2016-06-13T12:00:32-05:00 2015-07-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2014-08-01 112662689 ISLAND PEER REVIEW ORGANIZATION INC % NAOMI VAYNER ISLA 5163267767 1979 MARCUS AVENUE SUITE 105 LAKE SUCCESS NY 11042 ALAN KING SR. VP & CFO 5163267767 2016-06-09 true Paul Hammerschmidt P01384178 2128858000 2014 2016-08-17 19:52:53Z IPRO THEODORE O WILL 1979 MARCUS AVE SUITE 105 LAKE SUCCESS NY 11042 71802756 false X WWW.IPRO.ORG X 1983 NY IPRO IS A NOT-FOR-PROFIT ORG. THAT ENGAGES IN HEALTH CARE REVIEW AND ASSESSMENT AND QUALITY IMPROVEMENT ACTIVITIES UNDER CONTRACT TO FEDERAL, STATE AND PRIVATE PAYERS. 20 20 458 20 2171792 -731115 0 0 66878773 71617312 66649 35854 132586 149590 67078008 71802756 0 0 0 0 44228546 42397747 0 0 0 20544495 24849987 64773041 67247734 2304967 4555022 35309628 41764137 12144118 14043605 23165510 27720532 X IPRO'S MISSION IS TO IMPROVE HEALTH CARE QUALITY AND VALUE BY ENGAGING IN HEALTHCARE ASSESSMENT AND QUALITY IMPROVEMENT ACTIVITIES. false false 56802122 0 69445520 IN IPRO'S HEALTH CARE ASSESSMENT ACTIVITIES, UNDER CONTRACT WITH FEDERAL AND STATE GOVERNMENTS, IPRO REVIEWED AND ANALYZED PATIENT CASES TO DETERMINE WHETHER (A) THE HEALTH CARE SERVICES PROVIDED WERE MEDICALLY NECESSARY AND APPROPRIATE, (B) PROVIDER PAYMENT FOR SUCH SERVICES WAS ACCURATE, AND (C) THE HEALTH CARE SERVICES DELIVERED MET QUALITY STANDARDS. IN IPROS HEALTH CARE QUALITY IMPROVEMENT ACTIVITIES, UNDER CONTRACT WITH FEDERAL AND STATE GOVERNMENTS, IPRO WORKED WITH HEALTH CARE PROVIDERS IN THE HOSPITAL, NURSING HOME, HOME HEALTH, AND PHYSICIAN OFFICE SETTINGS TO IDENTIFY PROBLEMS AND PROPOSE SOLUTIONS TO BE IMPLEMENTED TO IMPROVE THE QUALITY OF HEALTH CARE IN DIVERSE CLINICAL AREAS SUCH AS (BUT NOT LIMITED TO) HEART FAILURE, HEART ATTACK, PNEUMONIA, DIABETES, ASTHMA, PRESSURE ULCERS, SURGICAL CARE INFECTION PREVENTION, CHRONIC KIDNEY DISEASE, CARE TRANSITIONS, AND DRUG SAFETY. WITH RESPECT TO MANAGED CARE PLANS, UNDER CONTRACT WITH STATE GOVERNMENTS, IPRO PROVIDED QUALITY OVERSIGHT TO MEDICAID MANAGED CARE PROGRAMS TO ASSESS WHETHER SUCH PROGRAMS MET REGULATORY AND QUALITY REQUIREMENTS. 56802122 true false false true false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true true false true 353 0 true 458 true true true false false false false false false false false false X 20 20 false false false false false false false true true false true true true true true true true true true true false NY X NAOMI VAYNER 5163267767 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 X DONALD A WINIKOFF MD PRESIDENT 0.81 0.0 X X 6550 0 0 JOHN FRIEDMAN MD VICE PRESIDENT 0.67 0.0 X X 4575 0 0 WARREN BETTY MD TREASURER 0.88 0.0 X X 7251 0 0 ROBERT G LERNER MD SECRETARY 0.64 0.0 X X 5100 0 0 CARLOS ALVAREZ DIRECTOR 0.4 0.0 X 2150 0 0 CHAIM CHARYTAN MD DIRECTOR 0.1 0.0 X 450 0 0 WILLIAM A DOLAN MD DIRECTOR 0.1 0.0 X 1650 0 0 DAWN EDWARDS DIRECTOR 0.45 0.0 X 1350 0 0 ELIZABETH finkel msw DIRECTOR 0.1 0.0 X 0 0 0 kathleen lebeau DIRECTOR 0.1 0.0 X 675 0 0 PAUL MACIELAK ESQ DIRECTOR 0.1 0.0 X 0 0 0 RONALD A PAYNTER MD DIRECTOR 0.35 0.0 X 2450 0 0 paul pronovst md DIRECTOR 0.36 0.0 X 2700 0 0 CAROL RODAT DIRECTOR 0.1 0.0 X 0 0 0 PAUL ROWLAND DIRECTOR 0.1 0.0 X 0 0 0 JOHN SARDELIS DR PH DIRECTOR 0.41 0.0 X 2450 0 0 RAYMOND SWEENEY DIRECTOR 0.43 0.0 X 1100 0 0 LOIS WAGH DIRECTOR 0.2 0.0 X 1000 0 0 LARRY WILSON DIRECTOR 0.1 0.0 X 600 0 0 JOEL YOHAI MD DIRECTOR 0.1 0.0 X 0 0 0 THEODORE O WILL CEO 42.0 0.0 X 540045 0 52134 HARRY M FEDER SR. VICE PRESIDENT & COO 40.0 0.0 X 565484 0 52292 CLARE BRADELEY POLLET MD SR. VICE PRESIDENT & CMO 40.0 0.0 X 353511 0 21295 ALAN F KING SR. VICE PRESIDENT & CFO 40.0 0.0 X 299182 0 21035 PATTI WEINBERG VICE PRESIDENT 40.0 0.0 X 220249 0 42777 VIRGINIA HILL VICE PRESIDENT 40.0 0.0 X 224697 0 44486 RICHARD ALFIERI CIO & SECURITY OFFICER 40.0 0.0 X 227614 0 43347 ANDREA GOLDSTEIN VICE PRESIDENT 40.0 0.0 X 212413 0 46022 THOMAS HARTMAN VICE PRESIDENT 40.0 0.0 X 216744 0 16906 SPENCER VIBBERT VICE PRESIDENT 40.0 0.0 X 204663 0 41316 TIERRE JEANNE-PORTER VP/GENERAL COUNSEL 40.0 0.0 X 165624 0 29341 EDISON MACHADO MD CQO & VICE PRESIDENT- STRATEGY 40.0 0.0 X 203917 0 36877 ALAN SILVER MD MEDICAL DIRECTOR 40.0 0.0 X 268170 0 46006 DANIEL A SCHWEITZER SENIOR DIRECTOR 40.0 0.0 X 199665 0 15369 SUSAN E CAPONI ASSOCIATE VICE PRESIDENT 40.0 0.0 X 185770 0 14405 JAZ-MICHAEL KING ASSOCIATE VICE PRESIDENT 40.0 0.0 X 183710 0 39060 JEANNE ALICANDRO MD MEDICAL DIRECTOR 40.0 0.0 X 182217 0 39315 4493726 0 601983 77 false true false EMPIRE STATE MED SC EF 420 LAKEVILLE ROAD NEW HYDE PARK NY 11040 MEDICAL REVIEWS 1440795 HCT LLC 20 JERUSALEM AVENUE HICKSVILLE NY 11801 TEMP AGENCY 1076026 KPMG LLP 345 PARK AVE NEW YORK NY 10154 FINANCIAL SERVICES 790359 PRICEWATERHOUSECOOPERS LLP 300 MADISON AVENUE NEW YORK NY 10017 FINANCIAL SERVICES 400728 BROWN RUDNICK LLP 7 TIMES SQUARE 47 NEW YORK NY 10036 LEGAL 295091 28 0 NYS DEPARTMENT OF HEALTH 541900 43830029 43830029 CMS 541900 20384215 20384215 OTHER PROGRAM REVENUE 541900 7403068 5231276 2171792 71617312 35854 35854 0 0 0 0 0 0 0 0 0 REIMBURSED EXPENSES 900099 142494 142494 OTHER INCOME 900099 7096 7096 149590 71802756 69445520 2171792 185444 0 0 0 0 3221967 684123 2537844 0 29546465 25739330 3807135 1712051 1382816 329235 5677727 4585874 1091853 2239537 1808864 430673 0 334894 334894 146100 146100 77000 77000 0 0 14575762 14463405 112357 91260 73670 17590 1933196 1622802 310394 671332 638852 32480 0 2831350 2285630 545720 1214965 876289 338676 0 221276 211492 9784 0 0 541337 436999 104338 133999 108172 25827 TEMPORARY HELP 1289569 1274603 14966 REPAIRS & MAINT - COMP & EQUIP 244669 197512 47157 DUES & SUBSCRIPTIONS 165183 140083 25100 B&P OTHER DIRECT COSTS 56462 45579 10883 321633 226027 95606 67247734 56802122 10445612 0 8342514 10168693 0 0 21378990 25504460 0 0 0 0 0 0 0 0 0 0 164851 365301 8236833 7351892 1032723 884941 1340938 1582142 0 0 0 0 0 0 3049612 3258600 35309628 41764137 10487534 12461463 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1656584 1582142 12144118 14043605 X 23165510 27720532 0 0 0 0 23165510 27720532 35309628 41764137 4555022 X false true X true true true X 0 0 0 0 0 0 61953069 58788208 60893475 66878773 71617312 320130837 0 0 0 61953069 58788208 60893475 66878773 71617312 320130837 0 0 0 320130837 86405 83958 43850 66649 35854 316716 0 86405 83958 43850 66649 35854 316716 0 340204 274066 163595 132586 149590 1060041 62379678 59146232 61100920 67078008 71802756 321507594 0.99572 0.99593 0.00098 0.00113 X 77000 77000 67170734 67247734 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 68693 91887 112974 77000 350554 250000 250000 250000 250000 1000000 1500000 1232370 956146 276224 6196876 5680924 515952 807587 714822 92765 884941 AFFILIATE - 501(C)(6) 1135306 DUE FROM AFFILIATES-501(C)(6) 1343794 INVESTMENT IN AFFILIATES 779500 3258600 0 DEFERRED COMPENSATION 1582142 1582142 X 75403696 3600940 3600940 71802756 71802756 70708176 3460442 3460442 67247734 67247734 PART X, LINE 2: THE REPORTING ORGANIZATION HAS NOT TAKEN AN UNSUBSTANTIATED TAX POSITION THAT WOULD REQUIRE PROVISION OF A LIABILITY UNDER ASC 740, "INCOME TAXES." UNDER ASC 740-10, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED. THE REPORTING ORGANIZATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING ORGANIZATION HAS FILED INTERNAL REVENUE SERVICE FORM 990 TAX RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHEN IT IS REQUIRED. FOR THE YEAR ENDED JULY 31, 2015, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. AS OF JULY 31, 2015, THE REPORTING ORGANIZATION WAS NOT SUBJECT TO ANY EXAMINATION BY A TAXING AUTHORITY. THE REPORTING ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS UP TO AND INCLUDING 2012, WHICH IS THE STANDARD STATUTE OF LIMITATION LOOK BACK PERIOD. PART XI, LINE 2D: AFFILIATE INCOME.......$3,743,434. ELIMINATIONS...........$142,494. TOTAL..................$3,600,940. PART XII, LINE 2D: AFFILIATE EXPENSES.....$3,602,936. ELIMINATIONS...........$142,494. TOTAL..................$3,460,442. X X X X X false false false false false false false true false THEODORE O WILL CEO 401612 0 118611 19822 23660 28474 592179 0 0 HARRY M FEDER SR. VICE PRESIDENT & COO 369211 0 175209 21064 23660 28632 617776 0 0 CLARE BRADELEY POLLET MD SR. VICE PRESIDENT & CMO 264278 0 80152 9081 18460 2835 374806 0 0 ALAN F KING SR. VICE PRESIDENT & CFO 221464 0 71256 6462 18460 2575 320217 0 0 PATTI WEINBERG VICE PRESIDENT 201613 0 15761 2875 15542 27235 263026 0 0 VIRGINIA HILL VICE PRESIDENT 192866 0 30056 1775 20490 23996 269183 0 0 RICHARD ALFIERI CIO & SECURITY OFFICER 192018 0 33816 1780 16259 27088 270961 0 0 ANDREA GOLDSTEIN VICE PRESIDENT 182439 0 29974 0 19505 26517 258435 0 0 THOMAS HARTMAN VICE PRESIDENT 185990 0 28293 2461 14803 2103 233650 0 0 SPENCER VIBBERT VICE PRESIDENT 174748 0 27460 2455 14337 26979 245979 0 0 TIERRE JEANNE-PORTER VP/GENERAL COUNSEL 149353 0 15754 517 11278 18063 194965 0 0 EDISON MACHADO MD CQO & VICE PRESIDENT- STRATEGY 175077 0 28506 334 10184 26693 240794 0 0 ALAN SILVER MD MEDICAL DIRECTOR 245045 0 19561 3564 18460 27546 314176 0 0 DANIEL A SCHWEITZER SENIOR DIRECTOR 183991 0 15674 0 13640 1729 215034 0 0 SUSAN E CAPONI ASSOCIATE VICE PRESIDENT 163793 0 21213 764 12519 1886 200175 0 0 JAZ-MICHAEL KING ASSOCIATE VICE PRESIDENT 161967 0 21424 319 12660 26400 222770 0 0 JEANNE ALICANDRO MD MEDICAL DIRECTOR 173826 0 6807 1584 12489 26826 221532 0 0 PART I, LINE 7: AMOUNTS REPORTED IN PART II, COLUMN B(II) REFLECT NON-FIXED PAYMENTS RECEIVED IN THE FORM OF AN ANNUAL BONUS DURING THE 2014 CALENDAR YEAR. FORM 990, PART VI, SECTION B, LINE 11B: THE DATA FOR PREPARING THE FORM 990 ANNUAL INFORMATION RETURN IS ASSEMBLED AND PREPARED BY THE ACCOUNTING DEPARTMENT. THIS INFORMATION IS THEN REVIEWED BY SENIOR MANAGEMENT. IT IS ALSO REVIEWED BY IPRO'S INDEPENDENT PUBLIC ACCOUNTING FIRM. THE FINAL DRAFT FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THEN DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: IPRO REQUIRES ITS BOARD OF DIRECTORS, CORPORATE OFFICERS, EMPLOYEES AND SUBCONTRACTORS TO AVOID ENGAGING IN ANY ACTIVITY THAT MIGHT INTERFERE OR APPEAR TO INTERFERE WITH THE INDEPENDENT EXERCISE OF JUDGMENT IN SITUATIONS WHERE PERSONAL INTERESTS MIGHT DETRACT FROM OR CONFLICT WITH IPRO'S BEST INTERESTS OR THE INTEREST OF ITS CUSTOMERS OR SUPPLIERS. UNDER IPRO'S CONFLICT OF INTEREST MONITORING PROGRAM, KEY PERSONS (E.G., MEMBERS OF THE IPRO BOARD OF DIRECTORS, CORPORATE OFFICERS/EXECUTIVES AT THE VICE PRESIDENT LEVEL, MEDICAL DIRECTORS HIGHLY COMPENSATED EMPLOYEES, AND PERSONS IDENTIFIED AS KEY PERSONS) ARE REQUIRED TO FILE ANNUAL CONFLICT OF INTEREST STATEMENTS TO DISCLOSE ARRANGEMENTS THAT MAY BE VIEWED AS AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT THAT ANY INDIVIDUAL CONFLICTS OF INTEREST ARISE ON THE PART OF BOARD MEMBERS, CORPORATE OFFICERS/EXECUTIVES, EMPLOYEES OR ANY OF ITS SUBCONTRACTORS, IPRO WILL UTILIZE MITIGATION TECHNIQUES OR PROCEDURES THAT WILL ALLOW FOR MAXIMUM FLEXIBILITY TO RESOLVE OR TO AVOID ACTUAL, APPARENT OR POTENTIAL CONFLICTS OF INTEREST. IN INSTANCES WHERE IT IS DETERMINED THAT AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE COMPLIANCE OFFICER WILL CONSULT WITH OUTSIDE LEGAL COUNSEL TO DETERMINE WHAT CONDITIONS OR RESTRICTIONS SHOULD BE IMPOSED TO MANAGE, REDUCE AND/OR ELIMINATE THE CONFLICT. FORM 990, PART VI, SECTION B, LINES 15A AND 15B: IPRO'S EXECUTIVE COMPENSATION COMMITTEE IS THE GOVERNING BODY THAT REVIEWS AND APPROVES COMPENSATION OF ITS TOP MANAGEMENT OFFICIAL, IPRO'S CHIEF EXECUTIVE OFFICER (CEO). THE DELIBERATION PROCESS USED BY THE EXECUTIVE COMPENSATION COMMITTEE ALSO INCLUDES THE USE OF COMPARABLE DATA AT SIMILARLY SITUATED ORGANIZATIONS. COMMITTEE MEMBERS ARE SELECTED ANNUALLY BY THE BOARD PRESIDENT, WITH THE AFFIRMATIVE VOTE OF THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO SALARY SURVEY COMPARABILITY UPON HIRING AND ANNUALLY PARTICIPATE IN A BOARD APPROVED MERIT REVIEW EVALUATION BY THEIR RESPECTIVE SUPERIORS. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN ALSO BE VIEWED AT IPRO'S CORPORATE HEADQUARTERS. FORM 990 PART IX LINE 11G DESCRIPTION:SUBCONTRACTORS TOTAL FEES:11061632 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:1667192 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN ADVISORS TOTAL FEES:1621898 FORM 990 PART IX LINE 11G DESCRIPTION:ADP/PAYROLL TOTAL FEES:68365 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:156675 Logiqual LLC 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 261581626 HEDIS AUDITS NY 6250 265054 IPRO LUMETRA HEALTHCARE SOLUTIONS 550 KEARNY STREET SUITE 300 SAN FRANCISCO CA 94108 942918600 HEALTHCARE CA 501(C)(6) N/A IPRO true IPRO NATIONAL MEDICAL REVIEW LTD 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 061169524 INACTIVE NY IPRO C CORP 0 3000 1.00000 true false false false true false false false false false false false false false true true false true false false LUMETRA HEALTHCARE SOLUTIONS D 2479100 ACTUAL VALUE LUMETRA HEALTHCARE SOLUTIONS O 2169 ACTUAL VALUE