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UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH SYSTEM INC (EIN 31-1626179)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-14
IRS object ID
202513189349303676
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-14T09:18:01+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Ridgefield CourtAddressLine1Txt
CityAshevilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311626179EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone8652514417PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 MEDICAL CENTER WAY 200AddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37920ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBenjamin CunninghamPersonNm
Person TitleCFOPersonTitleTxt
Phone8652514417PhoneNum
Signature2025-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmy BibbyPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2025-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Keith D Gray MDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 MEDICAL CENTER WAY 200AddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37920ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,624,844,828GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UTMEDICALCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionOUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee7103TotalEmployeeCnt
Total Volunteers187TotalVolunteersCnt
Total Gross UBI$1,225,967TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$938,314NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,187,160PYContributionsGrantsAmt
CY Contributions Grants$10,688,030CYContributionsGrantsAmt
PY Program Service Revenue$1,462,220,217PYProgramServiceRevenueAmt
CY Program Service Revenue$1,592,857,882CYProgramServiceRevenueAmt
PY Investment Income$21,913,582PYInvestmentIncomeAmt
CY Investment Income$13,028,138CYInvestmentIncomeAmt
PY Other Revenue$7,740,828PYOtherRevenueAmt
CY Other Revenue$8,196,087CYOtherRevenueAmt
PY Total Revenue$1,498,061,787PYTotalRevenueAmt
CY Total Revenue$1,624,770,137CYTotalRevenueAmt
PY Grants And Similar Paid$1,174,063PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$983,592CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$567,102,472PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$622,677,115CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$2,678PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$890,415,410PYOtherExpensesAmt
CY Other Expenses$986,124,539CYOtherExpensesAmt
PY Total Expenses$1,458,694,623PYTotalExpensesAmt
CY Total Expenses$1,609,785,246CYTotalExpensesAmt
PY Revenues Less Expenses$39,367,164PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$14,984,891CYRevenuesLessExpensesAmt
Total Assets BOY$1,268,215,876TotalAssetsBOYAmt
Total Assets EOY$1,315,300,471TotalAssetsEOYAmt
Total Liabilities BOY$860,245,153TotalLiabilitiesBOYAmt
Total Liabilities EOY$862,024,303TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$407,970,723NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$453,276,168NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,478,811,780ExpenseAmt
Grant$983,592GrantAmt
Revenue$1,599,505,728RevenueAmt
DescPATIENT CARE SERVICES PLEASE SEE SCHEDULE O FOR DETAIL REGARDING PATIENT CARE SERVICES IN THE STATEMENT OF COMMUNITY BENEFIT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$46,340,174ExpenseAmt
DescUNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNTDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$33,156,499ExpenseAmt
DescAS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHOM WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GRADUATE SCHOOL OF MEDICINE AND OTHER ACADEMIC INSTITUTIONS, AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,558,308,453TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document374IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee7103EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Benjamin M Cunningham JrBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8653056600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 MEDICAL CENTER WAY NO 200AddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37920ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
H W Sherrod Jr
Vice Chair4.0Yes (X)Yes (X)$0$0$0
Renda Burkhart
Chair8.0Yes (X)Yes (X)$0$0$0
Sara Rose
Vice Chair4.0Yes (X)Yes (X)$0$0$0
Carolyn Fairbank
Board Member2.0Yes (X)$0$0$0
Christopher P Kinney
Board Member2.0Yes (X)$0$0$0
Cristen G Haslam
Board Member2.0Yes (X)$0$0$0
David L Miller
Board Member2.0Yes (X)$0$0$0
Dr Barger Stevens Amy
Board Member2.0Yes (X)$0$0$0
Dr Donde A Plowman
Board Member2.0Yes (X)$0$0$0
Dr Joseph T Chun
Board Member2.0Yes (X)$0$0$0
Dr Keri Lattimore
Board Member2.0Yes (X)$0$0$0
Dr Patrick O McConville
Board Member2.0Yes (X)$0$0$0
Dr Peter F Buckley
Board Member2.0Yes (X)$0$0$0
Randy Boyd
Board Member2.0Yes (X)$0$0$0
Renee D Kelley
Board Member2.0Yes (X)$0$0$0
Wes Stowers
Board Member2.0Yes (X)$0$0$0
William D Edwards
Board Member2.0Yes (X)$0$0$0
Benjamin M Cunningham Jr
SR VP & CFO65.0Yes (X)$786,555$0$88,704
Bennett Cox
SR VP & GENERAL COUNSEL65.0Yes (X)$710,337$0$112,584
Bruce R Hartmann
SR VP & CCRO65.0Yes (X)$522,726$0$59,608
Cassandra Leake
SR VP & CNO65.0Yes (X)$541,295$0$53,667
Dr James E Shamiyeh
Executive Vice President and Chief Operating Officer65.0Yes (X)$975,549$0$109,918
Dr Jerry J Crook II
SR VP Physician Enterprise65.0Yes (X)$758,186$0$85,596
Dr Keith D Gray
President & CEO65.0Yes (X)$1,275,563$0$123,113
Dr Lisa D Duncan
SR VP COE65.0Yes (X)$681,823$0$83,324
Joseph R Landsman Jr
President & CEO65.0Yes (X)$3,712,123$0$406,930
Julia Coco
SR VP Clinical Integration65.0Yes (X)$410,862$0$55,685
Katherine Boyd
SR VP & CHIEF PHILANTHROPY & EQUITY OFFICER65.0Yes (X)$494,549$0$51,351
Stephen Clapp
SR VP Strategic Development65.0Yes (X)$446,526$0$55,303
David N Aljadir
Physician65.0$1,027,529$0$109,695Yes (X)
James Mosley III
Physician65.0$1,057,284$0$117,121Yes (X)
Michael B Freeman
Physician65.0$1,256,901$0$115,696Yes (X)
Oscar Grandas
Physician65.0$1,424,471$0$96,756Yes (X)
Raymond A Dieter III
Physician65.0$1,066,346$0$98,172Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$17,148,625TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,823,223TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1049IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Graduate School of Medicine
1924 Alcoa HwyKnoxvilleTN37920Medical Education$50,636,974
University Physicians Association
9000 Executive Park DriveKnoxvilleTN37923Physician Salaries/CBO Mgmt$49,995,492
Laboratory Corporation of America
1924 Alcoa HighwayKnoxvilleTN37920Laboratory Services$30,484,139
Crothall Healthcare Inc
13028 Collection Center DriveChicagoIL60693Biomed Mgmt$23,211,655
University Anesthesiologists
PO Box 51947KnoxvilleTN37950Physician Services$16,035,732
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K442CntrctRcvdGreaterThan100KCnt
Fundraising$220,017FundraisingAmt
All Other Contributions$10,468,013AllOtherContributionsAmt
Noncash Contributions$1,573NoncashContributionsAmt
Total Contributions$10,688,030TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Revenue621500$1,340,425,195$1,340,425,195
EHR Meaningful Use621400$252,103,738$252,103,738
Program Service Revenue621400$328,949$249,278$79,671

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,592,857,882TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,137,551TotalRevenueColumnAmt
Unrelated Business Revenue$1,030,611UnrelatedBusinessRevenueAmt
Exclusion$5,106,940ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,727,517RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,727,517RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,727,517TotalRevenueColumnAmt
Related Or Exempt Func Income$6,727,517RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,870,808SecuritiesAmt
Other$19,779OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,870,808SecuritiesAmt
Other$19,779OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,890,587TotalRevenueColumnAmt
Exclusion$6,890,587ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$74,691FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$220,017ContriRptFundraisingEventAmt
Fundraising Direct Expenses$74,691FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Parking Revenue812930$1,352,885$1,352,885
Telephone Services812900$115,685$115,685

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,468,570OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,624,770,137TotalRevenueColumnAmt
Related Or Exempt Func Income$1,599,505,728RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,225,967UnrelatedBusinessRevenueAmt
Exclusion$13,350,412ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$552,000TotalAmt
Program Services$552,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$431,592TotalAmt
Program Services$431,592ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,127,100TotalAmt
Management And General$11,127,100ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$428,060TotalAmt
Program Services$289,242ProgramServicesAmt
Management And General$138,818ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$507,636,985TotalAmt
Program Services$492,943,295ProgramServicesAmt
Management And General$14,693,690ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,024,549TotalAmt
Program Services$27,573,322ProgramServicesAmt
Management And General$1,451,227ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$41,289,357TotalAmt
Program Services$39,224,889ProgramServicesAmt
Management And General$2,064,468ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,171,064TotalAmt
Program Services$31,512,511ProgramServicesAmt
Management And General$1,658,553ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$13,608,789TotalAmt
Program Services$12,928,350ProgramServicesAmt
Management And General$680,439ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$42,332,277TotalAmt
Program Services$40,215,663ProgramServicesAmt
Management And General$2,116,614ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$790,227TotalAmt
Program Services$750,716ProgramServicesAmt
Management And General$39,511ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$308,592TotalAmt
Program Services$293,162ProgramServicesAmt
Management And General$15,430ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$236,594,964TotalAmt
Program Services$224,765,217ProgramServicesAmt
Management And General$11,829,747ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,503,387TotalAmt
Program Services$2,378,218ProgramServicesAmt
Management And General$125,169ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,744,561TotalAmt
Program Services$17,807,333ProgramServicesAmt
Management And General$937,228ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$301,005TotalAmt
Program Services$285,955ProgramServicesAmt
Management And General$15,050ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$36,808,378TotalAmt
Program Services$34,967,959ProgramServicesAmt
Management And General$1,840,419ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,771,231TotalAmt
Program Services$1,682,670ProgramServicesAmt
Management And General$88,561ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,590,921TotalAmt
Program Services$2,461,375ProgramServicesAmt
Management And General$129,546ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,800,766TotalAmt
Program Services$16,800,766ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,202,337TotalAmt
Program Services$38,202,337ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,522,766TotalAmt
Program Services$9,522,766ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS$317,646,988$317,646,988
MEDICAL SUPPLIES$197,092,905$197,092,905
BAD DEBT EXPENSE$44,766,836$42,528,494$2,238,342
DIETARY$2,377,275$2,258,411$118,864

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,360,334TotalAmt
Program Services$3,192,317ProgramServicesAmt
Management And General$168,017ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,609,785,246TotalAmt
Program Services$1,558,308,453ProgramServicesAmt
Management And General$51,476,793ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$87,654,561BOYAmt
EOY$94,603,794EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$258,560,338BOYAmt
EOY$246,863,275EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$28,746,926BOYAmt
EOY$33,629,680EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,558,294BOYAmt
EOY$10,081,586EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$925,236,510LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$509,524,225LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$406,637,981BOYAmt
EOY$415,712,285EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$321,319,938BOYAmt
EOY$355,028,576EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$155,737,838BOYAmt
EOY$159,381,275EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,268,215,876BOYAmt
EOY$1,315,300,471EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$369,017,597BOYAmt
EOY$388,100,277EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,707,572BOYAmt
EOY$13,531,873EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$421,111,755BOYAmt
EOY$411,279,211EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,890,294BOYAmt
EOY$3,704,888EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,517,935BOYAmt
EOY$45,408,054EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$860,245,153BOYAmt
EOY$862,024,303EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$363,113,361BOYAmt
EOY$398,033,482EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,857,362BOYAmt
EOY$55,242,686EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$407,970,723BOYAmt
EOY$453,276,168EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,268,215,876BOYAmt
EOY$1,315,300,471EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$14,984,891ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$19,935,326NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$10,385,328OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$171,042DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$171,042TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES INCLUDE AN ALLOCATION OF THE SALARY OF THE VICE PRESIDENT FOR Community RELATIONS, INCLUDING TIME AND EXPENSES ASSOCIATED WITH CONTACTING LEGISLATORS IN MATTERS IMPACTING THE HEALTH SYSTEM AND COMMUNITIES IN WHICH IT SERVES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,409,152BeginningYearBalanceAmt
Contributions$699,000ContributionsAmt
Investment Earnings Or Losses$2,573,000InvestmentEarningsOrLossesAmt
Other Expenditures$894,000OtherExpendituresAmt
End Year Balance$26,787,152EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,485,152BeginningYearBalanceAmt
Contributions$603,000ContributionsAmt
Investment Earnings Or Losses$3,078,000InvestmentEarningsOrLossesAmt
Other Expenditures$757,000OtherExpendituresAmt
End Year Balance$24,409,152EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,638,082BeginningYearBalanceAmt
Contributions$3,149,768ContributionsAmt
Investment Earnings Or Losses$2,069,643InvestmentEarningsOrLossesAmt
Other Expenditures$1,308,482OtherExpendituresAmt
End Year Balance$21,549,011EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$166,571,707OtherCostOrOtherBasisAmt
Depreciation$36,589,950DepreciationAmt
Book Value$129,981,757BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$362,141,255OtherCostOrOtherBasisAmt
Depreciation$200,778,032DepreciationAmt
Book Value$161,363,223BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$314,417,788OtherCostOrOtherBasisAmt
Depreciation$239,351,485DepreciationAmt
Book Value$75,066,303BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,341,067OtherCostOrOtherBasisAmt
Depreciation$32,804,758DepreciationAmt
Book Value$42,536,309BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$415,712,285TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investments in Affiliates$24,868,229C
Publicly Traded Investments$330,160,347C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$355,028,576TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$59,303,309
DEFERRED FINANCING COSTS$2,283,455
Leases Right-of-Use$97,794,511
FieldValueIRS element (for citing)
Total Book Value Other Assets$159,381,275TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Federal Income Taxes
Other Liabilities$25,408,054
Line of Credit$20,000,000
FieldValueIRS element (for citing)
Total Liability$45,408,054TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - Serving through Healing, education, and discovery. THERE ARE THIRTY ONE FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE REALIZED and unrealized INTEREST INCOME IS POSTED TO temporarily restricted investment funds ASSOCIATED WITH THE ENDOWMENTS AND IS FOR SPECIFIC PURPOSES BASED UPON THE INTENT OF THE DONOR. The TRI Funds are maintained on the balance sheet within Net Assets with Donor Restrictions.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteUHS has been recognized as a tax-exempt organization pursuant to Section 501 (a) of the Internal Revenue Code as an entity described under Section 501(c)(3). RTS, UHN, UTUCC, USPH, AND UEOB are single member limited liability companies disregarded as entities separate from UHS for federal tax purposes. USHV IS A TENNESSEE NONPROFIT CORPORATION THAT IS NOT EXEMPT FROM FEDERAL INCOME TAXES. INCOME TAX EXPENSE FOR UHSV FOR THE YEAR ENDED DECEMBER 31, 2024 WAS NOT SIGNIFICANT AND WAS OFFSET BY OPERATING LOSSES IN PRIOR YEARS FOR TAX PURPOSES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Tee Up for TraumaEvent1Nm
Gross Receipts Event1$210,000GrossReceiptsEvent1Amt
Charitable Contri Event1$168,079CharitableContriEvent1Amt
Gross Revenue Event1$41,921GrossRevenueEvent1Amt
Non Cash Prizes Event1$15,837NonCashPrizesEvent1Amt
Rent Facility Costs Event1$13,900RentFacilityCostsEvent1Amt
Food And Beverage Event1$6,938FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$5,246OtherDirectExpensesEvent1Amt
Event2Comedy for a CauseEvent2Nm
Gross Receipts Event2$84,708GrossReceiptsEvent2Amt
Charitable Contri Event2$51,938CharitableContriEvent2Amt
Gross Revenue Event2$32,770GrossRevenueEvent2Amt
Rent Facility Costs Event2$8,912RentFacilityCostsEvent2Amt
Food And Beverage Event2$14,498FoodAndBeverageEvent2Amt
Entertainment Event2$7,747EntertainmentEvent2Amt
Other Direct Expenses Event2$1,613OtherDirectExpensesEvent2Amt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$294,708GrossReceiptsTotalAmt
Charitable Contributions Tot$220,017CharitableContributionsTotAmt
Gross Revenue Total Events$74,691GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$15,837NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$22,812RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$21,436FoodAndBeverageTotalEventsAmt
Entertainment Total Events$7,747EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$6,859OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$74,691DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,340,174TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,340,174NetCommunityBenefitExpnsAmt
Total Expense0.02961TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,828,011TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,207,468DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,620,543NetCommunityBenefitExpnsAmt
Total Expense0.01381TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,513,646TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,513,646NetCommunityBenefitExpnsAmt
Total Expense0.00288TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$165,681,831TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,207,468DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,474,363NetCommunityBenefitExpnsAmt
Total Expense0.04631TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$230,065TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$230,065NetCommunityBenefitExpnsAmt
Total Expense0.00015TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,156,499TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,156,499NetCommunityBenefitExpnsAmt
Total Expense0.02119TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$215,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$215,500NetCommunityBenefitExpnsAmt
Total Expense0.00014TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$33,602,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,602,064NetCommunityBenefitExpnsAmt
Total Expense0.02147TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$199,283,895TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,207,468DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,076,427NetCommunityBenefitExpnsAmt
Total Expense0.06778TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,500NetCommunityBenefitExpnsAmt
Total Expense0.00003TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,087TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,087NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,845TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,845NetCommunityBenefitExpnsAmt
Total Expense0.00003TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$560,678TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$560,678NetCommunityBenefitExpnsAmt
Total Expense0.00036TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$649,110TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$649,110NetCommunityBenefitExpnsAmt
Total Expense0.00041TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$7,490,220BadDebtExpenseAmt
Bad Debt Expense Attributable$914,756BadDebtExpenseAttributableAmt
Reimbursed By Medicare$593,889,616ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$642,575,343CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$48,685,727MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SYSTEMBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 EXECUTIVE PARK DRIVE BLDG D-2AddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37923ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.utmedicalcenter.org/about/our-story/community-benefit/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.utmedicalcenter.org/about/our-story/community-benefit/StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee StatementFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee StatementFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee StatementFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EUTMC is continually analyzing data and focusing on populations within our service region for inequalities related to healthcare access and services. In response to the most significant needs identified, UTMC has increased the number of regional health centers and have plans to open additional services in areas that have lost healthcare care services and licensed practioners and physician providers access due to a myriad of factors.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - . The UTMC's Network Development Department conducted a Community Survey and, compared statistics and health initiative outcomes to align strategy with the state and local initiatives to address public health concerns. Our partnerships include the Governor's Foundation for Health and Wellness for a Healthier Tennessee and the Knoxville-Knox County Health Council (CHC).UTMC also collaborated with a partnership focused on providing a community-wide health needs assessment and action plan to address the health needs of Knox County residents. Knox County Community Health Council provides a framework for bringing together individuals, groups, and organizations that comprise the local public health system. The Community Health Council (CHC) assesses and evaluates the public's perception of health, the performance of the local public health system, and future conditions relating to health in Knox County, the City of Knoxville, and the Town of Farragut. The assessment aims to provide a snapshot of the health status of Knox County residents, provide helpful information for local programmatic and fiscal decision-making, and inform the development of a strategic community health improvement plan. Throughout the COVID pandemic, UTMC partnered with other organizations in addition to the Knoxville Board of Health to align strategies to mitigate the COVID-19 virus and plan for a surge of possible critically ill patients that would cripple our healthcare system structure for our region and local community. Immunization efforts began community-wide in December 2020, with boosters available in 2021. UTMC served as an approved COVID-19 vaccination provider and administered over 50,000 COVID-19 vaccinations to first responders, teachers, team members, and underserved populations within Knox County.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - . UTMC's CHNA was conducted independently but the hospital collaborated in data sharing with the Knox County Health Department and the Tennessee Department of Health.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - . UTMC is continually analyzing data and focusing on populations within our service region for inequalities related to healthcare access and services. In response to the most significant needs identified, UTMC has increased the number of regional health centers and have plans to open additional services in areas that have lost healthcare care services and licensed practitioners and physician providers access due to a myriad of factors.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - . Patient statements also include verbiage regarding FAP. Some statements have FAP applications mailed with self addressed stamp envelopes.
Schedule H, Part V, Section B, Line 18d Facility , 1Facility , 1 - . Legal action may be filed by outside third party legal counsel when the patient has not cooperated and has the financial means to pay. The hospital may pursue the filing of liens but will not force the sale of property.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 5UTMC is a data-informed and data-driven organization that conducts an inventory of the hospital's assets to meet the community's ongoing needs. UTMC's major initiatives focused on increasing access to health services for the underserved through partnerships. Among those are current partnerships with Cherokee Health Systems, Interfaith, and other Free Medical Clinics in the region. UTMC actively seeks partnerships to increase health education around various health-related topics. Cancer education, screening, diagnosis, and treatment are also some of the key priorities for the organization, particularly what pertains to increasing access to underserved populations that experience greater barriers to accessing the health care system. Through theBreast Health Outreach Program (BHOP),UTMC provides free education, prevention, diagnostics, and treatment for uninsured women. The Mobile Mammography Unit (MMU) offers free and low-cost screenings to women in our 21-county area. Opioid/Substance Abuse:UTMC has partnered with local and state agencies to identify innovative processes to address the opioid epidemic. To support patients with substance use disorders, several physicians have led research efforts to assist with research and program implementation. Emergency and Trauma Services Prevention and Education-"Stop the Bleed"- a statewide initiative focused on decreasing mortality rates associated with hemorrhage. Education for allied health professionals for Advanced Trauma Life Support (ATLS), Advanced Trauma Certified Nurse (ATCN), Trauma Nurse Core Curriculum (TNCC), Fundamentals of Critical Care (FCCS), and Certified Emergency Nurse (CEN) preparation course. Women's and Infants' outreach efforts are for prenatal care, high-risk obstetrics, and pre-term newborn care. KAPA Project Access-UT Medical Center partners with the Knoxville Area Project Access (KAPA) to provide free or discounted medical services and treatment to uninsured or medically underserved individuals.
Schedule H, Part V, Section B, Line 16ahttps://utmedicalcenter.patientcompass.com/RA/Content/Images/utmedicalcenter/Production/Complete-Financial-Assistance-Policy.pdf
Schedule H, Part V, Section B, Line 16bhttps://utmedicalcenter.patientcompass.com/RA/Content/Images/utmedicalcenter/Production/Financial-Assistance-App.pdf
Schedule H, Part V, Section B, Line 16chttps://utmedicalcenter.patientcompass.com/RA/General/BillingPolicies/_FinancialAssistance
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation44766836
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountWe score all patients on their ability to pay 1-4 with 4 being charity eligible.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyWe score all patients on their ability to pay 1-4 with 4 being charity eligible.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTO DETERMINE THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3, UHS USES ACTUAL EXPENSE DATA ACCUMULATED BY PATIENT WITHIN THE TRENDSTAR SYSTEM BASED ON A COST TO CHARGE RATIO. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER UHS' CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS: 1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY MAY HAVE BEEN GRANTED). 2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISENROLLED BY THE TNCARE PROGRAM. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY CARE). 3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, UHS RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS. THIS PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE. UHS PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UHS DOES NOT REPORT AS NET REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE MEDICARE ALLOWABLE COST REPORTED IN THE UHS MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSE DATA FROM THE UHS GENERAL LEDGER. UHS ALLOCATES THOSE EXPENSES TO PATIENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO. All of the shortfall is a community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceWe notify patients of the availibility of FAP via statements, posted notices throughout the Hospital including website, and send customized statements with applications attached for assisting patients to apply. If the patient requests FAP we will send them an application up to 240 days from the date of their first statement this includes if the patient is in bad debt. We make all reasonable attempts to have a decision made within 10 days upon receipt of the application.
Schedule H, Part V, Section B, Line 16a FAP website- UNIVERSITY HEALTH SYSTEM: Line 16a URL: See Statement;
Schedule H, Part V, Section B, Line 16b FAP Application website- UNIVERSITY HEALTH SYSTEM: Line 16b URL: See Statement;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- UNIVERSITY HEALTH SYSTEM: Line 16c URL: See Statement;
Schedule H, Part VI, Line 2 Needs assessmentFor the medical center to serve its region most effectively, it is essential to understand each community's needs. The medical center has conducted the Community Health Needs Assessment 2022 to understand the health of the residents within the local region. Activities associated with developing this assessment took place in 2021. They included collecting and analyzing primary data through a community survey, which collected responses from 406 respondents from our services area. This survey included questions intended to gather information about the community's perception of the main areas of concern about health outcomes and health resource needs. Likewise, the network development team analyzed secondary data from state, regional, and country-specific sources. Throughout the assessment, high priority was given to determining each community's health status and available resources. This data evidenced some of the most pressing challenges faced statewide. Tennessee ranked 41st for overall health outcomes. Within the UTMC's service area, 38% of the counties served by UT Medical Center fall in the 4th quartile regarding health outcomes, ranking from 76 to 94 among all 95 counties in Tennessee. Tennessee had high rates of adult obesity, cancer deaths, infant mortality, and diabetes. Additionally, UTMC consulted and utilized the Community Needs Index (CNI) scores to identify areas with the greatest needs to prioritize community interventions. The analysis of CNI scores demonstrated that 21% of the zip codes included in the UTMC's service area have scores of 4 or higher, making evident the need to address the areas with the greatest needs. The assessment process also included consultation with community organizations and members to identify current resources and potential solutions. The information gathered from a local perspective, paired with regional, state, and national data, helped evaluate the region's health situation and formulate solutions for improvement. After compiling the various sources of information, UTMC identified its four main priorities: cancer, substance use, mental health/depression/anxiety, and obesity. UT Medical Center partnered with FORVIS Health to conduct twelve (12) 20-minute virtual, individual interviews to build a foundational understanding of community stakeholders' perception of the greatest health needs. Community organizations' representatives provided additional input, which resulted in adding two health priorities - Maternal and infant health and transportation- to the initial four identified in the CHNA 2022. were integrated into the Implementation Strategy 2022.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceTO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND PROCESS) AND FINANCIAL COUNSELORS ALONG WITH CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE BROCHURE INSTRUCTS THE PATIENT TO CONTACT THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS FOR MORE INFORMATION ON CHARITY AND OTHER APPLICABLE DISCOUNTS. FINANCIAL COUNSELORS VISIT PATIENT ROOMS WHEN POSSIBLE TO EXPLAIN THE UHS BILLING PROCESS, PAYMENT PLANS AND SCREENS FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. UNIVERSITY HEALTH SYSTEM, INC. 31-1626179 FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT, AS WELL AS ON OUR WEBSITE. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUMES OF SPANISH-SPEAKING PATIENTS. THE MAJORITY OF STAFF ASSOCIATED WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY.
Schedule H, Part VI, Line 4 Community informationThe UTMC's service area comprises 21 counties, including small and mid-sized cities and rural counties. These counties represent diverse populations with adverse health outcomes and socioeconomic conditions. The residents in this area face distinctive social risk factors that vary depending on their rural/urban designation, racial and ethnic makeup, income, unemployment, education rates, living wages, and median income. According to the Appalachian Regional Commission, 11 of the 21 counties in the UTMC service area fall under the distressed or at-risk counties category. Poor health outcomes are prevalent in this area, and access to healthcare services is challenging and, in some cases, non-existent. Access to healthcare is determined by a myriad of factors, among them health insurance, access to medical providers, and the presence of healthcare facilities in the region. For 52% of all counties in the service area, the rate of uninsured adults is higher than the state (12%) and the US (11%). Likewise, the population-to-primary care physicians ratio is higher than that of the state for all counties except Knox County. This region faces a shortage of providers, not only for specialty care but also for preventative care. For instance, Morgan County had one (1) primary care physician per 7,130, compared to the state (1,400:1) and the US (1,3010:1). According to the Sycamore Institute, "As of April 2019, twenty of the 95 Tennessee counties had no hospital - 17 of which also had no emergency department". The UTMC catchment area has been dramatically affected by the closure of four hospitals, two of them located in Knoxville and two additional ones in rural areas-Fentress and McMinn counties. UTMC serves diverse populations, and their needs vary from county to county, considering various demographic and socioeconomic factors. In particular, income and education are crucial determinants of poor health outcomes. For instance, 17 of the 21 counties in the service area have a poverty rate higher than the state's (13.6%); however, it is essential to note areas in Knoxville with poverty rates as high as 68%. Likewise, although the unemployment rates are low for most counties, the living wage and the median household income are significantly lower than the state's average for 80% of the counties in the catchment area. Statistics related to high school completion rates are lower than the state's (88%) for 15 counties. However, when examining sub-county data, Knoxville includes some areas with high school completion rates as low as 65%. While the majority of the population in the catchment areas is predominantly non-Hispanic white, several counties are experiencing rapid growth in their Hispanic/Latino populations. That is the case for Hamblen (12%), Loudon (9%), and Sevier (7%) counties. There is a greater concentration of Black communities in zip codes included in Knox (56%), Morgan (17%)*, and Blount (14%) counties. The rural population is above 50% for 16 of 21 counties, while four out of 21 counties are considered 100% rural. The region has a significant portion of individuals aged 65 or older, with 20 counties having a higher rate than Tennessee, representing a considerable capacity demand for the healthcare system.
Schedule H, Part VI, Line 5 Promotion of community healthSenior Leadership and System Management Leadership of the hospital make conscious decisions how the resources of the hospital are used, honoring the mission, vision, and values of the hospital in its work within the hospital and community. Other programs and projects which are developed in the hospital through the various departments and COE's are brought to the Executive Leadership Team (ELT) and then to Strategic Leadership Team (SLT) for approval and then to the Community Board for final review and approval. The hospital works closely with the Graduate School of Medicine for resident support for medical education and program research initiatives through our academic programs of study. Through faculty leadership of GSM and hospital leadership collaboration, future financial considerations for sustainability or program growth are considered based on future prioritized and strategic needs identified by our patient population and needs assessments.
Schedule H, Part VI, Line 6 Affiliated health care systemUHS IS CURRENTLY AFFILIATED WITH EAST TENNESSEE CHILDREN'S HOSPITAL IN PROVIDING JOINT HEALTHCARE SERVICES FOR THE PEDIATRIC POPULATION OF OUR REGION. UHS PARTNERS WITH SEVERAL LOCAL ORGANIZATIONS IN SUPPORT OF CHILDREN'S HEALTH AND WELLBEING.
Schedule H, Part VI, Line 7 State filing of community benefit reportTN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (34 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
871 WEISGARGER RDKNOXVILLETN37909640329009501(C)(3)$25,000Operational Support
AMERICAN HEART ASSOCIATION
4708 PAPERMILL DRKNOXVILLETN37909135613797501(C)(3)$100,000Operational Support
ARTHRITIS FOUNDATION
525 HENLEY STREETKNOXVILLETN37902581341679501(C)(3)$5,000Operational Support
BREAKTHROUGH CORPORATION
1700 LIBERTY STKNOXVILLETN37921621834568501(C)(3)$6,000Operational Support
CANCER SUPPORT COMMUNITY-EAST TENNESSEE
2230 SUTHERLAND AVEKNOXVILLETN37919581846210501(C)(3)$25,000Operational Support
CENTRO HISPANO DE EAST TENNESSEE
2455 SUTHERLAND AVEKNOXVILLETN37919203415545501(C)(3)$7,500Operational Support
EAST TENNESSEE CHILDREN'S HOSPITAL
PO BOX 15010KNOXVILLETN37901626002604501(C)(3)$5,000Operational Support
EAST TENNESSEE VETERAN'S MEMORIAL ASSN
PO BOX 3714KNOXVILLETN37927680505963501(C)(3)$5,000Operational Support
EAST TN ECONOMIC DEVELOPMENT (ETEDA)
10215 TECHNOLOGY DR SUITE 202KNOXVILLETN37932621158958501(C)(3)$18,000Operational Support
EMERALD YOUTH FOUNDATION
1718 NORTH CENTRAL STREETKNOXVILLETN37917621474791501(C)(3)$10,000Operational Support
FREE MEDICAL CLINIC OF AMERICA
6207 CHAPMAN HIGHWAYKNOXVILLETN37920680604388501(C)(3)$25,000Operational Support
GIRL TALK INC
625 MARKET ST STE 1301KNOXVILLETN37902260187833501(C)(3)$10,000Operational Support
GREAT SMOKY MOUNTAIN COUNCIL
PO BOX 51885KNOXVILLETN379501885620476811501(C)(3)$5,000Operational Support
HELEN ROSS MCNABB CENTER
200 TECH CENTER DRKNOXVILLETN37912620548914501(C)(3)$5,000Operational Support
INTERFAITH HEALTH CLINIC
315 GILL AVENUEKNOXVILLETN37917581947641501(C)(3)$50,000Operational Support
JUNIOR ACHIEVEMENT OF EAST TN
2135 N CHARLES G SEIVERS BLVDCLINTONTN37716620810145501(C)(3)$5,000Operational Support
KIM HEALTH CENTER
6209 CHAPMAN HIGHWAYKNOXVILLETN37920680604388501(C)(3)$5,000Operational Support
KNOX COUNTY CAC TRANSPORTATION
PO BOX 51650KNOXVILLETN37950621451534$5,000Operational Support
KNOX COUNTY SCHOOLS
PO BOX 314KNOXVILLETN37901620938734$10,000Operational Support
KNOXVILLE ACADEMY OF MEDICINE
9032 CROSS PARK DRKNOXVILLETN37923620550978501(C)(3)$10,000Operational Support
KNOXVILLE AREA URBAN LEAGUE
1514 EAST FIFTH AVEKNOXVILLETN37917620797293501(C)(3)$5,000Operational Support
KNOXVILLE FIRE FIGHTER ASSN
614 N CENTRAL STREETKNOXVILLETN37917626063763501(c)(5)$5,000Operational Support
LEADERSHIP KNOXVILLE INC
PO Box 326KNOXVILLETN37901621212211501(C)(3)$10,000Operational Support
LEUKEMIA AND LYMPHOMA SOC TN
PO BOX 772357DETROITMI48277135644916501(C)(3)$5,000Operational Support
METRO DRUG COALITION
PO BOX 27480KNOXVILLETN37927581704454501(C)(3)$17,500Operational Support
PARKINSON'S FOUNDATION
200 SE 1ST STREET SUITE 800MIAMIFL33131131866796501(C)(3)$10,000Operational Support
PELLISSIPPI STATE TECHNICAL
PO BOX 22990KNOXVILLETN37933620938734$5,000Operational Support
RANDOM ACTS OF FLOWER
920 VOLUNTEER LANDING LANE 201KNOXVILLETN37915263006360501(C)(3)$5,000Operational Support
RONALD MCDONALD HOUSE
1705 W CLINCH AVENUEKNOXVILLETN37916581510276501(C)(3)$5,000Operational Support
SECOND HARVEST FOOD BANK
136 HARVEST LANEMARYVILLETN37801581450139501(C)(3)$5,000Operational Support
THE UNIVERSITY OF TENNESSEE (COLLEGE OF NURSING)
1200 VOLUNTEER BLVDKNOXVILLETN37996626001636501(C)(3)$112,000Operational Support
UNITED WAY GREATER KNOX INC
1301 HANNAH AVENUEKNOXVILLETN37921620475748501(C)(3)$5,000Operational Support
UPSILON CHI CHAPTER
2509 PLEASANT VIEW LANEKNOXVILLETN37914383870936501(C)(3)$10,000Operational Support
ZOO KNOXVILLE
3500 KNOXVILLE ZOO DRIVEKNOXVILLETN37914621034633501(C)(3)$16,000Operational Support
FieldValueIRS element (for citing)
Total501c3 Org33Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (20 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
CHAPLAINS CRISIS GIFT FUND6201$43,890
STEPHENS CANCER CARE GIFT FUND449$140,455
HELPING HANDS GIFT FUND431$43,725
END OF LIFE CARE30$7,250
BRIDGE TO RECOVERY GIFT FUND87$19,656
SUNSHINE GIFT FUND265$10,181
CHAD WELCH TCT FUND23$12,338
AFFEL ALZH PATIENT ASSIST FUND6$2,700
GISSEL CARDIO PAT ASST FUND133$7,025
LEANN MYNATT PAT ASST GF8$454
EMERGENCY CRISIS TM ASSISTANCE8$16,000
Perinatal Grant Jan 24-Jun 2024900$2,700
RMH Car Seat Grant18$2,028
TDH Child Safety Fund 202467$4,381
93402 THA MAT ED Grant Jan 24-Jun2482$15,389
93403 THA MAT ED Grant Jul 24-Dec 2494$15,901
Komen Outreach Grant during FY2442$7,518
Natl Breast Cancer Fdn 2024252$45,000
ACS Patient Lodging Grant 202434$15,000
ACS Transportation Grant 2024178$20,000

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. FOR EMPLOYEE EDUCATION ASSISTANCE SCHOLARSHIPS, APPLICANTS MUST SUBMIT RECEIPTS FOR EXPENDITURES. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant fundsUHS has dedicated staffing focused on monitoring Grant fund receipts and expenditures to ensure appropriateness of use and reporting.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joseph R Landsman Jr
President & CEO$134,267$0$2,500,175$0$1,077,681$0$401,581$0$5,349$0$4,119,053$0$1,024,975$0
Dr Keith D Gray
President & CEO$1,017,500$0$201,844$0$56,219$0$122,183$0$930$0$1,398,676$0$53,735$0
Benjamin M Cunningham Jr
SR VP & CFO$625,000$0$121,540$0$40,015$0$74,946$0$13,758$0$875,259$0$43,643$0
Dr James E Shamiyeh
Executive Vice President and Chief Operating Officer$775,000$0$157,825$0$42,724$0$93,707$0$16,211$0$1,085,467$0$45,247$0
Dr Jerry J Crook II
SR VP Physician Enterprise$615,001$0$78,250$0$64,935$0$69,480$0$16,116$0$843,782$0$70,162$0
Bennett Cox
SR VP & GENERAL COUNSEL$525,000$0$91,000$0$94,337$0$111,548$0$1,036$0$822,921$0$91,119$0
Dr Lisa D Duncan
SR VP COE$607,904$0$73,701$0$218$0$69,057$0$14,267$0$765,147$0$0$0
Cassandra Leake
SR VP & CNO$470,000$0$56,949$0$14,346$0$53,026$0$641$0$594,962$0$13,734$0
Bruce R Hartmann
SR VP & CCRO$430,000$0$55,200$0$37,526$0$49,870$0$9,738$0$582,334$0$29,841$0
Katherine Boyd
SR VP & CHIEF PHILANTHROPY & EQUITY OFFICER$400,000$0$66,750$0$27,799$0$46,947$0$4,404$0$545,900$0$28,241$0
Stephen Clapp
SR VP Strategic Development$398,506$0$48,020$0$0$0$44,977$0$10,326$0$501,829$0$2,741$0
Julia Coco
SR VP Clinical Integration$350,000$0$43,718$0$17,144$0$40,295$0$15,390$0$466,547$0$20,576$0
Oscar Grandas
Physician$700,000$0$270,191$0$454,280$0$96,336$0$420$0$1,521,227$0$452,446$0
Michael B Freeman
Physician$674,999$0$476,177$0$105,725$0$115,339$0$357$0$1,372,597$0$103,515$0
James Mosley III
Physician$556,274$0$456,385$0$44,625$0$101,311$0$15,810$0$1,174,405$0$50,947$0
Raymond A Dieter III
Physician$950,000$0$25,544$0$90,802$0$97,752$0$420$0$1,164,518$0$88,901$0
David N Aljadir
Physician$475,000$0$462,572$0$89,957$0$93,802$0$15,893$0$1,137,224$0$96,279$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT, VICE PRESIDENTS AND EQUIVALENTS, AND PHYSICIANS. ALL EMPLOYER CONTRIBUTIONS ARE SUBJECT TO A SEVEN-YEAR VESTING SCHEDULE OR ATTAINMENT OF AGE 60 AND CONTRIBUTIONS ARE MADE AT THE CLOSE OF EACH PAYROLL CYCLE. THE ORGANIZATION MAINTAINS A SEPARATE NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT. THE EMPLOYER'S CONTRIBUTIONS BECOME VESTED ACCORDING TO THE AGE OF THE PARTICIPANT AT THE TIME THE CONTRIBUTION WAS MADE. CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT MADE IN A YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 57 SHALL VEST FULLY ON JANUARY 1 OF THE YEAR THE PARTICIPANT ATTAINS THE AGE OF 60. FOR CONTRIBUTIONS MADE NO LATER THAN THE YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 58 AND EACH YEAR THEREAFTER SHALL VEST FULLY ON THE LAST BUSINESS DAY OF THE YEAR IN WHICH THE CONTRIBUTION IS MADE. CONTRIBUTIONS ARE MADE AT THE END OF EACH PAYROLL CYCLE. The allocations made to the nonqualified deferred compensation plans for the year were: $80,502 Raymond A Dieter III $84,061 James Mosley III $ 98,089 Michael B. Freeman $79,086 Oscar Grandas $76,552 David N. Aljadir $32,620 Bruce R. Hartmann $29,697 Katherine Boyd $94,298 Bennett Cox $57,696 Benjamin M. Cunningham, Jr. $104,933 Dr. Keith D. Gray $76,457 Dr. James E. Shamiyeh $35,776 Cassandra Leake $384,331 Joseph R. Landsman, Jr. $51,807 Dr. Lisa D. Duncan $27,727 Stephen Clapp $23,045 Julia Coco $52,230 Dr. Jerry Crook II
Schedule J, Part I, Line 7 Non-fixed paymentsTHE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO, WHICH INCLUDES ACHIEVEMENTS OF QUALITY, OPERATIONAL, FINANCIAL, AND STRATEGIC TARGETS. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S HUMAN RESOURCES COMMITTEE WITH BOARD APPROVAL REQUIRED OF THE PLAN. THE INCENTIVE PLAN WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT. DATA COMPILED BY KORN FERRY IS USED FOR COMPARABILITY. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS. THE COMPENSATION PACKAGES OF THE CEO, OFFICERS, EMPLOYED PHYSICIAN BOARD MEMBERS, AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS ANNUALLY. COMPENSATION IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE HUMAN RESOURCES COMMITTEE AND THE FULL BOARD. THE BOARD MAINTAINS COMPARABILITY DATA FROM INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANTS AND COMPENSATION DATA FROM SIMILARLY-SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS. THE BOARD ADHERES TO THE CONFLICT OF INTEREST POLICY AT ALL TIMES WITH REGARD TO APPROVAL OF COMPENSATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
A6212202752015-06-25$90,000,000CURRENT REFUNDING AND CAPITAL PROJECTfalsefalsefalse
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
B6212202752016-11-17$120,612,199CURRENT REFUNDING AND CAPITAL PROJECTfalsefalsefalse49952MCZ7
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
C6212202752017-02-07$133,311,875CURRENT REFUNDINGfalsefalsefalse49952MEF9
The Health Educational and Housing Facility Board of the County of Knox
D6212202752020-05-19$81,089,625Revenue Bonds, Series 2020A (University Health System Inc.)falsefalsefalse49952MEJ1

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$3,485,000$90,000,000$250,000$40,445,0002015falseYes (true)Yes (true)Yes (true)
B$16,269,211$120,613,982$1,422,017$66,408,4172016falseYes (true)Yes (true)Yes (true)
C$37,687,000$133,311,875$1,119,0462017falseYes (true)Yes (true)Yes (true)$132,192,828
D$3,891,625$81,089,651$1,089,625$58,636,331falsefalsefalseYes (true)$37,521,687

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalsefalsefalse000.0falsefalse0falsefalse
Bfalsefalsefalsefalsefalsefalse000.0falsefalse0falsefalse
Cfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)
Dfalsefalsefalsefalsefalsefalse000.0falsefalse0falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falsefalseYes (true)
BfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falsefalseYes (true)
CfalseYes (true)falsefalsefalsefalse0falsefalsefalse0falsefalsefalse
Dfalsefalsefalsefalsefalsefalse0falsefalsefalse0falsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule K, Part II, Line 3 PART II, LINE 3, SERIES 2016FormAndLineReferenceDesc
ExplanationINVESTMENT EARNINGS HAVE BEEN INCLUDED IN THIS LINE. BECAUSE OF THIS, THE ISSUE PRICE ON PART I AND THE ISSUE PRICE IN PART II FOR THE SERIES 2016 BOND WILL NOT MATCH.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1The Health Educational and Housing Facility Board of the County of KnoxBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN621220275BondIssuerEIN
Bond Issued2021-01-14BondIssuedDt
Issue Price$52,000,000IssuePriceAmt
PurposeRefunding of Series 2014 bonds and finance capital expendituresPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$451,000RetiredAmt
Total Proceeds$52,000,000TotalProceedsAmt
Issuance Costs From Proceeds$322,750IssuanceCostsFromProceedsAmt
Capital Expenditures$41,677,250CapitalExpendituresAmt
Other Spent Proceeds$10,000,000OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Engage Bond Counsel ContractsfalseEngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropPct
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Term Of Hedge0TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Term Of GIC0TermOfGICPct
Regulatory Safe Harbor StsfdfalseRegulatorySafeHarborStsfdInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Elizabeth Sherrod
Family member of board member$138,818Compensation as employeefalse
Mary Ellen Cox
Family member of Officer$147,741Compensation as employeefalse
James McDonald
Family Member of Officer$141,501Compensation as employeefalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND SENIOR VP/CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990.
Form 990, Part VI, Line 12c Conflict of interest policyCONFLICT OF INTEREST DISCLOSURES ARE NOW PERFORMED ELECTRONICALLY. STATUS REPORTS WITH DETAILS CAN BE RUN AT ANY TIME TO DETERMINE COMPLETION. THIS IS RUN MANY TIMES ANNUALLY AS THEY ARE COMPLETED. THE ORGANIZATION FURTHER INVESTIGATES ANY DISCLOSURES THAT REQUIRE A CLOSER LOOK AND WORKS TOWARD RESOLUTION OF ANY POTENTIAL COMPLIANCE DISCREPANCIES.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesTHE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY.
Form 990, Part VI, Line 19 Required documents available to the publicTHE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE.
Form 990, Part IX, Line 11g Other FeesPURCHASED SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 6788514, Fundraising Expenses: ; COMMUNICATION SERVICES - Total Expense: 40796962, Program Service Expense: 38757114, Management and General Expenses: 2039848, Fundraising Expenses: ; CLINCAL SERVICES - Total Expense: 50004364, Program Service Expense: 47504146, Management and General Expenses: 2500218, Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 7241546, Program Service Expense: 6879469, Management and General Expenses: 362077, Fundraising Expenses: ; OTHER SERVICES - Total Expense: 2781809, Program Service Expense: 2642719, Management and General Expenses: 139090, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesOther Change in Net Assets - 10385328; Total - 10385328;
Form 990, Part XII, Line 2cTHE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UHS ASC LLC
1520 CHEROKEE TRAIL STE 200KNOXVILLETN37920311626179Surgery CenterTN$1,550,979,553$1,285,031,465UNIVERSITY HEALTH SYSTEM INC
REGIONAL TRAUMA SERVICES LLC
1520 CHEROKEE TRAIL STE 330KNOXVILLETN37920202769076TRAUMA MANAGEMENTTN$702,765$405,996UNIVERSITY HEALTH SYSTEM INC
UNIVERSITY HEALTH NETWORK LLC
1520 CHEROKEE TRAIL STE 200KNOXVILLETN37920812770309CLINICALLY INTEGRATED NETWORKTN$6,192,730$2,882,782UNIVERSITY HEALTH SYSTEM INC
UT URGENT CARE CENTERS
2121 MEDICAL CENTER WAYKNOXVILLETN37920URGENT CARETN$2,814,248$359,920UNIVERSITY HEALTH SYSTEM INC
UNIVERSITY HEALTH ACO LLC
2121 MEDICAL CENTER WAYKNOXVILLETN37920822250990coordinator: Health CareTN$0$0UNIVERSITY HEALTH SYSTEM INC
UHS Sevierville PHarmacy
1130 Middle Creek Rd Ste 180SeviervilleTN37862pharmacyTN$4,729,430$665,730UNIVERSITY HEALTH SYSTEM INC
University Emergency Obstetrics LLC
1924 ALCOA HWYKnoxvilleTN37920Physician/Obstetrics & GynecologyTN$807,056$124,785UNIVERSITY HEALTH SYSTEM INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY DIAGNOSTICS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12121 MEDICAL CENTER WAY STE 300AddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37920ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesDiagnostics LabPrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Share Of Total Income$6,289,975ShareOfTotalIncomeAmt
Share Of EOY Assets$10,623,518ShareOfEOYAssetsAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.725OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1UHS VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19000 EXECUTIVE PARK DRIVE D-240AddressLine1Txt
CityKnoxvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37923ZIPCd
FieldValueIRS element (for citing)
EIN621619460EIN
Primary ActivitiesMANAGEMENT SERVICESPrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Share Of Total Income$1,537,505ShareOfTotalIncomeAmt
Share Of EOY Assets$643,111ShareOfEOYAssetsAmt
Ownership1OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1University Diagnostics LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeATransactionTypeTxt
Involved$323,313InvolvedAmt
Method Of Amount DeterminationCostMethodOfAmountDeterminationTxt