2019-05-10T13:02:36-05:00 2018-06-30 346565596 Ernst & Young US LLP 55 Ivan Allen Blvd Suite 1000 Atlanta GA 30308 990 2017-07-01 352528741 Vanderbilt University Medical Center VAND 6153222381 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 Cecelia B Moore CFO & Treasurer 2019-05-10 true Aerrial M Orr P01598400 4048748300 2017 2019-02-21 02:37:17Z Jeffrey R Balser MD PhD 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 4473117467 false X www.vumc.org X 2015 TN See Schedule O, Form 990, Part III, Line 1 11 10 26949 1266 24676538 0 302808739 355841563 3608520465 3740845973 21250369 36001277 5609895 4843829 3938189468 4137532642 79456591 105176985 0 2035260271 2179645238 92802 0 11430765 1621217366 1761807022 3736027030 4046629245 202162438 90903397 2801330205 3192191146 2000428282 2264561545 800901923 927629601 X See Schedule O Form 990, Part III, Line 1 false false 2522911080 18685965 3442776569 Patient Services - See Schedule O Form 990, Part III, Line 4a 654767134 86491020 131002936 Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b 138529136 0 170762784 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766 138529136 170762784 3316207350 true false false true false false true false true true false false false true false false true false true true true false false true false true true true true true true false false false false false false false false false false true true false false true true true true false false true 2177 0 true 26949 true true true true MZ false false false true true true false false false X 11 10 true false false false false false false true true false false true true true true true true true true true true X Scott Phillips 6153222381 3319 West End Ave Suite 700 Nashville TN 37203 Jeffrey R Balser MD PHD President and CEO 40.0 X X 2772510 0 293832 Gregory Scott Allen JD Director 1.0 X 0 0 0 Michael M E Johns MD Director 1.0 X 0 0 0 Edith Scott Carell Johnson JD Director 1.0 X 0 0 0 Richard B Johnston Jr MD Director 1.0 X 0 0 0 Samuel E Lynch DMD DMSC Director 1.0 X 0 0 0 David W Patterson MD Director 1.0 X 0 0 0 Robert C Schiff Jr MD Director 1.0 X 0 0 0 Thomas J Sherrard III JD Director 1.0 X 0 0 0 John F Stein MBA Director 1.0 X 0 0 0 Nicholas S Zeppos JD Director 1.0 X 0 0 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 40.0 X 1018060 0 117677 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 39.8 0.2 X 1068740 0 111565 C Wright Pinson MD MBA Deputy CEO and Chief Health System Officer 40.0 X 2171531 0 198900 Michael J Regier JD General Counsel and Secretary 40.0 X 882602 0 105234 Mitchell C Edgeworth MBA CEO, Vanderbilt University Adult Hospital and Clinics 40.0 X 812621 0 86371 Charles L Gregory MA MBA MH CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt 40.0 X 805478 0 83327 Traci K Nordberg JD Chief HR Officer 39.0 1.0 X 703983 0 77932 David R Posch Executive Vice President for Population Health 38.8 1.2 X 883634 0 30734 David S Raiford MD Chief of Clinical Staff 40.0 X 898656 0 107572 William W Stead MD Chief Strategy Officer 40.0 X 918549 0 29410 Scott T Arthur MD VBJ Faculty - Asst Professor 40.0 X 1271113 0 29819 Clinton J Devin MD Comprehensive Spine Center - Assoc Professor 40.0 X 1490332 0 20608 John W Klekamp MD VBJ Faculty - Asst Professor 40.0 X 1300953 0 36194 Paul A Thomas MD VBJ Faculty - Assoc Professor 40.0 X 1909278 0 39885 Todd R Wurth MD VBJ Faculty - Asst Professor 40.0 X 1365687 0 40635 20273727 0 1409695 3382 false true false Vanderbilt University PMB 406310 2301 Vanderbilt Place Nashville TN 37240 Various Services 189337313 Turner Universal Construction Co 624 Grassmere Park 4 Nashville TN 37211 Construction Services 29200767 Deloitte Consulting LLP 30 Rockefeller Plaza New York NY 10112 Professional Services 14062823 Cross Country Staffing Inc 1970 Broadway 1250 Oakland CA 94612 Staffing Services 11551153 NTT DATA Services LLC 2413 Nashville Rd Bowling Green KY 42101 Data Services 10178821 335 913876 282436360 72491327 3343732 355841563 NET PATIENT SERVICE REVENUE 622110 3442776569 3439873898 2902671 ACADEMIC AND RESEARCH REVENUE 611310 131002936 131002936 OTHER PROGRAM REVENUE 611310 167066468 145768937 21297531 0 0 0 0 3740845973 13091018 476336 12614682 477335 477335 748641 111736 636905 0 636905 636905 338239760 19746169 323551847 11523823 14687913 8222346 22910259 22910259 430692 913876 397419 33273 33273 REVENUE FROM UNCOLSOLILDATED ORGS 900099 3696316 3696316 0 0 0 0 3696316 4137532642 3720342087 24676538 36672454 X 75516165 75516165 24959549 24959549 4701271 4701271 13227456 1051968 11729824 445664 10379 10379 1769347844 1539107619 225679886 4560339 60194103 41875824 17922146 396133 223028268 187133497 35118547 776224 113837188 104147886 9479771 209531 3107781 1238383 1869398 1628163 1410418 217745 1058476 23876 1034600 414256213 146280501 267750263 225449 12628782 5079861 7522403 26518 96020388 76712903 17754107 1553378 64902238 17200801 47682533 18904 4377 4377 221145979 179672085 39147663 2326231 20374713 18077328 2182444 114941 14448439 12484036 1911324 53079 62695544 60270777 2424767 105653599 83209120 22444479 14565060 14564085 975 DRUGS AND MEDICAL SUPPLIES 706125249 704428059 1183377 513813 OTHER ACADEMIC AND RESEARCH 6262392 2289428 3858276 114688 TAXES 3302748 3031220 271528 PROVISION FOR BAD DEBTS -1406826 -1406826 15033707 13132760 1806049 94898 4046629245 3316207350 718991130 11430765 43465820 109809546 510269465 472837831 84304594 75937681 447731680 541129165 0 0 0 275133 1473349 67478430 72636245 6888179 11028380 1515108157 208468963 1219767733 1306639194 398102347 576414677 20183704 21822303 0 2863120 2462775 2801330205 3192191146 588379289 632617711 50047272 56021883 528375952 705661946 0 647418477 693141612 22273292 28928941 163934000 148189452 2000428282 2264561545 X 713978991 813204943 69058166 79495974 17864766 34928684 800901923 927629601 2801330205 3192191146 X 90903397 7237337 28586944 X false true X true true true X 47625339 302808739 355841563 706275641 0 0 0 0 47625339 302808739 355841563 706275641 0 706275641 2162150 22888201 29004907 54055258 0 0 0 0 0 0 800563 4280652 4127008 9208223 769539122 7928568609 X Schedule A, Part II, Line 10 THE AMOUNT REPORTED ON LINE 10 COMPRISES GROSS FUNDRAISING REVENUE of $430,692 AND REVENUE FROM UNCONSOLIDATED ORGANIZATIONS of $3,696,316. Schedule A, Part II, Line 10 Other Income DESCRIPTION - UNCONSOLIDATED ORGS AND FUNDRAISING, COLUMN A - , COLUMN B - , COLUMN C - 800563.0, COLUMN D - 4280652.0, COLUMN E - 4127008.0, COLUMN F - 9208223.0; 335413 335413 4022666749 4023002162 1000000 0 250000 0 0 1000000 1000000 1000000 3000000 4500000 57062 312352 335413 704827 250000 250000 250000 750000 1125000 0 0 0 0 Schedule C, Part II-A, Line 2 VUMC duly filed Federal Form 5768 electing to have the provisions of 501(h) apply to its tax year ending June 30, 2015. This election was not revoked prior to VUMC's tax year beginning July 1, 2017. 9845 691813 X true 97918225 18514911 8271392 2702026 122002502 79588874 11330429 10665314 3666392 97918225 0 78782338 1142039 335503 79588874 0 0 0 0 0.7782 0.1839 0.0379 false false 20132014 20132014 903660223 136225083 767435140 67732997 10210622 57522375 411502685 62033258 349469427 112080238 0 112080238 1306639194 Fair Value of Interest Rate Swap Agreements Tenant Improvement Allowances Note Payable to Related Organization Note Payable to Related Organization Fair Value of Interest Rate Swap Agreements Tenant Improvement Allowances Capital Leases Note Payable to Related Organization 89583333 Fair Value of Interest Rate Swap Agreements 54206233 Tenant Improvement Allowances 3244053 Capital Leases 1155833 148189452 Schedule D, Part V, Line 4 INTENDED USES OF ENDOWMENT FUNDS ENDOWMENT FUNDS ARE UTILIZED TO GENERATE EARNINGS AND SUBSEQUENT DISTRIBUTIONS FOR THE USE OF FUNDING MEDICAL RESEARCH, MEDICAL CHAIRS IN CLINICAL DEPARTMENTS, MEDICAL TRAINING FELLOWSHIPS, MEDICAL DIRECTORSHIPS, AND OTHER PROGRAMS CONSISTENT WITH THE MISSION OF THE INSTITUTION. Schedule D, Part III, Line 4 Collections of art - description of collections VUMC MAINTAINS VARIOUS COLLECTIONS OF ART AND SIMILAR ASSETS. SUCH COLLECTIONS INCLUDE, BUT ARE NOT LIMITED TO, PAINTINGS, PHOTOGRAPHY, SCULPTURES AND OTHER SIMILAR ITEMS. ALL SUCH COLLECTIONS FURTHER VUMC'S EXEMPT PURPOSE BY PROVIDING CULTURAL, HISTORICAL, AND EDUCATIONAL OPPORTUNITIES TO VUMC STAFF AND PATIENTS AND THE COMMUNITY AT LARGE THROUGH EXHIBITS AND DISPLAYS. true Central America and the Caribbean 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 8080 East Asia and the Pacific 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 73950 Europe (Including Iceland and Greenland) 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 431737 Middle East and North Africa 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 7122 North America (Canada & Mexico only) 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 174925 South America 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 16502 South Asia 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 10045 Sub-Saharan Africa 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 60930 Russia and Neighboring States 0 0 ,sending agents of the organization to attend and speak at seminars and conferences N/A 5993 Central America and the Caribbean 0 1 ,Grantmaking-subcontracts N/A 65926 East Asia and the Pacific 0 0 ,Grantmaking-subcontracts N/A 535304 Europe (Including Iceland and Greenland) 0 1 ,Grantmaking-subcontracts N/A 342105 North America (Canada & Mexico only) 0 0 ,Grantmaking-subcontracts N/A 168434 South America 0 5 ,Grantmaking-subcontracts N/A 2411387 South Asia 0 0 ,Grantmaking-subcontracts N/A 4689 Sub-Saharan Africa 0 6 ,Grantmaking-subcontracts N/A 1173426 Central America and the Caribbean 0 0 Program Services Education, Health-Care, Research 14996 East Asia and the Pacific 0 0 Program Services Education, Health-Care, Research 114736 Europe (Including Iceland and Greenland) 0 0 Program Services Education, Health-Care, Research 239621 Middle East and North Africa 0 0 Program Services Education, Health-Care, Research 8809 North America (Canada & Mexico only) 0 0 Program Services Education, Health-Care, Research 75113 Russia and Neighboring States 0 0 Program Services Education, Health-Care, Research 5309 South America 0 0 Program Services Education, Health-Care, Research 102956 South Asia 0 0 Program Services Education, Health-Care, Research 1253 Sub-Saharan Africa 2 1340 Program Services Education, Health-Care, Research 30437803 0 13 2 1340 2 1353 5490555 31000596 36491151 Europe (Including Iceland and Greenland) Research 30340 Wire N/A N/A Sub-Saharan Africa Research 556394 Wire N/A N/A Sub-Saharan Africa Research 94626 Wire N/A N/A East Asia and the Pacific Research 20520 Wire N/A N/A Sub-Saharan Africa General 95867 Wire N/A N/A South America Research 998903 Wire N/A N/A East Asia and the Pacific Research 145422 Wire N/A N/A South America Research 40000 Wire N/A N/A Central America and the Caribbean Research 65926 Wire N/A N/A North America (Canada & Mexico only) Research 50100 Check N/A N/A Sub-Saharan Africa General 74787 Wire N/A N/A North America (Canada & Mexico only) Research 20000 Wire N/A N/A Sub-Saharan Africa Research 18174 Wire N/A N/A Sub-Saharan Africa Research 5354 Wire N/A N/A East Asia and the Pacific Research 191185 Wire N/A N/A Sub-Saharan Africa Research 16966 Wire N/A N/A South America Research 1103556 Wire N/A N/A Sub-Saharan Africa Research 3562 Wire N/A N/A North America (Canada & Mexico only) Research 23760 Check N/A N/A North America (Canada & Mexico only) Research 74574 Check N/A N/A Europe (Including Iceland and Greenland) Research 238465 Wire N/A N/A Sub-Saharan Africa General 26414 Wire N/A N/A South America Research 225377 Wire N/A N/A Europe (Including Iceland and Greenland) Research 73300 Wire N/A N/A East Asia and the Pacific Research 47378 Wire N/A N/A Sub-Saharan Africa Research 44404 Wire N/A N/A South America Research 43550 Wire N/A N/A Sub-Saharan Africa General 15120 Wire N/A N/A Sub-Saharan Africa General 154611 Wire N/A N/A Sub-Saharan Africa Research 14261 Wire N/A N/A Sub-Saharan Africa Research 52885 Wire N/A N/A East Asia and the Pacific Research 130799 Wire N/A N/A 28 4 false false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx RF Celebrity Golf 302760 92040 210720 27012 705 1183 Friends in Fashion 255697 204657 51040 18095 41748 6678 30384 12 786111 617179 168932 39462 347 231805 1344568 913876 430692 18095 108222 7730 263372 397419 33273 true true X true X true X true true false true true 93163362 93163362 0.0230 658070059 523798076 134271983 0.0331 0 0.0 0 0 751233421 523798076 227435345 0.0561 9895785 1985988 7909797 0.0020 191858245 56049264 135808981 0.0335 0 0.0 635427689 506660854 128766835 0.0318 0 0.0 0 0 837181719 564696106 272485613 0.0672 0 0 1588415140 1088494182 499920958 0.1233 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 40140643 493329 449239499 620145970 -170906471 X true true Ambulatory Surgery Center of Cool Springs LLC Ambulatory Surgery Center 0.5102 0.0 0.1326 Vanderbilt Imaging Services LLC Radiology Services 0.6667 0.0 0.3333 New Light Imaging LLC Outpatient Diagnostic Imaging 0.6667 0.0 0.3333 One Hundred Oaks Imaging LLC Outpatient Diagnostic Imaging 0.8 0.0 0.2 Williamson Imaging LLC Outpatient Diagnostic Imaging 0.5334 0.0 0.2666 VIP Midsouth LLC Pediatric Clinics 0.51 0.0 0.49 Springfield VIP Realty LLC Own Real Estate Used as Medical Facility 0.49 0.0 0.51 2 1 Vanderbilt University Medical Center Hospitals 1211 22nd Avenue South Nashville TN 37212 www.vanderbilthealth.com 0000000027 X X X X X X 2 Vanderbilt Stallworth Rehabilitation Hospital 2201 Childrens Way Nashville TN 37212 www.vanderbiltstallworthrehab.com 0000000141 X Vanderbilt University Medical Center Hospitals 1 false false true X X X X X X X X X 16 true true false true X https://www.vanderbilthealth.com/MAIN/38766 X true 16 true https://www.vanderbilthealth.com/MAIN/38766 false true X 200.0 250.0 X X X true true X X X true X https://www.vanderbilthealth.com/FINANCIALASSISTANCE/46618 X https://www.vanderbilthealth.com/FINANCIALASSISTANCE/46619 X https://www.vanderbilthealth.com/FINANCIALASSISTANCE/ X X X X X X X true X false X X X X true X false false Vanderbilt Stallworth Rehabilitation Hospital 2 false false true X X X X X X X X X 16 true true false true X https://www.encompasshealth.com/locations/vanderbiltstallworth X true 16 true https://www.encompasshealth.com/locations/vanderbiltstallworth false true X 200.0 400.0 X X true true X X X true X http://www.encompasshealth.com/locations/vanderbiltstallworth/for-patients/financial-assistance X http://www.encompasshealth.com/locations/vanderbiltstallworth/for-patients/financial-assistance X http://www.encompasshealth.com/locations/vanderbiltstallworth/for-patients/financial-assistance X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Input from persons representing the broad interests of the community, including those with expertise in public health, was obtained through face-to-face interviews and via community listening sessions. Interviews took place from February to May 2015. Listening sessions took place from March to July 2015. Community summits were held in September of 2015. VUMC identified leaders from public health, government, education, the faith community, private foundations, community organizations, and academia among others as interviewees. Interviewees were identified in collaboration with local health departments in each county and were selected based on their understanding of the broad interests of the community and underserved populations. Interviewees also included health department directors from the community served, community physicians, public health researchers, and community based organizations that have special knowledge and expertise in public health. In all, 81 community leaders were interviewed with particular attention to underserved, low-income, and minority populations. Organizations represented in Davidson County interviews included Metro Nashville Public Schools, Jobs for Life, Family & Children's Services, Social Services, the Homelessness Commission, Nashville General, the Martha O' Bryan Center, the Council on Aging, Nashville General Hospital, local government, the Healthy Nashville Leadership Council, Nashville CARES, Saint Thomas Health, VUMC, Conexion Americas, Nashville Latino Health Coalition, Mental Health America, the Safety Net Consortium of Middle Tennessee, Faith Family Clinic, Siloam Health, United Neighborhood Health Services, Metro Transit Authority, Interdenominational Ministers Fellowship, HCA, United Way, local faith institutions, Meharry Medical College, Tennessee State University, Vanderbilt University, Nurses for Newborns, Second Harvest, and the Metro Public Health Department. Organizations represented in Rutherford County Interviews included the University of Tennessee Agricultural Extension Office, Middle Tennessee State University, Murfreesboro City Schools, local government, Saint Thomas Health, Interfaith Dental, Primary Care & Hope Clinic, Journey Home, National Healthcare for the Homeless Council, Murfreesboro Police Department, Volunteer Behavioral Health, City of Murfreesboro Transportation (Rover), Boys & Girls Club, Rutherford County Schools, Rutherford County YMCA, Saint Louise Clinic, and the Rutherford County Health Department. Organizations represented in Williamson County interviews included local faith institutions, Franklin Housing Authority, Mercy Community Healthcare, local government, Chamber of Commerce, WAVES, United Way, the Refuge Center, Williamson Medical Center, Workforce Essentials, Graceworks, Franklin Special School District, United Way of Williamson County, the Department of Children's Service, Columbia State Community College, and the Williamson County Health Department . Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic and Latino community leaders, the medically under-served, those experiencing mental illness, those experiencing addiction, children and other low-income, minority, under-served, and vulnerable populations. To understand community members' opinions of health needs, eleven focus groups were conducted across the three counties that represent the community served. The focus groups in Davidson County were held in collaboration with the United Way of metropolitan Nashville, as well as county health departments. In Davidson County, sessions were held at United Way Family Resource Centers (FRCs), which serve 32,000 low-income residents annually. United Way of Metropolitan Nashville recruited participants in partnership with the FRCs and VUMC and Saint Thomas Health. English and Spanish speakers were included in listening sessions in each county. In Rutherford County, listening sessions were held in coordination with Saint Thomas Health and the Rutherford County Health Department. Recruitment was done in coordination with the host sites, which included Faith and Hope Clinic, the Smyrna Branch of the Rutherford County Health Department, and First Baptist Church in Murfreesboro. In Williamson County, recruitment was done in collaboration with the Williamson County Health Department, and one session each was held in English and in Spanish. Across the three counties, more than three-quarters of participants were female (78%), more than three-quarters spoke English (78%), more than a quarter were uninsured (26%), and more than one-third had not completed more than a high school education (36%). Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center conducted a community health needs assessment in partnership with its affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center ("VUMC") identified four significant health needs in its most recently conducted CHNA. The four significant health needs identified are - alphabetically - 1) Access to Care and Coordination of Care; 2) Mental and Emotional Health / Substance Abuse; 3) Social Determinants; and 4) Wellness and Disease Prevention. VUMC is addressing all four needs, with a detailed list of programs, investments, and services listed in the 2016 Implementation Strategy (IS). In all three counties, the Community Health Improvement Team released a Request for Proposals for community projects that addressed one or more of the CHNA priority areas, specifically requiring applicants to discuss how their proposal would promote health equity and address broader policy, environmental, or systems change. After a competitive review process with a committee of both academic and community reviewers, five organizations were selected as recipients of these awards. The grantees received up to $7,500 to carry out their work over a period of 12 months. In Williamson County, VUMC collaborated with United Way of Williamson County, the Tennessee Agricultural Extension office, the Williamson County Health Department, and the Town of Fairview to hold a number of listening sessions. These listening sessions were an attempt to have a deeper understanding of some of the barriers to health and wellness that had arisen in the primary and secondary data collection during the CHNA process. Themes that arose included high childhood obesity in Fairview relative to the rest of the county and lack of affordable outdoor activities for families with children. Hearing these themes informed the work that followed in introducing free bike rentals at a free community park called Bowie Park, where visitors can recreate on a playground, wooded trails, or around a nearby lake. Additionally, VUMC collaborated on the introduction of a "born learning" trail and upcoming work to connect Bowie Park with the Fairview branch of the public library. This trail will contain a story written and illustrated by local school children in efforts to enhance both child literacy and physical activity. In addition, VUMC's Community Health Improvement Team participates in local groups such as the anti-drug coalition, the Williamson County Health Council and the Franklin Wellness Council, which promote improvements in community health. In Davidson County, VUMC is involved in collaboratives focused on the four priority needs. The Safety Net Consortium of Middle Tennessee, focused on access to and quality of care for the uninsured, continues to meet monthly at the Meharry-Vanderbilt Alliance and launched My Health Care Home, a web-based tool that facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve the under/uninsured. The Community Health Improvement Team has been involved in sub-projects focused on pharmacy access for the uninsured as well as an environmental scan focused on specialty care access for the uninsured. VUMC collaborated with the Metro Public Health Department and Nashville Health in the Infant Vitality Collaborative, focused on improving outcomes for newborns, toddlers, and families with young children. The infant vitality initiative seeks to eliminate disparities in birth outcomes, while bringing together cross-sector collaborations that can have a meaningful impact on outcomes for all families. VUMC also serves on the Alignment Nashville Behavioral Health Council and helped organize a first-of its-kind national social emotional learning (SEL) conference in 2018, which was attended by over 800 educators and care providers for children from around the world. The Community Health Improvement team has also spearheaded a "Community Youth Behavioral Team," which has enhanced the sharing of VUMC data with the Tennessee Association of Mental Health Organizations (TAMHO), the state Children's Council on Mental Health, ACE Nashville, and other care providers, as well as providing a table for discussion with other local service providers and caretakers of children - such as Metro Nashville Public Schools (MNPS). In Rutherford County, VUMC collaborated with the county health department and Rutherford County Wellness Council to distribute mini-grants to seventeen community organizations which were engaged in programs addressing the needs adopted in the CHNA. Grantees included the Big Brothers & Big Sisters of Middle Tennessee, Salvation Army, the County Board of Education Office of Coordinated School Health, Interfaith Dental Clinic, Nurses for Newborns, and Murfreesboro City schools among many others. Programs such as Howard's Hope addressed "wellness" needs by helping young under-served children learn swimming skills. Murfreesboro City schools ran a "chef academy" which teaches healthy nutrition and food preparation techniques to school-aged children. The Boys and Girls Club of Rutherford County ran programs to address mental health / substance abuse by teaching teens about substance and tobacco use and abuse. Additionally, VUMC helped distribute dozens of copies of "Play Nicely" to service providers. Play Nicely is a healthy discipline handbook used to educate new or prospective parents on healthy discipline strategies. Finally, several VUMC staff have participated in the opioid taskforce spear-headed by Saint Thomas Rutherford, which has become the WE CARE coalition. VUMC's Community Health Improvement team addressed a meeting of the United Way of Rutherford and Cannon Counties' Community Youth Initiative. The data and resources were shared again by the director of Rutherford County schools in a separate presentation to school leaders. Members of the Community Health Improvement team presented local data on substance abuse and mental health to the Prevention Coalition for Success, one of the largest and longest running anti-drug coalitions in the state of Tennessee. VUMC's Community Health Improvement team presented information on the four priority needs and data from the CHNA to United Ways of Rutherford and Cannon Counties' community impact committee. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS. PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS; BROCHURES AVAILABLE AT REGISTRATION POINTS; AND LANGUAGE INCLUDED ON ALL STATEMENTS MAILED TO PATIENTS ADVISING THAT VUMC HAS A FINANCIAL ASSISTANCE PROGRAM IF HELP IS NEEDED PAYING MEDICAL BILLS. PRE-ADMITTING, REGISTRATION, OR BILLING PERSONNEL MAY REFER UNINSURED OR LOW INCOME PATIENTS TO FINANCIAL COUNSELING PERSONNEL TO DISCUSS QUALIFICATIONS FOR FREE OR DISCOUNTED CARE. Schedule H, Part V, Section B, Line 3E Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Input from persons representing the broad interests of the community, including those with expertise in public health, was obtained through face-to-face interviews and via community listening sessions. Interviews took place from February to May 2015. Listening sessions took place from March to July 2015. Community summits were held in September of 2015. Stallworth identified leaders from public health, government, education, the faith community, private foundations, community organizations, and academia among others as interviewees. Interviewees were identified in collaboration with local health departments in each county and were selected based on their understanding of the broad interests of the community and underserved populations. Interviewees also included health department directors from the community served, community physicians, public health researchers, and community-based organizations that have special knowledge and expertise in public health. In all, 81 community leaders were interviewed with particular attention to underserved, low-income, and minority populations. Organizations represented in Davidson County interviews included Metro Nashville Public Schools, Jobs for Life, Family & Children's Services, Social Services, the Homelessness Commission, Nashville General, the Martha O' Bryan Center, the Council on Aging, Nashville General Hospital, local government, the Healthy Nashville Leadership Council, Nashville CARES, Saint Thomas Health, Stallworth, Conexion Americas, Nashville Latino Health Coalition, Mental Health America, the Safety Net Consortium of Middle Tennessee, Faith Family Clinic, Siloam Health, United Neighborhood Health Services, Metro Transit Authority, Interdenominational Ministers Fellowship, HCA, United Way, local faith institutions, Meharry Medical College, Tennessee State University, Vanderbilt University, Nurses for Newborns, Second Harvest, and the Metro Public Health Department. Organizations represented in Rutherford County Interviews included the University of Tennessee Agricultural Extension Office, Middle Tennessee State University, Murfreesboro City Schools, local government, Saint Thomas Health, Interfaith Dental, Primary Care & Hope Clinic, Journey Home, National Healthcare for the Homeless Council, Murfreesboro Police Department, Volunteer Behavioral Health, City of Murfreesboro Transportation (Rover), Boys & Girls Club, Rutherford County Schools, Saint Louise Clinic, Rutherford County YMCA, and the Rutherford County Health Department. Organizations represented in Williamson County interviews included local faith institutions, Franklin Housing Authority, Mercy Community Healthcare, local government, Chamber of Commerce, WAVES, United Way, the Refuge Center, Williamson Medical Center, Workforce Essentials, Graceworks, Franklin Special School District, United Way of Williamson County, the Department of Children's Service, Columbia State Community College, and the Williamson County Health Department. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic and Latino community leaders, the medically under-served, those experiencing mental illness, those experiencing addiction, children and other low-income, minority, under-served, and vulnerable populations. To understand community members' opinions of health needs, eleven focus groups were conducted across the three counties that represent the community served. The focus groups in Davidson County were held in collaboration with the United Way of metropolitan Nashville, as well as county health departments. In Davidson County, sessions were held at United Way Family Resource Centers (FRCs), which serve 32,000 low-income residents annually. United Way of Metropolitan Nashville recruited participants in partnership with the FRCs and Stallworth and Saint Thomas Health. English and Spanish speakers were included in listening sessions in each county. In Rutherford County, listening sessions were held in coordination with Saint Thomas Health, and the Rutherford County Health Department. Recruitment was done in coordination with the host sites, which included Faith and Hope Clinic, the Smyrna Branch of the Rutherford County Health Department, and First Baptist Church in Murfreesboro. In Williamson County, recruitment was done in collaboration with the Williamson County Health Department, and one session each was held in English and in Spanish. Across the three counties, more than three-quarters of participants were female (78%), more than three-quarters spoke English (78%), more than a quarter were uninsured (26%), and more than one-third had not completed more than a high school education (36%). Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital conducted a health needs assessment in partnership with its affiliated health system, Vanderbilt University Medical Center. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital ("Stallworth") identified four significant health needs in its most recently conducted CHNA. The four significant health needs identified are: 1) access to care and coordination of care, 2) mental and emotional health / substance abuse, 3) social determinants and 4) wellness and disease prevention. Stallworth is addressing all four needs, with a detailed list of programs, investments, and services listed in the 2016 Implementation Strategy (IS). Stallworth holds monthly grand rounds for members of the medical community to discuss topics that have an impact on rehabilitation and post-acute care. In addition, Stallworth offers a number of support groups and educational classes for patients and caregivers. The monthly stroke support group and stroke education classes, which meet weekly, are open to both patients and caregivers. Stallworth works to build strong collaborations throughout the community and throughout the country and currently supports the work of the American Heart and Stroke Association, United Spinal Association, Achilles Foundation, the Arthritis Foundation, Brain Injury Association of Tennessee, Williamson County Senior Expo, the Annual Harold "Jobe" Bernard Stroke and Neurosciences Symposium, Senior Health Fairs, Fifty Forward assisted living facilities, Maury County Senior Center, and the Hendersonville Senior Center. Stallworth is planning to add full time Licensed Independent Social Workers in to its staffing to provide a resource for the inpatient population in addition to expanded psychiatric consultation availability. Stallworth collaborates with the Trauma Survivors Network, which provides a host of free resources to help patients and families cope with the challenges of trauma recovery. In addition, the Spinal Cord Injury Peer Mentor Program, which is held twice monthly, includes training for peer mentor volunteers who help patients as they make the significant life changes often associated with trauma recovery. Finally, housing evaluations are done during the pre-admission process to assess home-readiness after a traumatic injury. Once an individual is admitted as an inpatient at Stallworth, a recurring housing assessment is done, and Stallworth staff often connect patients with community resources to assist in the transition. Through on-going partnerships and engagement of key stakeholders, Stallworth will continue to collaborate to meet the needs identified in the most recent needs assessment. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT STALLWORTH REHABILITATION HOSPITAL. PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER STALLWORTH'S CHARITY CARE POLICY VIA SIGNAGE AT THE FRONT DESK, IN THE MAIN ELEVATOR TO THE PATIENT CARE UNITS & ALONG THE BACK HALLWAY OF THE HOSPITAL. PAMPHLETS REGARDING THIS INFORMATION ARE DISTRIBUTED UPON ADMISSION AND A STATEMENT IS INCLUDED ON ANY PATIENT BILLS. IN ADDITION, PRE-ADMITTING, REGISTRATION, CASE MANAGEMENT OR BILLING PERSONNEL MAY REFER UNINSURED OR LOW INCOME PATIENTS TO FINANCIAL PERSONNEL TO DISCUSS QUALIFICATIONS FOR FREE OR DISCOUNTED CARE. 27 Ambulatory Surgery Center of Cool Springs LLC 2009 Mallory Lane Suite 100 Franklin TN 37067 Ambulatory Surgery Treatment Center Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Boulevard Spring Hill TN 37174 Oncology Services One Hundred Oaks Imaging LLC 719 Thompson Lane Nashville TN 37204 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 134 Pewitt Drive Brentwood TN 37027 Ambulatory Clinic Spring Hill Imaging Center LLC 5421 Main Street Spring Hill TN 37174 Outpatient Diagnostic Center Williamson Imaging LLC (dba Cool Springs Imaging) 2009 Mallory Lane Suite 150 Franklin TN 37067 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 919 Murfreesboro Pike Franklin TN 37064 Ambulatory Clinic Vanderbilt-Gateway Cancer Center GP 375 Alfred Thun Road Clarksville TN 37040 Oncology Services Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Belle Meade) 4525 Harding Road Suite 102 Nashville TN 37232 Outpatient Diagnostic Center Vanderbilt Imaging Services LLC (dba Hillsboro Imaging Services) 1909 Acklen Avenue Nashville TN 37212 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 1834 West McEwen Dr Suite B Franklin TN 37067 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 3098 Campbell Station Pkwy Spring Hill TN 37174 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 940 Oldham Drive Nolensville TN 37135 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 7601 Highway 70 S Bellevue TN 37221 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1954 Madison Street Clarksville TN 37043 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 9100 Carothers Pkwy Franklin TN 37067 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 585 Nashville Pike Gallatin TN 37066 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 198 E Main Street Hendersonville TN 37075 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Tulip Grove Road Hermitage TN 37076 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5000 Murfreesboro Road Lavergne TN 37086 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1303 W Main Street Lebanon TN 37087 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 2401 Old Fort Pkwy Murfreesboro TN 37128 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 3500 Gallatin Pike Nashville TN 37216 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5555 Edmondson Pike Nashville TN 37211 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 518 Donelson Pike Nashville TN 37214 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 4243 Harding Pike Nashville TN 37205 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Sam Ridley Pkwy Smyrna TN 37167 AMBULATORY CLINIC Schedule H, Part I, Line 7k VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS Column (f) Community Benefit Expense: The total community benefit expense using Part I, Line 7, Column (c) (before direct offsetting revenue) as a percentage of total expenses is 39.17%. Schedule H, Part V, Section B, Line 20 Extraordinary Collection Actions The VUMC Financial Assistance Policy permits the use of ECAs. However, VUMC did not engage in any ECAs during FY2018. The Stallworth Financial Assistance Policy explicitly forbids the use of ECAs. ** Vanderbilt University Medical Center ("VUMC") conducted an extensive review of its policies and procedures to ensure compliance with the requirements of IRC § 501(r). VUMC identified omissions in FY 2018 as part of this review that VUMC believes are minor and either inadvertent or due to reasonable cause, as described in Rev. Proc. 2015-21. VUMC has decided, in the interests of transparency, to provide this disclosure as part of its Form 990 filing pursuant to Section 6 of Rev. Proc. 2015-21. VUMC operates two hospital facilities for which it must satisfy the requirements of § 501(r). First, VUMC operates its main hospital facility at 1211 22nd Avenue South in Nashville, Tennessee. Second, for purposes of Treas. Reg. §1.501(r)-1(22), VUMC also operates Vanderbilt Stallworth Rehabilitation Hospital ("Stallworth") at 2201 Childrens Way in Nashville. The review that VUMC undertook addressed § 501(r) compliance at each of these hospital facilities. VUMC makes physical copies of its Community Health Needs Assessment ("CHNA") and Financial Assistance Policy ("FAP") available to the public at VUMC and Stallworth as required by §501(r). VUMC's review indicated, however, that VUMC should provide certain patient-facing employees with additional training to ensure that they could identify the physical location within the hospital facility where patients could obtain physical copies of these documents. All VUMC and Stallworth patient-facing, non-clinical staff collecting payments from patients received this additional training during FY18. An online learning module was also developed and is now assigned annually to appropriate VUMC personnel as well as any new hires in applicable areas. VUMC also determined as part of its § 501(r) review to enhance public awareness of its FAP and the financial assistance available to disadvantaged members of its community. Accordingly, VUMC disseminated information to community partners in each of the following categories: (1) a public/government agency serving low-income individuals in the Nashville community; (2) a health clinic in downtown Nashville that provides free or discounted health care to low-income persons; and (3) a nonprofit organization. The community partners identified in each group respectively are Metro Action Commission; Shade Tree Clinic; and Room in the Inn. Similarly, Stallworth designated a community liaison to attend regular functions in the community, display the FAP at these functions, and provide copies of the FAP to community members. Finally, VUMC has implemented quarterly reviews of its website links to ensure information required by § 501(r) is available to the public. VUMC provides a patient billing brochure at both admission and discharge to patients which contained information regarding the FAP and how to obtain financial assistance. During FY18, VUMC updated the patient billing brochure by labeling it the "Plain Language Summary" and revising it to expressly state that no patient who qualified for financial assistance would be charged more than the Amounts Generally Billed ("AGB"), as required by Treas. Reg. §1.501(r)-1(24). Finally, VUMC identified minor errors in the FAPs that applied to VUMC and Stallworth, respectively. Although both VUMC and Stallworth calculated and applied the Amounts Generally Billed ("AGB") correctly, the calculations were not explicitly stated in the FAP. Similarly, VUMC limited charges to AGB in practice, but this fact was not stated in the FAP. VUMC and Stallworth also revised their respective FAPs to state more clearly the specific criteria used to determine eligibility for financial assistance. Schedule H, Part VI, Line 7 Not applicable. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COSTING METHODOLOGY USED TO CALCULATE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS REPORTED WAS BASED ON AN OVERALL COST-TO-CHARGE RATIO FOR ALL PATIENT POPULATIONS. THE COST TO CHARGE RATIO WAS CALCULATED USING IRS WORKSHEET 2. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Costing Methodology - Bad Debt Expense: Lines 2 & 3: The costing methodology used to calculate bad debt expense reported in Part III, Lines 2 and 3 was based on an overall cost-to-charge ratio for all patient populations. Discounts and payments on accounts considered as bad debt offset the total bad debt expense recorded. Process to determine amount of bad debt attributable to individuals eligible for financial assistance - The accounts that have not been paid are first reviewed under a presumptive charity policy. For those accounts that do not meet presumptive eligibility criteria, it is estimated that 3% of the balances are attributable to individuals who would qualify for financial assistance. This estimate is based on experience of patient accounting management as well as a methodical review of outstanding patient accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The audited financial statements of VUMC disclose the consolidated amount of bad debt expense. This information is contained in Footnote 4, Patient Service Revenue, Patient Accounts Receivable, and Estimated Third-party Settlements, on page 17 of the audited financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Costing Methodology - Medicare Allowable Costs: The methodology for determining Medicare allowable costs consisted of applying an overall hospital cost-to charge ratio to gross Medicare charges from the hospital billing system. The resulting shortfall is entirely deemed as community benefit because the cost of providing related care consistently exceeds reimbursement from Medicare. The hospital accepts all Medicare patients with the knowledge that there may be shortfalls and operates to promote the health of the community. The organization believes the Medicare shortfall should be treated as a community benefit because Medicare does not fully compensate hospitals for the cost of providing hospital care to Medicare beneficiaries. In FY18, such shortfalls amounted to $170,906,471. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Collection Practices: Although Vanderbilt University Medical Center's policies do not contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance, in practice, if a patient qualifies for a 100% charity care write off, the account is closed and no further collection efforts are made. If a patient qualifies for a partial charity care write off, the account is reduced for the applicable charity discount and normal collection efforts are made. Although no extraordinary collection actions were taken in FY18, the extraordinary collection actions that may be taken, after reasonable efforts are made to ensure a patient is not eligible for financial assistance on the remaining balance, include: - Attachment or seizure of a bank account or other personal property - Commencement of a civil action against an individual - Wage garnishment Schedule H, Part V, Section B, Line 16a FAP website - Vanderbilt University Medical Center Hospitals: Line 16a URL: https://www.vanderbilthealth.com/FINANCIALASSISTANCE/46618; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16a URL: http://www.encompasshealth.com/locations/vanderbiltstallworth/for-patients/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Vanderbilt University Medical Center Hospitals: Line 16b URL: https://www.vanderbilthealth.com/FINANCIALASSISTANCE/46619; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16b URL: http://www.encompasshealth.com/locations/vanderbiltstallworth/for-patients/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Vanderbilt University Medical Center Hospitals: Line 16c URL: https://www.vanderbilthealth.com/FINANCIALASSISTANCE/; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16c URL: http://www.encompasshealth.com/locations/vanderbiltstallworth/for-patients/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment VUMC continually assesses the healthcare needs of the communities it serves. The Vanderbilt Patient and Family Advisory Council is made up of community volunteers which partners with VUMC' s health care team and leadership to assess needs and evaluate services and programs. VUMC and Stallworth have also formed the Community Health Improvement Working Group, an internal committee of program managers which meets regularly and makes recommendations to the CHNA Advisory Committee. The CHNA Advisory Committee is made up of VUMC and Stallworth senior leaders who meet to continually assess the needs of the community and drive improvements in care and processes for the communities they serve. VUMC further assesses the health care needs of the communities it serves by playing an active role in groups such as the Healthy Nashville Leadership Council, Williamson County Health Council, and the Rutherford County Wellness Council. VUMC reviews the many needs assessments published by these local groups (Alignment Nashville, Saint Thomas Health, Nashville Area Chamber of Commerce, Metro Social Services, Healthy Nashville, and the TN Department of Health, among others) to help gauge the needs and resources within the community. In 2018, VUMC completed a systematic review of more than 20 recent assessments completed by community partners, highlighting populations served, geographic area covered, and themes highlighted in the report. In addition, VUMC has developed partnerships with the state department of health to stay abreast of important community health needs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance VUMC patients are notified of available assistance under Federal, State or local government programs or under VUMC's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-Admitting, Registration, or Billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care. Stallworth patients are notified of available assistance under Federal, State or local government programs or under Stallworth's charity care policy via signage posted at various locations within the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-Admitting, Registration, Case Management or Billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care. Schedule H, Part VI, Line 4 Community information Vanderbilt University Medical Center, located in Nashville, Tennessee, serves primarily Tennessee, northern Alabama and southern Kentucky. Vanderbilt University Medical Center owns the Vanderbilt University Hospital, the Monroe Carell Jr. Children's Hospital at Vanderbilt, and Vanderbilt Psychiatric Hospital. These facilities operate under one hospital license as Vanderbilt University Medical Center (VUMC). VUMC (excludes Vanderbilt Health Services, LLC and subsidiaries) have approximately 61,000 annual discharges. VUMC also provides approximately 2.2 million annual outpatient visits, including 117,000 to the emergency departments. Vanderbilt University Medical Center Hospitals provide critical and often unique health care resources to the community and provide broad access to care. The majority of VUMC's patients live in four Tennessee counties: Davidson, Williamson, Rutherford and Montgomery. Vanderbilt Stallworth Rehabilitation Hospital, located in Nashville, Tennessee, serves middle Tennessee, southern Kentucky and the northern parts of Mississippi, Alabama and Georgia. This 80-bed hospital is a joint venture between Vanderbilt University Medical Center and HealthSouth and offers comprehensive acute rehabilitation services. Annually, Vanderbilt Stallworth Rehabilitation Hospital has approximately 1,300 discharges. The majority of Stallworth's patients live in four Tennessee counties - Davidson, Williamson, Rutherford and Montgomery. Schedule H, Part VI, Line 5 Promotion of community health For information on how VUMC promotes the health of the community please see: "Vanderbilt University Medical Center Facts 2017-2018" as found at: https://www.vanderbilthealth.com/patientandvisitorinfo/48538 "Vanderbilt in Tennessee: County by County" as found at: https://www.vanderbilt.edu/cngr/map/ "Vanderbilt Injects $9.5 billion into Tennessee economy" as found at: https://news.vanderbilt.edu/2017/03/27/vanderbilt-injects-9-5-billion-into-tennessee-economy/ Schedule H, Part VI, Line 6 Affiliated health care system Vanderbilt University Medical Center owns the Vanderbilt University Hospital, the Monroe Carell Jr. Children's Hospital at Vanderbilt, and Vanderbilt Psychiatric Hospital. These facilities operate under one hospital license as Vanderbilt University Medical Center (VUMC). VUMC also has ownership interest in several affiliated entities, which provide clinical services. VUMC's hospitals, clinics, and affiliated entities provide the following healthcare services to the communities it serves: emergency care, inpatient hospital care, outpatient treatment, diagnostic testing, ancillary care, primary care services, and home health care. VUMC provides a number of clinical services unique to its region including: a Level 1 Trauma Center, a Level 1 Pediatric Trauma Center, a comprehensive Regional Burn Center, a Level 4 Neonatal Intensive Care Unit, Tennessee's only comprehensive solid organ transplant center, the Vanderbilt-Eskind Diabetes Center, and the Vanderbilt-Ingram Cancer Center, the only National Cancer Institute-designated comprehensive cancer center in Tennessee to treat both adult and pediatric cancer patients. In addition, VUMC's health care system includes the Vanderbilt Health Affiliated Network, an affiliated network of doctors, regional health systems and other health care providers that collaborate to provide coordinated and cost-effective health care services to the communities served. These are contractual affiliate relationships only with no ownership interest in the facilities or physician practices. VUMC also collaborates with other hospital systems in the region, providing health care and/or research and academic support. For a list of all organizations related to Vanderbilt University Medical Center and the primary activity of each, please refer to Schedule R. true Dartmouth College 11 Rope Ferry Road Hanover NH 03755 020222111 501(c)(3) 38862 Not applicable Not applicable Research Northeastern University 360 Huntington Ave Boston MA 02115 041679980 501(c)(3) 127940 Not applicable Not applicable Research Boston University PO Box 28763 New York NY 100878763 042103547 501(c)(3) 241763 Not applicable Not applicable Research Harvard University PO Box 415649 Boston MA 022415649 042103580 501(c)(3) 105988 Not applicable Not applicable Research Massachusetts Institute of Technology 77 Massachusetts Ave Cambridge MA 02139 042103594 501(c)(3) 316565 Not applicable Not applicable Research Beth Israel Deaconess Medical Center 330 Brookline Ave Boston MA 02215 042103881 501(c)(3) 840696 Not applicable Not applicable Research Brigham & Womens Hospital Inc PO Box 3887 Boston MA 022413887 042312909 501(c)(3) 155276 Not applicable Not applicable Research Massachusetts General Hospital PO Box 3829 Boston MA 022413829 042697983 501(c)(3) 636144 Not applicable Not applicable Research Boston's Children's Hospital PO Box 414413 Boston MA 022414413 042774441 501(c)(3) 290188 Not applicable Not applicable Research Baystate Medical Center Inc PO Box 414168 Boston MA 022414168 042790311 501(c)(3) 46477 Not applicable Not applicable Research New England Research Institutes 480 Pleasant Street Watertown MA 02472 042919509 N/A 48551 Not applicable Not applicable Research University of Massachusetts Attn Medical School Bursar 55 Lake Ave North Worcester MA 01655 043167352 GOVT 51862 Not applicable Not applicable Research Dana-Farber Partners Cancer Care Inc 450 Brookline Avenue ATTN Jim Huse Boston MA 022155450 043320640 501(c)(3) 40307 Not applicable Not applicable Research Tufts Medical Center 800 Washington Street Box 453 Boston MA 02111 043400617 501(c)(3) 39066 Not applicable Not applicable Research Brown University Box 1911 69 Brown Street 2nd Floor Providence RI 02912 050258809 501(c)(3) 56717 Not applicable Not applicable Research Yale University PO Box 1873 New Haven CT 065081873 060646973 501(c)(3) 69358 Not applicable Not applicable Research Weill Cornell Medical College 575 Lexington Avenue 9th Floor New York NY 10022 131623978 501(c)(3) 399166 Not applicable Not applicable Research Rockefeller University 1230 York Avenue New York NY 10065 131624158 501(c)(3) 49795 Not applicable Not applicable Research Albert Einstein College of Medicine 1300 Morris Park Avenue Bronx NY 10461 131624225 501(c)(3) 78151 Not applicable Not applicable Research The Foundation for AIDS Research AMFAR 120 Wall Street New York NY 100053908 133163817 501(c)(3) 15000 Not applicable Not applicable Research Data Solutions LLC 2601 Henry Hudson Parkway Suite 1 E Bronx NY 10463 133979408 N/A 16820 Not applicable Not applicable Research New York University School of Medicine P O Box 415026 Bank of America Boston MA 022415026 135562308 501(c)(3) 711813 Not applicable Not applicable Research The Trustees of Columbia University Sponsored Projects Finance PO Box 29789 New York NY 10087 135598093 501(c)(3) 1384788 Not applicable Not applicable Research Icahn School of Medicine at Mount Sinai Attn Raj Appavu One Gustave L Levy Place New York NY 10029 136171197 501(c)(3) 573847 Not applicable Not applicable Research Research Foundation of State University of New York 35 State Street Albany NY 122072826 141368361 501(c)(3) 31397 Not applicable Not applicable Research Health Research Inc P O Box 2966 Buffalo NY 14240 141402155 501(c)(3) 70709 Not applicable Not applicable Research Syracuse University Bursar Operations 119 Bowne Hall Syracuse NY 132441140 150532081 501(c)(3) 362374 Not applicable Not applicable Research Rambiss LLC PO Box 578 Cheltenham MD 20623 201240325 N/A 9282 Not applicable Not applicable Instruction Hospital Authority of Metro Nashville & Nashville General Hospital 1818 Albion St Nashville TN 37208 202844893 GOVT 184251 Not applicable Not applicable Research Valley Hospital Inc 223 North Van Dien Avenue ATTN Research 1 Linwood Ridgewood NJ 07450 221487307 501(c)(3) 5670 Not applicable Not applicable Research Childrens Hospital of Philadelphia Lockbox 1457 PO Box 8500 Philadelphia PA 191781457 231352166 501(c)(3) 702459 Not applicable Not applicable Research Thomas Jefferson University 125 9th Street 2nd floor Philadelphia PA 19107 231352651 501(c)(3) 9100 Not applicable Not applicable Research The Trustees of the University of Pennsylvania PO Box 785541 Philadelphia PA 191785541 231352685 501(c)(3) 64986 Not applicable Not applicable Research Geisinger Clinic 100 N Academy Avenue Danville PA 17822 236291113 501(c)(3) 386005 Not applicable Not applicable Research Institute for Cancer Research Attn Accounts Receivable 333 Cottman Ave Philadelphia PA 19111 236296135 501(c)(3) 54791 Not applicable Not applicable Research Fred Hutchinson Cancer Research Center 1100 Fairview Avenue North J6-330 PO Box 19024 Seattle WA 981091024 237156071 501(c)(3) 23411 Not applicable Not applicable Research Cancer Prevention Inst of California 2201 Walnut Avenue Suite 300 Fremont CA 94538 237427232 501(c)(3) 7635 Not applicable Not applicable Research University of Pittsburgh Office of Research/Cost Accounting 3109 Cathedral of Learning Pittsburgh PA 15260 250965591 501(c)(3) 1251266 Not applicable Not applicable Research Allegheny Singer Research Institute Research Accounting and Reporting PO Box 951765 Cleveland OH 44193 251320493 501(c)(3) 188596 Not applicable Not applicable Research Progreso Community Center 5666 Nolensville Pike Nashville TN 37211 260635611 501(c)(3) 21243 Not applicable Not applicable Research The Broad Institute Inc 415 Main St Cambridge MA 02142 263428781 501(c)(3) 4330547 Not applicable Not applicable Research Health Research TX LLC 5 Neshaminy Interplex Plaza Suite 205 Trevose PA 19053 271776538 N/A 192638 Not applicable Not applicable Research Select Physicians Alliance PL 1127 Nikki View Dr Brandon FL 33511 273337174 N/A 34736 Not applicable Not applicable Research Regenstrief Institute Inc 1101 West 10th Street Indianapolis IN 46202 300007730 501(c)(3) 59149 Not applicable Not applicable Research Childrens Hospital Medical Center Accounting Office MLC 4900 3333 Burnet Avenue Cincinnati OH 452293039 310833936 501(c)(3) 373397 Not applicable Not applicable Research University of Cincinnati PO Box 932641 SRS Accounting Cleveland OH 44193 316000989 GOVT 748834 Not applicable Not applicable Research Ohio State University Office of Sponsored Programs OBIC ATTN Michael Adkins Columbus OH 43210 316025986 GOVT 81319 Not applicable Not applicable Research The Research Institute at Nationwide PO BOX 781653 Detroit MI 482781653 316056230 501(c)(3) 78864 Not applicable Not applicable Research Ohio State University Research Foundation Financial Services Procurements 1960 Kenny Road 4th Floor Columbus OH 43210 316401599 501(c)(3) 20416 Not applicable Not applicable Research The Scripps Research Institute 10550 North Torrey Pines Road La Jolla CA 92037 330435954 501(c)(3) 708164 Not applicable Not applicable Research Illumina Inc 12864 Collections Center Drive Chicago IL 60693 330804655 N/A 30000 Not applicable Not applicable Research Positive Oral Health Consulting LLC 3020 NE 32nd Ave 1119 Fort Lauderdale FL 33308 333087230 N/A 9537 Not applicable Not applicable Instruction Cleveland Clinic Lerner College of Medicine 9500 Euclid Avenue JJN5-01 Cleveland OH 44195 340714585 501(c)(3) 209061 Not applicable Not applicable Research Case Western Reserve University 10900 Euclid Avenue 417 Yost Hall Cleveland OH 44106 341018992 501(c)(3) 319986 Not applicable Not applicable Research Central American Medical Outreach Inc 322 Westwood Avenue Orrville OH 44667 341740695 501(c)(3) 123904 Not applicable Not applicable Research MetroHealth System PO Box 73308 Cleveland OH 44193 346004382 N/A 15400 Not applicable Not applicable Research Indiana University Dept 78867 PO Box 78000 Detroit MI 482780867 356001673 GOVT 249544 Not applicable Not applicable Research Purdue University 23510 Network Place Sponsored Program Services Chicago IL 606731235 356002041 GOVT 327228 Not applicable Not applicable Research Chapin Hall Center for Children 1313 East 60th Street Accounts Receivable Chicago IL 60637 362167012 501(c)(3) 64596 Not applicable Not applicable Public Service Northwestern University 633 Clark Street Evanston IL 602081112 362167817 501(c)(3) 900940 Not applicable Not applicable Research Rush University Medical Center Fund Accounting 1700 West Van Buren Chicago IL 606123244 362174823 501(c)(3) 218921 Not applicable Not applicable Research University of Chicago Financial Services 6054 South Drexel Avenue Chicago IL 60637 362177139 501(c)(3) 107870 Not applicable Not applicable Research University of Illinois Grants and Contracts 28395 Network Place Springfield IL 627084610 376000511 GOVT 157279 Not applicable Not applicable Research University of Vermont 217 Waterman Building 85 South Prospect Street Burlington VT 054050160 376047339 GOVT 636740 Not applicable Not applicable Research Oakland University Office of Research Administration 529 Wilson Hall Rochester MI 48309 381714400 GOVT 66349 Not applicable Not applicable Research Arbor Research Collaborative for Health ATTN Accounting 340 E Huron Street Ann Arbor MI 48104 383289521 501(c)(3) 97744 Not applicable Not applicable Research Michigan State University Contract Grant Administration Hannah Administration East Lansing MI 48824 386005984 GOVT 80101 Not applicable Not applicable Research Regents of the University of Michigan Box 223131 Pittsburgh PA 152512131 386006309 GOVT 493120 Not applicable Not applicable Research Wayne State University Cashiers Office PO Box 02788 Detroit MI 48202 386028429 GOVT 89320 Not applicable Not applicable Research Medical College of Wisconsin PO Box 26509 8701 Watertown Plank Road Milwaukee WI 53226 390806261 501(c)(3) 34366 Not applicable Not applicable Research BloodCenter of Wisconsin Inc Box 78961 Milwaukee WI 532780961 390807235 501(c)(3) 150001 Not applicable Not applicable Research Aurora Health Care Inc PO Box 341880 Attn Seng Cheung Milwaukee WI 532341881 391442285 501(c)(3) 107736 Not applicable Not applicable Research University of Wisconsin - Madison 21 North Park Street Suite 6401 Milwaukee WI 532780538 391805963 GOVT 64340 Not applicable Not applicable Research Board of Regents of University of Wisconsin UW-Madison Gar Account Drawer 538 Milwaukee WI 532780538 396006492 GOVT 162211 Not applicable Not applicable Research Mayo Clinic Rochester PO Box 860334 Research Finance - Rochester Minneapolis MN 554860334 416011702 501(c)(3) 427976 Not applicable Not applicable Research University of Iowa Grant Accounting B5 Jessup Hall Iowa City IA 52242 426004813 GOVT 9100 Not applicable Not applicable Research Washington University School of Medicine Sponsored Projects Accounting 700 Rosedale Avenue Saint Louis MO 631121408 430653611 501(c)(3) 2464227 Not applicable Not applicable Research Hudson Alpha Institute for Biotechnology 601 Genome Way Attn Accounts Receivable Huntsville AL 35806 432059317 501(c)(3) 19718 Not applicable Not applicable Research Childrens Mercy Hospitals & Clinics PO Box 803852 Kansas City MO 641803852 440605373 501(c)(3) 26092 Not applicable Not applicable Research Baptist Clinical Research Institute Baptist Memorial Healthcare Corporation Attn Jennifer Memphis TN 38120 453032246 501(c)(3) 386275 Not applicable Not applicable Research Orthopedic Institute 810 East 23rd Street Sioux Falls SD 571175116 460316404 N/A 20228 Not applicable Not applicable Research Sanford Research PO Box 5064 Sioux Falls SD 571045064 460450378 501(c)(3) 210796 Not applicable Not applicable Research Rutgers The State University of New Jersey 65 Davidson Road Room 306 Piscataway NJ 088545602 462354111 GOVT 40021 Not applicable Not applicable Research Florida Community Health Worker Coalition 6605 5th Ave North SPC SA Building Saint Petersburg FL 33710 473503638 501(c)(3) 18600 Not applicable Not applicable Research Pulmonix LLC 1200 North Elm Street Room 2M150 Greensboro NC 27401 474299622 N/A 19055 Not applicable Not applicable Research University of Kansas Center for Research Mail Stop 1039 3901 Rainbow Boulevard Kansas City KS 66160 480680117 501(c)(3) 10500 Not applicable Not applicable Research Johns Hopkins University Central Lockbox Services Bank of America Chicago IL 60693 520595110 501(c)(3) 359299 Not applicable Not applicable Research Atlantic Health System Inc 475 South Street Morristown NJ 07962 521958352 501(c)(3) 8350 Not applicable Not applicable Research University of Maryland Baltimore Sponsored Projects Accounting PO Box 41428 Baltimore MD 212036428 526002033 GOVT 374801 Not applicable Not applicable Research Georgetown University Clinical Research Openstions Office 3970 Reservoir Road NW 212 Washington DC 20057 530196603 501(c)(3) 12088 Not applicable Not applicable Research Virginia Commonwealth University Grants and Contracts Accounting 730 East Broad Street Richmond VA 23284 546001758 GOVT 11795 Not applicable Not applicable Research Virginia Polytechnic Institute & State Office of Sponsored Programs North End Center MC 0170 Blacksburg VA 24061 546001805 GOVT 19140 Not applicable Not applicable Research West Virginia University Research Corp 886 Chestnut Ridge Rd Second Floor Room 202 Morgantown WV 26506 550665758 501(c)(3) 21475 Not applicable Not applicable Research Duke University Duke University Accounts Receivable PO Box 602651 Charlotte NC 28260 560532129 501(c)(3) 626701 Not applicable Not applicable Research Wake Forest University Health Sciences Translational Science Institute Office of Clinical Research Winston Salem NC 27157 560532138 501(c)(3) 5020 Not applicable Not applicable Research University of North Carolina Charlotte 9201 University City Blvd Grants Contracts Admin Charlotte NC 28223 560791228 GOVT 70840 Not applicable Not applicable Research University of North Carolina Chapel Hill Office of Sponsored Research c/o Bank of America Lockbox Service Atlanta GA 30384 566001393 GOVT 1440274 Not applicable Not applicable Research & Instruction Medical University of South Carolina 19 Hagood Ave Suite 604 MSC 808 Charleston SC 29425 576000722 GOVT 40982 Not applicable Not applicable Research University of South Carolina 1600 Hampton St Room 612 Columbia SC 29208 576001153 GOVT 1420616 Not applicable Not applicable Instruction Emory University PO Box 935084 Atlanta GA 311935084 580566256 501(c)(3) 776348 Not applicable Not applicable Research MOREHOUSE SCHOOL OF MEDICINE Attn Accounts Receivable Cashier 720 WESTVIEW DRIVE SW Atlanta GA 30310 581438873 501(c)(3) 450482 Not applicable Not applicable Instruction Saint Thomas Hospital Foundation ATTN Dan Thompson 4220 Harding Road Nashville TN 37205 581663055 501(c)(3) 73553 Not applicable Not applicable Research Saint Thomas Health ATTN Lynn Peterson 4220 Harding Rd Nashville TN 37205 581716804 501(c)(3) 40600 Not applicable Not applicable Research Georgia State University Research Foundation PO Box 3999 Atlanta GA 303023999 581845423 501(c)(3) 6462 Not applicable Not applicable Research Children's Healthcare of Atlanta Inc ATTN Shakeeta Nicholson Finance Office of Grants Accounting Atlanta GA 30329 582367819 501(c)(3) 29996 Not applicable Not applicable Research Hearts for Hearing Foundation 11500 North Portland Ave Oklahoma City OK 73120 582670613 501(c)(3) 42358 Not applicable Not applicable Research University of Miami Office of Research Admin PO Box 405803 Atlanta GA 303845803 590624458 501(c)(3) 1686972 Not applicable Not applicable Research H Lee Moffitt Cancer Center 1209 Magnolia Dr Tampa FL 336129497 592451713 501(c)(3) 377464 Not applicable Not applicable Research University of South Florida ATTN Research Projects Receivables PO Box 864568 Orlando FL 328864568 593102112 GOVT 44631 Not applicable Not applicable Research Florida Health Sciences Center Office of Clinical Research 5 Tampa General Circle Tampa FL 33606 593458145 501(c)(3) 8295 Not applicable Not applicable Research University of Florida CFO Contracts Grants Office Box 113001 Gainesville FL 32611 596002052 GOVT 1615937 Not applicable Not applicable Research University of Louisville Research Foundation Office of Sponsored Programs Admin 300 East Market St Louisville KY 402021959 611029626 501(c)(3) 43841 Not applicable Not applicable Research Oregon State University A312 Kerr Admin Bldg Corvallis OR 973312140 611730890 GOVT 57484 Not applicable Not applicable Research University of Kentucky Research c/o PNC Bank PO Box 931113 Cleveland OH 44193 616033693 501(c)(3) 215058 Not applicable Not applicable Instruction Fisk University Attn Thelma Jackson Office of Budget and Grants Nashville TN 37208 620202000 501(c)(3) 13864 Not applicable Not applicable Research Belmont University 1900 Belmont Blvd Nashville TN 37212 620465076 501(c)(3) 15958 Not applicable Not applicable Research Vanderbilt University Contract & Grant PMB 401591 Nashville TN 372401591 620476822 501(c)(3) 14288557 Not applicable Not applicable Research & Instruction & Public Service & Contribution Tennessee Valley Healthcare System Attn Debbie Moore Department of Veteran Affairs Nashville TN 372122637 620484828 GOVT 26617 Not applicable Not applicable Research David Lipscomb University College of Pharmacy One University Park Dr Nashville TN 37204 620485733 501(c)(3) 6199 Not applicable Not applicable Research Meharry Medical College Attn Grants Contracts 1005 Dr D B Todd Blvd Nashville TN 37208 620488046 501(c)(3) 2213186 Not applicable Not applicable Instruction St Judes Childrens Research Hospital PO Box 1000 Dept 949 Memphis TN 381480949 620646012 501(c)(3) 21070 Not applicable Not applicable Research University of Memphis PO Box 1000 Department 313 Memphis TN 381480313 620648618 GOVT 49350 Not applicable Not applicable Research Metro Public Health Department 222 3rd Avenue North Suite 750 Nashville TN 37201 620694743 GOVT 76083 Not applicable Not applicable Research Tennessee State University 3500 John A Merritt Boulevard Nashville TN 37209 620786119 GOVT 8179 Not applicable Not applicable Research Nashville CARES 633 Thompson Lane Nashville TN 37204 621274532 501(c)(3) 8226 Not applicable Not applicable Research Middle Tennessee Research Institute 1310 24th Avenue South Room F-201 Nashville TN 37212 621387860 501(c)(3) 155112 Not applicable Not applicable Research Cumberland Pediatric Foundation 3102 West End Avenue Suite 175 Nashville TN 37203 621615913 501(c)(3) 349821 Not applicable Not applicable Research University of Tennessee Memphis 62 South Dunlap Street Suite 300 Memphis TN 38163 626001636 GOVT 408314 Not applicable Not applicable Research Jackson Madison County General Hospital Attn Debra Lewis 620 Skyline Drive Jackson TN 383013956 626010402 GOVT 48100 Not applicable Not applicable Research East Tennessee State University Financial Services PO Box 70732 Johnson City TN 376140732 626021046 GOVT 82420 Not applicable Not applicable Instruction Franklin Primary Health Center Inc PO Box 2048 Mobile AL 366522048 630695975 501(c)(3) 78300 Not applicable Not applicable Research Montgomery Aids Outreach Inc PO Box 11087 Montgomery AL 36111 630959628 501(c)(3) 252225 Not applicable Not applicable Instruction Auburn University Contract and Grants Accounting 208 M White Smith Hall Auburn University AL 368495110 636000724 GOVT 7420 Not applicable Not applicable Research University of Alabama at Birmingham Grants and Contracts Accounting 1720 Second Ave South Birmingham AL 352940109 636005396 GOVT 784114 Not applicable Not applicable Instruction University of Mississippi Medical Center Attn Office of Sponsored Program Post Award Division Jackson MS 392164505 646008520 GOVT 288375 Not applicable Not applicable Instruction Miami-Dade Area Health Education Center 1200 NW 78th Ave Suite 209 Miami FL 33126 650009277 501(c)(3) 19251 Not applicable Not applicable Research Administrators of the Tulane Educational Tulane University 800 East Commerce Road Suite 203 Harahan LA 70123 720423889 501(c)(3) 35968 Not applicable Not applicable Research Louisiana State University Health Science Center Sponsored Projects 433 Bolivar Street New Orleans LA 701122223 726000848 GOVT 16239 Not applicable Not applicable Research LSU Health Sciences Center New Orleans 1901 Perdido Street Suite 3205 New Orleans LA 70112 726087770 GOVT 304112 Not applicable Not applicable Research University of Texas Health Science Financial Administrative Support PO Box 301418 Dallas TX 753031418 741586031 GOVT 180294 Not applicable Not applicable Research Baylor College of Medicine ATTN Mereena Francis Manackal 1504 Taub Loop Houston TX 77030 741613878 501(c)(3) 294687 Not applicable Not applicable Research University of Texas Health Science Financial Admin Support PO Box 301418 Dallas TX 75303 741761309 GOVT 183126 Not applicable Not applicable Research National Jewish Health ATTN Treasury Dept M216 1400 Jackson Street Denver CO 80206 742044647 501(c)(3) 67442 Not applicable Not applicable Research University of Texas at Austin ATTN Katy Cotten 105 East 24th Street Austin TX 787121224 746000203 GOVT 79112 Not applicable Not applicable Research University of Texas Medical Branch Office of Sponsored Programs Dept 750 Dallas TX 75266 746000949 GOVT 224172 Not applicable Not applicable Research The University of Texas MD Anderson Cancer Center Accounts Receivable Houston TX 772104461 746001118 GOVT 41766 Not applicable Not applicable Research University of Texas Dallas ATTN Accounts Receivable 800 W Campbell Road Richardson TX 750803021 751305566 GOVT 99064 Not applicable Not applicable Research Texas Health Research and Education Inst 612 East Lamar Blvd Suite 600 Arlington TX 76011 752562191 501(c)(3) 5049 Not applicable Not applicable Research University of Texas Southwestern Medical Office of Post Award Administration PO Box 841765 Dallas TX 752841765 756002868 GOVT 43870 Not applicable Not applicable Research Palo Alto Veterans Institute for Research Post Office Box V-38 Palo Alto CA 94304 770207331 501(c)(3) 141942 Not applicable Not applicable Research Naval Medical Research Center 503 Robert Grant Ave Silver Spring MD 209107500 800520146 GOVT 175000 Not applicable Not applicable Research Greenway Health LLC 4301 West Boy Scout Blvd Suite 800 Tampa FL 33607 800847459 N/A 218567 Not applicable Not applicable Research Radiology Imaging Associates PC 10700 East Geddes Ave Suite 200 Englewood CO 80112 840597929 N/A 9055 Not applicable Not applicable Research Denver Health and Hospital Authority UMB Bank of Colorado PO Box 17093 Denver CO 802170093 841343242 GOVT 24299 Not applicable Not applicable Research University of Colorado Denver Office of Grants Contracts F428 PO Box 910238 Denver CO 802910238 846000555 GOVT 348720 Not applicable Not applicable Research Dignity Health Attn Misc A/R Cash File 57431 Los Angeles CA 900748781 860096787 N/A 66581 Not applicable Not applicable Research Mayo Clinic Research Finance - Arizona PO Box 860334 Minneapolis MN 554860334 860800150 501(c)(3) 25305 Not applicable Not applicable Research Western Institute for Biomedical Research PO Box 58719 Salt Lake City UT 84158 870470748 501(c)(3) 61993 Not applicable Not applicable Research Methodist Hospital Research Institute Office of Grants and Contracts PO Box 4805 Houston TX 772104805 870721923 501(c)(3) 67523 Not applicable Not applicable Research University of Utah Grants Contracts Accounting 201 S Presidents Cir Salt Lake City UT 841129020 876000525 GOVT 217451 Not applicable Not applicable Research Seattle Children's Hospital PO Box 24728 Seattle WA 981240728 910564748 501(c)(3) 60653 Not applicable Not applicable Research Center for Infectious Disease Research 307 Westlake Ave North Suite 500 Seattle WA 98109 910961784 501(c)(3) 309995 Not applicable Not applicable Research Infectious Disease Research Institute 1616 Eastlake Ave East 400 Seattle WA 98102 911608978 501(c)(3) 667347 Not applicable Not applicable Research University of Washington Box 354966 Seattle WA 981254966 916001537 GOVT 1984370 Not applicable Not applicable Research Leland Stanford Junior University PO Box 44253 San Francisco CA 941444253 941156365 501(c)(3) 918663 Not applicable Not applicable Research Regents of the University of California Contracts Grants Accounting 1855 Folsom Street San Francisco CA 941430897 946036493 GOVT 226416 Not applicable Not applicable Research University of Southern California Sponsored Projects 3500 S Figueroa Street Los Angeles CA 900742095 951642394 501(c)(3) 2033741 Not applicable Not applicable Research California Institute of Technology Treasury Services 1200 E California Boulevard Pasadena CA 91125 951643307 501(c)(3) 380619 Not applicable Not applicable Research Cedars Sinai Medical Center 6500 Wilshire Blvd Los Angeles CA 90048 951644600 501(c)(3) 649349 Not applicable Not applicable Research City of Hope National Medical Center 1450 East Duarte Road Room 1012 Duarte CA 91010 951683875 501(c)(3) 186028 Not applicable Not applicable Research University of California Irvine ATTN Accounting Office 120 Theory Irvine CA 926971050 952226406 GOVT 23468 Not applicable Not applicable Research University of California San Diego 9500 Gilman Dr MC0009 La Jolla CA 920930009 956006144 GOVT 291102 Not applicable Not applicable Research University of Hawaii Office of Research Services 2440 Campus Road Honolulu HI 96822 996000354 GOVT 60387 Not applicable Not applicable Research Instituto De Investigacion Nutrucional 121 Alhambra Plaza Suite 1200 Coral Gables FL 33134 N/A 364581 Not applicable Not applicable Research City Publications Nashville Lifestyles PO Box 5061 Brentwood TN 37024 061032273 N/A 6000 Not applicable Not applicable Contribution March of Dimes 1275 Mamaroneck Ave White Plains NY 10605 131846366 501(c)(3) 15000 Not applicable Not applicable Contribution Association of Operating Room Nurses Inc 2170 S Parker Rd Suite 400 Denver CO 80231 131882322 501(c)(6) 11400 Not applicable Not applicable Contribution American Heart Association 1818 Patterson St Nashville TN 37203 135613797 501(c)(3) 261000 Not applicable Not applicable Contribution Tennessee Emergency Medical Services for Children Foundation 3841 Green Hills Village Drive Suite 3045 Nashville TN 37215 202802786 501(c)(3) 12500 Not applicable Not applicable Contribution JDRF Diabetes Foundation 105 Westpark Dr 415 Brentwood TN 37027 231907729 501(c)(3) 20000 Not applicable Not applicable Contribution Acoustic Neuroma Association 600 Peachtree Parkway Suite 108 Cumming GA 30041 232170836 501(c)(3) 15000 Not applicable Not applicable Contribution Heritage Foundation 112 Bridge St Franklin TN 37064 237042596 501(c)(3) 13375 Not applicable Not applicable Contribution Tennessee Kidney Foundation 37 Peabody Street Suite 206 Nashville TN 37210 270812507 501(c)(3) 7000 Not applicable Not applicable Contribution TEDx Nashville 330 Hudson St 11th Floor New York NY 10013 272013937 501(c)(3) 30000 Not applicable Not applicable Contribution Jackson Generals Baseball Club LP 4 Fun Place Jackson TN 38305 320303574 N/A 8500 Not applicable Not applicable Contribution Williamson Inc 5005 Meridian Blvd 150 Franklin TN 37067 364720381 501(c)(6) 23500 Not applicable Not applicable Contribution Green Hills Mall 2126 Abbott Martin Rd Nashville TN 37215 382033632 N/A 35000 Not applicable Not applicable Contribution Institute for Healthcare Improvement 20 University Road 7th Floor Cambridge MA 02138 383017223 501(c)(3) 6500 Not applicable Not applicable Contribution Spring Hill Chamber of Commerce PO BOX 1815 Spring Hill TN 37174 450484327 501(c)(6) 5700 Not applicable Not applicable Contribution The Nashville Food Project 3605 Hillsboro Pike Nashville TN 37215 452905951 501(c)(3) 10000 Not applicable Not applicable Contribution The Governor's Foundation for Health 511 Union St 720 Nashville TN 37219 453635908 501(c)(3) 16666 Not applicable Not applicable Contribution Scott Hamilton CARES PO BOX 30619 Nashville TN 37230 472328142 501(c)(3) 10000 Not applicable Not applicable Contribution Pilgrimage Presents LLC PO Box 3314 Houma LA 70361 473296867 N/A 17500 Not applicable Not applicable Contribution T J Martell Foundation 1114 17th Ave S Suite 101 Nashville TN 37212 510180178 501(c)(3) 65000 Not applicable Not applicable Contribution National Business Group on Health 20 F St New Suite 200 Washington DC 20001 521147591 501(c)(3) 250000 Not applicable Not applicable Contribution National Academy of Sciences ATTN Office of Contracts and Grants 500 Fifth St NW Washington DC 20001 530196932 501(c)(3) 30000 Not applicable Not applicable Contribution Belmont University 1900 Belmont Blvd Nashville TN 37212 620465076 501(c)(3) 12500 Not applicable Not applicable Contribution Junior League of Nashville 2202 Crestmoor Rd Nashville TN 37215 620476815 501(c)(3) 20000 Not applicable Not applicable Contribution Nashville Symphony Orchestra 209 10th Avenue South Ticket Office Nashville TN 37203 620550979 501(c)(3) 25000 Not applicable Not applicable Contribution Mental Health America of MD TN 446 Metroplex Dr Suite A-224 Nashville TN 37211 620637710 501(c)(3) 15200 Not applicable Not applicable Contribution Hospital Hospitality House 214 Reidhurst Avenue Nashville TN 37214 620909363 501(c)(3) 34000 Not applicable Not applicable Contribution Ronald McDonald House Charities of Nashville 2144 Fairfax Avenue Nashville TN 37212 621310717 501(c)(3) 8200 Not applicable Not applicable Contribution Community Foundation of Middle TN 3833 Cleghorn Avenue Suite 400 Nashville TN 37215 621471789 501(c)(3) 54500 Not applicable Not applicable Contribution Cumberland Pediatric Foundation 3102 West End Avenue Suite 175 Nashville TN 37203 621615913 501(c)(3) 10000 Not applicable Not applicable Contribution National Alliance on Mental Illness Davidson County 1101 Kermit Dr Suite 506 Nashville TN 37217 800597038 501(c)(3) 6950 Not applicable Not applicable Contribution American Society for Matrix Biology (ASMB) 9650 Rockville Pike Bethesda MD 20814 912055099 501(c)(3) 17500 Not applicable Not applicable Contribution 185 21 Patient Assistance 129 170579 Patient Assistance 337 98085 FMV Healthcare Supplies, Medicine Patient Assistance 1300 15126 FMV Car seats, home safety kits Patient Assistance 10462 16874107 FMV Prescription Drugs Patient Assistance 460 1356287 FMV Post Acute Care Patient Assistance 21 107983 FMV Patient Temporary Housing Awards and Research Grants 437 6273584 Patient Assistance 638 62074 FMV Ambulance Rides Patient Assistance 224 1724 FMV Cab Rides Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient policy is available online at the following web address: https://finance.mc.vanderbilt.edu/are/ggc/policy.aspx X X X X true true X X X X X false true false false false false false true false Jeffrey R Balser MD PHD President and CEO 1976514 0 764580 0 31416 0 263338 0 30494 0 3066342 0 0 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 791156 0 214082 0 12822 0 93338 0 24339 0 1135737 0 0 0 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 819563 0 219435 0 29742 0 95338 0 16227 0 1180305 0 0 0 C Wright Pinson MD MBA Deputy CEO and Chief Health System Officer 1682240 0 454925 0 34366 0 183151 0 15749 0 2370431 0 0 0 Michael J Regier JD General Counsel and Secretary 666171 0 185609 0 30822 0 80974 0 24260 0 987836 0 0 0 Mitchell C Edgeworth MBA CEO, Vanderbilt University Adult Hospital and Clinics 632446 0 168590 0 11585 0 60588 0 25783 0 898992 0 0 0 Charles L Gregory MA MBA MH CEO, Monroe Carell Jr. Children's Hospital at Vanderbilt 604284 0 168590 0 32604 0 60588 0 22739 0 888805 0 0 0 Traci K Nordberg JD Chief HR Officer 527491 0 147182 0 29310 0 68338 0 9594 0 781915 0 0 0 David R Posch Executive Vice President for Population Health 684546 0 184245 0 14843 0 13338 0 17396 0 914368 0 0 0 David S Raiford MD Chief of Clinical Staff 672740 0 195094 0 30822 0 83151 0 24421 0 1006228 0 0 0 William W Stead MD Chief Strategy Officer 711192 0 191972 0 15385 0 13151 0 16259 0 947959 0 0 0 Scott T Arthur MD VBJ Faculty - Asst Professor 840021 0 420052 0 11040 0 13151 0 16668 0 1300932 0 0 0 Clinton J Devin MD Comprehensive Spine Center - Assoc Professor 836942 0 642350 0 11040 0 13151 0 7457 0 1510940 0 0 0 John W Klekamp MD VBJ Faculty - Asst Professor 926443 0 344768 0 29742 0 13151 0 23043 0 1337147 0 0 0 Paul A Thomas MD VBJ Faculty - Assoc Professor 1473308 0 403906 0 32064 0 13151 0 26734 0 1949163 0 0 0 Todd R Wurth MD VBJ Faculty - Asst Professor 904723 0 431654 0 29310 0 13151 0 27484 0 1406322 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel Vanderbilt University Medical Center excludes the benefits from taxable income when a documented business purpose is served. 1 officer received charter travel benefits that were not included in taxable compensation. 2 officers and 1 director received first-class travel benefits that were not included in taxable compensation. Schedule J, Part I, Line 1a Travel for companions 3 directors received companion travel benefits that were not included in taxable compensation. 1 officer received companion travel benefits that were and were not included in taxable compensation. Schedule J, Part I, Line 1a Tax indemnification and gross-up payments 2 key employees received tax gross-up payment benefits that were included in taxable compensation. Schedule J, Part I, Line 1a Health or social club dues or initiation fees 2 officers and 3 key employees received social club dues benefits included in taxable compensation. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Certain individuals listed in Form 990, Schedule J, Part II participate in nonqualified deferred compensation plans. Amounts contributed to the plans include fixed percentages of annual bonus payments and fixed dollar amounts. Contributions to the plan vest when individuals complete their contract term or continue employment to a designated date. Current year accruals of compensation associated with these plans are included in the amounts reported for each individual in Schedule J, Part II, Column (C). The payout of these amounts in future years will be included in the amounts reported in Schedule J, Part II, Column (B)(iii) for such individuals. Amounts accrued in prior years and previously reported in Schedule J, Part II, Column (C) will be reported in Schedule J, Part II, Column (F). No payouts were made under these plans to participating individuals in 2017. Schedule J, Part I, Line 7 Non-fixed payments Certain individuals listed in Schedule J, Part II received variable incentive compensation based on the achievement of pre-established goals where judgment was determined by the Compensation Committee. Incentive payments are shown in Schedule J, Part II, Column B(ii). A THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2018 626139016 000000000 2018-04-20 53385000 Refunding of the 2016F Issue false false false B THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE Series 2017A 626139016 592041YC5 2017-07-26 126334390 (See Statement) false false false C THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2016A 626139016 592041WH6 2016-04-29 536573506 (SEE STATEMENT) false false false A 53385000 285000 53100000 2018 true false true true B 126967477 1334390 91187075 34446012 false false false true C 536573506 10700399 525873107 2016 false false true true A false true true true true true 0.0059 0.0 0.0059 false false true B false true true true true true 0.0 0.0 0.0 false false true C false true true true true true 0.0103 0.0011 0.0114 false false true A false true true false false false false false true B false true false false false false false false true C false true false false false false false false true A true B true C true Schedule K, Part I, Column (f) Description of Purpose Row (B) - The issue is financing various new capital projects for the medical center. Row (C) - Cost of construction, renovation, remodeling and equipping of capital projects for the Borrower. Schedule K, Part II, Line 3 Total Proceeds of Issue Column (B) - The 2017A issue generated $633,087 in accumulated earnings during the tax year ending June 30, 2018. As of June 30, 2018, the accumulated earnings were unspent proceeds that are duly included in Schedule K, Part II, Line 12. X 21 9845 Market value X 1085 Selling cost X 60805 Selling cost X 79 3259532 Market value X 13 2565 Market value X Meals 7 2353 Market value X Gift Certificates 35 7547 Market value 0 false true false Schedule M, Part I Column (b) - Number of Contributions or Items Contributed Column (b) reports the number of contributions made. Schedule M, Part I Line 5 - Clothing and household goods Donation of various household items for silent auction benefiting the Monroe Carell Jr. Children's Hospital at Vanderbilt. Form 990, Part III, Line 1 Vanderbilt University Medical Center ("VUMC") is one of the nation's longest serving and most prestigious academic medical centers. Through its historic bond with Vanderbilt University, VUMC cultivates distinguished research and educational programs to advance a clinical enterprise that provides compassionate and personalized care and support for millions of patients and family members each year. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries, transformational educational and clinical advancements across the entire spectrum of health and disease. Through the exceptional capabilities and caring spirit of its people, VUMC will lead in improving the healthcare of individuals and communities regionally, nationally, and internationally, combining its transformative learning programs and compelling discoveries to provide distinctive personalized care. Form 990, Part III, Line 4a 4a. Patient Services - VUMC provides high quality medical and health care services regardless of race, creed, gender, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of VUMC, it is recognized that not all individuals possess the ability to purchase essential medical services, and further that part of VUMC's mission is to serve the community. Therefore, in keeping with VUMC's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by governmental programs at below cost, and health activities and programs to support the community are provided where the need and/or an individual's inability to pay coexists. These activities include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved, and a variety of broad community support activities. Charity care is also provided through many reduced-price services and free programs offered throughout the year based upon activities and services which VUMC believes will serve a bona fide community health need. During the fiscal year, VUMC serviced 61,381 inpatients and 2,161,423 emergency and outpatient clinic visits. VUMC's leadership in the delivery of academically based health care is recognized by the nation's most trusted advisory bodies and reporting organizations, including the National Academies, the Magnet Recognition Program, U.S. News & World Report, the Leapfrog Group, Becker's Hospital Review and others: * U.S. News & World Report: for 2018 named to 'Honor Roll' of nation's top 20 hospitals, #1 hospital in Tennessee for the seventh consecutive year; #1 Metro Nashville; 10 adult clinical specialties ranked among the nation's best; Monroe Carell Jr. Children's Hospital at Vanderbilt is named as one of the elite children's hospital in the nation by U.S. News, with 10 out of 10 specialties nationally ranked in 2018 * Becker's Hospital Review: one of the "100 Great Hospitals in America" and the only health care facility in Tennessee to make the list in 2018 * The Leapfrog Group: Monroe Carell Jr. Children's Hospital at Vanderbilt named a Leapfrog Top Hospital for 2017, making it one of only nine pediatric hospitals in the nation to receive this designation * National Institutes of Health: Vanderbilt University School of Medicine currently ranked 10th among the top grant awardees for medical research in the U.S. as of December 2017 * Magnet Designation from American Nurses Credentialing Center: Vanderbilt University Medical Center is the only organization that is Magnet-designated in Middle Tennessee, having achieved its third consecutive designation in 2017 * American Hospital Association's Health Forum: among the nation's 100 "Most Wired" hospitals and health systems for its efforts in innovative medical technology in 2018 * The Accreditation Council for Graduate Medical Education and the Arnold P. Gold Foundation awarded VUMC the Dewitt C. "Bud" Baldwin Award for excellence in medical education in 2017 * VUMC was named to the 'Honor Roll' of the nation's top hospitals by U.S. News and World Report in its 2018-2019 ranking of 'America's Best Hospitals.' VUMC was one of only 20 hospitals nationwide to earn this distinction. * For the seventh time, VUMC was named a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign Healthcare Equality Index (HEI) 2018. VUMC is the only organization in Tennessee to repeatedly be recognized for its commitment to adopting LGBTQ-inclusive patient, visitation and employment policies. * The CEO Roundtable on Cancer re-accredited VUMC as a CEO Cancer Gold Standard employer for VUMC's efforts to reduce the risk of cancer for employees and their families. VUMC has earned the CEO Cancer Gold Standard designation every year since 2008. Along with the various national rankings, there are several VUMC programs unique to Tennessee or the region, which include: * Only Level 1 (highest level) Trauma Center in Middle Tennessee * Only Level 4 (highest level) Neonatal Intensive Care Unit, as well as a dedicated pediatric emergency department and pediatric trauma program * Vanderbilt-Ingram Cancer Center, the only National Cancer Institute-designated Comprehensive Cancer Center in Tennessee that conducts research and cares for children and adults; also, a member of the elite National Comprehensive Cancer Network, a group of the nation's top 21 clinical cancer institutes * Only Joint Commission-accredited program for traumatic brain injury rehabilitation (one of seven nationally) * Dedicated regional burn center * LifeFlight, an integrated air and ground emergency patient transport system * Tennessee Poison Center * Tennessee's only comprehensive solid organ transplant center, serving both adult and pediatric patients For more information regarding health care at Vanderbilt University Medical Center, visit https://www.vanderbilthealth.com/patientandvisitorinfo/48538 Form 990, Part III, Line 4b 4b. Academic and Scientific Research - VUMC is an internationally recognized research institution. A majority of VUMC's research funding, including substantial support from the National Institutes of Health, is received from the federal government. Funding is also received from foundations, associations, corporations, and other sources. VUMC's researchers are at the forefront of discovery and are posing innovative solutions to some of the most challenging questions about diseases affecting humankind. Our programs in Graduate Medical Education are consistently among the most selective, and are nationally recognized for their diversity & inclusion, innovation and capacity to transform the educational experience, while the breadth of our scientific discovery is propelled by a research enterprise that is consistently ranked among the nation's top 10 in total federal funding. For more information regarding research at Vanderbilt University Medical Center visit: https://www.vumc.org/oor/ Form 990, Part III, Line 4d Description of other program services (Expenses $ 138,529,136 including grants of $ 0)(Revenue $ 170,762,784) 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766 Form 990, Part VI, Line 1a Delegate Broad Authority to a Committee The Executive Committee of the Board of the Directors consists of at least three directors, including the board chairperson, the CEO of VUMC, and the Chancellor of Vanderbilt University. The Executive Committee is empowered to exercise all of the powers of the board when the board is not in session, subject to certain restrictions involving major corporate decisions. Form 990, Part VI, Line 2 Family/Business Relationships Amongst Interested Parties As a result of VUMC's continuing relationship with Vanderbilt University, David W. Patterson, Robert C. Schiff, Jr., Gregory Scott Allen, and Nicholas S. Zeppos serve on the Vanderbilt University Board of Trust and were appointed by Vanderbilt University to serve on the VUMC Board of Directors. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by VUMC and provided to Ernst & Young, VUMC's independent accounting firm for review. After review by Ernst & Young, VUMC provides a draft copy of the Form 990 and all required schedules for review to all General Officers, which includes the Chief Executive Officer, Chief Financial Officer and Secretary. Once this review process is complete, the Audit and Compliance Committee is provided electronic access to the draft Form 990 and all required schedules for review. The final Form 990 and all required schedules are made available to the full Board of Directors for review prior to the filing of the return. Form 990, Part VI, Line 12c Conflict of interest policy VUMC requires that for any staff member disclosing a potential conflict of interest, the conflict be reviewed by the individual's manager, as well as by the Director of Conflict of Interest. For VUMC-employed Vanderbilt Faculty, the COI process is managed by the Office of Faculty Affairs. Any reported conflict will be managed, mitigated, or eliminated. The manager is required to respond that any recommended management plan has been implemented or that the reported conflict no longer exists. For those conflicts in which VUMC may have an institutional interest, those in which human subject research is performed, or those deemed unmanageable, are reviewed by the Medical Center COI Committee (VUMC-employed Vanderbilt Faculty) and the Staff COI Committee determines appropriate actions. The Medical Center COI Committee members are appointed by the CEO of VUMC. The Staff COI Committee members are selected by the General Counsel/Corporate Secretary for VUMC. The Staff COI Committee is chaired by the General Counsel/Corporate Secretary. Both committees report bi-annually to the Audit Committee of the Board of Directors, the matters brought before the committees and the resulting actions. Members of the VUMC Board of Directors (BOD) and VUMC General Officers also must complete annual conflict of interest disclosures and management plans are developed to manage, mitigate, or eliminate any potential conflicts of interest. BOD members are notified of their plans and the plans are thoroughly discussed with them to ensure compliance. Those with disclosed potential conflict of interest are presented to the Audit Committee of the Board of Directors, along with their respective management action plans, where applicable. Management plans may include restrictions on members such as recusing themselves during deliberations and decisions in which a potential conflict may exist, with the minutes of the meeting reflecting their recusal. Additionally, all members of the VUMC community are required to disclose potential conflicts as they arise throughout the year. The same processes noted above occur for these disclosures. Form 990, Part VI, Line 15a Process to establish compensation of top management official FORM 990, PART VI, LINES 15A & 15B - To ensure that VUMC is paying reasonable total compensation, is not violating the private inurement prohibition, which requires that none of the organization's income or assets unreasonably benefit any of its directors, officers, or key employees, and is in compliance with the intermediate sanctions provisions with respect to the general officers, VUMC's Board of Directors has designated a Compensation Committee made up of outside, independent, board members to review and recommend to the Executive Committee of the Board of Directors the total compensation annually for the general officers. The committee utilizes an outside consulting firm to provide expert information regarding industry-wide compensation norms and compliance with all Internal Revenue Service rules concerning executive compensation, including the Internal Revenue Code provision related to intermediate sanctions, deferred compensation, and private inurement. The Compensation Committee reviews the executive compensation philosophy and affirms that it is in line with the Board's expectation. Each year the total compensation review and recommendations are recorded in the minutes of the Compensation Committee meetings. The full Board is informed annually of the total compensation of the general officers during private session. Form 990, Part VI, Line 19 Required documents available to the public VUMC's governing documents are made available for public inspection upon request. VUMC's financial statements are posted to the EMMA (Electronic Municipal Market Access) website. The conflict of interest policy is available on the following website: https://ww2.mc.vanderbilt.edu/DCCI/23390. Form 990, Part IX, Line 11g Other Fees Shared Services Agreements - Total Expense: XXX-XX-XXXX, Program Service Expense: 11907899, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: 62411; Consulting and Other Professional Fees - Total Expense: 88214629, Program Service Expense: 52327848, Management and General Expenses: 35724185, Fundraising Expenses: 162596; Other Purchased Services - Total Expense: 93553543, Program Service Expense: 82044754, Management and General Expenses: 11508347, Fundraising Expenses: 442; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Temporarily and Permanently Restricted Contributions - 34987000; Net Assets Released From Restrictions - -7042000; Endowment Appreciation - 759000; Change in Non-Controlling Interest Net Assets - -167000; Other Changes in Net Assets - 49944; Vanderbilt Health Services LLC 2100 West End Ave Suite 750 Nashville TN 37203 621176354 Holding Company TN 927939 -3250535 VUMC Friends in Global Health LLC 2525 West End Ave Suite 750 Nashville TN 37203 260170070 Public Health TN 30025069 -306 VHS Vanderbilt-Wilson Radiation Oncology LLC 2100 West End Ave Suite 750 Nashville TN 37203 261241612 Holding Company TN 1927380 1605033 VHS Vanderbilt Health Affiliated Network LLC 3401 West End Ave Suite 290 Nashville TN 37203 461571024 Clinical Network TN 23447922 13938992 VHS Project Holding Company LLC 4350 Lassiter at North Hills Ave Suite 300 Raleigh NC 276095793 813915926 Holding Company TN 0 9645014 VUMC Vanderbilt Health Professional Solutions LLC 3319 West End Ave Suite 700 Nashville TN 37203 300964540 Holding Company TN 6 4857691 VUMC Vanderbilt Health Rx Solutions LLC 3319 West End Ave Suite 700 Nashville TN 37203 821456647 Pharmacy Administration TN 223445 1110146 VHPS Vanderbilt Health Pharmacy Group LLC 3319 West End Ave Suite 700 Nashville TN 37203 821462688 Pharmacy Services TN 35017 134883 VHRxS Retail Health Clinics LLC 2525 West End Ave Suite 700 Nashville TN 37203 821942209 Walk-in Clinics TN 5554261 -401275 VHS Nashville BioSciences LLC 2525 West End Ave Suite 930 Nashville TN 37203 824174759 Research & Development in Biotechnology TN 1167900 1163840 VUMC Vanderbilt Health Supply Chain Solutions LLC MCN 1161 21st Ave D-3300 Nashville TN 37203 824143617 Consulting TN 553413 928800 VHPS Vanderbilt Health Purchasing Collaborative LLC MCN 1161 21st Ave D-3300 Nashville TN 37203 824148840 Group Purchasing Organization TN 2651517 269600 VHSCS ACO of Central Alabama 1 LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821681443 Accountable Care Organization TN 703030 1065895 VWRO ACO of Louisiana LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821686154 Accountable Care Organization TN 439950 634625 VWRO ACO of North Delaware LLC 3401 West End Ave Suite 290 Nashville TN 372036866 812692564 Accountable Care Organization TN 209400 418702 VWRO Mid South ACO LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821685569 Accountable Care Organization TN 570000 574529 VWRO Vanderbilt Home Care Services Inc 2120 Belcourt Avenue Nashville TN 37212 621404948 Home Health TN 501(c)(3) 9 VHS true Ambulatory Surgery Center of Cool Springs LLC 40 Burton Hills Blvd Ste 500 Nashville TN 37215 621809227 Ambulatory Surgery TN VHS Related 3497280 3462426 false false 0.5102 New Light Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 141895171 Management Services TN VHS Related 1073012 149755 false false 0.6667 One Hundred Oaks Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 263762022 Diagnostic Imaging TN VHSVIS Related 3349305 2249673 false false 0.8 Springfield VIP Realty LLC 3319 West End Ave Ste 700 Nashville TN 37203 261237360 Real Estate TN VUMC Excluded 14019 427429 false true 0.49 Vanderbilt Gateway Cancer 3319 West End Ave Ste 700 Nashville TN 37203 203844791 Oncology Services DE VHS Related 614186 2270267 false true 0.5 Vanderbilt Imaging Services LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 621787098 Radiology Services TN VHS Related 5689276 1583015 false false 0.6667 Vanderbilt Stallworth Rehabilitation Hospital LP 3660 Grandview Parkway Ste 200 Birmingham AL 35243 631077470 Rehab Services TN VUMCVHS Related -6234 4120571 false true 0.5 Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Blvd Ste 120 Spring Hill TN 37174 460757412 Oncology Services TN VHS Related 104125 1323091 false true 0.4 Vanderbilt Health and Williamson Medical Center Clinics and Services 512 Autumn Springs Ct Ste C Franklin TN 37067 621864145 Walk-in Clinics TN VHS Related 443589 4210017 false true 0.51 VIP MidSouth LLC 3319 West End Ave Ste 700 Nashville TN 37203 621654580 Physician Offices TN VIP Related 163254 1972306 false true 0.51 Williamson Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 621855535 Diag. 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