11/07/2025
The Escambia County Health Care Authority (ECHCA) is a public, nonprofit corporation established under Alabama Act No. 46 (1949) and reincorporated in 1983 to manage healthcare functions in Escambia County, Alabama.34799c It operates as a governmental entity with blended component units, governed by a nine-member Board of Directors appointed by the Escambia County Commission.8ee1ae
alison.legislature.state.al.us
alison.legislature.state.al.us
Board Members and Officers (Current as of Available Website Data)
Keith Horton - Chairman
Sharon Davidson - Vice-Chair
Tony Sanks - Secretary
Al Holley - Treasurer
Jim Johnson
Justin Stabler
Debbie Rowell
Jimmy Brantley61379d
(Note: An earlier FY2023 audit lists a slightly different composition with Deborah Rowell as Chairman, Nancy M. Lowrey as Treasurer, A.G. “Bo” Brantley as a member, Keith Horton as a member, Delois Wilson as a member, and terms expiring between 2025 and 2029. This may reflect changes in board membership since September 2023.)cb21dd
alison.legislature.state.al.us
Operations and Facilities
The ECHCA provides inpatient, outpatient, emergency, and rural health clinic services, including management of third-party payor settlements and receipt of ad valorem tax revenues.0a6988 It operates:
alison.legislature.state.al.us
D.W. McMillan Memorial Hospital: A 49-bed acute care facility in Brewton, Alabama, offering an 8-bed intensive care unit, 24-hour emergency room, general medical, surgical, pediatric services, and a Women & Infants (OB) unit. It has served the community for over 60 years and provides health education programs.7c4b88a2b25d
alison.legislature.state.al.us
Atmore Community Hospital: A 49-bed acute care facility in Atmore, Alabama, with associated urgent care services.c42026
alison.legislature.state.al.us
Additional services: Rural health clinics, D.W. McMillan EMS, and home health equipment.284313
alison.legislature.state.al.us
A related 501(c)(3) entity, Escambia County Alabama Community Hospitals Inc. (doing business as Atmore Community Hospital), reported revenue of $19.4 million, expenses of $23.6 million, total assets of $12.5 million, and liabilities of $9.78 million for FY2024.7adcfa
Financial Overview (FY2023, Ended September 30, 2023)
Based on the most recent publicly available audit (FY2024 audit submitted but not yet accessible online):58754a
Total assets: $65,552,331
Total liabilities: $40,589,907
Net position: $22,095,122
Operating revenues: $52,885,989
Operating expenses: $68,821,576
Operating loss: $(15,935,587)
Net nonoperating revenues: $4,364,139
Decrease in net position: $(11,504,331)
Net cash used by operating activities: $(7,418,307)
Auditors issued an unmodified opinion, confirming fair presentation under GAAP, with no material weaknesses but some significant deficiencies in internal controls (e.g., segregation of duties, reconciliations).21a164
alison.legislature.state.al.us
Additional notes: Received $1,993,000 in CARES Act and ARPA funding; net pension liabilities totaling approximately $5.7 million across plans (funded at 74-80%); non-compliance with certain debt covenants, but waivers obtained.2c0613
alison.legislature.state.al.us
Contact and Legislative Information
Address: 1301 Belleville Avenue, Brewton, AL 36426
Phone: 251-809-8398db2301
Legislative districts (as of 2021 data): U.S. Congressional District #1 (Rep. Jerry L. Carl [R]), Senate District #22 (Sen. Greg Albritton [R]), House District #66 (Rep. Alan Baker [R]).09e0f8
For the latest FY2024 audit or additional official records, contact the authority directly or submit a request under Alabama's Open Records Act.