QUALITY OF LIFE HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
QUALITY OF LIFE HEALTH SERVICES INC (EIN 63-0727804)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-06-24
IRS object ID
201331759349301003
Schema version
2012v2.2
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)
Timestamp2013-06-24T04:06:53-00:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SHEPPARD-HARRIS ASSOCIATES P CBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1214 24th STREET NORTHAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35203ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN630727804EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1QUALITY OF LIFE HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlQUALNameControl
Phone2564920131Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 97AddressLine1
CityGADSDENCity
StateALState
ZIP Code35902ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWAYNE ROWEName
TitleCHIEF EXECUTIVE OFFICERTitle
Date Signed2013-06-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCONNIE HARRISName
Phone2053235922Phone
Date Prepared2013-06-24DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWAYNE ROWENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2245AddressLine1
CityGADSDENCity
StateALState
ZIP Code35901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25106926GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.qolhs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionProvide primary health care to low-income and underserved residents.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees331TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year13433098ContributionsGrantsPriorYear
Contributions Grants Current Year13538300ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9601569ProgramServiceRevenuePriorYear
Program Service Revenue CY11397409ProgramServiceRevenueCY
Investment Income Prior Year16184InvestmentIncomePriorYear
Investment Income Current Year13735InvestmentIncomeCurrentYear
Other Revenue Prior Year807415OtherRevenuePriorYear
Other Revenue Current Year157482OtherRevenueCurrentYear
Total Revenue Prior Year23858266TotalRevenuePriorYear
Total Revenue Current Year25106926TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11987466SalariesEtcPriorYear
Salaries Etc Current Year12279363SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11584447OtherExpensePriorYear
Other Expenses Current Year11753427OtherExpensesCurrentYear
Total Expenses Prior Year23571913TotalExpensesPriorYear
Total Expenses Current Year24032790TotalExpensesCurrentYear
Revenues Less Expenses Prior Year286353RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1074136RevenuesLessExpensesCY
Total Assets BOY16224194TotalAssetsBOY
Total Assets EOY17252849TotalAssetsEOY
Total Liabilities BOY3544154TotalLiabilitiesBOY
Total Liabilities EOY3466143TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12680040NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13786706NetAssetsOrFundBalancesEOY
Mission DescriptionProvide primary health care to mostly low-income and underserved residents.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18326305Expense
Revenue13538300Revenue
DescriptionServed eligible persons in connection with health related issues.Description
Total Program Service Expense18326305TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees331NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Funds To Pay PremiumsfalseFundsToPayPremiums
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledALStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWAYNE ROWENamePerson
Telephone Number2564920131TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2245AddressLine1
CityGADSDENCity
StateALState
ZIP Code35901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARIOSAENZ
BOARD MEMBER002.00X000
ROBERT TURK
ASSISTANT TREASURER002.00X000
JUDGE BOBBY JUNKINS
BOARD MEMBER002.00X000
TARVA VAUGHN
BOARD SECRETARY002.00X000
JEAN WARD
BOARD TREASURER002.00X000
NOBLE CYLAR
BOARD PRESIDENT002.00X000
TINA CYLAR
BOARD MEMBER002.00X000
PATRICIA DERAMUS
BOARD MEMBER002.00X000
DEBRE FOSTER
BOARD VICE PRESIDENT002.00X000
TIM MCNAIR
BOARD MEMBER002.00X000
DANTE' WHITTAKER SR
BOARD MEMBER002.00X000
WAYNE ROWE
CHIEF EXECUTIVE OFFICER040.0035225100XX
DEBORAH SMTIH
CHIEF MEDICAL OFFICER040.0019939000XX
KATHARINE CULP
DENTAL DEPT DIRECTOR040.0012868000XX
MUHAMMAD TARIQ
MEDICAL DOCTOR040.0020854500X
DAVID WILLIS
MEDICAL DOCTOR040.0011012000X
JAMES MCCAIN
MEDICAL DOCTOR040.0018151200X
OCHUKO OBJEGBA
PHYSICIAN040.0018010800X
STACY TOWLES-MOORE
PHYSICIAN040.0017855400X
AUSTIN FLORES
PHYSICIAN040.0014803700X
DELORES VICTORIA
PHYSICIAN040.0012668000X
AMELIA WORRORD
PLANNING DEVELOPMENT OFFICER040.0012666500X
VINICIA CORTEZ
PHARMACIST040.0010764100X
MICHAEL ROBINSON
DENTIST040.0010633500X
NINA ROBINSON
DENTIST040.0010171600X
CHERIE KEAHEY
CERTIFIED NURSE PRACTITIONER040.0010132300X
TRACY WADE
CERTIFIED NURSE PRACTITIONER040.0010096800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2458525TotalReportableCompFromOrg
Number Individuals GT100 K16NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WOMEN'S HEALTH PARTNER LLC
808 SOUTH 4TH STREETGADSDENAL35901MATERNITY WAVIER609503
GADSDEN WOMEN'S CLINIC
1026 GOODYEAR AVENUE STE 300GADSDENAL35903MEDICAL SERVICES502370
WILLIE L DUNCAN DBA 4BG DIVERSIFIED
PO BOX 4061ANNISTONAL36204MAINTNANCE CONSTRUCTION623045
ISBELL MEDICAL GROUP
PO BOX 680199FORT PAYNEAL35968MEDICAL658093
DERRICK AUSTIN DBA HEALTHNET CONSULTING GROUP
100 MONTCREST POINTGADSDENAL35901MEDICAL477873
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants9073635GovernmentGrants
All Other Contributions4464665AllOtherContributions
Total Contributions13538300TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ServicesDescription
Business Code621400BusinessCode
Total Revenue Column11397409TotalRevenueColumn
Related Or Exempt Function Income11397409RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11397409TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13735TotalRevenueColumn
Related Or Exempt Function Income13735RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous RevenueDescription
Business Code900099BusinessCode
Total Revenue Column157482TotalRevenueColumn
Related Or Exempt Function Income157482RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue157482TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25106926TotalRevenueColumn
Related Or Exempt Function Income11568626RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10056118Total
Program Services7340965ProgramServices
Management And General2715153ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2223245Total
Program Services1622969ProgramServices
Management And General600276ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total111615Total
Management And General111615ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14262Total
Management And General14262ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5730093Total
Program Services5099551ProgramServices
Management And General630542ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total45756Total
Program Services33402ProgramServices
Management And General12354ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1495936Total
Program Services1092034ProgramServices
Management And General403902ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total444266Total
Program Services324314ProgramServices
Management And General119952ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total267614Total
Program Services195358ProgramServices
Management And General72256ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total85341Total
Program Services62299ProgramServices
Management And General23042ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total123776Total
Program Services90356ProgramServices
Management And General33420ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1223844Total
Program Services971555ProgramServices
Management And General252289ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total122472Total
Program Services89404ProgramServices
Management And General33068ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TELEPHONE866664632665233999
EQUIPMENT RENTAL895516537224179
DUES, TAXES, LICENSES17851913031948200
WASTE CLEANING29270821367779031

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total661010Total
Program Services362065ProgramServices
Management And General298945ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24032790Total
Program Services18326305ProgramServices
Management And General5706485ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY623165BOY
EOY1817375EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1231558BOY
EOY1243704EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1690310BOY
EOY1666516EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY246600BOY
EOY271231EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY104959BOY
EOY98158EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25756766LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13614659LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12316044BOY
EOY12142107EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11558BOY
EOY13758EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16224194BOY
EOY17252849EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1009475BOY
EOY856665EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY225000BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1878449BOY
EOY2278871EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY431230BOY
EOY330607EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3544154BOY
EOY3466143EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12680040BOY
EOY13786706EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12680040BOY
EOY13786706EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16224194BOY
EOY17252849EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1074136ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6775093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9818856CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13952162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13433098CurrentTaxYearMinus1Year
Current Tax Year13538300CurrentTaxYear
Total57517509Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6775093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9818856CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13952162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13433098CurrentTaxYearMinus1Year
Current Tax Year13538300CurrentTaxYear
Total57517509Total
FieldValueIRS element (for citing)
Public Support Total17057517509PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55480CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47471CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30109CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16184CurrentTaxYearMinus1Year
Current Tax Year13735CurrentTaxYear
Total162979Total
FieldValueIRS element (for citing)
Total Support57680488TotalSupport
Public Support Pertcentage1700.99720PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99530PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16924027OtherCostOrOtherBasis
Depreciation7805657Depreciation
Book Value9118370BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis637801OtherCostOrOtherBasis
Depreciation179250Depreciation
Book Value458551BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7940853OtherCostOrOtherBasis
Depreciation5629752Depreciation
Book Value2311101BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis254085OtherCostOrOtherBasis
Book Value254085BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12142107TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

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

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFederal income taxesDescription
FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt25106926TotRevenueEtcAuditedFinclStmt
Revenue Subtotal25106926RevenueSubtotal
Total Revenue Per Form99025106926TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24032790TotExpensesEtcAuditedFinclStmt
Expenses Subtotal24032790ExpensesSubtotal
Total Expenses Per Form99024032790TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitle
WAYNE ROWE
CHIEF EXECUTIVE OFFICER
DEBORAH SMTIH
CHIEF MEDICAL OFFICER
MUHAMMAD TARIQ
MEDICAL DOCTOR
JAMES MCCAIN
MEDICAL DOCTOR
OCHUKO OBJEGBA
PHYSICIAN
STACY TOWLES-MOORE
PHYSICIAN

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

ExplanationExplanation
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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