Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
|||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 528,000 | 512,002 | 165,000 | 411,000 | 1,000,000 | 2,616,002 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | 528,000 | 512,002 | 165,000 | 411,000 | 1,000,000 | 2,616,002 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | 2,616,002 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 528,000 | 512,002 | 165,000 | 411,000 | 1,000,000 | 2,616,002 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 34,191 | 21,644 | 33,726 | 33,499 | 42,867 | 165,927 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | 2,781,929 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MANAGEMENT FUNCTIONS, SUCH AS FINANCE, HUMAN RESOURCES, INFORMATION TECHNOLOGY, CONTRACTS, AND BUSINESS DEVELOPMENT, ARE PERFORMED BY QUALITY HEALTH STRATEGIES, INC., THE SOLE MEMBER OF QUALITY HEALTH FOUNDATION, INC.. IN ADDITION, THE ORGANIZATION'S CEO IS ALSO THE CEO OF QUALITY HEALTH STRATEGIES, INC. | |
| FORM 990, PART VI, SECTION A, LINE 6 | QUALITY HEALTH STRATEGIES, INC. IS THE SOLE MEMBER OF QUALITY HEALTH FOUNDATION, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | QUALITY HEALTH STRATEGIES, INC. HAS THE RIGHT TO APPOINT AND ELECT ALL DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF DIRECTORS OF QUALITY HEALTH STRATEGIES, INC. APPROVES ALL BOARD MEMBER RECOMMENDATIONS MADE BY THE BOARD OF QUALITY HEALTH FOUNDATION,INC. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 DATA IS PREPARED BY THE FINANCE DEPARTMENT OF THE COMPANY AND INPUT INTO OUR INDEPENDENT AUDITOR'S TEMPLATE FOR PREPARATION OF THE 990. THE CHIEF FINANCIAL OFFICER REVIEWS THE DATA INPUT INTO THE TEMPLATE PRIOR TO BEING SENT TO THE INDEPENDENT AUDITORS. THE INDEPENDENT AUDITORS PREPARE THE FORM 990 AND SEND THE FIRST DRAFT TO THE CFO FOR REVIEW, COMMENT OR ANY CHANGES. IF ANY CHANGES, THEY ARE SENT TO THE INDEPENDENT AUDITORS FOR CHANGE. A SECOND DRAFT IS PREPARED AND SENT TO THE CFO, WHO DISSEMINATES TO THE CEO AND THE BOARD OF DIRECTORS FOR THEIR REVIEW, COMMENT & CHANGES. IF NO CHANGES, THEN THE 2ND DRAFT IS CONSIDERED FINAL AND IS THE VERSION FILED WITH THE IRS. IF CHANGES, THEN THE CHANGES ARE COMPLETED, THE REVISED 990 IS DISSEMINATED TO THE CEO AND BOARD OF DIRECTORS ELECTRONICALLY OR IN PAPER FORM PRIOR TO FILING. THE RETURN IS THEN FILED ELECTRONICALLY WITH THE IRS BY THE INDEPENDENT AUDITOR. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS PARTICIPATES IN ANNUAL COMPLIANCE TRAINING AND CONFLICT OF INTEREST TRAINING GIVEN BY THE COMPLIANCE OFFICER. EACH BOARD MEMBER, THE CEO, COO, AND CFO ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | CONSISTENT WITH SARBANES OXLEY, QUALITY HEALTH FOUNDATION'S PARENT ORGANIZATION, QUALITY HEALTH STRATEGIES, INC.'S BOARD OF DIRECTORS APPOINTS A COMMITTEE TO OBTAIN AND ANALYZE A COMPENSATION SURVEY FOR THE CEO AND C-SUITE OFFICERS. FOR OTHER VICE PRESIDENTS, THE DIRECTOR OF HUMAN RESOURCES OBTAINS THE SURVEY AND DISCUSSES WITH THE CEO. THE QHS BOARD COMMITTEE RESERVES THE RIGHT TO REVIEW THE VICE PRESIDENT COMPENSATION ANALYSIS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABE VIA GUIDESTAR AND UPON REQUEST. ALL OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 205,152. |
| FORM 990, PART VII, SECTION A | THE FOLLOWING DIRECTORS ARE ALSO OFFICERS AND DIRECTORS OF QUALITY HEALTH STRATEGIES, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO QUALITY HEALTH STRATEGIES, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO QHS J. BRUCE WILLIAMS .2 ROGER C. MERRILL 4 RON FORSYTHE, JR. .2 CHRISTIAN JENSEN, A DIRECTOR FOR QUALITY HEALTH FOUNDATION, INC. IS ALSO AN OFFICER OF DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA, INC., A RELATED ORGANIZATION. HE DEVOTES ABOUT 6 HOURS PER WEEK TO THE RELATED ORGANIZATION. CHRISTIAN JENSEN, A DIRECTOR FOR QUALITY HEALTH FOUNDATION, INC. IS ALSO AN OFFICER OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC., A RELATED ORGANIZATION. HE DEVOTES ABOUT 34 HOURS PER WEEK TO THE RELATED ORGANIZATION. SEVERAL OFFICERS OF QUALITY HEALTH FOUNDATION, INC. ARE ALSO EMPLOYEES OF QUALITY HEALTH STRATEGIES, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO QUALITY HEALTH STRATEGIES, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO QHS FREDIA WADLEY 22 MALCOLM R. HOLLEY, JR. 22 SEVERAL OFFICERS OF QUALITY HEALTH FOUNDATION, INC. ARE ALSO EMPLOYEES OF DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO DFDC FREDIA WADLEY 2 MALCOLM R. HOLLEY, JR. 2 SEVERAL OFFICERS OF QUALITY HEALTH FOUNDATION, INC. ARE ALSO EMPLOYEES OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO DELMARVA FOUNDATION FOR MEDICAL CARE, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO DFMC FREDIA WADLEY 16 MALCOLM R. HOLLEY 16 |
| Software ID: | |
| Software Version: |
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Affiliated Group Business Name:
DELMARVA FOUNDATION FOR MEDICAL CARE INC
Address. Either US or Foreign Type:
9240 CENTERVILLE ROAD
EASTON, MD21601 EIN:
52-1000082
Electing Organization Checkbox:
Total Grassroots Lobbying:
1,593
Total Direct Lobbying:
1,592
Total Lobbying Expenditures:
3,185
Other Exempt Purpose Expenditures:
22,587,881
Total Exempt Purpose Expenditures:
22,591,066
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
QUALITY HEALTH STRATEGIES INC
Address. Either US or Foreign Type:
9240 CENTERVILLE ROAD
EASTON, MD21601 EIN:
26-3670453
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
48,929,749
Total Exempt Purpose Expenditures:
48,929,749
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA INC
Address. Either US or Foreign Type:
9240 CENTERVILLE ROAD
EASTON, MD21601 EIN:
52-2334320
Electing Organization Checkbox:
Total Grassroots Lobbying:
893
Total Direct Lobbying:
893
Total Lobbying Expenditures:
1,786
Other Exempt Purpose Expenditures:
2,743,838
Total Exempt Purpose Expenditures:
2,745,624
Lobbying Nontaxable Amount:
287,281
Grassroots Nontaxable Amount:
71,820
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|
|
Affiliated Group Business Name:
QUALITY HEALTH FOUNDATION INC
Address. Either US or Foreign Type:
9240 CENTERVILLE ROAD
EASTON, MD21601 EIN:
20-0065799
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
421,616
Total Exempt Purpose Expenditures:
421,616
Lobbying Nontaxable Amount:
84,323
Grassroots Nontaxable Amount:
21,081
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
|