IMPROve Health
Legal name: Michigan Peer Review Organization
Nonprofit profile at a glance
- EIN
- 382536610
- IRS 990 coverage
- 2019–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Grand Rapids, Michigan, USA
- Phone
- 248-465-7300
- Rating
- 73
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $81,717,359
- Expenses
- $28,935,750
- Assets
- $120,602,213
- Liabilities
- $32,498,790
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
18 people listed
Executive titles in this filing
- LELAND ANDREW BABITCH (President & CEO)
- TIFFANY SANFORD ROBOTHAM (Senior Vice President/Chief Medical Officer)
- MABEL LEONARD (Executive Vice President/Chief Operations Officer)
- ROGER PANELLA (Executive Vice President/Chief Financial & Admin Officer)
- AMANDA WETED (Senior Vice President/Chief Human Resources Officer)
Highest reported compensation
- LELAND ANDREW BABITCH (President & CEO): $726,461 total reported compensation
- TIFFANY SANFORD ROBOTHAM (Senior Vice President/Chief Medical Officer): $506,266 total reported compensation
- MABEL LEONARD (Executive Vice President/Chief Operations Officer): $387,508 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Helping Healthcare Get Better
What it reported doing in 2024
The No Surprises Act, effective January 1, 2022, protects consumers from certain unexpected out-of-network medical bills, or "surprise bills." It also created an independent dispute resolution process for payment disputes between plans and providers, as well as options for uninsured and self-pay individuals whose bills substantially exceed provider good faith estimates. As a leading IDR entity, iMPROve Health provides fair, efficient, and compliant arbitration services, including case management, arbitrator assignment, evidence review, compliance oversight, and customized reporting. This work supports our charitable, educational, and scientific purpose by lessening the burdens of government and promoting health through peer review of the reasonableness, medical necessity, appropriateness, and quality of healthcare services, and by rendering payment determinations for those services.
Operating model
- Revenue model
- Other-operating. 96% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and some related-organization disclosures are missing.
Rating breakdown
- Financial Efficiency: 49
- Transparency & Controls: 84
- Accountability: 95
- Sustainability: 78
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 34.2%; rating input score 34
- Program expense ratio: 88.9%; rating input score 89
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Pass
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Scored; rating input score 0
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 64.6%; rating input score 98; 98th percentile among comparable filings
- Total-asset coverage ratio: 4.17; rating input score 83; 83rd percentile among comparable filings
- Liabilities to assets ratio: 0.27; rating input score 59; 59th percentile among comparable filings
- Officer compensation ratio: 7.9%; rating input score 5; 5th percentile among comparable filings
Growth
- Program expense growth: 41.3% per year; rating input score 100; 98th percentile among comparable filings
- Revenue growth: 54.8% per year; rating input score 100; 99th percentile among comparable filings
- Asset growth: 52.4% per year; rating input score 100; 99th percentile among comparable filings
Details
- What they do: 1 operating location identified
- Where the money goes: 34.2% of revenue deployed · 88.9% of spending went to programs
- Governance: 13 of 13 board members independent · 8 of 9 filing controls reported
- Programs: 6 filed program accomplishments · $25.7M in reported program spending
- Leadership: top reported pay $726K · 18 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $4M reported
- Consistency: 45 of 45 current checks pass
- Schedules: 7 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 6 filing years from 2019 to 2024
- Contacts: How to reach this organization
- Money network: 18 filed money-flow records
- Related organizations: 1 filed related-organization link
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Moderate — Financial Efficiency: Mission deployment rate scored 34/100.
- High — Transparency & Controls: Related-party transparency scored 0/100.
- Review — Accountability: Governance controls: Form 990 shared with the board not reported.
- High — Sustainability: Officer compensation ratio scored 5/100.
- Review — Sustainability: Liabilities to assets ratio scored 59/100.