2016-07-06T15:32:59-05:00 2016-01-31 454084437 Warren Averett LLC 3815 Interstate Ct Montgomery AL 36109 990 2015-02-01 630568762 Health Services Inc HEAL 3344205001 PO Drawer 70365 Montgomery AL 361070365 Gilbert F Darrington Chief Executive Officer 3344205001 2016-07-06 1 Tatia W Knight CPA P00848736 3342712200 2016-07-06 2015 2016-09-27 15:27:22Z Gilbert F Darrington PO Drawer 70365 Montgomery AL 361070365 23709968 0 X WWW.HEALTHSERVICESINC.ORG X 1968 AL TO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVED 18 18 308 18 0 0 7351600 8377684 14679841 15228520 329941 66904 48078 34862 22409460 23707970 0 0 0 0 14539193 14767224 0 0 0 7059947 7874991 21599140 22642215 810320 1065755 19774059 20765163 3314795 3180144 16459264 17585019 TO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVED 0 0 15423367 15263382 HEALTHCARE AND ANCILLARY SERVICES TO THE MEDICALLY UNDERSERVED. WE SERVED APPROXIMATELY 30,000 PATIENTS. 15423367 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 1 207 0 1 308 1 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Brenda Cutts 3344205001 PO DRAWER 70365 Montgomery AL 36107 JAMES BROWN DIRECTOR 1.00 0.00 X 0 0 0 CLASSIE THOMAS PAST CHAIR 1.00 0.00 X 0 0 0 ANITA ARCHIE DIRECTOR 1.00 0.00 X 0 0 0 MOLLY STONE DIRECTOR 1.00 0.00 X 0 0 0 JUDY TAYLOR DIRECTOR 1.00 0.00 X 0 0 0 JANICE DURR DIRECTOR 1.00 0.00 X 0 0 0 JOSIE KNOTT DIRECTOR 1.00 0.00 X 0 0 0 PAMELA STEWART DIRECTOR 1.00 0.00 X 0 0 0 NICOLETTE RUSSELL DIRECTOR 1.00 0.00 X 0 0 0 SANDRA BERRY SECRETARY 1.00 0.00 X X 0 0 0 CLAUDE DOUGLAS VICE CHAIR 1.00 0.00 X X 0 0 0 DR WILLIAM ABERNATHY DIRECTOR 1.00 0.00 X 0 0 0 CAROLE ASKEW DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM LOVE DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH CALDWELL DIRECTOR 1.00 0.00 X 0 0 0 CODY BUTTS dIRECTOR 1.00 0.00 X 0 0 0 JAUNITA OWES CHAIR 1.00 0.00 X X 0 0 0 JESSIE BINION DIRECTOR 1.00 0.00 X 0 0 0 BIANCA GRANGER COO 40.00 0.00 X 112716 0 5400 GEORGE WALDROP CFO 40.00 0.00 X 134174 0 8100 GILBERT DARRINGTON CEO 40.00 0.00 X 36294 0 1500 GEORGE THOMAS CMO/DOCTOR 55.90 0.00 X 272478 0 24000 MAHMOOD ZAIED DOCTOR/ CHIEF OF PEDIATRICS 57.70 X 288351 0 20250 THEODORE SMITH JR DOCTOR/ASSISTANT MEDICAL DIRECTOR (INPATIENT) 40.00 X 302182 0 24000 ABDULSATTAR ZIDAN DOCTOR 53.50 X 359820 0 8100 ALBERT HOLLOWAY CMO/DOCTOR 37.00 X 430961 0 24000 CLIFFORD BERNELL MAPP FORMER CEO 40.00 0.00 X 264419 0 0 2201395 0 115350 24 1 1 0 PRIORITY MANAGEMENT GROUP 700 SCHOOL STREET PAWTUCKET RI 02860 AR/BILLING CONTRACTOR 718574 LABORATORY CORPORATION OF AMERICA 3221 3RD AVENUE SOUTH BIRMINGHAM AL 35222 LAB CONTRACTOR 632929 ASPIRE STAFFING LLC 1113-C PERRY HILL ROAD MONTGOMERY AL 36109 STAFFING CONTRACTOR 472804 MONTGOMERY COUNTY HEALTH DEPARTMENT 3060 MOBILE HIGHWAY MONTGOMERY AL 36108 rent 288990 AMERISOURCEBERGEN-BIRMINGHAM PO BOX 905223 CHARLOTTE NC 28290 Pharmaceuticals 271278 20 20370 7865425 491889 44302 8377684 MEDICARE/MEDICAID 524114 12954417 12954417 SELF PAY 900099 1076873 1076873 THIRD PARTY INSURANCE 524292 765228 765228 340 (b) PHARMACY PROGRAM 446110 272288 272288 GIFT OF LIFE 900099 159714 159714 15228520 67712 67712 1190 1998 -808 -808 -808 MEDICAL RECORDS 900099 34809 34809 MISCELLANEOUS 900099 53 53 34862 23707970 15263382 0 66904 X 2316745 1754142 562603 10733267 8257755 2475512 15803 15803 853611 853611 847798 637701 210097 34467 34467 33969 33969 3682469 1933757 1748712 162520 64402 98118 57987 29206 28781 1579200 1214150 365050 176983 104768 72215 47738 29792 17946 311985 311985 146567 22480 124087 SUPPLIES AND PHARMACEUT 1241965 1124015 117950 EQUIPMENT RENTAL 191766 159275 32491 MISCELLANEOUS 150330 76864 73466 DUES AND SUBSCRIPTIONS 57045 15060 41985 22642215 15423367 7218848 0 140117 599481 1183129 794414 586066 1166335 963493 1399206 66095 129940 450712 450965 4344890 2160316 2267837 2184574 101199 101199 750519 665075 13264892 13273974 19774059 20765163 1658341 1837089 1483039 1281856 44089 129326 61199 3314795 3180144 X 16452025 17585019 7239 0 16459264 17585019 19774059 20765163 1065755 60000 0 X 0 0 0 X 19872217 6899354 7108625 7351600 8377684 49609480 19872217 6899354 7108625 7351600 8377684 49609480 49609480 5045 3499 2795 329941 67712 408992 43318 41344 43700 48078 34862 211302 50229774 0.98770 0.98960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 289944 289944 1832611 560483 1272128 362254 256500 105754 1466654 1124806 341848 393427 218527 174900 2184574 Due from Health Services Holding Company, Inc. 237081 DUE FROM Montgomery Health Services, Inc. 13036893 13273974 DEFERRED COMPENSATION 61199 61199 X X 1 0 0 0 0 0 0 1 0 GEORGE THOMAS CMO/DOCTOR 263478 0 9000 0 0 0 24000 0 0 0 296478 0 0 0 MAHMOOD ZAIED DOCTOR/ CHIEF OF PEDIATRICS 280101 0 8250 0 0 0 20250 0 0 0 308601 0 0 0 THEODORE SMITH JR DOCTOR/ASSISTANT MEDICAL DIRECTOR (I 219684 0 82498 0 0 0 24000 0 0 0 326182 0 0 0 ABDULSATTAR ZIDAN DOCTOR 250657 0 109163 0 0 0 8100 0 0 0 367920 0 0 0 ALBERT HOLLOWAY CMO/DOCTOR 227125 0 203836 0 0 0 24000 0 0 0 454961 0 0 0 CLIFFORD BERNELL MAPP FORMER CEO 264419 0 0 0 0 0 0 0 0 0 264419 0 0 0 Part I, Line 3 CEO has a written contract that was approved by the board. Part I, Line 7 EMPLOYED PROVIDERS (MEDICAL DOCTORS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS) RECEIVED INCENTIVES BASED UPON TOTAL ENCOUNTERS. Adolescent & Pediatircs CMO/Doctor of Health Services, Inc. was a former CMO with interested perso 106365 rent payments 0 X 1 44302 FMV 0 0 0 Form 990, Part VI, Section B, line 11 The Controller, CFO, and CEO review support documents and tax return. Form 990, Part VI, Section B, line 12c It is monitored by the corporate compliance officer. Form 990, Part VI, Section B, line 15 The 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 19 Governing documents are made available to the public upon request. Form 990, Part IX, line 11g OTHER: Program service expenses 1,933,757. Management and general expenses 1,748,712. Fundraising expenses 0. Total expenses 3,682,469. ALABAMA HEALTCARE CONSORTIUM LLC 2731 ML KING JR BLVD TUSCALOOSA AL 35401 201031600 TECHNOLOGICAL GRANTS AL 501(C)3 Line 7 HEALTH SERVICES INC 0 HEALTH SERVICES FOUNDATION INC PO DRAWER 70365 MONTGOMERY AL 36107 FUNDRAISING AL 501(C)3 HEALTH SERVICES INC 0 HEALTH SERVICES HOLDING CO INC 1845 CHERRY STREET mONTGOMERY AL 36106 460790158 PROMOTE HEALTH SERVICES INC AL 501(C)2 HEALTH SERVICES INC 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 1 1 0 0