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 | ||||
| (1)
DELMARVA FOUNDATION FOR MEDICAL CARE INC |
521000082 | 7 | Yes | 0 | |||||
| (2)
DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA INC |
522334320 | 7 | Yes | 0 | |||||
| (3)
QUALITY HEALTH FOUNDATION INC |
200065799 | 7 | Yes | 1,000,000 | |||||
| Total | 1,000,000 | ||||||||
| 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 | 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.. | ||||||
| 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. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 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). | ||||||






| 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 6 | THERE IS ONE CLASS OF MEMBERSHIP IN QUALITY HEALTH STRATEGIES, INC. MEMBERS SHALL BE ELECTED AND ADMITTED TO THE MEMBERSHIP BY A TWO-THIRDS VOTE OF THE EXISTING MEMBERS. ANY ADDITIONAL MEMBERS SHALL COMPLETE AND SIGN THE MEMBERSHIP AGREEMENT FORM PROVIDED BY THE CORPORATION. SUCH FORM SHALL BE AS PRESCRIBED BY THE BOARD OF DIRECTORS AND SHALL CONTAIN A CLAUSE STATING IN SUBSTANCE THAT THE ADDITIONAL MEMBER AGREES TO BE BOUND BY THE ARTICLES OF INCORPORATION, BYLAWS, AND RULES AND REGULATIONS OF THE CORPORATION. THE MEMBERSHIP AGREEMENT SHALL BE FILED WITH THE SECRETARY AT THE PRINCIPAL OFFICE OF THE CORPORATION. ON APPROVAL OF THE BOARD, SUCH APPLICANT SHALL FORTHWITH BECOME A MEMBER OF THIS CORPORATION. A MEMBER NEED ONLY CONTINUE TO MEET THE CORPORATION'S MEMBERSHIP REQUIREMENTS AS PROVIDED IN THE CHARTER AND THE BYLAWS TO REMAIN A MEMBER OF THE CORPORATION. RENEWALS OF MEMBERSHIP MAY BE REQUIRED. A MEMBER MAY VOLUNTARILY ELECT TO TERMINATE MEMBERSHIP AT ANY TIME BY SERVING WRITTEN NOTICE ON THE SECRETARY OF THE CORPORATION. QUALITY HEALTH STRATEGIES, INC. HAS A DISREGARDED ENTITY, HEALTH INTEGRIY, LLC. QUALITY HEALTH STRATEGIES IS THE SOLE MEMBER OF HEALTH INTEGRITY. QUALITY HEALTH STRATEGIES HAS ESTABLISHED AN INDEPENDENT VOTING TRUST TO OVERSEE HEALTH INTEGRITY ON OPERATIONAL ISSUES TO MITIGATE ANY POTENTIAL CONFLICT OF INTEREST ISSUES WITH ANY MEMBERS OF THE QUALITY HEALTH STRATEGIES BOARD OF DIRECTORS. QUALITY HEALTH STRATEGIES RETAINS AUTHORITY ON ANY MAJOR DECISIONS REGARDING OWNERSHIP, AND IMPACT TO QUALITY HEALTH STRATEGIES. | |
| FORM 990, PART VI, SECTION A, LINE 7A | DIRECTORS SHALL BE ELECTED BY A MAJORITY VOTE OF THE MEMBERS OF THE CORPORATION AND SHALL HOLD OFFICE UNTIL THEIR SUCCESSORS ARE ELECTED OR UNTIL THEIR EARLIER DEATH, RESIGNATION OR REMOVAL. DIRECTORS SHALL BE MEMBERS OF THE CORPORATION. THE CANDIDATES WITH THE HIGHEST NUMBER OF VOTES SHALL BE DEEMED TO BE ELECTED TO THE SEATS AVAILABLE, ACCORDING TO THE NUMBER OF VACANCIES. IN CASES OF EQUAL VOTES FOR LIMITED SEATS, A RUNOFF ELECTION SHALL BE HELD IN A MANNER PRESCRIBED BY THE BOARD. QUALITY HEALTH STRATEGIES VIA THE INDEPENDENT VOTING TRUST HAS THE RIGHT TO APPOINT AND ELECT ALL DIRECTORS FOR HEALTH INTEGRITY, LLC. | |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBERS OF QUALITY HEALTH STRATEGIES, INC. HAVE THE RIGHT TO VOTE WITH RESPECT TO THE FOLLOWING: 1. ELECTION OF THE BOARD OF DIRECTORS; 2. AMENDEMENTS TO THE BYLAWS OR REMOVAL FROM OFFICE AS DIRECTOR; 3. OTHER MATTER OF CONCERN TO THE MEMBERSHIP AS DETERMINED BY THE BOARD OR BY PETITION VOTE BY 25 PERCENT OF THE MEMBERSHIP; 4. AMENDMENT TO THE CHARTER OF THE CORPORATION. THE BOARD OF DIRECTORS OF QUALITY HEALTH STRATEGIES, INC. VIA THE INDEPENDENT VOTING TRUST APPROVES ALL BOARD MEMBER RECOMMENDATIONS MADE BY THE BOARD OF HEALTH INTEGRIY, LLC. | |
| 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 THE SECOND DRAFT TO THE CEO AND MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW, COMMENT AND 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 WITH THE IRS. | |
| 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. THIS POLICY ALSO APPLIES TO HEALTH INTEGRITY, LLC, A DISREGARDED ENTITY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | CONSISTENT WITH SARBANES OXLEY, THE QUALITY HEALTH STRATEGIES, INC. 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. THIS POLICY ALSO APPLIES TO EMPLOYEES OF HEALTH INTEGRITY, LLC, A DISREGARDED ENTITY. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE VIA GUIDESTAR AND UPON REQUEST. ALL OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, QUESTION 2C - AUDITED FINANCIAL STATEMENTS HEALTH INTEGRITY, LLC (A SINGLE MEMBER LLC AND DISREGARDED ENTITY) RECEIVES IT'S OWN STAND ALONE GAAP FINANCIAL STATEMENTS. | ||
| FORM 990, PART XI, QUESTION 3A | ALTHOUGH THE ORGANIZATION DOES NOT RECEIVE A STAND ALONE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, HEALTH INTEGRITY, LLC (A SINGLE MEMBER LLC AND DISREGARDED ENTITY) DOES RECEIVE ITS OWN STAND ALONE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. | |
| FORM 990, PART VII, SECTION A | THE FOLLOWING OFFICERS AND DIRECTORS ARE ALSO OFFICERS AND DIRECTORS OF QUALITY HEALTH FOUNDATION, INC., A RELATED ORGANIZATIONS. EACH OFFICER AND DIRECTOR DEVOTES ABOUT .2 HOURS PER WEEK TO THE RELATED ORGANIZATION. ROGER C. MERRILL, MD RON FORSYTHE, JR. J. BRUCE WILLIAMS CATHERINE N. SMOOT-HASELN, MD IS ALSO A DIRECTOR OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC., A RELATED ORGANIZATION. SHE DEVOTES ABOUT .2 HOURS PER WEEK TO THE RELATED ORGANIZATION. MELVIN D. GERALD IS ALSO A DIRECTOR OF DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA, INC., A RELATED ORGANIZATION. HE DEVOTES ABOUT .2 HOURS PER WEEK TO THE RELATED ORGANIZATION. SEVERAL OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES OF QUALITY HEALTH STRATEGIES, INC. ARE ALSO OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO DELMARVA FOUNDATION FOR MEDICAL CARE, INC. ARE LISTED BELOW: OFFICER HOURS DEVOTED TO DFMC FREDIA WADLEY 16 MALCOLM R. HOLLEY, JR. 16 SUSAN JEAN MIDDLETON 16 CRAIG S. WELLER 16 BILL JAWISH 16 SEVERAL OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES OF QUALITY HEALTH STRATEGIES, INC. ARE ALSO OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED 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: OFFICER HOURS DEVOTED TO DFDC FREDIA WADLEY 2 MALCOLM R. HOLLEY, JR. 2 CRAIG S. WELLER 2 BILL JAWISH 2 SUSAN MIDDLETON 2 SEVERAL OFFICERS, OF QUALITY HEALTH STRATEGIES, INC. ARE ALSO OFFICERS OF QUALITY HEALTH FOUNDATION, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO QUALITY HEALTH FOUNDATION, INC. ARE LISTED BELOW: OFFICER HOURS DEVOTED TO QHF FREDIA WADLEY 1 MALCOLM R. HOLLEY, JR. 1 |
| Software ID: | |
| Software Version: |
|
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:
|