FURP.ORG / PUBLIC DATA EXPLORER

HEALTH SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HEALTH SERVICES INC (EIN 63-0568762)
Tax period
2016-02-01 to 2017-01-31
Filed
2017-09-26
IRS object ID
201702699349301235
Schema version
2016v3.0
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)
Return2017-09-26T15:24:15-05:00ReturnTs
Tax Period End2017-01-31TaxPeriodEndDt

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 Line13815 Interstate CtAddressLine1Txt
CityMontgomeryCityNm
State AbbreviationALStateAbbreviationCd
ZIP36109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN630568762EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Health Services IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone3344205001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Drawer 70365AddressLine1Txt
CityMontgomeryCityNm
State AbbreviationALStateAbbreviationCd
ZIP361070365ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGILBERT F DARRINGTONPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone3344205001PhoneNum
Signature2017-09-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonD Clynton Hart Jr CPAPreparerPersonNm
PTINP00191509PTIN
Phone3342712200PhoneNum
Preparation2017-09-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.136.244.2IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-19IPDt
IP Tm10:23:54IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id1C4810B5319DD293F2DA90C2F34FBB007D307061AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGILBERT F DARRINGTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Drawer 70365AddressLine1Txt
CityMontgomeryCityNm
State AbbreviationALStateAbbreviationCd
ZIP361070365ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,555,236GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALTHSERVICESINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateALLegalDomicileStateCd
Activity Or MissionPatient 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.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee343TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,398,385PYContributionsGrantsAmt
CY Contributions Grants$8,619,108CYContributionsGrantsAmt
PY Program Service Revenue$14,999,819PYProgramServiceRevenueAmt
CY Program Service Revenue$15,762,866CYProgramServiceRevenueAmt
PY Investment Income$129,822PYInvestmentIncomeAmt
CY Investment Income$94,843CYInvestmentIncomeAmt
PY Other Revenue$71,539PYOtherRevenueAmt
CY Other Revenue$35,191CYOtherRevenueAmt
PY Total Revenue$23,599,565PYTotalRevenueAmt
CY Total Revenue$24,512,008CYTotalRevenueAmt
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$14,803,169PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,080,400CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,685,135PYOtherExpensesAmt
CY Other Expenses$8,051,361CYOtherExpensesAmt
PY Total Expenses$22,488,304PYTotalExpensesAmt
CY Total Expenses$23,131,761CYTotalExpensesAmt
PY Revenues Less Expenses$1,111,261PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,380,247CYRevenuesLessExpensesAmt
Total Assets BOY$20,521,092TotalAssetsBOYAmt
Total Assets EOY$21,505,084TotalAssetsEOYAmt
Total Liabilities BOY$3,032,011TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,715,756TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,489,081NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,789,328NetAssetsOrFundBalancesEOYAmt
MissionHealth Services, Inc. (HSI) is a medical home providing access to affordable primary, preventive and wellness services distinguished by compassion, quality, integrity and respect in Montgomery and surrounding areas.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,447,250ExpenseAmt
Revenue$15,798,057RevenueAmt
DescHSI SERVED APPROXIMATELY 30,000 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.Desc
Total Program Service Expenses$16,447,250TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document73IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee343EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSIE JONESPersonNm
Phone3344205001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 70365AddressLine1Txt
CityMontgomeryCityNm
State AbbreviationALStateAbbreviationCd
ZIP36107ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
choona lang
dIRECTOR1.00Yes (X)$0$0$0
JANICE DURR
treasurer1.00Yes (X)$0$0$0Yes (X)
JAMES BROWN
DIRECTOR1.00Yes (X)$0$0$0
JOSIE KNOTT
DIRECTOR1.00Yes (X)$0$0$0
david hughes
DIRECTOR1.00Yes (X)$0$0$0
MOLLY STONE
DIRECTOR1.00Yes (X)$0$0$0
jacqueline navidad
DIRECTOR1.00Yes (X)$0$0$0
DR WILLIAM ABERNATHY
DIRECTOR1.00Yes (X)$0$0$0
NICOLETTE RUSSELL
DIRECTOR1.00Yes (X)$0$0$0
CLAUDE DOUGLAS
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
CLASSIE THOMAS
PAST CHAIR1.00Yes (X)$0$0$0
ANITA ARCHIE
DIRECTOR1.00Yes (X)$0$0$0
SANDRA BERRY
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JAUNITA OWES
CHAIR1.00Yes (X)$0$0$0Yes (X)
JESSIE BINION
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM LOVE
DIRECTOR1.00Yes (X)$0$0$0
donna rich
dIRECTOR1.00Yes (X)$0$0$0
SUSIE JONES
CFO40.00$23,075$0$0Yes (X)
BIANCA GRANGER
COO40.00$138,734$0$0Yes (X)
GILBERT DARRINGTON
CEO40.00$210,225$0$0Yes (X)
MAHMOOD ZAIED
DOCTOR/CHIEF OF PEDIATRICS76.00$396,225$0$0Yes (X)
GEORGE THOMAS
CMO/DOCTOR67.00$287,048$0$0Yes (X)
ABDULSATTAR ZIDAN
DOCTOR71.00$408,862$0$0Yes (X)
THEODORE SMITH JR
DOCTOR/ASSISTANT MEDICAL D40.00$375,529$0$0Yes (X)
VILMA E PESSOA
DOCTOR40.00$320,433$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,160,131TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
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/ZIPCdServicesServicesDescCompensationCompensationAmt
PRIORITY MANAGEMENT GROUP
700 SCHOOL STREETPAWTUCKETRI02860AR/BILLING CONTRACTOR$952,357
LABORATORY CORPORATION OF AMERICA
3221 3RD AVENUE SOUTHBIRMINGHAMAL35222LAB CONTRACTOR$690,929
JOB KONNECTIONS LLC
1316 S GILMER AVELANETTAL36863STAFFING CONTRACTOR$370,149
MONTGOMERY COUNTY HEALTH DEPARTMENT
3060 MOBILE HIGHWAYMONTGOMERYAL36108occupancy costs$300,497
AMERISOURCEBERGEN-BIRMINGHAM
PO BOX 905223CHARLOTTENC28290Pharmaceuticals$268,012
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$19,361FederatedCampaignsAmt
Government Grants$8,591,934GovernmentGrantsAmt
All Other Contributions$7,813AllOtherContributionsAmt
Total Contributions$8,619,108TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID524114$13,070,776$13,070,776
SELF PAY900099$1,122,729$1,122,729
THIRD PARTY INSURANCE524292$1,006,262$1,006,262
340 (b) PHARMACY PROGRAM446110$344,308$344,308
health management report900099$166,089$166,089

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,702TotalRevenueColumnAmt
Related Or Exempt Func Income$52,702RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,762,866TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,267TotalRevenueColumnAmt
Exclusion$133,267ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,804OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$43,228OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$38,424OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$38,424TotalRevenueColumnAmt
Exclusion-$38,424ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL RECORDS900099$29,632$29,632
MISCELLANEOUS900099$5,559$5,559
FieldValueIRS element (for citing)
Other Revenue Total$35,191OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,512,008TotalRevenueColumnAmt
Related Or Exempt Func Income$15,798,057RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$94,843ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,210,279TotalAmt
Program Services$10,356,739ProgramServicesAmt
Management And General$2,853,540ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,006,337TotalAmt
Program Services$499,655ProgramServicesAmt
Management And General$506,682ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$863,784TotalAmt
Program Services$663,414ProgramServicesAmt
Management And General$200,370ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$63,089TotalAmt
Management And General$63,089ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,995TotalAmt
Management And General$34,995ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,642,191TotalAmt
Program Services$1,937,521ProgramServicesAmt
Management And General$1,704,670ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$128,376TotalAmt
Program Services$64,162ProgramServicesAmt
Management And General$64,214ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$79,118TotalAmt
Program Services$32,995ProgramServicesAmt
Management And General$46,123ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,610,246TotalAmt
Program Services$1,233,305ProgramServicesAmt
Management And General$376,941ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$117,855TotalAmt
Program Services$69,146ProgramServicesAmt
Management And General$48,709ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$38,421TotalAmt
Program Services$25,913ProgramServicesAmt
Management And General$12,508ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$75,807TotalAmt
Management And General$75,807ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$310,521TotalAmt
Management And General$310,521ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$183,424TotalAmt
Program Services$11,828ProgramServicesAmt
Management And General$171,596ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES AND PHARMACEUT$1,180,646$1,079,852$100,794
EQUIPMENT RENTAL$446,382$378,491$67,891
MISCELLANEOUS$80,801$69,788$11,013
DUES AND SUBSCRIPTIONS$59,489$24,441$35,048

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,131,761TotalAmt
Program Services$16,447,250ProgramServicesAmt
Management And General$6,684,511ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$599,481BOYAmt
EOY$1,104,130EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$794,414BOYAmt
EOY$2,333,429EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,355,579BOYAmt
EOY$343,566EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,004,018BOYAmt
EOY$907,179EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$86,825BOYAmt
EOY$114,345EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$375,693BOYAmt
EOY$402,360EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,166,317LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,827,791LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,308,058BOYAmt
EOY$2,338,526EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$171,784BOYAmt
EOY$169,850EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$585,862BOYAmt
EOY$505,862EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,239,378BOYAmt
EOY$13,285,837EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,521,092BOYAmt
EOY$21,505,084EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,539,079BOYAmt
EOY$1,418,906EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,321,148BOYAmt
EOY$1,127,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$171,784BOYAmt
EOY$169,850EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,032,011BOYAmt
EOY$2,715,756EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,474,842BOYAmt
EOY$18,775,089EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,239BOYAmt
EOY$14,239EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,489,081BOYAmt
EOY$18,789,328EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,521,092BOYAmt
EOY$21,505,084EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,380,247ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$80,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$6,899,354CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,108,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,351,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,398,385CurrentTaxYearMinus1YearAmt
Current Tax Year$8,619,108CurrentTaxYearAmt
Total$38,377,072TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,899,354CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,108,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,351,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,398,385CurrentTaxYearMinus1YearAmt
Current Tax Year$8,619,108CurrentTaxYearAmt
Total$38,377,072TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$38,377,072PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,795CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$329,941CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$130,630CurrentTaxYearMinus1YearAmt
Current Tax Year$133,267CurrentTaxYearAmt
Total$600,132TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,700CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,539CurrentTaxYearMinus1YearAmt
Current Tax Year$35,191CurrentTaxYearAmt
Total$239,852TotalAmt
FieldValueIRS element (for citing)
Total Support$39,217,056TotalSupportAmt
Public Support CY1700.97860PublicSupportCY170Pct
Public Support PY1700.98570PublicSupportPY170Pct
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$289,944OtherCostOrOtherBasisAmt
Book Value$289,944BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,709,489OtherCostOrOtherBasisAmt
Depreciation$662,523DepreciationAmt
Book Value$1,046,966BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$358,005OtherCostOrOtherBasisAmt
Depreciation$298,820DepreciationAmt
Book Value$59,185BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,372,359OtherCostOrOtherBasisAmt
Depreciation$1,632,091DepreciationAmt
Book Value$740,268BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$436,520OtherCostOrOtherBasisAmt
Depreciation$234,357DepreciationAmt
Book Value$202,163BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,338,526TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from Health Services Holding Company, Inc.$248,944
note receivable - montgomery hsi investment fund, llc$13,036,893
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,285,837TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED COMPENSATIONDesc
Amt$169,850Amt
FieldValueIRS element (for citing)
Total Liability$169,850TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe 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, 2017, 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
GILBERT DARRINGTON
CEO$210,225$0$0$0$0$0$0$0$0$0$210,225$0$0$0
MAHMOOD ZAIED
DOCTOR/CHIEF OF PEDIATRICS$312,269$0$83,956$0$0$0$0$0$0$0$396,225$0$0$0
GEORGE THOMAS
CMO/DOCTOR$275,048$0$12,000$0$0$0$0$0$0$0$287,048$0$0$0
ABDULSATTAR ZIDAN
DOCTOR$276,366$0$132,496$0$0$0$0$0$0$0$408,862$0$0$0
THEODORE SMITH JR
DOCTOR/ASSISTANT MEDICAL D$243,866$0$131,663$0$0$0$0$0$0$0$375,529$0$0$0
VILMA E PESSOA
DOCTOR$185,437$0$134,996$0$0$0$0$0$0$0$320,433$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3CEO has a written contract that was approved by the board.
Part I, Line 7EMPLOYED PROVIDERS (MEDICAL DOCTORS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS) RECEIVED INCENTIVES BASED UPON TOTAL ENCOUNTERS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bThe Controller, CFO, and CEO review support documents and tax return.
Form 990, Part VI, Section B, line 12cIt is monitored by the corporate compliance officer.
Form 990, Part VI, Section B, line 15The 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 19Governing documents are made available to the public upon request.
Form 990, Part IX, line 11gContractual costs: Program service expenses 1,937,521. Management and general expenses 1,704,670. Fundraising expenses 0. Total expenses 3,642,191.
Form 990, Part XI, line 9:impairment of goodwill -80,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ALABAMA HEALTCARE CONSORTIUM LLC
2731 ML KING JR BLVDTUSCALOOSAAL35401201031600TECHNOLOGICAL GRANTSAL501(C)3Line 70
HEALTH SERVICES HOLDING CO INC
1845 CHERRY STREETmONTGOMERYAL36106460790158PROMOTE HEALTH SERVICES INCAL501(C)20HEALTH SERVICES INC
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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1health services holding company incBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$308,079InvolvedAmt
Method Of Amount DeterminationcashMethodOfAmountDeterminationTxt