2018-11-13T08:23:53-06:00 2017-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2017-01-01 311626179 UNIVERSITY HEALTH SYSTEM INC UNIV 8652514417 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 BENJAMIN M CUNNINGHAM JR SVP/CFO 8652514417 2018-11-13 1 AMY BIBBY P00445891 8282542254 12.25.12.224 2018-11-13 08:21:51 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 ADBFC64F84809A3D359AE279AE52D225AAF16287 2017 2019-02-21 02:37:17Z UNIV OF TN MEDICAL CENTER JOSEPH R LANDSMAN JR 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 907403566 0 X WWW.UTMEDICALCENTER.ORG X 1998 TN TO OPERATE AN ACADEMIC MEDICAL CENTER, PROVIDING HEALTHCARE & SUPPORTING RESEARCH & EDUCATION. 15 11 5059 256 1249767 877533 5840130 6076685 869451621 880142950 4594570 12674235 8541742 8343516 888428063 907237386 621659 459820 0 0 356746189 376633324 0 0 0 527316578 532407900 884684426 909501044 3743637 -2263658 747730366 776135189 549760823 578713616 197969543 197421573 X UHS OPERATES THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER") WHICH OFFERS MEDICAL CARE TO A TWENTY-ONE COUNTY SERVICE AREA LOCATED THROUGHOUT EAST TENNESSEE, AND PROVIDES SERVICES TO PATIENTS LOCATED IN SOUTHEAST KENTUCKY, SOUTHWEST VIRGINIA, AND WESTERN NORTH CAROLINA. THROUGH OPERATION OF THE MEDICAL CENTER, UHS PROVIDES HEALTHCARE SERVICES WITHIN ITS COMMUNITY AND BEYOND, PROVIDING SPECIALIZED CARE THAT IS CUSTOMARILY ONLY AVAILABLE AT ACADEMIC MEDICAL CENTERS; SUPPORTS MEDICAL RESEARCH AND EDUCATION THROUGH AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE; PROVIDES A PATIENT BASE FOR TRAINING PHYSICIANS, DENTISTS, NURSES, AND OTHER HEALTH PROFESSIONALS; AND PROVIDES SUPPORT FOR CLINICAL RESEARCH AND RESEARCH TRAINING. 0 0 805633568 459820 886499760 PATIENT CARE SERVICESPLEASE SEE SCHEDULE O FOR DETAIL REGARDING PATIENT CARE SERVICES IN THE STATEMENT OF COMMUNITY BENEFIT. 19890048 AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHOM WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GRADUATE SCHOOL OF MEDICINE AND OTHER ACADEMIC INSTITUTIONS, AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS. 25488651 UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNT 851012267 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 434 0 1 5059 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X JOSEPH R LANDSMAN 8653059430 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 WILLIAM S RUKEYSER CHAIR 1.00 X X 0 0 0 RENDA BURKHART VICE CHAIR 1.00 X X 0 0 0 CAROLYN FAIRBANKS-BIGGS BOARD MEMBER 1.00 X 0 0 0 DR JIMMY CHEEK BOARD MEMBER (THRU 2/17) 1.00 X 0 0 0 DR BEVERLY DAVENPORT BOARD MEMBER (BEGIN 3/17) 1.00 X 0 0 0 DR JOSEPH A DIPIETRO BOARD MEMBER 1.00 X 0 0 0 DR ROBERT F ELDER BOARD MEMBER 65.00 X 551841 0 52067 DR JOSEPH E JOHNSON BOARD MEMBER 1.00 X 0 0 0 DR MELISSA PHILLIPS LAPINSKA BOARD MEMBER 65.00 X 224888 0 11811 SHARON M PRYSE BOARD MEMBER 1.00 X 0 0 0 DR STEVE J SCHWAB BOARD MEMBER 1.00 X 0 0 0 HW SHERROD JR BOARD MEMBER 1.00 X 0 0 0 WES STOWERS BOARD MEMBER 1.00 X 0 0 0 MICHAEL T STRICKLAND BOARD MEMBER 1.00 X 0 0 0 W BEDFORD WATERS BOARD MEMBER 1.00 X 0 0 0 JOSEPH R LANDSMAN PRESIDENT & CEO 65.00 X X 1561617 0 275093 THOMAS M FISHER SR VP & CFO 65.00 X 934481 0 118681 WILLIAM D HALL EXECUTIVE VICE PRESIDENT 65.00 X 667492 0 121938 JERRY L EPPS SR VP & CMO 65.00 X 617529 0 99312 STEVEN R ROSS SR VICE PRESIDENT 65.00 X 612418 0 94912 INGA M HIMELRIGHT SR VP & CQO 65.00 X 557060 0 97376 TERESA L LEVEY SR VP & CAO 65.00 X 532749 0 87194 JANELL R CECIL SR VP & CNO 65.00 X 496493 0 93488 JOHN L BELL PHYSICIAN/MEDICAL DIR 65.00 X 794353 0 79758 BENNETT COX CHIEF GENERAL COUNSEL 65.00 X 460953 0 78706 KATHERINE BOYD CHIEF DEVELOPMENT OFFICER 65.00 X 310146 0 35770 JOHN J SHERIDAN VICE PRESIDENT 65.00 X 173904 0 23740 MICHAEL B FREEMAN PHYSICIAN 65.00 X 1122062 0 98117 OSCAR GRANDAS PHYSICIAN 65.00 X 1015035 0 99524 ANTONY J CHARLES PHYSICIAN 65.00 X 957826 0 110190 MATTHEW J MCCARTY PHYSICIAN 65.00 X 946733 0 109165 SUSAN M NEWMAN PHYSICIAN 65.00 X 929163 0 20784 13466743 0 1707626 385 0 1 0 UNIVERSITY PHYSICIANS ASSOCIATION 9000 EXECUTIVE PARK DR KNOXVILLE TN 37923 PHYSICIANS/CBO MGMT 39266059 GRADUATE SCHOOL OF MEDICINE 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 MEDICAL EDUCATION 33582402 JOHNSON & GALYON CONTRACTORS PO BOX 3070 KNOXVILLE TN 37927 CONTRACTORS 32677116 LABORATORY CORPORATION OF AMERICA 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 LABORATORY SERVICES 17380081 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 COMPUTER SUBSCRIPTION/SUPPORT 9376279 153 235824 54000 5786861 20000 6076685 NET PATIENT SERVICE REVENUE 621500 840956515 840956515 PROGRAM SERVICE REVENUE 621400 39082188 38893092 189096 EHR MEANINGFUL USE 621400 104247 104247 880142950 1712085 805445 906640 6545906 0 6545906 6545906 6545906 10944274 17876 0 0 10944274 17876 10962150 10962150 166180 235824 166180 0 PARKING REVENUE 812930 1030310 1030310 OTHER SERVICES 624100 512074 512074 TELEPHONE SERVICES 812900 255226 255226 1797610 907237386 886499760 1249767 13411174 X 378855 378855 80965 80965 8179870 8179870 115828 108998 6830 300182955 282481166 17701789 19764176 18598683 1165493 29586364 27841656 1744708 18804131 17695251 1108880 12043129 11332946 710183 27987494 26337071 1650423 478047 449857 28190 111158408 104603397 6555011 2393990 2252816 141174 14943280 14062075 881205 329047 309643 19404 17662067 16620535 1041532 1334170 1255494 78676 680493 640364 40129 13048749 13048749 29436195 29436195 5249268 5249268 MEDICAL SUPPLIES 241317042 227086576 14230466 BAD DEBT EXPENSE 52323611 49238088 3085523 EQUIPMENT RENTAL 2022910 1903619 119291 909501044 851012267 58488777 0 77235143 53397297 145671615 160189924 8203797 8578882 2509212 2969405 619418116 325093445 241296346 294324671 188587448 197042380 2586912 2485318 81639893 57147312 747730366 776135189 179487006 186652909 3333468 3668476 337585314 349232751 12027673 20775407 17327362 18384073 549760823 578713616 X 184986025 184092606 3963250 3241547 9020268 10087420 197969543 197421573 747730366 776135189 X -2263658 332362 1383326 X X 0 1 X 1 1 1 X 0 0 0 1 200 0 0 1 266234 0 0 266434 0 PART II-B, LINE 1: LOBBYING EXPENDITURES INCLUDE AN ALLOCATION OF THE SALARY OF THE VICE PRESIDENT FOR GOVERNMENT RELATIONS, INCLUDING TIME AND EXPENSES ASSOCIATED WITH CONTACTING LEGISLATORS IN MATTERS IMPACTING THE HEALTH SYSTEM AND COMMUNITIES IN WHICH IT SERVES. 10983337 894577 1356022 13233936 9027288 1423500 532549 10983337 8276241 799597 -48550 9027288 6658273 1259163 358805 8276241 5543702 347497 767074 6658273 1.00000 0 0 3557416 3557416 18898467 876928 18021539 300925830 138778832 162146998 204354851 158326917 46027934 91681552 27110768 64570784 294324671 ASSETS LIMITED AS TO USE 51833040 DEFERRED FINANCING COSTS 2529614 INTEREST RATE SWAP 2784658 57147312 OTHER LIABILITIES 18384073 18384073 X PART V, LINE 4: ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - PATIENT CARE, RESEARCH, AND EDUCATION. THERE ARE TWENTY-TWO FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE INTEREST INCOME IS POSTED TO GIFT FUNDS ASSOCIATED WITH THE ENDOWMENTS AND IS FOR EITHER GENERAL OR SPECIFIC PURPOSES BASED UPON THE INTENT OF THE DONOR. PART X, LINE 2: UHS HAS BEEN RECOGNIZED AS A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ENTITY DESCRIBED UNDER SECTION 501(C)(3). UHN, RTS, AND UCG ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES DISREGARDED AS ENTITIES SEPARATE FROM UHS FOR FEDERAL TAX PURPOSES. UHSV IS A TENNESSEE NONPROFIT CORPORATION THAT IS NOT EXEMPT FROM FEDERAL TAXES. INCOME TAX EXPENSE FOR UHSV FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016 WAS NOT SIGNIFICANT AND WAS OFFSET BY OPERATING LOSSES IN PRIOR YEARS FOR TAX PURPOSES. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE EXPENSES NET WITH REVENUE PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE LOSS ON EXTINGUISHMENT ON DEBT CHANGE IN VALUE OF DERIVATIVE INSTRUMENT GRANTS IN REVENUE PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES NET WITH REVENUE SPECIAL EVENT EXPENSE PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE GRANTS IN REVENUE CHANGE IN INTEREST RATE SWAP TEE UP FOR TRAUMA 142500 104260 38240 13017 11284 8510 5429 BLACKBERRY FARM WINE EVENT 143900 54297 89603 1732 71590 7095 8375 811 2 115604 77267 38337 717 2040 7971 7270 20339 402004 235824 166180 15466 84914 23576 15645 26579 166180 0 1 1 1 X 1 X 1 1 1 0 0 25488651 25488651 0.02970 14614978 10376968 4238010 0.00490 40103629 10376968 29726661 0.03460 429678 429678 0.00050 19890048 19890048 0.02320 309640 309640 0.00040 317922 317922 0.00040 20947288 20947288 0.02450 61050917 10376968 50673949 0.05910 20109 20109 0.00000 41880 41880 0.00000 14499 14499 0.00000 544183 544183 0.00060 34980 34980 0.00000 655651 655651 0.00060 1 34904189 6044687 296690024 287996830 8693194 X 1 1 1 1 UNIVERSITY HEALTH SYSTEM 9000 EXECUTIVE PARK DRIVE BLDG D-240 KNOXVILLE TN 37923 WWW.UTMEDICALCENTER.ORG X X X X X UNIVERSITY HEALTH SYSTEM INC 0 0 1 X X X X X X X X X 16 1 0 1 1 X SEE DISCLOSURE X 1 17 1 SEE DISCLOSURE 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE DISCLOSURE X SEE DISCLOSURE X SEE DISCLOSURE X X X X X X X 1 X 0 X X X X X 1 X 0 0 UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 5: COMMUNITY INTERVIEW SUMMARY THROUGHOUT JANUARY-MAY OF 2016, THE UTMC STRATEGIC PLANNING DEPARTMENT HOSTED TWO SEPARATE MEETINGS IN ORDER TO CONNECT WITH COMMUNITY MEMBERS OF A COUNTY IN WHICH UHS OPERATES A FACILITY. COMMUNITY PARTICIPANTS WERE SELECTED BASED ON ROLES WITHIN THE COMMUNITY AND WORKPLACE. THE INTERVIEWEES IN ATTENDANCE WERE LOCAL PHYSICIANS, SCHOOL BOARD MEMBERS, NON-PROFIT DIRECTORS, HEALTH DEPARTMENT OFFICIALS, SCHOOL NURSES AND COORDINATORS, AND MINORITY GROUP LEADERS. THESE INDIVIDUALS WERE INVITED TO DISCUSS AND DETERMINE THE HEALTH PRIORITIES AND RESOURCES AVAILABLE IN EACH AREA.COLLECTING COMMUNITY INPUT IN ORDER TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR UT MEDICAL CENTER, UTMC MET WITH SEVERAL REPRESENTATIVES FROM ACROSS EAST TENNESSEE. THE ORGANIZATIONS THAT WERE REPRESENTED ARE LISTED IN TABLE 1.2. OF THE MOST RECENT CHNA. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 6B: COLLABORATION AND DATA SHARING WAS CONDUCTED WITH KNOX COUNTY HEALTH DEPARTMENT AND THE TENNESSEE DEPARTMENT OF HEALTH. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 11: CLEARLY, THERE ARE MANY NEEDS THAT EXIST AND NEED ATTENTION. THE UNIVERSITY OF TENNESSEE MEDICAL CENTER (UTMC) AND UHS EXIST TO FULFILL OUR MISSION OF "DELIVERING COMPASSIONATE, HIGH QUALITY, AFFORDABLE HEALTH SERVICES TO THOSE IN NEED OF HEALING." IN ORDER FOR UTMC TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S INDIVIDUAL NEEDS. UTMC HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON UTMC'S 9 CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICE. OUR COMMITMENT IS TO ALSO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES.HEALTH NEEDS IDENTIFIED AS PUBLIC HEALTH ISSUES, SUCH AS MENTAL HEALTH AND OPIOID DEPENDENCE, WILL REQUIRE LOCAL AND STATE COLLABORATIVE EFFORTS TO ADEQUATELY ADDRESS THE MANY BARRIERS AND ACCESS ISSUES THAT EXIST TO HAVE AN EFFECTIVE AND MEASUREABLE HEALTH OUTCOME. UTMC IS COMMITTED TO WORKING WITH OUR COLLEAGUES IN FINDING SOLUTIONS TO ADDRESS THE GROWING PROBLEM STATEWIDE. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 16J: FAP APPLICATIONS WITH SELF-ADDRESSED STAMPED ENVELOPES ARE MAILED WITH BILLING STATEMENTS. SCHEDULE H, PART V, FINANCIAL ASSISTANCE POLICY WEBSITES FINANCIAL ASSISTANCE POLICY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/HC/MEDIA/COMPLETE-FINANCIAL-ASSISTANCE-POLICY.PDFFINANCIAL ASSISTANCE APPLICATION URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/HC/MEDIA/FINANCIAL-ASSISTANCE-APP.PDFPLAIN LANGUAGE SUMMARY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/HC/GUARANTOR/MEDICAREPOLICIES.DOHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/HC/GUARANTOR/PREPAREBILLINGOPTION2.DO PART V, SECTION B, CHNA WEBSITE HTTP://WWW.UTMEDICALCENTER.ORG/ABOUT-US/COMMUNITY-BENEFIT/ PART V, SECTION B, LINE 10A: HTTPS://WWW.UTMEDICALCENTER.ORG/LIB/FILE/MANAGER/PAGES/ABOUT-US/COMMUNITY_BENEFIT/BINDER_COMMBENEFIT_2016_V2.PDF PART I, LINE 7: COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE UNIVERSITY HEALTH SYSTEM, INC. ("UHS") GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF-PAY). UHS ALLOCATES THOSE EXPENSES TO ALL PATIENT SEGMENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO AND AGGREGATES THE EXPENSES AT THE PATIENT LEVEL. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 52,323,611. PART II, COMMUNITY BUILDING ACTIVITIES: THE ACTIVITIES REPORTED IN PART II SEEK TO ACHIEVE SPECIFICED OBJECTIVES, INCLUDING: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND RELIEF OF GOVERNMENT BURDEN. THE ACTIVITIES ARE AVAILABLE TO THE GENERAL PUBLIC, FOCUSING ON LOW-INCOME CONSUMERS. PART III, LINE 4: TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3, UHS USES ACTUAL EXPENSE DATA ACCUMULATED BY PATIENT WITHIN THE TRENDSTAR SYSTEM BASED ON A COST TO CHARGE RATIO.THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER UHS'S CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS:1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY MAY HAVE BEEN GRANTED).2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISRENROLLED BY THE TNCARE PROGRAM. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY CARE).3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION.THE TEXT OF THE UHS AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS READS: "NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, UHS RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS. THIS PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE."UHS PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UHS DOES NOT REPORT AS NET REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COST REPORTED IN THE UHS MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSE DATA FROM THE UHS GENERAL LEDGER. UHS ALLOCATES THOSE EXPENSES TO PATIENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO. PART III, LINE 9B: IT IS THE POLICY OF UHS TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. IF ADDITIONAL ASSISTANCE IS APPROVED, THE PATIENT ACCOUNT REPRESENTATIVE WILL SUBMIT A LETTER TO THE PATIENT TO INFORM HIM/HER OF APPROVAL OR PROVIDE OTHER INSTRUCTIONS. IF APPROVED FOR AN ADJUSTMENT, THE PATIENT ACCOUNT REPRESENTATIVE WILL SUBMIT THE INFORMATION TO PATIENT ACCOUNTS, WHO WILL PROCESS THE WRITE-OFF OR OTHER DISCOUNTS. THE ORGANIZATION'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTIES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE ORGANIZATION MAINTAINS COLLECTION PRACTIES THAT APPLY TO ALL PATIENTS, CHARITY CARE AND NON-CHARITY CARE PATIENTS, CONSITENTLY AND FAIRLY REGARDLESS OF INSURANCE STATUS. THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER"), AS A TRAUMA CENTER, OFTEN TREATS PATIENTS WHO HAVE HAD AN UNPLANNED CATASTROPHIC HEALTHCARE OCCURRENCE. PATIENTS MAY HAVE THE MEANS TO PAY ONLY A PORTION OF THE ENTIRE COST. ALLOWANCES ARE MADE TO ADJUST THEIR HIGH BALANCES TO A MORE MANAGEABLE PAYOFF AMOUNT. WE UTILIZE AN INCOME CRITERION TO ADJUST A SIGNIFICANT PORTION OF THE BALANCE AS A CHARITY DISCOUNT. PATIENT ACCOUNT REPRESENTATIVES DILIGENTLY WORK WITH PATIENTS AND EVALUATE NEW INFORMATION LEARNED DURING THE COLLECTION PROCESS TO DETERMINE IF COLLECTION ACTIVITIES SHOULD BE CEASED OR IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: UHS SUPPORTS AND STRENGTHENS OUR KEY COMMUNITIES THROUGH DELIVERING NEEDED SERVICES BY LEADING AND PARTNERING WITH OTHER ORGANIZATIONS TO POSITIVELY IMPACT HIGH PRIORITY HEALTH ISSUES. THE COMMUNITY HEALTH ADVISORY COMMITTEE ("CHAC") ANALYZES MULTIPLE SOURCES OF HEALTH STATUS, DEMOGRAPHIC, AND SOCIOECONOMIC INFORMATION TO IDENTIFY KEY COMMUNITIES, PRIORITIZE SPECIFIC POPULATION NEEDS, AND DETERMINE THE FOCUS FOR UHS INVOLVEMENT. THE CHAC REVIEWS AND FORMULATES RECOMMENDATIONS FOR ORGANIZATIONAL INVOLVEMENT FOR IDENTIFIED NEEDS. THE CHAC TEAM LEVERAGES OUR CORE COMPETENCIES TO DESIGN AND IMPLEMENT STRATEGIC INITIATIVES AND ACTION PLANS TO ADDRESS THESE PRIORITIES. THE CHAC MONITORS PROGRESS THROUGH ACTION PLANS AND PERFORMANCE MEASURES AND REPORTS RESULTS QUARTERLY TO SENIOR LEADERS AND TO THE CHAC.COMMUNITY HEALTH NEED ASSESSMENTIN ORDER FOR UTMC TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S INDIVIDUAL NEEDS. UTMC HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016 TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON UTMC'S 9 CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICE. OUR COMMITMENT IS TO ALSO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES.ACTIVITIES ASSOCIATED WITH THE DEVELOPMENT OF THIS ASSESSMENT HAVE TAKEN PLACE DURING THE SUMMER AND FALL OF 2015 AND SPRING OF 2016, INCLUDING STATE, REGIONAL AND COUNTY-SPECIFIC SECONDARY DATA COLLECTION AND PRIMARY DATA OBTAINED THROUGH 531 SURVEYS WITH INDIVIDUALS FROM KNOX COUNTY, TN AND SURROUNDING COUNTIES.THROUGHOUT THE ASSESSMENT, HIGH PRIORITY WAS GIVEN TO DETERMINING THE HEALTH STATUS AND AVAILABLE RESOURCES WITHIN EACH COMMUNITY. COMMUNITY MEMBERS FROM EACH COUNTY MET WITH UTMC TO DISCUSS CURRENT HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. THE INFORMATION GATHERED FROM A LOCAL PERSPECTIVE, PAIRED WITH REGIONAL, STATE AND NATIONAL DATA, HELPS TO EVALUATE THE REGION'S HEALTH SITUATION IN ORDER TO BEGIN FORMULATING SOLUTIONS FOR IMPROVEMENT. PART VI, LINE 3: TO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND PROCESS) AND FINANCIAL COUNSELORS ALONG WITH CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE BROCHURE INSTRUCTS THE PATIENT TO CONTACT THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS FOR MORE INFORMATION ON CHARITY AND OTHER APPLICABLE DISCOUNTS. FINANCIAL COUNSELORS VISIT PATIENT ROOMS WHEN POSSIBLE TO EXPLAIN THE UHS BILLING PROCESS, PAYMENT PLANS AND SCREENS FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT, AS WELL AS ON OUR WEBSITE. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUMES OF SPANISH-SPEAKING PATIENTS. THE MAJORITY OF STAFF ASSOCIATED WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY. PART VI, LINE 4: ORGANIZATIONAL PROFILETHE UNIVERSITY OF TENNESSEE MEDICAL CENTER UTMC IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM PROVIDING ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES AS AN ACADEMIC MEDICAL CENTER. THESE SERVICES INCLUDE A REGIONAL NETWORK OF PRIMARY CARE AND SPECIALIST PROVIDERS, REGIONAL SERVICE CENTERS, CANCER CHEMOTHERAPY CENTERS, HOME INFUSION THERAPY, HOME HEALTH AND AEROMEDICAL SERVICES. THE HOSPITAL IS LICENSED FOR 609 BEDS. WITH A THREEFOLD MISSION OF HEALING, EDUCATION AND DISCOVERY, UTMC SERVES AS THE REGIONAL REFERRAL CENTER FOR THE EAST TENNESSEE (ET) COMMUNITY. OUR 21 COUNTY SERVICE AREA COMPRISES THE EASTERN THIRD OF THE STATE. THE PRIMARY MARKET IS KNOX COUNTY; THE SECONDARY MARKET IS THE REMAINING 20 COUNTIES. EDUCATION AND RESEARCH IS ACCOMPLISHED THROUGH OUR PARTNERSHIPS WITH THE UNIVERSITY OF TENNESSEE (UT) AND UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE (GSM). IN ORDER FOR UTMC TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S INDIVIDUAL NEEDS. UTMC HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON UTMC'S 9 CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICE. OUR COMMITMENT IS TO ALSO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES. THROUGHOUT THE ASSESSMENT, HIGH PRIORITY WAS GIVEN TO DETERMINING THE HEALTH STATUS AND AVAILABLE RESOURCES WITHIN EACH COMMUNITY. COMMUNITY MEMBERS FROM EACH COUNTY MET WITH UTMC TO DISCUSS CURRENT HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. THE INFORMATION GATHERED FROM A LOCAL PERSPECTIVE, PAIRED WITH REGIONAL, STATE AND NATIONAL DATA, HELPS TO EVALUATE THE REGION'S HEALTH SITUATION IN ORDER TO BEGIN FORMULATING SOLUTIONS FOR IMPROVEMENT. REVIEW OF STATE AND LOCAL DATA GUIDES OUR FOCUS ALONG WITH INFORMATION SHARED AT VARIOUS CENTERS OF EXCELLENCE STEERING COMMITTEE MEETINGS. PART VI, LINE 5: SENIOR LEADERSHIP AND SYSTEM MANAGEMENT LEADERSHIP OF THE HOSPITAL MAKE CONSCIOUS DECISIONS HOW THE RESOURCES OF THE HOSPITAL ARE USED, HONORING THE MISSION, VISION, AND VALUES OF THE HOSPITAL IN ITS WORK WITHIN THE HOSPITAL AND COMMUNITY. OTHER PROGRAMS AND PROJECTS WHICH ARE DEVELOPED IN THE HOSPITAL THROUGH THE VARIOUS DEPARTMENTS AND COE'S ARE BROUGHT TO THE SYSTEM MANAGEMENT TEAM (SMT) AND THEN TO SENIOR LEADERSHIP TEAM FOR APPROVAL AND THEN TO THE COMMUNITY BOARD FOR FINAL REVIEW AND APPROVAL. THE HOSPITAL WORKS CLOSELY WITH THE GRADUATE SCHOOL OF MEDICINE FOR RESIDENT SUPPORT FOR MEDICAL EDUCATION AND PROGRAM RESEARCH INITIATIVES THROUGH OUR ACADEMIC PROGRAMS OF STUDY. THROUGH FACULTY LEADERSHIP OF GSM AND HOSPITAL LEADERSHIP COLLABORATION, FUTURE FINANCIAL CONSIDERATIONS FOR SUSTAINABILITY OR PROGRAM GROWTH ARE CONSIDERED BASED ON FUTURE PRIORITIZED AND STRATEGIC NEEDS IDENTIFIED BY OUR PATIENT POPULATION AND NEEDS ASSESSMENTS. PROGRAMS TO MEET COMMUNITY NEEDUTMC CONDUCTS ONGOING INVENTORIES REGARDING THE ASSETS WITHIN THE HOSPITAL TO MEET THE ONGOING NEED WITHIN THE COMMUNITY. IN COLLABORATION WITH ITS PARTNERS, UTMC ENGAGES OTHERS IN THE SOLUTION OF ASSESSING THE ASSETS WITHIN THE COMMUNITY AND ENGAGING ITS PARTNERS IN BECOMING PART OF THE SOLUTION. WE DO THIS IN SYNERGY WITH ONE ANOTHER THROUGH MANY INITIATIVES. WE COME TOGETHER TO IDENTIFY OUR ASSETS AND GAPS BY UTILIZING DATA AND INFORMATION FROM SOURCES SUCH AS THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND OTHER STATE AND NATIONAL DATA REPOSITORIES AND REPORTING AGENCIES. WE ALSO SURVEY OUR COMMUNITY TO IDENTIFY THE ASSETS AND THE GAPS IN HEALTH AND HUMAN SERVICES. SOME OF THESE UNIQUE SERVICES PROVIDED BY UTMC TO ADDRESS IDENTIFIED HEALTH CARE NEEDS ARE LISTED BELOW:BREAST HEALTH OUTREACH PROGRAM (BHOP) WHERE THE HOSPITAL PROVIDES FREE EDUCATION, PREVENTION, DIAGNOSTICS, AND TREATMENT FOR UNINSURED WOMEN. NEARLY 17 YEARS AGO, WE IDENTIFIED THE NEED TO PROVIDE THESE HEALTH SERVICES TO WOMEN WHO WERE UNINSURED. UTMC WITH THE ASSISTANCE OF OUR PARTNERS FROM THE CANCER STEERING COMMITTEE, SUSAN G. KOMEN FOUNDATION, AMERICAN CANCER SOCIETY, THE WELLNESS COMMUNITY, AVON FOUNDATION, HEALTH PROVIDERS, RADIOLOGISTS, PHYSICIANS, NURSES, NUTRITIONISTS, COMMUNITY MEMBERS AND OTHERS WHO COULD HELP US MEET THE GROWING NEED FOR PREVENTION, DIAGNOSIS, TREATMENT, AND FOLLOW UP CARE. THE MOBILE MAMMOGRAPHY PROGRAM HAS PROVIDED FREE AT NO COST SCREENINGS TO WOMEN IN OUR 21 COUNTY AREA WHO ARE UNDERINSURED OR HAVE NO INSURANCE. MATTER OF BALANCE (MOB) IS AN EVIDENCE-BASED FALLS MANAGEMENT PROGRAM RECOGNIZED THE CDC AND NCOA. THE PROGRAM IS PROVEN TO REDUCE THE FEAR OF FALLING AND INCREASE PHYSICAL ACTIVITY. ACCORDING TO THE 2014-2015 UTMC EMERGENCY TRAUMA REPORT, FALLS WERE THE LEADING CAUSE OF UNINTENTIONAL INJURY IN THE OLDER ADULT POPULATION AND ACCOUNTED FOR APPROXIMATELY 67% OF THE TOTAL ADMISSIONS AT THE HOSPITAL. EVEN THOUGH FALLS WERE NOT IDENTIFIED AS ONE OF THE TOP CONCERNS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, WE FELT IT IMPERATIVE TO ADDRESS THE ISSUE. IN MARCH OF 2015, TWO UTMC STAFF ACHIEVED MASTER TRAINER CERTIFICATION, AND UTMC BECAME A DESIGNATED, LICENSED PROVIDER OF MOB. THE FIRST CLASS INSTRUCTORS (COACHES) WERE TRAINED SUMMER 2015. CLASSES ARE OFFERED IN KNOX AND SURROUNDING COUNTIES AT NO CHARGE TO PARTICIPANTS. IN 2016- 2017, THE PROGRAM EXPANDED TO SENIOR CITIZEN CENTERS TO REACH THE TARGETED POPULATION WHERE FALLS ARE THE MOST PREVALENT.HEALTHY LIVING KITCHEN- THE HEALTHY LIVING KITCHEN TEAM PROVIDES COOKING DEMONSTRATIONS, CULINARY TECHNIQUES, AND HEALTH INFORMATION IN A UNIQUE, FUN LEARNING ENVIRONMENT. CLASSES ARE LOCATED ON OUR HOSPITAL CAMPUS OR MAY BE REQUESTED AT COMMUNITY OR CORPORATE LOCATIONS. OUR FOCUS PROVIDES BASIC NUTRITION EDUCATION RELEVANT TO CHRONIC DISEASES AND PREVENTION EFFORTS TO IMPROVE CHOICES FOR HEALTHIER LIFESTYLE LIVING. SUCCESS OF OUR PROGRAM IS MEASURED BY PARTICIPATION INCREASE YEAR AFTER YEAR. TOPICS INCLUDE BUT ARE NOT LIMITED TO:BASIC NUTRITION - DINING OUT - MAKING HEALTHIER CHOICES - GROCERY SHOPPING - MINDFUL EATING - WEIGHT MANAGEMENT - USING FOOD LABELSDISEASE SPECIFIC - DASH DIET - KNOW YOUR NUMBERS - MEDITERRANEAN DIET - NUTRITION AND DIABETES - GOING GLUTEN FREE - HEART HEALTHY EATINGHEALTHY LIFESTYLE - HEALTHY EATING ON A BUDGET - WORKPLACE EATING - RECIPE SUBSTITUTIONS - HEALTHY TAILGATING -SUPER FOODS - EATING FARM TO TABLE - HOLIDAY EATING TIPS - STRESS MANAGEMENTOPIOID/SUBSTANCE ABUSE: UTMC PARTNERS WITH OTHERS IN OUR REGION TO CARE FOR AND COMBAT OPIOID PRESCRIPTION USE AND LIMIT THE OPPORTUNITY FOR DEPENDENCY. UTMC HAS PARTNERED WITH THE METRO DRUG COALITION AND OTHER STATE AGENCIES TO DISCOVER INNOVATIVE PROCESSES TO TREAT AND COUNSEL INDIVIDUALS WITH DEPENDENCY ISSUES. IN AN EFFORT TO ASSIST WITH COMPLIANCE OF WITHDRAWAL FROM OPIOIDS, SEVERAL PHYSICIANS HAVE LED RESEARCH EFFORTS TO SUCCESSFULLY ASSIST INDIVIDUALS WITHDRAW SAFELY FROM CHEMICAL DEPENDENCY INDUCING SUBSTANCES. FROM PERINATAL WITHDRAWAL FROM TO IMPLEMENTING PATHWAYS FOR INDIVIDUALS WHO ARE ADMITTED WITH MEDICAL ISSUES ASSOCIATED WITH OPIOID MISUSE, UTMC IS PIONEERING RESEARCH EFFORTS IN THIS FIELD TO ASSIST IN COMBATING CHEMICAL DEPENDENCY FROM OPIOIDS.VOLUNTEER MISSION SERVICE ACTIVITIESBLOOD DRIVES: UTMC PARTNERS WITH MEDIC REGIONAL BLOOD CENTER TO PROVIDE AN OPPORTUNITY FOR EMPLOYEES TO GIVE BACK TO THEIR COMMUNITY. UTMC IS THE REGION'S LARGEST CONSUMER OF BLOOD PRODUCTS DUE TO THE COMPLEXITY OF SERVICE WE PROVIDE TO THE COMMUNITY, INCLUDING SERVING AS THE ONLY LEVEL I TRAUMA CENTER IN OUR REGION. IN 2017, THE HOSPITAL DONATED OVER 300 UNITS OF BLOOD.EMPTY STOCKING FUND: UTMC EMPLOYEES AND HOSPITAL PROVIDE OPPORTUNITIES TO VOLUNTEER WITHIN THE COMMUNITY. AS AN ORGANIZATION, UTMC TO PARTNERS WITH THE KNOXVILLE NEW SENTINEL TO PROVIDE FOOD AND TOYS TO DISADVANTAGED EAST TENNESSEANS DURING THE HOLIDAYS.REMOTE AREA MEDICAL: UTMC HEALTHY LIVING KITCHEN STAFF AND EMPLOYEES DEDICATE TIME TO SERVING AT THIS MEDICAL AND HEALTH EVENT. RAM PROVIDES FREE DENTAL, VISION, AND MEDICAL CARE TO ISOLATED, IMPOVERISHED, OR UNDERSERVED COMMUNITIES. IN LESS THAN 24 HOURS WE TURN FAIRGROUNDS, SCHOOLS, ARENAS, AND JUNGLES INTO MOBILE MEDICAL CENTERS. CONTRIBUTIONS OF VOLUNTEERS: SINCE 1962, UT MEDICAL CENTER HAS ENJOYED THE SERVICES OF THE VOLUNTEERS WHO HAVE GIVEN OVER 800,000 HOURS. THE VOLUNTEER DEPARTMENT COORDINATES THE ACTIVITIES OF THREE MAIN GROUPS OF VOLUNTEERS: THE AUXILIARY, INDEPENDENT VOLUNTEERS, AND THE JUNIOR VOLUNTEERS. ALL VOLUNTEERS WHO DONATE TIME AND SERVICE TO THE MEDICAL CENTER WORK IN A VARIETY OF SETTINGS SUCH AS INPATIENT AND OUTPATIENT FACILITY DEPARTMENTS, PATIENT RECEPTION AREAS, GIFT SHOP, ETC. THERE ARE APPROXIMATELY 312 CURRENTLY ACTIVE VOLUNTEERS FOR UTMC. THESE VOLUNTEERS COME FROM VARIOUS BACKGROUNDS FROM ALL AGES, INCLUDING SENIORS AND STUDENTS WITH AN INTEREST IN A HEALTHCARE CAREER. CURRENTLY THERE ARE 140 ADULT VOLUNTEERS, 82 COLLEGE STUDENTS AND 90 HIGH SCHOOL STUDENTS. THESE VOLUNTEERS AVERAGE 35,000-40,000 HOURS PER YEAR OF TOTAL SERVICE. LIFTING THE SPIRITS OF UTMC PATIENTS IS WHAT THE VOLUNTEER PROGRAM IS ALL ABOUT. VOLUNTEERS ARE INVOLVED IN SUCH ACTIVITIES AS DELIVERING FLOWERS, MAIL AND GIFTS, SERVING REFRESHMENTS AND PROVIDING WARM BLANKETS FOR THE ONCOLOGY PATIENTS, READING MATERIALS, A CHEERFUL SMILE AND A COMFORTING WORD. VOLUNTEERS ALSO PROVIDE A VALUABLE SOURCE OF INFORMATION FOR THE PATIENTS' FAMILIES AND FRIENDS AND ARE ESPECIALLY IMPORTANT WHEN SERVING AS A LIAISON DURING CRUCIAL TIMES IN THE FAMILY WAITING LOUNGES.UTMC STRATEGIC CHALLENGES AND SOCIETAL RESPONSIBILITIES:IN RESPONSE TO IDENTIFIED UNMET HEALTH-RELATED NEEDS IN THE COMMUNITY NEEDS ASSESSMENT, THE FISCAL YEAR (FY) 2016 FOR UTMC, OUR FOCUS WILL BE ON INCREASING ACCESS TO HEALTH CARE FOR THE BROADER AND UNDERSERVED DISADVANTAGED MEMBERS OF THE SURROUNDING COMMUNITY. MAJOR INITIATIVES FOR FY 2016-17 FOCUSED ON INCREASING ACCESS TO HEALTH SERVICES FOR THE UNDERSERVED THROUGH PARTNERSHIPS; PREVENTING INJURIES AND TREATING TRAUMATIC BRAIN INJURIES; IMPROVING HEALTH ACCESS FOR WOMEN'S HEALTH; CANCER SCREENING SERVICES; EARLY DETECTION OF DISEASE PROCESSES AND MANAGEMENT; AND COMMUNITY BUILDING ACTIVITIES. PART VI, LINE 6: UHS IS CURRENTLY AFFILIATED WITH EAST TENNESSEE CHILDREN'S HOSPITAL IN PROVIDING JOINT HEALTHCARE SERVICES FOR THE PEDIATRIC POPULATION OF OUR REGION. UHS PARTNERS WITH SEVERAL LOCAL ORGANIZATIONS IN SUPPORT OF CHILDREN'S HEALTH AND WELLBEING PART VI, LINE 7, REPORTS FILED WITH STATES TN 1 THE UNIVERSITY OF TENNESSEE (GSM) 1924 ALCOA HWY KNOXVILLE TN 37920 626001636 GOVT 121667 GENERAL SUPPORT INTERFAITH HEALTH CLINIC 315 GILL AVENUE KNOXVILLE TN 37917 581947641 501(C)(3) 51500 GENERAL SUPPORT AMERICAN HEART ASSN 4708 PAPERMILL DR KNOXVILLE TN 37909 135613797 501(C)(3) 50000 GENERAL SUPPORT UNITED WAY GREATER KNOX INC 1301 HANNAH AVENUE KNOXVILLE TN 37921 620475748 501(C)(3) 37000 GENERAL SUPPORT GREAT SMOKY MOUNTAIN COUNCIL PO BOX 51885 KNOXVILLE TN 37950 620476811 501(C)(3) 34500 GENERAL SUPPORT SUSAN G KOMEN FOUNDATION 5005 LBJ FREEWAY SUITE 250 DALLAS TX 75244 751835298 501(C)(3) 25000 GENERAL SUPPORT INNOVATION VALLEY 17 MARKET SQUARE 201 KNOXVILLE TN 37902 262087582 501(C)(3) 20000 GENERAL SUPPORT EAST TN ECONOMIC DEVELOPMENT (ETEDA) 10215 TECHNOLOGY DR SUITE 202 KNOXVILLE TN 37932 621158958 501(C)(3) 18000 GENERAL SUPPORT UNIVERSITY OF TENNESSEE FOUNDATION 1525 UNIVERSITY AVE KNOXVILLE TN 37921 621844686 501(C)(3) 11000 GENERAL SUPPORT CANCER SUPPORT COMMUNITY-EAST TENNESSEE 2230 SUTHERLAND AVE KNOXVILLE TN 37919 581846210 501(C)(3) 10000 GENERAL SUPPORT VARIETY OF EASTERN TENNESSEE 7132 REGAL LANE KNOXVILLE TN 37918 331025696 501(C)(3) 10000 GENERAL SUPPORT KNOX COUNTY OFFICE ON AGING PO BOX 51650 KNOXVILLE TN 37950 621451534 501(C)(3) 8180 GENERAL SUPPORT RANDOM ACTS OF FLOWER 920 VOLUNTEER LANDING LANE 201 KNOXVILLE TN 37915 263006360 501(C)(3) 7000 GENERAL SUPPORT YWCA KNOXVILLE 420 WEST CLINCH AVENUE KNOXVILLE TN 37902 620475701 501(C)(3) 5850 GENERAL SUPPORT AMERICAN CANCER SOCIETY 871 WEISGARGER RD KNOXVILLE TN 37909 640329009 501(C)(3) 5500 GENERAL SUPPORT BOYS & GIRLS CLUB OF TN VALLEY 1100 MARION ST SUITE 100 KNOXVILLE TN 37921 620475743 501(C)(3) 5000 GENERAL SUPPORT EAST TN HISTORICAL SOCIETY INC PO BOX 1629 KNOXVILLE TN 37901 320320825 501(C)(3) 5000 GENERAL SUPPORT EMERALD YOUTH FOUNDATION 1718 NORTH CENTRAL STREET KNOXVILLE TN 37917 621474791 501(C)(3) 5000 GENERAL SUPPORT GOVERNORS BOOKS FROM BIRTH FDN 312 ROSA PARKS AVE TN TOWER 27TH FLR NASHVILLE TN 37243 201115704 501(C)(3) 5000 GENERAL SUPPORT GREAT SMOKEY MTNS INSTITUTE AT TREMONT 9275 TREMONT ROAD TWONSEND TN 37882 621833479 501(C)(3) 5000 GENERAL SUPPORT HART TC 1-11 EIN 45-3976193 191 NORTH WACKER DRIVE SUITE 2500 CHICAGO IL 60606 770672767 501(C)(3) 5000 GENERAL SUPPORT KNOX ACADEMY MEDICINE FOUNDATION 115 SUBURBAN RD KNOXVILLE TN 37923 620550978 501(C)(3) 5000 GENERAL SUPPORT KNOX COUNTY IMAGINATION LIBRARY 625 MARKET STREET STE 1400 KNOXVILLE TN 37902 620807696 501(C)(3) 5000 GENERAL SUPPORT KNOXVILLE NEWS SENTINEL CHARITIES INC 2332 NEWS SENTINEL DRIVE KNOXVILLE TN 37921 510141541 501(C)(3) 5000 GENERAL SUPPORT MARCH OF DIMES BIRTH DEF FND 322 NANCY LYNN LANE STE 11 KNOXVILLE TN 37919 131846366 501(C)(3) 5000 GENERAL SUPPORT RONALD MCDONALD HOUSE 1705 W CLINCH AVENUE KNOXVILLE TN 37916 581510276 501(C)(3) 5000 GENERAL SUPPORT TENNESSEE CENTER FOR PERFORMANCE EXCELLENCE (TNCPE) 2525 PERIMETER PLACE DR STE 122 NASHVILLE TN 37214 621502414 501(C)(3) 5000 GENERAL SUPPORT 27 HELPING HANDS 8 3687 CANCER CARE 922 50989 MEN'S HEALTH CANCER FUND 135 4256 CHAPLAIN'S CRISIS FUND 3065 19403 BACK COUNTRY UNIT SEARCH & RESCUE 1 2000 MARY R JOHNSON GIFT FUND 15 630 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. FOR EMPLOYEE EDUCATION ASSISTANCE SCHOLARSHIPS, APPLICANTS MUST SUBMIT RECEIPTS FOR EXPENDITURES. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. X X X X X X 0 1 0 0 0 0 0 1 0 DR ROBERT F ELDER BOARD MEMBER 491574 0 18400 0 41867 0 51239 0 828 0 603908 0 0 0 DR MELISSA PHILLIPS LAPINSKA BOARD MEMBER 224708 0 0 0 180 0 11259 0 552 0 236699 0 0 0 JOSEPH R LANDSMAN PRESIDENT & CEO 965863 0 353813 0 241941 0 265710 0 9383 0 1836710 0 0 0 THOMAS M FISHER SR VP & CFO 480611 0 103740 0 350130 0 104554 0 14127 0 1053162 0 0 0 WILLIAM D HALL EXECUTIVE VICE PRESIDENT 506863 0 111150 0 49479 0 112826 0 9112 0 789430 0 0 0 JERRY L EPPS SR VP & CMO 459562 0 84260 0 73707 0 98471 0 841 0 716841 0 0 0 STEVEN R ROSS SR VICE PRESIDENT 444475 0 80625 0 87318 0 93843 0 1069 0 707330 0 0 0 INGA M HIMELRIGHT SR VP & CQO 423884 0 75938 0 57238 0 92811 0 4565 0 654436 0 0 0 TERESA L LEVEY SR VP & CAO 410000 0 68250 0 54499 0 86591 0 603 0 619943 0 0 0 JANELL R CECIL SR VP & CNO 365611 0 63000 0 67882 0 79430 0 14058 0 589981 0 0 0 JOHN L BELL PHYSICIAN/MEDICAL DIR 690062 0 37373 0 66918 0 78930 0 828 0 874111 0 0 0 BENNETT COX CHIEF GENERAL COUNSEL 368562 0 58646 0 33745 0 77719 0 987 0 539659 0 0 0 KATHERINE BOYD CHIEF DEVELOPMENT OFFICER 264511 0 44531 0 1104 0 31164 0 4606 0 345916 0 0 0 JOHN J SHERIDAN VICE PRESIDENT 135746 0 24780 0 13378 0 16434 0 7306 0 197644 0 0 0 MICHAEL B FREEMAN PHYSICIAN 500000 0 525057 0 97005 0 97697 0 420 0 1220179 0 0 0 OSCAR GRANDAS PHYSICIAN 699914 0 307796 0 7325 0 99068 0 456 0 1114559 0 0 0 ANTONY J CHARLES PHYSICIAN 494895 0 462481 0 450 0 96293 0 13897 0 1068016 0 0 0 MATTHEW J MCCARTY PHYSICIAN 493701 0 451742 0 1290 0 95304 0 13861 0 1055898 0 0 0 SUSAN M NEWMAN PHYSICIAN 470863 0 457850 0 450 0 13500 0 7284 0 949947 0 0 0 PART I, LINE 4B THE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT, VICE PRESIDENTS AND EQUIVALENTS, AND PHYSICIANS. ALL EMPLOYER CONTRIBUTIONS ARE SUBJECT TO A SEVEN-YEAR VESTING SCHEDULE OR ATTAINMENT OF AGE 60 AND CONTRIBUTIONS ARE MADE AT THE CLOSE OF EACH PAYROLL CYCLE. THE ORGANIZATION MAINTAINS A SEPARATE NONQUALIFEID DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT. THE EMPLOYER'S CONTRIBUTIONS BECOME VESTED ACCORDING TO THE AGE OF THE PARTICIPANT AT THE TIME THE CONTRIBUTION WAS MADE. CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT MADE IN A YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 57 SHALL VEST FULLY ON JANUARY 1 OF THE YEAR THE PARTICIPANT ATTAINS THE AGE OF 60. FOR CONTRIBUTIONS MADE NO LATER THAN THE YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 58 AND EACH YEAR THEREAFTER SHALL VEST FULLY ON THE LAST BUSINESS DAY OF THE YEAR IN WHICH THE CONTRIBUTION IS MADE. CONTRIBUTIONS ARE MADE AT THE END OF EACH PAYROLL CYCLE. THE ALLOCATIONS MADE TO THE NONQUALIFIED DEFERRED COMPENSATION PLANS FOR THE YEAR WERE: $81,804 MATTHEW MCCARTY $82,793 ANTHONY CHARLES $85,568 OSCAR GRANDAS $84,197 MICHAEL FREEMAN $6,012 BRUCE HARTMAN $8,217 JOHN SHERIDAN $17,664 KATHERINE BOYD $64,219 BENNETT COX $37,739 ROBERT ELDER $65,430 JOHN BELL $65,930 JANELL CECIL $73,091 TERESA LEVEY $79,311 INGA HIMELRIGHT $80,343 STEVEN ROSS $84,971 JERRY EPPS $99,326 WILLIAM HALL $91,054 THOMAS FISHER $252,210 JOSEPH LANDSMAN PART I, LINE 7 THE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO, WHICH INCLUDES ACHIEVEMENTS OF QUALITY, OPERATIONAL, FINANCIAL, AND STRATEGIC TARGETS. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S COMPENSATION COMMITTEE WITH BOARD APPROVAL REQUIRED OF THE PLAN. THE INCENTIVE PLAN WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT. DATA COMPILED BY KORN FERRY IS USED FOR COMPARABILITY. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS. THE COMPENSATION PACKAGES OF THE CEO, OFFICERS, EMPLOYED PHYSICIAN BOARD MEMBERS, AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS ANNUALLY. COMPENSATION IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE HUMAN RESOURCES COMMITTEE AND THE FULL BOARD. THE BOARD MAINTAINS COMPARABILITY DATA FROM INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANTS AND COMPENSATION DATA FROM SIMILARLY-SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS. THE BOARD ADHERES TO THE CONFLICT OF INTEREST POLICY AT ALL TIMES WITH REGARD TO APPROVAL OF COMPENSATION. A THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 2014-07-23 10000000 ADDITIONS AND IMPROVEMENTS TO MEDICAL CENTER 0 0 0 B THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 2015-06-25 90000000 CURRENT REFUNDING AND CAPITAL PROJECT 0 0 0 C THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MCZ7 2016-11-17 120612199 CURRENT REFUNDING AND CAPITAL PROJECT 0 0 0 D THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MEF9 2017-02-07 133311875 CURRENT REFUNDING 0 0 0 A 10000000 5833447 4166553 2015 0 0 0 0 B 90000000 250000 40445000 2015 0 1 1 1 C 778211 120612199 1422017 66408417 2016 0 1 1 1 D 133311875 1119046 132192828 0 1 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 0 B 0 C 0 BRANDY HELTON FAMILY RELATIONSHIP WITH OFFICER 22814 COMPENSATION AS EMPLOYEE 0 MARY ELLEN COX FAMILY RELATIONSHIP WITH KEY EMPLOYEE 38058 COMPENSATION AS EMPLOYEE 0 FRANK LIST FAMILY RELATIONSHIP WITH OFFICER 54956 COMPENSATION AS EMPLOYEE 0 ELIZABETH SHERROD FAMILY RELATIONSHIP WITH BOARD MEMBER 52968 COMPENSATION AS EMPLOYEE 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND SENIOR VP/CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS ANNUALLY COMPLETES A CONFLICT OF INTEREST DISCLOSURE. THESE CONFLICTS OF INTEREST DISCLOSURES ARE REVIEWED BY THE UHS OFFICE OF GENERAL COUNSEL TO ASSURE COMPLIANCE WITH THE POLICY. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES ON ANY MATTERS OF INTEREST BEFORE THE BOARD IN WHICH A CONFLICT OF INTEREST MAY EXIST. ANY SUCH RECUSAL IS DOCUMENTED WITHIN THE MINUTES OF THE BOARD OR COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 63,491,026. MANAGEMENT AND GENERAL EXPENSES 3,978,689. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,469,715. COMMUNICATION SERVICES: PROGRAM SERVICE EXPENSES 16,515,596. MANAGEMENT AND GENERAL EXPENSES 1,034,956. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,550,552. CLINCAL SERVICES: PROGRAM SERVICE EXPENSES 20,194,574. MANAGEMENT AND GENERAL EXPENSES 1,265,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,460,075. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 3,475,703. MANAGEMENT AND GENERAL EXPENSES 217,806. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,693,509. OTHER SERVICES: PROGRAM SERVICE EXPENSES 926,498. MANAGEMENT AND GENERAL EXPENSES 58,059. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 984,557. FORM 990, PART XI, LINE 9: LOSS ON EXTINGUISHMENT OF DEBT -894,423. CHANGE IN VALUE OF DERIVATIVE INSTRUMENT 2,277,749. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR. FORM 990, PART III, LINE 4A: STATEMENT OF COMMUNITY BENEFIT UNIVERSITY HEALTH SYSTEM JANUARY 1, 2018 - DECEMBER 31, 2018 UNIVERSITY HEALTH SYSTEM, INC. ("UHS") OPERATES THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER") WHICH OFFERS MEDICAL CARE TO A TWENTY-ONE COUNTY SERVICE AREA LOCATED THROUGHOUT EAST TENNESSEE, SOUTHEAST KENTUCKY, SOUTHWEST VIRGINIA, WESTERN NORTH CAROLINA AND BEYOND. THROUGH OPERATION OF THE MEDICAL CENTER, UHS: - PROVIDES HEALTHCARE SERVICES FOR THE RESIDENTS OF MEDICAL CENTER'S SERVICE AREA AND BEYOND, INCLUDING SPECIALIZED CARE THAT IS CUSTOMARILY AVAILABLE AT ACADEMIC MEDICAL CENTERS; - SUPPORTS MEDICAL RESEARCH AND EDUCATION THROUGH AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE; - PROVIDES A PATIENT BASE FOR TRAINING PHYSICIANS, DENTISTS, NURSES AND OTHER HEALTH PROFESSIONALS; AND - PROVIDES SUPPORT FOR CLINICAL RESEARCH AND RESEARCH TRAINING. THE MEDICAL CENTER IS OPERATED FOR THE BENEFIT OF THE COMMUNITY IN A MANNER CONSISTENT WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UHS HAS ADOPTED A FORMAL CHARITY CARE POLICY, HAS AN OPEN MEDICAL STAFF, AND OPERATES AN EMERGENCY ROOM, INCLUDING A LEVEL I TRAUMA CENTER. IT IS GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF INDEPENDENT CIVIC LEADERS FROM THE COMMUNITY AND REPRESENTATIVES FROM THE UNIVERSITY OF TENNESSEE. THE MEDICAL CENTER HAS A RICH HISTORY IN THE COMMUNITY OF PROVIDING PATIENT-CENTERED CARE AND REMAINING AT THE FOREFRONT OF RESEARCH, TECHNOLOGY AND TREATMENTS. UHS ATTRIBUTES ITS WELL-RESPECTED STANDING WITHIN THE COMMUNITY TO THE EXCEPTIONAL PEOPLE THAT DEDICATE THEMSELVES TO PATIENT CARE EXCELLENCE. THE MEDICAL CENTER IS LICENSED FOR 609 ACUTE CARE BEDS AND SERVES AS A REFERRAL CENTER FOR THE REGION, PROVIDING SUPERIOR TREATMENTS AND HEALTHCARE SUPPORT TO RESIDENTS OF THE COMMUNITY AS WELL AS OFFERING EXPERT CARE AS THE AREA'S ONLY LEVEL I TRAUMA CENTER. THE MEDICAL CENTER IS A TERTIARY FACILITY, OFFERING GENERAL, SPECIALTY AND SUB-SPECIALTY CARE IN A FULL RANGE OF MEDICAL FIELDS. THE STATE HAS ALSO DESIGNATED THE MEDICAL CENTER AS A REGIONAL PERINATAL CENTER FOR HIGH-RISK PREGNANCY AND OPERATES A LEVEL III NURSERY, HEMOPHILIA CENTER AND CENTER FOR TRANSPLANT SERVICES WHICH PERFORMS KIDNEY TRANSPLANTS. THE MEDICAL CENTER IS COMMITTED TO IMPROVING THE PATIENTS' QUALITY OF LIFE THROUGH LEADERSHIP IN HEALTHCARE, HEALTH EDUCATION AND CLINICAL RESEARCH. IT IS UNIQUE BECAUSE OF ITS STANDING AS THE ONLY ACADEMIC HOSPITAL IN THE REGION, MAKING IT THE LEADING RESOURCE FOR RESEARCH, DISCOVERY AND UPDATED TREATMENTS IN THE COMMUNITY. II. HISTORY UHS WAS CREATED ON DECEMBER 21, 1998 FOR THE PURPOSE OF RESTRUCTURING THE OPERATION, MANAGEMENT, AND GOVERNANCE OF THE MEDICAL CENTER, AND TO NEGOTIATE AGREEMENTS WITH THE UNIVERSITY OF TENNESSEE ("THE UNIVERSITY") TO FACILITATE THE RESTRUCTURING. EFFECTIVE JULY 29, 1999, UHS ACQUIRED CERTAIN ASSETS AND THE OPERATIONS OF THE MEDICAL CENTER FROM THE UNIVERSITY, AND THE MEDICAL CENTER BECAME AN OPERATING DIVISION OF UHS. PRIOR TO JULY 29, 1999, THE MEDICAL CENTER OPERATED AS A BUDGET ENTITY OF THE UNIVERSITY. UHS ENTERED INTO THE FOLLOWING AGREEMENTS TO ACQUIRE THE OPERATIONS OF THE MEDICAL CENTER FROM THE UNIVERSITY: 1) THE LEASE AND TRANSFER AGREEMENT, WHEREBY UHS LEASES CERTAIN REAL PROPERTY AND ACQUIRED CERTAIN PERSONAL PROPERTY FROM THE UNIVERSITY; 2) THE EMPLOYEE SERVICES AGREEMENT, WHEREBY UHS LEASES CERTAIN OF THE MEDICAL CENTER'S EMPLOYEES FROM THE UNIVERSITY; AND 3) THE AFFILIATION AGREEMENT, WHEREBY UHS AND THE UNIVERSITY AGREE TO CONTINUE THE MEDICAL CENTER'S HISTORICAL RELATIONSHIP WITH THE UNIVERSITY OF TENNESSEE MEMPHIS GRADUATE SCHOOL OF MEDICINE ("GSM"). UNDER THE TERMS OF THE LEASE AND TRANSFER AGREEMENT, UHS PURCHASED ALL OF THE OPERATING ASSETS OF THE MEDICAL CENTER, INCLUDING ALL PERSONAL PROPERTY, EQUIPMENT, INVENTORY, CURRENT ASSETS, AND OTHER ASSETS USED BY THE MEDICAL CENTER, OTHER THAN REAL PROPERTY. THE REAL PROPERTY IS LEASED FROM THE UNIVERSITY TO UHS FOR A TERM OF 50 YEARS. UNDER THE TERMS OF THE EMPLOYEE SERVICES AGREEMENT, EXISTING UHS EMPLOYEES, AND ALL EMPLOYEES HIRED SUBSEQUENT TO JULY 28, 1999, ARE UHS EMPLOYEES. ALL OTHER MEDICAL CENTER EMPLOYEES AS OF JULY 28, 1999 ARE LEASED BY UHS FROM THE UNIVERSITY AND RETAIN ALL UNIVERSITY BENEFITS. THE EMPLOYEE SERVICES AGREEMENT CONTINUES UNTIL THE EARLIER OF THE TERMINATION OF THE LEASE AND TRANSFER AGREEMENT OR THE SEPARATION FROM SERVICE OF THE LAST LEASED UNIVERSITY EMPLOYEE. THE AFFILIATION AGREEMENT GOVERNS THE CONTINUED RELATIONSHIP BETWEEN UHS AND THE GSM. UHS WILL PASS THROUGH CERTAIN FEDERAL AND STATE FUNDS EARMARKED FOR GRADUATE MEDICAL EDUCATION, AND THE MEDICAL CENTER WILL CONTINUE TO BE THE PRIMARY TEACHING SITE FOR THE GSM. FORM 990, PART III, LINE 4A: III. COMMUNITY HEALTH NEED ASESSMENT IN ORDER FOR UTMC TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S INDIVIDUAL NEEDS. UTMC HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016 TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON UTMC'S 9 CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICE. OUR COMMITMENT IS TO ALSO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES. ACTIVITIES ASSOCIATED WITH THE DEVELOPMENT OF THIS ASSESSMENT HAVE TAKEN PLACE DURING THE SUMMER AND FALL OF 2015 AND SPRING OF 2016, INCLUDING STATE, REGIONAL AND COUNTY-SPECIFIC SECONDARY DATA COLLECTION AND PRIMARY DATA OBTAINED THROUGH 531 SURVEYS WITH INDIVIDUALS FROM KNOX COUNTY, TN AND SURROUNDING COUNTIES. THROUGHOUT THE ASSESSMENT, HIGH PRIORITY WAS GIVEN TO DETERMINING THE HEALTH STATUS AND AVAILABLE RESOURCES WITHIN EACH COMMUNITY. COMMUNITY MEMBERS FROM EACH COUNTY MET WITH UTMC TO DISCUSS CURRENT HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. THE INFORMATION GATHERED FROM A LOCAL PERSPECTIVE, PAIRED WITH REGIONAL, STATE AND NATIONAL DATA, HELPS TO EVALUATE THE REGION'S HEALTH SITUATION IN ORDER TO BEGIN FORMULATING SOLUTIONS FOR IMPROVEMENT. PROGRAMS TO MEET COMMUNITY NEED UTMC CONDUCTS ONGOING INVENTORIES REGARDING THE ASSETS WITHIN THE HOSPITAL TO MEET THE ONGOING NEED WITHIN THE COMMUNITY. IN COLLABORATION WITH ITS PARTNERS, UTMC ENGAGES OTHERS IN THE SOLUTION OF ASSESSING THE ASSETS WITHIN THE COMMUNITY AND ENGAGING ITS PARTNERS IN BECOMING PART OF THE SOLUTION. WE DO THIS IN SYNERGY WITH ONE ANOTHER THROUGH MANY INITIATIVES. WE COME TOGETHER TO IDENTIFY OUR ASSETS AND GAPS BY UTILIZING DATA AND INFORMATION FROM SOURCES SUCH AS THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND OTHER STATE AND NATIONAL DATA REPOSITORIES AND REPORTING AGENCIES. WE ALSO SURVEY OUR COMMUNITY TO IDENTIFY THE ASSETS AND THE GAPS IN HEALTH AND HUMAN SERVICES. SOME OF THESE UNIQUE SERVICES PROVIDED BY UTMC TO ADDRESS IDENTIFED HEALTH CARE NEEDS ARE LISTED BELOW: BREAST HEALTH OUTREACH PROGRAM (BHOP) WHERE THE HOSPITAL PROVIDES FREE EDUCATION, PREVENTION, DIAGNOSTICS, AND TREATMENT FOR UNINSURED WOMEN. NEARLY 17 YEARS AGO, WE IDENTIFIED THE NEED TO PROVIDE THESE HEALTH SERVICES TO WOMEN WHO WERE UNINSURED. UTMC WITH THE ASSISTANCE OF OUR PARTNERS FROM THE CANCER STEERING COMMITTEE, SUSAN G. KOMEN FOUNDATION, AMERICAN CANCER SOCIETY, THE WELLNESS COMMUNITY, AVON FOUNDATION, HEALTH PROVIDERS, RADIOLOGISTS, PHYSICIANS, NURSES, NUTRITIONISTS, COMMUNITY MEMBERS AND OTHERS WHO COULD HELP US MEET THE GROWING NEED FOR PREVENTION, DIAGNOSIS, TREATMENT, AND FOLLOW UP CARE. THE MOBILE MAMMOGRAPHY PROGRAM HAS PROVIDED FREE AT NO COST SCREENINGS TO WOMEN IN OUR 21 COUNTY AREA WHO ARE UNDERINSURED OR HAVE NO INSURANCE. MATTER OF BALANCE (MOB) IS AN EVIDENCE-BASED FALLS MANAGEMENT PROGRAM RECOGNIZED THE CDC AND NCOA. THE PROGRAM IS PROVEN TO REDUCE THE FEAR OF FALLING AND INCREASE PHYSICAL ACTIVITY. ACCORDING TO THE 2014-2015 UTMC EMERGENCY TRAUMA REPORT, FALLS WERE THE LEADING CAUSE OF UNINTENTIONAL INJURY IN THE OLDER ADULT POPULATION AND ACCOUNTED FOR APPROXIMATELY 67% OF THE TOTAL ADMISSIONS AT THE HOSPITAL. EVEN THOUGH FALLS WERE NOT IDENTIFIED AS ONE OF THE TOP CONCERNS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, WE FELT IT IMPERATIVE TO ADDRESS THE ISSUE. IN MARCH OF 2015, TWO UTMC STAFF ACHIEVED MASTER TRAINER CERTIFICATION, AND UTMC BECAME A DESIGNATED, LICENSED PROVIDER OF MOB. THE FIRST CLASS INSTRUCTORS (COACHES) WERE TRAINED SUMMER 2015. CLASSES ARE OFFERED IN KNOX AND SURROUNDING COUNTIES AT NO CHARGE TO PARTICIPANTS. IN 2016- 2017, THE PROGRAM EXPANDED TO SENIOR CITIZEN CENTERS TO REACH THE TARGETED POPULATION WHERE FALLS ARE THE MOST PREVALENT. HEALTHY LIVING KITCHEN- THE HEALTHY LIVING KITCHEN TEAM PROVIDES COOKING DEMONSTRATIONS, CULINARY TECHNIQUES, AND HEALTH INFORMATION IN A UNIQUE, FUN LEARNING ENVIRONMENT. CLASSES ARE LOCATED ON OUR HOSPITAL CAMPUS OR MAY BE REQUESTED AT COMMUNITY OR CORPORATE LOCATIONS. OUR FOCUS PROVIDES BASIC NUTRITION EDUCATION RELEVANT TO CHRONIC DISEASES AND PREVENTION EFFORTS TO IMPROVE CHOICES FOR HEALTHIER LIFESTYLE LIVING. SUCCESS OF OUR PROGRAM IS MEASURED BY PARTICIPATION INCREASE YEAR AFTER YEAR. TOPICS INCLUDE BUT ARE NOT LIMITED TO: BASIC NUTRITION - DINING OUT - MAKING HEALTHIER CHOICES - GROCERY SHOPPING MINDFUL EATING - WEIGHT MANAGEMENT - USING FOOD LABELS DISEASE SPECIFIC - DASH DIET - KNOW YOUR NUMBERS - MEDITERRANEAN DIET - NUTRITION AND DIABETES - GOING GLUTEN FREE - HEART HEALTHY EATING HEALTHY LIFESTYLE - HEALTHY EATING ON A BUDGET - WORKPLACE EATING - RECIPE SUBSTITUTIONS - HEALTHY TAILGATING - SUPER FOODS - EATING FARM TO TABLE - HOLIDAY EATING TIPS - STRESS MANAGEMENT OPIOD/SUBSTANCE ABUSE: UTMC PARTNERS WITH OTHERS IN OUR REGION TO CARE FOR AND COMBAT OPIOD PRESCRIPTION USE AND LIMIT THE OPPORTUNITY FOR DEPENDENCY. UTMC HAS PARTNERED WITH THE METRO DRUG COALITIONAND OTHER STATE AGENCIES TO DISCOVER INNOVATIVE PROCESSES TO TREAT AND COUNSEL INDIVIDUALS WITH DEPENDENCY ISSUES. IN AN EFFORT TO ASSIST WITH COMPLIANCE OF WITHDRAWL FROM OPIODS, SEVERAL PHYSICIANS HAVE LED RESEARCH EFFORTS TO SUCCESSFULLY ASSIST INDIVIDUALS WITHDRAW SAFELY FROM CHEMICAL DEPENDENCY INDUCING SUBSTANCES. FROM PERINATAL WITHDRAWL FROM TO IMPLEMENTING PATHWAYS FOR INDIVIDUALS WHO ARE ADMITTED WITH MEDICAL ISSUES ASSOCIATED WITH OPIOD MISUSE, UTMC IS PIONEERING RESEARCH EFFORTS IN THIS FIELD TO ASSIST IN COMBATING CHEMICAL DEPENDENCY FROM OPIODS. FORM 990, PART III, LINE 4A: VOLUNTEER MISSION SERVICE ACTIVITIES BLOOD DRIVES: UTMC PARTNERS WITH MEDIC REGIONAL BLOOD CENTER TO PROVIDE AN OPPORTUNITY FOR EMPLOYEES TO GIVE BACK TO THEIR COMMUNITY. UTMC IS THE REGION'S LARGEST CONSUMER OF BLOOD PRODUCTS DUE TO THE COMPLEXITY OF SERVICE WE PROVIDE TO THE COMMUNITY, INCLUDING SERVING AS THE ONLY LEVEL I TRAUMA CENTER IN OUR REGION. IN 2017, THE HOSPITAL DONATED OVER 300 UNITS OF BLOOD. EMPTY STOCKING FUND: UTMC EMPLOYEES AND HOSPITAL PROVIDE OPPORTUNITIES TO VOLUNTEER WITHIN THE COMMUNITY. AS AN ORGANIZATION, UTMC TO PARTNERS WITH THE KNOXVILLE NEW SENTINEL TO PROVIDE FOOD AND TOYS TO DISADVANTAGED EAST TENNESSEANS DURING THE HOLIDAYS. REMOTE AREA MEDICAL: UTMC HEALTHY LIVING KITCHEN STAFF AND EMPLOYEES DEDICATE TIME TO SERVING AT THIS MEDICAL AND HEALTH EVENT. RAM PROVIDES FREE DENTAL, VISION, AND MEDICAL CARE TO ISOLATED, IMPOVERISHED, OR UNDERSERVED COMMUNITIES. IN LESS THAN 24 HOURS WE TURN FAIRGROUNDS, SCHOOLS, ARENAS, AND JUNGLES INTO MOBILE MEDICAL CENTERS. CONTRIBUTIONS OF VOLUNTEERS: SINCE 1962, UT MEDICAL CENTER HAS ENJOYED THE SERVICES OF THE VOLUNTEERS WHO HAVE GIVEN OVER 800,000 HOURS. THE VOLUNTEER DEPARTMENT COORDINATES THE ACTIVITIES OF THREE MAIN GROUPS OF VOLUNTEERS: THE AUXILIARY, INDEPENDENT VOLUNTEERS, AND THE JUNIOR VOLUNTEERS. ALL VOLUNTEERS WHO DONATE TIME AND SERVICE TO THE MEDICAL CENTER WORK IN A VARIETY OF SETTINGS SUCH AS INPATIENT AND OUTPATIENT FACILITY DEPARTMENTS, PATIENT RECEPTION AREAS, GIFT SHOP, ETC. THERE ARE APPROXIMATELY 312 CURRENTLY ACTIVE VOLUNTEERS FOR UTMC. THESE VOLUNTEERS COME FROM VARIOUS BACKGROUNDS FROM ALL AGES, INCLUDING SENIORS AND STUDENTS WITH AN INTEREST IN A HEALTHCARE CAREER. CURRENTLY THERE ARE 140 ADULT VOLUNTEERS, 82 COLLEGE STUDENTS AND 90 HIGH SCHOOL STUDENTS. THESE VOLUNTEERS AVERAGE 35,000-40,000 HOURS PER YEAR OF TOTAL SERVICE. LIFTING THE SPIRITS OF UTMC PATIENTS IS WHAT THE VOLUNTEER PROGRAM IS ALL ABOUT. VOLUNTEERS ARE INVOLVED IN SUCH ACTIVITIES AS DELIVERING FLOWERS, MAIL AND GIFTS, SERVING REFRESHMENTS AND PROVIDING WARM BLANKETS FOR THE ONCOLOGY PATIENTS, READING MATERIALS, A CHEERFUL SMILE AND A COMFORTING WORD. VOLUNTEERS ALSO PROVIDE A VALUABLE SOURCE OF INFORMATION FOR THE PATIENTS' FAMILIES AND FRIENDS AND ARE ESPECIALLY IMPORTANT WHEN SERVING AS A LIAISON DURING CRUCIAL TIMES IN THE FAMILY WAITING LOUNGES. UTMC STRATEGIC CHALLENGES AND SOCIETAL RESPONSIBILITIES: IN RESPONSE TO IDENTIFIED UNMET HEALTH-RELATED NEEDS IN THE COMMUNITY NEEDS ASSESSMENT, THE FISCAL YEAR (FY) 2016 FOR UTMC, OUR FOCUS WILL BE ON INCREASING ACCESS TO HEALTH CARE FOR THE BROADER AND UNDERSERVED DISADVANTAGED MEMBERS OF THE SURROUNDING COMMUNITY. MAJOR INITIATIVES FOR FY 2016-17 FOCUSED ON INCREASING ACCESS TO HEALTH SERVICES FOR THE UNDERSERVED THROUGH PARTNERSHIPS; PREVENTING INJURIES AND TREATING TRAUMATIC BRAIN INJURIES; IMPROVING HEALTH ACCESS FOR WOMEN'S HEALTH; CANCER SCREENING SERVICES; EARLY DETECTION OF DISEASE PROCESSES AND MANAGEMENT; AND COMMUNITY BUILDING ACTIVITIES. TO ALIGN UTMC'S INITIATIVES WITH A HEALTHIER TENNESSEE AND THE INITIATIVES OF THE KNOX COUNTY COMMUNITY NEEDS ASSESSMENT 2015, UT MEDICAL CENTER HAS CHOSEN SEVERAL HEALTH IMPROVEMENT INITIATIVES TO APPLY OUR EXPERTISE AND FOCUS TO ADDRESS. THE FOLLOWING HEALTH INITIATIVES ARE: ASTHMA INTERVENTION AND SMOKING CESSATION WITHIN THE SCHOOL SYSTEMS TAKE CHARGE OF YOUR DIABETES DSMP) FOCUSING ON VULNERABLE TARGETED HEALTH POPULATIONS WITH DISPARITIES TO IMPROVE SELF-MANAGEMENT OF DISEASE PROCESS BY DIET AND MODIFIABLE FACTORS. UT BREAST HEALTH OUTREACH PROGRAM- (BHOP) MOBILE MAMMOGRAPHY TRAUMA PREVENTION AND EDUCATION -THROUGH "SAFE KID'S COALITION" A COLLABORATION OF COMMUNITY PARTNERS WORKING TO PREVENT INJURIES IN CHILDREN AND FAMILIES. FALL PREVENTION EDUCATION "MATTER OF BALANCE" AN EVIDENCE-BASED PROGRAM PROVEN TO REDUCE THE FEAR OF FALLING AND INCREASE PHYSICAL ACTIVITY TRAUMA PREVENTION AND EDUCATION- "STOP THE BLEED"- A STATEWIDE INITIATIVE FOCUSED ON DECREASING MORTALITY RATES ASSOCIATED WITH HEMORRHAGE. EDUCATION FOR ALLIED HEALTH PROFESSIONALS FOR ADVANCED TRAUMA LIFE SUPPORT (ATLS), ADVANCED TRAUMA CERTIFIED NURSE (ATCN), TRAUMA NURSE CORE CURRICULUM (TNCC), FUNDAMENTALS OF CRITICAL CARE (FCCS), AND CERTIFIED EMERGENCY NURSE (CEN) PREPARATION COURSE. NUTRITION EDUCATION -PARTNERSHIP WITH COORDINATED SCHOOL HEALTH AND HEALTHY LIVING KITCHEN TO PROVIDE EDUCATION FOR SCHOOL FACULTY AND STUDENTS STROKE AWARENESS, EDUCATION, AND PREVENTION THROUGH ADVANCED STROKE LIFE SUPPORT (ASLS) AND COMMUNITY AWARENESS EVENTS. COLE NEUROSCIENCE CENTER AND THE PAT SUMMIT CLINIC PROVIDE ACCESS FOR EVALUATION OF DEMENTIA AND MOVEMENT DISORDERS WOMEN'S AND CHILDREN'S OUTREACH EFFORTS FOR PRENATAL CARE, HIGH RISK OBSTETRICS, AND CARE OF THE PRE-TERM NEWBORN. KAPA PROJECT ACCESS- UT MEDICAL CENTER IS A PARTNER OF THIS ORGANIZATION IN THE LOCAL HEALTHCARE COMMUNITY OF PROVIDING FREE OR DISCOUNTED MEDICAL SERVICES AND TREATMENT TO INDIVIDUALS WHO ARE NOT INSURED OR MEDICALLY UNDERSERVED. CONTRIBUTIONS MEASURABLE IN DOLLARS: UNCOMPENSATED PATIENT CARE $39,199,548 COMMUNITY SERVICES 429,678 TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS 19,890,048 RESEARCH 309,640 DONATIONS 317,922 OTHER COMMUNITY OUTREACH ACTIVITIES 655,651 TOTAL CONTRIBUTIONS $60,118,274 UHS ASC LLC 1520 CHEROKEE TRAIL STE 200 KNOXVILLE TN 37920 311626179 INACTIVE TN 0 0 UNIVERSITY HEALTH SYSTEM INC REGIONAL TRAUMA SERVICES LLC 1520 CHEROKEE TRAIL STE 330 KNOXVILLE TN 37920 202769076 TRAUMA MANAGEMENT TN 1528800 243144 UNIVERSITY HEALTH SYSTEM INC UNIVERSITY CARDIOLOGY GROUP LLC 1520 CHEROKEE TRAIL STE 330 KNOXVILLE TN 37920 464901485 PHYSICIAN SERVICE TN 12055433 2190036 UNIVERSITY HEALTH SYSTEM INC UNIVERSITY HEALTH NETWORK LLC 1520 CHEROKEE TRAIL STE 200 KNOXVILLE TN 37920 812770309 CLINICALLY INTEGRATED NETWORK TN 1080420 1080266 UNIVERSITY HEALTH SYSTEM INC UHS VENTURES INC 9000 EXECUTIVE PARK DRIVE D-240 KNOXVILLE TN 37923 621619460 MANAGEMENT SERVICES TN UNIVERSITY HEALTH SYSTEM INC C 2905079 734016 1.00000 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1