2023-11-15T07:23:20-06:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 311626179 UNIVERSITY HEALTH SYSTEM INC UNIV 8652514417 2121 MEDICAL CENTER WAY 200 KNOXVILLE TN 37920 BENJAMIN M CUNNINGHAM JR SVP/CFO 8653056600 2023-11-15 1 BENJAMIN CUNNINGHAM JR 999009999 1 AMY BIBBY P00445891 8282542254 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z UNIV OF TN MEDICAL CENTER JOSEPH R LANDSMAN JR 2121 MEDICAL CENTER WAY 200 KNOXVILLE TN 37920 1294137749 0 X WWW.UTMEDICALCENTER.ORG X 1998 TN OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY. 15 14 6556 176 1343035 1040532 30664464 13933879 1163271233 1271571582 30848807 1451467 8159562 7108222 1232944066 1294065150 732672 634483 0 0 490569098 516899691 0 90205 90205 700904499 788699097 1192206269 1306323476 40737797 -12258326 1182452993 1153994077 805954659 822317347 376498334 331676730 OUR MISSION: TO SERVE THROUGH HEALING, EDUCATION, AND DISCOVERY. 0 0 1176429613 634483 1278501733 PATIENT CARE SERVICESPLEASE SEE SCHEDULE O FOR DETAIL REGARDING PATIENT CARE SERVICES IN THE STATEMENT OF COMMUNITY BENEFIT. 27198419 AS THE ONLY ACADEMIC MEDICAL CENTER IN THE REGION, UHS IS COMMITTED TO EDUCATION IN ORDER TO PREPARE HEALTHCARE PROFESSIONALS FOR THE FUTURE. EDUCATION IS AN ONGOING ENDEAVOR FOR ALL EMPLOYEES, MANY OF WHOM WILL HAVE AN OPPORTUNITY TO SERVE AS TEACHERS AS WELL AS STUDENTS. THE MEDICAL CENTER COLLABORATES WITH THE GRADUATE SCHOOL OF MEDICINE AND OTHER ACADEMIC INSTITUTIONS, AND IT MAINTAINS A LEARNING ENVIRONMENT WITH DEVOTION TO TECHNOLOGICAL AND TREATMENT ADVANCES THAT PROVIDE BETTER CARE FOR PATIENTS. 49011370 UNREIMBURSED CHARITY CARE AND SELF-PAY DISCOUNT 1252639402 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 1 413 0 1 6556 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 TN X BENJAMIN M CUNNINGHAM JR 8653056600 2121 MEDICAL CENTER WAY NO 200 KNOXVILLE TN 37920 RENDA BURKHART CHAIR 2.00 X X 0 0 0 SHARON M PRYSE BOARD MEMBER 2.00 X 0 0 0 DR STEVE J SCHWAB BOARD MEMBER 2.00 X 0 0 0 H W SHERROD JR VICE CHAIR 2.00 X X 0 0 0 WES STOWERS BOARD MEMBER 2.00 X 0 0 0 MICHAEL T STRICKLAND BOARD MEMBER 2.00 X 0 0 0 CRISTEN G HASLAM BOARD MEMBER 2.00 X 0 0 0 RANDY BOYD BOARD MEMBER 2.00 X 0 0 0 SARA ROSE BOARD MEMBER 2.00 X 0 0 0 RENEE KELLY BOARD MEMBER 2.00 X 0 0 0 DR DONDE A PLOWMAN BOARD MEMBER 2.00 X 0 0 0 DR JOSEPH T CHUN BOARD MEMBER 2.00 X 0 0 0 WILLIAM S RUKEYSER FORMER CHAIR 2.00 X X 0 0 0 DAVID L MILLER BOARD MEMBER 2.00 X 0 0 0 DR PETER F BUCKLEY BOARD MEMBER 2.00 X 0 0 0 DR AMY BARGER STEVENS BOARD MEMBER 2.00 X 0 0 0 DR PATRICK MCCONVILLE BOARD MEMBER 2.00 X 0 0 0 BRUCE R HARTMANN SR VP & CCRO 65.00 X 454855 0 51773 KATHERINE BOYD SR VP & CHIEF DEVELOPMENT OFFICER 65.00 X 473255 0 48545 BENNETT COX SR VP & GENERAL COUNSEL 65.00 X 657889 0 102266 STEVEN R ROSS SR VP STRATEGIC DEVELOPMENT 65.00 X 723076 0 120475 WILLIAM D HALL EXECUTIVE VICE PRESIDENT 65.00 X 997356 0 163177 BENJAMIN M CUNNINGHAM JR SR VP & CFO 65.00 X 702483 0 82266 MICHAEL SAAD SR VP & CIO 65.00 X 495652 0 61400 DR KEITH D GRAY SR VP & CHIEF MEDICAL OFFICER 65.00 X 761070 0 71372 DR JAMES E SHAMIYEH SR VP & CHIEF QUALITY OFFICER 65.00 X 732750 0 77259 LEAKE CASSANDRA SR VP & CNO 65.00 X 497550 0 50615 DR JERRY CROOK JR SR VP PHYSICIAN ENTERPRISE 65.00 X 738412 0 80557 STEPHEN CLAPP SR VP STRATEGIC DEVELOPMENT 65.00 X 290611 0 37054 JULIA COCO SR VP CLINICAL INTEGRATION 65.00 X 355686 0 46369 DR LISA D DUNCAN SR VP COE 65.00 X 45948 0 2355 JOSEPH R LANDSMAN JR PRESIDENT & CEO 65.00 X 1864813 0 317947 DAVID N ALJADIR PHYSICIAN 65.00 X 1039030 0 106630 OSCAR GRANDAS PHYSICIAN 65.00 X 1297553 0 115725 MICHAEL B FREEMAN PHYSICIAN 65.00 X 1232747 0 220298 SUSAN M NEWMAN PHYSICIAN 65.00 X 1095001 0 22812 NATHAN SCHROCK PHYSICIAN 65.00 X 1075826 0 107085 DR ROBERT F ELDER BOARD MEMBER 65.00 X 150700 0 0 15682263 0 1885980 642 1 1 0 UNIVERSITY PHYSICIANS ASSOCIATION 9000 EXECUTIVE PARK DR KNOXVILLE TN 37923 PHYSICIANS/CBO MGMT 41176241 GRADUATE SCHOOL OF MEDICINE 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 MEDICAL EDUCATION 38598860 LABORATORY CORPORATION OF AMERICA 1924 ALCOA HIGHWAY KNOXVILLE TN 37920 LABORATORY SERVICES 26278389 QUALIVIS LLC DEPT 3847 DALLAS TX 75312 TEMP AGENCY MEDICAL 22181147 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 BIOMED MGMT 17200691 399 267701 602250 6263473 6800455 30091 13933879 NET PATIENT SERVICE REVENUE 621500 1109444041 1109444041 PROGRAM SERVICE REVENUE 621400 161848393 161762975 85418 EHR MEANINGFUL USE 621400 279148 279148 1271571582 -642555 1092365 -1734920 6004254 0 6004254 6004254 6004254 2015009 79013 0 0 2015009 79013 2094022 2094022 0 267701 72599 -72599 -72599 PARKING REVENUE 812930 1011315 1011315 TELEPHONE SERVICES 812900 165252 165252 1176567 1294065150 1277490418 1343035 1297818 X 630483 630483 4000 4000 11104835 11104835 257952 245054 12898 417143543 396286366 20857177 23709771 22524282 1185489 37624194 35742984 1881210 27059396 25706426 1352970 11085905 10531610 554295 34602351 32872233 1730118 734249 697537 36712 90205 90205 313796 298106 15690 210676045 200142243 10533802 2334794 2218054 116740 11641544 11059467 582077 214344 203627 10717 31904476 30309252 1595224 1167778 1109389 58389 2914780 2769041 145739 14158569 14158569 34363070 34363070 5623609 5623609 DRUGS 219082463 219082463 MEDICAL SUPPLIES 175558284 175558284 BAD DEBT EXPENSE 28666622 27052691 1613931 DIETARY 2032076 1917670 114406 1624342 1532892 91450 1306323476 1252639402 53593869 90205 152266163 84659087 155363084 190524311 33301978 29575558 7458162 9310838 851081137 438177034 387349463 412904103 312605789 277003177 7702602 8370756 126405752 141646247 1182452993 1153994077 330204702 333319629 71554575 3232075 387608670 430496671 352389 1165170 16234323 54103802 805954659 822317347 X 349469882 294898394 27028452 36778336 376498334 331676730 1182452993 1153994077 X -12258326 -42313162 9749884 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 50 0 0 1 187179 0 0 187229 0 PART II-B, LINE 1: LOBBYING EXPENDITURES INCLUDE AN ALLOCATION OF THE SALARY OF THE VICE PRESIDENT FOR COMMUNITY RELATIONS, INCLUDING TIME AND EXPENSES ASSOCIATED WITH CONTACTING LEGISLATORS IN MATTERS IMPACTING THE HEALTH SYSTEM AND COMMUNITIES IN WHICH IT SERVES. 24386152 1342000 -3639000 604000 21485152 21549011 1114055 2135431 412345 24386152 17638082 3149768 2069643 1308482 21549011 13504162 2159457 2265675 291212 17638082 13233936 888318 -593092 25000 13504162 1.00000 0 0 6764693 6764693 165053147 26624921 138428226 323681618 181280300 142401318 267619845 198515642 69104203 87961834 31756171 56205663 412904103 ASSETS LIMITED AS TO USE 62578049 DEFERRED FINANCING COSTS 2759431 LEASES RIGHT-OF-USE 76308767 141646247 OTHER LIABILITIES 19103802 LINE OF CREDIT 35000000 54103802 X PART V, LINE 4: ALL ENDOWMENT FUNDS ARE USED TO SUPPORT THE OVERALL MISSION OF THE UNIVERSITY HEALTH SYSTEM - SERVING THROUGH HEALING, EDUCATION, AND DISCOVERY. THERE ARE THIRTY FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE REALIZED AND UNREALIZED INTEREST INCOME IS POSTED TO TEMPORARILY RESTRICTED INVESTMENT FUNDS ASSOCIATED WITH THE ENDOWMENTS AND IS FOR SPECIFIC PURPOSES BASED UPON THE INTENT OF THE DONOR. THE TRI FUNDS ARE MAINTAINED ON THE BALANCE SHEET WITHIN NET ASSETS WITH DONOR RESTRICTIONS. PART X, LINE 2: UHS HAS BEEN RECOGNIZED AS A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501 (A) OF THE INTERNAL REVENUE CODE AS AN ENTITY DESCRIBED UNDER SECTION 501(C)(3). RTS, UHN, UTUCC, USPH, AND UEOB ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES DISREGARDED AS ENTITIES SEPARATE FROM UHS FOR FEDERAL TAX PURPOSES. USHV IS A TENNESSEE NONPROFIT CORPORATION THAT IS NOT EXEMPT FROM FEDERAL INCOME TAXES. INCOME TAX EXPENSE FOR UHSV FOR THE YEAR ENDED DECEMBER 31, 2022 WAS NOT SIGNIFICANT AND WAS OFFSET BY OPERATING LOSSES IN PRIOR YEARS FOR TAX PURPOSES. X 1 GRENZEBACH GLIER AND ASSOCIATES INC 200 S MICHIGAN AVENUE STE 2100 CHICAGO IL 60604 CONSULTING, ADVERTISING, MATERIAL PREPARATION 0 0 90205 -90205 90205 -90205 2022 TEE UP FOR TRAUMA 180000 180000 13620 10520 5342 2597 2022 COMEDY FOR A CAUSE 87701 87701 7890 19250 5400 7980 267701 267701 13620 18410 24592 5400 10577 72599 -72599 SCHEDULE G, PART I, LINE 2B, COLUMN (V) PROVIDE CONSULTING SERVICES INCLUDING ADVISING, MATERIAL PREP AND THE LIKE BUT THAT COMPANY DID NOT DIRECTLY SOLICIT GIFTS ON OUR BEHALF. 1 1 X 1 X 1 X 1 0 1 1 49011370 49011370 0.03840 13471115 8915284 4555831 0.00360 62482485 8915284 53567201 0.04200 357264 357264 0.00030 27198419 27198419 0.02130 288333 288333 0.00020 27844016 27844016 0.02180 90326501 8915284 81411217 0.06380 36500 36500 0.00000 37011 37011 0.00000 8925 8925 0.00000 451182 451182 0.00040 533618 533618 0.00040 1 6374184 1657783 405105742 428403792 -23298050 X 1 1 1 1 UNIVERSITY HEALTH SYSTEM 9000 EXECUTIVE PARK DRIVE BLDG D-240 KNOXVILLE TN 37923 WWW.UTMEDICALCENTER.ORG X X X X X UNIVERSITY HEALTH SYSTEM INC 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE DISCLOSURE X 1 21 1 SEE DISCLOSURE 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE DISCLOSURE X SEE DISCLOSURE X SEE DISCLOSURE X X X X X X X 1 X 0 X X X X 1 X 0 0 UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 5: IN 4 Q 2021- 1 Q 2022, A NEW COMMUNITY NEEDS ASSESSMENT AND SURVEY WAS CONDUCTED BY UTMC TO COMPARE STATISTICS, HEALTH INITIATIVE OUTCOMES, AND ALIGN STRATEGY WITH THE STATE AND LOCAL INITIATIVES TO ADDRESS PUBLIC HEALTH CONCERNS. OUR PARTNERSHIPS INCLUDE THE GOVERNOR'S FOUNDATION FOR HEALTH AND WELLNESS FOR A HEALTHIER TENNESSEE AND KNOX COUNTY HEALTH COUNCIL.UTMC ALSO COLLABORATED WITH A PARTNERSHIP FOCUSED ON PROVIDING A COMMUNITY WIDE HEALTH NEEDS ASSESSMENT AND ACTION PLAN TO ADDRESS THE HEALTH NEEDS OF KNOX COUNTY RESIDENTS. KNOX COUNTY COMMUNITY HEALTH COUNCIL PROVIDES A FRAMEWORK FOR BRINGING TOGETHER THE INDIVIDUALS, GROUPS AND ORGANIZATIONS THAT MAKE UP OUR LOCAL PUBLIC HEALTH SYSTEM, AND GUIDES OUR COMMUNITY TO IDENTIFY AND TAKE ACTION ON PRIORITY HEALTH ISSUES. THE CHC ASSESSES AND EVALUATES HEALTH, THE PERCEPTION OF HEALTH, THE PERFORMANCE OF THE LOCAL PUBLIC HEALTH SYSTEM, AND FUTURE CONDITIONS RELATING TO HEALTH IN KNOX COUNTY, THE CITY OF KNOXVILLE AND THE TOWN OF FARRAGUT. THE PURPOSE OF THE ASSESSMENT IS TO PROVIDE A SNAPSHOT OF THE HEALTH STATUS OF KNOX COUNTY RESIDENTS; TO PROVIDE USEFUL INFORMATION FOR LOCAL PROGRAMMATIC AND FISCAL DECISION MAKING; AND TO INFORM THE DEVELOPMENT OF A STRATEGIC COMMUNITY HEALTH IMPROVEMENT PLAN. IN 2021-2022, UTMC PARTNERED WITH THE KNOX COUNTY HEALTH DEPARTMENT AND OTHER LOCAL COMMUNITY HEALTH AND EDUCATION ORGANIZATIONS TO CONDUCT A COUNTY-WIDE ASSESSMENT OF OUR POPULATION. THE RESULTS FROM THIS ASSESSMENT WAS SHARED WITH COMMUNITY AND HEALTH SYSTEM LEADERS IN MARCH 2022 TO ALIGN INITIATIVES AND STRATEGIES TO ADDRESS THE MOST PRESSING HEALTH ISSUES FACING KNOX COUNTY AND THE 21 COUNTY REGION THAT WE SERVE.IN 2020, UTMC PARTNERED WITH OTHER ORGANIZATIONS MENTIONED ABOVE IN ADDITION TO THE KNOXVILLE BOARD OF HEALTH TO ALIGN STRATEGIES TO MITIGATE THE COVID-19 VIRUS AND PLAN FOR SURGE OF OF POSSIBLE CRITICALLY ILL PATIENTS THAT WOULD CRIPPLE OUR HEALTHCARE SYSTEM STRUCTURE FOR OUR REGION AND COMMUNITY WE SERVE. IMMUNIZATION EFFORTS BEGAN COMMUNITY WIDE IN DECEMBER 2020 WITH BOOSTERS AVAILABLE IN 2021. UTMC SERVED AS AN APPROVED COVID VACCINATION PROVIDER AND ADMINISTERED OVER 50,000 COVID VACCINATIONS TO FIRST RESPONDERS, TEACHERS, TEAM MEMBERS, AND UNDERSERVED POPULATIONS WITHIN KNOX COUNTY. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 6B: COLLABORATION AND DATA SHARING WAS CONDUCTED WITH KNOX COUNTY HEALTH DEPARTMENT AND THE TENNESSEE DEPARTMENT OF HEALTH. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 11: UTMC IS CONTINULLAY ANALYZING DATA AND FOCUSING ON POPULATIONS WITHIN OUR SERVICE REGION FOR INEQUALITIES RELATED TO HEALTHCARE ACCESS AND SERVICES. IN RESPONSE TO THE MOST SIGNIFICANT NEEDS IDENTIFIED, UTMC HAS INCREASED THE NUMBER OF REGIONAL HEALTH CENTERS AND HAVE PLANS TO OPEN ADDITIONAL SERVICES IN AREAS THAT HAVE LOST HEALTHCARE CARE SERVICES AND LICENSED PRACTIONERS AND PHYSICIAN PROVIDERS ACCESS DUE TO A MYRIAD OF FACTORS. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 16J: PATIENT STATEMENTS ALSO INCLUDE VERBIAGE REGARDING FAP.SOME STATEMENTS HAVE FAP APPLICATIONS MAILED WITH SELF ADDRESSED STAMP ENVELOPES. UNIVERSITY HEALTH SYSTEM, INC. PART V, SECTION B, LINE 18E: LEGAL ACTION MAY BE FILED BY OUTSIDE THIRD PARTY LEGAL COUNSEL WHEN THE PATIENT HAS NOT COOPERATED AND HAS THE FINANCIAL MEANS TO PAY. THE HOSPITAL MAY PURSUE THE FILING OF LIENS BUT WILL NOT FORCE THE SALE OF PROPERTY. SCHEDULE H, PART V, FINANCIAL ASSISTANCE POLICY WEBSITES FINANCIAL ASSISTANCE POLICY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/UTMEDICALCENTER/PRODUCTION/COMPLETE-FINANCIAL-ASSISTANCE-POLICY.PDFFINANCIAL ASSISTANCE APPLICATION URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/CONTENT/IMAGES/UTMEDICALCENTER/PRODUCTION/FINANCIAL-ASSISTANCE-APP.PDFPLAIN LANGUAGE SUMMARY URLHTTPS://UTMEDICALCENTER.PATIENTCOMPASS.COM/RA/GENERAL/BILLINGPOLICIES/_FINANCIALASSISTANCE PART V, SECTION B, CHNA WEBSITE HTTPS://WWW.UTMEDICALCENTER.ORG/ABOUT/OUR-STORY/COMMUNITY-BENEFIT/ PART V, SECTION B, LINE 10A: HTTPS://WWW.UTMEDICALCENTER.ORG/ABOUT/OUR-STORY/COMMUNITY-BENEFIT/ PART I, LINE 7: COST IS DERIVED FROM THE ACTUAL EXPENSE DATA ACCUMULATED WITHIN THE UNIVERSITY HEALTH SYSTEM, INC. ("UHS") GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, AND SELF-PAY). UHS ALLOCATES THOSE EXPENSES TO ALL PATIENT SEGMENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO AND AGGREGATES THE EXPENSES AT THE PATIENT LEVEL. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 28,666,622. PART II, COMMUNITY BUILDING ACTIVITIES: THE ACTIVITIES REPORTED IN PART II SEEK TO ACHIEVE SPECIFIED OBJECTIVES, INCLUDING: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND RELIEF OF GOVERNMENT BURDEN. THE ACTIVITIES ARE AVAILABLE TO THE GENERAL PUBLIC, FOCUSING ON LOW-INCOME CONSUMERS. PART III, LINE 2: WE SCORE ALL PATIENTS ON THEIR ABILITY TO PAY 1-4 WITH 4 BEING CHARITY ELIGIBLE. PART III, LINE 3: WE SCORE ALL PATIENTS ON THEIR ABILITY TO PAY 1-4 WITH 4 BEING CHARITY ELIGIBLE. PART III, LINE 4: TO DETERMINE THE AMOUNTS REPORTED IN PART III, LINES 2 AND 3, UHS USES ACTUAL EXPENSE DATA ACCUMULATED BY PATIENT WITHIN THE TRENDSTAR SYSTEM BASED ON A COST TO CHARGE RATIO.THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER UHS' CHARITY CARE POLICY CONSISTS OF ALL BAD DEBT ACCOUNTS WHEREBY THE PATIENTS:1. DID NOT FOLLOW THROUGH WITH THE APPROPRIATE TNCARE OR CHARITY CARE APPLICATIONS (IF THEY FOLLOWED THROUGH CHARITY MAY HAVE BEEN GRANTED).2. HAD TNCARE COVERAGE BUT NOT AT THE TIME OF SERVICE. (A MAJORITY WERE PATIENTS DISENROLLED BY THE TNCARE PROGRAM. THESE PATIENTS NEVER FOLLOWED THROUGH WITH REAPPLYING FOR TNCARE OR CHARITY CARE).3. LIABILITY AMOUNTS REMAINED UNPAID AFTER THEIR LOCAL GOVERNMENTAL ASSISTANCE PROGRAM PAID AND THEY NEVER FOLLOWED THROUGH WITH CHARITY APPLICATION.NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UHS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, UHS RECORDS A SIGNIFICANT PROVISION FOR DOUBTFUL ACCOUNTS RELATED TO UNINSURED PATIENTS. THIS PROVISION FOR DOUBTFUL ACCOUNTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A COMPONENT OF NET PATIENT REVENUE.UHS PROVIDES CARE TO PATIENTS WHO MEET CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UHS DOES NOT REPORT AS NET REVENUE THE CHARGES THAT QUALIFY AS CHARITY CARE BECAUSE UHS DOES NOT PURSUE COLLECTION OF THOSE AMOUNTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COST REPORTED IN THE UHS MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6, IS DERIVED FROM THE ACTUAL EXPENSE DATA FROM THE UHS GENERAL LEDGER. UHS ALLOCATES THOSE EXPENSES TO PATIENTS AT THE PROCEDURE LEVEL BASED ON A COST TO CHARGE RATIO. PART III, LINE 9B: WE NOTIFY PATIENTS OF THE AVAILIBILITY OF FAP VIA STATEMENTS, POSTED NOTICES THROUGHOUT THE HOSPITAL INCLUDING WEBSITE, AND SEND CUSTOMIZED STATEMENTS WITH APPLICATIONS ATTACHED FOR ASSISTING PATIENTS TO APPLY. IF THE PATIENT REQUESTS FAP WE WILL SEND THEM AN APPLICATION UP TO 240 DAYS FROM THE DATE OF THEIR FIRST STATEMENT THIS INCLUDES IF THE PATIENT IS IN BAD DEBT. WE MAKE ALL REASONABLE ATTEMPTS TO HAVE A DECISION MADE WITHIN 10 DAYS UPON RECEIPT OF THE APPLICATION. PART VI, LINE 2: FOR THE MEDICAL CENTER TO SERVE ITS REGION MOST EFFECTIVELY, IT IS ESSENTIAL TO UNDERSTAND EACH COMMUNITY'S NEEDS. THE MEDICAL CENTER HAS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO UNDERSTAND THE HEALTH OF THE RESIDENTS WITHIN THE LOCAL REGION. THE ASSESSMENT FOCUSES ON THE MEDICAL CENTER'S NINE CORE COUNTIES WHERE UHS HAS FACILITIES OR PROVIDES SERVICES. OUR COMMITMENT IS ALSO TO OFFER SERVICES TO COUNTIES WITHOUT HEALTHCARE FACILITIES AND PARTNERING WITH LOCAL HEALTHCARE PROVIDERS TO ENSURE ACCESS TO QUALITY AND SPECIALIZED SERVICES. ACTIVITIES ASSOCIATED WITH DEVELOPING THIS ASSESSMENT HAVE TAKEN PLACE DURING 2021-2022, INCLUDING STATE, REGIONAL, AND COUNTY-SPECIFIC SECONDARY DATA COLLECTION AND PRIMARY DATA OBTAINED THROUGH 406 SURVEYS WITH INDIVIDUALS FROM KNOX COUNTY, TN, AND SURROUNDING COUNTIES. THROUGHOUT THE ASSESSMENT, HIGH PRIORITY WAS GIVEN TO DETERMINING EACH COMMUNITY'S HEALTH STATUS AND AVAILABLE RESOURCES. UTMC EXAMINED LOCAL, NATIONAL, AND STATE DATA AND IDENTIFIED THAT IN 2021, TENNESSEE RANKED 41ST FOR OVERALL HEALTH OUTCOMES. TENNESSEE HAD HIGH RATES OF ADULT OBESITY, CANCER DEATHS, INFANT MORTALITY, AND DIABETES. KNOX COUNTY RANKED 6TH OUT OF 95 COUNTIES IN TENNESSEE FOR COMBINED HEALTH FACTORS, INCLUDING HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIAL AND ECONOMIC FACTORS THAT INFLUENCE THE COUNTY'S HEALTH. ADDITIONAL DATA SOURCES CONSULTED FOR THE CHNA WERE THE TENNESSEE HEALTH RANKINGS AND THE COMMUNITY NEEDS INDEX (CNI). ALSO, COMMUNITY AND ORGANIZATION MEMBERS MEET WITH THE MEDICAL CENTER TO DISCUSS CURRENT HEALTH PRIORITIES AND IDENTIFY POTENTIAL SOLUTIONS. THE INFORMATION GATHERED FROM A LOCAL PERSPECTIVE, PAIRED WITH REGIONAL, STATE, AND NATIONAL DATA, HELPS TO EVALUATE THE REGION'S HEALTH SITUATION IN ORDER TO BEGIN FORMULATING SOLUTIONS FOR IMPROVEMENT. AFTER COMPILING THE VARIOUS SOURCES OF INFORMATION, FOUR TOP HEALTH PRIORITIES WERE IDENTIFIED BY THE CHNA: CANCER, SUBSTANCE USE, MENTAL HEALTH/DEPRESSION/ANXIETY, AND OBESITY. PART VI, LINE 3: TO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE "UNDERSTANDING YOUR HOSPITAL BILL" BROCHURE IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND PROCESS) AND FINANCIAL COUNSELORS ALONG WITH CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO DISCUSS SPECIFIC CASES. THE BROCHURE INSTRUCTS THE PATIENT TO CONTACT THE FINANCIAL COUNSELOR OR PATIENT ACCOUNTS FOR MORE INFORMATION ON CHARITY AND OTHER APPLICABLE DISCOUNTS. FINANCIAL COUNSELORS VISIT PATIENT ROOMS WHEN POSSIBLE TO EXPLAIN THE UHS BILLING PROCESS, PAYMENT PLANS AND SCREENS FOR ASSISTANCE SUCH AS TENNCARE, VICTIM OF CRIME OR CHARITY WRITE-OFF. FINANCIAL COUNSELORS SCREEN ADMISSIONS FOR TRUE HARDSHIP CASES THAT SHOULD BE REVIEWED FOR CHARITY AND CLEARLY STATE THE ELIGIBILITY REQUIREMENTS TO THE PATIENT. THE ORGANIZATION'S CHARITY CARE POLICY (A PATIENT-FRIENDLY SUMMARY) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT, AS WELL AS ON OUR WEBSITE. POLICIES ARE ALSO POSTED IN SPANISH DUE TO THE HIGH VOLUMES OF SPANISH-SPEAKING PATIENTS. THE MAJORITY OF STAFF ASSOCIATED WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY. PART VI, LINE 4: THE UTMC'S SERVICE AREA IS COMPRISED OF 21 COUNTIES, INCLUDING SMALL AND MID-SIZED CITIES AND RURAL COUNTIES, REPRESENTING DIVERSE POPULATIONS WITH ADVERSE HEALTH OUTCOMES AND SOCIOECONOMIC CONDITIONS. THESE COUNTIES FACE DISTINCTIVE SOCIAL RISK FACTORS THAT VARY DEPENDING ON THEIR RURAL/URBAN DESIGNATION, RACIAL AND ETHNIC MAKEUP, INCOME, UNEMPLOYMENT, EDUCATION RATES, LIVING WAGES, AND MEDIAN INCOME. ACCESS TO HEALTHCARE IS DETERMINED BY A MYRIAD OF FACTORS, AMONG THEM ARE HEALTH INSURANCE AND ACCESS TO MEDICAL PROVIDERS AND FACILITIES IN THE REGION. THE RATE OF UNINSURED ADULTS IS HIGHER THAN THE STATE (15%) FOR 52% OF ALL COUNTIES, AND THE POPULATION RATIO TO PRIMARY CARE PHYSICIANS IS HIGHER THAN THE STATE FOR ALL COUNTIES EXCEPT FOR KNOX. FOR INSTANCE, MORGAN COUNTY HAD ONE PRIMARY CARE PHYSICIAN PER 7,130. ACCESS TO MEDICAL CARE PROVIDERS AND HEALTH FACILITIES IS ALSO A CHALLENGE IN THE REGION. ACCORDING TO THE SYCAMORE INSTITUTE, "AS OF APRIL 2019, 20 TENNESSEE COUNTIES HAD NO HOSPITAL 17 OF WHICH ALSO HAD NO EMERGENCY DEPARTMENT". THE UTMC CATCHMENT AREA HAS BEEN DRAMATICALLY AFFECTED BY THE CLOSURE OF FOUR HOSPITALS, TWO OF THEM LOCATED IN KNOXVILLE AND TWO ADDITIONAL ONES IN RURAL AREASFENTRESS AND MCMINN COUNTIES. UTMC SERVES DIVERSE POPULATIONS WHOSE NEEDS VARY FROM COUNTY TO COUNTY, CONSIDERING VARIOUS DEMOGRAPHIC AND SOCIOECONOMIC FACTORS, PARTICULARLY INCOME AND EDUCATION, BOTH CRUCIAL DETERMINANTS OF HEALTH OUTCOMES. FOR INSTANCE, 17 OUT OF 21 COUNTIES IN THE SERVICE AREA HAVE A POVERTY RATE HIGHER THAN THE STATE'S (13.6%); HOWEVER, IT IS ESSENTIAL TO NOTE AREAS IN KNOXVILLE WITH POVERTY RATES AS HIGH AS 68%. ALTHOUGH THE UNEMPLOYMENT RATES ARE LOW FOR MOST COUNTIES, THE LIVING WAGE IS SIGNIFICANTLY LOWER THAN THE STATE'S AVERAGE FOR 80% OF THE COUNTIES, AS IS THE MEDIAN HOUSEHOLD INCOME. STATISTICS RELATED TO HIGH SCHOOL COMPLETION RATES ARE LOWER THAN THE STATE'S (88%) FOR 15 COUNTIES. HOWEVER, WHEN EXAMINING SUB-COUNTY DATA, KNOXVILLE INCLUDES SOME AREAS WITH HIGH SCHOOL COMPLETION RATES AS LOW AS 65%. WHILE THE MAJORITY OF THE POPULATION IN THE CATCHMENT AREAS IS PREDOMINANTLY NON-HISPANIC WHITE, SEVERAL COUNTIES ARE EXPERIENCING RAPID GROWTH IN THEIR HISPANIC/LATINO POPULATIONS: THAT'S THE CASE FOR HAMBLEN (12%), LOUDON (9%), AND SEVIER (7%) COUNTIES. THERE IS A GREATER CONCENTRATION OF BLACK COMMUNITIES IN ZIP CODES INCLUDED IN KNOX (56%), MORGAN (17%)*, AND BLOUNT (14%) COUNTIES. THE RURAL POPULATION IS ABOVE 50% FOR 16 OF 21 COUNTIES, WHILE FOUR OUT OF 21 COUNTIES ARE CONSIDERED 100% RURAL. THE REGION HAS A SIGNIFICANT PORTION OF INDIVIDUALS AGED 65 OR OLDER, WITH 20 COUNTIES HAVING A HIGHER RATE THAN THE STATE, REPRESENTING A SIGNIFICANT CAPACITY DEMAND FOR THE HEALTHCARE SYSTEM. PART VI, LINE 5: UTMC CONDUCTS ONGOING INVENTORIES REGARDING THE HOSPITAL'S ASSETS TO MEET THE COMMUNITY'S ONGOING NEEDS. IN COLLABORATION WITH COMMUNITY PARTNERS, UTMC ENGAGES OTHERS TO IDENTIFY ASSETS AND GAPS BY UTILIZING LOCAL, STATE, AND NATIONAL DATA REPOSITORIES AND REPORTING AGENCIES. WE ALSO SURVEY OUR COMMUNITY TO IDENTIFY THE ASSETS AND THE GAPS IN HEALTH AND HUMAN SERVICES. MAJOR INITIATIVES FOCUSED ON INCREASING ACCESS TO HEALTH SERVICES FOR THE UNDERSERVED THROUGH PARTNERSHIPS; PREVENTING INJURIES AND TREATING TRAUMATIC BRAIN INJURIES; IMPROVING HEALTH ACCESS FOR WOMEN'S HEALTH; CANCER SCREENING SERVICES; EARLY DETECTION OF DISEASE PROCESSES AND MANAGEMENT; AND COMMUNITY-BUILDING ACTIVITIES.THROUGH THEBREAST HEALTH OUTREACH PROGRAM (BHOP),UTMC PROVIDES FREE EDUCATION, PREVENTION, DIAGNOSTICS, AND TREATMENT FOR UNINSURED WOMEN. THE MOBILE MAMMOGRAPHY UNIT (MMU) PROVIDES FREE AND LOW-COST SCREENINGS TO WOMEN IN OUR 21 COUNTY AREA.OPIOID/SUBSTANCE ABUSE:UTMC HAS PARTNERED WITH THE METRO DRUG COALITION AND OTHER STATE AGENCIES TO IDENTIFY INNOVATIVE PROCESSES TO ADDRESS THE OPIOID EPIDEMIC. TO ASSIST WITH COMPLIANCE OF WITHDRAWAL FROM OPIOIDS, SEVERAL PHYSICIANS HAVE LED RESEARCH EFFORTS TO ASSIST INDIVIDUALS IN WITHDRAWING SAFELY FROM CHEMICAL DEPENDENCY. FROM PERINATAL WITHDRAWAL TO IMPLEMENTING PATHWAYS FOR INDIVIDUALS WHO ARE ADMITTED WITH MEDICAL ISSUES ASSOCIATED WITH OPIOID MISUSE, UTMC IS PIONEERING RESEARCH EFFORTS IN THIS FIELD TO ASSIST IN COMBATING CHEMICAL DEPENDENCY FROM OPIOIDS.EMERGENCY AND TRAUMA SERVICES PREVENTION AND EDUCATION-"STOP THE BLEED"- A STATEWIDE INITIATIVE FOCUSED ON DECREASING MORTALITY RATES ASSOCIATED WITH HEMORRHAGE.EDUCATION FOR ALLIED HEALTH PROFESSIONALS FOR ADVANCED TRAUMA LIFE SUPPORT (ATLS), ADVANCED TRAUMA CERTIFIED NURSE (ATCN), TRAUMA NURSE CORE CURRICULUM (TNCC), FUNDAMENTALS OF CRITICAL CARE (FCCS), AND CERTIFIED EMERGENCY NURSE (CEN) PREPARATION COURSEWOMEN'S AND INFANT'S OUTREACH EFFORTS FOR PRENATAL CARE, HIGH RISK OBSTETRICS, AND CARE OF THE PRE-TERM NEWBORN.KAPA PROJECT ACCESS-UT MEDICAL CENTER PARTNERS WITH KAPA TO PROVIDE FREE OR DISCOUNTED MEDICAL SERVICES AND TREATMENT TO INDIVIDUALS WHO ARE NOT INSURED OR MEDICALLY UNDERSERVED.VOLUNTEER MISSION SERVICE ACTIVITIESBLOOD DRIVES:UTMC PARTNERS WITH MEDIC REGIONAL BLOOD CENTER TO PROVIDE AN OPPORTUNITY FOR EMPLOYEES TO GIVE BACK TO THEIR COMMUNITY. UTMC IS THE REGION'S LARGEST CONSUMER OF BLOOD PRODUCTS DUE TO THE COMPLEXITY OF THE SERVICES WE PROVIDE TO THE COMMUNITY, INCLUDING SERVING AS THE ONLY LEVEL I TRAUMA CENTER IN OUR REGION. IN 2022, THE HOSPITAL DONATED OVER 256 UNITS OF BLOOD.EMPTY STOCKING FUND: UTMC PROVIDES OPPORTUNITIES TO VOLUNTEER WITHIN THE COMMUNITY. AS AN ORGANIZATION, UTMC PARTNERS WITH THE KNOXVILLE NEW SENTINEL TO PROVIDE FOOD AND TOYS TO DISADVANTAGED EAST TENNESSEANS DURING THE HOLIDAYS.COMMUNITY COLLABORATIONS:TO REDUCE HEALTH DISPARITIES AND TO PROVIDE MEDICAL CARE AT FREE MEDICAL CENTER AMERICANOW THE KIM HEALTH CENTER FOR ITS AT-RISK PATIENT POPULATION, UT MEDICAL CENTER, GRADUATE SCHOOL OF MEDICINE, AND UNIVERSITY PHYSICIANS' ASSOCIATION HAVE COMMITTED GRANT FUNDING, TRAINEE PARTICIPATION, AND MANAGEMENT SERVICES. THE KIM HEALTH CENTER PARTNERS WITH KNOXVILLE AREA PROJECT ACCESS, KNOXVILLE OUTPATIENT DIAGNOSTIC CENTER, AND LABCORP, AND WITH COMMUNITY AGENCIES TRAINED TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS IMPACTING OUR COMMUNITY'S HEALTH. ADDITIONALLY, ON-SITE PREVENTIVE AND RESTORATIVE DENTAL SERVICES STARTED TO BE OFFERED IN 2022.ADDITIONAL ACCOMPLISHMENTSUT MEDICAL CENTER HIRED ITS INAUGURAL COMMUNITY HEALTH EQUITY DIRECTOR IN JANUARY 2022; CREATED THE COMMUNITY HEALTH EQUITY ADVISORY COUNCIL, AND HIRED ITS FIRST COMMUNITY HEALTH EQUITY DATA ANALYST.UTMC INTENSIFIED ITS COLLABORATION WITH THE KNOXVILLE AREA URBAN LEAGUE (KAUL) TO INCREASE ACCESS TO HEALTH CARE IN EAST KNOXVILLE. IT ALSO PARTNERED WITH THE EMERALD YOUTH FOUNDATION AND THE WELL LONSDALE INITIATIVE.UTMC DEMONSTRATED SIGNIFICANT PROGRESS BY INCLUDING HEALTH EQUITY AS PART OF THE LONG-TERM KEY STRATEGIC OBJECTIVES. PART VI, LINE 6: UHS IS CURRENTLY AFFILIATED WITH EAST TENNESSEE CHILDREN'S HOSPITAL IN PROVIDING JOINT HEALTHCARE SERVICES FOR THE PEDIATRIC POPULATION OF OUR REGION. UHS PARTNERS WITH SEVERAL LOCAL ORGANIZATIONS IN SUPPORT OF CHILDREN'S HEALTH AND WELLBEING. PART VI, LINE 7, REPORTS FILED WITH STATES TN 1 CHAPLAIN'S CRISIS FUND 6518 36207 PROVIDED TRANSPORTATION, MEAL BOXES, EMPLOYEE ASSISTANCE AND PRESCRIPTION TO THOSE IN NEED STEPHENS FUND 140 31493 PROVIDE ASSISTANCE TO THOSE UNDERGOING CANCER TREATMENT HELPING HANDS 418 49554 PROVIDE ASSISTANCE TO THOSE UNDERGOING CANCER TREATMENT BRIDGE TO RECOVERY 7 46160 PROVIDED INPATIENT DRUG REHAB SERVICES HELPING HANDS 92 301 FREE PROSTATE SCREENINGS PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. FOR EMPLOYEE EDUCATION ASSISTANCE SCHOLARSHIPS, APPLICANTS MUST SUBMIT RECEIPTS FOR EXPENDITURES. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. X X X X X X 0 1 0 0 0 0 0 1 0 JOSEPH R LANDSMAN JR PRESIDENT & CEO 1106587 0 425149 0 333077 0 308835 0 9112 0 2182760 0 325553 0 MICHAEL B FREEMAN PHYSICIAN 675000 0 449195 0 108552 0 219941 0 357 0 1453045 0 106343 0 OSCAR GRANDAS PHYSICIAN 699865 0 451760 0 145928 0 115305 0 420 0 1413278 0 144638 0 NATHAN SCHROCK PHYSICIAN 467882 0 477367 0 130577 0 95366 0 11719 0 1182911 0 129287 0 WILLIAM D HALL EXECUTIVE VICE PRESIDENT 643563 0 210800 0 142993 0 155799 0 7378 0 1160533 0 138241 0 DAVID N ALJADIR PHYSICIAN 469631 0 454816 0 114583 0 93027 0 13603 0 1145660 0 114133 0 SUSAN M NEWMAN PHYSICIAN 470723 0 623588 0 690 0 15250 0 7562 0 1117813 0 0 0 STEVEN R ROSS SR VP STRATEGIC DEVELOPMENT 516563 0 102000 0 104513 0 113285 0 7190 0 843551 0 100153 0 DR KEITH D GRAY SR VP & CHIEF MEDICAL OFFICER 635500 0 68400 0 57170 0 70638 0 734 0 832442 0 54688 0 DR JERRY CROOK JR SR VP PHYSICIAN ENTERPRISE 582813 0 80043 0 75556 0 66905 0 13652 0 818969 0 74733 0 DR JAMES E SHAMIYEH SR VP & CHIEF QUALITY OFFICER 614475 0 68626 0 49649 0 65237 0 12022 0 810009 0 48124 0 BENJAMIN M CUNNINGHAM JR SR VP & CFO 570453 0 105300 0 26730 0 68392 0 13874 0 784749 0 24109 0 BENNETT COX SR VP & GENERAL COUNSEL 479506 0 79140 0 99243 0 101254 0 1012 0 760155 0 95863 0 MICHAEL SAAD SR VP & CIO 418453 0 47880 0 29319 0 47615 0 13785 0 557052 0 25047 0 LEAKE CASSANDRA SR VP & CNO 450600 0 45000 0 1950 0 49995 0 620 0 548165 0 0 0 KATHERINE BOYD SR VP & CHIEF DEVELOPMENT OFFICER 366231 0 68400 0 38624 0 43890 0 4655 0 521800 0 36126 0 BRUCE R HARTMANN SR VP & CCRO 375087 0 45332 0 34436 0 43033 0 8740 0 506628 0 29436 0 JULIA COCO SR VP CLINICAL INTEGRATION 295247 0 43200 0 17239 0 34636 0 11733 0 402055 0 16577 0 STEPHEN CLAPP SR VP STRATEGIC DEVELOPMENT 278243 0 11250 0 1118 0 28488 0 8566 0 327665 0 0 0 DR ROBERT F ELDER BOARD MEMBER 130172 0 11625 0 8903 0 0 0 0 0 150700 0 0 0 PART I, LINE 4B THE ORGANIZATION MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT, VICE PRESIDENTS AND EQUIVALENTS, AND PHYSICIANS. ALL EMPLOYER CONTRIBUTIONS ARE SUBJECT TO A SEVEN-YEAR VESTING SCHEDULE OR ATTAINMENT OF AGE 60 AND CONTRIBUTIONS ARE MADE AT THE CLOSE OF EACH PAYROLL CYCLE. THE ORGANIZATION MAINTAINS A SEPARATE NONQUALIFIED DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT. THE EMPLOYER'S CONTRIBUTIONS BECOME VESTED ACCORDING TO THE AGE OF THE PARTICIPANT AT THE TIME THE CONTRIBUTION WAS MADE. CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT MADE IN A YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 57 SHALL VEST FULLY ON JANUARY 1 OF THE YEAR THE PARTICIPANT ATTAINS THE AGE OF 60. FOR CONTRIBUTIONS MADE NO LATER THAN THE YEAR IN WHICH THE PARTICIPANT ATTAINS THE AGE OF 58 AND EACH YEAR THEREAFTER SHALL VEST FULLY ON THE LAST BUSINESS DAY OF THE YEAR IN WHICH THE CONTRIBUTION IS MADE. CONTRIBUTIONS ARE MADE AT THE END OF EACH PAYROLL CYCLE. THE ALLOCATIONS MADE TO THE NONQUALIFIED DEFERRED COMPENSATION PLANS FOR THE YEAR WERE: $77,777 DAVID N. ALJADIR $100,055 OSCAR GRANDAS $97,391 MICHAEL B. FREEMAN $80,116 NATHAN SCHROCK $27,783 BRUCE R. HARTMANN $28,640 KATHERINE BOYD $86,004 BENNETT COX $98,035 STEVEN R. ROSS $140,549 WILLIAM D. HALL $53,142 BENJAMIN M. CUNNINGHAM, JR. $32,365 MICHAEL SAAD $55,388 DR. KEITH D. GRAY $53,938 DR. JAMES E. SHAMIYEH $34,745 CASSANDRA LEAKE $51,655 DR. JERRY CROOK, JR. $21,587 STEPHEN CLAPP $19,386 JULIA COCO $2,297 DR. LISA D. DUNCAN $293,585 JOSEPH R. LANDSMAN, JR. PART I, LINE 7 THE SENIOR VP'S INCENTIVE PLAN IS CONTINGENT UPON TARGETS APPROVED BY THE CEO, WHICH INCLUDES ACHIEVEMENTS OF QUALITY, OPERATIONAL, FINANCIAL, AND STRATEGIC TARGETS. THE CEO DISCUSSES THE INCENTIVE PLAN WITH THE BOARD'S HUMAN RESOURCES COMMITTEE WITH BOARD APPROVAL REQUIRED OF THE PLAN. THE INCENTIVE PLAN WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT. DATA COMPILED BY KORN FERRY IS USED FOR COMPARABILITY. COMPENSATION PAID TO BOARD MEMBERS, WHO ARE ALSO EMPLOYEES, IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS OR ADMINISTRATORS. THE COMPENSATION PACKAGES OF THE CEO, OFFICERS, EMPLOYED PHYSICIAN BOARD MEMBERS, AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS ANNUALLY. COMPENSATION IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE HUMAN RESOURCES COMMITTEE AND THE FULL BOARD. THE BOARD MAINTAINS COMPARABILITY DATA FROM INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANTS AND COMPENSATION DATA FROM SIMILARLY-SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS. THE BOARD ADHERES TO THE CONFLICT OF INTEREST POLICY AT ALL TIMES WITH REGARD TO APPROVAL OF COMPENSATION. A THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 2015-06-25 90000000 CURRENT REFUNDING AND CAPITAL PROJECT 0 0 0 B THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MCZ7 2016-11-17 120612199 CURRENT REFUNDING AND CAPITAL PROJECT 0 0 0 C THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MEF9 2017-02-07 133311875 CURRENT REFUNDING 0 0 0 D THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 49952MEJ1 2020-05-19 81089625 REVENUE BONDS, SERIES 2020A (UNIVERSITY HEALTH SYSTEM INC.) 0 0 0 A 2366000 90000000 250000 40445000 2015 0 1 1 1 B 11489211 120613982 1422017 66408417 2016 0 1 1 1 C 26072000 133311875 1119046 132192828 2017 0 1 1 1 D 2786625 81089651 1089625 58636331 37521687 0 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 0 0 0 0 0 0 0 1 A 0 B 0 C 0 D 0 PART II, LINE 3, SERIES 2016 INVESTMENT EARNINGS HAVE BEEN INCLUDED IN THIS LINE. BECAUSE OF THIS, THE ISSUE PRICE ON PART I AND THE ISSUE PRICE IN PART II FOR THE SERIES 2016 BOND WILL NOT MATCH. A THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX 621220275 2021-01-14 52000000 REFUNDING OF SERIES 2014 BONDS AND FINANCE CAPITAL EXPENDITURES 0 0 0 A 302000 52000000 322750 41677250 10000000 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 1 0 0 0 1 A 0 ELIZABETH SHERROD FAMILY RELATIONSHIP WITH BOARD MEMBER 117404 COMPENSATION AS EMPLOYEE 0 MARY ELLEN COX FAMILY RELATIONSHIP WITH OFFICER 140548 COMPENSATION AS EMPLOYEE 0 X 1 20000 FMV X 1 10091 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND SENIOR VP/CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURES ARE NOW PERFORMED ELECTRONICALLY. STATUS REPORTS WITH DETAILS CAN BE RUN AT ANY TIME TO DETERMINE COMPLETION. THIS IS RUN MANY TIMES ANNUALLY AS THEY ARE COMPLETED. THE ORGANIZATION FURTHER INVESTIGATES ANY DISCLOSURES THAT REQUIRE A CLOSER LOOK AND WORKS TOWARD RESOLUTION OF ANY POTENTIAL COMPLIANCE DISCREPANCIES. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 124,665,482. MANAGEMENT AND GENERAL EXPENSES 6,561,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,226,823. COMMUNICATION SERVICES: PROGRAM SERVICE EXPENSES 32,468,818. MANAGEMENT AND GENERAL EXPENSES 1,708,885. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,177,703. CLINCAL SERVICES: PROGRAM SERVICE EXPENSES 34,195,039. MANAGEMENT AND GENERAL EXPENSES 1,799,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,994,778. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 6,621,211. MANAGEMENT AND GENERAL EXPENSES 348,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,969,696. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,191,693. MANAGEMENT AND GENERAL EXPENSES 115,352. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,307,045. FORM 990, PART XI, LINE 9: OTHER CHANGE IN NET ASSETS 9,749,884. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR. FORM 990, PART III, LINE 4A: STATEMENT OF COMMUNITY BENEFIT UNIVERSITY HEALTH SYSTEM JANUARY 1, 2022 - DECEMBER 31, 2022 UTMC CONDUCTS ONGOING INVENTORIES REGARDING THE HOSPITAL'S ASSETS TO MEET THE COMMUNITY'S ONGOING NEEDS. IN COLLABORATION WITH COMMUNITY PARTNERS, UTMC ENGAGES OTHERS TO IDENTIFY ASSETS AND GAPS BY UTILIZING LOCAL, STATE, AND NATIONAL DATA REPOSITORIES AND REPORTING AGENCIES. WE ALSO SURVEY OUR COMMUNITY TO IDENTIFY THE ASSETS AND THE GAPS IN HEALTH AND HUMAN SERVICES. MAJOR INITIATIVES FOCUSED ON INCREASING ACCESS TO HEALTH SERVICES FOR THE UNDERSERVED THROUGH PARTNERSHIPS; PREVENTING INJURIES AND TREATING TRAUMATIC BRAIN INJURIES; IMPROVING HEALTH ACCESS FOR WOMEN'S HEALTH; CANCER SCREENING SERVICES; EARLY DETECTION OF DISEASE PROCESSES AND MANAGEMENT; AND COMMUNITY-BUILDING ACTIVITIES. THROUGH THEBREAST HEALTH OUTREACH PROGRAM (BHOP),UTMC PROVIDES FREE EDUCATION, PREVENTION, DIAGNOSTICS, AND TREATMENT FOR UNINSURED WOMEN. THE MOBILE MAMMOGRAPHY UNIT (MMU) PROVIDES FREE AND LOW-COST SCREENINGS TO WOMEN IN OUR 21 COUNTY AREA. OPIOID/SUBSTANCE ABUSE:UTMC HAS PARTNERED WITH THE METRO DRUG COALITION AND OTHER STATE AGENCIES TO IDENTIFY INNOVATIVE PROCESSES TO ADDRESS THE OPIOID EPIDEMIC. TO ASSIST WITH COMPLIANCE OF WITHDRAWAL FROM OPIOIDS, SEVERAL PHYSICIANS HAVE LED RESEARCH EFFORTS TO ASSIST INDIVIDUALS IN WITHDRAWING SAFELY FROM CHEMICAL DEPENDENCY. FROM PERINATAL WITHDRAWAL TO IMPLEMENTING PATHWAYS FOR INDIVIDUALS WHO ARE ADMITTED WITH MEDICAL ISSUES ASSOCIATED WITH OPIOID MISUSE, UTMC IS PIONEERING RESEARCH EFFORTS IN THIS FIELD TO ASSIST IN COMBATING CHEMICAL DEPENDENCY FROM OPIOIDS. EMERGENCY AND TRAUMA SERVICES PREVENTION AND EDUCATION-"STOP THE BLEED"- A STATEWIDE INITIATIVE FOCUSED ON DECREASING MORTALITY RATES ASSOCIATED WITH HEMORRHAGE. EDUCATION FOR ALLIED HEALTH PROFESSIONALS FOR ADVANCED TRAUMA LIFE SUPPORT (ATLS), ADVANCED TRAUMA CERTIFIED NURSE (ATCN), TRAUMA NURSE CORE CURRICULUM (TNCC), FUNDAMENTALS OF CRITICAL CARE (FCCS), AND CERTIFIED EMERGENCY NURSE (CEN) PREPARATION COURSE WOMEN'S AND INFANT'S OUTREACH EFFORTS FOR PRENATAL CARE, HIGH RISK OBSTETRICS, AND CARE OF THE PRE-TERM NEWBORN. KAPA PROJECT ACCESS-UT MEDICAL CENTER PARTNERS WITH KAPA TO PROVIDE FREE OR DISCOUNTED MEDICAL SERVICES AND TREATMENT TO INDIVIDUALS WHO ARE NOT INSURED OR MEDICALLY UNDERSERVED. VOLUNTEER MISSION SERVICE ACTIVITIES BLOOD DRIVES:UTMC PARTNERS WITH MEDIC REGIONAL BLOOD CENTER TO PROVIDE AN OPPORTUNITY FOR EMPLOYEES TO GIVE BACK TO THEIR COMMUNITY. UTMC IS THE REGION'S LARGEST CONSUMER OF BLOOD PRODUCTS DUE TO THE COMPLEXITY OF THE SERVICES WE PROVIDE TO THE COMMUNITY, INCLUDING SERVING AS THE ONLY LEVEL I TRAUMA CENTER IN OUR REGION. IN 2022, THE HOSPITAL DONATED OVER 256 UNITS OF BLOOD. EMPTY STOCKING FUND: UTMC PROVIDES OPPORTUNITIES TO VOLUNTEER WITHIN THE COMMUNITY. AS AN ORGANIZATION, UTMC PARTNERS WITH THE KNOXVILLE NEW SENTINEL TO PROVIDE FOOD AND TOYS TO DISADVANTAGED EAST TENNESSEANS DURING THE HOLIDAYS. COMMUNITY COLLABORATIONS: TO REDUCE HEALTH DISPARITIES AND TO PROVIDE MEDICAL CARE AT FREE MEDICAL CENTER AMERICANOW THE KIM HEALTH CENTER FOR ITS AT-RISK PATIENT POPULATION, UT MEDICAL CENTER, GRADUATE SCHOOL OF MEDICINE, AND UNIVERSITY PHYSICIANS' ASSOCIATION HAVE COMMITTED GRANT FUNDING, TRAINEE PARTICIPATION, AND MANAGEMENT SERVICES. THE KIM HEALTH CENTER PARTNERS WITH KNOXVILLE AREA PROJECT ACCESS, KNOXVILLE OUTPATIENT DIAGNOSTIC CENTER, AND LABCORP, AND WITH COMMUNITY AGENCIES TRAINED TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS IMPACTING OUR COMMUNITY'S HEALTH. ADDITIONALLY, ON-SITE PREVENTIVE AND RESTORATIVE DENTAL SERVICES STARTED TO BE OFFERED IN 2022. ADDITIONAL ACCOMPLISHMENTS UT MEDICAL CENTER HIRED ITS INAUGURAL COMMUNITY HEALTH EQUITY DIRECTOR IN JANUARY 2022; CREATED THE COMMUNITY HEALTH EQUITY ADVISORY COUNCIL, AND HIRED ITS FIRST COMMUNITY HEALTH EQUITY DATA ANALYST. UTMC INTENSIFIED ITS COLLABORATION WITH THE KNOXVILLE AREA URBAN LEAGUE (KAUL) TO INCREASE ACCESS TO HEALTH CARE IN EAST KNOXVILLE. IT ALSO PARTNERED WITH THE EMERALD YOUTH FOUNDATION AND THE WELL LONSDALE INITIATIVE. UTMC DEMONSTRATED SIGNIFICANT PROGRESS BY INCLUDING HEALTH EQUITY AS PART OF THE LONG-TERM KEY STRATEGIC OBJECTIVES. 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