2025-11-17T17:12:28-06:00 2024-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2024-01-01 825388429 UNITY MEDICAL CENTER INC UNIT 6153088800 481 INTERSTATE DRIVE MANCHESTER TN 37355 ASHOKE MUKHERJI CHAIRMAN 6153088800 2025-11-17 1 1 MEGAN RANDOLPH P00989558 2059794100 2025-11-17 2024 2025-03-06 01:10:19Z PAM JERNIGAN 481 INTERSTATE DRIVE MANCHESTER TN 37355 54095427 0 X UNITYMEDICALMANCHESTER.COM X 2018 TN TO PROVIDE IMPROVED HEALTHCARE TO LOCAL RESIDENTS. PROVIDE LEADERSHIP AND DEVELOPMENT OF ADDITIONAL SERVICES TO THE COMMUNITY. 7 4 420 4 0 0 246734 0 50786264 54094720 17039 -19103 684286 0 51734323 54075617 3600 4350 0 0 19782412 19298519 0 0 0 31561283 36580700 51347295 55883569 387028 -1807952 58177217 56776238 45207038 44163476 12970179 12612762 TO PROVIDE QUALITY, COMPASSIONATE, COST-EFFECTIVE HEALTHCARE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES WE SERVE, WHILE UPHOLDING THE HIGHEST ETHICAL STANDARDS. 0 0 23837686 4350 33160020 RURAL HEALTH CLINIC SERVICES. THE RHCS PROVIDED 168,088 CLINICAL VISITS TO PATIENTS IN DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS REGARDLESS OF THE PATIENTS ABILITY TO PAY. 20266085 0 14600603 HOSPITAL OUTPATIENT SERVICES. PROVIDED EMERGENCY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THERE WERE 12,146 ED VISITS IN 2024. OUTPATIENT SERVICES ALSO INCLUDES IMAGING, MAMMOGRAPHY, LABORATORY, OPERATING ROOM, CARDIOPULMONARY, AND ADDITIONAL OUTPATIENT SERVICES. 4945474 0 6334097 HOSPITAL INPATIENT SERVICES. PROVIDED NECESSARY INPATIENT ACUTE CARE SERVICES REGARDLESS OF PATIENT'S ABILITY TO PAY. THIS INCLUDED 4,050 INPATIENT DAYS. 49049245 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 1 0 1 0 0 0 1 118 0 1 420 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 1 0 X THE ORGANIZATION 6153088800 481 INTERSTATE DRIVE MANCHESTER TN 37355 ASHOKE MUKHERJI CHAIRMAN 40.00 0.00 X X 518535 0 4441 CHRISTY LEWIS BOARD MEMBER 0.65 0.00 X 0 0 0 KENNETH KIRBY BOARD MEMBER 0.65 0.00 X 0 0 0 JAMES VANWINKLE BOARD MEMBER 40.00 0.00 X 234231 0 9089 BLAL ZAFAR BOARD MEMBER 40.00 0.00 X 465120 0 0 ART SNOW BOARD MEMBER 0.65 0.00 X 0 0 0 CHARLES DRUMMOND BOARD MEMBER 0.65 0.00 X 0 0 0 ROBERT COUCH CHIEF OPERATING OFFICER 40.00 0.00 X 824545 0 34412 PAMELA JERNIGAN SR FINANCIAL ADVISOR 40.00 0.00 X 332753 0 30249 MARTHA HENLEY CHIEF EXECUTIVE OFFICER 40.00 0.00 X 531054 0 4743 LYNN MYERS CHEIF CLINICAL OFFICER 40.00 0.00 X 109731 0 9482 DOUG MCABEE CHIEF FINANCIAL OFFICER 40.00 0.00 X 252684 0 17199 JODY MILLS CHIEF COMPLIANCE OFFICER 40.00 0.00 X 108487 0 4004 RENE AGUIERRE PHYSICIAN 40.00 0.00 X 388800 0 0 GIOVANNI FACCIA PHYSICIAN 40.00 0.00 X 350000 0 8698 DENNY DANIEL PHYSICIAN 40.00 0.00 X 341236 0 26252 JAMES POOL PHYSICIAN 40.00 0.00 X 335040 0 0 GLENN DAVIS PHYSICIAN 40.00 0.00 X 297702 0 0 5089918 0 148569 27 0 1 0 DR ERIC HASEMEIER & ASSOCIATES PO BOX 1010 DANDREDGE TN 37725 PROFESSIONAL SERVICES 6025843 GERIATRIC CONSULTANTS 132 MAPLE ROW BLVD HENDERSONVILLE TN 37075 PROFESSIONAL SERVICES 1868998 COFFEE ASSOCIATES DBA RAPHA CENTRE 482 INTERSTATE DRIVE MANCHESTER TN 37355 BEHAVIORAL HEALTH SERVICES 1246034 HCA EMCARE HOLDINGS 13737 NOEL RD STE 1600 DALLAS TX 75240 EMERGENCY PROVIDER SERVICES 800000 RENE ACQUIRRE 3914 ABBOTT MARTIN ROAD NASHVILLE TN 37215 HOSPITALIST PROFESSIONAL SERVICES 388800 19 NET PATIENT SERVICE REVENUE 621990 51900405 51900405 OTHER REVENUE 621990 2194315 2194315 54094720 707 707 19810 -19810 -19810 -19810 54075617 54094720 0 -19103 X 4350 4350 2782320 2436482 345838 13365918 11704554 1661364 3150281 2758706 391575 134779 134779 1721 1721 24837009 21749805 3087204 76289 76289 152691 133712 18979 1894031 1658606 235425 70106 61392 8714 74034 64832 9202 2395698 2395698 1680813 1471890 208923 491727 430606 61121 MEDICAL SUPPLIES AND DR 3603349 3155458 447891 REPAIRS AND MAINTENANCE 589807 516495 73312 DUES AND SUBSCRIPTIONS 335093 293441 41652 RECRUITMENT 78828 69030 9798 164725 144188 20537 55883569 49049245 6834324 0 4390714 2634655 17675 8933296 10802893 5659 4865 688552 574200 276661 481223 39903384 20636675 17983143 19266709 25899192 22994018 58177217 56776238 10440694 12419633 2645864 1909307 27882711 29834536 4237769 0 45207038 44163476 X 12970179 12612762 12970179 12612762 58177217 56776238 -1807952 0 X X 0 0 0 X 0 0 0 0 0 0 0 0 1 1721 1721 0 PART II-B, LINE 1: PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. 1016215 1016215 17184701 6955722 10228979 913742 54559 859183 18658026 13453384 5204642 2130700 173010 1957690 19266709 GOODWILL 22963292 DEPOSITS 30726 22994018 1 1 X 1 X 1 X 1 1 0 1 1 671623 745806 0 0.00000 5125490 2079813 3045677 0.05450 0 0 0.00000 5797113 2825619 3045677 0.05450 0 0 0.00000 0 0 0.00000 0 0 0.00000 0 0 0.00000 0 0 0.00000 5797113 2825619 3045677 0.05450 1 5253295 16300201 16679799 -379598 X 1 1 1 1 UNITY MEDICAL CENTER 481 INTERSTATE DRIVE MANCHESTER TN 37355 0000000017 X X X UNITY MEDICAL CENTER INC 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X WWW.UNITYMEDICALMANCHESTER.COM X 1 23 1 WWW.UNITYMEDICALMANCHESTER.COM 0 1 X 200.000000000000 400.000000000000 X X X X X X 0 1 X X X 1 X WWW.UNITYMEDICALMANCHESTER.COM/PRICE-TRANSPARENCY X WWW.UNITYMEDICALMANCHESTER.COM/PRICE-TRANSPARENCY X WWW.UNITYMEDICALMANCHESTER.COM/PRICE-TRANSPARENCY X X X 1 X X 1 X X X X 1 X 0 0 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 2023 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. 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 ORGANIZATION DID NOT REPORT PATIENTS ELIGIBLE UNDER THE FINANCIAL POLICY AS BAD DEBT EXPENSE. PART III, LINE 8: THE ORGANIZATION IS PROVIDING LOCAL HEALTHCARE SERVICES TO MEDICARE ENTITLED PATIENTS AT A LOSS. ACCESS TO THESE SERVICES IN A DESIGNATED HEALTHCARE PROFESSIONAL SHORTAGE AREA IS A BENEFIT TO MEMBERS OF THE COMMUNITY. CALCULATED USING COST TO CHARGE RATIO ON BAD DEBT WRITEOFFS PART III, LINE 9B: PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUPPOSED TO HAVE ACCOUNTS PLACED WITH A COLLECTION AGENCY AFTER THEY QUALIFY FOR FINANCIAL ASSISTANCE. 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 X 1 1 X X 0 0 0 0 0 0 0 0 0 ROBERT COUCH CHIEF OPERATING OFFICER 506025 0 318520 0 0 0 22307 0 12105 0 858957 0 0 0 MARTHA HENLEY CHIEF EXECUTIVE OFFICER 335506 0 195548 0 0 0 4743 0 0 0 535797 0 0 0 ASHOKE MUKHERJI CHAIRMAN 305283 0 195252 0 18000 0 4441 0 0 0 522976 0 0 0 BLAL ZAFAR BOARD MEMBER 465120 0 0 0 0 0 0 0 0 0 465120 0 0 0 RENE AGUIERRE PHYSICIAN 388800 0 0 0 0 0 0 0 0 0 388800 0 0 0 DENNY DANIEL PHYSICIAN 340436 0 800 0 0 0 6343 0 19909 0 367488 0 0 0 PAMELA JERNIGAN SR FINANCIAL ADVISOR 314753 0 18000 0 0 0 11538 0 18711 0 363002 0 0 0 GIOVANNI FACCIA PHYSICIAN 350000 0 0 0 0 0 0 0 8698 0 358698 0 0 0 JAMES POOL PHYSICIAN 335040 0 0 0 0 0 0 0 0 0 335040 0 0 0 GLENN DAVIS PHYSICIAN 297702 0 0 0 0 0 0 0 0 0 297702 0 0 0 DOUG MCABEE CHIEF FINANCIAL OFFICER 154607 0 98077 0 0 0 8465 0 8734 0 269883 0 0 0 JAMES VANWINKLE BOARD MEMBER 234231 0 0 0 0 0 0 0 9089 0 243320 0 0 0 PART I, LINE 1A CHAIRMAN ASHOKE MUKJHERJI RECEIVED A $18,000 HOUSING ALLOWANCE. ROBERT COUCH OFFICER HOSPITAL FINANCING X 109150 88471 0 1 1 ASHOKE BAPPA MUKHERJI OFFICER HOSPITAL FINANCING X 544275 441161 0 1 1 MARTHA MCCORMICK OFFICER HOSPITAL FINANCING X 495600 401708 0 1 1 JAMES VANWINKLE BOARD MEMBER HOSPITAL FINANCING X 241900 196072 0 1 1 EVELYN CASE TRUST FAMILY MEMBER HOSPITAL FINANCING X 265650 208027 0 1 1 IMMEDIATE RELATIVE ASOKE MUKHERJI HOSPITAL FINANCING X 708000 573868 0 1 1 1909307 RAPHA CHAIRMAN ASHOKE MUKHERJI IS A MAJORITY OWNER 1246034 CLINIC ADDICTION 0 COFFEE ASSOCIATES PROPERTY CHAIRMAN ASHOKE MUKHERJI IS A MAJORITY OWNER 171600 LEASED SPACE 0 MIDDLE TENNESSEE SURGICAL BOARD MEMBER JAMES VANWINKLE IS THE OWNER 272000 CONTRACTED SERVICES 0 INTERSTATE DRIVE HOLDING LLC COMPANY OWNED BY ROBERT COUCH, MARTHA HENLEY, AND ASHOKE MUKHERJI 632529 LEASED SPACE 0 TELECONNECTED COMPANY OWNED BY MARTHA HENLEY AND ASHOKE MUKHERJI 241111 CONTRACTED SERVICES 0 FORM 990, PART IV, LINE 12B: THE AUDITED FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. FORM 990, PART IV, LINE 20B: THE AUDITED FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. THE MOST RECENTLY ISSUED AUDITED FINANCIAL STATEMENTS HAVE BEEN ATTACHED TO THE RETURN. 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 CONTRACTOR SERVICE: PROGRAM SERVICE EXPENSES 21,749,805. MANAGEMENT AND GENERAL EXPENSES 3,087,204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,837,009. FORM 990, PART XII, LINE 2B: THE AUDITED FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. COFFEE MEDICAL GROUP LLC 481 INTERSTATE DRIVE MANCHESTER TN 37355 460485169 HOSPITAL MEDICAL CARE TN 3738903 59433252 UNITY MEDICAL CENTER INC