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  5. Whatley Health Services, Inc.

Whatley Health Services, Inc.

Details

Name: Whatley Health Services, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 11 Mar 1977 (48 years ago)
Entity Number: 000-811-290
Register Number: 000811290
Historical Names: West Tuscaloosa Community Health Center, Inc.
ZIP code: 35401
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 2200 JACK WARNER PKWY STE 200TUSCALOOSA, AL 35401
Registered Office Mailing Address: PO BOX 2727TUSCALOOSA, AL 35403

Activities MEDICAL & HEALTH CARE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
LLKKWKC9GJY7 2025-04-22 2731 ML KING JR BLVD, TUSCALOOSA, AL, 35401, 5235, USA POST OFFICE BOX 2400, TUSCALOOSA, AL, 35403, 2400, USA

Business Information
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2024-04-24
Initial Registration Date 2006-03-09
Entity Start Date 1978-10-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621498
Product and Service Codes Z1DB

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DAVID E GAY
Address 2731 M L KING JR BLVD, TUSCALOOSA, AL, 35401, USA
Title ALTERNATE POC
Name RAJUAN SHERMAN
Address 2731 M L KING JR BLVD, POST OFFICE BOX 2400, TUSCALOOSA, AL, 35401, USA
Government Business
Title PRIMARY POC
Name DAVID E GAY
Address 2731 M L KING JR BLVD, TUSCALOOSA, AL, 35401, USA
Title ALTERNATE POC
Name RAJUAN SHERMAN
Address 2731 M L KING JR BLVD, POST OFFICE BOX 2400, TUSCALOOSA, AL, 35401, USA
Past Performance
Title ALTERNATE POC
Name RAJUAN SHERMAN
Address 2731 M L KING JR BLVD, POST OFFICE BOX 2400, TUSCALOOSA, AL, 35403, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295447787 2022-12-16 2023-01-19 2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL, 354015235, US 432 5TH STREET NW, ALICEVILLE, AL, 35442, US

Contacts
Phone +1 205-758-6647

Authorized person
Name DAVID ELLIS GAY
Role CEO
Phone 2053493250

Taxonomy
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4BZ08 Active Non-Manufacturer 2006-03-10 2024-05-22 2029-05-22 2025-04-22

Contact Information
POC DAVID E. GAY
Phone +1 205-758-6647
Fax +1 205-750-2154
Address 2731 ML KING JR BLVD, TUSCALOOSA, AL, 35401 5235, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SECTION 403(B) RETIREMENT PLAN WHATLEY HEALTH SERVICES, INC. 2023 630727781 2024-08-12 WHATLEY HEALTH SERVICES, INC. 164
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621498
Sponsor’s telephone number 2056146135
Plan sponsor’s address 2731 MARTIN LUTHER KING JR BLV, TUSCALOOSA, AL, 354015235

Signature of
Role Plan administrator
Date 2024-08-12
Name of individual signing DAVID GAY
Role Employer/plan sponsor
Date 2024-08-12
Name of individual signing DAVID GAY

Agent

Name Role Address
TOMPKINS, MATTHEW Q Agent 2200 JACK WARNER PARKWAY, SUITE 200TUSCALOOSA, AL 35401-2003

Incorporator

Name Role
WHATLEY, MAUDE L Incorporator
MCCOY, HENRY Incorporator
CROWELL, REV L C Incorporator

Events

Event Date Event Type Old Value New Value
1994-07-19 Name Change West Tuscaloosa Community Health Center, Inc. Whatley Health Services, Inc.

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
CF92498107 Department of Agriculture 10.766 - COMMUNITY FACILITIES LOANS AND GRANTS 2011-02-24 2011-02-24 DIRECT COMMUNITY FACILITY LOANS
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES, INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address 2731 MARTIN L KING BLVD., P. O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C8ACS21356 Department of Health and Human Services 93.526 - AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS 2010-10-01 2012-09-30 AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 2455784.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H2LCS18151 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2010-06-01 2012-05-31 ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 645875.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
AL-16551 Appalachian Regional Commission 23.002 - APPALACHIAN AREA DEVELOPMENT 2010-02-01 2011-01-31 DENTAL CARE
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES INC
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address 5129 1ST ST E, 0, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35404-6435, UNITED STATES
Obligated Amount 16567.00
Non-Federal Funding 41419.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H2LIT16819 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-09-01 2010-08-31 ARRA - HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES, INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 750000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H97HA15286 Department of Health and Human Services 93.928 - SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE 2009-09-01 2010-08-31 SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES, INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 85445.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS14208 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES, INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 1067880.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12279 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES, INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 487163.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00094 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2001-12-01 2011-11-30 HEALTH CENTER CLUSTER
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES, INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403
Obligated Amount 63936219.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H76HA00595 Department of Health and Human Services 93.918 - GRANTS TO PROVIDE OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE 2000-01-01 2012-03-31 RYAN WHITE PART C OUTPATIENT EIS PROGRAM
Recipient WHATLEY HEALTH SERVICES INC
Recipient Name Raw WHATLEY HEALTH SERVICES, INC.
Recipient UEI LLKKWKC9GJY7
Recipient DUNS 126333111
Recipient Address P.O. BOX 2400, TUSCALOOSA, TUSCALOOSA, ALABAMA, 35403-2400, UNITED STATES
Obligated Amount 4310639.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
63-0727781 Corporation Unconditional Exemption 2731 ML KING JR BLVD, TUSCALOOSA, AL, 35401-5235 1977-11
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 20272793
Income Amount 26796047
Form 990 Revenue Amount 26796047
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name WHATLEY HEALTH SERVICES INC
EIN 63-0727781
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name WHATLEY HEALTH SERVICES INC
EIN 63-0727781
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name WHATLEY HEALTH SERVICES INC
EIN 63-0727781
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name WHATLEY HEALTH SERVICES INC
EIN 63-0727781
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name WHATLEY HEALTH SERVICES INC
EIN 63-0727781
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name WHATLEY HEALTH SERVICES INC
EIN 63-0727781
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name WHATLEY HEALTH SERVICES INC
EIN 63-0727781
Tax Period 201511
Filing Type E
Return Type 990
File View File

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Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State

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