2012-11-14T14:54:28-06:00 2011-12-31 621517792 PERSHING YOAKLEY & ASSOCIATES PC ONE CHEROKEE MILLS 2220 SUTHERLAND KNOXVILLE TN 379192363 990 2011-01-01 311626179 UNIVERSITY HEALTH SYSTEM INC UNIV 8652514417 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 THOMAS M FISHER 8652514417 2012-11-14 1 DEBORAH O ERNSBERGER P00364912 8656730844 2011 2016-02-24 21:20:13Z UNIV OF TN MEDICAL CENTER JOSEPH R LANDSMAN JR 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 884193703 0 X WWW.UTMEDICALCENTER.ORG X 1998 TN TO OPERATE AN ACADEMIC MEDICAL CENTER, PROVIDING HEALTHCARE & SUPPORTING RESEARCH & EDUCATION. 15 11 4251 323 1247813 749118 4560307 4573848 542300601 580363478 4472435 5681920 5365019 4745176 556698362 595364422 320306 434912 0 0 225032111 241680492 80932 48000 48000 323625486 336511081 549058835 578674485 7639527 16689937 473973261 511048617 367496944 387627689 106476317 123420928 X UHS OPERATES THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER") WHICH OFFERS MEDICAL CARE TO A TWENTY-ONE COUNTY SERVICE AREA LOCATED THROUGHOUT EAST TENNESSEE, AND PROVIDES SERVICES TO PATIENTS LOCATED IN SOUTHEAST KENTUCKY, SOUTHWEST VIRGINIA, AND WESTERN NORTH CAROLINA. THROUGH OPERATION OF THE MEDICAL CENTER, UHS PROVIDES HEALTHCARE SERVICES WITHIN ITS COMMUNITY AND BEYOND, PROVIDING SPECIALIZED CARE THAT IS CUSTOMARILY ONLY AVAILABLE AT ACADEMIC MEDICAL CENTERS; SUPPORTS MEDICAL RESEARCH AND EDUCATION THROUGH AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE; PROVIDES A PATIENT BASE FOR TRAINING PHYSICIANS, DENTISTS, NURSES, AND OTHER HEALTH PROFESSIONALS; AND PROVIDES SUPPORT FOR CLINICAL RESEARCH AND RESEARCH TRAINING. 0 0 473452988 434912 550159524 PATIENT CARE SERVICESSEE THE STATEMENT OF COMMUNITY BENEFIT PROVIDED IN SCHEDULE O FOR DETAIL RELATED TO PATIENT CARE SERVICES. 44919261 30167311 AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHOM WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GRADUATE SCHOOL OF MEDICINE AND OTHER ACADEMIC INSTITUTIONS AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS.SEE THE STATEMENT OF COMMUNITY BENEFIT PROVIDED IN SCHEDULE O FOR DETAIL RELATED TO THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE. 17476104 UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNTSEE THE STATEMENT OF COMMUNITY BENEFIT PROVIDED IN SCHEDULE O FOR DETAIL RELATED TO CHARITY CARE AND THE SELF-PAY DISCOUNT. 535848353 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 1 343 0 1 4251 1 1 1 0 0 0 0 1 1 1 1 0 0 1 0 X 15 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 TN X JOSEPH R LANDSMAN 8653059430 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 JOSEPH R LANDSMAN JR 65.00 X X 1032617 0 116754 ROBERT F ELDER MD 65.00 X 426997 0 43550 DR JOSEPH E JOHNSON 1.00 X 0 0 0 STEVE J SCHWAB MD 1.00 X 0 0 0 DR JIMMY CHEEK 1.00 X 0 0 0 DR JOSEPH A DIPIETRO 1.00 X 0 0 0 WILLIAM S RUKEYSER 1.00 X 0 0 0 CAROLYN FAIRBANK BIGGS 1.00 X 0 0 0 JERRY EPPS MD 1.00 X 0 0 0 SARA FORTUNE ROSE 1.00 X 0 0 0 STEWART BRESEE MD 1.00 X 0 0 0 RENDA J BURKHART 1.00 X 0 0 0 HW SHERROD JR 1.00 X 0 0 0 DR DAVID E MILLHORN 1.00 X 0 0 0 MICHAEL STRICKLAND 1.00 X 0 0 0 THOMAS M FISHER 65.00 X 491010 0 65234 WILLIAM D HALL 65.00 X 465786 0 60071 NORMAN D MAJORS 65.00 X 342729 0 35123 JOHN W LACEY 65.00 X 436928 0 57185 STEVEN R ROSS 65.00 X 422468 0 55739 JANELL R CECIL 65.00 X 323882 0 45881 RICHARD K GIECEK 65.00 X 286965 0 47688 BENNETT COX 65.00 X 295959 0 30446 BETTY A GISSEL 65.00 X 237976 0 27816 JOHN J SHERIDAN 65.00 X 177810 0 31274 STANLEY S MILLER MD 65.00 X 1096998 0 25432 LARRY C KILGORE MD 65.00 X 702831 0 74530 SUSAN N HUNTSINGER MD 65.00 X 879726 0 25432 JOHN L BELL MD 65.00 X 699498 0 70122 CARLOS A ROLLHAUSER MD 65.00 X 584233 0 25432 8904413 0 837709 197 0 1 0 GRADUATE SCHOOL OF MEDICINE 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 MEDICAL EDUCATION 29861783 JOHNSON & GAYLON CONTRACTORS PO BOX 3070 KNOXVILLE TN 37927 CONSTRUCTION SERVICES 17983071 UNIVERSITY PHYSICIANS ASSOCIATION 9000 EXECUTIVE PARK DRIVE KNOXVILLE TN 37923 STAFFING/BILLING/ MGMT SRVCS 16021820 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 272162140 LABORATORY SERVICES 12353216 ORTHO TENNESSEE 260 FORT SANDERS BLVD SUITE 200 KNOXVILLE TN 37922 MEDICAL COVERAGE 4195171 123 1464833 3109015 270331 4573848 NET PATIENT REVENUE 621500 551209028 551209028 PROGRAM SERVICE REV. 621400 29154450 29070747 83703 580363478 5090658 592702 4497956 3063637 47060 0 0 3063637 47060 3110697 47060 3063637 289041685 17594 288468017 0 573668 17594 591262 591262 87560 1464833 361264 -273704 -273704 PARKING REVENUE 812930 911647 911647 TELEPHONE SERVICE 812900 320330 320330 OTHER SERVICES 624100 240779 240779 435427 10299 425128 1908183 595364422 580326835 1247813 9215926 361165 361165 73747 73747 5557888 5557888 187870964 166936679 20934285 11914523 10292781 1621742 23790481 22073870 1716611 12546636 11533659 1012977 6807143 6807143 15129239 14620813 508426 286349 52231 234118 48000 48000 75636614 68614414 7022200 1991872 188169 1803703 125127340 124345744 781596 14007847 13486086 521761 936242 676762 259480 320308 269489 50819 12151009 12151009 22652788 22652788 6863906 6863906 BAD DEBT 49637387 49637387 EQUIPMENT RENTAL 2284940 2179691 105249 POSTAGE 698289 577785 120504 UBI TAX 287415 287415 1692393 1165620 526773 578674485 535848353 42778132 48000 56929702 53071718 50273330 19049554 67144220 73004468 5260168 6186619 1188753 943965 367061392 170769358 174499155 196292034 90663790 125904655 3110846 2587263 24903297 34008341 473973261 511048617 91754422 94034951 231601892 247804136 20736026 21531682 23404604 24256920 367496944 387627689 X 99973775 115232739 1975856 3134867 4526686 5053322 106476317 123420928 473973261 511048617 X 16689937 254674 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 225 0 0 1 170733 0 0 170958 0 4696167 526636 112888 5335691 3939899 654498 101770 4696167 3248694 608652 92712 10159 3939899 2846890 363843 93551 3304284 1.00000 0 0 2614 2614 16818 12303 4515 189846035 66594909 123251126 135632816 94756681 40876135 41563109 9405465 32157644 196292034 ASSETS LIMITED AS TO USE 8311307 DEFERRED FINANCING COSTS 2171977 EST. THIRD-PARTY SETTLEMENTS 19878212 OTHER ASSETS 3646845 34008341 ASBESTOS ABATEMENT 120885 INTEREST RATE SWAP LIABILITY 4421448 OTHER LIABILITIES 12772916 EST. THIRD-PARTY SETTLEMENTS 6941671 24256920 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - PATIENT CARE, RESEARCH, AND EDUCATION. THERE ARE SEVENTEEN FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE INTEREST INCOME IS POSTED TO GIFT FUNDS ASSOCIATED WITH THE ENDOWMENTS AND IS FOR EITHER GENERAL OR SPECIFIC PURPOSES. X X X X X X X 1 FOCUS ON FUNDING 107 MULBERRY ST COLUMBUS OH 43147 GRANT WRITER 0 0 48000 -48000 48000 -48000 TN DINNER (AEIO) 1340311 1260751 79560 14850 70032 7719 162566 GOLF TOURNAMENT 79427 79427 8199 275 390 12123 5 132655 124655 8000 20350 9979 400 54381 1552393 1464833 87560 43399 80286 8509 229070 361264 -273704 EXPLANATION OF FUNDRAISING PAYMENTS SCHEDULE G, PART I, LINE 2B, COLUMN (V) UHS RETAINED A GRANT WRITER DURING 2011. AS A RESULT OF THE GRANT WRITER'S EFFORT, A GRANT OF $10,000 WAS RECEIVED IN 2012. 1 1 1 X 1 X 1 1 1 0 1 1 10979807 10979807 0.02080 69087202 65648096 3439106 0.00650 11343524 7722138 3621386 0.00680 91410533 73370234 18040299 0.03410 632093 632093 0.00120 15335800 15335800 0.02900 6496297 6496297 0.01230 295967 295967 0.00060 235665 235665 0.00040 22995822 22995822 0.04350 114406355 73370234 41036121 0.07760 4070 4070 0.00000 20500 20500 0.00000 3861 3861 0.00000 228195 228195 0.00040 5868 5868 0.00000 262494 262494 0.00040 1 49017029 114829433 120523432 -5693999 X 1 1 1 DLUHS INC LABORATORY SERVICES 0.05000 2 UTMC HOME CARE SERVICES LLC HOME HEALTH SERVICES 0.33000 1 1 UNIVERSITY HEALTH SYSTEM INC

9000 EXECUTIVE PARK DRIVE BLDG D-240 KNOXVILLE TN 37923

X X X X X UNIVERSITY HEALTH SYSTEM INC 1 1 1 200.000000000000 1 300.000000000000 1 X X X X X X 1 1 X X X 1 0 1 X 0 0 PART I, LINE 7: COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE UHS GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF-PAY). UHS ALLOCATES THOSE EXPENSES TO ALL PATIENT SEGMENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO AND AGGREGATES THE EXPENSES AT THE PATIENT LEVEL. PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN (A) IS $49,637,387. UHS EXCLUDED THE FULL AMOUNT, $49,637,387, FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN (F), ON PART I, LINE 7. PART II: THE ACTIVITIES REPORTED IN PART II SEEK TO ACHIEVE SPECIFIED OBJECTIVES, INCLUDING: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND RELIEF OF GOVERNMENT BURDEN. THE ACTIVITIES ARE AVAILABLE TO THE GENERAL PUBLIC, FOCUSING ON LOW-INCOME CONSUMERS. PART III, LINE 4: TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3, UHS USES ACTUAL EXPENSE DATA ACCUMULATED BY PATIENT WITHIN THE TRENDSTAR SYSTEM BASED ON A COST TO CHARGE RATIO.THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER UHS'S CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS: 1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY WOULD HAVE BEEN GRANTED). 2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISENROLLED BY TNCARE PROGRAM. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY.) 3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION.THE TEXT OF THE UNIVERSITY HEALTH SYSTEM, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS READS: "NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS."UHS PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UHS DOES NOT REPORT AS REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COST REPORTED IN THE UHS MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSE DATA FROM THE UHS GENERAL LEDGER. UHS ALLOCATES THOSE EXPENSES TO PATIENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO.THE SHORTFALL OF $5,693,999 AS REPORTED IN PART III, LINE 7, SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE, ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. ALSO, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS, AND THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: IT IS THE POLICY OF UHS TO PURSUE COLLECTION OF PATIENT BALANCES FROM PATIENTS WHO HAVE THE ABILITY TO PAY FOR THESE SERVICES. IF ADDITIONAL ASSISTANCE IS APPROVED, THE PATIENT ACCOUNT REPRESENTATIVE WILL SUBMIT A LETTER TO THE PATIENT TO INFORM HIM/HER OF APPROVAL OR PROVIDE OTHER INSTRUCTIONS. IF APPROVED FOR AN ADJUSTMENT, THE PATIENT ACCOUNT REPRESENTATIVE WILL SUBMIT THE INFORMATION TO PATIENT ACCOUNTS, WHO WILL PROCESS THE WRITE-OFF OR OTHER DISCOUNTS. THE ORGANIZATION'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. THE ORGANIZATION MAINTAINS COLLECTION PRACTICES THAT APPLY TO ALL PATIENTS, CHARITY CARE AND NON-CHARITY CARE PATIENTS, CONSISTENTLY AND FAIRLY REGARDLESS OF INSURANCE STATUS. THE MEDICAL CENTER, AS A TRAUMA CENTER, OFTEN TREATS PATIENTS WHO HAVE HAD AN UNPLANNED CATASTROPHIC HEALTHCARE OCCURRENCE. PATIENTS MAY HAVE THE MEANS TO PAY ONLY A PORTION OF THE ENTIRE COST. ALLOWANCES ARE MADE TO ADJUST THEIR HIGH BALANCES TO A MORE MANAGEABLE PAYOFF AMOUNT. WE UTILIZE AN INCOME CRITERION TO ADJUST A SIGNIFICANT PORTION OF THE BALANCE AS A CHARITY DISCOUNT. PATIENT ACCOUNT REPRESENTATIVES DILIGENTLY WORK WITH PATIENTS AND EVALUATE NEW INFORMATION LEARNED DURING THE COLLECTION PROCESS TO DETERMINE IF COLLECTION ACTIVITIES SHOULD BE CEASED OR IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 19D: THE STATE OF TENNESSEE ALLOWS A HOSPITAL TO CHARGE NO MORE THAN 185% OF THE MOST RECENTLY SETTLED COST TO CHARGE RATIO IN THE MEDICARE COST REPORT. UHS AUTOMATICALLY EXTENDS A 45% DISCOUNT TO SELF-PAYING PATIENTS. THIS 45% DISCOUNT COMPLIES WITH STATE REGULATIONS. PART VI, LINE 2: UTMC SUPPORTS AND STRENGTHENS OUR KEY COMMUNITIES THROUGH DELIVERING NEEDED SERVICES BY LEADING AND PARTNERING WITH OTHER ORGANIZATIONS TO POSITIVELY IMPACT HIGH PRIORITY HEALTH ISSUES. THE COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) ANALYZES MULTIPLE SOURCES OF HEALTH STATUS, DEMOGRAPHIC, AND SOCIOECONOMIC INFORMATION TO IDENTIFY KEY COMMUNITIES, PRIORITIZE SPECIFIC POPULATION NEEDS, AND DETERMINE THE FOCUS FOR UTMC INVOLVEMENT. THE CHAC REVIEWS AND FORMULATES RECOMMENDATIONS FOR ORGANIZATIONAL INVOLVEMENT FOR IDENTIFIED NEEDS. THE CHAC TEAM LEVERAGES OUR CORE COMPETENCIES TO DESIGN AND IMPLEMENT STRATEGIC INITIATIVES AND ACTION PLANS TO ADDRESS THESE PRIORITIES. THE CHAC MONITORS PROGRESS THROUGH ACTION PLANS AND PERFORMANCE MEASURES AND REPORTS RESULTS QUARTERLY TO SENIOR LEADERS AND TO THE CHAC. IN COLLABORATION WITH OUR LOCAL COUNTY HEALTH DEPARTMENT AND COMMUNITY RESOURCE PROGRAMS, A COLLABORATIVE WAS FORMED TO BRING TOGETHER HEALTH CARE PROVIDERS AND ORGANIZATIONS THAT MAKE UP OUR LOCAL PUBLIC HEALTH SYSTEM AND SERVES TO GUIDE OUR COMMUNITY TO IDENTIFY AND TAKE ACTION ON PRIORITY HEALTH ISSUES. TOGETHER! HEALTHY KNOX PROVIDES A FRAMEWORK FOR LOCAL PROGRAMMATIC AND FISCAL DECISION-MAKING AND INFORMS THE DEVELOPMENT OF STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN COOPERATION WITH MANY COMMUNITY HEALTH PARTNERS. UTMC UTILIZES DATA OBTAINED DURING THIS ASSESSMENT INITIATIVE TO IMPROVE DELIVERY OF SELECT SERVICES TO MEET THE NEEDS OF THE COMMUNITY IT SERVES. UTMC'S IMPACT OF SUPPORT IS DETERMINED THROUGH A COMMUNITY BENEFIT DATABASE ANALYSIS OF DISBURSEMENTS AND ANNUAL PROCESS REVIEW. PART VI, LINE 3: TO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE, PROCESS AND DISCHARGE) AND FINANCIAL COUNSELORS ALONG WITH CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE BROCHURE INSTRUCTS THE PATIENT TO CONTACT THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS FOR MORE INFORMATION ON CHARITY AND OTHER APPLICABLE DISCOUNTS. FINANCIAL COUNSELORS VISIT PATIENT ROOMS WHEN POSSIBLE TO EXPLAIN THE UHS BILLING PROCESS, PAYMENT PLANS AND SCREEN FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT, AS WELL AS ON OUR WEBSITE. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUME OF SPANISH-SPEAKING PATIENTS. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFFS, SOCIAL WORKERS, CHAPLAINS, PATIENT ADVOCATES, ETC.). PART VI, LINE 4: UTMC KEY COMMUNITIES ARE DEFINED BY OUR DEMOGRAPHIC LOCATIONS WITHIN A 21 COUNTY REGIONAL SERVICE AREA. KNOX COUNTY IS CONSIDERED OUR PRIMARY SERVICE AREA WHERE OUR ACADEMIC MEDICAL CENTER RESIDES. SURROUNDING COUNTIES, SUCH AS ANDERSON, SEVIER, BLOUNT, LOUDON, JEFFERSON, AND HAMBLEN COUNTIES ARE SUPPORTED BY OUR NETWORK OF PRIMARY CARE PHYSICIANS, SPECIALISTS, AND OTHER CLINICAL SERVICES. UTMC'S KEY COMMUNITIES INCLUDE THE UNDERSERVED AND DISADVANTAGED POPULATIONS, PRIORITIZED BY THOSE WITH THE GREATEST NEED FOR SERVICES.UTMC IDENTIFIES ITS KEY COMMUNITIES AND DETERMINES AREAS FOR ORGANIZATIONAL INVOLVEMENT BY THE COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND UTMC TEAM MEMBER ANALYSIS OF STATE, LOCAL, AND REGIONAL HEALTH STATISTICAL DATA. UTMC HAS MANY PROGRAMS AND PARTNERSHIPS IN PLACE TO SUPPORT AND BENEFIT HIGH PRIORITY AND KEY COMMUNITIES WHICH INCLUDES:- UTMC'S HEALTHY LIVING KITCHEN PROVIDES NUTRITIONALLY BASED EDUCATION CLASSES AND TEACHES INDIVIDUALS HOW TO COOK HEALTHY TO IMPROVE HEALTH STATUS AND MANAGE DIETS WHICH LESSENS THE IMPACT OF CHRONIC DISEASE, SUCH AS DIABETES AND CARDIOVASCULAR DISORDERS.- COMMUNITY AND WORKSITE BASED HEALTH SCREENINGS AND EDUCATION FOR CANCER, DIABETES, HYPERTENSION, OBESITY, AND HYPERLIPIDEMIA.- RESPIRATORY THERAPY PARTNERS WITH COORDINATED SCHOOL HEALTH STAFF TO IMPLEMENT SMOKING CESSATION AND PREVENTION PROGRAMS TO MIDDLE SCHOOL AGED CHILDREN.- UTMC BREAST HEALTH OUTREACH PROGRAM (BHOP) WHICH PROVIDES MOBILE BREAST SCREENINGS TO DISADVANTAGED POPULATIONS THROUGH A COLLABORATIVE PARTNERSHIP EFFORT WITH SUSAN G. KOMEN AND AVON FOUNDATIONS.- UTMC CANCER INSTITUTE PROVIDES PROSTATE AND SKIN CANCER EDUCATION AND SCREENINGS.- REGIONAL INFANT MORTALITY REDUCTION TASK FORCE WHICH IS COMPOSED OF UTMC TEAM MEMBERS, PUBLIC HEALTH ENTITIES, AND COMMUNITY PARTNERS. PART VI, LINE 5: UTMC USES MULTIPLE STAKEHOLDERS AND DATA TO SUPPORT SOCIETAL WELL-BEING FOR OUR COMMUNITY. OUR CORE COMPETENCIES ARE PARTNERING AND INNOVATION, AND WE CONTRIBUTE TO OUR ENVIRONMENT, SOCIAL, AND ECONOMIC SYSTEMS. UTMC CONSIDERS ENVIRONMENTAL IMPACT IN PROJECT ANALYSIS AND DAILY OPERATIONS. SEVERAL STRATEGIES TO CONSERVE ENERGY AND RECYCLE PAPER ARE IMPLEMENTED AND EVIDENCED THROUGHOUT OUR CAMPUS AND DAILY ACTIVITIES. UTMC ACTIVELY PARTICIPATES IN KNOXVILLE AREA PROJECT ACCESS ("KAPA"), AN INNOVATIVE COMMUNITY APPROACH THROUGH WHICH UTMC PHYSICIANS AND SPECIALISTS PROVIDE CARE FOR THOSE IN OUR SERVICE AREA WHO ARE WITHOUT THE ABILITY TO PAY. KAPA IS A PHYSICIAN-LED COMMUNITY EFFORT AND WAS CREATED AS A COMPREHENSIVE HEALTHCARE PLAN TO HELP PATIENTS WHO STRUGGLE EVERYDAY WITH THE CHALLENGES OF POVERTY, HAVE NO ACCESS TO EMPLOYER-SPONSORED OR GOVERNMENT-SPONSORED INSURANCE PROGRAMS, AND HAVE AN INCOME OF 200% OF THE POVERTY LEVEL OR BELOW. THE INTERFAITH HEALTH CLINIC PROVIDES PRIMARY CARE SERVICES TO A SEGMENT OF THE COMMUNITY THAT IS IN NEED - THE WORKING UNINSURED. THEY SERVE THE NEEDS OF OUR RESIDENTS THAT DO NOT QUALIFY FOR TENNCARE AND CANNOT AFFORD TO PURCHASE PRIVATE HEALTH INSURANCE. UTMC IS PROUD TO HAVE PARTNERED WITH INTERFAITH HEALTH CLINIC SINCE THE BEGINNING OF THIS INNOVATIVE COMMUNITY EFFORT WHICH BEGAN IN 1991. WE HAVE OFFERED OUR SUPPORT BOTH FINANCIALLY AND THROUGH GIFTS OF IN-KIND SERVICES.IN KEEPING WITH OUR MISSION TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY, WE ALSO VALUE THE IMPORTANCE OF PREVENTION STRATEGIES TO IMPEDE CHRONIC DISEASE DEVELOPMENT. UTMC USES NATIONAL AND STATE HEALTH POLICY AND LOCAL COUNTY STATISTICAL DATA WHEN AVAILABLE TO IDENTIFY COMMUNITY SPECIFIC HEALTH PRIORITIES WITHIN THE REGION SUCH AS HIGH SMOKING LEVELS, CANCER RATES, HEART DISEASE, AND DIABETES. WE REVALIDATE OUR COMMUNITY INVOLVEMENT BASED ON MARKET INFORMATION, FOCUS GROUPS, STRATEGIC PLANNING PROCESS, AND COMMUNITY NEEDS ASSESSMENT TO ALIGN OUR CRITERIA THAT WILL BE USED TO SUPPORT OUR INVOLVEMENT. UTILIZING THE INFORMATION AND DATA COLLECTED FROM NUMEROUS SOURCES, UTMC IDENTIFIES RESOURCES AND ORGANIZATIONAL ALLIANCES LOCALLY TO FORM RESOURCE PARTNERSHIPS TO INITIATE A PROCESS TO ADDRESS THE PRIORITIES OF NEED. WE SOLICIT REQUESTS FROM SERVICE LINE LEADERS TO ENSURE THAT WE IDENTIFY WHAT WE AS AN ORGANIZATION DESIRE TO SUPPORT AND EVALUATE ADDITIONAL REQUESTS FOR SUPPORT FROM THE COMMUNITY WHEN A NEED IS IDENTIFIED. IN 2011, UTMC PROVIDED EDUCATION AND HEALTH SCREENING OPPORTUNITIES TO OVER 65,000 INDIVIDUALS.UT MEDICAL CENTER HAS POSITIONED ITSELF TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE BY OUR ORGANIZATIONAL STRUCTURE, SUBDIVISIONS OF RESPONSIBILITY, AND ALIGNMENT OF OUR MISSION, VISION, AND VALUES, OUR CORE COMPETENCIES, OUR CENTERS OF EXCELLENCE FOCUSED PRIORITIES, AND INTEGRATION OF OUR SUPPORT INTO THE COMMUNITY THROUGH COLLABORATION AND PARTNERSHIPS. SENIOR LEADERS AND TEAM MEMBERS CONTRIBUTE TO IMPROVING COMMUNITIES AND BUILDING COMMUNITY HEALTH BY ACTIVELY PARTICIPATING IN COMMUNITY SERVICE PROGRAMS AND PARTNERSHIPS. SENIOR LEADERS PERSONALLY SERVE ON COMMUNITY SERVICE BOARDS AND LEAD COLLABORATIVE PARTNERSHIP INITIATIVES INCLUDING GOVERNMENT, COMPETITORS, NON-FOR PROFIT ORGANIZATIONS, AND FOUNDATIONS.ADDITIONALLY, PLEASE REFER TO THE STATEMENT OF COMMUNITY BENEFIT AS PROVIDED IN SCHEDULE O FOR FURTHER DOCUMENTATION REGARDING UHS'S COMMITTMENT WITHIN ITS COMMUNITY. PART VI, LINE 6: UTMC IS CURRENTLY AFFILIATED WITH EAST TENNESSEE CHILDREN'S HOSPITAL IN PROVIDING JOINT HEALTHCARE SERVICES FOR THE PEDIATRIC POPULATION OF OUR REGION. UTMC PARTNERS WITH SEVERAL LOCAL ORGANIZATIONS IN SUPPORT OF CHILDREN'S HEALTH AND WELLBEING. REPORTS FILED WITH STATES PART VI, LINE 7 TN 1 EAST TN CHILDRENS HOSPITAL PO BOX 15010 KNOXVILLE TN 37901 626002604 501(C)(3) 6000 2011 CENTER STAGE SPONSORSHIP EAST TN ECONOMIC DEVELOPMENT 10215 TECHNOLOGY DRIVE STE 202 KNOXVILLE TN 37932 621158958 501(C)(3) 18000 2011 INVESTMENT - 15 COUNTY REGIONAL ECONOMIC DEVELOPMENT INTERFAITH HEALTH CLINIC 315 GILL AVENUE KNOXVILLE TN 37917 581947641 501(C)(3) 50000 COMMUNITY HEALTHCARE OUTREACH FOR UNINSURED KNOX ACADEMY MED PROJECT 115 SUBURBAN ROAD KNOXVILLE TN 37923 621458199 501(C)(3) 11000 2011 GALA DIAMOND SPONSORSHIP KNOXVILLE NEWS SENTINEL DEPARTMENT 888581 KNOXVILLE TN 37995 621785559 N/A 11400 EMPTY STOCKING FUND MARCH OF DIMES 322 NANCY LYNN LANE STE 11 KNOXVILLE TN 37919 131846366 501(C)(3) 7500 2011 MARCH FOR THE BABIES SPONSORSHIP; 2011 SIGNATURE CHEFS AUCTION; 2011 BRUCE PEARL GOLF TOURNAMENT SPONSORHIP AMERICAN HEART ASSOCIATION 4708 PAPERMILL DRIVE KNOXVILLE TN 37909 135613797 501(C)(3) 17500 GENERAL DONATION CANCER SUPPORT GROUP 702 LINDSAY PLACE KNOXVILLE TN 37919 581846210 501(C)(3) 20000 COMMUNITY CANCER SUPPORT EAST TENNESSEE FOUNDATION 625 MARKET STREET SUITE 1400 KNOXVILLE TN 37902 620807696 501(C)(3) 5000 SPONSOR PROCESS TO FIND SOLUTIONS TO HOMELESSNESS EMERALD YOUTH FOUNDATION 1718 NORTH CENTRAL STREET KNOXVILLE TN 37917 621474791 501(C)(3) 5000 SPONSOR THE FOUNDATION'S FUNDRAISER GRADUATE SCHOOL OF MEDICINE 1924 ALCOA HWY GSM BUSINESS OFFICE U-100 KNOXVILLE TN 37920 626001636 N/A 5000 SPONSOR FUNDRAISER KALU GRACE FOUNDATION INC PO BOX 32592 KNOXVILLE TN 37930 800512016 501(C)(3) 5000 GENERAL DONATION KNOX COUNTY IMAGINATION LIBRARY 500 WEST CHURCH AVENUE KNOXVILLE TN 37902 620807696 501(C)(3) 5000 SUPPORT TO PURCHASE BOOKS FOR CHILDREN UNITED WAY GREATER KNOX INC 1301 HANNAH AVENUE KNOXVILLE TN 37921 620475748 501(C)(3) 35000 GENERAL DONATION UNIVERSITY OF TENNESSEE 301 ANDY HOLT TOWER KNOXVILLE TN 37996 626001636 N/A 10000 SPONSOR THE UNIVERSITY'S FUNDRAISERS EMPLOYEE ASSISTANCE SCHOLARSHIPS 41 7218 CRISIS FUND CHARITABLE ASSISTANCE 3790 43429 MEDICAL EXPLORATIONS STIPENDS 41 23100 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. FOR EMPLOYEE EDUCATION ASSISTANCE SCHOLARSHIPS, APPLICANTS MUST SUBMIT RECEIPTS FOR EXPENDITURES. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. X X X X X X 0 1 0 0 0 0 0 1 0 JOSEPH R LANDSMAN JR 756895 0 261000 0 14722 0 103572 0 13182 0 1149371 0 0 0 ROBERT F ELDER MD 385382 0 40000 0 1615 0 42740 0 810 0 470547 0 0 0 THOMAS M FISHER 407495 0 80333 0 3182 0 49652 0 15582 0 556244 0 0 0 WILLIAM D HALL 379895 0 79422 0 6469 0 46889 0 13182 0 525857 0 0 0 NORMAN D MAJORS 284598 0 48645 0 9486 0 34313 0 810 0 377852 0 0 0 JOHN W LACEY 376895 0 53820 0 6213 0 44003 0 13182 0 494113 0 0 0 STEVEN R ROSS 362895 0 54740 0 4833 0 42557 0 13182 0 478207 0 0 0 JANELL R CECIL 270895 0 48000 0 4987 0 32699 0 13182 0 369763 0 0 0 RICHARD K GIECEK 249395 0 30000 0 7570 0 29506 0 18182 0 334653 0 0 0 BENNETT COX 265248 0 28437 0 2274 0 29636 0 810 0 326405 0 0 0 BETTY A GISSEL 209468 0 24143 0 4365 0 24126 0 3690 0 265792 0 0 0 JOHN J SHERIDAN 156545 0 19995 0 1270 0 18092 0 13182 0 209084 0 0 0 STANLEY S MILLER MD 1096548 0 0 0 450 0 12250 0 13182 0 1122430 0 0 0 LARRY C KILGORE MD 701541 0 0 0 1290 0 70629 0 3901 0 777361 0 0 0 SUSAN N HUNTSINGER MD 879426 0 0 0 300 0 12250 0 13182 0 905158 0 0 0 JOHN L BELL MD 659598 0 37800 0 2100 0 69312 0 810 0 769620 0 0 0 CARLOS A ROLLHAUSER MD 583873 0 0 0 360 0 12250 0 13182 0 609665 0 0 0 PART I, LINE 4B PART I, LINE 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN NAME AMOUNT JANELL R. CECIL $ 7,980 STEVEN R. ROSS 22,817 RICHARD K. GEICEK 6,028 LARRY C. KILGORE, M.D. 9,322 ABOVE DISTRIBUTIONS WERE INCLUDED IN TAXABLE INCOME DURING 2011 IN ACCORDANCE WITH PLAN DOCUMENTS. PART I, LINE 7 THE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S COMPENSATION COMMITTEE. THE INCENTIVE PLAN WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT. DATA COMPILED BY IHS IS USED FOR COMPARABILITY. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS. THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MBU9 2007-04-27 236534376 REFINANCE THE ISSUERS 1999 BONDS AND FINANCE CERTAIN CAPITAL IMPROVEMENTS 0 0 0 THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 2010-12-01 50000000 CAPITAL ADDITIONS 0 0 0 236534376 161918145 2045137 72571095 2010 0 1 1 1 50000000 400000 49600000 2013 0 0 0 1 0 0 0 0 0.03000 0.03000 1 0 0 0 0 0.03000 0.03000 1 0 0 0 1 DEPFABLB 2.000000000000 1 0 0 0 1 0 0 0 0 UNIVERSITY PHYSICIANS ASSOCIATION INC DR. ELDER SERVES ON THE UHS BOARD AND SERVES AS UPA PRESIDENT. 16021820 UNIVERSITY PHYSICIANS ASSOCIATION, INC. ("UPA") PROVIDES PHYSICIAN AND CLINICAL SERVICES AS WELL AS CBO MANAGEMENT TO UHS. UHS REIMBURSES UPA FOR CLINICAL STAFF SALARIES. ALL TRANSACTIONS ARE CONDUCTED AT ARMS-LENGTH AND REPRESENT FAIR MARKET VALUE. 0 UNIVERSITY ANESTHESIOLOGISTS DR. EPPS SERVES ON THE UHS BOARD AND IS AN OWNER IN UNIV. ANESTHESIOLOGISTS 3731710 UNIVERSITY ANESTHESIOLOGISTS PROVIDES PHYSICIAN SERVICES TO UHS. 0 UNIVERSITY CARDIOLOGY DR. BRESEE SERVES ON THE UHS BOARD AND IS AN OWNER IN UNIVERSITY CARDIOLOGY 1164927 UNIVERSITY CARDIOLOGY PROVIDES PHYSICIAN AND OTHER CLINICAL SERVICES TO UHS. 0 X 1 265000 FMV X 2 39616 FMV X MEDICAL EQUIPMENT 1 5000 COST 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS JOSEPH A. DIPIETRO, JOSEPH E. JOHNSON, JIMMY CHEEK, STEVE J. SCHWAB, AND DAVID E. MILLHORN ARE EACH EMPLOYEES OF THE UNIVERSITY OF TENNESSEE. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF DIRECTORS ANNUALLY COMPLETES A CONFLICT OF INTEREST DISCLOSURE. THESE CONFLICT OF INTEREST DISCLOSURES ARE REVIEWED BY THE UHS OFFICE OF GENERAL COUNSEL TO ASSURE COMPLIANCE WITH THE POLICY. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO RECUSE THEMSELVES ON ANY MATTERS OF INTEREST BEFORE THE BOARD IN WHICH A CONFLICT OF INTEREST MAY EXIST. ANY SUCH RECUSAL IS DOCUMENTED WITHIN THE MINUTES OF THE BOARD OR COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES, A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,141,546. DECREASE IN TEMPORARILY RESTRICTED ASSETS -108,289. PARTNERSHIP INCOME NOT ON BOOKS -778,583. TOTAL TO FORM 990, PART XI, LINE 5: 254,674. AUDIT COMMITTEE FORM 990, PART XII, LINE 2C UHS HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR. STATEMENT OF COMMUNITY BENEFIT UNIVERSITY HEALTH SYSTEM JANUARY 1, 2011 - DECEMBER 31, 2011 I. INTRODUCTION UNIVERSITY HEALTH SYSTEM, INC. ("UHS") OPERATES THE UNIVERSITY OF TENNESSEE MEDICAL CENTER ("MEDICAL CENTER") WHICH OFFERS MEDICAL CARE TO A TWENTY-ONE COUNTY SERVICE AREA LOCATED THROUGHOUT EAST TENNESSEE, SOUTHEAST KENTUCKY, SOUTHWEST VIRGINIA, WESTERN NORTH CAROLINA AND BEYOND. THROUGH OPERATION OF THE MEDICAL CENTER, UHS: - PROVIDES HEALTHCARE SERVICES FOR THE RESIDENTS OF THE MEDICAL CENTER'S SERVICE AREA AND BEYOND, INCLUDING SPECIALIZED CARE THAT IS CUSTOMARILY AVAILABLE AT ACADEMIC MEDICAL CENTERS; - SUPPORTS MEDICAL RESEARCH AND EDUCATION THROUGH AN AFFILIATION AGREEMENT WITH THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE; - PROVIDES A PATIENT BASE FOR TRAINING PHYSICIANS, DENTISTS, NURSES AND OTHER HEALTH PROFESSIONALS; AND - PROVIDES SUPPORT FOR CLINICAL RESEARCH AND RESEARCH TRAINING. THE MEDICAL CENTER IS OPERATED FOR THE BENEFIT OF THE COMMUNITY IN A MANNER CONSISTENT WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UHS HAS ADOPTED A FORMAL CHARITY CARE POLICY, HAS AN OPEN MEDICAL STAFF, AND OPERATES AN EMERGENCY ROOM, INCLUDING A LEVEL I TRAUMA CENTER. IT IS GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF INDEPENDENT CIVIC LEADERS FROM THE COMMUNITY AND REPRESENTATIVES FROM THE UNIVERSITY OF TENNESSEE. THE MEDICAL CENTER HAS A RICH HISTORY IN THE COMMUNITY OF PROVIDING PATIENT-CENTERED CARE AND REMAINING AT THE FOREFRONT OF RESEARCH, TECHNOLOGY AND TREATMENTS. UHS ATTRIBUTES ITS WELL-RESPECTED STANDING WITHIN THE COMMUNITY TO THE EXCEPTIONAL PEOPLE THAT DEDICATE THEMSELVES TO PATIENT CARE EXCELLENCE. THE MEDICAL CENTER IS LICENSED FOR 581 ACUTE CARE BEDS AND SERVES AS A REFERRAL CENTER FOR THE REGION, PROVIDING SUPERIOR TREATMENTS AND HEALTHCARE SUPPORT TO RESIDENTS OF THE COMMUNITY AS WELL AS OFFERING EXPERT CARE AS THE AREA'S ONLY LEVEL I TRAUMA CENTER. THE MEDICAL CENTER IS A TERTIARY FACILITY, OFFERING GENERAL, SPECIALTY AND SUB-SPECIALTY CARE IN A FULL RANGE OF MEDICAL FIELDS. THE STATE HAS ALSO DESIGNATED THE MEDICAL CENTER AS A REGIONAL PERINATAL CENTER FOR HIGH-RISK PREGNANCY AND OPERATES A LEVEL III NURSERY, HEMOPHILIA CENTER AND CENTER FOR TRANSPLANT SERVICES WHICH PERFORMS KIDNEY AND PANCREAS TRANSPLANTS. THE MEDICAL CENTER IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF PATIENTS THROUGH LEADERSHIP IN HEALTHCARE, HEALTH EDUCATION AND CLINICAL RESEARCH. IT IS UNIQUE BECAUSE OF ITS STANDING AS THE ONLY ACADEMIC HOSPITAL IN THE REGION, MAKING IT THE LEADING RESOURCE FOR RESEARCH, DISCOVERY AND UPDATED TREATMENTS IN THE COMMUNITY. II. HISTORY UHS WAS CREATED ON DECEMBER 21, 1998, FOR THE PURPOSE OF RESTRUCTURING THE OPERATION, MANAGEMENT, AND GOVERNANCE OF THE MEDICAL CENTER, AND TO NEGOTIATE AGREEMENTS WITH THE UNIVERSITY OF TENNESSEE ("THE UNIVERSITY") TO FACILITATE THE RESTRUCTURING. EFFECTIVE JULY 29, 1999, UHS ACQUIRED CERTAIN ASSETS AND THE OPERATIONS OF THE MEDICAL CENTER FROM THE UNIVERSITY, AND THE MEDICAL CENTER BECAME AN OPERATING DIVISION OF UHS. PRIOR TO JULY 29, 1999, THE MEDICAL CENTER OPERATED AS A BUDGET ENTITY OF THE UNIVERSITY. UHS ENTERED INTO THE FOLLOWING AGREEMENTS TO ACQUIRE THE OPERATIONS OF THE MEDICAL CENTER FROM THE UNIVERSITY: 1) THE LEASE AND TRANSFER AGREEMENT, WHEREBY UHS LEASES CERTAIN REAL PROPERTY AND ACQUIRED CERTAIN PERSONAL PROPERTY FROM THE UNIVERSITY; 2) THE EMPLOYEE SERVICES AGREEMENT, WHEREBY UHS LEASES CERTAIN OF THE MEDICAL CENTER'S EMPLOYEES FROM THE UNIVERSITY; AND 3) THE AFFILIATION AGREEMENT, WHEREBY UHS AND THE UNIVERSITY AGREE TO CONTINUE THE MEDICAL CENTER'S HISTORICAL RELATIONSHIP WITH THE UNIVERSITY OF TENNESSEE MEMPHIS GRADUATE SCHOOL OF MEDICINE ("GSM"). UNDER THE TERMS OF THE LEASE AND TRANSFER AGREEMENT, UHS PURCHASED ALL OF THE OPERATING ASSETS OF THE MEDICAL CENTER, INCLUDING ALL PERSONAL PROPERTY, EQUIPMENT, INVENTORY, CURRENT ASSETS, AND OTHER ASSETS USED BY THE MEDICAL CENTER, OTHER THAN REAL PROPERTY. THE REAL PROPERTY IS LEASED FROM THE UNIVERSITY TO UHS FOR A TERM OF 50 YEARS. UNDER THE TERMS OF THE EMPLOYEE SERVICES AGREEMENT, EXISTING UHS EMPLOYEES, AND ALL EMPLOYEES HIRED SUBSEQUENT TO JULY 28, 1999, ARE UHS EMPLOYEES. ALL OTHER MEDICAL CENTER EMPLOYEES AS OF JULY 28, 1999 ARE LEASED BY UHS FROM THE UNIVERSITY AND RETAIN ALL UNIVERSITY BENEFITS. THE EMPLOYEE SERVICES AGREEMENT CONTINUES UNTIL THE EARLIER OF THE TERMINATION OF THE LEASE AND TRANSFER AGREEMENT OR THE SEPARATION FROM SERVICE OF THE LAST LEASED UNIVERSITY EMPLOYEE. THE AFFILIATION AGREEMENT GOVERNS THE CONTINUED RELATIONSHIP BETWEEN UHS AND THE GSM. UHS WILL PASS THROUGH CERTAIN FEDERAL AND STATE FUNDS EARMARKED FOR GRADUATE MEDICAL EDUCATION, AND THE MEDICAL CENTER WILL CONTINUE TO BE THE PRIMARY TEACHING SITE FOR THE GSM. III. PATIENT CARE SERVICES IN AN EFFORT TO PROVIDE A CONTINUUM OF CARE FOR PATIENTS, FROM DIAGNOSIS THROUGH RECOVERY, UHS OFFERS CENTERS OF EXCELLENCE TO ENHANCE THE QUALITY OF HEALTHCARE DELIVERED TO THE COMMUNITY. THE CENTERS OF EXCELLENCE ARE AS FOLLOWS: BRAIN AND SPINE INSTITUTE THE BRAIN AND SPINE INSTITUTE IS MADE UP OF EXPERTS IN THE FIELD OF NEUROSCIENCE IN ORDER TO BRING PATIENTS THE MOST ADVANCED HEALTHCARE IN EAST TENNESSEE FOR A FULL RANGE OF NEUROLOGICAL DISEASES AND DISORDERS. THE INSTITUTE OFFERS PATIENT-CENTERED CARE FOR INJURIES AND DISEASES SUCH AS TRAUMA (SPINAL CORD INJURY AND BRAIN INJURY), DEGENERATIVE DISEASES (ALZHEIMER'S AND PARKINSON'S), VASCULAR DISORDERS (STROKE AND ANEURYSMS), STRUCTURAL INJURIES AND CONDITIONS OF THE SPINE, AND TUMORS. DIAGNOSING AND TREATING BRAIN AND SPINE DISEASES AND CONDITIONS DEMANDS MANY SPECIALISTS THAT PATIENTS CAN ACCESS THROUGH THE BRAIN AND SPINE INSTITUTE. THE TEAM OF SPECIALISTS INCLUDING NEUROSURGEONS AND NEUROLOGISTS PROVIDE PATIENTS WITH THE HIGHEST QUALITY CARE. THE BRAIN AND SPINE INSTITUTE OFFERS UNMATCHED EXPERTISE WITH ITS COLE NEUROSCIENCE CENTER FOR DEGENERATIVE NEUROLOGICAL (BRAIN) DISORDERS AND STATE-OF-THE-ART TECHNOLOGY WITH THE ONLY CYBERKNIFE CENTER IN THE KNOXVILLE REGION. UT MEDICAL CENTER IS THE FIRST IN THE REGION TO EARN THE PRESTIGIOUS PRIMARY STROKE CENTER CERTIFICATION FROM THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO). THE DESIGNATION COMES AFTER AN ON-SITE REVIEW BY JCAHO, THE NATION'S PREDOMINANT STANDARDS-SETTING AND ACCREDITING BODY IN HEALTHCARE. UTMC IS THE ONLY STROKE CENTER IN THE STATE TO BE RECOGNIZED BY AMERICAN HEART AND AMERICAN STROKE ASSOCIATION WITH THE GOLD PLUS ACHIEVEMENT AWARD FOR 2 YEARS OF 85% OR HIGHER OUTCOMES. THE SPINE CENTER HAS BEEN RECOGNIZED BY BLUE CROSS BLUE SHIELD AS A BLUE CENTER OF DISTINCTION. WITH THREE DEDICATED NEUROSURGICAL OPERATING ROOMS, A DEDICATED STROKE UNIT, MEDICAL AND SURGICAL INTENSIVE CARE UNITS, THE COLE NEUROSCIENCE CENTER AND THE LATEST TECHNOLOGY COMBINED WITH THE EXPERIENCE AND SKILL OF THE BRAIN AND SPINE INSTITUTE STAFF, UT MEDICAL CENTER PROVIDES QUALITY CARE TO THE EAST TENNESSEE COMMUNITY FOR TREATMENT OF BRAIN AND SPINE DISEASE OR INJURY. CANCER INSTITUTE THE CANCER INSTITUTE AT THE MEDICAL CENTER PROVIDES EACH PATIENT WITH COMPASSIONATE, COMPREHENSIVE AND COORDINATED CARE THROUGH A MULTIDISCIPLINARY TEAM OF SPECIALISTS FOCUSED ON THE TREATMENT, EARLY DETECTION AND PREVENTION IN THE FIGHT AGAINST CANCER. THE CANCER INSTITUTE IS COMMITTED TO OVERCOMING THE CHALLENGE OF CANCER THROUGH TREATMENT, RESEARCH AND EDUCATION IN PARTNERSHIP WITH THOSE WE SERVE. AS PART OF OUR MISSION, THE CANCER INSTITUTE STRIVES TO PROVIDE CANCER PATIENTS AND THEIR FAMILIES THE HIGHEST LEVEL OF CLINICAL CARE. THE CANCER INSTITUTE ALSO PROVIDES THE NECESSARY SUPPORT SERVICES TO PATIENTS IN ORDER TO BETTER COPE WITH THE EMOTIONAL, PSYCHOLOGICAL AND FINANCIAL ISSUES RELATED TO A CANCER DIAGNOSIS. SERVICES AT THE CANCER INSTITUTE RANGE FROM A SINGLE ENTRY POINT FOR THE MANAGEMENT OF BREAST, PROSTATE, LUNG AND GASTROINTESTINAL CANCERS TO ADVANCED TREATMENT TECHNOLOGIES TO A TEAM OF HEALTHCARE PROVIDERS INCLUDING COUNSELORS AND CHAPLAINS TO PROVIDE EMOTIONAL AND SPIRITUAL SUPPORT THROUGHOUT CANCER TREATMENT. ALL PATIENT SERVICES ARE PROVIDED BY A TEAM OF TRAINED AND EXPERIENCED PROFESSIONALS IN A CARING AND COMPASSIONATE ENVIRONMENT. THE CANCER INSTITUTE HAS DEVELOPED A ROBUST OUTREACH PROGRAM PROVIDING BOTH PROFESSIONAL AND COMMUNITY EDUCATION AS WELL AS FREE OR LOW COST SCREENINGS FOCUSED ON THE EARLY DETECTION AND/OR PREVENTION OF CANCER. ALSO AS PART OF OUR MISSION, THE CANCER INSTITUTE ACTIVELY PARTICIPATES IN CLINICAL RESEARCH PROGRAMS TO DISCOVER NEW WAYS TO PREVENT, DETECT, AND TREAT CANCER. EMERGENCY AND TRAUMA SERVICES THE MEDICAL CENTER IS THE ONLY LEVEL I TRAUMA CENTER IN THE REGION FOR ADULTS AND CHILDREN AND SERVES AS THE TERTIARY REFERRAL CENTER FOR MEDICAL CARE IN EAST TENNESSEE, SERVING KNOX COUNTY AND TWENTY SURROUNDING COUNTIES. THE HEALTHCARE EXPERTS IN THE EMERGENCY DEPARTMENT TREAT MORE THAN 70,000 PATIENTS IN A YEAR WITH A COMMITMENT TO INDIVIDUALIZED PATIENT AND FAMILY CENTERED CARE AND TEAMWORK. WHETHER ARRIVING BY AMBULANCE, AEROMEDICAL TRANSPORT SERVICE, OR PRIVATE VEHICLE, PATIENTS RECEIVE A FULL RANGE OF MEDICAL CARE. THE FACILITY IS COMPRISED OF FOUR AREAS: A CRITICAL RESUSCITATION BAY FOR THE MOST SERIOUSLY INJURED OR ILL PATIENTS; AN EMERGENT TREATMENT AREA FOR THOSE WITH A POTENTIALLY SERIOUS PROBLEM; A RAPID EVALUATION AND TREATMENT AREA FOR THE LESS ILL AND INJURED; AND A FAST-TRACK AREA FOR THOSE WITH MINOR INJURY OR ILLNESS. TO HOLD A LEVEL ONE TRAUMA CENTER DESIGNATION, UT MEDICAL CENTER PROVIDES A TEAM OF SPECIALLY TRAINED PERSONNEL TO MEET THE EMERGENT AS WELL AS ON-GOING AND CHANGING NEEDS OF THE TRAUMA PATIENTS FROM ADMISSION TO DISCHARGE. THE HEAD OF THIS TEAM IS THE TRAUMA SURGEON WHO SUPERVISES AND COORDINATES PATIENT CARE. VARIOUS SPECIALTY PHYSICIANS SUCH AS A NEUROSURGEONS, ORTHOPEDIC SURGEONS, OR MAXILLOFACIAL OR PLASTIC SURGEONS ARE READILY AVAILABLE AND ARE CONSULTED AS NEEDED. AFTER EVALUATION IN THE EMERGENCY DEPARTMENT, CRITICAL TRAUMA PATIENTS THEN ARE TRANSPORTED TO THE 22-BED TRAUMA SURGICAL INTENSIVE CARE UNIT (TSICU). IN THE TRAUMA SURGICAL ICU, THE PATIENT IS FURTHER EVALUATED AND ADDITIONAL PROCEDURES ARE COMPLETED SUCH AS FOLLOW UP X-RAYS, SUTURING, SPLINTING AND OBSERVATION. CRITICALLY INJURED PATIENTS ARE COMPLEX AND CHALLENGING. THEY OFTEN REQUIRE MASSIVE RESUSCITATION, INTRACRANIAL PRESSURE AND PARTIAL BRAIN TISSUE OXYGENATION MONITORING, MECHANICAL VENTILATION, CONTINUOUS RENAL REPLACEMENT THERAPY, AS WELL AS MANY OTHER SPECIALIZED TREATMENTS AND PROCEDURES. THE TSICU IS STAFFED WITH EXPERIENCED PROFESSIONALS SUCH AS CRITICAL CARE NURSES, RESPIRATORY THERAPISTS, CASE MANAGERS AND CERTIFIED NURSING ASSISTANTS. AS AN ACADEMIC MEDICAL CENTER, EXISTING CLINICAL RESEARCH IS EVALUATED, NEW RESEARCH IS CONDUCTED AND CARE PATHS ARE EVIDENCED-BASED ALLOWING PATIENTS THE MOST UP-TO-DATE CARE AVAILABLE. MULTIDISCIPLINARY DAILY ROUNDS ARE MADE BY THE TRAUMA TEAM CONSISTING OF RESIDENT PHYSICIANS, NURSES, PHARMACISTS, RESPIRATORY THERAPISTS, AND STUDENTS LED BY ATTENDING PHYSICIANS WHO DISCUSS THE CARE AND PROGRESS OF TRAUMA PATIENTS, AND ESTABLISH THE DAILY PATIENT GOALS WHILE ENSURING HIGH QUALITY COMPREHENSIVE CARE PLANNING. FAMILIES ARE ASKED AND ENCOURAGED TO ATTEND THESE ROUNDS INCLUDING THEM AS PART OF THE TEAM CARING FOR THEIR LOVED ONE. THE STAFF OF THE SCC UTILIZE THE PATIENT AND FAMILY CENTERED MODEL OF CARE. EVIDENCE OF THIS INCLUSIVE MODEL IS DEMONSTRATED BY OUR OPEN VISITATION HOURS, FAMILY PRESENCE AT ROUNDS, REFERRALS TO CASE MANAGEMENT, PASTORAL CARE AND IN THE ONGOING COMMUNICATION WITH THE PATIENTS AND THEIR FAMILIES. HEART LUNG VASCULAR INSTITUTE THE HEART LUNG VASCULAR INSTITUTE WAS ESTABLISHED IN 2000 TO HELP MEET THE INCREASING NEED FOR CARDIOVASCULAR AND LUNG DISEASE CARE. HEART DISEASE, STROKE AND PULMONARY DISEASE ARE AMONG THE LEADING CAUSES OF DEATH IN THE UNITED STATES. IN ADDITION, TENNESSEE IS ONE OF THE WORST FIVE STATES FOR SMOKING, OBESITY, AND HIGH BLOOD PRESSURE - ALL OF WHICH CONTRIBUTE TO THE DEVELOPMENT OF HEART AND LUNG DISEASE. QUALITY AND SAFETY IN PATIENT CARE HAVE BEEN AN INTEGRAL PART OF OUR MISSION AT THE HLVI. THIS LED TO THE BUILDING OF A DEDICATED HEART HOSPITAL WITH A STATE OF THE ART CARDIOVASCULAR INTENSIVE CARE UNIT (CVICU). MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS, NURSES, PHARMACISTS, RESPIRATORY THERAPISTS, AND OTHERS, USE EVIDENCE-BASED CARE PLANS TO IMPLEMENT A PATIENT-FAMILY CENTERED MODEL OF CARE. FACILITY DESIGN, TECHNOLOGY, AND INFORMATION SYSTEMS ALSO SUPPORT OUR GOAL OF EXCELLENCE. THE UNIVERSITY OF TENNESSEE MEDICAL CENTER IS THE AREA'S ONLY ACADEMIC MEDICAL CENTER, AND RESEARCH INTO THE CAUSE AND TREATMENT OF DISEASE IS PART OF OUR MISSION. THE OTHER ROLE OF ACADEMICS INVOLVES PHYSICIAN EDUCATION; THE UT GRADUATE SCHOOL OF MEDICINE CURRENTLY OFFERS FELLOWSHIPS IN CARDIOVASCULAR MEDICINE, VASCULAR SURGERY AND PULMONARY MEDICINE. THE GOALS OF THE HEART LUNG VASCULAR INSTITUTE ARE TO ATTAIN EXCELLENCE IN PATIENT CARE, PREVENTIVE MEDICINE, REHABILITATION SERVICES, RESEARCH AND EDUCATION. EXCELLENCE IN PATIENT CARE MEANS OFFERING THE BEST DIAGNOSTIC AND TREATMENT PLANS USING THE LATEST TECHNOLOGY IN A COMPASSIONATE MANNER, AND KEEPING THE PATIENT AND FAMILY INFORMED AND COMFORTABLE, BOTH PHYSICALLY AND EMOTIONALLY. PREVENTIVE MEDICINE INVOLVES EDUCATION ABOUT DISEASE PROCESSES AND RISK REDUCTION THROUGH COMMUNITY SEMINARS AND SCREENINGS SUCH AS THE HEARTWISE PROGRAM. REHABILITATION SERVICES HELP PATIENTS RECOVERING FROM HEART ATTACKS, HEART FAILURE, HEART AND LUNG SURGERY, AND CHRONIC LUNG DISEASE. THE UNIVERSITY OF TENNESSEE MEDICAL CENTER IS THE AREA'S ONLY ACADEMIC MEDICAL CENTER, AND RESEARCH INTO THE CAUSE AND TREATMENT OF DISEASE IS PART OF OUR MISSION. THE OTHER ROLE OF ACADEMICS INVOLVES PHYSICIAN EDUCATION; THE UT GRADUATE SCHOOL OF MEDICINE CURRENTLY OFFERS FELLOWSHIPS IN CARDIOVASCULAR MEDICINE, VASCULAR SURGERY AND PULMONARY MEDICINE. THE HEART LUNG VASCULAR INSTITUTE SUPPORTS THE MEDICAL CENTER'S VISION TO BE NATIONALLY RECOGNIZED FOR EXCELLENCE IN PATIENT CARE, MEDICAL EDUCATION AND BIOMEDICAL RESEARCH. CENTER FOR WOMEN & CHILDREN'S HEALTH THE CENTER FOR WOMEN & CHILDREN'S HEALTH IS A HUB FOR SUPPORTING WOMEN'S AND CHILDREN'S INDIVIDUAL HEALTHCARE NEEDS. THE CENTER OFFERS COMPREHENSIVE SERVICES FOR CHILDBIRTH, HIGH RISK OBSTETRICS, NEONATAL CARE, WOMEN'S MID-LIFE HEALTH, INCLUDING: OSTEOPOROSIS, HEART HEALTH, ONCOLOGY SERVICES, GYNECOLOGICAL HEALTH, ROBOTIC SURGERY, TREATMENT FOR INCONTINENCE AND PELVIC RELAXATION, BREAST HEALTH, AND PSYCHO-SOCIAL NEEDS. IT PROVIDES SUPPORT, RESEARCH AND HEALTH INFORMATION, AN EXCEPTIONAL HEALTHCARE TEAM, CUTTING-EDGE TECHNOLOGY AND UNMATCHED PATIENT AND FAMILY-CENTERED CARE. THE STATE DESIGNATED REGIONAL PERINATAL PROGRAM HAS PROVIDED HIGH RISK OBSTETRICAL AND NEONATAL SERVICES SINCE 1974. IT INCLUDES A MATERNAL FETAL MEDICINE HIGH RISK PROGRAM AND SERVICES WITH BOARD CERTIFIED PERINATOLOGISTS, A LEVEL III NEONATAL INTENSIVE CARE UNIT, BOARD CERTIFIED NEONATOLOGISTS, PEDIATRIC SURGEONS, PEDIATRIC CARDIOLOGIST, AND OTHER SUB-SPECIALISTS. THE CENTER OFFERS PREMIER TECHNOLOGY WITH HIGHLY TRAINED HEALTHCARE PROFESSIONALS TO PROVIDE EXCELLENT PATIENT AND FAMILY-CENTERED CARE. PATIENTS HAVE COMPREHESIVE SERVICES IN ONE LOCATION FOR DIAGNOSIS, TREATMENT, SUPPORT AND REHABILITATION FOR THEIR HEALTHCARE NEEDS. UTILIZATION AS OF THE YEAR ENDING DECEMBER 31, 2011, UHS MAINTAINED THE FOLLOWING OPERATING STATISTICS: INPATIENT ADMISSIONS 25,588 OUTPATIENT VISITS 124,500 EMERGENCY ROOM VISITS 68,923 IV. UNCOMPENSATED CARE THE HISTORY OF UHS DEMONSTRATES A CLEAR AND CONSISTENT CHARITABLE PURPOSE: THE PROVISION OF HEALTHCARE SERVICES TO ALL RESIDENTS OF THE COMMUNITY WITHOUT REGARD TO AGE, RACE, GENDER, CREED, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, OR ABILITY TO PAY. THESE SERVICES SHOULD BE DELIVERED IN A WAY THAT MAINTAINS INDIVIDUAL DIGNITY AND ENHANCES THE QUALITY OF LIFE OF THE PERSONS SERVED. ONE OF THE MOST TANGIBLE EXPRESSIONS OF THE UHS CHARITABLE PURPOSE IS THE PROVISION OF CARE TO THOSE WHO DO NOT HAVE THE ABILITY TO PAY. A. CHARITY CARE AND SELF-PAY DISCOUNT THE MEDICAL CENTER PROVIDES MEDICALLY NECESSARY SERVICES TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. UHS HAS A DOCUMENTED CHARITY POLICY, WHICH TAKES INTO CONSIDERATION INCOME LEVELS, AND OTHER DEMOGRAPHIC FACTORS. FOR THOSE WHO DO NOT QUALIFY UNDER THE EXISTING POLICY BUT ARE FACING DIFFICULT ECONOMIC CIRCUMSTANCES, ABILITY TO PAY IS DETERMINED ON A CASE-BY-CASE BASIS. THE MEDICAL CENTER ALSO HAS A POLICY REGARDING THOSE SELF-PAY PATIENTS WHO ARE INELIGIBLE FOR CHARITY CARE CONSIDERATION. SUCH PATIENTS WILL RECEIVE A 45% DISCOUNT FROM CHARGES. FOR THE YEAR ENDING DECEMBER 31, 2011, THE SYSTEM PROVIDED SERVICES UNDER THE PREVIOUSLY STATED POLICY WHICH RESULTED IN LOSSES TO UHS OF APPROXIMATELY $17,476,104. BOTH INPATIENTS AND OUTPATIENTS WERE PROVIDED CARE UNDER THE AFOREMENTIONED POLICY. NO PATIENT WAS REFUSED NECESSARY MEDICAL CARE ON THE BASIS OF HIS OR HER ABILITY TO PAY. UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNT $17,476,104 B. MEDICARE IN ADDITION TO THE PROVISION OF CARE WITHOUT EXPECTATION OF PAYMENT OR THE PROVISION OF CARE TO TENNCARE-ELIGIBLE PEOPLE AT RATES SUBSTANTIALLY BELOW COST, UHS PROVIDED SERVICES TO PEOPLE COVERED UNDER THE FEDERAL MEDICARE PROGRAM. MEDICARE RECIPIENTS WERE THE LARGEST SINGLE PAYOR CLASSIFICATION OF PATIENTS SERVED BY UHS. THE PAYMENT RATE FOR INPATIENT SERVICES WAS ON A PER CASE RATE, CALCULATED BASED ON THE DIAGNOSTIC-RELATED GROUP INTO WHICH THE PATIENT WAS CATEGORIZED, COUPLED WITH OTHER FACTORS RELATED TO AREA WAGE RATES, MEDICAL EDUCATION, CAPITAL COSTS AND OTHER VARIABLES. OUTPATIENT SERVICES WERE REIMBURSED ON A PRE-DETERMINED CASE RATE. FOR THE YEAR ENDING DECEMBER 31, 2011, UNREIMBURSED SERVICES PROVIDED TO MEDICARE PATIENTS RESULTED IN A FINANCIAL LOSS OF $5,693,999. UNREIMBURSED MEDICARE SERVICES $5,693,999 C. PUBLIC/INDIGENT CARE IN ADDITION TO THE LEVEL OF SERVICES IDENTIFIED IN PARAGRAPH A ABOVE, UHS IS AN ACTIVE PARTICIPANT IN OTHER FEDERAL, STATE OR LOCAL AND PUBLIC/INDIGENT PROGRAMS. THESE PROGRAMS SEEK TO PROVIDE PAYMENT FOR HEALTHCARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND CATEGORICAL REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME. PUBLIC/INDIGENT PROGRAMS REIMBURSEMENT RATES ARE SUBSTANTIALLY BELOW COST. FOR THE YEAR ENDING DECEMBER 31, 2011, UNREIMBURSED PUBLIC/INDIGENT SERVICES REPRESENTING A FINANCIAL LOSS TO UHS OF APPROXIMATELY $3,267,707. UNREIMBURSED PUBLIC/INDIGENT SERVICE $3,267,707 D. TENNCARE IN ADDITION TO THE LEVEL OF SERVICES IDENTIFIED IN PARAGRAPH A ABOVE, UHS IS AN ACTIVE PARTICIPANT IN THE STATE OF TENNESSEE TENNCARE PROGRAM. THE TENNCARE PROGRAM SEEKS TO PROVIDE PAYMENT FOR HEALTHCARE SERVICES TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL AND CATEGORICAL REQUIREMENTS. FINANCIAL REQUIREMENTS INCLUDE EVALUATION OF BOTH ASSETS AND INCOME. TENNCARE PROGRAM REIMBURSEMENT RATES ARE SUBSTANTIALLY BELOW COST. FOR THE YEAR ENDING DECEMBER 31, 2011, UNREIMBURSED TENNCARE SERVICES REPRESENTING A FINANCIAL LOSS TO UHS OF APPROXIMATELY $3,439,106. UNREIMBURSED TENNCARE SERVICES $3,439,106 E. COVERTN UHS SUBSIDIZED HEALTH SERVICES PROVIDED TO PATIENTS COVERED BY COVERTN. COVERTN IS A PARTNERSHIP BETWEEN THE STATE, PRIVATE EMPLOYERS AND INDIVIDUALS TO OFFER A LIMITED BENEFIT, BASIC HEALTH PLAN TO EMPLOYEES OF TENNESSEE'S SMALL BUSINESS AND SELF-EMPLOYED. THE SERVICES PROVIDED TO THE COVERTN PATIENTS WERE PROVIDED BELOW COST. FOR THE YEAR ENDING DECEMBER 31, 2011, THE UNREIMBURSED SERVICES PROVIDED TO COVERTN PATIENTS RESULTED IN A FINANCIAL LOSS OF $353,679. UNREIMBURSED COVERTN SERVICES $ 353,679 SUMMARY, COMMUNITY BENEFIT TOTALS FOR UNCOMPENSATED CARE UNREIMBURSED CHARITY CARE $ 17,476,104 UNREIMBURSED MEDICARE 5,693,999 UNREIMBURSED PUBLIC/INDIGENT CARE 3,267,707 UNREIMBURSED TENNCARE 3,439,106 UNREIMBURSED COVERTN 353,679 TOTAL UNCOMPENSATED CARE $ 30,230,595 V. COMMUNITY SERVICES UHS PROVIDES NUMEROUS EDUCATION AND OUTREACH EFFORTS TO THE COMMUNITY, RANGING FROM HEALTH SCREENINGS AND FAIRS TO PRESENTATIONS TO AREA GROUPS. THE VARIOUS PROGRAMS AND SERVICES ARE PROVIDED COMPLIMENTARY OR AT A MINIMAL CHARGE. THESE ARE OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH UHS BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. A. COMMUNITY EDUCATION AND OUTREACH UHS HAS A LONG-STANDING COMMITMENT TO COMMUNITY OUTREACH, AS EVIDENCED BY AN ACTIVE SCHEDULE OF SPECIAL PROGRAMS, SPEAKERS, AND DISTRIBUTION OF EDUCATIONAL MATERIALS, AS WELL AS HEALTH EDUCATION PRESENTATIONS FOR THE GENERAL PUBLIC AND CLASSES FOR POPULATIONS WITH SPECIAL HEALTH NEEDS. IN 2011, THE MEDICAL CENTER HELD VARIOUS EDUCATIONAL PROGRAMS FOR THE COMMUNITY, INCLUDING LUNCH AND LEARN SERIES, HEALTH FAIRS AND FLU SHOTS. MANY TIMES, A FEE WOULD COVER ONLY THE COST OF FOOD OR WOULD BE USED ONLY AS AN INCENTIVE FOR PARTICIPATION. NO FEES WERE CHARGED FOR EDUCATION IN CORPORATE VENUES, OFFERED FOR EMPLOYEES AND FAMILIES. TOTAL COST OF LECTURES, SEMINARS, AND EDUCATIONAL PROGRAMS $ 276,048 IN 2011, UHS PROVIDED OTHER PROGRAMS AND ACTIVITIES THAT PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY SUCH AS SUPPORT GROUPS AND FUNDRAISERS. TOTAL OTHER EDUCATION AND OUTREACH $ 68,162 B. HEALTH SCREENINGS UHS EMPLOYEES WORK DILIGENTLY TO ACHIEVE THE UHS MISSION OF SUPPORTING HEALTH EDUCATION FOR THE PUBLIC. FROM PROVIDING DISPLAYS AND STAFF WHO CAN ANSWER QUESTIONS AT LOCAL HEALTH FAIRS TO UNDERWRITING THE COST OF COMPLIMENTARY COMMUNITY SCREENINGS, THE ORGANIZATION REACHES INTO THE COMMUNITY IN MANY WAYS TO IMPROVE RESIDENTS' UNDERSTANDING OF THE IMPACT OF LIFESTYLE CHOICES ON HEALTH. SCREENINGS INCLUDED BLOOD PRESSURE, OSTEOPOROSIS, CHOLESTEROL, VISION, AND CANCER. TOTAL COST OF SCREENINGS $ 287,883 SUMMARY, COMMUNITY SERVICES EDUCATIONAL PROGRAMS $ 276,048 TOTAL OTHER EDUCATION/OUTREACH 68,162 TOTAL HEALTH SCREENINGS 287,883 TOTAL QUANTIFIABLE VALUE OF COMMUNITY SERVICES $ 632,093 VI. TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHICH WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GSM AND OTHER ACADEMIC INSTITUTIONS AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS. UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE THE MEDICAL CENTER SERVES AS THE CLINICAL EDUCATION SITE OF THE GSM, WHICH MANAGES ALL RESIDENCY, FELLOWSHIP AND SUBSPECIALTY PROGRAMS IN ASSOCIATION WITH THE UT COLLEGE OF MEDICINE AND DENTISTRY. THE GRADUATE SCHOOL OF MEDICINE HAS A THREE-FOLD MISSION OF EXCELLENCE IN EDUCATION, PATIENT CARE, AND RESEARCH. ANNUALLY, THE GRADUATE SCHOOL OF MEDICINE MAINTAINS OVER 200 FACULTY AND 171 FTE RESIDENTS IN TRAINING AT THE MEDICAL CENTER. COMPONENTS OF THE GRADUATE SCHOOL OF MEDICINE INCLUDE: - RESIDENCY AND FELLOWSHIP PROGRAMS ARE OFFERED IN MEDICINE AND DENTISTRY. - THE PRIMARY CARE RESIDENCY PROGRAMS ARE FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY. - THE REMAINING MEDICINE PROGRAMS INCLUDE ANESTHESIOLOGY, GENERAL SURGERY, NUCLEAR MEDICINE, PATHOLOGY, RADIOLOGY, TRANSITIONAL YEAR, AND UROLOGY. - FELLOWSHIPS ARE OFFERED THROUGH THE DEPARTMENTS OF FAMILY MEDICINE, MEDICINE, SURGERY, AND PATHOLOGY. - FAMILY MEDICINE FELLOWSHIPS INCLUDE EMERGENCY MEDICINE, SPORTS MEDICINE, BEHAVIORAL MEDICINE, OBSTETRICS, AND IN CONJUNCTION WITH THE DEPARTMENT OF MEDICINE A FELLOWSHIP IN GERIATRIC MEDICINE. - SURGERY OFFERS FELLOWSHIPS IN BOTH VASCULAR SURGERY AND TRAUMA/CRITICAL CARE. - THE DEPARTMENT OF PATHOLOGY OFFERS A FELLOWSHIP IN CYTOPATHOLOGY AND SURGICAL PATHOLOGY, AND IS IN THE PROCESS OF OFFERING A FELLOWSHIP IN FORENSIC PATHOLOGY. - THE DEPARTMENT OF RADIOLOGY OFFERS EDUCATIONAL OPPORTUNITIES IN PET. - RESIDENCIES ARE OFFERED IN GENERAL DENTISTRY AS WELL AS ORAL AND MAXILLOFACIAL SURGERY. ADDITIONALLY, THE MEDICAL CENTER SERVES AS A CLINICAL EDUCATION SITE FOR THE UT COLLEGE OF PHARMACY. OTHER TRAINING PROGRAMS OFFERED INCLUDE MEDICAL TECHNOLOGY, NUCLEAR MEDICINE TECHNOLOGY, NURSE ANESTHESIA CONCENTRATION, CLINICAL PASTORAL EDUCATION, AND RADIOGRAPHY TECHNOLOGY. 2011 FINANCIAL SUPPORT FOR HEALTHCARE TRAINING AND EDUCATION IS AS FOLLOWS (UNREIMBURSED COST IS BELOW): NURSE ANESTHESIA CONCENTRATION (45) $ 94,352 SCHOOL OF RADIOLOGIC TECHNOLOGY (10) 99,380 SCHOOL OF NUCLEAR MEDICAL TECHNOLOGY (6) 33,911 PHARMACY (11) 148,345 PASTORAL CARE (14) 207,862 GRADUATE SCHOOL OF MEDICINE (171) 14,751,950 TOTAL UNREIMBURSED COSTS OF TRAINING AND EDUCATION $ 15,335,800 VII. MEDICAL RESEARCH RESEARCH IS AN IMPORTANT PART OF THE UHS MISSION. PATIENTS NEED PRACTITIONERS FAMILIAR WITH THE LATEST MEDICAL PROCEDURES AND TECHNOLOGY. INVOLVEMENT IN CLINICAL TRIALS ADVANCES THE KNOWLEDGE OF OUR PHYSICIANS AND PROVIDES PATIENTS WITH ACCESS TO NEW THERAPIES THAT ARE OTHERWISE UNAVAILABLE. RESEARCH ONE YEAR MAY BECOME STANDARD MEDICAL THERAPY THE FOLLOWING YEAR. OF COURSE, LABORATORY RESEARCH SERVES AS THE UNDERPINNING FOR OUR CLINICAL INVESTIGATIONS. RESEARCHERS ARE INVOLVED IN BASIC AND CLINICAL RESEARCH AND CLINICAL TRIALS. PRIMARY RESEARCH AREAS INCLUDE VASCULAR ENDOTHELIAL BIOLOGY, IMMUNOLOGY, ONCOLOGY, AMYLOID-RELATED DISEASE, DIABETES, ALZHEIMER'S DISEASE, NUTRITION AND TRAUMA. THE UNIVERSITY OF TENNESSEE GRADUATE SCHOOL OF MEDICINE HOUSES A NUMBER OF RESEARCH EFFORTS THAT HAVE ALREADY MADE A CONSIDERABLE IMPACT ON THE UNDERSTANDING AND TREATMENT OF SERIOUS MEDICAL DISORDERS, INCLUDING ALZHEIMER'S DISEASE, HUNTINGTON'S DISEASE, AMYLOID DISEASE, MULTIPLE MYELOMA, OVARIAN AND BREAST CANCER, AND REPRODUCTIVE DISORDERS. THESE FOCUSED AREAS OF EXCELLENCE PROVIDE AN EVER INCREASING INTERFACE BETWEEN THE CLINICAL AND RESEARCH ARMS OF THE MEDICAL CENTER. TOTAL UNREIMBURSED COST OF MEDICAL RESEARCH $ 295,967 VIII. DONATIONS UHS RECOGNIZES THE IMPACT THAT OTHER NON-PROFIT ORGANIZATIONS HAVE ON THE COMMUNITY IN WHICH THEY SERVE. IN ADDITION TO ITS DIRECT CONTRIBUTIONS TO THE COMMUNITY THROUGH ITS SERVICES, INDIGENT CARE, AND COMMUNITY EDUCATION AND OUTREACH, UHS PROVIDES CASH AND NONCASH DONATIONS TO VARIOUS CHARITABLE AND CIVIC ORGANIZATIONS WITHIN THE COMMUNITY. THESE EFFORTS AFFIRM UHS'S ROLE AS A CORPORATE CITIZEN, SUPPORTING COMMUNITY ORGANIZATIONS AND ENHANCING THE QUALITY OF LIFE IN THE EAST TENNESSEE AREA. IN 2011, UHS PROVIDED SUPPORT OF MORE THAN $235,665 TO NUMEROUS HEALTH AND HUMAN SERVICE AGENCIES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING RECIPIENTS: - AMERICAN CANCER SOCIETY - AMERICAN HEART ASSOCIATION - EAST TENNESSEE CHILDREN'S HOSPITAL - EAST TENNESSEE TECHNOLOGY ACCESS CENTER - GOODWILL INDUSTRIES-KNOXVILLE - GREAT SMOKY MOUNTAIN COUNCIL - HELEN ROSS MCNABB - HUGS FOR OUR SOLDIERS, INC. - KNOXVILLE ACADEMY OF MEDICINE - KNOXVILLE ACADEMY OF MEDICINE PROJECT ACCESS - KNOX COUNTY IMAGINATION LIBRARY - MARCH OF DIMES - UNITED WAY - MANY ADDITIONAL DONATIONS TO SUPPORT COMMUNITY EVENTS AND SERVICES, CHURCHES AND SCHOOLS IN ADDITION TO THE CASH DONATIONS ITEMIZED ABOVE, UHS IS UNABLE TO QUANTIFY MANY OF THE SERVICES AND BENEFITS IT PROVIDES TO VARIOUS ORGANIZATIONS. TOTAL DONATIONS AND IN-KIND CONTRIBUTIONS $ 235,665 IX. OTHER COMMUNITY BUILDING ACTIVITIES A. IMPROVE ACCESS TO HEALTHCARE $ 89,500 UHS ALSO PROVIDES PROGRAMS TO IMPROVE ACCESS TO HEALTHCARE FOR INDIVIDUALS WHO LACK INSURANCE. DURING 2011, UHS DEDICATED AN EMPLOYEE TO WORK ENTIRELY WITH SELF-PAY PATIENTS IN HELPING THEM APPLY FOR STATE ASSISTANCE THROUGH THE TENNCARE PROGRAM. ADDITIONALLY DURING 2011, UHS DEDICATED TWO CLERKS TO ASSIST, ONE OF WHICH SERVES AS AN INTERPRETER FOR PATIENTS WHOSE FIRST LANGUAGE IS NOT ENGLISH. UHS STRIVES TO MEET THE NEEDS OF THE COMMUNITY'S EVER-GROWING IMMIGRANT POPULATION BY ENSURING FULL ACCESS TO HEALTHCARE WITHOUT ALLOWING COMMUNICATION TO BE A BARRIER. B. COMMUNITY HEALTH IMPROVEMENT $ 50,000 UHS PROVIDED SUPPORT TO INTERFAITH HEALTH CLINIC PROVIDING AFFORDABLE MEDICAL CARE, DENTAL CARE, MENTAL HEALTH COUNSELING AND PRESCRIPTION MEDICATIONS FOR THE WORKING UNINSURED. C. COMMUNICATION INTERPRETER $ 88,695 THE COMMUNITY IN WHICH UHS OPERATES HAS EXPERIENCED A SIGNIFICANT INCREASE IN INDIVIDUALS WHO SPEAK LIMITED OR NO ENGLISH AND/OR WHO USE ENGLISH ONLY AS A SECOND LANGUAGE. AS SUCH, UHS HAS EXPANDED ITS OUTREACH EFFORTS TO SUCH INDIVIDUALS BY USING INTERPRETERS. DURING 2011, UHS INCURRED COSTS FOR THE CYRACOM TELEPHONE INTERPRETER, WHEREBY NON-ENGLISH SPEAKING PATIENTS ARE ABLE TO COMMUNICATE WITH THE MEDICAL STAFF. D. ECONOMIC DEVELOPMENT $ 34,299 UHS SUPPORT ECONOMIC DEVELOPMENT ACTIVITIES THROUGH THE EAST TENNESSEE DEVELOPMENT AGENCY AND LEADERSHIP DEVELOPMENT. TOTAL OTHER QUANTIFIABLE COMMUNITY BUILDING ACTIVITIES $ 262,494 X. CONTRIBUTIONS OF VOLUNTEERS SINCE 1962, UT MEDICAL CENTER HAS ENJOYED THE SERVICES OF THE VOLUNTEERS WHO HAVE GIVEN OVER 800,000 HOURS. THE VOLUNTEER DEPARTMENT COORDINATES THE ACTIVITIES OF THREE MAIN GROUPS OF VOLUNTEERS: THE AUXILIARY, INDEPENDENT VOLUNTEERS, AND THE JUNIOR VOLUNTEERS. ALL VOLUNTEERS WHO DONATE TIME AND SERVICE TO THE MEDICAL CENTER WORK IN A VARIETY OF SETTINGS SUCH AS INPATIENT AND OUTPATIENT FACILITY DEPARTMENTS, PATIENT RECEPTION AREAS, GIFT SHOP, ETC. LIFTING THE SPIRITS OF UTMC PATIENTS IS WHAT THE VOLUNTEER PROGRAM IS ALL ABOUT. VOLUNTEERS ARE INVOLVED IN SUCH ACTIVITIES AS DELIVERING FLOWERS, MAIL AND GIFTS, SERVING REFRESHMENTS AND PROVIDING WARM BLANKETS FOR THE ONCOLOGY PATIENTS, READING MATERIALS, A CHEERFUL SMILE AND A COMFORTING WORD. VOLUNTEERS ALSO PROVIDE A VALUABLE SOURCE OF INFORMATION FOR THE PATIENTS' FAMILIES AND FRIENDS AND ARE ESPECIALLY IMPORTANT WHEN SERVING AS A LIAISON DURING CRUCIAL TIMES IN THE FAMILY WAITING LOUNGES. CURRENTLY, THE GROUP OF NEARLY 300 PEOPLE IS DIVIDED AMONG AUXILIARY MEMBERS, INDEPENDENT VOLUNTEERS, AND JUNIOR VOLUNTEERS. FOR 2011, VOLUNTEERS DONATED OVER 38,000 HOURS OF SERVICE TO THE MEDICAL CENTER. THE AUXILIARY CONTRIBUTED $80,000 TO THE MEDICAL CENTER IN 2011 AS FOLLOWS: $25,000 TOWARD THE HEALTH INFORMATION CENTER ($125,000 PLEDGED TO BE PAID OVER A 5 YEAR PERIOD), $35,000 TO THE MAGNET NURSING PROGRAM AND $20,000 TO THE HELPING HANDS FUND. OVER THE YEARS, THE UNIVERSITY OF TENNESSEE HOSPITAL AUXILIARY HAS PROVIDED NEARLY 3 MILLION DOLLARS TO THE MEDICAL CENTER IN SUPPORT OF THE ONGOING MISSION, VISION AND VALUES OF THE INSTITUTION. XI. SUMMARY OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY THE SYSTEM, 2011 A SUMMARY LISTING OF THE QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY UHS DESCRIBED IN THE BODY OF THIS REPORT APPEARS BELOW. MANY OF THE BENEFITS DESCRIBED ON THE PREVIOUS PAGES CANNOT BE QUANTIFIED IN DOLLARS, ESPECIALLY MANY OF UHS'S CONTRIBUTIONS IN THE AREA OF COMMUNITY HEALTH EDUCATION AND OUTREACH. A. CONTRIBUTIONS MEASURABLE IN DOLLARS: UNCOMPENSATED PATIENT CARE $ 30,230,595 COMMUNITY SERVICES 632,093 TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS 15,335,800 RESEARCH 295,967 DONATIONS 235,665 OTHER COMMUNITY OUTREACH ACTIVITIES 262,494 TOTAL CONTRIBUTIONS $ 46,992,614 B. RELATED CONTRIBUTIONS MEASURABLE IN DOLLARS: EMPLOYEE DONATIONS FOR HEALTH SYSTEM-SANCTIONED CHARITABLE AND COMMUNITY SERVICE EVENTS $ 61,623 CONTRIBUTIONS OF HOSPITALS' VOLUNTEER ORGANIZATIONS 80,000 TOTAL RELATED CONTRIBUTIONS $ 141,623 TOTAL QUANTIFIABLE COMMUNITY BENEFITS, 2011 TOTAL CONTRIBUTIONS $ 46,992,614 RELATED CONTRIBUTIONS 141,623 TOTAL QUANTIFIABLE COMMUNITY BENEFITS $ 47,134,237 UHS ASC LLC 1520 CHEROKEE TRAIL STE 200 KNOXVILLE TN 37920 311626179 INVESTMENT COMPANY TN 0 0 N/A UNIVERSITY AMBULATORY SURGICAL CENTER 1934 ALCOA HWY D170 KNOXVILLE TN 37920 621835971 SURGERY CENTER TN UHS ASC LLC RELATED -10079 0 1 1.00000 UHS VENTURES INC 9000 EXECUTIVE PARK DRIVE D-240 KNOXVILLE TN 37923 621619460 MANAGEMENT SERVICES TN N/A C 780455 1141533 1.00000 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 1 1 1 UNIVERSITY AMBULATORY SURGICAL CENTER R 1145991 COST UNIVERSITY OF TENNESSEE MEDICAL CENTER HOME CARE SERVICES LLC R 957164 COST