QUALITY OF LIFE HEALTH SERVICES INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- QUALITY OF LIFE HEALTH SERVICES INC (EIN 63-0727804)
- Tax period
- 2015-04-01 to 2016-03-31
- Filed
- 2016-06-23
- IRS object ID
- 201631759349300443
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-06-23T11:33:53-00:00 | ReturnTs |
| Tax Period End | 2016-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHEPPARD-HARRIS & ASSOCIATES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 24TH STREET NORTH | AddressLine1Txt |
| City | BIRMINGHAM | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630727804 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUALITY OF LIFE HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | QUAL | BusinessNameControlTxt |
| Phone | 2564920131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 97 | AddressLine1Txt |
| City | GADSDEN | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35902 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WAYNE ROWE | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Signature | 2016-06-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CONNIE S HARRIS | PreparerPersonNm |
| Phone | 2053235922 | PhoneNum |
| Preparation | 2016-06-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WAYNE ROWE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2245 | AddressLine1Txt |
| City | GADSDEN | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,180,726 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.qolhs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | Provide primary health care to low-income and underserved residents. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $17,836,690 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,430,113 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,726,063 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,091,242 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,926 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,617 | CYInvestmentIncomeAmt |
| PY Other Revenue | $954,850 | PYOtherRevenueAmt |
| CY Other Revenue | $645,754 | CYOtherRevenueAmt |
| PY Total Revenue | $30,533,529 | PYTotalRevenueAmt |
| CY Total Revenue | $34,180,726 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,340,127 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,714,161 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,469,093 | PYOtherExpensesAmt |
| CY Other Expenses | $13,479,064 | CYOtherExpensesAmt |
| PY Total Expenses | $28,809,220 | PYTotalExpensesAmt |
| CY Total Expenses | $31,193,225 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,724,309 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,987,501 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,163,988 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,640,441 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,815,205 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,304,157 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,348,783 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,336,284 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Provide primary health care to mostly low-income and underserved residents. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,737,225 | ExpenseAmt |
| Revenue | $21,430,113 | RevenueAmt |
| Desc | Served eligible persons in connection with health related issues. | Desc |
| Total Program Service Expenses | $21,737,225 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 360 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WAYNE ROWE | PersonNm |
| Phone | 2564920131 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2245 | AddressLine1Txt |
| City | GADSDEN | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TIA FREEMAN | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT TURK | ||||||||
| ASSISTANT TREASURER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDGE BOBBY JUNKINS | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| TARVA VAUGHN | ||||||||
| BOARD VICE PRESIDENT | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| JEAN WARD | ||||||||
| BOARD TREASURER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| NOBLE CYLAR | ||||||||
| BOARD PRESIDENT | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| CECILIA CRUZ-ZANAIG | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA DERAMUS | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| COMMISSIONER CAROLYN PARKER | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| DANTE' WHITTAKER SR | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE BURTON | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER REYNOLDS | ||||||||
| BOARD MEMBER | 002.00 | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| WAYNE ROWE | ||||||||
| CHIEF EXECUTIVE OFFICER | 040.00 | 040.00 | $296,039 | $0 | $10,724 | Yes (X) | Yes (X) | |
| DEBORAH SMITH | ||||||||
| CHIEF MEDICAL OFFICER | 040.00 | 040.00 | $221,767 | $0 | $792 | Yes (X) | Yes (X) | |
| MUHAMMAD TARIQ | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $223,110 | $0 | $180 | Yes (X) | ||
| JAMES MCCAIN | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $206,154 | $0 | $792 | Yes (X) | ||
| OCHUKO OBJEGBA | ||||||||
| PHYSICIAN | 040.00 | 002.00 | $253,238 | $0 | $5,108 | Yes (X) | ||
| STACY TOWLES-MOORE | ||||||||
| PHYSICIAN | 040.00 | 002.00 | $188,549 | $0 | $516 | Yes (X) | ||
| VERMA PRAGYA | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $150,984 | $0 | $96 | Yes (X) | ||
| HOOD JONATHAN | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $205,152 | $0 | $516 | Yes (X) | ||
| DELORES VICTORIA | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $100,194 | $0 | $0 | Yes (X) | ||
| AMELIA WOFFORD | ||||||||
| PLANNING DEVELOPMENT OFFICER | 040.00 | 040.00 | $142,582 | $0 | $10,792 | Yes (X) | ||
| MICHAEL ROBINSON | ||||||||
| DENTIST | 040.00 | 040.00 | $115,018 | $0 | $108 | Yes (X) | ||
| NINA ROBINSON | ||||||||
| DENTIST | 040.00 | 040.00 | $118,337 | $0 | $2,596 | Yes (X) | ||
| CHERIE KEAHEY | ||||||||
| CERTIFIED NURSE PRACTITIONER | 040.00 | 040.00 | $100,900 | $0 | $276 | Yes (X) | ||
| TRACY WADE | ||||||||
| CERTIFIED NURSE PRACTITIONER | 040.00 | 040.00 | $106,658 | $0 | $120 | Yes (X) | ||
| ROLEEN BRIGHT | ||||||||
| DENTIST | 040.00 | 040.00 | $113,531 | $0 | $5,180 | Yes (X) | ||
| PHILLIP ROGERS | ||||||||
| Certified Nurse Practitioner | 040.00 | 040.00 | $105,632 | $0 | $516 | Yes (X) | ||
| RENE ARNOLD | ||||||||
| PHARMACIST | 040.00 | 040.00 | $111,719 | $0 | $96 | Yes (X) | ||
| CAROLE CAMPBELL | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $115,644 | $0 | $2,776 | Yes (X) | ||
| MINTER VICTORIA | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $104,775 | $0 | $516 | Yes (X) | ||
| SYED WALI | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $157,219 | $0 | $96 | Yes (X) | ||
| LARRY SCARBOROUGH | ||||||||
| PHYSICIAN | 040.00 | 040.00 | $184,458 | $0 | $792 | Yes (X) | ||
| BRIAN HULSEY | ||||||||
| PHARMACIST | 040.00 | 040.00 | $112,590 | $0 | $516 | Yes (X) | ||
| LINDA AGEE | ||||||||
| DENTIST | 040.00 | 040.00 | $112,801 | $0 | $516 | Yes (X) | ||
| MARY BAILEY CROWE | ||||||||
| DENTIST | 040.00 | 040.00 | $100,820 | $0 | $96 | Yes (X) | ||
| FANNIE JENKINS | ||||||||
| CERTIFIED NURSE PRACTITIONER | 040.00 | 040.00 | $109,685 | $0 | $618 | Yes (X) | ||
| BILLIE MCCLURKIN | ||||||||
| PHARMACIST | 040.00 | 040.00 | $107,358 | $0 | $180 | Yes (X) | ||
| BUCHI-AHIABUIKE CHINYERE | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $100,849 | $0 | $2,180 | Yes (X) | ||
| JOHN ROBINSON | ||||||||
| PHARMACIST | 040.00 | 040.00 | $109,099 | $0 | $516 | Yes (X) | ||
| CAROL JAMES | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $104,268 | $0 | $3,292 | Yes (X) | ||
| WALKER LANE | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $109,624 | $0 | $108 | Yes (X) | ||
| DOUTHIT KIM | ||||||||
| CERTIFIED NURSE PRACTIIONER | 040.00 | 040.00 | $111,849 | $0 | $180 | Yes (X) | ||
| SOLTANI SHANAZ | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $115,099 | $0 | $516 | Yes (X) | ||
| BISHOP CHARLOTTE | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $120,907 | $0 | $792 | Yes (X) | ||
| SINGER LAMARQUIS | ||||||||
| CERTIFEID NURSE PRACTIONER | 040.00 | 040.00 | $141,833 | $0 | $120 | Yes (X) | ||
| COLE CHRISTOPHER | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $141,685 | $0 | $258 | Yes (X) | ||
| CARDEN PAMELA | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $108,396 | $0 | $516 | Yes (X) | ||
| HILL DARNITA | ||||||||
| CERTIFIED NURSE PRACTIONER | 040.00 | 040.00 | $112,301 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,140,824 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $52,992 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Anniston OBGYN | |||||
| 901 Leighton Ave Suite 501 | ANNISTON | AL | 36207 | MEDICAL | $954,400 |
| Women's Health Partner LLC | |||||
| 808 South 4th Street | Gadsden | AL | 35901 | MEDICAL | $1,084,075 |
| 4BG DIVERSIFIED | |||||
| PO BOX 4061 | ANNISTON | AL | 36204 | MAINTNANCE CONSTRUCTION | $1,052,758 |
| DR MICHAEL JOHNSON & ASSOCIATES | |||||
| 236 BARRINGTON CIR | ALEXANDRIA | AL | 36250 | OPTOMETRY | $495,002 |
| ISBELL MEDICAL GROUP | |||||
| P O BOX 680199 | FORT PAYNE | AL | 35968 | MEDICAL | $796,047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $14,887,719 | GovernmentGrantsAmt |
| All Other Contributions | $6,542,394 | AllOtherContributionsAmt |
| Total Contributions | $21,430,113 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Services | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $12,091,242 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,091,242 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,617 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $645,754 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $645,754 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,180,726 | TotalRevenueColumnAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,137,355 | TotalAmt |
| Program Services | $10,127,067 | ProgramServicesAmt |
| Management And General | $4,010,288 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,576,806 | TotalAmt |
| Program Services | $2,562,607 | ProgramServicesAmt |
| Management And General | $1,014,199 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,341 | TotalAmt |
| Management And General | $248,341 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,688 | TotalAmt |
| Program Services | $29,098 | ProgramServicesAmt |
| Management And General | $85,590 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,547,307 | TotalAmt |
| Program Services | $1,337,804 | ProgramServicesAmt |
| Management And General | $209,503 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,322 | TotalAmt |
| Program Services | $325,086 | ProgramServicesAmt |
| Management And General | $237,236 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,825 | TotalAmt |
| Program Services | $110,106 | ProgramServicesAmt |
| Management And General | $99,719 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,493,710 | TotalAmt |
| Program Services | $5,486,929 | ProgramServicesAmt |
| Management And General | $1,006,781 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,134 | TotalAmt |
| Program Services | $59,681 | ProgramServicesAmt |
| Management And General | $181,453 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,650 | TotalAmt |
| Management And General | $156,650 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,601 | TotalAmt |
| Program Services | $524,488 | ProgramServicesAmt |
| Management And General | $465,113 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,737 | TotalAmt |
| Management And General | $153,737 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TELEPHONE | $1,193,923 | $896,887 | $297,036 |
| EQUIPMENT RENTAL | $216,650 | $55,767 | $160,883 |
| DUES, TAXES, LICENSES | $181,859 | $90,210 | $91,649 |
| WASTE CLEANING | $342,452 | $342,452 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $826,865 | TotalAmt |
| Program Services | $131,495 | ProgramServicesAmt |
| Management And General | $695,370 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,193,225 | TotalAmt |
| Program Services | $21,737,225 | ProgramServicesAmt |
| Management And General | $9,456,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,362,426 | BOYAmt |
| EOY | $6,299,162 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,266,481 | BOYAmt |
| EOY | $1,275,879 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,804,903 | BOYAmt |
| EOY | $1,707,209 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,364 | BOYAmt |
| EOY | $131,548 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,084 | BOYAmt |
| EOY | $132,291 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,057,469 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,979,755 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,434,092 | BOYAmt |
| EOY | $16,077,714 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,638 | BOYAmt |
| EOY | $16,638 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,163,988 | BOYAmt |
| EOY | $25,640,441 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,453,362 | BOYAmt |
| EOY | $1,866,070 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,782,180 | BOYAmt |
| EOY | $3,106,910 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,663 | BOYAmt |
| EOY | $331,177 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,815,205 | BOYAmt |
| EOY | $5,304,157 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,348,783 | BOYAmt |
| EOY | $20,336,284 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,348,783 | BOYAmt |
| EOY | $20,336,284 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,163,988 | BOYAmt |
| EOY | $25,640,441 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,987,501 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,433,098 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,538,300 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,258,423 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,836,690 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,340 | CurrentTaxYearAmt |
| Total | $62,082,851 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,433,098 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,538,300 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,258,423 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,836,690 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,340 | CurrentTaxYearAmt |
| Total | $62,082,851 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $62,082,851 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,184 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,735 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,159 | CurrentTaxYearMinus2YearsAmt |
| Total | $45,078 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $62,127,929 | TotalSupportAmt |
| Public Support CY170 | 0.99930 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99900 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,312,565 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,095,729 | DepreciationAmt |
| Book Value | $14,216,836 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $692,180 | OtherCostOrOtherBasisAmt |
| Depreciation | $181,454 | DepreciationAmt |
| Book Value | $510,726 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,882,403 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,680,931 | DepreciationAmt |
| Book Value | $1,201,472 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,321 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,641 | DepreciationAmt |
| Book Value | $148,680 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,077,714 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal income taxes | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $34,180,726 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $34,180,726 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $34,180,726 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,193,225 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $31,193,225 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $31,193,225 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| WAYNE ROWE | |||||
| CHIEF EXECUTIVE OFFICER | $296,039 | $10,000 | $724 | $103,506 | $410,269 |
| DEBORAH SMITH | |||||
| CHIEF MEDICAL OFFICER | $221,767 | $792 | $222,559 | ||
| MUHAMMAD TARIQ | |||||
| PHYSICIAN | $223,110 | $180 | $223,290 | ||
| JAMES MCCAIN | |||||
| PHYSICIAN | $206,154 | $792 | $206,946 | ||
| OCHUKO OBJEGBA | |||||
| PHYSICIAN | $253,238 | $5,000 | $108 | $258,346 | |
| STACY TOWLES-MOORE | |||||
| PHYSICIAN | $188,549 | $516 | $189,065 | ||
| VERMA PRAGYA | |||||
| PHYSICIAN | $150,984 | $96 | $151,080 | ||
| HOOD JONATHAN | |||||
| PHYSICIAN | $200,152 | $5,000 | $516 | $205,668 | |
| AMELIA WOFFORD | |||||
| PLANNING DEVELOPMENT OFFICER | $142,582 | $10,000 | $792 | $153,374 | |
| SYED WALI | |||||
| PHYSICIAN | $157,219 | $96 | $157,315 | ||
| LARRY SCARBOROUGH | |||||
| PHYSICIAN | $184,458 | $792 | $185,250 | ||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11B | THE 990 IS REVIEWED BY THE CHIEF FISCAL OFFICER. |
| Form 990, Part VI, Section B, Line 15 | COMPENSATION OF TOP LEVEL MANAGEMENT IS DETERMINED BY THE GOVERNING BOARD |
| Form 990, Part VI, Section C, Line 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
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