2024-06-03T09:09:21-05:00 2023-07-31 440160260 FORVIS LLP 999 S SHADY GROVE RD STE 400 MEMPHIS TN 38120 990 2022-08-01 620924699 QSOURCE QSOU 9016820381 8245 TOURNAMENT DRIVE 201 MEMPHIS TN 38125 CHERYL MASELLA VP OF FINANCE 9016820381 2024-05-31 1 CHERYL MASELLA 999009999 1 LAKRISHA J CASTLEBERRY P01677333 9017613000 2024-05-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARY-LYN BALDAUF 8245 TOURNAMENT DRIVE 201 MEMPHIS TN 38125 19625190 0 X WWW.QSOURCE.ORG X 1973 TN SEE SCHEDULE O AT QSOURCE, OUR MISSION IS TO SERVE HEALTHCARE COMMUNITIES BY DRIVING VALUE, IMPROVING QUALITY AND PROVIDING INNOVATIVE BUSINESS SOLUTIONS. 10 10 105 0 0 0 8230367 11115582 3418760 2489085 909448 547699 0 0 12558575 14152366 0 0 0 0 9331222 9513329 0 0 0 3436028 3916346 12767250 13429675 -208675 722691 28235810 29137999 1423769 948583 26812041 28189416 AT QSOURCE, OUR MISSION IS TO IMPROVE HEALTHCARE THROUGH PATIENT-CENTERED, PROVIDER-FOCUSED SOLUTIONS. 0 0 2282451 QSOURCE PROVIDES THE STATE OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION WITH AN INDEPENDENT, EXTERNAL REVIEW OF THE QUALITY OF SERVICES AVAILABLE TO TENNCARE ENROLLEES. 1991922 QSOURCE WORKS WITH HEALTHCARE COMMUNITIES IN THE STATE OF INDIANA TO IMPROVE THE QUALITY OF HEALTHCARE BY ASSISTING PROVIDERS IN MEASURING AND REPORTING QUALITY, PRODUCING AND USING ELECTRONIC CLINICAL IMFORMATION, REDESIGNING CARE PROCESSES, AND TRANSFORMING ORGANIZATIONAL CULTURE TO ACCELERATE QUALITY IMPROVEMENT AND BROADEN ITS IMPACT. TO SUPPLEMENT INDIVIDUAL TECHNICAL ASSISTANCE, WE CONVENE PROVIDERS, PRACTITIONERS AND PATIENTS TO BUILD AND SHARE KNOWLEDGE, SPREAD BEST PRACTICES, AND ACHIEVE RAPID, WIDE-SCALE IMPROVEMENTS IN PATIENT CARE. 958541 QSOURCE OVERSEES AND IMPROVES THE QUALITY OF CARE DELIVERED TO END-STAGE RENAL DISEASE PATIENTS THROUGH THE DEVELOPMENT AND EXECUTION OF QUALITY IMPROVEMENT PROGRAMS & INTERVENTIONS, THE COLLECTION AND ANALYSIS OF OUTCOMES DATA, AND THE PROVISION OF TECHNICAL ASSISTANCE TO PATIENTS AND PROVIDERS OF DIALYSIS AND KIDNEY TRANSPLANTATION, INCLUDING THE PROCESSING OF COMPLAINTS AND GRIEVANCES. 3285036 2489085 3285036 2489085 8517950 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 0 0 0 0 1 53 0 1 105 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 TN X CHERYL MASELLA 9016820381 8245 TOURNAMENT DRIVE 201 MEMPHIS TN 38125 JOHN CZARNIK IMMEDIATE PAST CHAIR THROUGH 11/2022 1.00 X X 6250 0 0 JOANN M BURKE CHAIR STARTING 11/2022 1.00 X X 6000 0 0 TERRI SABELLA CHAIR THROUGH 11/2022 1.00 X X 7250 0 0 LISA TATE NIX TREASURER 1.00 X X 0 0 0 ERICA L GETTIS SECRETARY 1.00 X X 5000 0 0 WILLIAM B WAGNER CHAIR ELECT 1.00 X X 6250 0 0 SCOTT SOLCHER DIRECTOR THROUGH 11/2022 0.50 X 5875 0 0 BRIAN C TABOR DIRECTOR 0.50 X 0 0 0 TERESA L COUTS DIRECTOR THROUGH 11/2022 0.50 X 4875 0 0 PAUL KECKLEY DIRECTOR THROUGH 11/2022 0.50 X 6000 0 0 PREETHI YERRAM DIRECTOR 0.50 X 0 0 0 MITCH GRAVES DIRECTOR 0.50 X 4625 0 0 SUSAN R COOPER DIRECTOR 0.50 X 5500 0 0 CLAUDE J PIRTLE DIRECTOR 0.50 X 3500 0 0 MARY-LYN BALDAUF CEO STARTING 1/2023 40.00 X 0 0 0 NANCY C ARCHER COO THROUGH 2/2023 40.00 X 250476 0 24957 ANN L WRIGLEY COO 40.00 X 194915 0 10640 BENJAMIN S HEAVRIN CHIEF MEDICAL OFFICER 40.00 X 382288 0 32330 JASON NESIUS VP OF FINANCE THROUGH 5/2023 40.00 X 196621 0 29426 ADRIENNE N HUNTLEY VP HR & COMPLIANCE THROUGH 3/2023 40.00 X 159233 0 7391 MITZI L DAFFRON TASK ORDER DIRECTOR 40.00 X 147432 0 15124 JOSEPH R GREER INFORMATION TECHNOLOGIES DIRECTOR 40.00 X 120941 0 18571 SUSAN D BRITTMAN ANALYTIC MANAGER I 40.00 X 114349 0 24327 DAWN FITZGERALD FORMER CEO 40.00 X 389434 0 5119 2016814 0 167885 9 1 1 0 PRICEWATERHOUSECOOPERS ADVISORY SERVICES PO BOX 75647 CHICAGO IL 60675 ADVISORY SERVICES 365048 VIVEN HEALTH 7006 WOODBRIDGE CREEK CT ST LOUIS MO 63129 DEPLOYMENT OF VIVEN HEALTH INFECTION PRE 270600 2 11115582 11115582 CONTRACTS 624100 2489085 2489085 2489085 538915 538915 5481608 5472824 8784 8784 8784 14152366 2489085 0 547699 1153280 1153280 5783801 4706697 1077104 285183 193688 91495 1723095 1170275 552820 567970 385748 182222 134769 134769 70276 70276 49257 49257 111056 111056 451038 257269 193769 253638 253638 244653 184012 60641 50389 50389 83992 83992 71153 71153 SUBCONTRACTING & CONSUL 2217585 1569872 647713 ALL OTHER - QCP/QNV NON 178540 178540 13429675 8517950 4911725 0 4735481 4024749 477227 324119 1659664 1807331 117729 181083 1295727 1110709 225203 185018 20965233 22333655 55273 282044 28235810 29137999 1423769 731082 0 217501 1423769 948583 X 26812041 28189416 26812041 28189416 28235810 29137999 722691 654684 0 X X 0 1 X 1 1 1 X 18880507 12908301 8252395 8230367 11115582 59387152 18880507 12908301 8252395 8230367 11115582 59387152 59387152 476902 486239 427106 457414 538915 2386576 61773728 11714855 0.96140 0.96780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 0 1 49257 49257 0 PART II-B, LINE 1: MYERS AND STAUFFER LC LOBBIES STATE AND FEDERAL LEGISLATORS ON BEHALF OF QSOURCE. 107014 74016 32998 881350 770440 110910 307363 266253 41110 185018 OPERATING LEASE LIABILITY 217501 217501 X 14695995 654684 654684 14041311 111055 111055 14152366 13318620 0 13318620 111055 111055 13429675 PART X, LINE 2: THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JULY 31, 2023 AND 2022, AND THERE ARE NO INTEREST AND PENALTIES RELATED TO INCOME TAX ASSESSMENTS. X X X X X 0 0 0 0 0 0 0 0 0 BENJAMIN S HEAVRIN CHIEF MEDICAL OFFICER 382288 0 0 0 0 0 14821 0 17509 0 414618 0 0 0 DAWN FITZGERALD FORMER CEO 389434 0 0 0 0 0 3325 0 1794 0 394553 0 0 0 NANCY C ARCHER COO THROUGH 2/2023 250476 0 0 0 0 0 14211 0 10746 0 275433 0 0 0 JASON NESIUS VP OF FINANCE THROUGH 5/2023 196621 0 0 0 0 0 12519 0 16907 0 226047 0 0 0 ANN L WRIGLEY COO 194915 0 0 0 0 0 0 0 10640 0 205555 0 0 0 ADRIENNE N HUNTLEY VP HR & COMPLIANCE THROUGH 3/2023 159233 0 0 0 0 0 0 0 7391 0 166624 0 0 0 MITZI L DAFFRON TASK ORDER DIRECTOR 147432 0 0 0 0 0 8928 0 6196 0 162556 0 0 0 PART I, LINE 3 QSOURCE ENGAGES A CONSULTING GROUP EVERY 2-3 YEARS TO PERFORM A COMPENSATION STUDY IN ORDER TO BENCHMARK CEO, CFO, AND BOARD OF DIRECTOR COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B RETURN IS GIVEN TO THE CEO TO REVIEW BEFORE IT IS FILED. IN ADDITION, QSOURCE POSTS A DRAFT OF THE TAX RETURN TO ITS BOARD PORTAL AND EMAILS A LINK TO THE TAX RETURN TO EACH BOARD MEMBER LETTING THEM KNOW WHERE IT IS POSTED AND GIVING THEM A DEADLINE BY WHICH TO SEND ANY COMMENTS OR QUESTIONS. IF NO RESPONSES OR ONLY "NO-CHANGE" RESPONSES ARE RECEIVED BY THAT DEADLINE THEN APPROVAL IS ASSUMED AND THE TAX RETURN IS FILED. IF CHANGES ARE RECOMMENDED THEY WILL BE CONSIDERED IN AN EXECUTIVE COMMITTEE MEETING BEFORE CHANGES ARE MADE AND THE TAX RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS MEMBERS, CEO, CFO, VPS, DIRECTORS AND KEY EMPLOYEES COMPLETE THE CONFLICT OF INTEREST DISCLOSURE ANNUALLY. THE DISCLOSURES ARE REVIEWED ANNUALLY AND ARE UPDATED BY THE VP, CORPORATE COMPLIANCE AND EXCEPTIONS ARE REPORTED TO CENTERS FOR MEDICARE AND MEDICAID SERVICES. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS REVIEWED BY INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. SALARY SURVEY OF COMPARABLE ENTITIES ARE CONSIDERED. DOCUMENTATION REGARDING THE PROCESS IS RETAINED. 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. FORM 990, PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS THIS YEAR.