2017-05-15T14:52:30-05:00 2016-06-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2015-07-01 471455389 ALABAMA COMMUNITY CARE - REGION A INC ALAB 2562659305 101 SIVLEY ROAD SW HUNTSVILLE AL 35801 KYLE BUCHANAN EXECUTIVE DIRECTOR 2569742200 2017-05-11 1 MEGAN RANDOLPH P00989558 2059794100 2017-05-11 2015 2021-01-29 14:40:06Z KYLE BUCHANAN 101 SIVLEY ROAD SW HUNTSVILLE AL 35801 4108925 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 172733 1633139 591812 2475786 0 0 0 0 764545 4108925 591812 2071238 0 0 0 0 0 0 0 172705 2091576 764517 4162814 28 -53889 28 933295 0 492859 28 440436 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 1 3849078 2071238 2475786 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. 3849078 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1633139 1633139 MEDICAID RECEIPTS 624100 2475786 2475786 2475786 4108925 2475786 0 0 X 2071238 2071238 26523 22545 3978 97389 82781 14608 1473471 1252450 221021 340 289 51 48879 41547 7332 19720 16762 2958 100326 85277 15049 632 537 95 94680 80478 14202 EQUIPMENT EXPENSES 220936 187796 33140 MISCELLANEOUS EXPENSES 8680 7378 1302 4162814 3849078 313736 0 28 713929 872 27610 6323 6217 0 106 0 190778 28 933295 0 65031 427828 0 492859 X 28 440436 28 440436 28 933295 X -53889 494297 X 0 0 0 X 172733 1633139 1805872 591812 2475786 3067598 764545 4108925 4873470 0 0 0 4873470 764545 4108925 4873470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6323 6217 106 106 DUE FROM ALABAMA COMMUNITY CARE A, LLC 190778 190778 1 NORTH ALABAMA COMMUNITY CARE INC PO BOX 18926 HUNTSVILLE AL 35804 275174138 501(C)(3) 2071238 N/A N/A TO IMPROVE THE HEALTH OF MEDICAID RECIPIENTS 1 0 PART I, LINE 2: GRANTS TO ORGANIZATIONS ARE SUBJECT TO GRANT CONDITIONS MADE AND AGREED UPON BY THE DONOR. FORM 990 SCHEDULE I, PART II THE AMOUNT OF GRANTS GIVEN TO NORTH ALABAMA COMMUNITY CARE REPRESENTS THE GRANTS GIVEN BEFORE NORTH ALABAMA COMMUNITY CARE MERGED INTO THE ORGANIZATION EFFECTIVE MAY 2016. FORM 990, PART III, LINE 3 NORTH ALABAMA COMMUNITY CARE, INC. IS AN ORGANIZATION THAT BENEFITED SUBSTANTIALLY FROM THE ACTIVITIES OF ALABAMA COMMUNITY CARE-REGION A, INC. EFFECTIVE IN MAY 2016, NORTH ALABAMA COMMUNITY CARE, INC. MERGED IN WITH THE ORGANIZATION; THEREFORE, THE MAJORITY OF SUPPORT FROM MAY 2016 AND GOING FORWARD WILL BE USED FOR PURPOSES OF INTERNAL PROGRAMS RATHER THAN BEING GRANTED TO OUTSIDE ORGANIZATIONS. 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 11 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 1,252,450. MANAGEMENT AND GENERAL EXPENSES 221,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,473,471. FORM 990, PART XI, LINE 9: NET ASSETS TRANSFERRED IN DUE TO MERGER OF NORTH ALABAMA COMMUNITY CARE 494,297. 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