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ObjectId: 202121239349300807 - Submission: 2021-05-03
TIN: 35-2528741
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
19
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
,
TN
37203
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
,
TN
37203
26-0170070
Public Health
TN
22,618,622
422,059
VHS
(3)
Vanderbilt-Wilson Radiation Oncology LLC
2100 West End Ave Suite 750
Nashville
,
TN
37203
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
,
TN
37203
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
,
NC
276095793
81-3915926
Holding Company
TN
0
22,679,775
VUMC
(6)
Health Professional Solutions LLC
3319 West End Ave Suite 700
Nashville
,
TN
37203
30-0964540
Holding Company
TN
0
2,319,173
VUMC
(7)
Vanderbilt Health Rx Solutions LLC
3319 West End Ave Suite 700
Nashville
,
TN
37203
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
,
TN
37203
82-1462688
Pharmacy Services
TN
2,028,113
1,052,387
VHRxS
(9)
Retail Health Clinics LLC
2525 West End Ave Suite 700
Nashville
,
TN
37203
82-1942209
Walk-in Clinics
TN
7,346,307
1,638,177
VHS
(10)
Nashville BioSciences LLC
2525 West End Ave Suite 930
Nashville
,
TN
37203
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
,
TN
37203
82-4143617
Consulting
TN
482,958
694,992
VHPS
(12)
Vanderbilt Health Purchasing Collaborative LLC
MCN 1161 21st Ave
D-3300
Nashville
,
TN
37203
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
,
TN
372036866
82-1681443
Accountable Care Organization
DE
1,153,714
34,544
VWRO
(14)
ACO of Louisiana LLC
3401 West End Ave Suite 290
Nashville
,
TN
372036866
82-1686154
Accountable Care Organization
DE
489,322
6,226
VWRO
(15)
ACO of North Delaware LLC
3401 West End Ave Suite 290
Nashville
,
TN
372036866
81-2692564
Accountable Care Organization
DE
501,900
173,767
VWRO
(16)
Mid South ACO LLC
3401 West End Ave Suite 290
Nashville
,
TN
372036866
82-1685569
Accountable Care Organization
DE
1,248,600
54,358
VWRO
(17)
Vanderbilt Home Care Services LLC
2120 Belcourt Avenue
Nashville
,
TN
37212
62-1404948
Home Health
TN
16,645,003
4,068,432
VHS
(18)
Carefluent Connect LLC
3319 West End Ave Suite 700
Nashville
,
TN
37203
84-3131467
Comprehensive Care Services
TN
4,855
-698,473
VHSCS
(19)
BUNDLE PAYMENT SERVICES LLC
3319 West End Ave Suite 700
NASHVILLE
,
TN
37203
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
,
TN
37215
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
,
TN
37215
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
,
TN
37215
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
,
TN
37203
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
,
TN
37203
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
,
TN
37215
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
,
AL
35243
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
,
TN
37174
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
,
TN
37067
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
,
TN
37203
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
,
TN
37215
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
,
TN
37027
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
,
TN
37203
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