2012-06-11T13:02:25-05:00 2011-07-31 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2010-08-01 112662689 ISLAND PEER REVIEW ORGANIZATION INC ISLA 5163267767 1979 MARCUS AVENUE NO 105 LAKE SUCCESS NY 11042 ALAN F KING 5163267767 2012-06-11 1 MARTIN GREIF 2123721000 2010 2016-02-24 21:20:13Z IPRO THEODORE O WILL 1979 MARCUS AVENUE NO 105 LAKE SUCCESS NY 11042 62379678 0 X WWW.IPRO.ORG X 1983 NY SEE SCHEDULE OISLAND PEER REVIEW ORGANIZATION (IPRO) IS A NOT-FOR-PROFIT ORGANIZATION THAT ENGAGES IN HEALTH CARE REVIEW AND ASSESSMENT AND QUALITY IMPROVEMENT ACTIVITIES UNDER CONTRACT TO FEDERAL, STATE AND PRIVATE PAYERS. 20 20 471 0 2660803 -348617 0 0 59823648 61953069 69472 86405 0 340204 59893120 62379678 0 0 0 0 38256838 41812388 0 0 0 20602824 19616732 58859662 61429120 1033458 950558 27821603 29569229 9575815 10372883 18245788 19196346 X IPRO'S MISSION IS TO IMPROVE HEALTH CARE QUALITY AND VALUE BY ENGAGING IN HEALTHCARE ASSESSMENT AND QUALITY IMPROVEMENT ACTIVITIES. 0 0 49731702 59292266 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 IPRO'S 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. 49731702 1 0 0 1 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 1 1 1 1 1 0 1 335 0 1 471 1 1 1 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X NAOMI VAYNER 5163267767 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 X WARREN BETTY MD 1.60 X X 9765 0 0 RAYMOND D SWEENEY 0.50 X 2800 0 0 THOMAS J SHEEHY MD 0.20 X 867 0 0 ROBERT G LERNER MD 1.10 X X 5725 0 0 DONALD A WINIKOFF MD 1.60 X X 8367 0 0 JOHN WAGNER MD 0.40 X 1800 0 0 MICHAEL A WALSH MD 1.00 X X 6417 0 0 BRUCE MACDONALD MD 1.50 X X 9075 0 0 JOHN FRIEDMAN MD 1.40 X X 8350 0 0 STUART ORSHER MD 0.20 X X 500 0 0 ROBERT J PANZER MD 0.30 X X 2050 0 0 LARRY WILSON 0.40 X 2300 0 0 JOHN SARDELIS DR PH 0.40 X 2550 0 0 CARLOS ALVAREZ 0.50 X 2300 0 0 SHEILA H NELSON 0.40 X 2050 0 0 CAROL RODAT 0.30 X 0 0 0 DEBORAH ELLIOT 0.30 X 150 0 0 LOIS ARONSTEIN 0.10 X 0 0 0 SISTER BERNADETTE DEVLIN 0.20 X 0 0 0 PAUL J ROWLAND 1.40 X 0 0 0 THEODORE O WILL 42.00 X 498547 0 63964 HARRY M FEDER 40.00 X 466081 0 64111 CLARE BRADLEY POLLET 40.00 X 336286 0 27104 ALAN F KING 40.00 X 280498 0 52589 ANU SAJJA 40.00 X 202877 0 31690 ANTHONY SHIH 40.00 X 273546 0 38237 VIRGINIA A HILL 40.00 X 238834 0 40174 PATTI WEINBERG 40.00 X 226252 0 26799 RICHARD A ALFIERI 40.00 X 218538 0 39599 ANDREA G GOLDSTEIN 40.00 X 196428 0 38508 THOMAS W HARTMAN 40.00 X 193673 0 24156 TIERRE JEANNE-PORTER 40.00 X 189794 0 36705 SPENCER VIBBERT 40.00 X 189340 0 36087 ALAN SILVER 40.00 X 245385 0 43932 DANIEL A SCHWEITZER 40.00 X 199477 0 24522 MONTY BODENHEIMER 30.00 X 176384 0 31124 JUDITH CASHMAN 40.00 X 162149 0 34025 MICHAEL LEBERT 40.00 X 160408 0 23380 4519563 0 676706 56 0 1 0 COMPUTER SCIENCES CORP PO BOX 8500-S-4610 PHILADELPHIA PA 191784610 COMPUTER CONSULTING 1656434 EMPIRE STATE MED SC & EF 420 LAKEVILLE RD NEW HYDE PARK NY 110421121 MEDICAL REVIEWS 1562390 EPSTEIN BECKER & GREEN 250 PARK AVENUE NEW YORK NY 101771211 ATTORNEYS 400917 EMPIRE HEALTH ADVISORS 60 RAILROAD PLACE SARATOGA SPRINGS NY 12866 MEDICAL REVIEWS 344599 DAKOTA CONSULTING 8879 BLUFF LANE FAIR OAKS CA 95628 CONSULTANTS 261363 12 NYS DEPT OF HEALTH 900099 29897153 29897153 CMS 900099 23879429 23879429 OTHER PROGRAM REVENUE 900099 8176487 5515684 2660803 61953069 86405 86405 REIMBURSED EXPENSES 900099 233592 233592 OTHER INCOME 900099 106612 106612 340204 62379678 59292266 2660803 426609 4048360 1208313 2840047 29203464 24589872 4613592 1562258 1218638 343620 4782462 3730555 1051907 2215844 1728467 487377 444946 166133 278813 146731 113800 32931 116635 116635 9179519 9030518 149001 80074 51031 29043 1841960 1501421 340539 799362 732003 67359 2802505 2173539 628966 1244983 1069617 175366 267432 264161 3271 46550 36103 10447 542847 421016 121831 116743 90542 26201 TEMPORARY HELP 864004 858171 5833 B&P OTHER DIRECT COSTS 244170 189371 54799 MISCELLANEOUS 223888 70437 153451 REPAIRS & MAINTENANCE 168223 130469 37754 DUES & SUBSCRIPTIONS 123700 97766 25934 362460 259759 102701 61429120 49731702 11697418 0 7762422 2939497 17501343 22439519 462882 408974 6335178 5199111 1077668 1136067 634069 778775 383219 1866397 27821603 29569229 8043370 8841414 1532445 1531469 9575815 10372883 X 18245788 19196346 18245788 19196346 27821603 29569229 950558 0 X 0 1 1 X 1 1 X 46792174 52840293 54643286 57019057 61953069 273247879 46792174 52840293 54643286 57019057 61953069 273247879 0 0 0 273247879 319199 250873 36536 69472 86405 762485 185163 33077 218240 504362 250873 69613 69472 86405 980725 340204 340204 47296536 53091166 54712899 57088529 62379678 274568808 0.99520 0.99520 0.00360 0.00340 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISC. INCOME REIMBURSED EXPENSES 116635 116635 61312485 61429120 1000000 250000 0 0 1000000 1000000 1000000 3000000 4500000 132915 128861 116635 378411 250000 250000 250000 750000 1125000 830350 584389 245961 4792373 4154716 637657 712455 460006 252449 1136067 AQUISITION COST 141186 NOTE RECEIVABLE FROM AFFILIATE - 501(C)(6) 677806 DUE FROM AFFILIATE - 501(C)(6) 267905 INVESTMENT IN AFFILIATES 779500 1866397 DEFERRED COMPENSATION 778775 DEFERRED RENT 752694 1531469 62379678 61429120 950558 0 950558 65807421 3427743 3427743 62379678 0 62379678 64793487 3364367 3364367 61429120 0 61429120 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: UBIT IS REPORTED ON IRS FORM 990-T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH THE TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AT JULY 31, 2011, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. FORM 990 FILED BY IPRO IS SUBJECT TO EXAMINATION UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF THE RETURN. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUE OF RELATED ENTITIES 3,427,743. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF RELATED ENTITIES 3,364,367. ADDITIONAL BALANCE SHEET DISCLOSURES: IPRO SPONSORS A CONTRIBUTORY DEFINED CONTRIBUTION PENSION PLAN COVERING ALL EMPLOYEES MEETING CERTAIN ELIGIBILITY REQUIREMENTS. IN ADDITION, IPRO ESTABLISHED A TAX-DEFERRED ANNUITY PLAN FOR THE BENEFIT OF THOSE EMPLOYEES WHO WISH TO MAKE ADDITIONAL CONTRIBUTIONS TO A PENSION PLAN THROUGH A SALARY REDUCTION AGREEMENT. IPRO DOES NOT CONTRIBUTE TO THIS PLAN. IPRO ALSO ESTABLISHED A NONQUALIFIED PENSION PLAN UNDER SECTION 457(B) OF THE CODE FOR THE BENEFIT OF ELIGIBLE MANAGEMENT EMPLOYEES - DEPARTMENT DIRECTOR LEVEL AND ABOVE - WHO WISH TO MAKE ADDITIONAL CONTRIBUTIONS TO A DEFERRED COMPENSATION PLAN THROUGH A SALARY REDUCTION AGREEMENT. THE PLAN WAS AMENDED TO ALLOW IPRO TO MAKE CONTRIBUTIONS FOR CERTAIN EMPLOYEES. DEFERRED RENT IS FOR IPRO OFFICES AT LAKE SUCCESS IN NASSAU COUNTY. X X X X X 0 0 0 0 0 0 0 1 0 THEODORE O WILL 389768 0 106457 0 2322 0 33964 0 30000 0 562511 0 0 0 HARRY M FEDER 361245 0 101272 0 3564 0 33947 0 30164 0 530192 0 0 0 CLARE BRADLEY POLLET 262557 0 72488 0 1241 0 24137 0 2967 0 363390 0 0 0 ALAN F KING 213659 0 62030 0 4809 0 43624 0 8965 0 333087 0 0 0 ANU SAJJA 188257 0 14216 0 404 0 17015 0 14675 0 234567 0 0 0 ANTHONY SHIH 238307 0 34771 0 468 0 17464 0 20773 0 311783 0 0 0 VIRGINIA A HILL 184162 0 53769 0 903 0 17331 0 22843 0 279008 0 0 0 PATTI WEINBERG 197240 0 27256 0 1756 0 23641 0 3158 0 253051 0 0 0 RICHARD A ALFIERI 183146 0 33710 0 1682 0 15725 0 23874 0 258137 0 0 0 ANDREA G GOLDSTEIN 171000 0 25428 0 0 0 14171 0 24337 0 234936 0 0 0 THOMAS W HARTMAN 168002 0 24199 0 1472 0 13320 0 10836 0 217829 0 0 0 TIERRE JEANNE-PORTER 164477 0 24516 0 801 0 13491 0 23214 0 226499 0 0 0 SPENCER VIBBERT 163350 0 24514 0 1476 0 13326 0 22761 0 225427 0 0 0 ALAN SILVER 233465 0 8511 0 3409 0 17464 0 26468 0 289317 0 0 0 DANIEL A SCHWEITZER 186062 0 13415 0 0 0 13902 0 10620 0 223999 0 0 0 MONTY BODENHEIMER 160950 0 12008 0 3426 0 12268 0 18856 0 207508 0 0 0 JUDITH CASHMAN 149921 0 10889 0 1339 0 11182 0 22843 0 196174 0 0 0 MICHAEL LEBERT 148972 0 10983 0 453 0 10880 0 12500 0 183788 0 0 0 PART I, LINE 7 THE FOLLOWING INDIVIDUALS, LISTED IN PART VII, RECEIVED NON-FIXED PAYMENTS IN THE FORM OF AN ANNUAL BONUS DURING THE 2010 CALENDAR YEAR. THEODORE O. WILL, CEO, IPRO - $106,457 HARRY M. FEDER, SR. VICE PRESIDENT & COO - $101,272 CLARE BRADLEY POLLET, SR. VICE PRESIDENT & CMO - $72,488 ALAN F. KING, SR. VICE PRESIDENT & CFO - $62,030 ANTHONY SHIH, VP - $34,771 VIRGINIA A. HILL, VP - $53,769 PATTI WEINBERG, VP - $27,256 RICHARD A. ALFIERI, CIO - $33,710 ANDREA G. GOLDSTEIN, VP - $25,428 THOMAS W. HARTMAN, VP - $24,199 TIERRE JEANNE-PORTER, VP - $24,516 SPENCER VIBBERT, VP - $24,514 ALAN SILVER, MEDICAL DIRECTOR - $8,511 DANIEL A. SCHWEITZER, SENIOR DIRECTOR - $13,415 MONTY BODENHEIMER, MEDICAL DIRECTOR - $12,008 JUDITH CASHMAN, SENIOR DIRECTOR - $10,889 MICHAEL LEBERT, SENIOR DIRECTOR - $10,983 ANU SAJJA, CEO, LOGIQUAL - $14,216 FORM 990, PART VI, SECTION B, LINE 11 THE DATA FOR PREPARING THE 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 990 DRAFT 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 JUDGEMENT IN SITUATIONS WHERE PERSONAL INTERESTS MIGHT DETRACT FROM OR CONFLICT WITH IPRO'S BEST INTERESTS OR THE INTERESTS 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, LINE 15 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 VII CERTAIN EMPLOYEES OF IPRO ALSO PERFORM SERVICES FOR LUMETRA AND THEIR TIME IS ALLOCATED ACCORDINGLY. LUMETRA AND IPRO ENTERED INTO AN AFFILIATION AGREEMENT ON JANUARY 4, 2011, AT WHICH TIME THEY BECAME RELATED ENTITIES. THE HOURS WORKED FOR RELATED ENTITIES ARE NOT DISCLOSED FOR THE YEAR ENDING DECEMBER 31, 2010 BECAUSE AS OF THAT TIME, ON WHICH PART VII IS REPORTED, THE TWO ENTITIES WERE NOT RELATED. LOGIQUAL LLC 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 261581626 HEDIS AUDIT NY 1139731 999024 ISLAND PEER REVIEW ORGANIZATION INC LUMETRA HEALTHCARE SOLUTIONS ONE SANSOME STREET SAN FRANCISCO CA 94104 942918600 ADVANCEMENT AND IMPROVEMENT OF HEALTHCARE CA 501(C)(6) ISLAND PEER REVIEW ORGANIZATION INC 1 IPRO NATIONAL MEDICAL REVIEW LTD 1979 MARCUS AVENUE LAKE SUCCESS NY 11042 061169524 INACTIVE NY ISLAND PEER REVIEW ORGANIZATION INC C 3000 1.00000 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 LUMETRA HEALTHCARE SOLUTIONS B 776500 ACTUAL VALUE LUMETRA HEALTHCARE SOLUTIONS D 945711 ACTUAL VALUE