2024-06-14T13:31:08-07:00 2023-09-30 990 2022-10-01 382536610 MICHIGAN PEER REVIEW ORGANIZATION MICH 2484657400 625 Kenmoor Ave SE Ste 350 PMB47995 Grand Rapids MI 495462395 Roger Panella CAO 2484657423 2024-06-14 Roger Panella 999009999 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z Improve Health Leland Babitch 625 Kenmoor Ave SE Ste 350 PMB47995 Grand Rapids MI 495462395 11901438 0 X www.improve.health X 1984 MI Improving quality, safety, and efficiency across the healthcare continuum. 14 14 77 0 0 0 465792 420407 5667771 9489625 490420 561386 0 0 6623983 10471418 0 0 0 0 5553769 6902528 0 0 0 1984610 2410485 7538379 9313013 -914396 1158405 8269035 32292377 1314380 23711144 6954655 8581233 X Helping healthcare get better. MPRO has more than 35 years of experience improving healthcare across the continuum of care using evidence-based and data-driven logic. MPRO also has extensive expertise in completing thoughtful and impartial utilization review, dispute resolution and peer reviews. 1 0 2148195 2853521 MPRO is a recognized leader in healthcare quality improvement. For more than 35 years, MPRO has demonstrated a commitment to high-quality, cost-effective healthcare by creating innovative solutions for healthcare challenges based on research, data analysis and collaboration. MPRO is a partner in the Superior Health Quality Alliance, serving as the Quality Innovation Network-Quality Improvement Organization supporting the Centers for Medicare & Medicaid Services' quality improvement initiatives across Michigan, Minnesota and Wisconsin. 757001 0 1361091 Since 1988, MPRO has provided utilization review services for the Medicaid Fee-for-Service population for Michigan's Department of Health and Human Services. A major component of the program is the Prior Authorization Certification Evaluation Review (PACER). MPRO provides concurrent, prospective and retrospective reviews for the PACER program. MPRO has maintained a full accreditation as an Independent Review Organization through URAC since 2002. 843747 0 1237321 For more than 30 years, MPRO has been at the forefront of national efforts to make healthcare better. As an Independent Review Organization, MPRO's data-driven work is delivered by experienced professionals - offering access to impartial, leading-edge resources and solutions. MPRO provides timely, objective and independent external reviews. MPRO has maintained a full accreditation as an Independent Review Organization through URAC since 2002. 1315925 0 1424973 Federal No Surprises Act 1020572 0 1591492 Veteran Affairs Reviews 346014 0 599915 Connecticut Department of Corrections Death Audits 887635 0 421312 Miscellaneous program services. 3570146 0 4037692 7319089 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 1 199 0 1 77 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Roger Panella 2484657423 625 Kenmore Ave Suite 350 PMB 47995 Grand Rapids MI 495462395 X LELAND A BABITCH President & CEO 40 X 468180 0 79506 MABEL LEONARD Senior VP & COO 40 X 223152 0 45993 ROGER PANELLA Senior VP & CAO 40 X 207025 0 42670 JAMES MITCHINER VP for Medical Reveiw 40 X 199337 0 47118 ORVILLE CAMPBELL VP, Strategy & New Business Development 40 X 176948 0 41826 AMANDA WETED VP & Chief Human Resources Officer 40 X 169136 0 34862 BESSIE TETTAH Managing Director, IT 40 X 150951 0 32467 CHARLENE BEYAH Corporate Compliance Officer 40 X 148864 0 32823 MERI TRAJKOVSKI Managing Director, Review Services 40 X 146670 0 31546 TESIA LOOPER Managing Director, Quality Initiatives 40 X 127631 0 27452 SUSAN PASQUALONE Managing Director, Proposals & Communications 40 X 126107 0 27124 ANDREA BOUCHER Program Manager, Ambulatory 40 X 106487 0 24067 LESLIE HOWARD Program Manager, Review Services 40 X 100727 0 22763 DAVID BROOKS Chairperson 1 X 2900 0 0 KATE KOHN-PARROT Treasurer 1 X 2100 0 0 RENEE BRANCH CANADY Member-at-Large 1 X 1900 0 0 MARGARET KAY LIGHTNER Member-at-Large 1 X X 1900 0 0 FAIYAZ N SYED Member-at-Large 1 X 1900 0 0 RONALD R STALLWORTH Compliance Liaison 1 X 1800 0 0 DOROTHY E DEREMO Former 1 X 1800 0 0 DOUGLAS DIETZMAN Secretary 1 X 1600 0 0 MELISSA WERBISH Chairperson-Elect 1 X X 1600 0 0 CORNELIUS A WILSON Member-at-Large 1 X 1500 0 0 GWENDOLYN H PARKER Former 1 X 1300 0 0 MADHU FEDDIBOINA Former 1 X 1100 0 0 JOHN BARNAS Member-at-Large 1 X 600 0 0 RAYMOND TRENOR WILLIAMS Former 1 X X 500 0 0 2373715 0 490217 13 0 1 0 TERRILL LYNN FLENNIKEN 403 WEST ALAMO STREET BRENHAM TX 77833 Arbitor 110350 IMRE STEPHEN SZALAI 6411 St Bernard Avenue NEW ORLEANS LA 70122 Arbitor 104430 2 0 0 0 0 420407 0 0 420407 Medicare - CMS12SOW 900099 2853521 2853521 0 0 Medicaid - MI FFS 900099 1361091 1361091 0 0 State Contract - Review Services 900099 1237321 1237321 0 0 IDRE No Surprises Act 900099 1424973 1424973 0 0 Veteran Affairs 900099 1591492 1591492 0 0 1021227 1021227 0 0 9489625 602043 602043 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1389363 0 1430020 0 -40657 0 -40657 -40657 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 10471418 10051011 0 0 0 0 0 0 0 0 0 0 870768 0 870768 0 0 0 0 0 3906550 3651421 255129 0 198660 151190 47470 0 1507957 1147628 360329 0 418593 318569 100024 0 0 0 0 0 8680 0 8680 0 22150 0 22150 0 0 0 0 0 0 0 0 0 0 0 214320 192285 22035 0 200 200 0 0 51004 44785 6219 0 367309 311921 55388 0 0 0 0 0 25361 20391 4970 0 46878 20870 26008 0 0 0 0 0 22619 14540 8079 0 35392 0 35392 0 0 0 0 0 2122 1785 337 0 92176 0 92176 0 Physician Consultants/Arbitors 1203441 1203441 0 0 Repairs and Maintenance 5235 4199 1036 0 Dues and Subscriptions 185700 162850 22850 0 Training 23615 7233 16382 0 104283 65781 38502 0 9313013 7319089 1993924 0 682396 17474506 0 0 0 0 868674 1487371 0 0 0 0 0 0 0 0 133411 144109 9611 2508 24192 7103 6534454 13161788 0 0 0 0 0 0 25908 17500 8269035 32292377 1284380 9001646 0 0 0 14652521 0 0 0 0 0 0 0 0 0 0 30000 56977 1314380 23711144 X 6954655 8581233 0 0 6954655 8581233 8269035 32292377 X 1158405 468174 0 0 0 -1 X 0 1 X 1 1 1 X 0 856486 801500 465792 420407 2544185 0 0 0 0 0 0 0 0 0 0 0 0 0 856486 801500 465792 420407 2544185 0 2544185 50491 183655 155212 435435 602042 1426835 0 0 0 0 0 0 0 0 0 0 0 0 3971020 10471417 0.64069 0.62639 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9611 2508 7103 0 0 0 0 7103 0 Deferred Revenue - 11SOW 30000 Retainage 26977 56977 X 10939592 468174 0 0 0 468174 10471418 0 0 0 10471418 9312374 0 0 0 0 0 9312374 0 639 639 9313013 Schedule D, Part X, Line 2 As of September 30, 2023, Pathway has net operating loss ("NOL") carryforwards for income tax purposes of $414,556 which may be carried indefinitely. The income tax expense attributable to income from continuing operations for the years ended September 30, 2023 and 2022 was $0. A deferred tax benefit of the NOL carryforwards has not been reflected in the accompanying consolidated financial statements due to the uncertainty of its realization. Schedule D, Part XII, Line 4b Allocation adjustment X X X X 0 0 0 0 0 0 0 0 0 LELAND A BABITCH President & CEO 332465 0 123230 0 8760 0 10000 0 78585 0 553040 0 0 0 MABEL LEONARD Senior VP & COO 192496 0 28675 0 0 0 0 0 45501 0 266672 0 0 0 ROGER PANELLA Senior VP & CAO 177410 0 26610 0 0 0 0 0 41935 0 245955 0 0 0 JAMES MITCHINER VP for Medical Reveiw 272739 0 105 0 0 0 0 0 64468 0 337312 0 0 0 ORVILLE CAMPBELL VP, Strategy & New Business Development 249066 0 99 0 0 0 0 0 58872 0 308037 0 0 0 AMANDA WETED VP & Chief Human Resources Officer 144606 0 21768 0 0 0 0 0 34181 0 200555 0 0 0 BESSIE TETTAH Managing Director, IT 136387 0 13712 0 0 0 0 0 32238 0 182337 0 0 0 CHARLENE BEYAH Corporate Compliance Officer 144132 0 10117 0 0 0 0 0 34069 0 188318 0 0 0 MERI TRAJKOVSKI Managing Director, Review Services 132316 0 13323 0 0 0 0 0 31276 0 176915 0 0 0 TESIA LOOPER Managing Director, Quality Initiatives 115250 0 11606 0 0 0 0 0 27242 0 154098 0 0 0 SUSAN PASQUALONE Managing Director, Proposals & Communications 113877 0 11469 0 0 0 0 0 26917 0 152263 0 0 0 ANDREA BOUCHER Program Manager, Ambulatory 96480 0 10798 0 0 0 0 0 22805 0 130083 0 0 0 LESLIE HOWARD Program Manager, Review Services 100715 0 4783 0 0 0 0 0 23806 0 129304 0 0 0 Form 990, Part III, Line 2 Awarded a federal No Surprises Act contract. Form 990, Part III, Line 4d Federal No Surprises Act - Expenses - $1,315,925 and Revenue - $1,424,973; Veterans Affairs - Expenses - $1,020,572 and Revenue - $1,591,492; Connecticut DOC Death Audits - Expenses $345,934 and Revenue - $599,915; Miscellaneous Contracts - Expenses - $887,636 and Revenue $421,313 Form 990, Part VI, Section B, Line 11b The Form 990 is completed by the Finance department.MPRO has an external CPA firm review the form for accuracy. After the form has been reviewed by the CPA's the form is distributed to both the Finance and Compliance committees of the Board of Directors for their review. After the Finance and Compliance Committees have reviewed the 990, the form is distributed to the full Board of Directors along with reports from the Finance and Compliance Committees. After the Board has reviewed the form the Form 990 is filed with the IRS. Form 990, Part VI, Section B, Line 12c All employees participate in conflict of interest (COI) training and complete COI disclosure forms at the time they begin working for MPRO and annually thereafter. The training is logged and the completed disclosure forms are maintained in personnel files. Board members participate in COI training and complete disclosure forms prior to participation in their first Board meeting and annually thereafter. The training is logged and the completed disclosure forms are maintained by the Board Liaison. MPRO has a Compliance Officer who monitors and enforces the conflict of interest policy. In addition the Compliance Officer completes several compliance audits each year. During these audits the Compliance Officer will review for compliance to the conflict of interest policy. The business development process includes review for potential organizational conflict of interest prior to the initiation of new contracts. New Board member recruitment includes an assessment of the impact of prospective Board members on applicable regulatory and contractual definitions of organizational conflict of interest. If a Board of Director member identified a conflict of interest, that member would recuse him/herself from voting on any motions where the conflict of interest existed. If an employee identifies a conflict of interest, that employee would not be able take part in any decision making or work related to that conflict of interest. Form 990, Part VI, Section B, Line 15 Before the current CEO was hired the organization hired an independent salary consultant to gather information regarding the compensation of CEO's in organizations of comparable size and similar functions. This information was used to determine the starting salary for the CEO. An employment contract is written each year for the CEO listing current annual compensation and current goals and performance measurements. Performance to these goals is used to determine annual salary adjustments. The Executive Committee of the Board of Directors evaluates the performance of the CEO and makes recommendations to the full Board of changes to the annual compensation of the CEO. The Board of Directors approves changes to the CEO's compensation. Bi-Annually MPRO participates in a salary survey with American Health Quality Association (AHQA) for all its officers and key personnel. AHQA hires an independent salary consultant that compares the salaries for key positions for all Quality Improvement Organizations. This information along with geographical salary information is used to set the compensation for key personnel. Form 990, Part VI, Section C, Line 19 MPRO makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, Line 9 Rounding Pathway Review Systems 625 Kenmoor AveSE Ste 350 PMB 47995 Grand Rapids MI 495462395 382898757 Healthcare Utilization MI Michigan Peer Review Organization C 1 6721 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pathway Review Systems a-i 1