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Nonprofiteer
← ALABAMA PROVIDENCE HEALTHCARE SERVICES

Form 990 for tax year 2022

Filed by ALABAMA PROVIDENCE HEALTHCARE SERVICES.

Totals

Total revenue
$46,106,972
Total expenses
$63,646,325
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$53,830,903
Management and general expenses
$9,815,422
Fundraising expenses
$0
Program service expenses (Part III)
$53,830,903

Program services were 84.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • APRIL R MURRAY

    SECRETARY/TREASURER

    Total calculated
    $163,325
    From this org
    $0
    From related orgs
    $129,095
    Other
    $34,230
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $116,299 related
    Bonus
    $0 + $12,434 related
    Other
    $0 + $362 related
    Deferred
    $0 + $9,003 related
    Nontaxable benefits
    $0 + $25,227 related
    Filer's total
    $0 + $163,325 related

  • THOMAS JAMES BUSH III

    VICE CHAIR

    Total calculated
    $205,107
    From this org
    $0
    From related orgs
    $181,807
    Other
    $23,300
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $164,860 related
    Bonus
    $0 + $16,600 related
    Other
    $0 + $347 related
    Deferred
    $0 + $9,935 related
    Nontaxable benefits
    $0 + $13,365 related
    Filer's total
    $0 + $205,107 related

  • TODD STEVEN KENNEDY

    CHAIR/PRESIDENT, PROVIDENCE HOSPITAL

    Total calculated
    $650,627
    From this org
    $0
    From related orgs
    $598,804
    Other
    $51,823
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $361,558 related
    Bonus
    $0 + $186,622 related
    Other
    $0 + $50,624 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $31,998 related
    Filer's total
    $0 + $650,627 related

  • JUSTIN H LABRATO MD

    DIRECTOR

    Total calculated
    $439,390
    From this org
    $0
    From related orgs
    $398,652
    Other
    $40,738
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $289,235 related
    Bonus
    $0 + $88,740 related
    Other
    $0 + $20,677 related
    Deferred
    $0 + $10,675 related
    Nontaxable benefits
    $0 + $30,063 related
    Filer's total
    $0 + $439,390 related

  • JALIMA TRANK

    CFO, MINISTRY MARKET (START 3/2023)

    Total calculated
    $0
    Hours/week
    0 + 50 related

  • STEPHAN F QUIRICONI

    CFO, MINISTRY MARKET (END 11/2022)

    Total calculated
    $774,349
    From this org
    $0
    From related orgs
    $741,819
    Other
    $32,530
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $430,877 related
    Bonus
    $0 + $226,218 related
    Other
    $0 + $84,724 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $23,380 related
    Filer's total
    $0 + $774,349 related

  • DANUEL LAAN MD

    PHYSICIAN

    Total calculated
    $613,570
    From this org
    $568,567
    From related orgs
    $0
    Other
    $45,003
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $567,541
    Bonus
    $0
    Other
    $1,026
    Deferred
    $15,250
    Nontaxable benefits
    $29,753
    Filer's total
    $613,570

  • ERIC C JOHNSON MD

    PHYSICIAN

    Total calculated
    $644,820
    From this org
    $570,606
    From related orgs
    $0
    Other
    $74,214
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $380,824
    Bonus
    $128,256
    Other
    $61,526
    Deferred
    $19,825
    Nontaxable benefits
    $54,389
    Filer's total
    $644,820

  • LATASHA DAWN HENRY MD

    PHYSICIAN

    Total calculated
    $763,770
    From this org
    $715,126
    From related orgs
    $0
    Other
    $48,644
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $702,100
    Bonus
    $12,000
    Other
    $1,026
    Deferred
    $16,775
    Nontaxable benefits
    $31,869
    Filer's total
    $763,770

  • ROSS B DEL FIERRO MD

    PHYSICIAN

    Total calculated
    $715,296
    From this org
    $656,272
    From related orgs
    $0
    Other
    $59,024
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $626,370
    Bonus
    $25,000
    Other
    $4,902
    Deferred
    $19,825
    Nontaxable benefits
    $39,199
    Filer's total
    $715,296

  • WILLIAM LOUIS CASE MD

    PHYSICIAN

    Total calculated
    $518,260
    From this org
    $478,947
    From related orgs
    $0
    Other
    $39,313
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $459,636
    Bonus
    $0
    Other
    $19,311
    Deferred
    $18,300
    Nontaxable benefits
    $21,013
    Filer's total
    $518,260

  • BRANDON MICHAEL WILLIAMS

    FORMER OFFICER (END 6/2020)

    Total calculated
    $694,183
    From this org
    $0
    From related orgs
    $646,348
    Other
    $47,835
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,223 related
    Bonus
    $0 + $200,750 related
    Other
    $0 + $45,375 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $31,060 related
    Filer's total
    $0 + $694,183 related

  • JASON P ALEXANDER FACHE

    FORMER OFFICER (END 6/2020)

    Total calculated
    $1,509,320
    From this org
    $0
    From related orgs
    $1,455,771
    Other
    $53,549
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $665,328 related
    Bonus
    $0 + $678,000 related
    Other
    $0 + $112,443 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $35,249 related
    Filer's total
    $0 + $1,509,320 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4a Severance or change-of-control payment
The following individual(s) received severance payments from the organization or a related organization DURING CALENDAR YEAR 2022: STEPHAN F. QUIRICONI: $15,577
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUAL RECEIVED CURRENT YEAR DISTRIBUTIONS:

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
11 May 2024
IRS schema version
2022v5.0
Source object
202441319349304869

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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