2021-12-09T15:17:49-06:00 2021-01-31 454084437 WARREN AVERETT LLC 3815 INTERSTATE CT MONTGOMERY AL 36109 990 2020-02-01 630568762 HEALTH SERVICES INC HEAL 3344205001 PO DRAWER 70365 MONTGOMERY AL 361070365 GILBERT F DARRINGTON CHIEF EXECUTIVE OFFICER 3344205001 2021-12-06 1 GILBERT DARRINGTON 999009999 D CLYNTON HART JR CPA P00191509 3342712200 2021-12-06 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GILBERT F DARRINGTON PO DRAWER 70365 MONTGOMERY AL 361070365 28532789 0 X WWW.HEALTHSERVICESINC.ORG X 1968 AL PATIENT 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. 16 16 299 15 0 0 8365333 10374271 20704024 18015195 174542 37109 57599 106214 29301498 28532789 0 0 0 0 16714255 16727360 0 0 0 11177769 11440358 27892024 28167718 1409474 365071 31740331 30798450 2346498 2533880 29393833 28264570 HEALTH SERVICES, INC. (HSI) IS A MEDICAL HOME PROVIDING ACCESS TO AFFORDABLE PRIMARY, PREVENTIVE AND WELLNESS SERVICES DISTINGUISHED BY COMPASSION, QUALITY, INTEGRITY AND RESPECT. 0 0 17458638 18121409 HSI 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. 17458638 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 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 1 0 0 0 1 48 0 1 299 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X SUSIE JONES 3344205001 PO DRAWER 70365 MONTGOMERY AL 36107 DR WILLIAM ABERNATHY VICE CHAIRPERSON 1.00 X X 0 0 0 TRACIE ADAMS DIRECTOR 1.00 X 0 0 0 HELENOR BELL DIRECTOR 1.00 X 0 0 0 SANDRA BERRY DIRECTOR 1.00 X 0 0 0 JESSIE BINION DIRECTOR 1.00 X 0 0 0 JAMES BROWN DIRECTOR 1.00 X 0 0 0 CLAUDE DOUGLAS CHAIRPERSON 1.00 X X 0 0 0 JANICE DURR DIRECTOR 1.00 X 0 0 0 DR CHOONA LANG DIRECTOR 1.00 X 0 0 0 JACQUELINE NAVIDAD DIRECTOR 1.00 X 0 0 0 JUANITA OWES DIRECTOR 1.00 X 0 0 0 DEBRA BUSH DIRECTOR 1.00 X 0 0 0 NICOLETTE RUSSELL SECRETARY 1.00 X X 0 0 0 MOLLY STONE TREASURER 1.00 X 0 0 0 CLASSIE THOMAS DIRECTOR 1.00 X X 0 0 0 GILBERT F DARRINGTON CEO 40.00 X 265636 0 12000 SUSIE A JONES CFO 40.00 X 159829 0 0 DR VANOSIA S FAISON CMO 40.00 X 154346 0 0 TERRY REID COO 40.00 X 111297 0 0 DR MAHMOOD ZAIED DOCTOR/CHIEF OF PEDIATRICS 76.00 X 500447 0 0 DR ABDULSATTAR ZIDAN DOCTOR/ADULT MEDICINE 80.00 X 459240 0 0 DR SHABNAM GUARD DOCTOR/AM RR 71.00 X 440689 0 0 DR GEORGE THOMAS DOCTOR/ CHIEF OF ADULT MEDICINE 60.00 X 333845 0 0 2425329 0 12000 8 0 1 0 ATHENA HEALTH INC 311 ARSENAL STREET WATERTOWN MA 02472 CLOUD-BASED SYSTEMS PROVIDER 1083943 FARBER SPECIALTY VEHICLES INC 7052 AMERICANA PARKWAY REYNOLDSBURG OH 43068 SUPPLIES 421159 MCKESSON GENERAL MEDICAL CORP 6555 STATE HIGHWAY 161 IRVING TX 75039 SUPPLIES 308127 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 TESTING 267075 RUSSELL CONSTRUCTION 1616 MT MEIGS ROAD MONTGOMERY AL 36107 CONSTRUCTION 244875 16 10366646 7625 10374271 MEDICARE/MEDICAID 524114 11639384 11639384 SELF PAY 900099 2581159 2581159 THIRD PARTY INSURANCE 524292 2534154 2534154 340 (B) PHARMACY PROGRAM 446110 1054516 1054516 HEALTH MANAGEMENT REPORT 900099 199472 199472 6510 6510 18015195 37109 37109 MISCELLANEOUS 900099 68645 68645 MEDICAL RECORDS 900099 27360 27360 MISCELLANEOUS 900099 10209 10209 106214 28532789 18121409 0 37109 14592361 11825712 2766649 1197975 1197975 937024 793625 143399 53529 53529 100323 100323 2346721 1051939 1294782 193293 5207 188086 25909 10073 15836 1994111 1855945 138166 109193 71541 37652 34080 31447 2633 28562 25039 3523 1243259 501099 742160 180205 2402 177803 BAD DEBT EXPENSE 3488124 3488124 SUPPLIES AND PHARMACEUT 1263768 1127992 135776 DUES AND SUBSCRIPTIONS 194199 125754 68445 EQUIPMENT RENTAL 177970 25395 152575 7112 5468 1644 28167718 17458638 10709080 0 4949735 9567981 2921228 220125 171683 2791490 2216944 500 98452 140612 161191 113428 27809333 9639318 4372064 18170015 424862 411612 15801184 5675 31740331 30798450 1674429 2033563 672069 500317 2346498 2533880 X 29306048 28167253 87785 97317 29393833 28264570 31740331 30798450 X 365071 1260708 -2755042 X 0 1 X 1 1 1 X 8619108 9089226 8136589 8365333 10374271 44584527 8619108 9089226 8136589 8365333 10374271 44584527 44584527 133267 154597 190086 174542 37109 689601 35191 121572 115138 57599 106214 435714 45709842 0.97540 0.97300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1727673 1727673 18491904 5203524 13288380 2191449 707865 1483584 4696259 3501411 1194848 702048 226518 475530 18170015 X 28801501 268712 268712 28532789 0 28532789 28436430 268712 268712 28167718 0 28167718 PART X, LINE 2: THE 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. X X 1 0 0 0 0 0 0 1 0 GILBERT F DARRINGTON CEO 265636 0 0 0 0 0 0 12000 0 0 265636 12000 0 0 SUSIE A JONES CFO 159829 0 0 0 0 0 0 0 0 0 159829 0 0 0 DR VANOSIA S FAISON CMO 142346 0 12000 0 0 0 0 0 0 0 154346 0 0 0 DR MAHMOOD ZAIED DOCTOR/CHIEF OF PEDIATRICS 376909 0 123538 0 0 0 0 0 0 0 500447 0 0 0 DR ABDULSATTAR ZIDAN DOCTOR/ADULT MEDICINE 321744 0 137496 0 0 0 0 0 0 0 459240 0 0 0 DR SHABNAM GUARD DOCTOR/AM RR 428539 0 12150 0 0 0 0 0 0 0 440689 0 0 0 DR GEORGE THOMAS DOCTOR/ CHIEF OF ADULT MEDICINE 329195 0 4650 0 0 0 0 0 0 0 333845 0 0 0 PART I, LINE 3 CEO HAS A WRITTEN CONTRACT THAT WAS APPROVED BY THE BOARD. PART I, LINE 7 EMPLOYED PROVIDERS (MEDICAL DOCTORS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS) RECEIVED INCENTIVES BASED UPON TOTAL ENCOUNTERS. FORM 990, PART VI, SECTION B, LINE 11B THE CONTROLLER, CFO, AND CEO REVIEW SUPPORT DOCUMENTS AND TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C IT IS MONITORED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: HOLDING COMPANY BEGINNING BALANCE -2,755,042. ALABAMA HEALTCARE CONSORTIUM LLC 2731 ML KING JR BLVD TUSCALOOSA AL 35401 201031600 TECHNOLOGICAL GRANTS AL 501(C)3 LINE 7 0 HEALTH SERVICES HOLDING CO INC 1845 CHERRY STREET MONTGOMERY AL 36106 460790158 PROMOTE HEALTH SERVICES INC AL 501(C)2 HEALTH SERVICES INC 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0