2025-07-24T15:11:12-04:00 2024-09-30 990 2023-10-01 581729901 UNIVERSITY OF SOUTH ALABAMA PROFESSIONAL LIABILITY TRUST FUND UNIV 2514606232 650 CLINIC DR TRP III STE 1400 MOBILE AL 36688 CONSTANCE G COOK DIRECTOR, PART-TIME 2514606232 2025-07-15 true 2025-07-23 2023 2025-03-06 01:10:19Z X CONSTANCE G COOK 650 CLINIC DRIVE TRP III STE 1400 MOBILE AL 36688 33475180 false X X 1985 AL PROVIDE RISK MANAGEMENT SERVICES FOR THE BENEFIT OF SPONSORING TAX-EXEMPT ENTITIES, INCLUDING EDUCATION OF EMPLOYEES THEREOF. 10 0 0 0 0 8772942 11427410 545974 2068961 0 9318916 13496371 0 0 431244 446804 0 0 10366096 8752227 10797340 9199031 -1478424 4297340 49701777 63417460 0 49701777 63417460 PROVIDE RISK MANAGEMENT SERVICES FOR THE BENEFIT OF SPONSORING TAX-EXEMPT ENTITIES, INCLUDING EDUCATION OF EMPLOYEES THEREOF. false false 9199031 11427410 RISK MANAGEMENT SERVICES FOR THE BENEFIT OF SPONSORING TAX-EXEMPT ENTITIES, INCLUDING EDUCATION OF EMPLOYEES IN MEDICAL PROCEDURES TO AVOID LIABILITY AND PROCESSING LIABILITIES ACUTALLY INCURRED. 9199031 true false false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 9 0 true 0 false false false false false false false false false false false false X 10 0 false false false false false true true true true false false false true true true true true false false false X CONSTANCE G COOK 2514606232 650 CLINIC DRIVE TRP III STE 1400 MOBILE AL 36688 OWEN BAILEY DIRECTOR 1.00 39.00 X 0 779816 114127 JOHN MARYMONT DIRECTOR 1.00 39.00 X 0 829234 55281 MARTIN HESLIN DIRECTOR 0.00 0.00 X 0 771814 29873 JO BONNER DIRECTOR 1.00 39.00 X 0 682921 62942 MICHAEL CHANG DIRECTOR 1.00 39.00 X 0 671448 29126 ANDI KENT DIRECTOR 1.00 39.00 X 0 536005 83734 JON SIMMONS DIRECTOR 1.00 39.00 X 0 579782 23842 BENNY STOVER DIRECTOR 0.00 0.00 X 0 474336 29530 JAMES CARTER JR DIRECTOR 0.00 0.00 X 0 316769 55524 WILLIAM GRETE DIRECTOR 1.00 39.00 X 0 331950 31530 KRISTIN DUKES DIRECTOR 1.00 39.00 X 0 297531 53746 KRISTEN ROBERTS DIRECTOR 1.00 39.00 X 0 266904 46149 POLLY STOKLEY DIRECTOR 0.00 0.00 X 0 241970 29887 CONSTANCE G COOK DIRECTOR, PA 1.00 39.00 X X 0 150746 34835 6931226 680126 true true false LAW OFFICE J ALLAN BROWN LLC 2051 DAUPHIN ST MOBILE AL 36606 LEGAL 1000000 CUNNINGHAM BOUNDS LLC 1601 DAUPHIN ST MOBILE AL 36604 LEGAL 1000000 FRAZER GREENE UPCHURCH BAKER LLC PO BOX 1686 MOBILE AL 36633 LEGAL 501325 ARMBRECHT JACKSON LLP PO BOX 290 MOBILE AL 36601 LEGAL 471995 4 INSURANCE PREMIUMS 524292 11427410 11427410 11427410 1600127 1600127 20447643 19978809 468834 468834 468834 13496371 11427410 2068961 321958 321958 124846 124846 987768 987768 216197 216197 1401 1401 7858 7858 3975 3975 2388850 2388850 CLAIMS PAID 5110000 5110000 ADMINISTRATIVE EXPENSE 35000 35000 MEMBERSHIP DUES 1178 1178 9199031 9199031 0 0 2918845 2023474 46560860 61252250 222072 141736 49701777 63417460 0 0 X 49701777 63417460 49701777 63417460 49701777 63417460 X 4297340 9494842 -76499 X false true X false false X X 2 UNIVERSITY OF SOUTH ALABAMA UNIVERSITY OF SOUTH ALABAMA 630477348 7 true 9065836 0 USA HEALTH CARE AUTHORITY USA HEALTH CARE AUTHORITY 821388539 6 true 133195 0 2 9199031 0 true true false false false true false false false false false false false false false true true PART IV, SECTION A, LINE 2 UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY (HCA) IS A PUBLIC CORPORATION FORMED UNDER ALABAMA'S UNIVERSITY AUTHORITY ACT OF 2016. HCA WAS FORMED AND IS CONTROLLED BY UNIVERSITY OF SOUTH ALABAMA (A PUBLIC UNIVERSITY OF THE STATE OF ALABAMA). HCA IS CONSIDERED TO BE AN INSTRUMENTALITY OF THE STATE OF ALABAMA, I.E., A GOVERNEMTAL UNIT, AND IS THEREFORE DESCRIBED IN SECTION 509(A)(1). PART IV, SECTION A, LINE 6 IN ADDITION TO PROVIDING SELF-INSURANCE TO UNIVERSITY OF SOUTH ALABAMA (UNIVERSITY) AND UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY, THE SUPPORTED ORGANIZATIONS, THE ORGANIZATION PROVIDES SELF-INSURANCE TO ONE OTHER ENTITY THAT, ALTHOUGH DORMANT, IS AFFILIATED WITH UNIVERSITY. THAT ENTITY IS UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION (HSF), A 501(C)(3) ORGANIZATION. HSF IS EITHER OPERATED, SUPERVISED, OR CONTROLLED BY OR IN CONNECTION WITH UNIVERSITY. HSF WAS, UNTIL MAY 15, 2017, ONE OF THE SUPPORTED ORGANIZATIONS. IN 2016,THE OPERATIONS OF HSF WERE TRANSFERRED TO UNIVERSITY AND HSF BECAME DORMANT. HOWEVER, HSF WAS NOT DISSOLVED AND STILL REMAINS IN EXISTENCE. WHEN HSF WAS OPERATIONAL, IT SERVED AS THE FACULTY PRACTICE PLAN FOR UNIVERSITY, PROVIDING MEDICAL CARE TO ITS PATIENTS AND MEDICAL EDUCATION FOR MEDICAL STUDENT OF UNIVERSITY. EVEN THOUGH IT IS NOW DORMANT, BECAUSE IT HAS NOT BEEN DISSOLVED, IT IS NECESSARY THAT PROFESSIONAL LIABILITY COVERAGE BE PROVIDED BY THE PROFESSIONAL LIABILITY PROGRAM. PART IV, SECTION B, LINE 2 IN ADDITION TO PROVIDING SELF-INSURANCE TO UNIVERSITY OF SOUTH ALABAMA (UNIVERSITY), THE CONTROLLING SUPPORTED ORGANIZATION AND A PUBLIC EDUCATIONAL INSTITUTION OF THE STATE OF ALABAMA, THE ORGANIZATION PROVIDES SELF-INSURANCE TO UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY (HCA), A SUPPORTED ORGANIZATION THAT IS AFFILIATED WITH UNIVERSITY. HCA IS A PUBLIC CORPORATION FORMED UNDER ALABAMA'S UNIVERSITY AUTHORITY ACT OF 2016. IT WAS FORMED AND IS CONTROLLED BY UNIVERSITY, AND IS CONSIDERED TO BE AN INSTRUMENTALITY OF THE STATE OF ALABAMA, I.E., A GOVERNMENTAL UNIT, AND IT THEREFORE DESCRIBED IN SECTION 509(A)(1). HCA EMPLOYS HEALTH CARE PROFESSIONALS IN A PRIVATE PRACTICE SETTING TO PROVIDE HEALTH CARE TO INDIVIDUALS IN THE LOCAL COMMUNITY AND BEYOND. AS SUCH, HCA IS DIRECTLY INVOLVED IN THE PROVISION OF HEALTH CARE, ONE OF UNIVERSITY'S CHARITABLE PURPOSES. false false false false false false false false false OWEN BAILEY DIRECTOR 777314 2502 98651 15476 893943 JOHN MARYMONT DIRECTOR 826317 2917 40655 14626 884515 MARTIN HESLIN DIRECTOR 771514 300 15250 14623 801687 JO BONNER DIRECTOR 681365 1556 48316 14626 745863 MICHAEL CHANG DIRECTOR 671052 396 14500 14626 700574 ANDI KENT DIRECTOR 534780 1225 68340 15394 619739 JON SIMMONS DIRECTOR 579692 90 16500 7342 603624 BENNY STOVER DIRECTOR 474202 134 14500 15030 503866 JAMES CARTER JR DIRECTOR 315766 1003 40130 15394 372293 WILLIAM GRETE DIRECTOR 331650 300 16500 15030 363480 KRISTIN DUKES DIRECTOR 295969 1562 38270 15476 351277 KRISTEN ROBERTS DIRECTOR 266579 325 31441 14708 313053 POLLY STOKLEY DIRECTOR 241028 942 22190 7697 271857 CONSTANCE G COOK DIRECTOR, PART-TIME 149676 1070 19447 15388 185581 FORM 990, PAGE 6, PART VI, LINE 7A THE PRESIDENT OF UNIVERSITY OF SOUTH ALABAMA, THE MAIN SUPPORTED ORGANIZATION, APPOINTS MEMBERS OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE PRESIDENT OF UNIVERSITY OF SOUTH ALABAMA, THE MAIN SUPPORTED ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B INFORMATION IS PREPARED AND RECONCILED IN THE RISK MANAGEMENT OFFICE OF UNIVERSITY OF SOUTH ALABAMA (UNIVERSITY) AND THEN IS ENTERED AND REVIEWED BY THE TAX ACCOUNTING OFFICE OF THE UNIVERSITY. ADDITIONALLY, THE FORM 990 IS REVIEWED BY THE FINANCE AND ADMIN ASSISTANT VICE PRESIDENT AND THEN THE DIRECTOR OF RISK MANAGEMENT & INSURANCE OF UNIVERSITY. FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY STATES THAT ON AN ANNUAL BASIS, EACH MEMBER IS PROVIDED WITH A COPY OF THE POLICY AND WILL COMPLETE AND SIGN THE STATEMENT OF DISCLOSURE FORM. IN ADDITION, ANY TIME THAT CIRCUMSTANCES CHANGE, GIVING RISE TO AN ACUTAL OR POTENTIAL CONFLICT, THE OFFICIAL IS TO SUBMIT AN AMENDED STATEMENT OF DISCLOSURE FORM. UPON REPORT OF CONFLICT, ENFORCEMENT WOULD BE DICTATED BY THE TERMS OF THE POLICY. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 PENDING CAPITAL GAIN/LOSSES AS OF 9/30/24 3,837 ACCRUED INCOME -80,336 TOTAL -76,499 UNIVERSITY OF SOUTH ALABAMA 307 UNIV BLVD N AD STE 300 MOBILE AL 36688 630477348 EDUCATION AL 501C3 7 NA false USA HEALTH SERVICES FOUNDATION 307 UNIV BLVD N AD STE 300 MOBILE AL 36688 630725648 MEDICAL AL 501C3 3 U OF S AL true USA RESEARCH AND TECHNOLOGY CORP 307 UNIV BLVD N AD STE 300 MOBILE AL 36688 020617779 REAL ESTAT AL 501C3 12A U OF S AL true USA GENERAL LIABILITY TRUST FD 650 CLINIC DR TRP III STE 1400 MOBILE AL 36688 630970071 INSURANCE AL 501C3 12A U OF S AL true JAGUAR ATHLETIC FUND 300 JOSEPH E GOTTFRIED DR 4TH FL MOBILE AL 36688 631035650 BOOSTERCLB AL 501C3 7 U OF S AL true USA FOUNDATION FOR RSCH AND COMM 307 UNIV BLVD N AD STE 300 MOBILE AL 36688 465357903 RESEARCH AL 501C3 12A U OF S AL true GULF COAST TOTALCARE 2451 FILLINGIM STREET STE MASTIN 617 MOBILE AL 36617 471450279 MEDICAL AL 501C3 10 U OF S AL true UNIV OF SOUTH AL HEALTH CARE AUTHOR 307 UNIV BLVD N AD STE 300 MOBILE AL 36688 821388539 MEDICAL AL 6 U OF S AL true USA PRESIDENTIAL 1963 FUND 307 UNIV BLVD N AD STE 300 MOBILE AL 36688 881503227 FUNDRAISE AL U OF S AL true NOVALTECH LLC 307 UNIV BLVD N STE AD 280 MOBILE AL 36688 364701990 TECH TRANS AL N/A false false false false false false false false false false false false true true true true true false false false