WHATLEY HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WHATLEY HEALTH SERVICES INC (EIN 63-0727781)
Tax period
2012-12-01 to 2013-11-30
Filed
2014-08-15
IRS object ID
201402279349302705
Schema version
2012v2.3
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)
Timestamp2014-08-15T10:32:46-05:00Timestamp
Tax Period End Date2013-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCKEAN & ASSOCIATES PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13224 EXECUTIVE PARK CIRCLEAddressLine1
CityMOBILECity
StateALState
ZIP Code366062812ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN630727781EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WHATLEY HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWHATNameControl
Phone2053493250Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12731 ML KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH TUCKERName
TitleCEOTitle
Phone2053493250Phone
Date Signed2014-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERESA J ERNEST CPAName
Phone2514713800Phone
Date Prepared2014-08-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBORAH TUCKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12731 ML KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12487437GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WHATLEYHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVED AND UNINSURED.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees201TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7420055ContributionsGrantsPriorYear
Contributions Grants Current Year5555091ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5910536ProgramServiceRevenuePriorYear
Program Service Revenue CY6884648ProgramServiceRevenueCY
Investment Income Prior Year4InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year127283OtherRevenuePriorYear
Other Revenue Current Year47698OtherRevenueCurrentYear
Total Revenue Prior Year13457878TotalRevenuePriorYear
Total Revenue Current Year12487437TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7284386SalariesEtcPriorYear
Salaries Etc Current Year7332180SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4533651OtherExpensePriorYear
Other Expenses Current Year5172254OtherExpensesCurrentYear
Total Expenses Prior Year11818037TotalExpensesPriorYear
Total Expenses Current Year12504434TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1639841RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-16997RevenuesLessExpensesCY
Total Assets BOY8710841TotalAssetsBOY
Total Assets EOY9208697TotalAssetsEOY
Total Liabilities BOY3059254TotalLiabilitiesBOY
Total Liabilities EOY3574107TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5651587NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5634590NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVED AND UNINSURED.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10523071Expense
Revenue6884648Revenue
DescriptionHEALTHCARE AND ANCILLARY SERVICES TO THE MEDICALLY UNDERSERVED AND UNINSURED.Description
Total Program Service Expense10523071TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees201NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJUSTIN ROLLINGNamePerson
Telephone Number2053493250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12731 MARTIN L KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
CYNTHIA BURTON
CHAIRMANXX000
BISHOP EARNEST L PALMER
VICE CHAIRMAXX000
DR CHARLOTTE CARTER
TREASURERXX000
MAXIE THOMAS
DIRECTORX000
CAROLE HILL-SMITH
DIRECTORX000
LENA HARDAWAY
DIRECTORX000
DR ISABEL OLDSHUE
DIRECTORX000
AUDREY ELLIS
DIRECTORX000
JAMES MORTON
DIRECTORX000
CINDY DEERMAN
DIRECTORX000
MICHAEL HAMILTON
DIRECTORX000
DEBORAH TUCKER
CEOX1705520666940.00
DR GEROLD SIBANDA
PHYSICIAN2073920740740.00X
DR ROBERT T LONG
PHYSICIAN1800030686340.00X
DR PHILLIP BOBO
PHYSICIAN1800000686340.00X
DR GARY WALTON
CHIEF OF STA1647030655740.00X
DR RIP ALEXANDER
PHYSICIAN1617400649240.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1064390TotalReportableCompFromOrg
Total Other Compensation40851TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BOB MORROW CONSTRUCTION INC
PO BOX 21151TUSCALOOSAAL35402CONSTRUCTION1257047
UNIVERSITY MEDICAL CENTER
850 5TH AVENUE EASTTUSCALOOSAAL35406HOSPITALIST968970
BELK & ASSOCIATES INC
492 PINEGROVE DRIVEMUSCLE SHOALSAL35661LOCUM TENEM PHY363430
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC27216LABORATORY130653
ALABAMA DEVELOPMENTAL CLINIC
661 HELEN KELLER BLVDTUSCALOOSAAL35404MENTAL HEALTH105703
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants5346843GovernmentGrants
All Other Contributions208248AllOtherContributions
Noncash Contributions207148NoncashContributions
Total Contributions5555091TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES46409064640906
CONTRACTUAL GRANTS14075321407532
340B PHARMACY PROGRAM836210836210
FieldValueIRS element (for citing)
Total Program Service Revenue6884648TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real16729Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real16729Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column16729TotalRevenueColumn
Related Or Exempt Function Income16729RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMEDICAL RECORDSDescription
Total Revenue Column30969TotalRevenueColumn
Related Or Exempt Function Income30969RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue30969TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12487437TotalRevenueColumn
Related Or Exempt Function Income6932346RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total176944Total
Management And General176944ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6197065Total
Program Services5580314ProgramServices
Management And General616751ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total43978Total
Program Services38150ProgramServices
Management And General5828ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total447019Total
Program Services375085ProgramServices
Management And General71934ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total467174Total
Program Services385774ProgramServices
Management And General81400ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total79953Total
Management And General79953ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18000Total
Management And General18000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2254146Total
Program Services2150865ProgramServices
Management And General103281ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19774Total
Program Services4291ProgramServices
Management And General15483ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total417049Total
Program Services242828ProgramServices
Management And General174221ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total91586Total
Program Services73716ProgramServices
Management And General17870ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total257768Total
Program Services165440ProgramServices
Management And General92328ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total103279Total
Program Services83363ProgramServices
Management And General19916ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total126076Total
Program Services59575ProgramServices
Management And General66501ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total709642Total
Program Services375602ProgramServices
Management And General334040ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total59500Total
Program Services25355ProgramServices
Management And General34145ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES/SERVICES861270861270
REPAIRS & MAINTENANCE40053335746479
SANITATION346822177012912
LICENSES & FEES23300168006500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total76176Total
Program Services29299ProgramServices
Management And General46877ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12504434Total
Program Services10523071ProgramServices
Management And General1981363ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY95944BOY
EOY73964EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4281BOY
EOY82021EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY575300BOY
EOY889145EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY37080BOY
EOY24861EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11931094LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4207537LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7603997BOY
EOY7723557EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY394239BOY
EOY413449EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY1700EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8710841BOY
EOY9208697EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY831415BOY
EOY987151EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY145859BOY
EOY59600EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2081980BOY
EOY2527356EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3059254BOY
EOY3574107EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5651587BOY
EOY5634590EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5651587BOY
EOY5634590EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8710841BOY
EOY9208697EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-16997ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7824674CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6107284CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6370412CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7420055CurrentTaxYearMinus1Year
Current Tax Year5555091CurrentTaxYear
Total33277516Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7824674CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6107284CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6370412CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7420055CurrentTaxYearMinus1Year
Current Tax Year5555091CurrentTaxYear
Total33277516Total
FieldValueIRS element (for citing)
Public Support Total17033277516PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12201CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13354CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9847CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14261CurrentTaxYearMinus1Year
Current Tax Year16729CurrentTaxYear
Total66392Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years265959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26542CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113026CurrentTaxYearMinus1Year
Current Tax Year30969CurrentTaxYear
Total561556Total
FieldValueIRS element (for citing)
Total Support33905464TotalSupport
Gross Receipts From Admissions Etc28369696GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98150PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97900PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis474693OtherCostOrOtherBasis
Book Value474693BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5751772OtherCostOrOtherBasis
Depreciation2244652Depreciation
Book Value3507120BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1826545OtherCostOrOtherBasis
Depreciation74729Depreciation
Book Value1751816BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2136723OtherCostOrOtherBasis
Depreciation1800891Depreciation
Book Value335832BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1741361OtherCostOrOtherBasis
Depreciation87265Depreciation
Book Value1654096BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7723557TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt12649429TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities161992DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990161992RevenueNotRptdF990
Revenue Subtotal12487437RevenueSubtotal
Total Revenue Per Form99012487437TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12666426TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities161992DonatedServicesUseOfFacilities
Expenses Not Rptd F990161992ExpensesNotRptdF990
Expenses Subtotal12504434ExpensesSubtotal
Total Expenses Per Form99012504434TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
DEBORAH TUCKER
CEO17027627634063263177221
DR GEROLD SIBANDA
PHYSICIAN20721218041443263214799
DR ROBERT T LONG
PHYSICIAN18000336003263186866
DR PHILLIP BOBO
PHYSICIAN18000036003263186863
DR GARY WALTON
CHIEF OF STAFF164701232943263171260
DR RIP ALEXANDER
PHYSICIAN16146427632293263168232

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990207148NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990CYNTHIA BURTON (WHATLEY BOARD CHAIR) ALSO SERVES AS EXECUTIVE DIRECTOR OF COMMUNITY SERVICE PROGRAMS OF WEST ALABAMA (CSPWA). THE HEADSTART PROGRAM OPERATES UNDER CSPWA. WHSI CURRENTLY HAS A CONTRACT WITH HEADSTART TO PROVIDE DENTAL SCREENINGS AND MEDICAL SCREENINGS FOR UNINSURED CHILDREN. WHSI PROVIDES CONTRACT EMPLOYEE SERVICES TO MEDNET WEST ON AN AS NEEDED BASIS. THE CEO OF WHSI SERVES ON THE BOARD OF DIRECTORS OF MEDNET WEST.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD OF DIRECTORS REVIEWS THE FORM 990 DURING A REGULAR BOARD MEETING BEFORE IT IS FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CEMPLOYEES ARE ENCOURAGED TO SPEAK WITH THEIR IMMEDIATE SUPERVISOR AND THAT SUPERVISOR INFORMS THE CEO.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AWHSI REVIEWS ALL SALARIES ANNUALLY AND COMPARES THE SALARIES WITH NACHC, MGMA, AND SALARY.COM.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BWHSI REVIEWS ALL SALARIES ANNUALLY AND COMPARES THE SALARIES WITH NACHC, MGMA, AND SALARY.COM.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GLAB SERVICES 359,733 0 0 MEDICAL TRANSCRIPTION 2,793 0 0 HOUSEKEEPING 45,576 5,736 0 SECURITY 2,945 60,475 0 MEDICAL PERSONNEL 1,537,394 0 0 OTHER CONTRACT SERVICES 71,802 37,070 0 340B PROGRAM DISPENSING FEES 31,736 0 0 340B PROGRAM MANAGEMENT FEES 98,886 0 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ALABAMA HEALTHCARE CONSORTIUM LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12731 ML KING JR BLVDAddressLine1
CityTUSCALOOSACity
StateALState
ZIP Code35401ZIPCode
FieldValueIRS element (for citing)
EIN201031600EIN
Primary ActivitiesTECH GRANTPrimaryActivities
Legal Domicile StateALLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WHSIBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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