2018-05-10T14:28:32-05:00 2017-06-30 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2016-07-01 621438461 UNIVERSITY COMMUNITY HEALTH SERVICE UNIV 6159327625 601 BENTON AVENUE NASHVILLE TN 372042303 CAROLINE JENKINS SUZANNE HURLEY EXECUTIVE DIRECTORS 6159327625 2018-05-09 1 JILL HUDSON P00061190 6153774600 2018-05-09 2016 2022-09-23 18:48:47Z CONNECTUS HEALTH CAROLINE P JENKINS SUZA 601 BENTON AVENUE NASHVILLE TN 372042303 5730411 0 X WWW.UCHSHEALTH.ORG X 1990 TN TO PROVIDE ACCESSIBLE AFFORDABLE, HOLISTIC HEALTHCARE TO PATIENTS ACROSS THE LIFESPAN WITH A SPECIAL FOCUS ON VULNERABLE POPULATIONS, WITHIN A FINANCIALLY SUSTAINABLE DELIVERY MODEL. FURTHER, UCHS SUPPORTS HEALTH PROFESSIONS EDUCATION, CLINICAL AND HEALTH SERVICES RESEARCH. 11 11 73 0 0 0 1770612 1911653 3945935 3818758 -20175 0 0 0 5696372 5730411 0 0 0 0 3582592 3745287 0 0 0 1768801 1873464 5351393 5618751 344979 111660 1704905 1968038 303405 395583 1401500 1572455 X TO PROVIDE ACCESSIBLE, AFFORDABLE, HOLISTIC HEALTHCARE TO PATIENTS ACROSS THE LIFESPAN WITH A SPECIAL FOCUS ON VULNERABLE POPULATIONS, WITHIN A FINANCIALLY SUSTAINABLE DELIVERY MODEL. FURTHER, UCHS SUPPORTS HEALTH PROFESSIONS EDUCATION, CLINICAL, AND HEALTH SERVICES RESEARCH. 0 0 4115370 3818758 UNIVERSITY COMMUNITY HEALTH SERVICES OPERATES A NETWORK OF NURSE MANAGED PRIMARY CARE CLINICS SOME OF WHICH ARE LOCATED IN LOW INCOME AREAS IN NASHVILLE. THESE CLINICS ARE PART OF THE STATE SAFETY NET NETWORK AND SERVICES ARE PROVIDED UNDER AN AFFORDABLE SLIDING SCALE BASED ON POVERTY LEVEL AND INSURANCE COVERAGE. CARE WAS PROVIDED IN OVER 48,000 VISITS FOR THE YEAR ENDED JUNE 30, 2017. PRIMARY CARE SERVICES ARE ALSO PROVIDED IN ON SITE CLINICS EMBEDED IN WITH EMPLOYERS, INCLUDING THE STATE OF TENNESSEE. MANY OF THE EMPLOYEES SERVED AT THESE SITES ARE UNINSURED OR UNDER INSURED AS WELL. TO PROVIDE ACCESSIBLE AFFORDABLE, HOLISTIC HEALTHCARE TO PATIENTS ACROSS THE LIFESPAN WITH A SPECIAL FOCUS ON VULNERABLE POPULATIONS, WITHIN A FINANCIALLY SUSTAINABLE DELIVERY MODEL. 4115370 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 1 73 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CAROLINE PORTIS JENKINS & SUZANNE HURLEY 6159327634 601 BENTON AVE NASHVILLE TN 37204 AMY RADCLIFF PRESIDENT 1.00 X X 0 0 0 BRENT TAYLOR TREASURER 1.00 X X 0 0 0 JAMES ARMSTRONG BOARD MEMBER 1.00 X 0 0 0 SHANA BERKELEY BOARD MEMBER 1.00 X 0 0 0 MAMIE BRINKLEY BOARD MEMBER 1.00 X 0 0 0 BARBARA CANNON BOARD MEMBER 1.00 X 0 0 0 KEVIN CONARD BOARD MEMBER 1.00 X 0 0 0 KATHRYN HAEUPTLE BOARD MEMBER 1.00 X 0 0 0 ANITA SANDERS BOARD MEMBER 1.00 X 0 0 0 MARIE CRISTINA BLASQUEZ BOARD MEMBER 1.00 X 0 0 0 HANNAH LAURENSON BOARD MEMBER 1.00 X 0 0 0 YURI CUNZA BOARD MEMBER 1.00 X 0 0 0 QUENA ARMSTRONG BOARD MEMBER 1.00 X 0 0 0 SUZANNE HURLEY CO-CEO 40.00 X 135527 0 3928 CAROLINE PORTS-JENKINS CO-CEO 40.00 X 135527 0 21036 RICHARD DAVISON CFO 40.00 X 119713 0 14963 LILLIAN BEARID-GAINES PHYSICIAN 40.00 X 131177 0 15012 521944 0 54939 4 0 1 0 GUIDANT PARTNERS PO BOX 5830674 MSC 703 BIRMINGHAM AL 35283 TECHNOLOGY SERVICE 168010 WOLCOTT SQUARED INC 5500 MARYLAND WAY BRENTWOOD TN 37027 ACCOUNTING SERVICES 137283 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 606731246 TECHNOLOGY SERVICE 135231 3 1849429 62224 1911653 PROG.SERV.REVENUE-RELA 900099 3818758 3818758 3818758 5730411 3818758 0 0 576883 576883 2564200 2043226 520974 18568 4914 13654 314874 269601 45273 270762 229697 41065 2320 2320 165644 165644 465034 300878 164156 34977 21799 13178 47383 35458 11925 242352 26870 215482 203805 180486 23319 14412 9885 4527 2962 2962 176970 176970 50056 50056 MEDICAL SUPPLIES 260968 260968 TELEPHONE & COMMUNICATI 76609 75221 1388 RECRUITING AND RETENTIO 42928 14660 28268 MISCELLANEOUS 24134 12631 11503 62910 49231 13679 5618751 4115370 1503381 0 700 700 706805 749937 192557 162090 345446 507126 67679 118843 2120483 1691141 391718 429342 1704905 1968038 298786 318106 29289 4619 48188 303405 395583 X 1401500 1572455 1401500 1572455 1704905 1968038 111660 59295 0 X 0 1 X 1 1 1 X 866850 938920 1337404 1770612 1911653 6825439 6653124 7059186 4694506 3945935 3818758 26171509 7519974 7998106 6031910 5716547 5730411 32996948 0 739300 858574 1238892 1549401 1734821 6120988 739300 858574 1238892 1549401 1734821 6120988 26875960 1541 27 1568 1541 27 1568 7519974 7999647 6031937 5716547 5730411 32998516 0.81450 0.85280 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1365996 1172741 193255 754487 518400 236087 429342 CAPITAL LEASE OBLIGATION 48188 48188 X 5791285 81658 81658 5709627 20784 20784 5730411 5620331 22364 22364 5597967 20784 20784 5618751 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS GENERALLY NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF TENNESSEE FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT JUNE 30, 2017. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT X X 0 0 0 0 0 0 0 0 0 CAROLINE PORTS-JENKINS CO-CEO 135527 0 0 0 0 0 20236 0 800 0 156563 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CEO REVIEWS THE FORM 990. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE CEO DISTRIBUTES THE FORM AND PRESENTS IT TO THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REQUIRED FOR ALL BOARD MEMBERS AND OFFICERS TO SIGN A STATEMENT AFFIRMING THAT THEY HAVE NO CONFLICTS OF INTEREST WITH THE ORGANIZATION. THE CEO MONITORS THE CONFLICT OF INTEREST STATEMENTS AND NOTIFIES THE BOARD IN THE EVENT A POTENTIAL CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER IS EXCLUDED FROM PARTICIPATING IN THE DELIBERATIONS OF THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO IRC SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.