2025-06-24T12:25:08-07:00 2024-09-30 990 2023-10-01 382536610 MICHIGAN PEER REVIEW ORGANIZATION MICH 2484657400 625 Kenmoor Ave SE Ste 350 PMB47995 Grand Rapids MI 495462395 Roger Panella CAO 2484657423 2025-06-24 1 2023 2025-03-06 01:10:19Z Improve Health Roger Panella 625 Kenmoor Ave SE Suite 350 PMB 47995 Grand Rapids MI 495462395 43310919 0 X www.improve.health X 1984 MI Improving quality, safety, and efficiency across the healthcare continuum. 14 14 90 0 0 0 420407 348253 9489625 40966942 561386 1405143 0 0 10471418 42720338 0 0 0 0 6902528 10560346 0 0 0 2410485 8357440 9313013 18917786 1158405 23802552 32292377 47635540 23711144 14052466 8581233 33583074 Helping healthcare get better. MPRO has more than 40 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. 0 0 2419168 0 2986736 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. 598045 0 651353 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. 1031488 0 1516004 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. 10877905 0 33887422 Federal No Surprises Act 1212549 0 1756454 Veteran Affairs Reviews 595129 0 168973 Miscellaneous program services. 12685583 0 35812849 16734284 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 1 200 0 1 90 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 LELAND A BABITCH CEO 40 X 468180 0 79506 MABEL LEONARD Executive Vice President/Chief Operations Off 40 X 223152 0 45993 ROGER PANELLA Executive Vice President/Chief Financial & Ad 40 X 207025 0 42670 JAMES MITCHINER Chief Medical Officer 40 X X 199337 0 47118 ORVILLE CAMPBELL Chief Medical Officer 40 X X 176948 0 41826 AMANDA WETED Senior Vice President/Chief Human Resources O 40 X 169136 0 34862 BESSIE TETTAH MANAGING DIRECTOR IT 40 X 150951 0 32467 CHARLENE BEYAH IDR/IIDR REVIEWER & COMPLIANCE OFFICER 40 X 148864 0 32823 MERI TRAJKOVSKI MANAGING DIRECTOR, MEDICAL 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 T BROOKS Member-at-Large 1 X 2900 0 0 KATE KOHN-PARROTT Treasurer 1 X 2200 0 0 RENEE BRANCH CANADY Member-at-Large 1 X 1900 0 0 FAIYAZ N SYED Member-at-Large 1 X 1900 0 0 DOUGLAS DIETZMAN Secretary 1 X 1800 0 0 MARGARET KAY LIGHTNER Member-at-Large 1 X X 1800 0 0 GWENDOLYN H PARKER Member-at-Large 1 X 1700 0 0 MELISSA WERBISH Member-at-Large 1 X 1700 0 0 MADHU REDDIBOINA Member-at-Large 1 X X X 1400 0 0 CORNELIUS A WILSON Member-at-Large 1 X 1400 0 0 RONALD R STALLWORTH Compliance Liaison 1 X 1300 0 0 DOROTHY E DEREMO Member-at-Large 1 X 900 0 0 JOHN E BARNAS Chair Person 1 X 600 0 0 2372715 0 490217 13 1 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 348253 0 0 348253 Medicare 900099 2986736 2986736 0 0 Medicaid FFS 900099 651353 651353 0 0 State Contracts 900099 1516004 1516004 0 0 IDRE No Surprise 900099 33887423 33887423 0 0 Vetrans Affairs 900099 1756454 1756454 0 0 168972 168972 0 0 40966942 1327569 0 0 1327569 0 0 0 0 0 0 0 0 0 0 668155 0 590581 0 77574 0 77574 0 0 77574 0 0 42720338 40966942 0 1405143 0 0 0 0 0 0 0 0 1012308 0 1012308 0 0 0 0 0 6812348 6681729 130619 0 474367 371356 103011 0 1645484 1288160 357324 0 615839 482107 133732 0 0 0 0 0 54756 0 54756 0 28463 0 28463 0 259 259 0 0 0 0 0 0 0 0 96271 84175 12096 0 0 0 0 0 70592 62335 8257 0 1448077 1403885 44192 0 0 0 0 0 0 0 0 0 87286 43638 43648 0 0 0 0 0 69464 36784 32680 0 7989 0 7989 0 0 0 0 0 2174 1876 298 0 91561 0 91561 0 Physician Consultants Arbitors 5849633 5849633 0 0 Repairs and Maintenance 3283 2868 415 0 Dues and Subscriptions 195714 178458 17256 0 Training 24915 4988 19927 0 327003 242033 84970 0 18917786 16734284 2183502 0 17474506 17710485 0 0 0 0 1487371 1841153 0 0 0 0 0 0 0 0 144109 157001 9611 5197 7103 4414 13161788 27922487 0 0 0 0 0 0 17500 0 32292377 47635540 9001646 7721311 0 0 14652521 6301155 0 0 0 0 0 0 0 0 0 0 56977 30000 23711144 14052466 X 8581233 33583074 0 0 8581233 33583074 32292377 47635540 X 23802552 1522769 0 0 0 -323480 X 0 1 1 1 1 X 856486 801500 465792 420407 348253 2892438 0 0 0 0 0 0 0 0 0 0 0 0 856486 801500 465792 420407 348253 2892438 0 2892438 183655 155212 435435 602042 1327570 2703914 0 0 0 0 0 0 0 0 0 0 0 0 5596352 42720339 0.51684 0.64069 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 259 259 18917527 18917786 1000000 250000 0 0 496195 526919 615651 1000000 2638765 3958148 0 0 0 259 259 124049 131730 153913 250000 659692 989538 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9611 0 5197 4414 0 0 0 0 4414 0 Deferred Revenue - 11SOW 30000 30000 X 44243107 1522769 0 0 0 1522769 42720338 0 0 0 42720338 18917786 0 0 0 323480 323480 18594306 0 323480 323480 18917786 Schedule D, Part X, Line 1 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, 2024 and 2023 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 X, Line 2 FIN 48 (ASC 740) Footnote: Income Taxes. MPRO is a nonprofit corporation exempt from income taxes as described in Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes has been made. Schedule D, Part XII, Line 2d Current Expected Credit Loss Schedule D, Part XII, Line 4b Current Expected Credit Loss X X X X 0 0 0 0 0 0 0 0 0 LELAND A BABITCH CEO 336359 0 123062 0 8760 0 10000 0 103796 0 581977 0 0 0 MABEL LEONARD Executive Vice President/Chief Operations Off 194579 0 28573 0 0 0 0 0 60045 0 283197 0 0 0 ROGER PANELLA Executive Vice President/Chief Financial & Ad 180518 0 26507 0 0 0 0 0 55706 0 262731 0 0 0 JAMES MITCHINER Chief Medical Officer 199337 0 0 0 0 0 0 0 61513 0 260850 0 0 0 ORVILLE CAMPBELL Chief Medical Officer 176948 0 0 0 0 0 0 0 54604 0 231552 0 0 0 AMANDA WETED Senior Vice President/Chief Human Resources O 147486 0 21650 0 0 0 0 0 45512 0 214648 0 0 0 BESSIE TETTAH MANAGING DIRECTOR IT 137357 0 13595 0 0 0 0 0 42386 0 193338 0 0 0 CHARLENE BEYAH IDR/IIDR REVIEWER & COMPLIANCE OFFICER 138860 0 10003 0 0 0 0 0 42850 0 191713 0 0 0 MERI TRAJKOVSKI MANAGING DIRECTOR, MEDICAL REVIEW SERVICES 133461 0 13209 0 0 0 0 0 41184 0 187854 0 0 0 TESIA LOOPER MANAGING DIRECTOR QUALITY INITIATIVES 116139 0 11493 0 0 0 0 0 35839 0 163471 0 0 0 SUSAN PASQUALONE MANAGING DIRECTOR, PROPOSALS & COMMUNICATIONS 114751 0 11355 0 0 0 0 0 35411 0 161517 0 0 0 ANDREA BOUCHER PROGRAM MANAGER, AMBULATORY 101818 0 4670 0 0 0 0 0 31420 0 137908 0 0 0 LESLIE HOWARD PROGRAM MANAGER, REVIEW SERVICES 96302 0 4425 0 0 0 0 0 29718 0 130445 0 0 0 Form 990, Part VI, Section B, Line 11b * The Form 990 is completed by the Finance department. * 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 12a * 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. * The business development process includes review for potential organizational conflict of interest prior to the initiation of new contracts. * 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 12b * 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. * 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. Form 990, Part VI, Section B, Line 12c * 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. 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 Current expected credit loss 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 This amount is derived from the bank statements.