2018-01-30T08:55:35-06:00 2017-06-30 454084437 Warren Averett 101 Monroe Street NE Huntsville AL 35801 990 2016-07-01 630840366 ALABAMA QUALITY ASSURANCE FOUNDATION ALAB 2059701600 TWO PERIMETER PARK SOUTH No 200 W BIRMINGHAM AL 352432354 Susan Holmes cfo 2059701600 2018-01-18 1 Cecelia Hill P01235396 2565337610 2018-01-18 209.136.244.2 2018-01-18 17:20:46 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A45042F57190DA5E2EB445DD52D858BB620C29F4 2016 2021-01-29 14:40:06Z susan holmes two perimeter park south 200 w birmingham AL 35243 6512513 0 X www.aqaf.com X 1982 AL QUALITY IMPROVEMENT ORGANIZATION FOR THE STATE OF ALABAMA 9 9 44 0 13721 0 0 0 6325037 6477459 15833 35054 0 0 6340870 6512513 0 0 0 0 4698307 4644848 0 0 0 1612049 1828171 6310356 6473019 30514 39494 4025178 4050393 960333 973099 3064845 3077294 TO CREATE VALUE AND SUCCESS THROUGH QUALITY IMPROVEMENT. 0 0 4704599 6463738 PERFORMANCE OF PEER REVIEW, quality improvement and QI consulting for CMS and other organizations. 4704599 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 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 1 1 0 0 1 27 0 1 44 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AL X SUSAN HOLMES 2059701600 TWO PERIMETER PARK SOUTH STE 200W BIRMINGHAM AL 35243 EMILY BOOHAKER MD director 0.22 X 1151 0 0 Lynn Campsi director 0.18 X 922 0 0 john russell md BOD Secretary 0.45 X 3451 0 0 timothy stettheimer director 0.33 X 1820 0 0 michael j hardin BOD PRESIDENT 0.25 X 1461 0 0 camile s butrus director 0.27 X 1448 0 0 paul m nagrodzki md Bod Treasurer 0.31 X 1642 0 0 KENNETH ALDRIDGE MD BOD VICE PRESIDENT 0.26 X 1906 0 0 LINDA JORDAN Director 0.27 X 2245 0 0 d wesley smith ceo 42.14 X 250221 0 26278 susan holmes cfo 41.52 X 149088 0 24151 415355 0 50429 2 0 1 0 UNIVERSITY OF ALABAMA at Birmingham 1720 2nd avenue south birmingham AL 35294 CONTENT EXPERT 202978 Rippel Foundation 14 Maple Avenue suite 200 morristown NJ 07960 CONTENT EXPERT 108102 2 FED. PROGRAM SVC. 524298 6463738 6463738 Other Revenue 524298 13721 13721 6477459 35054 35054 6512513 6463738 13721 35054 259095 259095 2834067 2733693 100374 1551686 1227246 324440 37508 37508 120361 114247 6114 OTHER GENERAL AND ADMIN 967642 967642 SUBCONTRACTS 467001 467001 OTHER DIRECT COSTS 162412 162412 Unallowed Expenses 73247 73247 6473019 4704599 1768420 0 1217717 879127 881553 523139 28225 102200 829637 701249 174412 128388 1284392 1783362 438879 634177 4025178 4050393 960333 973099 960333 973099 X 3064845 3077294 3064845 3077294 4025178 4050393 39494 -27045 0 X 0 1 X 1 1 1 X 5468391 6802972 5668593 6325037 6477459 30742452 5468391 6802972 5668593 6325037 6477459 30742452 30742452 30965 34850 16120 15833 35054 132822 30875274 0.99570 0.99430 X 829637 701249 128388 128388 Other Receivables 22825 A/R IQH 189644 COSTS IN EXCESS OF BILLINGS 421708 634177 6512513 0 6512513 0 6512513 6473019 0 6473019 0 6473019 X X X X 0 0 0 0 0 0 0 0 0 d wesley smith ceo 250221 0 0 0 0 0 26278 0 0 0 276499 0 0 0 susan holmes cfo 149088 0 0 0 0 0 24151 0 0 0 173239 0 0 0 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. quality partners management services inc Two Perimeter Park South ste 200W birmingham AL 352432354 812893030 support organization AL 501(c)(3) Line 12a, I 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 Quality Partners Management Services Inc M 0 quality Partners Management Services Inc O 0 Part V line 2 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.