2012-06-15T15:29:17-05:00 2011-09-30 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1700 BELLEVUE WA 98004 990 2010-10-01 911072875 QUALIS HEALTH QUAL 2063649700 10700 MERIDIAN AVENUE NORTH NO 100 SEATTLE WA 98133 JONATHAN SUGARMAN 2063649700 2012-06-15 1 SARA ELIZABETH J HYRE 4254544919 2010 2016-02-24 21:20:13Z JONATHAN SUGARMAN 10700 MERIDIAN AVENUE NORTH NO 100 SEATTLE WA 98133 34877745 0 X WWW.QUALISHEALTH.ORG X 1974 WA TO GENERATE, APPLY, AND DISSEMINATE KNOWLEDGE TO IMPROVE THE QUALITY OF HEALTHCARE DELIVERY AND HEALTH OUTCOMES. 11 11 298 0 2356751 -218922 0 0 32717872 34635930 -39468 29745 0 0 32678404 34665675 0 0 0 0 21375648 22208122 0 0 0 11255858 11260901 32631506 33469023 46898 1196652 12114348 12430899 4342258 3488831 7772090 8942068 TO GENERATE, APPLY AND DISSEMINATE KNOWLEDGE TO IMPROVE THE QUALITY OF HEALTHCARE DELIVERY AND HEALTH OUTCOMES, SUPPORTING THE PROMOTION OF HEALTH OF BENEFICIARIES OF GOVERNMENT HEALTHCARE PROGRAMS AND LESSENING THE BURDENS OF GOVERNMENT. 0 0 13627035 18273081 CARE MANAGEMENT: QUALIS HEALTH PROVIDES A SUITE OF CARE MANAGEMENT SERVICES (ALSO KNOWN AS "MEDICAL MANAGEMENT") TO SUPPORT COST-EFFECTIVE, PATIENT-CENTERED, HIGH QUALITY CARE THROUGH UTILIZATION MANAGEMENT AND CASE MANAGEMENT. 9237905 11758885 HEALTHCARE QUALITY, SAFETY AND EFFICIENCY CONSULTING: QUALIS HEALTH TEAMS WITH HEALTH CARE PROVIDERS, INSTITUTIONS AND POLICY MAKERS TO MAKE TRANSFORMATIONAL CHANGES TO MORE EFFICIENT, EFFECTIVE HEALTHCARE DELIVERY SYSTEMS AND MODELS, EMPHASIZING LEAN, WORK AND PATIENT-CENTERED PROCESSES. TO PROMOTE QUALITY AND SAFETY DIRECTLY, QUALIS HEALTH PROVIDES PHYSICIAN PEER REVIEW OF HEALTHCARE SERVICES FOR BENEFICIARIES AND OTHERS WHEN THEY HAVE QUALITY OF CARE CONCERNS. 3384989 4603964 HEALTH INFORMATION TECHNOLOGY CONSULTING: QUALIS HEALTH PROVIDES CONSULTING SERVICES TO ASSIST PROVIDERS, HEALTHCARE FACILITIES, AND GOVERNMENT AGENCIES AND OTHERS TO LEVERAGE HEALTH INFORMATION TECHNOLOGY IN ORDER TO IMPROVE CARE DELIVERY, TO SUPPORT EFFECTIVE BUSINESS OPERATIONS, AND TO COMPLY WITH REGULATORY REQUIREMENTS. 26249929 1 0 0 1 0 0 0 0 0 1 0 0 1 1 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 1 0 0 0 0 0 1 75 0 1 298 1 1 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JENNIFER FREEMAN 2063649700 10700 MERIDIAN AVE N 100 SEATTLE WA 98133 TIM FRAZIER 1.50 X X 2520 0 0 HUGH STRALEY 1.50 X X 1195 0 0 KARL KURTZ 1.50 X X 2650 0 0 CLARA LEWIS 1.50 X 3735 0 0 ANDREW CRAIGIE 1.50 X 2585 0 0 ERNEST KIMBALL 1.50 X 2260 0 0 HILKE FABER 1.50 X 1630 0 0 LORI WHITTAKER 1.50 X 2195 0 0 STEVEN BURGON 1.50 X 500 0 0 MABEL EZEONWU 1.50 X 1500 0 0 MARGARET TAYLOR STANLEY 1.50 X 1000 0 0 JONATHAN SUGARMAN 40.00 X 297304 0 102795 MARCI WEIS 40.00 X 202191 0 61878 JENNIFER FREEMAN 40.00 X 103040 0 11765 FOSTER C BEALL 40.00 X 0 152184 25053 MARY SELLERS 40.00 X 175098 0 26007 DEBRA NAUBERT 40.00 X 166067 0 12354 ERIC WALL 40.00 X 256430 0 27795 P JEFF HUMMEL 40.00 X 252551 0 22835 WILLIAM LINDSAY 40.00 X 0 179712 0 1474451 331896 290482 34 0 1 0 JILL CROUCHER 1821 E LYNWOOD MESA AZ 85203 CONSULTING 246498 MEDECISION PO BOX 7777 PHILADELPHIA PA 19175 CONSULTING 240604 ADAPTIVE PROJECT SOLUTIONS INC 525 DUNNALLY COURT ALPHARETTA GA 30022 CONSULTING 233217 PTSO OF WASHINGTON 720 OLIVE WAY SUITE 300 SEATTLE WA 98101 CONSULTING 229840 PITTSBURGH REGIONAL HEALTH INITIATIVE 650 SMITHFIELD ST SUITE 2400 PITTSBURGH PA 15222 CONSULTING 202368 14 CARE MANAGEMENT 541900 20627246 18273081 2354165 HEALTHCARE CONSULTING 541900 9402134 9402134 IT CONSULTING 541900 4606550 4603964 2586 34635930 5819 5819 235996 212070 23926 23926 23926 34665675 32279179 2356751 29745 1374451 905949 468502 17025775 13485696 3540079 739781 564994 174787 1640923 1302968 337955 1427192 1119274 307918 74997 58816 16181 115958 90940 25018 3747070 2938636 808434 1086922 852417 234505 850413 666936 183477 1289418 1011225 278193 293892 230810 63082 1090554 855266 235288 170983 134093 36890 EQUIP. RENTAL/MAINT. 992618 778460 214158 DATA PROCESSING 656609 514945 141664 TEMPORARY HELP 360726 282899 77827 DUES AND SUBSCRIPTIONS 201690 158175 43515 PHYSICIAN FEES 182492 182492 146559 114938 31621 33469023 26249929 7219094 0 164888 485675 777578 1539083 7262840 6118498 580093 1094289 10004393 7633500 2461402 2370893 7977 67651 859570 754810 12114348 12430899 2456825 2242367 25542 175436 1602982 980625 256909 90403 4342258 3488831 X 7772090 8942068 7772090 8942068 12114348 12430899 X 1196652 -26674 X 0 1 1 X 1 1 X 19313460 25577830 26603655 30277779 32279179 134051903 19313460 25577830 26603655 30277779 32279179 134051903 0 0 0 134051903 84446 6281 11235 4572 5819 112353 84446 6281 11235 4572 5819 112353 19397906 25584111 26614890 30282351 32284998 134164256 0.99920 0.99870 0.00080 0.00130 X 9561 9561 33435536 33445097 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 12807 18033 11208 9561 51609 250000 250000 250000 250000 1000000 1500000 1719759 1679964 39795 7852882 5953536 1899346 431752 431752 2370893 DEPOSITS 48518 GOODWILL, NET OF AMORTIZATION 706292 754810 LEASE INCENTIVE LIABILITY 2885 DEFERRED COMPENSATION LIABILITY 87518 90403 34665675 33469023 1196652 -26674 -26674 1169978 34615075 -26674 -26674 34641749 23926 23926 34665675 33445097 0 33445097 23926 23926 33469023 PART XII, LINE 4B - OTHER ADJUSTMENTS: REALIZED GAIN ON SALE OF INVESTMENTS 23,926. PART XIII, LINE 4B - OTHER ADJUSTMENTS: REALIZED GAIN ON SALE OF INVESTMENTS 23,926. X X X X X X 0 1 0 0 0 0 0 0 0 JONATHAN SUGARMAN 297304 0 0 0 0 0 92150 0 10645 0 400099 0 0 0 MARCI WEIS 202191 0 0 0 0 0 44498 0 17380 0 264069 0 0 0 FOSTER C BEALL 0 152184 0 0 0 0 0 4566 0 20487 0 177237 0 0 MARY SELLERS 175098 0 0 0 0 0 12257 0 13750 0 201105 0 0 0 DEBRA NAUBERT 166067 0 0 0 0 0 11625 0 729 0 178421 0 0 0 ERIC WALL 256430 0 0 0 0 0 17150 0 10645 0 284225 0 0 0 P JEFF HUMMEL 252551 0 0 0 0 0 17150 0 5685 0 275386 0 0 0 WILLIAM LINDSAY 0 179712 0 0 0 0 0 0 0 0 0 179712 0 0 PART I, LINE 4B QUALIS HEALTH HOLDS A SECTION 457(F) PLAN; DEFERRED COMPENSATION FOR JONATHAN SUGARMAN AND MARCI WEIS OF $87,518 WAS ACCRUED FOR THE YEAR ENDED SEPTEMBER 30, 2011. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM IN CONJUNCTION WITH STAFF. THE DOCUMENT IS REVIEWED IN DETAIL AND APPROVED BY THE BOARD'S AUDIT, FINANCE, AND INVESTMENT COMMITTEE. AFTER REVIEW AND COMMENT BY THE COMMITTEE, FORM 990 IS CIRCULATED TO THE FULL BOARD. FORM 990 IS THEN SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSED INTERESTS ARE REVIEWED BY THE ORGANIZATION'S COMPLIANCE OFFICER. IF A CONFLICT OR POTENTIAL CONFLICT IS IDENTIFIED, RESEARCH IS PERFORMED AND A RECOMMENDATION FOR MITIGATION OF THE CONFLICT OF INTEREST IS PROPOSED AS OUTLINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THE CEO'S DISCLOSURE ATTESTATION IS REVIEWED BY THE CHAIR OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND THAT OF OTHER EXECUTIVES OF QUALIS HEALTH IS GOVERNED IN ACCORDANCE WITH THE BOARD OF DIRECTORS "EXECUTIVE COMPENSATION POLICY". THE EXECUTIVE COMPENSATION POLICY ESTABLISHES AN APPROACH TO COMPENSATION THAT IS CONSISTENT WITH THE "REBUTTABLE PRESUMPTION SAFE HARBOR" ESTABLISHED BY US DEPARTMENT OF TREASURY REGULATIONS. THE PROCEDURES IN THE EXECUTIVE COMPENSATION POLICY ENSURE THAT (I) THE COMPENSATION ARRANGEMENTS WITH ITS EXECUTIVES PROVIDE FOR REASONABLE FAIR MARKET VALUE COMPENSATION AND (II) THE MEMBERS OF THE BOARD OF DIRECTORS ARE FULFILLING THEIR FIDUCIARY DUTY OF CARE TO THE CORPORATION. ON AN ANNUAL BASIS AN EVALUATION COMMITTEE OF THE BOARD CONDUCTS AN EVALUATION OF THE PERFORMANCE OF THE CEO. THE COMMITTEE ALSO REVIEWS AND MAKES A RECOMMENDATION REGARDING THE CEO'S COMPENSATION, TAKING INTO CONSIDERATION THE CEO'S PERFORMANCE, THE COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT), AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS, AND/OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE INDIVIDUAL EXECUTIVE AT ISSUE. THE BOARD REVIEWS THE RECOMMENDATION OF THE COMMITTEE AND PROVIDES FINAL APPROVAL OF THE CEO'S COMPENSATION. THIS WAS LAST PERFORMED IN JUNE 2011. THE CEO IS CHARGED WITH THE RESPONSIBILITY TO ANNUALLY REVIEW THE PERFORMANCE OF OTHER OFFICERS OF THE ORGANIZATION AND SET COMPENSATION LEVELS USING THE SAME CONSIDERATIONS AS NOTED ABOVE. THIS PROCESS WAS LAST PERFORMED IN AUGUST 2011. QUALIS HEALTH HUMAN RESOURCES ANNUALLY EVALUATES INDEPENDENTLY PUBLISHED AGGREGATE MARKET DATA ON WAGE AND SALARY TRENDS IN THE INDUSTRY, AS WELL AS REVIEWING PUBLISHED WAGE AND SALARY SURVEY BENCHMARK DATA FOR ITS POSITIONS. ALL WAGE AND SALARY COMPENSATION RANGES ARE EVALUATED ANNUALLY AND ADJUSTED ACCORDINGLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -26,674. OUTLOOK ASSOCIATES LLC 18022 COWAN STREET SUITE 255 IRVINE CA 92614 204962978 ASSISTING HEALTHCARE ORGANIZATIONS TO IMPROVE THE QUALITY OF HEALTHCARE DELI WA 361202 2374641 N/A