SCHEDULE R
(Form 990)

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

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Vanderbilt University Medical Center
 
Employer identification number

35-2528741
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) Vanderbilt Health Services LLC
2100 West End Ave Suite 750
Nashville,TN37203
62-1176354
Holding Company TN 1,523,362 18,080,201 VUMC
 
(2) Friends in Global Health LLC
2525 West End Ave Suite 750
Nashville,TN37203
26-0170070
Public Health TN 22,618,622 422,059 VHS
 
(3) Vanderbilt-Wilson Radiation Oncology LLC
2100 West End Ave Suite 750
Nashville,TN37203
26-1241612
Holding Company TN 3,689,270 1,242,282 VHS
 
(4) Vanderbilt Health Affiliated Network LLC
3401 West End Ave Suite 290
Nashville,TN37203
46-1571024
Clinical Network TN 32,448,591 21,024,718 VHS
 
(5) Project Holding Company LLC
4350 Lassiter at North Hills Ave
Suite 300
Raleigh,NC276095793
81-3915926
Holding Company TN 0 22,679,775 VUMC
 
(6) Health Professional Solutions LLC
3319 West End Ave Suite 700
Nashville,TN37203
30-0964540
Holding Company TN 0 2,319,173 VUMC
 
(7) Vanderbilt Health Rx Solutions LLC
3319 West End Ave Suite 700
Nashville,TN37203
82-1456647
Pharmacy Administration TN 5,216,182 1,757,496 VHPS
 
(8) Vanderbilt Health Pharmacy Group LLC
3319 West End Ave Suite 700
Nashville,TN37203
82-1462688
Pharmacy Services TN 2,028,113 1,052,387 VHRxS
 
(9) Retail Health Clinics LLC
2525 West End Ave Suite 700
Nashville,TN37203
82-1942209
Walk-in Clinics TN 7,346,307 1,638,177 VHS
 
(10) Nashville BioSciences LLC
2525 West End Ave Suite 930
Nashville,TN37203
82-4174759
Research & Development in Biotechnology TN 5,580,045 2,628,818 VUMC
 
(11) Vanderbilt Health Supply Chain Solutions LLC
MCN 1161 21st Ave
D-3300
Nashville,TN37203
82-4143617
Consulting TN 482,958 694,992 VHPS
 
(12) Vanderbilt Health Purchasing Collaborative LLC
MCN 1161 21st Ave
D-3300
Nashville,TN37203
82-4148840
Group Purchasing Organization TN 4,336,383 4,756,645 VHSCS
 
(13) ACO of Central Alabama 1 LLC
3401 West End Ave Suite 290
Nashville,TN372036866
82-1681443
Accountable Care Organization DE 1,153,714 34,544 VWRO
 
(14) ACO of Louisiana LLC
3401 West End Ave Suite 290
Nashville,TN372036866
82-1686154
Accountable Care Organization DE 489,322 6,226 VWRO
 
(15) ACO of North Delaware LLC
3401 West End Ave Suite 290
Nashville,TN372036866
81-2692564
Accountable Care Organization DE 501,900 173,767 VWRO
 
(16) Mid South ACO LLC
3401 West End Ave Suite 290
Nashville,TN372036866
82-1685569
Accountable Care Organization DE 1,248,600 54,358 VWRO
 
(17) Vanderbilt Home Care Services LLC
2120 Belcourt Avenue
Nashville,TN37212
62-1404948
Home Health TN 16,645,003 4,068,432 VHS
 
(18) Carefluent Connect LLC
3319 West End Ave Suite 700
Nashville,TN37203
84-3131467
Comprehensive Care Services TN 4,855 -698,473 VHSCS
 
(19) BUNDLE PAYMENT SERVICES LLC
3319 West End Ave Suite 700
NASHVILLE,TN37203
84-3700835
ADMINISTRATIVE SERVICES TN 0 0 VUMC
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Page 2
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) Ambulatory Surgery Center of Cool Springs LLC

40 Burton Hills Blvd Ste 500
Nashville,TN37215
62-1809227
Ambulatory Surgery TN VHS
 
Related 3,275,608 3,115,493   No     No 51.02 %
(2) New Light Imaging LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
14-1895171
Management Services TN VHS
 
Related 966,677 659,616   No     No 66.67 %
(3) One Hundred Oaks Imaging LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
26-3762022
Diagnostic Imaging TN VHSVIS
 
Related 3,241,270 3,679,488   No     No 77.6 %
(4) Springfield VIP Realty LLC

3319 West End Ave Ste 700
Nashville,TN37203
26-1237360
Real Estate TN VUMC
 
Excluded 20,753 419,247   No   Yes   49 %
(5) Vanderbilt Gateway Cancer

3319 West End Ave Ste 700
Nashville,TN37203
20-3844791
Oncology Services DE VHS
 
Related 1,140,214 3,460,463   No   Yes   50 %
(6) Vanderbilt Imaging Services LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
62-1787098
Radiology Services TN VHS
 
Related 6,311,408 3,850,284   No     No 62.67 %
(7) Vanderbilt Stallworth Rehabilitation Hospital LP

3660 Grandview Parkway Ste 200
Birmingham,AL35243
63-1077470
Rehab Services TN VUMCVHS
 
Related -364,783 3,481,885   No   Yes   50 %
(8) Vanderbilt-Maury Radiation Oncology LLC

1003 Reserve Blvd Ste 120
Spring Hill,TN37174
46-0757412
Oncology Services TN VHS
 
Related 186,457 996,838   No   Yes   40 %
(9) Vanderbilt Health and Williamson Medical Center Clinics and Services

512 Autumn Springs Ct Ste C
Franklin,TN37067
62-1864145
Walk-in Clinics TN VHS
 
Related 349,831 3,166,142   No   Yes   51 %
(10) VIP MidSouth LLC

3319 West End Ave Ste 700
Nashville,TN37203
62-1654580
Physician Offices TN VIP
 
Related 205,888 2,035,308   No   Yes   58.84 %
(11) Williamson Imaging LLC

2000 Richard Jones Road Ste 270
Nashville,TN37215
62-1855535
Diag. Imaging TN VIS
 
Related 2,192,905 1,715,715   No     No 50.14 %
(12) Spring Hill Surgery Center LLC

310 Seven Springs Way Suite 500
Brentwood,TN37027
46-2325870
Ambulatory Surgery TN VHS
 
Related -494,633 1,423,675   No     No 51 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Vanderbilt Integrated Providers

3319 West End Ave Suite 700
Nashville,TN37203
62-1650124
Physician Offices TN VHS
 
C Corporation 2,598,981 4,000,654 100 % Yes  
(2) Charitable Remainder Trust (5)

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

 
 
Charitable Trust TN VUMC
 
Trust       Yes  








Schedule R (Form 990) 2019
Page 3
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
Yes
 
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Ambulatory Surgery Center of Cool Springs LLC

O 84,640 FMV
(2) Ambulatory Surgery Center of Cool Springs LLC

S 2,945,213 FMV
(3) Vanderbilt Gateway Cancer Center GP

L 1,188,374 FMV
(4) Vanderbilt Gateway Cancer Center GP

O 92,368 FMV
(5) Vanderbilt Gateway Cancer Center GP

Q 265,956 FMV
(6) Vanderbilt Gateway Cancer Center GP

S 1,035,562 FMV
(7) Vanderbilt Maury Radiation Oncology LLC

L 391,706 FMV
(8) Vanderbilt Maury Radiation Oncology LLC

O 86,765 FMV
(9) Vanderbilt Maury Radiation Oncology LLC

Q 333,683 FMV
(10) Vanderbilt Stallworth Rehabilitation Hospital LP

B 500,000 FMV
(11) Vanderbilt Stallworth Rehabilitation Hospital LP

K 481,955 FMV
(12) Vanderbilt Stallworth Rehabilitation Hospital LP

Q 2,920,359 FMV
(13) VIP MidSouth LLC

L 138,091 FMV
(14) VIP MidSouth LLC

O 133,899 FMV
(15) VIP MidSouth LLC

Q 251,376 FMV
(16) Vanderbilt Integrated Providers

O 240,597 FMV
(17) Vanderbilt Integrated Providers

B 300,000 FMV
(18) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC

J 85,518 FMV
(19) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC

O 10,409,349 FMV
(20) Vanderbilt Health and Williamson Medical Center Clinics and Services LLC

Q 2,949,538 FMV
(21) Vanderbilt Imaging Services LLC

O 545,796 FMV
(22) Vanderbilt Imaging Services LLC

Q 2,234,735 FMV
(23) Vanderbilt Imaging Services LLC

S 4,321,403 FMV
(24) New Light Imaging LLC

O 570,669 FMV
(25) New Light Imaging LLC

Q 73,754 FMV
(26) New Light Imaging LLC

S 602,931 FMV
(27) Williamson Imaging LLC (Cool Springs Imaging)

Q 2,518,222 FMV
(28) One Hundred Oaks Imaging LLC

Q 2,731,836 FMV
(29) One Hundred Oaks Imaging LLC

S 1,205,313 FMV
(30) Perpetual Trusts (1)

S 256,464 FMV
Schedule R (Form 990) 2019
Page 4
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Page 5
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


Software ID: 19010655
Software Version: 2019v5.0