2020-05-05T14:00:08-05:00 2019-06-30 346565596 Ernst & Young US LLP 55 Ivan Allen Blvd Suite 1000 Atlanta GA 30308 990 2018-07-01 352528741 Vanderbilt University Medical Center VAND 6153222381 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 Cecelia B Moore CFO & Treasurer 2020-05-05 true Aerrial M Orr P01598400 4048748300 2018 2020-11-06 18:47:13Z Jeffrey R Balser MD PhD 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 4938466343 false X www.vumc.org X 2015 TN See Schedule O, Form 990, Part III, Line 1 11 10 27861 1700 28343288 431940 355841563 378866982 3740845973 4131265400 36001277 30240637 4843829 5258267 4137532642 4545631286 105176985 109070968 0 2179645238 2290907193 44900 13711276 1761807022 1923687261 4046629245 4323710322 90903397 221920964 3192191146 3446397770 2264561545 2232215968 927629601 1214181802 X See Schedule O Form 990, Part III, Line 1 false false 2691791024 18902781 3820871119 Patient Services - See Schedule O Form 990, Part III, Line 4a 710822150 90168187 148453199 Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b 143249496 0 165972475 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. VUMC engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766 143249496 165972475 3545862670 true true false true false false true false true true false false false true false false true false true true true false true true false true true true true true true false false false false false false false false true false true true false false true true true true false false true X 2023 0 true 27861 true true true true MZ false false false true true true false false false true false X 11 10 true false false false false false false true true false false true true true true true true true true true true X Scott Phillips 6153222381 3319 West End Ave Suite 700 Nashville TN 37203 Jeffrey R Balser MD PHD President and CEO 40.0 X X 2409508 0 549787 Gregory Scott Allen JD Director 1.0 X 0 0 0 Michael M E Johns MD Director 1.0 X 0 0 0 Edith Scott Carell Johnson JD Director 1.0 X 0 0 0 Richard B Johnston Jr MD Director 1.0 X 0 0 0 Samuel E Lynch DMD DMSC Director 1.0 X 0 0 0 David W Patterson MD Director 1.0 X 0 0 0 Robert C Schiff Jr MD Director 1.0 X 0 0 0 Thomas J Sherrard III JD Director 1.0 X 0 0 0 John F Stein MBA Director 1.0 X 0 0 0 Nicholas S Zeppos JD Director 1.0 X 0 0 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 40.0 X 923672 0 199755 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 39.8 0.2 X 1112882 0 209425 C Wright Pinson MD MBA Deputy CEO and Chief Health System Officer 40.0 X 1983881 0 373536 Michael J Regier JD General Counsel and Secretary 40.0 X 800582 0 177562 Zeena M Abdulahad MPA EVP and Chief Development Officer 40.0 X 286486 0 35672 Mitchell C Edgeworth MBA CEO, VANDERBILT UNIVERSITY ADULT HOSPITAL AND CLINICS 40.0 X 796635 0 141443 Charles L Gregory MA MBA MH CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt 40.0 X 729501 0 132089 Thomas S Nantais MBA EVP Adult Ambulatory 40.0 X 310736 0 31988 Traci K Nordberg JD Chief HR Officer 39.0 1.0 X 633178 0 147693 David R Posch EVP for Population Health 38.8 1.2 X 801455 0 31192 DAVID S RAIFORD MD Chief of Clinical Staff 40.0 X 816753 0 179391 William W Stead MD Chief Strategy Officer 40.0 X 833967 0 29612 Scott L Parker MD Asst Professor Neurological Surgery 40.0 X 2058564 0 44488 Jacob P Schwarz MD Asst Professor Neurological Surgery 40.0 X 1125742 0 14574 Byron F Stephens II MD Asst Professor Comprehensive Spine Center 40.0 X 1204695 0 31848 Paul Sternberg Jr MD CMO & VP Clinical Affairs 40.0 X 1213845 0 38446 Douglas R Weikert MD Asst Professor Ortho-Hand 40.0 X 1128012 0 43092 19170094 0 2411593 3696 false true false Vanderbilt University PMB 406310 2301 Vanderbilt Place Nashville TN 37240 Various Services 178114736 Turner Universal Construction Co 624 Grassmere Park 4 Nashville TN 37211 Construction Services 47936459 Messer Construction Co 230 Great Circle Rd 218 Nashville TN 37228 Construction Services 11511254 NTT Data Services LLC 2413 Nashville Rd Bowling Green KY 42101 Data Services 10863031 EPIC Systems Corporation 1979 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221920964 -13820472 78451709 X false true X true true true X 47625339 302808739 355841563 378866982 1085142623 0 0 0 47625339 302808739 355841563 378866982 1085142623 0 1085142623 2162150 22888201 29004907 21476633 75531891 0 0 0 0 0 0 800563 4280652 4127008 4324295 13532518 1174207032 12059834009 X Schedule A, Part II, Line 10 THE AMOUNT REPORTED ON LINE 10 COMPRISES GROSS FUNDRAISING REVENUE of $292,902 AND REVENUE FROM UNCONSOLIDATED ORGANIZATIONS of $4,031,393 Schedule A, Part II, Line 10 Other Income DESCRIPTION - UNCONSOLIDATED ORGS AND FUNDRAISING, COLUMN A - , COLUMN B - 800563.0, COLUMN C - 4280652.0, COLUMN D - 4127008.0, COLUMN E - 4324295.0, COLUMN F - 13532518.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 379409 379409 4296465993 4296845402 1000000 0 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 57062 312352 335413 379409 1084236 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 Schedule C, Part II-A, Line 2 VUMC duly filed Federal Form 5768 electing to have the provisions of 501(h) apply to its tax year ending June 30, 2015. This election was not revoked prior to VUMC's tax year beginning July 1, 2018. 5396 651696 X true 122002502 17463426 6206602 3839294 141833236 97918225 18514911 8271392 2702026 122002502 79588874 11330429 10665314 3666392 97918225 0 78782338 1142039 335503 79588874 0 0 0.7277 0.2723 0.0 false false 33404486 33404486 1005363626 202329176 803034450 82322403 16567362 65755041 464940482 93569155 371371327 121529849 0 121529849 1395095153 Fair Value of Interest Rate Swap Agreements Tenant Improvement Allowances Note Payable to Related Organization Note Payable to Related Organization Fair Value of Interest Rate Swap Agreements Tenant Improvement Allowances Capital Leases Note Payable to Related Organization Fair Value of Interest Rate Swap Agreements Tenant Improvement Allowances Capital Leases Note Payable to Related Organization 86313512 Fair Value of Interest Rate Swap Agreements 67900690 Tenant Improvement Allowances 4614363 Asset Retirement Obligations 6278262 Shared Savings Payable 6509646 171616473 Schedule D, Part V, Line 4 INTENDED USES OF ENDOWMENT FUNDS ENDOWMENT FUNDS ARE UTILIZED TO GENERATE EARNINGS AND SUBSEQUENT DISTRIBUTIONS FOR THE USE OF FUNDING MEDICAL RESEARCH, MEDICAL CHAIRS IN CLINICAL DEPARTMENTS, MEDICAL TRAINING FELLOWSHIPS, MEDICAL DIRECTORSHIPS, AND OTHER PROGRAMS CONSISTENT WITH THE MISSION OF THE INSTITUTION. Schedule D, Part III, Line 4 Collections of art - description of collections VUMC MAINTAINS VARIOUS COLLECTIONS OF ART AND SIMILAR ASSETS. SUCH COLLECTIONS INCLUDE, BUT ARE NOT LIMITED TO, PAINTINGS, PHOTOGRAPHY, SCULPTURES AND OTHER SIMILAR ITEMS. ALL SUCH COLLECTIONS FURTHER VUMC'S EXEMPT PURPOSE BY PROVIDING CULTURAL, HISTORICAL, AND EDUCATIONAL OPPORTUNITIES TO VUMC STAFF AND PATIENTS AND THE COMMUNITY AT LARGE THROUGH EXHIBITS AND DISPLAYS. true Central America and the Caribbean 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 7931 East Asia and the Pacific 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 130257 Europe (Including Iceland and Greenland) 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 483129 Middle East and North Africa 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 7681 North America (Canada & Mexico only) 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 241756 South America 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 10741 South Asia 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 7057 Sub-Saharan Africa 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 52788 Russia and Neighboring States 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 1950 Central America and the Caribbean 0 1 ,Grantmaking-subcontracts N/A 50296 East Asia and the Pacific 0 0 ,Grantmaking-subcontracts N/A 611729 Europe (Including Iceland and Greenland) 0 1 ,Grantmaking-subcontracts N/A 102735 North America (Canada & Mexico only) 0 0 ,Grantmaking-subcontracts N/A 94918 Russia and Neighboring States 0 0 ,Grantmaking-subcontracts N/A 64088 South America 0 5 ,Grantmaking-subcontracts N/A 2009903 South Asia 0 0 ,Grantmaking-subcontracts N/A 9720 Sub-Saharan Africa 0 6 ,Grantmaking-subcontracts N/A 1530118 Central America and the Caribbean 0 0 Program Services Education, Health-Care, Research 78242 East Asia and the Pacific 0 0 Program Services Education and Research 150060 Europe (Including Iceland and Greenland) 0 0 Program Services Education, Health-Care, Research 279475 Middle East and North Africa 0 0 Program Services Education 14724 North America (Canada & Mexico only) 0 0 Program Services Education and Research 101884 Russia and Neighboring States 0 0 Program Services Education and Research 10869 South America 0 0 Program Services Education, Health-Care, Research 84574 Sub-Saharan Africa 24 1885 Program Services Education, Health-Care, Research 30637658 0 13 24 1885 24 1898 3886679 32887604 36774283 Sub-Saharan Africa General 875084 Wire N/A N/A Sub-Saharan Africa Research 50586 Wire N/A N/A South Asia General 9720 Wire N/A N/A Europe (Including Iceland and Greenland) Research 35100 Wire N/A N/A Sub-Saharan Africa General 54548 Wire N/A N/A South America Research 1465704 Wire N/A N/A East Asia and the Pacific Research 80397 Wire N/A N/A South America Research 30000 Wire N/A N/A Russia and Neighboring States Research 64088 Wire N/A N/A Central America and the Caribbean Research 50296 Wire N/A N/A Sub-Saharan Africa General 20351 Wire N/A N/A South America Research 72916 Wire N/A N/A North America (Canada & Mexico only) Research 47647 Wire N/A N/A Sub-Saharan Africa General 20520 Wire N/A N/A Sub-Saharan Africa Research 12682 Wire N/A N/A Sub-Saharan Africa General 31320 Wire N/A N/A East Asia and the Pacific Research 428138 Wire N/A N/A Sub-Saharan Africa Research 17373 Wire N/A N/A North America (Canada & Mexico only) Research 8440 Check N/A N/A North America (Canada & Mexico only) Research 37931 Check N/A N/A Sub-Saharan Africa General 15311 Wire N/A N/A South America Research 95526 Wire N/A N/A South America Research 298138 Wire N/A N/A Europe (Including Iceland and Greenland) Research 12960 Wire N/A N/A Europe (Including Iceland and Greenland) Research 54675 Wire N/A N/A East Asia and the Pacific Research 26927 Wire and Check N/A N/A Sub-Saharan Africa Research 81049 Wire N/A N/A South America Research 43665 Wire N/A N/A Sub-Saharan Africa General 23436 Wire N/A N/A Sub-Saharan Africa General 215423 Wire N/A N/A East Asia and the Pacific Research 19836 Wire N/A N/A Sub-Saharan Africa Research 112435 Wire N/A N/A East Asia and the Pacific Research 56431 Wire N/A N/A 30 3 false false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx X X X X X X true BORNS GROUP 1610 14th Avenue SE Watertown SD 57201 Consulting Services Related to Fundraising false 600492 -600492 0 600492 -600492 CA CO CT DE DC FL GA AL HI ID IL IN IA KS KY LA ME AK MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA AZ RI SC SD TN TX UT VT VA AR WA WV WI WY Friends in Fashion 243632 192798 50834 41642 350 52036 RF Celebrity Golf 216135 101330 114805 13803 822 29813 10 594699 467436 127263 5113 17382 123986 1054466 761564 292902 60558 18554 205835 284947 7955 Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I) THE TOTAL AMOUNT PAID TO BORNS GROUP FOR FISCAL YEAR 2019 WAS $600,492, WHICH INCLUDES PROFESSIONAL FUNDRAISING FEES OF $44,900 AND EXPENSES OF $555,592. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND BORNS GROUP CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY BORNS GROUP, SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL FUNDRAISING EXPENSES. BORNS GROUP PROVIDES CONSULTING SERVICES FOR VANDERBILT UNIVERSITY MEDICAL CENTER'S OVERALL FUNDRAISING PROGRAM AND DOES NOT RAISE FUNDS FOR VANDERBILT UNIVERSITY MEDICAL CENTER OR HELP RAISE FUNDS FOR A SPECIFIC PURPOSE. true true X true X true X true true true false true true 91294814 91294814 0.0211 642035268 504268916 137766352 0.0318 0 0.0 0 0 733330082 504268916 229061166 0.0528 8077299 2890493 5186806 0.0012 193503845 53189300 140314545 0.0324 0 0.0 684829888 541516116 143313772 0.0331 0 0.0 0 0 886411032 597595909 288815123 0.0666 0 0 1619741114 1101864825 517876289 0.1195 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 21782004 861639 469323044 664986063 -195663019 X true true Ambulatory Surgery Center of Cool Springs LLC Ambulatory Surgery Center 0.5102 0.0 0.1326 Vanderbilt Imaging Services LLC Radiology Services 0.6667 0.0 0.3333 New Light Imaging LLC Outpatient Diagnostic Imaging 0.6667 0.0 0.3333 One Hundred Oaks Imaging LLC Outpatient Diagnostic Imaging 0.8 0.0 0.2 Williamson Imaging LLC Outpatient Diagnostic Imaging 0.5334 0.0 0.2666 VIP Midsouth LLC Pediatric Clinics 0.51 0.0 0.49 Springfield VIP Realty LLC Own Real Estate Used as Medical Facility 0.49 0.0 0.51 2 1 Vanderbilt University Medical Center Hospitals 1211 22nd Avenue South Nashville TN 37212 www.vanderbilthealth.com 0000000027 X X X X X X 2 Vanderbilt Stallworth Rehabilitation Hospital 2201 Childrens Way Nashville TN 37212 www.vanderbiltstallworthrehab.com 0000000141 X Vanderbilt University Medical Center Hospitals 1 false false true X X X X X X X X X 16 true true false true X https://www.vanderbilthealth.com/main/38766 X true 16 true https://www.vanderbilthealth.com/main/38766 false true X 200.0 250.0 X X X true true X X X true X https://www.vanderbilthealth.com/financialassistance/ X https://www.vanderbilthealth.com/financialassistance/ X https://www.vanderbilthealth.com/financialassistance/ X X X X X X X true X false X X X X true X false false Vanderbilt Stallworth Rehabilitation Hospital 2 false false true X X X X X X X X X 16 true true false true X https://www.encompasshealth.com/locations/vanderbiltstallworth X true 16 true https://www.encompasshealth.com/locations/vanderbiltstallworth false true X 200.0 400.0 X X true true X X X true X https://www.encompasshealth.com/locations/vanderbiltstallworth/financial-assistance X https://www.encompasshealth.com/locations/vanderbiltstallworth/financial-assistance X https://www.encompasshealth.com/locations/vanderbiltstallworth/financial-assistance X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs identified in the 2016 CHNA of Vanderbilt University Medical Center ("VUMC") are a prioritized description of the significant health need of the community, identified by the CHNA. The process of prioritizing the significant health needs included a number of phases. VUMC and partners collected and analyzed primary data from a broad array of stakeholders and community members. Additionally, we pulled and analyzed hundreds of indicators from publicly available secondary data. In each of the three counties in the CHNA communities served (Davidson, Rutherford, and Williamson Counties), we held a community summit, which included hospital leadership, local health departments, community leaders representing a number of sectors, and community members and individuals who participated in interviews and listening sessions as a part of the CHNA process. The results of VUMC's data collection and analysis were presented to the community, and participants were asked to prioritize their most pressing health needs through interactive exercises. The needs prioritized by the community were adopted by VUMC, and each described at length in VUMC's 2016 CHNA. Through this CHNA process, the community prioritized the significant health needs of Access to Care / Coordination of Care, Mental Health & Substance Abuse, Social Determinants, and Wellness/Disease Prevention. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Input from persons representing the broad interests of the community, including those with expertise in public health, was obtained through face-to-face interviews and via community listening sessions. Interviews took place from February to May 2015. Listening sessions took place from March to July 2015. Community summits were held in September of 2015. VUMC identified leaders from public health, government, education, the faith community, private foundations, community organizations, and academia among others as interviewees. Interviewees were identified in collaboration with Saint Thomas Health and local health departments in each county and were selected based on their understanding of the broad interests of the community and underserved populations. Interviewees also included health department directors from the community served, community physicians, public health researchers, and community-based organizations that have special knowledge and expertise in public health. In all, 81 community leaders were interviewed with particular attention to underserved, low-income, and minority populations. Organizations represented in Davidson County interviews included Metro Nashville Public Schools, Jobs for Life, Family & Children's Services, Social Services, the Homelessness Commission, Nashville General, the Martha O' Bryan Center, the Council on Aging, Nashville General Hospital, local government, the Healthy Nashville Leadership Council, Nashville CARES, Saint Thomas Health, VUMC, Conexion Americas, Nashville Latino Health Coalition, Mental Health America, the Safety Net Consortium of Middle Tennessee, Faith Family Clinic, Siloam Health, United Neighborhood Health Services, Metro Transit Authority, Interdenominational Ministers Fellowship, HCA, United Way, local faith institutions, Meharry Medical College, Tennessee State University, Vanderbilt University, Nurses for Newborns, Second Harvest, and the Metro Public Health Department. Organizations represented in Rutherford County Interviews included the University of Tennessee Agricultural Extension Office, Middle Tennessee State University, Murfreesboro City Schools, local government, Saint Thomas Health, Interfaith Dental, Primary Care & Hope Clinic, Journey Home, National Healthcare for the Homeless Council, Murfreesboro Police Department, Volunteer Behavioral Health, City of Murfreesboro Transportation (Rover), Boys & Girls Club, Rutherford County Schools, Rutherford County YMCA, Saint Louise Clinic, and the Rutherford County Health Department. Organizations represented in Williamson County interviews included local faith institutions, Franklin Housing Authority, Mercy Community Healthcare, local government, Chamber of Commerce, WAVES, United Way, the Refuge Center, Williamson Medical Center, Workforce Essentials, Graceworks, Franklin Special School District, United Way of Williamson County, the Department of Children's Service, Columbia State Community College, and the Williamson County Health Department. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic/Latino communities, the medically under-served, those experiencing mental illness, those experiencing addiction, children and other low-income, minority, under-served, and vulnerable populations. To understand community members' opinions of health needs, eleven focus groups were conducted across the three counties that represent the community served. The focus groups in Davidson County were held in collaboration with the United Way of metropolitan Nashville, as well as county health departments. In Davidson County, sessions were held at United Way Family Resource Centers ("FRCs"), which serve 32,000 low-income residents annually. United Way of Metropolitan Nashville recruited participants in partnership with the FRCs and VUMC and Saint Thomas Health. English and Spanish speakers were included in listening sessions in each county. In Rutherford County, listening sessions were held in coordination with Saint Thomas Health and the Rutherford County Health Department. Recruitment was done in coordination with the host sites, which included Faith and Hope Clinic, the Smyrna Branch of the Rutherford County Health Department, and First Baptist Church in Murfreesboro. In Williamson County, recruitment was done in collaboration with the Williamson County Health Department, and one session each was held in English and in Spanish. Across the three counties, more than three-quarters of participants were female (78%), more than three-quarters spoke English (78%), more than a quarter were uninsured (26%), and more than one-third had not completed more than a high school education (36%). Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center conducted a community health needs assessment in partnership with its affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center ("VUMC") identified four significant health needs in its most recently conducted CHNA. The four significant health needs identified are - alphabetically - 1) Access to Care and Coordination of Care; 2) Mental and Emotional Health / Substance Abuse; 3) Social Determinants; and 4) Wellness and Disease Prevention. VUMC is addressing all four needs, with a detailed list of programs, investments, and services listed in the 2016 Implementation Strategy (IS). This Implementation Strategy currently includes 89 activities and programs. In all three counties, the Community Health Improvement Team released a Request for Proposals for community projects that addressed one or more of the CHNA priority areas, specifically requiring applicants to discuss how their proposal would promote health equity and address broader policy, environmental, or systems change. After a competitive review process with a committee of both academic and community reviewers, five organizations were selected as recipients of these awards. The grantees received up to $7,500 to carry out their work over a period of 12 months. The Community Health Improvement team is currently planning for the third cycle of this mini-grant program. To date, the program has supported 11 community projects. In all three counties, the Community Health Improvement Team supported an opportunity for community organizations to receive technical assistance from Vanderbilt's Center for Effective Health Communications (CEHC). This opportunity allowed organizations to submit health communications materials (i.e. pamphlets, websites, etc.) to be reviewed by CEHC experts for messaging and readability. To date, this opportunity has supported five (5) community organizations. In all three counties, the Community Health Improvement Team currently supports the local health departments and health councils in the development of their Community Health Improvement Plan (CHIP), which outline their strategies to address the health needs identified through the Community Health Assessment. This includes conducting additional listening sessions that allow community members to share input and ideas regarding effective strategies to addressing the health needs. The team also facilitates health and wellness council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's involvement in this work allows the Community Health Improvement Team to bring VUMC resources to the community and align the CHNA priorities with the CHIP objectives. In Davidson County, VUMC is involved in collaboratives focused on the four priority needs. The Safety Net Consortium of Middle Tennessee, focused on access to and quality of care for the uninsured, continues to meet monthly at the Meharry-Vanderbilt Alliance and launched My Health Care Home, a web-based tool that facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve the under/uninsured. The Community Health Improvement Team has been involved in sub-projects focused on pharmacy access for the uninsured as well as an environmental scan focused on specialty care access for the uninsured. The "pharmacy access" project will provide uninsured patients and providers that serve them with resources which intend to alleviate issues with navigating and accessing the pharmacy system. The Community Health Improvement Team is also active with the Healthy Nashville Leadership Council and leads the Health Equity Workgroup. The workgroup's focus is to educate the community on topics related to addressing health inequities as well as strengthening capacity and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in vulnerable communities. Finally, VUMC Community Health Improvement Team has addressed the Nashville Health Disparities Coalition, The Healing Trust, and other organizations to share the four priorities and data from the CHNA. In Rutherford County, VUMC helped distribute dozens of copies of "Play Nicely" to service providers. Play Nicely is a healthy discipline handbook used to educate new or prospective parents on healthy discipline strategies. Several VUMC staff have also participated in the opioid taskforce spear-headed by Saint Thomas Rutherford, which has become the WE CARE coalition; the Prevention Coalition for Success; and the Patterson Park Coalition. VUMC's Community Health Improvement team also addressed a meeting of the Rutherford County Wellness Council and the United Way of Rutherford and Cannon Counties' Community Board of Directors to present the four priority needs and data of the CHNA. In Williamson County, VUMC's Community Health Improvement Team also participates in local groups such as the anti-drug coalition and the Williamson County Health Council, which promote improvements in community health. The VUMC Community Health Improvement Team has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS. PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS; BROCHURES AVAILABLE AT REGISTRATION POINTS; AND LANGUAGE INCLUDED ON ALL STATEMENTS MAILED TO PATIENTS ADVISING THAT VUMC HAS A FINANCIAL ASSISTANCE PROGRAM IF HELP IS NEEDED PAYING MEDICAL BILLS. PRE-ADMITTING, REGISTRATION, OR BILLING PERSONNEL MAY REFER UNINSURED OR LOW INCOME PATIENTS TO FINANCIAL COUNSELING PERSONNEL TO DISCUSS QUALIFICATIONS FOR FREE OR DISCOUNTED CARE. Schedule H, Part V, Section B, Line 3E The significant health needs identified in the 2016 CHNA of Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) are a prioritized description of the significant health need of the community, identified by the CHNA. The process of prioritizing the significant needs included a number of phases. Stallworth and partners collected and analyzed primary data from a broad array of stakeholders and community members. Additionally, we pulled and analyzed hundreds of indicators from publicly available secondary data. In each of the three counties in the CHNA communities served (Davidson, Rutherford, and Williamson Counties), we held a community summit, which included hospital leadership, local health departments, community leaders representing a number of sectors, and community members and individuals who participated in interviews and listening sessions as a part of the CHNA process. The results of Stallworth's data collection and analysis were presented to the community, and participants were asked to prioritize their most pressing health needs through interactive exercises. The needs prioritized by the community were adopted by Stallworth, and each described at length in Stallworth's 2016 CHNA. Through this CHNA process, the community prioritized the significant health needs of Access to Care / Coordination of Care, Mental Health & Substance Abuse, Social Determinants, and Wellness/Disease Prevention. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Input from persons representing the broad interests of the community, including those with expertise in public health, was obtained through face-to-face interviews and via community listening sessions. Interviews took place from February to May 2015. Listening sessions took place from March to July 2015. Community summits were held in September of 2015. Stallworth identified leaders from public health, government, education, the faith community, private foundations, community organizations, and academia among others as interviewees. Interviewees were identified in collaboration with local health departments in each county and were selected based on their understanding of the broad interests of the community and underserved populations. Interviewees also included health department directors from the community served, community physicians, public health researchers, and community-based organizations that have special knowledge and expertise in public health. In all, 81 community leaders were interviewed with particular attention to underserved, low-income, and minority populations. Organizations represented in Davidson County interviews included Metro Nashville Public Schools, Jobs for Life, Family & Children's Services, Social Services, the Homelessness Commission, Nashville General, the Martha O' Bryan Center, the Council on Aging, Nashville General Hospital, local government, the Healthy Nashville Leadership Council, Nashville CARES, Saint Thomas Health, Stallworth, Conexion Americas, Nashville Latino Health Coalition, Mental Health America, the Safety Net Consortium of Middle Tennessee, Faith Family Clinic, Siloam Health, United Neighborhood Health Services, Metro Transit Authority, Interdenominational Ministers Fellowship, HCA, United Way, local faith institutions, Meharry Medical College, Tennessee State University, Vanderbilt University, Nurses for Newborns, Second Harvest, and the Metro Public Health Department. Organizations represented in Rutherford County Interviews included the University of Tennessee Agricultural Extension Office, Middle Tennessee State University, Murfreesboro City Schools, local government, Saint Thomas Health, Interfaith Dental, Primary Care & Hope Clinic, Journey Home, National Healthcare for the Homeless Council, Murfreesboro Police Department, Volunteer Behavioral Health, City of Murfreesboro Transportation (Rover), Boys & Girls Club, Rutherford County Schools, Saint Louise Clinic, Rutherford County YMCA, and the Rutherford County Health Department. Organizations represented in Williamson County interviews included local faith institutions, Franklin Housing Authority, Mercy Community Healthcare, local government, Chamber of Commerce, WAVES, United Way, the Refuge Center, Williamson Medical Center, Workforce Essentials, Graceworks, Franklin Special School District, United Way of Williamson County, the Department of Children's Service, Columbia State Community College, and the Williamson County Health Department. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic/Latino communities, the medically under-served, those experiencing mental illness, those experiencing addiction, children and other low-income, minority, under-served, and vulnerable populations. To understand community members' opinions of health needs, eleven focus groups were conducted across the three counties that represent the community served. The focus groups in Davidson County were held in collaboration with the United Way of metropolitan Nashville, as well as county health departments. In Davidson County, sessions were held at United Way Family Resource Centers (FRCs), which serve 32,000 low-income residents annually. United Way of Metropolitan Nashville recruited participants in partnership with the FRCs and Stallworth and Saint Thomas Health. English and Spanish speakers were included in listening sessions in each county. In Rutherford County, listening sessions were held in coordination with Saint Thomas Health, and the Rutherford County Health Department. Recruitment was done in coordination with the host sites, which included Faith and Hope Clinic, the Smyrna Branch of the Rutherford County Health Department, and First Baptist Church in Murfreesboro. In Williamson County, recruitment was done in collaboration with the Williamson County Health Department, and one session each was held in English and in Spanish. Across the three counties, more than three-quarters of participants were female (78%), more than three-quarters spoke English (78%), more than a quarter were uninsured (26%), and more than one-third had not completed more than a high school education (36%). Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital conducted a health needs assessment in partnership with its affiliated health system, Vanderbilt University Medical Center. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital ("Stallworth") identified four significant health needs in its most recently conducted CHNA. The four significant health needs identified are: 1) access to care and coordination of care, 2) mental and emotional health / substance abuse, 3) social determinants and 4) wellness and disease prevention. Stallworth is addressing all four needs, with a detailed list of programs, investments, and services listed in the 2016 Implementation Strategy (IS). Stallworth holds monthly grand rounds for members of the medical community to discuss topics that have an impact on rehabilitation and post-acute care. In addition, Stallworth offers a number of support groups and educational classes for patients and caregivers. The monthly stroke support group and stroke education classes, which meet weekly, are open to both patients and caregivers. Stallworth works to build strong collaborations throughout the community and throughout the country and currently supports the work of the American Heart and Stroke Association, United Spinal Association, Achilles Foundation, the Arthritis Foundation, Brain Injury Association of Tennessee, Williamson County Senior Expo, the Annual Harold "Jobe" Bernard Stroke and Neurosciences Symposium, Senior Health Fairs, Fifty Forward assisted living facilities, Maury County Senior Center, and the Hendersonville Senior Center. Stallworth is in the process of adding a full time Licensed Independent Social Worker in to its staffing to provide a resource for the inpatient population in addition to expanded psychiatric consultation availability. Stallworth collaborates with the Trauma Survivors Network, which provides a host of free resources to help patients and families cope with the challenges of trauma recovery. In addition, the Spinal Cord Injury Peer Mentor Program, which is held twice monthly, includes training for peer mentor volunteers who help patients as they make the significant life changes often associated with trauma recovery. Finally, housing evaluations are done during the pre-admission process to assess home-readiness after a traumatic injury. Once an individual is admitted as an inpatient at Stallworth, a recurring housing assessment is done, and Stallworth staff often connect patients with community resources to assist in the transition. Through on-going partnerships and engagement of key stakeholders, Stallworth will continue to collaborate to meet the needs identified in the most recent needs assessment. Stallworth serves a patient demographic that has needs that are unique in the patient landscape of Vanderbilt University Medical Center. As such, the CHNA team conducted a listening session to explore more granular needs of Stallworth in relation to the identified needs. The listening session was conducted with the patients within a support group for traumatic brain injuries hosted at Stallworth. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT STALLWORTH REHABILITATION HOSPITAL. Patients are notified of available assistance under federal, state or local government programs or under Stallworth's charity care policy via signage at the front desk, in the main elevator to the patient care units & along the back hallway of the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-admitting, registration, case management or billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care. 32 Ambulatory Surgery Center of Cool Springs LLC 2009 Mallory Lane Suite 100 Franklin TN 37067 Ambulatory Surgery Treatment Center Spring Hill Surgery Center LLC 1003 Reserve Blvd Suite 210 Spring Hill TN 37174 Ambulatory Surgery Treatment Center Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Boulevard Spring Hill TN 37174 Oncology Services One Hundred Oaks Imaging LLC 719 Thompson Lane Nashville TN 37204 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 134 Pewitt Drive Brentwood TN 37027 Ambulatory Clinic Spring Hill Imaging Center LLC 5421 Main Street Spring Hill TN 37174 Outpatient Diagnostic Center Williamson Imaging LLC (dba Cool Springs Imaging) 2009 Mallory Lane Suite 150 Franklin TN 37067 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 919 Murfreesboro Pike Franklin TN 37064 Ambulatory Clinic Vanderbilt-Gateway Cancer Center GP 375 Alfred Thun Road Clarksville TN 37040 Oncology Services Vanderbilt-Ingram Cancer Center Franklin 2107 Edward Curd Lane Franklin TN 37067 Ambulatory Surgery Treatment Center Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Belle Meade) 4525 Harding Road Suite 102 Nashville TN 37232 Outpatient Diagnostic Center Vanderbilt Imaging Services LLC (dba Hillsboro Imaging Services) 1909 Acklen Avenue Nashville TN 37212 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 1834 West McEwen Dr Suite B Franklin TN 37067 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 3098 Campbell Station Pkwy Spring Hill TN 37174 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 940 Oldham Drive Nolensville TN 37135 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 7601 Highway 70 S Bellevue TN 37221 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1954 Madison Street Clarksville TN 37043 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 9100 Carothers Pkwy Franklin TN 37067 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 585 Nashville Pike Gallatin TN 37066 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 198 E Main Street Hendersonville TN 37075 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Tulip Grove Road Hermitage TN 37076 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5000 Murfreesboro Road Lavergne TN 37086 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1303 W Main Street Lebanon TN 37087 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 2401 Old Fort Pkwy Murfreesboro TN 37128 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 3500 Gallatin Pike Nashville TN 37216 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5555 Edmondson Pike Nashville TN 37211 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 518 Donelson Pike Nashville TN 37214 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 4243 Harding Pike Nashville TN 37205 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Sam Ridley Pkwy Smyrna TN 37167 AMBULATORY CLINIC Vanderbilt Home Dialysis Clinic 2906 Foster Creighton Drive Suite 1 00 Nashville TN 37204 End Stage Renal Dialysis Vanderbilt Dialysis Clinic 2906 Foster Creighton Drive Suite 2 00 Nashville TN 37214 End Stage Renal Dialysis Vanderbilt University Medical Center Dialysis Clinic-East 20 Rachel Drive Nashville TN 37214 End Stage Renal Dialysis Schedule H, Part I, Line 7k VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS Column (f) Community Benefit Expense: The total community benefit expense using Part I, Line 7, Column (c) (before direct offsetting revenue) as a percentage of total expenses is 37.37%. Schedule H, Part V, Section B, Line 20 Extraordinary Collection Actions The VUMC Financial Assistance Policy permits the use of ECAs. However, VUMC did not engage in any ECAs during FY2019. The Stallworth Financial Assistance Policy explicitly forbids the use of ECAs. Schedule H, Part VI, Line 7 State filing of community benefit report Not applicable. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costing methodology used to calculate Charity Care and certain other community benefit costs reported was based on an overall cost-to-charge ratio for all patient populations. The cost to charge ratio was calculated using IRS Worksheet 2. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The costing methodology used to calculate bad debt expense reported in Part III, Lines 2 and 3 was based on an overall cost-to-charge ratio for all patient populations. Discounts and payments on accounts considered as bad debt offset the total bad debt expense recorded. Process to determine amount of bad debt attributable to individuals eligible for financial assistance - The accounts that have not been paid are first reviewed under a presumptive charity policy. For those accounts that do not meet presumptive eligibility criteria, it is estimated that 3% of the balances are attributable to individuals who would qualify for financial assistance. This estimate is based on experience of patient accounting management as well as a methodical review of outstanding patient accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The audited financial statements of VUMC disclose the consolidated amount of bad debt expense. This information is contained in Footnote 4, Patient Service Revenue, Patient Accounts Receivable, and Estimated Third-party Settlements, on page 18 of the audited financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Costing Methodology - Medicare Allowable Costs: The methodology for determining Medicare allowable costs consisted of applying an overall hospital cost-to charge ratio to gross Medicare charges from the hospital billing system. The resulting shortfall is entirely deemed as community benefit because the cost of providing related care consistently exceeds reimbursement from Medicare. The hospital accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the health of the community. The organization believes the Medicare shortfall should be treated as a community benefit because Medicare does not fully compensate hospitals for the cost of providing hospital care to Medicare beneficiaries. In FY19, such shortfalls amounted to 195,663,019. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Collection Practices: Although Vanderbilt University Medical Center's policies do not contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance, in practice, if a patient qualifies for a 100% charity care write off, the account is closed and no further collection efforts are made. If a patient qualifies for a partial charity care write off, the account is reduced for the applicable charity discount and normal collection efforts are made. Although no extraordinary collection actions were taken in FY19, the extraordinary collection actions that may be taken, after reasonable efforts are made to ensure a patient is not eligible for financial assistance on the remaining balance, include: - Attachment or seizure of a bank account or other personal property - Commencement of a civil action against an individual - Wage garnishment Schedule H, Part V, Section B, Line 16a FAP website - Vanderbilt University Medical Center Hospitals: Line 16a URL: https://www.vanderbilthealth.com/financialassistance/; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16a URL: https://www.encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Vanderbilt University Medical Center Hospitals: Line 16b URL: https://www.vanderbilthealth.com/financialassistance/; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16b URL: https://www.encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Vanderbilt University Medical Center Hospitals: Line 16c URL: https://www.vanderbilthealth.com/financialassistance/; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16c URL: https://www.encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment Vanderbilt University Medical Center ("VUMC") continually assesses the healthcare needs of the communities it serves. The Vanderbilt Patient and Family Advisory Council comprises community volunteers who partner with VUMC' s health care team and leadership to assess needs and evaluate services and programs. VUMC and Stallworth have also formed the Community Health Improvement Working Group, an internal committee of program managers which meets regularly and makes recommendations to the CHNA Advisory Committee. The CHNA Advisory Committee is made up of VUMC and Stallworth senior leaders who meet to continually assess the needs of the community and drive improvements in care and processes for the communities they serve. In effort to understand in more depth the needs of specific populations, VUMC's Community Health Improvement team has conducted additional listening sessions to determine how their experiences align with the broad categories of needs that were identified in the CHNA and what strategies will best address the needs of the community. These listening sessions have included one (1) session with patients served by Stallworth, three (3) with the LGBTQ community, and the team has planned to host six (6) sessions with the Latino community. Information gathered through this process may be used to better inform programming and supports for patients. VUMC further assesses the health care needs of the communities it serves by playing an active role in groups such as the Healthy Nashville Leadership Council, Williamson County Health Council, and the Rutherford County Wellness Council. VUMC reviews the many needs assessments published by these local groups (Alignment Nashville, Saint Thomas Health, Nashville Area Chamber of Commerce, Metro Social Services, Healthy Nashville, and the Tennessee Department of Health, among others) to help gauge the needs and resources within the community. In 2018, VUMC completed a systematic review of more than 31 recent assessments completed by community partners across the three counties, highlighting populations served, geographic area covered, and themes highlighted in the report. In addition, VUMC has developed partnerships with the state department of health to stay abreast of important community health needs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance VUMC patients are notified of available assistance under Federal, State or local government programs or under VUMC's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-Admitting, Registration, or Billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care. Stallworth patients are notified of available assistance under Federal, State or local government programs or under Stallworth's charity care policy via signage posted at various locations within the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-Admitting, Registration, Case Management or Billing personnel may refer uninsured or low-income patients to financial personnel to discuss qualifications for free or discounted care. Schedule H, Part VI, Line 4 Community information Vanderbilt University Medical Center, located in Nashville, Tennessee, serves primarily Tennessee, northern Alabama and southern Kentucky. Vanderbilt University Medical Center owns the Vanderbilt University Hospital, the Monroe Carell Jr. Children's Hospital at Vanderbilt, and Vanderbilt Psychiatric Hospital. These facilities operate under one hospital license as Vanderbilt University Medical Center (VUMC). VUMC (excludes Vanderbilt Health Services, LLC and subsidiaries) have approximately 65,000 annual discharges. VUMC also provides approximately 2.2 million annual outpatient visits, including 115,000 to the emergency departments. Vanderbilt University Medical Center Hospitals provide critical and often unique health care resources to the community and provide broad access to care. The majority of VUMC's patients live in four Tennessee counties: Davidson, Williamson, Rutherford and Montgomery. Vanderbilt Stallworth Rehabilitation Hospital, located in Nashville, Tennessee, serves middle Tennessee, southern Kentucky and the northern parts of Mississippi, Alabama and Georgia. This 80-bed hospital is a joint venture between Vanderbilt University Medical Center and Encompass Health and offers comprehensive acute rehabilitation services. Annually, Vanderbilt Stallworth Rehabilitation Hospital has approximately 1,330 discharges. The majority of Stallworth's patients live in four Tennessee counties - Davidson, Williamson, Rutherford and Montgomery. Schedule H, Part VI, Line 5 Promotion of community health For information on how VUMC promotes the health of the community please see: "Vanderbilt University Medical Center Facts 2018-2019" as found at: https://www.vanderbilthealth.com/patientandvisitorinfo/48538 "Vanderbilt in Tennessee: County by County" as found at: https://www.vanderbilt.edu/community-relations/map/ (Please use lowercase to access the website) "2019 Economic Impact Report" as found at: https://www.vanderbilt.edu/reports/2019-economic-impact-report/ (Please use lowercase to access the website) Schedule H, Part VI, Line 6 Affiliated health care system Vanderbilt University Medical Center owns the Vanderbilt University Hospital, the Monroe Carell Jr. Children's Hospital at Vanderbilt, and Vanderbilt Psychiatric Hospital. These facilities operate under one hospital license as Vanderbilt University Medical Center (VUMC). VUMC also has ownership interest in several affiliated entities, which provide clinical services. VUMC's hospitals, clinics, and affiliated entities provide the following healthcare services to the communities it serves: emergency care, inpatient hospital care, outpatient treatment, diagnostic testing, ancillary care, primary care services, and home health care. VUMC provides a number of clinical services unique to its region including: a Level 1 Trauma Center, a Level 1 Pediatric Trauma Center, a comprehensive Regional Burn Center, a Level 4 Neonatal Intensive Care Unit, Tennessee's only comprehensive solid organ transplant center, the Vanderbilt-Eskind Diabetes Center, and the Vanderbilt-Ingram Cancer Center, the only National Cancer Institute-designated comprehensive cancer center in Tennessee to treat both adult and pediatric cancer patients. In addition, VUMC's health care system includes the Vanderbilt Health Affiliated Network, an affiliated network of doctors, regional health systems and other health care providers that collaborate to provide coordinated and cost-effective health care services to the communities served. These are contractual affiliate relationships only with no ownership interest in the facilities or physician practices. VUMC also collaborates with other hospital systems in the region, providing health care and/or research and academic support. For a list of all organizations related to Vanderbilt University Medical Center and the primary activity of each, please refer to Schedule R. true University of Vermont 85 South Prospect St Burlington VT 05405 030179440 GOVT 90891 Not applicable Not applicable Research Northeastern University 360 Huntington Avenue Boston MA 02115 041679980 501(c)(3) 33297 Not applicable Not applicable Research Boston University P O Box 28770 New York NY 100878770 042103547 501(c)(3) 456131 Not applicable Not applicable Research Harvard University P O Box 415649 Boston MA 02241 042103580 501(c)(3) 564793 Not applicable Not applicable Research Massachusetts Institute of Technology 77 Massachusetts Ave Cambridge MA 02139 042103594 501(c)(3) 23776 Not applicable Not applicable Research Beth Israel Deaconess Medical Center 330 Brookline Ave Boston MA 02215 042103881 501(c)(3) 1296572 Not applicable Not applicable Research Schepens Eye Research Institute 20 Staniford Street Boston MA 02114 042129889 501(c)(3) 35034 Not applicable Not applicable Research Dana Farber Cancer Institute 450 Brookline Ave HIM 240B Boston MA 02215 042263040 501(c)(3) 16097 Not applicable Not applicable Research Brigham & Womens Hospital Inc 221 Longwood Avenue Boston MA 02115 042312909 501(c)(3) 138943 Not applicable Not applicable Research Massachusetts General Hospital 50 Stanford Street Boston MA 02114 042697983 501(c)(3) 1043062 Not applicable Not applicable Research Boston Children's Hospital 300 Longwood Avenue Boston MA 02115 042774441 501(c)(3) 118925 Not applicable Not applicable Research Baystate Medical Center Inc Attn Barbara Pantuosco 280 Chestnut Street Springfield MA 01199 042790311 501(c)(3) 5515 Not applicable Not applicable Research New England Reseach Institutes Inc 480 Pleasant Street Watertown MA 02472 042919509 N/A 102918 Not applicable Not applicable Research DRDECISION RESOURCES LLC 100 District Ave Burlington MA 01803 043069877 N/A 15000 Not applicable Not applicable Research University of Massachusetts - Worcester Medical School 55 Lake Ave North Worcester MA 01655 043167352 GOVT 101376 Not applicable Not applicable Research Dana Farber Partners CancerCare Inc 450 Brookline Ave Boston MA 022155450 043320640 501(c)(3) 11906 Not applicable Not applicable Research Tufts Medical Center 800 Washington Street Boston MA 02111 043400617 501(c)(3) 20720 Not applicable Not applicable Research Yale University DNA Analysis Facility on Sci Hill 165 Prospect Street OML 122 New Haven CT 06511 060646973 501(c)(3) 253898 Not applicable Not applicable Research Weill Cornell Medical College 407 East 61st St 2nd Floor New York NY 10065 131623978 501(c)(3) 278951 Not applicable Not applicable Instruction Rockefeller University Proteomics Resource Center 1230 York Avenue New York NY 100216399 131624158 501(c)(3) 59568 Not applicable Not applicable Research Albert Einstein College of Medicine of Yeshiva University 1300 Morris Park Avenue Bronx NY 10461 131624225 501(c)(3) 13633 Not applicable Not applicable Research Research Foundation for State University Of New York Stony Brook University Dept of Cerebrovascular Center Stony Brook NY 117948122 131988190 501(c)(3) 50301 Not applicable Not applicable Research New York University School of Medicine 57 Old Forge Road Tuxedo Park NY 10987 135562308 501(c)(3) 727810 Not applicable Not applicable Research Columbia University Columbia Neurosurery 710 West 168th Street New York NY 10032 135598093 501(c)(3) 854251 Not applicable Not applicable Research Icahn School of Medicine at Mount Sinai 1425 Madison Ave 1st Floor Room 15 75 New York NY 10029 136171197 501(c)(3) 793857 Not applicable Not applicable Research The Research Foundation for the State University of New York P O Box 9 Albany NY 12201 141368361 501(c)(3) 164726 Not applicable Not applicable Research Health Research Inc Roswell Park Division Elm Carlton Streets Buffalo NY 14263 141402155 501(c)(3) 22624 Not applicable Not applicable Research Syracuse University Bursar Operations 119 Bowne Hall Syracuse NY 132441140 150532081 501(c)(3) 210983 Not applicable Not applicable Research Rambiss LLC 8807 Wind Chime Ct Upper Marlboro MD 20772 201240325 N/A 57869 Not applicable Not applicable Instruction Hospital Authority of Metro Nashville & Davidson County Nashville General Hospital 1818 Albion Street Nashville TN 37208 202844893 GOVT 639805 Not applicable Not applicable Research The Cooper Health System One Cooper Plaza Camden NJ 08103 210634462 501(c)(3) 15457 Not applicable Not applicable Research The Valley Hospital Inc 223 North Van Dien Ave Ridgewood NJ 07450 221487307 501(c)(3) 25935 Not applicable Not applicable Research Dartmouth Hitchcock Clinic 1 Medical Center Drive CTO Cashier Level 3 Lebanon NH 03756 222519596 501(c)(3) 6039 Not applicable Not applicable Research Childrens Hospital of Philadelphia 3501 Civic Center Blvd CTRB 2400-5 Philadelphia PA 191044318 231352166 501(c)(3) 290287 Not applicable Not applicable Research Thomas Jefferson University 125 9th Street 2nd floor Philadelphia PA 19107 231352651 501(c)(3) 28093 Not applicable Not applicable Research University of Pennsylvania Penn Arts Sciences 420 Walnut Street Philadelphia PA 19106 231352685 501(c)(3) 555688 Not applicable Not applicable Research Geisinger Clinic 100 N Academy Avenue Danville PA 17822 236291113 501(c)(3) 442593 Not applicable Not applicable Research Fred Hutchinson Cancer Research Center Office of Sponsored Research 1100 Fairview Ave N POB 19024 Seattle WA 98109 237156071 501(c)(3) 148870 Not applicable Not applicable Research Pennsylvania State University University Libraries 512 Paterno Library University Park PA 16802 246000376 GOVT 11731 Not applicable Not applicable Research University of Pittsburgh UPMC Cancer Pavillion 5150 Center Ave Pittsburgh PA 15232 250965591 GOVT 732390 Not applicable Not applicable Research Allegheny Singer Research Institute 320 East North Avenue Pittsburgh PA 152124772 251320493 501(c)(3) 172213 Not applicable Not applicable Research The Broad Institute Inc 415 Main St Cambridge MA 02142 263428781 501(c)(3) 3013516 Not applicable Not applicable Research Applied Decision Science LLC 1776 Mentor Ave Cincinnati OH 45212 271438501 N/A 6605 Not applicable Not applicable Research Regenstrief Institute Inc 1101 West 10th Street Indianapolis IN 46202 300007730 501(c)(3) 47261 Not applicable Not applicable Research Childrens Hospital Medical Center Accounting Office MLC 4900 3333 Burnet Avenue Cincinnati OH 452293039 310833936 501(c)(3) 300441 Not applicable Not applicable Research University of Tennessee Medical Center 1924 Alcoa Highway Knoxville TN 379201511 311626179 501(c)(3) 59871 Not applicable Not applicable Public Service Battelle Memorial Institute P O Box 999 Richland WA 99352 314379427 501(c)(3) 100000 Not applicable Not applicable Research University of Cincinnati P O Box 210641 Cincinnati OH 45221 316000989 GOVT 1253804 Not applicable Not applicable Research Ohio State University CHTN Midwestern Division 2001 Polaris Parkway Columbus OH 43240 316025986 GOVT 36154 Not applicable Not applicable Research The Research Institute at Nationwide Children's Hospital 700 Childrenss Drive Columbus OH 43205 316056230 501(c)(3) 107618 Not applicable Not applicable Research Ohio State Univ Research Foundation The Ohio State University 1060 Carmack Hall Columbus OH 43210 316401599 501(c)(3) 47674 Not applicable Not applicable Research La Jolla Institute for Immunology 9420 Athena Cir La Jolla CA 92037 330328688 501(c)(3) 69941 Not applicable Not applicable Research The Scripps Research Institute 10550 North Torrey Pines Road La Jolla CA 92037 330435954 501(c)(3) 1365727 Not applicable Not applicable Research Illumina Inc 12864 Collections Center Drive Chicago IL 60693 330804655 N/A 210168 Not applicable Not applicable Research Positive Oral Health Consulting LLC 3020 NE 32nd Ave Fort Lauderdale FL 33308 333087230 N/A 15312 Not applicable Not applicable Instruction Cleveland Clinic 9500 Euclid Ave Cleveland OH 44195 340714585 501(c)(3) 109980 Not applicable Not applicable Research Case Western Reserve University 10900 Euclid Ave Medicine Gastroenterology Cleveland OH 441064925 341018992 501(c)(3) 113129 Not applicable Not applicable Research Central American Medical Outreach Inc 322 Westwood Avenue Orrville OH 44667 341740695 501(c)(3) 117728 Not applicable Not applicable Research Indiana University Dept 78896 P O Box 78000 Detroit MI 482780896 356001673 GOVT 285461 Not applicable Not applicable Research Purdue University Bursars Office 610 Prudue Mall West Lafayette IN 479072040 356002041 GOVT 237041 Not applicable Not applicable Instruction Chapin Hall Center for Children 1313 East 60th Street Chicago IL 60637 362167012 501(c)(3) 56848 Not applicable Not applicable Public Service Northwestern University Center for Genetic Medicine 303 East Superior St Chicago IL 60611 362167817 501(c)(3) 1280219 Not applicable Not applicable Research Ann and Robert H Lurie Children's Hospital of Chicago 225 E Chicago Ave Chicago IL 606112605 362170833 501(c)(3) 17666 Not applicable Not applicable Research Rush University Medical Center 1653 West Congress Parkway Chicago IL 60612 362174823 501(c)(3) 158182 Not applicable Not applicable Research University of Chicago Dept of Medicine 5841 South Maryland Ave Chicago IL 60637 362177139 501(c)(3) 232126 Not applicable Not applicable Research University of Illinois Office of Business Affairs M/C551 809 South Marshfield Ave 511MB Chicago IL 606127205 376000511 GOVT 58414 Not applicable Not applicable Research Grand Valley State University 1 Campus Drive Allendale MI 49401 381684280 GOVT 30997 Not applicable Not applicable Research Oakland University 359 DH 118 Library Drive Rochester MI 483094479 381714400 GOVT 23637 Not applicable Not applicable Research Arbor Research Collaborative for Health 340 E Huron Street Suite 300 Attn Accounting Ann Arbor MI 48104 383289521 501(c)(3) 95631 Not applicable Not applicable Research Michigan State University Dept of Geological Sciences 206 Natural Science Building East Lansing MI 48823 386005984 GOVT 232130 Not applicable Not applicable Research Regents of the University of Michigan C/O Dr Rodica Pop Busui 1000 Wall Street Ann Arbor MI 481055714 386006309 GOVT 418115 Not applicable Not applicable Research Wayne State University 42 West Warren Suite 250 Detroit MI 48202 386028429 GOVT 312257 Not applicable Not applicable Research Medical College of Wisconsin Attn Sommer Hatfield P O Box 1997 Milwaukee WI 532011997 390806261 501(c)(3) 57182 Not applicable Not applicable Research BloodCenter of Wisconsin Inc Blood Research Institute P O Box 2178 Milwaukee WI 532012178 390807235 501(c)(3) 9288 Not applicable Not applicable Research Aurora Health Care Inc PO BOX 341880 Milwaukee WI 532341880 391442285 501(c)(3) 186771 Not applicable Not applicable Research University of Wisconsin - Madison School of Veterinary Medicine Business Services Office Madison WI 537061102 391805963 GOVT 87724 Not applicable Not applicable Research University of Minnesota Advanced Research Diagnostic Lab 1200 Washington Ave S Minneapolis MN 55415 416007513 GOVT 26379 Not applicable Not applicable Research Mayo Clinic Rochester Research Finance P O Box 4006 Rochester MN 559034026 416011702 501(c)(3) 344182 Not applicable Not applicable Research University of Iowa 118 South Clinton Street Grant Accounting Iowa City IA 52242 426004813 GOVT 26985 Not applicable Not applicable Research Washington University School of Medicine 700 Rosedale Ave CB1034 Sponsored Projects Accounting Saint Louis MO 631121408 430653611 501(c)(3) 3469368 Not applicable Not applicable Research Hudson Alpha Institute for Biotechnology 601 Genome Way Huntsville AL 35806 432059317 501(c)(3) 588297 Not applicable Not applicable Research Childrens Mercy Hospitals 2401 Gillham Road Kansas City MO 64108 440605373 501(c)(3) 92706 Not applicable Not applicable Research ThinkWell LLC 1875 Connecticut Ave NW Washington DC 20009 452324600 N/A 52244 Not applicable Not applicable Public Service Baptist Clinical Research Institute 6025 Walnut Grove Rd Suite 500 Memphis TN 38120 453032246 501(c)(3) 948820 Not applicable Not applicable Research Orthopedic Institute P C 810 East 23rd Street Sioux Falls SD 571175116 460316404 N/A 10114 Not applicable Not applicable Research Sanford Reseach P O Box 5064 Sioux Falls SD 571045064 460450378 501(c)(3) 86359 Not applicable Not applicable Research RutgersThe State University of New Jersey Division of Grants Contract 65 Davidson Road Room 306 Piscataway NJ 088545602 462354111 GOVT 22160 Not applicable Not applicable Research Father Flanagans Boys Home 14100 Crawford St Mod 2 Boys Town NE 68010 470376606 501(c)(3) 6113 Not applicable Not applicable Research Advanced Respiratory Technologies LLC 411 Jake Link Road Cottontown TN 37048 473573079 N/A 72726 Not applicable Not applicable Research University of Kansas Center for Research Bursars Office - SPSR 1450 Jayhawk Blvd Lawrence KS 660457518 480680117 501(c)(3) 17445 Not applicable Not applicable Research Johns Hopkins University Johns Hopkins Technology Ventures 1812 Ashland Ave Baltimore MD 21205 520595110 501(c)(3) 493237 Not applicable Not applicable Research Department of Health and Human Services Centers for Medicare & Medicaid Ser vices Centers for Medicare Medicaid P O Box 7520 Baltimore MD 21244 520883104 GOVT 202000 Not applicable Not applicable Research The Henry M Jackson Foundation for the Advancement of Military Medicine Inc 6720 A Rockledge Drive Suite 100 Bethesda MD 20817 521317896 501(c)(3) 28711 Not applicable Not applicable Research University of Maryland Baltimore Sponsored Projects 220 Arch Street Baltimore MD 21201 526002033 GOVT 267037 Not applicable Not applicable Research Georgetown University Office of Student Accounts 37th O Street NW Washington DC 200571159 530196603 501(c)(3) 15816 Not applicable Not applicable Research US Civilian Research & Development Foundation 1776 Wilson Blvd Suite 300 Arlington VA 22209 541773406 501(c)(3) 123640 Not applicable Not applicable Research Virginia Commonwealth University Office of Sponsored Programs 800 East Leigh St Suite 3200 Richmond VA 232843039 546001758 GOVT 15715 Not applicable Not applicable Research University of Virginia Attn Business Manager 580 Massie Road Charlottesville VA 22903 546001796 GOVT 111901 Not applicable Not applicable Research West Virginia University Research Corp One Medical Center Drive P O Box 9235 Morgantown WV 26506 550665758 501(c)(3) 16690 Not applicable Not applicable Research Carolinas HealthCare System P O Box 601979 Charlotte NC 282601979 566060481 501(c)(3) 5887 Not applicable Not applicable Research Duke University C/O Mimi Davis 210 Baker House PO Box 3279 Durham NC 27710 560532129 501(c)(3) 707819 Not applicable Not applicable Instruction Wake Forest University School of Business Winston Salem NC 27109 560532138 501(c)(3) 347260 Not applicable Not applicable Research University of North Carolina Charlotte Office Of Student Accounts 9201 University City Boulevard Charlotte NC 28223 560791228 GOVT 78992 Not applicable Not applicable Research Duke University Health System Department of Pathology P O Box 3689 Durham NC 27710 562070036 501(c)(3) 5257 Not applicable Not applicable Research University of North Carolina Chapel Hill UNC School of Medicine N 2198 UNC Hospitals Chapel Hill NC 275997010 566001393 GOVT 1811938 Not applicable Not applicable Research Medical University of South Carolina Histology Core Laboratory 171 Ashley Ave MSC 908 Charleston SC 29425 576000722 GOVT 48156 Not applicable Not applicable Research University of South Carolina 516 Main Street Columbia SC 29201 576001153 GOVT 1196905 Not applicable Not applicable Public Service Emory University 1405 Clifton Road NE Atlanta GA 303221060 580566256 501(c)(3) 756042 Not applicable Not applicable Research MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW Atlanta GA 30310 581438873 501(c)(3) 329433 Not applicable Not applicable Instruction Saint Thomas Health Foundation 4220 Harding Road Nashville TN 37205 581663055 501(c)(3) 53848 Not applicable Not applicable Research Saint Thomas Health 4220 Harding Rd Nashville TN 37205 581716804 501(c)(3) 21046 Not applicable Not applicable Research University of Miami P O Box 248106 Coral Gables FL 331242912 590624458 501(c)(3) 1854762 Not applicable Not applicable Instruction H Lee Moffitt Cancer Center and Research Institute 1209 Magnolia Dr M2Gen-INNOV Tampa FL 336129497 592451713 501(c)(3) 303974 Not applicable Not applicable Research University of South Florida University Controllers Office 4202 East Fowler Ave ADM 147 Tampa FL 336205800 593102112 GOVT 14649 Not applicable Not applicable Research Tampa General Hospital Office of Clinical Research 5 Tampa General Circle Tampa FL 33606 593458145 501(c)(3) 6620 Not applicable Not applicable Research University of Florida UF-ICBR 2033 Mowry Road Gainesville FL 32610 596002052 GOVT 2194188 Not applicable Not applicable Research Memorial Healthcare System South Broward Hospital District P O Box 538514 Atlanta GA 303538514 596014973 501(c)(3) 15508 Not applicable Not applicable Research University of Louisville Research Foundation Inc Controllers Office 223 Service Complex Louisville KY 40292 611029626 501(c)(3) 162122 Not applicable Not applicable Research Oregon State University A312 Kerr Admin Bldg Corvallis OR 973312140 611730890 GOVT 103909 Not applicable Not applicable Research University of Kentucky Research Foundation 201 Kinkead Hall Lexington KY 405060057 616033693 501(c)(3) 216568 Not applicable Not applicable Instruction Vanderbilt University Contract & Grant Accounting PMB 401591 2301 Vanderbilt Place Nashville TN 372401591 620476822 501(c)(3) 12737788 Not applicable Not applicable Research Tennessee Valley Healthcare System Chaplain Phillips TVHS 3400 Lebanon Road Murfreesboro TN 37129 620484828 GOVT 47602 Not applicable Not applicable Research David Lipscomb University College of Pharmacy University Relations One University Park Drive Nashville TN 37204 620485733 501(c)(3) 21570 Not applicable Not applicable Research Meharry Medical College Office of Grants Contracts 1005 Dr D B Todd Jr Blvd Nashville TN 37208 620488046 501(c)(3) 1488020 Not applicable Not applicable Instruction St Judes Childrens Research Hospital P O Box 1000 Memphis TN 381480949 620646012 501(c)(3) 91705 Not applicable Not applicable Research University of Memphis Interlibrary Loan 126 Ned R McWherter Library Memphis TN 381523250 620648618 GOVT 17457 Not applicable Not applicable Research Metro Public Health Department 2500 Charlotte Avenue Suite 100 Nashville TN 37209 620694743 GOVT 113495 Not applicable Not applicable Research Tennessee State University Office Of Vp For Bus And Fin 3500 John A Merritt Blvd Nashville TN 372091561 620786119 GOVT 110022 Not applicable Not applicable Instruction Matthew Walker Health Center Inc 1035 14th Avenue N Nashville TN 37208 621035426 501(c)(3) 5715 Not applicable Not applicable Research 2020 Research Inc 161 Rosa L Parks Blvd Nashville TN 37203 621271305 N/A 13696 Not applicable Not applicable Research Nashville CARES 633 Thompson Lane Nashville TN 37204 621274532 501(c)(3) 31328 Not applicable Not applicable Research Saint Thomas Research Institute 300 20th Avenue North Nashville TN 37203 621284994 501(c)(3) 79651 Not applicable Not applicable Research Middle Tennessee Research Institute 1310 24th Avenue South Nashville TN 37212 621387860 501(c)(3) 13300 Not applicable Not applicable Research Tennessee Disability Coalition 955 Woodland Street Nashville TN 37206 621447320 501(c)(3) 16820 Not applicable Not applicable Instruction Cumberland Pediatric Foundation 3102 West End Ave Ste 175 Nashville TN 37203 621615913 501(c)(3) 282729 Not applicable Not applicable Research Ortho Tennessee PC 260 Fort Sanders West Blvd Knoxville TN 37922 621700130 N/A 23750 Not applicable Not applicable Research University of Tennessee Memphis Finance Operations Contracts 62 South Dunlap Memphis TN 38163 626001636 GOVT 509803 Not applicable Not applicable Public Service Jackson Madison County General Hospital 620 Skyline Drive Jackson TN 38301 626010402 GOVT 31640 Not applicable Not applicable Instruction East Tennessee State University Financial Services P O Box 70732 Johnson City TN 376140732 626021046 GOVT 91638 Not applicable Not applicable Instruction Franklin Primary Health Center Inc 1303 Dr Martin Luther King Jr Ave Mobile AL 36603 630695975 501(c)(3) 55877 Not applicable Not applicable Research Montgomery Aids Outreach Inc PO Box 11087 Montgomery AL 36111 630959628 501(c)(3) 125388 Not applicable Not applicable Instruction University of Alabama Box 870136 Tuscaloosa AL 354870136 636001138 GOVT 175441 Not applicable Not applicable Research University of Alabama at Birmingham 701 20th Street South AB 990 Birmingham AL 35294 636005396 GOVT 1817410 Not applicable Not applicable Research University of Mississippi Medical Center State of Mississippi 2500 North State Street Jackson MS 392164505 646008520 GOVT 331704 Not applicable Not applicable Instruction Miami Dade Area Health Education Center Inc 1200 NW 78th Ave Miami FL 33126 650009277 501(c)(3) 5749 Not applicable Not applicable Research University of Puerto Rico Medical Sciences Campus P O Box 365067 San Juan PR 00936 660433762 GOVT 43567 Not applicable Not applicable Research Administrators of the Tulane Educational Fund Tulane University 800 East Commerce Road Harahan LA 70123 720423889 501(c)(3) 26836 Not applicable Not applicable Research Louisiana State University Bursar Operations 125 Thomas Boyd Hall Baton Rouge LA 70803 726000848 GOVT 28800 Not applicable Not applicable Research LSU Health Sciences Center New Orleans 2020 Gravier St 3rd Floor New Orleans LA 70112 726087770 GOVT 67264 Not applicable Not applicable Research University of Texas Health Science Center at San Antonio Center at San Antonio MC 7750 7703 Floyd Curl Drive San Antonio TX 782293900 741586031 GOVT 161213 Not applicable Not applicable Research Baylor College of Medicine Dept of Pathology Texas Childrens Hospital Houston TX 77030 741613878 501(c)(3) 433649 Not applicable Not applicable Research University of Texas Health Science Center at Houston 7000 Fannin Street Houston TX 77030 741761309 GOVT 65461 Not applicable Not applicable Research National Jewish Health P O Box 17379 Denver CO 802170379 742044647 501(c)(3) 82633 Not applicable Not applicable Research University of Arizona Frs 400360 Po Box 44390 Tucson AZ 857334390 742652689 GOVT 14794 Not applicable Not applicable Research University of Texas at Austin Office of Accounting P O Box 7159 Austin TX 787137159 746000203 GOVT 135828 Not applicable Not applicable Research Texas A&M AgriLife Research 400 Harvey Mitchell Pkwy S College Station TX 77845 746000541 GOVT 10309 Not applicable Not applicable Research University of Texas Medical Branch at Galveston Department of Preventive Medicine Community Health Galveston TX 775551109 746000949 GOVT 30588 Not applicable Not applicable Research MD Anderson Cancer Center University of Texas 1515 Holcombe Blvd Houston TX 77030 746001118 GOVT 30361 Not applicable Not applicable Research University of Texas Dallas 800 West Campbell Road Richardson TX 75080 751305566 GOVT 91845 Not applicable Not applicable Research Translational Genomics Research Inst 445 North Fifth Street Suite 600 Phoenix AZ 85004 753065445 501(c)(3) 55267 Not applicable Not applicable Research University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Advanced Imaging Research Center Dallas TX 753909185 756002868 GOVT 95395 Not applicable Not applicable Research Palo Alto Veterans Institute for Research Post Office Box V-38 Palo Alto CA 94304 770207331 501(c)(3) 309123 Not applicable Not applicable Research Greenway Health LLC Lightning Intermediate Holdings LLC 4301 West Boy Scout Blvd Tampa FL 33607 800847459 N/A 124217 Not applicable Not applicable Research Marshfield Clinic Marshfield Clinic Research Inst 1000 North Oak Ave Marshfield WI 544495790 812822823 501(c)(3) 349655 Not applicable Not applicable Research Immedis Inc (Payroll Funding) 485 C Route 1 South Iselin NJ 08830 821269453 N/A 1221255 Not applicable Not applicable Public Service Radiology Imaging Associates PC 10700 East Geddes Ave Englewood CO 80112 840597929 N/A 13640 Not applicable Not applicable Research University of Colorado Acct 2027117 Health Sciences Center Denver CO 802910399 846000555 GOVT 1150390 Not applicable Not applicable Research University of New Mexico 1 University of New Mexico MSCO9 5225 Albuquerque NM 87131 856000642 GOVT 11448 Not applicable Not applicable Research Mayo Clinic Nicotine Dependence Center 200 1st Street SW Rochester MN 55905 860800150 501(c)(3) 30615 Not applicable Not applicable Research Methodist Hospital Research Institute dba Houston Methodist Research Instit ute 6565 Fannin Houston TX 77030 870721923 501(c)(3) 73075 Not applicable Not applicable Research University of Utah Income Acct/Student Loan Services 201 South 1460 E Rm 165 Salt Lake City UT 84112 876000525 GOVT 429591 Not applicable Not applicable Research Seattle Children's Hospital P O Box 24049 Seattle WA 981240049 910564748 501(c)(3) 213104 Not applicable Not applicable Research Infectious Disease Research Institute 1616 Eastlake Ave East Seattle WA 98102 911608978 501(c)(3) 1887372 Not applicable Not applicable Research University of Nebraska Medical Center Eppley Cancer Center 986805 Nebraska Medical Center Omaha NE 681986805 911858433 501(c)(3) 89997 Not applicable Not applicable Research University of Washington Reference Lab Services P O Box 3655 Seattle WA 98124 916001537 GOVT 1994762 Not applicable Not applicable Research Kaiser Foundation Research Institute 1800 Harrison Street 16th Floor Oakland CA 946123433 941105628 501(c)(3) 5613 Not applicable Not applicable Research Stanford University Cardiovascular Institute 1215 Welch Road Modular B Stanford CA 943055414 941156365 501(c)(3) 968960 Not applicable Not applicable Research IHC Health Services Inc P O Box 57828 Salt Lake City UT 84157 942854057 501(c)(3) 35929 Not applicable Not applicable Research University of California San Francisco UC Regents UCSF 550 16th St 6th Floor Space 6331 San Francisco CA 94158 946036493 GOVT 188138 Not applicable Not applicable Research University of Southern California 3500 S Figueroa Street Los Angeles CA 900742095 951642394 501(c)(3) 2019545 Not applicable Not applicable Research California Institute of Technology Monoclonal Antibody Facility Div of Biology 216-76 Pasadena CA 91125 951643307 501(c)(3) 254137 Not applicable Not applicable Research Cedars Sinai Medical Center 8635 West Tower Los Angeles CA 90048 951644600 501(c)(3) 678083 Not applicable Not applicable Research City of Hope National Medical Center c/o Cindy Palmer Info Sciences 1500 East Duarte Road Duarte CA 91010 951683875 501(c)(3) 144318 Not applicable Not applicable Research University of California Irvine 120 Theory Irvine CA 926971050 952226406 GOVT 12258 Not applicable Not applicable Research University of California San Diego 9500 Gilman Drive La Jolla CA 920930737 956006144 GOVT 68718 Not applicable Not applicable Research University of Hawaii Institute for Astronomy 2680 Woodlawn Drive Honolulu HI 96822 996000354 GOVT 55937 Not applicable Not applicable Research Nashville Convention & Visitors Bureau 150 4th Ave North Nashville TN 37219 020700616 501(c)(6) 25000 Not applicable Not applicable Contribution American Cancer Society 250 Williams Street NW Atlanta GA 30303 131788491 501(c)(3) 10000 Not applicable Not applicable Contribution March of Dimes 1275 Mamaroneck Ave White Plains NY 10605 131846366 501(c)(3) 15000 Not applicable Not applicable Contribution Musicians on Call 110 West 40th Street New York NY 10018 134067116 501(c)(3) 12500 Not applicable Not applicable Contribution American Heart Association 1818 Patterson St Nashville TN 37203 135613797 501(c)(3) 203000 Not applicable Not applicable Contribution Children's Emergency Care Alliance 3841 Green Hills Village Drive Nashville TN 37215 202802786 501(c)(3) 11250 Not applicable Not applicable Contribution JDRF Diabetes Foundation 105 Westpark Dr Brentwood TN 37027 231907729 501(c)(3) 9500 Not applicable Not applicable Contribution Acoustic Neuroma Association 600 Peachtree Parkway Cumming GA 30041 232170836 501(c)(3) 15000 Not applicable Not applicable Contribution Heritage Foundation 112 Bridge St Franklin TN 37064 237042596 501(c)(3) 18500 Not applicable Not applicable Contribution Eve of Janus Benefit PO Box 158855 Nashville TN 37215 237215849 501(c)(3) 6000 Not applicable Not applicable Contribution Association for Clinical and Translational Science 2025 M St NW Washington DC 20036 264245965 501(c)(3) 10000 Not applicable Not applicable Contribution Tennessee Kidney Foundation 37 Peabody Street Nashville TN 37210 270812507 501(c)(3) 14000 Not applicable Not applicable Contribution Jackson Generals Baseball Club LP 4 Fun Place Jackson TN 38305 320303574 N/A 8500 Not applicable Not applicable Contribution Williamson Inc 5005 Meridian Blvd Franklin TN 37067 364720381 501(c)(6) 33000 Not applicable Not applicable Contribution Green Hills Mall 2126 Abbott Martin Rd Nashville TN 37215 382033632 N/A 17000 Not applicable Not applicable Contribution Nashville Business Journal 1800 Church Street Nashville TN 37203 431366184 N/A 5300 Not applicable Not applicable Contribution The Nashville Food Project 3605 Hillsboro Pike Nashville TN 37215 452905951 501(c)(3) 10000 Not applicable Not applicable Contribution Scott Hamilton CARES PO BOX 680483 Franklin TN 37068 472328142 501(c)(3) 10000 Not applicable Not applicable Contribution Nashville Coaching Coalition 2416 21st Avenue South Nashville TN 37212 472842932 501(c)(3) 10000 Not applicable Not applicable Contribution Pilgrimage Presents LLC PO Box 3314 Houma LA 70361 473296867 N/A 8750 Not applicable Not applicable Contribution T J Martell Foundation 1114 17th Ave S Nashville TN 37212 510180178 501(c)(3) 76500 Not applicable Not applicable Contribution Tennessee State Museum Foundation 505 Deaderick Street Nashville TN 37243 510200584 501(c)(3) 6000 Not applicable Not applicable Contribution Federation of Amer Societies for Experimental Biology (FASEB) 9650 Rockville Pike Bethesda MD 20814 520700497 501(c)(3) 10000 Not applicable Not applicable Contribution National Business Group on Health 20 F St New Washington DC 20001 521147591 501(c)(3) 55000 Not applicable Not applicable Contribution Institute for Patient-and-Family-Centered Care 6917 Arlington Rd Bethesda MD 20814 521777133 501(c)(3) 40000 Not applicable Not applicable Contribution ARVO Foundation for Eye Research 1801 Rockville Pike Rockville MD 20852 522322462 501(c)(3) 6250 Not applicable Not applicable Contribution Urban Land Institute 2001L Street NW Washington DC 20036 530159845 501(c)(3) 25000 Not applicable Not applicable Contribution United Way of the Mid South 1005 Tillman Street Memphis TN 38112 561010742 501(c)(3) 7000 Not applicable Not applicable Contribution Junior League of Nashville 2202 Crestmoor Rd Nashville TN 37215 620476815 501(c)(3) 25000 Not applicable Not applicable Contribution Nashville Symphony Orchestra One Symphony Place Nashville TN 37201 620550979 501(c)(3) 11500 Not applicable Not applicable Contribution Cheekwood Botanical Garden & Museum of Art 1200 Forrest Park Dr Nashville TN 37205 620627921 501(c)(3) 35000 Not applicable Not applicable Contribution Hospital Hospitality House 214 Reidhurst Avenue Nashville TN 37203 620909363 501(c)(3) 30000 Not applicable Not applicable Contribution Tennessee Disability Coalition 955 Woodland Street Nashville TN 37206 621447320 501(c)(3) 10000 Not applicable Not applicable Contribution Community Foundation of Middle TN 3833 Cleghorn Avenue Nashville TN 37215 621471789 501(c)(3) 25000 Not applicable Not applicable Contribution Cumberland Pediatric Foundation 3102 West End Avenue Nashville TN 37203 621615913 501(c)(3) 41051 Not applicable Not applicable Contribution Operation Andrew Group 3902 Granny White Pike Nashville TN 37204 621799192 501(c)(3) 10000 Not applicable Not applicable Contribution Tennessee Pediatric Society Foundation PO Box 159201 Nashville TN 37215 680562856 501(c)(3) 10000 Not applicable Not applicable Contribution National Alliance on Mental Illness Davidson County 1101 Kermit Dr Nashville TN 37217 800597038 501(c)(3) 7450 Not applicable Not applicable Contribution Williamson County Fair Association Inc 1320 W Main St Franklin TN 37064 810644815 501(c)(3) 8000 Not applicable Not applicable Contribution Regents of the University of California Davis 202 Cousteau Place Davis CA 95618 946036494 GOVT 10000 Not applicable Not applicable Contribution 207 19 Patient Assistance 122 170135 Patient Assistance 320 78920 FMV Healthcare Supplies & Medicine Patient Assistance 1350 17150 FMV Car Seats & Home Safety Kits Patient Assistance 10880 18154910 FMV Prescription Drugs Patient Assistance 430 326796 FMV Post Acute Care Patient Assistance 22 116076 FMV Patient Temporary Housing Awards and Research Grants 443 7841400 Patient Assistance 770 32981 FMV Ambulance Rides Patient Assistance 250 5813 FMV Car Rides Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient policy is available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx X X true true X X X X X false true false false false false false true false Jeffrey R Balser MD PHD President and CEO 2019146 0 359040 0 31322 0 518394 0 31393 0 2959295 0 0 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 809180 0 100531 0 13961 0 175185 0 24570 0 1123427 0 0 0 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 961411 0 121229 0 30242 0 193985 0 15440 0 1322307 0 0 0 C Wright Pinson MD MBA Deputy CEO and Chief Health System Officer 1734593 0 215945 0 33343 0 358674 0 14862 0 2357417 0 0 0 Michael J Regier JD General Counsel and Secretary 682099 0 87161 0 31322 0 153692 0 23870 0 978144 0 0 0 Zeena M Abdulahad MPA EVP and Chief Development Officer 149402 0 125000 0 12084 0 34940 0 732 0 322158 0 0 0 Mitchell C Edgeworth MBA CEO, VANDERBILT UNIVERSITY ADULT HOSPITAL AND CLINICS 698417 0 86930 0 11288 0 113755 0 27688 0 938078 0 0 0 Charles L Gregory MA MBA MH CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt 617769 0 79168 0 32564 0 109030 0 23059 0 861590 0 0 0 Thomas S Nantais MBA EVP Adult Ambulatory 273595 0 0 0 37141 0 27440 0 4548 0 342724 0 0 0 Traci K Nordberg JD Chief HR Officer 545353 0 69115 0 18710 0 124685 0 23008 0 780871 0 0 0 David R Posch EVP for Population Health 700092 0 86520 0 14843 0 13585 0 17607 0 832647 0 0 0 DAVID S RAIFORD MD Chief of Clinical Staff 688728 0 97203 0 30822 0 154794 0 24597 0 996144 0 0 0 William W Stead MD Chief Strategy Officer 727179 0 90148 0 16640 0 13394 0 16218 0 863579 0 0 0 Scott L Parker MD Asst Professor Neurological Surgery 570645 0 1458487 0 29432 0 13394 0 31094 0 2103052 0 0 0 Jacob P Schwarz MD Asst Professor Neurological Surgery 1045932 0 50000 0 29810 0 13394 0 1180 0 1140316 0 0 0 Byron F Stephens II MD Asst Professor Comprehensive Spine Center 490757 0 702997 0 10941 0 13394 0 18454 0 1236543 0 0 0 Paul Sternberg Jr MD CMO & VP Clinical Affairs 992512 0 187716 0 33617 0 13394 0 25052 0 1252291 0 0 0 Douglas R Weikert MD Asst Professor Ortho-Hand 786305 0 305968 0 35739 0 13394 0 29698 0 1171104 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel Vanderbilt University Medical Center excludes the benefits from taxable income when a documented business purpose is served. 1 officer received charter travel benefits that were not included in taxable compensation. 2 officers, 2 directors , and 1 key employee received first-class travel benefits that were not included in taxable compensation. Schedule J, Part I, Line 1a Travel for companions 3 directors received companion travel benefits that were not included in taxable compensation. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Certain individuals listed in Form 990, Schedule J, Part II participate in nonqualified deferred compensation plans. Amounts contributed to the plans include fixed percentages of annual bonus payments and fixed dollar amounts. CONTRIBUTIONS TO THE PLAN VEST ON THE FIRST DAY OF THE FOURTH PLAN YEAR FOLLOWING CONTRIBUTION, OR UPON OCCURRENCE OF OTHER EVENTS SPECIFIED IN THE PLAN (INCLUDING EXPIRATION OF THE PARTICIPANT'S EMPLOYMENT AGREEMENT, IF PARTICIPANT HAS REACHED AGE 65). Current year accruals of compensation associated with these plans are included in the amounts reported for each individual in Schedule J, Part II, Column (C). The payout of these amounts in future years will be included in the amounts reported in Schedule J, Part II, Column (B)(iii) for such individuals. Amounts accrued in prior years and previously reported in Schedule J, Part II, Column (C) will be reported in Schedule J, Part II, Column (F). No payouts were made under these plans to participating individuals in 2018. Schedule J, Part I, Line 7 Non-fixed payments Certain individuals listed in Schedule J, Part II received variable incentive compensation based on the achievement of pre-established goals where judgment was determined by the Compensation Committee. Incentive payments are shown in Schedule J, Part II, Column B(ii). A THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2018 626139016 000000000 2018-04-20 53385000 Refunding of the 2016F Issue false false false B THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE Series 2017A 626139016 592041YC5 2017-07-26 126334390 (See Statement) false false false C THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2016A 626139016 592041WH6 2016-04-29 536573506 (SEE STATEMENT) false false false A 53385000 285000 53100000 2018 true false true true B 127128208 1334390 125793818 0 2019 false false true true C 536573506 10700399 525873107 2016 false false true true A false true true true true true 0.0015 0.0 0.0015 false false true B false true true true true true 0.0 0.0 0.0 false false true C false true true true true true 0.0067 0.0014 0.0081 false false true A false false true false false false false false true B false true false false false false false false true C false true false false false false false false true A true B true C true Schedule K, Part I, Column (f) Description of Purpose Row (B) - The issue is financing various new capital projects for the medical center. Row (C) - Cost of construction, renovation, remodeling and equipping of capital projects for the Borrower. Schedule K, Part II, Line 11 Other Spent Proceeds Column (a) - The other spent proceeds are the refunding proceeds no longer in escrow. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE Column (b) - The difference in the issue price and total proceeds of $793,818 is due to investment earnings on the project fund. As of 6/30/2019 all proceeds were spent on capital projects for the issue and are included in the total amount spent on capital expenditures on line 10, as well as the total proceeds of line 3. Meaghan C Lynch Family member of current director, Samuel E. Lynch, DMD, DMSC 45364 Employment at Vanderbilt University Medical Center false X 11 5396 Market value X 886 Selling cost X 47002 Selling cost X 87 3929883 Market value X 14 5820 Market value X 12 1015 Market value X Gift Certificates 95 12205 Market value X Food Served at Fundraising Events 3 4396 Market value 0 false true false Schedule M, Part I Column (b) - Number of Contributions or Items Contributed Column (b) reports the number of contributions made. Schedule M, Part I Line 5 - Clothing and household goods Donation of various household items for silent auction benefiting the Monroe Carell Jr. Children's Hospital at Vanderbilt. Donation of various hearing aid supplies benefiting Bill Wilkerson Center patients at Vanderbilt. Donation of various household items used for silent auction benefiting Vanderbilt Comprehensive Care Clinic in providing support for AIDS patients. Form 990, Part III, Line 1 Vanderbilt University Medical Center ("VUMC") is one of the nation's longest serving and most prestigious academic medical centers. Through its historic bond with Vanderbilt University, VUMC cultivates distinguished research and educational programs to advance a clinical enterprise that provides compassionate and personalized care and support for millions of patients and family members each year. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries, transformational educational and clinical advancements across the entire spectrum of health and disease. Through the exceptional capabilities and caring spirit of its people, VUMC will lead in improving the healthcare of individuals and communities regionally, nationally, and internationally, combining its transformative learning programs and compelling discoveries to provide distinctive personalized care. Form 990, Part III, Line 4a 4a. Patient Services - VUMC provides high quality medical and health care services regardless of race, creed, gender, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of VUMC, it is recognized that not all individuals possess the ability to purchase essential medical services, and further that part of VUMC's mission is to serve the community. Therefore, in keeping with VUMC's commitment to serve all members of its community, free care and/or subsidized care; care provided to persons covered by governmental programs at below cost; and health activities and programs to support the community are provided where the need and/or an individual's inability to pay coexist. These activities include wellness programs; community education programs; special programs for the elderly, handicapped, medically underserved; and a variety of broad community support activities. Charity care is also provided through many reduced-price services and free programs offered throughout the year based upon activities and services which VUMC believes will serve a bona fide community health need. During the fiscal year, VUMC serviced 64,559 inpatients and 2,231,762 emergency and outpatient clinic visits. VUMC's leadership in the delivery of academically based health care is recognized by the nation's most trusted advisory bodies and reporting organizations, including the National Academies, the Magnet Recognition Program, U.S. News & World Report, the Leapfrog Group, Becker's Hospital Review and others: * U.S. News & World Report: for 2019 Vanderbilt University Medical Center named #1 hospital in Tennessee for the eighth consecutive year; #1 Metro Nashville; 5 adult clinical specialties ranked among the nation's best; Monroe Carell Jr. Children's Hospital at Vanderbilt is named as one of the elite children's hospital in the nation by U.S. News, with 10 out of 10 specialties nationally ranked in 2018 * Becker's Hospital Review: one of the "100 Great Hospitals in America" and one of only two health care facilities in Tennessee to make the list in 2019 * The Leapfrog Group: Vanderbilt University Adult Hospital was once again named among the safest hospitals in the nation with a spring 2019 "A" Safety Score. The hospital has received a top Safety Score in 12 of the last 15 survey periods * National Institutes of Health: Vanderbilt University School of Medicine currently ranked 11th among the top grant awardees for medical research in the U.S. as of December 2018 * Magnet Designation from American Nurses Credentialing Center: Vanderbilt University Medical Center is the only organization that is Magnet-designated in Middle Tennessee, having achieved its third consecutive designation in 2017 * College for Health Information Management: VUMC is among the nation's "Most Wired" hospitals and health systems for its efforts in innovative and leadership in medical technology and healthcare information management in 2018 * For the eighth time, VUMC was named a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign Healthcare Equality Index (HEI) 2019. VUMC is the only organization in Tennessee to repeatedly be recognized for its commitment to adopting LGBTQ-inclusive patient, visitation and employment policies. * The CEO Roundtable on Cancer re-accredited VUMC as a CEO Cancer Gold Standard employer for VUMC's efforts to reduce the risk of cancer for employees and their families. VUMC has earned the CEO Cancer Gold Standard designation every year since 2008. Along with the various national rankings, there are several VUMC programs unique to Tennessee or the region, which include: * Only Level 1 (highest level) Trauma Center in Middle Tennessee * Only Level 4 (highest level) Neonatal Intensive Care Unit, as well as a dedicated pediatric emergency department and pediatric trauma program * Vanderbilt-Ingram Cancer Center, the only National Cancer Institute-designated Comprehensive Cancer Center in Tennessee that conducts research and cares for both children and adults; also, a member of the elite National Comprehensive Cancer Network, a group of the nation's top 21 clinical cancer institutes * Only Joint Commission-accredited program for traumatic brain injury rehabilitation (one of seven nationally) * Dedicated regional burn center * LifeFlight, an integrated air and ground emergency patient transport system * Tennessee Poison Center * Tennessee's only comprehensive solid organ transplant center, serving both adult and pediatric patients For more information regarding health care at Vanderbilt University Medical Center, visit https://www.vanderbilthealth.com/patientandvisitorinfo/48538 Form 990, Part III, Line 4b 4b. Academic and Scientific Research - VUMC is an internationally recognized research institution. A majority of VUMC's research funding, including substantial support from the National Institutes of Health, is received from the federal government. Funding is also received from foundations, associations, corporations, and other sources. VUMC's researchers are at the forefront of discovery and are posing innovative solutions to some of the most challenging questions about diseases affecting humankind. Our programs in Graduate Medical Education are consistently among the most selective, and are nationally recognized for their diversity & inclusion, innovation and capacity to transform the educational experience, while the breadth of our scientific discovery is propelled by a research enterprise that is consistently ranked among the nation's top recipients in total federal funding. For more information regarding research at Vanderbilt University Medical Center visit: https://www.vumc.org/oor/ Form 990, Part III, Line 4d Description of other program services (Expenses $ 143,249,496 including grants of $ 0)(Revenue $ 165,972,475) 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. VUMC engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766 Form 990, Part VI, Line 2 Family/Business Relationships Amongst Interested Parties As a result of VUMC's continuing relationship with Vanderbilt University, David W. Patterson, Robert C. Schiff, Jr., Gregory Scott Allen, and Nicholas S. Zeppos serve on the Vanderbilt University Board of Trust and were appointed by Vanderbilt University to serve on the VUMC Board of Directors. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE OF THE BOARD OF THE DIRECTORS CONSISTS OF AT LEAST THREE DIRECTORS, INCLUDING THE BOARD CHAIRPERSON, THE CEO OF VUMC, AND THE CHANCELLOR OF VANDERBILT UNIVERSITY. THE EXECUTIVE COMMITTEE IS EMPOWERED TO EXERCISE ALL OF THE POWERS OF THE BOARD WHEN THE BOARD IS NOT IN SESSION, SUBJECT TO CERTAIN RESTRICTIONS INVOLVING MAJOR CORPORATE DECISIONS. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by VUMC and provided to Ernst & Young, VUMC's independent accounting firm for review. After review by Ernst & Young, VUMC provides a draft copy of the Form 990 and all required schedules for review to all General Officers, which includes the Chief Executive Officer, Chief Financial Officer and Secretary. Once this review process is complete, the Audit and Compliance Committee is provided electronic access to the draft Form 990 and all required schedules for review. The final Form 990 and all required schedules are made available to the full Board of Directors for review prior to the filing of the return. Form 990, Part VI, Line 12c Conflict of interest policy VUMC has a Conflict of Interest ("COI") policy, which requires that all staff members and VUMC employed faculty complete a conflict of interest form annually, disclosing any potential conflicts of interest. If a conflict is disclosed by a staff member, the conflict is reviewed by the individual's supervisor and the COI Director, in the Office of Legal Affairs, which reports to the VUMC General Counsel/Corporate Secretary. For VUMC employed faculty, disclosed conflicts are reviewed by the faculty member's Department Chair and the Associate Dean for Faculty Affairs. VUMC has a Conflict of Interest Committee which consists of representatives from relevant areas across VUMC and are appointed by the CEO upon the recommendation of the Chief of Clinical Staff. The Chief of Clinical Staff serves as Chair of the Committee. The Conflict of Interest Committee is responsible for reviewing Conflict of Interest cases of VUMC employees (including those holding VU faculty appointments) where a decision is not made after the initial review of the disclosure; and where VUMC as a party, or in which VUMC as an institution, is subject to a Conflict of Interest. Any reported conflict is managed or eliminated as appropriate. The Conflict of Interest Committee reports semiannually to the VUMC Board Audit & Compliance Committee. Members of the Board of Directors also must complete annual conflict of interest disclosures. Those with disclosed potential conflict of interest are presented to the Audit and Compliance Committee of the Board of Directors, along with their respective management action plans, where applicable. Management plans may include restrictions on members, such as recusing themselves during deliberations and decisions in which a potential conflict may exist, with the minutes of the meeting reflecting their recusal. Form 990, Part VI, Line 15a Process to establish compensation of top management official FORM 990, PART VI, LINES 15A & 15B - TO ENSURE THAT VUMC IS PAYING REASONABLE TOTAL COMPENSATION, IS NOT VIOLATING THE PRIVATE INUREMENT PROHIBITION, WHICH REQUIRES THAT NONE OF THE ORGANIZATION'S INCOME OR ASSETS UNREASONABLY BENEFIT ANY OF ITS DIRECTORS, OFFICERS, OR KEY EMPLOYEES, AND IS IN COMPLIANCE WITH THE INTERMEDIATE SANCTIONS PROVISIONS WITH RESPECT TO THE GENERAL OFFICERS, VUMC'S BOARD OF DIRECTORS HAS DESIGNATED The Management Development and Compensation Committee MADE UP OF OUTSIDE, INDEPENDENT, BOARD MEMBERS TO REVIEW AND RECOMMEND TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS THE TOTAL COMPENSATION ANNUALLY FOR THE GENERAL OFFICERS. THE COMMITTEE UTILIZES AN OUTSIDE CONSULTING FIRM TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS AND COMPLIANCE WITH ALL INTERNAL REVENUE SERVICE RULES CONCERNING EXECUTIVE COMPENSATION, INCLUDING THE INTERNAL REVENUE CODE PROVISION RELATED TO INTERMEDIATE SANCTIONS, DEFERRED COMPENSATION, AND PRIVATE INUREMENT. THE Management Development and Compensation Committee REVIEWS THE EXECUTIVE COMPENSATION PHILOSOPHY AND AFFIRMS THAT IT IS IN LINE WITH THE BOARD'S EXPECTATION. EACH YEAR THE TOTAL COMPENSATION REVIEW AND RECOMMENDATIONS ARE RECORDED IN THE MINUTES OF THE Management Development and Compensation Committee MEETINGS. THE FULL BOARD IS INFORMED ANNUALLY OF THE TOTAL COMPENSATION OF THE GENERAL OFFICERS DURING PRIVATE SESSION. Form 990, Part VI, Line 19 Required documents available to the public VUMC's governing documents are made available for public inspection upon request. VUMC's financial statements are posted to the EMMA (Electronic Municipal Market Access) website. The conflict of interest policy is available on the following website: https://www.vumc.org/general-counsel/person/conflict-interest (Please use lowercase to access the website). Form 990, Part XI, Line 9 Other changes in net assets or fund balances Temporarily and Permanently Restricted Contributions - 85331000; Net Assets Released From Restrictions - -10596000; Endowment Appreciation - 1665000; Change in Non-Controlling Interest Net Assets - 2052000; Other Changes in Net Assets - -291; Vanderbilt Health Services LLC 2100 West End Ave Suite 750 Nashville TN 37203 621176354 Holding Company TN 1341644 14855266 VUMC Friends in Global Health LLC 2525 West End Ave Suite 750 Nashville TN 37203 260170070 Public Health TN 30761298 583115 VHS Vanderbilt-Wilson Radiation Oncology LLC 2100 West End Ave Suite 750 Nashville TN 37203 261241612 Holding Company TN 3939734 1897168 VHS Vanderbilt Health Affiliated Network LLC 3401 West End Ave Suite 290 Nashville TN 37203 461571024 Clinical Network TN 28261206 20839311 VHS Project Holding Company LLC 4350 Lassiter at North Hills Ave Suite 300 Raleigh NC 276095793 813915926 Holding Company TN 0 22679775 VUMC Vanderbilt Health Professional Solutions LLC 3319 West End Ave Suite 700 Nashville TN 37203 300964540 Holding Company TN 0 4481381 VUMC Vanderbilt Health Rx Solutions LLC 3319 West End Ave Suite 700 Nashville TN 37203 821456647 Pharmacy Administration TN 3638660 2116388 VHPS Vanderbilt Health Pharmacy Group LLC 3319 West End Ave Suite 700 Nashville TN 37203 821462688 Pharmacy Services TN 321781 112152 VHRxS Retail Health Clinics LLC 2525 West End Ave Suite 700 Nashville TN 37203 821942209 Walk-in Clinics TN 8011661 24102 VHS Nashville BioSciences LLC 2525 West End Ave Suite 930 Nashville TN 37203 824174759 Research & Development in Biotechnology TN 2879310 975715 VUMC Vanderbilt Health Supply Chain Solutions LLC MCN 1161 21st Ave D-3300 Nashville TN 37203 824143617 Consulting TN 524716 779471 VHPS Vanderbilt Health Purchasing Collaborative LLC MCN 1161 21st Ave D-3300 Nashville TN 37203 824148840 Group Purchasing Organization TN 3519713 2628531 VHSCS ACO of Central Alabama 1 LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821681443 Accountable Care Organization DE 1493160 516868 VWRO ACO of Louisiana LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821686154 Accountable Care Organization DE 898710 269717 VWRO ACO of North Delaware LLC 3401 West End Ave Suite 290 Nashville TN 372036866 812692564 Accountable Care Organization DE 366644 281460 VWRO Mid South ACO LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821685569 Accountable Care Organization DE 1181220 370567 VWRO Vanderbilt Home Care Services LLC 2120 Belcourt Avenue Nashville TN 37212 621404948 Home Health TN 1916887 -20393247 VHS Vanderbilt Home Care Services Inc 2120 Belcourt Avenue Nashville TN 37212 621404948 Home Health TN 501(c)(3) 9 VHS true Ambulatory Surgery Center of Cool Springs LLC 40 Burton Hills Blvd Ste 500 Nashville TN 37215 621809227 Ambulatory Surgery TN VHS Related 3177548 3048271 false false 0.5102 New Light Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 141895171 Management Services TN VHS Related 891431 207003 false false 0.6667 One Hundred Oaks Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 263762022 Diagnostic Imaging TN VHSVIS Related 2721852 1978304 false false 0.8 Springfield VIP Realty LLC 3319 West End Ave Ste 700 Nashville TN 37203 261237360 Real Estate TN VUMC Excluded 18265 417251 false true 0.49 Vanderbilt Gateway Cancer 3319 West End Ave Ste 700 Nashville TN 37203 203844791 Oncology Services DE VHS Related 955324 3293964 false true 0.5 Vanderbilt Imaging Services LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 621787098 Radiology Services TN VHS Related 5446905 1946991 false false 0.6667 Vanderbilt Stallworth Rehabilitation Hospital LP 3660 Grandview Parkway Ste 200 Birmingham AL 35243 631077470 Rehab Services TN VUMCVHS Related -748708 4326132 false true 0.5 Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Blvd Ste 120 Spring Hill TN 37174 460757412 Oncology Services TN VHS Related 82047 1056895 false true 0.4 Vanderbilt Health and Williamson Medical Center Clinics and Services 512 Autumn Springs Ct Ste C Franklin TN 37067 621864145 Walk-in Clinics TN VHS Related 654227 4690754 false true 0.51 VIP MidSouth LLC 3319 West End Ave Ste 700 Nashville TN 37203 621654580 Physician Offices TN VIP Related 236412 2149214 false true 0.51 Williamson Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 621855535 Diag. Imaging TN VIS Related 1817809 1316746 false false 0.5334 Spring Hill Surgery Center LLC 310 Seven Springs Way Suite 500 Brentwood TN 37027 462325870 Ambulatory Surgery TN VHS Related -258253 1894665 false false 0.51 Vanderbilt Integrated Providers 3319 West End Ave Suite 700 Nashville TN 37203 621650124 Physician Offices TN VHS C Corporation 2398415 2206122 1 true Charitable Remainder Trust (5) Charitable Trust TN VUMC Trust true Perpetual Trusts (1) Charitable Trust TN VUMC Trust true false true false false false false false false false false true true true false true false true false true Ambulatory Surgery Center of Cool Springs LLC O 89442 FMV Ambulatory Surgery Center of Cool Springs LLC S 3429100 FMV Vanderbilt Gateway Cancer Center GP L 1044462 FMV Vanderbilt Gateway Cancer Center GP O 139048 FMV Vanderbilt Gateway Cancer Center GP Q 168520 FMV Vanderbilt Gateway Cancer Center GP S 687780 FMV Vanderbilt Maury Radiation Oncology LLC B 120000 FMV Vanderbilt Maury Radiation Oncology LLC L 277133 FMV Vanderbilt Maury Radiation Oncology LLC O 108113 FMV Vanderbilt Maury Radiation Oncology LLC Q 286409 FMV Vanderbilt Stallworth Rehabilitation Hospital LP B 500000 FMV Vanderbilt Stallworth Rehabilitation Hospital LP K 460161 FMV Vanderbilt Stallworth Rehabilitation Hospital LP Q 2682946 FMV Vanderbilt Home Care Services LLC L 134303 FMV Vanderbilt Home Care Services LLC M 590987 FMV Vanderbilt Home Care Services LLC S 1542365 FMV VIP MidSouth LLC L 115095 FMV VIP MidSouth LLC O 74119 FMV VIP MidSouth LLC Q 258939 FMV Vanderbilt Integrated Providers L 63530 FMV Vanderbilt Integrated Providers Q 65416 FMV Vanderbilt Integrated Providers O 205267 FMV Vanderbilt Health and Williamson Medical Center Clinics and Services LLC O 13590688 FMV Vanderbilt Health and Williamson Medical Center Clinics and Services LLC Q 3036576 FMV Vanderbilt Imaging Services LLC O 418551 FMV Vanderbilt Imaging Services LLC Q 2424938 FMV Vanderbilt Imaging Services LLC S 5556591 FMV New Light Imaging LLC O 392273 FMV New Light Imaging LLC S 872006 FMV Williamson Imaging LLC (Cool Springs Imaging) Q 2544396 FMV One Hundred Oaks Imaging LLC Q 2527537 FMV One Hundred Oaks Imaging LLC S 1340012 FMV Spring Hill Surgery Center LLC B 2190832 FMV Perpetual Trusts (1) S 260320 FMV