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WHATLEY HEALTH SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WHATLEY HEALTH SERVICES INC (EIN 63-0727781)
Tax period
2011-12-01 to 2012-11-30
Filed
2013-07-15
IRS object ID
201321969349301247
Schema version
2011v1.5
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)
Timestamp2013-07-15T16:36:27-05:00Timestamp
Tax Period End Date2012-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCKEAN & ASSOCIATES PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13224 EXECUTIVE PARK CIRCLEAddressLine1
CityMOBILECity
StateALState
ZIP Code36606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN630727781EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHATLEY HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWHATNameControl
Phone2053493250Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12731 ML KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH TUCKERName
TitleCEOTitle
Phone2053493250Phone
Date Signed2013-05-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERESA J ERNESTName
Phone2514713800Phone
Date Prepared2013-07-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBORAH TUCKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12731 ML KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13457878GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WHATLEYHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVED AND UNINSURED.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees196TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6370412ContributionsGrantsPriorYear
Contributions Grants Current Year7420055ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6029608ProgramServiceRevenuePriorYear
Program Service Revenue CY5910536ProgramServiceRevenueCY
Investment Income Prior Year-19527InvestmentIncomePriorYear
Investment Income Current Year4InvestmentIncomeCurrentYear
Other Revenue Prior Year34745OtherRevenuePriorYear
Other Revenue Current Year127283OtherRevenueCurrentYear
Total Revenue Prior Year12415238TotalRevenuePriorYear
Total Revenue Current Year13457878TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7406019SalariesEtcPriorYear
Salaries Etc Current Year7284386SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4813922OtherExpensePriorYear
Other Expenses Current Year4533651OtherExpensesCurrentYear
Total Expenses Prior Year12219941TotalExpensesPriorYear
Total Expenses Current Year11818037TotalExpensesCurrentYear
Revenues Less Expenses Prior Year195297RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1639841RevenuesLessExpensesCY
Total Assets BOY7453569TotalAssetsBOY
Total Assets EOY8710841TotalAssetsEOY
Total Liabilities BOY3441823TotalLiabilitiesBOY
Total Liabilities EOY3059254TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4011746NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5651587NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVED AND UNINSURED.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9448687Expense
Revenue5910536Revenue
DescriptionHEALTHCARE AND ANCILLARY SERVICES TO THE MEDICALLY UNDERSERVED AND UNINSURED.Description
Total Program Service Expense9448687TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees196NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTRACY PERKINSNamePerson
Telephone Number2053493250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12731 MARTIN L KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
CYNTHIA BURTON
CHAIRMANXX000
BISHOP EARNEST L PALMER
VICE CHAIRMAXX000
DR CHARLOTTE CARTER
TREASURERXX000
MAXIE THOMAS
DIRECTORX000
ARETHA BALL
DIRECTORX000
CAROLE HILL-SMITH
DIRECTORX000
LENA HARDAWAY
DIRECTORX000
DR ISABEL OLDSHUE
DIRECTORX000
AUDREY ELLIS
DIRECTORX000
JAMES MORTON
DIRECTORX000
CAROLYN BROWN
DIRECTORX000
DEBORAH TUCKER
CEOX1558910460240.00
DR GEROLD SIBANDA
PHYSICIAN2065620539240.00X
DR GARY WALTON
CHIEF OF STA1903890809340.00X
DR PHILLIP BOBO
PHYSICIAN1800000040.00X
DR ROBERT T LONG
PHYSICIAN175243092240.00X
DR LUCY CULPEPPER WILLIAMS
DIR OF PEDIA1529050761040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1060990TotalReportableCompFromOrg
Total Other Compensation26619TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY MEDICAL CENTER
850 5TH AVENUE EASTTUSCALOOSAAL35406HOSPITALIST687620
BELK & ASSOCIATES INC
492 PINEGROVE DRIVEMUSCLE SHOALSAL35661LOCUM TENEM PHY439128
WAR CONSTRUCTION INC
PO BOX 1218TUSCALOOSAAL35403CONSTRUCTION426917
K & A BUILDERS INC
2420 12TH STREETTUSCALOOSAAL35401CONSTRUCTION298311
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC27216LABORATORY231602
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants7347080GovernmentGrants
All Other Contributions72975AllOtherContributions
Noncash Contributions72225NoncashContributions
Total Contributions7420055TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES43289294328929
CONTRACTUAL GRANTS15816071581607
FieldValueIRS element (for citing)
Total Program Service Revenue5910536TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4TotalRevenueColumn
Exclusion$4ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14257Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real14257Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column14257TotalRevenueColumn
Related Or Exempt Function Income14257RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INSURANCE CLAIM8712687126
MEDICAL RECORDS2590025900
FieldValueIRS element (for citing)
Total Other Revenue113026TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13457878TotalRevenueColumn
Related Or Exempt Function Income6037819RelatedOrExemptFunctionIncome
Exclusion$4ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total174602Total
Management And General174602ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6099881Total
Program Services5196555ProgramServices
Management And General903326ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32664Total
Program Services31132ProgramServices
Management And General1532ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total510060Total
Program Services395036ProgramServices
Management And General115024ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total467179Total
Program Services365907ProgramServices
Management And General101272ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total101428Total
Management And General101428ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17000Total
Management And General17000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1852729Total
Program Services1721752ProgramServices
Management And General130977ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total29128Total
Program Services5212ProgramServices
Management And General23916ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total438365Total
Program Services297565ProgramServices
Management And General140800ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total133648Total
Program Services6724ProgramServices
Management And General126924ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total250003Total
Program Services168915ProgramServices
Management And General81088ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total139501Total
Program Services86499ProgramServices
Management And General53002ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total125816Total
Program Services89193ProgramServices
Management And General36623ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total635505Total
Program Services397039ProgramServices
Management And General238466ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total47664Total
Program Services21268ProgramServices
Management And General26396ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES/SERVICES435182435182
RETENTION & RECRUITMENT1088581069101948
REPAIRS & MAINTENANCE620684945312615
TRAINING AND EDUCATION406952039920296

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total116061Total
Program Services53946ProgramServices
Management And General62115ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11818037Total
Program Services9448687ProgramServices
Management And General2369350ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY293442BOY
EOY95944EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY73738BOY
EOY4281EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY842572BOY
EOY575300EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY33483BOY
EOY37080EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11160636LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3556639LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5858531BOY
EOY7603997EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY351803BOY
EOY394239EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7453569BOY
EOY8710841EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY868275BOY
EOY831415EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY154342BOY
EOY145859EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2419206BOY
EOY2081980EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3441823BOY
EOY3059254EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4011746BOY
EOY5651587EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4011746BOY
EOY5651587EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7453569BOY
EOY8710841EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1639841ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5676033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7824674CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6107284CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6370412CurrentTaxYearMinus1Year
Current Tax Year7420055CurrentTaxYear
Total33398458Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5676033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7824674CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6107284CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6370412CurrentTaxYearMinus1Year
Current Tax Year7420055CurrentTaxYear
Total33398458Total
FieldValueIRS element (for citing)
Public Support Total17033398458PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17652CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12201CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9847CurrentTaxYearMinus1Year
Current Tax Year14261CurrentTaxYear
Total67315Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119698CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years125060CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years265959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26542CurrentTaxYearMinus1Year
Current Tax Year113026CurrentTaxYear
Total650285Total
FieldValueIRS element (for citing)
Total Support34116058TotalSupport
Gross Receipts From Admissions Etc25537250GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97900PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98660PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis474693OtherCostOrOtherBasis
Book Value474693BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6010525OtherCostOrOtherBasis
Depreciation1810791Depreciation
Book Value4199734BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis104607OtherCostOrOtherBasis
Depreciation51718Depreciation
Book Value52889BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2262683OtherCostOrOtherBasis
Depreciation1610218Depreciation
Book Value652465BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2308128OtherCostOrOtherBasis
Depreciation83912Depreciation
Book Value2224216BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7603997TotalOfBookValueLandBuildings
Total Revenue13457878TotalRevenue
Total Expenses11818037TotalExpenses
Excess Or Deficit For Year1639841ExcessOrDeficitForYear
Excess Or Deficit Per FS1639841ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13511238TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities53360DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99053360RevenueNotRptdF990
Revenue Subtotal13457878RevenueSubtotal
Total Revenue Per Form99013457878TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11871397TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities53360DonatedServicesUseOfFacilities
Expenses Not Rptd F99053360ExpensesNotRptdF990
Expenses Subtotal11818037ExpensesSubtotal
Total Expenses Per Form99011818037TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
DEBORAH TUCKER
15561527634001202160493
DR GEROLD SIBANDA
2064421205392211954
DR GARY WALTON
18959779233994694198482
DR PHILLIP BOBO
180000180000
DR ROBERT T LONG
175243922176165
DR LUCY CULPEPPER WILLIAMS
15211379230644546160515

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99072225NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990CYNTHIA BURTON (WHSI BOD CHAIR) ALSO SERVES AS EXECUTIVE DIRECTOR OF COMMUNITY SERVICE PROGRAMS OF WEST ALABAMA (CSPWA). THE HEADSTART PROGRAM OPERATES UNDER CSPWA. WHSI CURRENTLY HAS A CONTRACT WITH HEADSTART TO PROVIDE DENTAL SCREENINGS AND MEDICAL SCREENINGS FOR UNINSURED CHILDREN.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD OF DIRECTORS REVIEWS THE FORM 990 DURING A REGULAR BOARD MEETING BEFORE IT IS FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CEMPLOYEES ARE ENCOURAGED TO SPEAK WITH THEIR IMMEDIATE SUPERVISOR AND THAT SUPERVISOR INFORMS THE CEO.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AWHSI REVIEWS ALL SALARIES ANNUALLY AND COMPARES THE SALARIES WITH NACHC, MGMA, AND SALARY.COM.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BWHSI REVIEWS ALL SALARIES ANNUALLY AND COMPARES THE SALARIES WITH NACHC, MGMA, AND SALARY.COM.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ALABAMA HEALTHCARE CONSORTIUM LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12731 ML KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode
FieldValueIRS element (for citing)
EIN201031600EIN
Primary ActivitiesTECH GRANTPrimaryActivities
Legal Domicile StateALLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHSIBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg