2017-09-18T16:05:32-05:00 2016-12-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2016-01-01 222547756 HEALTHCARE QUALITY STRATEGIES INC HEAL 7322385570 557 CRANBURY ROAD No 21 east brunswick NJ 08816 Mary Jane Brubaker ceo 7322385570 2017-09-18 1 THOMAS LANNING P00851654 9732283500 2017-09-15 2016 2022-09-23 18:48:47Z Mary Jane Brubaker 557 CRANBURY ROAD No 21 east brunswick NJ 08816 5321874 0 X www.hqsi.org X 1982 NJ MONITOR THE QUALITY OF HEALTHCARE IN NEW JERSEY. 16 16 50 0 -2946413 -2946413 0 0 3867747 4081130 195388 -36051 -2820223 -2374779 1242912 1670300 0 0 0 0 4444015 5623638 0 0 0 1198708 1282326 5642723 6905964 -4399811 -5235664 13338032 11941316 2986415 3238210 10351617 8703106 IMPROVE THE QUALITY OF HEALTHCARE IN NEW JERSEY. 0 0 3062473 2775650 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 2242185 1305480 Independent Review Services HQSI contracts With both payors and insures to conduct medical necessity reviews. Reviews are conducted on a fee for service basis. 5304658 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 72 0 1 50 1 1 1 0 0 0 0 0 0 0 0 0 X 16 16 0 1 1 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 1.00 2.00 X 60875 0 0 BARNARD KAPLAN MD TRUSTEE 1.00 2.00 X 2530 0 0 Daniel Greenwald Trustee 1.00 X 2000 0 0 David IKingsley president 1.00 X X 1800 0 0 DONALD L PENDLEY MD CAE APR TRUSTEE 1.00 X 1200 0 0 EDWARD JOSELL DO TRUSTEE 1.00 2.00 X 2800 0 0 ELYSE PERWEILER MPP RN TRUSTEE 1.00 X 1600 0 0 HARLAN MARTIN RPH CCP FASCP Outgoing TRUSTEE 1.00 X 800 0 0 HOWARD ZEIDMAN MD TRUSTEE 1.00 2.00 X 3200 0 0 JOHN LEWY MD TRUSTEE 1.00 2.00 X 1600 0 0 Marsha Boggess Trustee 1.00 X 0 0 0 MARY ANN CONTE RN secretary 1.00 X X 2800 0 0 MICHAEL SPIVAK DO treasurer 1.00 X X 1400 0 0 ROBERT MAURER DO trustEE 1.00 2.00 X 1200 0 0 Steven Oxler Trustee 1.00 X 2400 0 0 VINCENT ACAMPORA DO truSTEE 1.00 1.00 X 1600 0 0 VINCENT T MCDERMOTT JR MD TRUSTEE 1.00 2.00 X 2400 0 0 MARTIN P MARGOLIES OUTGOING CEO 40.00 4.00 X 745696 0 71506 Mary Jane Brubaker COO/CEO 40.00 X 260948 0 34580 james anderson CFO 40.00 X 0 0 0 ANDREW MILLER DIRECTOR OF PHYSICIAN SERV 40.00 X 213325 0 59644 Brian chait Director of Information Technology 40.00 X 101056 0 11066 JOSEPH PISANO DIRECTOR OF FINANCE 40.00 3.00 X 114447 0 45261 1525677 0 222057 5 0 1 0 0 MEDICARE CONTRACT REVENUE 541900 2775649 2775649 OTHER CONTRACT REVENUE 541900 1305481 1305481 4081130 234375 234375 23006 0 23006 23006 23006 3381148 3651574 -270426 -270426 -270426 provision for income tax 900099 547342 547342 MISC REVENUE - AR LATE FEES 900099 1286 1286 SCHEDULE K-1 ORDINARY INCOME - VE 525990 -2946413 -2946413 -2397785 1670300 4081130 -2946413 535583 1202934 1021452 181482 3416189 3006246 409943 99132 52540 46592 645326 342023 303303 260057 137830 122227 104853 104853 35300 35300 494021 401883 92138 145325 68306 77019 61751 29023 32728 435446 435446 32543 24733 7810 11026 9813 1213 18782 18782 126929 126929 Bad Debt Expenses 48616 48616 EQUIPMENT RENTAL AND MA 43564 20476 23088 Dues & Subscriptions 26682 9072 17610 PAYROLL PROCESSING 22175 3104 19071 -324687 -324687 6905964 5304658 1601306 0 630 497411 336848 392946 419914 229884 231487 1526587 2061239 736870 734631 21020 2239 9307810 7532345 1362374 1356614 13338032 11941316 296368 1579062 137321 2690047 1521827 2986415 3238210 X 10351617 8703106 10351617 8703106 13338032 11941316 X -5235664 640740 2946413 X X 0 1 X 1 1 1 X 100000 100000 8645702 7475271 6223928 3867747 4081130 30293778 8745702 7475271 6223928 3867747 4081130 30393778 0 0 0 30393778 1084530 465117 499727 413017 257381 2719772 6218055 4154166 1811902 12184123 7302585 4619283 2311629 413017 257381 14903895 475 25300 842 1308 1286 29211 16048762 12119854 8536399 4282072 4339797 45326884 0.67050 0.69320 0.32880 0.30620 X Schedule A, Part III, Line 12, Explanation of Other Income: other income - 2012 Amount: $ 475. 2013 Amount: $ 25,300. 2014 Amount: $ 842. 2015 Amount: $ 1,308. 2016 Amount: $ 1,286. 87737 85575 2162 528564 528487 77 120569 120569 0 2239 DEPOSITS 43855 DUE FROM AFFILIATES 31957 INVESTMENT IN VERITAS 1093982 ACCRUED RATE ADJ 186820 1356614 Due to affiliates 1521827 1521827 X 5257453 640740 640740 4616713 -2946413 -2946413 1670300 6905964 0 6905964 0 6905964 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, 2016. The Company's federal and state income tax returns prior to fiscal year 2013 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 4b - Other Adjustments: Veritas Ivestment income adjustment -2,946,413. X X X X 1 0 0 0 0 0 0 0 0 MARTIN P MARGOLIES OUTGOING CEO 566938 0 0 0 178758 0 19875 0 51631 0 817202 0 0 0 Mary Jane Brubaker COO/CEO 259916 0 0 0 1032 0 14575 0 20005 0 295528 0 0 0 ANDREW MILLER DIRECTOR OF PHYSICIAN SERV 211741 0 0 0 1584 0 12442 0 47202 0 272969 0 0 0 JOSEPH PISANO DIRECTOR OF FINANCE 113463 0 0 0 984 0 6621 0 38640 0 159708 0 0 0 Part I, Line 4a Martin P. Margolies recieved a severance payment of $176,472 in 2016. Form 990, Part VI, Section A, line 3 the organization delegates control over financial management responsibilities to Anderson & company. Form 990, Part VI, Section A, line 4 in april 2016 the organization amended its by-laws to reflect a change in the structur and make up of the board of directors. 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 XI, line 9: VERITAS INVESTMENT INCOME ADJUSTMENT 2,946,413. 990 form 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)(6) N/A 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)(6) N/A N/A 0 VERITAS MEDICAL REVIEW SOLUTIONS LLC 557 CRANBURY RD SUITE 21 EAST BRUNSWICK NJ 08816 275098617 MEDICAL REVIEW PA HQSI S -3082092 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 197051 fMV VERITAS MEDICAL REVIEW SOLUTIONS LLC Q 547342 FMV