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QUALITY INSIGHTS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
QUALITY INSIGHTS INC (EIN 55-0539692)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-04
IRS object ID
201303089349300670
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-04T09:39:03-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN550486667EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Arnett Foster Toothman PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 2629AddressLine1
CityCharlestonCity
StateWVState
ZIP Code25329ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550539692EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1West Virginia Medical Institute IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3043469864Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13001 Chesterfield AvenueAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKathleen D MerrillName
TitleCFOTitle
Phone3043469864Phone
Date Signed2013-10-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDale CarpenterName
PTINP00189642PTIN
Phone3043460441Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKathleen D MerrillNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13001 Chesterfield AvenueAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24771185GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wvmi.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionTo improve the health of the people we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees189TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24538188ProgramServiceRevenuePriorYear
Program Service Revenue CY24765143ProgramServiceRevenueCY
Investment Income Prior Year2281InvestmentIncomePriorYear
Investment Income Current Year-16InvestmentIncomeCurrentYear
Other Revenue Prior Year2823OtherRevenuePriorYear
Other Revenue Current Year4333OtherRevenueCurrentYear
Total Revenue Prior Year24543292TotalRevenuePriorYear
Total Revenue Current Year24769460TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year200936GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY18916GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13185212SalariesEtcPriorYear
Salaries Etc Current Year14041641SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10285586OtherExpensePriorYear
Other Expenses Current Year9295874OtherExpensesCurrentYear
Total Expenses Prior Year23671734TotalExpensesPriorYear
Total Expenses Current Year23356431TotalExpensesCurrentYear
Revenues Less Expenses Prior Year871558RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1413029RevenuesLessExpensesCY
Total Assets BOY14869747TotalAssetsBOY
Total Assets EOY15985310TotalAssetsEOY
Total Liabilities BOY3344953TotalLiabilitiesBOY
Total Liabilities EOY3045644TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11524794NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12939666NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve the health of the people we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23109756Expense
Grants18916Grants
Revenue24769476Revenue
DescriptionThe Organization provided educational and quality improvement programs to health care providers participating in medicare, medicaid, veterans affairs and other governmental health care programs, and to other health care related entities.Description
Total Program Service Expense23109756TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096167NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees189NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledDEStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kathleen D MerrillBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3043469864TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13001 Chesterfield AvenueAddressLine1
CityCharlestonCity
StateWVState
ZIP Code25304ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Derrick Latos
Chairman1.002.00X309200
Robert Rose
Vice Chairman1.001.00X274200
Daniel Lauffer
Secretary / Treasurer1.001.00X179200
Minnie Jones
Director1.001.00X164200
Stephen Brown
Director1.001.00X164200
John Wiesendanger
Chief Executive Officer / Director26.0015.00X403191042743X
Kathleen Merrill
Chief Financial Officer28.0016.00248317039990X
Sven Berg
Chief Medical Officer27.0015.0027511803722X
David Lambert
Chief Administration Officer31.0018.00179292040349X
Charles Schade
Medical Epidemiologist21.0010.00185558033041X
Mark Stephens
Clinical Coordinator26.000.00169701020364X
John Marks
Director of State Services30.0011.00136148029072X
Aaron Spurlock
Chief Information Officer29.0015.00129192034405X
Catherine Browning
Corporate Director Review Services14.0040.00131750021611X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1869177TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation265297TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Leah Buist
194 Butler StreetKingstonPA18704Consultant171322
Paul T Kuryla
47 Williamsburg WayHurricaneWV25526Consultant162837
Gay Nicholson dba Focus Clinical Ab
413 W Clinton StIthacaNY14850Consultant159592
Dixon Hughes Goodman PLLC
PO Box 3049AshevilleNC288023049Accounting Services145988
Traci Hoffman dba TLH LLC
443 Kimberly DriveMelbourneFL23940Consultant128275
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionContract revenueDescription
Business Code541900BusinessCode
Total Revenue Column24765143TotalRevenueColumn
Related Or Exempt Function Income24765143RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue24765143TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1709TotalRevenueColumn
Exclusion$1,709ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1725Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1725Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1725TotalRevenueColumn
Exclusion-$1,725ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4333TotalRevenueColumn
Related Or Exempt Function Income4333RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4333TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24769460TotalRevenueColumn
Related Or Exempt Function Income24769476RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$16ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total18916Total
Program Services18916ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1250153Total
Program Services1247528ProgramServices
Management And General2625ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9594642Total
Program Services9574493ProgramServices
Management And General20149ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1000526Total
Program Services998425ProgramServices
Management And General2101ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1405880Total
Program Services1402928ProgramServices
Management And General2952ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total790440Total
Program Services788780ProgramServices
Management And General1660ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71130Total
Management And General71130ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total127837Total
Management And General127837ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5922638Total
Program Services5910197ProgramServices
Management And General12441ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total640945Total
Program Services640484ProgramServices
Management And General461ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total306589Total
Program Services305945ProgramServices
Management And General644ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total543415Total
Program Services542274ProgramServices
Management And General1141ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total749620Total
Program Services748046ProgramServices
Management And General1574ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total96641Total
Program Services96438ProgramServices
Management And General203ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total325924Total
Program Services325240ProgramServices
Management And General684ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total125094Total
Program Services124831ProgramServices
Management And General263ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Criteria131957131680277
Dues and subscriptions8795387768185
Education7131871168150
Employee relations5676956650119

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total38044Total
Program Services37965ProgramServices
Management And General79ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23356431Total
Program Services23109756ProgramServices
Management And General246675ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY7163204EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5816188BOY
EOY1638251EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6383490BOY
EOY4353751EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY442949BOY
EOY460167EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4578301LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3373713LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1220351BOY
EOY1204588EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28769BOY
EOY30611EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY978000BOY
EOY1134738EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14869747BOY
EOY15985310EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2847890BOY
EOY2717305EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY497063BOY
EOY328339EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3344953BOY
EOY3045644EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11524794BOY
EOY12939666EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11524794BOY
EOY12939666EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14869747BOY
EOY15985310EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1413029ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1843ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21727811CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21165291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21905711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24538188CurrentTaxYearMinus1Year
Current Tax Year24765143CurrentTaxYear
Total114102144Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21727811CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21165291CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21905711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24538188CurrentTaxYearMinus1Year
Current Tax Year24765143CurrentTaxYear
Total114102144Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year8430737CurrentTaxYearMinus1Year
Current Tax Year7735303CurrentTaxYear
Total16166040Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year8430737CurrentTaxYearMinus1Year
Current Tax Year7735303CurrentTaxYear
Total16166040Total
FieldValueIRS element (for citing)
Public Support Total50997936104PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135359CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5769CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5749CurrentTaxYearMinus1Year
Current Tax Year1709CurrentTaxYear
Total158709Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years135359CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5769CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5749CurrentTaxYearMinus1Year
Current Tax Year1709CurrentTaxYear
Total158709Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3953CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6918CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4343CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2825CurrentTaxYearMinus1Year
Current Tax Year4333CurrentTaxYear
Total22372Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21867123CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21182332CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21915823CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24546762CurrentTaxYearMinus1Year
Current Tax Year24771185CurrentTaxYear
Total114283225Total
FieldValueIRS element (for citing)
Public Support Percentage5090.85700PublicSupportPercentage509
Prior Year Support Percentage0.91950PriorYearSupportPercentage
Investment Income Percentage0.00140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00460PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Miscellaneous revenue - 2008 Amount: $ 3,953. 2009 Amount: $ 6,918. 2010 Amount: $ 4,343. 2011 Amount: $ 2,825. 2012 Amount: $ 4,333.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$61,966OtherActivitiesAmount
Total Lobbying Expenditures IIB61966TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationA portion of WVMI's AHQA (The American Health Quality Association) membership dues, in the amount of $6,814.50, was for lobbying expenses. Also, a portion of WVMI's WV Chamber of Commerce membership dues $127.50 and Charleston Area Alliance membership dues $23.63 were for lobbying expenses. In addition, WVMI paid $55,000 to an independent lobbyist, Larry Swann. WVMI retained Larry Swann in September 2007. Mr. Swann provides governmnent relations consulting in all health related topics with a goal of developing strategic new business initiatives for WVMI within the state of West Virginia. Mr. Swann also works with WVMI's CEO to build strong relationships with West Virginia public officials including key legislators and administrative officials.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis150005OtherCostOrOtherBasis
Book Value150005BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1966391OtherCostOrOtherBasis
Depreciation1361921Depreciation
Book Value604470BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis55772OtherCostOrOtherBasis
Depreciation52243Depreciation
Book Value3529BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1672321OtherCostOrOtherBasis
Depreciation1313989Depreciation
Book Value358332BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis733812OtherCostOrOtherBasis
Depreciation645560Depreciation
Book Value88252BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1204588TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionIntercompany receivablesDescription
Book Value1134738BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1134738TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt24773028TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1843NetUnrealizedGainsInvestments
Revenue Not Rptd F9901843RevenueNotRptdF990
Revenue Subtotal24771185RevenueSubtotal
Other Revenues Not Included-1725OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1725RevenueNotRptdOnFinStmt
Total Revenue Per Form99024769460TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23358156TotExpensesEtcAuditedFinclStmt
Other Expenses Included1725OtherExpensesIncluded
Expenses Not Rptd F9901725ExpensesNotRptdF990
Expenses Subtotal23356431ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023356431TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X, Line 2:The Organization has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2012 and 2011.
Part XI, Line 4b - Other Adjustments:Loss included in revenue on Form 990 -1,725.
Part XII, Line 2d - Other Adjustments:Loss included in expenses on financial statement 1,725.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Health Choice Network
9064 NW 13 TerraceMiamiFL33172650504316501(C)(3)6750Provide education, outreach, and direct technical assistance to assist health care providers to adopt and make meaningful use of electronic health record (EHR)
University Physicians & Surgeons
1600 Medical Center DriveHuntingtonWV25701550564945501(C)(3)10506Provide education, outreach, and direct technical assistance to assist health care providers to adopt and make meaningful use of electronic health record (EHR)
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Subrecipients are required to comply with all applicable guidelines of the federal award for which funds are granted, as well as those governing their institutions in other aspects of business. We request documentation of said compliance, where necessary, and review organization audit reports effecting this award when the reports are completed (if required). Additionally, invoices received undergo a desk audit following our own internal policies and procedures before any federal funds are paid.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John Wiesendanger
Chief Executive Officer / Director384312000188790300000144070447598000
Kathleen Merrill
Chief Financial Officer223317025000000272470144070289971000
Sven Berg
Chief Medical Officer275118000002750026350280503000
David Lambert
Chief Administration Officer17929200000224690194100221171000
Charles Schade
Medical Epidemiologist18555800000235790100920219229000
Mark Stephens
Clinical Coordinator169701000002036406060190671000
John Marks
Director of State Services13614800000169290134330166510000
Aaron Spurlock
Chief Information Officer12919200000164000193050164897000
Catherine Browning
Corporate Director Review Services1240750767500015150076280154528000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 3ReturnReference
ExplanationThe Compensation Committee of Quality Insights Holdings, Inc., the sole member of the Organization approves compensation for the filing Organization's CEO.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Quality Insights Holdings, Inc. is the sole member of West Virginia Medical Institute, Inc.
Form 990, Part VI, Section A, line 7aQuality Insights Holdings, Inc. shall appoint all members of the Organization's Board of Directors.
Form 990, Part VI, Section A, line 7bQuality 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 11The 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 12cThe 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 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 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 15Compensation 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 19The Organization makes its governing documents, conflict of interest policy and financial statements available to the public, upon request, on a case-by-case basis.
Form 990, Part IX, line 11gConsultant Expenses: Program service expenses 8,386,858. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,386,858. Program Service Expenses: Program service expenses 501,308. Management and general expenses 12,441. Fundraising expenses 0. Total expenses 513,749. Temporary Help Expenses: Program service expenses 131,058. Management and general expenses 0. Fundraising expenses 0. Total expenses 131,058. Less Intercompany Expenses: Program service expenses -985,261. Management and general expenses 0. Fundraising expenses 0. Total expenses -985,261. Less WVMI Corp Allocation: Program service expenses -2,123,766. Management and general expenses 0. Fundraising expenses 0. Total expenses -2,123,766.Other Fees

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Quality Insights Holdings Inc
3001 Chesterfield AvenueCharlestonWV25304262480548Holding company for healthcare quality improvement organizationsWV501(c)(3)Line 11d, III-ON/A0
Quality Insights of Delaware Inc
3411 Silverside RoadWilmingtonDE19810541967588To improve the health of the people the organization servesDE501(c)(6)0Quality Insights Holdings Inc
Quality Insights Renal Network Inc
3001 Chesterfield AvenueCharlestonWV25304270333640To improve the health of the people the organization servesWV501(c)(3)Line 90Quality Insights Holdings Inc
Quality Insights of Pennsylvania Inc
2601 Market Place StreetHarrisburgPA17110743051725To improve the health of the people the organization servesPA501(c)(6)0quality Insights Holdings Inc
Mid-Atlantic Renal Coalition Inc
300 Arboretum Place Suite 310RichmondVA23236541431984To improve the health of the people the organization servesVA501(c)(3)Line 90Quality Insights Holdings Inc
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Quality Insights of Delaware Inc
L1046420Intercompany accounting
Quality Insights of Delaware Inc
M98228Intercompany accounting
Quality Insights of Delaware Inc
Q677443Intercompany accounting
Quality Insights of Pennsylvania Inc
L4251087Intercompany accounting
Quality Insights of Pennsylvania Inc
M894544Intercompany accounting
Quality Insights of Pennsylvania Inc
Q3427732Intercompany accounting