HEALTHCARE QUALITY STRATEGIES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HEALTHCARE QUALITY STRATEGIES INC (EIN 22-2547756)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201113189349304651
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T13:15:31-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222547756EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Healthcare Quality Strategies IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone7322385570Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1557 Cranbury RoadAddressLine1
CityEast BrunswickCity
StateNJState
ZIP Code08816ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMartin MargoliesName
TitleCEOTitle
Date Signed2011-11-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMartin P MargoliesNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1557 Cranbury RoadAddressLine1
CityEast BrunswickCity
StateNJState
ZIP Code08816ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19560249GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hqsi.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionMONITOR THE QUALITY OF HEALTHCARE IN NEW JERSEY.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees80TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year25000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7575048ProgramServiceRevenuePriorYear
Program Service Revenue CY8957490ProgramServiceRevenueCY
Investment Income Prior Year367965InvestmentIncomePriorYear
Investment Income Current Year564670InvestmentIncomeCurrentYear
Other Revenue Prior Year20682OtherRevenuePriorYear
Other Revenue Current Year21451OtherRevenueCurrentYear
Total Revenue Prior Year7963695TotalRevenuePriorYear
Total Revenue Current Year9568611TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6082519SalariesEtcPriorYear
Salaries Etc Current Year6813640SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2935599OtherExpensePriorYear
Other Expenses Current Year3221036OtherExpensesCurrentYear
Total Expenses Prior Year9018118TotalExpensesPriorYear
Total Expenses Current Year10034676TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1054423RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-466065RevenuesLessExpensesCY
Total Assets BOY15230029TotalAssetsBOY
Total Assets EOY15445217TotalAssetsEOY
Total Liabilities BOY524504TotalLiabilitiesBOY
Total Liabilities EOY733863TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14705525NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14711354NetAssetsOrFundBalancesEOY
Mission DescriptionMONITOR THE QUALITY OF HEALTHCARE IN NEW JERSEY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4668046Expense
Grants0Grants
Revenue7236196Revenue
DescriptionAs 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. Medicare program components include Beneficiary Protection, Patient Safety, Core Prevention and care Transitions.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2138599Expense
Grants0Grants
Revenue1721910Revenue
DescriptionHQSI conducts reviews of medicaid fee-for-service discharges at 44 New Jersey hospitals for the state of New Jersey and performs appeals for HIP of New York.Description
FieldValueIRS element (for citing)
Total Program Service Expense6806645TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109678NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees80NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARTIN P MARGOLIESNamePerson
Telephone Number7322385570TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1557 CRANBURY ROAD SUITE 21AddressLine1
CityEast BrunswickCity
StateNJState
ZIP Code08816ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Mary Ann Conte
Trustee1.0X480000
Vincent Acampora
Trustee1.0X120000
Mae Margaret Costanzo
Trustee1.0X440000
Alvin Fried
Trustee1.0X160000
Daniel Greenwald
Trustee1.0X160000
Edward Josell
Trustee1.0X560000
Barnard Kaplan
Trustee1.0X160000
Harlan Martin
Trustee1.0X240000
David Kingsley
Trustee1.0X160000
John Lewy
Trustee1.0X100000
Vincent McDermott
Trustee1.0X320000
Robert Maurer
Trustee1.0X120000
Steven Oxler
Trustee1.0X360000
Elyse Perweilzer
Trustee1.0X240000
Alexander Rodi Sr
Trustee1.0X480000
Marie Schall
Trustee1.0X200000
Michael Spivak
Trustee1.0X240000
Howard Zeidman
Trustee1.0X291300
Donald Pendley
Trustee1.0X80000
Jarrod Kaufman
Trustee1.0X264600
Martin P Margolies
Chief Executive Officer40.0690368026072X
Mary Jane Brubaker
Chief Operating Officer40.0241438018472X
Andrew Miller
Director of Physicians Service40.0207381020765X
Linda DeMarzo
Clinical Leader30.010633806727X
Joseph Pisano
Director of Finance40.010116705916X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1398451TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation77952TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Advanta Medical Solutions
5800 Silent Sun PlaceCLARKSVILLEMD21029Ambulatory Services368597
James F Anderson CPA
34 Bridge StreetMETUCHENNJ08840Financial Consultant239604
OPI Corporation
100 Peyton WayCHARLESTONWV25309Consultant146669
Pathway Medical Staffing
180 Tamarack CircleSKILLMANNJ08558Healthcare Staffing123210
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations25000RelatedOrganizations
Total Contributions25000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE REVENUE54190075815177581517
OTHER CONTRACT REVENUE541900834400834400
HOSPITAL REVENUE541900541573541573
FieldValueIRS element (for citing)
Total Program Service Revenue8957490TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column471484TotalRevenueColumn
Exclusion$471,484ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real20835Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real20835Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column20835TotalRevenueColumn
Exclusion$20,835ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10084824Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9991638Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities93186Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column93186TotalRevenueColumn
Exclusion$93,186ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COBRA INCOME524298141141
OTHER900099475475
FieldValueIRS element (for citing)
Total Other Revenue616TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9568611TotalRevenueColumn
Related Or Exempt Function Income8958106RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$585,505ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1028109Total
Management And General1028109ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4199156Total
Program Services4018009ProgramServices
Management And General181147ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total191322Total
Program Services147730ProgramServices
Management And General43592ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total956953Total
Program Services738913ProgramServices
Management And General218040ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total438100Total
Program Services338280ProgramServices
Management And General99820ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total157972Total
Program Services85002ProgramServices
Management And General72970ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total515837Total
Program Services120000ProgramServices
Management And General395837ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1218329Total
Program Services961842ProgramServices
Management And General256487ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7704Total
Program Services7471ProgramServices
Management And General233ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total345333Total
Program Services190625ProgramServices
Management And General154708ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total516327Total
Program Services1924ProgramServices
Management And General514403ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total84297Total
Program Services55881ProgramServices
Management And General28416ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total59817Total
Program Services44817ProgramServices
Management And General15000ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21105Total
Program Services21105ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total128529Total
Management And General128529ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUBSCRIPTION & DUES1187945559863196
PAYROLL SERVICE24179024179
VEHICLE COST780078000
RECORD DESTRUCTION545243691083
RECRUITMENT36992974725

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5862Total
Program Services4305ProgramServices
Management And General1557ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10034676Total
Program Services6806645ProgramServices
Management And General3228031ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1348042BOY
EOY1445051EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY728412BOY
EOY1447735EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY70415BOY
EOY43839EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY199529BOY
EOY142310EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis273615LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec258733LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28546BOY
EOY14882EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12584716BOY
EOY12107026EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY270369BOY
EOY244374EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15230029BOY
EOY15445217EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY524504BOY
EOY733863EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY524504BOY
EOY733863EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14705525BOY
EOY14711354EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14705525BOY
EOY14711354EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15230029BOY
EOY15445217EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-466065ReconcilationRevenueExpenses
Reconcilation Other Changes471894ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year25000CurrentTaxYear
Total25000Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8988336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7253644CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6857483CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7575048CurrentTaxYearMinus1Year
Current Tax Year8957490CurrentTaxYear
Total39632001Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8988336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7253644CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6857483CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7575048CurrentTaxYearMinus1Year
Current Tax Year8982490CurrentTaxYear
Total39657001Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50939657001PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years964876CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1117744CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years499568CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year388052CurrentTaxYearMinus1Year
Current Tax Year585505CurrentTaxYear
Total3555745Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years964876CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1117744CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years499568CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year388052CurrentTaxYearMinus1Year
Current Tax Year585505CurrentTaxYear
Total3555745Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1061CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years737CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year595CurrentTaxYearMinus1Year
Current Tax Year616CurrentTaxYear
Total3150Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9954273CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8371529CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7357788CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7963695CurrentTaxYearMinus1Year
Current Tax Year9568611CurrentTaxYear
Total43215896Total
FieldValueIRS element (for citing)
Public Support Percentage5090.91765PublicSupportPercentage509
Prior Year Support Percentage0.91377PriorYearSupportPercentage
Investment Income Percentage0.08228InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.08616PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis14737OtherCostOrOtherBasis
Depreciation14737Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis138307OtherCostOrOtherBasis
Depreciation134566Depreciation
Book Value3741BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis120569OtherCostOrOtherBasis
Depreciation109428Depreciation
Book Value11141BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14882TotalOfBookValueLandBuildings
Total Revenue9568611TotalRevenue
Total Expenses10034676TotalExpenses
Excess Or Deficit For Year-466065ExcessOrDeficitForYear
Net Unrealized GL On Investments313259NetUnrealizedGLOnInvestments
Total Adjustments313259TotalAdjustments
Excess Or Deficit Per FS-152806ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9881870TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments313259NetUnrealizedGainsInvestments
Revenue Not Rptd F990313259RevenueNotRptdF990
Revenue Subtotal9568611RevenueSubtotal
Total Revenue Per Form9909568611TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10034676TotExpensesEtcAuditedFinclStmt
Expenses Subtotal10034676ExpensesSubtotal
Total Expenses Per Form99010034676TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Martin P Margolies
623039000673290134750125970716440000
Mary Jane Brubaker
21143803000000013475049970259910000
Andrew Miller
2031070427400011786089790228146000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW PROCESS FOR THE FORM 990Form 990, Part VI, Question 11BPrior 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.
CONFLICT OF INTEREST POLICYForm 990, Part VI, Question 12cCOMPLIANCE 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.
COMPENSATION APPROVAL PROCESSForm 990, Part VI, Questions 15a & 15bThe 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.
ACCESS TO ORGANIZATIONAL DOCUMENTSForm 990, Part VI, Question 19The governing documents, conflict of interest policy, and financial statements are made available to the public by providing copies upon request AND/OR APPOINTMENT.
Average Hours Per Week Devoted to Related Organizations:Form 990, Part VIIMARTIN MARGOLIES: 2 hrs/wk Area VII Physicians Review Organization 2 hrs/wk Physicians' Alliance of NJ VINCENT ACAMPORA: 1 hr/wk Physicians' Alliance of NJ ALVIN FRIED: 1 hr/wk Area VII Physicians Review Organization DANIEL GREENWALD: 1 hr/wk Area VII Physicians Review Organization EDWARD JOSELL: 1 hr/wk Area VII Physicians Review Organization BARNARD KAPLAN: 1 hr/wk Physicians' Alliance of NJ DAVID KINGSLEY: 1 hr/wk Area VII Physicians Review Organization JOHN LEWY: 1 hr/wk Area VII Physicians Review Organization VINCENT MCDERMOTT: 1 hr/wk Physicians' Alliance of NJ ROBERT MAURER: 1 hr/wk Area VII Physicians Review Organization STEVEN OXLER: 1 hr/wk Physicians' Alliance of NJ ALEXANDER RODI: 1 hr/wk Physicians' Alliance of NJ MICHAEL SPIVAK: 1 hr/wk Physicians' Alliance of NJ HOWARD ZEIDMAN: 1 hr/wk Physicians' Alliance of NJ
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5Unrealized Gain on Trading Securities: $313,259 Unrealized Gain on other than trading securities: $158,635 Total: $471,894

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Physicians Alliance of NJ Inc
557 Cranbury Road Suite 21East BrunswickNJ08816222087985HealthcareNJ501(c)(6)NA
Area VII Physicians Review Organization
557 Cranbury Road Suite 21East BrunswickNJ08816222169496HealthcareNJ501(c)(6)NA
HQSI Corporation
557 Cranbury Road Suite 21East BrunswickNJ08816264588042Med Care ImprNJ501(c)(6)NA
HQ Solutions
557 Cranbury Road Suite 21East BrunswickNJ08816264587925HealthcareNJ501(c)(6)HQSI
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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