2016-11-09T14:08:00-06:00 2015-12-31 221478099 COHNREZNICK LLP 4 Becker Farm Road Roseland NJ 07068 990 2015-01-01 222547756 HEALTHCARE QUALITY STRATEGIES INC HEAL 7322385570 557 CRANBURY ROAD No 21 east brunswick NJ 08816 Mary Jane Brubaker ceo 7322385570 2016-11-08 1 THOMAS LANNING P00851654 9732283500 2015 2017-02-10 21:41:12Z Mary Jane Brubaker 557 CRANBURY ROAD No 21 east brunswick NJ 08816 5874553 0 X www.hqsi.org X 1982 NJ MONITOR THE QUALITY OF HEALTHCARE IN NEW JERSEY. 11 10 46 0 -4354238 -4354238 0 0 6223928 3867747 375328 195388 1915345 -2820223 8514601 1242912 0 0 0 0 5881516 4444015 0 0 0 2304234 1198708 8185750 5642723 328851 -4399811 15227269 13338032 4654322 2986415 10572947 10351617 IMPROVE THE QUALITY OF HEALTHCARE IN NEW JERSEY. 0 0 3164770 2690700 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 531677 1177047 Independent Review Services HQSI contracts With both payors and insures to conduct medical necessity reviews. Reviews are conducted on a fee for service basis. 3696447 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 62 0 1 46 1 1 1 0 0 0 0 0 0 0 0 0 X 11 10 0 0 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 56525 0 0 BARNARD KAPLAN MD TRUSTEE 1.00 2.00 X 2465 0 0 DONALD L PENDLEY MD CAE APR TRUSTEE 1.00 X 1200 0 0 EDWARD JOSELL DO TRUSTEE 1.00 2.00 X 1400 0 0 ELYSE PERWEILER MPP RN TRUSTEE 1.00 X 800 0 0 HARLAN MARTIN RPH CCP FASCP TRUSTEE 1.00 X 0 0 0 HOWARD ZEIDMAN MD TRUSTEE 1.00 2.00 X 2400 0 0 JOHN LEWY MD TRUSTEE 1.00 2.00 X 2400 0 0 MARIE SCHALL TRUSTEE 1.00 X 1200 0 0 MARY ANN CONTE RN TRUSTEE 1.00 X 2200 0 0 MICHAEL SPIVAK DO outgoing TRUSTEE 1.00 X 600 0 0 ROBERT MAURER DO outgoing TRUSTEE 1.00 2.00 X 800 0 0 VINCENT ACAMPORA DO outgoing TRUSTEE 1.00 1.00 X 800 0 0 VINCENT T MCDERMOTT JR MD TRUSTEE 1.00 2.00 X 2400 0 0 JOSEPH PISANO DIRECTOR OF FINANCE 40.00 3.00 X 118596 0 17851 MARTIN P MARGOLIES CHIEF EXECUTIVE OFFICER 40.00 4.00 X 763807 0 60751 ANDREW MILLER DIRECTOR OF PHYSICIAN SERVICES 40.00 X 214070 0 56077 CAROLYN HEZEKIAH HOITELA DIRECTOR OF LIBRARY SERVICES 40.00 X 112779 0 6178 DIANE BABUIN DIRECTOR QUALITY IMPROVEMENT 40.00 X 123224 0 6724 GEORGINIA DEBENEDICTIS DIRECTOR OF COMPLIANCE 40.00 X 105481 0 23367 MARY JANE BRUBAKER CHIEF OPERATING OFFICER 40.00 X 249157 0 32225 1762304 0 203173 7 0 1 0 0 MEDICARE CONTRACT REVENUE 541900 2690700 2690700 OTHER CONTRACT REVENUE 541900 1177047 1177047 3867747 360310 360310 52707 0 52707 52707 52707 4466719 4631641 -164922 -164922 -164922 provision for income tax 900099 1480000 1480000 MISC REVENUE - AR LATE FEES 900099 1308 1308 SCHEDULE K-1 ORDINARY INCOME - VE 525990 -4354238 -4354238 -2872930 1242912 3867747 -4354238 1729403 1036195 884341 151854 2473493 2176674 296819 129364 68563 60801 539409 285886 253523 265554 140744 124810 60321 60321 61378 61378 463876 351222 112654 145742 68497 77245 50770 23862 26908 480661 480661 28790 21880 6910 9302 8279 1023 52707 52707 143173 143173 EQUIPMENT RENTAL AND MA 79152 37201 41951 Dues & Subscriptions 41428 14086 27342 PAYROLL PROCESSING 21980 3077 18903 Vehtcle Cost 18600 18600 -459172 -459172 5642723 3696447 1946276 0 234331 497411 458138 392946 171116 229884 613886 1526587 736870 715850 70877 21020 12317234 9307810 1361687 1362374 15227269 13338032 468796 296368 4185526 2690047 4654322 2986415 X 10572947 10351617 10572947 10351617 15227269 13338032 X -4399811 -290547 114790 4354238 X X 0 1 X 1 1 1 X 63308 100000 163308 8487344 8645702 7475271 6223928 3867747 34699992 8550652 8745702 7475271 6223928 3867747 34863300 0 0 0 34863300 410066 1084530 465117 499727 413017 2872457 341438 6218055 4154166 1811902 12525561 751504 7302585 4619283 2311629 413017 15398018 3072 475 25300 842 1308 30997 9305228 16048762 12119854 8536399 4282072 50292315 0.69320 0.71930 0.30620 0.28020 X Schedule A, Part III, Line 12, Explanation of Other Income: other income - 2011 Amount: $ 3,072. 2012 Amount: $ 475. 2013 Amount: $ 25,300. 2014 Amount: $ 842. 2015 Amount: $ 1,308. 87737 80437 7300 528564 514844 13720 120569 120569 0 21020 DEPOSITS 45680 ADVANCE 2278 ACCRUED INTEREST 3212 DUE FROM AFFILIATES 30402 INVESTMENT IN VERITAS 1093982 ACCRUED RATE ADJ 186820 1362374 Due to affiliates 2690047 2690047 X 5306603 -290547 -290547 5597150 -4354238 -4354238 1242912 5642723 0 5642723 0 5642723 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, 2015. The Company's federal and state income tax returns prior to fiscal years 2012 and 2011, 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 4b - Other Adjustments: VERITAS INVESTMENT INCOME ADJUSTMENT -4,354,238. X X X X 0 0 0 0 0 0 0 0 0 MARTIN P MARGOLIES CHIEF EXECUTIVE OFFICER 760759 0 0 0 3048 0 14575 0 46176 0 824558 0 0 0 ANDREW MILLER DIRECTOR OF PHYSICIAN SERVICES 212486 0 0 0 1584 0 12442 0 43635 0 270147 0 0 0 MARY JANE BRUBAKER CHIEF OPERATING OFFICER 248125 0 0 0 1032 0 13990 0 18235 0 281382 0 0 0 Form 990, Part VI, Section A, line 4 the organization amended its by-lawsd in april 2016 to reflect the additon of a nominating comittee, by-laws committee, medicare advisory comittee and a financi committee Form 990, Part VI, Section B, line 11 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 4,354,238. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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 -4603232 8773942 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 361553 fMV VERITAS MEDICAL REVIEW SOLUTIONS LLC Q 1480000 FMV