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WHATLEY HEALTH SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WHATLEY HEALTH SERVICES INC (EIN 63-0727781)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-10
IRS object ID
202023159349304802
Schema version
2019v5.1
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)
Return2020-11-10T15:23:24-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN630590670PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Kassouf & Co PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12101 Highland Ave S Suite 300AddressLine1Txt
CityBirminghamCityNm
State AbbreviationALStateAbbreviationCd
ZIP352054009ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN630727781EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Whatley Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWHATBusinessNameControlTxt
Phone2057586647PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12731 Martin Luther King Jr BlvdAddressLine1Txt
CityTuscaloosaCityNm
State AbbreviationALStateAbbreviationCd
ZIP354015235ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonZach ChismPersonNm
Person TitleCFOPersonTitleTxt
Phone2053493250PhoneNum
Signature2020-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWilliam P BachPreparerPersonNm
PTINP01315784PTIN
Phone2054432500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.227.109.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-05IPDt
IP Tm15:48:12IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5156B5557744486DE3E77386CEF89A6D1B2EEDD5AtSubmissionCreationDeviceId
At Submission Filing Device Id7A76D4FD7F02BF53398B1E3788AA7C27F613AF52AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerZach ChismPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12731 Martin Luther King Jr BlvdAddressLine1Txt
CityTuscaloosaCityNm
State AbbreviationALStateAbbreviationCd
ZIP35401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,174,803GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswhatleyhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateALLegalDomicileStateCd
Activity Or MissionTo provide healthcare to the medically underserved and uninsured.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee257TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,661,858PYContributionsGrantsAmt
CY Contributions Grants$8,624,866CYContributionsGrantsAmt
PY Program Service Revenue$10,583,220PYProgramServiceRevenueAmt
CY Program Service Revenue$11,151,513CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$187,433PYOtherRevenueAmt
CY Other Revenue$398,424CYOtherRevenueAmt
PY Total Revenue$19,432,511PYTotalRevenueAmt
CY Total Revenue$20,174,803CYTotalRevenueAmt
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$9,496,101PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,615,502CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,082,857PYOtherExpensesAmt
CY Other Expenses$9,410,421CYOtherExpensesAmt
PY Total Expenses$18,578,958PYTotalExpensesAmt
CY Total Expenses$18,025,923CYTotalExpensesAmt
PY Revenues Less Expenses$853,553PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,148,880CYRevenuesLessExpensesAmt
Total Assets BOY$8,967,491TotalAssetsBOYAmt
Total Assets EOY$10,524,799TotalAssetsEOYAmt
Total Liabilities BOY$4,502,516TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,910,944TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,464,975NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,613,855NetAssetsOrFundBalancesEOYAmt
MissionTo provide healthcare to the medically underserved and uninsured.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,615,295ExpenseAmt
Revenue$6,501,271RevenueAmt
DescTo provide healthcare to the medically underserved and uninsured.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,261,044ExpenseAmt
Revenue$4,650,242RevenueAmt
DescTo provide a pharmacy service to the medically underserved and uninsured.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,876,339TotalProgramServiceExpensesAmt
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 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee257EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ray ShermanBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2053493250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12731 Martin Luther King Jr BlvdAddressLine1Txt
CityTuscaloosaCityNm
State AbbreviationALStateAbbreviationCd
ZIP354015235ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Cynthia Burton
President0.00Yes (X)$0$0$0
Bishop Earnest Palmer
Vice President0.00Yes (X)$0$0$0
Dr Charlotte Carter
Treasurer0.00Yes (X)$0$0$0
Carole Hill-Smith
Director0.00Yes (X)$0$0$0
Dr Jerry Palmer
Director0.00Yes (X)$0$0$0
Maxie Thomas
Director0.00Yes (X)$0$0$0
Audrey Ellis
Secretary0.00Yes (X)$0$0$0
James Morton
Director0.00Yes (X)$0$0$0
Cindy Deerman
Director0.00Yes (X)$0$0$0
Michael Hamilton
Director0.00Yes (X)$0$0$0
Marcus Campbell
Director0.00Yes (X)$0$0$0
David Gay
CEO40.00$121,713$0$0Yes (X)
Dr Phillip Bobo
Physician40.00$189,108$0$0Yes (X)
Dr Gary Walton
Chief of Staff40.00$175,073$0$8,374Yes (X)
Dr Alexis Mason
Physician40.00$164,422$0$8,235Yes (X)
Dr Mary Clapp
Physician40.00$160,000$0$1,514Yes (X)
Dr Faye Knowles
Pediatrician40.00$161,113$0$6,467Yes (X)
Dr Carmel Lecorps
Dentist40.00$162,138$0$8,329Yes (X)
Dr James Whitley
Physician40.00$162,569$0$8,182Yes (X)
Dr Andrea Fair
Physician40.00$149,231$0$6,734Yes (X)
DrCharles Stephens
Nurse Practitioner40.00$100,425$0$1,998Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,545,792TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$49,833TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
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/ZIPCdCompensationCompensationAmt
Bond Construction LLC
1001 30th AveNorthportAL35476$720,113
Nextgen Healthcare Information Systems
3525 Piedmont Road NEAtlantaGA30305$661,169
University Medical Center
850 Peter Bryce BoulevardTuscaloosaAL35401$359,006
Quest Diagnostics
300 Towncenter Blvd Ste DTuscaloosaAL35406$312,687
Health Cost Solutions
PO Box 1439HendersonvilleTN37077$197,418
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$8,624,866GovernmentGrantsAmt
Total Contributions$8,624,866TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services621110$5,541,028$5,541,028
340B Pharmacy Program446110$4,650,242$4,650,242
Other Grants and Contracts621110$960,243$960,243
FieldValueIRS element (for citing)
Total Program Service Revenue$11,151,513TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$16,729RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$16,729RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,729TotalRevenueColumnAmt
Related Or Exempt Func Income$16,729RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther IncomeDesc
Business900099BusinessCd
Total Revenue Column$381,695TotalRevenueColumnAmt
Related Or Exempt Func Income$381,695RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$381,695OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,174,803TotalRevenueColumnAmt
Related Or Exempt Func Income$11,549,937RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$121,713TotalAmt
Management And General$121,713ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$7,345,205TotalAmt
Program Services$5,973,534ProgramServicesAmt
Management And General$1,371,671ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$63,314TotalAmt
Program Services$50,651ProgramServicesAmt
Management And General$12,663ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$538,223TotalAmt
Program Services$430,578ProgramServicesAmt
Management And General$107,645ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$547,047TotalAmt
Program Services$437,638ProgramServicesAmt
Management And General$109,409ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,068TotalAmt
Management And General$25,068ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$46,194TotalAmt
Management And General$46,194ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,337,783TotalAmt
Program Services$718,322ProgramServicesAmt
Management And General$619,461ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,425TotalAmt
Program Services$36,425ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$68,842TotalAmt
Program Services$8,915ProgramServicesAmt
Management And General$59,927ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$524,488TotalAmt
Program Services$21,299ProgramServicesAmt
Management And General$503,189ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$322,986TotalAmt
Program Services$306,837ProgramServicesAmt
Management And General$16,149ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$94,436TotalAmt
Program Services$75,549ProgramServicesAmt
Management And General$18,887ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$111,243TotalAmt
Management And General$111,243ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$548,310TotalAmt
Program Services$517,042ProgramServicesAmt
Management And General$31,268ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$137,422TotalAmt
Program Services$27,485ProgramServicesAmt
Management And General$109,937ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
340B Expenses$2,871,162$2,261,044$610,118
Bad Debt$1,592,564$1,592,564
Medical Expense$778,578$778,578
Telecommunications$539,286$512,322$26,964

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$375,634TotalAmt
Program Services$127,556ProgramServicesAmt
Management And General$248,078ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,025,923TotalAmt
Program Services$13,876,339ProgramServicesAmt
Management And General$4,149,584ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$359,061BOYAmt
EOY$1,399,583EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$166,859BOYAmt
EOY$298,833EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$830,413BOYAmt
EOY$832,786EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$78,669BOYAmt
EOY$43,910EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,656,051LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,708,064LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,937,027BOYAmt
EOY$7,947,987EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$595,462BOYAmt
EOY$1,700EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,967,491BOYAmt
EOY$10,524,799EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,057,529BOYAmt
EOY$1,660,591EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$16,900BOYAmt
EOY$8,500EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,095,017BOYAmt
EOY$2,007,858EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$333,070BOYAmt
EOY$233,995EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,502,516BOYAmt
EOY$3,910,944EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,464,975BOYAmt
EOY$6,613,855EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,464,975BOYAmt
EOY$6,613,855EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,967,491BOYAmt
EOY$10,524,799EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,148,880ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$647,936CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,986,612CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,623,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,615,277CurrentTaxYearMinus1YearAmt
Current Tax Year$9,585,109CurrentTaxYearAmt
Total$38,458,434TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$647,936CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,986,612CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,623,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,615,277CurrentTaxYearMinus1YearAmt
Current Tax Year$9,585,109CurrentTaxYearAmt
Total$38,458,434TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$38,458,434PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$15,311CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,729CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,729CurrentTaxYearMinus1YearAmt
Current Tax Year$16,729CurrentTaxYearAmt
Total$65,498TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$165,927CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$142,763CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$170,704CurrentTaxYearMinus1YearAmt
Current Tax Year$381,695CurrentTaxYearAmt
Total$875,742TotalAmt
FieldValueIRS element (for citing)
Total Support$39,399,674TotalSupportAmt
Public Support CY1700.97610PublicSupportCY170Pct
Public Support PY1700.97570PublicSupportPY170Pct
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$395,537OtherCostOrOtherBasisAmt
Book Value$395,537BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,337,879OtherCostOrOtherBasisAmt
Depreciation$3,942,406DepreciationAmt
Book Value$4,395,473BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,030,468OtherCostOrOtherBasisAmt
Depreciation$1,028,102DepreciationAmt
Book Value$3,002,366BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,778,542OtherCostOrOtherBasisAmt
Depreciation$2,633,765DepreciationAmt
Book Value$144,777BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$113,625OtherCostOrOtherBasisAmt
Depreciation$103,791DepreciationAmt
Book Value$9,834BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,947,987TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$20,174,803TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$20,174,803RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,174,803TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,025,923TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$18,025,923ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,025,923TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
Dr Phillip Bobo
Physician$189,108$0$0$0$0$0$0$0$0$0$189,108$0$0$0
Dr Gary Walton
Chief of Staff$175,073$0$0$0$0$0$1,708$0$6,666$0$183,447$0$0$0
Dr Alexis Mason
Physician$164,422$0$0$0$0$0$1,938$0$6,297$0$172,657$0$0$0
Dr Mary Clapp
Physician$160,000$0$0$0$0$0$0$0$1,514$0$161,514$0$0$0
Dr Faye Knowles
Pediatrician$161,113$0$0$0$0$0$0$0$6,467$0$167,580$0$0$0
Dr Carmel Lecorps
Dentist$162,138$0$0$0$0$0$1,569$0$6,760$0$170,467$0$0$0
Dr James Whitley
Physician$162,569$0$0$0$0$0$1,474$0$6,708$0$170,751$0$0$0
Dr Andrea Fair
Physician$149,231$0$0$0$0$0$0$0$6,734$0$155,965$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bThe board of directors reviews the form 990 during a regular board meeting. The board of directors are given a copy of the 990 before filing.
Form 990, Part VI, Section B, line 12cPolicy is disclosed and members are asked to comply with the policy.
Form 990, Part VI, Section B, line 15WHSI Reviews all salaries annually and compares the salaries with NACHC, MGMA, and Salary.com.
Form 990, Part VI, Section C, line 19Governing Documents, the conflict of interest policy, and financial statements are available to the public upon request in person or by mail.
Form 990, Part IX, line 11gContractual Services: Program service expenses 718,322. Management and general expenses 490,305. Fundraising expenses 0. Total expenses 1,208,627. Payroll Services: Program service expenses 0. Management and general expenses 43,437. Fundraising expenses 0. Total expenses 43,437. Other: Program service expenses 0. Management and general expenses 85,719. Fundraising expenses 0. Total expenses 85,719.
990 part XII line 2cThe process did not change from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Alabama Healthcare ConsortiumBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12731 Martin Luther King Jr BlvdAddressLine1Txt
CityTuscaloosaCityNm
State AbbreviationALStateAbbreviationCd
ZIP35401ZIPCd
FieldValueIRS element (for citing)
EIN201031600EIN
Primary ActivitiesTech GrantPrimaryActivitiesTxt
Legal Domicile StateALLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Whatley Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
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 Org0LoansOrGuaranteesToOtherOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Alabama Health Consortium LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt