2019-02-12T14:57:20-06:00 2018-06-30 454084437 WARREN AVERETT 101 MONROE STREET NE HUNTSVILLE AL 35801 990 2017-07-01 630840366 ALABAMA QUALITY ASSURANCE FOUNDATION ALAB 2059701600 104 INVERNESS CENTER PLACE NO 600 HOOVER AL 35242 THOMAS GARNER CONTROLLER 2059701600 2019-02-07 1 CECELIA HILL P01235396 2565337610 2019-02-06 173.95.84.147 2019-02-07 14:26:55 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A45042F57190DA5E2EB445DD52D858BB620C29F4 2017 2019-02-21 02:37:17Z X THOMAS GARNER 104 INVERNESS CENTER PLACE NO 600 HOOVER AL 35242 5868428 0 X WWW.AQAF.COM X 1982 AL QUALITY IMPROVEMENT ORGANIZATION FOR THE STATE OF ALABAMA 8 8 70 0 0 0 0 0 6477459 5809121 35054 59307 0 0 6512513 5868428 0 0 0 0 4644848 3874385 0 0 0 1828171 2021118 6473019 5895503 39494 -27075 4050393 4044247 973099 1052639 3077294 2991608 TO CREATE VALUE AND SUCCESS THROUGH QUALITY IMPROVEMENT. 0 0 4369945 5809121 PERFORMANCE OF PEER REVIEW, QUALITY IMPROVEMENT AND QI CONSULTING FOR CMS AND OTHER ORGANIZATIONS. 4369945 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 1 70 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AL X THOMAS GARNER 2059701600 104 INVERNESS CENTER PLACE NO 600 HOOVER AL 35242 X EMILY BOOHAKER MD DIRECTOR 0.32 0.00 X 1933 0 0 LYNN CAMPSI BOD TREASURER 0.18 0.00 X 919 0 0 JOHN RUSSELL MD BOD SECRETARY 0.46 0.00 X 3418 0 0 PAUL M NAGRODZKI MD BOD VICE PRESIDENT 0.43 0.00 X 2536 0 0 KENNETH ALDRIDGE MD BOD PRESIDENT 0.42 0.02 X 2596 125 0 LINDA JORDAN DIRECTOR 0.46 0.02 X 3078 125 0 LANETTE SHERRILL DIRECTOR 0.10 0.00 X 546 0 0 RACHEL WINSTYON DIRECTOR 0.26 0.00 X 1629 0 0 D WESLEY SMITH CEO 43.92 0.00 X 11907 278351 30600 SUSAN HOLMES CFO 44.38 0.00 X 7779 179968 22151 THOMAS GARNER CONTROLLER 43.31 0.00 X 4859 102199 14406 DAVID L PEARCE VP - GOVERNMENT OPERATIONS 40.28 0.00 X 122382 0 15143 BART PREVALLET DIRECTOR OF DATA SVCS & INFO SVCS 44.38 0.00 X 115874 0 14670 279456 560768 96970 2 0 1 0 UNIVERSITY OF ALABAMA AT BIRMINGHAM 1720 2ND AVENUE SOUTH BIRMINGHAM AL 35294 CONTENT EXPERT 169522 SWOZ LEADERSHIP INC 39 NEELY RUN NEWNAN GA 30265 CONTENT EXPERT 153455 2 FED. PROGRAM SVC. 524298 5809121 5809121 5809121 59307 59307 5868428 5809121 0 59307 20888 20888 2575599 2562959 12640 1277898 1261509 16389 27167 27167 320 320 108129 102106 6023 GENERAL AND ADMINISTRAT 1428565 1428565 SUBCONTRACTS 274666 274666 OTHER DIRECT COSTS 166755 166755 UNALLOWED EXPENSES (GOV 13566 13566 1950 1950 5895503 4369945 1525558 0 879127 683918 523139 591260 102200 29936 899103 758614 128388 140489 1783362 1908511 634177 690133 4050393 4044247 973099 1052639 973099 1052639 X 3077294 2991608 3077294 2991608 4050393 4044247 -27075 -58611 0 X X 0 1 X 1 1 1 X 6802972 5668593 6325037 6477459 5809121 31083182 6802972 5668593 6325037 6477459 5809121 31083182 31083182 34850 16120 15833 35054 59307 161164 31244346 0.99480 0.99570 X 899103 758614 140489 140489 OTHER RECEIVABLES 51730 A/R IQH 232345 COSTS IN EXCESS OF BILLINGS 406058 690133 X 5868428 0 5868428 0 5868428 5895503 0 5895503 0 5895503 PART X, LINE 2: THE ORGANIZATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND ACCORDINGLY IT WILL NOT RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE ORGANIZATION HAS FILED INTERNAL REVENUE SERVICE FORM 990 AND FORM 990-T TAX RETURNS AS REQUIRED AND ALL OTHER APPLICABLE RETURNS IN THOSE JURISDICTIONS WHERE IT IS REQUIRED. THE ORGANIZATION BELIEVES THAT IT IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. FOR THE YEARS ENDED JUNE 30, 2018 AND 2017, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE STATEMENTS OF ACTIVITIES. X X X X 0 0 0 0 0 0 0 0 0 D WESLEY SMITH CEO 11907 278351 0 0 0 0 1275 29325 0 0 13182 307676 0 0 SUSAN HOLMES CFO 7779 179968 0 0 0 0 923 21228 0 0 8702 201196 0 0 PART II QUALITY PARTNERS MANAGEMENT SERVICES INC (QPMSI) THE SUPPORTING ORGANIZATION PROVIDES ADMIN, ACCOUNTING AND HUMAN RESOURCES TO THE MEMBERS, ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF) AND MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC D/B/A INFORMATION AND QUALITY HEALTHCARE (IQH). THE SERVICES PROVIDED ARE CORE ACTIVITIES OF THESE ENTITIES AND ARE ESSENTIAL TO THEIR OPERATION. QPMSI IS NOT PAID A FEE. ALL EXPENSES ARE PAID BY AQAF AND AQAF IS REIMBURSED BY IQH FOR THEIR ALLOCATED SHARE. FOR THE PAID EMPLOYEES SHARED WAGES ARE REPORTED UNDER QPMSI'S EIN BUT PAID DIRECTLY BY AQAF. FORM 990, PART VI, SECTION A, LINE 6 THE COMPANY IS ORGANIZED AS AN ALABAMA CORPORATION. ITS ORGANIZED AS A PHYSICIAN-SPONSORED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE BOARD THEN APPOINTS OFFICERS OF THE COMPANY ANNUALLY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS ARE MADE BY THE GOVERNING BODY AND ARE NOT SUBJECT TO MEMBER APPROVAL. THE ONLY POTENTIAL ACTION THAT REQUIRES MEMBER APPROVAL WOULD BE A PROPOSED CHANGE TO THE ARTICLES OF INCORPORATION OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AQAFS CPA FIRM WHO SENDS THE FORM TO AQAF. THE CONTROLLER AND CFO REVIEW THE FORM 990 FROM THE CPA FIRM. THE RETURN IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. AFTER REVIEWING THE FORM, THE FORM 990 IS SIGNED BY AN OFFICER OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MAINTAINS COMPREHENSIVE WRITTEN COMPLIANCE POLICIES COVERING BOTH ORGANIZATIONAL AND PERSONAL CONFLICTS OF INTEREST (COI). ALL EMPLOYEES, BOARD MEMBERS AND SUBCONTRACTORS ARE REQUIRED TO COMPLETE COI DISCLOSURE FORMS UPON HIRE OR ENGAGEMENT, AND PROVIDE ANNUAL UPDATES AND RECERTIFICATIONS, UNLESS CIRCUMSTANCES REQUIRE MORE FREQUENT DISCLOSURES. COMPLIANCE TRAINING IS REQUIRED UPON HIRE AND ANNUALLY THEREAFTER. THE ORGANIZATION UTILIZES A TOLL-FREE THIRD-PARTY HOTLINE SERVICE FOR REPORTING COMPLIANCE AND COI CONCERNS. CONFLICT OF INTEREST MATTERS ARE INVESTIGATED AND ENFORCED BY THE ORGANIZATIONS INDEPENDENT COMPLIANCE OFFICER WHO REPORTS DIRECTLY TO THE BOARD OF DIRECTORS, AND A COMPLIANCE COMMITTEE COMPRISED OF INDEPENDENT BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 AQAF OBTAINED MARKET MATCHES FOR EACH POSITION WITHIN THE ORGANIZATION FROM AN INDEPENDENT COMPENSATION CONSULTANT. AQAF ALSO PARTICIPATED IN A SURVEY OF LIKE ORGANIZATIONS TO DETERMINE THE REASONABLENESS OF THE COMPENSATION. THE BOARD THEN APPROVES TOP MANAGEMENT AND KEY EMPLOYEES COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 AQAF MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VII QUALITY PARTNERS MANAGEMENT SERVICES INC (QPMSI) THE SUPPORTING ORGANIZATION PROVIDES ADMIN, ACCOUNTING AND HUMAN RESOURCES TO THE MEMBERS, ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF) AND MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC D/B/A INFORMATION AND QUALITY HEALTHCARE (IQH). THE SERVICES PROVIDED ARE CORE ACTIVITIES OF THESE ENTITIES AND ARE ESSENTIAL TO THEIR OPERATION. QPMSI IS NOT PAID A FEE. ALL EXPENSES ARE PAID BY AQAF AND AQAF IS REIMBURSED BY IQH FOR THEIR ALLOCATED SHARE. FOR THE PAID EMPLOYEES SHARED WAGES ARE REPORTED UNDER QPMSI'S EIN BUT PAID DIRECTLY BY AQAF. FORM 990, PART XII, LINE 2C: THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. QUALITY PARTNERS MANAGEMENT SERVICES INC 104 INVERNESS CENTER PLACE SUITE 60 HOOVER AL 35242 812893030 QUALITY IMPROVEMENT ORGANIZATION AL 501(C)(3) LINE 12A, I N/A 0 MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC 795 WOODLANDS PARKWAY SUITE 200 RIDGELAND MS 39157 237271055 QUALITY IMPROVEMENT ORGANIZATION FOR MS MS 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 PART V LINE 1M & O QUALITY PARTNERS MANAGEMENT SERVICES INC (QPMSI) THE SUPPORTING ORGANIZATION PROVIDES ADMIN, ACCOUNTING AND HUMAN RESOURCES TO THE MEMBERS-ALABAMA QUALITY ASSURANCE FOUNDATION (AQAF) AND MISSISSIPPI FOUNDATION FOR MEDICAL CARE INC D/B/A INFORMATION AND QUALITY HEALTHCARE (IQH). THE SERVICES PROVIDED ARE CORE ACTIVITIES OF THESE ENTITIES AND ARE ESSENTIAL TO THEIR OPERATION. QPMSI IS NOT PAID A FEE. ALL EXPENSES ARE PAID BY AQAF AND AQAF GETS REIMBURSED BY IQH FOR THEIR ALLOCATED SHARE. FOR THE PAID EMPLOYEES SHARED WAGES ARE REPORTED UNDER QPMSI'S EIN BUT PAID DIRECTLY BY AQAF.