Civic Intelligence

Quality Insights Holdings Inc

990 • Fiscal year 2015 • EIN 26-2480548

Jan 01, 2015 to Dec 31, 2015 • Filed on Sep 30, 2016

3001 Chesterfield AvenueCharleston, WV 25304

(304) 346-9864

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2015

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2015

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2015

Top Officer Pay

100th percentile

$504,620

Higher top officer pay than 100% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2014 to 2015

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2014 to 2015

Assets

Flat

$0

Flat from 2014

Net Assets

Flat

$0

Flat from 2014

Liabilities

Flat

$0

Flat from 2014

Revenue

Flat

$0

Flat from 2014

Expenses

Flat

$0

Flat from 2014

Net Income

Flat

$0

Flat from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$0Assets 2010: $0Net Assets 2010: $02010Assets 2011: $0Liabilities 2011: $0Net Assets 2011: $02011Assets 2012: $0Net Assets 2012: $02012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$0Revenue 2011: $0Expenses 2011: $0Net Income 2011: $02011Revenue 2012: $0Expenses 2012: $0Net Income 2012: $02012Revenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $0Net Income 2015: $02015

Highlighted filing

2015

Revenue$0
Expenses$0
Net Income$0
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Sep 30, 2016
Return Version
2015v2.1
Gross Receipts
$0
Mission and Program Overview

Mission

To improve the health of the people we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$0-
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Other Assets Total-$0-
Total Assets$0$0→ $0
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$0$0→ $0
Compensation and Service Providers

Employees

NameTitleOtherTotal
Derrick LatosChairman$3,300$3,300
Richard VaughanSecretary$2,650$2,650
Stephen BrownDirector$1,900$1,900
Minnie JonesDirector$1,875$1,875
Daniel LaufferDirector$1,575$1,575
John KellyTreasurer$1,375$1,375
Robert RoseVice Chairman January 2015-June 2015$1,025$1,025
Louis DiamondDirector$700$700
John CombesDirector$475$475

Board Members and Trustees

NameTitle
John WiesendangerDirector / Chief Executive Officer
Kathleen MerrillChief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11

The completed Form 990 is provided electronically for review by the Organization's board. Additionally, the Controller and the Chief Financial Officer perform a detailed review and verify all financial information against the Organization's audited financial statements and supporting accounting records.

Form 990, Part VI, Section B, line 12C

The Organization regularly and consistently monitors and enforces compliance with its conflict disclosure policies. All board members, officers and employees complete and sign a conflict disclosure form that lists affiliations and compensation arrangements for themselves and family members that could create a potential conflict of interest. This is accomplished as part of annual compliance training. The training itself addresses conflicts of interest. Conflict of interest certifications are reviewed by the Corporate Compliance Officer and/or the Medicare Compliance Officer to identify any relationships or interests that may pose potential conflicts. Established procedures require a board member to recuse herself/himself from evaluation of a proposed business arrangement if the board member has a potential conflict. In the case of employees, the Corporate Compliance Officer works with the employee's supervisor to determine whether a potential conflict may be mitigated.

Form 990, Part VI, Section B, line 15

Compensation arrangements are established based on information obtained from different data sources and outside consultants for similarly situated taxable or tax exempt organizations providing similar services. The compensation plan is reviewed and approved by Quality Insights Holdings, Inc.'s board on an annual basis. This process is the same for both the CEO and all officers.

Form 990, Part VI, Section C, line 19

The Organization makes its governing documents, conflict of interest policy and financial statements available to the public, upon request, on a case-by-case basis.

Filing and Contact Details

Filer

Filer Name
Quality Insights Holdings Inc
EIN
26-2480548
Phone
3043469864
Address
3001 Chesterfield Avenue, Charleston, WV 25304

Signing Officer

Name
Kathleen D Merrill
Title
CFO
Phone
3043469864
Signed
2016-09-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kathleen D Merrill
Formed
2008
Legal Domicile
Wv
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
0

Preparer

Firm
Arnett Carbis Toothman LLP
Address
P O Box 2629, Charleston, WV 25329
Preparer
Tessa W Carr
Phone
3043460441
Supplemental Narrative

Additional Explanations

Form 990, Part III, line 3

Quality Insights Holdings, Inc. (QIH), and its subsidiaries, consisting of West Virginia Medical Institute, Inc. (WVMI), Quality Insights of Delaware, Inc. (QID), Quality Insights of Pennsylvania, Inc. (QIP), Quality Insights Renal Network, Inc. (QIRN) and Mid-Atlantic Renal Coalition, Inc. (MARC), merged after the close of business on December 31, 2015. Commencing with the start of business on January 1, 2016, the merged entities will operate as WVMI, under WVMI's previously existing corporate charter. WVMI will continue to seek to further the shared missions of the previously existing entities of advancing the practice of medicine and improving the quality, utilization and delivery of medical care through the administration of educational and quality improvement programs and to obtain administrative efficiencies. QIH, along with QID, QIP, QIRN and MARC, ceased to exist after the close of business on December 31, 2015. Effective with the merger, the Board of Directors of WVMI will consist of the QIH Board of Directors that was in place prior to the close of business on December 31, 2015.

Financial Statement Notes

Part X, Line 2:

The Organization has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2015 and 2014.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chairman January 2015-June 2015
IRS990/Form990PartVIISectionAGrp/TitleTxt2Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Name of Supported Organizations: West Virginia Medical Institute, Inc. (WVMI), Quality Insights Renal Network, Inc. (QIRN), Quality Insights of Delaware, Inc. (QID), Quality Insights of Pennsylvania, Inc. (QIP), Mid-Atlantic Renal Coalition, Inc. (MARC).
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1Supported organizations Quality Insights of Delaware, Inc. and Quality Insights of Pennsylvania, Inc. are 501(c)(6) organizations. Quality Insights Holdings, Inc. maintains a copy of these supported organizations' IRS determination letters and has verified that these organizations are in fact 501(c)(6) organizations. In addition, a proforma Schedule A, Part III was furnished by each of these supported organizations, which show that the supported organizations met the 509(a)(2) public support test for the most recent tax year.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2Quality Insights Holdings, Inc. does not have any assets or income. Therefore, it did not provide any monetary support to any of its supported organizations.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3Quality Insights Holdings, Inc. does not have any investments, assets or income. However, John Wiesendanger is a member of the Quality Insights Holdings, Inc. board, as well as the Chairman of each of its supported organization's board. Mr. Wiesendanger ensures that the interests of the supported organizations are represented and known to the Quality Insights Holdings, Inc. board.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt4Quality Insights Holdings, Inc. is the sole member of each of its supported organizations and appoints all members of the supported organizations' boards.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt5The operations and programs of the supported organizations are managed by the organization's Chief Executive Officer and its Chief Financial Officer. John Wiesendanger is the Chief Executive Officer for Quality Insights Holdings, Inc. and all its supported organizations. Likewise, Kathleen Merrill is the Chief Financial Officer of Quality Insights Holdings, Inc. and all its supported organizations.
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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt40
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt10
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt20
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt30
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt40
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0QID
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1QIP
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2QIRN
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3MARC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt4WVMI
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Organization has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2015 and 2014.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
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IRS990ScheduleJ/EquityBasedCompArrngmInd00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0430150
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1259900
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt031800
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt131800
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt022225
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt020445
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0John Wiesendanger
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Kathleen Merrill
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Director / Chief Executive Officer
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Chief Financial Officer
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0504620
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IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0N/A - no assets to transfer
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0Explanation of Involvement: As of the effective date of the merger, the Quality Insights Holdings, Inc. (QIH) Board of Directors will be the Board of Directors of the merger entity, West Virginia Medical Institute, Inc. (WVMI). Board members of QIH who will now be board members of WVMI are as follows: Derrick Latos, Richard Vaughn, John Combes and Louis Diamond. Due to common board members between QIH and WVMI, the following board members for WVMI will remain unchanged: John Kelly, Daniel Lauffer, Minnie Jones, Stephen Brown and John Wiesendanger. Prior to the merger, Mr. Wiesendanger was the Chairman of the Board for WVMI. Post-merger, Derrick Latos, as Chairman of the Board for QIH, will be the Chairman of the Board for WVMI and John Wiesendanger will be a board member of WVMI's Board of Directors.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 2e:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Quality Insights Holdings, Inc. (QIH), and its subsidiaries, consisting of West Virginia Medical Institute, Inc. (WVMI), Quality Insights of Delaware, Inc. (QID), Quality Insights of Pennsylvania, Inc. (QIP), Quality Insights Renal Network, Inc. (QIRN) and Mid-Atlantic Renal Coalition, Inc. (MARC), merged after the close of business on December 31, 2015. Commencing with the start of business on January 1, 2016, the merged entities will operate as WVMI, under WVMI's previously existing corporate charter. WVMI will continue to seek to further the shared missions of the previously existing entities of advancing the practice of medicine and improving the quality, utilization and delivery of medical care through the administration of educational and quality improvement programs and to obtain administrative efficiencies. QIH, along with QID, QIP, QIRN and MARC, ceased to exist after the close of business on December 31, 2015. Effective with the merger, the Board of Directors of WVMI will consist of the QIH Board of Directors that was in place prior to the close of business on December 31, 2015.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The completed Form 990 is provided electronically for review by the Organization's board. Additionally, the Controller and the Chief Financial Officer perform a detailed review and verify all financial information against the Organization's audited financial statements and supporting accounting records.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Organization regularly and consistently monitors and enforces compliance with its conflict disclosure policies. All board members, officers and employees complete and sign a conflict disclosure form that lists affiliations and compensation arrangements for themselves and family members that could create a potential conflict of interest. This is accomplished as part of annual compliance training. The training itself addresses conflicts of interest. Conflict of interest certifications are reviewed by the Corporate Compliance Officer and/or the Medicare Compliance Officer to identify any relationships or interests that may pose potential conflicts. Established procedures require a board member to recuse herself/himself from evaluation of a proposed business arrangement if the board member has a potential conflict. In the case of employees, the Corporate Compliance Officer works with the employee's supervisor to determine whether a potential conflict may be mitigated.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Compensation arrangements are established based on information obtained from different data sources and outside consultants for similarly situated taxable or tax exempt organizations providing similar services. The compensation plan is reviewed and approved by Quality Insights Holdings, Inc.'s board on an annual basis. This process is the same for both the CEO and all officers.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The Organization makes its governing documents, conflict of interest policy and financial statements available to the public, upon request, on a case-by-case basis.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part III, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, line 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd01
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd21
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd41
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0Quality Insights Holdings Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1Quality Insights Holdings Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt2Quality Insights Holdings Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt3Quality Insights Holdings Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt4Quality Insights Holdings Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0Quality Insights of Delaware Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1Quality Insights Renal Network Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt2Quality Insights of Pennsylvania Inc
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt3Mid-Atlantic Renal Coalition Inc

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