2024-09-12T08:36:20-05:00 2023-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET SUITE 2800 MINNEAPOLIS MN 55402 990 2023-01-01 473685479 THE CDI QUALITY INSTITUTE CDIQ 9527384570 5775 WAYZATA BLVD 400 ST LOUIS PARK MN 55416 CHRISTOPHER CRANCER EXECUTIVE DIRECTOR 9527384570 2024-08-19 1 0 CHAD POPPEN P01976953 6123974000 2023 2024-08-08 14:25:15Z CHRISTOPHER CRANCER 5775 WAYZATA BLVD SUITE 400 ST LOUIS PARK MN 55416 250000 0 X WWW.MYCDI.COM/EXPERTISE/QUALITY-INSTITUTE/ X 2013 MN THE CDI QUALITY INSTITUTE IS GOVERNED BY THE TERMS OF ITS BYLAWS. THE INSTITUTE HAS THE FOLLOWING PURPOSES: A) TO DEVELOP AND ADVANCE THE SCIENCE AND ART OF MEDICINE AND MEDICAL EDUCATION; B) TO PROMOTE THE PUBLIC HEALTH; C) TO PROVIDE CONTINUOUS QUALITY IMPROVEMENT, PEER REVIEW AND MENTORING TO THE RADIOLOGISTS ASSOCIATED WITH CDI AND INSIGHT; D) TO ENCOURAGE AND FOSTER THE SPIRIT OF FELLOWSHIP AND COOPERATION AMONG ITS MEMBERS; AND E) TO PURSUE ANY LAWFUL PURPOSE RELATED TO THE PURPOSES ABOVE. 49 47 0 240 0 0 0 0 150000 250000 0 0 0 0 150000 250000 0 0 0 0 172179 174044 0 0 0 20660 25407 192839 199451 -42839 50549 584801 646698 16124 27472 568677 619226 X SEE SCHEDULE OTHE SAME AS PART I, LINE 1 ABOVE. 0 0 IN 2021, THE UNITED STATES CENTERS FOR MEDICARE AND MEDICAID GRANTED THE CDI QUALITY INSTITUTE REQUALIFICATION AS A PROVIDER LED ENTITY (PLE). UNDER THIS DESIGNATION, THE INSTITUTE HAS AND CONTINUES TO DEVELOP SPECIFIC APPROPRIATE USE CRITERIA FOR ADVANCED IMAGING PROCEDURES. THESE CRITERIA ARE ELECTRONICALLY MADE AVAILABLE TO THE PUBLIC AND ARE LICENSED FOR USE BY FEDERALLY-QUALIFIED CLINICAL DECISION SUPPORT MECHANISMS. CURRENTLY, MEDICARE CLINICIANS WHO ORDER ADVANCED IMAGING STUDIES ARE ENCOURAGED TO CONSULT APPROPRIATE USE CRITERIA DEVELOPED BY A PLE. EXPENSES ARE RELATED DIRECTLY TO THE ADMINISTRATION OF THIS PROGRAM, INCLUDING STIPENDS FOR MEDICAL SUBJECT EXPERTS FROM ACROSS THE COUNTRY. THE INSTITUTE ADMINISTERS A NATIONWIDE PEER REVIEW AND MENTORING PROGRAM FOR APPROXIMATELY 250 RADIOLOGISTS AND AFFILIATED PHYSICIANS. THIS PROGRAM IS RUN THROUGH A CUSTOMIZED, SECURE ELECTRONIC PORTAL AND BENEFITS THE MEMBERS OF THE INSTITUTE WHO MUST MEET PROFESSIONAL, ACCREDITATION AND REGULATORY REQUIREMENTS. THE INSTITUTE'S MEMBERS VOLUNTARILY COMPLETED OVER 13,000 REVIEWS OF THEIR PEERS' CLINICAL WORK, WHICH IS AN OVERAL 95 PERCENT COMPLETION RATE, BASED ON REVIEWS ASSIGNED TO INDIVIDUAL PHYSICIANS. THE PROGRAM, REFERRED TO AS THE "RADIOLOGIST QUALITY AND MENTORING PROGRAM OR RQM, IS UNIQUE IN THAT IT IS ALSO USED BY MEMBER MEDICAL DIRECTORS TO ASSIST IN THE MENTORING OF PHYSICIANS NEW TO THE MANY PHYSICIAN PRACTICES AFFILIATED WITH THE INSTITUTE. THE MULTI-FACETED RQM IS ESSENTIAL FOR THE PHYSICIAN PRACTICES TO MEET THEIR REIMBURSEMENT AND REGULATORY REQUIREMENTS AND TO PROVIDE HIGH QUALITY MEDICAL SERVICES THAT ENABLE THE MEMBER PHYSICIANS TO PROVIDE THE BEST CARE TO PATIENTS AND TO ADVANCE THEIR PRACTICES. THE RQM ALSO ENABLES PHYSICIAN PRACTICES TO PROMOTE THEIR COMMON BUSINESS INTERESTS AS ACCREDITED, HIGH QUALITY PROVIDERS OF RADIOLOGY AND RELATED SERVICES. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 49 47 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 1 0 X CHRISTOPHER CRANCER 9525256308 5775 WAYZATA BLVD SUITE 400 ST LOUIS PARK MN 55416 DR THOMAS GILBERT CHAIR PROVIDER LED ENTITY 4.00 X 0 0 0 DR STEVEN POLLEI MEDICAL DIR, PROVIDER LED 2.70 X 0 1500 0 DR ROBERT LIDDELL VICE-CHAIR, PROVIDER LED E 3.00 X 0 11319 0 DR BRIAN SCHWARTZ MEDICAL DIRECTOR 2.00 X 0 0 0 DR JOEL LEVINE MEDICAL DIRECTOR 2.00 X 0 0 0 DR STEPHEN DORROS END 123 MEDICAL DIRECTOR 0.00 X 0 0 0 DR CHRISTOPHER REILLY MEDICAL DIRECTOR 2.50 X 0 0 0 DR PETER BOVE MEDICAL DIRECTOR 2.50 X 0 0 0 DR DARREN O'NEILL MEDICAL DIRECTOR 2.50 X 0 0 0 DR GLENN TUCKMAN MEDICAL DIRECTOR 2.50 X 0 0 0 DR MATTHEW EVON MEDICAL DIRECTOR 2.00 X 0 0 0 DR NICHOLAS FRANK MEDICAL DIRECTOR 1.50 X 0 0 0 DR BRIAN LIVINGSTON MEDICAL DIRECTOR 1.00 X 0 0 0 DR MARK SOUTHARD MEDICAL DIRECTOR 2.50 X 0 0 0 DR MATS LIDEN MEDICAL DIRECTOR 2.00 X 0 0 0 DR DERIK WELDON RQM BEST PRACITICES SECTIO 2.50 X 0 0 0 DR ROBERT GRESICK CO-MEDICAL DIRECTOR 2.00 X 0 0 0 DR JAMES BUSCH MEDICAL DIRECTOR 2.00 X 0 0 0 DR ALEXANDRA GEORGES MEDICAL DIRECTOR 2.50 X 0 0 0 DR DAVID LEIFER MEDICAL DIRECTOR 2.50 X 0 0 0 DR CLAYTON SANDERS END 123 MEDICAL DIRECTOR 0.00 X 0 0 0 DR MARK LOPIANO MEDICAL DIRECTOR 2.50 X 0 0 0 DR ROBERT O'BRIEN MEDICAL DIRECTOR 2.50 X 0 0 0 DR MURRAY SOLOMON END 123 RQM NATIONAL NEURO, MEDICA 0.00 X X 0 0 0 DR SHANE ROSE MEDICAL DIRECTOR 4.00 X X 0 0 0 DR CHRISTOPHER ALTENHOFEN RQM NATIONAL CHAIR 2.50 X 0 0 0 DR RONALD POBIEL RQM NATIONAL SPINE SECTION 3.50 X X 0 0 0 DR BLAKE JOHNSON RQM NATIONAL INTERVENTIONA 3.50 X X 0 0 0 DR KELLIE SCHENK RQM NATIONAL BREAST, MED, 3.50 X X 0 2000 0 DR C TODD CUNNINGHAM RQM NATIONAL BODY SECTION 3.60 X X 0 0 0 DR DAMON SPITZ RQM NATIONAL MSK SEC L, ME 3.50 X X 0 0 0 DR NAVEEN GOWDA MEDICAL DIRECTOR 2.00 X 0 0 0 DR JAMES SULLIVAN MEDICAL DIRECTOR 2.00 X 0 0 0 DR VALERIE REICHERT MEDICAL DIRECTOR 2.00 X 0 0 0 DR ETHAN FOXMAN END 123 MEDICAL DIRECTOR 0.00 X 0 0 0 CHRISTOPHER CRANCER SVP/EXECUTIVE DIRECTOR 10.00 X X 0 12172 0 DR VINCENT MATHEWS PROVIDER LED ENTITY COMMIT 2.70 X 0 1500 0 DR MICHAEL ULISSEY PROVIDER LED ENTITY COMMIT 2.70 X 0 1500 0 DR RANJEET SINGH MEDICAL DIRECTOR 2.50 X 0 0 0 DR SHANE MACAULAY MEDICAL DIRECTOR 2.50 X 0 0 0 DR RAMON DEGUZMAN MEDICAL DIRECTOR 2.00 X 0 0 0 DR CATHERINE APPLETON MEDICAL DIRECTOR 2.00 X 0 0 0 DR KC TAN MEDICAL DIRECTOR 2.00 X 0 0 0 DR MANFRED HENNE MEDICAL DIRECTOR 2.00 X 0 0 0 DR NOAMAN SIDDIQI MEDICAL DIRECTOR 2.00 X 0 0 0 DR KISHAN YALAVARTHI CHIEF OF RADIOLOGY, ST. LU 2.00 X 0 0 0 DR N JARED DURKEE MEDICAL DIRECTOR 2.00 X 0 0 0 DR JENNIFER DEMERTZIS MEDICAL DIRECTOR 2.00 X 0 0 0 DR TRAVIS SNYDER MEDICAL DIRECTOR 2.00 X 0 0 0 DR KEVIN SAWYER MEDICAL DIRECTOR 2.00 X 0 0 0 DR JAMES BACKSTROM MEDICAL DIRECTOR 2.00 X 0 0 0 DR RONALD KUNST MEDICAL DIRECTOR 2.00 X 0 0 0 DR MARK SKIRGAUDAS MEDICAL DIRECTOR 2.00 X 0 0 0 ERIK ROCKSWOLD DIR, QM & CE, PROVIDER LED 40.00 X 0 141053 0 0 171044 0 0 0 0 0 0 AUC LICENSE USAGE FEE 813910 250000 250000 250000 250000 250000 0 0 29991 144053 20750 4000 657 199451 584801 646698 584801 646698 16124 27472 16124 27472 X 0 0 0 0 568677 619226 568677 619226 584801 646698 50549 0 X 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DR. RONALD POBIEL AND DR. BLAKE JOHNSON HAVE A BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 8B CURRENTLY THERE IS NO COMMITTEE UNDER THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL BY THE CDI INSTITUTE OFFICER AFTER IT IS DRAFTED. THEN IT IS FORWARDED TO DELOITTE TAX LLP FOR A SECOND DETAIL REVIEW. THE FORM IS SIGNED OFF BY CDI INSTITUTE OFFICER AND DELOITTE TAX LLP UNTIL ALL REVIEW POINTS ARE CLEARED. FORM 990, PART VI, SECTION B, LINE 12C THE GOVERNING DOCUMENTS, THE PLE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC THROUGH THE ORGANIZATION WEBSITE OR UPON REQUEST. THE COUNCIL OF MEDICAL DIRECTORS MEETS EVERY JANUARY AND FORMALLY REVIEWS AND APPROVES ANNUAL POLICY UPDATES AND AN ACTIVITIES REPORT. ADDITIONALLY, CONFLICT OF INTEREST STATEMENTS AND DISCLOSURES FOR PLE-RELATED ACTIVITIES ARE AVAILABLE BY REQUEST FROM THE PUBLIC. FORM 990, PART VI, SECTION B, LINE 15 THE CDI QUALITY INSTITUTE HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH CDI MANAGEMENT WHERE CDI MANAGEMENT PROVIDES VARIOUS FACILITIES, MANAGEMENT SERVICES, GOODS AND SUPPORT SERVICES TO THE INSTITUTE THAT ARE NECESSARY AND APPROPRIATE FOR THE DAY-TO-DAY OPERATIONS OF THE INSTITUTE. THIS INCLUDES ALL HIRING AND EMPLOYMENT PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH THE ORGANIZATION WEBSITE OR UPON REQUEST.