QUALITY OF LIFE HEALTH SERVICES INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
QUALITY OF LIFE HEALTH SERVICES INC (EIN 63-0727804)
Tax period
2018-04-01 to 2019-03-31
Filed
2019-06-18
IRS object ID
201911719349300616
Schema version
2018v3.1
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

FieldValueIRS element (for citing)
Return2019-06-18T03:54:49-00:00ReturnTs
Tax Period End2019-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SHEPPARD-HARRISBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1214 24TH STREET NORTHAddressLine1Txt
CityBIRMINGHAMCityNm
State AbbreviationALStateAbbreviationCd
ZIP35203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN630727804EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QUALITY OF LIFE HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlQUALBusinessNameControlTxt
Phone2564920131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 97AddressLine1Txt
CityGADSDENCityNm
State AbbreviationALStateAbbreviationCd
ZIP35902ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWAYNE ROWEPersonNm
Person TitlePRESIDENTCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone2054920131PhoneNum
Signature2019-06-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCONNIE S HARRISPreparerPersonNm
Phone2053235922PhoneNum
Preparation2019-06-18PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.45.191.159IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-06-20IPDt
IP Tm14:57:06IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id613CE1D625A26AC8686F4F0B8C03E6283CFDA3ABAtSubmissionCreationDeviceId
At Submission Filing Device Id613CE1D625A26AC8686F4F0B8C03E6283CFDA3ABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWAYNE ROWEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 97AddressLine1Txt
CityGADSDENCityNm
State AbbreviationALStateAbbreviationCd
ZIP35902ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$37,732,441GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.qolhs.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateALLegalDomicileStateCd
Activity Or MissionProvide primary health care to low-income and underserved residents.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee326TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$24,887,320PYContributionsGrantsAmt
CY Contributions Grants$23,400,688CYContributionsGrantsAmt
PY Program Service Revenue$12,716,433PYProgramServiceRevenueAmt
CY Program Service Revenue$12,480,020CYProgramServiceRevenueAmt
PY Investment Income$16,007PYInvestmentIncomeAmt
CY Investment Income$52,905CYInvestmentIncomeAmt
PY Other Revenue$1,051,889PYOtherRevenueAmt
CY Other Revenue$1,798,828CYOtherRevenueAmt
PY Total Revenue$38,671,649PYTotalRevenueAmt
CY Total Revenue$37,732,441CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,837,752PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,143,679CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,877,175PYOtherExpensesAmt
CY Other Expenses$15,615,214CYOtherExpensesAmt
PY Total Expenses$34,714,927PYTotalExpensesAmt
CY Total Expenses$34,758,893CYTotalExpensesAmt
PY Revenues Less Expenses$3,956,722PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,973,548CYRevenuesLessExpensesAmt
Total Assets BOY$31,318,546TotalAssetsBOYAmt
Total Assets EOY$34,339,933TotalAssetsEOYAmt
Total Liabilities BOY$4,483,244TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,531,083TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,835,302NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,808,850NetAssetsOrFundBalancesEOYAmt
MissionProvide primary health care to mostly low-income and underserved residents.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$22,839,941ExpenseAmt
Revenue$25,199,516RevenueAmt
DescServed eligible persons in connection with health related issues.Desc
Total Program Service Expenses$22,839,941TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document63IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee326EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Form8886 T FiledfalseForm8886TFiledInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Nondeductible Contri DisclfalseNondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWAYNE ROWEPersonNm
Phone2564920131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 97AddressLine1Txt
CityGADSDENCityNm
State AbbreviationALStateAbbreviationCd
ZIP35902ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KRISTIE CORNELIOUS
BOARD MEMBER002.00002.00Yes (X)$0$0$0
JODI LEIGHTON
BOARD MEMBER002.00002.00Yes (X)$0$0$0
TARVA VAUGHN
BOARD VICE PRESIDENT002.00002.00Yes (X)$0$0$0
JEAN WARD
BOARD TREASURER002.00002.00Yes (X)$0$0$0
CECILIA CRUZ-ZANZIG
BOARD MEMBER002.00002.00Yes (X)$0$0$0
PATRICIA DERAMUS
SECRETARY002.00002.00Yes (X)$0$0$0
COMMISSIONER CAROLYN PARKER
BOARD MEMBER002.00002.00Yes (X)$0$0$0
DANTE' WHITTAKER SR
BOARD MEMBER002.00002.00Yes (X)$0$0$0
GEORGE BURTON
BOARD MEMBER002.00002.00Yes (X)$0$0$0
CHRISTOPHER REYNOLDS
BOARD MEMBER002.00002.00Yes (X)$0$0$0
NOBLE CYLAR
BOARD PRESIDENT002.00002.00Yes (X)$0$0$0
TONY REDDICK
BOARD MEMBER002.00002.00Yes (X)$0$0$0
JOHNJALENE WOODS
BOARD MEMBER002.00002.00Yes (X)$0$0$0
WAYNE ROWE
PRESIDENT/CHIEF EXECUTIVE OFFICER040.00040.00$436,962$0$0Yes (X)Yes (X)
DEBORAH SMITH
VP CHIEF MEDICAL OFFICER040.00040.00$271,269$0$0Yes (X)Yes (X)
MUHAMMAD TARIQ
PHYSICIAN040.00040.00$237,948$0$0Yes (X)
JAMES MCCAIN
PHYSICIAN040.00040.00$240,488$0$0Yes (X)
CHARLOTTE BISHOP
CERTIFIED NURSE PRACTITIONER040.00040.00$106,291$0$0Yes (X)
STACY TOWLES-MOORE
PHYSICIAN040.00040.00$207,515$0$0Yes (X)
DELORES VICTORIA
PHYSICIAN040.00040.00$105,393$0$0Yes (X)
AMELIA WOFFORD
VP QUALITY DATA PLANNING040.00040.00$167,692$0$0Yes (X)
TRACY WADE
CERTIFIED NURSE PRACTITIONER040.00040.00$124,142$0$0Yes (X)
TRISHAWNA WINSTON
PHARMACIST040.00040.00$109,791$0$0Yes (X)
PHILLIP ROGERS
CERTIFIED NURSE PRACTITIONER040.00040.00$119,762$0$0Yes (X)
RENE ARNOLD
PHARMACIST040.00040.00$116,518$0$0Yes (X)
CAROLE CAMPBELL
PHYSICIAN040.00040.00$130,243$0$0Yes (X)
VICTORIA MINTER
PHYSICIAN040.00040.00$119,130$0$0Yes (X)
BRIAN CHOI
DENTIST040.00040.00$126,170$0$0Yes (X)
ROMAINE HULSEY-HEARD
CERTIFIED NURSE PRACTITIONER040.00040.00$109,591$0$0Yes (X)
RICHARD WEST
CERTIFIED NURSE PRACTITIONER040.00040.00$117,455$0$0Yes (X)
CHINYERE BUCHI-AHIABUIKE
CERTIFIED NURSE PRACTITIONER040.00040.00$128,726$0$0Yes (X)
KIM DOUTHIT
CERTIFIED NURSE PRACTITIONER040.00040.00$116,700$0$0Yes (X)
RAYMOND CLARK
PHARMACIST040.00040.00$111,496$0$0Yes (X)
JANICE PARKER
CERTIFIED NURSE PRACTITIONER040.00040.00$113,454$0$0Yes (X)
JOHN ROBINSON
PHARMACIST040.00040.00$114,352$0$0Yes (X)
HENRY BRADFORD
PODIATRIST040.00040.00$108,091$0$0Yes (X)
KENDRA PETITE
DENTIST040.00040.00$133,688$0$0Yes (X)
KATHERINE CULP
DENTIST040.00040.00$121,270$0$0Yes (X)
RONNIE HERRING
PHYSICIAN040.00040.00$218,826$0$0Yes (X)
MORTIMER QUINN
DENTIST040.00040.00$135,236$0$0Yes (X)
NINA ROBINSON
DENTIST040.00040.00$142,191$0$0Yes (X)
TRACIE WILLIAMS
SENIOR VP FINANCIAL SERVICES/CFO040.00040.00$139,355$0$0Yes (X)
ODEANE CONNOR
PHYSICIAN040.00040.00$201,065$0$0Yes (X)
DAVID SMITH
PHYSICIAN040.00040.00$219,015$0$0Yes (X)
CHRISTOPHER COLE
PHYSICIAN040.00040.00$216,417$0$0Yes (X)
GERALD JAMES POSEY
CERTIFIED NURSE PRACITITIONER040.00040.00$109,159$0$0Yes (X)
ONEIL CULVER
PHYSICIAN040.00040.00$286,912$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,462,313TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K34IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Anniston OBGYN
901 Leighton Ave Suite 501ANNISTONAL36207MEDICAL$553,694
North Alabama Women's Center
PO Box 8037AnnistonAL36202MEDICAL$494,059
4BG DIVERSIFIED
PO BOX 4061ANNISTONAL36204MAINTNANCE CONSTRUCTION$740,770
The Womens Pavilion PC
6859 SW 18th Street Suite 200Boca RatonFL33433MEDICAL$929,385
ISBELL MEDICAL GROUP
P O BOX 680199FORT PAYNEAL35968MEDICAL$665,376
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$16,423,224GovernmentGrantsAmt
All Other Contributions$6,977,464AllOtherContributionsAmt
Total Contributions$23,400,688TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient ServicesDesc
Business621400BusinessCd
Total Revenue Column$12,480,020TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,480,020TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,905TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneous RevenueDesc
Business900099BusinessCd
Total Revenue Column$1,798,828TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,798,828OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,732,441TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,458,086TotalAmt
Program Services$11,116,595ProgramServicesAmt
Management And General$4,341,491ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,685,593TotalAmt
Program Services$768,987ProgramServicesAmt
Management And General$2,916,606ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$92,804TotalAmt
Management And General$92,804ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$88,883TotalAmt
Program Services$55,462ProgramServicesAmt
Management And General$33,421ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,530,665TotalAmt
Program Services$1,126,323ProgramServicesAmt
Management And General$404,342ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$531,454TotalAmt
Program Services$401,246ProgramServicesAmt
Management And General$130,208ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$295,079TotalAmt
Program Services$152,809ProgramServicesAmt
Management And General$142,270ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$7,924,336TotalAmt
Program Services$7,120,311ProgramServicesAmt
Management And General$804,025ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$136,514TotalAmt
Program Services$68,985ProgramServicesAmt
Management And General$67,529ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$85,318TotalAmt
Program Services$70,867ProgramServicesAmt
Management And General$14,451ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,581,240TotalAmt
Program Services$142,954ProgramServicesAmt
Management And General$1,438,286ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$185,113TotalAmt
Program Services$132ProgramServicesAmt
Management And General$184,981ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TELEPHONE$1,363,154$1,077,073$286,081
EQUIPMENT RENTAL$228,623$82,590$146,033
DUES, TAXES, LICENSES$225,680$84,830$140,850
WASTE CLEANING$339,145$313,862$25,283

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,007,206TotalAmt
Program Services$256,915ProgramServicesAmt
Management And General$750,291ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,758,893TotalAmt
Program Services$22,839,941ProgramServicesAmt
Management And General$11,918,952ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,693,192BOYAmt
EOY$8,357,829EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,206,040BOYAmt
EOY$4,001,585EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,044,099BOYAmt
EOY$3,269,405EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$126,114BOYAmt
EOY$127,356EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$114,574BOYAmt
EOY$95,480EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$39,257,905LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,784,469LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,119,685BOYAmt
EOY$18,473,436EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,842BOYAmt
EOY$14,842EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,318,546BOYAmt
EOY$34,339,933EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,027,897BOYAmt
EOY$2,387,081EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,142,862BOYAmt
EOY$1,891,037EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$312,485BOYAmt
EOY$252,965EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,483,244BOYAmt
EOY$4,531,083EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,835,302BOYAmt
EOY$29,808,850EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,835,302BOYAmt
EOY$29,808,850EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,318,546BOYAmt
EOY$34,339,933EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,973,548ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,836,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,340,127CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,430,113CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,818,344CurrentTaxYearMinus1YearAmt
Current Tax Year$24,887,320CurrentTaxYearAmt
Total$104,312,594TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,836,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,340,127CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,430,113CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,818,344CurrentTaxYearMinus1YearAmt
Current Tax Year$24,887,320CurrentTaxYearAmt
Total$104,312,594TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$104,312,594PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$13,617CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,007CurrentTaxYearMinus1YearAmt
Total$29,624TotalAmt
FieldValueIRS element (for citing)
Total Support$104,342,218TotalSupportAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99950PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,793,686OtherCostOrOtherBasisAmt
Depreciation$17,912,030DepreciationAmt
Book Value$7,881,656BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,964,182OtherCostOrOtherBasisAmt
Depreciation$479,110DepreciationAmt
Book Value$1,485,072BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,784,904OtherCostOrOtherBasisAmt
Depreciation$1,271,610DepreciationAmt
Book Value$8,513,294BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,715,133OtherCostOrOtherBasisAmt
Depreciation$1,121,719DepreciationAmt
Book Value$593,414BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,473,436TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFederal income taxesDesc
FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$37,732,441TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$37,732,441RevenueSubtotalAmt
Total Revenue Per Form990$37,732,441TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$34,758,893TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$34,758,893ExpensesSubtotalAmt
Total Expenses Per Form990$34,758,893TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
WAYNE ROWE
PRESIDENT/CHIEF EXECUTIVE OFFICER$338,771$10,200$1,174$86,817$436,962
DEBORAH SMITH
VP CHIEF MEDICAL OFFICER$248,029$200$961$22,079$271,269
MUHAMMAD TARIQ
PHYSICIAN$229,769$200$202$7,777$237,948
JAMES MCCAIN
PHYSICIAN$226,640$5,200$792$7,856$240,488
STACY TOWLES-MOORE
PHYSICIAN$198,730$200$792$7,793$207,515
AMELIA WOFFORD
VP QUALITY DATA PLANNING$151,783$200$1,524$14,185$167,692
RONNIE HERRING
PHYSICIAN$213,601$125$516$4,584$218,826
ODEANE CONNOR
PHYSICIAN$193,596$125$792$6,552$201,065
DAVID SMITH
PHYSICIAN$208,186$2,675$961$7,193$219,015
CHRISTOPHER COLE
PHYSICIAN$207,548$175$580$8,114$216,417
ONEIL CULVER
PHYSICIAN$277,368$125$1,524$7,895$286,912

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11BTHE 990 IS REVIEWED BY THE CHIEF FISCAL OFFICER.
Form 990, Part VI, Section B, Line 15COMPENSATION OF TOP LEVEL MANAGEMENT IS DETERMINED BY THE GOVERNING BOARD
Form 990, Part VI, Section C, Line 19DOCUMENTS ARE AVAILABLE UPON REQUEST.

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