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ALABAMA COMMUNITY CARE - A LLC: Form 990EZ, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ALABAMA COMMUNITY CARE - A LLC (EIN 47-3189460)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-01-27
IRS object ID
202000279349200210
Schema version
2018v3.1
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)
Return2020-01-27T09:46:57-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Line12500 ACTON ROADAddressLine1Txt
CityBIRMINGHAMCityNm
State AbbreviationALStateAbbreviationCd
ZIP35243ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN473189460EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALABAMA COMMUNITY CARE - A LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALABBusinessNameControlTxt
Phone2562659305PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 SIVLEY ROAD SWAddressLine1Txt
CityHUNTSVILLECityNm
State AbbreviationALStateAbbreviationCd
ZIP35801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEAN GRIFFINPersonNm
Person TitleSENIOR VICE PRESIDENTPersonTitleTxt
Phone2562659305PhoneNum
Signature2020-01-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMEGAN RANDOLPHPreparerPersonNm
PTINP00989558PTIN
Phone2059794100PhoneNum
Preparation2020-01-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.136.244.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-01-10IPDt
IP Tm13:57:51IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id409F4F2B13DAFBB020E15C14E80A7CEF743D0459AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Type Of Organization OtherLIMITED LIABILITY COMPANYTypeOfOrganizationOtherDesc
Gross Receipts$0GrossReceiptsAmt
Total Revenue$0TotalRevenueAmt
Total Expenses$0TotalExpensesAmt
Excess Or Deficit For Year$0ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE COMPANY IS ORGANIZED TO OWN AND OPERATE ALABAMA COMMUNITY CARE - REGION A, INC., AN ALABAMA NONPROFIT CORPORATION THAT HAS BEEN ORGANIZED TO CONDUCT BUSINESS AS A REGIONAL CARE ORGANIZATION BY CONTRACTING WITH THE ALABAMA MEDICAID AGENCY, HEALTH CARE PROVIDERS AND OTHER SERVICE PROVIDERS TO PROVIDE A COMPREHENSIVE PACKAGE OF MEDICAID BENEFITS TO MEDICAID BENEFICIARIES IN REGION A OF THE STATE OF ALABAMA AS DEFINED BY THE ALABAMA MEDICAID AGENCY. ALABAMA COMMUNITY CARE - REGION A, LLC HAS BEEN ORGANIZED TO SUPPORT THE CHARITABLE PURPOSES OF THE COMPANY.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTHE COMPANY IS ORGANIZED TO OWN AND OPERATE ALABAMA COMMUNITY CARE - REGION A, INC., AN ALABAMA NONPROFIT CORPORATION THAT HAS BEEN ORGANIZED TO CONDUCT BUSINESS AS A REGIONAL CARE ORGANIZATION BY CONTRACTING WITH THE ALABAMA MEDICAID AGENCY, HEALTH CARE PROVIDERS AND OTHER SERVICE PROVIDERS TO PROVIDE A COMPREHENSIVE PACKAGE OF MEDICAID BENEFITS TO MEDICAID BENEFICIARIES IN REGION A OF THE STATE OF ALABAMA AS DEFINED BY THE ALABAMA MEDICAID AGENCY. ALABAMA COMMUNITY CARE - REGION A, LLC HAS BEEN ORGANIZED TO SUPPORT THE CHARITABLE PURPOSES OF THE COMPANY.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID S SPILLERS
DIRECTOR1.00$0$0$0
DEAN GRIFFIN
DIRECTOR1.00$0$0$0
JAMES A HILBERT
DIRECTOR1.00$0$0$0
JEFF SAMZ
DIRECTOR1.00$0$0$0
KELLI S POWERS
DIRECTOR1.00$0$0$0
KYLE BUCHANAN
DIRECTOR1.00$0$0$0
MEGAN P PADDEN
DIRECTOR1.00$0$0$0
MEGAN R PERRY
DIRECTOR1.00$0$0$0
MICHAEL M DUDLEY
DIRECTOR1.00$0$0$0
NATHANIEL RICHARDSON JR
DIRECTOR1.00$0$0$0
ROBERT BROERMANN
DIRECTOR1.00$0$0$0
THOMAS G LUNDQUIST MD
DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUNTSVILLE HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 SIVLEY ROAD SWAddressLine1Txt
CityHUNTSVILLECityNm
State AbbreviationALStateAbbreviationCd
ZIP35801ZIPCd
FieldValueIRS element (for citing)
Phone2562659305PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
SENTARA HEALTHCARE
5212719017Yes (1)$0$0
THE HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE
6308452883Yes (1)$0$0
ALABAMA COMMUNITY CARE - REGION A INC
47145538910Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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