UNIVERSITY HEALTH SYSTEM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY HEALTH SYSTEM INC (EIN 31-1626179)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-09
IRS object ID: 201103139349302310
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-09T13:26:07-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PERSHING YOAKLEY & ASSOCIATES PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE CHEROKEE MILLS 2220 SUTHERLAND	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	379192363	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	311626179	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	UNIV	NameControl
Phone	8652514417	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2121 MEDICAL CENTER WAY NO 200	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	37920	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	THOMAS M FISHER	Name
Title	CFO	Title
Phone	8652514417	Phone
Date Signed	2011-11-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DEBORAH O ERNSBERGER	Name
Phone	8656730844	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	UNIV OF TN MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOSEPH R LANDSMAN JR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2121 MEDICAL CENTER WAY NO 200	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	37920	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	805852269	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.UTMEDICALCENTER.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	TN	StateLegalDomicile
Activity Or Mission Description	TO OPERATE AN ACADEMIC MEDICAL CENTER, PROVIDING HEALTHCARE & SUPPORTING RESEARCH & EDUCATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	4144	TotalNbrEmployees
Total Nbr Volunteers	316	TotalNbrVolunteers
Total Gross UBI	1407115	TotalGrossUBI
Net Unrelated Business Txbl Income	845339	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4592416	ContributionsGrantsPriorYear
Contributions Grants Current Year	4560307	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	524780746	ProgramServiceRevenuePriorYear
Program Service Revenue CY	542300601	ProgramServiceRevenueCY
Investment Income Prior Year	3842989	InvestmentIncomePriorYear
Investment Income Current Year	4472435	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5636357	OtherRevenuePriorYear
Other Revenue Current Year	5365019	OtherRevenueCurrentYear
Total Revenue Prior Year	538852508	TotalRevenuePriorYear
Total Revenue Current Year	556698362	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	498567	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	320306	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	214421660	SalariesEtcPriorYear
Salaries Etc Current Year	225032111	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	27600	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	80932	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	80932	TotalFundrsngExpCurrentYear
Other Expense Prior Year	313632832	OtherExpensePriorYear
Other Expenses Current Year	323625486	OtherExpensesCurrentYear
Total Expenses Prior Year	528580659	TotalExpensesPriorYear
Total Expenses Current Year	549058835	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10271849	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7639527	RevenuesLessExpensesCY
Total Assets BOY	448096748	TotalAssetsBOY
Total Assets EOY	473973261	TotalAssetsEOY
Total Liabilities BOY	346597166	TotalLiabilitiesBOY
Total Liabilities EOY	367496944	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	101499582	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	106476317	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	UHS OPERATES THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER") WHICH OFFERS MEDICAL CARE TO A TWENTY-ONE COUNTY SERVICE AREA LOCATED THROUGHOUT EAST TENNESSEE, AND PROVIDES SERVICES TO PATIENTS LOCATED IN SOUTHEAST KENTUCKY, SOUTHWEST VIRGINIA, AND WESTERN NORTH CAROLINA. THROUGH OPERATION OF THE MEDICAL CENTER, UHS PROVIDES HEALTHCARE SERVICES WITHIN ITS COMMUNITY AND BEYOND, PROVIDING SPECIALIZED CARE THAT IS CUSTOMARILY ONLY AVAILABLE AT ACADEMIC MEDICAL CENTERS; SUPPORTS MEDICAL RESEARCH AND EDUCATION THROUGH AN AFFILIATION AGREEMENT WITH THE UNIVESRITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE; PROVIDES A PATIENT BASE FOR TRAINING PHYSICIANS, DENTISTS, NURSES, AND OTHER HEALTH PROFESSIONALS; AND PROVIDES SUPPORT FOR CLINICAL RESEARCH AND RESEARCH TRAINING.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	446914286	Expense
Grants	320306	Grants
Revenue	512080341	Revenue
Description	PATIENT CARE SERVICESSEE THE STATEMENT OF COMMUNITY BENEFIT PROVIDED IN SCHEDULE O FOR DETAIL RELATED TO PATIENT CARE SERVICES.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	45123339	Expense
Revenue	30220260	Revenue
Description	AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHICH WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GSM AND OTHER ACADEMIC INSTITUTIONS AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS.SEE THE STATEMENT OF COMMUNITY BENEFIT PROVIDED IN SCHEDULE O FOR DETAIL RELATED TO THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	16278041	Expense
Description	UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNTSEE THE STATEMENT OF COMMUNITY BENEFIT PROVIDED IN SCHEDULE O FOR DETAIL RELATED TO CHARITY CARE AND THE SELF-PAY DISCOUNT.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	508315666	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	318	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4144	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	1	NonDeductibleContributions
Non Deductible Disclosure	1	NonDeductibleDisclosure
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JOSEPH R LANDSMAN	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8653059430	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2121 MEDICAL CENTER WAY NO 200	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	37920	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JOSEPH R LANDSMAN JR
DIRECTOR/PRESIDENT & CEO	65.00	X	X	1146077	0	82759
ROBERT F ELDER MD
DIRECTOR/PHYSICIAN	65.00	X		446129	0	13060	X
JAMES A HASLAM II
DIRECTOR	1.00	X		0	0	0
JOSEPH E JOHNSON
DIRECTOR	1.00	X		0	0	0
STEVE J SCHWAB MD
DIRECTOR	1.00	X		0	0	0
JAN SIMEK
DIRECTOR	1.00	X		0	0	0
JIMMY CHEEK
DIRECTOR	1.00	X		0	0	0
JOSEPH A DIPIETRO
DIRECTOR	1.00	X		0	0	0
BERNARD E BERNSTEIN
CHAIR	1.00	X		0	0	0
WILLIAM S RUKEYSER
VICE-CHAIR	1.00	X		0	0	0
CAROLYN FAIRBANK BIGGS
DIRECTOR	1.00	X		0	0	0
JERRY EPPS MD
DIRECTOR	1.00	X		0	0	0
SARA FORTUNE ROSE
SECRETARY/TREASURER	1.00	X		0	0	0
STEWART BRESEE MD
DIRECTOR	1.00	X		0	0	0
RENDA J BURKHART
DIRECTOR	1.00	X		0	0	0
HW SHERROD JR
DIRECTOR	1.00	X		0	0	0
THOMAS M FISHER
SR. VP/CFO	65.00		X	529623	0	71884
WILLIAM D HALL
SR. VP/COO	65.00		X	500610	0	77759
NORMAN D MAJORS
SR. VP/CAO	65.00		X	332837	0	23060
JOHN W LACEY
SR. VP/CMO	65.00		X	419296	0	45259
STEVEN R ROSS
SR. VP/STRATEGIC DEV.	65.00		X	400301	0	25259
JANELL R CECIL
SR. VP/CNO	65.00		X	284111	0	25259
RICHARD K GIECEK
CHIEF DEVELOPMENT OFFICER	65.00			293740	0	30259	X
BENNETT COX
CHIEF GENERAL COUNSEL	65.00			286527	0	13060	X
BETTY A GISSEL
VP HUMAN RESOURCES	65.00			219473	0	18363	X
JOHN J SHERIDAN
VP GOVERNMENT RELATIONS	65.00			180505	0	21744	X
STANLEY S MILLER MD
ONCOLOGIST	65.00			1414575	0	25259		X
TIMOTHY J PANELLA MD
ONCOLOGIST	65.00			746963	0	12250		X
LARRY C KILGORE MD
GYNECOLOGIC ONCOLOGY	65.00			645889	0	12644		X
SUSAN N HUNTSINGER MD
ONCOLOGIST	65.00			1106809	0	25259		X
JOHN L BELL MD
SURGICAL ONCOLOGIST	65.00			685405	0	13060		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9638870	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	536197	TotalOtherCompensation
Number Individuals GT100 K	174	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
GRADUATE SCHOOL OF MEDICINE
1924 ALCOA HIGHWAY	KNOXVILLE	TN	37920	MEDICAL EDUCATION	27467268
UNIVERSITY PHYSICIANS ASSOCIATION
1520 CHEROKEE TRAIL	KNOXVILLE	TN	37920	STAFFING/BILLING/ MGMT SRVCS	12072989
LABORATORY CORPORATION OF AMERICA
1924 ALCOA HIGHWAY	KNOXVILLE	TN	37920	LABORATORY SERVICES	10941762
JOHNSON & GAYLON
PO BOX 3070	KNOXVILLE	TN	37927	CONSTRUCTION SERVICES	6623380
ORTHO TENNESSEE
260 FORT SANDERS BLVD SUITE 200	KNOXVILLE	TN	37922	MEDICAL COVERAGE	3656794

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	107	NumberOfContractorsGT100K
Fundraising Events	589569	FundraisingEvents
All Other Contributions	3970738	AllOtherContributions
Total Contributions	4560307	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	621500	518738837	518738837
PROGRAM SERVICE REV.	621400	23561764	23429536	132228

Field	Value	IRS element (for citing)
Total Program Service Revenue	542300601	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4290173	TotalRevenueColumn
Unrelated Business Revenue	668790	UnrelatedBusinessRevenue
Exclusion	$3,621,383	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3202402	Real
Personal	41357	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3202402	Real
Personal	41357	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3243759	TotalRevenueColumn
Exclusion	$3,243,759	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	249162619	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	248980305	Securities
Other	52	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	182314	Securities
Other	-52	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	182262	TotalRevenueColumn
Exclusion	$182,262	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	173550	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	589569	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	173550	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PARKING REVENUE	812930	1073094	$1,073,094
TELEPHONE SERVICE	812900	336747		336747
OTHER SERVICES	624100	240643		240643

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	470776	TotalRevenueColumn
Unrelated Business Revenue	28707	UnrelatedBusinessRevenue
Exclusion	$442,069	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2121260	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	556698362	TotalRevenueColumn
Related Or Exempt Function Income	542168373	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1407115	UnrelatedBusinessRevenue
Exclusion	$8,562,567	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	260108	Total
Program Services	260108	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	60198	Total
Program Services	60198	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7359143	Total
Management And General	7359143	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	170165245	Total
Program Services	152565558	ProgramServices
Management And General	17599687	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	12472014	Total
Program Services	10953389	ProgramServices
Management And General	1518625	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	23268335	Total
Program Services	21621623	ProgramServices
Management And General	1646712	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11767374	Total
Program Services	10794329	ProgramServices
Management And General	973045	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5142026	Total
Program Services	4419873	ProgramServices
Management And General	722153	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	12826424	Total
Program Services	11955023	ProgramServices
Management And General	871401	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	212779	Total
Program Services	42094	ProgramServices
Management And General	170685	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	80932	Total
Fundraising	80932	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	72629574	Total
Program Services	66948124	ProgramServices
Management And General	5681450	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2068343	Total
Program Services	210066	ProgramServices
Management And General	1858277	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	124119734	Total
Program Services	123361394	ProgramServices
Management And General	758340	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12807271	Total
Program Services	12228626	ProgramServices
Management And General	578645	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	714671	Total
Program Services	558771	ProgramServices
Management And General	155900	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	344378	Total
Program Services	292725	ProgramServices
Management And General	51653	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	11793072	Total
Program Services	11793072	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	20174217	Total
Program Services	20174217	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8511599	Total
Program Services	8511599	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	47289660	47289660
EQUIPMENT RENTAL	3004184	2948801	55383
PRINTING	605764	358484	247280
POSTAGE	476391	347881	128510
UBI TAX	276424	276424

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	628975	Total
Program Services	343627	ProgramServices
Management And General	285348	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	549058835	Total
Program Services	508315666	ProgramServices
Management And General	40662237	ManagementAndGeneral
Fundraising	80932	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	62472690	BOY
EOY	56929702	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	42349080	BOY
EOY	50273330	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	57811347	BOY
EOY	67144220	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5647971	BOY
EOY	5260168	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	792666	BOY
EOY	1188753	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	321799938	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	147300783	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	160940041	BOY
EOY	174499155	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	77997687	BOY
EOY	90663790	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1644985	BOY
EOY	3110846	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	38440281	BOY
EOY	24903297	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	448096748	BOY
EOY	473973261	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	86354284	BOY
EOY	91754422	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	229165778	BOY
EOY	231601892	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	15260873	BOY
EOY	20736026	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	15816231	BOY
EOY	23404604	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	346597166	BOY
EOY	367496944	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	97318882	BOY
EOY	99973775	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	333512	BOY
EOY	1975856	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3847188	BOY
EOY	4526686	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	101499582	BOY
EOY	106476317	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	448096748	BOY
EOY	473973261	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7639527	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2662792	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$180	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$172,713	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	172893	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3939899	BeginningOfYearBalance
Contributions	654498	Contributions
Investment Earnings Or Losses	101770	InvestmentEarningsOrLosses
End Of Year Balance	4696167	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3248694	BeginningOfYearBalance
Contributions	608652	Contributions
Investment Earnings Or Losses	92712	InvestmentEarningsOrLosses
Other Expenditures	10159	OtherExpenditures
End Of Year Balance	3939899	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2846890	BeginningOfYearBalance
Contributions	363843	Contributions
Investment Earnings Or Losses	93551	InvestmentEarningsOrLosses
End Of Year Balance	3304284	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2614	OtherCostOrOtherBasis
Book Value	2614	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16818	OtherCostOrOtherBasis
Depreciation	11707	Depreciation
Book Value	5111	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	175564511	OtherCostOrOtherBasis
Depreciation	57438152	Depreciation
Book Value	118126359	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	126674005	OtherCostOrOtherBasis
Depreciation	84044521	Depreciation
Book Value	42629484	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19541990	OtherCostOrOtherBasis
Depreciation	5806403	Depreciation
Book Value	13735587	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	174499155	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
ASSETS LIMITED AS TO USE	7441085
DEFERRED FINANCING COSTS	2252998
EST. THIRD-PARTY SETTLEMENTS	15209214

Field	Value	IRS element (for citing)
Total Book Value Other Assets	24903297	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ASBESTOS ABATEMENT	$114,640
INTEREST RATE SWAP LIABILITY	$6,637,613
OTHER LIABILITIES	$11,345,345
EST. THIRD-PARTY SETTLEMENTS	$5,307,006

Field	Value	IRS element (for citing)
Total Of Amounts	23404604	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	Identifier
Return Reference	PART V, LINE 4:	ReturnReference
Explanation	ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - PATIENT CARE, RESEARCH, AND EDUCATION.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
FOCUS ON FUNDING
107 MULBERRY ST	COLUMBUS	OH	43147	GRANT WRITER	0	27833	24510	3323
BENTZ WHALEY FLESSNER
7251 OHMS LANE	MINNEAPOLIS	MN	55439	STRATEGIC CONSULTING	0	0	50334	-50334

Field	Value	IRS element (for citing)
Total Gross Receipts	27833	TotalGrossReceipts
Total Retained By Contractors	74844	TotalRetainedByContractors
Total Net To Organization	-47011	TotalNetToOrganization
Licensed States	TN	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	EVENING IN ORANGE GALA	NameOfEvent1
Gross Receipts Event1	637440	GrossReceiptsEvent1
Charitable Contributions Event1	508913	CharitableContributionsEvent1
Gross Revenue Event1	128527	GrossRevenueEvent1
Rent Facility Costs Event1	40620	RentFacilityCostsEvent1
Food And Beverage Event1	54495	FoodAndBeverageEvent1
Entertainment Event1	5000	EntertainmentEvent1
Other Direct Expenses Event1	28412	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	72500	GrossReceiptsEvent2
Charitable Contributions Event2	50554	CharitableContributionsEvent2
Gross Revenue Event2	21946	GrossRevenueEvent2
Non Cash Prizes Event2	9831	NonCashPrizesEvent2
Rent Facility Costs Event2	7197	RentFacilityCostsEvent2
Food And Beverage Event2	927	FoodAndBeverageEvent2
Entertainment Event2	250	EntertainmentEvent2
Other Direct Expenses Event2	3742	OtherDirectExpensesEvent2
Total Number Of Other Events	6	TotalNumberOfOtherEvents
Gross Receipts Other Events	53179	GrossReceiptsOtherEvents
Charitable Contrib Other Events	30102	CharitableContribOtherEvents
Gross Revenue Other Events	23077	GrossRevenueOtherEvents
Non Cash Prizes Other Events	395	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	3606	RentFacilityCostsOtherEvents
Food And Beverage Other Events	6498	FoodAndBeverageOtherEvents
Entertainment Other Events	1100	EntertainmentOtherEvents
Other Direct Expenses Other Events	11477	OtherDirectExpensesOtherEvents
Gross Receipts Total	763119	GrossReceiptsTotal
Charitable Contributions Total	589569	CharitableContributionsTotal
Gross Revenue Total Events	173550	GrossRevenueTotalEvents
Non Cash Prizes Total Events	10226	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	51423	RentFacilityCostsTotalEvents
Food And Beverage Total Events	61920	FoodAndBeverageTotalEvents
Entertainment Total Events	6350	EntertainmentTotalEvents
Other Direct Expenses Total Events	43631	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	173550	DirectExpenseSummaryEvents
Net Income Summary	0	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10194517	TotalCommunityBenefitExpense
Net Community Benefit Expense	10194517	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68710748	TotalCommunityBenefitExpense
Direct Offsetting Revenue	64217082	DirectOffsettingRevenue
Net Community Benefit Expense	4493666	NetCommunityBenefitExpense
Percent Of Total Expense	0.00900	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10284326	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6693356	DirectOffsettingRevenue
Net Community Benefit Expense	3590970	NetCommunityBenefitExpense
Percent Of Total Expense	0.00720	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	89189591	TotalCommunityBenefitExpense
Direct Offsetting Revenue	70910438	DirectOffsettingRevenue
Net Community Benefit Expense	18279153	NetCommunityBenefitExpense
Percent Of Total Expense	0.03650	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	366168	TotalCommunityBenefitExpense
Net Community Benefit Expense	366168	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15473688	TotalCommunityBenefitExpense
Net Community Benefit Expense	15473688	NetCommunityBenefitExpense
Percent Of Total Expense	0.03080	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6083524	TotalCommunityBenefitExpense
Net Community Benefit Expense	6083524	NetCommunityBenefitExpense
Percent Of Total Expense	0.01210	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	90000	TotalCommunityBenefitExpense
Net Community Benefit Expense	90000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	119745	TotalCommunityBenefitExpense
Net Community Benefit Expense	119745	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22133125	TotalCommunityBenefitExpense
Net Community Benefit Expense	22133125	NetCommunityBenefitExpense
Percent Of Total Expense	0.04400	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	111322716	TotalCommunityBenefitExpense
Direct Offsetting Revenue	70910438	DirectOffsettingRevenue
Net Community Benefit Expense	40412278	NetCommunityBenefitExpense
Percent Of Total Expense	0.08050	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	22045	TotalCommunityBuildingExpense
Net Community Building Expense	22045	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	222695	TotalCommunityBuildingExpense
Net Community Building Expense	222695	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	244740	TotalCommunityBuildingExpense
Net Community Building Expense	244740	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$13,216,687	BadDebtExpenseAmount
Amount Reimbursed By Medicare	111470102	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	115838324	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4368222	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 DLUHS INC
LABORATORY SERVICES	0.05000
2 UNIVERSITY AMBULATORY SURGICAL CENTER
SURGERY CENTER	0.53500	0.46500
3 THE EAST TENNESSEE CENTER FOR SLEEP MEDICINE LLC
SLEEP MEDICINE	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	9000 EXECUTIVE PARK DRIVE BLDG	AddressLine1
Address Line2	D-240	AddressLine2
City	KNOXVILLE	City
State	TN	State
ZIP Code	37923	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERSITY HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE UHS GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF-PAY). UHS ALLOCATES THOSE EXPENSES TO ALL PATIENT SEGMENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO.
PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A) IS $47,289,660. UHS EXCLUDED THE FULL AMOUNT, $47,289,660, FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN (F), ON PART I, LINE 7.
PART II: THE ACTIVITIES REPORTED IN PART II SEEK TO ACHIEVE SPECIFIED OBJECTIVES, INCLUDING: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND RELIEF OF GOVERNMENT BURDEN. THE ACTIVITIES ARE AVAILABLE TO THE GENERAL PUBLIC, FOCUSING ON LOW-INCOME CONSUMERS.
PART III, LINE 4: TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3, UHS USES ACTUAL EXPENSE DATA ACCUMULATED BY PATIENT WITHIN THE TRENDSTAR SYSTEM BASED ON A COST TO CHARGE RATIO.THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER UHS'S CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS: 1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY WOULD HAVE BEEN GRANTED). 2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISENROLLED BY TNCARE PROGRAM IN 2010. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY.) 3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION.THE TEXT OF THE UNIVERSITY HEALTH SYSTEM, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS READS: "NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS."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 REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS.
PART III, LINE 8: THE MEDICARE ALLOWABLE COST REPORTED IN THE UHS MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSE DATA FROM THE UHS GENERAL LEDGER. UHS ALLOCATES THOSE EXPENSES TO PATIENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO.THE SHORTFALL OF $4,368,222 AS REPORTED IN PART III, LINE 7, SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE, ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. ALSO, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS, AND THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B: IT IS THE POLICY OF UHS TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. IF ADDITIONAL ASSISTANCE IS APPROVED, THE FINANCIAL COUNSELOR WILL SUBMIT A LETTER TO THE PATIENT TO INFORM HIM/HER OF APPROVAL OR PROVIDE OTHER INSTRUCTIONS. IF APPROVED FOR AN ADJUSTMENT, THE FINANCIAL COUNSELOR WILL SUBMIT THE INFORMATION TO PATIENT ACCOUNTS, WHO WILL PROCESS THE WRITE-OFF OR OTHER DISCOUNTS. THE ORGANIZATION'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE ORGANIZATION MAINTAINS COLLECTION PRACTICES THAT APPLY TO ALL PATIENTS, CHARITY CARE AND NON-CHARITY CARE PATIENTS, CONSISTENTLY AND FAIRLY REGARDLESS OF INSURANCE STATUS. THE MEDICAL CENTER, AS A TRAUMA CENTER, OFTEN TREATS PATIENTS WHO HAVE HAD AN UNPLANNED CATASTROPHIC HEALTHCARE OCCURRENCE. PATIENTS MAY HAVE THE MEANS TO PAY ONLY A PORTION OF THE ENTIRE COST. ALLOWANCES ARE MADE TO ADJUST THEIR HIGH BALANCES TO A MORE MANAGEABLE PAYOFF AMOUNT. WE UTILIZE AN INCOME CRITERION TO ADJUST A SIGNIFICANT PORTION OF THE BALANCE AS A CHARITY DISCOUNT. FINANCIAL COUNSELORS DILIGENTLY WORK WITH PATIENTS AND EVALUATE NEW INFORMATION LEARNED DURING THE COLLECTION PROCESS TO DETERMINE IF COLLECTION ACTIVITIES SHOULD BE CEASED OR IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE.
PART V, SECTION B, LINE 19D: THE STATE OF TENNESSEE ALLOWS A HOSPITAL TO CHARGE NO MORE THAN 185% OF THE MOST RECENTLY SETTLED COST TO CHARGE RATIO IN THE MEDICARE COST REPORT. UHS AUTOMATICALLY EXTENDS A 40% DISCOUNT TO SELF-PAYING PATIENTS. THIS 40% DISCOUNT COMPLIES WITH STATE REGULATIONS.	UNIVERSITY HEALTH SYSTEM, INC.
PART VI, LINE 2: THE UNIVERSITY OF TENNESSEE MEDICAL CENTER (UTMC) COLLABORATES WITH TOGETHER! HEALTHY KNOX (T!HK), AN INITIATIVE OF THE KNOX COUNTY HEALTH DEPARTMENT (KCHD), TO ASSESS THE COMMUNITY HEALTH NEEDS OF KNOX COUNTY. THE MISSION OF T!HK IS "A COMMUNITY APPROACH TO BETTER HEALTH." T!HK PROVIDES A FRAMEWORK FOR BRINGING TOGETHER THE INDIVIDUALS, GROUPS AND ORGANIZATIONS THAT MAKE UP THE KNOX COUNTY PUBLIC HEALTH SYSTEM, AND GUIDES THE COMMUNITY TO IDENTIFY AND TAKE ACTION ON PRIORITY HEALTH ISSUES. THE PURPOSE OF THE ASSESSMENT IS TO PROVIDE A SNAPSHOT OF THE HEALTH STATUS OF KNOX COUNTY RESIDENTS; TO PROVIDE USEFUL INFORMATION FOR LOCAL PROGRAMMATIC AND FISCAL DECISION-MAKING; AND TO INFORM THE DEVELOPMENT OF A STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN. DR. JACK LACEY, SENIOR VICE PRESIDENT & CHIEF MEDICAL OFFICER OF UTMC REPRESENTS UTMC ON THE T!HK LEADERSHIP TEAM, SERVING WITH EIGHTEEN OTHER VOLUNTEERS WHO SERVE DIVERSE COMMUNITY ORGANIZATIONS. THESE COMMUNITY ORGANIZATIONS INCLUDE: THE KNOXVILLE AREA CHAMBER PARTNERSHIP, KNOX COUNTY SCHOOLS, THE KNOXVILLE TRACK CLUB, HOLA HORA LATINA, PELLISSIPPI STATE COMMUNITY COLLEGE, UT'S CENTER FOR PUBLIC HEALTH, SUMMIT MEDICAL GROUP, CITY AND COUNTY DEVELOPMENT DEPARTMENTS, THE YMCA, COMPASSION COALITION, AND THE INTERFAITH HEALTH CLINIC. T!HK USES THE FOUR ASSESSMENTS OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL FROM COMMUNITY HEALTH PLANNING. MAPP WAS DEVELOPED THROUGH A COOPERATIVE AGREEMENT BETWEEN THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION. THE KCHD BEGAN DATA COLLECTION FOR THIS INITIATIVE IN 2009, COMPLETING TWO ASSESSMENTS, THE FIRST OF WHICH FOCUSED ON CAUSES OF ILLNESS AND DEATH IN KNOX COUNTY. PRE-EXISTING DATABASES CONTAINING LOCAL, STATE, AND NATIONAL HEALTH AND BEHAVIOR DATA WERE USED, INCLUDING THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), YOUTH RISK BEHAVIOR SURVEY (YRBS), DEATH CERTIFICATE DATA, BIRTH CERTIFICATE DATA, AND HOSPITAL DISCHARGE DATA. THE SECOND ASSESSMENT FOCUSED ON COUNTY RESIDENTS' ATTITUDES ABOUT THEIR HEALTH AND QUALITY OF LIFE. NINE FOCUS GROUPS ON HEALTH & QUALITY OF LIFE WERE HELD THROUGHOUT KNOX COUNTY. MORE THAN 3,400 SURVEYS ON HEALTH & QUALITY OF LIFE WERE COMPLETED BY COMMUNITY MEMBERS. IN PARTNERSHIP WITH THE UNIVERSITY OF TENNESSEE, TWENTY-SEVEN KEY INFORMANTS WERE ALSO INTERVIEWED. AS OF DECEMBER 31, 2010, RESULTS FOR ONLY THE FIRST TWO ASSESSMENTS HAVE BEEN RELEASED. REPORTS CAN BE FOUND ON THE WEBSITE: WWW.HEALTHYKNOX.ORG.TO ASSESS THE COMMUNITY HEALTH NEEDS OF THE COUNTIES SURROUNDING KNOX COUNTY, UTMC CONSULTS THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S 2010 COUNTY HEALTH RANKINGS. THE COUNTY HEALTH RANKINGS IS A COLLECTION OF 50 REPORTS THAT REFLECT THE OVERALL HEALTH OF COUNTIES IN EVERY STATE ACROSS THE COUNTRY, AND DATA COLLECTED BY OTHER STATE GOVERNMENT AND LOCAL AGENCIES TO ASSESS THE HEALTH OF THE COMMUNITY IT SERVES. THE COUNTY HEALTH RANKINGS ARE A KEY COMPONENT OF THE MOBILIZING ACTION TOWARD COMMUNITY HEALTH (MATCH) PROJECT, A COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. THE COUNTY HEALTH RANKINGS TEAM SYNTHESIZES HEALTH INFORMATION FROM A VARIETY OF DATA SOURCES TO CREATE THE RANKINGS. MOST OF THE DATA USED IS PUBLIC DATA. MEASURES BASED ON VITAL STATISTICS DATA, SEXUAL TRANSMITTED DISEASE RATES, AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) SURVEY DATA WERE CALCULATED SPECIFICALLY FOR THESE RANKINGS BY STAFF AT THE NATIONAL CENTER FOR HEALTH STATISTICS AND OTHER UNITS OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). HEALTH CARE QUALITY MEASURES WERE CALCULATED FOR THE RANKINGS BY THE AUTHORS OF THE DARTMOUTH ATLAS OF HEALTHCARE, USING MEDICARE CLAIMS DATA. ANOTHER KEY DATA SOURCE, PRIMARILY FOR SOCIAL AND ECONOMIC VARIABLES, WAS THE AMERICAN COMMUNITY SURVEY 2005-2009.COUNTY RANKINGS CAN BE FOUND ON THE WEBSITE: WWW.COUNTYHEALTHRANKINGS.ORG. IN 2010 AND EARLY 2011, UTMC CREATED A STAKEHOLDER GROUP TO REVIEW THE DATA COLLECTED TO-DATE FROM THE RESOURCES NAMED ABOVE. ADDITIONALLY THE UTMC CENTER COMMUNITY HEALTH ADVISORY COMMITTEE WAS FORMED. THE COMMITTEE CONSISTS OF INDIVIDUALS WHO WORK AND PROVIDE HEALTH EDUCATIONAL RESOURCES AND HEALTHCARE TO INDIVIDUALS IN KNOX COUNTY AND THE SURROUNDING REGION.
PART VI, LINE 3: TO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE PROCESS AND DISCHARGE) AND FINANCIAL COUNSELORS 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 SCREEN FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUME OF SPANISH-SPEAKING PATIENTS. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFFS, SOCIAL WORKERS, CHAPLAINS, PATIENT ADVOCATES, ETC.).
PART VI, LINE 4: THE UNIVERSITY OF TENNESSEE MEDICAL CENTER IS LOCATED IN KNOX COUNTY, TENNESSEE. AN ESTIMATED 424,000 INDIVIDUALS RESIDED IN KNOX COUNTY BETWEEN 2000 AND 2010. THE METROPOLITAN PLANNING COMMISSION ESTIMATES THAT THE POPULATION BETWEEN 2000 AND 2030 WILL INCREASE NEARLY 38% WHICH IS GREATER THAN THE 29.2% PREDICTED GROWTH FOR THE U.S. AS A WHOLE. THE LARGEST PORTION OF THE POPULATION IN KNOX COUNTY IS BETWEEN 20 AND 29 YEARS WITH 62,336 INDIVIDUALS. CLOSELY BEHIND ARE 40-49 YEAR OLDS AT 60,512 INDIVIDUALS. SINCE 2000, ESTIMATES INDICATE THE POPULATION 60 YEARS OF AGE AND OLDER IN KNOX COUNTY HAS GROWN APPROXIMATELY 26.6%. IN 2008, APPROXIMATELY 1.8% IN KNOX COUNTY WERE NON-ENGLISH SPEAKING PERSONS. IN KNOX COUNTY, 14.6% OF HIGH SCHOOL STUDENTS DROPPED OUT IN 2008 AND THE GRADUATION RATE WAS ONLY 79.3%, WHEREAS THE STATE-WIDE GRADUATION RATE WAS 82.2% WITH 10.1% OF STUDENTS DROPPING OUT. IN 2008, APPROXIMATELY 14.5% OF ALL PEOPLE IN KNOX COUNTY WERE LIVING BELOW THE POVERTY LEVEL (COMPARED TO 12.6% IN 2000 AND 2007). OF THESE, APPROXIMATELY 15.3% WERE CHILDREN UNDER THE AGE OF 18. THIS INCREASED 6.3% COMPARED TO THE 2000 U.S. CENSUS.
PART VI, LINE 6: THE MEDICAL CENTER IS OPERATED FOR THE BENEFIT OF THE COMMUNITY IN A MANNER CONSISTENT WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UHS HAS ADOPTED A FORMAL CHARITY CARE POLICY, HAS AN OPEN MEDICAL STAFF, AND OPERATES AN EMERGENCY ROOM, INCLUDING A LEVEL I TRAUMA CENTER. IT IS GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF INDEPENDENT CIVIC LEADERS FROM THE COMMUNITY AND REPRESENTATIVES FROM THE UNIVERSITY OF TENNESSEE.ADDITIONALLY, PLEASE REFER TO THE STATEMENT OF COMMUNITY BENEFIT AS PROVIDED IN SCHEDULE O FOR FURTHER DOCUMENTATION REGARDING UHS'S COMMITTMENT WITHIN ITS COMMUNITY.
PART VI, LINE 7: UHS IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
TN	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
EAST TN CHILDRENS HOSPITAL
PO BOX 15010	KNOXVILLE	TN	37901	626002604	501(C)(3)	6000	2010 CENTER STAGE SPONSORSHIP
EAST TN ECONOMIC DEVELOPMENT
10215 TECHNOLOGY DRIVE STE 202	KNOXVILLE	TN	37932	621158958	501(C)(3)	18000	2010 INVESTMENT - 15 COUNTY REGIONAL ECONOMIC DEVELOPMENT
INTERFAITH HEALTH CLINIC
315 GILL AVENUE	KNOXVILLE	TN	37917	581947641	501(C)(3)	50000	COMMUNITY HEALTHCARE OUTREACH FOR UNINSURED
KNOX ACADEMY MED PROJECT
115 SUBURBAN ROAD	KNOXVILLE	TN	37923	621458199	501(C)(3)	10000	2010 GALA DIAMOND SPONSORSHIP
SUSAN G KOMEN FOUNDATION
5005 LBJ FREEWAY STE 250	DALLAS	TX	752446100	751835298	501(C)(3)	25000	2010 RACE FOR THE CURE SPONSORSHIP
UNIVERSITY OF TENNESSEE ATHLETIC DEPT
301 ANDY HOLT TOWER	KNOXVILLE	TN	37996	626001636	501(C)(3)	14558	DONATION TO PURCHASE DEFIBRILLATORS FOR ATHLETE USE
WELLNESS COMMUNITY
2230 SUTHERLAND AVENUE	KNOXVILLE	TN	37919	581846210	501(C)(3)	40500	DONATION TO SUPPORT OPERATIONS
KNOXVILLE NEWS SENTINEL
DEPARTMENT 888581	KNOXVILLE	TN	37995	621785559	N/A	8000	EMPTY STOCKING FUND
MARCH OF DIMES
322 NANCY LYNN LANE STE 11	KNOXVILLE	TN	37919	131846366	501(C)(3)	8500	2010 MARCH FOR THE BABIES SPONSORSHIP; 2010 SIGNATURE CHEFS AUCTION; 2010 BRUCE PEARL GOLF TOURNAMENT SPONSORHIP
VARIETY OF EAST TENNESSEE
7132 REGAL LANE	KNOXVILLE	TN	37918	331025696	501(C)(3)	10100	DONATION TO PROVIDE EQUIPMENT FOR DISABLED CHILDREN

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	9	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
EMPLOYEE ASSISTANCE SCHOLARSHIPS	59	10958
CRISIS FUND CHARITABLE ASSISTANCE	2560	33640
MEDICAL EXPLORATIONS STIPENDS	40	15600

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. FOR EMPLOYEE EDUCATION ASSISTANCE SCHOLARSHIPS, APPLICANTS MUST SUBMIT RECEIPTS FOR EXPENDITURES. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH R LANDSMAN JR
822068	0	230000	0	94009	0	69750	0	13009	0	1228836	0	0	0
ROBERT F ELDER MD
385382	0	30000	0	30747	0	12250	0	810	0	459189	0	0	0
THOMAS M FISHER
397568	0	74375	0	57680	0	56875	0	15009	0	601507	0	0	0
WILLIAM D HALL
370818	0	65000	0	64792	0	64750	0	13009	0	578369	0	0	0
NORMAN D MAJORS
269848	0	37600	0	25389	0	22250	0	810	0	355897	0	0	0
JOHN W LACEY
342068	0	48000	0	29228	0	32250	0	13009	0	464555	0	0	0
STEVEN R ROSS
319068	0	47600	0	33633	0	12250	0	13009	0	425560	0	0	0
JANELL R CECIL
237068	0	32000	0	15043	0	12250	0	13009	0	309370	0	0	0
RICHARD K GIECEK
242068	0	28500	0	23172	0	12250	0	18009	0	323999	0	0	0
BENNETT COX
241098	0	28350	0	17079	0	12250	0	810	0	299587	0	0	0
BETTY A GISSEL
181165	0	23625	0	14683	0	10634	0	7729	0	237836	0	0	0
JOHN J SHERIDAN
152068	0	18900	0	9537	0	8735	0	13009	0	202249	0	0	0
STANLEY S MILLER MD
1414125	0	0	0	450	0	12250	0	13009	0	1439834	0	0	0
TIMOTHY J PANELLA MD
746501	0	0	0	462	0	12250	0	0	0	759213	0	0	0
LARRY C KILGORE MD
636564	0	0	0	9325	0	8766	0	3878	0	658533	0	0	0
SUSAN N HUNTSINGER MD
1106509	0	0	0	300	0	12250	0	13009	0	1132068	0	0	0
JOHN L BELL MD
624598	0	0	0	60807	0	12250	0	810	0	698465	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN NAME AMOUNT JOSEPH R. LANDSMAN, JR. $ 150,819 THOMAS M. FISHER 101,448 WILLIAM D. HALL 108,033 NORMAN D. MAJORS 29,158 JOHN W. LACEY 47,248 JANNELL R. CECIL 11,022 STEVEN R. ROSS 29,469 JOHN L. BELL, M.D. 59,517 BENNETT COX 14,948 ROBERT F. ELDER, M.D. 29,457 RICHARD K. GEICEK 15,633 BETTY A. GISSEL 10,634 LARRY C. KILGORE, M.D. 8,035 JOHN J. SHERIDAN 8,735 ABOVE DISTRIBUTIONS WERE INCLUDED IN TAXABLE INCOME DURING 2010 IN ACCORDANCE WITH PLAN DOCUMENTS.

PART I, LINE 7

THE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S COMPENSATION COMMITTEE. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
621220275	49952MBU9	2007-04-27	236534376	REFINANCE THE ISSUERS 1999 BONDS AND FINANCE CERTAIN CAPITAL IMPROVEMENTS	0	0	0
THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
621220275		2010-12-01	50000000	CAPITAL ADDITIONS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
236534376	161918145	2045137	72571095	2010	0	1	1	1
50000000		400000	49600000	2013	0	0	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	0	0	1	0.03000	0.00000	0.03000	1
0	1	0	0	1	0.03000	0.00000	0.03000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
DEPFABLB
0	0	0	1	2.000000000000	1	0	0
(no name)
0	1	0	0			0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
UNIVERSITY PHYSICIANS ASSOCIATION INC
DR. ELDER SERVES ON THE UHS BOARD AND SERVES AS UPA PRESIDENT.	12072989	UNIVERSITY PHYSICIANS ASSOCIATION, INC. PROVIDES PHYSICIAN AND CLINICAL SERVICES AS WELL AS CBO MANAGEMENT TO UHS.	0
UNIVERSITY ANESTHESIOLOGISTS
DR. EPPS SERVES ON THE UHS BOARD AND IS AN OWNER IN UNIV. ANESTHESIOLOGISTS	2840020	UNIVERSITY ANESTHESIOLOGISTS PROVIDES PHYSICIAN SERVICES TO UHS.	0
UNIVERSITY CARDIOLOGY
DR. BRESEE SERVES ON THE UHS BOARD AND IS AN OWNER IN UNIVERSITY CARDIOLOGY	1134708	UNIVERSITY CARDIOLOGY PROVIDES PHYSICIAN AND OTHER CLINICAL SERVICES TO UHS.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBERS, JOSEPH A. DIPIETRO, JOSEPH E. JOHNSON, JIMMY CHEEK, AND JAN SIMEK ARE EACH KEY EMPLOYEES OF THE UNIVERSITY OF TENNESSEE.
FORM 990, PART VI, SECTION B, LINE 11	THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND 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.
	EACH MEMBER OF THE BOARD OF DIRECTORS ANNUALLY COMPLETES A CONFLICT OF INTEREST DISCLOSURE. THESE CONFLICT OF INTEREST DISCLOSURES ARE REVIEWED BY UHS OFFICE OF GENERAL COUNSEL TO ASSURE COMPLIANCE WITH THE POLICY. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES ON ANY MATTERS OF INTEREST BEFORE THE BOARD IN WHICH A CONFLICT OF INTEREST MAY EXIST. ANY SUCH RECUSAL IS DOCUMENTED WITHIN THE MINUTES OF THE BOARD OR COMMITTEE.	FORM 990, PART VI, SECTION B, LINE 12C
	THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES, A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY.	FORM 990, PART VI, SECTION B, LINE 15
	THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED LOSSES ON INVESTMENTS: -3,816,318. INCREASE IN TEMPORARILY RESTRICTED ASSETS 1,642,344. PARTNERSHIP INCOME NOT ON BOOKS -488,818. TOTAL TO FORM 990, PART XI, LINE 5: -2,662,792.	FORM 990, PART XI, LINE 5:
AUDIT COMMITTEE	UHS HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR.	FORM 990, PART XII, LINE 2C
	STATEMENT OF COMMUNITY BENEFIT UNIVERSITY HEALTH SYSTEM JANUARY 1, 2010 - DECEMBER 31, 2010 I. INTRODUCTION UNIVERSITY HEALTH SYSTEM, INC. ("UHS") OPERATES THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER") WHICH OFFERS MEDICAL CARE TO A TWENTY-ONE COUNTY SERVICE AREA LOCATED THROUGHOUT EAST TENNESSEE, SOUTHEAST KENTUCKY, SOUTHWEST VIRGINIA, WESTERN NORTH CAROLINA AND BEYOND. THROUGH OPERATION OF THE MEDICAL CENTER, UHS: - PROVIDES HEALTHCARE SERVICES FOR THE RESIDENTS OF MEDICAL CENTER'S SERVICE AREA AND BEYOND, INCLUDING SPECIALIZED CARE THAT IS CUSTOMARILY AVAILABLE AT ACADEMIC MEDICAL CENTERS; - SUPPORTS MEDICAL RESEARCH AND EDUCATION THROUGH AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE; - PROVIDES A PATIENT BASE FOR TRAINING PHYSICIANS, DENTISTS, NURSES AND OTHER HEALTH PROFESSIONALS; AND - PROVIDES SUPPORT FOR CLINICAL RESEARCH AND RESEARCH TRAINING. THE MEDICAL CENTER IS OPERATED FOR THE BENEFIT OF THE COMMUNITY IN A MANNER CONSISTENT WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UHS HAS ADOPTED A FORMAL CHARITY CARE POLICY, HAS AN OPEN MEDICAL STAFF, AND OPERATES AN EMERGENCY ROOM, INCLUDING A LEVEL I TRAUMA CENTER. IT IS GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF INDEPENDENT CIVIC LEADERS FROM THE COMMUNITY AND REPRESENTATIVES FROM THE UNIVERSITY OF TENNESSEE. THE MEDICAL CENTER HAS A RICH HISTORY IN THE COMMUNITY OF PROVIDING PATIENT-CENTERED CARE AND REMAINING AT THE FOREFRONT OF RESEARCH, TECHNOLOGY AND TREATMENTS. UHS ATTRIBUTES ITS WELL-RESPECTED STANDING WITHIN THE COMMUNITY TO THE EXCEPTIONAL PEOPLE THAT DEDICATE THEMSELVES TO PATIENT CARE EXCELLENCE. THE MEDICAL CENTER IS LICENSED FOR 581 ACUTE CARE BEDS AND SERVES AS A REFERRAL CENTER FOR THE REGION, PROVIDING SUPERIOR TREATMENTS AND HEALTHCARE SUPPORT TO RESIDENTS OF THE COMMUNITY AS WELL AS OFFERING EXPERT CARE AS THE AREA'S ONLY LEVEL I TRAUMA CENTER. THE MEDICAL CENTER IS A TERTIARY FACILITY, OFFERING GENERAL, SPECIALTY AND SUB-SPECIALTY CARE IN A FULL RANGE OF MEDICAL FIELDS. THE STATE HAS ALSO DESIGNATED THE MEDICAL CENTER AS A REGIONAL PERINATAL CENTER FOR HIGH-RISK PREGNANCY AND OPERATES A LEVEL III NURSERY, HEMOPHILIA CENTER AND CENTER FOR TRANSPLANT SERVICES WHICH PERFORMS KIDNEY AND PANCREAS TRANSPLANTS. THE MEDICAL CENTER IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF PATIENTS THROUGH LEADERSHIP IN HEALTHCARE, HEALTH EDUCATION AND CLINICAL RESEARCH. IT IS UNIQUE BECAUSE OF ITS STANDING AS THE ONLY ACADEMIC HOSPITAL IN THE REGION, MAKING IT THE LEADING RESOURCE FOR RESEARCH, DISCOVERY AND UPDATED TREATMENTS IN THE COMMUNITY. II. HISTORY UHS WAS CREATED ON DECEMBER 21, 1998, FOR THE PURPOSE OF RESTRUCTURING THE OPERATION, MANAGEMENT, AND GOVERNANCE OF THE MEDICAL CENTER, AND TO NEGOTIATE AGREEMENTS WITH THE UNIVERSITY OF TENNESSEE ("THE UNIVERSITY") TO FACILITATE THE RESTRUCTURING. EFFECTIVE JULY 29, 1999, UHS ACQUIRED CERTAIN ASSETS AND THE OPERATIONS OF THE MEDICAL CENTER FROM THE UNIVERSITY, AND THE MEDICAL CENTER BECAME AN OPERATING DIVISION OF UHS. PRIOR TO JULY 29, 1999, THE MEDICAL CENTER OPERATED AS A BUDGET ENTITY OF THE UNIVERSITY. UHS ENTERED INTO THE FOLLOWING AGREEMENTS TO ACQUIRE THE OPERATIONS OF THE MEDICAL CENTER FROM THE UNIVERSITY: 1) THE LEASE AND TRANSFER AGREEMENT, WHEREBY UHS LEASES CERTAIN REAL PROPERTY AND ACQUIRED CERTAIN PERSONAL PROPERTY FROM THE UNIVERSITY; 2) THE EMPLOYEE SERVICES AGREEMENT, WHEREBY UHS LEASES CERTAIN OF THE MEDICAL CENTER'S EMPLOYEES FROM THE UNIVERSITY; AND 3) THE AFFILIATION AGREEMENT, WHEREBY UHS AND THE UNIVERSITY AGREE TO CONTINUE THE MEDICAL CENTER'S HISTORICAL RELATIONSHIP WITH THE UNIVERSITY OF TENNESSEE MEMPHIS GRADUATE SCHOOL OF MEDICINE ("GSM"). UNDER THE TERMS OF THE LEASE AND TRANSFER AGREEMENT, UHS PURCHASED ALL OF THE OPERATING ASSETS OF THE MEDICAL CENTER, INCLUDING ALL PERSONAL PROPERTY, EQUIPMENT, INVENTORY, CURRENT ASSETS, AND OTHER ASSETS USED BY THE MEDICAL CENTER, OTHER THAN REAL PROPERTY. THE REAL PROPERTY IS LEASED FROM THE UNIVERSITY TO UHS FOR A TERM OF 50 YEARS. UNDER THE TERMS OF THE EMPLOYEE SERVICES AGREEMENT, EXISTING UHS EMPLOYEES, AND ALL EMPLOYEES HIRED SUBSEQUENT TO JULY 28, 1999, ARE UHS EMPLOYEES. ALL OTHER MEDICAL CENTER EMPLOYEES AS OF JULY 28, 1999, ARE LEASED BY UHS FROM THE UNIVERSITY AND RETAIN ALL UNIVERSITY BENEFITS. THE EMPLOYEE SERVICES AGREEMENT CONTINUES UNTIL THE EARLIER OF THE TERMINATION OF THE LEASE AND TRANSFER AGREEMENT OR THE SEPARATION FROM SERVICE OF THE LAST LEASED UNIVERSITY EMPLOYEE. THE AFFILIATION AGREEMENT GOVERNS THE CONTINUED RELATIONSHIP BETWEEN UHS AND THE GSM. UHS WILL PASS THROUGH CERTAIN FEDERAL AND STATE FUNDS EARMARKED FOR GRADUATE MEDICAL EDUCATION, AND THE MEDICAL CENTER WILL CONTINUE TO BE THE PRIMARY TEACHING SITE FOR THE GSM. III. PATIENT CARE SERVICES IN AN EFFORT TO PROVIDE A CONTINUUM OF CARE FOR PATIENTS, FROM DIAGNOSIS THROUGH RECOVERY, UHS OFFERS CENTERS OF EXCELLENCE TO ENHANCE THE QUALITY OF HEALTHCARE DELIVERED TO THE COMMUNITY. THE CENTERS OF EXCELLENCE ARE AS FOLLOWS: BRAIN AND SPINE INSTITUTE THE BRAIN AND SPINE INSTITUTE IS MADE UP OF EXPERTS IN THE FIELD OF NEUROSCIENCE IN ORDER TO BRING PATIENTS THE MOST ADVANCED HEALTHCARE IN EAST TENNESSEE FOR A FULL RANGE OF NEUROLOGICAL DISEASES AND DISORDERS. THE INSTITUTE OFFERS PATIENT-CENTERED CARE FOR INJURIES AND DISEASES SUCH AS TRAUMA (SPINAL CORD INJURY AND BRAIN INJURY), DEGENERATIVE DISEASES (ALZHEIMER'S AND PARKINSON'S), VASCULAR DISORDERS (STROKE AND ANEURYSMS), STRUCTURAL INJURIES AND CONDITIONS OF THE SPINE, AND TUMORS. DIAGNOSING AND TREATING BRAIN AND SPINE DISEASES AND CONDITIONS DEMANDS MANY SPECIALISTS THAT PATIENTS CAN ACCESS THROUGH THE BRAIN AND SPINE INSTITUTE. A TEAM OF SPECIALISTS INCLUDING NEUROSURGEONS AND NEUROLOGISTS PROVIDE PATIENTS WITH THE HIGHEST QUALITY CARE. THE BRAIN AND SPINE INSTITUTE OFFERS UNMATCHED EXPERTISE WITH THE COLE NEUROSCIENCE CENTER FOR DEGENERATIVE NEUROLOGICAL (BRAIN) DISORDERS AND STATE-OF-THE-ART TECHNOLOGY WITH THE ONLY CYBERKNIFE CENTER IN THE KNOXVILLE REGION. THE MEDICAL CENTER IS THE FIRST IN THE REGION TO EARN THE PRESTIGIOUS PRIMARY STROKE CENTER CERTIFICATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THE DESIGNATION COMES AFTER AN ON-SITE REVIEW BY JCAHO, THE NATION'S PREDOMINANT STANDARDS-SETTING AND ACCREDITING BODY IN HEALTHCARE. THE MEDICAL CENTER IS THE ONLY STROKE CENTER IN THE STATE TO BE RECOGNIZED BY THE AMERICAN HEART AND AMERICAN STROKE ASSOCIATIONS WITH THE GOLD PLUS ACHIEVEMENT AWARD FOR 2 YEARS OF 85% OR HIGHER OUTCOMES. THE SPINE CENTER HAS BEEN RECOGNIZED BY BLUE CROSS BLUE SHIELD AS A BLUE CENTER OF DISTINCTION. WITH THREE DEDICATED NEUROSURGICAL OPERATING ROOMS, A DEDICATED STROKE UNIT, MEDICAL AND SURGICAL INTENSIVE CARE UNITS, THE COLE NEUROSCIENCE CENTER AND THE LATEST TECHNOLOGY COMBINED WITH THE EXPERIENCE AND SKILL OF THE BRAIN AND SPINE INSTITUTE STAFF, THE MEDICAL CENTER PROVIDES QUALITY CARE TO THE EAST TENNESSEE COMMUNITY FOR TREATMENT OF BRAIN AND SPINE DISEASE OR INJURY. CANCER INSTITUTE THE CANCER INSTITUTE AT THE MEDICAL CENTER CONTINUES ITS MISSION TO SERVE PATIENTS IN KNOXVILLE AND THE EAST TENNESSEE COMMUNITY THROUGH PATIENT CARE, EDUCATION, AND RESEARCH. IN 2010, THE CANCER INSTITUTE PROVIDED CARE TO OVER 2000 NEW CANCER PATIENTS AND RECORDED OVER 50,000 PATIENT VISITS. THE CANCER INSTITUTE OPENED THE GASTROINTESTINAL TUMOR SERVICE (GITS) MODELED AFTER SIMILAR SUCCESSFUL PROGRAMS SUCH AS THE CHEST SERVICE, THE BREAST CARE SERVICE AND THE UNIVERSITY PROSTATE AND UROLOGY SERVICE. THE GITS IS DESIGNED TO EXPEDITE THE CARE OF PATIENTS REFERRED WITH SYMPTOMS OR SUSPICIOUS FINDINGS OR A CONFIRMED CANCER DIAGNOSIS FOR A GI MALIGNANCY.
	THE GITS NURSE NAVIGATOR ASSISTS WITH THE COORDINATION OF EACH REFERRAL TO THE APPROPRIATE PHYSICIANS WHILE PROVIDING INFORMATION, EDUCATION, AND SUPPORT FOR PATIENTS AND THEIR FAMILIES. THE CANCER INSTITUTE RECRUITED A PLASTIC SURGEON FELLOWSHIP TRAINED IN MICROVASCULAR TECHNIQUES OFFERING A NEW LEVEL OF CARE TO CANCER AND OTHER PATIENTS IN NEED OF COMPLEX RECONSTRUCTION AFTER SURGERY OR TRAUMA. THE CANCER INSTITUTE ALSO PROVIDES SUPPORT SERVICES TO ASSIST PATIENTS WITH THE EMOTIONAL, PSYCHOLOGICAL, AND FINANCIAL ISSUES RELATED TO A CANCER DIAGNOSIS. DURING 2010, THE CANCER INSTITUTE OFFERED THE ACS MAN TO MAN PROSTATE SUPPORT PROGRAM, THE ACS LOOK GOOD FEEL BETTER PROGRAM AND INITIATED THE NEW 6-WEEK PROGRAM, HEALTHY HORIZONS, TO HELP CANCER PATIENTS COMPLETING THEIR CARE RETURN BACK TO A NORMAL LIFE. THE CANCER INSTITUTE'S DEDICATED SOCIAL WORKER, CHAPLAIN, AND DIETICIAN ARE AVAILABLE AND ACTIVE IN PROVIDING THE NECESSARY SUPPORT TO PATIENTS AND FAMILIES THROUGH THEIR CANCER JOURNEY. THE CANCER INSTITUTE CONTINUED TO BE A LEADER IN COMMUNITY EDUCATION PROVIDING 457 OUTREACH PROGRAMS AND 3,700 SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLON CANCER THROUGHOUT EAST TENNESSEE. IN EARLY 2010, THE MEDICAL CENTER MOBILE MAMMOGRAPHY UNIT WAS UPGRADED WITH DIGITAL EQUIPMENT OFFERING WOMEN THROUGHOUT THE REGION THE LATEST IN SCREENING TECHNOLOGY. THE CANCER INSTITUTE IS ALSO ACTIVE IN FUNDRAISING TO SUPPORT OUTREACH AND PATIENT SUPPORT PROGRAMS THROUGH SUCH EVENTS AS THE MAN RUN, THE MAN RIDE, THE KOMEN RACE FOR THE CURE AND THE LEUKEMIA AND LYMPHOMA SOCIETY'S LIGHT THE NIGHT. IN ADDITION, CANCER PATIENTS BENEFIT FROM THE DEDICATED CLINICAL TRIALS PROGRAM AT THE CANCER INSTITUTE. AN AVERAGE OF 50 FEDERALLY-FUNDED OR PHARMACEUTICAL SPONSORED TRIALS ARE OPEN AT ANY TIME PROVIDING PATIENTS CUTTING-EDGE TREATMENT IN THE FIGHT AGAINST CANCER. IN 2010, 150 PATIENTS WERE ENROLLED IN AN ONCOLOGY CLINICAL TRIAL. CLINICIAN RESEARCHERS AT THE CANCER INSTITUTE ARE ALSO ACTIVE IN DEVELOPING INTERNAL INVESTIGATOR-INITIATED TRIALS CONTRIBUTING TO ADVANCING THE CARE OF CANCER PATIENTS. ALL CANCER INSTITUTE SERVICES ARE PROVIDED BY A TEAM OF DEDICATED CANCER SPECIALISTS IN A CARING AND COMPASSIONATE ENVIRONMENT. EMERGENCY AND TRAUMA SERVICES THE MEDICAL CENTER IS THE ONLY LEVEL I TRAUMA CENTER IN THE REGION FOR ADULTS AND CHILDREN AND SERVES AS THE TERTIARY REFERRAL CENTER FOR MEDICAL CARE IN EAST TENNESSEE, SERVING KNOX COUNTY AND TWENTY SURROUNDING COUNTIES. THE HEALTHCARE EXPERTS IN THE EMERGENCY DEPARTMENT TREAT MORE THAN 64,000 PATIENTS IN A YEAR WITH A COMMITMENT TO INDIVIDUALIZED PATIENT-CENTERED CARE AND TEAMWORK. WHETHER ARRIVING BY AMBULANCE, AEROMEDICAL TRANSPORT SERVICE, OR PRIVATE VEHICLE, PATIENTS RECEIVE A FULL RANGE OF MEDICAL CARE. THE FACILITY IS COMPRISED OF FIVE AREAS: A CRITICAL RESUSCITATION BAY FOR THE MOST SERIOUSLY INJURED OR ILL PATIENTS; AN EMERGENT TREATMENT AREA FOR THOSE WITH A POTENTIALLY SERIOUS PROBLEM; AN URGENT CARE AREA FOR THE LESS ILL AND INJURED, AND THE CLINICAL DECISION UNIT FOR LONG-TERM EVALUATIONS AND TREATMENT OF SPECIFIC MEDICAL PROBLEMS. TO HOLD A LEVEL I TRAUMA CENTER DESIGNATION, THE MEDICAL CENTER, PROVIDES A TEAM OF SPECIALLY TRAINED PERSONNEL TO MEET THE EMERGENT AS WELL AS ON-GOING AND CHANGING NEEDS OF THE TRAUMA PATIENTS FROM ADMISSION TO DISCHARGE. THE HEAD OF THIS TEAM IS THE TRAUMA SURGEON WHO SUPERVISES AND COORDINATES PATIENT CARE. VARIOUS SPECIALTY PHYSICIANS SUCH AS A NEUROSURGEONS, ORTHOPEDIC SURGEONS OR MAXILLOFACIAL OR PLASTIC SURGEONS ARE READILY AVAILABLE AND ARE CONSULTED AS NEEDED. AFTER EVALUATION IN THE EMERGENCY DEPARTMENT, CRITICAL TRAUMA PATIENTS, INCLUDING THOSE WITH TRAUMATIC BRAIN INJURIES, ARE THEN TRANSPORTED TO THE 32 BED SURGICAL CRITICAL CARE UNIT (SCC). IN THE SCC, THE PATIENT IS FURTHER EVALUATED AND CONSTANTLY MONITORED. CRITICALLY INJURED PATIENTS ARE COMPLEX AND CHALLENGING. THEY OFTEN REQUIRE MASSIVE RESUSCITATION, INTRACRANIAL PRESSURE AND PARTIAL BRAIN TISSUE OXYGENATION MONITORING, VENTILATION, CONTINUOUS RENAL REPLACEMENT THERAPY, AS WELL AS MANY OTHER SPECIALIZED TREATMENTS AND PROCEDURES. THE SCC IS STAFFED WITH EXPERIENCED PROFESSIONALS SUCH AS CRITICAL CARE NURSES, RESPIRATORY THERAPISTS, A CASE MANAGER AND CERTIFIED NURSING ASSISTANTS. BECAUSE OF THE SPECIALIZED TRAINING AND EQUIPMENT NEEDED TO CARE FOR THIS PATIENT POPULATION, THE SCC ALSO PROVIDES CARE FOR PATIENTS SUFFERING FROM HEMORRHAGIC STROKES AND OTHER NEUROLOGIC CONDITIONS. AS AN ACADEMIC MEDICAL CENTER, EXISTING CLINICAL RESEARCH IS EVALUATED, NEW RESEARCH IS CONDUCTED AND CARE PATHS ARE EVIDENCE-BASED ALLOWING PATIENTS THE MOST UP TO DATE CARE AVAILABLE. MULTIDISCIPLINARY DAILY ROUNDS ARE MADE BY THE TRAUMA TEAM CONSISTING OF RESIDENT PHYSICIANS, NURSES, PHARMACISTS, RESPIRATORY THERAPISTS, AND STUDENTS LED BY ATTENDING PHYSICIANS WHO DISCUSS THE CARE AND PROGRESS OF TRAUMA PATIENTS, AND ESTABLISH THE DAILY PATIENT GOALS WHILE ENSURING HIGH QUALITY COMPREHENSIVE CARE PLANNING. FAMILIES ARE ASKED AND ENCOURAGED TO ATTEND THESE ROUNDS INCLUDING THEM AS PART OF THE TEAM CARING FOR THEIR LOVED ONE. THE STAFF OF THE SCC UTILIZE THE PATIENT AND FAMILY CENTERED MODEL OF CARE. EVIDENCE OF THIS INCLUSIVE MODEL IS SEEN IN THE SCC'S OPEN VISITATION HOURS, FAMILY PRESENCE AT ROUNDS, REFERRALS TO CASE MANAGEMENT, PASTORAL CARE AND IN THE ONGOING COMMUNICATION WITH PATIENTS AND THEIR FAMILIES. HEART LUNG VASCULAR INSTITUTE THE HEART LUNG VASCULAR INSTITUTE WAS ESTABLISHED IN 2000 TO HELP MEET THE INCREASING NEED FOR CARDIOVASCULAR AND LUNG DISEASE CARE. HEART DISEASE, STROKE AND PULMONARY DISEASE ARE AMONG THE LEADING CAUSES OF DEATH IN THE UNITED STATES. IN ADDITION, TENNESSEE IS ONE OF THE WORST FIVE STATES FOR SMOKING, OBESITY, AND HIGH BLOOD PRESSURE - ALL OF WHICH CONTRIBUTE TO THE DEVELOPMENT OF HEART AND LUNG DISEASE. QUALITY AND SAFETY IN PATIENT CARE HAVE BEEN AN INTEGRAL PART OF OUR MISSION AT THE HLVI. THIS LED TO THE BUILDING OF A DEDICATED HEART HOSPITAL WITH A STATE OF THE ART CARDIOVASCULAR INTENSIVE CARE UNIT (CVICU). MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS, NURSES, PHARMACISTS, RESPIRATORY THERAPISTS, AND OTHERS, USE EVIDENCE-BASED CARE PLANS TO IMPLEMENT A PATIENT-FAMILY CENTERED MODEL OF CARE. FACILITY DESIGN, TECHNOLOGY, AND INFORMATION SYSTEMS ALSO SUPPORT OUR GOAL OF EXCELLENCE. THE GOALS OF THE HEART LUNG VASCULAR INSTITUTE ARE TO ATTAIN EXCELLENCE IN PATIENT CARE, PREVENTIVE MEDICINE, REHABILITATION SERVICES, RESEARCH, AND EDUCATION. EXCELLENCE IN PATIENT CARE MEANS OFFERING THE BEST DIAGNOSTIC AND TREATMENT PLANS USING THE LATEST TECHNOLOGY IN A COMPASSIONATE MANNER. THE HEART LUNG VASCULAR INSTITUTE OFFERS A COMPREHENSIVE ARRAY OF SERVICES THAT INCLUDE NON-INVASIVE DIAGNOSTICS SUCH AS ECHOCARDIOGRAPHY AND ULTRASOUND TECHNOLOGY, AS WELL AS INVASIVE SERVICES, SUCH AS CARDIAC CATHETERIZATION, ENDOVASCULAR SURGERY AND CARDIAC SURGERY (ADULT AND PEDIATRIC). THE HEART LUNG VASCULAR INSTITUTE WAS AWARDED THE AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES GOLD AWARD FOR HEART FAILURE IN 2010. PREVENTIVE MEDICINE INVOLVES EDUCATION ABOUT DISEASE PROCESSES AND RISK REDUCTION THROUGH COMMUNITY SEMINARS AND SCREENINGS SUCH AS THE HEART WISE PROGRAM. THE HEART LUNG VASCULAR INSTITUTE PARTICIPATES IN MULTIPLE EDUCATIONAL SEMINARS FOR THE PUBLIC AND HEALTHCARE PROVIDERS, AS WELL AS SCREENINGS FOR CARDIAC, PULMONARY, AND VASCULAR DISEASE. REHABILITATION SERVICES HELP PATIENTS RECOVERING FROM HEART ATTACKS, HEART FAILURE, HEART AND LUNG SURGERY, AND CHRONIC LUNG DISEASE. THE HEART LUNG VASCULAR INSTITUTE OFFERS CARDIOVASCULAR AND PULMONARY REHABILITATION IN A MULTIDISCIPLINARY, FULLY ACCREDITED PROGRAM. THE MEDICAL CENTER IS THE AREA'S ONLY ACADEMIC MEDICAL CENTER, AND RESEARCH INTO THE CAUSE AND TREATMENT OF DISEASE IS PART OF OUR MISSION. THE OTHER ROLE OF ACADEMICS INVOLVES PHYSICIAN EDUCATION; THE UT GSM CURRENTLY OFFERS FELLOWSHIPS IN CARDIOVASCULAR MEDICINE, VASCULAR SURGERY AND PULMONARY MEDICINE. THE HEART LUNG VASCULAR INSTITUTE SUPPORTS THE MEDICAL CENTERS' VISION TO BE NATIONALLY RECOGNIZED FOR EXCELLENCE IN PATIENT CARE, MEDICAL EDUCATION AND BIOMEDICAL RESEARCH.
	CENTER FOR WOMEN & CHILDREN'S HEALTH THE CENTER FOR WOMEN & CHILDREN'S HEALTH IS A HUB FOR SUPPORTING WOMEN'S AND CHILDREN'S INDIVIDUAL HEALTHCARE NEEDS. THE CENTER OFFERS COMPREHENSIVE SERVICES FOR CHILDBIRTH, HIGH RISK OBSTETRICS, NEONATAL CARE, WOMEN'S MID-LIFE HEALTH, INCLUDING: OSTEOPOROSIS, HEART HEALTH, ONCOLOGY SERVICES, GYNECOLOGICAL HEALTH, BREAST HEALTH, AND PSYCHO-SOCIAL NEEDS. IT PROVIDES SUPPORT, RESEARCH AND HEALTH INFORMATION, AN EXCEPTIONAL HEALTHCARE TEAM, CUTTING-EDGE TECHNOLOGY AND UNMATCHED PATIENT AND FAMILY-CENTERED CARE. THE REGIONAL NEONATAL PROGRAM HAS PROVIDED SERVICES SINCE 1974 WHICH INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT, BOARD CERTIFIED NEONATOLOGISTS, PEDIATRIC SURGEONS, A PEDIATRIC CARDIOLOGIST, AND OTHER SUB-SPECIALIST. THE CENTER OFFERS PREMIER TECHNOLOGY WITH HIGHLY TRAINED HEALTHCARE PROFESSIONALS TO PROVIDE EXCELLENT PATIENT AND FAMILY-CENTERED CARE. PATIENTS ARE PROVIDED COMPREHENSIVE SERVICES IN ONE LOCATION INCLUDING DIAGNOSIS, TREATMENT, SUPPORT, AND REHABILITATION. UTILIZATION AS OF THE YEAR ENDING DECEMBER 31, 2010, UHS MAINTAINED THE FOLLOWING OPERATING STATISTICS: INPATIENT ADMISSIONS 25,539 OUTPATIENT VISITS 109,387 EMERGENCY ROOM VISITS 64,686 IV. UNCOMPENSATED CARE THE HISTORY OF UHS DEMONSTRATES A CLEAR AND CONSISTENT CHARITABLE PURPOSE: THE PROVISION OF HEALTHCARE SERVICES TO ALL RESIDENTS OF THE COMMUNITY WITHOUT REGARD TO AGE, RACE, GENDER, CREED, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, OR ABILITY TO PAY. THESE SERVICES SHOULD BE DELIVERED IN A WAY THAT MAINTAINS INDIVIDUAL DIGNITY AND ENHANCES THE QUALITY OF LIFE OF THE PERSONS SERVED. ONE OF THE MOST TANGIBLE EXPRESSIONS OF THE UHS CHARITABLE PURPOSE IS THE PROVISION OF CARE TO THOSE WHO DO NOT HAVE THE ABILITY TO PAY. A. CHARITY CARE AND SELF-PAY DISCOUNT THE MEDICAL CENTER PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. UHS HAS A DOCUMENTED CHARITY POLICY, WHICH TAKES INTO CONSIDERATION INCOME LEVELS, AND OTHER DEMOGRAPHIC FACTORS. FOR THOSE WHO DO NOT QUALIFY UNDER THE EXISTING POLICY BUT ARE FACING DIFFICULT ECONOMIC CIRCUMSTANCES, ABILITY TO PAY IS DETERMINED ON A CASE-BY-CASE BASIS. THE MEDICAL CENTER ALSO HAS A POLICY REGARDING THOSE SELF-PAY PATIENTS WHO ARE INELIGIBLE FOR CHARITY CARE CONSIDERATION. SUCH PATIENTS WILL RECEIVE A 40% DISCOUNT FROM CHARGES. FOR THE YEAR ENDING DECEMBER 31, 2010, THE SYSTEM PROVIDED SERVICES UNDER THE PREVIOUSLY STATED POLICY WHICH RESULTED IN LOSSES TO UHS OF APPROXIMATELY $16,278,041. BOTH INPATIENTS AND OUTPATIENTS WERE PROVIDED CARE UNDER THE AFOREMENTIONED POLICY. NO PATIENT WAS REFUSED NECESSARY MEDICAL CARE ON THE BASIS OF HIS OR HER ABILITY TO PAY. UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNT $16,278,041 B. MEDICARE IN ADDITION TO THE PROVISION OF CARE WITHOUT EXPECTATION OF PAYMENT AND THE PROVISION OF CARE TO TENNCARE-ELIGIBLE PEOPLE AT RATES SUBSTANTIALLY BELOW COST, UHS PROVIDED SERVICES TO PEOPLE COVERED UNDER THE FEDERAL MEDICARE PROGRAM. MEDICARE RECIPIENTS WERE THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY UHS. THE PAYMENT RATE FOR INPATIENT SERVICES WAS ON A PER CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP INTO WHICH THE PATIENT WAS CATEGORIZED, COUPLED WITH OTHER FACTORS RELATED TO AREA WAGE RATES, MEDICAL EDUCATION, CAPITAL COSTS AND OTHER VARIABLES. OUTPATIENT SERVICES WERE REIMBURSED ON A PRE-DETERMINED CASE RATE. FOR THE YEAR ENDING DECEMBER 31, 2010, UNREIMBURSED SERVICES PROVIDED TO MEDICARE PATIENTS RESULTED IN A FINANCIAL LOSS OF $4,368,222. UNREIMBURSED MEDICARE SERVICES $4,368,222
	C. PUBLIC/INDIGENT CARE IN ADDITION TO THE LEVEL OF SERVICES IDENTIFIED IN PARAGRAPH A ABOVE, UHS IS AN ACTIVE PARTICIPANT IN OTHER FEDERAL, STATE OR LOCAL AND PUBLIC/INDIGENT PROGRAMS. THESE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTHCARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND CATEGORICAL REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME. PUBLIC/INDIGENT PROGRAMS REIMBURSEMENT RATES ARE SUBSTANTIALLY BELOW COST. FOR THE YEAR ENDING DECEMBER 31, 2010, UNREIMBURSED PUBLIC/INDIGENT SERVICES REPRESENTING A FINANCIAL LOSS TO UHS OF APPROXIMATELY $3,366,028. UNREIMBURSED PUBLIC/INDIGENT SERVICES $3,366,028 C. TENNCARE IN ADDITION TO THE LEVEL OF SERVICES IDENTIFIED IN PARAGRAPH A ABOVE, UHS IS AN ACTIVE PARTICIPANT IN THE STATE OF TENNESSEE TENNCARE PROGRAM. THE TENNCARE PROGRAM SEEKS TO PROVIDE PAYMENT FOR HEALTHCARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND CATEGORICAL REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME. TENNCARE PROGRAM REIMBURSEMENT RATES ARE SUBSTANTIALLY BELOW COST. FOR THE YEAR ENDING DECEMBER 31, 2010, UNREIMBURSED TENNCARE SERVICES REPRESENTING A FINANCIAL LOSS TO UHS OF APPROXIMATELY $4,493,666. UNREIMBURSED TENNCARE SERVICES $4,493,666 D. COVERTN UHS SUBSIDIZED HEALTH SERVICES PROVIDED TO PATIENTS COVERED BY COVERTN. COVERTN IS A PARTNERSHIP BETWEEN THE STATE, PRIVATE EMPLOYERS AND INDIVIDUALS TO OFFER A LIMITED BENEFIT, BASIC HEALTH PLAN TO EMPLOYEES OF TENNESSEE'S SMALL BUSINESS AND SELF-EMPLOYED. THE SERVICES PROVIDED TO THE COVERTN PATIENTS WERE PROVIDED BELOW COST. FOR THE YEAR ENDING DECEMBER 31, 2010, THE UNREIMBURSED SERVICES PROVIDED TO COVERTN PATIENTS RESULTED IN A FINANCIAL LOSS OF $224,942. UNREIMBURSED COVERTN SERVICES $224,942 SUMMARY, COMMUNITY BENEFIT TOTALS FOR UNCOMPENSATED CARE UNREIMBURSED CHARITY CARE $ 16,278,041 UNREIMBURSED MEDICARE $ 4,368,222 UNREIMBURSED PUBLIC/INDIGENT CARE $ 3,366,028 UNREIMBURSED TENNCARE $ 4,493,666 UNREIMBURSED COVERTN $ 224,942 TOTAL UNCOMPENSATED CARE $ 28,730,899 V. COMMUNITY SERVICES UHS PROVIDES NUMEROUS EDUCATION AND OUTREACH EFFORTS TO THE COMMUNITY, RANGING FROM HEALTH SCREENINGS AND FAIRS TO PRESENTATIONS TO AREA GROUPS. THE VARIOUS PROGRAMS AND SERVICES ARE PROVIDED COMPLIMENTARY OR AT A MINIMAL CHARGE. THESE ARE OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH UHS BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A. COMMUNITY EDUCATION AND OUTREACH UHS HAS A LONG-STANDING COMMITMENT TO COMMUNITY OUTREACH, AS EVIDENCED BY AN ACTIVE SCHEDULE OF SPECIAL PROGRAMS, SPEAKERS, AND DISTRIBUTION OF EDUCATIONAL MATERIALS, AS WELL AS HEALTH EDUCATION PRESENTATIONS FOR THE GENERAL PUBLIC AND CLASSES FOR POPULATIONS WITH SPECIAL HEALTH NEEDS. IN 2010, THE MEDICAL CENTER HELD VARIOUS EDUCATIONAL PROGRAMS FOR THE COMMUNITY, INCLUDING LUNCH AND LEARN SERIES, HEALTH FAIRS AND FLU SHOTS. MANY TIMES, A FEE WOULD COVER ONLY THE COST OF FOOD OR WOULD BE USED ONLY AS AN INCENTIVE FOR PARTICIPATION. NO FEES WERE CHARGED FOR EDUCATION IN CORPORATE VENUES, OFFERED FOR EMPLOYEES AND FAMILIES. TOTAL COST OF LECTURES, SEMINARS, AND EDUCATIONAL PROGRAMS $58,651 IN 2010, UHS PROVIDED THE FOLLOWING OTHER PROGRAMS AND ACTIVITIES THAT PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY: SUPPORT GROUPS $ 8,000 ALZHEIMER'S SUPPORT GROUP PARKINSON'S SUPPORT GROUP MULTIPLE SCLEROSIS SUPPORT GROUP KNOXVILLE LUNG WALK 1,000 CHEF'S AUCTION MARCH OF DIMES 2,000 HEART WALK 5,000 ALZHEIMER'S MEMORY WALK 1,356 CANCER SURVIVOR'S DAY 5,075 BREAST HEALTH OUTREACH 3,031 MAN RUN 12,236 HEARTWISE 10,000 HEALTHY LIVING EXPO 14,858 RACE FOR THE CURE 15,000 TOTAL OTHER EDUCATION AND OUTREACH $ 77,556 B. HEALTH SCREENINGS UHS EMPLOYEES WORK DILIGENTLY TO ACHIEVE THE UHS MISSION OF SUPPORTING HEALTH EDUCATION FOR THE PUBLIC. FROM PROVIDING DISPLAYS AND STAFF WHO CAN ANSWER QUESTIONS AT LOCAL HEALTH FAIRS TO UNDERWRITING THE COST OF COMPLIMENTARY COMMUNITY SCREENINGS, THE ORGANIZATION REACHES INTO THE COMMUNITY IN MANY WAYS TO IMPROVE RESIDENTS' UNDERSTANDING OF THE IMPACT OF LIFESTYLE CHOICES ON HEALTH. SCREENINGS INCLUDED BLOOD PRESSURE, OSTEOPOROSIS, CHOLESTEROL, VISION, AND CANCER. TOTAL COST OF SCREENINGS $229,961 SUMMARY, COMMUNITY SERVICES EDUCATIONAL PROGRAMS $ 58,651 TOTAL OTHER EDUCATION/OUTREACH 77,556 TOTAL HEALTH SCREENINGS 229,961 TOTAL QUANTIFIABLE VALUE OF COMMUNITY SERVICES $366,168 VI. TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHICH WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GSM AND OTHER ACADEMIC INSTITUTIONS AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS. UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE THE MEDICAL CENTER SERVES AS THE CLINICAL EDUCATION SITE OF THE GSM, WHICH MANAGES ALL RESIDENCY, FELLOWSHIP AND SUBSPECIALTY PROGRAMS IN ASSOCIATION WITH THE UT COLLEGE OF MEDICINE AND DENTISTRY. THE GRADUATE SCHOOL OF MEDICINE HAS A THREE-FOLD MISSION OF EXCELLENCE IN EDUCATION, PATIENT CARE, AND RESEARCH. ANNUALLY, THE GSM MAINTAINS OVER 200 FACULTY AND 164 RESIDENTS IN TRAINING AT THE MEDICAL CENTER. COMPONENTS OF THE GSM INCLUDE: - RESIDENCY AND FELLOWSHIP PROGRAMS ARE OFFERED IN MEDICINE AND DENTISTRY. - THE PRIMARY CARE RESIDENCY PROGRAMS ARE FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY. - THE REMAINING MEDICINE PROGRAMS INCLUDE ANESTHESIOLOGY, GENERAL SURGERY, NUCLEAR MEDICINE, PATHOLOGY, RADIOLOGY, TRANSITIONAL YEAR, AND UROLOGY. - FELLOWSHIPS ARE OFFERED THROUGH THE DEPARTMENTS OF FAMILY MEDICINE, MEDICINE, SURGERY, AND PATHOLOGY. - FAMILY MEDICINE FELLOWSHIPS INCLUDE EMERGENCY MEDICINE, SPORTS MEDICINE, BEHAVIORAL MEDICINE, OBSTETRICS, AND IN CONJUNCTION WITH THE DEPARTMENT OF MEDICINE A FELLOWSHIP IN GERIATRIC MEDICINE. - SURGERY OFFERS FELLOWSHIPS IN BOTH VASCULAR SURGERY AND TRAUMA/CRITICAL CARE. - THE DEPARTMENT OF PATHOLOGY OFFERS A FELLOWSHIP IN CYTOPATHOLOGY AND SURGICAL PATHOLOGY, AND IS IN THE PROCESS OF OFFERING A FELLOWSHIP IN FORENSIC PATHOLOGY. - THE DEPARTMENT OF RADIOLOGY OFFERS EDUCATIONAL OPPORTUNITIES IN POSITRON EMISSION TOMOGRAPHY (PET). - RESIDENCIES ARE OFFERED IN GENERAL DENTISTRY AS WELL AS ORAL AND MAXILLOFACIAL SURGERY. ADDITIONALLY, THE MEDICAL CENTER SERVES AS A CLINICAL EDUCATION SITE FOR THE UT COLLEGE OF PHARMACY. OTHER TRAINING PROGRAMS OFFERED INCLUDE MEDICAL TECHNOLOGY, NUCLEAR MEDICINE TECHNOLOGY, NURSE ANESTHESIA CONCENTRATION, CLINICAL PASTORAL EDUCATION, AND RADIOGRAPHY TECHNOLOGY. 2010 FINANCIAL SUPPORT FOR HEALTHCARE TRAINING AND EDUCATION IS AS FOLLOWS (UNREIMBURSED COST IS BELOW): NURSE ANESTHESIA CONCENTRATION (43) $ 94,352 SCHOOL OF RADIOLOGIC TECHNOLOGY (10) 95,534 SCHOOL OF NUCLEAR MEDICAL TECHNOLOGY (6) 78,697 SCHOOL OF MEDICAL TECHNOLOGY (11) 23,986 PHARMACY (11) 126,522 PASTORAL CARE (11) 151,518 GRADUATE SCHOOL OF MEDICINE (164) 14,903,079 TOTAL UNREIMBURSED COSTS OF TRAINING AND EDUCATION $ 15,473,688
	VII. MEDICAL RESEARCH RESEARCH IS AN IMPORTANT PART OF THE UHS MISSION. PATIENTS NEED PRACTITIONERS FAMILIAR WITH THE LATEST MEDICAL PROCEDURES AND TECHNOLOGY. INVOLVEMENT IN CLINICAL TRIALS ADVANCES THE KNOWLEDGE OF OUR PHYSICIANS AND PROVIDES PATIENTS WITH ACCESS TO NEW THERAPIES THAT ARE OTHERWISE UNAVAILABLE. RESEARCH ONE YEAR MAY BECOME STANDARD MEDICAL THERAPY THE FOLLOWING YEAR. OF COURSE, LABORATORY RESEARCH SERVES AS THE UNDERPINNING FOR OUR CLINICAL INVESTIGATIONS. RESEARCHERS ARE INVOLVED IN BASIC AND CLINICAL RESEARCH AND CLINICAL TRIALS. PRIMARY RESEARCH AREAS INCLUDE VASCULAR ENDOTHELIAL BIOLOGY, IMMUNOLOGY, ONCOLOGY, AMYLOID-RELATED DISEASE, DIABETES, ALZHEIMER'S DISEASE, NUTRITION AND TRAUMA. THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE HOUSES A NUMBER OF RESEARCH EFFORTS THAT HAVE ALREADY MADE A CONSIDERABLE IMPACT ON THE UNDERSTANDING AND TREATMENT OF SERIOUS MEDICAL DISORDERS, INCLUDING ALZHEIMER'S DISEASE, HUNTINGTON'S DISEASE, AMYLOID DISEASE, MULTIPLE MYELOMA, OVARIAN AND BREAST CANCER, AND REPRODUCTIVE DISORDERS. THESE FOCUSED AREAS OF EXCELLENCE PROVIDE AN EVER INCREASING INTERFACE BETWEEN THE CLINICAL AND RESEARCH ARMS OF THE MEDICAL CENTER. TOTAL UNREIMBURSED COST OF MEDICAL RESEARCH $90,000 VIII. DONATIONS UHS RECOGNIZES THE IMPACT THAT OTHER NON-PROFIT ORGANIZATIONS HAVE ON THE COMMUNITY IN WHICH THEY SERVE. IN ADDITION TO ITS DIRECT CONTRIBUTIONS TO THE COMMUNITY THROUGH ITS SERVICES, INDIGENT CARE, AND COMMUNITY EDUCATION AND OUTREACH, UHS PROVIDES CASH AND NONCASH DONATIONS TO VARIOUS CHARITABLE AND CIVIC ORGANIZATIONS WITHIN THE COMMUNITY. THESE EFFORTS AFFIRM UHS'S ROLE AS A CORPORATE CITIZEN, SUPPORTING COMMUNITY ORGANIZATIONS AND ENHANCING THE QUALITY OF LIFE IN THE EAST TENNESSEE AREA. IN 2010, UHS PROVIDED SUPPORT OF MORE THAN $119,745 NUMEROUS HEALTH AND HUMAN SERVICE AGENCIES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING RECIPIENTS: - ALZHEIMER'S ASSOCIATION - AMERICAN CANCER SOCIETY - AMERICAN HEART ASSOCIATION - AMERICAN DIABETES ASSOCIATION - BREAST CANCER FOUNDATION - BREATH OF LIFE SUPPORT FOUNDATION - EAST TENNESSEE CHILDREN'S HOSPITAL - EAST TENNESSEE ECONOMIC DEVELOPMENT - EAST TENNESSEE TECHNOLOGY ACCESS CENTER - GOODWILL INDUSTRIES-KNOXVILLE - GREAT SMOKY MOUNTAIN COUNCIL - HELEN ROSS MCNABB - JUVENILE DIABETES - KNOXVILLE ACADEMY OF MEDICINE - KNOXVILLE ACADEMY OF MEDICINE PROJECT ACCESS - KNOX COUNTY IMAGINATION LIBRARY - INTERFAITH HEALTH CLINIC - MARCH OF DIMES - MORRISTOWN-HAMBLEN HOSPITAL - NATIONAL KIDNEY FOUNDATION - SECOND HARVEST FOOD PANTRY - SUSAN G. KOMEN FOUNDATION - UNITED WAY - VARIETY OF EAST TENNESSEE - WELLNESS COMMUNITY - MANY ADDITIONAL DONATIONS TO SUPPORT COMMUNITY EVENTS AND SERVICES, CHURCHES AND SCHOOLS IN ADDITION TO THE CASH DONATIONS ITEMIZED ABOVE, UHS IS UNABLE TO QUANTIFY MANY OF THE SERVICES AND BENEFITS IT PROVIDES TO VARIOUS ORGANIZATIONS. TOTAL DONATIONS AND IN-KIND CONTRIBUTIONS $260,108 IX. OTHER COMMUNITY BUILDING ACTIVITIES A. IMPROVE ACCESS TO HEALTHCARE UHS ALSO PROVIDES PROGRAMS TO IMPROVE ACCESS TO HEALTHCARE FOR INDIVIDUALS WHO LACK INSURANCE. DURING 2010, UHS DEDICATED AN EMPLOYEE TO WORK ENTIRELY WITH SELF-PAY PATIENTS IN HELPING THEM APPLY FOR STATE ASSISTANCE THROUGH THE TENNCARE PROGRAM. ADDITIONALLY DURING 2010, UHS DEDICATED TWO CLERKS TO ASSIST, ONE OF WHICH SERVES AS AN INTERPRETER FOR PATIENTS WHOSE FIRST LANGUAGE IS NOT ENGLISH. UHS STRIVES TO MEET THE NEEDS OF THE COMMUNITY'S EVER-GROWING IMMIGRANT POPULATION BY ENSURING FULL ACCESS TO HEALTHCARE WITHOUT ALLOWING COMMUNICATION TO BE A BARRIER. B. COMMUNITY HEALTH IMPROVEMENT UHS PROVIDED SUPPORT TO INTERFAITH HEALTH CLINIC PROVIDING AFFORDABLE MEDICAL CARE, DENTAL CARE, MENTAL HEALTH COUNSELING AND PRESCRIPTION MEDICATIONS FOR THE WORKING UNINSURED. C. COMMUNICATION INTERPRETER THE COMMUNITY IN WHICH UHS OPERATES HAS EXPERIENCED A SIGNIFICANT INCREASE IN INDIVIDUALS WHO SPEAK LIMITED OR NO ENGLISH AND/OR WHO USE ENGLISH ONLY AS A SECOND LANGUAGE. AS SUCH, UHS HAS EXPANDED ITS OUTREACH EFFORTS TO SUCH INDIVIDUALS BY USING INTERPRETERS. DURING 2010, UHS INCURRED COSTS FOR THE CYRACOM TELEPHONE INTERPRETER, WHEREBY NON-ENGLISH SPEAKING PATIENTS ARE ABLE TO COMMUNICATE WITH THE MEDICAL STAFF. D. ECONOMIC DEVELOPMENT UHS SUPPORTS ECONOMIC DEVELOPMENT ACTIVITIES THROUGH THE EAST TENNESSEE DEVELOPMENT AGENCY AND LEADERSHIP DEVELOPMENT. TOTAL OTHER QUANTIFIABLE COMMUNITY BUILDING ACTIVITIES $244,740 X. CONTRIBUTIONS OF VOLUNTEERS SINCE 1962, THE MEDICAL CENTER HAS ENJOYED THE SERVICES OF THE VOLUNTEERS WHO HAVE GIVEN OVER 800,000 HOURS. THE VOLUNTEER DEPARTMENT COORDINATES THE ACTIVITIES OF THREE MAIN GROUPS OF VOLUNTEERS: THE AUXILIARY, INDEPENDENT VOLUNTEERS, AND THE JUNIOR VOLUNTEERS. ALL VOLUNTEERS WHO DONATE TIME AND SERVICE TO THE MEDICAL CENTER WORK IN A VARIETY OF SETTINGS SUCH AS INPATIENT AND OUTPATIENT FACILITY DEPARTMENTS, PATIENT RECEPTION AREAS, GIFT SHOP, ETC. LIFTING THE SPIRITS OF THE MEDICAL CENTER PATIENTS IS WHAT THE VOLUNTEER PROGRAM IS ALL ABOUT. VOLUNTEERS ARE INVOLVED IN SUCH ACTIVITIES AS DELIVERING FLOWERS, MAIL AND GIFTS, SERVING REFRESHMENTS AND PROVIDING WARM BLANKETS FOR ONCOLOGY PATIENTS, READING MATERIALS, A CHEERFUL SMILE AND A COMFORTING WORD. VOLUNTEERS ALSO PROVIDE A VALUABLE SOURCE OF INFORMATION FOR THE PATIENTS' FAMILIES AND FRIENDS AND ARE ESPECIALLY IMPORTANT WHEN SERVING AS A LIAISON DURING CRUCIAL TIMES IN THE FAMILY WAITING LOUNGES. CURRENTLY, THE GROUP OF NEARLY 300 PEOPLE IS DIVIDED AMONG AUXILIARY MEMBERS, INDEPENDENT VOLUNTEERS, AND JUNIOR VOLUNTEERS. FOR 2010, VOLUNTEERS DONATED APPROXIMATELY 34,000 HOURS OF SERVICE TO THE MEDICAL CENTER. THE AUXILIARY CONTRIBUTED NEARLY $120,000 TO THE MEDICAL CENTER IN 2010 AS FOLLOWS: THE FINAL PAYMENT ON THE $250,000 PLEDGE TO THE NICU OF $50,000, THE SECOND OF A TWO YEAR COMMITMENT TO THE MAGNET NURSING PROGRAM OF $38,000, $10,000 TO THE CHAPLAIN'S CRISIS FUND, $20,000 TO PURCHASE A NEW GENERATOR AND A/C UNIT FOR THE MOBILE MAMMOGRAPHY VEHICLE, AND THE DEVELOPMENTAL AND GENETIC CENTER RECEIVED $1,000. OVER THE YEARS, THE UNIVERSITY OF TENNESSEE HOSPITAL AUXILIARY HAS PROVIDED NEARLY 3 MILLION DOLLARS TO THE MEDICAL CENTER IN SUPPORT OF THE ONGOING MISSION, VISION AND VALUES OF THE INSTITUTION. XI. SUMMARY OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY THE SYSTEM, 2010 A SUMMARY LISTING OF THE QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY UHS DESCRIBED IN THE BODY OF THIS REPORT APPEARS BELOW. MANY OF THE BENEFITS DESCRIBED ON THE PREVIOUS PAGES CANNOT BE QUANTIFIED IN DOLLARS, ESPECIALLY MANY OF UHS'S CONTRIBUTIONS IN THE AREA OF COMMUNITY HEALTH EDUCATION AND OUTREACH. A. CONTRIBUTIONS MEASURABLE IN DOLLARS: UNCOMPENSATED PATIENT CARE $ 28,730,899 COMMUNITY SERVICES 366,168 TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS 15,473,688 RESEARCH 90,000 DONATIONS 260,108 OTHER COMMUNITY OUTREACH ACTIVITIES 244,740 TOTAL CONTRIBUTIONS $ 45,165,603 B. RELATED CONTRIBUTIONS MEASURABLE IN DOLLARS: EMPLOYEE DONATIONS FOR HEALTH SYSTEM-SANCTIONED CHARITABLE AND COMMUNITY SERVICE EVENTS $ 19,556 CONTRIBUTIONS OF HOSPITALS' VOLUNTEER ORGANIZATIONS 120,000 TOTAL RELATED CONTRIBUTIONS $ 139,556 TOTAL QUANTIFIABLE COMMUNITY BENEFITS, 2009 TOTAL CONTRIBUTIONS $ 45,025,240 RELATED CONTRIBUTIONS 139,556 TOTAL QUANTIFIABLE COMMUNITY BENEFITS $ 45,164,796

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	UHS ASC LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1520 CHEROKEE TRAIL STE 200	AddressLine1
City	KNOXVILLE	City
State	TN	State
ZIP Code	37920	ZIPCode

Field	Value	IRS element (for citing)
EIN	311626179	EIN
Primary Activities	INVESTMENT COMPANY	PrimaryActivities
Legal Domicile State	TN	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of EOY AssetsShareOfEOYAssets
THE EAST TENNESSEE CENTER FOR SLEEP MEDICINE LLC
1520 CHEROKEE TRAIL SUITE 330	KNOXVILLE	TN	37920	261243117	SLEEP MEDICINE	TN	N/A	RELATED	-7848	0	1	0.50000
UNIVERSITY AMBULATORY SURGICAL CENTER
1934 ALCOA HWY D170	KNOXVILLE	TN	37920	621835971	SURGERY CENTER	TN		RELATED	326778	0	1	0.53500	UHS ASC LLC	1667435

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
UHS VENTURES INC
9000 EXECUTIVE PARK DRIVE D-240	KNOXVILLE	TN	37923	621619460	MANAGEMENT SERVICES	TN	N/A	C	1054006	1618525	1.00000
REGIONAL TRAUMA SERVICES INC
1520 CHEROKEE TRAIL SUITE 330	KNOXVILLE	TN	37920	202769076	HEALTH CARE TRAUMA MANAGEMENT	TN	N/A	C	2212196		1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
UNIVERSITY AMBULATORY SURGICAL CENTER
R	67185	COST
UNIVERSITY AMBULATORY SURGICAL CENTER
G	777306	COST
UNIVERSITY AMBULATORY SURGICAL CENTER
I	638254	COST
EAST TENNESSEE CENTER FOR SLEEP MEDICINE LLC
R	868630	COST
UNIVERSITY OF TENNESSEE MEDICAL CENTER HOME CARE SERVICES LLC
R	396471	COST
UNIVERSITY AMBULATORY SURGICAL CENTER
P	13307	COST