2018-11-12T08:27:25-06:00 2017-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2017-01-01 222547756 HEALTHCARE QUALITY STRATEGIES INC HEAL 7322385570 557 CRANBURY ROAD NO 21 EAST BRUNSWICK NJ 08816 MARY JANE BRUBAKER CEO 7322385570 2018-11-07 1 THOMAS LANNING P00851654 9732283500 2018-10-19 209.3.217.20 2018-11-07 12:55:53 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 238159564A7F207AC3E2D33505B4833284B8AC6F 2017 2019-02-21 02:37:17Z MARY JANE BRUBAKER 557 CRANBURY ROAD NO 21 EAST BRUNSWICK NJ 08816 7132347 0 X WWW.HQSI.ORG X 1982 NJ MONITOR THE QUALITY OF HEALTHCARE IN NEW JERSEY. 17 15 66 0 -847792 -847792 0 0 4081130 5297589 -36051 120902 -2374779 -847380 1670300 4571111 0 0 0 0 5623638 3759593 0 0 0 1282326 2154970 6905964 5914563 -5235664 -1343452 11941316 11448801 3238210 2323937 8703106 9124864 IMPROVE THE QUALITY OF HEALTHCARE IN NEW JERSEY. 0 0 2594651 3279031 AS PART OF THE FEDERALLY-SPONSORED NATIONAL NETWORK OF QUALITY IMPROVEMENT ORGANIZATIONS THAT OVERSEES QUALITY OF CARE IN THE MEDICARE PROGRAM, HEALTHCARE QUALITY STRATEGIES, INC (HQSI) CONDUCTS FEDERALLY MANDATED REVIEW ACTIVITIES AND IMPLEMENTS FEDERAL HEALTHCARE QUALITY IMPROVEMENT INITIATIVES WITH MEDICARE-CERTIFIED PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY. AS OF AUGUST 1, 2014 HQSI ONLY PERFORMS QUALITY IMPROVEMENT FUNCTIONS AS A SUB-CONTRACTOR TO QUALITY INSIGHTS OF WEST VIRGINIA 1597256 2018558 INDEPENDENT REVIEW SERVICES HQSI CONTRACTS WITH BOTH PAYORS AND INSURES TO CONDUCT MEDICAL NECESSITY REVIEWS. REVIEWS ARE CONDUCTED ON A FEE FOR SERVICE BASIS. 4191907 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 79 0 1 66 1 1 1 0 0 0 0 0 0 0 0 0 X 17 15 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARY JANE BRUBAKER 7322385570 557 CRANBURY ROAD NO 21 EAST BRUNSWICK NJ 08816 ALVIN FRIED MD TRUSTEE 0.50 1.00 X 71000 0 0 BARNARD KAPLAN MD TRUSTEE 0.50 X 2865 0 0 DANIEL GREENWALD TRUSTEE 0.50 1.10 X 2000 0 0 DAVID I KINGSLEY CHAIRPERSON 0.50 1.10 X X 1600 0 0 DONALD L PENDLEY MD TRUSTEE 0.50 X 2400 0 0 EDWARD JOSELL TREASURER 0.50 1.10 X X 2800 0 0 ELYSE PERWEILER MPP RN TRUSTEE 0.50 X 2800 0 0 HOWARD ZEIDMAN MD PRESIDENT 0.50 X X 2600 0 0 JOHN LEWY MD TRUSTEE 0.50 1.10 X 2400 0 0 MARSHA BOGGESS TRUSTEE 0.50 X 2400 0 0 MARTIN P MARGOLIES TRUSTEE/FORMER CEO 42.00 3.00 X X 731348 0 77367 MARY ANN CONTE RN SECRETARY 0.50 1.00 X X 2200 0 0 MICHAEL SPIVAK DO TRUSTEE 0.50 X 1200 0 0 STEVEN OXLER TRUSTEE 0.50 X 3000 0 0 VINCENT ACAMPORA TRUSTEE 0.50 1.00 X 2000 0 0 VINCENT T MCDERMOTT JR MD TRUSTEE 0.50 X 2200 0 0 JOSEPH PAINO DIRECTOR OF FINANCE 40.00 2.00 X 121712 0 65496 MARY JANE BRUBAKER CEO 40.00 2.00 X 292071 0 43556 ANDREW MILLER MEDICAL DIRECTOR 40.00 X 229598 0 73955 ANTHONY PULGLISI BUSINESS DEVELOPMENT 40.00 X 111051 0 26481 YA-PING SU DIRECTOR, QUALITY IMPROVEMENT 40.00 X 115378 0 14659 1704623 0 301514 6 0 1 0 0 MEDICARE CONTRACT REVENUE 541900 3279031 3279031 OTHER CONTRACT REVENUE 541900 2018558 2018558 5297589 129660 129660 2552478 2561236 -8758 -8758 -8758 MISCELLANEOUS REVENUE 900099 412 412 SCHEDULE K-1 ORDINARY INCOME - VE 525990 -847792 -847792 -847380 4571111 5297589 -847792 121314 X 1435016 1262813 172203 1510036 1328832 181204 105393 92745 12648 467193 411131 56062 241955 212920 29035 125770 125770 487420 487420 865899 527482 338417 171142 80437 90705 76189 35809 40380 319477 319477 41423 31481 9942 55731 49601 6130 407 407 121516 121516 DUES & SUBSCRIPTIONS 29772 10122 19650 PAYROLL PROCESSING 22950 3213 19737 EQUIPMENT RENTAL AND MA 22336 10499 11837 VEHICLE COST 11400 11400 -196462 -196462 5914563 4191907 1722656 0 630 630 336848 442269 419914 429689 231487 360781 2061239 2012525 736870 735038 2239 1832 7532345 6835723 1356614 1365352 11941316 11448801 1579062 1257783 137321 60970 1521827 1005184 3238210 2323937 X 8703106 9124864 8703106 9124864 11941316 11448801 X -1343452 917418 847792 X X 0 1 X 1 1 1 X 7475271 6223928 3867747 4081130 5297589 26945665 7475271 6223928 3867747 4081130 5297589 26945665 0 0 0 26945665 465117 499727 413017 257381 129660 1764902 4154166 1811902 5966068 4619283 2311629 413017 257381 129660 7730970 25300 842 1308 1286 412 29148 12119854 8536399 4282072 4339797 5427661 34705783 0.77640 0.67050 0.22280 0.32880 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 25,300. 2014 AMOUNT: $ 842. 2015 AMOUNT: $ 1,308. 2016 AMOUNT: $ 1,286. 2017 AMOUNT: $ 412. 87737 87737 0 528564 526732 1832 120569 120569 0 1832 DEPOSITS 43855 DUE FROM AFFILIATES 40695 INVESTMENT IN VERITAS 1093982 ACCRUED RATE ADJ 186820 1365352 DUE TO AFFILIATES 1005184 1005184 X 6887880 917418 551559 1468977 5418903 -847792 -847792 4571111 7250582 1336019 1336019 5914563 0 5914563 PART X, LINE 2: VERITAS WAS FORMED AS A LIMITED LIABILITY COMPANY AND FILES A FEDERAL FORM 1120-S TAX RETURN. HQSI PAYS TAXES RELATED TO VERITAS' ACTIVITIES IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE'S UNRELATED BUSINESS INCOME TAX REQUIREMENTS FOR TAX EXEMPT ENTITIES. THE COMPANY ACCOUNTS FOR DEFERRED TAX ASSETS AND LIABILITIES USING ENACTED TAX RATES AND LAWS THAT WILL BE IN EFFECT WHEN DIFFERENCES ARE EXPECTED TO REVERSE. THE ESTIMATED TAX PROVISION RESULTING FROM VERITAS' ACTIVITIES IS REPORTED IN THE ACCOMPANYING CONSOLIDATED STATEMENT OF ACTIVITIES. THE COMPANY HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2017 AND 2016. THE COMPANY'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO CALENDAR YEARS 2014 AND 2013, RESPECTIVELY, ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE COMPANY'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES, IF ANY, IN OTHER SUPPORT COSTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 551,559. PART XI, LINE 4B - OTHER ADJUSTMENTS: VERITAS IVESTMENT INCOME ADJUSTMENT -847,792. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 1,336,019. X X X X 1 0 0 0 0 0 0 0 0 MARTIN P MARGOLIES TRUSTEE/FORMER CEO 0 0 0 0 731348 0 0 0 77367 0 808715 0 0 0 JOSEPH PAINO DIRECTOR OF FINANCE 120144 0 0 0 1568 0 6820 0 58676 0 187208 0 0 0 MARY JANE BRUBAKER CEO 291039 0 0 0 1032 0 14850 0 28706 0 335627 0 0 0 ANDREW MILLER MEDICAL DIRECTOR 228014 0 0 0 1584 0 12815 0 61140 0 303553 0 0 0 PART I, LINE 4A MARTIN P. MARGOLIES RECEIVED A SEVERANCE PAYMENT OF $731,348 IN 2017. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OVER FINANCIAL MANAGEMENT RESPONSIBILITIES TO ANDERSON & COMPANY. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FINAL FORM 990 WITH THE IRS, IT IS THOROUGHLY REVIEWED BY THE FINANCIAL CONSULTANT OF THE ORGANIZATION. THE RESPECTIVE FORM IS PROVIDED TO EACH MEMBER OF THE GOVERNING BOARD FOR HIS/HER REVIEW. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED REGULARLY AND CONSISTENTLY. ALL MEMBERS OF THE BOARD OF TRUSTEES, EMPLOYEES AND VENDORS ARE REQUIRED ANNUALLY TO DISCLOSE AND SIGN CONFLICT OF INTEREST AGREEMENTS WHICH ARE REVIEWED BY THE ORGANIZATION'S COMPLIANCE OFFICER. THE DISCLOSURE STATEMENTS ARE REVIEWED AT THE BOARD LEVEL AND MEMBERS RECUSE THEMSELVES FROM AGENDA ITEMS THAT MAY BE DETERMINED TO BE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE SALARIES OF OFFICERS OF THE ORGANIZATION ARE CALCULATED ANNUALLY AND BASED ON THE CONTRACTUAL AGREEMENT IN PLACE WHICH HAS BEEN DEVELOPED AND REVIEWED BY THE COMPENSATION COMMITTEE. EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE MANAGEMENT TEAM, WHICH DETERMINES THE ANNUAL INCREASE FOR THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY PROVIDING COPIES UPON REQUEST AND/OR APPOINTMENT. FORM 990, PART IX, LINE 11G PHYSICIAN CONSULTING FEES: PROGRAM SERVICE EXPENSES 527,482. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 527,482. OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 338,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 338,417. FORM 990, PART XI, LINE 9: VERITAS INVESTMENT INCOME ADJUSTMENT 847,792. FORM 990, PART XII , LINE 2C: THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT. HQ SOLUTIONS 557 CRANBURY RD SUITE 21 EAST BRUNSWICK NJ 08816 264587925 HEALTHCARE NJ 501(C)(3) LINE 10 HQSI 1 PHYSICIANS ALLIANCE OF NJ INC 557 CRANBURY RD SUITE 21 EAST BRUNSWICK NJ 08816 222087985 HEALTHCARE NJ 501(C)(6) N/A HQSI 1 AREA VII PHYSICIANS REVIEW ORGANIZATION 557 CRANBURY RD SUITE 21 EAST BRUNSWICK NJ 08816 222169496 HEALTHCARE NJ 501(C)(6) N/A HQSI 1 HQSI CORPORATION 557 CRANBURY RD SUITE 21 EAST BRUNSWICK NJ 08816 264588042 MED CARE IMP NJ 501(C)(3) LINE 10 N/A 0 VERITAS MEDICAL REVIEW SOLUTIONS LLC 557 CRANBURY RD SUITE 21 EAST BRUNSWICK NJ 08816 275098617 MEDICAL REVIEW PA HQSI S -784460 6105380 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 VERITAS MEDICAL REVIEW SOLUTIONS LLC A 110911 FMV