2026-08-13T11:09:23-07:00 2025-09-30 990 2024-10-01 382536610 MICHIGAN PEER REVIEW ORGANIZATION MICH 2484657400 625 Kenmoor Ave SE Ste 350 PMB47995 Grand Rapids MI 495462395 Roger Panella CFAO 2484657423 2026-08-12 1 2024 2025-03-06 01:10:19Z Improve Health Roger Panella 625 Kenmoor Ave SE STE 350 PMB47995 Grand Rapids MI 495462395 83382843 0 X www.improve.health X 1984 MI Improving quality, safety, and efficiency across the healthcare continuum. 13 13 107 0 0 0 348253 91719 40966942 78310026 1405144 3315614 0 0 42720339 81717359 0 0 0 0 10560346 13982128 0 0 0 8357440 14953622 18917786 28935750 23802553 52781609 47635540 120602213 14052466 32498790 33583074 88103423 X Helping healthcare get better. iMPROve Health has more than 40 years of experience improving healthcare across the continuum of care using evidence-based and data-driven logic. iMPROve Health also has extensive expertise in completing thoughtful and impartial utilization review, dispute resolution and peer reviews. 0 0 1032502 0 920790 For more than 40 years, iMPROve Health has advanced high-quality, cost-effective healthcare through research, data analysis, innovation, and collaboration. As a partner in the Superior Health Quality Alliance, iMPROve Health serves as the Quality Innovation Network-Quality Improvement Organization supporting CMS quality improvement initiatives across Indiana, Illinois, Michigan, Minnesota, Ohio, and Wisconsin. This work supports our charitable, educational, and scientific purpose by lessening the burdens of government and promoting health through quality improvement activities under Part B of Title XI of the Social Security Act, as amended, to improve the quality, safety, and value of healthcare. 21745537 0 74922959 The No Surprises Act, effective January 1, 2022, protects consumers from certain unexpected out-of-network medical bills, or "surprise bills." It also created an independent dispute resolution process for payment disputes between plans and providers, as well as options for uninsured and self-pay individuals whose bills substantially exceed provider good faith estimates. As a leading IDR entity, iMPROve Health provides fair, efficient, and compliant arbitration services, including case management, arbitrator assignment, evidence review, compliance oversight, and customized reporting. This work supports our charitable, educational, and scientific purpose by lessening the burdens of government and promoting health through peer review of the reasonableness, medical necessity, appropriateness, and quality of healthcare services, and by rendering payment determinations for those services. 1388039 0 1483613 For more than 40 years, iMPROve Health has helped advance healthcare quality nationwide. As an Independent Review Organization, iMPROve Health provides impartial, data-driven, and comprehensive review services through experienced professionals and clinical peer reviewers. The organization delivers timely, objective external reviews for hospitals, third-party payors, health plans, and state insurance departments nationwide and has maintained full URAC accreditation as an Independent Review Organization since 2002. This work supports our charitable, educational, and scientific purpose by advancing healthcare review, quality improvement, education, and research to improve the safety, quality, accessibility, availability, and efficiency of healthcare. 653854 0 561890 Medicaid Fee For Service 450657 0 157743 Vetrans Affairs 458595 0 263031 Miscellaneous program services. 1563106 0 982664 25729184 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 1 204 0 107 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 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 ANDREW BABITCH President & CEO 40 X 613188 0 113273 TIFFANY SANFORD ROBOTHAM Senior Vice President/Chief Medical Officer 40 X 419376 0 86890 MABEL LEONARD Executive Vice President/Chief Operations Officer 40 X 320630 0 66878 ROGER PANELLA Executive Vice President/Chief Financial & Admin Officer 40 X 297441 0 62041 AMANDA WETED Senior Vice President/Chief Human Resources Officer 40 X 242942 0 50673 MELISSA WERBISH Chair 1 X X 3100 0 0 DAVID BROOKS Member-at-Large 1 X 2900 0 0 DOUGLAS DIETZMAN Secretary 1 X X 2500 0 0 RENEE BRANCH CANADY Chair-Elect 1 X X 2200 0 0 FAIYAZ N SYED Member-at-Large 1 X 2000 0 0 MARGARET KAY LIGHTNER Member-at-Large 1 X 1800 0 0 KATE KOHN-PARROTT Treasurer 1 X X 1800 0 0 CORNELIUS A WILSON Member-at-Large 1 X 1800 0 0 RONALD STALLWORTH Compliance Liason 1 X X 1700 0 0 GWENDOLYN H PARKER Member-at-Large 1 X 1600 0 0 SARA MORGENSEN MEDLEY Member-at-Large 1 X 1100 0 0 BHARAT SUTRIYA Member-at-Large 1 X 900 0 0 JOHN BARNAS Member-at-Large 1 X 300 0 0 1917277 0 379755 37 0 1 0 REDIMINDS INC 29777 TELEGRAPH RD STE 1670 SOUTHFIELD MI 48034 AI Enablement for IDR Sevices 957340 MATTHEW REUE ARBITRATIONS 800 WALNUT HILL DRIVE BRENHAM TX 77833 Arbiter 864980 ROBERT K WEST JR 2818 RABBEN COURT TROY MI 48098 Arbiter 847500 TERRILL LYNN FLENNIKEN 403 WEST ALAMO STREET BRENHAM TX 77833 Arbiter 797410 WALKER LEGAL & BUSINESS CONSULTING PLLC 102 Enoch Avenue Tupelo MS 38801 Arbiter 483980 14 0 0 0 0 91719 0 0 91719 Medicare 13SOW 900099 920790 920790 0 0 IDRE No Surprises Act 900099 74922959 74922959 0 0 State Contracts 900099 1483613 1483613 0 0 Medicaid - Fee For Service 900099 561890 561890 0 0 Veterans Affairs 900099 157743 157743 0 0 263031 263031 0 0 78310026 3161515 0 0 3161515 0 0 0 0 0 0 0 0 0 0 1819583 0 1665484 0 154099 0 154099 0 0 154099 0 0 81717359 78310026 0 3315614 0 0 0 0 0 0 0 0 1193603 0 1193603 0 0 0 0 0 9449640 9054424 395216 0 908380 698234 210146 0 1849563 1421683 427880 0 580942 446546 134396 0 0 0 0 0 45917 0 45917 0 31192 0 31192 0 0 0 0 0 0 0 0 0 0 0 381001 27274 353727 0 0 0 0 0 62285 52207 10078 0 1219319 1140533 78786 0 0 0 0 0 2262 1953 309 0 63152 12703 50449 0 0 0 0 0 12377 3663 8714 0 0 0 0 0 0 0 0 0 2175 1806 369 0 138907 0 138907 0 Physician Consultants 12375146 12375146 0 0 Repairs and Maintenance 2563 2326 237 0 Dues and Subscriptions 392801 350575 42226 0 Training 23650 1898 21752 0 200875 138213 62662 0 28935750 25729184 3206566 0 17710485 35688816 0 0 0 0 1841153 1546264 0 0 0 0 0 0 0 0 157001 324683 9611 7371 4414 2240 27922487 83031053 0 0 0 0 0 9157 0 0 47635540 120602213 7721311 21361351 0 0 6301155 11107439 0 0 0 0 0 0 0 0 0 0 30000 30000 14052466 32498790 X 33583074 88103423 0 0 33583074 88103423 47635540 120602213 52781609 1741468 0 0 -2728 0 X 0 1 X 1 1 1 X 801500 465792 420407 348253 91719 2127671 5419263 5667771 9489625 40966941 78310026 139853626 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6220763 6133563 9910032 41315194 78401745 141981297 0 0 0 0 0 0 0 0 448221 24832626 55212355 80493202 0 0 448221 24832626 55212355 80493202 61488095 155212 435435 602042 1327570 3161515 5681774 0 0 0 0 0 0 155212 435435 602042 1327570 3161515 5681774 0 0 0 0 0 0 0 0 0 0 0 0 6375975 6568998 10512074 42642764 81563260 147663071 0.41641 0.6133 0.03848 0.0351 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 526919 615651 1000000 0 2142570 3213855 0 0 259 0 259 131730 153913 250000 0 535643 803465 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9611 7371 2240 0 0 0 0 2240 0 Deferred Revenue - 11SOW 30000 30000 X 83458828 1741468 0 0 1 1741469 81717359 0 0 0 81717359 28935750 0 0 0 0 0 28935750 0 0 0 28935750 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 XI, Line 2d Rounding Schedule D, Part XI, Line 4b Rounding Schedule D, Part XII, Line 4b Net current year Expected Credit Loss and prior year Expected Credit Loss. X X X X 0 0 0 0 0 0 0 0 0 LELAND ANDREW BABITCH President & CEO 354917 0 258271 0 0 0 10000 0 113273 0 736461 0 0 0 ROGER PANELLA Executive Vice President/Chief Financial & Admin Officer 194393 0 103048 0 0 0 0 0 62041 0 359482 0 0 0 MABEL LEONARD Executive Vice President/Chief Operations Officer 209547 0 111083 0 0 0 0 0 66878 0 387508 0 0 0 TIFFANY SANFORD ROBOTHAM Senior Vice President/Chief Medical Officer 272251 0 147125 0 0 0 0 0 113273 0 532649 0 0 0 AMANDA WETED Senior Vice President/Chief Human Resources Officer 158774 0 84167 0 0 0 0 0 50673 0 293614 0 0 0 Form 990, Part III, Line 4d Medicaid FFS- Expenses - $653,854 and Revenue - $561,890 Veterans Affairs - Expenses - $450,657 and Revenue - $157,743 Miscellaneous Contracts - Expenses - $458,595 and Revenue $263,031 Total - Expenses - $1,563,106 and Revenue - $982,664 Form 990, Part VI, Section B, Line 11b * Form 990 is completed by the Finance department; our outside auditor reviews the form for accuracy. * Form 990 represents the audited financials, that are reviewed by the board. 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 iMPROve Health 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. * 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. * 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. * IMPROve Health 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 12c IMPROve Health has a Compliance Officer who monitors and enforces the conflict of interest policy. The Compliance Officer chairs the Compliance Committee, which has board representation. Form 990, Part VI, Section B, Line 15 * In fiscal year 2025 IMPROve Health hired a consulting firm to review and recommend changes to employee compensation, short-term and long-term incentives. * The CEO has an employment contract. * 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. Form 990, Part VI, Section C, Line 19 IMPROve Health makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. 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 1 Pathway Review Systems a-i 1 Interest