2021-11-11T16:34:39-06:00 2020-12-31 390859910 BAKER TILLY US LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2020-01-01 830900646 SUPERIOR HEALTH QUALITY ALLIANCE INC SUPE 6084418268 2909 LANDMARK PLACE MADISON WI 53713 TANIA DANIELS CHIEF EXECUTIVE OFFICER 6084418268 2021-11-11 1 TANIA DANIELS 999009999 TROY MARINE CPA P00187863 4147775500 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TANIA DANIELS 2550 UNIVERSITY AVE W STE 350-S ST PAUL MN 55114 10988732 0 X HTTPS://WWW.SUPERIORHEALTHQA.ORG/ X 2018 WI SUPERIOR HEALTH QUALITY ALLIANCE, INC. (SUPERIOR HEALTH) IMPROVES HEALTH CARE QUALITY, EXPERIENCE, AND EQUITY ACROSS THE CONTINUUM OF CARE. WE FOCUS ON INNOVATION, EFFECTIVENESS AND EFFICIENCY IN DESIGNING AND IMPLEMENTING QUALITY IMPROVEMENT INITIATIVES THAT ARE PERSON-CENTERED AND INTEGRATED ACROSS SETTINGS AND SERVICES. SUPERIOR HEALTH LEVERAGES EXTENSIVE QUALITY IMPROVEMENT EXPERIENCE AND EXPERTISE BY BRINGING THE POWER OF EIGHT ORGANIZATIONS TOGETHER TO ACHIEVE THIS MISSION. 10 10 0 10 0 0 447694 0 850791 10988732 0 0 0 0 1298485 10988732 0 0 0 0 0 0 0 0 0 1202732 7148314 1202732 7148314 95753 3840418 1005349 5563835 885788 1603856 119561 3959979 X SUPERIOR HEALTH QUALITY ALLIANCE WAS FORMED TO IMPROVE THE EFFECTIVENESS, EFFICIENCY, ECONOMY, AND QUALITY OF HEALTH SERVICES DELIVERED. SPECIFICALLY, THE CORPORATION WILL OPERATE AS A QI CONTRACTOR AND PARTICIPATE IN THE PROGRAMS AND BRING PATIENTS, PROVIDERS AND COMMUNITIES TOGETHER TO ACHIEVE LARGE-SCALE IMPROVEMENT RESULTS USING EFFECTIVE AND INNOVATIVE QUALITY IMPROVEMENT STRATEGIES THAT ARE DATA-DRIVEN, TRANSPARENT, AND EMPOWER PATIENTS AND FAMILIES TO PARTNER WITH THEIR CLINICIANS TO MAKE DECISIONS ABOUT THEIR HEALTHCARE. 0 0 5995181 10852074 MEDICAID SERVICES (CMS) AND AS A SUBCONTRACTOR, SUPERIOR HEALTH QUALITY ALLIANCE, INC. UNDER THE TERMS OF A CONTRACT WITH THE CENTERS FOR MEDICARE AND PROVIDES HEALTHCARE QUALITY IMPROVEMENT SERVICES AS A NQIIC (NETWORK OF QUALITY IMPROVEMENT AND INNOVATION CONTRACTORS) TO IMPROVE CARE FOR MEDICARE BENEFICIARIES. 68878 136658 AS A SUBCONTRACTOR, SUPERIOR HEALTH PROVIDES HEALTHCARE QUALITY IMPROVEMENT SERVICES TO CONTRACTORS CONTRACTED WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AGENCY FOR HEALTHCARE RESEARCH AND QUALITY TO SUPPORT EFFORTS UNDER THE NATIONAL NURSING HOME COVID ACTION NETWORK. . 6064059 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 0 X PAUL NEITZEL 6084418268 2909 LANDMARK PLACE MADISON WI 53713 X LELAND BABITCH MPRO INC TREASURER 1.00 X X 0 0 0 BRITTANY BOGAN MI HEALTH HOSPITAL ASSOC) BOARD CHAIR 1.00 X X 0 0 0 HELGA BRAKE IL HEALTH HOSPITAL ASSOC) SECRETARY 1.00 X X 0 0 0 DIANE CARLSON MIDWEST KIDNEY NETWORK) BOARD MEMBER 1.00 X 0 0 0 BETH DIBBERT WI HOSPITAL ASSOC) VICE CHAIR 1.00 X X 0 0 0 JENNIFER LUNDBLAD STRATIS HEALTH) BOARD MEMBER 1.00 X 0 0 0 MARJORIE MITCHELL CONSUMER REPRESENTATIVE) BOARD MEMBER 1.00 X 0 0 0 MARY THEURER CONSUMER REPRESENTATIVE) BOARD MEMBER 1.00 X 0 0 0 RAHUL KORANNE MN HOSPITAL ASSOC) BOARD MEMBER 1.00 X 0 0 0 JESI WANG METASTAR INC BOARD MEMBER 1.00 X 0 0 0 TANIA DANIELS MN HOSPITAL ASSOC) CEO 24.00 X 0 0 0 BEN PELTIER MN HOSPITAL ASSOC) CCO 10.00 X 0 0 0 PAUL NEITZEL METASTAR INC CHIEF FINANCIAL OFFICER 10.00 X 0 0 0 0 0 0 0 0 0 0 STRATIS HEALTH 2901 METRO DRIVE SUITE 400 BLOOMINGTON MN 55425 HEALTHCARE SERVICES SUBCONTRACTOR 2425474 MPRO INC 22670 HAGGERTY ROAD SUITE 100 FARMINGTON HILLS MI 48335 HEALTHCARE SERVICES SUBCONTRACTOR 1751069 METASTAR INC 2909 LANDMARK PLACE MADISON WI 53713 HEALTHCARE SERVICES SUBCONTRACTOR 1646951 MINNESOTA HOSPITAL ASSOCIATION 2550 UNIVERSITY AVENUE W NO 350-S ST PAUL MN 55114 HEALTHCARE SERVICES SUBCONTRACTOR 576114 MICHIGAN HEALTH & HOSPITAL ASSOCIATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 HEALTHCARE SERVICES SUBCONTRACTOR 211310 6 MEDICARE AND MEDICAID CONTRACT 624100 10152238 10152238 IPRO CONTRACT REVENUE 624100 699836 699836 UNM ECHO CONTRACT REVENUE 624100 120000 120000 IHI ECHO CONTRACT REVENUE 624100 16658 16658 10988732 10988732 10988732 0 0 1030 1030 22150 22150 1902 1902 117783 46547 71236 6766 6766 168797 168797 2637 2637 75 75 888 888 1173 1173 46792 46792 SUBCONTRACTOR/CONSULTAN 6754034 6017512 736522 ASSOCIATION DUES 21867 21867 BANK FEES 804 804 LICENSES 129 129 1487 1487 7148314 6064059 1084255 0 100445 3835730 859814 1652267 42157 74078 3520 1760 2933 1760 1005349 5563835 785788 1603856 100000 885788 1603856 X 119561 3959979 119561 3959979 1005349 5563835 3840418 0 X 0 1 X 1 1 1 X 50025 447694 0 497719 850791 10988732 11839523 50025 1298485 10988732 12337242 0 0 0 12337242 50025 1298485 10988732 12337242 X 0 0 0 0 0 0 0 0 1 1902 1902 0 PART II-B, LINE 1: A PORTION OF AQHA DUES PAID ARE CONSIDERED ATTRIBUTABLE TO LOBBYING. 3520 1760 1760 1760 X 10988732 0 10988732 0 10988732 7148314 0 7148314 0 7148314 PART X, LINE 2: THE ORGANIZATION IS A TAX-EXEMPT, NON-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND ACCORDINGLY IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. THE ORGANIZATION FILES INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF WISCONSIN. THE ORGANIZATION IS SUBJECT TO U.S. FEDERAL AND STATE TAX EXEMPTIONS BY TAX AUTHORITIES BEGINNING WITH THE YEAR OF THE ORGANIZATION'S INCEPTION, 2018. FORM 990, PART VI, SECTION A, LINE 2 THE BOARD OF DIRECTORS ARE REPRESENTATIVES ELECTED BY MEMBER ORGANIZATIONS. THE MEMBER ORGANIZATIONS ARE SUBCONTRACTORS PROVIDING SERVICES FOR SUPERIOR HEALTH QUALITY ALLIANCE. FORM 990, PART VI, SECTION A, LINE 6 SUPERIOR HEALTH QUALITY ALLIANCE WAS FORMED WITH ONE CLASS OF MEMBERS CONSISTING OF THE FOLLOWING EIGHT ORGANIZATIONS: -ILLINOIS HEALTH AND HOSPITAL ASSOCIATION -METASTAR, INC. -MICHIGAN HEALTH & HOSPITAL ASSOCIATION (MHA) HEALTH FOUNDATION -MIDWEST KIDNEY NETWORK -MINNESOTA HOSPITAL ASSOCIATION -MPRO, INC. -STRATIS HEALTH -WISCONSIN HOSPITAL ASSOCIATION, INC. FORM 990, PART VI, SECTION A, LINE 7A SUPERIOR HEALTH QUALITY ALLIANCE IS GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF MEMBER DIRECTORS, EACH OF WHICH ARE APPOINTED BY EACH OF THE CORPORATIONS'S EIGHT MEMBERS AND UP TO TWO ELECTED DIRECTORS, WHO ARE APPOINTED BY THE REMAINING DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B EXCEPT AS SPECIFICALLY SET FORTH IN THE CORPORATION'S BYLAWS OR ARTICLES OF INCORPORATION, THE BOARD OF DIRECTORS EXERCISES GOVERNANCE AUTHORITY WITH RESPECT TO THE CORPORATION. MEMBERS SHALL EXERCISE THEIR RIGHT TO VOTE THROUGH A DESIGNATED REPRESENTATIVE. EACH MEMBER SHALL DESIGNATE ITS REPRESENTATIVE IN WRITING EXECUTED BY THE MEMBER'S CHIEF EXECUTIVE OFFICER AND DELIVERED TO THE CHIEF EXECUTIVE OFFICER OR CHAIR OF THE BOARD OF DIRECTORS, WHICH SHALL BE RETAINED BY THE CORPORATION. A MEMBER MAY CHANGE ITS DESIGNATED REPRESENTATIVE AT ANY TIME AND FROM TIME TO TIME IN THE SAME MANNER. A MEMBER MAY NAME A PROXY TO ACT IN PLACE OF ITS DESIGNATED REPRESENTATIVE AT ANY TIME BY SUBMITTING IN WRITING TO THE CHIEF EXECUTIVE OFFICER OR CHAIR OF THE BOARD OF DIRECTORS AN APPOINTMENT OF PROXY FOR THE MEMBER'S DESIGNATED REPRESENTATIVE DIRECTOR THAT SPECIFIES THE NAME OF THE PROXY, HOW LONG THE PROXY WILL LAST, AND ANY LIMITATIONS THAT THE MEMBER IS PLACING ON THE PROXY'S AUTHORITY TO ACT ON BEHALF OF THE MEMBER'S DESIGNATED REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED INTERNALLY BY MANAGEMENT AND THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR WHOSE POSITION INVOLVES HIM/HER IN CONFLICT OF INTEREST ON ANY ISSUE BROUGHT BEFORE THE BOARD SHALL ANNOUNCE THE FACT OF THIS CONFLICT, REFRAIN FROM VOTING ON THE ISSUE, AND MAY DISCUSS MATTERS BEFORE THE BOARD WHICH MAY AFFECT SUCH INTEREST ONLY TO THE EXTENT PERMITTED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BY THE MEMBERS AND APPROVED IN AN AGREEMENT BETWEEN SUPERIOR HEALTH AND THE MEMBER ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 9: 1. TANIA DANIELS: 2550 UNIVERSITY AVE. W NO. 250-S, ST. PAUL, MN 55114 2. BEN PELTIER: 2550 UNIVERSITY AVE. W NO. 250-S, ST. PAUL, MN 55114 3. BRITTANY BOGAN: 2112 UNIVERSITY PARK DR., OKEMOS, MI 48864 4. BETH DIBBERT: 5510 RESEARCH PARK DR., FITCHBURG, WI 5711 5. LELAND BABITCH: 22670 HAGGERTY ROAD, FARMINGTON HILLS, MI 48355 6. HELGA BRAKE: 1151 EAST WARRENVILLE ROAD, NAPERVILLE, IL 60563 7. DIANE CARLSON: 1360 ENERGY PARK DRIVE, SUITE 200, ST. PAUL, MN 55108 8. JENNIFER LUNDBLAD: 2901 METRO DRIVE, NO. 400, BLOOMINGTON, MN 55425 9. RAHUL KORANNE: 2550 UNIVERSITY AVE. W NO. 250-S, ST. PAUL, MN 55114 METASTAR INC 2909 LANDMARK PLACE MADISON WI 53713 391332612 HEALTHCARE WI 501(C)(3) LINE 10 0 ILLINOIS HEALTH AND HOSPITAL ASSOCIATION 1151 EAST WARRENVILLE ROAD NAPERVILLE IL 60563 362352486 HEALTHCARE IL 501(C)(6) 0 MICHIGAN HEALTH & HOSPITAL ASSOCIATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 381458751 HEALTHCARE MI 501(C)(6) 0 MIDWEST KIDNEY NETWORK INC 1360 ENERGY PARK DRIVE SUITE 200 ST PAUL MN 55108 411313686 HEALTHCARE MN 501(C)(3) LINE 7 0 MINNESOTA HOSPITAL ASSOCIATION 2550 UNIVERSITY AVENUE W NO 350-S ST PAUL MN 55114 410637595 HEALTHCARE MN 501(C)(6) 0 MPRO INC 22670 HAGGERTY ROAD FARMINGTON HILLS MI 48355 382536610 HEALTHCARE MI 501(C)(3) LINE 7 0 STRATIS HEALTH 2901 METRO DRIVE NO 400 BLOOMINGTON MN 55425 410971557 HEALTHCARE MN 501(C)(3) LINE 7 0 WISCONSIN HOSPITAL ASSOCIATION INC 5510 RESEARCH DRIVE FITCHBURG WI 53711 390969552 HEALTHCARE WI 501(C)(6) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 MPRO INC M 1751069 CASH STRATIS HEALTH M 2425474 CASH MINNESOTA HOSPITAL ASSOCIATION M 576114 CASH MICHIGAN HEALTH & HOSPITAL ASSOCIATION M 211310 CASH WISCONSIN HOSPITAL ASSOCIATION INC M 143116 CASH METASTAR INC M 1646951 CASH