TY 2015 Form 990

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....					47,625,339	47,625,339
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	0	0	0	0	47,625,339	47,625,339
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..						2,988,239
6	Public support. Subtract line 5 from line 4.						44,637,100

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..	0	0	0	0	47,625,339	47,625,339
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...					2,162,150	2,162,150
9	Net income from unrelated business activities, whether or not the business is regularly carried on..						0
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	0	0	0	0	800,563	800,563
11	Total support. Add lines 7 through 10.						50,588,052

Gross receipts from related activities, etc. (see instructions) ..................

579,202,171

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part II, Line 7	THE AMOUNT REPORTED ON LINE 10 IS COMPRISED OF GROSS FUNDRAISING REVENUE AND REVENUE FROM UNCONSOLIDATED ORGANIZATIONS.
Schedule A, Part II, Line 10 Other Income	DESCRIPTION - REVENUE FROM UNCONSOLIDATED ORGS, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 800563.0, COLUMN F - 800563.0;

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization Vanderbilt University Medical Center

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization Vanderbilt University Medical Center		Employer identification number 35-2528741

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization Vanderbilt University Medical Center			Employer identification number 35-2528741
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................	57,062
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	57,062
d	Other exempt purpose expenditures .........................................................................................	585,881,837
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	585,938,899
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	0
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................		Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount				1,000,000	1,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					1,500,000

c	Total lobbying expenditures				57,062	57,062

d	Grassroots nontaxable amount				250,000	250,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					375,000

f	Grassroots lobbying expenditures				0	0

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

$ 0

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

$ 740,080

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	0	0	0	0
b	Contributions ...	78,782,338
c	Net investment earnings, gains, and losses	1,142,039
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	79,924,377	0	0	0	0

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

97.08 %

Permanent endowment SchDMd Bullet

2.24 %

Temporarily restricted endowment SchDMd Bullet

0.68 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	18,117,000		18,117,000
b	Buildings	813,879,003	11,311,223	802,567,780
c	Leasehold improvements	49,143,941	682,991	48,460,950
d	Equipment ...	164,395,118	2,284,748	162,110,370
e	Other ...	98,860,242		98,860,242
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,130,116,342

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Fair Value of Interest Rate Swap Agreements	89,535,693
Tenant Improvement Allowances	1,500,000
Note Payable to Related Organization	99,166,667
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	190,202,360
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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.
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 (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	2,805
	East Asia and the Pacific	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	32,362
	Europe (Including Iceland and Greenland)	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	46,950
	North America (Canada & Mexico only)	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	28,915
	South America	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	2,121
	Sub-Saharan Africa	0	0	,sending agents of the organization to attend and speak at seminars and conferences	N/A	14,245
	Europe (Including Iceland and Greenland)	0	0	Fundraising	N/A	4,168
	Central America and the Caribbean	0	1	Grantmaking	N/A	20,558
	Europe (Including Iceland and Greenland)	0	1	Grantmaking	N/A	17,565
	South America	0	5	Grantmaking	N/A	790,748
	Sub-Saharan Africa	0	6	Grantmaking	N/A	2,432,718
	Central America and the Caribbean	0	30	Program Services	Education, Health-Care, Research	4,803
	East Asia and the Pacific	0	0	Program Services	Education, Health-Care, Research	9,881
	Europe (Including Iceland and Greenland)	1	1	Program Services	Education, Health-Care, Research	38,185
	Middle East and North Africa	0	0	Program Services	Education, Health-Care, Research	5,464
	North America (Canada & Mexico only)	0	0	Program Services	Education, Health-Care, Research	13,705
	South America	0	0	Program Services	Education, Health-Care, Research	89,566
	Sub-Saharan Africa	3	738	Program Services	Education, Health-Care, Research	2,428,958
3a	Sub-total .....	1	44			3,465,193
b	Total from continuation sheets to Part I ...	3	738			2,518,524
c	Totals (add lines 3a and 3b)	4	782			5,983,717

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)
Central America and the Caribbean	Research	20,558	Check	N/A	N/A
Europe (Including Iceland and Greenland)	Research	17,565	Check	N/A	N/A
South America	Research	143,870	Check	N/A	N/A
South America	Research	446,473	Check	N/A	N/A
South America	Research	145,832	Check	N/A	N/A
South America	Research	27,376	Check	N/A	N/A
South America	Research	27,197	Check	N/A	N/A
Sub-Saharan Africa	Research	29,009	Check	N/A	N/A
Sub-Saharan Africa	Research	10,112	Check	N/A	N/A
Sub-Saharan Africa	Research	19,560	Check	N/A	N/A
Sub-Saharan Africa	Research and Patient Care	2,354,698	Wire	N/A	N/A
Sub-Saharan Africa	General	13,255	Wire	N/A	N/A
Sub-Saharan Africa	General	6,084	Wire	N/A	N/A

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	10
3	Enter total number of other organizations or entities .......................	3

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
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

Schedule F (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Lilly's Garden (event type)	(b) Event #2 Hope Grows Here (event type)	(c) Other events 2 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	41,052	38,075	26,696	105,823
2	Less: Contributions . . . .	31,990	27,295	12,913	72,198
3	Gross income (line 1 minus line 2) . . . . . .	9,062	10,780	13,783	33,625

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .	1,792	68	1,860
8	Entertainment . . . .
9	Other direct expenses . . .
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			1,860
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .			31,765

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			12,676,497	0	12,676,497	2.14 %
b	Medicaid (from Worksheet 3, column a) . . . . .			87,003,454	68,882,564	18,120,890	3.06 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	99,679,951	68,882,564	30,797,387	5.20 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			1,743,481	200,384	1,543,097	0.26 %
f	Health professions education (from Worksheet 5) . . .			23,628,852	5,389,884	18,238,968	3.08 %
g	Subsidized health services (from Worksheet 6) . . . .			0	0	0	0 %
h	Research (from Worksheet 7) .			93,630,593	64,861,468	28,769,125	4.86 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			0	0	0	0 %
j	Total. Other Benefits . .	0	0	119,002,926	70,451,736	48,551,190	8.20 %
k	Total. Add lines 7d and 7j .	0	0	218,682,877	139,334,300	79,348,577	13.41 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	0	0

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

6,132,630

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

71,332

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

73,420,080

Enter Medicare allowable costs of care relating to payments on line 5.....

85,616,448

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-12,196,368

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1Ambulatory Surgery Center of Cool Springs LLC	Ambulatory Surgery Center	51.02 %	0 %	13.26 %
2Vanderbilt Imaging Services LLC	Radiology Services	66.67 %	0 %	33.33 %
3New Light Imaging LLC	Outpatient Diagnostic Imaging	66.67 %	0 %	33.33 %
4One Hundred Oaks Imaging LLC	Outpatient Diagnostic Imaging	80 %	0 %	20 %
5Williamson Imaging LLC	Outpatient Diagnostic Imaging	53.34 %	0 %	26.66 %
6VIP Midsouth LLC	Pediatric Clinics	45.18 %	0 %	54.82 %
7Springfield VIP Realty LLC	Own Real Estate Used as Medical Facility	49 %	0 %	51 %
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Vanderbilt University Medical Center Hospitals 1211 22nd Avenue South Nashville,TN37212 www.vanderbilthealth.com 0000000027	X	X	X	X	X	X
2	Vanderbilt Stallworth Rehabilitation Hospital 2201 Childrens Way Nashville,TN37212 www.vanderbiltstallworthrehab.com 0000000141	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Vanderbilt University Medical Center Hospitals
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Vanderbilt University Medical Center Hospitals
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0% and FPG family income limit for eligibility for discounted care of 250.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

http://www.vanderbilthealth.com/financialassistance/46618

The FAP application form was widely available on a website (list url):

http://www.vanderbilthealth.com/financialassistance/46619

A plain language summary of the FAP was widely available on a website (list url):
http://www.vanderbilthealth.com/financialassistance/46618

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Vanderbilt University Medical Center Hospitals
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Vanderbilt Stallworth Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Vanderbilt Stallworth Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0% and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Vanderbilt Stallworth Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 2	On April 29, 2016, the assets and operations of Vanderbilt University Medical Center Hospitals (State license 0000000027), previously operated as a unit of Vanderbilt University, were acquired by Vanderbilt University Medical Center (EIN: 35-2528741), a newly formed separate not-for-profit corporation. See Schedule O for additional details on the Transaction.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Vanderbilt University Medical Center Hospitals. Patients are notified of potential 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 them we have a financial assistance program if they need help paying their 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 22 Facility , 1	Facility , 1 - Vanderbilt University Medical Center Hospitals. VUMC calculated an amount generally billed (AGB) percentage of 64% using the lookback method. Individuals without insurance are extended a 64% discount off gross charges as required by Tennessee Code Annotated 68-11-262 - Limit of Amount of Charges for Services to an Uninsured Patient. In addition, based on income level, a discount is offered to individuals who meet eligibility criteria for financial assistance. Gross charges are reduced by 100%, 80% or 70% depending on the individual's income level as a percent of the federal poverty guidelines.
Schedule H, Part V, Section B, Line 2	On April 29, 2016, 50% ownership of Vanderbilt Stallworth Rehabilitation Hospital (State license 0000000141) was acquired by Vanderbilt University Medical Center, a newly formed separate not-for-profit corporation. See Schedule O for additional details on the Transaction.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Patients are notified of potential assistance under Federal, State or local government programs or under Stallworth's charity care policy via signage in the main elevator to the patient care units. In addition, pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Individuals without insurance are extended a 40% discount off gross charges which extends the discount required by Tennessee Code Annotated 68-11-262 - Limit of Amount of Charges for Services to an Uninsured Patient. In addition, based on income level, a discount is offered to individuals who meet eligibility criteria for financial assistance. Gross charges are reduced by 100%, 75% or 50% depending on the individual's income level.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?0
Name and address		Type of Facility (describe)
1	Ambulatory Surgery Center of Cool Springs LLC 2009 Mallory Lane Suite 100 Franklin,TN37067	Ambulatory Surgery Treatment Center
2	Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Boulevard Spring Hill,TN37174	Oncology Services
3	One Hundred Oaks Imaging LLC 719 Thompson Lane Nashville,TN37204	Outpatient Diagnostic Center
4	Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 134 Pewitt Drive Brentwood,TN37027	Ambulatory Clinic
5	Spring Hill Imaging Center LLC 5421 Main Street Spring Hill,TN37174	Outpatient Diagnostic Center
6	Williamson Imaging LLC (dba Cool Springs Imaging) 2009 Mallory Lane Suite 150 Franklin,TN37067	Outpatient Diagnostic Center
7	Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 919 Murfreesboro Pike Franklin,TN37064	Ambulatory Clinic
8	Vanderbilt-Gateway Cancer Center GP 375 Alfred Thun Road Clarksville,TN37040	Oncology Services
9	Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Belle Meade) 4525 Harding Road Suite 102 Nashville,TN37232	Outpatient Diagnostic Center
10	Vanderbilt Imaging Services LLC (dba Hillsboro Imaging Services) 1909 Acklen Avenue Nashville,TN37212	Outpatient Diagnostic Center
11	Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 1834 West McEwen Dr Suite B Franklin,TN37067	Ambulatory Clinic
12	Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 3098 Campbell Station Pkwy Spring Hill,TN37174	Ambulatory Clinic

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3 Vanderbilt University Medical Center Hospitals	Vanderbilt University Medical Center is a new hospital organization per Reg. Section 1.501(r)-3(2) as of April 30, 2016. Because VUMC is a new hospital organization during fiscal year ended June 30, 2016 (tax year 2015), it must meet the requirements of section 501(r)(3) with respect to any hospital facility it operates by the last day of the second taxable year after the date of acquisition of the hospital facilities. Accordingly, a CHNA is not required for the current tax year for Vanderbilt University Medical Center Hospitals (State license 0000000027). See Schedule O for additional details on the Transaction.
Schedule H, Part V, Section B, Line 3 Vanderbilt Stallworth Rehabilitation Hospital	Vanderbilt University Medical Center is a new hospital organization per Reg. Section 1.501(r)-3(2) as of April 30, 2016. Because VUMC is a new hospital organization during fiscal year ended June 30, 2016 (tax year 2015), it must meet the requirements of section 501(r)(3) with respect to any hospital facility it operates by the last day of the second taxable year after the date of acquisition of the hospital facilities. Accordingly, a CHNA is not required for the current tax year for Vanderbilt Stallworth Rehabilitation Hospital (State license 0000000141). See Schedule O for additional details on the Transaction.
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 36.90%.
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	Pursuant to the transfer of assets and liabilities from Vanderbilt University to Vanderbilt University Medical Center on April 29, 2016, VUMC obtained an audited balance sheet as of June 30, 2016. VUMC did not obtain an audited income statement or statement of cash flows for the period April 30, 2016 through June 30, 2016. The Medical Center's revenue and expenses from July 1, 2015 through April 29, 2016 are included in Vanderbilt University's audited financial statements. However, VUMC will obtain an audited income statement and statement of cash flows for the 14 months ended June 30, 2017, as required under OMB Circular A-133. See Schedule O for additional details on the Transaction.
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 FY16, such shortfalls amounted to $12,196,368.
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. 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: http://www.vanderbilthealth.com/financialassistance/46618;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Vanderbilt University Medical Center Hospitals: Line 16b URL: http://www.vanderbilthealth.com/financialassistance/46619;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Vanderbilt University Medical Center Hospitals: Line 16c URL: http://www.vanderbilthealth.com/financialassistance/46618;
Schedule H, Part VI, Line 2 Needs assessment	Vanderbilt University Medical Center ("VUMC") continually assesses the healthcare needs of the communities it serves. The VUMC Patient and Family Advisory Council is composed of community volunteers who collaborate with VUMC's Health Care Team and Leadership to assess needs and evaluate services and programs. The Council serves as a vital link between the hospital and the community. VUMC and Vanderbilt Stallworth Rehabilitation Hospital have also formed the Community Health Improvement Working Group, an internal committee of program managers which meet regularly and make recommendations to the CHNA Advisory Committee. The CHNA Advisory Committee is made up of VUMC and Vanderbilt Stallworth Rehabilitation Hospital senior leaders which 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 carefully reviews the many health care 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 addition, VUMC has developed partnerships with the state department of health to stay abreast of important community health care needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	VUMC patients are notified of potential assistance under Federal, State or local government programs or under the 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 them we have a financial assistance program if they need help paying their 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. Vanderbilt Stallworth Rehabilitation Hospital ("Stallworth") patients are notified of potential assistance under Federal, State or local government programs or under Stallworth's charity care policy via signage in the main elevator to the patient care units. In addition, pre-admitting, registration, 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	The 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). Annually, VUMC (excludes Vanderbilt Health Services, LLC and subsidiaries) have approximately 59,000 discharges. Annually, VUMC also provides approximately 2.1 million outpatient visits, including 124,000 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. The 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 1,500 discharges. The majority of Stallworth's patients live in four Tennessee counties - Davidson, Montgomery, Rutherford and Williamson.
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 2016-2017" as found at: https://www.vanderbilthealth.com/main/39107 "Vanderbilt in Tennessee: County by County" as found at: http://www.vanderbilt.edu/cngr/map/ "Vanderbilt University Vital Stats 2015" as found at: http://www.vanderbilt.edu/vitalstats/2015/
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 IRS Form 990, Schedule R.

Schedule H (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Vanderbilt University Medical Center

Employer identification number
35-2528741

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Albert Einstein College of Medicine 1300 Morris Park Ave Bronx,NY10467	13-1624225	501(c)(3)	54,110	Not applicable	Not applicable	Research
(2) Allegheny Singer Research Institute Research Accounting and Reporting PO Box 951765 Cleveland,OH44193	25-1320493	501(c)(3)	50,589	Not applicable	Not applicable	Research
(3) Arizona State University Office of Research Sponsored Projects Administration Tempe,AZ852876011	86-0196696	501(c)(3)	21,385	Not applicable	Not applicable	Research
(4) Aurora Health Care Inc PO Box 341880 Attn Seng Cheung Milwaukee,WI532341881	39-1442285	501(c)(3)	13,894	Not applicable	Not applicable	Research
(5) Baylor College of Medicine P O Box 301207 Dallas,TX753031207	74-1613878	501(c)(3)	34,151	Not applicable	Not applicable	Research
(6) Baystate Medical Center Inc PO Box 414168 Financial Services Boston,MA022414168	04-2790311	501(c)(3)	12,573	Not applicable	Not applicable	Research
(7) BloodCenter of Wisconsin Inc Box 78961 Milwaukee,WI532780961	39-0807235	501(c)(3)	36,201	Not applicable	Not applicable	Research
(8) Boston University PO Box 28763 Grants Receivables New York,NY100878763	04-2103547	501(c)(3)	42,261	Not applicable	Not applicable	Research
(9) Boston's Children's Hospital Research Finance Post Box 414413 Boston,MA022414413	04-2774441	501(c)(3)	18,318	Not applicable	Not applicable	Research
(10) Brigham & Womens Hospital Inc Bank of America NA P O Box 3887 Boston,MA022413887	04-2312909	501(c)(3)	21,025	Not applicable	Not applicable	Research
(11) Brown University Cashiers Office Box 1911 Providence,RI02912	05-0258809	501(c)(3)	6,124	Not applicable	Not applicable	Research
(12) California Institute of Technology Treasury Services 1200 E California Boulevard Pasadena,CA91125	95-1643307	501(c)(3)	75,188	Not applicable	Not applicable	Research
(13) Case Western Reserve University Office of Sponsored Projects Nord Hall Suite 615 Cleveland,OH44106	34-1018992	501(c)(3)	41,983	Not applicable	Not applicable	Research
(14) Center for Biomedical Research LLC 1415 Old Weisgarber Road Suite 200 Knoxville,TN37909	27-0952972	N/A	5,117	Not applicable	Not applicable	Research
(15) Central American Medical Outreach Inc 322 Westwood Avenue Orrville,OH44667	34-1740695	501(c)(3)	8,794	Not applicable	Not applicable	Research
(16) Children's Hospital of Boston Research Finance Post Box 414413 Boston,MA022414413	04-2774441	501(c)(3)	18,318	Not applicable	Not applicable	Research
(17) Childrens Hospital of Philadelphia Research Institute P O Box 8500 Philadelphia,PA191781457	23-1352166	501(c)(3)	20,611	Not applicable	Not applicable	Research
(18) Covance Labs PO Box 2464 Burlington,NC27216	54-0898188	N/A	13,455	Not applicable	Not applicable	Research
(19) Dartmouth College 11 Rope Ferry Road 6210 Hanover,NH037551404	02-0222111	501(c)(3)	51,471	Not applicable	Not applicable	Research
(20) Dignity Health Attn Misc A/R Cash File 57431 Los Angeles,CA900748781	86-0096787	N/A	26,649	Not applicable	Not applicable	Research
(21) Duke University P O Box 602651 Lockbox Charlotte,NC28260	56-0532129	501(c)(3)	17,465	Not applicable	Not applicable	Research
(22) Emory University PO Box 935084 Atlanta,GA31193	58-0566256	501(c)(3)	172,428	Not applicable	Not applicable	Research
(23) Expaticore Services LLC 485 Route 1 South Building C Iselin,NJ08830	30-0126318	N/A	201,129	Not applicable	Not applicable	Public Service
(24) Fisk University 1000 17th Ave N Attn Office of Budget Grants Nashville,TN37208	62-0202000	501(c)(3)	31,848	Not applicable	Not applicable	Research
(25) H Lee Moffitt Cancer Center and PO Box 742801 Atlanta,GA303742801	59-2451713	N/A	5,509	Not applicable	Not applicable	Research
(26) Harvard University P O Box 415649 Boston,MA022415649	04-2103580	501(c)(3)	108,865	Not applicable	Not applicable	Research
(27) Hearts for Hearing Foundation 3525 NW 56th Street Suite A-150 Oklahoma City,OK73112	58-2670613	N/A	24,067	Not applicable	Not applicable	Research
(28) Icahn School of Medicine at Mount Sinai One Gustave L Levy Place Box 1136 Attn Rebecca Apruzzese New York,NY10029	13-6171197	501(c)(3)	9,180	Not applicable	Not applicable	Research
(29) InfoWorks Inc 102 Woodmont Blvd Suite 500 Nashville,TN37205	62-1669899	N/A	193,023	Not applicable	Not applicable	Research
(30) International Epidemiology Institute 1455 Research Boulevard Suite 550 Rockville,MD20850	52-1882011	N/A	278,355	Not applicable	Not applicable	Research
(31) J Craig Venter Institute 4120 Capricorn Lane Finance La Jolla,CA92037	52-1842938	501(c)(3)	25,794	Not applicable	Not applicable	Research
(32) Johns Hopkins University 12529 Collections Center Dr Bank of America Chicago,IL60693	52-0595110	501(c)(3)	43,509	Not applicable	Not applicable	Research
(33) Kaiser Foundation Research Institute 1800 Harrison Street 16th Floor Attn Sharon Milligan Oakland,CA946123433	94-1105628	501(c)(3)	5,936	Not applicable	Not applicable	Research
(34) Louisiana State University 433 Bolivar Street Sponsored Projects New Orleans,LA70112	72-6000848	501(c)(3)	8,920	Not applicable	Not applicable	Research
(35) LSU Health Sciences Center New Orleans 433 Bolivar Street New Orleans Sponsored Projects New Orleans,LA70112	72-6087770	GOVT	20,755	Not applicable	Not applicable	Research
(36) Maine Medical Center 22 Bramhall St Attn Stephanie Stevens Portland,ME04102	01-0238552	501(c)(3)	11,984	Not applicable	Not applicable	Research
(37) Massachusetts General Hospital Research Finance Bank of America Boston,MA022413829	04-2697983	501(c)(3)	47,862	Not applicable	Not applicable	Research
(38) Massachusetts Institute of Technology Cashiers Office NE49-3077 77 Massachusetts Avenue Cambridge,MA02139	04-2103594	501(c)(3)	37,313	Not applicable	Not applicable	Research
(39) Mayo Clinic Research Finance - Arizona PO Box 860334 Minneapolis,MN554860334	86-0800150	501(c)(3)	13,742	Not applicable	Not applicable	Research
(40) Mayo Clinic Rochester PO Box 860334 Reserach Finance - Rochester Minneapolis,MN554860334	41-6011702	501(c)(3)	90,898	Not applicable	Not applicable	Research
(41) Medical College of Wisconsin P O Box 26509 8701 Watertown Plank Road Milwaukee,WI53226	39-0806261	501(c)(3)	21,968	Not applicable	Not applicable	Research
(42) Meharry Medical Center 1005 DB Todd Blvd Attn Lamel Bandy-Neal Nashville,TN372083599	62-0488046	501(c)(3)	5,551	Not applicable	Not applicable	Research
(43) Meharry Medical College Treasury Services 1005 D B Todd Boulevard Nashville,TN37208	62-0488046	501(c)(3)	378,792	Not applicable	Not applicable	Research
(44) Metro Board of Parks & Recreation Centennial Park Office Park Plaza at Oman Street Nashville,TN37201	62-0694743	GOVT	13,500	Not applicable	Not applicable	Research
(45) Metro Nashville General Hospital Attn Kimberly Lamar 1818 Albion St Nashville,TN37208	20-2844893	N/A	32,667	Not applicable	Not applicable	Research
(46) Michigan State University 426 Auditorium Road Room 2 Hannah Administration East Lansing,MI48824	38-6005984	501(c)(3)	19,198	Not applicable	Not applicable	Research
(47) MOREHOUSE SCHOOL OF MEDICINE 720 WESTVIEW DRIVE SW ATTN MESFIN FRANSVA PI Atlanta,GA30310	58-1438873	N/A	44,212	Not applicable	Not applicable	Research
(48) Nashville Public Library 615 Church St Finance Office Nashville,TN37219	62-0694743	N/A	9,340	Not applicable	Not applicable	Research
(49) Northwestern University 633 Clark Street Room 2-112 Evanston,IL60208	36-2167817	501(c)(3)	123,296	Not applicable	Not applicable	Research
(50) Oakland University 529 Wilson Hall Office of Research Administration Rochester,MI48309	38-1714400	501(c)(3)	13,747	Not applicable	Not applicable	Research
(51) Pennsylvania State University 227 West Beaver Avenue Research Accounting State College,PA168014819	24-6000376	501(c)(3)	112,542	Not applicable	Not applicable	Research
(52) Purdue University 23510 Network Pl Sponsored Program Services Chicago,IL606731235	35-6002041	501(c)(3)	44,897	Not applicable	Not applicable	Research
(53) Rambiss LLC 14407 Lusty Ridge Road Accokeek,MD20607	20-1240325	N/A	17,470	Not applicable	Not applicable	Research
(54) Regents of the University Michigan Box 223131 Pittsburgh,PA15251	38-6006309	501(c)(3)	10,699	Not applicable	Not applicable	Research
(55) Research Institute at Nationwide PO Box 781653 Detroit,MI48278	31-6056230	N/A	5,638	Not applicable	Not applicable	Research
(56) Seattle Children's Hospital P O Box 24728 Seattle,WA981240728	91-0564748	501(c)(3)	8,474	Not applicable	Not applicable	Research
(57) Select Physicians Alliance PL 5 Tampa General Cir Suite 610 Tampa,FL33606	27-3337174	N/A	30,764	Not applicable	Not applicable	Research
(58) Stanford University PO Box 44253 San Francisco,CA941444253	94-1156365	501(c)(3)	80,495	Not applicable	Not applicable	Research
(59) Gordon Services PO Box 2464 Burlington,NC27216	02-7348506	N/A	13,455	Not applicable	Not applicable	Research
(60) Syracuse University Bursar Operations 102 Archbold Gymnasium Syracuse,NY132441140	15-0532081	501(c)(3)	45,762	Not applicable	Not applicable	Research
(61) The Scripps Research Institute 10550 North Torrey Pines Road La Jolla,CA92037	33-0435954	501(c)(3)	180,555	Not applicable	Not applicable	Research
(62) The Trustees of Columbia University Sponsored Projects Finance P O Box 29789 New York,NY10087	13-5598093	501(c)(3)	23,248	Not applicable	Not applicable	Research
(63) University of Alabama at Birmingham Grants and Contracts Accounting AB 990 Birmingham,AL352940109	63-6005396	501(c)(3)	25,456	Not applicable	Not applicable	Research
(64) University of Arizona Sponsored Projects Services 1303 East University Blvd Tucson,AZ857190521	86-6004791	501(c)(3)	24,956	Not applicable	Not applicable	Research
(65) University of California San Diego 9500 Gilman Drive MC 0009 La Jolla,CA920930009	95-6006144	501(c)(3)	13,481	Not applicable	Not applicable	Research
(66) University of Florida CFO- Contracts Grants P O Box 113001 Gainesville,FL32611	59-6002052	501(c)(3)	129,888	Not applicable	Not applicable	Research
(67) University of Illinois 28392 Network Place Chicago,IL606731283	37-6000511	501(c)(3)	31,225	Not applicable	Not applicable	Research
(68) University of Kentucky Research P O Box 931113 c/o PNC Bank Cleveland,OH44193	61-6033693	501(c)(3)	24,724	Not applicable	Not applicable	Public Service
(69) University of Massachusetts Attn Medical School Bursar 55 Lake Avenue North Worcester,MA01655	04-3167352	501(c)(3)	26,579	Not applicable	Not applicable	Research
(70) University of Miami P O Box 248106 Controllers Office Coral Gables,FL331242912	59-0624458	501(c)(3)	243,964	Not applicable	Not applicable	Research
(71) University of Minnesota NW 5957 PO Box 1450 Minneapolis,MN554855957	41-6007513	501(c)(3)	15,780	Not applicable	Not applicable	Research
(72) University of Mississippi Medical Center 2500 North State Street Jackson,MS39216	64-6008520	501(c)(3)	58,082	Not applicable	Not applicable	Instruction
(73) University of North Carolina Chapel Hill P O Box 402420 c/o Bank of America Lockbox Service Atlanta,GA30384	56-6001393	501(c)(3)	77,024	Not applicable	Not applicable	Research
(74) University of Pittsburgh P O Box 371220 Office/Research Accounting Pittsburgh,PA152517220	25-0965591	501(c)(3)	157,971	Not applicable	Not applicable	Research
(75) University of South Carolina 1600 Hampton St Room 612 Columbia,SC29208	57-6001153	501(c)(3)	72,932	Not applicable	Not applicable	Research
(76) University of Southern California File No 52095 Los Angeles,CA90074	95-1642394	501(c)(3)	130,914	Not applicable	Not applicable	Research
(77) University of Tennessee Health Science 62 South Dunlap St Suite 300 Memphis,TN38163	62-6001636	501(c)(3)	197,680	Not applicable	Not applicable	Research
(78) University of Tennessee Memphis Office of Finance Administration 62 S Dunlap Street Room 300 Memphis,TN38163	62-6001636	501(c)(3)	32,895	Not applicable	Not applicable	Research
(79) University of Texas Dallas 800 W Campbell Road AD37 Richardson,TX750803021	75-1305566	501(c)(3)	67,426	Not applicable	Not applicable	Research
(80) University of Texas Medical Branch PO Box 660120 Dept 750 Dallas,TX75266	74-6000949	501(c)(3)	192,992	Not applicable	Not applicable	Research
(81) University of Vermont PO Box 1389 Williston,VT054951389	37-6047339	501(c)(3)	105,072	Not applicable	Not applicable	Research
(82) University of Washington 12455 Collections Drive Grant and Contract Accounting Chicago,IL60693	91-6001537	501(c)(3)	215,004	Not applicable	Not applicable	Research
(83) Washington University 700 Rosedale Ave Sponsored Projects Accounting Saint Louis,MO631121408	43-0653611	501(c)(3)	63,804	Not applicable	Not applicable	Research
(84) Weill Cornell Medical College 575 Lexington Avenue 9th Floor New York,NY10022	13-1623978	501(c)(3)	614,346	Not applicable	Not applicable	Research
(85) Yale University PO Box 1873 New Haven,CT065081873	06-0646973	501(c)(3)	29,093	Not applicable	Not applicable	Research
(86) Acoustic Neuroma Association 600 Peachtree Pkwy Cummings,GA30041	23-2170836	501(c)(3)	15,000	Not applicable	Not applicable	Contribution
(87) American Heart Association 1101 Northchase Parkway Suite 1 Marietta,GA30067	13-5613799	501(c)(3)	10,000	Not applicable	Not applicable	Contribution

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) Patient Assistance	39	44,450		N/A	N/A
(2) Patient Assistance	362		14,355	FMV	Healthcare, medical supplies, medicine
(3) Patient Assistance	200		19,288	FMV	After school outreach programs
(4) Patient Assistance	120		4,960	FMV	Car Seats, Home Safety Kits, Pack and Plays.
(5) Patient Assistance	4250		1,284,000	FMV	Prescription Drugs
(6) Patient Assistance	114		817,797	FMV	Post acute care
(7) Awards and Research Grants	496	1,428,242		FMV
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

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

Schedule I (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Vanderbilt University Medical Center

Employer identification number
35-2528741

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE VUMC SERIES 2016A	62-6139016	592041WH6	04-29-2016	536,573,506	Refund issues dated 6/23/2004, 4/26/2008, 4/1/2009, & 11/29/2012		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	536,573,506
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	370,943,823
7 Issuance costs from proceeds ...............	10,700,399
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	154,929,284
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X
15 Were the bonds issued as part of an advance refunding issue? .....	X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.1 %
6 Total of lines 4 and 5 .............	0.1 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	4	292	Market value
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		775	Selling cost
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	14	136,567	Market value
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Ethiopian Dinner )	X	1	1,000	Market value
26 Other ( Event Tickets/Gift Card )	X	3	310	Market value
27 Other ( Lodging )	X	1	1,500	Market value
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I Column (b) - Number of Contributions or Items Contributed	Column (b) is reporting the number of items received.
Schedule M, Part I Other Lines 5, 25, 26 and 27	Donation of items for silent auction benefiting the Monroe Carell Jr. Children's Hospital.

Schedule M (Form 990) (2015)

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Return Reference	Explanation
Form 990, Part III, Line 1	Vanderbilt University Medical Center 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 - Vanderbilt University Medical Center provides quality medical and health care services regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of Vanderbilt University Medical Center, 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 57,421 inpatients and 2,027,180 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, Truven Health Analytics and others: * US News & World Report: #1 Hospital in Tennessee, #1 Health Care Provider in Nashville, 12 adult and 10 pediatric clinical specialties ranked among the nation's best as of July 2016 * Truven Health Analytics: among the top 50 cardiovascular hospitals in the U.S. as of July 2016 * Becker's Hospital Review: one of the "100 Greatest Hospitals in America" as of July 2016 * The Leapfrog Group: Monroe Carell Jr. Children's Hospital at Vanderbilt named a Leapfrog Top Hospital for 2016, making it one of only nine pediatric hospitals in the nation to receive this designation * Magnet Recognition Program: Vanderbilt University Medical Center is the only hospital in Middle Tennessee to achieve Magnet designation since 2012 * Nashville Business Journal: Middle Tennessee's healthiest employer as of 2016 * Forbes: 2016 list of America's Best Employers * American Hospital Association: among the 100 "Most Wired" medical systems in the US for its efforts in innovative medical technology as of 2016 Along with the various national rankings, there are several Vanderbilt University Medical Center 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 Control Center * Tennessee's only comprehensive solid organ transplant center 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 - Vanderbilt University Medical Center 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 the world is facing today. 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 in total federal funding. For more information regarding research at Vanderbilt University, visit http://research.vanderbilt.edu
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 22,893,158 including grants of $ 23,551)(Revenue $ 28,522,431) 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: https://www.vanderbilthealth.com/main/38766
Form 990, Part IV, Line 12a	Pursuant to the transfer of assets and liabilities from Vanderbilt University to Vanderbilt University Medical Center on April 29, 2016, VUMC obtained an audited balance sheet as of June 30, 2016. VUMC did not obtain an audited income statement or statement of cash flows for the period April 30, 2016 through June 30, 2016. The Medical Center's revenue and expenses from July 1, 2015 through April 29, 2016 are included in Vanderbilt University's audited financial statements. However, VUMC will obtain an audited income statement and statement of cash flows for the 14 months ended June 30, 2017, as required under OMB Circular A-133. See the 1st disclosure on Schedule O for additional details on the Transaction.
Form 990, Part IV, Line 20b Did the organization attach a copy of its audited financial statements	Pursuant to the transfer of assets and liabilities from Vanderbilt University to Vanderbilt University Medical Center on April 29, 2016, VUMC obtained an audited balance sheet as of June 30, 2016. See the 1st disclosure on Schedule O for additional details on the Transaction. VUMC will obtain an audited income statement and statement of cash flows for the 14 months ended June 30, 2017, as required under OMB Circular A-133. Therefore, only the audited balance sheet as of June 30, 2016 is attached to Form 990.
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 11b Review of form 990 by governing body	The Form 990 is prepared by Vanderbilt University Medical Center and provided to PricewaterhouseCoopers, Vanderbilt University Medical Center's independent accounting firm for review. After review by PricewaterhouseCoopers, Vanderbilt University Medical Center 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	Vanderbilt University Medical Center 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 Vanderbilt University Medical Center 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 Vanderbilt University Medical Center 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, Vanderbilt University Medical Center'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 was not available to the public during tax year 2015.
Form 990, Part IX, Line 11g Other Fees	Other Purchased Services - Total Expense: 54932337, Program Service Expense: 16027292, Management and General Expenses: 38799488, Fundraising Expenses: 105557; Purchased Medical Services - Total Expense: 7668614, Program Service Expense: 7568317, Management and General Expenses: 100297, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Inherent Contribution from Acquisition - XXX-XX-XXXX; Minority Interest in Unconsolidated Organizations - 5527389; Other Changes in Net Assets - 244924;
Form 990, Part XII, Line 2b	Pursuant to the transfer of assets and liabilities from Vanderbilt University to Vanderbilt University Medical Center on April 29, 2016, VUMC obtained an audited balance sheet as of June 30, 2016. VUMC did not obtain an audited income statement or statement of cash flows for the period April 30, 2016 through June 30, 2016. The Medical Center's revenue and expenses from July 1, 2015 through April 29, 2016 are included in Vanderbilt University's audited financial statements. However, VUMC will obtain an audited income statement and statement of cash flows for the 14 months ended June 30, 2017, as required in OMB Circular A-133. See the 1st Disclosure on Schedule O for additional details on the Transaction.
Form 990, Part XII, Line 3b Reason organization did not undergo required audit	VUMC was not required to undergo an audit under OMB Circular A-133 for the two months ended June 30, 2016. However, VUMC will obtain an audit as required in OMB Circular A-133 for the 14 months ended June 30, 2017. See the 1st Disclosure on Schedule O for additional details on the Transaction.
Form 990, Part I, Line 1	Prior to April 29, 2016, Vanderbilt University (the "University") (FEIN: 62-0476822) operated Vanderbilt University Medical Center (the "Medical Center"), an academic medical center, as an operating unit within the University. The Medical Center housed the University's clinically-related charitable, academic and health care activities and assets, including three teaching hospitals, outpatient clinics, the faculty practice plan, other health care subsidiaries and joint ventures, and clinical research and post-graduate (residency) training programs. On April 29, 2016, the University transferred clinical services operations, post-graduate training programs, and clinical department research activities, along with the related assets and liabilities, to Vanderbilt University Medical Center ("VUMC") (FEIN: 35-2528741), a newly incorporated Tennessee non-profit corporation, in exchange for consideration of $1,230 million (the "Transaction"). As a separate legal entity, VUMC is not and will not be under common governance with or controlled by Vanderbilt University nor will the University be financially responsible for VUMC indebtedness. FOLLOWING THE TRANSACTION, VUMC WILL HAVE AN ON-GOING RELATIONSHIP WITH THE UNIVERSITY EMBODIED IN A NUMBER OF WRITTEN AGREEMENTS, INCLUDING A MASTER TRANSFER AND SEPARATION AGREEMENT, AN ACADEMIC AFFILIATION AGREEMENT, A TRADEMARK LICENSING AGREEMENT AND A GROUND LEASE. IN ADDITION, SUBSEQUENT TO THE TRANSACTION VUMC AND THE UNIVERSITY WILL PROVIDE SPECIFIED SERVICES TO ONE ANOTHER FOR AGREED-UPON CONSIDERATION PURSUANT TO A RECIPROCAL MASTER SERVICES AGREEMENT. Therefore, the Medical Center's revenue and expenses from July 1, 2015 through April 29, 2016 are included in Vanderbilt University's audited financial statements. As a result of the Transaction, VUMC obtained an audited balance sheet as of June 30, 2016. VUMC did not obtain an audited income statement or statement of cash flows for the period April 30, 2016 through June 30, 2016. However, VUMC will obtain an audited income statement and statement of cash flows for the 14 months ended June 30, 2017, as required under OMB Circular A-133. Likewise, the Medical Center's activities from July 1, 2015 through April 29, 2016 are included in Vanderbilt University's Form 990. VUMC's Form 990 includes VUMC's activities from April 30, 2016, when operations began, through June 30, 2016.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Vanderbilt University Medical Center

Employer identification number

35-2528741

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Vanderbilt Health Services LLC 2100 West End Ave Suite 750 Nashville,TN37203 62-1176354	Holding Company	TN	-946,171	2,924,445	VUMC
(2) Friends in Global Health LLC 2100 West End Ave Suite 750 Nashville,TN37203 26-0170070	Public Health	TN	9,711	7,815	VHS
(3) Vanderbilt-Wilson Radiation Oncology LLC 2100 West End Ave Suite 750 Nashville,TN37203 26-1241612	Inactive	TN	0	0	VHS
(4) Vanderbilt Health Affiliated Network LLC 2100 West End Ave Suite 750 Nashville,TN37203 46-1571024	Clinical Network	TN	63,025	8,043,780	VHS

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Vanderbilt Home Care Services Inc 2120 Belcourt Avenue Nashville,TN37212 62-1404948	Home Health	TN	501(c)(3	9	VHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Ambulatory Surgery Center of Cool Springs LLC 40 Burton Hills Blvd Ste 500 Nashville,TN37215 62-1809227	Ambulatory Surgery	TN	VHS	Related	0	0		No			No	51.021 %
(2) New Light Imaging LLC 4525 Harding Road Suite 102 Nashville,TN37203 14-1895171	Management Services	TN	VHS	Related	0	0		No			No	66.67 %
(3) One Hundred Oaks Imaging LLC 4525 Harding Road Suite 102 Nashville,TN37205 26-3762022	Diagnostic Imaging	TN	VIS	Related	0	0		No			No	80 %
(4) Springfield VIP Realty LLC 3319 West End Ave Ste 700 Nashville,TN37203 26-1237360	Real Estate	TN	VUMC	Excluded	0	0		No		Yes		49 %
(5) Vanderbilt Gateway Cancer Center GP 3319 West End Ave Ste 700 Nashville,TN37203 20-3844791	Oncology Services	DE	VHS	Related	0	0		No		Yes		50 %
(6) Vanderbilt Imaging Services LLC 1909 Acklen Avenue Nashville,TN37212 62-1787098	Radiology Services	TN	VHS	Related	0	0		No			No	66.67 %
(7) Vanderbilt Stallworth Rehabilitation Hospital LP 3660 Grandview Parkway Ste 200 Birmingham,AL35243 63-1077470	Rehab Services	TN	VHS	Related	0	0		No		Yes		50 %
(8) Vanderbilt-Maury Radiation Oncology LLC 1031 22nd Ave South Suite B-1034 Nashville,TN37232 46-0757412	Oncology Services	TN	VHS	Related	10,577	1,875,837		No		Yes		40 %
(9) Vanderbilt Health and Williamson Medical Center Clinics and Services 3319 West End Ave Ste 700 Nashville,TN37203 62-1864145	Walk-in Clinics	TN	VHS	Related	27,597	3,253,189		No		Yes		51 %
(10) VIP MidSouth LLC 3319 West End Ave Ste 700 Nashville,TN37203 62-1654580	Walk-in Clinics	TN	VHS	Related	42,662	1,731,235		No		Yes		45.18 %
(11) Williamson Imaging LLC 2009 Mallory Lane Suite 150 Franklin,TN37067 62-1855535	Diag. Imaging	TN	VIS	Related	0	0		No			No	53.34 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) Vanderbilt Integrated Providers 3319 West End Ave Suite 700 Nashville,TN37203 62-1650124	Practices	TN	VHS	C Corporation	358,055	2,461,340	100 %	Yes
(2) Charitable Remainder Trust (2)	Charitable Trust	TN	VUMC	Trust				Yes
(3) Perpetual Trusts (1)	Charitable Trust	TN	VUMC	Trust				Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) New Light Imaging LLC	S	151,969	FMV
(2) One Hundred Oaks Imaging LLC	S	225,586	FMV
(3) Vanderbilt Gateway Cancer Center GP	L	208,229	FMV
(4) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC	Q	56,483	FMV
(5) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC	O	1,334,157	FMV
(6) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC	Q	391,487	FMV
(7) Vanderbilt Home Care Services Inc	L	77,226	FMV
(8) Vanderbilt Home Care Services Inc	M	590,282	FMV
(9) Vanderbilt Home Care Services Inc	S	4,128,850	FMV
(10) Vanderbilt Imaging Services LLC	O	66,052	FMV
(11) Vanderbilt Imaging Services LLC	S	862,149	FMV
(12) Vanderbilt Stallworth Rehabilitation Hospital LP	K	330,897	FMV
(13) Vanderbilt Stallworth Rehabilitation Hospital LP	Q	1,845,590	FMV
(14) Vanderbilt Stallworth Rehabilitation Hospital LP	S	1,311,517	FMV
(15) VIP MidSouth LLC	Q	80,760	FMV
(16) Perpetual Trusts (1)	S	153,924	FMV
(17) Vanderbilt Maury Radiation Oncology LLC	B	92,000	FMV
(18) Ambulatory Surgery Center of Cool Springs LLC	S	550,641	FMV

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

1	Briefly describe the organization’s mission or most significant activities: See Schedule O Form 990, Part III, Line 1
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	589
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,365,777
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-1,588,024

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........		47,625,339
9	Program service revenue (Part VIII, line 2g) .........		579,202,171
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....		2,086,682
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)		934,801
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	0	629,848,993
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		10,479,753
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)		312,797,502
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,470,400
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....		268,615,443
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)		591,892,698
19	Revenue less expenses. Subtract line 18 from line 12.......	0	37,956,295
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	0	2,518,986,311
21	Total liabilities (Part X, line 26).............	0	1,975,809,474
22	Net assets or fund balances. Subtract line 21 from line 20.....	0	543,176,837

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 398,564,547 including grants of $ 2,809,115 ) (Revenue $ 534,933,905 )
	Patient Services - See Schedule O Form 990, Part III, Line 4a

4b	(Code: ) (Expenses $ 96,301,027 including grants of $ 7,647,087 ) (Revenue $ 16,512,773 )
	Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












	(Code: ) (Expenses $ 22,893,158 including grants of $ 23,551 ) (Revenue $ 28,522,431 )
	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: https://www.vanderbilthealth.com/main/38766

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 22,893,158 including grants of $ 23,551 ) (Revenue $ 28,522,431 )
4e	Total program service expenses517,758,732

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) Jeffrey R Balser MD PHD President and CEO	40.0 .................	X	X	0	0	0
(2) Bruce R Evans Director	1.0 .................	X		0	0	0
(3) Michael M E Johns Director	1.0 .................	X		0	0	0
(4) Edith Scott Carell Johnson Director	1.0 .................	X		0	0	0
(5) Richard B Johnston Jr Director	1.0 .................	X		0	0	0
(6) Samuel E Lynch Director	1.0 .................	X		0	0	0
(7) Jackson W Moore Director	1.0 .................	X		0	0	0
(8) David W Patterson Director	1.0 .................	X		0	0	0
(9) Thomas J Sherrard II Director	1.0 .................	X		0	0	0
(10) John F Stein Director	1.0 .................	X		0	0	0
(11) Nicholas S Zeppos Director	1.0 .................	X		0	0	0
(12) C Wright Pinson MBA MD Deputy CEO and Chief Clinical Officer	40.0 .................		X	0	0	0
(13) John F Manning Jr MBA PHD COO and Corporate Chief of Staff	40.0 .................		X	0	0	0
(14) Cecelia B Moore MHA CPA CHFP CFO and Treasurer	40.0 .................		X	0	0	0
(15) Michael J Regier JD General Counsel and Secretary	40.0 .................		X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	72,198
d	Related organizations		1d
e	Government grants (contributions)		1e	34,450,419

f	All other contributions, gifts, grants, and similar amounts not included above		1f	13,102,722

g	Noncash contributions included in lines 1a-1f:$ 140,444
h Total.Add lines 1a-1f.......		47,625,339

			Business Code
2a	Net Patient Service Revenue	622110	534,933,905	534,373,305	560,600
b	Academic and Research Revenue	611310	16,512,773	16,512,773
c	Other Program Revenue	611310	27,755,493	23,950,316	3,805,177
d
e
f	All other program service revenue.			0	0	0	0
g Total.Add lines 2a–2f.....			579,202,171

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,996,682			1,996,682
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			174			174
		(ii) Personal	(i) Real
6a	Gross rents		165,294
b	Less: rental expenses		29,370
c	Rental income or (loss)	0	135,924
d	Net rental income or (loss)......			135,924			135,924
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	90,000
b	Less: cost or other basis and sales expenses	0
c	Gain or (loss)	90,000	0
d	Net gain or (loss).....			90,000			90,000
8a	Gross income from fundraising events (not including $ 72,198of contributions reported on line 1c). See Part IV, line 18 ....
	a		33,625
b	Less: direct expenses ...b		1,860
c	Net income or (loss) from fundraising events..			31,765			31,765
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Revenue From Unconsolidated Orgs		900099	766,938	766,938
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			766,938
12	Total revenue. See Instructions......			629,848,993	575,603,332	4,365,777	2,254,545

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	5,745,472	5,745,472
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	1,472,692	1,472,692
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	3,261,589	3,261,589
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,301,842	9,000	2,211,842	81,000
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	549	549
7	Other salaries and wages	257,171,805	227,471,721	28,757,107	942,977
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,221,761	10,457,473	1,704,013	60,275
9	Other employee benefits .......	25,291,108	21,640,141	3,526,237	124,730
10	Payroll taxes ...........	15,810,437	13,528,101	2,204,363	77,973
11	Fees for services (non-employees):
a	Management ......	623,177	264,007	359,170
b	Legal .........	1,644,671	359,576	1,285,095
c	Accounting ...........	33,657	15,167	18,490
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	62,600,951	23,595,609	38,899,785	105,557
12	Advertising and promotion ....	823,593	823,512		81
13	Office expenses .......	20,188,855	17,289,902	2,874,992	23,961
14	Information technology ......	6,095,674	3,125,656	2,969,207	811
15	Royalties ..
16	Occupancy ...........	40,464,361	29,831,668	10,615,747	16,946
17	Travel ............	2,932,790	2,479,435	439,439	13,916
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,800,280	1,582,264	207,109	10,907
20	Interest ...........	9,534,147	8,468,145	1,066,002	0
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	14,089,030	12,513,751	1,575,279
23	Insurance ...	1,527,852	1,526,996		856
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Provision for Bad Debts	108,828	108,828
b	Other Academic and Research	1,104,671	443,680	653,757	7,234
c	Taxes	220,693	207,676	13,017
d	Drugs and Medical Supplies	100,287,575	100,144,802	142,773
e	All other expenses	4,534,638	4,421,513	109,949	3,176
25	Total functional expenses. Add lines 1 through 24e	591,892,698	490,788,925	99,633,373	1,470,400
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1	44,428,034
2	Savings and temporary cash investments .........				2	575,033,726
3	Pledges and grants receivable, net ......				3	74,676,143
4	Accounts receivable, net .............				4	424,761,364
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net ....				7	3,785,198
8	Inventories for sale or use ........				8	61,925,281
9	Prepaid expenses and deferred charges ......				9	8,553,454
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,144,395,304
b	Less: accumulated depreciation	10b	14,278,962		10c	1,130,116,342
11	Investments—publicly traded securities .				11	173,988,522
12	Investments—other securities. See Part IV, line 11 .....			0	12	19,028,218
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			0	15	2,690,029
16	Total assets. Add lines 1 through 15 (must equal line 34)...			0	16	2,518,986,311

17	Accounts payable and accrued expenses .....		17	549,097,680
18	Grants payable ...		18
19	Deferred revenue .........		19	44,613,465
20	Tax-exempt bond liabilities .........		20	529,860,935
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23	647,059,236
24	Unsecured notes and loans payable to unrelated third parties ..		24	14,975,798
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	0	25	190,202,360
26	Total liabilities. Add lines 17 through 25..	0	26	1,975,809,474

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets		27	509,422,667
28	Temporarily restricted net assets ...........		28	26,985,163
29	Permanently restricted net assets		29	6,769,007
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	0	33	543,176,837
34	Total liabilities and net assets/fund balances ........	0	34	2,518,986,311

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No