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HEALTH SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEALTH SERVICES INC (EIN 63-0568762)
Tax period
2020-02-01 to 2021-01-31
Filed
2021-12-09
IRS object ID
202133439349301118
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-12-09T15:17:49-06:00ReturnTs
Tax Period End2021-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454084437PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WARREN AVERETT LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13815 INTERSTATE CTAddressLine1Txt
CityMONTGOMERYCityNm
State AbbreviationALStateAbbreviationCd
ZIP36109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN630568762EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone3344205001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 70365AddressLine1Txt
CityMONTGOMERYCityNm
State AbbreviationALStateAbbreviationCd
ZIP361070365ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGILBERT F DARRINGTONPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3344205001PhoneNum
Signature2021-12-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGILBERTPersonFirstNm
Person LastDARRINGTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonD CLYNTON HART JR CPAPreparerPersonNm
PTINP00191509PTIN
Phone3342712200PhoneNum
Preparation2021-12-06PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGILBERT F DARRINGTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 70365AddressLine1Txt
CityMONTGOMERYCityNm
State AbbreviationALStateAbbreviationCd
ZIP361070365ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,532,789GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALTHSERVICESINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateALLegalDomicileStateCd
Activity Or MissionPATIENT CENTERED HEALTHCARE SYSTEM ENHANCING THE LIVES OF INDIVIDUALS AND FAMILIES BY PROVIDING ACCESS TO AFFORDABLE COMPREHENSIVE HEALTH AND WELLNESS SERVICES IN MONTGOMERY AND THE SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee299TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,365,333PYContributionsGrantsAmt
CY Contributions Grants$10,374,271CYContributionsGrantsAmt
PY Program Service Revenue$20,704,024PYProgramServiceRevenueAmt
CY Program Service Revenue$18,015,195CYProgramServiceRevenueAmt
PY Investment Income$174,542PYInvestmentIncomeAmt
CY Investment Income$37,109CYInvestmentIncomeAmt
PY Other Revenue$57,599PYOtherRevenueAmt
CY Other Revenue$106,214CYOtherRevenueAmt
PY Total Revenue$29,301,498PYTotalRevenueAmt
CY Total Revenue$28,532,789CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,714,255PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,727,360CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,177,769PYOtherExpensesAmt
CY Other Expenses$11,440,358CYOtherExpensesAmt
PY Total Expenses$27,892,024PYTotalExpensesAmt
CY Total Expenses$28,167,718CYTotalExpensesAmt
PY Revenues Less Expenses$1,409,474PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$365,071CYRevenuesLessExpensesAmt
Total Assets BOY$31,740,331TotalAssetsBOYAmt
Total Assets EOY$30,798,450TotalAssetsEOYAmt
Total Liabilities BOY$2,346,498TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,533,880TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,393,833NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$28,264,570NetAssetsOrFundBalancesEOYAmt
MissionHEALTH SERVICES, INC. (HSI) IS A MEDICAL HOME PROVIDING ACCESS TO AFFORDABLE PRIMARY, PREVENTIVE AND WELLNESS SERVICES DISTINGUISHED BY COMPASSION, QUALITY, INTEGRITY AND RESPECT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,458,638ExpenseAmt
Revenue$18,121,409RevenueAmt
DescHSI SERVED APPROXIMATELY 37,000 PATIENTS ACCOUNTING FOR APPROXIMATELY 117,000 VISITS DURING THE YEAR. THE VISITS COVERED A BROAD RANGE OF SERVICES INCLUDING GENERAL WELLNESS AND PRIMARY CARE, PEDIATRICS, DENTISTRY, OPTOMETRY, OB/GYN AND FAMILY PLANNING AND FAMILY CARE; COUNSELING AND PSYCHIATRY FOR VARIOUS TREATMENT AND DISORDERS IN CHILDREN AND ADULTS; MILITARY AND VETERAN RESOURCES, SPECIALTY REFERRALS, ENROLLMENT SERVICES AND THE WOMEN, INFANTS & CHILDREN (WIC) PROGRAM.Desc
Total Program Service Expenses$17,458,638TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee299EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSIE JONESPersonNm
Phone3344205001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 70365AddressLine1Txt
CityMONTGOMERYCityNm
State AbbreviationALStateAbbreviationCd
ZIP36107ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR WILLIAM ABERNATHY
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
TRACIE ADAMS
DIRECTOR1.00Yes (X)$0$0$0
HELENOR BELL
DIRECTOR1.00Yes (X)$0$0$0
SANDRA BERRY
DIRECTOR1.00Yes (X)$0$0$0
JESSIE BINION
DIRECTOR1.00Yes (X)$0$0$0
JAMES BROWN
DIRECTOR1.00Yes (X)$0$0$0
CLAUDE DOUGLAS
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
JANICE DURR
DIRECTOR1.00Yes (X)$0$0$0
DR CHOONA LANG
DIRECTOR1.00Yes (X)$0$0$0
JACQUELINE NAVIDAD
DIRECTOR1.00Yes (X)$0$0$0
JUANITA OWES
DIRECTOR1.00Yes (X)$0$0$0
DEBRA BUSH
DIRECTOR1.00Yes (X)$0$0$0
NICOLETTE RUSSELL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MOLLY STONE
TREASURER1.00Yes (X)$0$0$0
CLASSIE THOMAS
DIRECTOR1.00Yes (X)Yes (X)$0$0$0
GILBERT F DARRINGTON
CEO40.00Yes (X)$265,636$0$12,000
SUSIE A JONES
CFO40.00Yes (X)$159,829$0$0
DR VANOSIA S FAISON
CMO40.00Yes (X)$154,346$0$0
TERRY REID
COO40.00Yes (X)$111,297$0$0
DR MAHMOOD ZAIED
DOCTOR/CHIEF OF PEDIATRICS76.00$500,447$0$0Yes (X)
DR ABDULSATTAR ZIDAN
DOCTOR/ADULT MEDICINE80.00$459,240$0$0Yes (X)
DR SHABNAM GUARD
DOCTOR/AM RR71.00$440,689$0$0Yes (X)
DR GEORGE THOMAS
DOCTOR/ CHIEF OF ADULT MEDICINE60.00$333,845$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,425,329TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$12,000TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ATHENA HEALTH INC
311 ARSENAL STREETWATERTOWNMA02472CLOUD-BASED SYSTEMS PROVIDER$1,083,943
FARBER SPECIALTY VEHICLES INC
7052 AMERICANA PARKWAYREYNOLDSBURGOH43068SUPPLIES$421,159
MCKESSON GENERAL MEDICAL CORP
6555 STATE HIGHWAY 161IRVINGTX75039SUPPLIES$308,127
QUEST DIAGNOSTICS
500 PLAZA DRIVESECAUCUSNJ07094TESTING$267,075
RUSSELL CONSTRUCTION
1616 MT MEIGS ROADMONTGOMERYAL36107CONSTRUCTION$244,875
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Government Grants$10,366,646GovernmentGrantsAmt
All Other Contributions$7,625AllOtherContributionsAmt
Total Contributions$10,374,271TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID524114$11,639,384$11,639,384
SELF PAY900099$2,581,159$2,581,159
THIRD PARTY INSURANCE524292$2,534,154$2,534,154
340 (B) PHARMACY PROGRAM446110$1,054,516$1,054,516
HEALTH MANAGEMENT REPORT900099$199,472$199,472

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,510TotalRevenueColumnAmt
Related Or Exempt Func Income$6,510RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$18,015,195TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,109TotalRevenueColumnAmt
Exclusion$37,109ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS900099$68,645$68,645
MEDICAL RECORDS900099$27,360$27,360
MISCELLANEOUS900099$10,209$10,209
FieldValueIRS element (for citing)
Other Revenue Total$106,214OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,532,789TotalRevenueColumnAmt
Related Or Exempt Func Income$18,121,409RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$37,109ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,592,361TotalAmt
Program Services$11,825,712ProgramServicesAmt
Management And General$2,766,649ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,197,975TotalAmt
Management And General$1,197,975ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$937,024TotalAmt
Program Services$793,625ProgramServicesAmt
Management And General$143,399ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$53,529TotalAmt
Management And General$53,529ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$100,323TotalAmt
Management And General$100,323ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,346,721TotalAmt
Program Services$1,051,939ProgramServicesAmt
Management And General$1,294,782ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$193,293TotalAmt
Program Services$5,207ProgramServicesAmt
Management And General$188,086ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,909TotalAmt
Program Services$10,073ProgramServicesAmt
Management And General$15,836ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,994,111TotalAmt
Program Services$1,855,945ProgramServicesAmt
Management And General$138,166ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$109,193TotalAmt
Program Services$71,541ProgramServicesAmt
Management And General$37,652ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,080TotalAmt
Program Services$31,447ProgramServicesAmt
Management And General$2,633ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$28,562TotalAmt
Program Services$25,039ProgramServicesAmt
Management And General$3,523ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,243,259TotalAmt
Program Services$501,099ProgramServicesAmt
Management And General$742,160ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$180,205TotalAmt
Program Services$2,402ProgramServicesAmt
Management And General$177,803ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$3,488,124$3,488,124
SUPPLIES AND PHARMACEUT$1,263,768$135,776$1,127,992
DUES AND SUBSCRIPTIONS$194,199$68,445$125,754
EQUIPMENT RENTAL$177,970$152,575$25,395

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,112TotalAmt
Program Services$5,468ProgramServicesAmt
Management And General$1,644ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,167,718TotalAmt
Program Services$17,458,638ProgramServicesAmt
Management And General$10,709,080ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,949,735BOYAmt
EOY$9,567,981EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,921,228BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$220,125BOYAmt
EOY$171,683EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,791,490BOYAmt
EOY$2,216,944EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$500EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$98,452BOYAmt
EOY$140,612EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$161,191BOYAmt
EOY$113,428EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,809,333LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,639,318LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,372,064BOYAmt
EOY$18,170,015EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$424,862BOYAmt
EOY$411,612EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,801,184BOYAmt
EOY$5,675EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,740,331BOYAmt
EOY$30,798,450EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,674,429BOYAmt
EOY$2,033,563EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$672,069BOYAmt
EOY$500,317EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,346,498BOYAmt
EOY$2,533,880EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,306,048BOYAmt
EOY$28,167,253EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$87,785BOYAmt
EOY$97,317EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,393,833BOYAmt
EOY$28,264,570EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,740,331BOYAmt
EOY$30,798,450EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$365,071ReconcilationRevenueExpnssAmt
Prior Period Adjustments$1,260,708PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$2,755,042OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,619,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,089,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,136,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,365,333CurrentTaxYearMinus1YearAmt
Current Tax Year$10,374,271CurrentTaxYearAmt
Total$44,584,527TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,619,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,089,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,136,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,365,333CurrentTaxYearMinus1YearAmt
Current Tax Year$10,374,271CurrentTaxYearAmt
Total$44,584,527TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$44,584,527PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$133,267CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$154,597CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$190,086CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$174,542CurrentTaxYearMinus1YearAmt
Current Tax Year$37,109CurrentTaxYearAmt
Total$689,601TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,191CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$121,572CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,138CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,599CurrentTaxYearMinus1YearAmt
Current Tax Year$106,214CurrentTaxYearAmt
Total$435,714TotalAmt
FieldValueIRS element (for citing)
Total Support$45,709,842TotalSupportAmt
Public Support CY1700.97540PublicSupportCY170Pct
Public Support PY1700.97300PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,727,673OtherCostOrOtherBasisAmt
Book Value$1,727,673BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,491,904OtherCostOrOtherBasisAmt
Depreciation$5,203,524DepreciationAmt
Book Value$13,288,380BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,191,449OtherCostOrOtherBasisAmt
Depreciation$707,865DepreciationAmt
Book Value$1,483,584BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,696,259OtherCostOrOtherBasisAmt
Depreciation$3,501,411DepreciationAmt
Book Value$1,194,848BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$702,048OtherCostOrOtherBasisAmt
Depreciation$226,518DepreciationAmt
Book Value$475,530BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,170,015TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,801,501TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$268,712DonatedServicesAndUseFcltsAmt
Revenue Not Reported$268,712RevenueNotReportedAmt
Revenue Subtotal$28,532,789RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,532,789TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,436,430TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$268,712DonatedServicesUseFcltsAmt
Expenses Not Reported$268,712ExpensesNotReportedAmt
Expenses Subtotal$28,167,718ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,167,718TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND SIMILAR PROVISIONS OF ALABAMA LAW AND IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION. AS OF AND FOR THE YEAR ENDED JANUARY 31, 2021, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND NO INTEREST AND PENALTIES RELATED TO INCOME TAXES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GILBERT F DARRINGTON
CEO$265,636$0$0$0$0$0$0$12,000$0$0$265,636$12,000$0$0
SUSIE A JONES
CFO$159,829$0$0$0$0$0$0$0$0$0$159,829$0$0$0
DR VANOSIA S FAISON
CMO$142,346$0$12,000$0$0$0$0$0$0$0$154,346$0$0$0
DR MAHMOOD ZAIED
DOCTOR/CHIEF OF PEDIATRICS$376,909$0$123,538$0$0$0$0$0$0$0$500,447$0$0$0
DR ABDULSATTAR ZIDAN
DOCTOR/ADULT MEDICINE$321,744$0$137,496$0$0$0$0$0$0$0$459,240$0$0$0
DR SHABNAM GUARD
DOCTOR/AM RR$428,539$0$12,150$0$0$0$0$0$0$0$440,689$0$0$0
DR GEORGE THOMAS
DOCTOR/ CHIEF OF ADULT MEDICINE$329,195$0$4,650$0$0$0$0$0$0$0$333,845$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CEO HAS A WRITTEN CONTRACT THAT WAS APPROVED BY THE BOARD.
PART I, LINE 7EMPLOYED PROVIDERS (MEDICAL DOCTORS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS) RECEIVED INCENTIVES BASED UPON TOTAL ENCOUNTERS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE CONTROLLER, CFO, AND CEO REVIEW SUPPORT DOCUMENTS AND TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 12CIT IS MONITORED BY THE CORPORATE COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS UTILIZE AN INDEPENDENT NATIONAL LEGAL FIRM OF THE ORGANIZATION'S ASSOCIATION TO DETERMINE APPROPRIATE CEO COMPENSATION. OTHER KEY EMPLOYEE COMPENSATION IS DETERMINED BY USING PUBLISHED MATERIALS AND LOCAL COMPARABILITY DATA.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:HOLDING COMPANY BEGINNING BALANCE -2,755,042.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ALABAMA HEALTCARE CONSORTIUM LLC
2731 ML KING JR BLVDTUSCALOOSAAL35401201031600TECHNOLOGICAL GRANTSAL501(C)3LINE 70
HEALTH SERVICES HOLDING CO INC
1845 CHERRY STREETMONTGOMERYAL36106460790158PROMOTE HEALTH SERVICES INCAL501(C)20HEALTH SERVICES INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd