HEALTHCARE QUALITY STRATEGIES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHCARE QUALITY STRATEGIES INC (EIN 22-2547756)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-20
- IRS object ID
- 202202639349301550
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-20T12:54:37-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 SYLVAN WAY | AddressLine1Txt |
| City | PARSIPPANY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 070543801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222547756 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE QUALITY STRATEGIES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 7322385570 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 557 CRANBURY ROAD 6 | AddressLine1Txt |
| City | EAST BRUNSWICK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08816 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY JANE BRUBAKER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7322385570 | PhoneNum |
| Signature | 2022-09-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | JANE BRUBAKER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9732283500 | PhoneNum |
| Preparation | 2022-09-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY JANE BRUBAKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 557 CRANBURY ROAD 6 | AddressLine1Txt |
| City | EAST BRUNSWICK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08816 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,470,359 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HQSI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | MONITOR THE QUALITY OF HEALTHCARE IN NEW JERSEY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 47 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $152,468 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,785,976 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,977,869 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,508,781 | CYProgramServiceRevenueAmt |
| PY Investment Income | $415,602 | PYInvestmentIncomeAmt |
| CY Investment Income | $910,096 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$141,046 | PYOtherRevenueAmt |
| CY Other Revenue | -$103,474 | CYOtherRevenueAmt |
| PY Total Revenue | $3,252,425 | PYTotalRevenueAmt |
| CY Total Revenue | $5,101,379 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,089,927 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,013,626 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,279,808 | PYOtherExpensesAmt |
| CY Other Expenses | $1,517,795 | CYOtherExpensesAmt |
| PY Total Expenses | $5,369,735 | PYTotalExpensesAmt |
| CY Total Expenses | $4,531,421 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,117,310 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $569,958 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,662,499 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,905,280 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,450,094 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $568,313 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,212,405 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,336,967 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IMPROVE THE QUALITY OF HEALTHCARE IN NEW JERSEY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,897,006 | ExpenseAmt |
| Revenue | $2,508,781 | RevenueAmt |
| Desc | INDEPENDENT REVIEW SERVICES HQSI CONTRACTS WITH BOTH PAYORS AND INSURERS TO CONDUCT MEDICAL NECESSITY REVIEWS. REVIEWS ARE CONDUCTED ON A FEE FOR SERVICE BASIS. | Desc |
| Total Program Service Expenses | $1,897,006 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 140 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 47 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY JANE BRUBAKER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7322385570 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 557 CRANBURY ROAD SUITE 6 | AddressLine1Txt |
| City | EAST BRUNSWICK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08816 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BARNARD KAPLAN MD | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $2,000 | $0 | $0 | |||
| DAVID I KINGSLEY | ||||||||
| VICE PRESIDENT | 0.50 | Yes (X) | $2,200 | $0 | $0 | 0.10 | Yes (X) | |
| DONALD L PENDLEY MD | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $1,200 | $0 | $0 | |||
| EDWARD JOSELL | ||||||||
| TREASURER | 0.50 | Yes (X) | $1,600 | $0 | $0 | 0.10 | Yes (X) | |
| ELYSE PERWEILER MPP RN | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $2,000 | $0 | $0 | |||
| HOWARD ZEIDMAN MD | ||||||||
| PRESIDENT | 0.50 | Yes (X) | $2,200 | $0 | $0 | Yes (X) | ||
| JAMES J MADDEN ESQ | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $2,200 | $0 | $0 | |||
| JOHN LEWY MD | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $2,000 | $0 | $0 | 0.10 | ||
| MARSHA BOGGESS | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $400 | $0 | $0 | |||
| MARTIN P MARGOLIES | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $2,200 | $0 | $0 | 0.10 | ||
| MARY ANN CONTE RN | ||||||||
| SECRETARY | 0.50 | Yes (X) | $800 | $0 | $0 | Yes (X) | ||
| MICHAEL SPIVAK DO | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $1,200 | $0 | $0 | |||
| STEVEN OXLER | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $2,200 | $0 | $0 | |||
| VINCENT ACAMPORA | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $1,800 | $0 | $0 | |||
| VINCENT T MCDERMOTT JR MD | ||||||||
| TRUSTEE | 0.50 | Yes (X) | $2,200 | $0 | $0 | |||
| MARY JANE BRUBAKER | ||||||||
| CEO | 40.00 | $327,581 | $0 | $29,547 | 2.00 | Yes (X) | ||
| ANDREW MILLER | ||||||||
| MEDICAL DIRECTOR | 40.00 | $256,885 | $0 | $39,819 | Yes (X) | |||
| BRIAN CHAIT | ||||||||
| DIRECTOR IT | 40.00 | $108,890 | $0 | $6,876 | Yes (X) | |||
| VALERIE AIELLO | ||||||||
| VP HEALTHCARE | 40.00 | $142,952 | $0 | $7,785 | Yes (X) | |||
| YA-PING SU | ||||||||
| DIRECTOR, QUALITY IMPROVEM | 40.00 | $119,808 | $0 | $41,930 | Yes (X) | |||
| ROBER BIENER | ||||||||
| VP NATIONAL CLIENT PARTNERSHIP | 40.00 | $175,678 | $0 | $29,774 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,157,994 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $155,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,785,976 | GovernmentGrantsAmt |
| Total Contributions | $1,785,976 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER CONTRACT REVENUE | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $2,508,781 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,508,781 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,508,781 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $565,200 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $133,057 | UnrelatedBusinessRevenueAmt |
| Exclusion | $432,143 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,713,876 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,368,980 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $344,896 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $344,896 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $139,512 | UnrelatedBusinessRevenueAmt |
| Exclusion | $205,384 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $16,627 | $16,627 | |
| SCHEDULE K-1 ORDINARY INCOME - VE | 525990 | -$120,101 | -$120,101 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$103,474 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,101,379 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,508,781 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $152,468 | UnrelatedBusinessRevenueAmt |
| Exclusion | $654,154 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,528 | TotalAmt |
| Program Services | $163,403 | ProgramServicesAmt |
| Management And General | $220,125 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,970,986 | TotalAmt |
| Program Services | $836,149 | ProgramServicesAmt |
| Management And General | $1,134,837 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,776 | TotalAmt |
| Program Services | $37,077 | ProgramServicesAmt |
| Management And General | $45,699 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,824 | TotalAmt |
| Program Services | $175,504 | ProgramServicesAmt |
| Management And General | $216,320 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,512 | TotalAmt |
| Program Services | $82,646 | ProgramServicesAmt |
| Management And General | $101,866 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,910 | TotalAmt |
| Management And General | $319,910 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,295 | TotalAmt |
| Management And General | $17,295 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,755 | TotalAmt |
| Management And General | $125,755 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,461 | TotalAmt |
| Management And General | $25,461 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,370 | TotalAmt |
| Program Services | $457,958 | ProgramServicesAmt |
| Management And General | $6,412 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,110 | TotalAmt |
| Program Services | $116,817 | ProgramServicesAmt |
| Management And General | $96,293 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,320 | TotalAmt |
| Management And General | $63,320 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,344 | TotalAmt |
| Program Services | $22 | ProgramServicesAmt |
| Management And General | $3,322 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,733 | TotalAmt |
| Management And General | $33,733 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,627 | TotalAmt |
| Management And General | $16,627 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,981 | TotalAmt |
| Management And General | $125,981 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MISCELLANEOUS | $70,753 | $27,430 | $43,323 |
| EQUIPMENT RENTAL | $23,812 | $23,812 | |
| BAD DEBT | $8,811 | $8,811 | |
| REPAIRS AND MAINTENANCE | $5,513 | $5,513 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,531,421 | TotalAmt |
| Program Services | $1,897,006 | ProgramServicesAmt |
| Management And General | $2,634,415 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630 | BOYAmt |
| EOY | $630 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,306 | BOYAmt |
| EOY | $365,771 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $563,713 | BOYAmt |
| EOY | $796,975 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $742,383 | BOYAmt |
| EOY | $261,764 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $96,661 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $38,951 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,512 | BOYAmt |
| EOY | $57,710 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,586,556 | BOYAmt |
| EOY | $9,284,127 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,172,399 | BOYAmt |
| EOY | $1,138,303 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,662,499 | BOYAmt |
| EOY | $11,905,280 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,384 | BOYAmt |
| EOY | $455,871 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985,710 | BOYAmt |
| EOY | $112,442 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,450,094 | BOYAmt |
| EOY | $568,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,212,405 | BOYAmt |
| EOY | $11,336,967 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,212,405 | BOYAmt |
| EOY | $11,336,967 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,662,499 | BOYAmt |
| EOY | $11,905,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $569,958 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $707,072 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$152,468 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,785,976 | CurrentTaxYearAmt |
| Total | $1,785,976 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,297,589 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,037,659 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,648,253 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,977,869 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,508,781 | CurrentTaxYearAmt |
| Total | $25,470,151 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,297,589 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,037,659 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,648,253 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,977,869 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,294,757 | CurrentTaxYearAmt |
| Total | $27,256,127 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $27,256,127 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $129,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,480 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $108,305 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $218,736 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $432,143 | CurrentTaxYearAmt |
| Total | $974,324 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $129,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $85,480 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $108,305 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $218,736 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $432,143 | CurrentTaxYearAmt |
| Total | $974,324 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1,346,194 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $141,891 | CurrentTaxYearAmt |
| Total | $1,488,085 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $412 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,552 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,711 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,976 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,627 | CurrentTaxYearAmt |
| Total | $78,278 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,427,661 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,160,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,116,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,206,581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,885,418 | CurrentTaxYearAmt |
| Total | $29,796,814 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.91470 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92450 | PublicSupportPY509Pct |
| Investment Income CY | 0.03270 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02730 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 412. 2018 AMOUNT: $ 37,552. 2019 AMOUNT: $ 13,711. 2020 AMOUNT: $ 9,976. 2021 AMOUNT: $ 16,627. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,661 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,951 | DepreciationAmt |
| Book Value | $57,710 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $57,710 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $11,304 |
| DUE FROM AFFILIATES | $33,017 |
| INVESTMENT IN VERITAS | $1,093,982 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,138,303 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $112,442 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $112,442 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,047,717 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $707,072 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $417,195 | OtherRevenueAmt |
| Revenue Not Reported | $1,124,267 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,923,450 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $25,461 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $152,468 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $177,929 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,101,379 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,605,568 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $99,608 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $99,608 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,505,960 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $25,461 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $25,461 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,531,421 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE COMPANY HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021 AND 2020. THE COMPANY'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO CALENDAR YEARS 2018 AND 2017, RESPECTIVELY, ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE COMPANY'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES, IF ANY, IN OTHER SUPPORT COSTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION REVENUE 417,195. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | VERITAS IVESTMENT INCOME ADJUSTMENT 152,468. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION EXPENSES 99,608. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY JANE BRUBAKER | ||||||||||||||
| CEO | $315,981 | $0 | $0 | $0 | $11,600 | $0 | $15,950 | $0 | $13,597 | $0 | $357,128 | $0 | $0 | $0 |
| ANDREW MILLER | ||||||||||||||
| MEDICAL DIRECTOR | $180,944 | $0 | $0 | $0 | $75,941 | $0 | $10,197 | $0 | $29,622 | $0 | $296,704 | $0 | $0 | $0 |
| ROBER BIENER | ||||||||||||||
| VP NATIONAL CLIENT PARTNERSHIP | $175,678 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29,774 | $0 | $205,452 | $0 | $0 | $0 |
| YA-PING SU | ||||||||||||||
| DIRECTOR, QUALITY IMPROVEM | $119,256 | $0 | $0 | $0 | $552 | $0 | $4,214 | $0 | $37,716 | $0 | $161,738 | $0 | $0 | $0 |
| VALERIE AIELLO | ||||||||||||||
| VP HEALTHCARE | $142,952 | $0 | $0 | $0 | $0 | $0 | $7,785 | $0 | $0 | $0 | $150,737 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION DELEGATES CONTROL OVER FINANCIAL MANAGEMENT RESPONSIBILITIES TO ANDERSON & COMPANY. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING THE FINAL FORM 990 WITH THE IRS, IT IS THOROUGHLY REVIEWED BY THE FINANCIAL CONSULTANT OF THE ORGANIZATION. THE RESPECTIVE FORM IS PROVIDED TO EACH MEMBER OF THE GOVERNING BOARD FOR HIS/HER REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. ALL MEMBERS OF THE BOARD OF TRUSTEES, EMPLOYEES AND VENDORS ARE REQUIRED ANNUALLY TO DISCLOSE AND SIGN CONFLICT OF INTEREST AGREEMENTS WHICH ARE REVIEWED BY THE ORGANIZATION'S COMPLIANCE OFFICER. THE DISCLOSURE STATEMENTS ARE REVIEWED AT THE BOARD LEVEL AND MEMBERS RECUSE THEMSELVES FROM AGENDA ITEMS THAT MAY BE DETERMINED TO BE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE SALARIES OF OFFICERS OF THE ORGANIZATION ARE CALCULATED ANNUALLY AND BASED ON THE CONTRACTUAL AGREEMENT IN PLACE WHICH HAS BEEN DEVELOPED AND REVIEWED BY THE COMPENSATION COMMITTEE. EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE MANAGEMENT TEAM, WHICH DETERMINES THE ANNUAL INCREASE FOR THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY PROVIDING COPIES UPON REQUEST AND/OR APPOINTMENT. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN CONSULTING FEES: PROGRAM SERVICE EXPENSES 440,699. MANAGEMENT AND GENERAL EXPENSES 470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 441,169. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 17,259. MANAGEMENT AND GENERAL EXPENSES 5,942. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,201. |
| FORM 990, PART XI, LINE 9: | VERITAS INVESTMENT INCOME ADJUSTMENT -152,468. |
| FORM 990, PART XII , LINE 2C: | THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HQ SOLUTIONS | ||||||||||
| 557 CRANBURY RD SUITE 21 | EAST BRUNSWICK | NJ | 08816 | 264587925 | HEALTHCARE | NJ | 501(C)(3) | LINE 10 | N/A | 0 |
| PHYSICIANS ALLIANCE OF NJ INC | ||||||||||
| 557 CRANBURY RD SUITE 21 | EAST BRUNSWICK | NJ | 08816 | 222087985 | HEALTHCARE | NJ | 501(C)(6) | N/A | 0 | |
| AREA VII PHYSICIANS REVIEW ORGANIZATION | ||||||||||
| 557 CRANBURY RD SUITE 21 | EAST BRUNSWICK | NJ | 08816 | 222169496 | HEALTHCARE | NJ | 501(C)(6) | N/A | 0 | |
| HQSI CORPORATION | ||||||||||
| 557 CRANBURY RD SUITE 21 | EAST BRUNSWICK | NJ | 08816 | 264588042 | MED CARE IMP | NJ | 501(C)(3) | LINE 10 | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERITAS MEDICAL REVIEW SOLUTIONS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 557 CRANBURY RD SUITE 21 | AddressLine1Txt |
| City | EAST BRUNSWICK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08816 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 275098617 | EIN |
| Primary Activities | MEDICAL REVIEW | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HQSI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | S | EntityTypeTxt |
| Share Of Total Income | $417,195 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $6,343,961 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERITAS MEDICAL REVIEW SOLUTIONS LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $133,057 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments