes (X)
SUSAN M NEWMAN
PHYSICIAN	65.00			$1,095,001	$0	$22,812	Yes (X)
NATHAN SCHROCK
PHYSICIAN	65.00			$1,075,826	$0	$107,085	Yes (X)
DR ROBERT F ELDER
BOARD MEMBER	65.00			$150,700	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,682,263	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,885,980	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	642	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY PHYSICIANS ASSOCIATION
9000 EXECUTIVE PARK DR	KNOXVILLE	TN	37923	PHYSICIANS/CBO MGMT	$41,176,241
GRADUATE SCHOOL OF MEDICINE
1924 ALCOA HIGHWAY	KNOXVILLE	TN	37920	MEDICAL EDUCATION	$38,598,860
LABORATORY CORPORATION OF AMERICA
1924 ALCOA HIGHWAY	KNOXVILLE	TN	37920	LABORATORY SERVICES	$26,278,389
QUALIVIS LLC
DEPT 3847	DALLAS	TX	75312	TEMP AGENCY MEDICAL	$22,181,147
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	BIOMED MGMT	$17,200,691

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	399	CntrctRcvdGreaterThan100KCnt
Fundraising	$267,701	FundraisingAmt
Related Organizations	$602,250	RelatedOrganizationsAmt
Government Grants	$6,263,473	GovernmentGrantsAmt
All Other Contributions	$6,800,455	AllOtherContributionsAmt
Noncash Contributions	$30,091	NoncashContributionsAmt
Total Contributions	$13,933,879	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621500	$1,109,444,041	$1,109,444,041
PROGRAM SERVICE REVENUE	621400	$161,848,393	$161,762,975	$85,418
EHR MEANINGFUL USE	621400	$279,148	$279,148

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,271,571,582	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$642,555	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,092,365	UnrelatedBusinessRevenueAmt
Exclusion	-$1,734,920	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,004,254	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$6,004,254	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,004,254	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,004,254	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,015,009	SecuritiesAmt
Other	$79,013	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,015,009	SecuritiesAmt
Other	$79,013	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,094,022	TotalRevenueColumnAmt
Exclusion	$2,094,022	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$267,701	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$72,599	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$72,599	TotalRevenueColumnAmt
Exclusion	-$72,599	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PARKING REVENUE	812930	$1,011,315	$1,011,315
TELEPHONE SERVICES	812900	$165,252		$165,252

Field	Value	IRS element (for citing)
Other Revenue Total	$1,176,567	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,294,065,150	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,277,490,418	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,343,035	UnrelatedBusinessRevenueAmt
Exclusion	$1,297,818	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$630,483	TotalAmt
Program Services	$630,483	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$4,000	TotalAmt
Program Services	$4,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,104,835	TotalAmt
Management And General	$11,104,835	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$257,952	TotalAmt
Program Services	$245,054	ProgramServicesAmt
Management And General	$12,898	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$417,143,543	TotalAmt
Program Services	$396,286,366	ProgramServicesAmt
Management And General	$20,857,177	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,709,771	TotalAmt
Program Services	$22,524,282	ProgramServicesAmt
Management And General	$1,185,489	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,624,194	TotalAmt
Program Services	$35,742,984	ProgramServicesAmt
Management And General	$1,881,210	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,059,396	TotalAmt
Program Services	$25,706,426	ProgramServicesAmt
Management And General	$1,352,970	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$11,085,905	TotalAmt
Program Services	$10,531,610	ProgramServicesAmt
Management And General	$554,295	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$34,602,351	TotalAmt
Program Services	$32,872,233	ProgramServicesAmt
Management And General	$1,730,118	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$734,249	TotalAmt
Program Services	$697,537	ProgramServicesAmt
Management And General	$36,712	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$90,205	TotalAmt
Fundraising	$90,205	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$313,796	TotalAmt
Program Services	$298,106	ProgramServicesAmt
Management And General	$15,690	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$210,676,045	TotalAmt
Program Services	$200,142,243	ProgramServicesAmt
Management And General	$10,533,802	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,334,794	TotalAmt
Program Services	$2,218,054	ProgramServicesAmt
Management And General	$116,740	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,641,544	TotalAmt
Program Services	$11,059,467	ProgramServicesAmt
Management And General	$582,077	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$214,344	TotalAmt
Program Services	$203,627	ProgramServicesAmt
Management And General	$10,717	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$31,904,476	TotalAmt
Program Services	$30,309,252	ProgramServicesAmt
Management And General	$1,595,224	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,167,778	TotalAmt
Program Services	$1,109,389	ProgramServicesAmt
Management And General	$58,389	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,914,780	TotalAmt
Program Services	$2,769,041	ProgramServicesAmt
Management And General	$145,739	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,158,569	TotalAmt
Program Services	$14,158,569	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$34,363,070	TotalAmt
Program Services	$34,363,070	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,623,609	TotalAmt
Program Services	$5,623,609	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$219,082,463	$219,082,463
MEDICAL SUPPLIES	$175,558,284	$175,558,284
BAD DEBT EXPENSE	$28,666,622	$27,052,691	$1,613,931
DIETARY	$2,032,076	$1,917,670	$114,406

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,624,342	TotalAmt
Program Services	$1,532,892	ProgramServicesAmt
Management And General	$91,450	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,306,323,476	TotalAmt
Program Services	$1,252,639,402	ProgramServicesAmt
Management And General	$53,593,869	ManagementAndGeneralAmt
Fundraising	$90,205	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$152,266,163	BOYAmt
EOY	$84,659,087	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$155,363,084	BOYAmt
EOY	$190,524,311	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$33,301,978	BOYAmt
EOY	$29,575,558	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,458,162	BOYAmt
EOY	$9,310,838	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$851,081,137	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$438,177,034	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$387,349,463	BOYAmt
EOY	$412,904,103	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$312,605,789	BOYAmt
EOY	$277,003,177	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,702,602	BOYAmt
EOY	$8,370,756	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$126,405,752	BOYAmt
EOY	$141,646,247	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,182,452,993	BOYAmt
EOY	$1,153,994,077	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$330,204,702	BOYAmt
EOY	$333,319,629	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$71,554,575	BOYAmt
EOY	$3,232,075	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$387,608,670	BOYAmt
EOY	$430,496,671	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$352,389	BOYAmt
EOY	$1,165,170	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,234,323	BOYAmt
EOY	$54,103,802	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$805,954,659	BOYAmt
EOY	$822,317,347	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$349,469,882	BOYAmt
EOY	$294,898,394	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,028,452	BOYAmt
EOY	$36,778,336	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$376,498,334	BOYAmt
EOY	$331,676,730	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,182,452,993	BOYAmt
EOY	$1,153,994,077	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$12,258,326	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$42,313,162	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$9,749,884	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$50	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$187,179	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$187,229	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,233,936	BeginningYearBalanceAmt
Contributions	$888,318	ContributionsAmt
Investment Earnings Or Losses	-$593,092	InvestmentEarningsOrLossesAmt
Other Expenditures	$25,000	OtherExpendituresAmt
End Year Balance	$13,504,162	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$165,053,147	OtherCostOrOtherBasisAmt
Depreciation	$26,624,921	DepreciationAmt
Book Value	$138,428,226	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$323,681,618	OtherCostOrOtherBasisAmt
Depreciation	$181,280,300	DepreciationAmt
Book Value	$142,401,318	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$267,619,845	OtherCostOrOtherBasisAmt
Depreciation	$198,515,642	DepreciationAmt
Book Value	$69,104,203	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,961,834	OtherCostOrOtherBasisAmt
Depreciation	$31,756,171	DepreciationAmt
Book Value	$56,205,663	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$412,904,103	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ASSETS LIMITED AS TO USE	$62,578,049
DEFERRED FINANCING COSTS	$2,759,431
LEASES RIGHT-OF-USE	$76,308,767

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$141,646,247	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OTHER LIABILITIES	$19,103,802
LINE OF CREDIT	$35,000,000

Field	Value	IRS element (for citing)
Total Liability	$54,103,802	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - SERVING THROUGH HEALING, EDUCATION, AND DISCOVERY. THERE ARE THIRTY FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE REALIZED AND UNREALIZED INTEREST INCOME IS POSTED TO TEMPORARILY RESTRICTED INVESTMENT FUNDS ASSOCIATED WITH THE ENDOWMENTS AND IS FOR SPECIFIC PURPOSES BASED UPON THE INTENT OF THE DONOR. THE TRI FUNDS ARE MAINTAINED ON THE BALANCE SHEET WITHIN NET ASSETS WITH DONOR RESTRICTIONS.

PART X, LINE 2:

UHS HAS BEEN RECOGNIZED AS A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501 (A) OF THE INTERNAL REVENUE CODE AS AN ENTITY DESCRIBED UNDER SECTION 501(C)(3). RTS, UHN, UTUCC, USPH, AND UEOB ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES DISREGARDED AS ENTITIES SEPARATE FROM UHS FOR FEDERAL TAX PURPOSES. USHV IS A TENNESSEE NONPROFIT CORPORATION THAT IS NOT EXEMPT FROM FEDERAL INCOME TAXES. INCOME TAX EXPENSE FOR UHSV FOR THE YEAR ENDED DECEMBER 31, 2022 WAS NOT SIGNIFICANT AND WAS OFFSET BY OPERATING LOSSES IN PRIOR YEARS FOR TAX PURPOSES.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRENZEBACH GLIER AND ASSOCIATES INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 S MICHIGAN AVENUE STE 2100	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60604	ZIPCd

Field	Value	IRS element (for citing)
Activity	CONSULTING, ADVERTISING, MATERIAL PREPARATION	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$90,205	RetainedByContractorAmt
Net To Organization	-$90,205	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$90,205	TotalRetainedByContractorsAmt
Total Net To Organization	-$90,205	TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	2022 TEE UP FOR TRAUMA	Event1Nm
Gross Receipts Event1	$180,000	GrossReceiptsEvent1Amt
Charitable Contri Event1	$180,000	CharitableContriEvent1Amt
Non Cash Prizes Event1	$13,620	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$10,520	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$5,342	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$2,597	OtherDirectExpensesEvent1Amt
Event2	2022 COMEDY FOR A CAUSE	Event2Nm
Gross Receipts Event2	$87,701	GrossReceiptsEvent2Amt
Charitable Contri Event2	$87,701	CharitableContriEvent2Amt
Rent Facility Costs Event2	$7,890	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$19,250	FoodAndBeverageEvent2Amt
Entertainment Event2	$5,400	EntertainmentEvent2Amt
Other Direct Expenses Event2	$7,980	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$267,701	GrossReceiptsTotalAmt
Charitable Contributions Tot	$267,701	CharitableContributionsTotAmt
Non Cash Prizes Total Events	$13,620	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$18,410	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$24,592	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,400	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$10,577	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$72,599	DirectExpenseSummaryEventsAmt
Net Income Summary	-$72,599	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART I, LINE 2B, COLUMN (V)	FormAndLineReferenceDesc
Explanation	PROVIDE CONSULTING SERVICES INCLUDING ADVISING, MATERIAL PREP AND THE LIKE BUT THAT COMPANY DID NOT DIRECTLY SOLICIT GIFTS ON OUR BEHALF.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,011,370	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,011,370	NetCommunityBenefitExpnsAmt
Total Expense	0.03840	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,471,115	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,915,284	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,555,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,482,485	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,915,284	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,567,201	NetCommunityBenefitExpnsAmt
Total Expense	0.04200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$357,264	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$357,264	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,198,419	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,198,419	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$288,333	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$288,333	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,844,016	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,844,016	NetCommunityBenefitExpnsAmt
Total Expense	0.02180	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,326,501	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,915,284	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$81,411,217	NetCommunityBenefitExpnsAmt
Total Expense	0.06380	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,011	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,011	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,925	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,925	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$451,182	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$451,182	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$533,618	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$533,618	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,374,184	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,657,783	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$405,105,742	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$428,403,792	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,298,050	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	9000 EXECUTIVE PARK DRIVE BLDG	AddressLine1Txt
Address Line2	D-240	AddressLine2Txt
City	KNOXVILLE	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37923	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.UTMEDICALCENTER.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE DISCLOSURE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE DISCLOSURE	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE DISCLOSURE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE DISCLOSURE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE DISCLOSURE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
UNIVERSITY HEALTH SYSTEM, INC.	PART V, SECTION B, LINE 5: IN 4 Q 2021- 1 Q 2022, A NEW COMMUNITY NEEDS ASSESSMENT AND SURVEY WAS CONDUCTED BY UTMC TO COMPARE STATISTICS, HEALTH INITIATIVE OUTCOMES, AND ALIGN STRATEGY WITH THE STATE AND LOCAL INITIATIVES TO ADDRESS PUBLIC HEALTH CONCERNS. OUR PARTNERSHIPS INCLUDE THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS FOR A HEALTHIER TENNESSEE AND KNOX COUNTY HEALTH COUNCIL.UTMC ALSO COLLABORATED WITH A PARTNERSHIP FOCUSED ON PROVIDING A COMMUNITY WIDE HEALTH NEEDS ASSESSMENT AND ACTION PLAN TO ADDRESS THE HEALTH NEEDS OF KNOX COUNTY RESIDENTS. KNOX COUNTY COMMUNITY HEALTH COUNCIL PROVIDES A FRAMEWORK FOR BRINGING TOGETHER THE INDIVIDUALS, GROUPS AND ORGANIZATIONS THAT MAKE UP OUR LOCAL PUBLIC HEALTH SYSTEM, AND GUIDES OUR COMMUNITY TO IDENTIFY AND TAKE ACTION ON PRIORITY HEALTH ISSUES. THE CHC ASSESSES AND EVALUATES HEALTH, THE PERCEPTION OF HEALTH, THE PERFORMANCE OF THE LOCAL PUBLIC HEALTH SYSTEM, AND FUTURE CONDITIONS RELATING TO HEALTH IN KNOX COUNTY, THE CITY OF KNOXVILLE AND THE TOWN OF FARRAGUT. THE PURPOSE OF THE ASSESSMENT IS TO PROVIDE A SNAPSHOT OF THE HEALTH STATUS OF KNOX COUNTY RESIDENTS; TO PROVIDE USEFUL INFORMATION FOR LOCAL PROGRAMMATIC AND FISCAL DECISION MAKING; AND TO INFORM THE DEVELOPMENT OF A STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN. IN 2021-2022, UTMC PARTNERED WITH THE KNOX COUNTY HEALTH DEPARTMENT AND OTHER LOCAL COMMUNITY HEALTH AND EDUCATION ORGANIZATIONS TO CONDUCT A COUNTY-WIDE ASSESSMENT OF OUR POPULATION. THE RESULTS FROM THIS ASSESSMENT WAS SHARED WITH COMMUNITY AND HEALTH SYSTEM LEADERS IN MARCH 2022 TO ALIGN INITIATIVES AND STRATEGIES TO ADDRESS THE MOST PRESSING HEALTH ISSUES FACING KNOX COUNTY AND THE 21 COUNTY REGION THAT WE SERVE.IN 2020, UTMC PARTNERED WITH OTHER ORGANIZATIONS MENTIONED ABOVE IN ADDITION TO THE KNOXVILLE BOARD OF HEALTH TO ALIGN STRATEGIES TO MITIGATE THE COVID-19 VIRUS AND PLAN FOR SURGE OF OF POSSIBLE CRITICALLY ILL PATIENTS THAT WOULD CRIPPLE OUR HEALTHCARE SYSTEM STRUCTURE FOR OUR REGION AND COMMUNITY WE SERVE. IMMUNIZATION EFFORTS BEGAN COMMUNITY WIDE IN DECEMBER 2020 WITH BOOSTERS AVAILABLE IN 2021. UTMC SERVED AS AN APPROVED COVID VACCINATION PROVIDER AND ADMINISTERED OVER 50,000 COVID VACCINATIONS TO FIRST RESPONDERS, TEACHERS, TEAM MEMBERS, AND UNDERSERVED POPULATIONS WITHIN KNOX COUNTY.
UNIVERSITY HEALTH SYSTEM, INC.	PART V, SECTION B, LINE 6B: COLLABORATION AND DATA SHARING WAS CONDUCTED WITH KNOX COUNTY HEALTH DEPARTMENT AND THE TENNESSEE DEPARTMENT OF HEALTH.
UNIVERSITY HEALTH SYSTEM, INC.	PART V, SECTION B, LINE 11: UTMC IS CONTINULLAY ANALYZING DATA AND FOCUSING ON POPULATIONS WITHIN OUR SERVICE REGION FOR INEQUALITIES RELATED TO HEALTHCARE ACCESS AND SERVICES. IN RESPONSE TO THE MOST SIGNIFICANT NEEDS IDENTIFIED, UTMC HAS INCREASED THE NUMBER OF REGIONAL HEALTH CENTERS AND HAVE PLANS TO OPEN ADDITIONAL SERVICES IN AREAS THAT HAVE LOST HEALTHCARE CARE SERVICES AND LICENSED PRACTIONERS AND PHYSICIAN PROVIDERS ACCESS DUE TO A MYRIAD OF FACTORS.
UNIVERSITY HEALTH SYSTEM, INC.	PART V, SECTION B, LINE 16J: PATIENT STATEMENTS ALSO INCLUDE VERBIAGE REGARDING FAP.SOME STATEMENTS HAVE FAP APPLICATIONS MAILED WITH SELF ADDRESSED STAMP ENVELOPES.
UNIVERSITY HEALTH SYSTEM, INC.	PART V, SECTION B, LINE 18E: LEGAL ACTION MAY BE FILED BY OUTSIDE THIRD PARTY LEGAL COUNSEL WHEN THE PATIENT HAS NOT COOPERATED AND HAS THE FINANCIAL MEANS TO PAY. THE HOSPITAL MAY PURSUE THE FILING OF LIENS BUT WILL NOT FORCE THE SALE OF PROPERTY.
SCHEDULE H, PART V, FINANCIAL ASSISTANCE POLICY WEBSITES	FINANCIAL ASSISTANCE POLICY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/UTMEDICALCENTER/PRODUCTION/COMPLETE-FINANCIAL-ASSISTANCE-POLICY.PDFFINANCIAL ASSISTANCE APPLICATION URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/UTMEDICALCENTER/PRODUCTION/FINANCIAL-ASSISTANCE-APP.PDFPLAIN LANGUAGE SUMMARY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/GENERAL/BILLINGPOLICIES/_FINANCIALASSISTANCE
PART V, SECTION B, CHNA WEBSITE	HTTPS://WWW.UTMEDICALCENTER.ORG/ABOUT/OUR-STORY/COMMUNITY-BENEFIT/
PART V, SECTION B, LINE 10A:	HTTPS://WWW.UTMEDICALCENTER.ORG/ABOUT/OUR-STORY/COMMUNITY-BENEFIT/

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE UNIVERSITY HEALTH SYSTEM, INC. ("UHS") GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF-PAY). UHS ALLOCATES THOSE EXPENSES TO ALL PATIENT SEGMENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO AND AGGREGATES THE EXPENSES AT THE PATIENT LEVEL.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 28,666,622.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE ACTIVITIES REPORTED IN PART II SEEK TO ACHIEVE SPECIFIED OBJECTIVES, INCLUDING: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND RELIEF OF GOVERNMENT BURDEN. THE ACTIVITIES ARE AVAILABLE TO THE GENERAL PUBLIC, FOCUSING ON LOW-INCOME CONSUMERS.
PART III, LINE 2:	WE SCORE ALL PATIENTS ON THEIR ABILITY TO PAY 1-4 WITH 4 BEING CHARITY ELIGIBLE.
PART III, LINE 3:	WE SCORE ALL PATIENTS ON THEIR ABILITY TO PAY 1-4 WITH 4 BEING CHARITY ELIGIBLE.
PART III, LINE 4:	TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3, UHS USES ACTUAL EXPENSE DATA ACCUMULATED BY PATIENT WITHIN THE TRENDSTAR SYSTEM BASED ON A COST TO CHARGE RATIO.THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER UHS' CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS:1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY MAY HAVE BEEN GRANTED).2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISENROLLED BY THE TNCARE PROGRAM. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY CARE).3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION.NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, UHS RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS. THIS PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE.UHS PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UHS DOES NOT REPORT AS NET REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COST REPORTED IN THE UHS MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSE DATA FROM THE UHS GENERAL LEDGER. UHS ALLOCATES THOSE EXPENSES TO PATIENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO.
PART III, LINE 9B:	WE NOTIFY PATIENTS OF THE AVAILIBILITY OF FAP VIA STATEMENTS, POSTED NOTICES THROUGHOUT THE HOSPITAL INCLUDING WEBSITE, AND SEND CUSTOMIZED STATEMENTS WITH APPLICATIONS ATTACHED FOR ASSISTING PATIENTS TO APPLY. IF THE PATIENT REQUESTS FAP WE WILL SEND THEM AN APPLICATION UP TO 240 DAYS FROM THE DATE OF THEIR FIRST STATEMENT THIS INCLUDES IF THE PATIENT IS IN BAD DEBT. WE MAKE ALL REASONABLE ATTEMPTS TO HAVE A DECISION MADE WITHIN 10 DAYS UPON RECEIPT OF THE APPLICATION.
PART VI, LINE 2:	FOR THE MEDICAL CENTER TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S NEEDS. THE MEDICAL CENTER HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO UNDERSTAND THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON THE MEDICAL CENTER'S NINE CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICES. OUR COMMITMENT IS ALSO TO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES. ACTIVITIES ASSOCIATED WITH DEVELOPING THIS ASSESSMENT HAVE TAKEN PLACE DURING 2021-2022, INCLUDING STATE, REGIONAL, AND COUNTY-SPECIFIC SECONDARY DATA COLLECTION AND PRIMARY DATA OBTAINED THROUGH 406 SURVEYS WITH INDIVIDUALS FROM KNOX COUNTY, TN, AND SURROUNDING COUNTIES. THROUGHOUT THE ASSESSMENT, HIGH PRIORITY WAS GIVEN TO DETERMINING EACH COMMUNITY'S HEALTH STATUS AND AVAILABLE RESOURCES. UTMC EXAMINED LOCAL, NATIONAL, AND STATE DATA AND IDENTIFIED THAT IN 2021, TENNESSEE RANKED 41ST FOR OVERALL HEALTH OUTCOMES. TENNESSEE HAD HIGH RATES OF ADULT OBESITY, CANCER DEATHS, INFANT MORTALITY, AND DIABETES. KNOX COUNTY RANKED 6TH OUT OF 95 COUNTIES IN TENNESSEE FOR COMBINED HEALTH FACTORS, INCLUDING HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIAL AND ECONOMIC FACTORS THAT INFLUENCE THE COUNTY'S HEALTH. ADDITIONAL DATA SOURCES CONSULTED FOR THE CHNA WERE THE TENNESSEE HEALTH RANKINGS AND THE COMMUNITY NEEDS INDEX (CNI). ALSO, COMMUNITY AND ORGANIZATION MEMBERS MEET WITH THE MEDICAL CENTER TO DISCUSS CURRENT HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. THE INFORMATION GATHERED FROM A LOCAL PERSPECTIVE, PAIRED WITH REGIONAL, STATE, AND NATIONAL DATA, HELPS TO EVALUATE THE REGION'S HEALTH SITUATION IN ORDER TO BEGIN FORMULATING SOLUTIONS FOR IMPROVEMENT. AFTER COMPILING THE VARIOUS SOURCES OF INFORMATION, FOUR TOP HEALTH PRIORITIES WERE IDENTIFIED BY THE CHNA: CANCER, SUBSTANCE USE, MENTAL HEALTH/DEPRESSION/ANXIETY, AND OBESITY.
PART VI, LINE 3:	TO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND PROCESS) AND FINANCIAL COUNSELORS ALONG WITH CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE BROCHURE INSTRUCTS THE PATIENT TO CONTACT THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS FOR MORE INFORMATION ON CHARITY AND OTHER APPLICABLE DISCOUNTS. FINANCIAL COUNSELORS VISIT PATIENT ROOMS WHEN POSSIBLE TO EXPLAIN THE UHS BILLING PROCESS, PAYMENT PLANS AND SCREENS FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT, AS WELL AS ON OUR WEBSITE. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUMES OF SPANISH-SPEAKING PATIENTS. THE MAJORITY OF STAFF ASSOCIATED WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY.
PART VI, LINE 4:	THE UTMC'S SERVICE AREA IS COMPRISED OF 21 COUNTIES, INCLUDING SMALL AND MID-SIZED CITIES AND RURAL COUNTIES, REPRESENTING DIVERSE POPULATIONS WITH ADVERSE HEALTH OUTCOMES AND SOCIOECONOMIC CONDITIONS. THESE COUNTIES FACE DISTINCTIVE SOCIAL RISK FACTORS THAT VARY DEPENDING ON THEIR RURAL/URBAN DESIGNATION, RACIAL AND ETHNIC MAKEUP, INCOME, UNEMPLOYMENT, EDUCATION RATES, LIVING WAGES, AND MEDIAN INCOME. ACCESS TO HEALTHCARE IS DETERMINED BY A MYRIAD OF FACTORS, AMONG THEM ARE HEALTH INSURANCE AND ACCESS TO MEDICAL PROVIDERS AND FACILITIES IN THE REGION. THE RATE OF UNINSURED ADULTS IS HIGHER THAN THE STATE (15%) FOR 52% OF ALL COUNTIES, AND THE POPULATION RATIO TO PRIMARY CARE PHYSICIANS IS HIGHER THAN THE STATE FOR ALL COUNTIES EXCEPT FOR KNOX. FOR INSTANCE, MORGAN COUNTY HAD ONE PRIMARY CARE PHYSICIAN PER 7,130. ACCESS TO MEDICAL CARE PROVIDERS AND HEALTH FACILITIES IS ALSO A CHALLENGE IN THE REGION. ACCORDING TO THE SYCAMORE INSTITUTE, "AS OF APRIL 2019, 20 TENNESSEE COUNTIES HAD NO HOSPITAL 17 OF WHICH ALSO HAD NO EMERGENCY DEPARTMENT". THE UTMC CATCHMENT AREA HAS BEEN DRAMATICALLY AFFECTED BY THE CLOSURE OF FOUR HOSPITALS, TWO OF THEM LOCATED IN KNOXVILLE AND TWO ADDITIONAL ONES IN RURAL AREASFENTRESS AND MCMINN COUNTIES. UTMC SERVES DIVERSE POPULATIONS WHOSE NEEDS VARY FROM COUNTY TO COUNTY, CONSIDERING VARIOUS DEMOGRAPHIC AND SOCIOECONOMIC FACTORS, PARTICULARLY INCOME AND EDUCATION, BOTH CRUCIAL DETERMINANTS OF HEALTH OUTCOMES. FOR INSTANCE, 17 OUT OF 21 COUNTIES IN THE SERVICE AREA HAVE A POVERTY RATE HIGHER THAN THE STATE'S (13.6%); HOWEVER, IT IS ESSENTIAL TO NOTE AREAS IN KNOXVILLE WITH POVERTY RATES AS HIGH AS 68%. ALTHOUGH THE UNEMPLOYMENT RATES ARE LOW FOR MOST COUNTIES, THE LIVING WAGE IS SIGNIFICANTLY LOWER THAN THE STATE'S AVERAGE FOR 80% OF THE COUNTIES, AS IS THE MEDIAN HOUSEHOLD INCOME. STATISTICS RELATED TO HIGH SCHOOL COMPLETION RATES ARE LOWER THAN THE STATE'S (88%) FOR 15 COUNTIES. HOWEVER, WHEN EXAMINING SUB-COUNTY DATA, KNOXVILLE INCLUDES SOME AREAS WITH HIGH SCHOOL COMPLETION RATES AS LOW AS 65%. WHILE THE MAJORITY OF THE POPULATION IN THE CATCHMENT AREAS IS PREDOMINANTLY NON-HISPANIC WHITE, SEVERAL COUNTIES ARE EXPERIENCING RAPID GROWTH IN THEIR HISPANIC/LATINO POPULATIONS: THAT'S THE CASE FOR HAMBLEN (12%), LOUDON (9%), AND SEVIER (7%) COUNTIES. THERE IS A GREATER CONCENTRATION OF BLACK COMMUNITIES IN ZIP CODES INCLUDED IN KNOX (56%), MORGAN (17%)*, AND BLOUNT (14%) COUNTIES. THE RURAL POPULATION IS ABOVE 50% FOR 16 OF 21 COUNTIES, WHILE FOUR OUT OF 21 COUNTIES ARE CONSIDERED 100% RURAL. THE REGION HAS A SIGNIFICANT PORTION OF INDIVIDUALS AGED 65 OR OLDER, WITH 20 COUNTIES HAVING A HIGHER RATE THAN THE STATE, REPRESENTING A SIGNIFICANT CAPACITY DEMAND FOR THE HEALTHCARE SYSTEM.
PART VI, LINE 5:	UTMC CONDUCTS ONGOING INVENTORIES REGARDING THE HOSPITAL'S ASSETS TO MEET THE COMMUNITY'S ONGOING NEEDS. IN COLLABORATION WITH COMMUNITY PARTNERS, UTMC ENGAGES OTHERS TO IDENTIFY ASSETS AND GAPS BY UTILIZING LOCAL, STATE, AND NATIONAL DATA REPOSITORIES AND REPORTING AGENCIES. WE ALSO SURVEY OUR COMMUNITY TO IDENTIFY THE ASSETS AND THE GAPS IN HEALTH AND HUMAN SERVICES. MAJOR INITIATIVES FOCUSED ON INCREASING ACCESS TO HEALTH SERVICES FOR THE UNDERSERVED THROUGH PARTNERSHIPS; PREVENTING INJURIES AND TREATING TRAUMATIC BRAIN INJURIES; IMPROVING HEALTH ACCESS FOR WOMEN'S HEALTH; CANCER SCREENING SERVICES; EARLY DETECTION OF DISEASE PROCESSES AND MANAGEMENT; AND COMMUNITY-BUILDING ACTIVITIES.THROUGH THEBREAST HEALTH OUTREACH PROGRAM (BHOP),UTMC PROVIDES FREE EDUCATION, PREVENTION, DIAGNOSTICS, AND TREATMENT FOR UNINSURED WOMEN. THE MOBILE MAMMOGRAPHY UNIT (MMU) PROVIDES FREE AND LOW-COST SCREENINGS TO WOMEN IN OUR 21 COUNTY AREA.OPIOID/SUBSTANCE ABUSE:UTMC HAS PARTNERED WITH THE METRO DRUG COALITION AND OTHER STATE AGENCIES TO IDENTIFY INNOVATIVE PROCESSES TO ADDRESS THE OPIOID EPIDEMIC. TO ASSIST WITH COMPLIANCE OF WITHDRAWAL FROM OPIOIDS, SEVERAL PHYSICIANS HAVE LED RESEARCH EFFORTS TO ASSIST INDIVIDUALS IN WITHDRAWING SAFELY FROM CHEMICAL DEPENDENCY. FROM PERINATAL WITHDRAWAL TO IMPLEMENTING PATHWAYS FOR INDIVIDUALS WHO ARE ADMITTED WITH MEDICAL ISSUES ASSOCIATED WITH OPIOID MISUSE, UTMC IS PIONEERING RESEARCH EFFORTS IN THIS FIELD TO ASSIST IN COMBATING CHEMICAL DEPENDENCY FROM OPIOIDS.EMERGENCY AND TRAUMA SERVICES PREVENTION AND EDUCATION-"STOP THE BLEED"- A STATEWIDE INITIATIVE FOCUSED ON DECREASING MORTALITY RATES ASSOCIATED WITH HEMORRHAGE.EDUCATION FOR ALLIED HEALTH PROFESSIONALS FOR ADVANCED TRAUMA LIFE SUPPORT (ATLS), ADVANCED TRAUMA CERTIFIED NURSE (ATCN), TRAUMA NURSE CORE CURRICULUM (TNCC), FUNDAMENTALS OF CRITICAL CARE (FCCS), AND CERTIFIED EMERGENCY NURSE (CEN) PREPARATION COURSEWOMEN'S AND INFANT'S OUTREACH EFFORTS FOR PRENATAL CARE, HIGH RISK OBSTETRICS, AND CARE OF THE PRE-TERM NEWBORN.KAPA PROJECT ACCESS-UT MEDICAL CENTER PARTNERS WITH KAPA TO PROVIDE FREE OR DISCOUNTED MEDICAL SERVICES AND TREATMENT TO INDIVIDUALS WHO ARE NOT INSURED OR MEDICALLY UNDERSERVED.VOLUNTEER MISSION SERVICE ACTIVITIESBLOOD DRIVES:UTMC PARTNERS WITH MEDIC REGIONAL BLOOD CENTER TO PROVIDE AN OPPORTUNITY FOR EMPLOYEES TO GIVE BACK TO THEIR COMMUNITY. UTMC IS THE REGION'S LARGEST CONSUMER OF BLOOD PRODUCTS DUE TO THE COMPLEXITY OF THE SERVICES WE PROVIDE TO THE COMMUNITY, INCLUDING SERVING AS THE ONLY LEVEL I TRAUMA CENTER IN OUR REGION. IN 2022, THE HOSPITAL DONATED OVER 256 UNITS OF BLOOD.EMPTY STOCKING FUND: UTMC PROVIDES OPPORTUNITIES TO VOLUNTEER WITHIN THE COMMUNITY. AS AN ORGANIZATION, UTMC PARTNERS WITH THE KNOXVILLE NEW SENTINEL TO PROVIDE FOOD AND TOYS TO DISADVANTAGED EAST TENNESSEANS DURING THE HOLIDAYS.COMMUNITY COLLABORATIONS:TO REDUCE HEALTH DISPARITIES AND TO PROVIDE MEDICAL CARE AT FREE MEDICAL CENTER AMERICANOW THE KIM HEALTH CENTER FOR ITS AT-RISK PATIENT POPULATION, UT MEDICAL CENTER, GRADUATE SCHOOL OF MEDICINE, AND UNIVERSITY PHYSICIANS' ASSOCIATION HAVE COMMITTED GRANT FUNDING, TRAINEE PARTICIPATION, AND MANAGEMENT SERVICES. THE KIM HEALTH CENTER PARTNERS WITH KNOXVILLE AREA PROJECT ACCESS, KNOXVILLE OUTPATIENT DIAGNOSTIC CENTER, AND LABCORP, AND WITH COMMUNITY AGENCIES TRAINED TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS IMPACTING OUR COMMUNITY'S HEALTH. ADDITIONALLY, ON-SITE PREVENTIVE AND RESTORATIVE DENTAL SERVICES STARTED TO BE OFFERED IN 2022.ADDITIONAL ACCOMPLISHMENTSUT MEDICAL CENTER HIRED ITS INAUGURAL COMMUNITY HEALTH EQUITY DIRECTOR IN JANUARY 2022; CREATED THE COMMUNITY HEALTH EQUITY ADVISORY COUNCIL, AND HIRED ITS FIRST COMMUNITY HEALTH EQUITY DATA ANALYST.UTMC INTENSIFIED ITS COLLABORATION WITH THE KNOXVILLE AREA URBAN LEAGUE (KAUL) TO INCREASE ACCESS TO HEALTH CARE IN EAST KNOXVILLE. IT ALSO PARTNERED WITH THE EMERALD YOUTH FOUNDATION AND THE WELL LONSDALE INITIATIVE.UTMC DEMONSTRATED SIGNIFICANT PROGRESS BY INCLUDING HEALTH EQUITY AS PART OF THE LONG-TERM KEY STRATEGIC OBJECTIVES.
PART VI, LINE 6:	UHS IS CURRENTLY AFFILIATED WITH EAST TENNESSEE CHILDREN'S HOSPITAL IN PROVIDING JOINT HEALTHCARE SERVICES FOR THE PEDIATRIC POPULATION OF OUR REGION. UHS PARTNERS WITH SEVERAL LOCAL ORGANIZATIONS IN SUPPORT OF CHILDREN'S HEALTH AND WELLBEING.
PART VI, LINE 7, REPORTS FILED WITH STATES	TN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceDesc
CHAPLAIN'S CRISIS FUND	6518	$36,207	PROVIDED TRANSPORTATION, MEAL BOXES, EMPLOYEE ASSISTANCE AND PRESCRIPTION TO THOSE IN NEED
STEPHENS FUND	140	$31,493	PROVIDE ASSISTANCE TO THOSE UNDERGOING CANCER TREATMENT
HELPING HANDS	418	$49,554	PROVIDE ASSISTANCE TO THOSE UNDERGOING CANCER TREATMENT
BRIDGE TO RECOVERY	7	$46,160	PROVIDED INPATIENT DRUG REHAB SERVICES
HELPING HANDS	92	$301	FREE PROSTATE SCREENINGS

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. FOR EMPLOYEE EDUCATION ASSISTANCE SCHOLARSHIPS, APPLICANTS MUST SUBMIT RECEIPTS FOR EXPENDITURES. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH R LANDSMAN JR
PRESIDENT & CEO	$1,106,587	$0	$425,149	$0	$333,077	$0	$308,835	$0	$9,112	$0	$2,182,760	$0	$325,553	$0
MICHAEL B FREEMAN
PHYSICIAN	$675,000	$0	$449,195	$0	$108,552	$0	$219,941	$0	$357	$0	$1,453,045	$0	$106,343	$0
OSCAR GRANDAS
PHYSICIAN	$699,865	$0	$451,760	$0	$145,928	$0	$115,305	$0	$420	$0	$1,413,278	$0	$144,638	$0
NATHAN SCHROCK
PHYSICIAN	$467,882	$0	$477,367	$0	$130,577	$0	$95,366	$0	$11,719	$0	$1,182,911	$0	$129,287	$0
WILLIAM D HALL
EXECUTIVE VICE PRESIDENT	$643,563	$0	$210,800	$0	$142,993	$0	$155,799	$0	$7,378	$0	$1,160,533	$0	$138,241	$0
DAVID N ALJADIR
PHYSICIAN	$469,631	$0	$454,816	$0	$114,583	$0	$93,027	$0	$13,603	$0	$1,145,660	$0	$114,133	$0
SUSAN M NEWMAN
PHYSICIAN	$470,723	$0	$623,588	$0	$690	$0	$15,250	$0	$7,562	$0	$1,117,813	$0	$0	$0
STEVEN R ROSS
SR VP STRATEGIC DEVELOPMENT	$516,563	$0	$102,000	$0	$104,513	$0	$113,285	$0	$7,190	$0	$843,551	$0	$100,153	$0
DR KEITH D GRAY
SR VP & CHIEF MEDICAL OFFICER	$635,500	$0	$68,400	$0	$57,170	$0	$70,638	$0	$734	$0	$832,442	$0	$54,688	$0
DR JERRY CROOK JR
SR VP PHYSICIAN ENTERPRISE	$582,813	$0	$80,043	$0	$75,556	$0	$66,905	$0	$13,652	$0	$818,969	$0	$74,733	$0
DR JAMES E SHAMIYEH
SR VP & CHIEF QUALITY OFFICER	$614,475	$0	$68,626	$0	$49,649	$0	$65,237	$0	$12,022	$0	$810,009	$0	$48,124	$0
BENJAMIN M CUNNINGHAM JR
SR VP & CFO	$570,453	$0	$105,300	$0	$26,730	$0	$68,392	$0	$13,874	$0	$784,749	$0	$24,109	$0
BENNETT COX
SR VP & GENERAL COUNSEL	$479,506	$0	$79,140	$0	$99,243	$0	$101,254	$0	$1,012	$0	$760,155	$0	$95,863	$0
MICHAEL SAAD
SR VP & CIO	$418,453	$0	$47,880	$0	$29,319	$0	$47,615	$0	$13,785	$0	$557,052	$0	$25,047	$0
LEAKE CASSANDRA
SR VP & CNO	$450,600	$0	$45,000	$0	$1,950	$0	$49,995	$0	$620	$0	$548,165	$0	$0	$0
KATHERINE BOYD
SR VP & CHIEF DEVELOPMENT OFFICER	$366,231	$0	$68,400	$0	$38,624	$0	$43,890	$0	$4,655	$0	$521,800	$0	$36,126	$0
BRUCE R HARTMANN
SR VP & CCRO	$375,087	$0	$45,332	$0	$34,436	$0	$43,033	$0	$8,740	$0	$506,628	$0	$29,436	$0
JULIA COCO
SR VP CLINICAL INTEGRATION	$295,247	$0	$43,200	$0	$17,239	$0	$34,636	$0	$11,733	$0	$402,055	$0	$16,577	$0
STEPHEN CLAPP
SR VP STRATEGIC DEVELOPMENT	$278,243	$0	$11,250	$0	$1,118	$0	$28,488	$0	$8,566	$0	$327,665	$0	$0	$0
DR ROBERT F ELDER
BOARD MEMBER	$130,172	$0	$11,625	$0	$8,903	$0	$0	$0	$0	$0	$150,700	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT, VICE PRESIDENTS AND EQUIVALENTS, AND PHYSICIANS. ALL EMPLOYER CONTRIBUTIONS ARE SUBJECT TO A SEVEN-YEAR VESTING SCHEDULE OR ATTAINMENT OF AGE 60 AND CONTRIBUTIONS ARE MADE AT THE CLOSE OF EACH PAYROLL CYCLE. THE ORGANIZATION MAINTAINS A SEPARATE NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT. THE EMPLOYER'S CONTRIBUTIONS BECOME VESTED ACCORDING TO THE AGE OF THE PARTICIPANT AT THE TIME THE CONTRIBUTION WAS MADE. CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT MADE IN A YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 57 SHALL VEST FULLY ON JANUARY 1 OF THE YEAR THE PARTICIPANT ATTAINS THE AGE OF 60. FOR CONTRIBUTIONS MADE NO LATER THAN THE YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 58 AND EACH YEAR THEREAFTER SHALL VEST FULLY ON THE LAST BUSINESS DAY OF THE YEAR IN WHICH THE CONTRIBUTION IS MADE. CONTRIBUTIONS ARE MADE AT THE END OF EACH PAYROLL CYCLE. THE ALLOCATIONS MADE TO THE NONQUALIFIED DEFERRED COMPENSATION PLANS FOR THE YEAR WERE: $77,777 DAVID N. ALJADIR $100,055 OSCAR GRANDAS $97,391 MICHAEL B. FREEMAN $80,116 NATHAN SCHROCK $27,783 BRUCE R. HARTMANN $28,640 KATHERINE BOYD $86,004 BENNETT COX $98,035 STEVEN R. ROSS $140,549 WILLIAM D. HALL $53,142 BENJAMIN M. CUNNINGHAM, JR. $32,365 MICHAEL SAAD $55,388 DR. KEITH D. GRAY $53,938 DR. JAMES E. SHAMIYEH $34,745 CASSANDRA LEAKE $51,655 DR. JERRY CROOK, JR. $21,587 STEPHEN CLAPP $19,386 JULIA COCO $2,297 DR. LISA D. DUNCAN $293,585 JOSEPH R. LANDSMAN, JR.

PART I, LINE 7

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
A	621220275	2015-06-25	$90,000,000	CURRENT REFUNDING AND CAPITAL PROJECT	0	0	0
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
B	621220275	2016-11-17	$120,612,199	CURRENT REFUNDING AND CAPITAL PROJECT	0	0	0	49952MCZ7
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
C	621220275	2017-02-07	$133,311,875	CURRENT REFUNDING	0	0	0	49952MEF9
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
D	621220275	2020-05-19	$81,089,625	REVENUE BONDS, SERIES 2020A (UNIVERSITY HEALTH SYSTEM INC.)	0	0	0	49952MEJ1

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$2,366,000	$90,000,000	$250,000	$40,445,000	2015	Yes (1)	Yes (1)	Yes (1)
B	$11,489,211	$120,613,982	$1,422,017	$66,408,417	2016	Yes (1)	Yes (1)	Yes (1)
C	$26,072,000	$133,311,875	$1,119,046		2017	Yes (1)	Yes (1)	Yes (1)	$132,192,828
D	$2,786,625	$81,089,651	$1,089,625	$58,636,331		0	0	Yes (1)	$37,521,687

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II, LINE 3, SERIES 2016	FormAndLineReferenceDesc
Explanation	INVESTMENT EARNINGS HAVE BEEN INCLUDED IN THIS LINE. BECAUSE OF THIS, THE ISSUE PRICE ON PART I AND THE ISSUE PRICE IN PART II FOR THE SERIES 2016 BOND WILL NOT MATCH.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	621220275	BondIssuerEIN
Bond Issued	2021-01-14	BondIssuedDt
Issue Price	$52,000,000	IssuePriceAmt
Purpose	REFUNDING OF SERIES 2014 BONDS AND FINANCE CAPITAL EXPENDITURES	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$302,000	RetiredAmt
Total Proceeds	$52,000,000	TotalProceedsAmt
Issuance Costs From Proceeds	$322,750	IssuanceCostsFromProceedsAmt
Capital Expenditures	$41,677,250	CapitalExpendituresAmt
Other Spent Proceeds	$10,000,000	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ELIZABETH SHERROD
FAMILY RELATIONSHIP WITH BOARD MEMBER	$117,404	COMPENSATION AS EMPLOYEE	0
MARY ELLEN COX
FAMILY RELATIONSHIP WITH OFFICER	$140,548	COMPENSATION AS EMPLOYEE	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$20,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$10,091	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND SENIOR VP/CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST DISCLOSURES ARE NOW PERFORMED ELECTRONICALLY. STATUS REPORTS WITH DETAILS CAN BE RUN AT ANY TIME TO DETERMINE COMPLETION. THIS IS RUN MANY TIMES ANNUALLY AS THEY ARE COMPLETED. THE ORGANIZATION FURTHER INVESTIGATES ANY DISCLOSURES THAT REQUIRE A CLOSER LOOK AND WORKS TOWARD RESOLUTION OF ANY POTENTIAL COMPLIANCE DISCREPANCIES.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 124,665,482. MANAGEMENT AND GENERAL EXPENSES 6,561,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,226,823. COMMUNICATION SERVICES: PROGRAM SERVICE EXPENSES 32,468,818. MANAGEMENT AND GENERAL EXPENSES 1,708,885. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,177,703. CLINCAL SERVICES: PROGRAM SERVICE EXPENSES 34,195,039. MANAGEMENT AND GENERAL EXPENSES 1,799,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,994,778. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 6,621,211. MANAGEMENT AND GENERAL EXPENSES 348,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,969,696. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,191,693. MANAGEMENT AND GENERAL EXPENSES 115,352. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,307,045.
FORM 990, PART XI, LINE 9:	OTHER CHANGE IN NET ASSETS 9,749,884.
FORM 990, PART XII, LINE 2C	THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR.
FORM 990, PART III, LINE 4A:	STATEMENT OF COMMUNITY BENEFIT UNIVERSITY HEALTH SYSTEM JANUARY 1, 2022 - DECEMBER 31, 2022 UTMC CONDUCTS ONGOING INVENTORIES REGARDING THE HOSPITAL'S ASSETS TO MEET THE COMMUNITY'S ONGOING NEEDS. IN COLLABORATION WITH COMMUNITY PARTNERS, UTMC ENGAGES OTHERS TO IDENTIFY ASSETS AND GAPS BY UTILIZING LOCAL, STATE, AND NATIONAL DATA REPOSITORIES AND REPORTING AGENCIES. WE ALSO SURVEY OUR COMMUNITY TO IDENTIFY THE ASSETS AND THE GAPS IN HEALTH AND HUMAN SERVICES. MAJOR INITIATIVES FOCUSED ON INCREASING ACCESS TO HEALTH SERVICES FOR THE UNDERSERVED THROUGH PARTNERSHIPS; PREVENTING INJURIES AND TREATING TRAUMATIC BRAIN INJURIES; IMPROVING HEALTH ACCESS FOR WOMEN'S HEALTH; CANCER SCREENING SERVICES; EARLY DETECTION OF DISEASE PROCESSES AND MANAGEMENT; AND COMMUNITY-BUILDING ACTIVITIES. THROUGH THEBREAST HEALTH OUTREACH PROGRAM (BHOP),UTMC PROVIDES FREE EDUCATION, PREVENTION, DIAGNOSTICS, AND TREATMENT FOR UNINSURED WOMEN. THE MOBILE MAMMOGRAPHY UNIT (MMU) PROVIDES FREE AND LOW-COST SCREENINGS TO WOMEN IN OUR 21 COUNTY AREA. OPIOID/SUBSTANCE ABUSE:UTMC HAS PARTNERED WITH THE METRO DRUG COALITION AND OTHER STATE AGENCIES TO IDENTIFY INNOVATIVE PROCESSES TO ADDRESS THE OPIOID EPIDEMIC. TO ASSIST WITH COMPLIANCE OF WITHDRAWAL FROM OPIOIDS, SEVERAL PHYSICIANS HAVE LED RESEARCH EFFORTS TO ASSIST INDIVIDUALS IN WITHDRAWING SAFELY FROM CHEMICAL DEPENDENCY. FROM PERINATAL WITHDRAWAL TO IMPLEMENTING PATHWAYS FOR INDIVIDUALS WHO ARE ADMITTED WITH MEDICAL ISSUES ASSOCIATED WITH OPIOID MISUSE, UTMC IS PIONEERING RESEARCH EFFORTS IN THIS FIELD TO ASSIST IN COMBATING CHEMICAL DEPENDENCY FROM OPIOIDS. EMERGENCY AND TRAUMA SERVICES PREVENTION AND EDUCATION-"STOP THE BLEED"- A STATEWIDE INITIATIVE FOCUSED ON DECREASING MORTALITY RATES ASSOCIATED WITH HEMORRHAGE. EDUCATION FOR ALLIED HEALTH PROFESSIONALS FOR ADVANCED TRAUMA LIFE SUPPORT (ATLS), ADVANCED TRAUMA CERTIFIED NURSE (ATCN), TRAUMA NURSE CORE CURRICULUM (TNCC), FUNDAMENTALS OF CRITICAL CARE (FCCS), AND CERTIFIED EMERGENCY NURSE (CEN) PREPARATION COURSE WOMEN'S AND INFANT'S OUTREACH EFFORTS FOR PRENATAL CARE, HIGH RISK OBSTETRICS, AND CARE OF THE PRE-TERM NEWBORN. KAPA PROJECT ACCESS-UT MEDICAL CENTER PARTNERS WITH KAPA TO PROVIDE FREE OR DISCOUNTED MEDICAL SERVICES AND TREATMENT TO INDIVIDUALS WHO ARE NOT INSURED OR MEDICALLY UNDERSERVED. VOLUNTEER MISSION SERVICE ACTIVITIES BLOOD DRIVES:UTMC PARTNERS WITH MEDIC REGIONAL BLOOD CENTER TO PROVIDE AN OPPORTUNITY FOR EMPLOYEES TO GIVE BACK TO THEIR COMMUNITY. UTMC IS THE REGION'S LARGEST CONSUMER OF BLOOD PRODUCTS DUE TO THE COMPLEXITY OF THE SERVICES WE PROVIDE TO THE COMMUNITY, INCLUDING SERVING AS THE ONLY LEVEL I TRAUMA CENTER IN OUR REGION. IN 2022, THE HOSPITAL DONATED OVER 256 UNITS OF BLOOD. EMPTY STOCKING FUND: UTMC PROVIDES OPPORTUNITIES TO VOLUNTEER WITHIN THE COMMUNITY. AS AN ORGANIZATION, UTMC PARTNERS WITH THE KNOXVILLE NEW SENTINEL TO PROVIDE FOOD AND TOYS TO DISADVANTAGED EAST TENNESSEANS DURING THE HOLIDAYS. COMMUNITY COLLABORATIONS: TO REDUCE HEALTH DISPARITIES AND TO PROVIDE MEDICAL CARE AT FREE MEDICAL CENTER AMERICANOW THE KIM HEALTH CENTER FOR ITS AT-RISK PATIENT POPULATION, UT MEDICAL CENTER, GRADUATE SCHOOL OF MEDICINE, AND UNIVERSITY PHYSICIANS' ASSOCIATION HAVE COMMITTED GRANT FUNDING, TRAINEE PARTICIPATION, AND MANAGEMENT SERVICES. THE KIM HEALTH CENTER PARTNERS WITH KNOXVILLE AREA PROJECT ACCESS, KNOXVILLE OUTPATIENT DIAGNOSTIC CENTER, AND LABCORP, AND WITH COMMUNITY AGENCIES TRAINED TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS IMPACTING OUR COMMUNITY'S HEALTH. ADDITIONALLY, ON-SITE PREVENTIVE AND RESTORATIVE DENTAL SERVICES STARTED TO BE OFFERED IN 2022. ADDITIONAL ACCOMPLISHMENTS UT MEDICAL CENTER HIRED ITS INAUGURAL COMMUNITY HEALTH EQUITY DIRECTOR IN JANUARY 2022; CREATED THE COMMUNITY HEALTH EQUITY ADVISORY COUNCIL, AND HIRED ITS FIRST COMMUNITY HEALTH EQUITY DATA ANALYST. UTMC INTENSIFIED ITS COLLABORATION WITH THE KNOXVILLE AREA URBAN LEAGUE (KAUL) TO INCREASE ACCESS TO HEALTH CARE IN EAST KNOXVILLE. IT ALSO PARTNERED WITH THE EMERALD YOUTH FOUNDATION AND THE WELL LONSDALE INITIATIVE. UTMC DEMONSTRATED SIGNIFICANT PROGRESS BY INCLUDING HEALTH EQUITY AS PART OF THE LONG-TERM KEY STRATEGIC OBJECTIVES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UHS ASC LLC
1520 CHEROKEE TRAIL STE 200	KNOXVILLE	TN	37920	311626179	SURGERY CENTER	TN	$1,256,012,000	$1,124,957,000	UNIVERSITY HEALTH SYSTEM INC
REGIONAL TRAUMA SERVICES LLC
1520 CHEROKEE TRAIL STE 330	KNOXVILLE	TN	37920	202769076	TRAUMA MANAGEMENT	TN	$496,000	$376,000	UNIVERSITY HEALTH SYSTEM INC
UNIVERSITY HEALTH NETWORK LLC
1520 CHEROKEE TRAIL STE 200	KNOXVILLE	TN	37920	812770309	CLINICALLY INTEGRATED NETWORK	TN	$4,812,000	$3,130,000	UNIVERSITY HEALTH SYSTEM INC
UT URGENT CARE CENTERS
2121 MEDICAL CENTER WAY	KNOXVILLE	TN	37920		URGENT CARE	TN	$3,327,000	$380,000	UNIVERSITY HEALTH SYSTEM INC
UNIVERSITY HEALTH ACO LLC
2121 MEDICAL CENTER WAY	KNOXVILLE	TN	37920	822250990	COORDINATOR: HEALTH CARE	TN	$0	$0	UNIVERSITY HEALTH NETWORK LLC
UHS SEVIERVILLE PHARMACY
1130 MIDDLE CREEK RD STE 180	SEVIERVILLE	TN	37862		PHARMACY	TN	$0	$0	UNIVERSITY HEALTH SYSTEM INC
UNIVERSITY EMERGENCY OBSTETRICS LLC
1924 ALCOA HWY	KNOXVILLE	TN	37920		PHYSICIAN/OBSTETRICS & GYNECOLOGY	TN	$193,000	$192,000	UNIVERSITY HEALTH SYSTEM INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$1,810,000	ShareOfTotalIncomeAmt
Share Of EOY Assets	$984,000	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd