2013-11-13T19:26:19-06:00 2012-12-31 561220683 POTTER & COMPANY PA 114 N CHURCH STREET MONROE NC 28112 990 2012-01-01 562117596 HEALTHQUEST OF UNION COUNTY HEAL 7042262050 415 EAST FRANKLIN STREET MONROE NC 28112 HEATHER HORNE 7042262050 2013-11-11 1 BAXTER W STARNES CPA P00350775 7042838189 2012 2016-02-25 16:41:14Z HEATHER HORNE 415 EAST FRANKLIN STREET MONROE NC 28112 549673 0 X WWW.HEALTHQUESTPHARMACY.ORG X 1998 NC PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE. 21 21 0 48 0 0 258283 368349 160129 180719 2905 605 0 0 421317 549673 0 0 0 0 345916 362950 0 0 49334 190492 212680 536408 575630 -115091 -25957 900835 877872 36487 39481 864348 838391 X HEALTHQUEST OF UNION COUNTY IS A NONPROFIT ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING MEDICATIONS TO THOSE WHO CANNOT AFFORD THEM OTHERWISE. THE ORGANIZATION PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE COVERAGE. 0 0 468410 180719 PROVIDED PHARMACEUTICALS AND PRESCRIPTION MEDICATIONS TO INDIVIDUALS THAT HAVE NO PRESCRIPTION INSURANCE AND CANNOT AFFORD THEIR MEDICATIONS OTHERWISE. THE INDIVDUALS SERVED RESIDE IN UNION, ANSON, AND STANLY COUNTIES, NC AND CHESTERFIELD AND LANCASTER COUNTIES, SC. THE ORGANIZATION ASSISTED 1,676 CLIENTS IN 2012 AND FILLED 50,844 PRESCRIPTIONS. 468410 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC NC X JACKIE GASKINS 7042262050 415 E FRANKLIN ST MONROE NC 28112 X BRENT LAMMERS 2.00 X X 0 0 0 BILL ALSTON 1.00 X 0 0 0 JANE AUSTIN 1.00 X 0 0 0 BUDDY BREWER 1.00 X 0 0 0 RUTH DEASON 1.00 X 0 0 0 KATHY IPAPO 1.00 X X 0 0 0 GARY JEWELL 1.00 X 0 0 0 RICHARD JONES 1.00 X X 0 0 0 MAX MELTON 1.00 X 0 0 0 BILL NORWOOD 1.00 X 0 0 0 LYDIA LYON 1.00 X X 0 0 0 JACKY OLIN 1.00 X 0 0 0 PATTY PRESLAR 1.00 X 0 0 0 LYNN RAYE 1.00 X 0 0 0 LISA STARNES 1.00 X 0 0 0 DAVE VAN BLARCOM 1.00 X 0 0 0 JAIME WISE 1.00 X 0 0 0 SHIRLEY ALLEN 1.00 X 0 0 0 DENNIS BURTON 1.00 X 0 0 0 CHAD GRIFFIN 1.00 X 0 0 0 GENE HERRELL 1.00 X 0 0 0 JEANETTE REED 1.00 X 0 0 0 0 0 0 0 0 0 0 0 368349 66000 368349 CLIENT FEES 446110 180719 180719 180719 605 605 549673 180719 0 605 277208 212978 33819 30411 85742 65876 10460 9406 3575 3575 409 409 4703 1646 2352 705 1181 886 236 59 17981 16183 1798 PHARMACEUTICALS 109556 109556 UTILITIES 7298 6568 730 INSURANCE - LIABILITY 7238 7238 MEDICAL SUPPLIES 6520 6520 54219 40959 4507 8753 575630 468410 57886 49334 291759 283352 53390 56848 7636 7603 676995 146926 548050 530069 900835 877872 36487 39481 36487 39481 X 810958 781543 53390 56848 864348 838391 900835 877872 -25957 0 X 0 1 X 1 0 X 389124 430799 356668 258283 368349 1803223 103620 118639 132866 160129 180719 695973 492744 549438 489534 418412 549068 2499196 0 0 0 2499196 6598 6506 5877 2905 605 22491 6598 6506 5877 2905 605 22491 499342 555944 495411 421317 549673 2521687 0.99110 0.98950 0.00890 0.01050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150000 150000 426648 73387 353261 48718 24266 24452 51629 49273 2356 530069 X 549673 0 549673 0 549673 575630 0 575630 0 575630 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2010, 2011 AND 2012 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND NORTH CAROLINA DEPARTMENT OF REVENUE. HOWEVER, THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEAR END DECEMBER 31, 2012 . X SALARIES AND BENEFITS 1 66000 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 EXECUTIVE DIRECTOR AND EXECUTIVE SECRETARY REVIEW FORM 990 WITH TAX PREPARER BEFORE RETURN IS FILED TO ENSURE CORRECTNESS OF INFORMATION PROVIDED. DRAFT OF FORM 990 IS ALSO REVIEWED BY THE ORGANIZATION'S EXECUTIVE AND FINANCE COMMITTEES BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C REVIEW POLICY WITH NEW BOARD MEMBERS. REVIEWED WITH FULL BOARD ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 REVIEWED ANNUALLY BY BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST