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Health Services Inc. - History

Exterior of Riverregion Location.

Dedicated to providing quality health care to the area’s medically underserved population, Health Services, Incorporated (HSI) began in April of 1968, as a free health clinic in the basement of Montgomery City Hall. It moved next to a frame structure on West Jeff Davis Avenue.

In the early 1970’s it moved to 1000 Adams Avenue. In 1973 the clinic took the name of Lister Hill Health Center in honor of the late Sen. Lister Hill, who had been instrumental in securing federal Hill-Burton Act legislation to construct medical facilities such as those in the HSI family.

Another HSI center opened in 1981 in Ramer to serve the county’s rural communities; and the next expansion came in 1994, when the Montgomery Primary Health Care Center became a part of the HSI family. In the fall of 1995, a school-based center was opened in the Chisholm Elementary School, and later moved into its own building adjacent to the Chisholm School.

In January of 1998, HSI went inter county with the opening of a center in Lowndes County, located on US Highway 80 in Tyler.

In late 1999, HSI consolidated its OB/GYN services into one clinic located in the Montgomery Primary Health Care Center, known as “HSI’s Women’s Pavilion, Providing OB/GYN Services for All Women.”

Each month the Women’s Pavilion sees an average of 450 obstetrical patients, and another 375 women seeking gynecological services. The Pavilion’s two physicians attend to patients from their first visit through delivery at Jackson Hospital.

In mid-2001, an additional center in Lowndes County, and centers in Autaugaville, Eclectic, Rockford and Clanton were opened, bringing the total number of centers to ten.

Health Services, Inc. once again received accreditation certification for ambulatory care from the Joint Commission in November 2011.


In 2012, Lister Hill Health Center was torn down and River Region Health Center was constructed on the campus of Jackson Hospital. This was made possible with a federal grant in conjunction with the City of Montgomery, Montgomery County and Jackson Hospital. HSI also opened two wellness center located in Montgomery and Hayneville.

In mid-2017, Gateway Family Health was opened in newly renovated One Center in Montgomery offering Adult Medicine, Pediatrics, and Woman, Infants, and Children (WIC) Services.

In November of 2018, a grand re-opening was held at Ramer Family Health after complete renovation of the health center.

In mid-2019, the Capital Family Health Center was relocated to the Montgomery East Family Health Center. This move allowed HSI to offer adult medicine and pediatric services through this location.

School Based Health Centers began operation in August of 2019. Through the partnership with Montgomery Public Schools, HSI is able to operate four school based health centers in Bellingrath Middle, Chisholm Elementary, Davis Elementary and Highland Gardens Elementary Schools.

Health Services received a New Access Point grant from Health Resources & Services Administration (HRSA) to open a new location in Montevallo, Alabama. The Montevallo Family Health Center began operation in December of 2019 and provided services to areas of Shelby county that had limited access to care.

The centers operate on a sliding fee schedule designed to insure the availability of quality health care to all in need of medical attention. In addition, HSI accepts Medicare, Medicaid, Blue Cross and Blue Shield insurance, plus a variety of other medical insurance policies. The minimum fee for medical services allows the patient to receive services such as laboratory, X-ray, and various screenings. In addition to its in-house patient care effort, HSI employs programs to bring healthful information to its communities.

The majority of the centers are open from Monday through Friday from 7:30 a.m. unto 4:30 p.m. The River Region Health Center and Gateway Family Health host after-hours clinics with services available in the evenings and on Saturdays.


  1. Health Services, Inc. was organized as a not-for-profit charitable organization in 1968 and operates the Autaugaville Family Health Center, Chisholm Family Health Center, Clanton Family Health Center, Eclectic Family Health Center, Gateway Family Health Center, Hayneville Family Health Center, Montevallo Family Health Center, Montgomery East Family Health Center, Montgomery Primary Healthcare Center, Ramer Family Health Center, River Region Health Center, HSI Montgomery Community Response Unit, River Region Mobile Unit, Hayneville Wellness Center and River Region Wellness Center.
  2. The Mission of HSI is to be a patient centered health care system enhancing the lives of individuals and families by providing access to affordable comprehensive health and wellness services.
  3. The Lister Hill Health Center was officially named in 1973 in honor of the late Senator Lister Hill, who was instrumental in obtaining legislation for the construction of medical facilities throughout the nation.
  4. In 1994, HSI assumed the total operation and responsibility for Montgomery Primary Health Care Center, which was then located on the Sothern Bypass. In July 1995, the center was moved to the facility located on Mobile Highway.
  5. In July 2001, HSI assumed the total operation and responsibilities for five addition sites.
  6. Today HSI’s Board of Directors, structured with a majority of users, meets congressional authorization as a Community Health Center under Section 330 of Public Health Services and is a Federally Qualified Health Center (FQHC).
  7. HSI operations are federally subsidized; other revenues are generated by patient fees and third party reimbursement (Medicare, Medicaid, Blue Cross & Blue Shield and other Private Insurance Companies).
  8. Patient fees for services are based on Federal Poverty Income Guidelines and are discounted through a sliding fee scale.
  9. During 2007, HSI served more than 28,800 active patients and had more than 103,548 patient visits. Its Women’s Pavilion generates more than 32 deliveries each month.
  10. The medical and dental services consist of Behavioral Health, Dentistry, Endocrinology, Family Practice, General Practice, Internal Medicine, Pediatrics, OB/GYN, Optometry.
  11. Support and ancillary services include: Laboratory, X-ray, Pharmacy, Social Services, Case Management and Counseling, and Women, Infant, and Children (WIC) Services.
  12. HSI Pharmacy fills an average of 125 prescriptions per day.
  13. Comprehensive services are designed to address primary care needs according to the human life cycle and special populations; Prenatal, Pediatric, Adolescent, Adult, Geriatric and other special populations such as substance abusers, AIDS, and the homeless.
  14. HSI is the main provider of primary care services to the medically underserved residents of Montgomery and the surrounding counties. HSI is considered the safety net provider.
  15. HSI is committed to networking with the public and private sector in order to ensure comprehensive primary care services are readily available and accessible to area residents.
  16. HSI provides clinical rotation for RN students from Troy, AUM and Tuskegee Universities; LPN, Medical and Dental Assistant Students rotate from Trenholm State Technical College, and Nurse Practitioner students from UAB and Troy University.
  17. HSI provides Clinical Training to Baptist Family Medicine Residents and to the Podiatry Residents at the Regional Veterans Hospital.
  18. HSI retains organizational membership in the Alabama Primary Health Care Association (APHCA), The Alabama Community Healthcare Network, The National Association of Community Health Care Centers (NACHC), and Montgomery Area Wellness Coalition.
  19. HSI is also a United Way Agency providing education prenatal services and direct payments for related patient referral services and Blue Cross Blue Shield Insurance coverage for needy children. United Way also provides funding for patient referrals to medical providers for services HSI does not provide.
  20. As a certified Federally Qualified Health Center (FQHC), HSI receives cost-based reimbursement under both Medicare and Medicaid Authorization.
  21. HSI is accountable to the community and receives multiple annual audits; U.S. Public Health Services, Independent Financial Audit, Medicaid Audit, Medicare Audit, audits from two State Health Department agencies, United Way and other programmatic audits.
  22. HSI is accredited by the Joint Commission of Accreditation and the Lab is accredited by CLIA.

Quality Care For Every Patient, Every Time