Skip to content
Nonprofiteer
← ALABAMA PROVIDENCE HEALTHCARE SERVICES

Form 990 for tax year 2024

Filed by ALABAMA PROVIDENCE HEALTHCARE SERVICES.

Totals

Total revenue
$259,153
Total expenses
$182,927
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$130,315
Management and general expenses
$52,612
Fundraising expenses
$0
Program service expenses (Part III)
$130,315

Program services were 71.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • COBA SUSAN CORNEJO

    CHIEF OPERATING OFFICER

    Total calculated
    $1,433,557
    From this org
    $0
    From related orgs
    $1,369,888
    Other
    $63,669
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $525,756 related
    Bonus
    $0 + $737,100 related
    Other
    $0 + $107,032 related
    Deferred
    $0 + $22,425 related
    Nontaxable benefits
    $0 + $41,244 related
    Filer's total
    $0 + $1,433,557 related

  • JALIMA TRANK

    CFO, MINISTRY MARKET

    Total calculated
    $1,003,730
    From this org
    $0
    From related orgs
    $974,871
    Other
    $28,859
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,950 related
    Bonus
    $0 + $381,874 related
    Other
    $0 + $76,047 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $11,609 related
    Filer's total
    $0 + $1,003,730 related

  • BRANDON MICHAEL WILLIAMS

    FORMER OFFICER (END 6/2020)

    Total calculated
    $1,020,859
    From this org
    $0
    From related orgs
    $962,523
    Other
    $58,336
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $460,740 related
    Bonus
    $0 + $432,000 related
    Other
    $0 + $69,783 related
    Deferred
    $0 + $18,975 related
    Nontaxable benefits
    $0 + $39,361 related
    Filer's total
    $0 + $1,020,859 related

  • JASON P ALEXANDER FACHE

    FORMER OFFICER (END 6/2020)

    Total calculated
    $1,867,789
    From this org
    $0
    From related orgs
    $1,821,436
    Other
    $46,353
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $667,566 related
    Bonus
    $0 + $1,017,000 related
    Other
    $0 + $136,870 related
    Deferred
    $0 + $20,700 related
    Nontaxable benefits
    $0 + $25,653 related
    Filer's total
    $0 + $1,867,789 related

  • STEPHAN F QUIRICONI

    FORMER OFFICER (END 11/2022)

    Total calculated
    $215,092
    From this org
    $0
    From related orgs
    $215,092
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $215,092 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $215,092 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 2024: STEPHAN F. QUIRICONI: $209,423
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. NO INDIVIDUALS 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
2024
Filed
14 May 2026
IRS schema version
2024v5.1
Source object
202611339349309436

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

The source document this was parsed from is served over the API, which is where bulk and document access live.