2024-08-05T14:09:27-05:00 2023-09-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2022-10-01 630888552 CAHABA VALLEY HEALTH SERVICES INC CAHA 2059264881 437 BELCHER STREET CENTREVILLE AL 35042 JOSEPH MARCHANT PRESIDENT AND CEO 2059264881 2024-08-05 1 1 MEGAN RANDOLPH P00989558 2059794100 2024-08-05 2022 2024-08-08 14:25:15Z JOSEPH MARCHANT 437 BELCHER STREET CENTREVILLE AL 35042 2789574 0 X N/A X 1984 AL CAHABA VALLEY HEALTH SERVICES, INC. IS DEDICATED TO PROVIDING QUALITY HEALTH CARE TO THE POPULATION OF BIBB COUNTY AND SURROUNDING AREAS. 5 4 23 4 0 0 16908 356594 2266818 2180524 41537 4884 123008 133605 2448271 2675607 0 0 0 0 1460538 1493144 0 0 0 967237 916857 2427775 2410001 20496 265606 4175235 4440506 101624 101289 4073611 4339217 X CAHABA VALLEY HEALTH SERVICES, INC. IS DEDICATED TO PROVIDING QUALITY HEALTH CARE TO THE POPULATION OF BIBB COUNTY AND SURROUNDING AREAS. WE WILL CONTINUE TO EXPAND OUR SERVICES AND STRENGTHEN OUR WORKING RELATIONSHIP WITH THE COMMUNITY. WE ARE DEDICATED TO PROVIDING ANCILLARY SERVICES AND ASSIST WHERE POSSIBLE WITH OPERATIONS OF THE BIBB COUNTY HEALTH CARE AUTHORITY. 0 0 1340128 1213823 AMSERV IS OWNED AND OPERATED BY CAHABA VALLEY HEALTH SERVICES, INC. WHICH PROVIDES EMERGENCY MEDICAL TRANSPORTATION FOR PATIENTS IN BIBB COUNTY AND SURROUNDING AREAS. THESE AREAS ARE DESIGNATED AS A MEDICALLY UNDERSERVED RURAL DISTRICT. ADDITIONALLY, AMSERV CONTINUES TO PROVIDE A SIGNIFICANT AMOUNT OF MEDICAL RESCUE SUPPORT TO THE AREA DUE TO THE LACK OF AVAILABILITY OF FIRST RESPONDERS; AS A RESULT CURRENTLY OVER 50% OF THE COUNTY HAS NO FIRST RESPONDER AVAILABLE FOR ASSISTANCE. OTHER CHARITABLE SERVICES PROVIDED TO THE COMMUNITY BY AMSERV INCLUDE OFFERING MEDICAL SUPPLIES TO VARIOUS NOT-FOR-PROFIT ORGANIZATIONS THAT PROVIDE FIRST RESPONDER CARE IN OUR EMERGENCY MEDICAL SERVICE DISTRICT. FURTHERMORE, AMSERV PROVIDES PRECEPTORSHIP FOR STUDENTS AT THE STATE FIRE COLLEGE AND THE LOCAL BIBB COUNTY CAREER ACADEMY. OTHER IN-KIND SERVICES PROVIDED TO THE COMMUNITY INCLUDE STAND BY TIME FOR THE BIBB COUNTY SCHOOL SYSTEM, BIBB COUNTY STATE PRISON, BIBB COUNTY JAIL, AND BIBB COUNTY FORESTRY SERVICES. DURING THE YEAR WE WERE ABLE TO PROVIDE ASSISTANCE TO THE BIBB COUNTY'S SHERRIFF'S OFFICE BY BEING A CONDUIT FOR TRAINING AND SUPPLIES OF A DRUG DETECTION DOG AS WELL AS TRAINING FOR THE K-9 HANDLER DUE TO THE LOSS OF THE K-9 DEPUTY. 1069873 969040 THE ORGANIZATION OWNS AND MANAGES HEALTHCARE FACILITIES IN RURAL ALABAMA AREAS; IN ADDITION, THE ORGANIZATION SUCCESSFULLY MANAGES AN INDEPENDENT RURAL HOSPITAL, SKILLED NURSING FACILITY, RURAL HEALTH CLINIC, AND SENIOR LIVING IN BIBB COUNTY, ALABAMA. MOST RECENTLY, AMSERV EMS LEAD THE COMMUNITIES EMERGENCY MEDICAL SERVICES RESPONSE TO COVID-19. ASSISTING THE COUNTY EMA, THE LOCAL HOSPITAL, AND FIRST RESPONDER UNITS. 2410001 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 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 1 0 0 0 1 9 0 1 23 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X HEATHER DESMOND 2059263281 437 BELCHER ST CENTREVILLE AL 35042 JOSEPH MARCHANT PRESIDENT & CEO 40.00 0.00 X X 299224 0 15942 TERRY SMITH BOARD CHAIRMAN 1.00 0.00 X 0 0 0 KEVIN BOLDING DVM BOARD MEMBER 1.00 0.00 X 0 0 0 GAYLE BEARDEN BOARD MEMBER 1.00 0.00 X 0 0 0 COLLENE PARKER BOARD MEMBER 1.00 0.00 X 0 0 0 HEATHER DESMOND VP/CFO/SECRETARY/TREASURER 40.00 0.00 X 145770 0 12132 CAMILLE GIBSON COO 40.00 0.00 X 129195 0 10317 574189 0 38391 3 0 1 0 0 X 356594 356594 HEALTHCARE/RELATED SVC 900099 1213823 1213823 HOSPITAL MGT FEES AND 900099 822950 822950 FEES AND CONTRACTS FRO 900099 143751 143751 2180524 2141 2141 245233 113967 131266 131266 131266 2743 0 2743 2743 2743 MISCELLANEOUS INCOME 900099 2339 2339 2339 2675607 2182863 0 136150 577229 577229 763382 763382 66161 66161 86372 86372 500 500 31250 31250 2030 2030 840 840 17432 17432 120168 120168 80581 80581 BAD DEBT EXPENSE 393281 393281 SUPPLIES 93267 93267 FUEL 71250 71250 REPAIRS AND MAINTENANCE 55344 55344 50914 50914 2410001 2410001 0 0 2126680 1972224 0 489500 496817 480487 29309 33763 3968988 2504456 1522429 1464532 4175235 4440506 101624 101289 101624 101289 X 4073611 4339217 4073611 4339217 4175235 4440506 265606 0 X X 0 1 X 1 0 X 219497 149600 16908 356594 742599 1810286 1929048 2123022 2266818 2180524 10309698 1810286 2148545 2272622 2283726 2537118 11052297 0 0 0 11052297 159376 217618 233110 225845 247374 1083323 159376 217618 233110 225845 247374 1083323 458776 2138 1025 2339 464278 1969662 2824939 2507870 2510596 2786831 12599898 0.87720 0.87450 0.08600 0.08660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 256041 256041 2156177 1323304 832873 1131448 769048 362400 425322 412104 13218 1464532 X 2396293 0 2396293 279314 279314 2675607 2130687 0 2130687 279314 279314 2410001 PART X, LINE 2: THE COMPANY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE COMPANY HAS ADOPTED GUIDANCE RELATING TO UNCERTAINTY IN INCOME TAXES WHICH REQUIRES ENTITIES TO ASSESS THEIR UNCERTAIN TAX POSITIONS FOR THE LIKELIHOOD THAT THEY WOULD BE OVERTURNED UPON INTERNAL REVENUE SERVICE (IRS) EXAMINATION OR UPON EXAMINATION BY STATE TAXING AUTHORITIES. IN ACCORDANCE WITH THIS GUIDANCE, THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY TAX POSITIONS AT SEPTEMBER 30, 2023 AND 2022, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. THE COMPANY HAS FILED ITS TAX RETURNS FOR ALL YEARS THROUGH SEPTEMBER 30, 2022. THE TAX RETURNS FOR 2020 AND SUBSEQUENT YEARS ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES OFFSET AGAINST REVENUE FOR AFS 279,314. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES OFFSET AGAINST REVENUE FOR AFS 279,314. X 0 0 0 0 0 0 0 0 0 JOSEPH MARCHANT PRESIDENT & CEO 237974 0 61250 0 0 0 5625 0 10317 0 315166 0 0 0 HEATHER DESMOND VP/CFO/SECRETARY/TREASURER 122020 0 23750 0 0 0 3063 0 9069 0 157902 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION DOES NOT TYPICALLY PROVIDE THE 990 TO THE BOARD OF DIRECTORS FOR REVIEW BECAUSE THE BOARD MEETS INFREQUENTLY THROUGHOUT THE YEAR AND ONLY AT THE DISCRETION OF THE CHAIRMAN OF THE BOARD. THE 990 IS REVIEWED BY THE ORGANIZATION'S OFFICERS AS WELL AS ITS CERTIFIED PUBLIC ACCOUNTANT BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY STATES THAT EMPLOYEES HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. IF EMPLOYEES HAVE ANY INFLUENCE ON TRANSACTIONS INVOLVING PURCHASES, CONTRACTS, OR LEASES, IT IS IMPERATIVE THAT THEY DISCLOSE TO THE DIRECTOR AS SOON AS POSSIBLE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES. TRANSACTIONS WITH OUTSIDE FIRMS MUST BE CONDUCTED WITHIN A FRAMEWORK ESTABLISHED AND CONTROLLED BY THE EXECUTIVE LEVEL OF CAHABA VALLEY HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNING BODY DETERMINES THE COMPENSATION PAID TO THE CEO. THE CEO HAS THE ABILITY TO SET THE COMPENSATION OF ALL OTHER TOP MANAGEMENT, OFFICERS OR KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD. FORM 990, PART VIII, LINE 1E: UNDER THE PROVISIONS OF THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT (THE "CARES ACT") AND THE SUBSEQUENT EXTENSION OF THE CARES ACT, THE COMPANY WAS ELIGIBLE FOR A REFUNDABLE EMPLOYEE RETENTION CREDIT SUBJECT TO CERTAIN CRITERIA. THE COMPANY RECOGNIZED A $304,994 EMPLOYEE RETENTION CREDIT IN TOTAL REVENUES, GAINS AND OTHER SUPPORT ON THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEAR ENDED SEPTEMBER 30, 2023. 990, PART XII, LINE 2C THE BOARD OF DIRECTORS HAS A SEPARATE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS FUNCTION HAS NOT CHANGED FROM PRIOR YEARS. BIBB COUNTY HEALTHCARE AUTHORITY 208 PIERSON AVENUE CENTERVILLE AL 35042 636005283 HEALTH CARE AUTHORITY AL 501(C)(3) HOSPITAL N/A 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0