2011-11-09T13:26:07-06:00 2010-12-31 PERSHING YOAKLEY & ASSOCIATES PC ONE CHEROKEE MILLS 2220 SUTHERLAND KNOXVILLE TN 379192363 990 2010-01-01 311626179 UNIVERSITY HEALTH SYSTEM INC UNIV 8652514417 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 THOMAS M FISHER 8652514417 2011-11-09 1 DEBORAH O ERNSBERGER 8656730844 2010 2016-03-07 17:11:31Z X UNIV OF TN MEDICAL CENTER JOSEPH R LANDSMAN JR 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 805852269 0 X WWW.UTMEDICALCENTER.ORG X 1998 TN TO OPERATE AN ACADEMIC MEDICAL CENTER, PROVIDING HEALTHCARE & SUPPORTING RESEARCH & EDUCATION. 16 12 4144 316 1407115 845339 4592416 4560307 524780746 542300601 3842989 4472435 5636357 5365019 538852508 556698362 498567 320306 0 0 214421660 225032111 27600 80932 80932 313632832 323625486 528580659 549058835 10271849 7639527 448096748 473973261 346597166 367496944 101499582 106476317 X UHS OPERATES THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER") WHICH OFFERS MEDICAL CARE TO A TWENTY-ONE COUNTY SERVICE AREA LOCATED THROUGHOUT EAST TENNESSEE, AND PROVIDES SERVICES TO PATIENTS LOCATED IN SOUTHEAST KENTUCKY, SOUTHWEST VIRGINIA, AND WESTERN NORTH CAROLINA. THROUGH OPERATION OF THE MEDICAL CENTER, UHS PROVIDES HEALTHCARE SERVICES WITHIN ITS COMMUNITY AND BEYOND, PROVIDING SPECIALIZED CARE THAT IS CUSTOMARILY ONLY AVAILABLE AT ACADEMIC MEDICAL CENTERS; SUPPORTS MEDICAL RESEARCH AND EDUCATION THROUGH AN AFFILIATION AGREEMENT WITH THE 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. 0 0 446914286 320306 512080341 PATIENT CARE SERVICESSEE THE STATEMENT OF COMMUNITY BENEFIT PROVIDED IN SCHEDULE O FOR DETAIL RELATED TO PATIENT CARE SERVICES. 45123339 30220260 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. 16278041 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. 508315666 1 1 0 1 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 318 0 1 4144 1 1 1 0 0 0 1 1 1 1 0 0 0 0 X 16 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 TN X JOSEPH R LANDSMAN 8653059430 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 JOSEPH R LANDSMAN JR 65.00 X X 1146077 0 82759 ROBERT F ELDER MD 65.00 X X 446129 0 13060 JAMES A HASLAM II 1.00 X 0 0 0 JOSEPH E JOHNSON 1.00 X 0 0 0 STEVE J SCHWAB MD 1.00 X 0 0 0 JAN SIMEK 1.00 X 0 0 0 JIMMY CHEEK 1.00 X 0 0 0 JOSEPH A DIPIETRO 1.00 X 0 0 0 BERNARD E BERNSTEIN 1.00 X 0 0 0 WILLIAM S RUKEYSER 1.00 X 0 0 0 CAROLYN FAIRBANK BIGGS 1.00 X 0 0 0 JERRY EPPS MD 1.00 X 0 0 0 SARA FORTUNE ROSE 1.00 X 0 0 0 STEWART BRESEE MD 1.00 X 0 0 0 RENDA J BURKHART 1.00 X 0 0 0 HW SHERROD JR 1.00 X 0 0 0 THOMAS M FISHER 65.00 X 529623 0 71884 WILLIAM D HALL 65.00 X 500610 0 77759 NORMAN D MAJORS 65.00 X 332837 0 23060 JOHN W LACEY 65.00 X 419296 0 45259 STEVEN R ROSS 65.00 X 400301 0 25259 JANELL R CECIL 65.00 X 284111 0 25259 RICHARD K GIECEK 65.00 X 293740 0 30259 BENNETT COX 65.00 X 286527 0 13060 BETTY A GISSEL 65.00 X 219473 0 18363 JOHN J SHERIDAN 65.00 X 180505 0 21744 STANLEY S MILLER MD 65.00 X 1414575 0 25259 TIMOTHY J PANELLA MD 65.00 X 746963 0 12250 LARRY C KILGORE MD 65.00 X 645889 0 12644 SUSAN N HUNTSINGER MD 65.00 X 1106809 0 25259 JOHN L BELL MD 65.00 X 685405 0 13060 9638870 0 536197 174 0 1 0 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 107 589569 3970738 4560307 NET PATIENT REVENUE 621500 518738837 518738837 PROGRAM SERVICE REV. 621400 23561764 23429536 132228 542300601 4290173 668790 3621383 3202402 41357 3202402 41357 3243759 3243759 249162619 248980305 52 182314 -52 182262 182262 173550 589569 173550 0 PARKING REVENUE 812930 1073094 1073094 TELEPHONE SERVICE 812900 336747 336747 OTHER SERVICES 624100 240643 240643 470776 28707 442069 2121260 556698362 542168373 1407115 8562567 260108 260108 60198 60198 7359143 7359143 170165245 152565558 17599687 12472014 10953389 1518625 23268335 21621623 1646712 11767374 10794329 973045 5142026 4419873 722153 12826424 11955023 871401 212779 42094 170685 80932 80932 72629574 66948124 5681450 2068343 210066 1858277 124119734 123361394 758340 12807271 12228626 578645 714671 558771 155900 344378 292725 51653 11793072 11793072 20174217 20174217 8511599 8511599 BAD DEBT 47289660 47289660 EQUIPMENT RENTAL 3004184 2948801 55383 PRINTING 605764 358484 247280 POSTAGE 476391 347881 128510 UBI TAX 276424 276424 628975 343627 285348 549058835 508315666 40662237 80932 62472690 56929702 42349080 50273330 57811347 67144220 5647971 5260168 792666 1188753 321799938 147300783 160940041 174499155 77997687 90663790 1644985 3110846 38440281 24903297 448096748 473973261 86354284 91754422 229165778 231601892 15260873 20736026 15816231 23404604 346597166 367496944 X 97318882 99973775 333512 1975856 3847188 4526686 101499582 106476317 448096748 473973261 X 7639527 -2662792 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 180 0 0 1 172713 0 0 172893 0 3939899 654498 101770 4696167 3248694 608652 92712 10159 3939899 2846890 363843 93551 3304284 1.00000 0 0 2614 2614 16818 11707 5111 175564511 57438152 118126359 126674005 84044521 42629484 19541990 5806403 13735587 174499155 ASSETS LIMITED AS TO USE 7441085 DEFERRED FINANCING COSTS 2252998 EST. THIRD-PARTY SETTLEMENTS 15209214 24903297 ASBESTOS ABATEMENT 114640 INTEREST RATE SWAP LIABILITY 6637613 OTHER LIABILITIES 11345345 EST. THIRD-PARTY SETTLEMENTS 5307006 23404604 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - PATIENT CARE, RESEARCH, AND EDUCATION. X X X X X X X 1 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 27833 74844 -47011 TN EVENING IN ORANGE GALA 637440 508913 128527 40620 54495 5000 28412 GOLF TOURNAMENT 72500 50554 21946 9831 7197 927 250 3742 6 53179 30102 23077 395 3606 6498 1100 11477 763119 589569 173550 10226 51423 61920 6350 43631 173550 0 1 1 1 X 1 X 1 1 1 0 1 1 10194517 10194517 0.02030 68710748 64217082 4493666 0.00900 10284326 6693356 3590970 0.00720 89189591 70910438 18279153 0.03650 366168 366168 0.00070 15473688 15473688 0.03080 6083524 6083524 0.01210 90000 90000 0.00020 119745 119745 0.00020 22133125 22133125 0.04400 111322716 70910438 40412278 0.08050 22045 22045 0.00000 222695 222695 0.00040 244740 244740 0.00040 1 13216687 111470102 115838324 -4368222 X 1 1 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 1 1 UNIVERSITY HEALTH SYSTEM INC

9000 EXECUTIVE PARK DRIVE BLDG D-240 KNOXVILLE TN 37923

X X X X X UNIVERSITY HEALTH SYSTEM INC 1 1 1 200.000000000000 1 300.000000000000 1 X X X X X 1 1 X X X 1 X X 1 X X X X X 1 X 0 0 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. UNIVERSITY HEALTH SYSTEM, INC. 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. 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. REPORTS FILED WITH STATES PART VI, LINE 7 TN 1 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 9 1 EMPLOYEE ASSISTANCE SCHOLARSHIPS 59 10958 CRISIS FUND CHARITABLE ASSISTANCE 2560 33640 MEDICAL EXPLORATIONS STIPENDS 40 15600 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X X X X X X 0 1 0 0 0 0 0 1 0 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 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. 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 236534376 161918145 2045137 72571095 2010 0 1 1 1 50000000 400000 49600000 2013 0 0 0 1 0 1 0 0 1 0.03000 0.00000 0.03000 1 0 1 0 0 1 0.03000 0.00000 0.03000 1 0 0 0 1 DEPFABLB 2.000000000000 1 0 0 0 1 0 0 0 0 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 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. FORM 990, PART VI, SECTION B, LINE 12C 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 15 THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES, A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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. AUDIT COMMITTEE FORM 990, PART XII, LINE 2C 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. 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 UHS ASC LLC 1520 CHEROKEE TRAIL STE 200 KNOXVILLE TN 37920 311626179 INVESTMENT COMPANY TN 0 0 N/A 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 UHS ASC LLC RELATED 326778 1667435 0 1 0.53500 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 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 1 1 1 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