2020-11-13T08:54:42-06:00 2019-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2019-01-01 311626179 UNIVERSITY HEALTH SYSTEM INC UNIV 8652514417 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 BENJAMIN M CUNNINGHAM JR SVP/CFO 8653056600 2020-11-13 1 AMY BIBBY P00445891 8282542254 2020-11-13 99.47.28.203 2020-11-13 08:52:43 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2019 2021-01-29 14:40:06Z UNIV OF TN MEDICAL CENTER JOSEPH R LANDSMAN JR 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 1059960659 0 X WWW.UTMEDICALCENTER.ORG X 1998 TN OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY. 15 12 5833 353 1163163 817179 5956463 9921307 943871496 1033421337 4414205 6958655 8895819 8702773 963137983 1059004072 636060 861798 0 0 382706212 418209921 0 0 0 563663584 597507145 947005856 1016578864 16132127 42425208 794012299 893407553 584523057 621972083 209489242 271435470 OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY. 0 0 833025978 861798 1040619517 PATIENT CARE SERVICESPLEASE SEE SCHEDULE O FOR DETAIL REGARDING PATIENT CARE SERVICES IN THE STATEMENT OF COMMUNITY BENEFIT. 25635703 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 WHOM WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GRADUATE SCHOOL OF MEDICINE AND OTHER ACADEMIC INSTITUTIONS, AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS. 86176444 UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNT 944838125 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 1 401 0 1 5833 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X BENJAMIN M CUNNINGHAM JR 8653056600 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 WILLIAM S RUKEYSER CHAIR 2.00 X 0 0 0 DR LISA D DUNCAN AS OF 7119 BOARD MEMBER 2.00 X 0 0 0 WES STOWERS BOARD MEMBER 2.00 X 0 0 0 DR DONDE A PLOWMAN AS OF 7119 BOARD MEMBER 2.00 X 0 0 0 DR JOSEPH E JOHNSON BOARD MEMBER 2.00 X 0 0 0 DR JOSEPH T CHUN AS OF 7119 BOARD MEMBER 2.00 X 0 0 0 MICHAEL T STRICKLAND BOARD MEMBER 2.00 X 0 0 0 DR ROBERT F ELDER BOARD MEMBER 65.00 X 592502 0 58637 H W SHERROD JR VICE CHAIR 2.00 X 0 0 0 SHARON M PRYSE BOARD MEMBER 2.00 X 0 0 0 SARA ROSE BOARD MEMBER 2.00 X 0 0 0 RENDA BURKHART AS OF 7119 BOARD MEMBER 2.00 X 0 0 0 RANDY BOYD BOARD MEMBER 2.00 X 0 0 0 DR STEVE J SCHWAB BOARD MEMBER 2.00 X 0 0 0 BENJAMIN M CUNNINGHAM JR SR VP & CFO 65.00 X 487316 0 63512 JANELL R CECIL SR VP & CNO 65.00 X 518250 0 97083 WILLIAM D HALL EXECUTIVE VICE PRESIDENT 65.00 X 849225 0 153671 JERRY L EPPS SR VP & CMO 65.00 X 362995 0 41749 JOSEPH R LANDSMAN JR PRESIDENT & CEO 65.00 X 2809248 0 310251 STEVEN R ROSS SR VICE PRESIDENT 65.00 X 653692 0 109227 BENNETT COX SR VP & GENERAL COUNSEL 65.00 X 509365 0 87951 BRUCE R HARTMANN SR VP & CHIEF COMMUNITY RELATIONS OFFICER 65.00 X 396686 0 47916 KATHERINE BOYD SR. VP & CHIEF DEVELOPMENT OFFICER 65.00 X 414690 0 8629 DR KEITH GRAY SR VP & CHIEF MEDICAL OFFICER 65.00 X 589167 0 57845 DR JAMES SHAMIYEH SR VP & CHIEF QUALITY OFFICER 65.00 X 492359 0 59501 JOHN L BELL PHYSICIAN/MEDICAL DIR 65.00 X 902316 0 85639 DAVID N ALJADIR PHYSICIAN 65.00 X 965630 0 104423 MICHAEL B FREEMAN PHYSICIAN 65.00 X 1122508 0 103421 OSCAR GRANDAS PHYSICIAN 65.00 X 1137762 0 106712 SUSAN M NEWMAN PHYSICIAN 65.00 X 938826 0 21458 ANTONY J CHARLES PHYSICIAN 65.00 X 957879 0 105765 DR MELISSA P LAPINSKA BOARD MEMBER (ROTATED OFF) 65.00 X 314806 0 32358 CAROLYN FAIRBANKS-BIGGS BOARD MEMBER (ROTATED OFF) 2.00 X 0 0 0 W BEDFORD WATERS BOARD MEMBER (ROTATED OFF) 2.00 X 0 0 0 DR WAYNE DAVIS BOARD MEMBER (ROTATED OFF) 2.00 X 0 0 0 THOMAS FISHER FORMER VP & CFO 0.00 X 108430 0 58030 15123652 0 1713778 411 1 1 0 GRADUATE SCHOOL OF MEDICINE 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 MEDICAL EDUCATION 40564536 UNIVERSITY PHYSICIANS ASSOCIATION 9000 EXECUTIVE PARK DR KNOXVILLE TN 37923 PHYSICIANS/CBO MGMT 32548532 LABORATORY CORPORATION OF AMERICA 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 LABORATORY SERVICES 21090347 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 BIOMED MGMT 13602998 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 SUBSCRIPTION/EQUIP/SUPPORT 11222923 348 630495 1499074 7791738 114655 9921307 NET PATIENT SERVICE REVENUE 621500 957093496 957093496 PROGRAM SERVICE REVENUE 621400 76326290 76161207 165083 EHR MEANINGFUL USE 621400 1551 1551 1033421337 2724634 749655 1974979 6865611 0 6865611 6865611 6865611 4707220 0 473199 4707220 -473199 4234021 4234021 483388 630495 483388 0 PARKING REVENUE 812930 1588737 1588737 TELEPHONE SERVICES 812900 248425 248425 1837162 1059004072 1040121865 1163163 7797737 X 643933 643933 217865 217865 9256572 9256572 336039705 314163520 21876185 21651343 20241841 1409502 29593397 27666867 1926530 21668904 20258258 1410646 12870364 12032503 837861 29778103 27839548 1938555 377671 353085 24586 275423 257493 17930 137502862 128551426 8951436 1614788 1509665 105123 8326883 7784803 542080 121118 113233 7885 22661395 21186138 1475257 2323249 2172005 151244 2552457 2386292 166165 14776636 14776636 29979985 29979985 1885664 1885664 DRUGS 152883410 142930700 9952710 MEDICAL SUPPLIES 139524464 130441421 9083043 BAD DEBT EXPENSE 37550722 35106170 2444552 DIETARY 1725922 1613564 112358 776029 725510 50519 1016578864 944838125 71740739 0 85955348 89158818 163756152 178402955 9541058 13472817 3389191 4720604 652466455 351869020 295411774 300597435 196494425 236158211 2400232 2358863 37064119 68537850 794012299 893407553 197354339 247490359 5901798 4395624 341591650 333863053 22507733 21592585 17167537 14630462 584523057 621972083 X 194393704 255203267 15095538 16232203 209489242 271435470 794012299 893407553 X 42425208 14542617 4978403 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 100 0 0 1 276041 0 0 276141 0 PART II-B, LINE 1: LOBBYING EXPENDITURES INCLUDE AN ALLOCATION OF THE SALARY OF THE VICE PRESIDENT FOR COMMUNITY RELATIONS, INCLUDING TIME AND EXPENSES ASSOCIATED WITH CONTACTING LEGISLATORS IN MATTERS IMPACTING THE HEALTH SYSTEM AND COMMUNITIES IN WHICH IT SERVES. 13504162 2159457 2265675 291212 17638082 13233936 888318 -593092 25000 13504162 10983337 894577 1356022 13233936 9027288 1423500 532549 10983337 8276241 799597 -48550 9027288 1.00000 0 0 3557416 3557416 20670977 1881498 18789479 382374598 167516538 214858060 199394159 152360867 47033292 46469305 30110117 16359188 300597435 ASSETS LIMITED AS TO USE 38369211 DEFERRED FINANCING COSTS 2146416 LEASES RIGHT-OF-USE 28022223 68537850 OTHER LIABILITIES 14630462 14630462 X PART V, LINE 4: ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - HEALING, EDUCATION, AND DISCOVERY. THERE ARE TWENTY-SIX FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE REALIZED AND UNREALIZED INTEREST INCOME IS POSTED TO TEMPORARILY RESTRICTED INVESTMENT FUNDS ASSOCIATED WITH THE ENDOWMENTS AND IS FOR SPECIFIC PURPOSES BASED UPON THE INTENT OF THE DONOR. THE TRI FUNDS ARE MAINTAINED ON THE BALANCE SHEET WITHIN NET ASSETS WITH DONOR RESTRICTIONS. PART X, LINE 2: UHS HAS BEEN RECOGNIZED AS A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501 (A) OF THE INTERNAL REVENUE CODE AS AN ENTITY DESCRIBED UNDER SECTION 501(C)(3). RTS, UCG, UHN, ASC, ACO AND UTUCC ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES DISREGARDED AS ENTITIES SEPARATE FROM UHS FOR FEDERAL TAX PURPOSES. UHSV IS A TENNESSEE NONPROFIT CORPORATION THAT IS NOT EXEMPT FROM FEDERAL INCOME TAXES. INCOME TAX EXPENSE FOR UHSV FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018 WAS NOT SIGNIFICANT AND WAS OFFSET BY OPERATING LOSSES IN PRIOR YEARS FOR TAX PURPOSES. X X X X X X AN EVENING IN ORANGE 848602 436869 411733 176500 46400 188833 TEE UP FOR TRAUMA 150630 112160 38470 15800 11700 7470 3500 2 114651 81466 33185 800 7350 9360 4275 11400 1113883 630495 483388 16600 19050 193330 50675 203733 483388 0 1 1 X 1 X 1 X 1 0 1 1 86176444 86176444 0.08800 12756356 8589686 4166670 0.00430 98932800 8589686 90343114 0.09230 317705 317705 0.00030 25635703 25635703 0.02620 21125 21125 0.00000 405042 405042 0.00040 26379575 26379575 0.02690 125312375 8589686 116722689 0.11920 9180 9180 0.00000 100600 100600 0.00010 1370 1370 0.00000 277541 277541 0.00030 38735 38735 0.00000 427426 427426 0.00040 1 10895413 2307980 350821426 330023568 20797858 X 0 1 1 UNIVERSITY HEALTH SYSTEM 9000 EXECUTIVE PARK DRIVE BLDG D-240 KNOXVILLE TN 37923 WWW.UTMEDICALCENTER.ORG X X X X X UNIVERSITY HEALTH SYSTEM INC 0 0 1 X X X X X X X X X 19 1 0 1 1 X SEE DISCLOSURE X 1 19 1 SEE DISCLOSURE 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE DISCLOSURE X SEE DISCLOSURE X SEE DISCLOSURE X X X X X X X 1 X 0 X X X X 1 X 0 0 UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 5: IN 4 Q 2018- 1 Q 2019, A NEW COMMUNITY NEEDS ASSESSMENT AND SURVEY WAS CONDUCTED BY UTMC TO COMPARE STATISTICS, HEALTH INITIATIVE OUTCOMES, AND ALIGN STRATEGY WITH THE STATE AND LOCAL INITIATIVES TO ADDRESS PUBLIC HEALTH CONCERNS. OUR PARTNERSHIPS INCLUDE THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS FOR A HEALTHIER TENNESSEE AND KNOX COUNTY HEALTH COUNCIL.UNIVERSITY OF TENNESSEE MEDICAL CENTER ALSO COLLABORATED WITH A PARTNERSHIP FOCUSED ON PROVIDING A COMMUNITY WIDE HEALTH NEEDS ASSESSMENT AND ACTION PLAN TO ADDRESS THE HEALTH NEEDS OF KNOX COUNTY RESIDENTS. KNOX COUNTY COMMUNITY HEALTH COUNCIL PROVIDES A FRAMEWORK FOR BRINGING TOGETHER THE INDIVIDUALS, GROUPS AND ORGANIZATIONS THAT MAKE UP OUR LOCAL PUBLIC HEALTH SYSTEM, AND GUIDES OUR COMMUNITY TO IDENTIFY AND TAKE ACTION ON PRIORITY HEALTH ISSUES. THE CHC ASSESSES AND EVALUATES HEALTH, THE PERCEPTION OF HEALTH, THE PERFORMANCE OF THE LOCAL PUBLIC HEALTH SYSTEM, AND FUTURE CONDITIONS RELATING TO HEALTH IN KNOX COUNTY, THE CITY OF KNOXVILLE AND THE TOWN OF FARRAGUT. THE 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. IN 2018-2019, UTMC PARTNERED WITH THE KNOX COUNTY HEALTH DEPARTMENT AND OTHER LOCAL COMMUNITY HEALTH AND EDUCATION ORGANIZATIONS TO CONDUCT A COUNTY-WIDE ASSESSMENT OF OUR POPULATION. THE RESULTS FROM THIS ASSESSMENT WAS SHARED WITH COMMUNITY AND HEALTH SYSTEM LEADERS IN MARCH 2019 TO ALIGN INITIATIVES AND STRATEGIES TO ADDRESS THE MOST PRESSING HEALTH ISSUES FACING KNOX COUNTY. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 6B: COLLABORATION AND DATA SHARING WAS CONDUCTED WITH KNOX COUNTY HEALTH DEPARTMENT AND THE TENNESSEE DEPARTMENT OF HEALTH. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 11: CLEARLY, THERE ARE MANY NEEDS THAT EXIST AND NEED ATTENTION. THE UNIVERSITY OF TENNESSEE MEDICAL CENTER (UTMC) AND UHS EXIST TO FULFILL OUR MISSION OF "HEALING, EDUCATION AND DISCOVERY." IN ORDER FOR UTMC TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S INDIVIDUAL NEEDS. UTMC HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON UTMC'S 21 CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICE. OUR COMMITMENT IS TO ALSO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES.HEALTH NEEDS IDENTIFIED AS PUBLIC HEALTH ISSUES, SUCH AS MENTAL HEALTH AND OPIOID DEPENDENCE, WILL REQUIRE LOCAL AND STATE COLLABORATIVE EFFORTS TO ADEQUATELY ADDRESS THE MANY BARRIERS AND ACCESS ISSUES THAT EXIST TO HAVE AN EFFECTIVE AND MEASUREABLE HEALTH OUTCOME. UTMC IS COMMITTED TO WORKING WITH OUR COLLEAGUES IN FINDING SOLUTIONS TO ADDRESS THE GROWING PROBLEM STATEWIDE.OUR ORGANIZATION HAS ALSO REACHED OUT TO PARTNER WITH OTHER HEALTHCARE ORGANIZATIONS TO ADDRESS LOCAL HOSPITAL CLOSURES TO ENSURE WE ARE MEETING THE CARE NEEDS OF THE EAST TENNESSEE REGION IN ORDER TO CARE FOR INDIVIDUALS SUCH AS OBSTETRICAL CARE, NEUROSURGICAL CONDITIONS, AND REHABILITATION. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 16J: FAP APPLICATIONS WITH SELF-ADDRESSED STAMPED ENVELOPES ARE MAILED WITH BILLING STATEMENTS. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 18E: LEGAL ACTION MAY BE FILED BY OUTSIDE THIRD PARTY LEGAL COUNSEL WHEN THE PATIENT HAS NOT COOPERATED AND HAS THE FINANCIAL MEANS TO PAY. THE HOSPITAL MAY PURSUE THE FILING OF LIENS BUT WILL NOT FORCE THE SALE OF PROPERTY. SCHEDULE H, PART V, FINANCIAL ASSISTANCE POLICY WEBSITES FINANCIAL ASSISTANCE POLICY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/UTMEDICALCENTER/PRODUCTION/COMPLETE-FINANCIAL-ASSISTANCE-POLICY.PDFFINANCIAL ASSISTANCE APPLICATION URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/UTMEDICALCENTER/PRODUCTION/FINANCIAL-ASSISTANCE-APP.PDFPLAIN LANGUAGE SUMMARY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/GENERAL/BILLINGPOLICIES/_FINANCIALASSISTANCE PART V, SECTION B, CHNA WEBSITE HTTPS://WWW.UTMEDICALCENTER.ORG/ABOUT/OUR-STORY/COMMUNITY-BENEFIT/ PART V, SECTION B, LINE 10A: HTTPS://WWW.UTMEDICALCENTER.ORG/ABOUT/OUR-STORY/COMMUNITY-BENEFIT/ PART I, LINE 7: COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE UNIVERSITY HEALTH SYSTEM, INC. ("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 AND AGGREGATES THE EXPENSES AT THE PATIENT LEVEL. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 37,550,722. PART II, COMMUNITY BUILDING ACTIVITIES: THE ACTIVITIES REPORTED IN PART II SEEK TO ACHIEVE SPECIFICED 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 2: WE SCORE ALL PATIENTS ON THEIR ABILITY TO PAY 1-4 WITH 4 BEING CHARITY ELIGIBLE. PART III, LINE 3: WE SCORE ALL PATIENTS ON THEIR ABILITY TO PAY 1-4 WITH 4 BEING CHARITY ELIGIBLE. 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' CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS:1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY MAY HAVE BEEN GRANTED).2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISENROLLED BY THE TNCARE PROGRAM. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY CARE).3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION.NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, UHS RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS. THIS PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE.UHS PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UHS DOES NOT REPORT AS NET REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS. 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. 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 PATIENT ACCOUNT REPRESENTATIVE WILL SUBMIT A LETTER TO THE PATIENT TO INFORM HIM/HER OF APPROVAL OR PROVIDE OTHER INSTRUCTIONS. IF APPROVED FOR AN ADJUSTMENT, THE PATIENT ACCOUNT REPRESENTATIVE 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, CONSISTENLY AND FAIRLY REGARDLESS OF INSURANCE STATUS. THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("UTMC"), 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. PATIENT ACCOUNT REPRESENTATIVES 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 VI, LINE 2: UHS SUPPORTS AND STRENGTHENS OUR KEY COMMUNITIES THROUGH DELIVERING NEEDED SERVICES BY LEADING AND PARTNERING WITH OTHER ORGANIZATIONS TO POSITIVELY IMPACT HIGH PRIORITY HEALTH ISSUES. THE COMMUNITY HEALTH ADVISORY COMMITTEE ("CHAC") ANALYZES MULTIPLE SOURCES OF HEALTH STATUS, DEMOGRAPHIC, AND SOCIOECONOMIC INFORMATION TO IDENTIFY KEY COMMUNITIES, PRIORITIZE SPECIFIC POPULATION NEEDS, AND DETERMINE THE FOCUS FOR UHS INVOLVEMENT. THE CHAC REVIEWS AND FORMULATES RECOMMENDATIONS FOR ORGANIZATIONAL INVOLVEMENT FOR IDENTIFIED NEEDS. THE CHAC TEAM LEVERAGES OUR CORE COMPETENCIES TO DESIGN AND IMPLEMENT STRATEGIC INITIATIVES AND ACTION PLANS TO ADDRESS THESE PRIORITIES. THE CHAC MONITORS PROGRESS THROUGH ACTION PLANS AND PERFORMANCE MEASURES AND REPORTS RESULTS QUARTERLY TO SENIOR LEADERS AND TO THE CHAC.COMMUNITY HEALTH NEED ASSESSMENTIN ORDER FOR UTMC TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S INDIVIDUAL NEEDS. UTMC HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TO PROFILE THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON UTMC'S 9 CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICE. OUR COMMITMENT IS TO ALSO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES.ACTIVITIES ASSOCIATED WITH THE DEVELOPMENT OF THIS ASSESSMENT HAVE TAKEN PLACE DURING THE SUMMER AND FALL OF 2018 AND SPRING OF 2019, INCLUDING STATE, REGIONAL AND COUNTY-SPECIFIC SECONDARY DATA COLLECTION AND PRIMARY DATA OBTAINED THROUGH 285 SURVEYS WITH INDIVIDUALS FROM KNOX COUNTY, TN AND SURROUNDING COUNTIES. THROUGHOUT THE ASSESSMENT, HIGH PRIORITY WAS GIVEN TO DETERMINING THE HEALTH STATUS AND AVAILABLE RESOURCES WITHIN EACH COMMUNITY. COMMUNITY MEMBERS FROM VARIOUS ORGANIZATIONS MET WITH UTMC TO DISCUSS CURRENT HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. THE INFORMATION GATHERED FROM A LOCAL PERSPECTIVE, PAIRED WITH REGIONAL, STATE AND NATIONAL DATA, HELPS TO EVALUATE THE REGION'S HEALTH SITUATION IN ORDER TO BEGIN FORMULATING SOLUTIONS FOR IMPROVEMENT. 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 AND PROCESS) AND FINANCIAL COUNSELORS ALONG WITH CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE BROCHURE INSTRUCTS THE PATIENT TO CONTACT THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS FOR MORE INFORMATION ON CHARITY AND OTHER APPLICABLE DISCOUNTS. FINANCIAL COUNSELORS VISIT PATIENT ROOMS WHEN POSSIBLE TO EXPLAIN THE UHS BILLING PROCESS, PAYMENT PLANS AND SCREENS FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT, AS WELL AS ON OUR WEBSITE. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUMES OF SPANISH-SPEAKING PATIENTS. THE MAJORITY OF STAFF ASSOCIATED WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY. PART VI, LINE 4: ORGANIZATIONAL PROFILETHE UNIVERSITY OF TENNESSEE MEDICAL CENTER (UTMC) IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM PROVIDING ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES AS AN ACADEMIC MEDICAL CENTER. THESE SERVICES INCLUDE A REGIONAL NETWORK OF PRIMARY CARE AND SPECIALIST PROVIDERS, REGIONAL SERVICE CENTERS, CANCER CHEMOTHERAPY CENTERS, HOME INFUSION THERAPY, HOME HEALTH AND AEROMEDICAL SERVICES. THE HOSPITAL IS LICENSED FOR 685 BEDS. WITH A THREEFOLD MISSION OF HEALING, EDUCATION AND DISCOVERY, UTMC SERVES AS THE REGIONAL REFERRAL CENTER FOR THE EAST TENNESSEE (ET) COMMUNITY. OUR 21 COUNTY SERVICE AREA COMPRISES THE EASTERN THIRD OF THE STATE. THE PRIMARY MARKET IS KNOX COUNTY; THE SECONDARY MARKET IS THE REMAINING 20 COUNTIES. EDUCATION AND RESEARCH IS ACCOMPLISHED THROUGH OUR PARTNERSHIPS WITH THE UNIVERSITY OF TENNESSEE (UT) AND UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE (GSM). PART VI, LINE 5: SENIOR LEADERSHIP AND SYSTEM MANAGEMENT LEADERSHIP OF THE HOSPITAL MAKE CONSCIOUS DECISIONS ABOUT HOW THE RESOURCES OF THE HOSPITAL ARE USED, HONORING THE MISSION, VISION, AND VALUES OF THE HOSPITAL IN ITS WORK WITHIN THE HOSPITAL AND COMMUNITY. OTHER PROGRAMS AND PROJECTS WHICH ARE DEVELOPED IN THE HOSPITAL THROUGH THE VARIOUS DEPARTMENTS AND COE'S ARE BROUGHT TO THE SYSTEM MANAGEMENT TEAM (SMT) AND THEN TO SENIOR LEADERSHIP TEAM FOR APPROVAL AND THEN TO THE COMMUNITY BOARD FOR FINAL REVIEW AND APPROVAL. THE HOSPITAL WORKS CLOSELY WITH THE GRADUATE SCHOOL OF MEDICINE FOR RESIDENT SUPPORT FOR MEDICAL EDUCATION AND PROGRAM RESEARCH INITIATIVES THROUGH OUR ACADEMIC PROGRAMS OF STUDY. THROUGH FACULTY LEADERSHIP OF GSM AND HOSPITAL LEADERSHIP COLLABORATION, FUTURE FINANCIAL CONSIDERATIONS FOR SUSTAINABILITY OR PROGRAM GROWTH ARE CONSIDERED BASED ON FUTURE PRIORITIZED AND STRATEGIC NEEDS IDENTIFIED BY OUR PATIENT POPULATION AND NEEDS ASSESSMENTS. PROGRAMS TO MEET COMMUNITY NEEDUTMC CONDUCTS ONGOING INVENTORIES REGARDING THE ASSETS WITHIN THE HOSPITAL TO MEET THE ONGOING NEED WITHIN THE COMMUNITY. IN COLLABORATION WITH ITS PARTNERS, UTMC ENGAGES OTHERS IN THE SOLUTION OF ASSESSING THE ASSETS WITHIN THE COMMUNITY AND ENGAGING ITS PARTNERS IN BECOMING PART OF THE SOLUTION. WE DO THIS IN SYNERGY WITH ONE ANOTHER THROUGH MANY INITIATIVES. WE COME TOGETHER TO IDENTIFY OUR ASSETS AND GAPS BY UTILIZING DATA AND INFORMATION FROM SOURCES SUCH AS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND OTHER STATE AND NATIONAL DATA REPOSITORIES AND REPORTING AGENCIES. WE ALSO SURVEY OUR COMMUNITY TO IDENTIFY THE ASSETS AND THE GAPS IN HEALTH AND HUMAN SERVICES. SOME OF THESE UNIQUE SERVICES PROVIDED BY UTMC TO ADDRESS IDENTIFED HEALTH CARE NEEDS ARE LISTED BELOW:BREAST HEALTH OUTREACH PROGRAM (BHOP) WHERE THE HOSPITAL PROVIDES FREE EDUCATION, PREVENTION, DIAGNOSTICS, AND TREATMENT FOR UNINSURED WOMEN. NEARLY 17 YEARS AGO, WE IDENTIFIED THE NEED TO PROVIDE THESE HEALTH SERVICES TO WOMEN WHO WERE UNINSURED. UTMC PARTNERS WITH THE CANCER STEERING COMMITTEE, SUSAN G. KOMEN FOUNDATION, AMERICAN CANCER SOCIETY, THE WELLNESS COMMUNITY, AVON FOUNDATION, HEALTH PROVIDERS, RADIOLOGISTS, PHYSICIANS, NURSES, NUTRITIONISTS, COMMUNITY MEMBERS AND OTHERS WHO CAN HELP US MEET THE GROWING NEED FOR PREVENTION, DIAGNOSIS, TREATMENT, AND FOLLOW UP CARE. THE MOBILE MAMMOGRAPHY PROGRAM HAS PROVIDED FREE AT NO COST SCREENINGS TO WOMEN IN OUR 21 COUNTY AREA WHO ARE UNDERINSURED OR HAVE NO INSURANCE. OPIOID/SUBSTANCE ABUSE: UTMC PARTNERS WITH OTHERS IN OUR REGION TO CARE FOR AND COMBAT OPIOID PRESCRIPTION USE AND LIMIT THE OPPORTUNITY FOR DEPENDENCY. UTMC HAS PARTNERED WITH THE METRO DRUG COALITION AND OTHER STATE AGENCIES TO DISCOVER INNOVATIVE PROCESSES TO TREAT AND COUNSEL INDIVIDUALS WITH DEPENDENCY ISSUES. IN AN EFFORT TO ASSIST WITH COMPLIANCE OF WITHDRAWAL FROM OPIOIDS, SEVERAL PHYSICIANS HAVE LED RESEARCH EFFORTS TO SUCCESSFULLY ASSIST INDIVIDUALS WITHDRAW SAFELY FROM CHEMICAL DEPENDENCY INDUCING SUBSTANCES. FROM PERINATAL WITHDRAWAL TO IMPLEMENTING PATHWAYS FOR INDIVIDUALS WHO ARE ADMITTED WITH MEDICAL ISSUES ASSOCIATED WITH OPIOID MISUSE, UTMC IS PIONEERING RESEARCH EFFORTS IN THIS FIELD TO ASSIST IN COMBATING CHEMICAL DEPENDENCY FROM OPIOIDS.MENTAL HEALTH AWARENESS: UTMC PARTNERS WITH OTHERS IN OUR REGION TO CARE FOR AND COMBAT OPIOID PRESCRIPTION USE AND LIMIT THE OPPORTUNITY FOR DEPENDENCY WHICH IS ALSO ASSOCIATED WITH MENTAL HEALTH CONDITIONS AND CRISIS. UTMC HAS PARTNERED WITH HELEN ROSS MCNABB, KNOX COUNTY HEALTH DEPARTMENT, CHEROKEE HEALTH SYSTEMS, METRO DRUG COALITION AND OTHER STATE AGENCIES TO DISCOVER INNOVATIVE PROCESSES TO TREAT AND COUNSEL INDIVIDUALS WITH DEPENDENCY ISSUES AND OFFER EDUCATION AND RESOURCE SUPPORT.TRAUMA PREVENTION AND EDUCATION- "STOP THE BLEED"- A STATEWIDE INITIATIVE FOCUSED ON DECREASING MORTALITY RATES ASSOCIATED WITH HEMORRHAGE. EDUCATION FOR ALLIED HEALTH PROFESSIONALS FOR ADVANCED TRAUMA LIFE SUPPORT (ATLS), ADVANCED TRAUMA CERTIFIED NURSE (ATCN), TRAUMA NURSE CORE CURRICULUM (TNCC), FUNDAMENTALS OF CRITICAL CARE (FCCS), AND CERTIFIED EMERGENCY NURSE (CEN) PREPARATION COURSE.WOMEN'S AND INFANT'S OUTREACH EFFORTS FOR PRENATAL CARE, HIGH RISK OBSTETRICS, AND CARE OF THE PRE-TERM NEWBORN.KAPA PROJECT ACCESS- UT MEDICAL CENTER IS A PARTNER OF THIS ORGANIZATION IN THE LOCAL HEALTHCARE COMMUNITY OF PROVIDING FREE OR DISCOUNTED MEDICAL SERVICES AND TREATMENT TO INDIVIDUALS WHO ARE NOT INSURED OR MEDICALLY UNDERSERVED. VOLUNTEER MISSION SERVICE ACTIVITIESBLOOD DRIVES: UTMC PARTNERS WITH MEDIC REGIONAL BLOOD CENTER TO PROVIDE AN OPPORTUNITY FOR EMPLOYEES TO GIVE BACK TO THEIR COMMUNITY. UTMC IS THE REGION'S LARGEST CONSUMER OF BLOOD PRODUCTS DUE TO THE COMPLEXITY OF SERVICE WE PROVIDE TO THE COMMUNITY, INCLUDING SERVING AS THE ONLY LEVEL I TRAUMA CENTER IN OUR REGION.EMPTY STOCKING FUND: UTMC EMPLOYEES AND HOSPITAL PROVIDE OPPORTUNITIES TO VOLUNTEER WITHIN THE COMMUNITY. AS AN ORGANIZATION, UTMC PARTNERS WITH THE KNOXVILLE NEW SENTINEL TO PROVIDE FOOD AND TOYS TO DISADVANTAGED EAST TENNESSEANS DURING THE HOLIDAYS.UTMC STRATEGIC CHALLENGES AND SOCIETAL RESPONSIBILITIES:IN RESPONSE TO IDENTIFIED UNMET HEALTH-RELATED NEEDS IN THE COMMUNITY NEEDS ASSESSMENT, OUR FOCUS WILL BE ON INCREASING ACCESS TO HEALTH CARE FOR THE BROADER AND UNDERSERVED DISADVANTAGED MEMBERS OF THE SURROUNDING COMMUNITY. MAJOR INITIATIVES FOR FY 2017-19 FOCUSED ON INCREASING ACCESS TO HEALTH SERVICES FOR THE UNDERSERVED THROUGH PARTNERSHIPS; PREVENTING INJURIES AND TREATING TRAUMATIC BRAIN INJURIES; IMPROVING HEALTH ACCESS FOR WOMEN'S HEALTH; CANCER SCREENING SERVICES; EARLY DETECTION OF DISEASE PROCESSES AND MANAGEMENT; AND COMMUNITY BUILDING ACTIVITIES.2019 COMMUNITY COLLABORATIONS:IN ORDER TO REDUCE HEALTH DISPARITIES AND TO PROVIDE MEDICAL CARE AT THE FREE MEDICAL CENTER AMERICA (FMCA) FOR ITS AT-RISK PATIENT POPULATION, UT MEDICAL CENTER , GRADUATE SCHOOL OF MEDICINE, AND UNIVERSITY PHYSICIANS' ASSOCIATION HAVE COMMITTED GRANT FUNDING, TRAINEE PARTICIPATION, AND MANAGEMENT SERVICES. THE FMCA WILL CONTINUE PARTNERSHIPS WITH KNOXVILLE AREA PROJECT ACCESS, KNOXVILLE OUTPATIENT DIAGNOSTIC CENTER, LABCORP, AND WITH COMMUNITY AGENCIES TRAINED TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS IMPACTING OUR COMMUNITY'S HEALTH. ADDITIONALLY, ON-SITE PREVENTIVE AND RESTORATIVE DENTAL SERVICES WILL BE OFFERED IN 2020.UT MEDICAL CENTER ALSO HAS PARTNERED WITH EMERALD YOUTH FOUNDATION AND CHEROKEE HEALTH SYSTEMS (CHS) TO LAUNCH A NEW "HEALTHY IN COMMUNITY" CONCEPT IN THE LONSDALE COMPLEX ON DECEMBER 12, 2019. WHILE CHS WILL PROVIDE ADULT PRIMARY CARE, PEDIATRICS AND BEHAVIORAL HEALTH SERVICES, THE MEDICAL CENTER AND GRADUATE SCHOOL OF MEDICINE WILL COORDINATE MOBILE DENTAL CARE AND A COMMUNITY HEALTH EDUCATION CURRICULUM TO INCLUDE HEALTHY COOKING/EATING AND PHYSICAL FITNESS CLASSES, DISEASE PREVENTION AND MANAGEMENT, AND ON-SITE HEALTH SCREENINGS. PART VI, LINE 6: UHS IS CURRENTLY AFFILIATED WITH EAST TENNESSEE CHILDREN'S HOSPITAL IN PROVIDING JOINT HEALTHCARE SERVICES FOR THE PEDIATRIC POPULATION OF OUR REGION. UHS PARTNERS WITH SEVERAL LOCAL ORGANIZATIONS IN SUPPORT OF CHILDREN'S HEALTH AND WELLBEING. PART VI, LINE 7, REPORTS FILED WITH STATES TN 1 AMERICAN CANCER SOCIETY 871 WEISGARGER RD KNOXVILLE TN 37909 640329009 501(C)(3) 10000 OPERATIONAL SUPPORT AMERICAN HEART ASSOCIATION 4708 PAPERMILL DR KNOXVILLE TN 37909 135613797 501(C)(3) 75000 OPERATIONAL SUPPORT ARTHRITIS FOUNDATION 525 HENLEY STREET KNOXVILLE TN 37902 581341679 501(C)(3) 5000 OPERATIONAL SUPPORT AUTISM BREAKTHROUGH OF KNOXVILLE 900 E HILL AVE STE 145 KNOXVILLE TN 37915 621834568 501(C)(3) 6000 OPERATIONAL SUPPORT CANCER SUPPORT GROUP 2230 SUTHERLAND AVE KNOXVILLE TN 37919 581846210 501(C)(3) 27500 OPERATIONAL SUPPORT EAST TENNESSEE CHILDREN'S HOSPITAL PO BOX 15010 KNOXVILLE TN 37901 626002604 501(C)(3) 5000 OPERATIONAL SUPPORT EMERALD YOUTH FOUNDATION 1718 NORTH CENTRAL STREET KNOXVILLE TN 37917 621474791 501(C)(3) 5000 OPERATIONAL SUPPORT ETEDA 10215 TECHNOLOGY DR STE 202 KNOXVILLE TN 37932 621158958 501(C)(3) 18000 OPERATIONAL SUPPORT GREAT SMOKY MOUNTAIN COUNCIL PO BOX 51885 KNOXVILLE TN 37950 620476811 501(C)(3) 75000 OPERATIONAL SUPPORT GREAT SMOKY MOUNTAIN INSTITUTE OF TREMONT 9275 TREMONT ROAD TOWNSEND TN 37882 621833479 501(C)(3) 5000 OPERATIONAL SUPPORT HELEN ROSS MCNABB 201 WEST SPRINGDALE AVENUE KNOXVILLE TN 37917 620548914 501(C)(3) 10000 OPERATIONAL SUPPORT INNOVATION VALLEY 17 MARKET SQUARE STE 201 KNOXVILLE TN 37902 262087582 501(C)(3) 40000 OPERATIONAL SUPPORT JDRF 26 BROADWAY 14TH FLOOR NEW YORK NY 10004 231907729 501(C)(3) 5000 OPERATIONAL SUPPORT KNOX COUNTY IMAGINATION LIBRARY 500 WEST CHURCH AVENUE KNOXVILLE TN 37902 620807696 501(C)(3) 5000 OPERATIONAL SUPPORT KNOXVILLE ACADEMY 115 SUBURBAN RD KNOXVILLE TN 37923 621458199 501(C)(3) 20000 OPERATIONAL SUPPORT KNOXVILLE CHAMBER OF COMMERCE 17 MARKET SQUARE 201 KNOXVILLE TN 37902 620262640 501(C)(3) 11600 OPERATIONAL SUPPORT KNOXVILLE JAZZ ORCHESTRA 2518 SHERROD ROAD KNOXVILLE TN 37920 621827891 501(C)(3) 6000 OPERATIONAL SUPPORT KNOXVILLE NEWS SENTINEL 2332 NEWS SENTINEL DRIVE KNOXVILLE TN 37921 510141541 501(C)(3) 5000 OPERATIONAL SUPPORT LEADERSHIP KNOXVILLE PO BOX 326 KNOXVILLE TN 37901 621212211 501(C)(3) 5000 OPERATIONAL SUPPORT MARCH OF DIMES 322 NANCY LYNN LANE STE 11 KNOXVILLE TN 37919 131846366 501(C)(3) 8000 OPERATIONAL SUPPORT RONALD MCDONALD HOUSE 1705 W CLINCH AVENUE KNOXVILLE TN 37916 581510276 501(C)(3) 5000 OPERATIONAL SUPPORT STAR 11800 HWY 11E LENOIR CITY TN 37772 621330640 501(C)(3) 5000 OPERATIONAL SUPPORT SUSAN KOMEN FOUNDATION 318 NANCY LYNN LN 13 KNOXVILLE TN 37919 752854955 501(C)(3) 25000 OPERATIONAL SUPPORT THE CHANGE CENTER 203 HARRIET TUBMAN ST KNOXVILLE TN 37915 383991050 501(C)(3) 5000 OPERATIONAL SUPPORT UNITED WAY OF GREATER KNOXVILLE 1301 HANNAH AVENUE KNOXVILLE TN 37921 620475748 501(C)(3) 115000 OPERATIONAL SUPPORT UNIVERSITY OF TN COLLEGE OF NURSING 1200 VOLUNTEER BLVD KNOXVILLE TN 37916 626001636 GOVT 6000 OPERATIONAL SUPPORT UNIVERSITY OF TN GRADUATE SCHOOL OF MEDICINE 301 ANDY HOLT TOWER KNOXVILLE TN 37996 626001636 GOVT 108333 OPERATIONAL SUPPORT VARIETY OF EASTERN TN 7132 REGAL LANE KNOXVILLE TN 37918 331025696 501(C)(3) 5000 OPERATIONAL SUPPORT YWCA KNOXVILLE 420 WEST CLINCH AVENUE KNOXVILLE TN 37902 620475701 501(C)(3) 16500 OPERATIONAL SUPPORT ZOO KNOXVILLE 3500 KNOXVILLE ZOO DRIVE KNOXVILLE TN 37914 621034633 501(C)(3) 6000 OPERATIONAL SUPPORT 28 2 MEN'S HEALTH CANCER FUND 410 33373 HELPING HANDS 200 14315 CRISIS FUND 5793 25747 BREAST HEALTH GIFT FUND 585 77016 STEPHENS FUND 258 67414 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 DR ROBERT F ELDER BOARD MEMBER 556243 0 32449 0 3810 0 57809 0 828 0 651139 0 0 0 BENJAMIN M CUNNINGHAM JR SR VP & CFO 395450 0 91176 0 690 0 49187 0 14325 0 550828 0 0 0 JANELL R CECIL SR VP & CNO 448430 0 64750 0 5070 0 82588 0 14495 0 615333 0 0 0 WILLIAM D HALL EXECUTIVE VICE PRESIDENT 697133 0 146625 0 5467 0 144252 0 9419 0 1002896 0 0 0 JERRY L EPPS SR VP & CMO 236985 0 123750 0 2260 0 41394 0 355 0 404744 0 0 0 JOSEPH R LANDSMAN JR PRESIDENT & CEO 2417683 0 384120 0 7445 0 300613 0 9638 0 3119499 0 0 0 STEVEN R ROSS SR VICE PRESIDENT 557821 0 89000 0 6871 0 103147 0 6080 0 762919 0 0 0 BENNETT COX SR VP & GENERAL COUNSEL 443824 0 62841 0 2700 0 86946 0 1005 0 597316 0 0 0 BRUCE R HARTMANN SR VP & CHIEF COMMUNITY RELATIONS OF 345591 0 36329 0 14766 0 38820 0 9096 0 444602 0 0 0 KATHERINE BOYD SR. VP & CHIEF DEVELOPMENT OFFICER 358282 0 51381 0 5027 0 4256 0 4373 0 423319 0 0 0 DR KEITH GRAY SR VP & CHIEF MEDICAL OFFICER 570892 0 17500 0 775 0 57169 0 676 0 647012 0 0 0 DR JAMES SHAMIYEH SR VP & CHIEF QUALITY OFFICER 471372 0 20334 0 653 0 46682 0 12819 0 551860 0 0 0 JOHN L BELL PHYSICIAN/MEDICAL DIR 863581 0 36525 0 2210 0 84874 0 765 0 987955 0 0 0 DAVID N ALJADIR PHYSICIAN 539647 0 425683 0 300 0 90098 0 14325 0 1070053 0 0 0 MICHAEL B FREEMAN PHYSICIAN 592503 0 528025 0 1980 0 103001 0 420 0 1225929 0 0 0 OSCAR GRANDAS PHYSICIAN 774837 0 361635 0 1290 0 106292 0 420 0 1244474 0 0 0 SUSAN M NEWMAN PHYSICIAN 470591 0 467785 0 450 0 14000 0 7458 0 960284 0 0 0 ANTONY J CHARLES PHYSICIAN 543483 0 413946 0 450 0 91440 0 14325 0 1063644 0 0 0 DR MELISSA P LAPINSKA BOARD MEMBER (ROTATED OFF) 314506 0 0 0 300 0 31530 0 828 0 347164 0 0 0 THOMAS FISHER FORMER VP & CFO 108430 0 0 0 0 0 57337 0 693 0 166460 0 0 0 PART I, LINE 4B THE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT, VICE PRESIDENTS AND EQUIVALENTS, AND PHYSICIANS. ALL EMPLOYER CONTRIBUTIONS ARE SUBJECT TO A SEVEN-YEAR VESTING SCHEDULE OR ATTAINMENT OF AGE 60 AND CONTRIBUTIONS ARE MADE AT THE CLOSE OF EACH PAYROLL CYCLE. THE ORGANIZATION MAINTAINS A SEPARATE NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT. THE EMPLOYER'S CONTRIBUTIONS BECOME VESTED ACCORDING TO THE AGE OF THE PARTICIPANT AT THE TIME THE CONTRIBUTION WAS MADE. CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT MADE IN A YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 57 SHALL VEST FULLY ON JANUARY 1 OF THE YEAR THE PARTICIPANT ATTAINS THE AGE OF 60. FOR CONTRIBUTIONS MADE NO LATER THAN THE YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 58 AND EACH YEAR THEREAFTER SHALL VEST FULLY ON THE LAST BUSINESS DAY OF THE YEAR IN WHICH THE CONTRIBUTION IS MADE. CONTRIBUTIONS ARE MADE AT THE END OF EACH PAYROLL CYCLE. THE ALLOCATIONS MADE TO THE NONQUALIFIED DEFERRED COMPENSATION PLANS FOR THE YEAR WERE: $76,098 DAVID N. ALJADIR $77,440 ANTONY J. CHARLES $92,292 OSCAR GRANDAS $89,001 MICHAEL B. FREEMAN $24,820 BRUCE R. HARTMANN $72,946 BENNETT COX $70,874 JOHN L. BELL $68,588 JANELL R. CECIL $89,147 STEVEN R. ROSS $35,150 JERRY L. EPPS $130,252 WILLIAM D. HALL $35,187 BENJAMIN M. CUNNINGHAM, JR. $286,613 JOSEPH R. LANDSMAN, JR. $17,530 DR. MELISSA P. LAPINSKA $43,809 DR. ROBERT F. ELDER $43,169 DR. KEITH GRAY $32,682 DR. JAMES SHAMIYEH PART I, LINE 7 THE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO, WHICH INCLUDES ACHIEVEMENTS OF QUALITY, OPERATIONAL, FINANCIAL, AND STRATEGIC TARGETS. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S HUMAN RESOURCES COMMITTEE WITH BOARD APPROVAL REQUIRED OF THE PLAN. THE INCENTIVE PLAN WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT. DATA COMPILED BY KORN FERRY IS USED FOR COMPARABILITY. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS. THE COMPENSATION PACKAGES OF THE CEO, OFFICERS, EMPLOYED PHYSICIAN BOARD MEMBERS, AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS ANNUALLY. COMPENSATION IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE HUMAN RESOURCES COMMITTEE AND THE FULL BOARD. THE BOARD MAINTAINS COMPARABILITY DATA FROM INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANTS AND COMPENSATION DATA FROM SIMILARLY-SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS. THE BOARD ADHERES TO THE CONFLICT OF INTEREST POLICY AT ALL TIMES WITH REGARD TO APPROVAL OF COMPENSATION. A THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 2014-07-23 10000000 ADDITIONS AND IMPROVEMENTS TO MEDICAL CENTER 0 0 0 B THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 2015-06-25 90000000 CURRENT REFUNDING AND CAPITAL PROJECT 0 0 0 C THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MCZ7 2016-11-17 120612199 CURRENT REFUNDING AND CAPITAL PROJECT 0 0 0 D THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MEF9 2017-02-07 133311875 CURRENT REFUNDING 0 0 0 A 76000 10000000 10000000 2015 0 0 0 1 B 1830000 90000000 250000 40445000 2015 0 1 1 1 C 4875211 120613623 1422017 66408417 2016 0 1 1 1 D 10055000 133311875 1119046 132192828 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0 0 0 C 0 0 0 0 0.00000 0.00000 0 0 0 D 0 0 0 0 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 0 B 0 C 0 D 0 PART II, LINE 3, SERIES 2016 INVESTMENT EARNINGS HAVE BEEN INCLUDED IN THIS LINE. BECAUSE OF THIS, THE ISSUE PRICE ON PART I AND THE ISSUE PRICE IN PART II FOR THE SERIES 2016 BOND WILL NOT MATCH. ELIZABETH SHERROD FAMILY RELATIONSHIP WITH BOARD MEMBER 79944 COMPENSATION AS EMPLOYEE 0 X 10000 FMV X LIGHT AND SOUND EQUIPMENT 0 47644 FMV X EVENT SUPPLIES: TENTS, TABLES, CHAIRS, FURNITURE, CARPET, LINENS, ETC 0 25000 FMV X A/V EQUIPMENT 0 20000 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND SENIOR VP/CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURES ARE NOW PERFORMED ELECTRONICALLY. STATUS REPORTS WITH DETAILS CAN BE RUN AT ANY TIME TO DETERMINE COMPLETION. THIS IS RUN MANY TIMES ANNUALLY AS THEY ARE COMPLETED. THE ORGANIZATION FURTHER INVESTIGATES ANY DISCLOSURES THAT REQUIRE A CLOSER LOOK AND WORKS TOWARD RESOLUTION OF ANY POTENTIAL COMPLIANCE DISCREPANCIES. FORM 990, PART VI, 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 (IHS), 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. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 79,150,674. MANAGEMENT AND GENERAL EXPENSES 5,511,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,662,182. COMMUNICATION SERVICES: PROGRAM SERVICE EXPENSES 22,002,152. MANAGEMENT AND GENERAL EXPENSES 1,532,078. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,534,230. CLINCAL SERVICES: PROGRAM SERVICE EXPENSES 21,941,170. MANAGEMENT AND GENERAL EXPENSES 1,527,832. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,469,002. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 3,771,234. MANAGEMENT AND GENERAL EXPENSES 262,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,033,837. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,686,196. MANAGEMENT AND GENERAL EXPENSES 117,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,803,611. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -3,327,006. CHANGE IN INTEREST RATE SWAP 5,194,283. OTHER CHANGE IN NET ASSETS 3,111,126. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR. FORM 990, PART III, LINE 4A: STATEMENT OF COMMUNITY BENEFIT UNIVERSITY HEALTH SYSTEM JANUARY 1, 2019 - DECEMBER 31, 2019 2019 COMMUNITY COLLABORATIONS: IN ORDER TO REDUCE HEALTH DISPARITIES AND TO PROVIDE MEDICAL CARE AT THE FREE MEDICAL CENTER AMERICA (FMCA) FOR ITS AT-RISK PATIENT POPULATION, UT MEDICAL CENTER, GRADUATE SCHOOL OF MEDICINE, AND UNIVERSITY PHYSICIANS' ASSOCIATION HAVE COMMITTED GRANT FUNDING, TRAINEE PARTICIPATION, AND MANAGEMENT SERVICES. THE FMCA WILL CONTINUE PARTNERSHIPS WITH KNOXVILLE AREA PROJECT ACCESS, KNOXVILLE OUTPATIENT DIAGNOSTIC CENTER, AND LABCORP, AND WITH COMMUNITY AGENCIES TRAINED TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS IMPACTING OUR COMMUNITY'S HEALTH. ADDITIONALLY, ON-SITE PREVENTIVE AND RESTORATIVE DENTAL SERVICES WILL BE OFFERED IN 2020. UT MEDICAL CENTER ALSO HAS PARTNERED WITH EMERALD YOUTH FOUNDATION AND CHEROKEE HEALTH SYSTEMS (CHS) TO LAUNCH A NEW "HEALTH IN COMMUNITY" CONCEPT IN THE LONSDALE COMMUNITY IN KNOXVILLE. A HEALTH CENTER WILL OPEN IN THE NEW HASLAM-SANSOM LONSDALE COMPLEX ON DECEMBER 12, 2019. WHILE CHS WILL PROVIDE ADULT PRIMARY CARE, PEDIATRICS AND BEHAVIORAL HEALTH SERVICES, THE MEDICAL CENTER AND GRADUATE SCHOOL OF MEDICINE WILL COORDINATE MOBILE DENTAL CARE, AND A COMMUNITY HEALTH EDUCATION CURRICULUM TO INCLUDE HEALTHY COOKING/EATING AND PHYSICAL FITNESS CLASSES, DISEASE PREVENTION AND MANAGEMENT, AND ON-SITE HEALTH SCREENINGS. UHS ASC LLC 1520 CHEROKEE TRAIL STE 200 KNOXVILLE TN 37920 311626179 INACTIVE TN 989354000 886284000 UNIVERSITY HEALTH SYSTEM INC REGIONAL TRAUMA SERVICES LLC 1520 CHEROKEE TRAIL STE 330 KNOXVILLE TN 37920 202769076 TRAUMA MANAGEMENT TN 879000 398000 UNIVERSITY HEALTH SYSTEM INC UNIVERSITY CARDIOLOGY GROUP LLC 1520 CHEROKEE TRAIL STE 330 KNOXVILLE TN 37920 464901485 PHYSICIAN SERVICE TN 12482000 3029000 UNIVERSITY HEALTH SYSTEM INC UNIVERSITY HEALTH NETWORK LLC 1520 CHEROKEE TRAIL STE 200 KNOXVILLE TN 37920 812770309 CLINICALLY INTEGRATED NETWORK TN 5091000 2806000 UNIVERSITY HEALTH SYSTEM INC UT URGENT CARE CENTERS 2121 MEDICAL CENTER WAY KNOXVILLE TN 37920 URGENT CARE TN 2538000 387000 UNIVERSITY HEALTH SYSTEM INC UNIVERSITY HEALTH ACO LLC 2121 MEDICAL CENTER WAY KNOXVILLE TN 37920 822250990 COORDINATOR: HEALTH CARE TN 0 0 UNIVERSITY HEALTH NETWORK LLC UHS VENTURES INC 9000 EXECUTIVE PARK DRIVE D-240 KNOXVILLE TN 37923 621619460 MANAGEMENT SERVICES TN UNIVERSITY HEALTH SYSTEM INC C 1508000 460000 1.00000 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 1