2018-04-30T14:00:06-05:00 2017-06-30 134008324 PricewaterhouseCoopers LLP 101 Seaport Boulevard Boston MA 02210 990 2016-07-01 352528741 Vanderbilt University Medical Center VAND 6153222381 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 Cecelia B Moore CFO & Treasurer 2018-04-30 true Gwen Spencer P00641463 6175305000 2016 2021-01-29 14:40:06Z Jeffrey R Balser MD PhD 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 3938498057 false X www.vumc.org X 2015 TN See Schedule O, Form 990, Part III, Line 1 11 10 24567 1381 21723227 -8261 47625339 302808739 579202171 3608520465 2086682 21250369 934801 5609895 629848993 3938189468 10479753 79456591 0 312797502 2035260271 92802 9238239 268615443 1621217366 591892698 3736027030 37956295 202162438 2518986311 2801330205 1975809474 2000428282 543176837 800901923 X See Schedule O Form 990, Part III, Line 1 false false 2460193483 15384399 3335319149 Patient Services - See Schedule O Form 990, Part III, Line 4a 616788119 64072192 111009444 Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b 29619356 0 166102631 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 29619356 166102631 3106600958 true true false true false false false true false true true false false false true false false true false true true true false true true false true true true true true true false false false false false false false false true false true true false false true true true true false false true 1442 0 true 24567 true true true true MZ false false false true true false false false false X 11 10 true false false false false false false true true false false true true true true true true true true true true X Scott Phillips 6153222381 3319 West End Ave Suite 700 Nashville TN 37203 Jeffrey R Balser MD PHD President and CEO 40.0 X X 2802010 0 141262 Edith Scott Carell Johnson JD Director 1.0 X 0 0 0 Richard B Johnston Jr MD Director 1.0 X 0 0 0 Samuel E Lynch DMD DMSC Director 1.0 X 0 0 0 Bruce R Evans MBA Director 1.0 X 0 0 0 Michael M E Johns MD Director 1.0 X 0 0 0 Thomas J Sherrard III JD Director 1.0 X 0 0 0 John F Stein MBA Director 1.0 X 0 0 0 Nicholas S Zeppos JD Director 1.0 X 0 0 0 Jackson W Moore JD Director 1.0 X 0 0 0 David W Patterson MD Director 1.0 X 0 0 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 40.0 X 892717 0 55344 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 39.8 0.2 X 652615 0 55321 C Wright Pinson MD MBA Deputy CEO and Chief Clinical Officer 40.0 X 1864464 0 93190 Michael J Regier JD General Counsel and Secretary 40.0 X 417789 0 49576 Charles L Gregory MA MBA MH CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt 40.0 X 472004 0 43237 William W Stead MD Chief Strategy Officer 40.0 X 607409 0 9951 Traci K Nordberg JD Chief HR Officer 40.0 X 436013 0 36720 David R Posch Executive Vice President for Population Health 38.8 1.2 X 570033 0 10870 David S Raiford MD Chief of Clinical Staff 40.0 X 674220 0 54212 Mitchell C Edgeworth MBA CEO, Vanderbilt University Adult Hospital and Clinics 40.0 X 459421 0 42583 Clinton J Devin MD Comprehensive Spine Center - Assoc Professor 40.0 X 1008111 0 3874 Lloyd G King MD GI Administration - Asst Professor 39.9 0.1 X 764186 0 10514 John W Klekamp MD VBJ Faculty - Asst Professor 40.0 X 762329 0 13307 Paul J Sternberg Jr MD CMO & VP Clinical Affairs 40.0 X 805815 0 15775 Paul A Thomas MD VBJ Faculty - Assoc Professor 40.0 X 1073481 0 13894 14262617 0 649630 1465 false true true Vanderbilt University PMB 406310 2301 Vanderbilt Place Nashville TN 37240 Various Services 102728216 Deloitte Consulting LLP 30 Rockefeller Plaza New York NY 10112 Professional Services 7761993 Turner Universal Construction Co 624 Grassmere Park 4 Nashville TN 37211 Construction Services 6760990 Frost-Arnett Company 2105 Elm Hill Pike Nashville TN 37210 Financial Services 3878643 North Highland Company 5105 Maryland Way 200 Brentwood TN 37027 Professional Services 3854665 242 1124319 235441610 66242810 2074529 302808739 Net Patient Service Revenue 622110 3335319149 3332870955 2448194 Academic and Research Revenue 611310 111009444 111009444 Other Program Revenue 611310 162191872 142916367 19275505 0 0 0 0 3608520465 21250369 21250369 853317 853317 784515 74994 709521 0 709521 709521 0 0 370365 1124319 233595 136770 136770 Revenue from Unconsolidated Orgs 900099 3910287 3910759 -472 0 0 0 0 3910287 3938189468 3590707525 21723227 22949977 56362300 56362300 20573873 20573873 2520418 2520418 14241196 1441441 12269555 530200 31297 31297 1644398842 1443663825 195940582 4794435 56563820 40103437 16094025 366358 212395693 179912643 31760077 722973 107629423 98978796 8458091 192536 2917104 1372377 1544727 17771320 1469653 16301667 1409435 2749 1406686 92802 92802 361954173 129483857 232253013 217303 10198823 2679947 7494185 24691 92060824 71278492 19695350 1086982 59602944 20608940 38939857 54147 8794 8794 220430117 203796724 15915977 717416 18359273 15948878 2300438 109957 11868191 10301896 1530556 35739 55955845 55153500 802345 90316965 78996088 11320877 10840978 10840143 835 Provision for Bad Debts 1073752 1073752 Other Academic and Research 9196723 5447645 3573261 175817 Taxes 2016907 2008743 8164 Drugs and Medical Supplies 640873063 640283950 589113 14362135 12256800 1989287 116048 3736027030 3106600958 620187833 9238239 44428034 43465820 575033726 510269465 74676143 84304594 424761364 447731680 0 0 0 3785198 275133 61925281 67478430 8553454 6888179 1323674873 103907140 1130116342 1219767733 173988522 398102347 19028218 20183704 0 2690029 2863120 2518986311 2801330205 549097680 588379289 44613465 50047272 529860935 528375952 647059236 647418477 14975798 22273292 190202360 163934000 1975809474 2000428282 X 509422667 713978991 26985163 69058166 6769007 17864766 543176837 800901923 2518986311 2801330205 X 202162438 24332758 31229890 X false true X true true true X 47625339 302808739 350434078 0 0 0 0 0 47625339 302808739 350434078 0 350434078 2162150 22888201 25050351 0 0 0 0 0 800563 5034606 5835169 381319598 4187722636 X 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; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 312352 312352 3713998115 3714310467 1000000 0 250000 0 0 1000000 1000000 2000000 3000000 57062 312352 369414 250000 250000 500000 750000 0 0 0 6347 687121 X true 79924377 9448193 10708634 2414846 43331 97623027 0 78782338 1142039 79924377 0 0 0 0 0 0 0.8873 0.0772 0.0355 false false 27762014 27762014 841264382 79532915 761731467 52464239 4959903 47504336 205356623 19414322 185942301 196827615 0 196827615 1219767733 Fair Value of Interest Rate Swap Agreements Tenant Improvement Allowances Note Payable to Related Organization Note Payable to Related Organization 94583333 Fair Value of Interest Rate Swap Agreements 65202935 Tenant Improvement Allowances 2700210 Capital Leases 1447522 163934000 Schedule D, Part V, Line 4 INTENDED USES OF ENDOWMENT FUNDS ENDOWMENT FUNDS ARE UTILIZED TO GENERATE EARNINGS AND SUBSEQUENT DISTRIBUTIONS FOR THE USE OF FUNDING MEDICAL RESEARCH, MEDICAL CHAIRS IN CLINICAL DEPARTMENTS, MEDICAL TRAINING FELLOWSHIPS, MEDICAL DIRECTORSHIPS, AND OTHER PROGRAMS CONSISTENT WITH THE MISSION OF THE INSTITUTION. Schedule D, Part III, Line 4 Collections of art - description of collections VUMC MAINTAINS VARIOUS COLLECTIONS OF ART AND SIMILAR ASSETS. SUCH COLLECTIONS INCLUDE, BUT ARE NOT LIMITED TO, PAINTINGS, PHOTOGRAPHY, SCULPTURES AND OTHER SIMILAR ITEMS. ALL SUCH COLLECTIONS FURTHER VUMC'S EXEMPT PURPOSE BY PROVIDING CULTURAL, HISTORICAL, AND EDUCATIONAL OPPORTUNITIES TO VUMC STAFF AND PATIENTS AND THE COMMUNITY AT LARGE THROUGH EXHIBITS AND DISPLAYS. true Central America and the Caribbean 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 3758 East Asia and the Pacific 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 48684 Europe (Including Iceland and Greenland) 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 299629 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 160689 South America 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 13620 South Asia 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 17110 Sub-Saharan Africa 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 51781 Central America and the Caribbean 0 1 Grantmaking N/A 52218 East Asia and the Pacific 0 0 Grantmaking N/A 261122 Europe (Including Iceland and Greenland) 0 1 Grantmaking N/A 245380 North America (Canada & Mexico only) 0 0 Grantmaking N/A 126750 South America 0 5 Grantmaking N/A 1016901 South Asia 0 0 Grantmaking N/A 27641 Sub-Saharan Africa 0 6 Grantmaking N/A 790407 Central America and the Caribbean 0 0 Program Services Education, Health-Care, Research 72280 East Asia and the Pacific 0 0 Program Services Education, Health-Care, Research 102417 Europe (Including Iceland and Greenland) 0 0 Program Services Education, Health-Care, Research 164748 Middle East and North Africa 0 0 Program Services Education, Health-Care, Research 2144 North America (Canada & Mexico only) 0 0 Program Services Education, Health-Care, Research 45265 Russia and Neighboring States 0 0 Program Services Education, Health-Care, Research 4350 South America 0 0 Program Services Education, Health-Care, Research 67795 South Asia 0 0 Program Services Education, Health-Care, Research 5162 Sub-Saharan Africa 2 1171 Program Services Education, Health-Care, Research 21727662 0 13 2 1171 2 1184 3188690 22119543 25308233 East Asia and the Pacific Research 91371 Check N/A N/A North America (Canada & Mexico only) Research 54000 Check N/A N/A North America (Canada & Mexico only) Research 44385 Check N/A N/A Sub-Saharan Africa Research 28017 Check N/A N/A Sub-Saharan Africa Research 24317 Check N/A N/A East Asia and the Pacific Research 27994 Check N/A N/A North America (Canada & Mexico only) Research 12482 Check N/A N/A East Asia and the Pacific Research 39574 Check N/A N/A Sub-Saharan Africa Research 374381 Wire N/A N/A East Asia and the Pacific Research 43728 Wire N/A N/A Europe (Including Iceland and Greenland) Research 242080 Wire N/A N/A Sub-Saharan Africa Research 104348 Wire N/A N/A South America Research 507011 Wire N/A N/A Sub-Saharan Africa Research 24159 Wire N/A N/A South America Research 75900 Wire N/A N/A Central America and the Caribbean Research 52218 Wire N/A N/A Sub-Saharan Africa General 45979 Wire N/A N/A North America (Canada & Mexico only) Research 11053 Wire N/A N/A South Asia Research 5531 Wire N/A N/A Sub-Saharan Africa Research 8842 Wire N/A N/A East Asia and the Pacific Research 23455 Wire N/A N/A Sub-Saharan Africa Research 35954 Wire N/A N/A South Asia Research 22110 Wire N/A N/A Sub-Saharan Africa Research 10415 Wire N/A N/A South America Research 70015 Wire N/A N/A South America Research 327605 Wire N/A N/A South America Research 32050 Wire N/A N/A Sub-Saharan Africa Research 15500 Wire N/A N/A Sub-Saharan Africa Research 9500 Wire N/A N/A Sub-Saharan Africa Research 99340 Wire N/A N/A East Asia and the Pacific Research 30000 Wire N/A N/A 27 4 false false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx X X X X X X true Grenzebach Glier and Associates 401 N Michigan Ave Chicago IL 60611 Consulting false 27000 -27000 CCL Branding Inc 300 S Liberty St Ste 100 WinstonSalem NC 27101 Consulting false 46842 -46842 Heller Consulting Inc 1736 Franklin Street Suite 600 Oakland CA 94612 Consulting false 18960 -18960 0 92802 -92802 AL AK AZ AR CA CO CT DE DC FL GA HI ID IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Behind the Music 327899 297164 30735 49995 1149 Friends in Fashion 236615 151594 85021 24000 8583 9613 13 930170 675561 254609 25867 114388 1494684 1124319 370365 24000 84445 125150 233595 136770 true true X true X true X true true false true true 71485591 0 71485591 0.0191 580277637 455940406 124337231 0.0332 0 0.0 0 0 651763228 455940406 195822822 0.0523 11586518 3602725 7983793 0.0021 186214764 53493496 132721268 0.0354 0 0.0 577158220 435642550 141515670 0.0378 0 0.0 0 0 774959502 492738771 282220731 0.0753 0 0 1426722730 948679177 478043553 0.1276 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 30212908 455176 433887070 539313943 -105426873 X true true Ambulatory Surgery Center of Cool Springs LLC Ambulatory Surgery Center 0.5102 0.0 0.1326 Vanderbilt Imaging Services LLC Radiology Services 0.6667 0.0 0.3333 New Light Imaging LLC Outpatient Diagnostic Imaging 0.6667 0.0 0.3333 One Hundred Oaks Imaging LLC Outpatient Diagnostic Imaging 0.8 0.0 0.2 Williamson Imaging LLC Outpatient Diagnostic Imaging 0.5334 0.0 0.2666 VIP Midsouth LLC Pediatric Clinics 0.4518 0.0 0.5482 Springfield VIP Realty LLC Own Real Estate Used as Medical Facility 0.49 0.0 0.51 2 1 Vanderbilt University Medical Center Hospitals 1211 22nd Avenue South Nashville TN 37212 www.vanderbilthealth.com 0000000027 X X X X X X 2 Vanderbilt Stallworth Rehabilitation Hospital 2201 Childrens Way Nashville TN 37212 www.vanderbiltstallworthrehab.com 0000000141 X Vanderbilt University Medical Center Hospitals 1 false true true X X X X X X X X X 16 true true false true X https://www.vanderbilthealth.com/main/38766 X true 16 true https://www.vanderbilthealth.com/main/38766 false true X 200.0 250.0 X X X true true X X X true X https://www.vanderbilthealth.com/FinancialAssistance/46618 X HTTP://WWW.VANDERBILTHEALTH.COM/FINANCIALASSISTANCE/46619 X HTTP://WWW.VANDERBILTHEALTH.COM/FINANCIALASSISTANCE/ X X X X X X X true X false X X X X true X false false Vanderbilt Stallworth Rehabilitation Hospital 2 false true true X X X X X X X X X 16 true true false true X http://www.vanderbiltstallworthrehab.com/en/our-approach/committed-to-quality X true 16 true http://www.vanderbiltstallworthrehab.com/en/our-approach/committed-to-quality false true X 200.0 400.0 X X true true X X X true X http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance X http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance X http://www.vanderbiltstallworthrehab.com/en/patients-and-family/financial-assistance X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 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. 0 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 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. true Northeastern University Research Finance 360 Huntington Ave Boston MA 02115 041679980 501(c)(3) 18877 Not applicable Not applicable Research Boston University PO Box 28763 Grants Receivables New York NY 100878763 042103547 501(c)(3) 234481 Not applicable Not applicable Research Harvard University P O Box 415649 0 Boston MA 022415649 042103580 501(c)(3) 114899 Not applicable Not applicable Research Massachusetts Institute of Technology Cashiers Office NE49-3077 77 Massachusetts Avenue Cambridge MA 02139 042103594 501(c)(3) 110751 Not applicable Not applicable Research Beth Israel Deaconess Medical Center 330 Brookline Ave Boston MA 02215 042103881 501(c)(3) 407137 Not applicable Not applicable Research Tufts University M and V 701 136 Harrison Avenue 0 Boston MA 02111 042103634 501(c)(3) 15089 Not applicable Not applicable Research Brigham & Womens Hospital Inc Bank of America P O Box 3887 Boston MA 022413887 042312909 501(c)(3) 123671 Not applicable Not applicable Research Massachusetts General Hospital Research Finance Bank of America Boston MA 022413829 042697983 501(c)(3) 44727 Not applicable Not applicable Research Boston's Children's Hospital Research Finance PO Box 414413 Boston MA 022414413 042774441 501(c)(3) 166260 Not applicable Not applicable Research Baystate Medical Center Inc Attn Andrea Cutuli PO Box 414168 Boston MA 022414168 042790311 501(c)(3) 51589 Not applicable Not applicable Research University of Massachusetts Attn Medical School Bursar 55 Lake Avenue North Worcester MA 01655 043167352 GOVT 40953 Not applicable Not applicable Research Boston Medical Center Grants Administration/Res Finance Gambro Building 2nd Floor Boston MA 02118 043314093 501(c)(3) 42347 Not applicable Not applicable Research Dana-Farber Partners Cancer Care Inc 450 Brookline Avenue Attn Jim Huse Boston MA 02215 043320640 501(c)(3) 142838 Not applicable Not applicable Research Tufts Medical Center 800 Washington Street Box 453 Boston MA 02111 043400617 GOVT 24508 Not applicable Not applicable Research Brown University Cashiers Office Brown Business Service Center Providence RI 02912 050258809 501(c)(3) 38100 Not applicable Not applicable Research Yale University PO Box 1873 0 New Haven CT 065081873 060646973 501(c)(3) 200077 Not applicable Not applicable Research Weill Cornell Medical College 575 Lexington Avenue 9th Floor New York NY 10022 131623978 501(c)(3) 420924 Not applicable Not applicable Research Rockefeller University 1230 York Avenue 0 New York NY 10065 131624158 501(c)(3) 12862 Not applicable Not applicable Research Albert Einstein College of Medicine 1300 Morris Park Ave 0 Bronx NY 10461 131624225 501(c)(3) 165690 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) 73379 Not applicable Not applicable Research The Foundation for AIDS Research amfAR 120 Wall Street 13th Floor New York NY 100053908 133163817 501(c)(3) 9811 Not applicable Not applicable Research Data Solutions LLC 2601 Henry Hudson Parkway Suite 1 E 0 Bronx NY 10463 133979408 N/A 16490 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) 448183 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) 344430 Not applicable Not applicable Research American Heart Association P O Box 841750 0 Dallas TX 752841750 135613797 501(c)(3) 5938 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) 532807 Not applicable Not applicable Research Health Research Inc P O Box 2966 0 Buffalo NY 14240 141402155 501(c)(3) 9644 Not applicable Not applicable Research Syracuse University Bursar Operations 119 Bowne Hall Syracuse NY 132441140 150532081 501(c)(3) 290237 Not applicable Not applicable Research Hospital Authority of Metro Nashville & Nashville General Hospital 1818 Albion St Nashville TN 37208 202844893 GOVT 361643 Not applicable Not applicable Research Rutgers University 65 Davidson Road 0 Piscataway NJ 088545603 226001086 501(c)(3) 50463 Not applicable Not applicable Research Childrens Hospital of Philadelphia Lockbox 1457 P O Box 8500 Philadelphia PA 191781457 231352166 501(c)(3) 268648 Not applicable Not applicable Research The Trustees of the University of Pennsylvania P O Box 785541 0 Philadelphia PA 191785541 231352685 501(c)(3) 59650 Not applicable Not applicable Research Geisinger Clinic 100 N Academy Avenue 0 Danville PA 17822 236291113 501(c)(3) 37784 Not applicable Not applicable Research & Instruction Institute for Cancer Research Institute for Cancer Research Attn Accounts Receivable Philadelphia PA 19111 236296135 501(c)(3) 48830 Not applicable Not applicable Research Cancer Prevention Inst of California 2201 Walnut Avenue Suite 300 0 Fremont CA 94538 237427232 501(c)(3) 11388 Not applicable Not applicable Research Pennsylvania State University Research Accounting 401 Rider II Building State College PA 168014819 246000376 GOVT 145537 Not applicable Not applicable Research University of Pittsburgh Attn 371220 500 Ross Street Pittsburgh PA 152620001 250965591 501(c)(3) 931485 Not applicable Not applicable Research Allegheny Singer Research Institute Research Accounting and Reporting PO Box 951765 Cleveland OH 44193 251320493 N/A 22825 Not applicable Not applicable Research Penn Mason McClatchey Sponsored Programs Office 5700 Martin Luther King Jr Way Oakland CA 94609 255772636 N/A 23507 Not applicable Not applicable Research The Broad Institute Inc 415 Main St 0 Cambridge MA 02142 263428781 501(c)(3) 3315061 Not applicable Not applicable Research Select Physicians Alliance PL 5 Tampa General Cir Suite 610 Tampa FL 33606 273337174 N/A 19875 Not applicable Not applicable Research Expaticore Services LLC 485 Route 1 South Building C Iselin NJ 08830 300126318 N/A 1072159 Not applicable Not applicable Public Service Childrens Hospital Medical Center Accounting Office MLC 4900 3333 Burnet Avenue Cincinnati OH 452293039 310833936 501(c)(3) 136467 Not applicable Not applicable Research University of Cincinnati PO Box 932641 SRS Accounting Cleveland OH 44193 316000989 GOVT 241980 Not applicable Not applicable Research Ohio State University Accounting Department 4th Floor Columbus OH 43210 316025986 501(c)(3) 61986 Not applicable Not applicable Research The Research Institute at Nationwide PO BOX 781653 0 Detroit MI 482781653 316056230 N/A 67168 Not applicable Not applicable Research The Scripps Research Institute 10550 North Torrey Pines Road 0 La Jolla CA 92037 330435954 501(c)(3) 1235524 Not applicable Not applicable Research Illumina Inc 12864 Collections Center Drive 0 Chicago IL 60693 330804655 N/A 32486 Not applicable Not applicable Research U C Regents Payments Solutions and Compliance PSC Box 957089 1125 Murphy Hall Los Angeles CA 900959000 330833316 GOVT 11238 Not applicable Not applicable Research Cleveland Clinic PO Box 931562 Case Western Reserve University Cleveland OH 441935012 340714585 501(c)(3) 93373 Not applicable Not applicable Research Case Western Reserve University 10900 Euclid Avenue Nord Hall Suite 615 Cleveland OH 441067037 341018992 501(c)(3) 374766 Not applicable Not applicable Research Central American Medical Outreach Inc 322 Westwood Avenue 0 Orrville OH 44667 341740695 501(c)(3) 294544 Not applicable Not applicable Research & Instruction Indiana University Dept 78867 PO Box 78000 Detroit MI 482780867 356001673 501(c)(3) 102096 Not applicable Not applicable Research Purdue University 23510 Network Pl Sponsored Program Services Chicago IL 606731235 356002041 501(c)(3) 225260 Not applicable Not applicable Research Chapin Hall Center for Children 1313 East 60th Street Accounts Receivable Chicago IL 60637 362167012 501(c)(3) 73677 Not applicable Not applicable Public Service Northwestern University Accounting Services for Research and Sponsored Programs Evanston IL 602081112 362167817 501(c)(3) 415223 Not applicable Not applicable Research & Instruction Rush University Medical Center 1653 West Congress Parkway Suite 810 Jones Chicago IL 60612 362174823 501(c)(3) 284085 Not applicable Not applicable Research University of Chicago Financial Services 6054 South Drexel Avenue Chicago IL 60637 362177139 501(c)(3) 333738 Not applicable Not applicable Research University of Illinois Grants and Contracts 28395 Network Place Springfield IL 627084610 376000511 501(c)(3) 124618 Not applicable Not applicable Research University of Vermont PO Box 1389 0 Williston VT 054951389 376047339 GOVT 610548 Not applicable Not applicable Research Oakland University Grants Contract and Sponsored Research Rochester MI 48309 381714400 GOVT 41339 Not applicable Not applicable Research Michigan State University Contract Grant Administration Hannah Administration East Lansing MI 48824 386005984 501(c)(3) 79325 Not applicable Not applicable Research Regents of the University of Michigan Box 223131 0 Pittsburgh PA 15251 386006309 501(c)(3) 264301 Not applicable Not applicable Research Wayne State University Cashiers Office PO Box 02788 Detroit MI 48202 386028429 501(c)(3) 62101 Not applicable Not applicable Research Medical College of Wisconsin P O Box 26509 8701 Watertown Plank Road Milwaukee WI 53226 390806261 501(c)(3) 29834 Not applicable Not applicable Research & Instruction BloodCenter of Wisconsin Inc Box 78961 0 Milwaukee WI 532780961 390807235 501(c)(3) 33102 Not applicable Not applicable Research Aurora Health Care Inc PO Box 341880 Attn Seng Cheung Milwaukee WI 532341881 391442285 501(c)(3) 99227 Not applicable Not applicable Research University of Wisconsin - Madison Office for Research and Sponsored Programs Milwaukee WI 532780538 391805963 GOVT 33257 Not applicable Not applicable Research & Instruction Board of Regents of Univ of Wisconsin UW-Madison Gar Account Drawer 538 Milwaukee WI 532780538 396006492 GOVT 54739 Not applicable Not applicable Research Regents of the University of Minnesota NW 5957 P O Box 1450 Minneapolis MN 554855957 416007513 GOVT 47855 Not applicable Not applicable Research & Public Service Mayo Clinic Rochester PO Box 860334 Research Finance - Rochester Minneapolis MN 554860334 416011702 501(c)(3) 374001 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) 930159 Not applicable Not applicable Research Hudson Alpha Institute for Biotechnology 601 Genome Way Attn Accounts Receivable Huntsville AL 35806 432059317 501(c)(3) 131831 Not applicable Not applicable Research Childrens Mercy Hospitals & Clinics PO Box 803852 0 Kansas City MO 641803852 440605373 501(c)(3) 61723 Not applicable Not applicable Research Baptist Clinical Research Institute Baptist Memorial Healthcare Corporation Attn Jennifer Memphis TN 38120 453032246 501(c)(3) 270958 Not applicable Not applicable Research South Dakota State University 323 Administration Building PO Box 2201 Brookings SD 57007 466000364 GOVT 9537 Not applicable Not applicable Research University of Nebraska Medical Center 985045 Nebraska Medical Center 0 Omaha NE 681985045 470049123 501(c)(3) 251994 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) 404792 Not applicable Not applicable Research International Epidemiology Institute 1455 Research Boulevard Suite 550 Rockville MD 20850 521882011 N/A 782058 Not applicable Not applicable Research Piedmont Respiratory Research Foundation 520 North Elam Avenue PO Box 10302 Greensboro NC 27404 522379416 N/A 6746 Not applicable Not applicable Research University of Maryland Baltimore P O Box 41428 0 Baltimore MD 212036428 526002033 GOVT 610426 Not applicable Not applicable Research United States Treasury Comptroller Naval Medical Research Center Silver Spring MD 209107500 530197030 GOVT 16519 Not applicable Not applicable Research Virginia Commonwealth University Dept of Neurosurgery 1200 E Braod Street 12th Floor Richmond VA 23298 546001758 GOVT 5490 Not applicable Not applicable Research University of Virginia PO Box 400195 Office of Sponsored Programs Charlottesville VA 229044195 546001796 501(c)(3) 8400 Not applicable Not applicable Research Virginia Polytechnic Institute & State Office of Sponsored Programs North End Center MC 0170 Blacksburg VA 24061 546001805 GOVT 87384 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) 15060 Not applicable Not applicable Research Duke University Duke University Accounts Receivable Lockbox Charlotte NC 28260 560532129 501(c)(3) 682405 Not applicable Not applicable Research Wake Forest University Health Sciences Translational Science Institute Clinical Trials Office Winston Salem NC 27157 560532138 501(c)(3) 12090 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) 1031697 Not applicable Not applicable Research University of South Carolina USCRF PO Box 751475 Charlotte NC 282751475 576001153 GOVT 972727 Not applicable Not applicable Research Morehouse College Attn Accounts Receivable 720 Westview Drive SW Atlanta GA 30310 580566205 501(c)(3) 175951 Not applicable Not applicable Research Emory University P O Box 935084 0 Atlanta GA 31193 580566256 501(c)(3) 873056 Not applicable Not applicable Research MOREHOUSE SCHOOL OF MEDICINE Attn Accounts Receivable Cashier 720 WESTVIEW DRIVE SW Atlanta GA 30310 581438873 501(c)(3) 113958 Not applicable Not applicable Research Saint Thomas Hospital Foundation AttnDan Thompson / SNCMT 4220 Harding Road Nashville TN 37205 581663055 501(c)(3) 49225 Not applicable Not applicable Research Saint Thomas Health 4220 Harding Road 0 Nashville TN 37205 581716804 501(c)(3) 6896 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) 43696 Not applicable Not applicable Research Greenway Health Inc PO Box 203658 0 Dallas TX 753203658 582412516 N/A 156362 Not applicable Not applicable Research University of Miami P O Box 248106 Controllers Office Coral Gables FL 331242912 590624458 501(c)(3) 1423919 Not applicable Not applicable Research H Lee Moffitt Cancer Center and Office of Innovation and Industry Alliances Tampa FL 336129497 592451713 N/A 20936 Not applicable Not applicable Research University of Florida CFO Contracts Grants Office Box 113001 Gainesville FL 32611 596002052 GOVT 582813 Not applicable Not applicable Research University of Kentucky Research P O Box 931113 c/o PNC Bank Cleveland OH 44193 616033693 501(c)(3) 184822 Not applicable Not applicable Research Fisk University 1000 17th Ave N Attn Office of Budget Grants Nashville TN 37208 620202000 501(c)(3) 24839 Not applicable Not applicable Research Belmont University 1900 Belmont Blvd Office of Finance and Accounting Nashville TN 37212 620465076 501(c)(3) 9824 Not applicable Not applicable Research Vanderbilt University Contract & Grant PMB 401591 0 Nashville TN 372401591 620476822 501(c)(3) 7688055 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) 5040 Not applicable Not applicable Research David Lipscomb University One University Park Drive Attn Carol Lusk Nashville TN 37204 620485733 501(c)(3) 15431 Not applicable Not applicable Research Meharry Medical Center Attn Laurine Walker Office of Grants Management Nashville TN 372083599 620488046 501(c)(3) 1681657 Not applicable Not applicable Research & Instruction St Judes Childrens Research Hospital P O Box 1000 Dept 949 Memphis TN 381480949 620646012 501(c)(3) 27063 Not applicable Not applicable Research University of Memphis P O Box 1000 Department 313 Memphis TN 381480313 620648618 GOVT 48162 Not applicable Not applicable Research Metro Board of Parks & Recreation Centennial Park Office 0 Nashville TN 37201 620694743 GOVT 87278 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 5875 Not applicable Not applicable Instruction Metro Government of Nashville 222 Third Avenue North Suite 750 0 Nashville TN 37201 621032792 501(c)(3) 55187 Not applicable Not applicable Research Nashville CARES 633 Thompson Lane 0 Nashville TN 37204 621274532 501(c)(3) 14991 Not applicable Not applicable Research Middle Tennessee Research Institute 1310 24th Avenue South Room F-201 Nashville TN 37212 621387860 501(c)(3) 112495 Not applicable Not applicable Research Tennessee Disability Coalition 955 Woodland Street 0 Nashville TN 37206 621447320 501(c)(3) 10994 Not applicable Not applicable Instruction Cumberland Pediatric Foundation 3102 West End Ave Ste 175 0 Nashville TN 37203 621615913 501(c)(3) 30000 Not applicable Not applicable Research InfoWorks Inc 102 Woodmont Blvd Suite 500 Nashville TN 37205 621669899 N/A 348242 Not applicable Not applicable Research University of Tennessee Memphis 62 South Dunlap Street Suite 300 Memphis TN 38163 626001636 GOVT 48009 Not applicable Not applicable Research East Tennessee State University College of Education P O Box 70685 Johnson City TN 37614 626021046 GOVT 39166 Not applicable Not applicable Instruction Franklin Primary Health Center Inc PO Box 2048 0 Mobile AL 366522048 630695975 501(c)(3) 78200 Not applicable Not applicable Research Montgomery Aids Outreach Inc PO Box 11087 0 Montgomery AL 36111 630959628 501(c)(3) 306240 Not applicable Not applicable Research Auburn University 208 M White Smith Hall 381 Mell Street Auburn University AL 368495110 636000724 GOVT 25814 Not applicable Not applicable Research University of Alabama at Birmingham Grants and Contracts Accounting AB 990 Birmingham AL 352940109 636005396 GOVT 309562 Not applicable Not applicable Research John Albert Rector IV Sponsored Programs Account CB 1034 700 Rosedale Ave Saint Louis MO 631121408 644425904 N/A 21671 Not applicable Not applicable Research University of Mississippi Medical Center 2500 North State Street 0 Jackson MS 39216 646008520 GOVT 184408 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) 97765 Not applicable Not applicable Research & Instruction Tiberius T Davis 660 S Euclid Campus Box 8072 Saint Louis MO 63110 649075009 N/A 12180 Not applicable Not applicable Research Administrators of the Tulane Educational Tulane University 800 East Commerce Road Harahan LA 70123 720423889 501(c)(3) 9769 Not applicable Not applicable Research Louisiana State University Sponsored Projects 433 Bolivar Street New Orleans LA 70112 726000848 501(c)(3) 115530 Not applicable Not applicable Research LSU Health Sciences Center New Orleans 433 Bolivar Street New Orleans Sponsored Projects New Orleans LA 70112 726087770 GOVT 254520 Not applicable Not applicable Research University of Texas Health Science PO Box 301418 Attn FASTeam Dr Bela Patel PI Dallas TX 75303 741586031 GOVT 292573 Not applicable Not applicable Research Baylor College of Medicine PO Box 301207 0 Dallas TX 753031207 741613878 501(c)(3) 46155 Not applicable Not applicable Research University of Texas Health Science PO Box 301418 Attn FASTeam Dr Bela Patel PI Dallas TX 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841765 Office of Post Award Administration Dallas TX 752841765 756002868 GOVT 144730 Not applicable Not applicable Research QualTek Molecular Laboratories 6483 Calle Real Unit A 0 Goleta CA 93117 770446167 N/A 10500 Not applicable Not applicable Research Greenway Health LLC P O Box 203658 0 Dallas TX 753203658 800847459 N/A 117966 Not applicable Not applicable Research Dimagi Inc 585 Massachusetts Ave 0 Cambridge MA 02139 830343298 N/A 49916 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 8037 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) 294760 Not applicable Not applicable Research Dignity Health Attn Misc A/R Cash File 57431 Los Angeles CA 900748781 860096787 N/A 45887 Not applicable Not applicable Research Arizona State University Office of Research Sponsored Projects Administration Tempe AZ 852876011 860196696 GOVT 28699 Not applicable Not applicable Research Western Institute for Biomedical Researc P O Box 58719 0 Salt Lake City UT 84158 870470748 501(c)(3) 61994 Not applicable Not applicable Research University of Utah 201 S Presidents Cir Rm 406 Salt Lake City UT 841129020 876000525 501(c)(3) 100257 Not applicable Not applicable Research & Instruction Seattle Children's Hospital P O Box 24728 0 Seattle WA 981240728 910564748 501(c)(3) 71121 Not applicable Not applicable Research Center for Infectious Disease Research 307 Westlake Ave North Suite 500 Seattle WA 98109 910961784 501(c)(3) 58226 Not applicable Not applicable Research University of Washington - IR Grant and Contract Accounting 12455 Collections Drive Chicago IL 60693 916001537 GOVT 1089504 Not applicable Not applicable Research Kaiser Foundation Research Institute 1800 Harrison Street 16th Floor Attn Sharon Milligan Oakland CA 946123433 941105628 501(c)(3) 34465 Not applicable Not applicable Research & Instruction Leland Stanford Junior University PO Box 44253 Stanford University San Francisco CA 941444253 941156365 501(c)(3) 398195 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) 203629 Not applicable Not applicable Research University of Southern California 3500 South Figueroa Street Suite 102 Los Angeles CA 90089 951642394 501(c)(3) 652507 Not applicable Not applicable Research California Institute of Technology 1200 East California Blvd Mail code 117-15 Pasadena CA 91125 951643307 501(c)(3) 350119 Not applicable Not applicable Research Cedars Sinai Medical Center Sponsored Research Funds Admin 6500 Wilshire Boulevard Los Angeles CA 90048 951644600 501(c)(3) 194635 Not applicable Not applicable Research University of California Irvine Biological Sciences 3 Suite 1400 0 Irvine CA 926971050 952226406 501(c)(3) 55655 Not applicable Not applicable Research University of California San Diego 9500 Gilman Dr MC0009 La Jolla CA 920930009 956006144 501(c)(3) 78027 Not applicable Not applicable Research University of Hawaii 2440 Campus Rd Box 368 Honolulu HI 96822 996000354 GOVT 106919 Not applicable Not applicable Research Instituto de Investigacion Nutrucional 121 Alhamada Plaza Ste 1200 0 Coral Gables FL 33134 N/A 218748 Not applicable Not applicable Research American Heart Association 1818 Patterson St Nashville TN 37203 135613797 501(c)(3) 137500 Not Applicable Not Applicable Contribution Juvenile Diabetes Research Foundation 105 Westpark Dr 415 Brentwood TN 37027 231907729 501(c)(3) 25000 Not Applicable Not Applicable Contribution Acoustic Neuroma Association 600 Peachtree Parkway Suite 108 Cumming GA 30041 232170836 501(c)(3) 15000 Not Applicable Not Applicable Contribution Heritage Foundation 112 Bridge St Franklin TN 37064 237042596 501(c)(3) 13375 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) 10000 Not Applicable Not Applicable Contribution TEDx Nashville 330 Hudson St 11th Floor New York NY 10013 272013937 501(c)(3) 30000 Not Applicable Not Applicable Contribution Green Hills Mall 2126 Abbott Martin Rd Nashville TN 37215 382033632 N/A 30000 Not Applicable Not Applicable Contribution The Governor's Foundation for Health 511 Union St 720 Nashville TN 37219 453635908 501(c)(3) 16666 Not Applicable Not Applicable Contribution Scott Hamilton CARES PO BOX 30619 Nashville TN 37230 472328142 501(c)(3) 10000 Not Applicable Not Applicable Contribution Wilmington FRA Inc 1209 Orange Street Wilmington DE 19801 474378210 N/A 12000 Not Applicable Not Applicable Contribution T J Martell Foundation 1114 17th Ave S Suite 101 Nashville TN 37212 510180178 501(c)(3) 65000 Not Applicable Not Applicable Contribution American Red Cross 2201 Charlotte Ave Nashville TN 37203 530196605 501(c)(3) 25000 Not Applicable Not Applicable Contribution Williamson Inc 5005 Meridian Blvd 150 Franklin TN 37067 541213955 501(c)(3) 10000 Not Applicable Not Applicable Contribution United Way of the Mid South 1005 Tillman St Memphis TN 38112 561010742 501(c)(3) 7000 Not Applicable Not Applicable Contribution Tennessee Golf Foundation 400 Franklin Rd Franklin TN 37069 581893478 501(c)(3) 7000 Not Applicable Not Applicable Contribution Nashville Chamber of Commerce 211 Commerce Street Suite 100 Nashville TN 37201 620304530 501(c)(3) 15000 Not Applicable Not Applicable Contribution Junior League of Nashville 2202 Crestmoor Rd Nashville TN 37215 620476815 501(c)(3) 20000 Not Applicable Not Applicable Contribution Tennessee Medical Foundation 5141 Virginia Way Ste 110 Brentwood TN 37027 620541813 501(c)(3) 7500 Not Applicable Not Applicable Contribution Hospital Hospitality House 214 Reidhurst Ave Nashville TN 37203 620909363 501(c)(3) 25000 Not Applicable Not Applicable Contribution Alive Hospice 1718 Patterson St Nashville TN 37203 620983550 501(c)(3) 25000 Not Applicable Not Applicable Contribution Williamson County Fair Association Inc 4215 Long Ln Franklin TN 37064 810644815 501(c)(3) 16000 Not Applicable Not Applicable Contribution 162 21 Patient Assistance 300 208074 Patient Assistance 1412 74756 FMV Healthcare, medical supplies, medicine Patient Assistance 474 14860 FMV Car Seats, Home Safety Kits, Pack and Plays Patient Assistance 14630 12900961 FMV Prescription drugs Patient Assistance 403 1880578 FMV Post acute care Patient Assistance 180 279728 FMV Patient Temporary Housing Awards and Research Grants 468 5189474 Patient Assistance 501 19425 FMV Ambulance rides Patient Assistance 153 6017 FMV Cab Rides Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient policy is available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx X X X X true true X X X X X false true false false false false false true false Jeffrey R Balser MD PHD President and CEO 1116121 0 1661040 0 24849 0 125618 0 15644 0 2943272 0 0 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 435362 0 456000 0 1355 0 42585 0 12759 0 948061 0 0 0 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 404614 0 232695 0 15306 0 46477 0 8844 0 707936 0 0 0 C Wright Pinson MD MBA Deputy CEO and Chief Clinical Officer 916135 0 946250 0 2079 0 84761 0 8429 0 1957654 0 0 0 Michael J Regier JD General Counsel and Secretary 392632 0 14167 0 10990 0 37018 0 12558 0 467365 0 0 0 Charles L Gregory MA MBA MH CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt 334103 0 123790 0 14111 0 28003 0 15234 0 515241 0 0 0 William W Stead MD Chief Strategy Officer 407948 0 196927 0 2534 0 1489 0 8462 0 617360 0 0 0 Traci K Nordberg JD Chief HR Officer 302107 0 130542 0 3364 0 33447 0 3273 0 472733 0 0 0 David R Posch Executive Vice President for Population Health 392674 0 174825 0 2534 0 1976 0 8894 0 580903 0 0 0 David S Raiford MD Chief of Clinical Staff 375380 0 286140 0 12700 0 38144 0 16068 0 728432 0 0 0 Mitchell C Edgeworth MBA CEO, Vanderbilt University Adult Hospital and Clinics 345173 0 112350 0 1898 0 28303 0 14280 0 502004 0 0 0 Clinton J Devin MD Comprehensive Spine Center - Assoc Professor 488356 0 519440 0 315 0 0 0 3874 0 1011985 0 0 0 Lloyd G King MD GI Administration - Asst Professor 438662 0 324169 0 1355 0 0 0 10514 0 774700 0 0 0 John W Klekamp MD VBJ Faculty - Asst Professor 545057 0 205347 0 11925 0 0 0 13307 0 775636 0 0 0 Paul J Sternberg Jr MD CMO & VP Clinical Affairs 555912 0 237324 0 12579 0 0 0 15775 0 821590 0 0 0 Paul A Thomas MD VBJ Faculty - Assoc Professor 890624 0 170778 0 12079 0 0 0 13894 0 1087375 0 0 0 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). A THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE VUMC SERIES 2016A 626139016 592041WH6 2016-04-29 536573506 Refund issues dated 6/23/2004, 4/26/2008, 4/1/2009, & 11/29/2012 false false false A 536573506 330026996 10700399 195846111 true true true true A false true true true true true 0.0013 0.0013 false false true A false true false false false false false false true A true 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 Jillian C Balser Family member of current officer, Jeffrey Balser, MD, PhD 29013 Employment at Vanderbilt University Medical Center false X 50 6347 Market value X 680 Selling cost X 72321 Selling cost X 86 1899460 Market value X 51 66777 Market value X Event Tickets 28 12021 Market value X Gift Certificates 110 16923 Market value 0 false true false Schedule M, Part I Column (b) - Number of Contributions or Items Contributed Column (b) reports the number of contributions made. Schedule M, Part I Line 5 - Clothing and household goods Donation of various household items for silent auction benefiting the Monroe Carell Jr. Children's Hospital at Vanderbilt. 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. 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