2012-09-12T11:19:49-05:00 2012-01-31 621404815 MATHENEY STEES & ASSOCIATES PC 6136 SHALLOWFORD ROAD SUITE 101 CHATTANOOGA TN 374217214 990 2011-02-01 621032792 UNITED NEIGHBORHOOD HEALTH SERVICES INC UNIT 6156208647 711 MAIN STREET NASHVILLE TN 37206 MARY BUFWACK 6156208647 2012-09-11 1 TIMOTHY L STEES P00094663 4238947400 2011 2016-02-24 21:20:13Z X MARY BUFWACK 711 MAIN STREET NASHVILLE TN 37206 11992121 0 X WWW.UNITEDNEIGHBORHOOD.ORG X 1976 TN UNITED NEIGHBORHOOD HEALTH SERVICES, INC. OPERATES HEALTH CARE CENTERS LOCATED IN THE STATE OF TENNESSEE IN THE COUNTIES OF DAVIDSON AND TROUSDALE. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 17 17 210 0 0 0 2140271 994973 12132082 10732895 2043 1235 28559 263018 14302955 11992121 0 0 0 0 8999292 7529805 0 0 0 6249026 4131667 15248318 11661472 -945363 330649 8675138 8885553 1267600 1147366 7407538 7738187 UNITED NEIGHBORHOOD HEALTH SERVICES, INC. OPERATES HEALTH CARE CENTERS LOCATED IN THE STATE OF TENNESSEE IN THE COUNTIES OF DAVIDSON AND TROUSDALE. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 8288741 10995913 UNITED NEIGHBORHOOD HEALTH SERVICES, INC. OPERATES A COMMUNITY BASED HEALTHCARE CLINIC PROVIDING HEALTHCARE SERVICES. DURING THE YEAR ENDED 1/31/2012, THE COMPANY PROVIDED APPROXIMATELY 69,000 CLINIC VISITS. 8288741 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2 0 1 210 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X X MARY BUFWACK 6156208647 617 SOUTH 8TH STREET NASHVILLE TN 37206 SHIRLEY MCCLENDON 2.00 X X 0 0 0 GLENN HUNTER 2.00 X X 0 0 0 BRENDA MARROW 2.00 X X 0 0 0 SCOTT MERTIE 2.00 X X 0 0 0 RON ADDLESTONE MD 2.00 X 0 0 0 DENISE ALPER 2.00 X 0 0 0 MARY ROBERTSON 2.00 X 0 0 0 JENNIFER HAMILTON RN 2.00 X 0 0 0 MARC HILL 2.00 X 0 0 0 ROBERT MASON 2.00 X 0 0 0 KEN MCNIGHT 2.00 X 0 0 0 MARY E OWENS 2.00 X 0 0 0 KATHERINE POWELL 2.00 X 0 0 0 BARBARA RANDOLPH 2.00 X 0 0 0 HARVEY SPERLING 2.00 X 0 0 0 RONNIE STEINE 2.00 X 0 0 0 KATHRYN WOODARD 2.00 X 0 0 0 KEITH JUNIOR MD 35.00 X 191760 0 5200 MARY BUFWACK 35.00 X 132520 0 10145 SUZETTE KELLY 35.00 X 141223 0 0 SMITA BAJPAI 35.00 X 120298 0 16500 NATASHA SIFFRARD 35.00 X 135295 0 0 721096 0 31845 10 0 1 0 0 475635 519338 183707 994973 DEPARTMENT OF HEALTH A 900099 6182838 6182838 MEDICAID MANAGED CARE 900099 1404127 1404127 TENNCARE MANAGED CARE 900099 1056897 1056897 TENNESSEE DEPARTMENT O 900099 540472 540472 SELF-PAY 900099 452172 452172 1096389 1096389 10732895 1235 1235 OTHER REVENUE 900099 242799 242799 MEDICAL RECORDS 900099 20219 20219 263018 11992121 10995913 0 1235 X 5989896 4010626 1979270 543988 198962 345026 995921 832161 163760 2002 2002 295927 182076 113851 43775 43775 15442 1261 14181 68071 17593 50478 246619 220558 26061 60081 38206 21875 47703 680 47023 16434 16434 485567 445459 40108 54587 34712 19875 CONTRACTUAL SERVICES 969722 705217 264505 PHARMACEUTICALS 437737 437737 OTHER EXPENSE 405755 354257 51498 LABORATORY 294012 294012 688233 455015 233218 11661472 8288741 3372731 0 129289 164176 500124 521357 863242 924391 696122 774939 43071 63548 9886526 3499684 6431850 6386842 11440 50300 8675138 8885553 812397 848141 99253 455203 199972 1267600 1147366 X 7407538 7738187 7407538 7738187 8675138 8885553 330649 0 X 0 1 1 X 1 1 X 5158898 5705734 7847210 2005296 784808 21501946 3936816 5056016 6518227 12132082 11602174 39245315 134975 252593 387568 9095714 10761750 14365437 14272353 12639575 61134829 0 0 0 61134829 44572 10085 5519 2043 1235 63454 44572 10085 5519 2043 1235 63454 34304 7407 13582 28559 256803 340655 9174590 10779242 14384538 14302955 12897613 61538938 0.99340 0.99650 0.00100 0.00160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10487 653 9 11131 9161 200 1190 64 10487 1.00000 1 0 749417 749417 5363765 1401781 3961984 213355 159601 53754 1100754 839981 260773 2459235 1098321 1360914 6386842 11992121 11661472 330649 330649 12061007 68886 68886 11992121 0 11992121 11730358 68886 68886 11661472 0 11661472 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: BOARD DESIGNATED FUNDS. X X X X 0 0 0 0 0 0 0 0 0 KEITH JUNIOR MD 191760 0 0 0 0 0 5200 0 0 0 196960 0 0 0 X 1 183707 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 BEFORE FORM 990 IS FILED, IT IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER. IF ERRORS OR QUESTIONS ARISE, THESE ARE RESOLVED BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY FOR ALL STAFF. FORMS ARE COMPLETED ANNUALLY BY BOARD MEMBERS. PROVIDERS HAVE CLAUSES IN CONTRACT THAT REQUIRE REPORTING. ALL CONTRACTS ARE REVIEWED FOR ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO AND TOP MANAGEMENT STAFF IS DETERMINED THROUGH COMPARISON WITH NATIONAL INFORMATION ON COMPENSATION FOR OTHER COMMUNITY HEALTH CENTERS. EFFORTS ARE MADE TO HAVE THIS LEVEL AT THE MEDIAN LEVEL. THE CEO AND MANAGEMENT OFFICIALS SALARIES ARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND REVISED IF NEEDED, DEPENDING UPON THE FINANCIAL POSITION OF THE ORGANIZATION. BENEFITS FOR THE CEO AND TOP MANAGEMENT OFFICIALS ARE DONE EXACTLY LIKE THOSE OF OTHER EXEMPT STAFF. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE IN TWO WAYS. THESE DOCUMENTS MAY BE REQUESTED FROM THE ORGANIZATION'S BUSINESS OFFICE AND CAN BE OBTAINED WITHIN 5 BUSINESS DAYS. INFORMATION IS ALSO AVAILABLE ON A WEBSITE FOR NON-PROFITS: GIVINGMATTERS.COM AMENDED RETURN EXPLANATION 990 PAGE 1 ITEM B: THE FORM 990 WAS AMENDED TO AGREE TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JANUARY 31, 2012. THE AUDIT ADJUSTMENTS INCREASED TOTAL REVENUES AND DECREASED LIABILITIES. THE NET EFFECT INCREASED "REVENUE LESS EXPENSES" (PAGE 1, PART I, LINE 19) BY $387,492.