Skip to content
Nonprofiteer
← AXIS HEALTH SYSTEM QALICB INC

Form 990 for tax year 2023

Filed by AXIS HEALTH SYSTEM QALICB INC.

What the amendment changed

Compared with the return it replaced , filed 8 May 2024. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$0 changed to $260,284
Total expenses
$45,174 changed to $935,129
Program service revenue
$0 changed to $260,284
Total assets, end of year
$29,206,250 changed to $28,748,367
Total liabilities, end of year
$27,240,613 changed to $27,457,575
Net assets or fund balances, end of year
$1,965,637 changed to $1,290,792
Program services expenses
$45,174 changed to $860,052
Management and general expenses
$0 changed to $75,077
Program service expenses (Part III)
$45,174 changed to $860,052

Listed under a different title

  • ALEX CONRAD: BOARD CHAIR then PRESIDENT
  • ARNOLD SALAZAR: DIRECTOR then BOARD MEMBER
  • SHAK POWERS: DIRECTOR then BOARD MEMBER

Totals

Total revenue
$260,284
Total expenses
$935,129
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$260,284
Investment income
$0
Other revenue
$0
Total assets, end of year
$28,748,367
Total liabilities, end of year
$27,457,575
Net assets or fund balances, end of year
$1,290,792
Program services expenses (Part IX)
$860,052
Management and general expenses
$75,077
Fundraising expenses
$0
Program service expenses (Part III)
$860,052

Program services were 92.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ALEX CONRAD

    PRESIDENT

    Total calculated
    $221,650
    From this org
    $0
    From related orgs
    $181,547
    Other
    $40,103
    Hours/week
    3 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,048 related
    Bonus
    $0
    Other
    $0 + $14,499 related
    Deferred
    $0 + $10,366 related
    Nontaxable benefits
    $0 + $29,737 related
    Filer's total
    $0 + $221,650 related

  • DOYLE FORRESTAL

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    2

  • ARNOLD SALAZAR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SHAK POWERS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • RYAN PIERCE

    VP OF FINANCE

    Total calculated
    $157,170
    From this org
    $0
    From related orgs
    $137,957
    Other
    $19,213
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $137,812 related
    Bonus
    $0
    Other
    $0 + $145 related
    Deferred
    $0 + $7,717 related
    Nontaxable benefits
    $0 + $11,496 related
    Filer's total
    $0 + $157,170 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE COMPENSATION OF THE PRESIDENT IS PAID BY AXIS HEALTH SYSTEM (AXIS), THE SUPPORTED ORGANIZATION FOR HIS SERVICES AS CAO OF AXIS. AXIS USES THE FOLLOWING TO DETERMINE COMPENSATION FOR ITS OFFICERS: 1) COMPENSATION COMMITTEE, 2) COMPENSATION STUDY/SURVEY, AND 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
AXIS HEALTH SYSTEM'S OFFICERS PARTICIPATE IN A DEFERRED COMPENSATION PLAN UNDER THE PROVISIONS OF CODE SECTION 457(F). THE PLAN RUNS ON A THREE YEAR CYCLE. DURING CALENDAR YEAR 2023, AXIS HEALTH SYSTEM CONTRIBUTED $5,000 EACH TO THE PLAN FOR R. PIERCE AND A. CONRAD. THERE WAS A 457F PAYOUT OF $14,357.98 MADE TO A. CONRAD IN CALENDAR YEAR 2023.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
7 May 2025
IRS schema version
2023v6.0
Source object
202521279349302222

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.