Civic Intelligence

Quality Insights Renal Network Inc

990 • Fiscal year 2013 • EIN 27-0333640

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 07, 2014

3001 Chesterfield Avenue25304

(304) 346-9864

Siviq Scores

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

Liabilities / Assets

80th percentile

0.57x

Higher debt load relative to assets than 80% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Liabilities / Revenue

63rd percentile

0.22x

Higher debt load relative to revenue than 63% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Net Margin

72nd percentile

14%

Higher net margin than 72% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Top Officer Pay

97th percentile

$465,227

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 21.0% of source-year revenue.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Asset Growth

97th percentile

129%

Faster asset growth than 97% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$865,271

Up $487,679 (+129%) from 2012

Net Assets

Up

$371,668

Up $320,429 (+625%) from 2012

Liabilities

Up

$493,603

Up $167,250 (+51%) from 2012

Revenue

$2,210,918

No earlier filing loaded for comparison.

Expenses

Up

$1,890,489

Up $640,702 (+51%) from 2012

Net Income

$320,429

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$1.0M$500K$0Assets 2010: $451,699Liabilities 2010: $418,179Net Assets 2010: $33,5202010Assets 2011: $370,516Liabilities 2011: $328,390Net Assets 2011: $42,1262011Assets 2012: $377,592Liabilities 2012: $326,353Net Assets 2012: $51,2392012Assets 2013: $865,271Liabilities 2013: $493,603Net Assets 2013: $371,6682013Assets 2014: $747,172Liabilities 2014: $335,996Net Assets 2014: $411,1762014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2013

Assets$865,271
Liabilities$493,603
Net Assets$371,668

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $1,220,6412010Expenses 2011: $1,208,9362011Expenses 2012: $1,249,7872012Revenue 2013: $2,210,918Expenses 2013: $1,890,489Net Income 2013: $320,4292013Revenue 2014: $2,447,790Expenses 2014: $2,408,282Net Income 2014: $39,5082014Revenue 2015: $2,420,405Expenses 2015: $2,433,803Net Income 2015: -$13,3982015

Highlighted filing

2013

Revenue$2,210,918
Expenses$1,890,489
Net Income$320,429
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 7, 2014
Return Version
2013v3.0
Gross Receipts
$2,210,918
Mission and Program Overview

Mission

To provide the professional framework within which the provision of quality care to consumers of end-stage renal disease treatment can be maximized.

To provide quality care to individuals with end-stage renal disease.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$242,037$484,753▲ $242,716
Cash and Non-Interest-Bearing Accounts$54,682$287,728▲ $233,046
Savings and Temporary Cash Investments$62,180$75,194▲ $13,014
Prepaid Expenses and Deferred Charges$10,869$10,060▼ $809
Land, Buildings, and Equipment, Net$1,532$1,244▼ $288
Total Assets$377,592$865,271▲ $487,679
Other Assets Total$6,292$6,292→ $0
Liabilities
Other Liabilities$199,264$304,938▲ $105,674
Accounts Payable and Accrued Expenses$127,089$188,665▲ $61,576
Total Liabilities$326,353$493,603▲ $167,250
Net Assets / Fund Balance
Unrestricted Net Assets$51,239$371,668▲ $320,429
Total Net Assets Fund Balance$51,239$371,668▲ $320,429
Total Liabilities and Net Assets / Fund Balance$377,592$865,271▲ $487,679

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,244$15,109$16,353
Other Land Buildings$0$7,719$7,719
Leasehold Improvements$0$3,719$3,719
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Christopher BrownExecutive DirectorFT$120,325$42,728$163,053
Beverly HoekQI DirectorFT$108,858$21,172$130,030
Annabelle PerezQI CoordinatorFT$101,353$22,013$123,366

Board Members and Trustees

NameTitle
John WiesendangerChairman/CEO
Toros KapoianVice Chairman
Chandra ChandranDirector
Clifford SalesDirector
Ellen CottoneDirector
Judith SemptimphelterDirector
Kenneth NoonanDirector
Ling ChangDirector
Lisa Scott-BrennanDirector
Marien SaadeDirector
Michael YuddDirector
Paula Ruiz de SomocurcioDirector
Ramesh LakhramDirector
Ron ZangerDirector
Kathleen MerrillChief Financial Officer
Mary LorenzoSecretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,210,739
Investment Income
$136
Other Revenue
$43
Change in Net Assets
$320,429

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,210,918
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$2,210,918
Total Revenue per Form 990
$2,210,918
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,197,014
Other Expenses$693,475
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$939,756$6,434-$946,190
Fees for Services Other$144,601$990-$145,591
Occupancy$105,341$721-$106,062
Other Employee Benefits$97,796$670-$98,466
Conferences and Meetings$81,364$557-$81,921
Pension Plan Contributions$79,765$546-$80,311
Payroll Taxes$71,557$490-$72,047
Office Expenses$65,940$453-$66,393
Travel$53,243$365-$53,608
Fees for Services Accounting-$13,735-$13,735
Information Technology$5,074$35-$5,109
Other Expenses$2,004$14-$2,018
Depreciation Depletion$535$4-$539
All Other Expenses$240$2-$242
Insurance$121$1-$122
Interest$1--$1
Total Functional Expenses$1,863,989$26,500$0$1,890,489

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,890,489
Total Expenses per Audited Statements$1,890,489
Total Expenses per Form 990$1,890,489
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany payables$304,938
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
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 4

The QIRN bylaws were amended to clarify that the QIRN board of directors (BOD) serves as the governing body for a federal contract.

Form 990, Part VI, Section A, line 6

Quality Insights Holdings, Inc. is the sole member of Quality Insights Renal Network,Inc.

Form 990, Part VI, Section A, line 7A

Quality Insights Holdings, Inc. shall appoint all members of the Organization's board of directors.

Form 990, Part VI, Section A, line 7B

Quality Insights Holdings, Inc. shall have sole authority and power with respect to amending the certificate of incorporation, amending the bylaws, adopting an agreement of merger or consolidation, approving the sale, lease or exchange of all or substantially all of the Organization's property and assets, or approving the dissolution of the Organization or a revocation of a dissolution.

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 the Organization's 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 disclosure forms are reviewed by the CEO (in the case of board members) and the Corporate Compliance Officer. Established procedures require a board member to recuse himself/herself 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 the Compensation Committee of Quality Insights Holdings, Inc.'s board on an annual basis. This process is the same for both the CEO and all officers and key employees.

Form 990, Part VI, Section C, line 19

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

Filing and Contact Details

Filer

EIN
27-0333640
Phone
3043469864

Signing Officer

Name
Kathleen D Merrill
Title
CFO
Phone
3043469864
Signed
2014-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kathleen D Merrill
Formed
2009
Legal Domicile
Wv
Voting Board Members
11
Independent Board Members
10
Employees
16
Volunteers
55

Preparer

Preparer
Dale Carpenter
Phone
3043460441
Supplemental Narrative

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, 2013 and 2012.

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IRS990/Form990PartVIISectionAGrp/PersonNm15Kathleen Merrill
IRS990/Form990PartVIISectionAGrp/PersonNm16Christopher Brown
IRS990/Form990PartVIISectionAGrp/PersonNm17Beverly Hoek
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IRS990/InterestGrp/ProgramServicesAmt01
IRS990/InterestGrp/TotalAmt01
IRS990/InvestmentIncomeGrp/ExclusionAmt0136
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0136
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt010
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt026547
IRS990/LandBldgEquipBasisNetGrp/BOYAmt01532
IRS990/LandBldgEquipBasisNetGrp/EOYAmt01244
IRS990/LandBldgEquipCostOrOtherBssAmt027791
IRS990/LegalDomicileStateCd0WV
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt043
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt043
IRS990/MissionDesc0To provide the professional framework within which the provision of quality care to consumers of end-stage renal disease treatment can be maximized.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt051239
IRS990/NetAssetsOrFundBalancesEOYAmt0371668
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt0721
IRS990/OccupancyGrp/ProgramServicesAmt0105341
IRS990/OccupancyGrp/TotalAmt0106062
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0453
IRS990/OfficeExpensesGrp/ProgramServicesAmt065940
IRS990/OfficeExpensesGrp/TotalAmt066393
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt06292
IRS990/OtherAssetsTotalGrp/EOYAmt06292
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0670
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt097796
IRS990/OtherEmployeeBenefitsGrp/TotalAmt098466
IRS990/OtherExpensesGrp/Desc0WVMI Corp allocation
IRS990/OtherExpensesGrp/Desc1Dues and subscriptions
IRS990/OtherExpensesGrp/Desc2Relocation expense
IRS990/OtherExpensesGrp/Desc3Employee relations
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt01419
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt139
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt225
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt314
IRS990/OtherExpensesGrp/ProgramServicesAmt0207295
IRS990/OtherExpensesGrp/ProgramServicesAmt15685
IRS990/OtherExpensesGrp/ProgramServicesAmt23671
IRS990/OtherExpensesGrp/ProgramServicesAmt32004
IRS990/OtherExpensesGrp/TotalAmt0208714
IRS990/OtherExpensesGrp/TotalAmt15724
IRS990/OtherExpensesGrp/TotalAmt23696
IRS990/OtherExpensesGrp/TotalAmt32018
IRS990/OtherLiabilitiesGrp/BOYAmt0199264
IRS990/OtherLiabilitiesGrp/EOYAmt0304938
IRS990/OtherRevenueTotalAmt043
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt06434
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0939756
IRS990/OtherSalariesAndWagesGrp/TotalAmt0946190
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt0490
IRS990/PayrollTaxesGrp/ProgramServicesAmt071557
IRS990/PayrollTaxesGrp/TotalAmt072047
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0546
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt079765
IRS990/PensionPlanContributionsGrp/TotalAmt080311
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt010869
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt010060
IRS990/PrincipalOfficerNm0Kathleen D Merrill
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0541900
IRS990/ProgramServiceRevenueGrp/Desc0Contract Revenue
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt02210739
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt02210739
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0-1497
IRS990/PYOtherExpensesAmt0487142
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt01260397
IRS990/PYRevenuesLessExpensesAmt09113
IRS990/PYSalariesCompEmpBnftPaidAmt0762645
IRS990/PYTotalExpensesAmt01249787
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01258900
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0320429
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02210782
IRS990/SavingsAndTempCashInvstGrp/BOYAmt062180
IRS990/SavingsAndTempCashInvstGrp/EOYAmt075194
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/Form990ScheduleAPartIVGrp/ExplanationTxt0Miscellaneous revenue - 2013 Amount: $ 43.
IRS990ScheduleA/Form990ScheduleAPartIVGrp/FormAndLineReferenceDesc0Schedule A, Part II, Line 12, Explanation of Other Income:
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0136
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt050
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0141
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0158
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt049
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0534
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt02210739
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt01260397
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt01217401
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt01201786
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0561728
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt06452051
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0136
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt050
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0141
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0158
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt049
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0534
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt043
IRS990ScheduleA/OtherIncome509Grp/TotalAmt043
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt06452051
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt02210739
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt01260397
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt01217401
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt01201786
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0561728
IRS990ScheduleA/Total509Grp/TotalAmt06452051
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt02210918
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt01260447
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt01217542
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt01201944
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0561777
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt06452628
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt01244
IRS990ScheduleD/EquipmentGrp/DepreciationAmt015109
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt016353
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt01890489
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt03719

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