UNITY MEDICAL CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- UNITY MEDICAL CENTER INC (EIN 82-5388429)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349314720
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T13:15:36-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454084437 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN AVERETT LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 ACTON ROAD | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35243 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 825388429 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIT | BusinessNameControlTxt |
| Phone | 6153088800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 481 INTERSTATE DRIVE | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37355 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLARISSA SAIN | PersonNm |
| Person Title | CURRENT CFO | PersonTitleTxt |
| Phone | 6153088800 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CLARISSA | PersonFirstNm |
| Person Last | SAIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHARON BROOKS | PreparerPersonNm |
| PTIN | P01553065 | PTIN |
| Phone | 2059794100 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAM JERNIGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 481 INTERSTATE DRIVE | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $53,886,351 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | UNITYMEDICALMANCHESTER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2018 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE IMPROVED HEALTHCARE TO LOCAL RESIDENTS. PROVIDE LEADERSHIP AND DEVELOPMENT OF ADDITIONAL SERVICES TO THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 323 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,225,206 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,066,967 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $44,907,789 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $48,819,211 | CYProgramServiceRevenueAmt |
| PY Investment Income | $39 | PYInvestmentIncomeAmt |
| CY Investment Income | $173 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $54,133,034 | PYTotalRevenueAmt |
| CY Total Revenue | $53,886,351 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,967,611 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,738,210 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,538,788 | PYOtherExpensesAmt |
| CY Other Expenses | $27,989,388 | CYOtherExpensesAmt |
| PY Total Expenses | $48,506,399 | PYTotalExpensesAmt |
| CY Total Expenses | $46,727,598 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,626,635 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,158,753 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $60,435,359 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,842,404 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $53,553,402 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,634,475 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,881,957 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,207,929 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE QUALITY, COMPASSIONATE, COST-EFFECTIVE HEALTHCARE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES WE SERVE, WHILE UPHOLDING THE HIGHEST ETHICAL STANDARDS. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $38,803,622 | ExpenseAmt |
| Revenue | $48,819,211 | RevenueAmt |
| Desc | HOSPITAL SERVICES INCLUDING HASEMEIER GROUP NURSING HOME VISITS - 66,641, LABRATORY TESTS AND PROCEDURES - 88,764, EMERGENCY ROOM VISITS - 11,708, ICU PATIENT DAYS - 363. | Desc |
| Total Program Service Expenses | $38,803,622 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 323 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6153088800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 481 INTERSTATE DRIVE | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37355 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ROBERT COUCH | ||||||||
| COO | 40.00 | 0.00 | Yes (X) | Yes (X) | $768,375 | $0 | $20,456 | |
| ASHOKE MUKHERJI | ||||||||
| CHAIRMAN | 40.00 | 0.00 | Yes (X) | Yes (X) | $646,995 | $0 | $5,915 | |
| MARTHA MCCORMICK | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $620,512 | $0 | $6,053 | |
| LESLIE TRUSSLER | ||||||||
| BOARD MEMBER | 0.65 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM ROBERTS | ||||||||
| BOARD MEMBER | 0.65 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE NIEDERHAUSER | ||||||||
| BOARD MEMBER | 0.65 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES VANWINKLE | ||||||||
| BOARD MEMBER | 0.65 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CRAIG JOHNSON | ||||||||
| BOARD MEMBER | 0.65 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BLAL ZAFAR | ||||||||
| BOARD MEMBER | 0.65 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAMELA JERNIGAN | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $624,706 | $0 | $28,176 | ||
| JAMES BARMES | ||||||||
| SR FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $152,850 | $0 | $0 | ||
| KENNETH WARE | ||||||||
| CHEIF CLINICAL OFFICER | 40.00 | 0.00 | Yes (X) | $157,535 | $0 | $3,678 | ||
| AUTHUR BURNES | ||||||||
| CHIEF COMPLIANCE OFFICER | 40.00 | 0.00 | Yes (X) | $149,109 | $0 | $3,458 | ||
| DENNY DANIEL | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $338,716 | $0 | $22,418 | Yes (X) | ||
| ALBERT BRANDON | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $331,199 | $0 | $422 | Yes (X) | ||
| GLENN DAVIS | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $218,761 | $0 | $5,507 | Yes (X) | ||
| SARAH WILSON | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $250,338 | $0 | $35,190 | Yes (X) | ||
| HEATHER CARTER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $190,384 | $0 | $4,938 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,449,480 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $136,211 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DR HASEMEIER & ASSOCIATES | |||||
| PO BOX 1010 | DANDREDGE | TN | 37725 | STAFFING NURSING HOME VISITS | $5,570,103 |
| HOUSECALL TODAY INC | |||||
| 5221 RAVENS GLEN | NASHVILLE | TN | 37211 | STAFFING NURSING HOME VISITS | $3,270,787 |
| RAPHA CENTRE | |||||
| 482 INTERSTATE DRIVE | MANCHESTER | TN | 37355 | STAFFING ADDICTION CLINIC VISITS | $2,272,730 |
| GERIATRIC CONSULTANTS | |||||
| 132 MAPLE ROW BLVD | HENDERSONVILLE | TN | 37075 | STAFFING NURSING HOME VISITS | $1,876,570 |
| SENIOR HEALTH PARTNERS | |||||
| 5221 RAVENS GLEN | NASHVILLE | TN | 37211 | STAFFING NURSING HOME VISITS | $731,544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,552,785 | GovernmentGrantsAmt |
| All Other Contributions | $514,182 | AllOtherContributionsAmt |
| Total Contributions | $5,066,967 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $46,687,260 | $46,687,260 |
| OTHER REVENUE | 621990 | $2,131,951 | $2,131,951 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $48,819,211 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $173 | TotalRevenueColumnAmt |
| Exclusion | $173 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,886,351 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,819,211 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $173 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,449,480 | TotalAmt |
| Program Services | $2,885,242 | ProgramServicesAmt |
| Management And General | $1,564,238 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,968,815 | TotalAmt |
| Program Services | $7,761,117 | ProgramServicesAmt |
| Management And General | $4,207,698 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,658,615 | TotalAmt |
| Program Services | $1,458,746 | ProgramServicesAmt |
| Management And General | $199,869 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,300 | TotalAmt |
| Program Services | $661,300 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,978 | TotalAmt |
| Management And General | $78,978 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,994,085 | TotalAmt |
| Program Services | $16,959,658 | ProgramServicesAmt |
| Management And General | $1,034,427 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,346 | TotalAmt |
| Management And General | $30,346 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,843 | TotalAmt |
| Program Services | $115,324 | ProgramServicesAmt |
| Management And General | $54,519 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955,476 | TotalAmt |
| Program Services | $797,822 | ProgramServicesAmt |
| Management And General | $157,654 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,620 | TotalAmt |
| Program Services | $20,296 | ProgramServicesAmt |
| Management And General | $7,324 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,836 | TotalAmt |
| Program Services | $27,836 | ProgramServicesAmt |
| Management And General | $9,000 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,586,146 | TotalAmt |
| Program Services | $1,586,146 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,627,037 | TotalAmt |
| Program Services | $1,358,576 | ProgramServicesAmt |
| Management And General | $268,461 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,637 | TotalAmt |
| Program Services | $437,237 | ProgramServicesAmt |
| Management And General | $86,400 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES AND DRUGS | $3,809,185 | $3,797,165 | $12,020 |
| REPAIRS AND MAINTENANCE | $565,092 | $471,852 | $93,240 |
| UTILITIES | $412,101 | $344,104 | $67,997 |
| MISCELLANEOUS | $110,590 | $69,084 | $41,506 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,416 | TotalAmt |
| Program Services | $52,117 | ProgramServicesAmt |
| Management And General | $10,299 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,727,598 | TotalAmt |
| Program Services | $38,803,622 | ProgramServicesAmt |
| Management And General | $7,923,976 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,341,959 | BOYAmt |
| EOY | $8,060,175 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,727,772 | BOYAmt |
| EOY | $7,607,747 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,542 | BOYAmt |
| EOY | $5,659 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $617,967 | BOYAmt |
| EOY | $679,921 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,821 | BOYAmt |
| EOY | $247,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,902,058 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,608,272 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,581,740 | BOYAmt |
| EOY | $19,293,786 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,001,558 | BOYAmt |
| EOY | $21,947,208 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,435,359 | BOYAmt |
| EOY | $57,842,404 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,335,010 | BOYAmt |
| EOY | $6,628,876 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,112,200 | BOYAmt |
| EOY | $2,952,945 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,024,728 | BOYAmt |
| EOY | $25,990,522 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,081,464 | BOYAmt |
| EOY | $7,062,132 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,553,402 | BOYAmt |
| EOY | $42,634,475 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,881,957 | BOYAmt |
| EOY | $15,207,929 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,881,957 | BOYAmt |
| EOY | $15,207,929 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,435,359 | BOYAmt |
| EOY | $57,842,404 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,158,753 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $1,167,219 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,764 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,764 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,247,636 | OtherCostOrOtherBasisAmt |
| Book Value | $1,247,636 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,332,780 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,529,866 | DepreciationAmt |
| Book Value | $11,802,914 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,224,073 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,013,597 | DepreciationAmt |
| Book Value | $5,210,476 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,097,569 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,809 | DepreciationAmt |
| Book Value | $1,032,760 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,293,786 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| GOODWILL | $21,750,557 |
| DEPOSITS | $57,330 |
| RELATED PARTY RECIEVABLE | $139,321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $21,947,208 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY SETTLEMENTS | $6,436,301 |
| PROVIDER RELIEF FUNDS | $625,831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,062,132 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $651,657 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $334,591 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $317,066 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,962,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,310,980 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,651,151 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05870 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,613,788 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,645,571 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,968,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,613,788 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,645,571 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,968,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06570 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,034,469 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,874,935 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $15,690,721 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,345,668 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,345,053 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 481 INTERSTATE DRIVE | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 0000000017 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.UNITYMEDICALMANCHESTER.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | 0 | EligCriteriaExplainedInd |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | 0 | AppFinancialAsstExplnInd |
| Includes Publicity Measures | 0 | IncludesPublicityMeasuresInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| Engaged Legal Judicial Process | Yes (X) | EngagedLegalJudicialProcessInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| UNITY MEDICAL CENTER, INC. | PART V, SECTION B, LINE 5: WITH A FOCUS ON THE DEMOGRAPHIC HEALTH INDICATORS, A COMMUNITY HEALTH COMMITTEE WAS FORMED BY UNITY MEDICAL CENTER TO REPRESENT THE BROAD INTEREST OF THE COMMUNITY TO WEIGH IN ON THE HEALTH ISSUES IMPACTING THE COMMUNITY. A SURVEY WAS GENERATED TO INQUIRE ABOUT THE COMMUNITY AND PRIORTIZE ISSUES THAT IMPACT HEALTH. THIS SURVEY WAS POSTED ONLINE AND DISTRIBUTED WITHIN THE COMMUNITY THROUGH AVENUES SUCH AS THE HOSPITAL, CHAMBER OF COMMERCE, PUBLIC SCHOOL BOARD, LOCAL CHURCH, EMERGENCY RESPONDERS, AND OTHER CIVIC GROUP EMAIL SERVICES. THE METHODOLOGY UTILIZED IN THIS ASSESSSMENT INCORPORATED BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INCLUDED THE PRIMARY RESEARCH (THE SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND EXISTING HEALTH-RELATED DATA). QUALITATIVE DATA INCLUDED PRIMARY RESEARCH GATHERED THROUGH THE ONLINE SURVEY IN ADDITION TO THE EXPERTISE PROVIDED BY THE COMMUNITY HEALTH COMMITTEE THAT WAS FORMED BY THE HOSPITAL. |
| UNITY MEDICAL CENTER, INC. | PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS COMMITTEE WAS PRESENTED THE TOP TEN MOST SIGNIFICANT HEALTH ISSUES. THE 2019 COMMUNITY HEALTH PRIORITIES IDENTIFIED BY THE COMMITTEE AND APPROVED BY THE HOSPITAL BOARD OF DIRECTORS ARE: CANCER, HEART DISEASE AND STROKE. THE COMMUNITY HEALTH NEEDS COMMITTEE ELIMINATED HEALTH INSURANCE AND PRESCRIPTION DRUG AFFORDABILITY BECAUSE THEY ARE NATIONAL HEALTH CONCERNS AND WOULD LIKELY BE MET WITH MINIMAL POSITIVE RESULTS. |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | THE MEDICAL CENTER'S ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED PRIMARILY ON THE TYPE AND AGE OF THE PATIENT'S ACCOUNTS RECEIVABLE. THE POLICY IS TO RESERVE A PORTION OF ALL SELF-PAY ACCOUNTS, INCLUDING AMOUNTS DUE FROM UNINSURED PATIENTS AND AMOUNTS RELATED TO CO-PAYMENTS AND DEDUCTIBLES. ON A MONTHLY BASIS, THE MEDICAL CENTER REVIEWS ITS ESTIMATE AND PERFORMS ANALYTICAL PROCEDURES, INCLUDING REVIEW OF THE ACCOUNTS RECEIVABLE AGING AND PAYOR MIX. THE MEDICAL CENTER ALSO PERFORMS RETROSPECTIVE REVIEWS OF WRITE-OFFS AND COLLECTIONS TO ENSURE THE ESTIMATE IS REASONABLE GOING FORWARD. |
| PART III, LINE 3: | THE COST OF BAD DEBT IS DETERMINED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES TO THE TOTAL BAD DEBT. |
| PART III, LINE 4: | GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYERS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE ORGANIZATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE ORGANIZATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE, AND FROM THOSE WHO ARE UNINSURED, BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED DECEMBER 31, 2021 WAS NOT SIGNIFICANT. |
| PART VI, LINE 2: | THE HOSPITAL ANALYZES DATA RECEIVED FROM LOCAL, REGIONAL, AND STATE AGENCIES IN ORDER TO ACCURATELY AND ADEQUATELY INDENTIFY THE NEEDS OF THE COMMUNITY THROUGH SERVICES PROVIDED BY UNITY HOSPITAL. |
| PART VI, LINE 3: | INFORMATION TO INFORM AND EDUCATE PATIENTS REGARDING ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS AND UNITY POLICIES IS AVAILABLE UPON ADMISSION AND IS POSTED IN PATIENT ROOMS. HOSPITAL BUSINESS OFFICE REPRESENTATIVES ARE AVAILABLE BEFORE, DURING AND FOLLOWING PATIENT STAYS TO DISCUSS PAYMENT ARRANGEMENTS, FINANCIAL ASSISTANCE, AND QUESTIONS ABOUT BILLING. FOR INPATIENT AND SUBACUTE REFERRALS, THE NURSE LIASONS ARE THE FIRST POINT OF CONTACT FOR INFORMATION DISSEMINATION TO PROSPECTIVE PATIENTS REGARDING AVAILABILITY OF ASSISTANCE, ELIGIBILITY CRITERIA AND APPLICATION INFORMATION. |
| PART VI, LINE 4: | UNITY SERVES MIDDLE TENNESSEE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | TN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT COUCH | ||||||||||||||
| COO | $768,375 | $0 | $0 | $0 | $0 | $0 | $7,576 | $0 | $12,880 | $0 | $788,831 | $0 | $0 | $0 |
| ASHOKE MUKHERJI | ||||||||||||||
| CHAIRMAN | $646,995 | $0 | $0 | $0 | $0 | $0 | $5,915 | $0 | $0 | $0 | $652,910 | $0 | $0 | $0 |
| PAMELA JERNIGAN | ||||||||||||||
| CFO | $624,706 | $0 | $0 | $0 | $0 | $0 | $5,758 | $0 | $22,418 | $0 | $652,882 | $0 | $0 | $0 |
| MARTHA MCCORMICK | ||||||||||||||
| CEO | $620,512 | $0 | $0 | $0 | $0 | $0 | $5,473 | $0 | $580 | $0 | $626,565 | $0 | $0 | $0 |
| DENNY DANIEL | ||||||||||||||
| PHYSICIAN | $338,716 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,418 | $0 | $361,134 | $0 | $0 | $0 |
| ALBERT BRANDON | ||||||||||||||
| PHYSICIAN | $331,199 | $0 | $0 | $0 | $0 | $0 | $422 | $0 | $0 | $0 | $331,621 | $0 | $0 | $0 |
| SARAH WILSON | ||||||||||||||
| PHYSICIAN | $250,338 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $35,190 | $0 | $285,528 | $0 | $0 | $0 |
| GLENN DAVIS | ||||||||||||||
| PHYSICIAN | $218,761 | $0 | $0 | $0 | $0 | $0 | $5,507 | $0 | $0 | $0 | $224,268 | $0 | $0 | $0 |
| HEATHER CARTER | ||||||||||||||
| PHYSICIAN | $190,384 | $0 | $0 | $0 | $0 | $0 | $4,938 | $0 | $0 | $0 | $195,322 | $0 | $0 | $0 |
| KENNETH WARE | ||||||||||||||
| CHEIF CLINICAL OFFICER | $157,535 | $0 | $0 | $0 | $0 | $0 | $3,678 | $0 | $0 | $0 | $161,213 | $0 | $0 | $0 |
| JAMES BARMES | ||||||||||||||
| SR FINANCIAL OFFICER | $152,850 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $152,850 | $0 | $0 | $0 |
| AUTHUR BURNES | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $149,109 | $0 | $0 | $0 | $0 | $0 | $3,458 | $0 | $0 | $0 | $152,567 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (8 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan To OrganizationLoanToOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| ROBERT COUCH | |||||||
| OFFICER | HOSPITAL FINANCING | Yes (X) | $111,000 | $105,316 | 0 | Yes (1) | Yes (1) |
| ASHOKE BAPPA MUKHERJI | |||||||
| OFFICER | HOSPITAL FINANCING | Yes (X) | $553,500 | $525,160 | 0 | Yes (1) | Yes (1) |
| MARTHA MCCORMICK | |||||||
| OFFICER | HOSPITAL FINANCING | Yes (X) | $504,000 | $478,194 | 0 | Yes (1) | Yes (1) |
| PAMELA JERNIGAN | |||||||
| OFFICER | HOSPITAL FINANCING | Yes (X) | $686,700 | $651,639 | 0 | Yes (1) | Yes (1) |
| MIKE NIEDERHAUSER | |||||||
| BOARD MEMBER | HOSPITAL FINANCING | Yes (X) | $30,000 | $28,464 | 0 | Yes (1) | Yes (1) |
| JAMES VANWINKLE | |||||||
| BOARD MEMBER | HOSPITAL FINANCING | Yes (X) | $246,000 | $233,404 | 0 | Yes (1) | Yes (1) |
| EVELYN CASE TRUST | |||||||
| FAMILY MEMBER | HOSPITAL FINANCING | Yes (X) | $261,000 | $247,636 | 0 | Yes (1) | Yes (1) |
| IMMEDIATE RELATIVE | |||||||
| ASOKE MUKHERJI | HOSPITAL FINANCING | Yes (X) | $720,000 | $683,132 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $2,952,945 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RAPHA | |||
| CHAIRMAN ASHOKE MUKHERJI IS A MAJORITY OWNER | $2,283,299 | CLINIC ADDICTION | 0 |
| COFFEE ASSOCIATES PROPERTY | |||
| CHAIRMAN ASHOKE MUKHERJI IS A MAJORITY OWNER | $171,600 | LEASED SPACE | 0 |
| RURAL HEALTH CONSULTANTS | |||
| COO ROBERT COUCH IS A MAJORITY OWNER | $32,385 | NURSING HOME VISITS | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | OPENED A 4 BED ICU AND PROVIDED 363 PATIENT DAYS DURING 2021. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD WILL REVIEW THE TAX RETURN BEFORE THE RETURN IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST IS MONITORED BY THE COMPLIANCE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15B | ALL CONTRACTS ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND OUTSIDE COUNSEL. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 16,959,658. MANAGEMENT AND GENERAL EXPENSES 1,034,427. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,994,085. |
| FORM 990, PART IV, LINE 20B: | THE AUDIT OF THE FINANCIAL STATEMEMTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN PENDING A FURTHER EVALUATION OF DEBT AGREEMENTS. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COFFEE MEDICAL GROUP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 481 INTERSTATE DRIVE | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460485169 | EIN |
| Primary Activities | HOSPITAL MEDICAL CARE | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Total Income | $7,621,924 | TotalIncomeAmt |
| End Of Year Assets | $58,268,979 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITY MEDICAL CENTER INC | BusinessNameLine1Txt |
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