Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2022 , and ending 06-30-2023
BCheck if applicable:
CName of organization
Vanderbilt University Medical Center
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1161 21st Ave S Suite D3300 MCN
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Nashville, TN37232
D Employer identification number

35-2528741
E Telephone number

G Gross receipts $ 7,577,835,054
F Name and address of principal officer:
Jeffrey R Balser MD PhD
1161 21st Ave S Suite D3300 MCN
Nashville,TN37232
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.vumc.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2015
M State of legal domicile: TN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: See Schedule O, Form 990, Part III, Line 1
2 Check this box MediumBullet
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 2021 (Part V, line 2a) ...... 5 35,318
6 Total number of volunteers (estimate if necessary) ............. 6 906
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 41,859,478
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 317,857
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 505,781,347 549,108,462
9 Program service revenue (Part VIII, line 2g) ......... 5,830,205,703 6,286,691,648
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 41,389,396 38,508,519
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 35,923,669 46,864,257
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 6,413,300,115 6,921,172,886
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 185,663,198 166,957,184
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) 3,304,332,272 3,697,820,135
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 655,909 525,269
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet19,461,348    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,708,434,526 2,947,515,845
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 6,199,085,905 6,812,818,433
19 Revenue less expenses. Subtract line 18 from line 12....... 214,214,210 108,354,453
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 5,527,589,693 5,892,952,923
21 Total liabilities (Part X, line 26)............. 3,607,321,246 3,779,398,252
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,920,268,447 2,113,554,671
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: See Schedule O Form 990, Part III, Line 1
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 4,760,576,255 including grants of $ 36,480,498 ) (Revenue $ 5,871,053,866 )
Patient Services - See Schedule O Form 990, Part III, Line 4a
4b (Code:   ) (Expenses $ 988,873,012 including grants of $ 130,476,686 ) (Revenue $ 233,512,045 )
Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
(Code:   ) (Expenses $ 59,404,784 including grants of $ 0 ) (Revenue $ 186,057,562 )
4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766
4d Other program services (Describe in Schedule O.)
(Expenses $ 59,404,784 including grants of $   ) (Revenue $ 186,057,562 )
4e Total program service expensesMediumBullet5,808,854,051
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
List of Attached Documents:
// Content
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
List of Attached Documents:
// Content
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
2,298
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
35,318
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletMZ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
11
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletScott Phillips3841 Green Hills Village Dr Ste 20   Nashville,TN372152691 (615) 322-2381
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Jeffrey R Balser MD PHD
 
President and CEO
50.0
.................
 
X   X       5,488,022 0 1,439,525
(2) Alexander C Taylor
 
Director
1.0
.................
 
X           0 0 0
(3) Daniel Diermeier PHD
 
Director
1.0
.................
 
X           0 0 0
(4) Edith Scott Carell Johnson JD
 
Director
1.0
.................
 
X           0 0 0
(5) John F Stein MBA
 
Director
1.0
.................
 
X           0 0 0
(6) John R Ingram MBA
 
Director (Beginning July 1, 2022)
1.0
.................
 
X           0 0 0
(7) Lucinda M Baier CPA
 
Director (Beginning July 1, 2022)
1.0
.................
 
X           0 0 0
(8) Makeba Boatwright Williams MD FACOG NCMP
 
Director (Beginning July 1, 2022)
1.0
.................
 
X           0 0 0
(9) Michael M E Johns MD
 
Director
1.0
.................
 
X           0 0 0
(10) Samuel E Lynch DMD DMSC
 
Director
1.0
.................
 
X           0 0 0
(11) Sara J Finley JD
 
Director
1.0
.................
 
X           0 0 0
(12) C Wright Pinson MD MBA
 
Deputy CEO and Chief Health System Officer
49.2
.................
0.8
    X       3,383,341 0 757,224
(13) Cecelia B Moore MHA CPA CHFP
 
CFO and Treasurer
50.0
.................
 
    X       1,947,456 0 417,863
(14) John F Manning Jr PHD MBA
 
COO and Corporate Chief of Staff
50.0
.................
 
    X       1,728,565 0 537,730
(15) Michael J Regier JD
 
General Counsel and Secretary
50.0
.................
 
    X       1,253,724 0 418,326
(16) Amy Schoeny PHD
 
Chief HR Officer
50.0
.................
 
      X     1,005,165 0 181,012
(17) David R Posch
 
EVP for Population Health
49.6
.................
0.4
      X     1,144,958 0 46,589
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DAVID S RAIFORD MD
 
Chief of Clinical Staff
50.0
.......................  
      X     1,153,677 0 218,961
(19) Jennifer A Pietenpol PHD
 
Chief Scientific and Strategy Officer
50.0
.......................  
      X     1,157,047 0 210,978
(20) Margaret G Rush MD MMHC
 
President and Executive Medical Director, Monroe Carell Jr. Children's Hospital at Vanderbilt
48.9
.......................1.1
      X     975,177 0 203,074
(21) Shon Dwyer MBA RN
 
President, Vanderbilt Adult Hospital
50.0
.......................  
      X     1,189,442 0 247,683
(22) Thomas S Nantais MBA
 
EVP Adult Ambulatory
50.0
.......................  
      X     1,342,162 0 91,842
(23) Travis Capers FACHE
 
President of Vanderbilt Regional Community Hospitals
50.0
.......................  
      X     303,763 0 7,212
(24) Zeena M Abdulahad MPA
 
EVP and Chief Development Officer
50.0
.......................  
      X     1,072,323 0 168,788
(25) Ashish S Shah MD FACS
 
Professor, Cardiac
50.0
.......................  
        X   1,307,446 0 58,269
(26) David P Bichell MD
 
Professor, Pediatric Cardiac Surgery
50.0
.......................  
        X   1,280,738 0 44,799
(27) Douglas R Weikert MD
 
Assoc Professor, Ortho-Hand
50.0
.......................  
        X   1,321,689 0 58,054
(28) Gregory G Polkowski II MD MSCR
 
Assoc Professor, Ortho-Joints
50.0
.......................  
        X   1,326,555 0 58,561
(29) Paul Sternberg Jr MD
 
CMO & VP Clinical Affairs
50.0
.......................  
        X   1,317,628 0 48,364
(30) WILLIAM W STEAD MD
 
FORMER CHIEF STRATEGY OFFICER (ROLE ENDED DECEMBER 2020)
50.0
.......................  
          X 128,573 0 23,100
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 29,827,451 0 5,237,954
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet6,937
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
Vanderbilt University

PMB 406310
2301 Vanderbilt Place
Nashville,TN37240
Various Services 177,738,244
Cross Country Staffing Inc

6551 Park of Commerce Blvd
Boca Raton,FL33487
Temporary Labor Services 160,013,795
Trimedx Inc

5451 Lakeview Pkwy S Drive
Indianapolis,IN46268
Medical Equipment Servicing 28,980,288
American Foundation for Donation and Transplantation

8154 Forest Hill Ave
STE 3
Richmond,VA23235
Medical Services 18,427,222
Deloitte Consulting LLP

30 Rockefeller Plaza
41st Floor
New York,NY101120015
Consulting Services 17,979,298
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet494
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 1,260,433
d Related organizations1d  
e Government grants (contributions)1e 432,554,521
f All other contributions, gifts, grants, and similar amounts not included above1f 115,293,508
g Noncash contributions included in lines 1a - 1f:$ 1g 9,200,161
h Total. Add lines 1a-1f.......MediumBullet 549,108,462
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 622110 5,871,053,866 5,866,900,270 4,153,596  
b ACADEMIC AND RESEARCH REVENUE 611310 233,512,045 233,512,045    
c OTHER PROGRAM REVENUE 611310 182,125,737 144,419,812 37,705,925  
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 6,286,691,648
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 44,890,810   -43 44,890,853
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet 40,042,228     40,042,228
(ii) Personal (i) Real
6a Gross rents   8,333,695 6a
b Less: rental expenses   5,688,921 6b
c Rental income or (loss) 0 2,644,774 6c
d Net rental income or (loss).......MediumBullet 2,644,774     2,644,774
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   642,966,428 7a
b Less: cost or other basis and sales expenses   649,348,719 7b
c Gain or (loss) 0 -6,382,291 7c
d Net gain or (loss).........MediumBullet -6,382,291     -6,382,291
8a Gross income from fundraising events (not including $ 1,260,433of contributions reported on line 1c). See Part IV, line 18 ....
8a 211,511
b Less: direct expenses ... 8b 515,253
c Net income or (loss) from fundraising events..MediumBullet -303,742   -303,742
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 1,658,447
b Less: direct expenses ... 9b 1,109,275
c Net income or (loss) from gaming activities..MediumBullet 549,172     549,172
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a REVENUE FROM UNCONSOLIDATED ORGS 900099 3,931,825 3,931,825    
b            
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 3,931,825
12 Total revenue. See instructions.....MediumBullet 6,921,172,886 6,248,763,952 41,859,478 81,440,994
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 111,340,962 111,340,962
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 43,986,432 43,986,432
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 11,629,790 11,629,790
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 24,639,622 2,994,542 20,290,829 1,354,251
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 310,485 310,485    
7 Other salaries and wages........ 3,003,926,750 2,684,802,409 310,141,246 8,983,095
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 70,426,264 60,917,934 9,220,217 288,113
9 Other employee benefits ....... 410,659,606 355,222,163 53,757,628 1,679,815
10 Payroll taxes ........... 187,857,408 162,498,129 24,590,865 768,414
11 Fees for services (non-employees):        
a Management ...... 5,199,594   5,199,594  
b Legal ......... 11,840,488 5,275,386 6,547,781 17,321
c Accounting ........... 1,518,099 172,203 1,345,896  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17 525,269 525,269
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) 525,215,576 209,242,225 314,672,254 1,301,097
12 Advertising and promotion .... 19,715,437 4,402,361 14,974,172 338,904
13 Office expenses ....... 152,283,910 121,769,006 28,145,112 2,369,792
14 Information technology ...... 121,315,489 29,593,086 91,549,362 173,041
15 Royalties ..        
16 Occupancy ........... 302,929,931 263,636,871 38,354,416 938,644
17 Travel ............ 21,009,237 18,527,593 2,403,912 77,732
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 14,820,792 12,093,462 2,666,930 60,400
20 Interest ........... 68,443,176 66,186,007 2,257,169  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 191,046,350 144,697,635 46,348,715  
23 Insurance ... 31,779,433 31,779,433    
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 DRUGS AND MEDICAL SUPPLIES 1,444,995,774 1,443,217,217 1,778,557  
b OTHER ACADEMIC AND RESEARCH 6,317,985   5,874,899 443,086
c TAXES (Excluding UBI Taxes) 5,569,555 5,569,555    
d Unrelated Business Income Taxes 826,002 826,002    
e All other expenses 22,689,017 18,163,163 4,383,480 142,374
25 Total functional expenses. Add lines 1 through 24e 6,812,818,433 5,808,854,051 984,503,034 19,461,348
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 77,726,348 1 137,710,127
2 Savings and temporary cash investments ......... 592,656,867 2 636,943,638
3 Pledges and grants receivable, net ...... 134,252,521 3 190,586,600
4 Accounts receivable, net ............. 753,916,631 4 781,912,279
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6 0
7 Notes and loans receivable, net ........... 2,650,887 7 0
8 Inventories for sale or use ............ 134,367,172 8 160,157,743
9 Prepaid expenses and deferred charges ...... 14,281,448 9 23,227,462
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,770,777,925
b Less: accumulated depreciation 10b 1,115,791,016 2,524,625,587 10c 2,654,986,909
11 Investments—publicly traded securities . 1,179,249,525 11 1,202,994,557
12 Investments—other securities. See Part IV, line 11 ..... 62,079,615 12 65,055,087
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ............... 27,028,333 14 27,028,333
15 Other assets. See Part IV, line 11 ........... 24,754,759 15 12,350,188
16 Total assets. Add lines 1 through 15 (must equal line 33)... 5,527,589,693 16 5,892,952,923
Liabilities 17 Accounts payable and accrued expenses ..... 939,548,391 17 969,800,438
18 Grants payable ...   18  
19 Deferred revenue ......... 11,054,149 19 9,032,692
20 Tax-exempt bond liabilities ......... 770,180,383 20 907,094,805
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22 0
23 Secured mortgages and notes payable to unrelated third parties .. 866,475,027 23 864,594,502
24 Unsecured notes and loans payable to unrelated third parties .. 20,829,732 24 16,353,979
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 999,233,564 25 1,012,521,836
26 Total liabilities. Add lines 17 through 25.. 3,607,321,246 26 3,779,398,252
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,651,837,983 27 1,796,453,800
28 Net assets with donor restrictions ........... 268,430,464 28 317,100,871
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,920,268,447 32 2,113,554,671
33 Total liabilities and net assets/fund balances ........ 5,527,589,693 33 5,892,952,923
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
6,921,172,886
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
6,812,818,433
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
108,354,453
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,920,268,447
5
Net unrealized gains (losses) on investments ...............
5
34,396,706
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
50,535,065
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,113,554,671
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 378,866,982 401,620,114 438,346,168 505,781,347 549,108,462 2,273,723,073
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 3 378,866,982 401,620,114 438,346,168 505,781,347 549,108,462 2,273,723,073
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) .. 0
6 Public support. Subtract line 5 from line 4. 2,273,723,073
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4.. 378,866,982 401,620,114 438,346,168 505,781,347 549,108,462 2,273,723,073
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 21,476,633 26,063,542 12,605,831 58,082,586 93,266,733 211,495,325
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 0 0 0 0 112,890 112,890
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 4,324,295 5,057,739 8,142,646 15,502,896 5,801,783 38,829,359
11 Total support. Add lines 7 through 10 2,524,160,647
12
12
25,850,800,635
13
First 5 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
14
14
90.08 %
15
15
91.86 %
16a
33 1/3% support test—2022. 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
b
33 1/3% support test—2021. 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—2022. 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
b
10%-facts-and-circumstances test—2021. 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
18
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) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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 on 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.)..            
14
First 5 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
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. 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
b
33 1/3% support tests—2021. 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
20
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) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c 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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on 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.
9c
 
 
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
 
 
b
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) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
By reason of the relationship described in line 2 above, 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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
Did the activities described on line 2a, above 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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
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 10 THE AMOUNT REPORTED ON LINE 10 COMPRISES GROSS FUNDRAISING REVENUE of $1,869,958 AND REVENUE FROM UNCONSOLIDATED ORGANIZATIONS of $3,931,825.
Schedule A, Part II, Line 10 Other Income DESCRIPTION - UNCONSOLIDATED ORGS AND FUNDRAISING, COLUMN A - 4324295.0, COLUMN B - 5057739.0, COLUMN C - 8142646.0, COLUMN D - 15502896.0, COLUMN E - 5801783.0, COLUMN F - 38829359.0;
Schedule A (Form 990) 2022


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE C
(Form 990)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
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) ........................ 157,243  
c Total lobbying expenditures (add lines 1a and 1b) ............................................................ 157,243  
d Other exempt purpose expenditures ............................................................................... 6,771,416,290  
e Total exempt purpose expenditures (add lines 1c and 1d) .................................................. 6,771,573,533  
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? ...................................................................................................................

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) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures 249,219 132,676 131,862 157,243 671,000
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures 0 0 0 0 0
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
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|No
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
 
c
Media advertisements? ...................................................................................................
 
 
 
d
Mailings to members, legislators, or the public? .............................................................................
 
 
 
e
Publications, or published or broadcast statements? ...........................................................
 
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
 
 
i
Other activities? ...................................................................................................................
 
 
 
j
Total. Add lines 1c through 1i ....................................................................................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
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, Part II-A, Line 2 VUMC duly filed Federal Form 5768 electing to have the provisions of 501(h) apply to its tax year ending June 30, 2015. This election was not revoked prior to VUMC's tax year beginning July 1, 2022.
Schedule C (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
If the organization elected, as permitted under FASB 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.
b
If the organization elected, as permitted under FASB 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 $ 28,490
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $ 840,564
2
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 .... 211,816,315 212,061,255 159,065,950 141,833,236 122,002,502
b Contributions ... 38,378,615 27,282,435 24,390,084 15,676,038 17,463,426
c Net investment earnings, gains, and losses 18,448,277 -22,005,027 32,876,965 5,609,226 6,206,602
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
5,603,666 5,522,348 4,271,744 4,052,550 3,839,294
f Administrative expenses ....          
g End of year balance ...... 263,039,541 211,816,315 212,061,255 159,065,950 141,833,236
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet57.53 %
b
Permanent endowment SchDMd Bullet37.49 %
c
Term endowment SchDMd Bullet4.98 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....   52,999,351 52,999,351
b Buildings ....   1,383,524,997 468,512,847 915,012,150
c Leasehold improvements   171,921,882 58,219,122 113,702,760
d Equipment ....   1,072,022,163 363,026,441 708,995,722
e Other .....   1,090,309,532 226,032,606 864,276,926
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 2,654,986,909
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other 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.)Small Bullet  
Part VIII
Investments - Program 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.)Small Bullet  
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.)...........Small Bullet  
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  
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,012,521,836
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) 2021

Schedule D (Form 990) 2021
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  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
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  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
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  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
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  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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 V, Line 4 INTENDED USES OF ENDOWMENT FUNDS ENDOWMENT FUNDS ARE UTILIZED TO GENERATE EARNINGS AND SUBSEQUENT DISTRIBUTIONS FOR THE USE OF FUNDING MEDICAL RESEARCH, MEDICAL CHAIRS IN CLINICAL DEPARTMENTS, MEDICAL TRAINING FELLOWSHIPS, MEDICAL DIRECTORSHIPS, AND OTHER PROGRAMS CONSISTENT WITH THE MISSION OF THE INSTITUTION.
Schedule D, Part III, Line 4 Collections of art - description of collections VUMC MAINTAINS VARIOUS COLLECTIONS OF ART AND SIMILAR ASSETS. SUCH COLLECTIONS INCLUDE, BUT ARE NOT LIMITED TO, PAINTINGS, PHOTOGRAPHY, SCULPTURES AND OTHER SIMILAR ITEMS. ALL SUCH COLLECTIONS FURTHER VUMC'S EXEMPT PURPOSE BY PROVIDING CULTURAL, HISTORICAL, AND EDUCATIONAL OPPORTUNITIES TO VUMC STAFF AND PATIENTS AND THE COMMUNITY AT LARGE THROUGH EXHIBITS AND DISPLAYS.
Schedule D (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
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" on Form 990, Part IV, line 14b.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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 the region (d) Activities conducted in region (by type) (such as, 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 the region
(f) Total expenditures
for and investments
in the region
Central America and the Caribbean 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 13,854
East Asia and the Pacific 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 165,210
Europe (Including Iceland and Greenland) 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 566,895
Middle East and North Africa 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 37,912
North America (Canada & Mexico only) 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 177,925
South America 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 16,351
South Asia 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 5,276
Sub-Saharan Africa 0 0 sending agents of the organization to attend and speak at seminars and conferences N/A 91,834
Central America and the Caribbean 0 1 Grantmaking-subcontracts N/A 256,586
East Asia and the Pacific 0 0 Grantmaking-subcontracts N/A 238,885
Europe (Including Iceland and Greenland) 0 1 Grantmaking-subcontracts N/A 2,567,461
North America (Canada & Mexico only) 0 0 Grantmaking-subcontracts N/A 488,881
South America 0 5 Grantmaking-subcontracts N/A 1,433,710
Sub-Saharan Africa 0 6 Grantmaking-subcontracts N/A 7,386,040
Middle East and North Africa 0 0 Grantmaking-subcontracts N/A 156,298
Central America and the Caribbean 0 0 Program Services Education and Health-Care 30,673
East Asia and the Pacific 0 0 Program Services Education and Research 54,067
Europe (Including Iceland and Greenland) 0 0 Program Services Education and Research 303,143
Middle East and North Africa 0 0 Program Services Education 11,218
North America (Canada & Mexico only) 0 0 Program Services Education and Research 43,717
South America 0 0 Program Services Education and Research 81,814
South Asia 0 0 Program Services Education and Health-Care 5,897
Sub-Saharan Africa 11 2,317 Program Services Education, Health-Care, Research 36,133,282
3a Sub-total .... 0 13 13,633,791
b Total from continuation sheets to Part I ... 11 2,317 36,633,138
c Totals (add lines 3a and 3b) 11 2,330 50,266,929
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
Europe (Including Iceland and Greenland) Research 11,186 Wire   N/A N/A
Sub-Saharan Africa Research 11,863 Wire   N/A N/A
Sub-Saharan Africa General 1,362,651 Wire   N/A N/A
Sub-Saharan Africa Research 18,951 Wire   N/A N/A
Sub-Saharan Africa Research 79,220 Wire   N/A N/A
Middle East and North Africa Research 131,500 EFT   N/A N/A
Europe (Including Iceland and Greenland) Research 76,507 Wire   N/A N/A
Sub-Saharan Africa Research 158,661 Check   N/A N/A
South America Research 641,969 Wire   N/A N/A
Sub-Saharan Africa Research 408,489 Wire   N/A N/A
South America Research 196,746 Wire   N/A N/A
South America General 36,484 Wire   N/A N/A
South America Research 94,650 Wire   N/A N/A
South America Research 158,313 Wire   N/A N/A
South America Research 123,094 Check   N/A N/A
Central America and the Caribbean Research 132,852 Wire   N/A N/A
North America (Canada & Mexico only) Research 18,871 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 19,809 Wire   N/A N/A
Sub-Saharan Africa Research 8,699 Wire   N/A N/A
North America (Canada & Mexico only) Research 321,282 Check   N/A N/A
North America (Canada & Mexico only) Research 29,912 Wire   N/A N/A
Sub-Saharan Africa Research 70,664 Wire   N/A N/A
Sub-Saharan Africa Research 36,720 Wire   N/A N/A
Central America and the Caribbean Research 123,734 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 43,476 Wire   N/A N/A
North America (Canada & Mexico only) Research 83,273 Wire   N/A N/A
Sub-Saharan Africa Research 34,429 Wire   N/A N/A
Sub-Saharan Africa Research 86,807 Wire   N/A N/A
East Asia and the Pacific General 69,670 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 1,981,119 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 28,902 Wire   N/A N/A
East Asia and the Pacific Research 59,548 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 63,939 Wire   N/A N/A
Sub-Saharan Africa Research 31,003 Check   N/A N/A
Sub-Saharan Africa Research 301,443 Wire   N/A N/A
Middle East and North Africa Research 24,798 Wire   N/A N/A
North America (Canada & Mexico only) Research 19,814 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 126,636 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 21,136 Wire   N/A N/A
South America Research 132,062 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 31,838 Wire   N/A N/A
East Asia and the Pacific Research 50,267 Wire   N/A N/A
Sub-Saharan Africa Research 92,822 Check   N/A N/A
South America Research 48,021 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 31,979 Wire   N/A N/A
Sub-Saharan Africa Research 82,240 Wire   N/A N/A
Sub-Saharan Africa Research 21,506 Wire   N/A N/A
Sub-Saharan Africa Research 63,700 Wire   N/A N/A
Sub-Saharan Africa Research 212,465 Wire   N/A N/A
East Asia and the Pacific Research 59,400 Wire   N/A N/A
Sub-Saharan Africa Research 191,933 Wire   N/A N/A
North America (Canada & Mexico only) Research 15,728 Wire   N/A N/A
Europe (Including Iceland and Greenland) Research 128,053 Wire   N/A N/A
Sub-Saharan Africa General 11,832 Wire   N/A N/A
Sub-Saharan Africa General 11,974 Wire   N/A N/A
Sub-Saharan Africa General 14,701 Wire   N/A N/A
Sub-Saharan Africa General 9,738 Wire   N/A N/A
Sub-Saharan Africa General 11,174 Wire   N/A N/A
Sub-Saharan Africa General 7,865 Wire   N/A N/A
Sub-Saharan Africa General 10,875 Wire   N/A N/A
Sub-Saharan Africa General 56,942 Wire   N/A N/A
Sub-Saharan Africa General 102,252 Wire   N/A N/A
Sub-Saharan Africa General 17,978 Wire   N/A N/A
Sub-Saharan Africa General 47,454 Wire   N/A N/A
Sub-Saharan Africa General 145,846 Wire   N/A N/A
Sub-Saharan Africa General 8,810 Wire   N/A N/A
Sub-Saharan Africa General 69,989 Wire   N/A N/A
Sub-Saharan Africa General 199,851 Wire   N/A N/A
Sub-Saharan Africa General 280,564 Wire   N/A N/A
Sub-Saharan Africa General 62,851 Wire   N/A N/A
Sub-Saharan Africa General 90,123 Wire   N/A N/A
Sub-Saharan Africa General 632,111 Wire   N/A N/A
Sub-Saharan Africa General 76,993 Wire   N/A N/A
Sub-Saharan Africa General 78,927 Wire   N/A N/A
Sub-Saharan Africa General 200,286 Wire   N/A N/A
Sub-Saharan Africa General 77,141 Wire   N/A N/A
Sub-Saharan Africa General 107,705 Wire   N/A N/A
Sub-Saharan Africa General 204,853 Wire   N/A N/A
Sub-Saharan Africa General 6,060 Wire   N/A N/A
Sub-Saharan Africa General 268,728 Wire   N/A N/A
Sub-Saharan Africa General 6,649 Wire   N/A N/A
Sub-Saharan Africa General 231,557 Wire   N/A N/A
Sub-Saharan Africa General 159,649 Wire   N/A N/A
Sub-Saharan Africa General   N/A 898,070 Medical Supplies & Equipment FMV
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 .......MediumBullet
45
3 Enter total number of other organizations or entities .......................MediumBullet
39
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
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://www.vumc.org/administrators-resource/policies-procedures (Please use lowercase to access the website)
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual
Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH AMERICA-Accrual; SUB-SAHARAN AFRICA-Accrual
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
Additional Data


Software ID: 22016089
Software Version: 2022v5.0



SCHEDULE G (Form 990)
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 arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
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.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
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?
b
If "Yes," list the 10 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)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
 
Marketeam LLC
1200 Abernathy Road NE Suite 1600
 
Atlanta, GA30328
Consulting Services Related to Fundraising   No 3,636,141 504,664 3,131,477
 
PG Calc Inc
129 Mount Auburn St
 
Cambridge, MA02138
Consulting Services Related to Fundraising   No 2,953,312 20,605 2,932,707
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow 6,589,453 525,269 6,064,184
3
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.
CA, CO, CT, DE, DC, FL, GA, AL, HI, ID, IL, IN, IA, KS, KY, LA, ME, AK, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, AZ, RI, SC, SD, TN, TX, UT, VT, VA, AR, WA, WV, WI, WY
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
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.









VerticalRevenue
(a) Event #1

Friends in Fashion
(event type)
(b) Event #2

Ruby Gala
(event type)
(c) Other events

12
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

316,238

243,798

911,908

1,471,944

2

Less: Contributions . . . .

255,465

191,773

813,195

1,260,433
3 Gross income (line 1 minus
line 2) . . . . . .

60,773

52,025

98,713

211,511



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . .   10,066 17,501 27,567
8 Entertainment . . . .   84,877 2,210 87,087
9 Other direct expenses . . . 47,935 40,717 311,947 400,599
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 515,253
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -303,742
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.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

1,658,447

1,658,447
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

856,443

856,443

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

252,832

252,832


6


Volunteer labor . . . .
%
%
%


7

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

 

8

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

 

9
Enter the state(s) in which the organization conducts gaming activities: TN
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2022
Schedule G (Form 990) 2022
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
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? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
100 %
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
0 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Puryear and Noonan CPAs
Address right arrow
40 Burton Hills Blvd Suite 170   Nashville, TN37215
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
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 $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Jenny Streams Development Director
Gaming manager compensation right arrow $ 19,300
Description of services provided right arrow
Manager of the raffle
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
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$ 0
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 provide any additional information. See instructions.
Return Reference Explanation
Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I) THE TOTAL AMOUNT PAID TO MARKETEAM, LLC WAS $504,664, WHICH INCLUDES PROFESSIONAL FUNDRAISING FEES AND EXPENSES. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND MARKETEAM, LLC CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY MARKETEAM, LLC, SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL FUNDRAISING EXPENSES. MARKETEAM, LLC PROVIDES CONSULTING SERVICES FOR VANDERBILT UNIVERSITY MEDICAL CENTER'S OVERALL FUNDRAISING PROGRAM AND DOES NOT RAISE FUNDS FOR VANDERBILT UNIVERSITY MEDICAL CENTER OR HELP RAISE FUNDS FOR A SPECIFIC PURPOSE.
Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I) THE TOTAL AMOUNT PAID TO PG Calc, Inc. WAS $20,605, WHICH INCLUDES planned giving strategic consulting and technical assistance fees. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND PG Calc, Inc. CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY PG Calc, Inc., SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL services. PG Calc, Inc. PROVIDES CONSULTING SERVICES FOR VANDERBILT UNIVERSITY MEDICAL CENTER'S planned giving program AND DOES NOT RAISE FUNDS FOR VANDERBILT UNIVERSITY MEDICAL CENTER OR HELP RAISE FUNDS FOR A SPECIFIC PURPOSE.
Schedule G, Part III (c) - Other Gaming All raffle tickets sold using on line platform hosted by BUMP inc. and proceeds were directly deposited into Vanderbilt University Medical Center bank account using third party payment administrator Stripe. Net proceeds from raffle benefit Monroe Carell Junior Children's Hospital Pediatric Cancer.
Schedule G (Form 990) 2022
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
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) . . .
    162,947,963   162,947,963 2.39 %
b Medicaid (from Worksheet 3, column a) . . . . .     1,180,306,247 1,034,694,852 145,611,395 2.13 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .         0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 1,343,254,210 1,034,694,852 308,559,358 4.52 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     7,734,128 587,365 7,146,763 0.10 %
f Health professions education (from Worksheet 5) . . .     265,780,932 58,054,125 207,726,807 3.04 %
g Subsidized health services (from Worksheet 6) . . . .         0 0 %
h Research (from Worksheet 7) .     931,382,453 838,389,010 92,993,443 1.36 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .         0 0 %
j Total. Other Benefits . . 0 0 1,204,897,513 897,030,500 307,867,013 4.51 %
k Total. Add lines 7d and 7j . 0 0 2,548,151,723 1,931,725,352 616,426,371 9.03 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
        0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
39,718,033
3
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. ......
3
2,512,062
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
591,489,390
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
887,155,426
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-295,666,036
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 %
1VIP Midsouth LLC
 
Pediatric Clinics 65.02 % 0 % 34.98 %
2Springfield VIP Realty LLC
 
Own Real Estate Used as Medical Facility 49 % 0 % 51 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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?6Name, 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)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Vanderbilt University Medical Center Hospitals
1211 22nd Avenue South
Nashville,TN37212
www.vanderbilthealth.com
0000000027
X X X X   X X      
2 Vanderbilt Wilson County Hospital
1411 W Baddour Parkway
Lebanon,TN37087
https://vanderbiltwilsoncountyhospital.com/
00000137
X X         X      
3 Vanderbilt Tullahoma-Harton Hospital
1801 N Jackson St
Tullahoma,TN37388
www.vanderbilttullahomahartonhospital.com
00000018
X X         X      
4 Vanderbilt Bedford Hospital
835 US-231
Shelbyville,TN37160
https://www.vanderbiltbedfordhospital.com/
00000002
X X         X      
5 Vanderbilt Stallworth Rehabilitation Hospital
2201 Childrens Way
Nashville,TN37212
www.vanderbiltstallworthrehab.com
0000000141
X                  
6 Tennova Healthcare - Clarksville
651 Dunlop Ln
Clarksville,TN37040
https://www.tennovaclarksville.com/
00000090
X X         X      
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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):
1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 Yes  
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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.vumc.org/communityhealthimprovement/2023-chnais
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Schedule H (Form 990) 2022
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.vanderbilthealth.com/information/financial-assistance
b
https://www.vanderbilthealth.com/information/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
Vanderbilt University Medical Center Hospitals
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Vanderbilt University Medical Center Hospitals
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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 Wilson County 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):
2
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 Yes  
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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.vumc.org/communityhealthimprovement/2022-wilson-county-chnais
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Vanderbilt Wilson County Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.vanderbilthealth.com/information/financial-assistance
b
https://www.vanderbilthealth.com/information/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
Vanderbilt Wilson County Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Vanderbilt Wilson County Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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 Tullahoma-Harton 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):
3
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 Yes  
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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.vumc.org/communityhealthimprovement/2023-chnais
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Vanderbilt Tullahoma-Harton Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.vanderbilthealth.com/information/financial-assistance
b
https://www.vanderbilthealth.com/information/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
Vanderbilt Tullahoma-Harton Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Vanderbilt Tullahoma-Harton Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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 Bedford 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):
4
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 Yes  
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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.vumc.org/communityhealthimprovement/2023-chnais
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Vanderbilt Bedford Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.vanderbilthealth.com/information/financial-assistance
b
https://www.vanderbilthealth.com/information/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
Vanderbilt Bedford Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Vanderbilt Bedford Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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):
5
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 Yes  
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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://encompasshealth.com/locations/vanderbiltstallworth
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Schedule H (Form 990) 2022
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 No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance
b
https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
Vanderbilt Stallworth Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Vanderbilt Stallworth Rehabilitation Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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)
Tennova Healthcare - Clarksville
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):
6
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 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 ................. 5 Yes  
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.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.tennovaclarksville.com/hospital-501-r-information
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Tennova Healthcare - Clarksville
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.tennovaclarksville.com/hospital-501-r-information
b
https://www.tennovaclarksville.com/hospital-501-r-information
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
Tennova Healthcare - Clarksville
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Tennova Healthcare - Clarksville
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 3E Vanderbilt University Medical Center's (VUMC) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for the Vanderbilt University Medical Center (VUMC) CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, VUMC identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. For the 2022 CHNA, Vanderbilt University Hospitals conducted a community health needs assessment in partnership with its affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital, as well as its wholly owned facilities Vanderbilt Bedford County Hospital and Vanderbilt Tullahoma-Harton Hospital.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center (VUMC) identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are - alphabetically - 1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. VUMC addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. VUMC's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. VUMC's Office of Health Equity (OHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support local health departments and health councils in all five counties in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Assessment. The team also participates in health council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's participation in this work allows the OHE to bring VUMC resources and valuable community health data to address health disparities in the community and align the priorities identified in the CHNA with the CHIP objectives. In Davidson County, VUMC is involved in collaboratives focused on the four prioritized needs. The Safety Net Consortium of Middle Tennessee (SNC), which focuses on access to and quality of care for groups that lack access to healthcare and health insurance, continues to meet monthly and launched My Health Care Home. This web-based tool facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve groups lacking healthcare and health insurance access. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the Office of Health Equity participate in SNC meetings. The VUMC's OHE is actively engaged with the Healthy Nashville Leadership Council, and the Associate Vice President Chairs this mayoral-appointed committee. The workgroup's focus is to educate the community on topics related to addressing health inequities, strengthening capacity, and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in marginalized and minoritized communities. VUMC's OHE has increased its knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training. VUMC staff has also participated in the opioid task force (currently known as WE CARE Coalition) spear-headed by Saint Thomas Rutherford, the Prevention Coalition for Success, and the Patterson Park Coalition. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also participates in local community groups such as the Anti-Drug Coalition, Franklin Justice, Equity Coalition, and the Williamson County Health Council, which promotes community health and equity improvements. The OHE has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT UNIVERSITY MEDICAL CENTER HOSPITALS. In addition to notification on the website, or patient request, VUMC patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.
Schedule H, Part V, Section B, Line 3E Vanderbilt Wilson County Hospital's (VWCH) 2021 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2021, the CHNA prioritization of significant health needs involved multiple phases. VWCH and its partners gathered and analyzed primary data from various community members and partners. Additionally, VWCH reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan. In collaboration with the local Health Department and Health Council, VWCH convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, and individuals who participated in interviews. The results of VWCH's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises. VWCH adopted the needs prioritized by the communities, and each is described at length in VWCH's 2021 CHNA. Through this CHNA process, the community prioritized the significant health needs of Mental Health and Substance Use, Access to Healthcare, Housing and Transportation, and Health Literacy.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through virtual and face-to-face interviews for the Vanderbilt Wilson County Hospital CHNA. Interviews took place from August 2021 to September 2021. Prioritization meetings were held in October 2021. For the 2021 CHNA, Vanderbilt Wilson County Hospital identified leaders from public health, government, education, the faith community, community organizations, and substance use providers, among others, as interviewees. Interviewees were identified in collaboration with the local health department. They were selected based on their understanding of the broad interests of the community and with a focus on individuals from historically marginalized groups. Interviewees included the Wilson County Health Department director, medical providers, and community-based organizations with special public health knowledge and expertise. VWCH interviewed 11 community leaders with a specific focus on engaging individuals from historically marginalized groups. Organizations represented in Wilson County interviews held in 2021 included Brooks House, Charis Health, Compassionate Hands, DrugFree Wilco, Mt. Juliet Senior Center, Wilson County CASA, Wilson County Chamber of Commerce, Wilson County Health Department, Wilson County Mayor's Office, a member of the Latinx community, Wilson County Schools, and the Wilson County Sheriff's Office. Populations served by these organizations include racial and ethnic minority groups, individuals seeking social services such as housing or food assistance, individuals seeking affordable healthcare, at-risk youth, those experiencing homelessness, Hispanic and Latinx, the medically marginalized, those experiencing mental illness, those with addiction, children, low-income individuals, minorities, marginalized communities, and other vulnerable populations. To better understand community members' opinions of the health needs present in 2022, VWCH conducted forty-six community member interviews. The interviews were held at Compassionate Hands, Mt. Juliet Senior Center, and the Wilson County Health Department. Populations served by these organizations included people experiencing homelessness, older adults, and the Latinx community. Both English and Spanish speakers were included in the interviews.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. Vanderbilt Wilson County Hospital (VWCH) identified four significant health needs in the 2022 CHNA. The four significant health needs identified are: 1) Access to Healthcare, 2) Health Literacy, 3) Housing and Transportation, and 4) Mental Health and Substance Use. VWCH addresses all four needs with a detailed list of programs and services in the 2021 Implementation Strategy (IS). The 2021 Implementation Strategy includes 57 activities and programs. The VUMC's OHE released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support the local health department and health council in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Needs Assessment. VWCH's involvement in this work allows the VUMC's OHE to bring VWCH resources to the community and align the CHNA priorities with the Community Health Improvement Plan objectives. Additionally, OHE is actively supporting a CHIP aimed at enhancing the availability of mental health and substance use resources in the community. The VUMC's OHE partnered with VUMC's Adult Ambulatory Nursing Services and Charis Health Center on a health equity toolkit project. This aims to educate and equip community members, particularly those with limited access to health insurance and homebound residents, with the knowledge to make informed decisions about their health. The project will improve health outcomes through a culturally tailored toolkit and home visits, hoping to increase knowledge of chronic conditions and impact health literacy. The reach of health-related materials and resources will be expanded, prioritizing non-English speaking residents and other marginalized groups. VUMC's Office of Health Equity has increased its working knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. In addition to notification on the website, or patient request, VWCH patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VWCH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.
Schedule H, Part V, Section B, Line 3E Vanderbilt Tullahoma-Harton Hospital's (VTHH) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for the Vanderbilt Tullahoma-Harton Hospital CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, Vanderbilt Tullahoma-Harton Hospital identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. For the 2022 CHNA, Vanderbilt Tullahoma-Harton Hospital conducted a community health needs assessment in partnership with Vanderbilt University Medical Center's affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital, as well as Vanderbilt Bedford County Hospital and Vanderbilt University Hospitals.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. Vanderbilt Tullahoma-Harton Hospital identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are: 1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. VUMC addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. VUMC's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. VUMC's Office of Health Equity (OHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support local health departments and health councils in all five counties in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Assessment. The team also participates in health council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's participation in this work allows the OHE to bring VUMC resources and valuable community health data to address health disparities in the community and align the priorities identified in the CHNA with the CHIP objectives. In Davidson County, VUMC is involved in collaboratives focused on the four prioritized needs. The Safety Net Consortium of Middle Tennessee (SNC), which focuses on access to and quality of care for groups that lack access to healthcare and health insurance, continues to meet monthly and launched My Health Care Home. This web-based tool facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve groups lacking healthcare and health insurance access. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the Office of Health Equity participate in SNC meetings. The VUMC's OHE is actively engaged with the Healthy Nashville Leadership Council, and the Associate Vice President Chairs this mayoral-appointed committee. The workgroup's focus is to educate the community on topics related to addressing health inequities, strengthening capacity, and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in marginalized and minoritized communities. VUMC's OHE has increased its knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training. VUMC staff has also participated in the opioid task force (currently known as WE CARE Coalition) spear-headed by Saint Thomas Rutherford, the Prevention Coalition for Success, and the Patterson Park Coalition. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also participates in local community groups such as the Anti-Drug Coalition, Franklin Justice, Equity Coalition, and the Williamson County Health Council, which promotes community health and equity improvements. The OHE has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. In addition to notification on the website, or patient request, Vanderbilt Tullahoma-Harton Hospital ("VTHH") patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VTHH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.
Schedule H, Part V, Section B, Line 3E Vanderbilt Bedford County Hospital's (VBCH) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Bedford County Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for the Vanderbilt Bedford County Hospital CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, Vanderbilt Bedford County Hospital identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Bedford County Hospital. For the 2022 CHNA, Vanderbilt Bedford County Hospital conducted a community health needs assessment in partnership with Vanderbilt University Medical Center's affiliated hospital, Vanderbilt Stallworth Rehabilitation Hospital, as well as Vanderbilt Tullahoma-Harton Hospital and Vanderbilt University Hospitals.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Bedford County Hospital. Vanderbilt Bedford County Hospital identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are :1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. VUMC addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. VUMC's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. VUMC's Office of Health Equity (OHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas, specifically soliciting proposals addressing health equity and broader policy, environmental, or systems change. Organizations were selected to receive these awards after a competitive review with a committee of academic and community reviewers. The grantees received up to $10,000 to complete their work over 12 months. The VUMC's OHE is currently planning for the seventh cycle of this mini-grant program. To date, the program has supported 51 community projects. The VUMC's OHE continues to support local health departments and health councils in all five counties in developing their Community Health Improvement Plans (CHIP), which outline their strategies to address the health needs identified through the Community Health Assessment. The team also participates in health council meetings to develop goals, objectives, and evaluation metrics for the CHIP. VUMC's participation in this work allows the OHE to bring VUMC resources and valuable community health data to address health disparities in the community and align the priorities identified in the CHNA with the CHIP objectives. In Davidson County, VUMC is involved in collaboratives focused on the four prioritized needs. The Safety Net Consortium of Middle Tennessee (SNC), which focuses on access to and quality of care for groups that lack access to healthcare and health insurance, continues to meet monthly and launched My Health Care Home. This web-based tool facilitates finding and accessing federally qualified health centers and faith-based and charitable clinics that serve groups lacking healthcare and health insurance access. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the Office of Health Equity participate in SNC meetings. The VUMC's OHE is actively engaged with the Healthy Nashville Leadership Council, and the Associate Vice President Chairs this mayoral-appointed committee. The workgroup's focus is to educate the community on topics related to addressing health inequities, strengthening capacity, and advancing equity for minority-led non-profit organizations that are on the front lines of promoting health equity and well-being in marginalized and minoritized communities. VUMC's OHE has increased its knowledge of health equity by presenting Seeds of Equity training internally and externally. The team will have presented the Seeds of Equity training (created by the Healthy Nashville Leadership Council) 8 times during tax year 2022 to audiences of about 10 to 100 persons. While this training is specific to Nashville, the VUMC's OHE is working with community partners in other counties of focus to expand the reach of the training. VUMC staff has also participated in the opioid task force (currently known as WE CARE Coalition) spear-headed by Saint Thomas Rutherford, the Prevention Coalition for Success, and the Patterson Park Coalition. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also participates in local community groups such as the Anti-Drug Coalition, Franklin Justice, Equity Coalition, and the Williamson County Health Council, which promotes community health and equity improvements. The OHE has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Vanderbilt Bedford Hospital. In addition to notification on the website, or patient request, Vanderbilt Bedford Hospital ("VBCH") patients are notified of available assistance under federal, state or local government programs or under the organization's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital based clinics; brochures available at registration points; and language included on all billing statements mailed to patients advising that VBCH has a financial assistance program if help is needed paying medical bills. Pre-admitting, registration, or billing personnel may refer uninsured or low income patients to financial counseling personnel to discuss qualifications for free or discounted care.
Schedule H, Part V, Section B, Line 3E Vanderbilt Stallworth Rehabilitation Hospital's (Stallworth) 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2022, the CHNA prioritization of significant health needs involved multiple phases. VUMC and its partners gathered and analyzed primary data from various community members and partners. Additionally, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted an environmental scan in each county representing the community served. In each of the five counties the 2022 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, and Williamson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations, community members, as well as individuals who participated in interviews. The results of VUMC's health assessment were presented in the prioritization meetings, and participants were asked to prioritize their communities' most pressing health needs through interactive exercises-each county's prioritization process generated prioritized needs with commonalities across counties. Individual county needs are described at length in VUMC's 2022 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Access to Care, Equity, Chronic Disease and Preventative Care, and Social Drivers of Health.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Input from people representing the broad interests of the community, including those with expertise in public health, was obtained through interviews, surveys, and listening sessions for Vanderbilt Stallworth Rehabilitation Hospital's CHNA. Interviews in Davidson, Rutherford, and Williamson County occurred from August 2021 to April 2022. Prioritization meetings were held in January 2022. Interviews in Bedford and Coffee Counties occurred from February 2022 to July 2022. Listening sessions took place in August 2022. Prioritization meetings were held in August and September 2023. During the 2022 CHNA, Vanderbilt Stallworth Rehabilitation Hospital identified leaders in public health, government, education, the faith community, private foundations, community organizations, and academia, among others, as interviewees. Interviewees in each county were selected based on their understanding of the broad interests of the community, with a focus on individuals from historically marginalized groups. Interviewees also included health department directors from the community served and community-based organizations with special public health knowledge and expertise. In all, 80 organizational interviews were conducted with a special focus on groups with limited access to healthcare and health insurance and historically marginalized groups. Organizations represented in the 2022 Bedford County organizational interviews included the Bedford County Chamber of Commerce, Bedford County Health Department, Bedford County Schools, Boys and Girls Club of Middle Tennessee, Cedar Recovery, Community Clinic of Shelbyville and Bedford County, Open Hands/Castle Ministries, Shelbyville Police Department, Shelbyville Senior Citizens Center Shelbyville-Bedford Partnership, St. William of Montevergine Catholic Church, Tennessee Immigrant and Refugee Rights Coalition, and Tyson. Organizations represented in the 2022 Coffee County organizational interviews included AmeriCorps, Coffee County Alderman, Coffee County Health Department, Coffee County Mayors' Office, First Christian Church/Better Together, Manchester City Schools, Mt. Zion Missionary Baptist Church- Tullahoma, NAMI, Partners for Healing, Salvation Army, South Central Coordinated School Health, Tennessee Immigrant and Refugee Rights Coalition, Tullahoma Chamber of Commerce, Tullahoma City Planning Office, Tullahoma Literacy Council, and the Tullahoma Sheriff's Office. Organizations represented in the 2022 Davidson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Climate Change Lobby, Congregational Health and Education Network, Davidson County Chamber of Commerce, Davidson County Mayor's Office, Elmahaba Center, End Slavery of Middle Tennessee, Greater Nashville Regional Council, Hispanic Family Foundation, Homeland Heart Maternal, Meharry Dental Clinic, Meharry Medical College, Mental Health Cooperative, Metro Nashville Police Department, Metro Nashville Public Health Department, Metro Social Services, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, Mt. Carmel MBC and G.A.N.G., NAEYC - Nashville, Nashville Chamber of Commerce, One Gen Away, P.A.T.H.E, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation-Human trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, The Nashville Food Project, United Way of Middle Tennessee - Greater Nashville, and Urban Housing Solutions. Organizations represented in the 2022 Rutherford County organizational Interviews included Age Well, Elmahaba Center, End Slavery, Greater Nashville Regional Counsel, Habitat for Humanity, Middle Tennessee State University, Prevention Coalition for Success, Safety Net Consortium, TennCare (Medicaid), Tennessee Bureau of Investigation- Human Trafficking, Tennessee Department of Health, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Public Health Association, The Hispanic Family Foundation, TN Commission on Children and Youth, TN Primary Care Association, and United Way of Rutherford and Cannon Counties. Organizations represented in the 2022 Williamson County organizational interviews included Age Well, Better Options TN, Catholic Charities, Elmahaba Center, End Slavery of Middle Tennessee, Franklin Justice and Equity Collaborative, Greater Nashville Regional Council, Mental Health Cooperative, Monroe Carroll, Jr. Children's Hospital Center for Hearing and Vision, One Gen Away, Safety Net Consortium, TennCare (Medicaid), Tennessee Board of Regents, Tennessee Bureau of Investigation- Human Trafficking, Tennessee Commission on Children and Youth, Tennessee Hospital Association, Tennessee Immigrant and Refugee Rights Coalition, Tennessee Justice Center, Tennessee Primary Care Association, Tennessee Public Health Association, Williamson County Chamber of Commerce, Williamson County Health Department, Williamson County Homeless Alliance, and Williamson County School System. Populations served by these organizations include people from racial and ethnic minority groups, individuals seeking social services such as housing, transportation, or food assistance, youth placed at a higher risk of experiencing disadvantage, those experiencing homelessness, Latinx and immigrant communities, those with limited access to healthcare and health insurance, those experiencing symptoms of mental illness or addiction, people who have experienced human trafficking, economically marginalized individuals and children, historically marginalized groups and other populations.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. For the 2022 CHNA, Vanderbilt Stallworth Rehabilitation Hospital conducted a health needs assessment in partnership with its affiliated health system, Vanderbilt University Hospitals, Vanderbilt Tullahoma-Harton Hospital, and Vanderbilt Bedford County Hospital.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are - alphabetically - 1) Access to Care, 2) Equity, 3) Chronic Disease and Preventative Care, and 4) Social Drivers of Health. Stallworth addresses all four needs within the 2022 Implementation Strategy (IS). The 2022 IS includes a multitude of actions aimed at addressing needs identified by the community. Stallworth's plan to evaluate impact is embedded within each action. A few specific actions are described in detail below. Stallworth holds monthly grand rounds for members of the medical community to discuss topics that have an impact on rehabilitation and post-acute care. Stallworth collaborates with the Trauma Survivors Network, which provides free resources to help patients and families cope with the challenges of trauma recovery. Stallworth also convenes several monthly support groups to assist with the navigation of resources. These groups include patient/caregiver support groups for traumatic brain injuries, amputees, spinal cord injuries, and strokes. Stallworth expanded hours for its psychologist's contract to provide a resource for the inpatient population. In addition, the Spinal Cord Injury Peer Mentor Program, held monthly, includes training for peer mentor volunteers who help patients make significant life changes often associated with trauma recovery. Finally, housing evaluations are done during pre-admission to assess home readiness after a traumatic injury. Once an individual is admitted as an inpatient at Stallworth, a recurring housing assessment is done, and Stallworth staff often connect patients with community resources to assist in the transition. Through ongoing partnerships and engagement of key community partners, Stallworth will continue to collaborate to meet the needs identified in the most recent needs assessment.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - VANDERBILT STALLWORTH REHABILITATION HOSPITAL. Patients are notified of available assistance under federal, state or local government programs or under Stallworth's charity care policy via signage at the front desk, in the main elevator to the patient care units & along the back hallway of the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-admitting, registration, case management or billing personnel may refer uninsured or low income patients to financial personnel to discuss qualifications for free or discounted care.
Schedule H, Part V, Section B, Line 3E Tennova Healthcare - Clarksville's 2022 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. The needs assessment analyzed data, demographics, socio-economic factors and health service utilization, and were conducted in association with multiple community stakeholders.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Tennova Healthcare - Clarksville. The Montgomery County Health Department, in conjunction with Tennova Healthcare - Clarksville, conducted a Community Health Needs Assessment for the county and published the results of the study in a 2023 report. The Montgomery County Health Department relied heavily on input from the Montgomery County Health Council, which includes members from Family and Children's Services; the Martha O'Bryan Center; TN Voices; Centerstone; Youth Villages; Catholic Charities; and Meae Wellness. Medically underserved members of the community were represented by Family and Children's Services; TN Voices; and Centerstone. Low-income members of the community were represented by the Martha O'Bryan Center and Youth Villages, and marginalized members of the community were represented by Meae Wellness. Community meetings were conducted quarterly over the period of July 1, 2021 through June 30, 2023.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Tennova Healthcare - Clarksville. Tennova Healthcare - Clarksville completed its CHNA in conjunction with the Montgomery County Health Department.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Tennova Healthcare - Clarksville. Tennova Healthcare - Clarksville identified four significant health needs in the 2022 Community Health Needs Assessment (CHNA). The four significant health needs identified are - alphabetically - 1) Health Equity; 2) Heart Health: 3) Mental Health and Wellness, and 4) Poor or Fair Health Days. With respect to addressing the identified need of Health Equity, Tennova Healthcare - Clarksville participates in the Delta Sigma Theta Alumnae Chapter Community Health Fair, including serving as the sole sponsor in 2024. The Delta Sigma Theta Alumnae Chapter Community Health Fair brings healthcare providers together in the community to provide health information and access concerning health issues prevalent in African American populations. Tennova Healthcare - Clarksville participates in two annual programs: National Night Out held at Austin Peay University, sponsored by Clarksville Police Department and United Way, and Back to School Bash, sponsored by and held at the public housing authority in Montgomery County, to provide school supplies, health information and resources to students and to the parents and guardians of incoming students, as well as resources for dissemination and use at local schools. With respect to addressing the identified need of Heart Health, Tennova Healthcare - Clarksville ran a Healthy Heart Challenge which provided free resources and an opportunity for the community to receive free daily heart health alerts through various social media platforms and email communications. The Healthy Heart Challenge has been continued in 2024 with the theme "Leap into Heart Health," with free resources provided to community members that choose to sign up, as well as frequent social media posts with heart healthy tips. Tennova Healthcare - Clarksville promotes Heart Healthy Living and Hands Only CPR at community events. In 2022 alone, over 10,000 Montgomery County residents were trained in Hands Only CPR. With respect to addressing the identified need of Mental Health and Wellness, Tennova Clarksville Volunteer Auxiliary, composed of Tennova Healthcare - Clarksville hospital volunteers, has fully funded operations for Tennova Hospice Camp Willow Creek since 2000. Tennova Hospice Camp Willow Creek offers a grief camp that includes counseling services to young persons who have lost a family member in the preceding three years. Camp Willow Creek is a place where children and teens can find comfort and hope after the death of a loved one. The camp is staffed by trained volunteers through Tennova Healthcare - Clarksville Hospice. More than 60 children attend camp each year at no cost to them. With respect to addressing the identified need of Poor or Fair Health Days, Tennova Healthcare - Clarksville partners with several local charities to collect food, clothing and basic necessities for residents in Montgomery County. Past donations drives have included, canned goods and Jars of Love Peanut Butter drives, in which we collected 1,588 jars of nut butters,donated to Urban Ministries, a nonprofit organization that operates a food distribution center in Montgomery County, Stuff the Bus school item collection drive, Socktober drive, in which we donated over 1,200 pairs of socks to Old Firehouse Day Shelter, Winter clothing drive donated to Manna Cafe Ministries, and Operation Toy Soldier, in which we collected over 60 toys for children of deployed soldiers, and a canned goods drive donated to Loaves and Fishes, which is a nonprofit organization that operates a "soup kitchen food distribution center in Clarksville, TN.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Tennova Healthcare - Clarksville. IN ADDITION TO NOTIFICATION ON THE WEBSITE, OR PATIENT REQUEST, Tennova Healthcare - Clarksville PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 9
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?34
Name and address Type of Facility (describe)
1 Ambulatory Surgery Center of Cool Springs LLC dba Vanderbilt Surgery Center
Cool Springs
2009 Mallory Lane Suite 100
Franklin,TN37067
Ambulatory Surgery Treatment Center
2 Spring Hill Surgery Center LLC
1003 Reserve Blvd Suite 210
Spring Hill,TN37174
Ambulatory Surgery Treatment Center
3 Vanderbilt-Maury Radiation Oncology LLC
1003 Reserve Boulevard
Spring Hill,TN37174
Oncology Services
4 One Hundred Oaks Imaging LLC (dba Vanderbilt Imaging Services One Hundred O
aks)
719 Thompson Lane
Nashville,TN37204
Outpatient Diagnostic Center
5 Vanderbilt Health & Williamson Medical Center Clinics and Services LLC
134 Pewitt Drive
Brentwood,TN37027
Ambulatory Clinic
6 Spring Hill Imaging Center LLC
5421 Main Street
Spring Hill,TN37174
Outpatient Diagnostic Center
7 Williamson Imaging LLC (dba Vanderbilt Imaging Services Cool Springs)
2009 Mallory Lane Suite 150
Franklin,TN37067
Outpatient Diagnostic Center
8 Vanderbilt Health & Williamson Medical Center Clinics and Services LLC
919 Murfreesboro Pike
Franklin,TN37064
Ambulatory Clinic
9 Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville
375 Alfred Thun Road
Clarksville,TN37040
Oncology Services
10 Vanderbilt-Ingram Cancer Center Franklin
2107 Edward Curd Lane
Franklin,TN37067
Ambulatory Surgery Treatment Center
11 Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Belle Mead
e)
4525 Harding Road Suite 102
Nashville,TN37232
Outpatient Diagnostic Center
12 Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Hillsboro)
1909 Acklen Avenue
Nashville,TN37212
Outpatient Diagnostic Center
13 Vanderbilt Health & Williamson Medical Center Clinics and Services LLC
1834 West McEwen Dr Suite B
Franklin,TN37067
Ambulatory Clinic
14 Vanderbilt Health & Williamson Medical Center Clinics and Services LLC
3098 Campbell Station Pkwy
Spring Hill,TN37174
Ambulatory Clinic
15 Vanderbilt Health & Williamson Medical Center Clinics and Services LLC
940 Oldham Drive
Nolensville,TN37135
AMBULATORY CLINIC
16 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
7601 Highway 70 S
Bellevue,TN37221
AMBULATORY CLINIC
17 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
1954 Madison Street
Clarksville,TN37043
AMBULATORY CLINIC
18 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
9100 Carothers Pkwy
Franklin,TN37067
AMBULATORY CLINIC
19 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
585 Nashville Pike
Gallatin,TN37066
AMBULATORY CLINIC
20 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
198 E Main Street
Hendersonville,TN37075
AMBULATORY CLINIC
21 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
400 Tulip Grove Road
Hermitage,TN37076
AMBULATORY CLINIC
22 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
5000 Murfreesboro Road
Lavergne,TN37086
AMBULATORY CLINIC
23 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
1303 W Main Street
Lebanon,TN37087
AMBULATORY CLINIC
24 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
2401 Old Fort Pkwy
Murfreesboro,TN37128
AMBULATORY CLINIC
25 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
3500 Gallatin Pike
Nashville,TN37216
AMBULATORY CLINIC
26 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
5555 Edmondson Pike
Nashville,TN37211
AMBULATORY CLINIC
27 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
518 Donelson Pike
Nashville,TN37214
AMBULATORY CLINIC
28 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
4243 Harding Pike
Nashville,TN37205
AMBULATORY CLINIC
29 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
400 Sam Ridley Pkwy
Smyrna,TN37167
AMBULATORY CLINIC
30 Vanderbilt Home Dialysis Clinic
2906 Foster Creighton Drive Suite
Nashville,TN37204
End Stage Renal Dialysis
31 Vanderbilt Dialysis Clinic
2906 Foster Creighton Drive Suite
Nashville,TN37214
End Stage Renal Dialysis
32 Vanderbilt University Medical Center Dialysis Clinic-East
20 Rachel Drive
Nashville,TN37214
End Stage Renal Dialysis
33 Vanderbilt Birth Center
3212 West End Ave Suite 100
Nashville,TN37203
Birthing Center
34 Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Midtown)
337 22nd Avenue North
Nashville,TN37203
Outpatient Diagnostic Center
35 Vanderbilt Integrated Pediatrics - Tullahoma
1440 Cedar Lane Suite 100
Tullahoma,TN37388
Pediatrics clinic
36 Vanderbilt Integrated Providers - Hopkinsville
4235 Fort Campbell Blvd
Hopkinsville,KY42240
Pediatrics clinic
37 Retail Health Clinics LLC (DBA Vanderbilt Health Clinics)
1751 Tiny Town Rd
Clarksville,TN37042
AMBULATORY CLINIC
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 10
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 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 37.33%.
Schedule H, Part V, Section B, Line 20 Extraordinary Collection Actions The VUMC, VWCH, VTHH, and VBCH Financial Assistance Policy permits the use of ECAs. However, VUMC, VWCH, VTHH, and VBCH did not engage in any ECAs during FY2022. The Stallworth Financial Assistance Policy explicitly forbids the use of ECAs. The Tennova Healthcare - Clarksville Financial Assistance Policy permits the use of ECAs. However, the Financial Assistance Policy forbids the use of any ECAs prior to making reasonable efforts to determine the individual's eligibility under the facility's Financial Assistance Policy.
Schedule H, Part VI, Line 7 State filing of community benefit report Not applicable.
Schedule H, Part III, Line 7 Medicare Shortfall The amount reported as Medicare shortfall on Schedule H, Part III, line 7 does not include Medicare Managed programs. If Medicare Managed programs were included in Schedule H, Medicare costs reported on line 6 would be an additional $696M and Medicare revenue reported on line 5 would be an additional $368M, for a net increase in the Medicare shortfall of $329M. If VUMC includes traditional Medicare and Medicare Managed programs, the Medicare shortfall is $624M for the fiscal year ended June 30, 2023.
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 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 Due to the adoption of ASC 606, the audited financial statements of VUMC no longer disclose the consolidated amount of bad debt expense.
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 FY23, such shortfalls amounted to 295,649,000.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Collection Practices: Although Vanderbilt University Medical Center's policies do not contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance, in practice, if a patient qualifies for a 100% charity care write off, the account is closed and no further collection efforts are made. If a patient qualifies for a partial charity care write off, the account is reduced for the applicable charity discount and normal collection efforts are made. Although no extraordinary collection actions were taken in FY23, 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 Written approval must be obtained from VUMC before any of the above ECAs can take place.
Schedule H, Part V, Section B, Line 16a FAP website - Vanderbilt University Medical Center Hospitals: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16a URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16a URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16a URL: https://www.tennovaclarksville.com/hospital-501-r-information;
Schedule H, Part V, Section B, Line 16b FAP Application website - Vanderbilt University Medical Center Hospitals: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16b URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16b URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16b URL: https://www.tennovaclarksville.com/hospital-501-r-information;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Vanderbilt University Medical Center Hospitals: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Wilson County Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Tullahoma-Harton Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Bedford Hospital: Line 16c URL: https://www.vanderbilthealth.com/information/financial-assistance; - Vanderbilt Stallworth Rehabilitation Hospital: Line 16c URL: https://encompasshealth.com/locations/vanderbiltstallworth/financial-assistance; - Tennova Healthcare - Clarksville: Line 16c URL: https://www.tennovaclarksville.com/hospital-501-r-information;
Schedule H, Part VI, Line 2 Needs assessment Vanderbilt University Medical Center (including Vanderbilt University Hospitals, Vanderbilt Bedford County Hospital, and Vanderbilt Tullahoma-Harton Hospital) and Vanderbilt Stallworth Rehabilitation Hospital (Stallworth) continually assess the healthcare needs of the communities served. The Patient and Family Advisory Council, consisting of dedicated community volunteers, collaborates closely with VUMC's healthcare providers and leadership to thoroughly assess community needs and appraise the services and programs' effectiveness. VUMC and Stallworth have also formed the Community Health Improvement Working Group, an internal committee of program managers and other leadership roles that meet regularly to make recommendations related to the community's needs. Additionally, VUMC and Stallworth have convened the Community Health and Health Equity Advisory Committee (CHHEAC), a committee comprised of executive leaders who meet continually to assess the community's needs and drive improvements in care and processes for the communities they serve. To gain a deeper understanding of the unique needs of specific populations, VUMC collaborated with the Vanderbilt Program for LGBTQ Health, which conducted additional interviews within the Middle Tennessee LGBTQIA+ community to determine how their experiences align with the broad categories of needs identified in the 2022 CHNA and what strategies will best address the community's needs. VUMC further assesses the healthcare needs of its communities by playing an active role in groups such as the Bedford, Coffee, and Williamson Health Councils, the Healthy Nashville Leadership Council, and the Rutherford County Wellness Council. VUMC reviews the many needs assessments published by these local groups (Alignment Nashville, Saint Thomas Health, Nashville Area Chamber of Commerce, Metro Social Services, Healthy Nashville, and the TN Department of Health, among others) to help gauge the needs and resources within the community. For the 2022 CHNA, VUMC completed a systematic review of 61 recent assessments completed by community partners across the five counties, highlighting populations served, the geographic area covered, and themes highlighted in the report. In addition, VUMC has developed partnerships with the state Department of Health to stay abreast of important community health needs. An internal multidisciplinary team comprising members from Women's Health, the Office of Health Equity, the Office of Patient Affairs, and nursing sought to understand the inequities within obstetrics using a patient-centered approach from the Black birthing persons perspective. The Black Women's Health Listening Session explored the perspectives of Black birthing people regarding racial bias and the quality of care received during their most recent delivery at VUMC. The team piloted a virtual listening session with six women who recently delivered at VUMC. The VUMC Office of Health Equity recruited participants in partnership with Homeland Heart, a local Doula organization that provides care to Black families and their newborns. The team and leadership from the Department of Obstetrics and Gynecology reviewed themes from the listening session to identify opportunities to address the concerns of Black birthing people at VUMC and improve the quality of care and health outcomes. The five program goals identified were organized into a Health Equity Impact Plan to improve patient satisfaction and promote equitable intrapartum and postpartum care for Black birthing people who deliver at VUMC. Additionally, VUMC's Office of Health Equity partnered with Elevate Consulting to conduct facilitated planning sessions to address nutrition security and immigrant and refugee health among VUMC patients and families. The objective of these sessions was to convene various collaborators within the VUMC network, as well as partners within the community, to build shared understanding, prioritize strategies, define action steps, develop milestones, and more. The nutrition security session prompted participants to consider ways to increase nutrition security among families experiencing food insecurity at Monroe Carell Jr. Children's Hospital at Vanderbilt. This resulted in discussions about providing meals onsite and upon discharge and connecting patients and families to ongoing food resources. The immigrant and refugee health session prompted participants to brainstorm and prioritize areas of impact for a roadmap that guides community-informed health equity initiatives at VUMC. Both sessions led to the development of Health Equity Impact Plans that are currently underway to begin addressing these needs through community collaboration. Vanderbilt Wilson County Hospital (VWCH) continually assesses the healthcare needs of the communities it serves. In October 2021, VWCH convened its Patient and Family Advisory Council to improve patient experience. The Patient and Family Advisory Council, consisting of dedicated community volunteers, collaborates closely with VWCH's healthcare providers and leadership to thoroughly assess community needs and appraise the services and programs' effectiveness. Vanderbilt University Medical Center (VUMC) formed the Community Health and Health Equity Advisory Committee (CHHEAC), which includes executive leadership from VUMC, Stallworth and VWCH. The CHHEAC senior leaders meet continually to assess community needs and drive improvements in care and processes for the communities they serve. The Community Health Improvement Working Group, an internal committee of program managers, also meets regularly to make recommendations to CHEEAC and assess needs of the communities served. VWCH further assesses the health care needs of the communities it serves by playing an active role in groups such as the Wilson County Health Council, the Mental Health and Substance Use Health Council Subcommittee, and Drug-Free Wilco to help gauge the needs and resources within the community. For the 2021 CHNA, VWCH completed a systematic review of six recent assessments by community partners highlighting populations served, the geographic area covered, and themes highlighted in the report. In addition, VWCH has developed partnerships with the state Department of Health to stay abreast of important community health needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance VUMC, VWCH, VTHH, AND VBCH patients are notified of available assistance under Federal, State or local government programs or under VUMC's charity care policy via signage posted in the patient care registration points including hospitals, emergency departments, and hospital-based clinics; brochures available at registration points; and language included on all statements mailed to patients advising that VUMC has a financial assistance program if help is needed paying medical bills. Pre-Admitting, Registration, or Billing personnel may refer uninsured or low-income patients to financial counseling personnel to discuss qualifications for free or discounted care. Stallworth patients are notified of available assistance under Federal, State or local government programs or under Stallworth's charity care policy via signage posted at various locations within the hospital. Pamphlets regarding this information are distributed upon admission and a statement is included on any patient bills. In addition, pre-Admitting, Registration, Case Management or Billing personnel may refer uninsured or low-income patients to financial personnel to discuss qualifications for free or discounted care. TENNOVA HEALTHCARE - CLARKSVILLE PATIENTS ARE NOTIFIED OF AVAILABLE ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY VIA the facility's website, by patient request, and via SIGNAGE POSTED IN THE PATIENT CARE REGISTRATION POINTS INCLUDING HOSPITALS, EMERGENCY DEPARTMENTS, AND HOSPITAL BASED CLINICS.
Schedule H, Part VI, Line 4 Community information Vanderbilt University Medical Center, one of eight hospitals located in Nashville, Tennessee, serves primarily Tennessee, northern Alabama and southern Kentucky. Vanderbilt University Medical Center owns the Vanderbilt University Hospital, the Monroe Carell Jr. Children's Hospital at Vanderbilt, and Vanderbilt Psychiatric Hospital. These facilities operate under one hospital license as Vanderbilt University Medical Center (VUMC). VUMC (excludes Vanderbilt Health Services, LLC and subsidiaries) have approximately 78,000 annual discharges. VUMC also provides approximately 3 million annual outpatient visits, including 204,000 to the emergency departments. Vanderbilt University Medical Center Hospitals provide critical and often unique health care resources to the community and provide broad access to care. The majority of VUMC's patients live in four Tennessee counties: Davidson, Williamson, Rutherford and Montgomery. Vanderbilt Wilson County Hospital is a two-campus 245-bed facility located in Mount Juliet, Tennessee and is the sole provider of inpatient and outpatient medical services in Wilson County. Vanderbilt Tullahoma-Harton Hospital is a 135-bed facility located in Tullahoma, Tennessee and is one of two hospitals serving Coffee County, Tennessee. Vanderbilt Bedford Hospital is a 60-bed facility located in Shelbyville, Tennessee and is the sole provider of inpatient and outpatient medical services in Bedford County, Tennessee. Vanderbilt Stallworth Rehabilitation Hospital, the only standalone 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 Encompass Health and offers comprehensive acute rehabilitation services. Annually, Vanderbilt Stallworth Rehabilitation Hospital has approximately 1,280 discharges. The majority of Stallworth's patients live in four Tennessee counties - Davidson, Williamson, Rutherford and Montgomery. Tennova Healthcare - Clarksville is a 270-bed facility located in Clarksville, Tennessee and is the sole provider of inpatient and outpatient medical services in Montgomery County, Tennessee. Tennova Healthcare - Clarksville is a joint venture between Vanderbilt University Medical Center and Community Health Systems, Inc.
Schedule H, Part VI, Line 5 Promotion of community health For information on how VUMC promotes the health of the community please see: "Facts About Vanderbilt University Medical Center" as found at: https://www.vumc.org/about/vanderbilt-university-medical-center (Please use lowercase to access the website) "Economic Impact Report" as found at: https://www.vanderbilt.edu/reports/2019-economic-impact-report/ (Please use lowercase to access the website)
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). ADDITIONALLY, VUMC OWNS VANDERBILT WILSON COUNTY HOSPITAL, VANDERBILT TULLAHOMA-HARTON HOSPITAL, AND VANDERBILT BEDFORD HOSPITAL WHICH EACH OPERATE UNDER THEIR OWN RESPECTIVE HOSPITAL LICENSES. VUMC ALSO HAS OWNERSHIP INTEREST IN SEVERAL AFFILIATED ENTITIES, WHICH PROVIDE CLINICAL SERVICES. VUMC'S HOSPITALS, CLINICS, AND AFFILIATED ENTITIES PROVIDE THE FOLLOWING HEALTHCARE SERVICES TO THE COMMUNITIES IT SERVES: EMERGENCY CARE, INPATIENT HOSPITAL CARE, OUTPATIENT TREATMENT, DIAGNOSTIC TESTING, ANCILLARY CARE, PRIMARY CARE SERVICES, AND HOME HEALTH CARE. VUMC PROVIDES A NUMBER OF CLINICAL SERVICES UNIQUE TO ITS REGION INCLUDING: A LEVEL 1 TRAUMA CENTER, A LEVEL 1 PEDIATRIC TRAUMA CENTER, A COMPREHENSIVE REGIONAL BURN CENTER, A LEVEL 4 NEONATAL INTENSIVE CARE UNIT, TENNESSEE'S ONLY COMPREHENSIVE SOLID ORGAN TRANSPLANT CENTER, THE VANDERBILT-ESKIND DIABETES CENTER, AND THE VANDERBILT-INGRAM CANCER CENTER, THE ONLY NATIONAL CANCER INSTITUTE-DESIGNATED COMPREHENSIVE CANCER CENTER IN TENNESSEE TO TREAT BOTH ADULT AND PEDIATRIC CANCER PATIENTS. IN ADDITION, VUMC'S HEALTH CARE SYSTEM INCLUDES THE VANDERBILT HEALTH AFFILIATED NETWORK, AN AFFILIATED NETWORK OF DOCTORS, REGIONAL HEALTH SYSTEMS AND OTHER HEALTH CARE PROVIDERS THAT COLLABORATE TO PROVIDE COORDINATED AND COST-EFFECTIVE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED. THESE ARE CONTRACTUAL AFFILIATE RELATIONSHIPS ONLY WITH NO OWNERSHIP INTEREST IN THE FACILITIES OR PHYSICIAN PRACTICES. VUMC ALSO COLLABORATES WITH OTHER HOSPITAL SYSTEMS IN THE REGION, PROVIDING HEALTH CARE AND/OR RESEARCH AND ACADEMIC SUPPORT. FOR A LIST OF ALL ORGANIZATIONS RELATED TO VANDERBILT UNIVERSITY MEDICAL CENTER AND THE PRIMARY ACTIVITY OF EACH, PLEASE REFER TO SCHEDULE R.
Schedule H (Form 990) 2022
Additional Data


Software ID: 22016089
Software Version: 2022v5.0

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
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
1
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? ........................
2
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
noncash assistance
(h) Purpose of grant
or assistance
(1) ADMINI OF TULANE EDU
1555 Poydras St
New Orleans,LA70112
72-0423889 501(c)(3) 76,821   Not applicable Not applicable Research
(2) ADVANCED RESPIRATORY TECHNOLOGIES LLC
1105 William Pitt Way
Pittsburgh,PA15238
47-3573079 N/A 59,641   Not applicable Not applicable Research
(3) AIDS HEALTHCARE FOUNDTION
2231 McGregor Blvd
Fort Myers,FL33901
95-4112121 501(c)(3) 20,000   Not applicable Not applicable Instruction
(4) ALBANY MEDICAL COLLEGE
47 New Scotland Ave
Albany,NY12208
14-1338310 501(c)(3) 51,327   Not applicable Not applicable Research
(5) ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 Morris Park Ave
Bronx,NY10461
83-0621846 501(c)(3) 78,181   Not applicable Not applicable Research
(6) ALEXIAN BROTHERS HEALTH SYSTEM
2601 Navistar Drive
Lisle,IL60532
36-3260495 501(c)(3) 32,422   Not applicable Not applicable Research
(7) APPLIED DECISION SCIENCE LLC
1776 Mentor Ave
Cincinnati,OH45212
27-1438501 N/A 28,047   Not applicable Not applicable Research
(8) ARBOR RESRCH COLLAB FOR HEALTH
3700 Earhart Rd
Ann Arbor,MI48105
38-3289521 501(c)(3) 81,969   Not applicable Not applicable Research
(9) ARIZONA STATE UNIVERSITY
Grant and Contract Acctg
Tempe,AZ85287
86-0196696 GOVT 174,258   Not applicable Not applicable Research
(10) Auburn University
208 M White Smith Hall
Auburn,AL36849
63-6000724 GOVT 12,214   Not applicable Not applicable Research
(11) AUGUSTA UNI RSCH INST
PO Box 945552
Atlanta,GA30394
58-1418202 501(c)(3) 65,658   Not applicable Not applicable Research
(12) BALLAD HEALTH
Clinical Research Coordinator
Kingsport,TN37660
61-1771290 501(c)(3) 28,994   Not applicable Not applicable Research
(13) BAPTIST CLINICAL RESEARCH INSTITUTE INC
PO Box 771364
Memphis,TN38177
45-3032246 501(c)(3) 172,869   Not applicable Not applicable Research
(14) BAPTIST MEMORIAL MEDICAL GROUP INC
1717 W MASSEY
Memphis,TN38120
62-1545731 501(c)(3) 31,234   Not applicable Not applicable Public Service
(15) BATTELLE MEMORIAL INSTITUTE
Attn Treasury
PO Box MSIN J1-09
Richland,WA99352
31-4379427 501(c)(3) 408,917   Not applicable Not applicable Research
(16) BAYLOR COLLEGE OF MEDICINE
C/O Kathy Tran
1102 Bates Ave Ste 1590
Houston,TX77030
74-1613878 501(c)(3) 269,657   Not applicable Not applicable Research
(17) BAYLOR RESEACH INSTITUTE
1950 Stemmons Freeway Ste 5010
Dallas,TX75207
75-1921898 501(c)(3) 514,000   Not applicable Not applicable Research
(18) BAYSTATE MEDICAL CENTER INC
759 Chestnut St
Springfield,MA01199
04-2790311 501(c)(3) 384,344   Not applicable Not applicable Research
(19) BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE
Attn Shaunna Spears
1500 East Duarte Road
Duarte,CA91010
95-3432210 501(c)(3) 23,083   Not applicable Not applicable Research
(20) BETH ISRAEL DEACONESS MEDICAL CENTER
330 Brookline Ave
E BR 259
Boston,MA02215
04-2103881 501(c)(3) 986,825   Not applicable Not applicable Research
(21) BIOFOURIS INC
33 Arch St 17th Floor
Boston,MA02110
32-0581876 N/A 155,554   Not applicable Not applicable Research
(22) BOARD OF REGENTS OF THE UNIVERSITY OF WISCONSIN-MADISON
Office for Research Sponsored
Programs
Milwaukee,WI53278
39-6006492 GOVT 311,832   Not applicable Not applicable Research
(23) BOARD OF REGENTS OF UNIV WISCONSIN SYSTE
Office for Research and Sponsored
Programs
Milwaukee,WI53278
39-1805963 GOVT 526,117   Not applicable Not applicable Research
(24) BOARD OF TRUSTEES FOR THE UNIVERSITY OF ALABAMA
Box 870136
Tuscaloosa,AL35487
63-6001138 GOVT 84,290   Not applicable Not applicable Research
(25) BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
PO Box 44253
Stanford University
San Francisco,CA94144
94-1156365 501(c)(3) 702,732   Not applicable Not applicable Research
(26) BOSTON MEDICAL CENTER
Attn Madeline Gallo
660 Harrison Ave
Boston,MA02118
04-3314093 501(c)(3) 180,796   Not applicable Not applicable Research
(27) BOSTON UNIVERSITY
Attn Grants Receivable
PO Box 28763
New York,NY10087
04-2103547 501(c)(3) 542,405   Not applicable Not applicable Research
(28) BRIGHAM & WOMENS HOSPITAL
Bank of America
PO Box 3887
Boston,MA02241
04-2312909 501(c)(3) 458,718   Not applicable Not applicable Research
(29) BRIGHAM YOUNG UNIVERSITY
Grants and Contracts Accounting
A-261 ASB
Provo,UT84602
87-0217280 501(c)(3) 48,755   Not applicable Not applicable Research
(30) CARNEGIE MELLON UNIVERSITY
PO Box 371032
Pittsburgh,PA15250
25-0969449 501(c)(3) 185,553   Not applicable Not applicable Research
(31) CAROLINA HEALTH CENTERS
313 Main Street
Suite B
Greenwood,SC29646
57-0650154 501(c)(3) 20,000   Not applicable Not applicable Instruction
(32) CASE WESTERN RESERVE UNIVERSITY
10900 Euclid Ave
Nord Hall Ste 615
Cleveland,OH44106
34-1018992 501(c)(3) 431,957   Not applicable Not applicable Research
(33) CEDARS-SINAI MEDICAL CENTER
8700 Beverly Blvd 65-WIL
Ste 1150
Los Angeles,CA90048
95-1644600 501(c)(3) 333,864   Not applicable Not applicable Research
(34) CHILDREN'S HEALTHCARE OF ATLANTA INC
Office of Grants Accounting
Corp Finance
Atlanta,GA30329
58-2367819 501(c)(3) 21,057   Not applicable Not applicable Research
(35) CHILDRENS HOSPITAL MEDICAL CENTER
Accounting Office MLC 4900
3333 Burnet Ave
Cincinnati,OH45229
31-0833936 501(c)(3) 14,234   Not applicable Not applicable Research
(36) CHILDREN'S HOSPITAL MEDICAL CENTER
Accounting Office MLC4900
3333 Burnet Ave
Cincinnati,OH45229
31-0833936 501(c)(3) 36,764   Not applicable Not applicable Research
(37) CITY OF HOPE NATIONAL MEDICAL CLINICAL MOLECULAR DIAGNOSTICS LAB
1500 E Duarte Rd
Duarte,CA91010
95-1683875 501(c)(3) 66,731   Not applicable Not applicable Research
(38) CLINICAL RESEARCH SEQUENCING PLATFORM
415 MAIN ST
Cambridge,MA02142
35-2469571 N/A 109,568   Not applicable Not applicable Research
(39) COUNCIL ON AGING OF GREATER NASHVILLE
95 White Bridge Rd
Ste 250
Nashville,TN37205
62-0476667 501(c)(3) 82,807   Not applicable Not applicable Research
(40) CUMBERLAND FAMILY MEDICAL CENTER INC
404 Steve Dr
PO Box 2399
Russell Springs,KY42642
20-3131989 501(c)(3) 60,000   Not applicable Not applicable Instruction
(41) DELTA HEALTH CENTER INC
702 Martin Luther King Rd
Mound Bayou,MS38762
64-0443928 501(c)(3) 20,000   Not applicable Not applicable Instruction
(42) DENVER HEALTH AND HOSPITAL AUTHORITY
Post Office Box 17093
UMB Bank of Colorado Denver CO
Denver,CO802170093
84-1343242 GOVT 324,220   Not applicable Not applicable Research
(43) DENVER RESEARCH INSTITUTE
3401 Quebec St
Ste 5000
Denver,CO80207
84-1392442 501(c)(3) 58,952   Not applicable Not applicable Research
(44) DEPT OF VETERAN AFFAIRS
Attn Dannette Woodard
Research Dvelopment Service 151
Nashville,TN37212
62-0484828 GOVT 137,985   Not applicable Not applicable Research
(45) DHR HEALTH INSTITUTE FOR RESEARCH AND DEVELOPMENT
5323 S McColl Rd
Edinburg,TX78539
83-3783071 501(c)(3) 98,199   Not applicable Not applicable Research
(46) DIGNITY HEALTH ST JOSEPH'S HOSP & MEDICAL CENTER
File 57431
Los Angeles,CA90074
86-0096787 N/A 377,348   Not applicable Not applicable Research
(47) DUKE UNIVERSITY
Duke University Accounts Receivable
Lockbox
Charlotte,NC28260
56-0532129 501(c)(3) 1,350,725   Not applicable Not applicable Research
(48) EAST ARKANSAS FAMILY HEALTH CENTER INC
900 N 7th St
West Memphis,AR72301
23-7128104 501(c)(3) 18,435   Not applicable Not applicable Research
(49) EAST CAROLINA UNIVERSITY FINANCIAL SERVICES (MS203)
209 East 5th St MS 211
Greenville,NC27858
56-6000403 GOVT 10,575   Not applicable Not applicable Research
(50) EAST TENNESSEE STATE UNIVERSITY
Bursar Financial Services
PO Box 70732
Johnson City,TN37614
62-6021046 GOVT 114,706   Not applicable Not applicable Instruction
(51) ELEVATE CONSULTING
PO Box 76
Mount Juliet,TN37121
81-4214232 N/A 26,250   Not applicable Not applicable Research
(52) EMORY UNIVERSITY
615 Michael St Ste 205
Atlanta,GA30322
58-0566256 501(c)(3) 991,632   Not applicable Not applicable Research
(53) FLORIDA HEALTH SCIENCES CENTER INC
Office of Clinical Research
5 Tampa General Cir
Tampa,FL33606
59-3458145 501(c)(3) 6,825   Not applicable Not applicable Research
(54) FORT SANDERS REGIONAL MEDICAL
Attn Stephanie Hale
1420 Centerpoint Blvd Bldg C
Knoxville,TN37932
62-0528340 501(c)(3) 21,973   Not applicable Not applicable Research
(55) G A CARMICHAEL FAMILY HEALTH CENTER INC
1668 W Peace St
Canton,MS39046
64-0580940 501(c)(3) 26,489   Not applicable Not applicable Research
(56) GEISINGER CLINIC
100 N Academy Ave
Danville,PA17822
23-6291113 501(c)(3) 319,728   Not applicable Not applicable Research
(57) H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC
12902 Magnolia Dr
MRC RES ADM
Tampa,FL33612
59-2451713 501(c)(3) 57,228   Not applicable Not applicable Research
(58) HARTFORD HOSPITAL
80 Seymour Street
Hartford,CT06102
06-0646668 501(c)(3) 118,554   Not applicable Not applicable Research
(59) HEALTH RESEARCH INC
PO Box 2966
Buffalo,NY14240
14-1402155 501(c)(3) 5,274   Not applicable Not applicable Research
(60) HEALTHFIRST BLUEGRASS INC
450 Southland Dr
Ste E
Lexington,KY40503
45-2710251 501(c)(3) 40,000   Not applicable Not applicable Instruction
(61) HEART CENTER RESEARCH LLC
Attn Charlene Sullivan
105 Rands Ave SE
Huntsville,AL35801
27-1088752 N/A 62,185   Not applicable Not applicable Research
(62) HENRY FORD HEALTH SYSTEM
1414 E Maple Rd
Troy,MI48083
38-1357020 501(c)(3) 414,254   Not applicable Not applicable Research
(63) HOSPITAL AUTHORITY OF METRO NASHVILLE & DAVIDSON COUNTY
Nashville General Hospital
Medical Staff Office
Nashville,TN37208
20-2844893 GOVT 37,986   Not applicable Not applicable Research
(64) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Attn Evelina Burman
1st Floor Room 15 75
New York,NY10029
13-6171197 501(c)(3) 353,950   Not applicable Not applicable Research
(65) IHC HEALTH SERVICES INC
PO Box 57828
Salt Lake City,UT84157
94-2854057 501(c)(3) 790,919   Not applicable Not applicable Research
(66) ILLUMINA INC
12864 Collections Center Dr
Chicago,IL60693
33-0804655 N/A 355,235   Not applicable Not applicable Research
(67) IMAGINE PHARMA LLC
20 S Waterloo Rd
Devon,PA19333
81-2652235 N/A 10,200   Not applicable Not applicable Research
(68) INDIANA UNIVERSITY HEALTH INC
Dept 78867
PO Box 78000
Detroit,MI48278
35-1955872 501(c)(3) 9,200   Not applicable Not applicable Research
(69) INDIANA UNIVERSITY TRUSTEES OF INDIANA UNIV
Dept 78867
PO Box 78000
Detroit,MI48278
35-6001673 GOVT 663,145   Not applicable Not applicable Research
(70) IPSOS PUBLIC AFFAIRS LLC
PO Box 360609
Pittsburgh,PA15251
36-2061602 N/A 39,022   Not applicable Not applicable Research
(71) JACKSON MADISON COUNTY GENERAL HOSPITAL
620 Skyline Dr
Jackson,TN38301
62-6010402 GOVT 84,583   Not applicable Not applicable Research
(72) JEFFERSON COMPREHENSIVE HEALTH CENTER INC
405 Main St
Fayette,MS39069
64-0667610 501(c)(3) 75,000   Not applicable Not applicable Instruction
(73) JOHNS HOPKINS UNIVERSITY
12529 Collections Center Dr
Bank of America
Chicago,IL60693
52-0595110 501(c)(3) 2,138,403   Not applicable Not applicable Research
(74) KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
1800 Harrison St 16th Fl
Oakland,CA94612
91-0511770 501(c)(3) 298,892   Not applicable Not applicable Research
(75) KAISER FOUNDATION RESEARCH INSTITUTE
1800 Harrison St
17th Floor
Oakland,CA94612
94-1105628 501(c)(3) 74,628   Not applicable Not applicable Research
(76) KENNELL AND ASSOCIATES INC
3130 Fairview Park Dr
Ste 450
Falls Church,VA22042
54-1771141 N/A 106,108   Not applicable Not applicable Research
(77) KOOTENAI HOSPITAL DISTRICT
700 W IRONWOOD DR STE 359
Coeur d Alene,ID83814
82-0231746 N/A 12,900   Not applicable Not applicable Research
(78) LA JOLLA INSTITUTE FOR IMMUNOLOGY
9420 Athena Cir
La Jolla,CA92037
33-0328688 501(c)(3) 35,399   Not applicable Not applicable Research
(79) LAHEY CLINIC INC
41 Mall Rd
Burlington,MA01805
04-2704683 501(c)(3) 141,937   Not applicable Not applicable Research
(80) LEGACY EMANUEL HOSPITAL & HEALTH CENTER
1225 NE 2nd Ave
Portland,OR97232
93-0386823 501(c)(3) 6,867   Not applicable Not applicable Research
(81) LIPSCOMB UNIVERSITY
1 University Park Dr
Nashville,TN37204
62-0485733 501(c)(3) 160,479   Not applicable Not applicable Research
(82) LSU HEALTH SCIENCE CENTER
Attn Accounts Receivable
Room 519
New Orleans,LA70112
72-6087770 GOVT 133,654   Not applicable Not applicable Research
(83) MARK SCHWEIZER
8111 NW 95th Ln
Tamarac,FL33321
81-4286681 N/A 47,683   Not applicable Not applicable Instruction
(84) MARSHFIELD CLINIC
1000 North Oak Ave
Marshfield Clinic Research Inst
Marshfield,WI54449
81-2822823 501(c)(3) 31,450   Not applicable Not applicable Research
(85) MASONIC MEDICAL RESEARCH LABORATORY
2150 Bleecker St
Utica,NY13501
13-5648611 501(c)(3) 79,171   Not applicable Not applicable Research
(86) MASSACHUSETTS EYE & EAR INFIRMARY
243 Charles St
Boston,MA02114
04-2103591 501(c)(3) 50,963   Not applicable Not applicable Research
(87) MASSACHUSETTS GENERAL HOSPITAL
Bank of America N A
PO Box 3829
Boston,MA02241
04-1564655 501(c)(3) 21,837   Not applicable Not applicable Research
(88) MASSACHUSETTS INSTITUTE OF TECHNOLOGY
77 Massachusetts Ave
16-429
Cambridge,MA02139
04-2103594 501(c)(3) 65,489   Not applicable Not applicable Research
(89) MAYO CLINIC
PO Box 860334
Minneapolis,MN55486
59-3337028 501(c)(3) 56,175   Not applicable Not applicable Research
(90) MAYO CLINIC ARIZONA
Research Finance Arizona
PO Box 860334
Minneapolis,MN55486
86-0800150 501(c)(3) 8,751   Not applicable Not applicable Research
(91) MAYO CLINIC ROCHESTER
Research Finance
PO Box 4006
Rochester,MN55903
41-6011702 501(c)(3) 396,291   Not applicable Not applicable Research
(92) MD ANDERSON MEDICAL CENTER UNIVERSITY OF TEXAS
Attn Grants and Contracts
M D Anderson Cancer Center
Houston,TX77210
74-6001118 GOVT 155,128   Not applicable Not applicable Research
(93) MEDICAL COLLEGE OF WISCONSIN INC
8701 Watertown Plank Rd
Milwaukee,WI53226
39-0806261 501(c)(3) 311,685   Not applicable Not applicable Research
(94) MEDICAL UNIVERSITY OF SOUTH CAROLINA
1 S Park Cir
MUSC Grants Contracts Accounting
Charleston,SC29407
57-6000722 GOVT 99,641   Not applicable Not applicable Research
(95) MEDSTAR HEALTH RESEARCH INSTITUTE INC
PO Box 418223
Boston,MA02241
52-6056274 501(c)(3) 6,197   Not applicable Not applicable Research
(96) MEHARRY MEDICAL COLLEGE
1005 D B Todd Jr Blvd
Nashville,TN37208
62-0488046 501(c)(3) 3,402,810   Not applicable Not applicable Research
(97) MEMORIAL SLOAN-KETTERING CANCER CENTER
PO Box 29049
New York,NY10087
13-1924236 501(c)(3) 63,000   Not applicable Not applicable Research
(98) MEMPHIS CENTER FOR REPRODUCTIVE HEALTH CHOICES
1203 Poplar Ave
Memphis,TN38104
62-0931089 501(c)(3) 17,500   Not applicable Not applicable Instruction
(99) METHODIST HOSPITAL RESEARCH INSTITUTE
Office of Grants and Contracts
PO Box 4805
Houston,TX77210
87-0721923 501(c)(3) 125,312   Not applicable Not applicable Research
(100) MIDDLE TENNESSEE RESEARCH INSTITUE
1310 24th Ave S
Room F-201
Nashville,TN37212
62-1387860 501(c)(3) 54,997   Not applicable Not applicable Research
(101) MIDDLE TENNESSEE STATE UNIVERSITY
Office of Business Finance
103 Cope Administration Building
Murfreesboro,TN37132
62-6005794 GOVT 41,992   Not applicable Not applicable Research
(102) MINNEAPOLIS MEDICAL RESEARCH FOUNDATION
701 Park Ave
PP7 700
Minneapolis,MN55415
41-1677920 501(c)(3) 280,000   Not applicable Not applicable Research
(103) MJD WELLNESS & COMMUNITY CENTER INC
822 NE 125th St Ste 103
Miami,FL33161
81-5404209 501(c)(3) 20,000   Not applicable Not applicable Instruction
(104) MONTGOMERY AIDS OUTREACH INC
PO Box 11087
Montgomery,AL36111
63-0959628 501(c)(3) 36,406   Not applicable Not applicable Instruction
(105) MOREHOUSE SCHOOL OF MEDICINE
Attn Accounts Receivable Cashier
720 WESTVIEW DR SW
Atlanta,GA30310
58-1438873 501(c)(3) 260,836   Not applicable Not applicable Instruction
(106) NASHVILLE CARES
633 Thompson Ln
Nashville,TN37204
62-1274532 501(c)(3) 42,250   Not applicable Not applicable Research
(107) NEW ENGLAND RESEACH INSTITUTES INC
C/O Healthcore Inc
123 Justison St Ste 200
Wilmington,DE19801
04-2919509 N/A 9,223   Not applicable Not applicable Research
(108) NEW YORK UNIVERSITY LANGONE MEDICAL CTR
57 Old Forge Rd
Tuxedo Park,NY10987
13-5562308 501(c)(3) 261,437   Not applicable Not applicable Research
(109) NEWTON WELLESLEY HOSPITAL
C/O Andrea Sentovich
Office of Clinical Research
Newton Lower Falls,MA02462
04-2103611 501(c)(3) 139,142   Not applicable Not applicable Research
(110) NORTHERN ARIZONA UNIVERSITY
PO BOX 4080
Flagstaff,AZ86011
74-2579628 GOVT 28,845   Not applicable Not applicable Research
(111) NORTHERN CALIFORNIA INSTITUTE FOR RESEARCH AND EDUCATION
4150 Clement Street 151NC
San Francisco,CA94121
94-3084159 501(c)(3) 98,114   Not applicable Not applicable Research
(112) NORTHWESTERN UNIVERSITY
633 Clark St
Acct Svcs for Rsch and Spsd Prgms
Evanston,IL60208
36-2167817 501(c)(3) 827,850   Not applicable Not applicable Research
(113) OHIO STATE UNIV RESEARCH FOUNDATION
1960 Kenny Rd
Accounting Dept 4th Floor
Columbus,OH43210
31-6401599 501(c)(3) 218,000   Not applicable Not applicable Research
(114) OREGON HEALTH & SCIENCE UNIVERSITY
Office of Proposal Award
P O box 3003
Portland,OR97208
93-1176109 GOVT 1,119,838   Not applicable Not applicable Research
(115) OUR LADY OF THE LAKE HOSPITAL INC
Office of Research - OLOL
7556 Hennessy Blvd
Baton Rouge,LA70808
72-0423651 501(c)(3) 15,000   Not applicable Not applicable Research
(116) PALO ALTO VETERANS INST FOR RESERACH PAVIR
PO Box V-38
Palo Alto,CA94304
77-0207331 501(c)(3) 80,371   Not applicable Not applicable Research
(117) PHDS CO
Attn Accounting
3011 Amherst Rd
Knoxville,TN37921
68-0625833 N/A 42,504   Not applicable Not applicable Research
(118) PHYSICIANS CARE OF CLARKE
24B Camden Byp
Camden,AL36726
83-2589567 501(c)(3) 77,500   Not applicable Not applicable Instruction
(119) PREMIER MOBILE HEALTH SERVICES CORP
3903 Dr Martin Luther King Jr Blvd
Ste K
Fort Myers,FL33916
82-5372657 501(c)(3) 20,000   Not applicable Not applicable Instruction
(120) PRESIDENT AND FELLOWS OF HARVARD COLLEGE
PO Box 415649
Boston,MA02241
04-2103580 501(c)(3) 44,299   Not applicable Not applicable Research
(121) PRESIDENTS & TRUSTEES OF WILLIAMS COLLEG WILLIAMS COLLEGE
PO Box 67
Williamstown,MA01267
04-2104847 501(c)(3) 9,071   Not applicable Not applicable Research
(122) PROVIDENCE PORTLAND MEDICAL CENTER
LB 1133 PO Box 35143
Seattle,WA98124
93-0386906 N/A 7,545   Not applicable Not applicable Research
(123) REGENSTRIEF INSTITUTE INC
1101 W 10th St
Indianapolis,IN46202
30-0007730 501(c)(3) 6,004   Not applicable Not applicable Research
(124) REGENTS OF NEW MEXCIO STATE UNIVERSITY
P O Box 30002 MSC SPA
Las Cruces,NM88003
85-6000401 GOVT 23,699   Not applicable Not applicable Research
(125) REGENTS OF THE UNIV OF CALIFORNIA
Attn Ashley Harlow 0737
La Jolla,CA92093
94-6036494 GOVT 71,660   Not applicable Not applicable Research
(126) REGENTS OF THE UNIVERSITY OF CALIFORNIA
9500 Gillman Dr
MC 0009
La Jolla,CA92093
95-6006144 GOVT 762,087   Not applicable Not applicable Research
(127) REGENTS OF THE UNIVERSITY OF CALIFORNIA DAVIS
UC Davis AR Lockbox
PO Box 741816
Los Angeles,CA90074
94-6036494 GOVT 588,016   Not applicable Not applicable Research
(128) REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO
PO Box 741539
Los Angeles,CA90074
95-6006144 GOVT 85,511   Not applicable Not applicable Research
(129) REGENTS OF THE UNIVERSITY OF CALIFORNIA UNIVERSITY OF CALIFORNIA BERKELEY
1608 Fourth St Ste 201
Berkeley,CA94710
94-6002123 GOVT 202,592   Not applicable Not applicable Research
(130) REGENTS OF THE UNIVERSITY OF COLORADO
Grants Contracts 211583-AD
PO Box 910238
Denver,CO80291
84-6000555 GOVT 2,105,262   Not applicable Not applicable Research
(131) REGENTS OF THE UNIVERSITY OF MICHIGAN
Box 223131
Pittsburgh,PA15251
38-6006309 GOVT 1,671,811   Not applicable Not applicable Research
(132) REGENTS OF THE UNIVERSITY OF MINNESOTA
NW 5957
PO Box 1450
Minneapolis,MN55485
41-6007513 GOVT 75,319   Not applicable Not applicable Research
(133) RENBIO INC
30-02 48TH AVE STE 340
Long Island City,NY11101
46-5353064 N/A 1,486,356   Not applicable Not applicable Research
(134) RESEARCH TRIANGLE INSTITUTE
PO Box 900002
Raleigh,NC27675
56-0686338 501(c)(3) 28,920   Not applicable Not applicable Research
(135) RHODE ISLAND HOSPITAL
Coro E Ste 1A
Room 170
Providence,RI02903
05-0258954 501(c)(3) 24,615   Not applicable Not applicable Research
(136) ROCKEFELLER UNIVERSITY
1230 York Ave
Box 259
New York,NY10065
13-1624158 501(c)(3) 82,952   Not applicable Not applicable Research
(137) RURAL HEALTH CARE INC
105 Whitehall Dr Ste 109
Saint Augustine,FL32084
59-1792958 501(c)(3) 80,000   Not applicable Not applicable Instruction
(138) RURAL HEALTH SERVICES INC
1000 Clyburn Pl
Aiken,SC29801
23-7085643 501(c)(3) 42,500   Not applicable Not applicable Instruction
(139) RUSH UNIVERSITY MEDICAL CENTER
1653 W Congress Pkwy
Ste 810 Jones
Chicago,IL60612
36-2174823 501(c)(3) 721,433   Not applicable Not applicable Research
(140) RUTGERS THE STATE UNIVERSITY OF NEW JER RUTGERS BIOMEDICAL AND HEALTH SCIEN
CES
Division of Grants Contract
Accounting
Piscataway,NJ08854
46-2354111 GOVT 335,972   Not applicable Not applicable Research
(141) SAINT THOMAS HEALTH
Dictate ADH Mark Aaron MD PI
4220 Harding Rd
Nashville,TN37205
58-1716804 501(c)(3) 6,843   Not applicable Not applicable Research
(142) SANFORD RESEACH
PO Box 5064
Sioux Falls,SD57104
46-0450378 501(c)(3) 418,050   Not applicable Not applicable Research
(143) SARAH CANNON RESEARCH INSTITUTE LLC
PO Box 27025
Richmond,VA23261
20-1557751 N/A 28,970   Not applicable Not applicable Research
(144) SCHEPENS EYE RESEARCH INSTITUTE
20 Staniford St
Boston,MA02114
04-2129889 501(c)(3) 188,047   Not applicable Not applicable Research
(145) SENTARA HOSPITALS
835 Glenrock Rd Ste 220
Norfolk,VA23502
54-1547408 501(c)(3) 15,000   Not applicable Not applicable Research
(146) ST JUDES CHILDREN RESEARCH HOSPITAL
PO Box 1000
Dept 949
Memphis,TN38148
62-0646012 501(c)(3) 71,381   Not applicable Not applicable Research
(147) ST LUKES HOSPITAL OF KANSAS CITY
PO Box 505335
Saint Louis,MO63150
44-0545297 501(c)(3) 64,980   Not applicable Not applicable Research
(148) STANFORD UNIVERSITY BOARD OF TRUSTEES OF THE LELAND STAN
PO Box 20410
Palo Alto,CA94309
94-1156365 501(c)(3) 1,906,458   Not applicable Not applicable Research
(149) STATE OF MISSISSIPPI - UNIV OF MS MEDICAL CENTER - UNIVERSITY HOSPITAL
2500 North State Street
Jackson,MS39216
64-6008520 501(c)(3) 121,541   Not applicable Not applicable Research
(150) STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N State St
Jackson,MS39216
64-6008520 501(c)(3) 196,777   Not applicable Not applicable Research
(151) STATE UNIVERSITY OF IOWA
Grant Accounting Office
2410 UCC
Iowa City,IA52242
42-6004813 GOVT 305,173   Not applicable Not applicable Research
(152) TCHWD
5201 Virginia Way
Brentwood,TN37027
62-0534232 501(c)(3) 6,130   Not applicable Not applicable Research
(153) TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Attn Temple University Resear
Administration Post Award
Brooklyn,NY11245
23-1365971 501(c)(3) 308,908   Not applicable Not applicable Research
(154) TENNESSEE ALLIANCE FOR LEGAL SERVICES
50 VANTAGE WAY STE 250
Nashville,TN37228
62-0979831 501(c)(3) 42,272   Not applicable Not applicable Research
(155) TENNESSEE STATE UNIVERSITY
3500 John A Merritt Blvd
Nashville,TN37209
62-0786119 GOVT 63,393   Not applicable Not applicable Instruction
(156) THE BOARD OF TRUSTEES UNIVERSITY OF ILLINOIS
28392 Network Pl
Chicago,IL60673
37-6000511 GOVT 544,245   Not applicable Not applicable Research
(157) THE BROAD INSTITUTE INC
415 Main St
Cambridge,MA02142
26-3428781 501(c)(3) 914,723   Not applicable Not applicable Research
(158) THE CARLE FOUNDATION HOSPITAL
611 W Park St
Urbana,IL61801
37-1119538 501(c)(3) 67,698   Not applicable Not applicable Research
(159) THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Lockbox 1457
PO Box 8500
Philadelphia,PA19178
23-1352166 501(c)(3) 3,038,804   Not applicable Not applicable Research
(160) THE CLEVELAND CLINIC FOUNDATION
C/O DEBORA BORK
PO BOX 931531
Cleveland,OH44193
34-0714585 501(c)(3) 534,995   Not applicable Not applicable Research
(161) THE COOPER HEALTH SYSTEM
One Cooper Plaza
Camden,NJ08103
21-0634462 501(c)(3) 12,164   Not applicable Not applicable Research
(162) THE CORPORATION OF MERCER UNIVERSITY
1501 Mercer University Dr
Macon,GA31207
58-0566167 501(c)(3) 39,661   Not applicable Not applicable Research
(163) THE FOUNDATION FOR AIDS RESEARCH
amfAR
120 Wall St 13th Floor
New York,NY10005
13-3163817 501(c)(3) 60,792   Not applicable Not applicable Research
(164) THE GENERAL HOSPITAL CORPORATION
Attn Research Cores Analyst
399 Revolution Dr Ste 750
Somerville,MA02145
04-2697983 501(c)(3) 456,845   Not applicable Not applicable Research
(165) THE GEORGE WASHINGTON UNIVERSITY
PO Box 829896
Philadelphia,PA19182
53-0196584 501(c)(3) 79,548   Not applicable Not applicable Research
(166) THE NUMOURS FOUNDATION NEMOURS CHILDRENS HOSPITAL FLORIDA
ATTN Grant Dept 3 East
10140 Centurion Pkwy North
Jacksonville,FL32256
59-0634433 501(c)(3) 28,753   Not applicable Not applicable Research
(167) THE OHIO STATE UNIVERSITY
AttnMichael Adkins
Office of Sponsored ProgramsOBIC
Columbus,OH43210
31-6025986 GOVT 180,146   Not applicable Not applicable Research
(168) THE PENNSYLVANIA STATE UNIVERSITY
Attn Eriee Meyers
Controllers Office MCH 157
Hershey,PA17033
24-6000376 GOVT 11,300   Not applicable Not applicable Research
(169) THE RAND CORPORATION
PO BOX 2138
Santa Monica,CA90407
95-1958142 501(c)(3) 11,019   Not applicable Not applicable Research
(170) THE RECTOR AND VISITIORS OF THE UNIVERSITY OF VIRGINIA
1001 N Emmet St
Charlottesville,VA22903
54-6001796 GOVT 663,157   Not applicable Not applicable Research
(171) THE REGENTS OF THE UNIV OF CAL UCSF OFFICE OF SPONSORED RESEARCH
PO Box 748872
Los Angeles,CA90074
94-6036493 GOVT 139,233   Not applicable Not applicable Research
(172) THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO
UCSF Main Depository
PO Box 748872
Los Angeles,CA90074
94-6036493 GOVT 107,016   Not applicable Not applicable Research
(173) THE REGENTS OF THE UNIVERSITY OF MICHIGANELSO
PO Box 223131
Pittsburgh,PA15251
38-6006309 GOVT 224,199   Not applicable Not applicable Research
(174) THE RESEARCH FOUNDATION FOR THE CITY UNIVERSITY OF NEW YORK
230 W 41st St 7th Fl
New York,NY10036
13-1988190 501(c)(3) 45,778   Not applicable Not applicable Research
(175) THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO Box 9
Albany,NY12201
14-1368361 501(c)(3) 56,364   Not applicable Not applicable Research
(176) THE RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL
Dept 781653
PO Box 78000
Detroit,MI48278
31-6056230 501(c)(3) 22,834   Not applicable Not applicable Research
(177) THE TRUSTEES OF COLUMBIA UNIVERSITY
PO Box 29789
General Post Office
New York,NY10087
13-5598093 501(c)(3) 538,378   Not applicable Not applicable Research
(178) THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Sponsored Projects Finance
PO Box 29789
New York,NY10087
13-5598093 501(c)(3) 1,532,077   Not applicable Not applicable Research
(179) THE UNIVERSITY OF AKRON
302 BUCHTEL COMMON
Akron,OH44325
34-6002924 GOVT 6,459   Not applicable Not applicable Instruction
(180) THE UNIVERSITY OF ARIZONA
Sponsored Projects Contracting
Services
Tucson,AZ85717
86-6004791 GOVT 237,875   Not applicable Not applicable Research
(181) THE UNIVERSITY OF TENNESSEE
910 Madison Ave
Ste 823
Memphis,TN38163
62-6001636 GOVT 117,877   Not applicable Not applicable Research
(182) THE UNIVERSITY OF TEXAS
Attn Grants Contracts
PO Box 4266
Houston,TX77210
74-6001118 GOVT 69,036   Not applicable Not applicable Research
(183) THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CNETER
Attn Lockbox 842265
1950 N Stemmons Hwy
Dallas,TX75207
75-6002868 GOVT 391,086   Not applicable Not applicable Research
(184) THE VANDERBILT UNIVERSITY CONTRACT & GRANT
PMB 401591
2301 Vanderbilt Place
Nashville,TN37240
62-0476822 501(c)(3) 13,726,545   Not applicable Not applicable Research
(185) THERADEX SYSTEMS INC
4365 ROUTE 1 S STE 101
Princeton,NJ08540
22-2418075 N/A 150,000   Not applicable Not applicable Research
(186) THOMAS JEFFERSON UNIVERSITY
ATTN STEPHANIE KOVACS
JEFFERSON CLINICAL RESEARCH
Philadelphia,PA19107
23-1352651 501(c)(3) 12,045   Not applicable Not applicable Research
(187) TRANSLATIONAL GENOMICS RESEARCH INSTITUTE
445 N Fifth St
Ste 100
Phoenix,AZ85004
75-3065445 501(c)(3) 132,950   Not applicable Not applicable Research
(188) TRUSTEES OF PURDUE UNIVERSITY
23510 Network Pl
Sponsored Program Services
Chicago,IL60673
35-6002041 GOVT 182,592   Not applicable Not applicable Research
(189) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Penn Arts Sciences
420 Walnut St
Philadelphia,PA19106
23-1352685 501(c)(3) 1,392,928   Not applicable Not applicable Research
(190) TUSKEGEE UNIVERSITY
1200 W Montgomery Rd
Tuskegee,AL36088
63-0288878 501(c)(3) 19,851   Not applicable Not applicable Research
(191) UNIVERSITY OF ALABAMA AT BIRMINGHAM
1720 2nd Ave S
AB 990
Birmingham,AL35294
63-6005396 GOVT 1,923,275   Not applicable Not applicable Research
(192) UNIVERSITY OF CHICAGO
6054 S Drexel Ave
Ste 300
Chicago,IL60637
36-2177139 501(c)(3) 34,301   Not applicable Not applicable Research
(193) UNIVERSITY OF CINCINNATI
PO Box 210222
Cincinnati,OH45221
31-6000989 GOVT 573,252   Not applicable Not applicable Research
(194) UNIVERSITY OF CONNECTICUT
438 Whitney Rd Extension
Unit 1133
Storrs Mansfield,CT06269
06-0772160 GOVT 101,011   Not applicable Not applicable Research
(195) UNIVERSITY OF DELAWARE
ATTN CASHIERS OFFICE
30 LOVETT AVE
Newark,DE19716
51-6000297 GOVT 67,474   Not applicable Not applicable Research
(196) UNIVERSITY OF FLORIDA
CFO- Contracts Grants
PO Box 113001
Gainesville,FL32611
59-6002052 GOVT 1,002,218   Not applicable Not applicable Research
(197) UNIVERSITY OF HAWAII
2440 Campus Rd
Box 368
Honolulu,HI96822
99-6000354 GOVT 55,825   Not applicable Not applicable Research
(198) UNIVERSITY OF HOUSTON
University of Houston System
Treasurers Office
Houston,TX77001
74-6001399 GOVT 24,660   Not applicable Not applicable Research
(199) UNIVERSITY OF KENTUCKY
PNC Bank
PO Box 931113
Cleveland,OH44193
61-6001218 GOVT 30,700   Not applicable Not applicable Research
(200) UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION
201 Kinkead Hall
Lexington,KY40506
61-6033693 501(c)(3) 267,947   Not applicable Not applicable Instruction
(201) UNIVERSITY OF LOUISVILLE
Controllers Office
223 Service Complex
Louisville,KY40292
61-1029626 501(c)(3) 220,801   Not applicable Not applicable Research
(202) UNIVERSITY OF LOUISVILLE CONTROLLERS OFFICE
2301 S Third St
Louisville,KY40208
61-1014882 GOVT 113,888   Not applicable Not applicable Research
(203) UNIVERSITY OF MEMPHIS
PO Box 1000
Dept 313
Memphis,TN38148
62-0648618 GOVT 90,030   Not applicable Not applicable Research
(204) UNIVERSITY OF MIAMI OFFICE OF RESEARCH ADMINISTRATION
Office of Research Administration
1320 S Dixie Hwy
Miami,FL33146
59-0624458 501(c)(3) 2,765,350   Not applicable Not applicable Research
(205) UNIVERSITY OF MISSOURI
Columbia AR
PO Box 807012
Kansas City,MO64180
43-6003859 GOVT 66,280   Not applicable Not applicable Research
(206) UNIVERSITY OF NEBRASKA BOARD OF REGENTS
Attn Accounts Receivable
985045 Nebraska Medical Center
Omaha,NE68198
47-0049123 GOVT 93,635   Not applicable Not applicable Research
(207) UNIVERSITY OF NEBRASKA MEDICAL CENTER
985045 Nebraska Medical Center
Omaha,NE68198
91-1858433 501(c)(3) 129,266   Not applicable Not applicable Research
(208) UNIVERSITY OF NEW MEXICO
1 University of New Mexico
MSCO9 5225
Albuquerque,NM87131
85-6000642 GOVT 438,453   Not applicable Not applicable Research
(209) UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
2101 MCGAVRAN GREENBERG
CB 7435
Chapel Hill,NC27599
56-6001393 GOVT 1,736,239   Not applicable Not applicable Research
(210) UNIVERSITY OF NORTH CAROLINA-CHARLOTTE
Grants Contracts Admin
9201 University City Blvd
Charlotte,NC28223
56-0791228 GOVT 201,290   Not applicable Not applicable Research
(211) UNIVERSITY OF PITTSBURGH
Attn 371220
500 Ross St 154 0455
Pittsburgh,PA15262
25-0965591 GOVT 6,279,957   Not applicable Not applicable Research
(212) UNIVERSITY OF SOUTH CAROLINA
1600 Hampton St
Room 612
Columbia,SC29208
57-6001153 GOVT 363,468   Not applicable Not applicable Research
(213) UNIVERSITY OF SOUTH FLORIDA
USF Business Payments
PO Box 947568
Atlanta,GA30394
59-3102112 GOVT 163,276   Not applicable Not applicable Research
(214) UNIVERSITY OF SOUTHERN CALIFORNIA
3500 S Figueroa St
Ste 102
Los Angeles,CA90089
95-1642394 501(c)(3) 3,454,851   Not applicable Not applicable Research
(215) UNIVERSITY OF TENNESSEE
Bursars Office
210 Student Services Building
Knoxville,TN37996
62-6001636 GOVT 19,484   Not applicable Not applicable Research
(216) UNIVERSITY OF TEXAS AT AUSTIN
Attn Contract Grants
Office Of Accounting
Austin,TX78713
74-6000203 GOVT 262,713   Not applicable Not applicable Research
(217) UNIVERSITY OF TEXAS HEALTH SCIENCE
Center at San Antonio
PO Box 1898
San Antonio,TX78297
74-1586031 GOVT 187,651   Not applicable Not applicable Research
(218) UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Financial Admin Support
PO Box 301418
Dallas,TX75303
74-1761309 GOVT 37,630   Not applicable Not applicable Research
(219) UNIVERSITY OF TEXAS MEDICAL BRANCH
PO Box 660120
Dept 750
Dallas,TX75266
74-6000949 GOVT 20,306   Not applicable Not applicable Research
(220) UNIVERSITY OF UTAH
201 S Presidents Cir
Room 406
Salt Lake City,UT84112
87-6000525 GOVT 283,157   Not applicable Not applicable Research
(221) UNIVERSITY OF VERMONT
85 S Prospect St
333 Waterman Building
Burlington,VT05405
03-0179440 GOVT 32,881   Not applicable Not applicable Research
(222) UNIVERSITY OF WASHINGTON
700 Rosedale Ave CB1034
Sponsored Projects Accounting
Saint Louis,MO63112
43-0653611 501(c)(3) 842,495   Not applicable Not applicable Research
(223) UNIVERSITY OF WASHINGTON DEPARTMENT OF LABORATORY MEDICINE
Grant Contract Accounting
12455 Collections Dr
Chicago,IL60693
91-6000153 GOVT 930,205   Not applicable Not applicable Research
(224) UNIVERSITY OF WASHINGTON STUDENT FISCAL SERVICES
12455 Collections Drive
Grant and Contract Accounting
Chicago,IL60693
91-6001537 GOVT 860,651   Not applicable Not applicable Research
(225) VANDERBILT UNIVERSITY Sub Awards
VU Station B 35-1677
2301 Vanderbilt Place
Nashville,TN37235
62-0476822 501(c)(3) 2,367,100   Not applicable Not applicable Research
(226) VIRGINIA COMMONWEALTH UNIVERSITY
800 EAST LEIGH ST STE 3100
Richmond,VA23298
54-6001758 GOVT 474,198   Not applicable Not applicable Research
(227) WAKE FOREST UNIVERSITY
Financial Services
Grants Management
Winston Salem,NC27157
56-0532138 501(c)(3) 1,265,586   Not applicable Not applicable Research
(228) WAKE FOREST UNIVERSITY HEALTH SCIENCES
Financial Services
Grants Management
Winston Salem,NC27157
22-3849199 501(c)(3) 109,845   Not applicable Not applicable Research
(229) WASHINGTON UNIVERSITY
700 Rosedale Ave
SponsoredProjects AccountingCB1034
Saint Louis,MO63112
43-0653611 501(c)(3) 4,783,195   Not applicable Not applicable Research
(230) WAYNE STATE UNIVERSITY
5057 Woodward Ave
Ste 13000
Detroit,MI48202
38-6028429 GOVT 565,546   Not applicable Not applicable Research
(231) WEILL CORNELL MEDICAL COLLEGE
Grants Contracts Accounting
PO Box 22371
New York,NY10087
13-1623978 501(c)(3) 368,139   Not applicable Not applicable Research
(232) WEST ALABAMA AIDS OUTREACH INC
2720 6th St
Tuscaloosa,AL35401
63-0995963 501(c)(3) 40,000   Not applicable Not applicable Instruction
(233) WEST VIRGINIA UNIVERSITY
886 Chestnut Ridge Rd
Second Floor Room 202
Morgantown,WV26506
55-0665758 501(c)(3) 274,835   Not applicable Not applicable Research
(234) WEST VIRGINIA UNIVERSITY RESEARCH CORP
Financial Services
PO Box 6001
Morgantown,WV26506
55-6000842 501(c)(3) 19,796   Not applicable Not applicable Research
(235) YALE UNIVERSITY
25 Science Park
150 Munson St
New Haven,CT06511
06-0646973 501(c)(3) 1,159,412   Not applicable Not applicable Research
(236) YESHIVA UNIVERSITY
1300 Morris Park Ave
Bronx,NY10461
13-1624225 501(c)(3) 592,182   Not applicable Not applicable Research
(237) Alzheimers Tennessee Inc
5801 Kingston Pike
Knoxville,TN37919
62-1206312 501(c)(3) 63,882   Not applicable Not applicable Research & Contribution
(238) UNIVERSITY OF KANSAS CENTER FOR RESEARCH INC
Mail Stop 1039
3901 Rainbow Blvd
Kansas City,KS66160
48-0680117 501(c)(3) 146,441   Not applicable Not applicable Research & Contribution
(239) A Vintage Affair
130 9th Ave South
Franklin,TN37064
20-4442280 501(c)(3) 10,000   Not applicable Not applicable Contribution
(240) ACOUTSTIC NEUROMA ASSOCIATION
600 Peachtree Pkwy
Ste 108
Cumming,GA30041
23-2170836 501(c)(3) 15,000   Not applicable Not applicable Contribution
(241) American Cancer Society
2000 Charlotte Ave
Nashville,TN37221
13-1788491 501(c)(3) 15,000   Not applicable Not applicable Contribution
(242) American Heart Association
7272 Greenville Ave
Dallas,TX75231
13-5613797 501(c)(3) 290,000   Not applicable Not applicable Contribution
(243) Centennial Park Conservancy
PO Box 196340
Nashville,TN37219
58-1609026 501(c)(3) 25,000   Not applicable Not applicable Contribution
(244) Children's Emergency Care Alliance
3841 Green Hills Village Dr
Ste 3045
Nashville,TN37215
20-2802786 501(c)(3) 11,000   Not applicable Not applicable Contribution
(245) Cumberland Pediatric Foundation
3102 West End Ave
Ste 175
Nashville,TN37203
62-1615913 501(c)(3) 18,000   Not applicable Not applicable Contribution
(246) Cumberland University
One Cumberland Square
Lebanon,TN37087
62-0599339 501(c)(3) 6,800   Not applicable Not applicable Contribution
(247) EASTER SEALS TENNESSEE INC
3011 Armory Drive
Suite 100
Nashville,TN37204
62-0504893 501(c)(3) 12,500   Not applicable Not applicable Contribution
(248) FETAL HEART SOCIETY INC
14750 Sweitzer Ln
Ste 100
Laurel,MD20707
47-2144989 501(c)(3) 7,500   Not applicable Not applicable Contribution
(249) Good Neighbor Festivals
2817 West End Ave 126 439
Nashville,TN37203
46-3543791 N/A 10,000   Not applicable Not applicable Contribution
(250) HANDS ON SCIENCE CENTER
101 MITCHELL BLVD
Tullahoma,TN37388
58-2013875 501(c)(3) 6,467   Not applicable Not applicable Contribution
(251) Heritage Foundation
PO Box 723
Franklin,TN37065
23-7042596 501(c)(3) 10,000   Not applicable Not applicable Contribution
(252) JDRF Diabetes Foundation
105 Westpark Drive
Suite 415
Brentwood,TN37027
23-1907729 501(c)(3) 10,000   Not applicable Not applicable Contribution
(253) Junior League of Nashville
2202 Crestmoor Road
Nashville,TN37215
62-0476815 501(c)(3) 30,000   Not applicable Not applicable Contribution
(254) March of Dimes
PO Box 673667
Marietta,GA30006
13-1846366 501(c)(3) 6,000   Not applicable Not applicable Contribution
(255) MATTHEW WALKER COMPREHENSIVE HEALTH
1035 14th Ave N
Nashville,TN37208
62-1035426 501(c)(3) 10,000   Not applicable Not applicable Contribution
(256) Motlow College Foundation
PO Box 8500 Dept 160
Lynchburg,TN37352
23-7450071 501(c)(3) 9,000   Not applicable Not applicable Contribution
(257) Nashville Symphony Orchestra
1 Symphony Place
Nashville,TN37201
62-0550979 501(c)(3) 17,000   Not applicable Not applicable Contribution
(258) Operation Stand Down Tennessee
1125 12th Ave S
Nashville,TN37203
62-1638832 501(c)(3) 6,000   Not applicable Not applicable Contribution
(259) Partners for Healing
109 W Blackwell St
Tullahoma,TN37388
62-1834800 501(c)(3) 8,750   Not applicable Not applicable Contribution
(260) Pilgrimage Presents LLC
230 Franklin Road
Suite 11HH-Studio 3
Franklin,TN37064
47-3296867 N/A 20,000   Not applicable Not applicable Contribution
(261) Pinson Hospital Hospitality House
207 24th Ave N
Nashville,TN37203
62-0909363 501(c)(3) 22,500   Not applicable Not applicable Contribution
(262) Porter's Call
228 2nd Ave S
Franklin,TN37065
01-0690242 501(c)(3) 7,500   Not applicable Not applicable Contribution
(263) Research America
241 18th St S
Ste 501
Arlington,VA22202
52-1609875 501(c)(3) 10,000   Not applicable Not applicable Contribution
(264) Shelbyville-Bedford County Chamber of Commerce
100 N Cannon Blvd
Shelbyville,TN37160
62-0417185 501(c)(6) 10,500   Not applicable Not applicable Contribution
(265) Sherry's Run
PO Box 8
Lebanon,TN37088
06-1799885 501(c)(3) 7,000   Not applicable Not applicable Contribution
(266) Survivor Fitness Foundation
PO Box 41434
Nashville,TN37204
46-1934408 501(c)(3) 6,000   Not applicable Not applicable Contribution
(267) Tennessee Kidney Foundation
37 Peabody St Ste 206
Nashville,TN37210
27-0812507 501(c)(3) 6,000   Not applicable Not applicable Contribution
(268) Tennessee State Museum Foundation
505 Deaderick St
Nashville,TN37243
51-0200584 501(c)(3) 6,000   Not applicable Not applicable Contribution
(269) The Joe Beretta Foundation
821 PLEASANT GROVE RD
Mount Juliet,TN37122
81-3849103 501(c)(3) 15,000   Not applicable Not applicable Contribution
(270) The Marfan Foundation
22 Manhasset Ave
Port Washington,NY11050
52-1265361 501(c)(3) 15,000   Not applicable Not applicable Contribution
(271) The Nashville Food Project
5904 California Ave
Nashville,TN37209
45-2905951 501(c)(3) 10,000   Not applicable Not applicable Contribution
(272) The New Beginnings Center
7277 Charlotte Pk
332
Nashville,TN37209
90-0751722 501(c)(3) 10,000   Not applicable Not applicable Contribution
(273) Tullahoma Area Chamber of Commerce
135 W Lincoln St
Tullahoma,TN37388
62-0611533 501(c)(6) 5,656   Not applicable Not applicable Contribution
(274) United Healthcare Children's Foundation
PO Box 860734
Minneapolis,MN55486
52-2177891 501(c)(3) 10,000   Not applicable Not applicable Contribution
(275) The University of Tennessee Foundation Inc
Office of Constituent Management
1525 University Ave
Knoxville,TN37921
62-1844686 501(c)(3) 10,000   Not applicable Not applicable Contribution
(276) Williamson Inc
4031 Aspen Grove Drive
Suite 630
Franklin,TN37067
36-4720381 501(c)(6) 10,000   Not applicable Not applicable Contribution
(277) Wilson County Promotions Inc
945 E Baddour Pkwy
Lebanon,TN37087
62-1088535 501(c)(4) 14,190   Not applicable Not applicable Contribution
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
251
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
26
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) Patient Assistance 378 0 118,270 FMV Healthcare supplies & medicine
(2) Patient Assistance 102 0 5,610 FMV Car Seats & Home Safety Kits
(3) Patient Assistance 17309 0 34,220,434 FMV Prescription drugs
(4) Patient Assistance 160 0 326,569 FMV Post acute care
(5) Awards and Research Grants 515 7,505,934 0    
(6) Patient Assistance 15 0 79,646 FMV Patient housing
(7) Patient Assistance 4237 0 1,098,795 FMV Ambulance rides
(8) Patient Assistance 1213 0 304,474 FMV Car Rides
(9) Patient Assistance 29899 0 272,288 FMV Meal Trays
(10) Patient Assistance 682 0 54,412 FMV Pre/Post Op supplies
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://www.vumc.org/administrators-resource/policies-procedures (Please use lowercase to access the website)
Schedule I (Form 990) 2022



Additional Data


Software ID: 22016089
Software Version: 2022v5.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Vanderbilt University Medical Center
 
Employer identification number

35-2528741
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Jeffrey R Balser MD PHD
 
President and CEO
(i)

(ii)
2,799,163
-------------
0
2,058,680
-------------
0
630,179
-------------
0
1,414,175
-------------
0
25,350
-------------
0
6,927,547
-------------
0
593,908
-------------
0
2C Wright Pinson MD MBA
 
Deputy CEO and Chief Health System Officer
(i)

(ii)
2,045,943
-------------
0
755,465
-------------
0
581,933
-------------
0
735,176
-------------
0
22,048
-------------
0
4,140,565
-------------
0
543,846
-------------
0
3Cecelia B Moore MHA CPA CHFP
 
CFO and Treasurer
(i)

(ii)
1,252,559
-------------
0
467,500
-------------
0
227,397
-------------
0
396,388
-------------
0
21,475
-------------
0
2,365,319
-------------
0
168,545
-------------
0
4John F Manning Jr PHD MBA
 
COO and Corporate Chief of Staff
(i)

(ii)
1,268,047
-------------
0
446,454
-------------
0
14,064
-------------
0
500,607
-------------
0
37,123
-------------
0
2,266,295
-------------
0
0
-------------
0
5Michael J Regier JD
 
General Counsel and Secretary
(i)

(ii)
892,171
-------------
0
337,489
-------------
0
24,064
-------------
0
382,103
-------------
0
36,223
-------------
0
1,672,050
-------------
0
0
-------------
0
6Shon Dwyer MBA RN
 
President, Vanderbilt Adult Hospital
(i)

(ii)
856,972
-------------
0
308,796
-------------
0
23,674
-------------
0
227,890
-------------
0
19,793
-------------
0
1,437,125
-------------
0
0
-------------
0
7Thomas S Nantais MBA
 
EVP Adult Ambulatory
(i)

(ii)
696,054
-------------
0
256,731
-------------
0
389,377
-------------
0
66,696
-------------
0
25,146
-------------
0
1,434,004
-------------
0
331,107
-------------
0
8DAVID S RAIFORD MD
 
Chief of Clinical Staff
(i)

(ii)
810,763
-------------
0
307,724
-------------
0
35,190
-------------
0
182,188
-------------
0
36,773
-------------
0
1,372,638
-------------
0
0
-------------
0
9Jennifer A Pietenpol PHD
 
Chief Scientific and Strategy Officer
(i)

(ii)
813,921
-------------
0
308,143
-------------
0
34,983
-------------
0
182,627
-------------
0
28,351
-------------
0
1,368,025
-------------
0
0
-------------
0
10Zeena M Abdulahad MPA
 
EVP and Chief Development Officer
(i)

(ii)
703,018
-------------
0
256,731
-------------
0
112,574
-------------
0
154,670
-------------
0
14,118
-------------
0
1,241,111
-------------
0
111,332
-------------
0
11David R Posch
 
EVP for Population Health
(i)

(ii)
833,523
-------------
0
307,109
-------------
0
4,326
-------------
0
15,067
-------------
0
31,522
-------------
0
1,191,547
-------------
0
0
-------------
0
12Amy Schoeny PHD
 
Chief HR Officer
(i)

(ii)
713,035
-------------
0
270,388
-------------
0
21,742
-------------
0
162,097
-------------
0
18,915
-------------
0
1,186,177
-------------
0
0
-------------
0
13Margaret G Rush MD MMHC
 
President and Executive Medical Director, Monroe Carell Jr. Children's Hospital at Vanderbilt
(i)

(ii)
711,168
-------------
0
249,093
-------------
0
14,916
-------------
0
186,530
-------------
0
16,544
-------------
0
1,178,251
-------------
0
0
-------------
0
14Travis Capers FACHE
 
President of Vanderbilt Regional Community Hospitals
(i)

(ii)
177,497
-------------
0
125,000
-------------
0
1,266
-------------
0
4,500
-------------
0
2,712
-------------
0
310,975
-------------
0
0
-------------
0
15Gregory G Polkowski II MD MSCR
 
Assoc Professor, Ortho-Joints
(i)

(ii)
1,096,357
-------------
0
219,158
-------------
0
11,040
-------------
0
14,855
-------------
0
43,706
-------------
0
1,385,116
-------------
0
0
-------------
0
16Douglas R Weikert MD
 
Assoc Professor, Ortho-Hand
(i)

(ii)
1,299,000
-------------
0
8,625
-------------
0
14,064
-------------
0
14,855
-------------
0
43,199
-------------
0
1,379,743
-------------
0
0
-------------
0
17Paul Sternberg Jr MD
 
CMO & VP Clinical Affairs
(i)

(ii)
1,088,216
-------------
0
194,907
-------------
0
34,505
-------------
0
14,855
-------------
0
33,509
-------------
0
1,365,992
-------------
0
0
-------------
0
18Ashish S Shah MD FACS
 
Professor, Cardiac
(i)

(ii)
1,171,440
-------------
0
124,264
-------------
0
11,742
-------------
0
14,855
-------------
0
43,414
-------------
0
1,365,715
-------------
0
0
-------------
0
19David P Bichell MD
 
Professor, Pediatric Cardiac Surgery
(i)

(ii)
1,135,387
-------------
0
131,287
-------------
0
14,064
-------------
0
14,855
-------------
0
29,944
-------------
0
1,325,537
-------------
0
0
-------------
0
20WILLIAM W STEAD MD
 
FORMER CHIEF STRATEGY OFFICER (ROLE ENDED DECEMBER 2020)
(i)

(ii)
121,958
-------------
0
0
-------------
0
6,615
-------------
0
6,256
-------------
0
16,844
-------------
0
151,673
-------------
0
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a First-class or charter travel Vanderbilt University Medical Center excludes the benefits from taxable income when a documented business purpose is served. 1 officer received charter travel benefits that were not included in taxable compensation 2 officers and one key employee received first class travel benefits that were not included in taxable compensation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments 2 Officers RECEIVED TAX GROSS-UP PAYMENT BENEFITS THAT WERE INCLUDED IN TAXABLE COMPENSATION.
Schedule J, Part I, Line 1a Personal services One officer and one director received security service benefits not included in taxable compensation
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Certain individuals listed in Form 990, Schedule J, Part II participate in nonqualified deferred compensation plans. Amounts contributed to the plans include fixed percentages of annual bonus payments and fixed dollar amounts. CONTRIBUTIONS TO THE PLAN VEST ON THE FIRST DAY OF THE FOURTH PLAN YEAR FOLLOWING CONTRIBUTION, OR UPON OCCURRENCE OF OTHER EVENTS SPECIFIED IN THE PLAN (INCLUDING EXPIRATION OF THE PARTICIPANT'S EMPLOYMENT AGREEMENT, IF PARTICIPANT HAS REACHED AGE 65). Current year accruals of compensation associated with these plans are included in the amounts reported for each individual in Schedule J, Part II, Column (C). The payout of these amounts in future years will be included in the amounts reported in Schedule J, Part II, Column (B)(iii) for such individuals. Amounts accrued in prior years and previously reported in Schedule J, Part II, Column (C) are reported in Schedule J, Part II, Column (F). Payouts were made under these plans to 3 officers and 2 key employee during 2022. Jeffrey R. Balser received a payout totaling $593,908; C. Wright Pinson received a payout totaling $543,846; Cecelia B. Moore received a payout totaling $168,545; THOMAS S. NANTAIS received a payout totaling $331,107; and ZEENA M. ABDULAHAD received a payout totaling $111,332.
Schedule J, Part I, Line 7 Non-fixed payments Certain individuals listed in Schedule J, Part II received variable incentive compensation based on the achievement of pre-established goals where judgment was determined by the Compensation Committee. Incentive payments are shown in Schedule J, Part II, Column B(ii).
Schedule J (Form 990) 2022

Additional Data


Software ID: 22016089
Software Version: 2022v5.0

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Vanderbilt University Medical Center
 
Employer identification number
35-2528741
Part
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
Yes No Yes No Yes No
A HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF N
ASHVILLE AND DAVIDSON COUNTY TENNESSEE - SERIES 2022AB
62-6139016 000000000 12-07-2022 141,000,000 CAPITAL PROJECTS   X   X   X
B The Health and Educational Facilities Board of The Metropolitan Government
of Nashville and Davidson County Tennessee - Series 2021A
62-6139016 592041ZV2 11-04-2021 74,101,302 Capital Projects   X   X   X
C THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT
OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2018
62-6139016 000000000 04-20-2018 53,385,000 Refunding of the 2016F Issue   X   X   X
D THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT
OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE Series 2017A
62-6139016 592041YC5 07-26-2017 126,334,390 (See Statement)   X   X   X
THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT
OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2016A
62-6139016 592041WH6 04-29-2016 536,573,506 (SEE STATEMENT)   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired ..................        
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 142,904,642 74,101,302 53,385,000 127,128,208
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 550,628 578,814 285,000 1,334,390
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 83,741,454 73,522,488   125,793,818
11 Other spent proceeds .............     53,100,000  
12 Other unspent proceeds ............. 58,612,560      
13 Year of substantial completion ............. 2016 2021 2018 2019
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? ..........   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
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   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X     X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X X     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       X      
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X X   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   X   X   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 ....SchKMediumBullet 0 % 0 % 0.1 % 0 %
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 ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0.1 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   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   X   X   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   X   X   X  
Part
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   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X   X     X   X
b Exception to rebate? ........   X   X X   X  
c No rebate due? .........   X   X   X   X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X X     X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   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   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
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   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) Description of Purpose Row (D) - The issue is financing various new capital projects for the medical center. Row (A), SERIES 2016A - The issue is financing a portion of the costs of acquiring the University's Clinical Services Operations, post-graduate training programs, and clinical research activities, along with related assets and liabilities.
Schedule K, Part II, Line 11 Other Spent Proceeds Column (c) - The other spent proceeds are the refunding proceeds no longer in escrow.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE Column (a) (Series 2022AB) - THE DIFFERENCE IN THE ISSUE PRICE AND TOTAL PROCEEDS OF $1,904,602 IS DUE TO INVESTMENT EARNINGS OF THE PROJECT FUND. Column (D) - The difference in the issue price and total proceeds of $793,818 is due to investment earnings on the project fund. As of 6/30/2022 all proceeds were spent on capital projects for the issue and are included in the total amount spent on capital expenditures on line 10, as well as the total proceeds of line 3.
Schedule K, Part IV, Line 3 Variable Rate Issue Column (b) - The Series 2021A Bonds are currently in Long-Rate Mode, but may be reoffered at a fixed or variable rate on the Conversion Date.
Schedule K (Form 990) 2021

Additional Data


Software ID: 22016089
Software Version: 2022v5.0


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Vanderbilt University Medical Center
 
Employer identification number
35-2528741
Part
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
Yes No Yes No Yes No
A HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF N
ASHVILLE AND DAVIDSON COUNTY TENNESSEE - SERIES 2022AB
62-6139016 000000000 12-07-2022 141,000,000 CAPITAL PROJECTS   X   X   X
B The Health and Educational Facilities Board of The Metropolitan Government
of Nashville and Davidson County Tennessee - Series 2021A
62-6139016 592041ZV2 11-04-2021 74,101,302 Capital Projects   X   X   X
C THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT
OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2018
62-6139016 000000000 04-20-2018 53,385,000 Refunding of the 2016F Issue   X   X   X
D THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT
OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE Series 2017A
62-6139016 592041YC5 07-26-2017 126,334,390 (See Statement)   X   X   X
THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT
OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2016A
62-6139016 592041WH6 04-29-2016 536,573,506 (SEE STATEMENT)   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired ..................        
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 142,904,642 74,101,302 53,385,000 127,128,208
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 550,628 578,814 285,000 1,334,390
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 83,741,454 73,522,488   125,793,818
11 Other spent proceeds .............     53,100,000  
12 Other unspent proceeds ............. 58,612,560      
13 Year of substantial completion ............. 2016 2021 2018 2019
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? ..........   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
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   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X     X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X X     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       X      
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X X   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   X   X   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 ....SchKMediumBullet 0 % 0 % 0.1 % 0 %
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 ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0.1 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   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   X   X   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   X   X   X  
Part
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   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? ....... X   X     X   X
b Exception to rebate? ........   X   X X   X  
c No rebate due? .........   X   X   X   X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X X     X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   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   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
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   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
Schedule K, Part I, Column (f) Description of Purpose Row (D) - The issue is financing various new capital projects for the medical center. Row (A), SERIES 2016A - The issue is financing a portion of the costs of acquiring the University's Clinical Services Operations, post-graduate training programs, and clinical research activities, along with related assets and liabilities.
Schedule K, Part II, Line 11 Other Spent Proceeds Column (c) - The other spent proceeds are the refunding proceeds no longer in escrow.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE Column (a) (Series 2022AB) - THE DIFFERENCE IN THE ISSUE PRICE AND TOTAL PROCEEDS OF $1,904,602 IS DUE TO INVESTMENT EARNINGS OF THE PROJECT FUND. Column (D) - The difference in the issue price and total proceeds of $793,818 is due to investment earnings on the project fund. As of 6/30/2022 all proceeds were spent on capital projects for the issue and are included in the total amount spent on capital expenditures on line 10, as well as the total proceeds of line 3.
Schedule K, Part IV, Line 3 Variable Rate Issue Column (b) - The Series 2021A Bonds are currently in Long-Rate Mode, but may be reoffered at a fixed or variable rate on the Conversion Date.
Schedule K (Form 990) 2021

Additional Data


Software ID: 22016089
Software Version: 2022v5.0

Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Vanderbilt University Medical Center
 
Employer identification number

35-2528741
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Kaylee Lynch
 
FAMILY MEMBER OF SAMUEL E. LYNCH, DMD, DMSC (a director through June 30, 2023) 59,457 EMPLOYMENT AT VANDERBILT UNIVERSITY MEDICAL CENTER   No
(2) Meaghan C Lynch
 
FAMILY MEMBER OF SAMUEL E. LYNCH, DMD, DMSC (a director through June 30, 2023) 84,396 Employment at Vanderbilt University Medical Center   No
(3) Kathryn Elese Rush
 
FAMILY MEMBER OF CURRENT key employee, MARGARET G. RUSH, MD, MMHC 166,633 EMPLOYMENT AT VANDERBILT UNIVERSITY MEDICAL CENTER   No
(4) Nashville Soccer Club
 
Ownership of Organization by Current Director, John Ingram, Exceeding 35% 205,927 Revenue received from Nashville Soccer Club for Services Rendered   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image 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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
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 21 28,490 Market value
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 1,693 Market value
5 Clothing and household
goods .......
X 81,167 Market value
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 71 8,210,317 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 . X 1 856,443 Market value
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies . X 5 10,345 Market value
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Gift Certificates ) X 48 11,706 Market value
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
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
29
0
Yes
No
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 isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't 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) (2022)
Schedule M (Form 990) (2022)
Page 2
Part IISupplemental 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) reports the number of contributions made.
Schedule M, Part I, Line 5 Clothing and household goods Donation of various household items for silent auction benefiting the Monroe Carell Jr. Children's Hospital at Vanderbilt.
Schedule M, Part I, Line 20 Drugs and medical supplies DONATION OF VARIOUS HEARING AID SUPPLIES BENEFITING BILL WILKERSON CENTER PATIENTS AT VANDERBILT.
Schedule M, Part I, Line 15 Real Estate -- Residential VUMC conducted a raffle during fiscal year 2023 and anticipates holding this raffle annually going forward. VUMC awarded the grand prize, a house, to the winner and filed all applicable tax forms as required.
Schedule M (Form 990) (2022)

Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE O
(Form 990)

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
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 ("VUMC") is one of the nation's longest serving and most prestigious academic medical centers. Through its historic bond with Vanderbilt University, VUMC cultivates distinguished research and educational programs to advance a clinical enterprise that provides compassionate and personalized care and support for millions of patients and family members each year. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries, transformational educational and clinical advancements across the entire spectrum of health and disease. The Medical Center's vision is to be the world leader in advancing personalized health while its mission is personalizing the patient experience through its caring spirit and remarkable capabilities.
Form 990, Part III, Line 4a 4a. Patient Services - VUMC provides high quality medical and health care services regardless of race, creed, gender, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of VUMC, it is recognized that not all individuals possess the ability to purchase essential medical services, and further that part of VUMC's mission is to serve the community. Therefore, in keeping with VUMC's commitment to serve all members of its community, free care and/or subsidized care, care provided to persons covered by governmental programs at below cost, along with 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 its most recent fiscal year VUMC saw more than 3 million patient visits in over 180 ambulatory locations, performed 91,000 surgical operations and discharged 77,000 inpatients from its main-campus adult, children's, psychiatric and rehabilitation hospitals and three regional community hospitals. The Medical Center is the largest non-governmental employer of Middle Tennesseans, with over 30,000 staff, including more than 3,000 physicians, advanced practice nurses and scientists appointed to the Vanderbilt University faculty. 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 American Nurses Association Magnet Recognition Program, U.S. News & World Report, Becker's Hospital Review and others: * U.S. News & World Report: for 2023 Vanderbilt University Medical Center was named to the 'Honor Roll' of the nation's top 22 hospitals, No. 1 hospital in Tennessee for the 12th consecutive year; No.1 in Metro Nashville; 9 adult clinical specialties ranked among the nation's best; Monroe Carell Jr. Children's Hospital at Vanderbilt was named as one of the elite children's hospital in the nation by U.S. News, and No. 1 in the Southeast and No. 1 in Tennessee with 10 out of 10 specialties nationally ranked in 2023. * Becker's Hospital Review: one of two Tennessee hospitals to make " Great Hospitals in America," in 2023 * National Institutes of Health: Vanderbilt University School of Medicine currently ranked 11th among the top grant awardees for medical research in the U.S. as of December 2022 * Magnet Designation from American Nurses Credentialing Center: Vanderbilt University Medical Center is the only organization in Middle Tennessee that has been Magnet-designated four consecutive times * For the 12th time, VUMC was named a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign Healthcare Equality Index (HEI) in 2020. VUMC is the only healthcare organization in Tennessee to be similarly recognized for its commitment to adopting LGBTQ-inclusive patient, visitation and employment policies. Along with the various national rankings, there are several VUMC programs unique to Tennessee or the region, which include: * Only Level 1 (highest level) Trauma Center in Middle Tennessee * Only Level 4 (highest level) Neonatal Intensive Care Unit, as well as a dedicated pediatric emergency department and Level 1 pediatric trauma program * Vanderbilt-Ingram Cancer Center, the only National Cancer Institute-designated Comprehensive Cancer Center in Tennessee that conducts research and cares for both children and adults; also, a member of the elite National Comprehensive Cancer Network, a group of the nation's top 21 clinical cancer institutes * Only Joint Commission-accredited program for traumatic brain injury rehabilitation (one of seven nationally) * Dedicated regional burn center * LifeFlight, an integrated air and ground emergency patient transport system * Tennessee Poison Center * Tennessee's only comprehensive solid organ transplant center, serving both adult and pediatric patients For more information regarding health care at Vanderbilt University Medical Center, visit https://www.vanderbilthealth.com/patientandvisitorinfo/48538
Form 990, Part III, Line 4b 4b. Academic and Scientific Research - VUMC is an internationally recognized research institution. A majority of VUMC's research funding, including substantial support from the National Institutes of Health, is received from the federal government. Funding is also received from foundations, associations, corporations, and other sources. VUMC's researchers are at the forefront of discovery and are posing innovative solutions to some of the most challenging questions about diseases affecting humankind. VUMC's 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 the scientific discoveries we make are propelled by a research enterprise that is consistently ranked among the nation's top recipients in total federal funding. For more information regarding research at Vanderbilt University Medical Center visit: https://www.vumc.org/oor/ (Please use lowercase to access the website)
Form 990, Part III, Line 4d Description of other program services (Expenses $ 59,404,784 including grants of $ 0)(Revenue $ 186,057,562) 4d. Other Program Services - Other program services include public health service, academic support, institutional support, and other auxiliary services. Vanderbilt University Medical Center engages in a variety of public service projects, including, but not limited to formulating new approaches to increase health, safety, quality and outcomes, while decreasing total costs; and many other sponsored community health and educational programs. To read more about VUMC's role in the community, visit https://www.vanderbilthealth.com/main/38766
Form 990, Part VI, Line 2 Family/Business Relationships Amongst Interested Parties As a result of VUMC's continuing relationship with Vanderbilt University, Alexander C. Taylor, JOHN R. INGRAM, Makeba Boatwright Williams, and Daniel Diermeier serve on the Vanderbilt University Board of Trust and were appointed by Vanderbilt University to serve on the VUMC Board of Directors.
Form 990, Part VI, Line 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 4 Significant changes to organizational documents VUMC adopted amended bylaws in November 2022 to incorporate the following changes: Section 6.5 of the Amended and Restated Bylaws of VUMC was amended to authorize VUMC to advance expenses to employees who are entitled to indemnification pursuant to policies as adopted from time to time by the Board of Directors.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Per Bylaws Article III, Section 3.2, certain proposed actions require a separate approval by Vanderbilt University, in addition to approval of the VUMC Board of Directors: - Any major transaction not within the ordinary scope of the Corporation's business; - Any change in the Corporation's federal tax-exempt, public charity status within the meaning of Section 501(c)(3) and 509(a) of the Code; - Any academic affiliation of the Corporation with any educational institution other than Vanderbilt University (unless it has been approved in writing in advance by the Chancellor of Vanderbilt University); - Any material change to the Corporation's purposes; - Any change in the fundamental nonprofit charitable tax-exempt mission of the Corporation; - Any action that would grant any entity or organization the right to appoint directors of the Corporation's joint operating agreement or similar arrangement under which the Corporation's governance is substantially subject to a board or similar body that it does not control; or - The sale or transfer of all or substantially all of the assets of the Corporation.
Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by VUMC and provided to Ernst & Young, VUMC's independent accounting firm for review. After review by Ernst & Young, VUMC provides a draft copy of the Form 990 and all required schedules for review to all General Officers, which includes the Chief Executive Officer, Chief Financial Officer and Secretary. Once this review process is complete, the Audit and Compliance Committee is provided electronic access to the draft Form 990 and all required schedules for review. The final Form 990 and all required schedules are made available to the full Board of Directors for review prior to the filing of the return.
Form 990, Part VI, Line 12c Conflict of interest policy VUMC has a conflict of interest ("COI") policy, which requires that all staff members and VUMC employed faculty complete a Conflict of Interest form annually, disclosing any potential conflicts of interest. If a conflict is disclosed by a staff member, the conflict is reviewed by the individual's supervisor and the COI director, in the Office of Legal Affairs, which reports to the VUMC General Counsel / Corporate Secretary. For VUMC employed faculty, disclosed conflicts are reviewed by the faculty member's department chair and the Associate Dean for Faculty Affairs. VUMC has a Conflict of Interest Committee which consists of representatives from relevant areas across VUMC and are appointed by the CEO upon the recommendation of the Chief of Clinical Staff. The Chief of Clinical Staff serves as chair of the committee. The Conflict of Interest Committee is responsible for reviewing conflict of interest cases of VUMC employees (including those holding VU faculty appointments) where a decision is not made after the initial review of the disclosure; and where VUMC as a party, or in which VUMC as an institution, is subject to a conflict of interest. Any reported conflict is managed or eliminated as appropriate. The Conflict of Interest Committee reports semiannually to the VUMC Board Audit & Compliance Committee. Members of the Board of Directors also must complete annual Conflict of Interest Disclosures. Those with disclosed potential conflicts of interest are presented to the Audit and Compliance 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.
Form 990, Part VI, Line 15a Process to establish compensation of top management official FORM 990, PART VI, LINES 15A & 15B - To ensure that VUMC is paying reasonable total compensation, is not violating the private inurement prohibition, which requires that none of the organization's income or assets unreasonably benefit any of its directors, officers, or key employees, and is in compliance with the intermediate sanctions provisions with respect to the general officers, VUMC's Board of Directors has designated the Management Development and 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 Management Development and 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 Management Development and Compensation Committee meetings. The full Board is informed annually of the total compensation of the general officers during private session.
Form 990, Part VI, Line 19 Required documents available to the public VUMC's governing documents are made available for public inspection upon request. VUMC's financial statements are posted to the EMMA (Electronic Municipal Market Access) website. The conflict of interest policy is available on the following website: https://www.vumc.org/faculty/policies-procedures (Please use lowercase to access the website).
Form 990, Part IX, Line 24e UBI Taxes Of the total $5,569,555 reported on Part IX, Line 24e as Other Expenses, UBI taxes comprise $826,002 of the amount reported in Column B.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Temporarily and Permanently Restricted Contributions - 60412407; Net Assets Released From Restrictions - -17231819; Endowment Appreciation - 6621123; Change in Non-Controlling Interest Net Assets - 1160799; Other Changes in Net Assets - -427445;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
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 2,098,664 4,307,297 VUMC
 
(2) Friends in Global Health LLC
2525 West End Ave Suite 750
Nashville,TN37203
26-0170070
Public Health TN 36,012,255 730,568 VHS
 
(3) Vanderbilt-Wilson Radiation Oncology LLC
2100 West End Ave Suite 750
Nashville,TN37203
26-1241612
Holding Company TN 3,245,420 945,932 VHS
 
(4) Vanderbilt Health Affiliated Network LLC
3401 West End Ave Suite 290
Nashville,TN37203
46-1571024
Clinical Network TN 27,656,211 13,106,538 VHS
 
(5) Project Holding Company LLC
4350 Lassiter at North Hills Ave
Suite 300
Raleigh,NC276095793
81-3915926
Holding Company TN 0 9,645,014 VUMC
 
(6) Health Professional Solutions LLC
3841 Green Hills Village Dr Suite
Nashville,TN37215
30-0964540
Holding Company TN 0 -221,887 VUMC
 
(7) Vanderbilt Health Rx Solutions LLC
3841 Green Hills Village Dr Suite
Nashville,TN37215
82-1456647
Pharmacy Administration TN 1,067,403 4,892,984 HPS
 
(8) Vanderbilt Health Pharmacy Group LLC
3841 Green Hills Village Dr Suite
Nashville,TN37215
82-1462688
Pharmacy Services TN -14,427 -4,863 VHRxS
 
(9) Retail Health Clinics LLC
2525 West End Ave Suite 700
Nashville,TN37203
82-1942209
Walk-in Clinics TN 12,453,230 1,583,807 VHS
 
(10) Nashville BioSciences LLC
2525 West End Ave Suite 930
Nashville,TN37203
82-4174759
Research & Development in Biotechnology TN 9,764,780 4,215,726 VUMC
 
(11) Vanderbilt Health Supply Chain Solutions LLC
MCN 1161 21st Ave
D-3300
Nashville,TN37203
82-4143617
Consulting TN 1,368,719 888,576 HPS
 
(12) Vanderbilt Health Purchasing Collaborative LLC
MCN 1161 21st Ave
D-3300
Nashville,TN37203
82-4148840
Group Purchasing Organization TN 9,956,191 16,215,809 VHSCS
 
(13) ACO of Central Alabama 1 LLC
3401 West End Ave Suite 290
Nashville,TN372036866
82-1681443
Accountable Care Organization DE 630,755 201,320 VWRO
 
(14) ACO of North Delaware LLC
3401 West End Ave Suite 290
Nashville,TN372036866
81-2692564
Accountable Care Organization DE 638,440 140,024 VWRO
 
(15) Mid South ACO LLC
3401 West End Ave Suite 290
Nashville,TN372036866
82-1685569
Accountable Care Organization DE 1,838,695 -464,347 VWRO
 
(16) Vanderbilt Home Care Services LLC
2120 Belcourt Avenue
Nashville,TN37212
62-1404948
Home Health TN 15,954,117 -182,438 VHS
 
(17) Carefluent Connect LLC
3841 Green Hills Village Dr Suite
Nashville,TN37215
84-3131467
Comprehensive Care Services TN 1,371,267 -6,280,190 VHSCS
 
(18) Bundle Payment Services LLC
3841 Green Hills Village Dr Suite
NASHVILLE,TN37215
84-3700835
ADMINISTRATIVE SERVICES TN 0 0 VUMC
 
(19) Vanderbilt Integrated Providers LLC
3841 Green Hills Village Dr Suite
Nashville,TN37215
62-1650124
Physician Offices TN 39,850,761 -1,609,433 VHS
 
(20) Vanderbilt Bedford Hospital LLC
2835 US-231
Shelbyville,TN37160
85-3419620
General Medical and Surgical Hospitals TN 45,784,074 -197,423,202 VUMC
 
(21) Vanderbilt Coffee Hospital LLC
1801 N Jackson Street
Tullahoma,TN37388
85-3420386
General Medical and Surgical Hospitals TN 71,436,825 -499,743,147 VUMC
 
(22) Vanderbilt Montgomery Holdings LLC
1161 21ST AVENUE SOUTH
D-3300 MEDICAL CENTER NORTH
Nashville,TN37232
85-3448238
Holding Company TN 2,147,964 42,749,672 VUMC
 
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?
Yes No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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


Yes No 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 2,507,110 5,381,057   No     No 60.2 %
(2) New Light Imaging LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
14-1895171
Management Services TN VHS
 
Related 1,151,047 818,976   No     No 66.67 %
(3) One Hundred Oaks Imaging LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
26-3762022
Diagnostic Imaging TN VHSVIS
 
Related 2,914,414 4,457,098   No     No 77.6 %
(4) Springfield VIP Realty LLC

3841 Green Hills Village Dr Suite
Nashville,TN37215
26-1237360
Real Estate TN VUMC
 
Excluded 23,306 393,358   No   Yes   49 %
(5) Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville

3841 Green Hills Village Dr Suite
Nashville,TN37215
20-3844791
Oncology Services DE VHSCHSGP
 
Related 1,345,957 4,797,742   No   Yes   60 %
(6) Vanderbilt Imaging Services LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
62-1787098
Radiology Services TN VHS
 
Related 6,988,029 15,944,817   No     No 62.67 %
(7) Vanderbilt Stallworth Rehabilitation Hospital LP

3660 Grandview Parkway Ste 200
Birmingham,AL35243
63-1077470
Rehab Services TN VUMCVHS
 
Related -2,583,462 6,039,524   No   Yes   50 %
(8) Vanderbilt-Maury Radiation Oncology LLC

1003 Reserve Blvd Ste 120
Spring Hill,TN37174
46-0757412
Oncology Services TN VHS
 
Related 291,729 1,395,441   No   Yes   40 %
(9) Vanderbilt Health and Williamson Medical Center Clinics and Services

512 Autumn Springs Ct Ste C
Franklin,TN37067
62-1864145
Walk-in Clinics TN VHS
 
Related 1,140,504 6,590,403   No   Yes   51 %
(10) VIP MidSouth LLC

3841 Green Hills Village Dr Suite
Nashville,TN37215
62-1654580
Physician Offices TN VIP
 
Related 37,434 6,016,780   No   Yes   65.02 %
(11) Williamson Imaging LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
62-1855535
Diag. Imaging TN VHSVIS
 
Related 2,845,742 3,206,917   No     No 70.14 %
(12) Spring Hill Surgery Center LLC

310 Seven Springs Way Suite 500
Brentwood,TN37027
46-2325870
Ambulatory Surgery TN VHS
 
Related 71,523 1,576,071   No     No 51 %
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?
Yes No
(1) Charitable Remainder Trust (8)

 
 
Charitable Trust TN VUMC
 
Trust       Yes  
(2) Perpetual Trusts (1)

 
 
Charitable Trust TN VUMC
 
Trust       Yes  










Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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) Ambulatory Surgery Center of Cool Springs LLC

O 110,347 FMV
(2) Ambulatory Surgery Center of Cool Springs LLC

S 2,413,775 FMV
(3) New Light Imaging LLC

O 876,777 FMV
(4) New Light Imaging LLC

Q 628,300 FMV
(5) New Light Imaging LLC

S 1,592,629 FMV
(6) One Hundred Oaks Imaging LLC

O 2,100,011 FMV
(7) One Hundred Oaks Imaging LLC

Q 2,913,208 FMV
(8) One Hundred Oaks Imaging LLC

S 1,654,524 FMV
(9) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC

J 86,568 FMV
(10) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC

O 12,503,304 FMV
(11) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC

Q 3,034,199 FMV
(12) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC

S 684,798 FMV
(13) Vanderbilt Imaging Services LLC

O 3,160,910 FMV
(14) Vanderbilt Imaging Services LLC

Q 4,852,291 FMV
(15) Vanderbilt Imaging Services LLC

S 7,650,032 FMV
(16) Vanderbilt Maury Radiation Oncology LLC

L 636,751 FMV
(17) Vanderbilt Maury Radiation Oncology LLC

O 841,601 FMV
(18) Vanderbilt Maury Radiation Oncology LLC

Q 262,649 FMV
(19) Vanderbilt Stallworth Rehabilitation Hospital LP

B 2,000,000 FMV
(20) Vanderbilt Stallworth Rehabilitation Hospital LP

K 553,015 FMV
(21) Vanderbilt Stallworth Rehabilitation Hospital LP

Q 2,609,474 FMV
(22) Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville

L 1,257,165 FMV
(23) Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville

O 1,660,634 FMV
(24) Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville

Q 564,527 FMV
(25) Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville

S 900,000 FMV
(26) VIP MidSouth LLC

L 889,961 FMV
(27) VIP MidSouth LLC

S 1,198,666 FMV
(28) Williamson Imaging LLC (Cool Springs Imaging)

O 2,562,678 FMV
(29) Williamson Imaging LLC (Cool Springs Imaging)

Q 2,961,361 FMV
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


Software ID: 22016089
Software Version: 2022v5.0