2026-05-13T12:39:03-05:00 2025-06-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2024-07-01 630308739 NOLAND HEALTH SERVICES INC NOLA 2057838440 600 CORPORATE PARKWAY 100 BIRMINGHAM AL 35242 NICHOLAS V RENDA EVP & CFO 2057838466 2026-03-31 1 1 MEGAN RANDOLPH P00989558 2059794100 2026-03-31 2024 2025-03-06 01:10:19Z CAROL KNIGHT 600 CORPORATE PARKWAY 100 BIRMINGHAM AL 35242 252992277 0 X WWW.NOLANDHEALTH.COM X 1951 DE NOLAND HEALTH SERVCIES, INC. (NHS) IS DEDICATED TO IDENTIFYING AND MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. 8 7 2771 40 119841 787 2873000 2002144 131795008 162085154 11956345 14119465 1908256 2304125 148532609 180510888 0 0 0 0 77801341 92255095 0 0 0 62681550 71868443 140482891 164123538 8049718 16387350 573021588 606143060 138216217 127159045 434805371 478984015 NOLAND HEALTH SERVCIES, INC. (NHS) IS DEDICATED TO IDENTIFYING AND MEETING THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. 0 0 123623696 131488056 NHS OPERATES ELEVEN RETIREMENT COMMUNITIES IN ALABAMA, WHICH INCLUDES 1,272 SKILLED NURSING (SNF) BEDS, 198 ASSISTED LIVING (ALF) UNITS, 93 SPECIALTY CARE ASSISTED LIVING (SCALF) UNITS AND 192 INDEPENDENT LLIVING (IL) APARTMENTS. THROUGH THESE COMMUNITIES, NHS PROVIDED 383,980, 36,865, 15,253 AND 53,786, REESIDENT DAYS OF SNF, ALF, SCALF, AND IL SERVICES. 28154817 30477827 NHS OPERATES FOUR LONG-TERM ACUTE CARE HOSPITALS THROUGHOUT ALABAMA TOTALING 142 BEDS WHICH ADMITTED 828 PATIENTS AND PROVIDED 21,238 DAYS OF PATIENT CARE. 3396145 1361147 NOLAND OPERATES A LONG-TERM CARE PHARMACY LOCATED AT EASTERN SHORE IN DAPHNE, ALABAMA THROUGH ONE OF ITS' DISREGARDED ENTITIES, NOLAND PHARMACY, LLC. THE PHARMACY SELLS PHARMACEUTICALS AND PHAMRACEUTICAL SUPPLIES TO PATIENTS OF NOLAND HEALTH SERVICES, INC. 155174658 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 156 0 1 2771 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL X NICHOLAS V RENDA 2057838460 600 CORPORATE PARKWAY SUITE 100 BIRMINGHAM AL 35242 CAROL KNIGHT PRESIDENT & CEO (EMERITUS) 40.00 0.00 X X 630021 0 214104 RIPON BRITTON JR CHAIRMAN OF THE BOARD 20.00 0.00 X X 2700 0 0 ROBERT GARY GOFF SR VICE-CHAIRIMAN OF THE BOARD 20.00 0.00 X X 2700 0 0 GEORGE H SMITH DIRECTOR 2.00 0.00 X 1500 0 0 DEBRA NELSON DIRECTOR 2.00 0.00 X 1500 0 0 MICHELLE B ADAMSON DIRECTOR 2.00 0.00 X 1500 0 0 JABO WAGGONER DIRECTOR 2.00 0.00 X 1500 0 0 LARRY S DILLARD DIRECTOR 2.00 0.00 X 300 0 0 BARBARA E ESTEP PRESIDENT & CEO 40.00 0.00 X X 464184 0 355024 NICHOLAS V RENDA EVP/CFO 40.00 0.00 X 418921 0 23779 JOHN HEFFNER VP HOSPITAL DIVISION 40.00 0.00 X 370450 0 86933 KELLEY JOHNSON VP SENIOR LIVING DIVISION 40.00 0.00 X 343521 0 18071 RANDOLPH P PICKELL SL EXECUTIVE DIRECTOR 40.00 0.00 X 196567 0 19662 DON J BASS II SL EXECUTIVE DIRECTOR 40.00 0.00 X 190067 0 18510 TRINA WOODS HOSPITAL ADMINISTRATOR 40.00 0.00 X 188606 0 56770 JACK GIBSON HOSPITAL ADMINISTRATOR 40.00 0.00 X 186964 0 111752 KAREN KENWRIGHT AVP FINANCE (ACCOUNTING) 40.00 0.00 X 184297 0 10683 JENNIFER SHUNNARAH SL EXECUTIVE DIRECTOR 40.00 0.00 X 182725 0 55489 DENNIS STEWART HOSPITAL ADMINISTRATOR 40.00 0.00 X 181866 0 24011 MATTHEW HALL AVP FINANCE (REVENUE) 40.00 0.00 X 173775 0 85056 SHANNON RENAE FAIRCLOTH SL EXECUTIVE DIRECTOR 40.00 0.00 X 158499 0 43378 SHARON SANDERS SL EXECUTIVE DIRECTOR 40.00 0.00 X 156529 0 14635 STEPHANIE HOWARD SL EXECUTIVE DIRECTOR 40.00 0.00 X 152486 0 14591 CYLENA KROMER REGISTERED NURSE SUPERVISOR 40.00 0.00 X 205509 0 7205 KATHY SMOTHERS AVP SENIOR LIVING 40.00 0.00 X 212114 0 30264 MARK DORAN DIR OF PHARMACY 40.00 0.00 X 184860 0 91855 MARTA BARDONNER CHIEF CLINICAL OFFICER 40.00 0.00 X 182523 0 9967 JOSEPH P SESTILI CHIEF INFORMATION OFFICER 40.00 0.00 X 203861 0 84221 5180045 0 1375960 92 0 1 0 MORRISON MANAGEMENT SERVICES 400 NORTHRIDGE ROAD SUITE 600 ATLANTA GA 30350 ENVIRONMENTAL SERVICES 5506972 CHAMPION PARTNERS IN REHAB XVII LLC P O BOX 1160 GADSDEN AL 35902 CONTRACT THERAPY 4923950 COMMUNITY LIVING HOLDINGS 651 GRANT STREET BESSEMER AL 35020 ENVIRONMENTAL SERVICES 1922062 FELDER SERVICES LLC 3400 N BELTLINE PARK DR MOBILE AL 36617 ENVIRONMENTAL SERVICES 1411664 REGIONAL MEDICAL CENTER 400 E 10TH STREET ANNISTON AL 36207 ANCILLARY SERVICES 1329537 20 2002144 2002144 PATIENT SERVICE REVENUE 623000 151916837 151916837 RESIDENT FEES 623000 9581313 9581313 MEDICAID 623000 347864 347864 COMMUNITY FEES 531390 119841 119841 RESIDENT APPLICATION FEES 623000 79100 79100 40199 40199 162085154 8418074 8418074 942408 0 942408 942408 942408 69884285 64138044 44850 5746241 -44850 5701391 5701391 9659642 8298495 1361147 1361147 VENDING REVENUE 900099 570 570 570 180510888 163327030 119841 15061873 5344825 5146807 198018 71667947 69012750 2655197 459303 924483 -465180 8991490 7135964 1855526 5791530 5318949 472581 503512 476737 26775 255731 17072 238659 137055 14767 122288 900217 900217 2075556 1667475 408081 105666 52645 53021 9470517 9022411 448106 1814778 632314 1182464 7122004 6779176 342828 412787 130269 282518 58224 350 57874 2788684 2613271 175413 8634629 8061394 573235 3672371 3356796 315575 CLINICAL AND PATIENT RE 26431783 26377245 54538 TAXES AND LICENSES 6053528 5991710 61818 REPAIRS AND MAINTENANCE 1164718 1058166 106552 DUES AND SUBSCRIPTIONS 201476 198201 3275 65207 285489 -220282 164123538 155174658 8948880 0 13300424 18610799 9715327 13435657 380017 418332 1123304 1243034 191185000 99497012 97077241 91687988 236400718 263769100 185014453 193018875 2601914 2569781 27408190 21389494 573021588 606143060 12552629 13250810 1987645 0 102384214 97637917 10393783 5886978 10897946 10383340 138216217 127159045 X 434699144 478877788 106227 106227 434805371 478984015 573021588 606143060 X 16387350 28814399 -1023105 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10485236 10485236 120152714 56785203 63367511 2203814 2029726 174088 50368623 35669016 14699607 7974613 5013067 2961546 91687988 REAL ESTATE 13926512 F PRIVITE EQUITY 101702070 F HEDGE FUNDS 53934185 F REAL ESTATE PORTFOLIO 23456108 F 193018875 DEFERRED COMP/SERP LIABILITIES 1465922 EST THRIRD PARTY PAYOR SETTLEMENTS 8917418 10383340 X 216723565 28814399 8298495 37112894 179610671 900217 900217 180510888 171521816 8298495 8298495 163223321 900217 900217 164123538 PART X, LINE 2: NOLAND ADHERES TO THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION (ASC) GUIDANCE RELATING TO UNCERTAINTY IN INCOME TAXES. THIS GUIDANCE 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, NOLAND HAS DETERMINED THAT IT DOES NOT HAVE ANY POSITIONS AT JUNE 30, 2025 AND 2024, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. THE TAX RETURNS FOR YEARS ENDED JUNE 30, 2022, AND THEREAFTER, ARE SUBJECT TO AUDIT BY THE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD 8,298,495. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 900,217. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD 8,298,495. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 900,217. 1 1 X 1 X 0 1 0 0 1304150 1304150 0.00950 68356498 65433557 2922941 0.02130 69660648 65433557 4227091 0.03080 69660648 65433557 4227091 0.03080 1 804328 1538543 26380654 24460462 1920192 X 1 1 4 2 NOLAND HOSPITAL BIRMINGHAM II LLC - DOWNTOWN 810 ST VINCENTS DRIVE - 6TH FLOOR BIRMINGHAM AL 35205 X LTACH A 3 NOLAND HOSPITAL DOTHAN II LLC 1108 ROSS CLARK CIRCLE 4TH FLOOR DOTHAN AL 36301 X LTACH A 4 NOLAND HOSPITAL TUSCALOOSA II LLC 809 UNIVERSITY BOULEVARD EAST 4TH FLOOR TUSCALOOSA AL 35401 X LTACH A 5 NOLAND HOSPITAL ANNISTON II LLC 400 EAST TENTH STREET 4TH FLOOR ANNISTON AL 36202 X LTACH A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 0 1 X WWW.NOLANDHEALTH.COM X 1 22 1 WWW.NOLANDHEALTH.COM 0 1 X 150.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.NOLANDHEALTH.COM/ABOUT/FINANCIAL-ASSISTANCE-PLAN/ X HTTPS://WWW.NOLANDHEALTH.COM/ABOUT/FINANCIAL-ASSISTANCE-PLAN/ X HTTPS://WWW.NOLANDHEALTH.COM/ABOUT/FINANCIAL-ASSISTANCE-PLAN/ X X X X 1 0 X 0 X X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 3: NOLAND HOSPITAL DOTHAN II, LLC, - FACILITY 4: NOLAND HOSPITAL TUSCALOOSA II, LLC, - FACILITY 5: NOLAND HOSPITAL ANNISTON II, LLC, - FACILITY 2: NOLAND HOSPITAL BIRMINGHAM II, LLC - DOWNTOWN GROUP A-FACILITY 3 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES. GROUP A-FACILITY 3 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE. GROUP A-FACILITY 3 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS. GROUP A-FACILITY 3 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FOUR LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY. GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES. GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE. GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS. GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FOUR LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY. GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES. GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE. GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS. GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FOUR LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY. GROUP A-FACILITY 2 -- NOLAND HOSPITAL BIRMINGHAM II, LLC - DOW PART V, SECTION B, LINE 5: THE CHNA TOOK INTO ACCOUNT INPUT FROM EXPERTS IN THE FIELD OF PUBLIC HEALTH, LONG TERM CARE, HOSPITAL ADMINISTRATION, MEDICINE, AND CASE MANAGEMENT. GROUP A-FACILITY 2 -- NOLAND HOSPITAL BIRMINGHAM II, LLC - DOW PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED THE FOLLOWING HOSPITAL FACILITIES ALL OF WHICH ARE REPORTED UNDER NOLAND HEALTH SERVICES, INC:NOLAND HOSPITAL ANNISTON II, LLCNOLAND HOSPITAL BIRMINGHAM II, LLC - EASTNOLAND HOSPITAL BIRMINGHAM II, LLC - DOWNTOWNNOLAND HOSPITAL DOTHAN II, LLCNOLAND HOSPITAL MONTGOMERY II, LLCNOLAND HOSPITAL TUSCALOOSA II, LLC GROUP A-FACILITY 2 -- NOLAND HOSPITAL BIRMINGHAM II, LLC - DOW PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES. GROUP A-FACILITY 2 -- NOLAND HOSPITAL BIRMINGHAM II, LLC - DOW PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE. GROUP A-FACILITY 2 -- NOLAND HOSPITAL BIRMINGHAM II, LLC - DOW PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS. GROUP A-FACILITY 2 -- NOLAND HOSPITAL BIRMINGHAM II, LLC - DOW PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FOUR LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY. 11 1 - OAKS ON PARKWOOD LLC 2651 LAUREL OAK DRIVE BESSEMER AL 35022 RETIREMENT COMMUNITY 2 - VILLAGE AT COOK SPRINGS LLC 415 COOK SPRINGS ROAD COOK SPRINGS AL 35052 RETIREMENT COMMUNITY 3 - GREENBRIAR AT THE ALTAMONT LLC 2831 HIGHLAND AVENUE BIRMINGHAM AL 35205 RETIREMENT COMMUNITY 4 - SYLACAUGA HEALTH AND REHAB SERVICES LLC 1007 WEST FORT WILLIAMS STREET SYLACAUGA AL 35150 RETIREMENT COMMUNITY 5 - NOLAND EXTENDICARE 950 SOUTH ST ANDREWS STREET DOTHAN AL 36302 SKILLED NURSING FACILITY 6 - NOLAND FAIRHOPE LLC 108 SOUTH CHURCH STREET FAIRHOPE AL 36532 SKILLED NURSING FACILITY 7 - NOLAND MANAGEMENT SERVICES LLC 735 SOUTH WASHINGTON AVENUE MOBILE AL 36603 SKILLED NURSING FACILITY 8 - NOLAND EASTERN SHORE LLC 101 VILLA DRIVE DAPHNE AL 36526 SKILLED NURSING FACILITY 9 - EAST GLEN LLC 53 MEDICAL PARK EAST BIRMINGHAM AL 35235 SKILLED NURSING FACILITY 10 - ANNISTON HEALTH AND REHAB SERVICES LLC 600 EAST 8TH STREET ANNISTON AL 36207 SKILLED NURSING FACILITY 11 - KEMP MEADOWS ASSISTED LIVING 652 TAHOE ROAD WINFIELD AL 35594 RETIREMENT COMMUNITY PART I, LINE 3C: REGARDLESS OF INCOME OR ASSETS, THE DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE. PART I, LINE 7: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,538,543.00 PART III, LINE 4: ADEQUATE ALLOWANCES ARE PROVIDED FOR DOUBTFUL ACCOUNTS. CREDIT LOSSES HAVE HISTORICALLY BEEN WITHIN MANAGEMENT'S EXPECTATIONS. ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND REVIEW OF LARGE BALANCE SELF-PAY ACCOUNTS. DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORT IS EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED. LINE 4 - COSTS OF BAD DEBTS WERE CALCULATED USING COST TO CHARGE RATIOS. LINE 4 IS THE COST OF BAD DEBTS FOR PATIENTS WHO WERE ELIGIBLE FOR MEDICAID. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINE 6 IS THE COST TO CHARGE RATIO. PART III, LINE 9B: ONCE INDIGENCE IS DETERMINED, A DEBT MAY BE DETERMINED UNCOLLECTIBLE AND WRITTEN OFF. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVICES BY EVALUATING DISEASE AND HEALTH DATA OF PATIENTS THAT ARE SERVED IN EACH HEALTH CARE FACILITY. IN ADDITION, THE ORGANIZATION CONSIDERS INFORMATION PROVIDED BY LOCAL HEALTH OFFICIALS, THE CENTER FOR DISEASE CONTROL, AND OTHER NATIONAL AND STATE HEALTH CARE GROUPS. PART VI, LINE 3: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, INFORMATION ON BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS. PART VI, LINE 4: NOLAND HEALTH SERVICES OPERATES FOUR LONG-TERM CARE HOSPITALS (LTACHS), SIX SKILLED NURSING COMMUNITIES, AND FIVE RETIRMENT COMMUNITIES LOCATED IN VARIOUS AREAS THROUGHOUT THE STATE OF ALABAMA. NOLAND HAS A LONG AND RICH HISTORY OF PROVIDING HEALTH CARE SERVICES TO THE CITIZENS OF ALABAMA AND SURROUNDING STATES. ALSO, NOLAND HAS BEEN A PIONEER IN THE DEVELOPMENT OF PROGRAMS AND SERVICES FOR THE ELDERLY AND CHRONICALLY ILL. PART VI, LINE 6: NOLAND HEALTH SERVICES IS THE DOMINANT OPERATOR OF FOUR LONG-TERM ACUTE CARE HOSPITALS (LTACH), SKILLED NURSING COMMUNITIES, AND RETIREMENT COMMUNITIES IN THE STATE OF ALABAMA, OPERATING 4 OF THE 7 LTACHS IN THE STATE. THE VAST MAJORITY OF LTACH SERVICES PROVIDED ARE FOR THE ELDERLY. NOLAND OPERATES EACH HOSPITAL WITH AN OPEN MEDICAL STAFF AND HAS A BOARD COMPRISED PRIMARILY OF COMMUNITY MEMBERS. NOLAND'S SKILLED NURSING AND RETIREMENT COMMUNITIES OPERATE IN VARIOUS COMMUNITIES IN ALABAMA WITH THE PURPOSE OF IMPROVING THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE ELDERLY AND UNDERSERVED. NOLAND'S FACILITIES SERVE AS THE CLINICAL SITE FOR NUMEROUS EDUCATIONAL INSTITUTIONS TO IMPROVE THE QUALITY AND QUANTITY OF HEALTH MANPOWER IN ALABAMA. X 1 1 X X X X X 0 0 0 0 0 0 0 0 0 CAROL KNIGHT PRESIDENT & CEO (EMERITUS) 460550 0 166937 0 2534 0 204089 0 10068 0 844178 0 0 0 BARBARA E ESTEP PRESIDENT & CEO 365382 0 95810 0 2992 0 336994 0 18083 0 819261 0 0 0 JOHN HEFFNER VP HOSPITAL DIVISION 326929 0 40943 0 2578 0 77827 0 9159 0 457436 0 0 0 NICHOLAS V RENDA EVP/CFO 280148 0 138773 0 0 0 6284 0 17576 0 442781 0 0 0 KELLEY JOHNSON VP SENIOR LIVING DIVISION 270677 0 72692 0 152 0 641 0 17511 0 361673 0 0 0 JACK GIBSON HOSPITAL ADMINISTRATOR 168004 0 18960 0 0 0 103727 0 8093 0 298784 0 0 0 JOSEPH P SESTILI CHIEF INFORMATION OFFICER 173062 0 30799 0 0 0 71564 0 12738 0 288163 0 0 0 MARK DORAN DIR OF PHARMACY 184860 0 0 0 0 0 72080 0 19856 0 276796 0 0 0 MATTHEW HALL AVP FINANCE (REVENUE) 141834 0 31941 0 0 0 72612 0 12525 0 258912 0 0 0 TRINA WOODS HOSPITAL ADMINISTRATOR 169646 0 18960 0 0 0 44137 0 12714 0 245457 0 0 0 KATHY SMOTHERS AVP SENIOR LIVING 170259 0 41855 0 0 0 22224 0 8093 0 242431 0 0 0 JENNIFER SHUNNARAH SL EXECUTIVE DIRECTOR 152022 0 30703 0 0 0 42975 0 12595 0 238295 0 0 0 RANDOLPH P PICKELL SL EXECUTIVE DIRECTOR 165194 0 31373 0 0 0 2949 0 16794 0 216310 0 0 0 CYLENA KROMER REGISTERED NURSE SUPERVISOR 205509 0 0 0 0 0 2473 0 4813 0 212795 0 0 0 DON J BASS II SL EXECUTIVE DIRECTOR 148237 0 41830 0 0 0 2205 0 16386 0 208658 0 0 0 DENNIS STEWART HOSPITAL ADMINISTRATOR 162906 0 18960 0 0 0 7313 0 16779 0 205958 0 0 0 SHANNON RENAE FAIRCLOTH SL EXECUTIVE DIRECTOR 132183 0 26316 0 0 0 42524 0 935 0 201958 0 0 0 KAREN KENWRIGHT AVP FINANCE (ACCOUNTING) 152356 0 31941 0 0 0 2764 0 8000 0 195061 0 0 0 MARTA BARDONNER CHIEF CLINICAL OFFICER 165781 0 16742 0 0 0 1957 0 8091 0 192571 0 0 0 SHARON SANDERS SL EXECUTIVE DIRECTOR 118659 0 37870 0 0 0 2348 0 12368 0 171245 0 0 0 STEPHANIE HOWARD SL EXECUTIVE DIRECTOR 121260 0 31226 0 0 0 2287 0 12385 0 167158 0 0 0 PART I, LINE 1B THE ORGANIZATION PROVIDES PAYMENTS FOR SOCIAL CLUB DUES FOR EXECUTIVES. THE PURPOSE OF THESE PAYMENTS ARE TO BE FOR BUSINESS PURPOSES, ANY PERSONAL USE PORTION IS INCLUDED IN THE RECIPIENTS TAXABLE INCOME. A THE SPECIAL CARE FACILITIES FINANCING AUTHORITY OF THE CITY OF PELL CITY 636001342 705888BS3 2021-09-30 93900000 TO REFUND AND RETIRE PRIOR 0 0 0 A 83210000 93900000 1463629 1 0 1 0 A 0 1 1 1 0 0.00600 0.00000 0.00600 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 CP HOMES PERFORMS THE MANAGEMENT DUTIES ON BEHALF OF KEMP MEADOWS ASSISTED LIVING, A WHOLLY OWNED SUBSIDIARY OF NOLAND HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED BOARD MEETING OPEN FOR ANY DISCUSSION BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED ANNUALLY TO COMPLETE CONFLICT OF INTEREST STATEMENTS. ALL POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE CORPORATE COMPLIANCE DEPARTMENT. THERE ARE NO CONFLICTS OF INTEREST FOR THE PERIOD COVERED BY THIS FORM 990. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED ANNUALLY BY AN INDEPENDENT COMPENSATION CONSULTANT AND APPROVED BY THE COMPENSATION COMMITTEE. 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 XI, LINE 9: CHANGE IN PREPAID PENSION COSTS -1,023,105. 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