2019-05-02T16:46:50-05:00 2018-06-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2017-07-01 471455389 ALABAMA COMMUNITY CARE - REGION A INC ALAB 2562659305 101 SIVLEY ROAD SW HUNTSVILLE AL 35801 DEAN GRIFFIN SENIOR VICE PRESIDENT 2569742200 2019-04-29 1 MEGAN RANDOLPH P00989558 2059794100 2019-04-29 69.247.2.161 2019-04-29 14:06:31 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F1F522909DF4C7A60018DDE476F0261170F8B5A8 2017 2019-02-21 02:37:17Z DEAN GRIFFIN 101 SIVLEY ROAD SW HUNTSVILLE AL 35801 3010277 0 X HTTPS://WWW.ALABAMACOMMUNITYCARE.ORG X 2014 AL THROUGH THE PARTNERSHIP WITH HUNTSVILLE HOSPITAL HEALTH SYSTEM AND SENTARA HEALTH PLANS, A SUBSIDIARY OF SENTARA HEALTHCARE OF VIRGINIA, ALABAMA COMMUNITY CARE INTENDS TO WORK WITH LOCAL PHYSICIANS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH OF MANY MEDICAID RECIPIENTS IN REGIONS A, COVERING NUMEROUS COUNTIES IN NORTH ALABAMA. 19 7 0 0 0 0 1934278 218712 2436494 2791565 0 0 0 0 4370772 3010277 0 0 0 0 0 0 0 0 0 4285195 3185718 4285195 3185718 85577 -175441 801792 604005 275779 253433 526013 350572 X THROUGH THE PARTNERSHIP WITH HUNTSVILLE HOSPITAL HEALTH SYSTEM AND SENTARA HEALTH PLANS, A SUBSIDIARY OF SENTARA HEALTHCARE OF VIRGINIA, ALABAMA COMMUNITY CARE INTENDS TO WORK WITH LOCAL PHYSICIANS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH OF MANY MEDICAID RECIPIENTS IN REGION A, COVERING NUMEROUS COUNTIES IN NORTH ALABAMA. 0 0 2644146 2791565 ALABAMA COMMUNITY CARE WORKS WITH LOCAL PHYSICIANS, HOSPITALS, AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH OF MANY MEDICAID RECIPIENTS ACCROSS NORTH ALABAMA. AS A CERTIFIED REGIONAL CARE ORGANIZATION, ALABAMA COMMUNITY CARE WORKS TO PROVIDE A VARIETY OF CARE FOR MEDICAID PATIENTS IN NORTH ALABAMA INCLUDING CHRONIC ILLNESSES, CUSTOMIZED WELLNESS PROGRAMS, AND INTEGRATED CLINICAL AND BEHAVORIAL HEALTH SERVICES. 2644146 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 7 0 0 0 0 1 1 1 1 1 0 1 1 0 0 0 0 0 0 0 X HUNTSVILLE HOSPITAL 2562659305 101 SIVLEY ROAD SW HUNTSVILLE AL 35801 X DAVID S SPILLERS DIRECTOR 1.00 X 0 0 0 JEFF SAMZ DIRECTOR 1.00 X 0 0 0 KELLI POWERS DIRECTOR 1.00 X 0 0 0 DEAN GRIFFIN DIRECTOR 1.00 X 0 0 0 NAT RICHARDSON DIRECTOR 1.00 X 0 0 0 MICHAEL M DUDLEY DIRECTOR 1.00 X 0 0 0 MEGAN R PERRY DIRECTOR 1.00 X 0 0 0 JAMES A HILBERT DIRECTOR 1.00 X 0 0 0 THOMAS G LUNDQUIST DIRECTOR 1.00 X 0 0 0 ROBERT BROERMANN DIRECTOR 1.00 X 0 0 0 MEGAN P PADDEN DIRECTOR 1.00 X 0 0 0 TERESA JEANNE BAYSDEN DIRECTOR 1.00 X 0 0 0 NESHA DONALDSON DIRECTOR 1.00 X 0 0 0 JIMMY DERRELL MASSEY DIRECTOR 1.00 X 0 0 0 BONITA MCCAY DIRECTOR 1.00 X 0 0 0 KENNETH R MOULTRIE OD DIRECTOR 1.00 X 0 0 0 ANDREW WESLEY STUBBLEFIELD MD DIRECTOR 1.00 X 0 0 0 NAGENDRA RAO THOTAKURA MD DIRECTOR 1.00 X 0 0 0 JAMES GILBERT DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 218712 218712 MEDICAID RECEIPTS 624100 2791565 2791565 2791565 3010277 2791565 0 0 X 132 110 22 25460 21132 4328 2572610 2135266 437344 21586 17916 3670 96605 80183 16422 84847 70423 14424 133823 111073 22750 108474 90033 18441 EQUIPMENT EXPENSES 88628 73561 15067 MISCELLANEOUS EXPENSES 53553 44449 9104 3185718 2644146 541572 0 722272 538825 2052 1035 77468 64145 6323 6323 0 0 0 801792 604005 60018 0 57448 0 158313 253433 275779 253433 X 526013 350572 526013 350572 801792 604005 -175441 0 X X 0 1 X 1 0 X 172733 1633139 1934278 218712 3958862 591812 2475786 2436494 2791565 8295657 764545 4108925 4370772 3010277 12254519 0 0 0 12254519 764545 4108925 4370772 3010277 12254519 X 6323 6323 0 0 DUE TO ALABAMA COMMUNITY CARE A, LLC 253433 253433 2903165 0 2903165 107112 107112 3010277 2957143 0 2957143 228575 228575 3185718 PART XI, LINE 4B - OTHER ADJUSTMENTS: SEE SCHEDULE D SUPPLEMENTARY INFORMATION FOR EXPLANATION 107,112. PART XII, LINE 4B - OTHER ADJUSTMENTS: SEE SCHEDULE D SUPPLEMENTARY INFORMATION FOR EXPLANATION 228,575. SCHEDULE D PART XI LINE 4B AND XII LINE 4B: THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED ON A 9/30 YEAR-END BASIS WHEREAS THE ORGANIZATION'S TAX YEAR IS ON A 6/30 YEAR-END BASIS; THEREFORE, RESULTING IN THE RECONCILING REVENUE AND EXPENSE AMOUNTS REPORTED ON LINES 4B FOR PARTS XI AND XII DUE TO THE DIFFERENCE IN THE VARYING YEAR-END INCOME STATEMENTS FOR AUDIT AND TAX. FORM 990, PART VI, SECTION A, LINE 6 ALABAMA COMMUNITY CARE A, LLC OWNS 100% OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A SOLE MEMBER, ALABAMA COMMUNITY CARE A, LLC WHO HAS CONTROL OVER SELECTING THE BOARD OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B ALABAMA COMMUNITY CARE A, LLC EXISTS TO OWN AND OPERATE THE ORGANIZATION. THE LLC HAS THE POWER TO GOVERN AND MAKE DECISIONS ON BEHALF OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE RESPONSIBLE PARTIES MEET TO REVIEW THE 990 AND COMMUNICATE ANY QUESTIONS/CONCERNS TO THE ACCOUNTANTS WHO PREPARED THE 990 BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,135,266. MANAGEMENT AND GENERAL EXPENSES 437,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,572,610. FORM 990, PART XII, LINE 2C: NO CHANGES HAVE BEEN MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS. 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