VANDERBILT UNIVERSITY MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: VANDERBILT UNIVERSITY MEDICAL CENTER (EIN 35-2528741)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-04-30
IRS object ID: 201801209349300840
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-04-30T14:00:06-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	134008324	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 Seaport Boulevard	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	352528741	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Vanderbilt University Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	VAND	BusinessNameControlTxt
Phone	6153222381	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1161 21st Ave S Suite D3300 MCN	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37232	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Cecelia B Moore	PersonNm
Person Title	CFO & Treasurer	PersonTitleTxt
Signature	2018-04-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Gwen Spencer	PreparerPersonNm
PTIN	P00641463	PTIN
Phone	6175305000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jeffrey R Balser MD PhD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1161 21st Ave S Suite D3300 MCN	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37232	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,938,498,057	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.vumc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2015	FormationYr
Legal Domicile State	TN	LegalDomicileStateCd
Activity Or Mission	See Schedule O, Form 990, Part III, Line 1	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	24567	TotalEmployeeCnt
Total Volunteers	1381	TotalVolunteersCnt
Total Gross UBI	$21,723,227	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$8,261	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$47,625,339	PYContributionsGrantsAmt
CY Contributions Grants	$302,808,739	CYContributionsGrantsAmt
PY Program Service Revenue	$579,202,171	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,608,520,465	CYProgramServiceRevenueAmt
PY Investment Income	$2,086,682	PYInvestmentIncomeAmt
CY Investment Income	$21,250,369	CYInvestmentIncomeAmt
PY Other Revenue	$934,801	PYOtherRevenueAmt
CY Other Revenue	$5,609,895	CYOtherRevenueAmt
PY Total Revenue	$629,848,993	PYTotalRevenueAmt
CY Total Revenue	$3,938,189,468	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,479,753	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$79,456,591	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$312,797,502	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,035,260,271	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$92,802	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$9,238,239	CYTotalFundraisingExpenseAmt
PY Other Expenses	$268,615,443	PYOtherExpensesAmt
CY Other Expenses	$1,621,217,366	CYOtherExpensesAmt
PY Total Expenses	$591,892,698	PYTotalExpensesAmt
CY Total Expenses	$3,736,027,030	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,956,295	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$202,162,438	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,518,986,311	TotalAssetsBOYAmt
Total Assets EOY	$2,801,330,205	TotalAssetsEOYAmt
Total Liabilities BOY	$1,975,809,474	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,000,428,282	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$543,176,837	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$800,901,923	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O Form 990, Part III, Line 1	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$2,460,193,483	ExpenseAmt
Grant	$15,384,399	GrantAmt
Revenue	$3,335,319,149	RevenueAmt
Desc	Patient Services - See Schedule O Form 990, Part III, Line 4a	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$616,788,119	ExpenseAmt
Grant	$64,072,192	GrantAmt
Revenue	$111,009,444	RevenueAmt
Desc	Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$29,619,356	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$166,102,631	RevenueAmt
Desc	4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community: https://www.vanderbilthealth.com/main/38766	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$29,619,356	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$166,102,631	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$3,106,600,958	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	Yes (true)	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1442	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	24567	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	MZ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Scott Phillips	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6153222381	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3319 West End Ave Suite 700	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37203	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Jeffrey R Balser MD PHD
President and CEO	40.0	Yes (X)	Yes (X)	$2,802,010	$0	$141,262
Edith Scott Carell Johnson JD
Director	1.0	Yes (X)		$0	$0	$0
Richard B Johnston Jr MD
Director	1.0	Yes (X)		$0	$0	$0
Samuel E Lynch DMD DMSC
Director	1.0	Yes (X)		$0	$0	$0
Bruce R Evans MBA
Director	1.0	Yes (X)		$0	$0	$0
Michael M E Johns MD
Director	1.0	Yes (X)		$0	$0	$0
Thomas J Sherrard III JD
Director	1.0	Yes (X)		$0	$0	$0
John F Stein MBA
Director	1.0	Yes (X)		$0	$0	$0
Nicholas S Zeppos JD
Director	1.0	Yes (X)		$0	$0	$0
Jackson W Moore JD
Director	1.0	Yes (X)		$0	$0	$0
David W Patterson MD
Director	1.0	Yes (X)		$0	$0	$0
John F Manning Jr PHD MBA
COO and Corporate Chief of Staff	40.0		Yes (X)	$892,717	$0	$55,344
Cecelia B Moore MHA CPA CHFP
CFO and Treasurer	39.8		Yes (X)	$652,615	$0	$55,321	0.2
C Wright Pinson MD MBA
Deputy CEO and Chief Clinical Officer	40.0		Yes (X)	$1,864,464	$0	$93,190
Michael J Regier JD
General Counsel and Secretary	40.0		Yes (X)	$417,789	$0	$49,576
Charles L Gregory MA MBA MH
CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt	40.0			$472,004	$0	$43,237		Yes (X)
William W Stead MD
Chief Strategy Officer	40.0			$607,409	$0	$9,951		Yes (X)
Traci K Nordberg JD
Chief HR Officer	40.0			$436,013	$0	$36,720		Yes (X)
David R Posch
Executive Vice President for Population Health	38.8			$570,033	$0	$10,870	1.2	Yes (X)
David S Raiford MD
Chief of Clinical Staff	40.0			$674,220	$0	$54,212		Yes (X)
Mitchell C Edgeworth MBA
CEO, Vanderbilt University Adult Hospital and Clinics	40.0			$459,421	$0	$42,583		Yes (X)
Clinton J Devin MD
Comprehensive Spine Center - Assoc Professor	40.0			$1,008,111	$0	$3,874			Yes (X)
Lloyd G King MD
GI Administration - Asst Professor	39.9			$764,186	$0	$10,514	0.1		Yes (X)
John W Klekamp MD
VBJ Faculty - Asst Professor	40.0			$762,329	$0	$13,307			Yes (X)
Paul J Sternberg Jr MD
CMO & VP Clinical Affairs	40.0			$805,815	$0	$15,775			Yes (X)
Paul A Thomas MD
VBJ Faculty - Assoc Professor	40.0			$1,073,481	$0	$13,894			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,262,617	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$649,630	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1465	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Vanderbilt University
PMB 406310	2301 Vanderbilt Place	Nashville	TN	37240	Various Services	$102,728,216
Deloitte Consulting LLP
30 Rockefeller Plaza		New York	NY	10112	Professional Services	$7,761,993
Turner Universal Construction Co
624 Grassmere Park 4		Nashville	TN	37211	Construction Services	$6,760,990
Frost-Arnett Company
2105 Elm Hill Pike		Nashville	TN	37210	Financial Services	$3,878,643
North Highland Company
5105 Maryland Way 200		Brentwood	TN	37027	Professional Services	$3,854,665

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	242	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,124,319	FundraisingAmt
Government Grants	$235,441,610	GovernmentGrantsAmt
All Other Contributions	$66,242,810	AllOtherContributionsAmt
Noncash Contributions	$2,074,529	NoncashContributionsAmt
Total Contributions	$302,808,739	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue	622110	$3,335,319,149	$3,332,870,955	$2,448,194
Academic and Research Revenue	611310	$111,009,444	$111,009,444
Other Program Revenue	611310	$162,191,872	$142,916,367	$19,275,505

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,608,520,465	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,250,369	TotalRevenueColumnAmt
Exclusion	$21,250,369	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$853,317	TotalRevenueColumnAmt
Exclusion	$853,317	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$784,515	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$74,994	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$709,521	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$709,521	TotalRevenueColumnAmt
Exclusion	$709,521	ExclusionAmt

Gain Or Loss GainOrLossGrp

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

Field	Value	IRS element (for citing)
Fundraising Gross Income	$370,365	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,124,319	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$233,595	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$136,770	TotalRevenueColumnAmt
Exclusion	$136,770	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Revenue from Unconsolidated Orgs	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,910,287	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,910,759	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$472	UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$3,910,287	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,938,189,468	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,590,707,525	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$21,723,227	UnrelatedBusinessRevenueAmt
Exclusion	$22,949,977	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$56,362,300	TotalAmt
Program Services	$56,362,300	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$20,573,873	TotalAmt
Program Services	$20,573,873	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$2,520,418	TotalAmt
Program Services	$2,520,418	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,241,196	TotalAmt
Program Services	$1,441,441	ProgramServicesAmt
Management And General	$12,269,555	ManagementAndGeneralAmt
Fundraising	$530,200	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$31,297	TotalAmt
Program Services	$31,297	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,644,398,842	TotalAmt
Program Services	$1,443,663,825	ProgramServicesAmt
Management And General	$195,940,582	ManagementAndGeneralAmt
Fundraising	$4,794,435	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$56,563,820	TotalAmt
Program Services	$40,103,437	ProgramServicesAmt
Management And General	$16,094,025	ManagementAndGeneralAmt
Fundraising	$366,358	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$212,395,693	TotalAmt
Program Services	$179,912,643	ProgramServicesAmt
Management And General	$31,760,077	ManagementAndGeneralAmt
Fundraising	$722,973	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$107,629,423	TotalAmt
Program Services	$98,978,796	ProgramServicesAmt
Management And General	$8,458,091	ManagementAndGeneralAmt
Fundraising	$192,536	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,917,104	TotalAmt
Program Services	$1,372,377	ProgramServicesAmt
Management And General	$1,544,727	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$17,771,320	TotalAmt
Program Services	$1,469,653	ProgramServicesAmt
Management And General	$16,301,667	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,409,435	TotalAmt
Program Services	$2,749	ProgramServicesAmt
Management And General	$1,406,686	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$92,802	TotalAmt
Fundraising	$92,802	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$361,954,173	TotalAmt
Program Services	$129,483,857	ProgramServicesAmt
Management And General	$232,253,013	ManagementAndGeneralAmt
Fundraising	$217,303	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,198,823	TotalAmt
Program Services	$2,679,947	ProgramServicesAmt
Management And General	$7,494,185	ManagementAndGeneralAmt
Fundraising	$24,691	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$92,060,824	TotalAmt
Program Services	$71,278,492	ProgramServicesAmt
Management And General	$19,695,350	ManagementAndGeneralAmt
Fundraising	$1,086,982	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$59,602,944	TotalAmt
Program Services	$20,608,940	ProgramServicesAmt
Management And General	$38,939,857	ManagementAndGeneralAmt
Fundraising	$54,147	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$8,794	TotalAmt
Program Services	$8,794	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$220,430,117	TotalAmt
Program Services	$203,796,724	ProgramServicesAmt
Management And General	$15,915,977	ManagementAndGeneralAmt
Fundraising	$717,416	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$18,359,273	TotalAmt
Program Services	$15,948,878	ProgramServicesAmt
Management And General	$2,300,438	ManagementAndGeneralAmt
Fundraising	$109,957	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$11,868,191	TotalAmt
Program Services	$10,301,896	ProgramServicesAmt
Management And General	$1,530,556	ManagementAndGeneralAmt
Fundraising	$35,739	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$55,955,845	TotalAmt
Program Services	$55,153,500	ProgramServicesAmt
Management And General	$802,345	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$90,316,965	TotalAmt
Program Services	$78,996,088	ProgramServicesAmt
Management And General	$11,320,877	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,840,978	TotalAmt
Program Services	$10,840,143	ProgramServicesAmt
Fundraising	$835	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Provision for Bad Debts	$1,073,752	$1,073,752
Other Academic and Research	$9,196,723	$5,447,645	$3,573,261	$175,817
Taxes	$2,016,907	$2,008,743	$8,164
Drugs and Medical Supplies	$640,873,063	$640,283,950	$589,113

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,362,135	TotalAmt
Program Services	$12,256,800	ProgramServicesAmt
Management And General	$1,989,287	ManagementAndGeneralAmt
Fundraising	$116,048	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,736,027,030	TotalAmt
Program Services	$3,106,600,958	ProgramServicesAmt
Management And General	$620,187,833	ManagementAndGeneralAmt
Fundraising	$9,238,239	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$44,428,034	BOYAmt
EOY	$43,465,820	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$575,033,726	BOYAmt
EOY	$510,269,465	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,676,143	BOYAmt
EOY	$84,304,594	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$424,761,364	BOYAmt
EOY	$447,731,680	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,785,198	BOYAmt
EOY	$275,133	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$61,925,281	BOYAmt
EOY	$67,478,430	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,553,454	BOYAmt
EOY	$6,888,179	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,323,674,873	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$103,907,140	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,130,116,342	BOYAmt
EOY	$1,219,767,733	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$173,988,522	BOYAmt
EOY	$398,102,347	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$19,028,218	BOYAmt
EOY	$20,183,704	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,690,029	BOYAmt
EOY	$2,863,120	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,518,986,311	BOYAmt
EOY	$2,801,330,205	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$549,097,680	BOYAmt
EOY	$588,379,289	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$44,613,465	BOYAmt
EOY	$50,047,272	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$529,860,935	BOYAmt
EOY	$528,375,952	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$647,059,236	BOYAmt
EOY	$647,418,477	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$14,975,798	BOYAmt
EOY	$22,273,292	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$190,202,360	BOYAmt
EOY	$163,934,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,975,809,474	BOYAmt
EOY	$2,000,428,282	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$509,422,667	BOYAmt
EOY	$713,978,991	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,985,163	BOYAmt
EOY	$69,058,166	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,769,007	BOYAmt
EOY	$17,864,766	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$543,176,837	BOYAmt
EOY	$800,901,923	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,518,986,311	BOYAmt
EOY	$2,801,330,205	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$202,162,438	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$24,332,758	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$31,229,890	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$47,625,339	CurrentTaxYearMinus1YearAmt
Current Tax Year	$302,808,739	CurrentTaxYearAmt
Total	$350,434,078	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$47,625,339	CurrentTaxYearMinus1YearAmt
Current Tax Year	$302,808,739	CurrentTaxYearAmt
Total	$350,434,078	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$350,434,078	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$2,162,150	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,888,201	CurrentTaxYearAmt
Total	$25,050,351	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$800,563	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,034,606	CurrentTaxYearAmt
Total	$5,835,169	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$381,319,598	TotalSupportAmt
Gross Receipts Rltd Activities	$4,187,722,636	GrossReceiptsRltdActivitiesAmt
First5 Years170	Yes (X)	First5Years170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule A, Part II, Line 10	THE AMOUNT REPORTED ON LINE 10 IS COMPRISED OF GROSS FUNDRAISING REVENUE of $1,124,319 AND REVENUE FROM UNCONSOLIDATED ORGANIZATIONS of $3,910,287.
Schedule A, Part II, Line 10 Other Income	DESCRIPTION - UNCONSOLIDATED ORGS AND FUNDRAISING, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 800563.0, COLUMN E - 5034606.0, COLUMN F - 5835169.0;

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$312,352	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$312,352	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$3,713,998,115	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$3,714,310,467	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$2,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$3,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$57,062	CurrentYearMinus1Amt
Current Year	$312,352	CurrentYearAmt
Total	$369,414	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$500,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$750,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

Field	Value	IRS element (for citing)
Revenues Included	$6,347	RevenuesIncludedAmt
Assets Included	$687,121	AssetsIncludedAmt

Field	Value	IRS element (for citing)
Collection Used Pub Exhibition	Yes (X)	CollectionUsedPubExhibitionInd
Solicited Assets Sale	Yes (true)	SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$79,924,377	BeginningYearBalanceAmt
Contributions	$9,448,193	ContributionsAmt
Investment Earnings Or Losses	$10,708,634	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,414,846	OtherExpendituresAmt
Administrative Expenses	$43,331	AdministrativeExpensesAmt
End Year Balance	$97,623,027	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$78,782,338	ContributionsAmt
Investment Earnings Or Losses	$1,142,039	InvestmentEarningsOrLossesAmt
End Year Balance	$79,924,377	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
End Year Balance	$0	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.8873	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0772	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0355	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,762,014	OtherCostOrOtherBasisAmt
Book Value	$27,762,014	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$841,264,382	OtherCostOrOtherBasisAmt
Depreciation	$79,532,915	DepreciationAmt
Book Value	$761,731,467	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,464,239	OtherCostOrOtherBasisAmt
Depreciation	$4,959,903	DepreciationAmt
Book Value	$47,504,336	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$205,356,623	OtherCostOrOtherBasisAmt
Depreciation	$19,414,322	DepreciationAmt
Book Value	$185,942,301	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$196,827,615	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$196,827,615	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,219,767,733	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Fair Value of Interest Rate Swap Agreements
Tenant Improvement Allowances
Note Payable to Related Organization
Note Payable to Related Organization	$94,583,333
Fair Value of Interest Rate Swap Agreements	$65,202,935
Tenant Improvement Allowances	$2,700,210
Capital Leases	$1,447,522

Field	Value	IRS element (for citing)
Total Liability	$163,934,000	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (24 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$3,758
East Asia and the Pacific	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$48,684
Europe (Including Iceland and Greenland)	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$299,629
Middle East and North Africa	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$720
North America (Canada & Mexico only)	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$160,689
South America	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$13,620
South Asia	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$17,110
Sub-Saharan Africa	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	$51,781
Central America and the Caribbean	0	1	Grantmaking	N/A	$52,218
East Asia and the Pacific	0	0	Grantmaking	N/A	$261,122
Europe (Including Iceland and Greenland)	0	1	Grantmaking	N/A	$245,380
North America (Canada & Mexico only)	0	0	Grantmaking	N/A	$126,750
South America	0	5	Grantmaking	N/A	$1,016,901
South Asia	0	0	Grantmaking	N/A	$27,641
Sub-Saharan Africa	0	6	Grantmaking	N/A	$790,407
Central America and the Caribbean	0	0	Program Services	Education, Health-Care, Research	$72,280
East Asia and the Pacific	0	0	Program Services	Education, Health-Care, Research	$102,417
Europe (Including Iceland and Greenland)	0	0	Program Services	Education, Health-Care, Research	$164,748
Middle East and North Africa	0	0	Program Services	Education, Health-Care, Research	$2,144
North America (Canada & Mexico only)	0	0	Program Services	Education, Health-Care, Research	$45,265
Russia and Neighboring States	0	0	Program Services	Education, Health-Care, Research	$4,350
South America	0	0	Program Services	Education, Health-Care, Research	$67,795
South Asia	0	0	Program Services	Education, Health-Care, Research	$5,162
Sub-Saharan Africa	2	1171	Program Services	Education, Health-Care, Research	$21,727,662

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	13	SubtotalEmployeesCnt
Continutation Total Office	2	ContinutationTotalOfficeCnt
Continutation Total Employee	1171	ContinutationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	1184	TotalEmployeeCnt
Subtotal Spent	$3,188,690	SubtotalSpentAmt
Continuation Spent	$22,119,543	ContinuationSpentAmt
Total Spent	$25,308,233	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (31 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Description Of Non Cash AsstDescriptionOfNonCashAsstTxt	Valuation Method UsedValuationMethodUsedDesc
East Asia and the Pacific	Research	$91,371	Check	N/A	N/A
North America (Canada & Mexico only)	Research	$54,000	Check	N/A	N/A
North America (Canada & Mexico only)	Research	$44,385	Check	N/A	N/A
Sub-Saharan Africa	Research	$28,017	Check	N/A	N/A
Sub-Saharan Africa	Research	$24,317	Check	N/A	N/A
East Asia and the Pacific	Research	$27,994	Check	N/A	N/A
North America (Canada & Mexico only)	Research	$12,482	Check	N/A	N/A
East Asia and the Pacific	Research	$39,574	Check	N/A	N/A
Sub-Saharan Africa	Research	$374,381	Wire	N/A	N/A
East Asia and the Pacific	Research	$43,728	Wire	N/A	N/A
Europe (Including Iceland and Greenland)	Research	$242,080	Wire	N/A	N/A
Sub-Saharan Africa	Research	$104,348	Wire	N/A	N/A
South America	Research	$507,011	Wire	N/A	N/A
Sub-Saharan Africa	Research	$24,159	Wire	N/A	N/A
South America	Research	$75,900	Wire	N/A	N/A
Central America and the Caribbean	Research	$52,218	Wire	N/A	N/A
Sub-Saharan Africa	General	$45,979	Wire	N/A	N/A
North America (Canada & Mexico only)	Research	$11,053	Wire	N/A	N/A
South Asia	Research	$5,531	Wire	N/A	N/A
Sub-Saharan Africa	Research	$8,842	Wire	N/A	N/A
East Asia and the Pacific	Research	$23,455	Wire	N/A	N/A
Sub-Saharan Africa	Research	$35,954	Wire	N/A	N/A
South Asia	Research	$22,110	Wire	N/A	N/A
Sub-Saharan Africa	Research	$10,415	Wire	N/A	N/A
South America	Research	$70,015	Wire	N/A	N/A
South America	Research	$327,605	Wire	N/A	N/A
South America	Research	$32,050	Wire	N/A	N/A
Sub-Saharan Africa	Research	$15,500	Wire	N/A	N/A
Sub-Saharan Africa	Research	$9,500	Wire	N/A	N/A
Sub-Saharan Africa	Research	$99,340	Wire	N/A	N/A
East Asia and the Pacific	Research	$30,000	Wire	N/A	N/A

Field	Value	IRS element (for citing)
Total501c3 Org	27	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Grenzebach Glier and Associates
401 N Michigan Ave	Chicago	IL	60611	Consulting	false	$27,000	-$27,000
CCL Branding Inc
300 S Liberty St Ste 100	WinstonSalem	NC	27101	Consulting	false	$46,842	-$46,842
Heller Consulting Inc
1736 Franklin Street Suite 600	Oakland	CA	94612	Consulting	false	$18,960	-$18,960

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$92,802	TotalRetainedByContractorsAmt
Total Net To Organization	-$92,802	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	AZ	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Behind the Music	Event1Nm
Gross Receipts Event1	$327,899	GrossReceiptsEvent1Amt
Charitable Contri Event1	$297,164	CharitableContriEvent1Amt
Gross Revenue Event1	$30,735	GrossRevenueEvent1Amt
Food And Beverage Event1	$49,995	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$1,149	OtherDirectExpensesEvent1Amt
Event2	Friends in Fashion	Event2Nm
Gross Receipts Event2	$236,615	GrossReceiptsEvent2Amt
Charitable Contri Event2	$151,594	CharitableContriEvent2Amt
Gross Revenue Event2	$85,021	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$24,000	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$8,583	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$9,613	OtherDirectExpensesEvent2Amt
Other Events Total	13	OtherEventsTotalCnt
Gross Receipts Other Events	$930,170	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$675,561	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$254,609	GrossRevenueOtherEventsAmt
Food And Beverage Other Events	$25,867	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$114,388	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,494,684	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,124,319	CharitableContributionsTotAmt
Gross Revenue Total Events	$370,365	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$24,000	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$84,445	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$125,150	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$233,595	DirectExpenseSummaryEventsAmt
Net Income Summary	$136,770	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,485,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,485,591	NetCommunityBenefitExpnsAmt
Total Expense	0.0191	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$580,277,637	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$455,940,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$124,337,231	NetCommunityBenefitExpnsAmt
Total Expense	0.0332	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$651,763,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$455,940,406	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$195,822,822	NetCommunityBenefitExpnsAmt
Total Expense	0.0523	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,586,518	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,602,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,983,793	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$186,214,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,493,496	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$132,721,268	NetCommunityBenefitExpnsAmt
Total Expense	0.0354	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

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

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$577,158,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$435,642,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$141,515,670	NetCommunityBenefitExpnsAmt
Total Expense	0.0378	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$774,959,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$492,738,771	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$282,220,731	NetCommunityBenefitExpnsAmt
Total Expense	0.0753	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,426,722,730	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$948,679,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$478,043,553	NetCommunityBenefitExpnsAmt
Total Expense	0.1276	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$30,212,908	BadDebtExpenseAmt
Bad Debt Expense Attributable	$455,176	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$433,887,070	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$539,313,943	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$105,426,873	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (7 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
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	0.4518	0.0	0.5482
Springfield VIP Realty LLC
Own Real Estate Used as Medical Facility	0.49	0.0	0.51

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd
Vanderbilt University Medical Center Hospitals
1	1211 22nd Avenue South	Nashville	TN	37212	www.vanderbilthealth.com	0000000027	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
Vanderbilt Stallworth Rehabilitation Hospital
2	2201 Childrens Way	Nashville	TN	37212	www.vanderbiltstallworthrehab.com	0000000141	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd
Vanderbilt University Medical Center Hospitals
1	false	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	https://www.vanderbilthealth.com/main/38766	Yes (X)	Yes (true)	16	Yes (true)	https://www.vanderbilthealth.com/main/38766	false	Yes (true)	Yes (X)	200.0	250.0	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	https://www.vanderbilthealth.com/FinancialAssistance/46618	Yes (X)	HTTP://WWW.VANDERBILTHEALTH.COM/FINANCIALASSISTANCE/46619	Yes (X)	HTTP://WWW.VANDERBILTHEALTH.COM/FINANCIALASSISTANCE/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Vanderbilt Stallworth Rehabilitation Hospital
2	false	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	http://www.vanderbiltstallworthrehab.com/en/our-approach/committed-to-quality	Yes (X)	Yes (true)	16	Yes (true)	http://www.vanderbiltstallworthrehab.com/en/our-approach/committed-to-quality	false	Yes (true)	Yes (X)	200.0	400.0	Yes (X)	Yes (X)		Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance	Yes (X)	http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance	Yes (X)	http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)		false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 2	On April 29, 2016, the assets and operations of Vanderbilt University Medical Center Hospitals (State license 0000000027), previously operated as a unit of Vanderbilt University, were acquired by Vanderbilt University Medical Center (EIN: 35-2528741), a newly formed separate not-for-profit corporation. See Schedule O for additional details on the Transaction.
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 focus groups during VUMC's fiscal year 2016. 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 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. To understand community members' opinions of health needs, eleven focus groups were conducted across the three counties that primarily represent the community served. The focus groups 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 are supported by United Way of Metropolitan Nashville and serve 32,000 low-income residents annually. United Way of Metropolitan Nashville recruited participants in partnership with the FRCs and VUMC. English and Spanish speakers were included in listening sessions in each county.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Vanderbilt University Medical Center Hospitals. 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. Vanderbilt University Medical Center is addressing all four needs, with a detailed list of programs, investments, and services listed in the 2016 Implementation Strategy (IS). In addition, VUMC continues to participate in the Health Councils for each county and to focus on community health improvement efforts with the Health/Wellness Councils of each county. In Williamson County, VUMC collaborated with United Way of Williamson County, the Tennessee Agricultural Extension Office, the Williamson County Health Department, and the town of Fairview to hold a number of listening sessions. These listening sessions were an attempt to have a deeper understanding of some of the barriers to health and wellness that had arisen in the primary and secondary data collection during the CHNA process. Themes that arose included high childhood obesity in Fairview relative to the rest of the county, and lack of affordable outdoor activities for families with children. Hearing these themes informed the work that followed in introducing free bike rentals at Bowie Park, the introduction of a "Born Learning" Trail, and upcoming work to connect Bowie Park with the Fairview branch of the public library. This trail will contain a story written and illustrated by local school children in efforts to enhance both child literacy and physical activity. 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. VUMC collaborated with the Metro Public Health Department and Nashville Health in the Infant Vitality Collaborative, focused on improving outcomes for newborns, toddlers, and families with young children. The Infant Vitality Initiative seeks to eliminate disparities in birth outcomes, while bringing together cross-sector collaborations that can have a meaningful impact on outcomes for all families. VUMC also serves on the Alignment Nashville Behavioral Health Council and helped organize the state-wide Social Emotional Learning Conference, which was attended by over 700 educators and care providers for children from across the southeast. In Rutherford County, VUMC collaborated with the County Health Department and Rutherford County Wellness Council to distribute mini-grants to seventeen community organizations which were engaged in programs addressing the needs adopted in the CHNA. Grantees included the Big Brothers & Big Sisters of Middle Tennessee, Salvation Army, the County Board of Education Office of Coordinated School Health, Interfaith Dental Clinic, Nurses for Newborns, and Murfreesboro City Schools among many others. Programs such as Howards Hope addressed "wellness" needs by helping young under-served children learn swimming skills. Murfreesboro City Schools ran a "Chef Academy" which teaches healthy nutrition and food preparation techniques to school-aged children. The Boys and Girls Club of Rutherford County ran programs to address mental health / substance abuse by teaching teens about substance and tobacco use and abuse. VUMC's Community Health Improvement Team addressed a meeting of the United Way of Rutherford and Cannon Counties' Community Youth Initiative. The data and resources were shared again by the Director of Rutherford County Schools in a separate presentation to school leaders. Members of the Community Health Improvement team presented local data on substance abuse and mental health to the Prevention Coalition for Success, one of the largest and longest running anti-drug coalitions in the state of Tennessee. VUMC's Community Health Improvement team presented information on the four priority needs and data from the CHNA to United Ways of Rutherford and Cannon Counties' Community Impact Committee.
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 2	On April 29, 2016, 50% ownership of Vanderbilt Stallworth Rehabilitation Hospital (State license 0000000141) was acquired by Vanderbilt University Medical Center, a newly formed separate not-for-profit corporation. See Schedule O for additional details on the Transaction.
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 focus groups during VUMC's fiscal year 2016. 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 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. To understand community members' opinions of health needs, eleven focus groups were conducted across the three counties that primarily represent the community served. The focus groups 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 are supported by United Way of Metropolitan Nashville and serve 32,000 low-income residents annually. United Way of Metropolitan Nashville recruited participants in partnership with the FRCs and VUMC. English and Spanish speakers were included in listening sessions in each county.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. 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 - 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. Vanderbilt Stallworth Rehabilitation Hospital 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 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.
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.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Ambulatory Surgery Center of Cool Springs LLC
2009 Mallory Lane Suite 100	Franklin	TN	37067	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 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

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 38.09%.
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 FY2017. The Stallworth Financial Assistance Policy explicitly forbids the use of ECAs.
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	Costing Methodology - Bad Debt Expense: Lines 2 & 3: 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 5, Patient Service Revenue, Patient Accounts Receivable, and Estimated Third-party Settlements, on page 17 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 FY17, such shortfalls amounted to $105,426,873.
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 FY17, 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/46618; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16a URL: http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Vanderbilt University Medical Center Hospitals: Line 16b URL: HTTP://WWW.VANDERBILTHEALTH.COM/FINANCIALASSISTANCE/46619; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16b URL: http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Vanderbilt University Medical Center Hospitals: Line 16c URL: HTTP://WWW.VANDERBILTHEALTH.COM/FINANCIALASSISTANCE/; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16c URL: http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	VUMC continually assesses the healthcare needs of the communities it serves. The Vanderbilt Patient and Family Advisory Council is made up of community volunteers which partners with VUMC's health care team and leadership to assess needs and evaluate services and programs. VUMC and Stallworth have also formed the Community Health Improvement Working Group, an internal committee of program managers which meets regularly and makes recommendations to the CHNA Advisory Committee. The CHNA Advisory Committee is made up of VUMC and Stallworth senior leaders which meet to continually assess the needs of the community and drive improvements in care and processes for the communities they serve. 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 carefully reviews the many health care needs assessments published by these local groups (Alignment Nashville, Saint Thomas Health, Nashville Area Chamber of Commerce, Metro Social Services, Healthy Nashville, and the TN Department of Health, among others) to help gauge the needs and resources within the community. In addition, VUMC has developed partnerships with the state department of health to stay abreast of important community health care 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 61,000 annual discharges. VUMC also provides approximately 2.2 million annual outpatient visits, including 123,000 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 HealthSouth and offers comprehensive acute rehabilitation services. Annually, Vanderbilt Stallworth Rehabilitation Hospital has approximately 1,400 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 2016-2017" as found at: https://www.vanderbilthealth.com/patientandvisitorinfo/48538 "Vanderbilt in Tennessee: County by County" as found at: https://www.vanderbilt.edu/cngr/map/ "Vanderbilt Injects $9.5 billion into Tennessee economy" as found at: https://news.vanderbilt.edu/2017/03/27/vanderbilt-injects-9-5-billion-into-tennessee-economy/
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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (183 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
Northeastern University
Research Finance	360 Huntington Ave	Boston	MA	02115	041679980	501(c)(3)	$18,877	Not applicable	Not applicable	Research
Boston University
PO Box 28763	Grants Receivables	New York	NY	100878763	042103547	501(c)(3)	$234,481	Not applicable	Not applicable	Research
Harvard University
P O Box 415649	0	Boston	MA	022415649	042103580	501(c)(3)	$114,899	Not applicable	Not applicable	Research
Massachusetts Institute of Technology
Cashiers Office NE49-3077	77 Massachusetts Avenue	Cambridge	MA	02139	042103594	501(c)(3)	$110,751	Not applicable	Not applicable	Research
Beth Israel Deaconess Medical Center
330 Brookline Ave		Boston	MA	02215	042103881	501(c)(3)	$407,137	Not applicable	Not applicable	Research
Tufts University
M and V 701 136 Harrison Avenue	0	Boston	MA	02111	042103634	501(c)(3)	$15,089	Not applicable	Not applicable	Research
Brigham & Womens Hospital Inc
Bank of America	P O Box 3887	Boston	MA	022413887	042312909	501(c)(3)	$123,671	Not applicable	Not applicable	Research
Massachusetts General Hospital
Research Finance	Bank of America	Boston	MA	022413829	042697983	501(c)(3)	$44,727	Not applicable	Not applicable	Research
Boston's Children's Hospital
Research Finance	PO Box 414413	Boston	MA	022414413	042774441	501(c)(3)	$166,260	Not applicable	Not applicable	Research
Baystate Medical Center Inc
Attn Andrea Cutuli	PO Box 414168	Boston	MA	022414168	042790311	501(c)(3)	$51,589	Not applicable	Not applicable	Research
University of Massachusetts
Attn Medical School Bursar	55 Lake Avenue North	Worcester	MA	01655	043167352	GOVT	$40,953	Not applicable	Not applicable	Research
Boston Medical Center
Grants Administration/Res Finance	Gambro Building 2nd Floor	Boston	MA	02118	043314093	501(c)(3)	$42,347	Not applicable	Not applicable	Research
Dana-Farber Partners Cancer Care Inc
450 Brookline Avenue	Attn Jim Huse	Boston	MA	02215	043320640	501(c)(3)	$142,838	Not applicable	Not applicable	Research
Tufts Medical Center
800 Washington Street	Box 453	Boston	MA	02111	043400617	GOVT	$24,508	Not applicable	Not applicable	Research
Brown University
Cashiers Office Brown Business	Service Center	Providence	RI	02912	050258809	501(c)(3)	$38,100	Not applicable	Not applicable	Research
Yale University
PO Box 1873	0	New Haven	CT	065081873	060646973	501(c)(3)	$200,077	Not applicable	Not applicable	Research
Weill Cornell Medical College
575 Lexington Avenue	9th Floor	New York	NY	10022	131623978	501(c)(3)	$420,924	Not applicable	Not applicable	Research
Rockefeller University
1230 York Avenue	0	New York	NY	10065	131624158	501(c)(3)	$12,862	Not applicable	Not applicable	Research
Albert Einstein College of Medicine
1300 Morris Park Ave	0	Bronx	NY	10461	131624225	501(c)(3)	$165,690	Not applicable	Not applicable	Research
Research Foundation for State University
The Research Foundation For The	State University of New York	Albany	NY	122070009	131988190	501(c)(3)	$73,379	Not applicable	Not applicable	Research
The Foundation for AIDS Research
amfAR	120 Wall Street 13th Floor	New York	NY	100053908	133163817	501(c)(3)	$9,811	Not applicable	Not applicable	Research
Data Solutions LLC
2601 Henry Hudson Parkway Suite 1 E	0	Bronx	NY	10463	133979408	N/A	$16,490	Not applicable	Not applicable	Research
New York University School of Medicine
P O Box 415026	Bank of America	Boston	MA	022415026	135562308	501(c)(3)	$448,183	Not applicable	Not applicable	Research
The Trustees of Columbia University
Sponsored Projects Finance	P O Box 29789	New York	NY	10087	135598093	501(c)(3)	$344,430	Not applicable	Not applicable	Research
American Heart Association
P O Box 841750	0	Dallas	TX	752841750	135613797	501(c)(3)	$5,938	Not applicable	Not applicable	Research
Icahn School of Medicine at Mount Sinai
Attn Raj Appavu	One Gustave L Levy Place	New York	NY	10029	136171197	501(c)(3)	$532,807	Not applicable	Not applicable	Research
Health Research Inc
P O Box 2966	0	Buffalo	NY	14240	141402155	501(c)(3)	$9,644	Not applicable	Not applicable	Research
Syracuse University
Bursar Operations	119 Bowne Hall	Syracuse	NY	132441140	150532081	501(c)(3)	$290,237	Not applicable	Not applicable	Research
Hospital Authority of Metro Nashville &
Nashville General Hospital	1818 Albion St	Nashville	TN	37208	202844893	GOVT	$361,643	Not applicable	Not applicable	Research
Rutgers University
65 Davidson Road	0	Piscataway	NJ	088545603	226001086	501(c)(3)	$50,463	Not applicable	Not applicable	Research
Childrens Hospital of Philadelphia
Lockbox 1457	P O Box 8500	Philadelphia	PA	191781457	231352166	501(c)(3)	$268,648	Not applicable	Not applicable	Research
The Trustees of the University of Pennsylvania
P O Box 785541	0	Philadelphia	PA	191785541	231352685	501(c)(3)	$59,650	Not applicable	Not applicable	Research
Geisinger Clinic
100 N Academy Avenue	0	Danville	PA	17822	236291113	501(c)(3)	$37,784	Not applicable	Not applicable	Research & Instruction
Institute for Cancer Research
Institute for Cancer Research	Attn Accounts Receivable	Philadelphia	PA	19111	236296135	501(c)(3)	$48,830	Not applicable	Not applicable	Research
Cancer Prevention Inst of California
2201 Walnut Avenue Suite 300	0	Fremont	CA	94538	237427232	501(c)(3)	$11,388	Not applicable	Not applicable	Research
Pennsylvania State University
Research Accounting	401 Rider II Building	State College	PA	168014819	246000376	GOVT	$145,537	Not applicable	Not applicable	Research
University of Pittsburgh
Attn 371220	500 Ross Street	Pittsburgh	PA	152620001	250965591	501(c)(3)	$931,485	Not applicable	Not applicable	Research
Allegheny Singer Research Institute
Research Accounting and Reporting	PO Box 951765	Cleveland	OH	44193	251320493	N/A	$22,825	Not applicable	Not applicable	Research
Penn Mason McClatchey
Sponsored Programs Office	5700 Martin Luther King Jr Way	Oakland	CA	94609	255772636	N/A	$23,507	Not applicable	Not applicable	Research
The Broad Institute Inc
415 Main St	0	Cambridge	MA	02142	263428781	501(c)(3)	$3,315,061	Not applicable	Not applicable	Research
Select Physicians Alliance PL
5 Tampa General Cir	Suite 610	Tampa	FL	33606	273337174	N/A	$19,875	Not applicable	Not applicable	Research
Expaticore Services LLC
485 Route 1 South	Building C	Iselin	NJ	08830	300126318	N/A	$1,072,159	Not applicable	Not applicable	Public Service
Childrens Hospital Medical Center
Accounting Office MLC 4900	3333 Burnet Avenue	Cincinnati	OH	452293039	310833936	501(c)(3)	$136,467	Not applicable	Not applicable	Research
University of Cincinnati
PO Box 932641	SRS Accounting	Cleveland	OH	44193	316000989	GOVT	$241,980	Not applicable	Not applicable	Research
Ohio State University
Accounting Department	4th Floor	Columbus	OH	43210	316025986	501(c)(3)	$61,986	Not applicable	Not applicable	Research
The Research Institute at Nationwide
PO BOX 781653	0	Detroit	MI	482781653	316056230	N/A	$67,168	Not applicable	Not applicable	Research
The Scripps Research Institute
10550 North Torrey Pines Road	0	La Jolla	CA	92037	330435954	501(c)(3)	$1,235,524	Not applicable	Not applicable	Research
Illumina Inc
12864 Collections Center Drive	0	Chicago	IL	60693	330804655	N/A	$32,486	Not applicable	Not applicable	Research
U C Regents
Payments Solutions and Compliance	PSC Box 957089 1125 Murphy Hall	Los Angeles	CA	900959000	330833316	GOVT	$11,238	Not applicable	Not applicable	Research
Cleveland Clinic
PO Box 931562	Case Western Reserve University	Cleveland	OH	441935012	340714585	501(c)(3)	$93,373	Not applicable	Not applicable	Research
Case Western Reserve University
10900 Euclid Avenue	Nord Hall Suite 615	Cleveland	OH	441067037	341018992	501(c)(3)	$374,766	Not applicable	Not applicable	Research
Central American Medical Outreach Inc
322 Westwood Avenue	0	Orrville	OH	44667	341740695	501(c)(3)	$294,544	Not applicable	Not applicable	Research & Instruction
Indiana University
Dept 78867	PO Box 78000	Detroit	MI	482780867	356001673	501(c)(3)	$102,096	Not applicable	Not applicable	Research
Purdue University
23510 Network Pl	Sponsored Program Services	Chicago	IL	606731235	356002041	501(c)(3)	$225,260	Not applicable	Not applicable	Research
Chapin Hall Center for Children
1313 East 60th Street	Accounts Receivable	Chicago	IL	60637	362167012	501(c)(3)	$73,677	Not applicable	Not applicable	Public Service
Northwestern University
Accounting Services for Research	and Sponsored Programs	Evanston	IL	602081112	362167817	501(c)(3)	$415,223	Not applicable	Not applicable	Research & Instruction
Rush University Medical Center
1653 West Congress Parkway	Suite 810 Jones	Chicago	IL	60612	362174823	501(c)(3)	$284,085	Not applicable	Not applicable	Research
University of Chicago
Financial Services	6054 South Drexel Avenue	Chicago	IL	60637	362177139	501(c)(3)	$333,738	Not applicable	Not applicable	Research
University of Illinois
Grants and Contracts	28395 Network Place	Springfield	IL	627084610	376000511	501(c)(3)	$124,618	Not applicable	Not applicable	Research
University of Vermont
PO Box 1389	0	Williston	VT	054951389	376047339	GOVT	$610,548	Not applicable	Not applicable	Research
Oakland University
Grants Contract and Sponsored	Research	Rochester	MI	48309	381714400	GOVT	$41,339	Not applicable	Not applicable	Research
Michigan State University
Contract Grant Administration	Hannah Administration	East Lansing	MI	48824	386005984	501(c)(3)	$79,325	Not applicable	Not applicable	Research
Regents of the University of Michigan
Box 223131	0	Pittsburgh	PA	15251	386006309	501(c)(3)	$264,301	Not applicable	Not applicable	Research
Wayne State University
Cashiers Office	PO Box 02788	Detroit	MI	48202	386028429	501(c)(3)	$62,101	Not applicable	Not applicable	Research
Medical College of Wisconsin
P O Box 26509	8701 Watertown Plank Road	Milwaukee	WI	53226	390806261	501(c)(3)	$29,834	Not applicable	Not applicable	Research & Instruction
BloodCenter of Wisconsin Inc
Box 78961	0	Milwaukee	WI	532780961	390807235	501(c)(3)	$33,102	Not applicable	Not applicable	Research
Aurora Health Care Inc
PO Box 341880	Attn Seng Cheung	Milwaukee	WI	532341881	391442285	501(c)(3)	$99,227	Not applicable	Not applicable	Research
University of Wisconsin - Madison
Office for Research and Sponsored	Programs	Milwaukee	WI	532780538	391805963	GOVT	$33,257	Not applicable	Not applicable	Research & Instruction
Board of Regents of Univ of Wisconsin
UW-Madison Gar Account	Drawer 538	Milwaukee	WI	532780538	396006492	GOVT	$54,739	Not applicable	Not applicable	Research
Regents of the University of Minnesota
NW 5957	P O Box 1450	Minneapolis	MN	554855957	416007513	GOVT	$47,855	Not applicable	Not applicable	Research & Public Service
Mayo Clinic Rochester
PO Box 860334	Research Finance - Rochester	Minneapolis	MN	554860334	416011702	501(c)(3)	$374,001	Not applicable	Not applicable	Research
Washington University School of Medicine
660 S Euclid Campus Box 8072	0	Saint Louis	MO	63110	430653611	501(c)(3)	$930,159	Not applicable	Not applicable	Research
Hudson Alpha Institute for Biotechnology
601 Genome Way	Attn Accounts Receivable	Huntsville	AL	35806	432059317	501(c)(3)	$131,831	Not applicable	Not applicable	Research
Childrens Mercy Hospitals & Clinics
PO Box 803852	0	Kansas City	MO	641803852	440605373	501(c)(3)	$61,723	Not applicable	Not applicable	Research
Baptist Clinical Research Institute
Baptist Memorial Healthcare	Corporation Attn Jennifer	Memphis	TN	38120	453032246	501(c)(3)	$270,958	Not applicable	Not applicable	Research
South Dakota State University
323 Administration Building	PO Box 2201	Brookings	SD	57007	466000364	GOVT	$9,537	Not applicable	Not applicable	Research
University of Nebraska Medical Center
985045 Nebraska Medical Center	0	Omaha	NE	681985045	470049123	501(c)(3)	$251,994	Not applicable	Not applicable	Research
J H U Pathology
Central Lockbox c/o Bank of America	12529 Collections Ctr Drive	Chicago	IL	60693	520595110	501(c)(3)	$404,792	Not applicable	Not applicable	Research
International Epidemiology Institute
1455 Research Boulevard	Suite 550	Rockville	MD	20850	521882011	N/A	$782,058	Not applicable	Not applicable	Research
Piedmont Respiratory Research Foundation
520 North Elam Avenue	PO Box 10302	Greensboro	NC	27404	522379416	N/A	$6,746	Not applicable	Not applicable	Research
University of Maryland Baltimore
P O Box 41428	0	Baltimore	MD	212036428	526002033	GOVT	$610,426	Not applicable	Not applicable	Research
United States Treasury
Comptroller	Naval Medical Research Center	Silver Spring	MD	209107500	530197030	GOVT	$16,519	Not applicable	Not applicable	Research
Virginia Commonwealth University
Dept of Neurosurgery	1200 E Braod Street 12th Floor	Richmond	VA	23298	546001758	GOVT	$5,490	Not applicable	Not applicable	Research
University of Virginia
PO Box 400195	Office of Sponsored Programs	Charlottesville	VA	229044195	546001796	501(c)(3)	$8,400	Not applicable	Not applicable	Research
Virginia Polytechnic Institute & State
Office of Sponsored Programs	North End Center MC 0170	Blacksburg	VA	24061	546001805	GOVT	$87,384	Not applicable	Not applicable	Research
West Virginia University Research Corp
886 Chestnut Ridge Rd	Second Floor Room 202	Morgantown	WV	26506	550665758	501(c)(3)	$15,060	Not applicable	Not applicable	Research
Duke University
Duke University Accounts Receivable	Lockbox	Charlotte	NC	28260	560532129	501(c)(3)	$682,405	Not applicable	Not applicable	Research
Wake Forest University Health Sciences
Translational Science Institute	Clinical Trials Office	Winston Salem	NC	27157	560532138	501(c)(3)	$12,090	Not applicable	Not applicable	Research
University of North Carolina Chapel Hill
P O Box 402420	c/o Bank of America Lockbox Svcs	Atlanta	GA	303842420	566001393	501(c)(3)	$1,031,697	Not applicable	Not applicable	Research
University of South Carolina
USCRF	PO Box 751475	Charlotte	NC	282751475	576001153	GOVT	$972,727	Not applicable	Not applicable	Research
Morehouse College
Attn Accounts Receivable	720 Westview Drive SW	Atlanta	GA	30310	580566205	501(c)(3)	$175,951	Not applicable	Not applicable	Research
Emory University
P O Box 935084	0	Atlanta	GA	31193	580566256	501(c)(3)	$873,056	Not applicable	Not applicable	Research
MOREHOUSE SCHOOL OF MEDICINE
Attn Accounts Receivable Cashier	720 WESTVIEW DRIVE SW	Atlanta	GA	30310	581438873	501(c)(3)	$113,958	Not applicable	Not applicable	Research
Saint Thomas Hospital Foundation
AttnDan Thompson / SNCMT	4220 Harding Road	Nashville	TN	37205	581663055	501(c)(3)	$49,225	Not applicable	Not applicable	Research
Saint Thomas Health
4220 Harding Road	0	Nashville	TN	37205	581716804	501(c)(3)	$6,896	Not applicable	Not applicable	Research
Children's Healthcare of Atlanta Inc
ATTNShakeeta Nicholson Childrens	Healthcare of Atlanta Corporate	Atlanta	GA	30329	582367819	501(c)(3)	$43,696	Not applicable	Not applicable	Research
Greenway Health Inc
PO Box 203658	0	Dallas	TX	753203658	582412516	N/A	$156,362	Not applicable	Not applicable	Research
University of Miami
P O Box 248106	Controllers Office	Coral Gables	FL	331242912	590624458	501(c)(3)	$1,423,919	Not applicable	Not applicable	Research
H Lee Moffitt Cancer Center and
Office of Innovation	and Industry Alliances	Tampa	FL	336129497	592451713	N/A	$20,936	Not applicable	Not applicable	Research
University of Florida
CFO Contracts Grants Office	Box 113001	Gainesville	FL	32611	596002052	GOVT	$582,813	Not applicable	Not applicable	Research
University of Kentucky Research
P O Box 931113	c/o PNC Bank	Cleveland	OH	44193	616033693	501(c)(3)	$184,822	Not applicable	Not applicable	Research
Fisk University
1000 17th Ave N	Attn Office of Budget Grants	Nashville	TN	37208	620202000	501(c)(3)	$24,839	Not applicable	Not applicable	Research
Belmont University
1900 Belmont Blvd	Office of Finance and Accounting	Nashville	TN	37212	620465076	501(c)(3)	$9,824	Not applicable	Not applicable	Research
Vanderbilt University Contract & Grant
PMB 401591	0	Nashville	TN	372401591	620476822	501(c)(3)	$7,688,055	Not applicable	Not applicable	Research & Instruction & Public Service & Contribution
Methodist Healthcare Memphis Hospital
Methodist Healthcare Foundation	1211 Union Avenue Suite 450	Memphis	TN	38104	620479367	501(c)(3)	$5,040	Not applicable	Not applicable	Research
David Lipscomb University
One University Park Drive	Attn Carol Lusk	Nashville	TN	37204	620485733	501(c)(3)	$15,431	Not applicable	Not applicable	Research
Meharry Medical Center
Attn Laurine Walker	Office of Grants Management	Nashville	TN	372083599	620488046	501(c)(3)	$1,681,657	Not applicable	Not applicable	Research & Instruction
St Judes Childrens Research Hospital
P O Box 1000	Dept 949	Memphis	TN	381480949	620646012	501(c)(3)	$27,063	Not applicable	Not applicable	Research
University of Memphis
P O Box 1000	Department 313	Memphis	TN	381480313	620648618	GOVT	$48,162	Not applicable	Not applicable	Research
Metro Board of Parks & Recreation
Centennial Park Office	0	Nashville	TN	37201	620694743	GOVT	$87,278	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	$5,875	Not applicable	Not applicable	Instruction
Metro Government of Nashville
222 Third Avenue North Suite 750	0	Nashville	TN	37201	621032792	501(c)(3)	$55,187	Not applicable	Not applicable	Research
Nashville CARES
633 Thompson Lane	0	Nashville	TN	37204	621274532	501(c)(3)	$14,991	Not applicable	Not applicable	Research
Middle Tennessee Research Institute
1310 24th Avenue South	Room F-201	Nashville	TN	37212	621387860	501(c)(3)	$112,495	Not applicable	Not applicable	Research
Tennessee Disability Coalition
955 Woodland Street	0	Nashville	TN	37206	621447320	501(c)(3)	$10,994	Not applicable	Not applicable	Instruction
Cumberland Pediatric Foundation
3102 West End Ave Ste 175	0	Nashville	TN	37203	621615913	501(c)(3)	$30,000	Not applicable	Not applicable	Research
InfoWorks Inc
102 Woodmont Blvd	Suite 500	Nashville	TN	37205	621669899	N/A	$348,242	Not applicable	Not applicable	Research
University of Tennessee Memphis
62 South Dunlap Street	Suite 300	Memphis	TN	38163	626001636	GOVT	$48,009	Not applicable	Not applicable	Research
East Tennessee State University
College of Education	P O Box 70685	Johnson City	TN	37614	626021046	GOVT	$39,166	Not applicable	Not applicable	Instruction
Franklin Primary Health Center Inc
PO Box 2048	0	Mobile	AL	366522048	630695975	501(c)(3)	$78,200	Not applicable	Not applicable	Research
Montgomery Aids Outreach Inc
PO Box 11087	0	Montgomery	AL	36111	630959628	501(c)(3)	$306,240	Not applicable	Not applicable	Research
Auburn University
208 M White Smith Hall	381 Mell Street	Auburn University	AL	368495110	636000724	GOVT	$25,814	Not applicable	Not applicable	Research
University of Alabama at Birmingham
Grants and Contracts Accounting	AB 990	Birmingham	AL	352940109	636005396	GOVT	$309,562	Not applicable	Not applicable	Research
John Albert Rector IV
Sponsored Programs Account CB 1034	700 Rosedale Ave	Saint Louis	MO	631121408	644425904	N/A	$21,671	Not applicable	Not applicable	Research
University of Mississippi Medical Center
2500 North State Street	0	Jackson	MS	39216	646008520	GOVT	$184,408	Not applicable	Not applicable	Research & Instruction
University of Mississippi Medical Center
Atnn Office of Sponsored Program	Post Award Division	Jackson	MS	392164505	646008620	501(c)(3)	$97,765	Not applicable	Not applicable	Research & Instruction
Tiberius T Davis
660 S Euclid Campus Box	8072	Saint Louis	MO	63110	649075009	N/A	$12,180	Not applicable	Not applicable	Research
Administrators of the Tulane Educational
Tulane University	800 East Commerce Road	Harahan	LA	70123	720423889	501(c)(3)	$9,769	Not applicable	Not applicable	Research
Louisiana State University
Sponsored Projects	433 Bolivar Street	New Orleans	LA	70112	726000848	501(c)(3)	$115,530	Not applicable	Not applicable	Research
LSU Health Sciences Center New Orleans
433 Bolivar Street	New Orleans Sponsored Projects	New Orleans	LA	70112	726087770	GOVT	$254,520	Not applicable	Not applicable	Research
University of Texas Health Science
PO Box 301418	Attn FASTeam Dr Bela Patel PI	Dallas	TX	75303	741586031	GOVT	$292,573	Not applicable	Not applicable	Research
Baylor College of Medicine
PO Box 301207	0	Dallas	TX	753031207	741613878	501(c)(3)	$46,155	Not applicable	Not applicable	Research
University of Texas Health Science
PO Box 301418	Attn FASTeam Dr Bela Patel PI	Dallas	TX	753031418	741761309	501(c)(3)	$222,873	Not applicable	Not applicable	Research
National Jewish Health
1400 Jackson Street	Attn Treasury Dept M216	Denver	CO	80206	742044647	501(c)(3)	$43,163	Not applicable	Not applicable	Research
University of Texas at Austin
Office Of Accounting	Attn Contract Grants	Austin	TX	787137159	746000203	GOVT	$91,144	Not applicable	Not applicable	Research
Texas A&M AgriLife Research
400 Harvey Mitchell Pkwy S	Suite 300	College Station	TX	77845	746000541	GOVT	$16,009	Not applicable	Not applicable	Research
University of Texas Medical Branch
PO Box 660120	Dept 750	Dallas	TX	75266	746000949	GOVT	$289,915	Not applicable	Not applicable	Research
University of Texas Dallas
800 W Campbell Road	AD37	Richardson	TX	750803021	751305566	GOVT	$83,499	Not applicable	Not applicable	Research
Texas Health Research and Education Inst
612 East Lamar Blvd	Suite 600	Arlington	TX	76011	752562191	501(c)(3)	$8,055	Not applicable	Not applicable	Research
University of Texas Southwestern Medical
PO Box 841765	Office of Post Award Administration	Dallas	TX	752841765	756002868	GOVT	$144,730	Not applicable	Not applicable	Research
QualTek Molecular Laboratories
6483 Calle Real Unit A	0	Goleta	CA	93117	770446167	N/A	$10,500	Not applicable	Not applicable	Research
Greenway Health LLC
P O Box 203658	0	Dallas	TX	753203658	800847459	N/A	$117,966	Not applicable	Not applicable	Research
Dimagi Inc
585 Massachusetts Ave	0	Cambridge	MA	02139	830343298	N/A	$49,916	Not applicable	Not applicable	Public Service
Denver Health and Hospital Authority
Post Office Box 17093	UMB Bank of Colorado Denver CO	Denver	CO	802170093	841343242	GOVT	$8,037	Not applicable	Not applicable	Research
University of Colorado Denver
Office of Grants and Contracts-F428	P O Box 910238	Denver	CO	802910238	846000555	501(c)(3)	$294,760	Not applicable	Not applicable	Research
Dignity Health
Attn Misc A/R Cash	File 57431	Los Angeles	CA	900748781	860096787	N/A	$45,887	Not applicable	Not applicable	Research
Arizona State University
Office of Research Sponsored	Projects Administration	Tempe	AZ	852876011	860196696	GOVT	$28,699	Not applicable	Not applicable	Research
Western Institute for Biomedical Researc
P O Box 58719	0	Salt Lake City	UT	84158	870470748	501(c)(3)	$61,994	Not applicable	Not applicable	Research
University of Utah
201 S Presidents Cir	Rm 406	Salt Lake City	UT	841129020	876000525	501(c)(3)	$100,257	Not applicable	Not applicable	Research & Instruction
Seattle Children's Hospital
P O Box 24728	0	Seattle	WA	981240728	910564748	501(c)(3)	$71,121	Not applicable	Not applicable	Research
Center for Infectious Disease Research
307 Westlake Ave North	Suite 500	Seattle	WA	98109	910961784	501(c)(3)	$58,226	Not applicable	Not applicable	Research
University of Washington - IR
Grant and Contract Accounting	12455 Collections Drive	Chicago	IL	60693	916001537	GOVT	$1,089,504	Not applicable	Not applicable	Research
Kaiser Foundation Research Institute
1800 Harrison Street 16th Floor	Attn Sharon Milligan	Oakland	CA	946123433	941105628	501(c)(3)	$34,465	Not applicable	Not applicable	Research & Instruction
Leland Stanford Junior University
PO Box 44253	Stanford University	San Francisco	CA	941444253	941156365	501(c)(3)	$398,195	Not applicable	Not applicable	Research
Regents of the University of California
1855 Folsom Street Suite 425	Contracts Grants Accounting	San Francisco	CA	941430897	946036493	501(c)(3)	$203,629	Not applicable	Not applicable	Research
University of Southern California
3500 South Figueroa Street	Suite 102	Los Angeles	CA	90089	951642394	501(c)(3)	$652,507	Not applicable	Not applicable	Research
California Institute of Technology
1200 East California Blvd	Mail code 117-15	Pasadena	CA	91125	951643307	501(c)(3)	$350,119	Not applicable	Not applicable	Research
Cedars Sinai Medical Center
Sponsored Research Funds Admin	6500 Wilshire Boulevard	Los Angeles	CA	90048	951644600	501(c)(3)	$194,635	Not applicable	Not applicable	Research
University of California Irvine
Biological Sciences 3 Suite 1400	0	Irvine	CA	926971050	952226406	501(c)(3)	$55,655	Not applicable	Not applicable	Research
University of California San Diego
9500 Gilman Dr	MC0009	La Jolla	CA	920930009	956006144	501(c)(3)	$78,027	Not applicable	Not applicable	Research
University of Hawaii
2440 Campus Rd	Box 368	Honolulu	HI	96822	996000354	GOVT	$106,919	Not applicable	Not applicable	Research
Instituto de Investigacion Nutrucional
121 Alhamada Plaza Ste 1200	0	Coral Gables	FL	33134		N/A	$218,748	Not applicable	Not applicable	Research
American Heart Association
1818 Patterson St		Nashville	TN	37203	135613797	501(c)(3)	$137,500	Not Applicable	Not Applicable	Contribution
Juvenile Diabetes Research Foundation
105 Westpark Dr 415		Brentwood	TN	37027	231907729	501(c)(3)	$25,000	Not Applicable	Not Applicable	Contribution
Acoustic Neuroma Association
600 Peachtree Parkway Suite 108		Cumming	GA	30041	232170836	501(c)(3)	$15,000	Not Applicable	Not Applicable	Contribution
Heritage Foundation
112 Bridge St		Franklin	TN	37064	237042596	501(c)(3)	$13,375	Not Applicable	Not Applicable	Contribution
Smithsonian National Museum of African American History and Culture
1400 Constitution Ave NW		Washington	DC	20560	237304178	501(c)(3)	$10,000	Not Applicable	Not Applicable	Contribution
TEDx Nashville
330 Hudson St 11th Floor		New York	NY	10013	272013937	501(c)(3)	$30,000	Not Applicable	Not Applicable	Contribution
Green Hills Mall
2126 Abbott Martin Rd		Nashville	TN	37215	382033632	N/A	$30,000	Not Applicable	Not Applicable	Contribution
The Governor's Foundation for Health
511 Union St 720		Nashville	TN	37219	453635908	501(c)(3)	$16,666	Not Applicable	Not Applicable	Contribution
Scott Hamilton CARES
PO BOX 30619		Nashville	TN	37230	472328142	501(c)(3)	$10,000	Not Applicable	Not Applicable	Contribution
Wilmington FRA Inc
1209 Orange Street		Wilmington	DE	19801	474378210	N/A	$12,000	Not Applicable	Not Applicable	Contribution
T J Martell Foundation
1114 17th Ave S Suite 101		Nashville	TN	37212	510180178	501(c)(3)	$65,000	Not Applicable	Not Applicable	Contribution
American Red Cross
2201 Charlotte Ave		Nashville	TN	37203	530196605	501(c)(3)	$25,000	Not Applicable	Not Applicable	Contribution
Williamson Inc
5005 Meridian Blvd 150		Franklin	TN	37067	541213955	501(c)(3)	$10,000	Not Applicable	Not Applicable	Contribution
United Way of the Mid South
1005 Tillman St		Memphis	TN	38112	561010742	501(c)(3)	$7,000	Not Applicable	Not Applicable	Contribution
Tennessee Golf Foundation
400 Franklin Rd		Franklin	TN	37069	581893478	501(c)(3)	$7,000	Not Applicable	Not Applicable	Contribution
Nashville Chamber of Commerce
211 Commerce Street Suite 100		Nashville	TN	37201	620304530	501(c)(3)	$15,000	Not Applicable	Not Applicable	Contribution
Junior League of Nashville
2202 Crestmoor Rd		Nashville	TN	37215	620476815	501(c)(3)	$20,000	Not Applicable	Not Applicable	Contribution
Tennessee Medical Foundation
5141 Virginia Way Ste 110		Brentwood	TN	37027	620541813	501(c)(3)	$7,500	Not Applicable	Not Applicable	Contribution
Hospital Hospitality House
214 Reidhurst Ave		Nashville	TN	37203	620909363	501(c)(3)	$25,000	Not Applicable	Not Applicable	Contribution
Alive Hospice
1718 Patterson St		Nashville	TN	37203	620983550	501(c)(3)	$25,000	Not Applicable	Not Applicable	Contribution
Williamson County Fair Association Inc
4215 Long Ln		Franklin	TN	37064	810644815	501(c)(3)	$16,000	Not Applicable	Not Applicable	Contribution

Field	Value	IRS element (for citing)
Total501c3 Org	162	Total501c3OrgCnt
Total Other Org	21	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (9 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Patient Assistance	300	$208,074
Patient Assistance	1412		$74,756	FMV	Healthcare, medical supplies, medicine
Patient Assistance	474		$14,860	FMV	Car Seats, Home Safety Kits, Pack and Plays
Patient Assistance	14630		$12,900,961	FMV	Prescription drugs
Patient Assistance	403		$1,880,578	FMV	Post acute care
Patient Assistance	180		$279,728	FMV	Patient Temporary Housing
Awards and Research Grants	468	$5,189,474
Patient Assistance	501		$19,425	FMV	Ambulance rides
Patient Assistance	153		$6,017	FMV	Cab Rides

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	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	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jeffrey R Balser MD PHD
President and CEO	$1,116,121	$0	$1,661,040	$0	$24,849	$0	$125,618	$0	$15,644	$0	$2,943,272	$0	$0	$0
John F Manning Jr PHD MBA
COO and Corporate Chief of Staff	$435,362	$0	$456,000	$0	$1,355	$0	$42,585	$0	$12,759	$0	$948,061	$0	$0	$0
Cecelia B Moore MHA CPA CHFP
CFO and Treasurer	$404,614	$0	$232,695	$0	$15,306	$0	$46,477	$0	$8,844	$0	$707,936	$0	$0	$0
C Wright Pinson MD MBA
Deputy CEO and Chief Clinical Officer	$916,135	$0	$946,250	$0	$2,079	$0	$84,761	$0	$8,429	$0	$1,957,654	$0	$0	$0
Michael J Regier JD
General Counsel and Secretary	$392,632	$0	$14,167	$0	$10,990	$0	$37,018	$0	$12,558	$0	$467,365	$0	$0	$0
Charles L Gregory MA MBA MH
CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt	$334,103	$0	$123,790	$0	$14,111	$0	$28,003	$0	$15,234	$0	$515,241	$0	$0	$0
William W Stead MD
Chief Strategy Officer	$407,948	$0	$196,927	$0	$2,534	$0	$1,489	$0	$8,462	$0	$617,360	$0	$0	$0
Traci K Nordberg JD
Chief HR Officer	$302,107	$0	$130,542	$0	$3,364	$0	$33,447	$0	$3,273	$0	$472,733	$0	$0	$0
David R Posch
Executive Vice President for Population Health	$392,674	$0	$174,825	$0	$2,534	$0	$1,976	$0	$8,894	$0	$580,903	$0	$0	$0
David S Raiford MD
Chief of Clinical Staff	$375,380	$0	$286,140	$0	$12,700	$0	$38,144	$0	$16,068	$0	$728,432	$0	$0	$0
Mitchell C Edgeworth MBA
CEO, Vanderbilt University Adult Hospital and Clinics	$345,173	$0	$112,350	$0	$1,898	$0	$28,303	$0	$14,280	$0	$502,004	$0	$0	$0
Clinton J Devin MD
Comprehensive Spine Center - Assoc Professor	$488,356	$0	$519,440	$0	$315	$0	$0	$0	$3,874	$0	$1,011,985	$0	$0	$0
Lloyd G King MD
GI Administration - Asst Professor	$438,662	$0	$324,169	$0	$1,355	$0	$0	$0	$10,514	$0	$774,700	$0	$0	$0
John W Klekamp MD
VBJ Faculty - Asst Professor	$545,057	$0	$205,347	$0	$11,925	$0	$0	$0	$13,307	$0	$775,636	$0	$0	$0
Paul J Sternberg Jr MD
CMO & VP Clinical Affairs	$555,912	$0	$237,324	$0	$12,579	$0	$0	$0	$15,775	$0	$821,590	$0	$0	$0
Paul A Thomas MD
VBJ Faculty - Assoc Professor	$890,624	$0	$170,778	$0	$12,079	$0	$0	$0	$13,894	$0	$1,087,375	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II	AS A RESULT OF THE TRANSFER OF ASSETS AND LIABILITIES FROM VANDERBILT UNIVERSITY TO VUMC ON APRIL 29, 2016, FOR THE PERIOD OF JANUARY 1, 2016 - APRIL 29, 2016, the Medical Center's employees and independent contractors were compensated by the University. Beginning April 30, 2016, VUMC's officers, employees, and independent contractors were compensated by VUMC. Federal Form W-2s for the period January 1, 2016 - December 31, 2016 were issued by VUMC. Because the University compensated the Medical Center officers, employees, and independent contractors for the period of January 1, 2016 - April 29, 2016, VUMC's Form 990, Part VII and Schedule J, includes compensation for the period April 30, 2016 - December 31, 2016. See the 1st disclosure on Schedule O for additional details on the transaction.
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 and 1 director 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 1a Tax indemnification and gross-up payments	1 officer received tax gross-up payment benefits that were included in taxable compensation.
Schedule J, Part I, Line 1a Personal services	1 officer received personal services benefits that were included in taxable compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Certain individuals listed in Form 990, Schedule J, Part II participate in nonqualified deferred compensation plans. Amounts contributed to the plans include fixed percentages of annual bonus payments and fixed dollar amounts. Contributions to the plan vest when individuals complete their contract term or continue employment to a designated date. 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 2016.
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).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT	BusinessNameLine1Txt
Business Name Line2	OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE VUMC SERIES 2016A	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	626139016	BondIssuerEIN
CUSIP	592041WH6	CUSIPNum
Bond Issued	2016-04-29	BondIssuedDt
Issue Price	$536,573,506	IssuePriceAmt
Purpose	Refund issues dated 6/23/2004, 4/26/2008, 4/1/2009, & 11/29/2012	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$536,573,506	TotalProceedsAmt
Refunding Escrow	$330,026,996	RefundingEscrowAmt
Issuance Costs From Proceeds	$10,700,399	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$195,846,111	OtherSpentProceedsAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	Yes (true)	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Concerning UBI	0.0013	PrivateBusConcerningUBIPct
Total Private Business Use	0.0013	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 11 Column A - Other Spent Proceeds	THE OTHER SPENT PROCEEDS OF THE ISSUE ARE THE CURRENT REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW.
Schedule K, Part I, Column (a) Issuer Name	THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY, TENNESSEE
Schedule K, Part I, Column (f) Description of Purpose	THE ISSUE REFUNDED ISSUES DATED 6/23/2004, 4/26/2008, 4/1/2009, AND 11/29/2012

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jillian C Balser	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Family member of current officer, Jeffrey Balser, MD, PhD	RelationshipDescriptionTxt
Transaction	$29,013	TransactionAmt
Transaction	Employment at Vanderbilt University Medical Center	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	50	ContributionCnt
Noncash Contributions Rpt F990	$6,347	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$680	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Selling cost	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$72,321	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Selling cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	86	ContributionCnt
Noncash Contributions Rpt F990	$1,899,460	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	51	ContributionCnt
Noncash Contributions Rpt F990	$66,777	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Event Tickets	28	$12,021	Market value
Yes (X)	Gift Certificates	110	$16,923	Market value

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I Column (b) - Number of Contributions or Items Contributed	Column (b) reports the number of contributions made.
Schedule M, Part I Line 5 - Clothing and household goods	Donation of various household items for silent auction benefiting the Monroe Carell Jr. Children's Hospital at Vanderbilt.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1	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 coexists. These activities include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities. Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which VUMC believes will serve a bona fide community health need. During the fiscal year, VUMC serviced 61,263 inpatients and 2,163,423 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: #1 Hospital in Tennessee; #1 Metro Nashville; 11 adult and 10 pediatric 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 2017 * Becker's Hospital Review: one of the "100 Great Hospitals in America" and the only health care facility in Tennessee to make the list in 2017 * The Leapfrog Group: Monroe Carell Jr. Children's Hospital at Vanderbilt named a Leapfrog Top Hospital for 2016, making it one of only nine pediatric hospitals in the nation to receive this designation * National Institutes of Health: Vanderbilt University School of Medicine currently ranked 8th among the top grant awardees for medical research in the U.S. as of December 2016 * 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 * American Hospital Association's Health Forum: among the nation's 100 "Most Wired" hospitals and health systems for its efforts in innovative medical technology in 2017 * The Accreditation Council for Graduate Medical Education and the Arnold P. Gold Foundation awarded VUMC the Dewitt C. "Bud" Baldwin Award for excellence in medical education in 2017 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 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 10 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 $ 29,619,356 including grants of $ 0)(Revenue $ 166,102,631) 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community: https://www.vanderbilthealth.com/main/38766
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 2 Family/Business Relationships Amongst Interested Parties	As a result of VUMC's continuing relationship with Vanderbilt University, Bruce R. Evans, Jackson W. Moore, David Patterson, and Nicholas 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 11b Review of form 990 by governing body	The Form 990 is prepared by VUMC and provided to PricewaterhouseCoopers, VUMC's independent accounting firm for review. After review by PricewaterhouseCoopers, 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 requires that for any staff member disclosing a potential conflict of interest, the conflict be reviewed by the individual's manager, as well as by the Director of Conflict of Interest. For VUMC-employed Vanderbilt Faculty, the COI process is managed by the Office of Faculty Affairs. Any reported conflict will be managed, mitigated, or eliminated. The manager is required to respond that any recommended management plan has been implemented or that the reported conflict no longer exists. For those conflicts in which VUMC may have an institutional interest, those in which human subject research is performed, or those deemed unmanageable, are reviewed by the Medical Center COI Committee (VUMC-employed Vanderbilt Faculty) and the Staff COI Committee determines appropriate actions. The Medical Center COI Committee members are appointed by the CEO of VUMC. The Staff COI Committee members are selected by the General Counsel/Corporate Secretary for VUMC. The Staff COI Committee is chaired by the General Counsel/Corporate Secretary. Both committees report bi-annually to the Audit Committee of the Board of Directors, the matters brought before the committees and the resulting actions. Members of the VUMC Board of Directors (BOD) and VUMC General Officers also must complete annual conflict of interest disclosures and management plans are developed to manage, mitigate, or eliminate any potential conflicts of interest. BOD members are notified of their plans and the plans are thoroughly discussed with them to ensure compliance. Those with disclosed potential conflict of interest are presented to the Audit 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. Additionally, all members of the VUMC community are required to disclose potential conflicts as they arise throughout the year. The same processes noted above occur for these disclosures.
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 a 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 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 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://ww2.mc.vanderbilt.edu/DCCI/23390.
Form 990, Part VII, Section A	As a result of the transfer of assets and liabilities from Vanderbilt University to VUMC on April 29, 2016, for the period of January 1, 2016 - April 29, 2016, the Medical Center's employees and independent contractors were compensated by the University. Beginning April 30, 2016, VUMC's officers, employees, and independent contractors were compensated by VUMC. Federal Form W-2s for the period January 1, 2016 - December 31, 2016 were issued by VUMC. Because the University compensated the Medical Center officers, employees, and independent contractors for the period of January 1, 2016 - April 29, 2016, VUMC's Form 990, Part VII and Schedule J, includes compensation for the period April 30, 2016 - December 31, 2016. See the 1st disclosure on Schedule O for additional details on the transaction.
Form 990, Part VII, Section B, Line 1	Following the Transaction described in the 1st disclosure on Schedule O, VUMC has an ongoing economic relationship with the University in the form of a series of agreements under which the University provides services to VUMC for consideration. Services provided include administrative services; IT services; professional services; and utilities. From April 30, 2016 - December 31, 2016, the University performed services for VUMC totaling $102,728,216.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Temporarily and Permanently Restricted Contributions - 36300309; Net Assets Released From Restrictions - -6114316; Endowment Appreciation - 749000; Change in Non-Controlling Interest Net Assets - 363577; Other Changes in Net Assets - -68680;
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 38.09%.
**	Prior to April 29, 2016, Vanderbilt University (the "University") (FEIN: 62-0476822) operated Vanderbilt University Medical Center (the "Medical Center"), an academic medical center, as an operating unit within the University. The Medical Center housed the University's clinically-related charitable, academic and health care activities and assets, including three teaching hospitals, outpatient clinics, the faculty practice plan, other health care subsidiaries and joint ventures, and clinical research and post-graduate (residency) training programs. On April 29, 2016, the University transferred clinical services operations, post-graduate training programs, and clinical department research activities, along with the related assets and liabilities, to Vanderbilt University Medical Center ("VUMC") (FEIN: 35-2528741), a newly incorporated Tennessee non-profit corporation, in exchange for consideration. As a separate legal entity, VUMC is not and will not be under common governance with or controlled by Vanderbilt University nor will the University be financially responsible for VUMC indebtedness. FOLLOWING THE TRANSACTION, VUMC has AN ON-GOING RELATIONSHIP WITH THE UNIVERSITY EMBODIED IN A NUMBER OF WRITTEN AGREEMENTS, INCLUDING AN ACADEMIC AFFILIATION AGREEMENT, A TRADEMARK LICENSING AGREEMENT AND A GROUND LEASE. IN ADDITION, VUMC AND THE UNIVERSITY PROVIDE SPECIFIED SERVICES TO ONE ANOTHER FOR AGREED-UPON CONSIDERATION PURSUANT TO A RECIPROCAL MASTER SERVICES AGREEMENT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Vanderbilt Health Services LLC
2100 West End Ave Suite 750	Nashville	TN	37203	621176354	Holding Company	TN	$850,183	$2,513,897	VUMC
Friends in Global Health LLC
2525 West End Ave Suite 750	Nashville	TN	37203	260170070	Public Health	TN	$21,364,521	$24,449	VHS
Vanderbilt-Wilson Radiation Oncology LLC
2100 West End Ave Suite 750	Nashville	TN	37203	261241612	Inactive	TN	$0	$0	VHS
Vanderbilt Health Affiliated Network LLC
3401 West End Ave Suite 290	Nashville	TN	37203	461571024	Clinical Network	TN	$23,937,303	$11,361,692	VHS
Project Holding Company LLC
2525 West End Ave Suite 700	Nashville	TN	37203	813915926	Holding Company	TN	$0	$9,600,000	VUMC
Vanderbilt Health Professional Solutions LLC
3319 West End Ave Suite 700	Nashville	TN	37203	300964540	Holding Company	TN	$0	$0	VUMC
Vanderbilt Health Rx Solutions LLC
3319 West End Ave Suite 700	Nashville	TN	37203	821456647	Pharmacy Administration	TN	$0	$0	VHPS
Vanderbilt Health Pharmacy Group LLC
3319 West End Ave Suite 700	Nashville	TN	37203	821462688	Pharmacy Services	TN	$0	$0	VHRxS
Retail Health Clinics LLC
2525 West End Ave Suite 700	Nashville	TN	37203	821942209	Walk-in Clinics	TN	$0	$0	VHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Vanderbilt Home Care Services Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2120 Belcourt Avenue	AddressLine1Txt
City	Nashville	CityNm
State Abbreviation	TN	StateAbbreviationCd
ZIP	37212	ZIPCd

Field	Value	IRS element (for citing)
EIN	621404948	EIN
Primary Activities	Home Health	PrimaryActivitiesTxt
Legal Domicile State	TN	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	9	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Ambulatory Surgery Center of Cool Springs LLC
40 Burton Hills Blvd Ste 500	Nashville	TN	37215	621809227	Ambulatory Surgery	TN	VHS	Related	$1,976,072	$3,467,493	false	false	0.5102
New Light Imaging LLC
2000 Richard Jones Road Ste 270	Nashville	TN	37215	141895171	Management Services	TN	VHS	Related	$724,276	$213,143	false	false	0.6667
One Hundred Oaks Imaging LLC
2000 Richard Jones Road Ste 270	Nashville	TN	37215	263762022	Diagnostic Imaging	TN	VHSVIS	Related	$2,158,112	$2,434,543	false	false	0.80
Springfield VIP Realty LLC
3319 West End Ave Ste 700	Nashville	TN	37203	261237360	Real Estate	TN	VUMC	Excluded	$11,876	$424,277	false	Yes (true)	0.49
Vanderbilt Gateway Cancer
3319 West End Ave Ste 700	Nashville	TN	37203	203844791	Oncology Services	DE	VHS	Related	$323,817	$1,732,185	false	Yes (true)	0.50
Vanderbilt Imaging Services LLC
2000 Richard Jones Road Ste 270	Nashville	TN	37215	621787098	Radiology Services	TN	VHS	Related	$4,383,195	$1,894,407	false	false	0.6667
Vanderbilt Stallworth Rehabilitation Hospital LP
3660 Grandview Parkway Ste 200	Birmingham	AL	35243	631077470	Rehab Services	TN	VUMCVHS	Related	$301,508	$4,291,790	false	Yes (true)	0.50
Vanderbilt-Maury Radiation Oncology LLC
1003 Reserve Blvd Ste 120	Spring Hill	TN	37174	460757412	Oncology Services	TN	VHS	Related	-$141,671	$1,610,137	false	Yes (true)	0.40
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	$555,369	$3,295,916	false	Yes (true)	0.51
VIP MidSouth LLC
3319 West End Ave Ste 700	Nashville	TN	37203	621654580	Physician Offices	TN	VIP	Related	$83,015	$3,522,415	false	Yes (true)	0.4518
Williamson Imaging LLC
2000 Richard Jones Road Ste 270	Nashville	TN	37215	621855535	Diag. Imaging	TN	VIS	Related	$1,442,276	$1,263,824	false	false	0.5334

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Vanderbilt Integrated Providers
3319 West End Ave Suite 700	Nashville	TN	37203	621650124	Physician Offices	TN	VHS	C Corporation	$1,946,841	$1,860,491	1	Yes (true)
Charitable Remainder Trust (5)
					Charitable Trust	TN	VUMC	Trust				Yes (true)
Perpetual Trusts (1)
					Charitable Trust	TN	VUMC	Trust				Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (35 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Ambulatory Surgery Center of Cool Springs LLC
O	$68,000	FMV
Ambulatory Surgery Center of Cool Springs LLC
S	$3,243,934	FMV
Vanderbilt Gateway Cancer Center GP
L	$713,631	FMV
Vanderbilt Gateway Cancer Center GP
O	$94,993	FMV
Vanderbilt Gateway Cancer Center GP
Q	$226,690	FMV
Vanderbilt Gateway Cancer Center GP
S	$604,994	FMV
Vanderbilt Maury Radiation Oncology LLC
B	$208,000	FMV
Vanderbilt Maury Radiation Oncology LLC
L	$366,485	FMV
Vanderbilt Maury Radiation Oncology LLC
O	$94,993	FMV
Vanderbilt Maury Radiation Oncology LLC
Q	$202,843	FMV
Vanderbilt Stallworth Rehabilitation Hospital LP
K	$410,620	FMV
Vanderbilt Stallworth Rehabilitation Hospital LP
Q	$2,335,981	FMV
Vanderbilt Stallworth Rehabilitation Hospital LP
S	$607,115	FMV
Vanderbilt Home Care Services Inc
J	$244,523	FMV
Vanderbilt Home Care Services Inc
L	$434,730	FMV
Vanderbilt Home Care Services Inc
M	$3,196,086	FMV
Vanderbilt Home Care Services Inc
O	$314,852	FMV
Vanderbilt Home Care Services Inc
Q	$221,837	FMV
Vanderbilt Home Care Services Inc
S	$4,331,549	FMV
VIP MidSouth LLC
L	$55,896	FMV
VIP MidSouth LLC
O	$80,727	FMV
VIP MidSouth LLC
Q	$265,649	FMV
Vanderbilt Integrated Providers
L	$123,458	FMV
Vanderbilt Integrated Providers
O	$147,768	FMV
Vanderbilt Health and Williamson Medical Center Clinics and Services LLC
O	$8,582,793	FMV
Vanderbilt Health and Williamson Medical Center Clinics and Services LLC
Q	$3,390,534	FMV
Vanderbilt Imaging Services LLC
O	$312,444	FMV
Vanderbilt Imaging Services LLC
Q	$198,005	FMV
Vanderbilt Imaging Services LLC
S	$6,089,607	FMV
New Light Imaging LLC
O	$151,589	FMV
New Light Imaging LLC
S	$992,924	FMV
Williamson Imaging LLC (Cool Springs Imaging)
Q	$120,048	FMV
One Hundred Oaks Imaging LLC
Q	$464,577	FMV
One Hundred Oaks Imaging LLC
S	$1,600,770	FMV
Perpetual Trusts (1)
S	$245,759	FMV