2019-06-11T13:30:09-05:00 2018-07-31 060903326 WHITTLESEY PC 280 TRUMBULL ST 24TH FL HARTFORD CT 06103 990 2017-08-01 222484567 CONNECTICUT PEER REVIEW ORGANIZATION INC QUALIDIGM CONN 8606322008 936 SILAS DEANE HIGHWAY SUITE 1A WETHERSFIELD CT 06109 TIM ELWELL PRESIDENT/CEO 8606322008 2019-06-11 1 LISA WILLS P01828548 8605223111 198.0.144.57 2019-06-11 14:29:59 ED P 2645D509B2D420FF9DBDCA586CC4F8E575C2F669 7D675871B76272FC49D3D35D9052D04A56F72B31 2017 2019-02-21 02:37:17Z TIMOTHY ELWELL 936 SILAS DEANE HIGHWAY SUITE 1A WETHERSFIELD CT 06109 12694844 0 X WWW.QUALIDIGM.ORG X 1983 CT IMPROVING THE QUALITY AND SAFETY OF HEALTH CARE. 14 13 94 0 0 98433 0 11749760 10736255 945084 0 0 0 0 10736255 12694844 0 0 0 0 7255729 7432632 0 0 0 2951221 4554906 10206950 11987538 529305 707306 6699601 7687408 3642673 3923174 3056928 3764234 TO CONTINUOUSLY ADVANCE IMPROVEMENT IN THE QUALITY, SAFETY AND COST-EFFECTIVENESS OF HEALTH CARE. AS A HEALTH CARE CONSULTING AND RESEARCH FIRM, WE APPLY TRANSFORMATIONAL QUALITY IMPROVEMENT TECHNIQUES TO DELIVER BEST VALUE FOR EACH CLIENT. 0 0 8556854 12694844 TO ASSURE THAT HEALTH CARE SERVICES ARE APPROPRIATE, EFFECTIVE, AND EFFICIENT 8556854 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 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 75 0 1 94 1 1 1 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CT X MICHAEL DESROCHES CPA 8606322008 936 SILAS DEANE HIGHWAY SUITE 1A WETHERSFIELD CT 06109 KIM BEAUREGARD DIRECTOR 2.00 X 0 0 0 MOLLY REES GAVIN DIRECTOR 2.00 X 0 0 0 MAG MORELLI DIRECTOR 2.00 X 0 0 0 ROLLIN SCHUSTER JR CHAIR 2.00 X 0 0 0 ALAN S KLIGER MD DIRECTOR 2.00 X 0 0 0 BRIAN A HINMAN DIRECTOR 2.00 X 0 0 0 TIMOTHY ELWELL PRESIDENT/CEO 40.00 X X 421125 0 64406 M NATALIE ACHONG MD MHL DIRECTOR 2.00 X 0 0 0 MICHELLE DEBARGE DIRECTOR 2.00 X 0 0 0 MICHAEL DIMENSTEIN DIRECTOR 2.00 X 0 0 0 ERIC ROSOW DIRECTOR 2.00 X 0 0 0 ANGELA MATTIE SECRETARY 2.00 X 0 0 0 PAUL T LIISTRO PAST CHAIR 2.00 X 0 0 0 FRANCES PADILLA TREASURER 2.00 X 0 0 0 ANNE ELWELL VICE PRESIDENT CONSULTING 40.00 X 181406 0 28677 KRISTEN MCCLAIN SENIOR DIRECTOR,COMPLIANCE 40.00 X 137668 0 31811 ANN SPENARD VICE PRESIDENT CONSULTING 40.00 X 174967 0 35032 JOANNE DRAPER VICE PRESIDENT, HUMAN RESO 40.00 X 156100 0 18120 ANN OLSON VICE PRESIDENT CONSULTING 40.00 X 102815 0 22330 YUN-RICHARD WAND SENIOR ANALYST 40.00 X 141220 0 0 SHIH-YIEH HO DIRECTOR, ANALYSIS 40.00 X 127914 0 25463 MICHELE KELVEY-ALBERT SENIOR DIRECTOR, TRANSFORMATIONAL SERVICES 40.00 X 127286 0 28028 JULIA PORTALE SENIOR DIRECTOR, CONSULTING SERVICES 40.00 X 120609 0 27454 NANCY KELLY SENIOR DIRECTOR, MARKETING & COMMUNICATIONS 40.00 X 127685 0 30405 1818795 0 311726 11 0 1 0 READY NURSE STAFFING SERVICES 360 BLOOMFIELD AVE STE 303 WINDSOR CT 06095 STAFFING 966977 ANTHEM BLUE CROSS AND BLUE SHIELD PO BOX 07101 NEWARK NJ 07101 INSURANCE 343178 CIGNA 900 COTTAGE GROVE ROAD BLOOMFIELD CT 06002 INSURANCE 341309 CT PHARMASISTS ASSOCIATION TEAM 35 COLD SPRING ROAD ROCKY HILL CT 06067 PROFESSIONAL SERVICES 148283 EHEALTH 936 SILAS DEANE HIGHWAY WEATHERSFIELD CT 06109 PROFESSIONAL SERVICES 126662 5 11749760 11749760 PROGRAM SERVICE REVENUE 900099 945084 945084 945084 12694844 945084 0 0 X 5864818 4272116 1592702 1567814 1136883 430931 53330 1282 52048 32500 32500 2151635 2041453 110182 272688 92455 180233 391717 391717 719188 696181 23007 106676 106676 222805 222805 62709 62709 FEES AND MEMBERSHIP DUE 154622 81332 73290 PHOTOCOPYING AND PRINTI 101428 96472 4956 MISC 85598 28354 57244 EDUCATION AND TRAINING 63873 3195 60678 136137 455 135682 11987538 8556854 3430684 0 583264 722179 2070557 2788438 138839 150716 4466073 439998 3906941 4026075 6699601 7687408 1074312 1540125 42622 0 2525739 2383049 3642673 3923174 X 3056928 3764234 3056928 3764234 6699601 7687408 707306 0 X X 0 1 X 1 1 1 X 7867783 8012231 9159543 10736255 12694844 48470656 7867783 8012231 9159543 10736255 12694844 48470656 48470656 48470656 1.00000 1.00000 X 567600 567600 3061718 137123 2924595 2536 2536 0 834219 300339 533880 4026075 12694844 0 12694844 0 12694844 11987538 0 11987538 0 11987538 X X X X X X 0 0 0 0 0 0 0 0 0 TIMOTHY ELWELL PRESIDENT/CEO 421125 0 0 0 0 0 60000 0 4406 0 485531 0 0 0 ANNE ELWELL VICE PRESIDENT CONSULTING 181406 0 0 0 0 0 0 0 28677 0 210083 0 0 0 KRISTEN MCCLAIN SENIOR DIRECTOR,COMPLIANCE 137668 0 0 0 0 0 0 0 31811 0 169479 0 0 0 ANN SPENARD VICE PRESIDENT CONSULTING 174967 0 0 0 0 0 0 0 35032 0 209999 0 0 0 JOANNE DRAPER VICE PRESIDENT, HUMAN RESO 156100 0 0 0 0 0 0 0 18120 0 174220 0 0 0 SHIH-YIEH HO DIRECTOR, ANALYSIS 127914 0 0 0 0 0 0 0 25463 0 153377 0 0 0 MICHELE KELVEY-ALBERT SENIOR DIRECTOR, TRANSFORMATIONAL SE 127286 0 0 0 0 0 0 0 28028 0 155314 0 0 0 NANCY KELLY SENIOR DIRECTOR, MARKETING & COMMUNI 127685 0 0 0 0 0 0 0 30405 0 158090 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED FIRST BY THE CEO AND THE CFO. IT IS THEN SHARED WITH THE FINANCE/AUDIT COMMITTEE AT A FORMAL MEETING. THE INDEPENDENT AUDITOR ATTENDS THE MEETING TO REVIEW IT WITH THE COMMITTEE. THE COMMITTEE THEN VOTES ON THE ACCEPTABILITY OF THE FORM AND CIRCULATES TO THE FULL BOARD AT ITS NEXT MEETING. THE BOARD HAS THE OPPORTUNITY TO REVIEW AND OFFER ANY CHANGES BEFORE THE FINAL VERSION IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND MANAGERS SIGN AN ANNUAL STATEMENT DECLARING ALL COMMERCIAL, FINANCIAL AND CONTRACTUAL RELATIONSHIPS OR ACTIVITIES THAT ARE OR HAVE THE POTENTIAL FOR BEING A CONFLICT OF INTEREST WITH QUALIDIGM BUSINESS. THE STATEMENTS ARE GIVEN TO THE COMPLIANCE OFFICER FOR SUMMARY AND PRESENTATION TO THE EXECUTIVE COUNCIL AND COMPLIANCE COMMITTEE OF THE BOARD. AS BUSINESS IS CONDUCTED, THE COMPLIANCE OFFICER IS RESPONSIBLE FOR ENSURING THAT INDIVIDUALS ARE NOT INVOLVED IN MAKING OR INFLUENCING DECISIONS INVOLVING THOSE RELATIONSHIPS OR ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE OF THE BOARD SERVES AS THE COMPENSATION REVIEW COMMITTEE. FOR THE CEO POSITION, THE COMMITTEE UTILIZES THE SURVEY/STUDY OF ERI, THE FORM 990S FROM GUIDESTAR TO REACH ITS DECISION. THE SAME MARKET REFERENCE RESOURCES ARE USED FOR KEY PERSONNEL, WITH THE ADDITION OF RECOMMENDATIONS FROM THE CEO, AS THEIR IMMEDIATE SUPERVISOR. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 2,041,453. MANAGEMENT AND GENERAL EXPENSES 110,182. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,151,635. PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.