2016-02-01T12:17:50-06:00 2015-06-30 631159865 BEASON & NALLEY INC 101 MONROE STREET HUNTSVILLE AL 35801 990 2014-07-01 630840366 ALABAMA QUALITY ASSURANCE FOUNDATION ALAB 2059701600 TWO PERIMETER PARK SOUTH NO 200 W BIRMINGHAM AL 352432354 SUSAN HOLMES CFO 2059701600 2016-02-01 1 CECELIA HILL P01235396 2565331720 2014 2016-04-25 22:37:26Z SUSAN HOLMES TWO PERIMETER PARK SOUTH 200 W BIRMINGHAM AL 35243 5684713 0 X WWW.AQAF.COM X 1982 AL QUALITY IMPROVEMENT ORGANIZATION FOR THE STATE OF ALABAMA 14 14 64 0 0 0 0 0 6802972 5668593 34580 16120 0 0 6837552 5684713 0 0 0 0 4962205 4304967 0 0 0 1619015 1308188 6581220 5613155 256332 71558 3944867 3844177 984819 812571 2960048 3031606 TO CREATE VALUE AND SUCCESS THROUGH QUALITY IMPROVEMENT. 0 0 201263 291436 PERFORMANCE OF PEER REVIEW TO ELIMINATE UNREASONABLE, UNNECESSARY OR INAPPROPRIATE CARE TO MEDICARE BENEFICIARIES. THESE SERVICES ARE PERFORMED UNDER CONTRACT AND COSTS ARE REIMBURSED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). 3854610 5377157 PERFORMANCE OF PEER REVIEW, QUALITY IMPROVEMENT AND QI CONSULTING FOR CMS AND OTHER ORGANIZATIONS. 4055873 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 0 0 0 0 1 29 0 1 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 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 KENNETH ALDRIDGE MD DIRECTOR 0.30 X 1720 0 0 EMILY BOOHAKER MD DIRECTOR 0.30 X 1564 0 0 LARRY DIXON DIRECTOR 0.40 X 2238 0 0 LYNN CAMPSI DIRECTOR 0.20 X 1030 0 0 WILLIAM GOETTER MD DIRECTOR 0.60 X 4057 0 0 JOHN RUSSELL MD BOD TREASURY 0.40 X 2704 0 0 TIMOTHY STETTHEIMER DIRECTOR 0.30 X 1323 0 0 KEITH L GRANGER BOD PRESIDENT 0.30 X 1425 0 0 TIMOTHY D BODE MD DIRECTOR 0.30 X 3301 0 0 MICHAEL J HARDIN BOD VICE PRESIDENT 0.30 X 1931 0 0 CAMILE S BUTRUS DIRECTOR 0.20 X 1172 0 0 PAUL M NAGRODZKI MD DIRECTOR 0.40 X 2137 0 0 FRED WALLINGSFORD JR DIRECTOR 0.40 X 2600 0 0 TIMOTHY A STEWART MD DIRECTOR 0.20 X 1392 0 0 D WESLEY SMITH CEO 40.60 X 256229 0 0 SUSAN HOLMES CFO 40.60 X 158929 0 0 ELIZABETH PROSCH VP-GOV'T OPERATIONS 41.80 X 134329 0 0 DAVID L PEARCE VP-GOV'T OPERATIONS 40.10 X 110436 0 0 BART PREVALLET DIRECTOR DATA & INFO SVCS 42.60 X 107821 0 0 796338 0 0 5 0 1 0 B&F CONSULTING INC 69 LOCUST TERRACE WARREN RI 02885 CONTENT EXPERT 179972 UNIVERSITY OF ALABAMA AT BIRMINGHAM 1720 2ND AVENUE SOUTH BIRMINGHAM AL 35294 CONTENT EXPERT 141876 2 FED. PROGRAM SVC. 524298 5668593 5668593 5668593 16120 16120 5684713 5668593 0 16120 414071 414071 2537202 2341096 196106 1353694 1073817 279877 16939 16939 8088 4525 3563 70614 58990 11624 OTHER GENERAL AND ADMIN 619002 619002 SUBCONTRACTS 396174 396174 OTHER DIRECT COSTS 181271 181271 UNALLOWED EXPENSES 16100 16100 5613155 4055873 1557282 0 1210640 2594466 787343 649326 51759 64787 758804 603614 212411 155190 1350714 0 332000 380408 3944867 3844177 984819 812571 984819 812571 X 2960048 3031606 2960048 3031606 3944867 3844177 71558 0 X 0 1 X 1 1 1 X 4786486 4029663 5468391 6802972 5668593 26756105 4786486 4029663 5468391 6802972 5668593 26756105 26756105 49096 44713 30965 34850 16120 175744 26931849 0.99350 0.99200 X 758804 603614 155190 155190 COSTS IN EXCESS OF BILLINGS 380408 380408 5684713 0 5684713 0 5684713 5613155 0 5613155 0 5613155 X X X X 0 0 0 0 0 0 0 0 0 D WESLEY SMITH CEO 225978 0 0 0 30251 0 0 0 0 0 256229 0 0 0 SUSAN HOLMES CFO 139868 0 0 0 19061 0 0 0 0 0 158929 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 11 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.