SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
UNIVERSITY HEALTH SYSTEM INC
 
Employer identification number

31-1626179
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO THE UHS CONTROLLER AND SENIOR VP/CFO FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE UHS FINANCE COMMITTEE AND THEN THE ENTIRE UHS BOARD OF DIRECTORS WHO REVIEWS THE FORM 990 PRIOR TO FILING. THE SENIOR VP/CFO ATTENDS THE MEETINGS TO ANSWER ANY QUESTIONS AND ADDRESS ANY SIGNIFICANT DISCLOSURES WITHIN THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURES ARE NOW PERFORMED ELECTRONICALLY. STATUS REPORTS WITH DETAILS CAN BE RUN AT ANY TIME TO DETERMINE COMPLETION. THIS IS RUN MANY TIMES ANNUALLY AS THEY ARE COMPLETED. THE ORGANIZATION FURTHER INVESTIGATES ANY DISCLOSURES THAT REQUIRE A CLOSER LOOK AND WORKS TOWARD RESOLUTION OF ANY POTENTIAL COMPLIANCE DISCREPANCIES.
FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO, OFFICERS AND OTHER KEY EMPLOYEES IS DETERMINED BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF DIRECTORS IN ACCORDANCE WITH A POLICY ADOPTED BY THE BOARD. ONCE APPROVED BY THE COMMITTEE, THE PROPOSED COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THE FULL BOARD OF DIRECTORS. DATA COMPILED BY INTEGRATED HEALTHCARE STRATEGIES (IHS), A THIRD-PARTY COMPENSATION CONSULTANT, IS USED FOR COMPARABILITY.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF TENNESSEE SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES OF UHS FOR BOTH EMPLOYEES AND BOARD MEMBERS ARE AVAILABLE UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON DACBOND.COM AND EMMA.MSRB.ORG, THE OFFICIAL PUBLIC DISCLOSURE WEBSITE.
FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 79,150,674. MANAGEMENT AND GENERAL EXPENSES 5,511,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,662,182. COMMUNICATION SERVICES: PROGRAM SERVICE EXPENSES 22,002,152. MANAGEMENT AND GENERAL EXPENSES 1,532,078. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,534,230. CLINCAL SERVICES: PROGRAM SERVICE EXPENSES 21,941,170. MANAGEMENT AND GENERAL EXPENSES 1,527,832. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,469,002. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 3,771,234. MANAGEMENT AND GENERAL EXPENSES 262,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,033,837. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,686,196. MANAGEMENT AND GENERAL EXPENSES 117,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,803,611.
FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF DERIVATIVE INSTRUMENT -3,327,006. CHANGE IN INTEREST RATE SWAP 5,194,283. OTHER CHANGE IN NET ASSETS 3,111,126.
FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE OVERSIGHT PROCESS IS UNCHANGED FROM THE PRIOR YEAR.
FORM 990, PART III, LINE 4A: STATEMENT OF COMMUNITY BENEFIT UNIVERSITY HEALTH SYSTEM JANUARY 1, 2019 - DECEMBER 31, 2019 2019 COMMUNITY COLLABORATIONS: IN ORDER TO REDUCE HEALTH DISPARITIES AND TO PROVIDE MEDICAL CARE AT THE FREE MEDICAL CENTER AMERICA (FMCA) FOR ITS AT-RISK PATIENT POPULATION, UT MEDICAL CENTER, GRADUATE SCHOOL OF MEDICINE, AND UNIVERSITY PHYSICIANS' ASSOCIATION HAVE COMMITTED GRANT FUNDING, TRAINEE PARTICIPATION, AND MANAGEMENT SERVICES. THE FMCA WILL CONTINUE PARTNERSHIPS WITH KNOXVILLE AREA PROJECT ACCESS, KNOXVILLE OUTPATIENT DIAGNOSTIC CENTER, AND LABCORP, AND WITH COMMUNITY AGENCIES TRAINED TO ADDRESS SOCIAL AND ENVIRONMENTAL FACTORS IMPACTING OUR COMMUNITY'S HEALTH. ADDITIONALLY, ON-SITE PREVENTIVE AND RESTORATIVE DENTAL SERVICES WILL BE OFFERED IN 2020. UT MEDICAL CENTER ALSO HAS PARTNERED WITH EMERALD YOUTH FOUNDATION AND CHEROKEE HEALTH SYSTEMS (CHS) TO LAUNCH A NEW "HEALTH IN COMMUNITY" CONCEPT IN THE LONSDALE COMMUNITY IN KNOXVILLE. A HEALTH CENTER WILL OPEN IN THE NEW HASLAM-SANSOM LONSDALE COMPLEX ON DECEMBER 12, 2019. WHILE CHS WILL PROVIDE ADULT PRIMARY CARE, PEDIATRICS AND BEHAVIORAL HEALTH SERVICES, THE MEDICAL CENTER AND GRADUATE SCHOOL OF MEDICINE WILL COORDINATE MOBILE DENTAL CARE, AND A COMMUNITY HEALTH EDUCATION CURRICULUM TO INCLUDE HEALTHY COOKING/EATING AND PHYSICAL FITNESS CLASSES, DISEASE PREVENTION AND MANAGEMENT, AND ON-SITE HEALTH SCREENINGS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


Software ID:  
Software Version: