2026-05-07T10:55:45+00:00 2025-06-30 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BLVD SUITE 1000 ATLANTA GA 30308 990 2024-07-01 352528741 Vanderbilt University Medical Center VAND 6153222381 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 Cecelia Moore CFO & Treasurer 2026-05-07 true true AERRIAL M ORR P01598400 4048748300 2026-05-07 2024 2025-03-06 01:10:19Z Jeffrey R Balser MD PhD 1161 21st Ave S Suite D3300 MCN Nashville TN 37232 9038465932 false X www.vumc.org X 2015 TN See Schedule O, Form 990, Part III, Line 1 11 10 38678 2090 40022435 0 588215506 642858181 7038743432 7946063108 63194433 67464005 15882157 17997734 7706035528 8674383028 180719752 209048154 0 3960634258 4391316563 566195 567290 21622499 3293846229 3658031371 7435766434 8258963378 270269094 415419650 6568033122 7794199229 4106296844 4834718062 2461736278 2959481167 X See Schedule O Form 990, Part III, Line 1 false false 5749397477 47060105 7444087059 Patient Services - See Schedule O Form 990, Part III, Line 4a 1093579928 161988049 268824808 Academic and Scientific Research - See Schedule O Form 990, Part III, Line 4b 200534120 244666326 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 200534120 244666326 7043511525 true true false true false false false true false true true false false false true false false true false true true true false true true true true true true true true true false false false false false false false false true true true true false false true true true true false false true X 3789 1 true 38678 true true true true MZ false false false true true false false false false true false X 11 10 true false false false false false true true true false false false true true true true true true true true true true X Scott Phillips 6153222381 3841 Green Hills Village Dr Ste 20 Nashville TN 372152691 Jeffrey R Balser MD PHD President and CEO 60.0 0.0 X X 14688567 0 1792572 Alexander C Taylor Director 2.0 0.0 X 0 0 0 Colin V Reed Director 2.0 0.0 X 0 0 0 Daniel Diermeier PHD Director 2.0 0.0 X 0 0 0 Edith Scott Carell Johnson JD Director, Chair of Board of Dirs & Exec Comm 4.0 0.0 X 0 0 0 Gail Carr Williams JD Director 2.0 0.0 X 0 0 0 John F Stein MBA Director, Vice Chair of Board of Dirs & Chair of Audit & Compl Comm 3.0 0.0 X 0 0 0 John R Ingram MBA Director 1.0 0.0 X 0 0 0 Lucinda M Baier CPA Director, Chair of Quality & Safety Com 2.0 0.0 X 0 0 0 Makeba Boatwright Williams MD Director 1.0 0.0 X 0 0 0 Sara J Finley JD Director, Chair of Mgmt Dev & Comp Comm 2.0 0.0 X 0 0 0 C Wright Pinson MD MBA Deputy CEO & Chief Health System Officer 59.1 0.9 X 5621867 0 1016048 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 60.0 0.0 X 3892160 0 474944 Doug Mefford JD General Counsel and Secretary (Beginning 7/1/24) 54.0 1.0 X 508415 0 153366 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 60.0 0.0 X 5018633 0 535265 Amy Schoeny PHD Chief HR Officer 55.0 0.0 X 1541038 0 209231 C J Stimson MD JD EVP for Population Health (Beginning 1/1/24) 50.0 0.0 X 726509 0 16575 Cecelia Theobald MD MPH Chief of Clinical Staff 60.0 0.0 X 876166 0 168280 David Russell EVP Org Transformation & Chief Strategic Bus Dev Officer (Beginning 9/1/24) 60.0 0.0 X 582909 0 76886 Donald Brady MD Exec Vice Dean - Aca Affairs & Exec VP - Ed Affairs 50.0 0.0 X 1213205 0 231725 Jennifer A Pietenpol PHD Chief Scientific and Strategy Officer 68.0 0.0 X 2122970 0 328509 Lee Ann Liska MBA Pres & Chief Oper Off at VUH 60.0 0.0 X 1380360 0 305772 Margaret G Rush MD MMHC Pres & Exec Med Dir, MCJCH 55.9 1.1 X 1794599 0 280142 Rick Wright MD CMO and Sr VP for Clinical Affairs 32.5 32.5 X 1872987 0 317249 Travis Capers FACHE President of Vanderbilt Regional Community Hospitals 60.0 0.0 X 806653 0 27058 Wendy Monaci MBA EVP Adult Ambulatory 59.0 6.0 X 1104937 0 222407 Zeena M Abdulahad MPA EVP & Chief Dev Officer 60.0 0.0 X 1622435 0 194158 Amir Abtahi MD Assistant Professor, Department of Orthopaedic Surgery 60.0 0.0 X 1695468 0 65948 Ashish S Shah MD FACS Professor, Cardiac 60.0 0.0 X 1658970 0 70539 Byron Stephens II MD MSCI Associate Professor, Department of Orthopaedic Surgery 60.0 0.0 X 1888882 0 44533 Ginger Holt MD Professor, Ortho-Oncology 60.0 0.0 X 1995013 0 53350 Seth J Karp MD Professor of Surgery, Biomedical Ethics & Society, and Anesthesiology 60.0 0.0 X 1745130 0 52027 David R Posch Former EVP for Population Health 59.1 0.9 X 831571 0 52484 DAVID S RAIFORD MD Former Chief of Clinical Staff 60.0 0.0 X 336679 0 0 Michael J Regier JD Former General Counsel and Secretary 0.0 0.0 X 3018841 0 233848 Shon Dwyer MBA RN Former President, Vanderbilt Adult Hospital 0.0 0.0 X 1230612 0 0 Thomas S Nantais MBA Former EVP Adult Ambulatory 0.0 0.0 X 468625 0 0 WILLIAM W STEAD MD FORMER CHIEF STRATEGY OFFICER (ROLE ENDED DECEMBER 2020) 60.0 0.0 X 136602 0 27995 60380803 0 6950911 8946 true true false Vanderbilt University PMB 406310 2301 Vanderbilt Place Nashville TN 37240 Various Services 188970129 DELL MARKETING LP PO Box 677654 Plano TX 75026 Information Technology 14791378 FRESENIUS MEDICAL CARE HOLDING INC PO Box 3936 Boston MA 02241 Medical Services 12625542 DCI DONOR SERVICES INC 1600 Hayes St 100 Nashville TN 37203 Medical Transportation 9758894 BLOOD ASSURANCE INC 705 E Fourth St Chattanooga TN 37403 Medical Services 8239431 262 1470097 467609684 173778400 3784617 642858181 NET PATIENT SERVICE REVENUE 622110 7443100764 7439963183 3137581 ACADEMIC AND RESEARCH REVENUE 611310 268824808 268824808 OTHER PROGRAM REVENUE 611310 234137536 197252682 36884854 0 0 0 0 7946063108 63029795 63029795 8374758 8374758 2056083 2056083 10867579 6146709 4720870 0 4720870 4720870 353244741 357185289 -3940548 0 -3940548 -3940548 348452 1470097 679983 -331531 -331531 108150 70923 37227 37227 REVENUE FROM UNCONSOLIDATED ORGS 900099 11515085 11515085 0 0 0 0 11515085 8674383028 7917555758 40022435 73946654 125401782 125401782 55380975 55380975 28265397 28265397 47069504 5267510 39033783 2768211 277759 277759 3546950940 3162824148 374983405 9143387 118119163 101583174 16029893 506096 450356263 387306515 61120065 1929683 228542934 196547816 31015884 979234 7582457 3211857 4370600 17514050 2952703 14561347 240093 45479 194614 568143 568143 567290 567290 629311085 237988569 390191519 1130997 19175412 4249570 14908707 17135 187084113 157607462 27041149 2435502 152914827 32760960 119968446 185421 359374384 333720046 24760378 893960 21455481 18497694 2908586 49201 17072304 13060318 3965347 46639 63299700 63016451 41569 241680 220521693 164425400 56096293 39565460 39565040 420 DRUGS AND MEDICAL SUPPLIES 1874299514 1871026920 3272594 OTHER ACADEMIC AND RESEARCH 6912317 2018231 4433319 460767 TAXES (EXCLUDING UBI TAXES) 5127264 5127264 Taxes - UBI 103080 103080 35909994 30711262 4931856 266876 8258963378 7043511525 1193829354 21622499 53388204 304578350 787635330 836321509 197642720 205349462 853580637 1112658149 0 0 0 0 183923635 205346184 32125243 42217490 4870125091 1601572656 2937000179 3268552435 1410803308 1700530342 72428504 79102688 0 27028333 27028333 12477029 12514287 6568033122 7794199229 1067594760 1233420673 46183860 51519689 1052755690 1571123281 0 0 863621862 860598256 11686069 6817753 1064454603 1111238410 4106296844 4834718062 X 2117322337 2540566278 344413941 418914889 2461736278 2959481167 6568033122 7794199229 X 415419650 69369866 12955373 X false true true true true X 438346168 505781347 549108462 588215506 642858181 2724309664 0 0 438346168 505781347 549108462 588215506 642858181 2724309664 0 2724309664 12605831 58082586 93266733 73273118 84328215 321556483 0 0 112890 1547310 297194 1957394 8142646 15502896 5801783 9738495 11515085 50700905 3098524446 32207963322 0.87923 0.88927 X Schedule A, Part II, Line 10 THE AMOUNT REPORTED ON LINE 10 COMPRISES REVENUE FROM UNCONSOLIDATED ORGANIZATIONS of $11,515,085. Schedule A, Part II, Line 10 Other Income DESCRIPTION - UNCONSOLIDATED ORGS AND FUNDRAISING, COLUMN A - 8142646.0, COLUMN B - 15502896.0, COLUMN C - 5801783.0, COLUMN D - 9738495.0, COLUMN E - 11515085.0, COLUMN F - 50700905.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 568143 568143 8217646053 8218214196 1000000 0 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 131862 157243 290672 568143 1147920 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 Schedule C, Part II-A, Line 2 VUMC duly filed Federal Form 5768 electing to have the provisions of 501(h) apply to its tax year ending June 30, 2015. This election was not revoked prior to VUMC's tax year beginning July 1, 2025. 28494 1101753 X true 325079206 70152311 38272446 8639552 424864411 263039541 37718864 31495076 7174275 325079206 211816315 38378615 18448277 5603666 263039541 212061255 27282435 -22005027 5522348 211816315 159065950 24390084 32876965 4271744 212061255 0.5397 0.4603 0.0 false false 53121666 53121666 1614318379 589518771 1024799608 244035935 89117343 154918592 1646676080 601335196 1045340884 1311973031 321601346 990371685 3268552435 Federal Income Taxes Operating Lease Liabilities 940344716 Short Term Operating Lease Liabilities 85926183 Note payable to related organization 57158333 Current Portion Tenant Improv Allowances 22141342 Asset Retirement Obligation 5628980 Other noncurrent liabilities 38856 Fair Value Int Rate Swap Agreements 1111238410 0 0 0 0 0 0 0 0 0 0 0 0 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, CHAIRS IN CLINICAL DEPARTMENTS, MEDICAL TRAINING FELLOWSHIPS, MEDICAL DIRECTORSHIPS, AND OTHER PROGRAMS CONSISTENT WITH THE MISSION OF THE INSTITUTION. Schedule D, Part III, Line 4 Collections of art - description of collections VUMC MAINTAINS VARIOUS COLLECTIONS OF ART AND SIMILAR ASSETS. SUCH COLLECTIONS INCLUDE, BUT ARE NOT LIMITED TO, PAINTINGS, PHOTOGRAPHY, SCULPTURES AND OTHER SIMILAR ITEMS. ALL SUCH COLLECTIONS FURTHER VUMC'S EXEMPT PURPOSE BY PROVIDING CULTURAL, HISTORICAL, AND EDUCATIONAL OPPORTUNITIES TO VUMC STAFF AND PATIENTS AND THE COMMUNITY AT LARGE THROUGH EXHIBITS AND DISPLAYS. true Central America and the Caribbean 0 0 sending agents of the organization to attend and speak at seminars and conferences 22549 East Asia and the Pacific 0 0 sending agents of the organization to attend and speak at seminars and conferences 250466 Europe (Including Iceland and Greenland) 0 0 sending agents of the organization to attend and speak at seminars and conferences 856887 Middle East and North Africa 0 0 sending agents of the organization to attend and speak at seminars and conferences 5235 North America (Canada & Mexico only) 0 0 sending agents of the organization to attend and speak at seminars and conferences 203777 Russia and Neighboring States 0 0 sending agents of the organization to attend and speak at seminars and conferences 3211 South America 0 0 sending agents of the organization to attend and speak at seminars and conferences 68218 South Asia 0 0 sending agents of the organization to attend and speak at seminars and conferences 14911 Sub-Saharan Africa 0 0 sending agents of the organization to attend and speak at seminars and conferences 75289 Central America and the Caribbean 0 0 Program Services Education and Health-Care 60805 East Asia and the Pacific 0 0 Program Services Education and Research 176769 Europe (Including Iceland and Greenland) 0 0 Program Services Education and Research 318121 Middle East and North Africa 0 0 Program Services Education and Research 26962 North America (Canada & Mexico only) 0 0 Program Services Education and Research 36553 Russia and Neighboring States 0 0 Program Services Education 7525 South America 0 0 Program Services Education and Research 108121 South Asia 0 0 Program Services Education 16627 Sub-Saharan Africa 10 2219 Program Services Education, Health-Care, Research 15942836 Central America and the Caribbean 0 1 Grantmaking-subcontracts 242956 East Asia and the Pacific 0 0 Grantmaking-subcontracts 152529 Europe (Including Iceland and Greenland) 0 1 Grantmaking-subcontracts 1553657 North America (Canada & Mexico only) 0 0 Grantmaking-subcontracts 1243868 South America 0 5 Grantmaking-subcontracts 2992534 Sub-Saharan Africa 0 6 Grantmaking-subcontracts 21727025 Middle East and North Africa 0 0 Grantmaking-subcontracts 352828 0 0 10 2232 10 2232 2235399 44224860 46460259 Europe (Including Iceland and Greenland) Research 45725 Wire N/A N/A Sub-Saharan Africa General 11498 Wire N/A N/A Sub-Saharan Africa Research 17772 Wire N/A N/A Sub-Saharan Africa General 992855 Wire N/A N/A Sub-Saharan Africa Research 7237 Wire N/A N/A Sub-Saharan Africa General 137547 Wire N/A N/A Middle East and North Africa Research 116624 Wire N/A N/A Middle East and North Africa Research 160715 Wire N/A N/A Europe (Including Iceland and Greenland) General 470550 Wire N/A N/A North America (Canada & Mexico only) Research 177610 Wire N/A N/A Europe (Including Iceland and Greenland) Research 109243 Wire N/A N/A Europe (Including Iceland and Greenland) Research 27300 Wire N/A N/A Sub-Saharan Africa General 53610 Wire N/A N/A South America Research 1533859 Wire N/A N/A Sub-Saharan Africa Research 608804 Wire N/A N/A South America Research 127981 Wire N/A N/A South America Research 72732 Wire N/A N/A South America Research 86873 Wire N/A N/A South America Research 84159 Wire N/A N/A South America Research 146666 Wire N/A N/A South America Research 120876 Wire N/A N/A South America Research 65967 Wire N/A N/A South America Research 202348 Wire N/A N/A Sub-Saharan Africa General 76583 Wire N/A N/A North America (Canada & Mexico only) Research 60236 Wire N/A N/A East Asia and the Pacific General 79475 Wire N/A N/A Middle East and North Africa Research 57346 Wire N/A N/A Central America and the Caribbean Research 109629 Wire N/A N/A North America (Canada & Mexico only) Research 10800 Wire N/A N/A Europe (Including Iceland and Greenland) General 10757 Wire N/A N/A Sub-Saharan Africa Research 21763 Wire N/A N/A South America General 55920 Wire N/A N/A North America (Canada & Mexico only) Research 665458 Wire N/A N/A Europe (Including Iceland and Greenland) Research 52703 Wire N/A N/A Central America and the Caribbean Research 133327 Wire N/A N/A North America (Canada & Mexico only) Research 44219 Wire N/A N/A Sub-Saharan Africa Research 12576 Wire N/A N/A Sub-Saharan Africa Research 63649 Wire N/A N/A Sub-Saharan Africa General 154663 Wire N/A N/A Europe (Including Iceland and Greenland) Research 447472 Wire N/A N/A Europe (Including Iceland and Greenland) Research 85473 Wire N/A N/A Europe (Including Iceland and Greenland) Research 8000 Wire N/A N/A Sub-Saharan Africa Research 112878 Wire N/A N/A Sub-Saharan Africa Research 240124 Wire N/A N/A Middle East and North Africa Research 18143 Wire N/A N/A North America (Canada & Mexico only) Research 34020 Wire N/A N/A North America (Canada & Mexico only) Research 231631 Wire N/A N/A Europe (Including Iceland and Greenland) Research 57226 Wire N/A N/A South America Research 161932 Wire N/A N/A Europe (Including Iceland and Greenland) Research 66777 Wire N/A N/A Europe (Including Iceland and Greenland) Research 19378 Wire N/A N/A Europe (Including Iceland and Greenland) Research 30313 Wire N/A N/A East Asia and the Pacific Research 10422 Wire N/A N/A Sub-Saharan Africa Research 219111 Wire N/A N/A South America Research 333222 Wire N/A N/A Sub-Saharan Africa Research 68574 Wire N/A N/A East Asia and the Pacific Research 62632 Wire N/A N/A Sub-Saharan Africa General 471657 Wire N/A N/A Sub-Saharan Africa General 466530 Wire N/A N/A North America (Canada & Mexico only) General 19895 Wire N/A N/A Europe (Including Iceland and Greenland) General 122740 Wire N/A N/A Sub-Saharan Africa General 10731 Wire N/A N/A Sub-Saharan Africa General 11918 Wire N/A N/A Sub-Saharan Africa General 12665 Wire N/A N/A Sub-Saharan Africa General 10599 Wire N/A N/A Sub-Saharan Africa General 14049 Wire N/A N/A Sub-Saharan Africa General 27232 Wire N/A N/A Sub-Saharan Africa General 14316549 Wire N/A N/A Sub-Saharan Africa General 36348 Wire N/A N/A Sub-Saharan Africa General 59847 Wire N/A N/A Sub-Saharan Africa General 29248 Wire N/A N/A Sub-Saharan Africa General 87022 Wire N/A N/A Sub-Saharan Africa General 21122 Wire N/A N/A Sub-Saharan Africa General 34418 Wire N/A N/A Sub-Saharan Africa General 114294 Wire N/A N/A Sub-Saharan Africa General 172044 Wire N/A N/A Sub-Saharan Africa General 37439 Wire N/A N/A Sub-Saharan Africa General 48453 Wire N/A N/A Sub-Saharan Africa General 372930 Wire N/A N/A Sub-Saharan Africa General 44484 Wire N/A N/A Sub-Saharan Africa General 50195 Wire N/A N/A Sub-Saharan Africa General 105337 Wire N/A N/A Sub-Saharan Africa General 47458 Wire N/A N/A Sub-Saharan Africa General 49825 Wire N/A N/A Sub-Saharan Africa General 119146 Wire N/A N/A Sub-Saharan Africa General 150926 Wire N/A N/A Sub-Saharan Africa General 98102 Wire N/A N/A Sub-Saharan Africa General 20602 Wire N/A N/A Sub-Saharan Africa General N/A 1886612 Medical Supplies & Equipment FMV 56 33 false false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds Vanderbilt University Medical Center maintains a formal policy defining its procedures for monitoring the use of sponsored funds by subrecipients located outside of the United States who are performing a portion of a sponsored project externally awarded to Vanderbilt University Medical Center. The policy provides guidance to ensure that subrecipients conduct their portions of sponsored projects in compliance with laws, regulations, terms and conditions of awards and subawards, and that reimbursed costs incurred by subrecipients are allowed. The policy addresses the roles and responsibilities of central offices and departments of the Medical Center and describes the monitoring procedures for each area. The full text of Vanderbilt University Medical Center's subrecipient monitoring guidelines are available online at the following web address: https://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; RUSSIA AND NEIGHBORING STATES-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 X X X X X X true Marketeam LLC 1200 Abernathy Road NE Suite 1600 Atlanta GA 30328 Consulting Services Related to Fundraising false 2468402 459000 2009402 The Stelter Company 10435 New York Ave Des Moines IA 50322 Consulting Services Related to Fundraising false 0 27820 -27820 Global Prairie PBC Inc 1100 W 9th St Suite 200 Cleveland OH 44113 Email / Solicitation false 970303 80470 889833 3438705 567290 2871415 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 Friends and Fashion 264247 189608 74639 22303 46264 44353 19093 Ruby Gala 261232 216172 45060 30873 41867 6500 54412 17 1293070 1064317 228753 7708 153529 112388 34238 106455 1818549 1470097 348452 7708 206705 200519 85091 179960 679983 -331531 0 0 108150 25650 45273 false 0 108150 25650 45273 TN true false true false 1.0 0.0 PURYEAR AND NOONAN CPAS 40 BURTON HILLS BLVD SUITE 170 NASHVILLE TN 37215 false Jenny Streams Development Director 18420 Manager of the raffle X true 37227 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 $459,000, 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 The Stelter Company WAS $27,820, WHICH INCLUDES PLANNED GIVING STRATEGIC CONSULTING AND TECHNICAL ASSISTANCE FEES. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND The Stelter Company CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY The Stelter Company, SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL SERVICES. The Stelter Company 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 IN PATIENT REHABILITATION PROGRAM. Schedule G, Part I, Line 2b(v) LINE 2B COLUMN (V) AMOUNT PAID TO FUNDRAISER LISTED IN COLUMN (I THE TOTAL AMOUNT PAID TO GLOBAL PRAIRIE PBC INC WAS $80,470, WHICH INCLUDES PROFESSIONAL FUNDRAISING FEES AND EXPENSES. THE CONTRACT BETWEEN VANDERBILT UNIVERSITY MEDICAL CENTER AND GLOBAL PRAIRIE PBC INC CALLS FOR THE REIMBURSEMENT OF FUNDRAISING EXPENSES INCURRED BY GLOBAL PRAIRIE PBC INC, SUCH AS PRINTING AND POSTAGE, WHICH ARE INVOICED SEPARATELY FROM PROFESSIONAL SERVICES. GLOBAL PRAIRIE PBC INC 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 III, Line 17 Distributions required under state law STATE=TENNESSEE,MANDATORY DISTRIBUTION AMOUNT=37227; true true X true X 225 true X 233093209 0 233093209 0.02818 1308608749 1272422473 36186276 0.00438 0 0 0 0.0 0 0 1541701958 1272422473 269279485 0.03256 9969920 725915 9244005 0.00112 290601816 64873086 225728730 0.02729 0 0 0 0.0 1040922461 824154426 216768035 0.02621 0 0 0 0.0 0 0 1341494197 889753427 451740770 0.05462 0 0 2883196155 2162175900 721020255 0.08718 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 17259145 4050175 699154281 1074671246 -375516965 X true true VIP Midsouth LLC Pediatric Clinics 0.7296 0.0 0.2704 Springfield VIP Realty LLC Own Real Estate Used as Medical Facility 0.49 0.0 0.51 6 1 Vanderbilt University Medical Center Hospitals 1211 22nd Avenue South Nashville TN 37212 www.vanderbilthealth.com 0000000027 X X X X X X 2 Vanderbilt Wilson County Hospital 1411 W Baddour Parkway Lebanon TN 37087 https://vanderbiltwilsoncountyhospital.com/ 00000137 X X X 3 Vanderbilt Tullahoma-Harton Hospital 1801 N Jackson St Tullahoma TN 37388 www.vanderbilttullahomahartonhospital.com 00000018 X X X 4 Vanderbilt Bedford Hospital 835 US-231 Shelbyville TN 37160 https://www.vanderbiltbedfordhospital.com/ 00000002 X X X 5 Vanderbilt Stallworth Rehabilitation Hospital 2201 Childrens Way Nashville TN 37212 www.vanderbiltstallworthrehab.com 0000000141 X 6 Tennova Healthcare - 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Clarksville 1 false false true X X X X X X X X X 22 true false true true X https://www.vanderbilthealth.com/hospital/vanderbilt-clarksville-hospital X true 22 true https://www.vanderbilthealth.com/hospital/vanderbilt-clarksville-hospital true true 50000 true X 200.0 400.0 X X X X true true X X X true X https://www.vanderbilthealth.com/information/Clarksville-finance X https://www.vanderbilthealth.com/information/Clarksville-finance X https://www.vanderbilthealth.com/information/Clarksville-finance X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Vanderbilt University Medical Center's (VUMC) 2024 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2024, 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 environmental and policy scans in each county representing the community served. In each of the six counties the 2024 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, Williamson, and Wilson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations. 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 2024 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, Prevent Chronic Conditions and Enhance Preventative Care, Increase Access to Quality Healthcare, and Enhance Delivery of and Access to Behavioral Health Services. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. Vanderbilt University Medical Center (VUMC) Community Health Needs Assessment (CHNA) collected input from various groups through facilitated discussions and listening sessions across multiple counties. In each county, listening sessions were conducted with health department directors and local staff who had a deep understanding of the needs of the communities they serve. Listening sessions were completed between March and April 2024. From February to May 2024 facilitated discussions were conducted with health council workgroups in each county. Prioritization meetings were held between August and October 2024. For the 2024 CHNA, VUMC collaborated closely with health councils in each county. Health councils are county-focused community-led groups that bring together local collaborators, public health experts, and social service providers to advance health priorities. Through partnership with health councils, VUMC engaged various sectors, including public health, government, education, faith communities, private foundations, community organizations, and academia. Health councils have understanding of broad community interests, and health department directors and organizations with specialized public health knowledge are also included. Organizations that provided input into the 2024 Bedford County CHNA: Bedford County Health Council, Bedford County Health Department, Bedford County Juvenile Court, Bedford County Schools, Blood Assurance, Camelot of Mid-South Tennessee, Centerstone, Community Clinic of Shelbyville and Bedford County, Department of Children Services, Department of Human Services, Drug Rescue, First Choice Pregnancy Counseling Center, Haven of Hope Incorporated, Health Connect America, Junior's House Child Advocacy Center, Life Source Family Solutions, Tennessee Department of Mental Health and Substance Abuse Services, The Center for Family Development, The Other Door, University Of Tennessee Extension Bedford County, and Volunteer Behavioral Health Organizations that provided input into the 2024 Coffee County CHNA: Arnold Air Force Base, Catholic Charities Coffee County, Centerstone, Coffee County Board of Education, Coffee County Health Council, Coffee County Health Department, Coffee County Recovery Court, Coffee County Schools, Manchester City Schools, Michael Reynolds Counseling & Consulting, National Alliance on Mental Illness, On Track Counseling, Partners for Healing, Rural Health Association of Tennessee, Safe Baby Court Coffee County, Second Harvest Food Bank of Middle Tennessee, Tennessee Department of Health, Tennessee Department of Labor, Tennessee State University College of Agriculture Cooperative Extension Program, and Tullahoma City Schools. Organizations that provided input into the 2024 Davidson County CHNA: Alignment Nashville, Ascension Saint Thomas, Association of Infant Mental Health, Community ConneXor, Equality Health, Harley Davidson, Health Leads, Holy Family Clinic, Imagine Nashville, Love Before ALL LLC., Martha O'Bryan - Tennessee Alliance of Economic Mobility, Mayor O'Connell's Office, Meharry Medical College, Meharry-Vanderbilt Alliance, Metropolitan Action Commission, Metropolitan Development & Housing Authority, Metropolitan Parks and Recreation, Metropolitan Planning Housing, Metropolitan Public Health Department, Metropolitan Social Services, Nashville Department of Transportation & Multimodal Infrastructure, Nashville General Hospital at Meharry, Nashville Organized for Action and Hope, Nashville Health and Well-being Leadership Council (NHWLC), Nurture the Next, Our Kids, Second Harvest Food Bank of Middle Tennessee, Sunshine Behavioral Health, Tennessee Department of Health,Tennessee Titans, The Association of Infant Mental Health in Tennessee - Mental Health (Youth), The Nashville Food Project, The Store, United Way of Greater Nashville, UpRise Nashville, and Vanderbilt-Ingram Cancer Center. Organizations that provided input into the 2024 Rutherford County CHNA: Alliant Health, American Heart Association, Ascension Saint Thomas, Centerstone, Charis Health Care, City of Murfreesboro, Domestic Violence & Sexual Assault Center, Doors of Hope, Habitat for Humanity, Insight Counseling Center, Insured Financial Solutions, Interfaith Dental: Smile 65, Martha O'Bryan Center, Matthew Walker Comprehensive Health Center, Health Department Mid-Cumberland Regional Office, Middle Tennessee State University, Motlow State Community College, Murfreesboro City Government - Parks and Recreation, Operation Stand Down TN, Prevention Coalition for Success, Primary Care and Hope Clinic, Rutherford County Wellness Council, Rutherford County Health Department, Second Harvest Food Bank of Middle Tennessee, St. Clair Senior Center, Tennessee Commission on Children and Youth (TCCY), Tennessee Department of Health, Tennessee Dept of Children Services, Tennessee Health Care Campaign, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Suicide Prevention Network, Tennessee Voices, University of Tennessee Knoxville, Volunteer Behavioral Health Care Services, and Williamson Prevention Coalition Organizations that provided input into the 2024 Williamson County CHNA: Brentwood Police Department, Community Resource Center, Erikas Safe Place, Faith Family Medical Center, Franklin Housing Authority, Franklin Special School District, Franklin Tomorrow, Lifeline Peer Project, Mental Health America of the Mid-south, Mercy Community Healthcare, Mothers Against Drunk Driving, Nurture the Next, Tennessee Child Support Employment and Parenting Program, Tennessee Department of Health, Tennessee Voices, United For Hope, Volunteer Behavioral Health Care Services, Wellpoint, Williamson County Health Council, Williamson County Health Department, Williamson County Homeless Alliance, Williamson County Juvenile Services, Williamson County Schools, Williamson County Sheriff's Office, and Williamson Prevention Coalition. Organizations that provided input into the 2024 Wilson County CHNA: Alliant Health Solutions, American Association of Retired Persons, American Heart Association, Charis Health Center, Compass Leadership Solutions, Compassionate Hands, Drug-Free Wilco, Family Housing Coalition, Gibbs Pharmacy, Health Department mid-Cumberland Region, Home Safe Inc., Joseph's Storehouse Food Ministry, Mental Health Cooperative, Nashville's Diaper Connection, Pregnancy Care Center, Salvation Army, Tennessee Department of Health, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Vocational Rehabilitation, University of Tennessee Knoxville College of Nursing, Volunteer Behavioral Health Care Services, Volunteer Network of United Way, Wilson County Emergency Management, Wilson County Health Council, Wilson County Health Department, Wilson County Schools, and Wilson Rides Inc. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt University Medical Center Hospitals. For the 2024 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, Vanderbilt Tullahoma-Harton Hospital, and Vanderbilt Wilson County 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 2024 Community Health Needs Assessment (CHNA). The four significant health needs identified are - 1) Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, 2) Prevent Chronic Conditions and Enhance Preventative Care, 3) Increase Access to Quality Healthcare, and 4) Enhance Delivery of and Access to Behavioral Health Services. VUMC addresses all four needs within the 2024 Implementation Strategy (IS). The 2024 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 below in detail. VUMC's Office of Community Health & Engagement (OCHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas. 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. To date, the program has supported 64 community projects. The VUMC's OCHE continues to support local health departments and health councils in all six 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 OCHE to bring VUMC resources and valuable community health data to improve the health of 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 with limited access to healthcare and health insurance. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the OCHE participate in SNC meetings. The VUMC's OCHE 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 reducing differences in health outcomes, strengthening capacity, and advancing the work led by non-profit organizations that promote the health and well-being of all. VUMC staff have also participated in the WeCare workgroup of the Prevention Coalition for Success, focused on addressing the opioid epidemic in a healthcare setting. This meeting is coordinated by the Prevention Coalition for Success and hosted quarterly at Ascension Saint Thomas Rutherford. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OCHE also supports local community groups such as the Williamson Prevention Coalition and the Williamson County Health Council, which promotes community health. In Wilson County, VUMC's OCHE also plays 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. 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) 2024 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2024, 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, VUMC reviewed over 100 health indicators from publicly available secondary data sources and conducted environmental and policy scans in each county representing the community served. In each of the six counties the 2024 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, Williamson, and Wilson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations. 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 2024 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, Prevent Chronic Conditions and Enhance Preventative Care, Increase Access to Quality Healthcare, and Enhance Delivery of and Access to Behavioral Health Services. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. The Vanderbilt Wilson County Hospital (VWCH) Community Health Needs Assessment (CHNA) collected input from various groups through facilitated discussions and listening sessions across multiple counties. In each county, listening sessions were conducted with health department directors and local staff who had a deep understanding of the needs of the communities they serve. Listening sessions were completed between March and April 2024. From February to May 2024 facilitated discussions were conducted with health council workgroups in each county. Prioritization meetings were held between August and October 2024. For the 2024 CHNA, VWCH collaborated closely with health councils in each county. Health councils are county-focused community-led groups that bring together local collaborators, public health experts, and social service providers to advance health priorities. Through partnership with health councils, VWCH engaged various sectors, including public health, government, education, faith communities, private foundations, community organizations, and academia. Health councils have understanding of broad community interests, and health department directors and organizations with specialized public health knowledge are also included. Organizations that provided input into the 2024 Bedford County CHNA: Bedford County Health Council, Bedford County Health Department, Bedford County Juvenile Court, Bedford County Schools, Blood Assurance, Camelot of Mid-South Tennessee, Centerstone, Community Clinic of Shelbyville and Bedford County, Department of Children Services, Department of Human Services, Drug Rescue, First Choice Pregnancy Counseling Center, Haven of Hope Incorporated, Health Connect America, Junior's House Child Advocacy Center, Life Source Family Solutions, Tennessee Department of Mental Health and Substance Abuse Services, The Center for Family Development, The Other Door, University Of Tennessee Extension Bedford County, and Volunteer Behavioral Health Organizations that provided input into the 2024 Coffee County CHNA: Arnold Air Force Base, Catholic Charities Coffee County, Centerstone, Coffee County Board of Education, Coffee County Health Council, Coffee County Health Department, Coffee County Recovery Court, Coffee County Schools, Manchester City Schools, Michael Reynolds Counseling & Consulting, National Alliance on Mental Illness, On Track Counseling, Partners for Healing, Rural Health Association of Tennessee, Safe Baby Court Coffee County, Second Harvest Food Bank of Middle Tennessee, Tennessee Department of Health, Tennessee Department of Labor, Tennessee State University College of Agriculture Cooperative Extension Program, and Tullahoma City Schools. Organizations that provided input into the 2024 Davidson County CHNA: Alignment Nashville, Ascension Saint Thomas, Association of Infant Mental Health, Community ConneXor, Equality Health, Harley Davidson, Health Leads, Holy Family Clinic, Imagine Nashville, Love Before ALL LLC., Martha O'Bryan - Tennessee Alliance of Economic Mobility, Mayor O'Connell's Office, Meharry Medical College, Meharry-Vanderbilt Alliance, Metropolitan Action Commission, Metropolitan Development & Housing Authority, Metropolitan Parks and Recreation, Metropolitan Planning Housing, Metropolitan Public Health Department, Metropolitan Social Services, Nashville Department of Transportation & Multimodal Infrastructure, Nashville General Hospital at Meharry, Nashville Organized for Action and Hope, Nashville Health and Well-being Leadership Council (NHWLC), Nurture the Next, Our Kids, Second Harvest Food Bank of Middle Tennessee, Sunshine Behavioral Health, Tennessee Department of Health, Tennessee Titans, The Association of Infant Mental Health in Tennessee - Mental Health (Youth), The Nashville Food Project, The Store, United Way of Greater Nashville, UpRise Nashville, and Vanderbilt-Ingram Cancer Center. Organizations that provided input into the 2024 Rutherford County CHNA: Alliant Health, American Heart Association, Ascension Saint Thomas, Centerstone, Charis Health Care, City of Murfreesboro, Domestic Violence & Sexual Assault Center, Doors of Hope, Habitat for Humanity, Insight Counseling Center, Insured Financial Solutions, Interfaith Dental: Smile 65, Martha O'Bryan Center, Matthew Walker Comprehensive Health Center, Health Department Mid-Cumberland Regional Office, Middle Tennessee State University, Motlow State Community College, Murfreesboro City Government - Parks and Recreation, Operation Stand Down TN, Prevention Coalition for Success, Primary Care and Hope Clinic, Rutherford County Wellness Council, Rutherford County Health Department, Second Harvest Food Bank of Middle Tennessee, St. Clair Senior Center, Tennessee Commission on Children and Youth (TCCY), Tennessee Department of Health, Tennessee Dept of Children Services, Tennessee Health Care Campaign, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Suicide Prevention Network, Tennessee Voices, University of Tennessee Knoxville, Volunteer Behavioral Health Care Services, and Williamson Prevention Coalition Organizations that provided input into the 2024 Williamson County CHNA: Brentwood Police Department, Community Resource Center, Erikas Safe Place, Faith Family Medical Center, Franklin Housing Authority, Franklin Special School District, Franklin Tomorrow, Lifeline Peer Project, Mental Health America of the Mid-south, Mercy Community Healthcare, Mothers Against Drunk Driving, Nurture the Next, Tennessee Child Support Employment and Parenting Program, Tennessee Department of Health, Tennessee Voices, United For Hope, Volunteer Behavioral Health Care Services, Wellpoint, Williamson County Health Council, Williamson County Health Department, Williamson County Homeless Alliance, Williamson County Juvenile Services, Williamson County Schools, Williamson County Sheriff's Office, and Williamson Prevention Coalition. Organizations that provided input into the 2024 Wilson County CHNA: Alliant Health Solutions, American Association of Retired Persons, American Heart Association, Charis Health Center, Compass Leadership Solutions, Compassionate Hands, Drug-Free Wilco, Family Housing Coalition, Gibbs Pharmacy, Health Department mid-Cumberland Region, Home Safe Inc., Joseph's Storehouse Food Ministry, Mental Health Cooperative, Nashville's Diaper Connection, Pregnancy Care Center, Salvation Army, Tennessee Department of Health, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Vocational Rehabilitation, University of Tennessee Knoxville College of Nursing, Volunteer Behavioral Health Care Services, Volunteer Network of United Way, Wilson County Emergency Management, Wilson County Health Council, Wilson County Health Department, Wilson County Schools, and Wilson Rides Inc. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Wilson County Hospital. For the 2024 CHNA, Vanderbilt Wilson 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 Bedford County Hospital, Vanderbilt Tullahoma-Harton Hospital, and Vanderbilt University Hospitals. 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 2024 Community Health Needs Assessment (CHNA). The four significant health needs identified are - 1) Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, 2) Prevent Chronic Conditions and Enhance Preventative Care, 3) Increase Access to Quality Healthcare, and 4) Enhance Delivery of and Access to Behavioral Health Services. VUMC addresses all four needs within the 2024 Implementation Strategy (IS). The 2024 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 below in detail. VUMC's Office of Community Health & Engagement (OCHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas. 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. To date, the program has supported 64 community projects. The VUMC's OCHE continues to support local health departments and health councils in all six 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 OCHE to bring VUMC resources and valuable community health data to improve the health of 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 with limited access to healthcare and health insurance. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the OCHE participate in SNC meetings. The VUMC's OCHE 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 reducing differences in health outcomes, strengthening capacity, and advancing the work led by non-profit organizations that promote the health and well-being of all. VUMC staff have also participated in the WeCare workgroup of the Prevention Coalition for Success, focused on addressing the opioid epidemic in a healthcare setting. This meeting is coordinated by the Prevention Coalition for Success and hosted quarterly at Ascension Saint Thomas Rutherford. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also supports local community groups such as the Williamson Prevention Coalition and the Williamson County Health Council, which promotes community health improvement. In Wilson County, VUMC's OCHE also plays 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. 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) 2024 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2024, the CHNA prioritization of significant health needs involved multiple phases. VTHH 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 environmental and policy scans in each county representing the community served. In each of the six counties the 2024 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, Williamson, and Wilson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations. 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 2024 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, Prevent Chronic Conditions and Enhance Preventative Care, Increase Access to Quality Healthcare, and Enhance Delivery of and Access to Behavioral Health Services. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. Vanderbilt Tullahoma-Harton Hospital's (VTHH) Community Health Needs Assessment (CHNA) collected input from various groups through facilitated discussions and listening sessions across multiple counties. In each county, listening sessions were conducted with health department directors and local staff who had a deep understanding of the needs of the communities they serve. Listening sessions were completed between March and April 2024. From February to May 2024 facilitated discussions were conducted with health council workgroups in each county. Prioritization meetings were held between August and October 2024. For the 2024 CHNA, VTHH collaborated closely with health councils in each county. Health councils are county-focused community-led groups that bring together local collaborators, public health experts, and social service providers to advance health priorities. Through partnership with health councils, VTHH engaged various sectors, including public health, government, education, faith communities, private foundations, community organizations, and academia. Health councils have understanding of broad community interests, and health department directors and organizations with specialized public health knowledge are also included. Organizations that provided input into the 2024 Bedford County CHNA: Bedford County Health Council, Bedford County Health Department, Bedford County Juvenile Court, Bedford County Schools, Blood Assurance, Camelot of Mid-South Tennessee, Centerstone, Community Clinic of Shelbyville and Bedford County, Department of Children Services, Department of Human Services, Drug Rescue, First Choice Pregnancy Counseling Center, Haven of Hope Incorporated, Health Connect America, Junior's House Child Advocacy Center, Life Source Family Solutions, Tennessee Department of Mental Health and Substance Abuse Services, The Center for Family Development, The Other Door, University Of Tennessee Extension Bedford County, and Volunteer Behavioral Health Organizations that provided input into the 2024 Coffee County CHNA: Arnold Air Force Base, Catholic Charities Coffee County, Centerstone, Coffee County Board of Education, Coffee County Health Council, Coffee County Health Department, Coffee County Recovery Court, Coffee County Schools, Manchester City Schools, Michael Reynolds Counseling & Consulting, National Alliance on Mental Illness, On Track Counseling, Partners for Healing, Rural Health Association of Tennessee, Safe Baby Court Coffee County, Second Harvest Food Bank of Middle Tennessee, Tennessee Department of Health, Tennessee Department of Labor, Tennessee State University College of Agriculture Cooperative Extension Program, and Tullahoma City Schools. Organizations that provided input into the 2024 Davidson County CHNA: Alignment Nashville, Ascension Saint Thomas, Association of Infant Mental Health, Community ConneXor, Equality Health, Harley Davidson, Health Leads, Holy Family Clinic, Imagine Nashville, Love Before ALL LLC., Martha O'Bryan - Tennessee Alliance of Economic Mobility, Mayor O'Connell's Office, Meharry Medical College, Meharry-Vanderbilt Alliance, Metropolitan Action Commission, Metropolitan Development & Housing Authority, Metropolitan Parks and Recreation, Metropolitan Planning Housing, Metropolitan Public Health Department, Metropolitan Social Services, Nashville Department of Transportation & Multimodal Infrastructure, Nashville General Hospital at Meharry, Nashville Organized for Action and Hope, Nashville Health and Well-being Leadership Council (NHWLC), Nurture the Next, Our Kids, Second Harvest Food Bank of Middle Tennessee, Sunshine Behavioral Health, Tennessee Department of Health, Tennessee Titans, The Association of Infant Mental Health in Tennessee - Mental Health (Youth), The Nashville Food Project, The Store, United Way of Greater Nashville, UpRise Nashville, and Vanderbilt-Ingram Cancer Center. Organizations that provided input into the 2024 Rutherford County CHNA: Alliant Health, American Heart Association, Ascension Saint Thomas, Centerstone, Charis Health Care, City of Murfreesboro, Domestic Violence & Sexual Assault Center, Doors of Hope, Habitat for Humanity, Insight Counseling Center, Insured Financial Solutions, Interfaith Dental: Smile 65, Martha O'Bryan Center, Matthew Walker Comprehensive Health Center, Health Department Mid-Cumberland Regional Office, Middle Tennessee State University, Motlow State Community College, Murfreesboro City Government - Parks and Recreation, Operation Stand Down TN, Prevention Coalition for Success, Primary Care and Hope Clinic, Rutherford County Wellness Council, Rutherford County Health Department, Second Harvest Food Bank of Middle Tennessee, St. Clair Senior Center, Tennessee Commission on Children and Youth (TCCY), Tennessee Department of Health, Tennessee Dept of Children Services, Tennessee Health Care Campaign, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Suicide Prevention Network, Tennessee Voices, University of Tennessee Knoxville, Volunteer Behavioral Health Care Services, and Williamson Prevention Coalition Organizations that provided input into the 2024 Williamson County CHNA: Brentwood Police Department, Community Resource Center, Erikas Safe Place, Faith Family Medical Center, Franklin Housing Authority, Franklin Special School District, Franklin Tomorrow, Lifeline Peer Project, Mental Health America of the Mid-south, Mercy Community Healthcare, Mothers Against Drunk Driving, Nurture the Next, Tennessee Child Support Employment and Parenting Program, Tennessee Department of Health, Tennessee Voices, United For Hope, Volunteer Behavioral Health Care Services, Wellpoint, Williamson County Health Council, Williamson County Health Department, Williamson County Homeless Alliance, Williamson County Juvenile Services, Williamson County Schools, Williamson County Sheriff's Office, and Williamson Prevention Coalition. Organizations that provided input into the 2024 Wilson County CHNA: Alliant Health Solutions, American Association of Retired Persons, American Heart Association, Charis Health Center, Compass Leadership Solutions, Compassionate Hands, Drug-Free Wilco, Family Housing Coalition, Gibbs Pharmacy, Health Department mid-Cumberland Region, Home Safe Inc., Joseph's Storehouse Food Ministry, Mental Health Cooperative, Nashville's Diaper Connection, Pregnancy Care Center, Salvation Army, Tennessee Department of Health, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Vocational Rehabilitation, University of Tennessee Knoxville College of Nursing, Volunteer Behavioral Health Care Services, Volunteer Network of United Way, Wilson County Emergency Management, Wilson County Health Council, Wilson County Health Department, Wilson County Schools, and Wilson Rides Inc. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Tullahoma-Harton Hospital. For the 2024 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 , Vanderbilt Wilson 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 (VTHH) identified four significant health needs in the 2024 Community Health Needs Assessment (CHNA). The four significant health needs identified are - 1) Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, 2) Prevent Chronic Conditions and Enhance Preventative Care, 3) Increase Access to Quality Healthcare, and 4) Enhance Delivery of and Access to Behavioral Health Services. VUMC addresses all four needs within the 2025 Implementation Strategy (IS). The 2024 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 below in detail. VUMC's Office of Community Health & Engagement (OCHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas. 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. To date, the program has supported 64 community projects. The VUMC's OCHE continues to support local health departments and health councils in all six 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 OCHE to bring VUMC resources and valuable community health data to improve the health of 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 with limited access to healthcare and health insurance. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the OCHE participate in SNC meetings. The VUMC's OCHE 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 reducing differences in health outcomes, strengthening capacity, and advancing the work led by non-profit organizations that promote the health and well-being of all. VUMC staff have also participated in the WeCare workgroup of the Prevention Coalition for Success, focused on addressing the opioid epidemic in a healthcare setting. This meeting is coordinated by the Prevention Coalition for Success and hosted quarterly at Ascension Saint Thomas Rutherford. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also supports local community groups such as the Williamson Prevention Coalition and the Williamson County Health Council, which promotes community health. The OCHE has addressed the Williamson Health Council meeting to share the four priorities and data from the CHNA. In Wilson County, VUMC's OCHE also plays 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. 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) 2024 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2024, the CHNA prioritization of significant health needs involved multiple phases. VBCH 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 environmental and policy scans in each county representing the community served. In each of the six counties the 2024 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, Williamson, and Wilson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations. 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 2024 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, Prevent Chronic Conditions and Enhance Preventative Care, Increase Access to Quality Healthcare, and Enhance Delivery of and Access to Behavioral Health Services. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Bedford County Hospital. Vanderbilt Bedford County Hospital's (VBCH) Community Health Needs Assessment (CHNA) collected input from various groups through facilitated discussions and listening sessions across multiple counties. In each county, listening sessions were conducted with health department directors and local staff who had a deep understanding of the needs of the communities they serve. Listening sessions were completed between March and April 2024. From February to May 2024 facilitated discussions were conducted with health council workgroups in each county. Prioritization meetings were held between August and October 2024. For the 2024 CHNA, VBCH collaborated closely with health councils in each county. Health councils are county-focused community-led groups that bring together local collaborators, public health experts, and social service providers to advance health priorities. Through partnership with health councils, VBCH engaged various sectors, including public health, government, education, faith communities, private foundations, community organizations, and academia. Health councils have understanding of broad community interests, and health department directors and organizations with specialized public health knowledge are also included. Organizations that provided input into the 2024 Bedford County CHNA: Bedford County Health Council, Bedford County Health Department, Bedford County Juvenile Court, Bedford County Schools, Blood Assurance, Camelot of Mid-South Tennessee, Centerstone, Community Clinic of Shelbyville and Bedford County, Department of Children Services, Department of Human Services, Drug Rescue, First Choice Pregnancy Counseling Center, Haven of Hope Incorporated, Health Connect America, Junior's House Child Advocacy Center, Life Source Family Solutions, Tennessee Department of Mental Health and Substance Abuse Services, The Center for Family Development, The Other Door, University Of Tennessee Extension Bedford County, and Volunteer Behavioral Health Organizations that provided input into the 2024 Coffee County CHNA: Arnold Air Force Base, Catholic Charities Coffee County, Centerstone, Coffee County Board of Education, Coffee County Health Council, Coffee County Health Department, Coffee County Recovery Court, Coffee County Schools, Manchester City Schools, Michael Reynolds Counseling & Consulting, National Alliance on Mental Illness, On Track Counseling, Partners for Healing, Rural Health Association of Tennessee, Safe Baby Court Coffee County, Second Harvest Food Bank of Middle Tennessee, Tennessee Department of Health, Tennessee Department of Labor, Tennessee State University College of Agriculture Cooperative Extension Program, and Tullahoma City Schools. Organizations that provided input into the 2024 Davidson County CHNA: Alignment Nashville, Ascension Saint Thomas, Association of Infant Mental Health, Community ConneXor, Equality Health, Harley Davidson, Health Leads, Holy Family Clinic, Imagine Nashville, Love Before ALL LLC., Martha O'Bryan - Tennessee Alliance of Economic Mobility, Mayor O'Connell's Office, Meharry Medical College, Meharry-Vanderbilt Alliance, Metropolitan Action Commission, Metropolitan Development & Housing Authority, Metropolitan Parks and Recreation, Metropolitan Planning Housing, Metropolitan Public Health Department, Metropolitan Social Services, Nashville Department of Transportation & Multimodal Infrastructure, Nashville General Hospital at Meharry, Nashville Organized for Action and Hope, Nashville Health and Well-being Leadership Council (NHWLC), Nurture the Next, Our Kids, Second Harvest Food Bank of Middle Tennessee, Sunshine Behavioral Health, Tennessee Department of Health,Tennessee Titans, The Association of Infant Mental Health in Tennessee - Mental Health (Youth), The Nashville Food Project, The Store, United Way of Greater Nashville, UpRise Nashville, and Vanderbilt-Ingram Cancer Center. Organizations that provided input into the 2024 Rutherford County CHNA: Alliant Health, American Heart Association, Ascension Saint Thomas, Centerstone, Charis Health Care, City of Murfreesboro, Domestic Violence & Sexual Assault Center, Doors of Hope, Habitat for Humanity, Insight Counseling Center, Insured Financial Solutions, Interfaith Dental: Smile 65, Martha O'Bryan Center, Matthew Walker Comprehensive Health Center, Health Department Mid-Cumberland Regional Office, Middle Tennessee State University, Motlow State Community College, Murfreesboro City Government - Parks and Recreation, Operation Stand Down TN, Prevention Coalition for Success, Primary Care and Hope Clinic, Rutherford County Wellness Council, Rutherford County Health Department, Second Harvest Food Bank of Middle Tennessee, St. Clair Senior Center, Tennessee Commission on Children and Youth (TCCY), Tennessee Department of Health, Tennessee Dept of Children Services, Tennessee Health Care Campaign, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Suicide Prevention Network, Tennessee Voices, University of Tennessee Knoxville, Volunteer Behavioral Health Care Services, and Williamson Prevention Coalition Organizations that provided input into the 2024 Williamson County CHNA: Brentwood Police Department, Community Resource Center, Erikas Safe Place, Faith Family Medical Center, Franklin Housing Authority, Franklin Special School District, Franklin Tomorrow, Lifeline Peer Project, Mental Health America of the Mid-south, Mercy Community Healthcare, Mothers Against Drunk Driving, Nurture the Next, Tennessee Child Support Employment and Parenting Program, Tennessee Department of Health, Tennessee Voices, United For Hope, Volunteer Behavioral Health Care Services, Wellpoint, Williamson County Health Council, Williamson County Health Department, Williamson County Homeless Alliance, Williamson County Juvenile Services, Williamson County Schools, Williamson County Sheriff's Office, and Williamson Prevention Coalition. Organizations that provided input into the 2024 Wilson County CHNA: Alliant Health Solutions, American Association of Retired Persons, American Heart Association, Charis Health Center, Compass Leadership Solutions, Compassionate Hands, Drug-Free Wilco, Family Housing Coalition, Gibbs Pharmacy, Health Department mid-Cumberland Region, Home Safe Inc., Joseph's Storehouse Food Ministry, Mental Health Cooperative, Nashville's Diaper Connection, Pregnancy Care Center, Salvation Army, Tennessee Department of Health, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Vocational Rehabilitation, University of Tennessee Knoxville College of Nursing, Volunteer Behavioral Health Care Services, Volunteer Network of United Way, Wilson County Emergency Management, Wilson County Health Council, Wilson County Health Department, Wilson County Schools, and Wilson Rides Inc. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Bedford County Hospital. For the 2024 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, Vanderbilt Wilson County 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 (VBCH) identified four significant health needs in the 2024 Community Health Needs Assessment (CHNA). The four significant health needs identified are - 1) Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, 2) Prevent Chronic Conditions and Enhance Preventative Care, 3) Increase Access to Quality Healthcare, and 4) Enhance Delivery of and Access to Behavioral Health Services. VUMC addresses all four needs within the 2024 Implementation Strategy (IS). The 2024 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 below in detail. VUMC's Office of Community Health & Engagement (OCHE) released a Request for Proposals for community projects addressing one or more CHNA priority areas. 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. To date, the program has supported 64 community projects. The VUMC's OCHE continues to support local health departments and health councils in all six 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 OCHE to bring VUMC resources and valuable community health data to improve the health of 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 with limited access to healthcare and health insurance. Leaders from the Office of Population Health, the Meharry-Vanderbilt Alliance, and the OCHE participate in SNC meetings. The VUMC's OCHE is actively engaged with the Healthy Nashville Leadership Council. The workgroup's focus is to educate the community on reducing differences in health outcomes, strengthening capacity, and advancing the work led by non-profit organizations that promote the health and well-being of all. VUMC staff have also participated in the WeCare workgroup of the Prevention Coalition for Success, focused on addressing the opioid epidemic in a healthcare setting. This meeting is coordinated by the Prevention Coalition for Success and hosted quarterly at Ascension Saint Thomas Rutherford. VUMC's OHE also participates in the Rutherford County Wellness Council. In Williamson County, VUMC's OHE also supports local community groups such as the Williamson Prevention Coalition, and the Williamson County Health Council. In Wilson County, VUMC's OCHE also plays 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. 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) 2024 Community Health Needs Assessment (CHNA) includes a description of the significant health needs identified and prioritized by the communities through the CHNA process. In 2024, the CHNA prioritization of significant health needs involved multiple phases. Stallworth 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 environmental and policy scans in each county representing the community served. In each of the six counties the 2024 CHNA focused on (Bedford, Coffee, Davidson, Rutherford, Williamson, and Wilson Counties), VUMC convened prioritization meetings, which included local health departments, community leaders representing several sectors and various organizations. 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 2024 CHNA. VUMC grouped the identified needs into four overarching categories to serve as its prioritized needs: Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, Prevent Chronic Conditions and Enhance Preventative Care, Increase Access to Quality Healthcare, and Enhance Delivery of and Access to Behavioral Health Services. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. Vanderbilt Stallworth Rehabilitation Hospital's (Stallworth) Community Health Needs Assessment (CHNA) collected input from various groups through facilitated discussions and listening sessions across multiple counties. In each county, listening sessions were conducted with health department directors and local staff who had a deep understanding of the needs of the communities they serve. Listening sessions were completed between March and April 2024. From February to May 2024 facilitated discussions were conducted with health council workgroups in each county. Prioritization meetings were held between August and October 2024. For the 2024 CHNA, Stallworth collaborated closely with health councils in each county. Health councils are county-focused community-led groups that bring together local collaborators, public health experts, and social service providers to advance health priorities. Through partnership with health councils, Stallworth engaged various sectors, including public health, government, education, faith communities, private foundations, community organizations, and academia. Health councils have understanding of broad community interests, and health department directors and organizations with specialized public health knowledge are also included. Organizations that provided input into the 2024 Bedford County CHNA: Bedford County Health Council, Bedford County Health Department, Bedford County Juvenile Court, Bedford County Schools, Blood Assurance, Camelot of Mid-South Tennessee, Centerstone, Community Clinic of Shelbyville and Bedford County, Department of Children Services, Department of Human Services, Drug Rescue, First Choice Pregnancy Counseling Center, Haven of Hope Incorporated, Health Connect America, Junior's House Child Advocacy Center, Life Source Family Solutions, Tennessee Department of Mental Health and Substance Abuse Services, The Center for Family Development, The Other Door, University Of Tennessee Extension Bedford County, and Volunteer Behavioral Health Organizations that provided input into the 2024 Coffee County CHNA: Arnold Air Force Base, Catholic Charities Coffee County, Centerstone, Coffee County Board of Education, Coffee County Health Council, Coffee County Health Department, Coffee County Recovery Court, Coffee County Schools, Manchester City Schools, Michael Reynolds Counseling & Consulting, National Alliance on Mental Illness, On Track Counseling, Partners for Healing, Rural Health Association of Tennessee, Safe Baby Court Coffee County, Second Harvest Food Bank of Middle Tennessee, Tennessee Department of Health, Tennessee Department of Labor, Tennessee State University College of Agriculture Cooperative Extension Program, and Tullahoma City Schools. Organizations that provided input into the 2024 Davidson County CHNA: Alignment Nashville, Ascension Saint Thomas, Association of Infant Mental Health, Community ConneXor, Equality Health, Harley Davidson, Health Leads, Holy Family Clinic, Imagine Nashville, Love Before ALL LLC., Martha O'Bryan - Tennessee Alliance of Economic Mobility, Mayor O'Connell's Office, Meharry Medical College, Meharry-Vanderbilt Alliance, Metropolitan Action Commission, Metropolitan Development & Housing Authority, Metropolitan Parks and Recreation, Metropolitan Planning Housing, Metropolitan Public Health Department, Metropolitan Social Services, Nashville Department of Transportation & Multimodal Infrastructure, Nashville General Hospital at Meharry, Nashville Organized for Action and Hope, Nashville Health and Well-being Leadership Council (NHWLC), Nurture the Next, Our Kids, Second Harvest Food Bank of Middle Tennessee, Sunshine Behavioral Health, Tennessee Department of Health, Tennessee Titans, The Association of Infant Mental Health in Tennessee - Mental Health (Youth), The Nashville Food Project, The Store, United Way of Greater Nashville, UpRise Nashville, and Vanderbilt-Ingram Cancer Center. Organizations that provided input into the 2024 Rutherford County CHNA: Alliant Health, American Heart Association, Ascension Saint Thomas, Centerstone, Charis Health Care, City of Murfreesboro, Domestic Violence & Sexual Assault Center, Doors of Hope, Habitat for Humanity, Insight Counseling Center, Insured Financial Solutions, Interfaith Dental: Smile 65, Martha O'Bryan Center, Matthew Walker Comprehensive Health Center, Health Department Mid-Cumberland Regional Office, Middle Tennessee State University, Motlow State Community College, Murfreesboro City Government - Parks and Recreation, Operation Stand Down TN, Prevention Coalition for Success, Primary Care and Hope Clinic, Rutherford County Wellness Council, Rutherford County Health Department, Second Harvest Food Bank of Middle Tennessee, St. Clair Senior Center, Tennessee Commission on Children and Youth (TCCY), Tennessee Department of Health, Tennessee Dept of Children Services, Tennessee Health Care Campaign, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Suicide Prevention Network, Tennessee Voices, University of Tennessee Knoxville, Volunteer Behavioral Health Care Services, and Williamson Prevention Coalition Organizations that provided input into the 2024 Williamson County CHNA: Brentwood Police Department, Community Resource Center, Erikas Safe Place, Faith Family Medical Center, Franklin Housing Authority, Franklin Special School District, Franklin Tomorrow, Lifeline Peer Project, Mental Health America of the Mid-south, Mercy Community Healthcare, Mothers Against Drunk Driving, Nurture the Next, Tennessee Child Support Employment and Parenting Program, Tennessee Department of Health, Tennessee Voices, United For Hope, Volunteer Behavioral Health Care Services, Wellpoint, Williamson County Health Council, Williamson County Health Department, Williamson County Homeless Alliance, Williamson County Juvenile Services, Williamson County Schools, Williamson County Sheriff's Office, and Williamson Prevention Coalition. Organizations that provided input into the 2024 Wilson County CHNA: Alliant Health Solutions, American Association of Retired Persons, American Heart Association, Charis Health Center, Compass Leadership Solutions, Compassionate Hands, Drug-Free Wilco, Family Housing Coalition, Gibbs Pharmacy, Health Department mid-Cumberland Region, Home Safe Inc., Joseph's Storehouse Food Ministry, Mental Health Cooperative, Nashville's Diaper Connection, Pregnancy Care Center, Salvation Army, Tennessee Department of Health, Tennessee State University College of Agriculture Cooperative Extension Program, Tennessee Vocational Rehabilitation, University of Tennessee Knoxville College of Nursing, Volunteer Behavioral Health Care Services, Volunteer Network of United Way, Wilson County Emergency Management, Wilson County Health Council, Wilson County Health Department, Wilson County Schools, and Wilson Rides Inc. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Vanderbilt Stallworth Rehabilitation Hospital. For the 2024 CHNA, Vanderbilt Stallworth Rehabilitation Hospital conducted a health needs assessment in partnership with its affiliated health system, Vanderbilt University Hospitals, Vanderbilt Tullahoma-Harton Hospital, Vanderbilt Bedford County Hospital and Vanderbilt Wilson 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 2024 Community Health Needs Assessment (CHNA). The four significant health needs identified are - 1) Reduce Differences in Health Outcomes by Addressing Health-Related Social Needs, 2) Prevent Chronic Conditions and Enhance Preventative Care, 3) Increase Access to Quality Healthcare, and 4) Enhance Delivery of and Access to Behavioral Health Services. Stallworth addresses all four needs within the 2024 Implementation Strategy (IS). The 2024 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 medical community members to discuss topics impacting 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 resource navigation. These groups include patient/caregiver support groups for traumatic brain injuries, spinal cord injuries, and strokes. 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. 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) Community Health; 2) Heart Health: 3) Mental Health and Wellness, and 4) Poor or Fair Health Days. With respect to addressing the identified need of Community Health, Tennova Healthcare - Clarksville participates in a community health fair, including serving as the sole sponsor in 2024. The fair brings healthcare providers together in the community. 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 the HOSPITAL and EMERGENCY DEPARTMENT. 59 Ambulatory Surgery Center of Cool Springs LLC dba Vanderbilt Surgery Center Cool Springs 2009 Mallory Lane Suite 100 Franklin TN 37067 Ambulatory Surgery Treatment Center Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Boulevard Spring Hill TN 37174 Oncology Services One Hundred Oaks Imaging LLC (dba Vanderbilt Imaging Services One Hundred O aks) 719 Thompson Lane Nashville TN 37204 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 134 Pewitt Drive Brentwood TN 37027 Ambulatory Clinic Spring Hill Imaging Center LLC 5421 Main Street Spring Hill TN 37174 Outpatient Diagnostic Center Williamson Imaging LLC (dba Vanderbilt Imaging Services Cool Springs) 2009 Mallory Lane Suite 150 Franklin TN 37067 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 919 Murfreesboro Pike Franklin TN 37064 Ambulatory Clinic Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville 375 Alfred Thun Road Clarksville TN 37040 Oncology Services Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Belle Mead e) 4525 Harding Road Suite 102 Nashville TN 37232 Outpatient Diagnostic Center Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Hillsboro) 1909 Acklen Avenue Nashville TN 37212 Outpatient Diagnostic Center Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 1834 West McEwen Dr Suite B Franklin TN 37067 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 3098 Campbell Station Pkwy Spring Hill TN 37174 Ambulatory Clinic Vanderbilt Health & Williamson Medical Center Clinics and Services LLC 940 Oldham Drive Nolensville TN 37135 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 7601 Highway 70 S Bellevue TN 37221 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1954 Madison Street Clarksville TN 37043 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 9100 Carothers Pkwy Franklin TN 37067 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 585 Nashville Pike Gallatin TN 37066 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 198 E Main Street Hendersonville TN 37075 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Tulip Grove Road Hermitage TN 37076 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5000 Murfreesboro Road Lavergne TN 37086 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1303 W Main Street Lebanon TN 37087 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 2401 Old Fort Pkwy Murfreesboro TN 37128 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 3500 Gallatin Pike Nashville TN 37216 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 5555 Edmondson Pike Nashville TN 37211 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 518 Donelson Pike Nashville TN 37214 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 4243 Harding Pike Nashville TN 37205 AMBULATORY CLINIC Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 400 Sam Ridley Pkwy Smyrna TN 37167 AMBULATORY CLINIC Spring Hill Surgery Center LLC 1003 Reserve Blvd Suite 210 Spring Hill TN 37174 Ambulatory Surgery Treatment Center Vanderbilt-Ingram Cancer Center Franklin 2107 Edward Curd Lane Franklin TN 37067 Oncology Services Vanderbilt Home Dialysis Clinic 2906 Foster Creighton Drive Suite Nashville TN 37204 End Stage Renal Dialysis Vanderbilt Dialysis Clinic 2906 Foster Creighton Drive Suite Nashville TN 37214 End Stage Renal Dialysis Vanderbilt University Medical Center Dialysis Clinic-East 20 Rachel Drive Nashville TN 37214 End Stage Renal Dialysis Vanderbilt Birth Center 3212 West End Ave Suite 100 Nashville TN 37203 Birthing Center Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Midtown) 337 22nd Avenue North Nashville TN 37203 Outpatient Diagnostic Center Retail Health Clinics LLC (DBA Vanderbilt Health Clinics) 1751 Tiny Town Rd Clarksville TN 37042 AMBULATORY CLINIC Vanderbilt Home Care Services LLC 2120 Belcourt Avenue Nashville TN 37212 Home Health Care Services Vanderbilt Integrated Internal Medicine 1805 North Jackson Street Suite 10 Tullahoma TN 37388 Ambulatory Clinic Vanderbilt Integrated Internal Medicine Cedar Lane 1330 Cedar Lane Suite 100 Tullahoma TN 37388 Ambulatory Clinic Vanderbilt Integrated Center for Womens Health 1440 Cedar Lane Suite 200 Tullahoma TN 37388 Ambulatory Clinic VIP Clarksville 800 Weatherly Drive Clarksville TN 37040 Pediatrics clinic VIP Rivergate 807 Meadowlark Lane Goodlettsville TN 37072 Pediatrics clinic VIP Childrens Clinic - Gallatin 648 Hartsville Pike Gallatin TN 37066 Pediatrics clinic VIP Childrens Clinic - Hendersonville 262 New Shackle Island Rd Suite 20 Hendersonville TN 37075 Pediatrics clinic VIP Childrens Clinic - Lafayette 306 West Locust Street Lafayette TN 37083 Pediatrics clinic VIP Childrens Clinic Pleasant View 6517 Highway 41A Suite 100 Pleasant View TN 37146 Pediatrics clinic VIP Childrens Clinic - Portland 103 Red Bud Drive Suite A Portland TN 37148 Pediatrics clinic VIP Childrens Clinic - Springfield 426 22nd Avenue East Springfield TN 37172 Pediatrics clinic VIP Childrens Clinic Station Camp 225 Big Station Camp Blvd Suite 20 Gallatin TN 37066 Pediatrics clinic VIP Childrens Clinic White House 128 Raymond Hirsch Pkwy Suite 1 White House TN 37188 Pediatrics clinic Vanderbilt Integrated Pediatrics - Tullahoma 1440 Cedar Lane Suite 100 Tullahoma TN 37388 Pediatrics clinic Vanderbilt Integrated Providers - Hopkinsville 4235 Fort Campbell Blvd Hopkinsville KY 42240 Pediatrics clinic VIP - Internal Medicine Tullahoma (Jackson Street) 1805 North Jackson Street Suite 10 Tullahoma TN 37388 Ambulatory Clinic VIP - Internal Medicine Tullahoma (Cedar Lane) 1330 Cedar Lane Suite 100 Tullahoma TN 37388 Ambulatory Clinic VIP - Orthopaedics Tullahoma 1805 North Jackson Street Ste 200 Tullahoma TN 37388 Ambulatory Clinic VIP - Primary Care Lebanon 1616 W Main Street Suite 201 Lebanon TN 37087 Ambulatory Clinic VIP - Surgical Services Shelbyville 120 Frank Martin Road Suite 103 Shelbyville TN 37160 Ambulatory Clinic VIP - Urology Tullahoma 1440 Cedar Lane Suite 300 Tullahoma TN 37388 Ambulatory Clinic VIP - Womens Health Tullahoma 1440 Cedar Lane Suite 200 Tullahoma TN 37388 Ambulatory Clinic Vanderbilt Imaging Services LLC (dba Vanderbilt Imaging Services Bellevue) 8124 Sawyer Brown Road Nashville TN 37221 Outpatient Diagnostic Center Schedule H, Part V 501r Disclosure Vanderbilt University Medical Center ("VUMC") conducted an extensive review of its policies and procedures to ensure compliance with the requirements of IRC § 501(r). VUMC identified omissions in its fiscal year ending June 30, 2025 as part of this review that VUMC believes are minor and either inadvertent or due to reasonable cause, as described in Rev. Proc. 2015-21. VUMC has decided, in the interests of transparency, to provide this disclosure as part of its Form 990 filing pursuant to section 6 of Rev. Proc. 2015-21. VUMC operates five hospital facilities for which it must satisfy the requirements of § 501(r). VUMC wholly owns and operates three hospital facilities: its main campus at 1211 22nd Avenue South in Nashville, Tennessee; its Vanderbilt Wilson County Hospital campus at 1411 West Baddour parkway in Lebanon, Tennessee; its Vanderbilt Tullahoma-Harton Hospital campus at 1801 North Jackson Street in Tullahoma, Tennessee; and its Vanderbilt Bedford Hospital campus at 2835 US-231 in Shelbyville, Tennessee. Additionally, for purposes of Treas. Reg. §1.501(r)-1(22), VUMC also operates Vanderbilt Stallworth Rehabilitation Hospital ("Stallworth") at 2201 Childrens Way in Nashville, Tennessee and Tennova Healthcare - Clarksville ("Clarksville") at 651 Dunlop Lane in Clarksville, Tennessee. The review that VUMC undertook addressed § 501(r) compliance at each of these hospital facilities. During the review, VUMC discovered that the community health needs assessment ("CHNA") conducted by Clarksville required significant revisions. Consequently, VUMC amended its Federal Form 4720 to disclose the omission and pay the required excise tax. The 2023 Federal Form 4720 has been amended, and the original 2024 Federal Form 4720 included the excise tax as well. A CHNA was completed during its tax year ending June 30, 2026 to correct the prior omissions. VUMC also identified minor errors in the VUMC and Stallworth Financial Assistance Policies ("FAP") and Plain Language Summary regarding how to request an application via mail and additional clarity on required documentation for the application. The documents were amended during its tax year ending June 30, 2026. Schedule H, Part I, Line 7k Vanderbilt University Medical Centers 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 34.86%. Schedule H, Part V, Section B, Line 20 Extraordinary Collection Actions The VUMC, VWCH, VTHH, and VBCH Financial Assistance Policy explicitly forbids the use of ECAs. 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 $903M and Medicare revenue reported on line 5 would be an additional $487M, for a net increase in the Medicare shortfall of $416M. If VUMC includes traditional Medicare and Medicare Managed programs, the Medicare shortfall is $791M for the fiscal year ended June 30, 2025. Schedule H, Part V, Section B, Line 12a Tennova Healthcare - Clarksville Vanderbilt University Medical Center ("VUMC"), in coordination with outside legal counsel and Ernst & Young LLP, conducted an extensive review of its policies and procedures to ensure compliance with the requirements of IRC § 501(r) during the fiscal year ending June 30, 2025. Included in its review was Tennova Healthcare - Clarksville ("Tennova"), located at 951 Dunlop Lane, Clarksville, Tennessee 37040, and its Community Health Needs Assessment and Implementation Strategy, which were completed for the 3-year period ending June 30, 2023. During the review process, it was determined that neither the Tennova Community Health Needs Assessment nor the Implementation Strategy for the fiscal year ending June 30, 2023 was in full compliance with certain technical requirements of the 501(r) regulations. Tennova did not fully understand or did not appropriately interpret all applicable requirements for the first period in which Tennova was required to perform a Community Health Needs Assessment (ending June 30, 2023) and during which time team members became familiar with those requirements and how to implement them. During the fiscal year ending June 30, 2026, VUMC acquired Tennova Healthcare - Clarksville. A new Community Health Needs Assessment is being conducted and a new Implementation Strategy is being developed for the fiscal year ending June 30, 2026, which will more fully comply with the requirements of the 501(r) regulations based on knowledge gained during the review process. VUMC will ensure that the facility follows the requirements of IRC § 501(r) in its future CHNAs and Implementation Strategies. 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 FY25, such shortfalls amounted to $375,516,965. 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. Extraordinary Collection Actions may not be taken under VUMC's policies and procedures. 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://www.encompasshealth.com/locations/vanderbilt-stallworth/financial-information; - Tennova Healthcare - Clarksville: Line 16a URL: https://www.vanderbilthealth.com/information/Clarksville-finance; 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://www.encompasshealth.com/locations/vanderbilt-stallworth/financial-information; - Tennova Healthcare - Clarksville: Line 16b URL: https://www.vanderbilthealth.com/information/Clarksville-finance; 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://www.encompasshealth.com/locations/vanderbilt-stallworth/financial-information; - Tennova Healthcare - Clarksville: Line 16c URL: https://www.vanderbilthealth.com/information/Clarksville-finance; Schedule H, Part VI, Line 2 Needs assessment Vanderbilt University Medical Center (including Vanderbilt University Hospitals, Vanderbilt Bedford County Hospital, Vanderbilt Tullahoma-Harton Hospital, and Vanderbilt Wilson County 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 Workgroup, an internal committee of program managers and other leadership roles that meet regularly to make recommendations related to the community's needs. VUMC is also a member of the Mid-Cumberland Region Health Council Community of Practice, as well as the Nashville Health & Well Being Leadership Council Community of Practice. VUMC further assesses the healthcare needs of its communities by actively participating in groups such as the Bedford, Coffee, Williamson, and Wilson 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, Ascension 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 community's needs and resources. For the 2025 CHNA, VUMC completed a systematic review of 29 recent assessments completed by community partners across the six 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 Community Health & Engagement (OCHE), the Office of Patient Affairs, and nursing sought to support improving birthing experiences and maternal and infant health outcomes for all expectant mothers. A listening session was held to explore the perspectives of birthing people regarding the quality of care received during their most recent delivery at VUMC. The VUMC OCHE recruited participants in partnership with Homeland Heart, a local Doula organization that provides care to mothers 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 birthing people at VUMC and improve the quality of care, patient satisfaction, and health outcomes. Additionally, a Nutrition Security Taskforce was convened to address nutrition security for patients and families at Monroe Carell Jr. Children's Hospital at Vanderbilt. This multidisciplinary taskforce includes various collaborators within the VUMC network, as well as community organizations like The Nashville Food Project, and Second Harvest Food Bank. This group worked to launch a program called Champ's Cupboard that coordinates providing meals onsite and upon discharge to families that have screened positive for food insecurity, as well as connecting them to ongoing food resources. 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 84,000 annual discharges. VUMC also provides approximately 3.3 million annual outpatient visits, including 219,000 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, one of two rehabilitation hospitals 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 1,240 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://cdn.vanderbilt.edu/vu-wpfsx/wp-content/uploads/sites/54/2025/03/gcr-2025-vanderbilt-economic-impact-report-01a.pdf (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. true ADNAB 20695 S Western Ave Torrance CA 90501 270306828 N/A 87454 General ADVANCED RESPIRATORY TECHNOLOGIES INC 1105 William Pitt Way Pittsburgh PA 15238 921488487 N/A 172850 Research ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 Morris Pa Bronx NY 10461 830621846 501(c)(3) 528812 Research ALEPH THERAPEUTICS INC 915 Cottrell Way Stanford CA 943051057 474303196 N/A 266461 Research ALZHEIMERS TENNESSEE INC 5801 Kingston Pike Knoxville TN 37919 621206312 501(c)(3) 18505 General ANN AND ROBERT H LURIE CHILDRENS 225 E Chicago Ave Chicago IL 60611 362170833 501(c)(3) 89393 Research ARIZONA STATE UNIVERSITY 1100 S McAllister Ave Tempe AZ 85287 860196696 GOVT 162693 Research ARKANSAS CHILDREN'S RESEARCH INST 13 Childrens Wy Little Rock AR 72202 710694931 501(c)(3) 62500 Research Auburn University 107 Samford Hall Auburn AL 36849 636000724 GOVT 52170 Research BAPTIST CLINICAL RESEARCH INSTITUTE INC 6025 Walnut Grove Rd Memphis TN 38120 453032246 501(c)(3) 175661 Research BAYLOR COLLEGE OF MEDICINE 6621 Fannin Ste WB1100 Houston TX 77030 741613878 501(c)(3) 456511 Research BAYLOR RESEACH INSTITUTE 3434 Live Oak St Dallas TX 75204 751921898 501(c)(3) 954756 Research BAYSTATE MEDICAL CENTER INC 759 Chestnut St Springfield MA 01199 042790311 501(c)(3) 494900 Research BECKMAN RESEARCH INSTITUTE OF THE CITY OF HOPE Attn Shaunna Spears 1500 East Duart City of Hope MOD 74 Room 1012 Duarte CA 91010 953432210 501(c)(3) 48087 Research BETH ISRAEL DEACONESS MEDICAL CENTER 330 Brookline Ave Boston MA 02215 042103881 501(c)(3) 2828392 Research BOARD OF REGENTS OF THE UNIVERSITY OF WISCONSIN-MADISON UW-Madison Gar Account Drawer 538 Milwaukee WI 53278 396006492 GOVT 1179234 Research BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY Stanford University 485 Broadway Mail Code 8838 Redwood City CA 94063 941156365 501(c)(3) 3231090 Research 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CABLE FOUNDATION PO Box 23148 Nashville TN 37202 061620781 501(c)(3) 7500 Contribution Centennial Park Conservancy PO Box 196340 Nashville TN 37219 581609026 501(c)(3) 25000 Contribution Childrens Emergency Care Alliance of tennessee 3841 Green Hills Village Dr Ste 3045 Nashville TN 37215 202802786 501(c)(3) 11000 Contribution Cumberland University One Cumberland Square Lebanon TN 37087 620599339 501(c)(3) 11500 Contribution FETAL HEART SOCIETY INC 1935 County Rd B2W Ste 165 Roseville MN 55113 472144989 501(c)(3) 7500 Contribution FRANKLIN TOMORROW INC 198 E Main St Franklin TN 37064 621821869 501(c)(3) 8000 Contribution GREENWAYS FOR NASHVILLE PO Box 196340 Nashville TN 37219 621570596 501(c)(3) 10000 Contribution HOSPITALITY HOUSE 207 24th Ave N Nashville TN 37203 620909363 501(c)(3) 48500 Contribution LEADERSHIP NASHVILLE FOUNDATION 222 Second Ave S Ste 2410 Nashville TN 37201 620986090 501(c)(3) 7500 Contribution March of Dimes PO Box 673667 Marietta GA 30006 131846366 501(c)(3) 7500 Contribution Motlow College Foundation PO Box 8500 Dept 160 Lynchburg TN 37352 237450071 501(c)(3) 10000 Contribution NAMI OF DAVIDSON COUNTY 5109 Georgia Ave Nashville TN 37209 800597038 501(c)(3) 6000 Contribution Nashville Public Library Foundation 615 Church Street Nashville TN 37219 621681766 501(c)(3) 10000 Contribution NASHVILLE SYMPHONY ASSOCIATION INC One Symphony Pl Nashville TN 37201 620550979 501(c)(3) 17000 Contribution National PKU Alliance 1802 Vernon St NW PMB2389 Washington DC 20009 262849140 501(c)(3) 5500 Contribution NEW BEGINNINGS CENTER 7277 Charlotte Pk 332 Nashville TN 37209 900751722 501(c)(3) 10000 Contribution SHELBYVILLE-BEDFORD PARTNERSHIP INC 100 Public Square W Ste 210 Shelbyville TN 37160 863440692 501(c)(6) 12500 Contribution SHERRYS HOPE INC PO Box 8 Lebanon TN 37088 061799885 501(c)(3) 7000 Contribution SPRING HILL CHAMBER OF COMMERCE INC 5000 Northfield Ln Ste 100 Spring Hill TN 37174 450484327 501(c)(6) 14500 Contribution SUSAN G KOMEN BREAST CANCER FOUNDATION INC Rally Headquarters P O Box 740 Danbury CT 06813 751835298 501(c)(3) 30000 Contribution TENNESSEE ASSOCIATION OF TECHNOLOGISTS 1344 Copperstone Ln Knoxville TN 37922 621807032 501(c)(6) 20000 Contribution TENNESSEE STATE MUSEUM FOUNDATOIN 505 Deaderick St Nashville TN 37243 510200584 501(c)(3) 7000 Contribution THE HERITAGE FOUNDATION OF FRANKLIN & WILLIAMSON COUNTY PO Box 723 Franklin TN 37065 237042596 501(c)(3) 10000 Contribution THE JUNIOR LEAGUE OF NASVHILLE INC 2405 Crestmoor Rd Nashville TN 37215 620476815 501(c)(3) 30000 Contribution TJ MARTELL FOUNDATION FOR CANCER RESEARCH 2817 West End Ave Ste 126 206 Nashville TN 37203 510180178 501(c)(3) 15000 Contribution Tullahoma Area Chamber of Commerce 135 W Lincoln St Tullahoma TN 37388 620611533 501(c)(6) 7750 Contribution WILLIAMSON COUNTY CHAMBER OF COMM 4031 Aspen Grove Drive Franklin TN 37067 364720381 501(c)(6) 27000 Contribution WILSON COUNTY PROMOTIONS INC 945 E Baddour Pkwy Lebanon TN 37087 621088535 501(c)(4) 6965 Contribution 223 23 Patient Assistance 1 287623 0 Patient Assistance 367 0 106837 FMV Healthcare supplies, medicine Patient Assistance 7876 0 45000 FMV Car Seats, Home Safety Kits Patient Assistance 22688 0 43769387 FMV Prescription drugs Patient Assistance 317 0 1503622 FMV Post acute care Awards and Research Grants 545 8033247 0 Patient Assistance 5 0 42172 FMV Patient housing Patient Assistance 5362 0 1139619 FMV Ambulance rides Patient Assistance 673 0 138228 FMV Car Rides Patient Assistance 4497 0 46475 FMV Meal Trays Patient Assistance 3342 0 268765 FMV Pre/Post Op supplies 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) X X X X true true X X X X X true true false false false false false true false Jeffrey R Balser MD PHD President and CEO 3195029 0 5420267 0 6073271 0 1768469 0 24103 0 16481139 0 6034701 0 Michael J Regier JD Former General Counsel and Secretary 546173 0 1211149 0 1261519 0 209141 0 24707 0 3252689 0 1232865 0 C Wright Pinson MD MBA Deputy CEO & Chief Health System Officer 2518198 0 3064319 0 39350 0 990311 0 25737 0 6637915 0 0 0 John F Manning Jr PHD MBA COO and Corporate Chief of Staff 1372188 0 1968833 0 1677612 0 493843 0 41422 0 5553898 0 1662769 0 Cecelia B Moore MHA CPA CHFP CFO and Treasurer 1429853 0 2081525 0 380782 0 450260 0 24684 0 4367104 0 337299 0 Doug Mefford JD General Counsel and Secretary (Beginning 7/1/24) 451761 0 51540 0 5114 0 122043 0 31323 0 661781 0 0 0 WILLIAM W STEAD MD FORMER CHIEF STRATEGY OFFICER (ROLE ENDED DECEMBER 2020) 129727 0 0 0 6875 0 6697 0 21298 0 164597 0 0 0 Shon Dwyer MBA RN Former President, Vanderbilt Adult Hospital 0 0 231658 0 998954 0 0 0 0 0 1230612 0 0 0 David R Posch Former EVP for Population Health 329632 0 499754 0 2185 0 16730 0 35754 0 884055 0 0 0 Thomas S Nantais MBA Former EVP Adult Ambulatory 0 0 164185 0 304440 0 0 0 0 0 468625 0 0 0 DAVID S RAIFORD MD Former Chief of Clinical Staff 28650 0 306404 0 1625 0 0 0 0 0 336679 0 0 0 Jennifer A Pietenpol PHD Chief Scientific and Strategy Officer 918896 0 984302 0 219772 0 293289 0 35220 0 2451479 0 182708 0 Rick Wright MD CMO and Sr VP for Clinical Affairs 1309023 0 524459 0 39505 0 282024 0 35225 0 2190236 0 0 0 Margaret G Rush MD MMHC Pres & Exec Med Dir, MCJCH 818548 0 859521 0 116530 0 260371 0 19771 0 2074741 0 101687 0 Zeena M Abdulahad MPA EVP & Chief Dev Officer 810694 0 660069 0 151672 0 176619 0 17539 0 1816593 0 149350 0 Amy Schoeny PHD Chief HR Officer 823841 0 695183 0 22014 0 185108 0 24123 0 1750269 0 0 0 Lee Ann Liska MBA Pres & Chief Oper Off at VUH 802526 0 551270 0 26564 0 272043 0 33729 0 1686132 0 0 0 Donald Brady MD Exec Vice Dean - Aca Affairs & Exec VP - Ed Affairs 719528 0 478158 0 15519 0 221591 0 10134 0 1444930 0 0 0 Wendy Monaci MBA EVP Adult Ambulatory 758143 0 343230 0 3564 0 202543 0 19864 0 1327344 0 0 0 Cecelia Theobald MD MPH Chief of Clinical Staff 598013 0 267113 0 11040 0 131204 0 37076 0 1044446 0 0 0 Travis Capers FACHE President of Vanderbilt Regional Community Hospitals 637910 0 167501 0 1242 0 17043 0 10015 0 833711 0 0 0 C J Stimson MD JD EVP for Population Health (Beginning 1/1/24) 510908 0 204567 0 11034 0 15547 0 1028 0 743084 0 0 0 David Russell EVP Org Transformation & Chief Strategic Bus Dev Officer (Beginning 9/1/24) 446393 0 116586 0 19930 0 57043 0 19843 0 659795 0 0 0 Ginger Holt MD Professor, Ortho-Oncology 1859408 0 124277 0 11328 0 16804 0 36546 0 2048363 0 0 0 Byron Stephens II MD MSCI Associate Professor, Department of Orthopaedic Surgery 1343023 0 514819 0 31040 0 16804 0 27729 0 1933415 0 0 0 Seth J Karp MD Professor of Surgery, Biomedical Ethics & Society, and Anesthesiology 1391342 0 322966 0 30822 0 16804 0 35223 0 1797157 0 0 0 Amir Abtahi MD Assistant Professor, Department of Orthopaedic Surgery 1195332 0 484096 0 16040 0 16804 0 49144 0 1761416 0 0 0 Ashish S Shah MD FACS Professor, Cardiac 1366148 0 280000 0 12822 0 16804 0 53735 0 1729509 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel Vanderbilt University Medical Center excludes the benefits from taxable income when a documented business purpose is served. 1 officer received charter travel benefits that were not included in taxable compensation One director, 2 officers and two key employees received first class travel benefits that were not included in taxable compensation Schedule J, Part I, Line 1a Travel for companions 2 directors received travel companion benefits that were reported as taxable compensation Schedule J, Part I, Line 1a Tax indemnification and gross-up payments 1 Officer RECEIVED TAX GROSS-UP PAYMENT BENEFITS THAT WERE INCLUDED IN TAXABLE COMPENSATION. Schedule J, Part I, Line 1a Personal services One officer received security service benefits not included in taxable compensation Schedule J, Part I, Line 4a Severance or change-of-control payment Two former key employees, Shon Dwyer and Thomas Nantais, received severance payments totaling $997,783.80 and $304,440.00 respectively 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. 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, 3 Key Employees, and 1 Former Officer during 2024. Jeffrey R. Balser received a four-year payout totaling $6,034,70; John F. Manning, Jr. received a three-year payout totaling $1,662,769; Cecelia B. Moore received a payout totaling $337,299; Zeena M. Abdulahad received a payout totaling $149,350; Jennifer Pietenpol received a payout totaling $182,708; Margaret G. Rush received a payout totaling $101,687; and Michael Regier received a three-year payout totaling $1,232,865. Schedule J, Part I, Line 7 Non-fixed payments Certain individuals listed in Schedule J, Part II received variable incentive compensation based on the achievement of pre-established goals where judgment was determined by the Compensation Committee. Incentive payments are shown in Schedule J, Part II, Column B(ii). A HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF N ASHVILLE AND DAVIDSON COUNTY TENNESSEE - SERIES 2025A 626139016 000000000 2025-06-25 193885000 (See Statement) false false false B HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF N ASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2024 626139016 592041A31 2024-10-29 459408874 CAPTIAL PROJECTS false false false C HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF N ASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2023A 626139016 592041ZY6 2023-11-08 151257355 Capital projects false false false D HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF N ASHVILLE AND DAVIDSON COUNTY TENNESSEE - SERIES 2022AB 626139016 000000000 2022-12-07 141000000 CAPITAL PROJECTS false false false A 193885000 343412 123885000 69656588 true false false true B 459408874 2578490 253818630 203011754 false false false true C 157949634 1257345 156692289 2024 false false true true D 70500000 144245770 550628 143695142 2023 false false true true A false true true true true true 0.0002 0.0 0.0002 false false 0 false true B false false false false false true 0 0 0.0 false false 0 false true C false false false false true true 0.0 0.0 0.0 false false 0 false true D false false false false true true 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true B false true false false false false 0 false false false 0 false false true C false true false false false false 0 false false false 0 false false true D false true false false true false 0 false false false 0 false false true A true B true C true D true Schedule K, Part I, Column (f) Description of Purpose Row (A), Series 2025A - THE PURPOSE OF THE SERIES 2025 ISSUE WAS TO REFINANCE SERIES 2018 ISSUED ON 4/20/2018, SERIES 2022A ISSUED ON 12/07/2022 AND FINANCE CAPITAL PROJECTS FOR THE MEDICAL CENTER. Row (B), Series 2017A - The issue is financing various new capital projects for the medical center. Row (C), 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 (A) - The other spent proceeds are the refunding proceeds no longer in escrow. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE Column (C) - The difference in the issue price and total proceeds of $6,692,279 is due to investment earnings on the project fund. Column (D) - The difference in the issue price and total proceeds of $3,245,770 is due to investment earnings on the project fund. Column (B) - The difference in the issue price and total proceeds of $$793,818 is due to investment earnings on the project fund. Schedule K, Part IV, Line 3 Variable Rate Issue Column (A) - 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, Part III, Line 6 Private Business Use Column (A): ANY PRIVATE BUSINESS USE GENERATED FROM NON-COMPLIANT RESEARCH AGREEMENTS IS COVERED BY CONTRIBUTIONS OF EQUITY TO THE BOND FINANCED PROJECT. A The Health and Educational Facilities Board of The Metropolitan Government of Nashville and Davidson County Tennessee - Series 2021A 626139016 000000000 2021-11-04 74101302 Capital Projects false false false B THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE Series 2017A 626139016 592041YC5 2017-07-26 126334390 (See Statement) false false false C THE HEALTH AND EDUCATIONAL FACILITIES BOARD OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY TENNESSEE - Series 2016A 626139016 592041WH6 2016-04-29 536573506 (SEE STATEMENT) false false false A 74101302 578814 73522488 2021 false false true true B 127128208 1334390 125793818 2019 false false true true C 536573506 10700399 525873107 2016 false false true true A false false false true true true 0.0 0.0 0.0 false false 0 false true B false false false true true true 0.0 0.0 0.0 false false 0 false true C false true true true true true 0.006 0.002 0.008 false false 0 false true A false true false false false false 0 false false false 0 false false true B false false true false false false 0 false false false 0 false false true C false false true false false false 0 false false false 0 false false true A true B true C true Kathryn Elese Rush FAMILY MEMBER OF CURRENT key employee, MARGARET G. RUSH, MD, MMHC 189165 EMPLOYMENT AT VANDERBILT UNIVERSITY MEDICAL CENTER false Nashville Soccer Club Ownership of Organization by Current Director, John Ingram, Exceeding 35% 1760665 Sponsorship / Advertising with Nashville Soccer Club false 16 28494 Market value X 387 Market value X 94970 Market value 52 3601707 Market value 76 32262 Market value 1 4999 Market value X Gift Certificates 90 21798 Market value 0 false true false Schedule M, Part I Column (b) - Number of Contributions or Items Contributed Column (b) reports the number of contributions made. Schedule M, Part I, Line 5 Clothing and household goods Donation of various household items for auctions benefiting Vanderbilt Health. Schedule M, Part I, Line 20 Drugs and medical supplies DONATION OF VARIOUS HEARING AID SUPPLIES BENEFITING BILL WILKERSON CENTER PATIENTS AT VANDERBILT. Form 990, Part III, Line 1 Vanderbilt University Medical Center (VUMC) is one of the nation's longest serving and most prestigious academic medical centers. Through its historic bond with Vanderbilt University, VUMC cultivates distinguished research and educational programs to advance a clinical enterprise that provides compassionate and personalized care and support for millions of patients and family members each year. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries, transformational educational and clinical advancements across the entire spectrum of health and disease. The Medical Center's vision is to be the world leader in advancing personalized health while its mission is to personalize the patient experience through its caring spirit and remarkable capabilities. Form 990, Part III, Line 4a 4a. Patient Services - VUMC provides high quality 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 3.5 million patient visits in over 180 ambulatory locations and discharged more than 83,500 inpatients from its main-campus adult, children's, psychiatric and rehabilitation hospitals and regional community hospitals. The Medical Center is the largest non-governmental employer of Middle Tennesseans, with more than 43,000 staff, including approximately 4,900 of whom are employed clinicians, including advanced practice nurses. 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, the Leapfrog Group and others: * U.S. News & World Report: for 2025 Vanderbilt University Medical Center was named the No. 1 hospital in Tennessee for the 14th consecutive year; along with No.1 in Metro Nashville * In 2025, Monroe Carell Jr. Children's Hospital at Vanderbilt was again named by U.S. News and World Report as one of the nation's elite children's hospitals receiving both No. 1 in the Southeast and No. 1 in Tennessee distinctions * In 2024, Monroe Carell Jr. Children's Hospital at Vanderbilt ("Monroe Carell") was named a Top Children's Hospital by The Leapfrog Group * National Institutes of Health: Vanderbilt University School of Medicine currently ranked 5th among the top grant awardees for medical research in the U.S. as of December 2024 * 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 * In 2024, Becker's Healthcare named VUMC one of the leading health systems in artificial intelligence 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 caring for adults and children * Only Level 4 (highest level) Neonatal Intensive Care Unit, as well as a dedicated pediatric emergency department * 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 * Vanderbilt LifeFlight, an integrated air and ground emergency patient transport system * Tennessee Poison Center * The Vanderbilt Transplant Center- Tennessee's only comprehensive solid organ transplant center serving both adult and pediatric patients. For two consecutive years in 2024 and 2025 Vanderbilt Heart has been the world leader in heart transplantation 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. With more than 1,200 residents and fellows in training, VUMC's programs in Graduate Medical Education are consistently among the most selective, and are nationally recognized for their diversity, 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 $ 200,534,120 including grants of $)(Revenue $ 244,666,326) 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. Additionally, Gail Carr Williams and Sara J. Finley both serve on the Community Foundation of Middle Tennessee Board of Directors. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee of the Board of 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. All members of the Executive Committee are members of the Board. The Executive Committee of the Board of Directors adopted a Resolution creating the Medical Staff Affairs Subcommittee (the "Subcommittee") of the Board's Quality and Safety Committee. The Subcommittee holds and exercises the delegated authority of the VUMC Board of Directors over all matters relating to the Medical Staffs of VUMC and its facilities, including under applicable laws, rules and regulations, or under applicable Medical Staff Bylaws. Among other things this includes the approval of all applications for appointment and/or reappointment to the Medical Staffs of licensed hospitals owned and operated by VUMC. 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 Compliance & Corporate Integrity which reports to the Vice President & Chief Compliance Officer. For VUMC employed faculty, disclosed conflicts are reviewed by the faculty member's department chair and the Executive Vice President for Educational Affairs. VUMC has a Conflict of Interest Committee which consists of representatives from relevant areas across VUMC and are appointed by the CEO. The Executive Vice President for Educational Affairs 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 XI, Line 9 Other changes in net assets or fund balances Endowment Appreciation - 15530252; Change in Non-Controlling Interest Net Assets - -2588225; Other Changes in Net Assets - 13346; Total - 12955373; Vanderbilt Health Services LLC 2100 West End Ave Suite 750 Nashville TN 37203 621176354 Holding Company TN 3157544 7254983 VUMC Friends in Global Health LLC 2525 West End Ave Suite 750 Nashville TN 37203 260170070 Public Health TN 15303936 -24081362 VHS Vanderbilt-Wilson Radiation Oncology LLC 2100 West End Ave Suite 750 Nashville TN 37203 261241612 Holding Company TN 3279898 -1570557 VHS Vanderbilt Health Affiliated Network LLC 3401 West End Ave Suite 290 Nashville TN 37203 461571024 Clinical Network TN 29904341 264943 VHS Project Holding Company LLC 4350 Lassiter at North Hills Ave Suite 300 Raleigh NC 276095793 813915926 Holding Company TN 0 9645014 VUMC Health Professional Solutions LLC 756 Melrose Avenue Nashville TN 37211 300964540 Holding Company TN 0 -4566013 VUMC Vanderbilt Health Rx Solutions LLC 718 Melrose Avenue Nashville TN 37211 821456647 Pharmacy Administration TN 986294 6493261 HPS Bundle Payment Services LLC 3841 Green Hills Village Dr Suite NASHVILLE TN 37215 843700835 ADMINISTRATIVE SERVICES TN 0 0 VUMC Retail Health Clinics LLC 2525 West End Ave Suite 700 Nashville TN 37203 821942209 Walk-in Clinics TN 10352650 -604451 VHS Nashville BioSciences LLC 3841 Green Hills Village Dr Suite Nashville TN 372152691 824174759 Research & Development in Biotechnology TN 11036809 14904359 VUMC Vanderbilt Health Supply Chain Solutions LLC 60 Athletes Way N Suite 200 Mt Juliet TN 37122 824143617 Consulting TN 1352715 1612452 HPS Vanderbilt Health Purchasing Collaborative LLC 60 Athletes Way N Suite 200 Mt Juliet TN 37122 824148840 Group Purchasing Organization TN 13952886 17096745 VHSCS ACO of Central Alabama 1 LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821681443 Accountable Care Organization DE 520090 76706 VWRO ACO of North Delaware LLC 3401 West End Ave Suite 290 Nashville TN 372036866 812692564 Accountable Care Organization DE -34271 0 VWRO Mid South ACO LLC 3401 West End Ave Suite 290 Nashville TN 372036866 821685569 Accountable Care Organization DE 2410331 -141672 VWRO Vanderbilt Home Care Services LLC 2120 Belcourt Avenue Nashville TN 37212 621404948 Home Health TN 17462248 3702699 VHS Carefluent Connect LLC 60 Athletes Way N Suite 300 Mt Juliet TN 37122 843131467 Comprehensive Care Services TN 5071769 1751869 VHSCS Vanderbilt Health Clinicians LLC 3841 Green Hills Village Dr Suite NASHVILLE TN 37215 991952687 ADMINISTRATIVE SERVICES TN 0 0 VUMC Vanderbilt Integrated Providers LLC 3841 Green Hills Village Dr Suite Nashville TN 37215 621650124 Physician Offices TN 46467936 900143 VHS Vanderbilt Bedford Hospital LLC 2835 US-231 Shelbyville TN 37160 853419620 General Medical and Surgical Hospitals TN 65506564 -2955282938 VUMC Vanderbilt Coffee Hospital LLC 1801 N Jackson Street Tullahoma TN 37388 853420386 General Medical and Surgical Hospitals TN 97853122 -4403449476 VUMC Vanderbilt Montgomery Holdings LLC 1161 21ST AVENUE SOUTH D-3300 MEDICAL CENTER NORTH Nashville TN 37232 853448238 Holding Company TN 8477551 51296323 VUMC Ambulatory Surgery Center of Cool Springs LLC 40 Burton Hills Blvd Ste 500 Nashville TN 37215 621809227 Ambulatory Surgery TN VHS Related 2995595 3642345 false false 0.602 New Light Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 141895171 Management Services TN VHS Related 1548044 529043 false false 0.6667 One Hundred Oaks Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 263762022 Diagnostic Imaging TN VHSVIS Related 3256102 2034161 false false 0.776 Springfield VIP Realty LLC 3319 West End Ave Ste 700 Nashville TN 37203 261237360 Real Estate TN VUMC Excluded 42260 431843 false true 0.49 Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville 3319 West End Ave Ste 700 Nashville TN 37203 203844791 Oncology Services DE VHSCHSGP Related 414939 4861427 false true 0.6 Vanderbilt Imaging Services LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 621787098 Radiology Services TN VHS Related 4893797 21207779 false false 0.6267 Vanderbilt Stallworth Rehabilitation Hospital LP 3660 Grandview Parkway Ste 200 Birmingham AL 35243 631077470 Rehab Services TN VUMCVHS Related -743466 7721131 false true 0.5 Vanderbilt-Maury Radiation Oncology LLC 1003 Reserve Blvd Ste 120 Spring Hill TN 37174 460757412 Oncology Services TN VHS Related 452866 1388233 false true 0.4 Vanderbilt Health and Williamson Medical Center Clinics and Services 512 Autumn Springs Ct Ste C Franklin TN 37067 621864145 Walk-in Clinics TN VHS Related -148066 5572571 false true 0.51 VIP MidSouth LLC 3319 West End Ave Ste 700 Nashville TN 37203 621654580 Physician Offices TN VIP Related 653995 5778034 false true 0.7296 Williamson Imaging LLC 2000 Richard Jones Road Ste 270 Nashville TN 37215 621855535 Diag. Imaging TN VHSVIS Related 3195021 1397910 false false 0.7014 Spring Hill Surgery Center LLC 310 Seven Springs Way Suite 500 Brentwood TN 37027 462325870 Ambulatory Surgery TN VHS Related 868183 2708424 false false 0.51 Charitable Remainder Trust (7) Charitable Trust TN VUMC Trust true Perpetual Trusts (1) Charitable Trust TN VUMC Trust true false true false false false false false false false true false true false false true false true false true Ambulatory Surgery Center of Cool Springs LLC O 66586 FMV Ambulatory Surgery Center of Cool Springs LLC S 2910768 FMV New Light Imaging LLC O 1117993 FMV New Light Imaging LLC Q 611863 FMV New Light Imaging LLC S 1259386 FMV One Hundred Oaks Imaging LLC O 2529596 FMV One Hundred Oaks Imaging LLC Q 5160539 FMV One Hundred Oaks Imaging LLC S 1848110 FMV Spring Hill Surgery Center LLC S 834736 FMV Vanderbilt Health and Williamson Medical Center Clinics and Services LLC J 178857 FMV Vanderbilt Health and Williamson Medical Center Clinics and Services LLC Q 4595427 FMV Vanderbilt Health and Williamson Medical Center Clinics and Services LLC O 12827168 FMV Vanderbilt Imaging Services LLC O 4240332 FMV Vanderbilt Imaging Services LLC Q 7602240 FMV Vanderbilt Imaging Services LLC S 8477927 FMV Vanderbilt Maury Radiation Oncology LLC S 907322 FMV Vanderbilt Maury Radiation Oncology LLC L 627938 FMV Vanderbilt Maury Radiation Oncology LLC Q 404122 FMV Vanderbilt Maury Radiation Oncology LLC O 1224317 FMV Vanderbilt Stallworth Rehabilitation Hospital LP B 750000 FMV Vanderbilt Stallworth Rehabilitation Hospital LP J 613153 FMV Vanderbilt Stallworth Rehabilitation Hospital LP Q 3014550 FMV Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville S 1200384 FMV Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville L 1163481 FMV Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville Q 877715 FMV Vanderbilt-Ingram Cancer Center at Tennova Healthcare - Clarksville O 2366741 FMV VIP MidSouth LLC Q 900809 FMV VIP MidSouth LLC S 306413 FMV Williamson Imaging LLC (Cool Springs Imaging) O 2972119 FMV Williamson Imaging LLC (Cool Springs Imaging) Q 5010210 FMV