2023-11-15T21:04:45-06:00 2022-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2022-01-01 161080163 INDEPENDENT HEALTH ASSOCIATION INC INDE 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 MICHAEL W CROPP MD MD, PRESIDENT, & CEO 7166313001 2023-11-10 1 MICHAEL CROPP MD 999009999 0 SHAWNA M JANSONS P01222873 3174648600 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z 511 FARBER LAKES DRIVE BUFFALO NY 14221 1743427489 0 X WWW.INDEPENDENTHEALTH.COM X 1980 NY PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 16 14 1432 269 6478821 622943 0 0 1474942149 1563806495 14061144 8035183 180297 429498 1489183590 1572271176 5141584 2489100 1351671707 1351805706 76741028 83093699 0 0 0 102440430 121289337 1535994749 1558677842 -46811159 13593334 961041739 920173815 407305860 414595830 553735879 505577985 X PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 0 0 1399606097 2489100 1563806495 INDEPENDENT HEALTH ASSOCIATION (IHA) COORDINATES THE DELIVERY OF QUALITY HEALTH CARE COVERAGE THROUGH CONTRACTS WITH THE INDIVIDUAL PRACTICE ASSOCIATION OF WESTERN NEW YORK (IPAWNY), A TAXABLE NON-PROFIT, FOR ITS COMMERCIAL AND MEDICARE HMO PRODUCTS WITHIN THE EIGHT COUNTIES OF WESTERN NEW YORK (WNY). IHA ALSO PROVIDES COVERAGE AND COORDINATES SERVICES TO ITS MEDICAID HMO PRODUCT (WHICH INCLUDES THE FAMILY HEALTH PLUS (FHP) PROGRAM AVAILABLE TO ELIGIBLE RESIDENTS OF ERIE COUNTY AND THE CHILD HEALTH PLUS (CHP) PROGRAM) FOR THE ARRANGEMENT OF PHYSICIAN, HOSPITAL, MEDICALLY NECESSARY HEALTH SERVICES, DIAGNOSTIC AND PREVENTIVE HEALTH SERVICES TO THE COMMUNITIES LOCATED IN ERIE AND NIAGARA COUNTY. (SEE SCHEDULE O FOR ADDITIONAL DETAIL). 1399606097 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 191 0 1 1432 1 1 1 1 BD 0 0 0 0 1 0 X 16 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 NY X JAMES DUNLOP 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 MICHAEL W CROPP PRESIDENT & CEO 29.00 22.00 X X 2934036 0 621806 KATHLEEN MYLOTTE MD CHAIRPERSON 15.00 0.00 X X 106100 0 0 DANIEL B WEINTRAUB CPA BOARD MEMBER 5.00 2.00 X 69500 0 6747 COLLEEN C DIPIRRO BOARD MEMBER 5.00 1.00 X 58500 0 9582 ANTHONY J BAYNES VICE CHAIRPERSON (END 4-2022) 5.00 0.00 X X 54500 0 9582 DONALD BOSWELL VICE CHAIRPERSON 5.00 0.00 X X 58500 0 411 DAN GAGLIARDO BOARD MEMBER 5.00 3.00 X 48500 0 9582 PATRICIA SMITH BOARD MEMBER 5.00 2.00 X 54500 0 411 YVONNE S MINOR-RAGAN PHD BOARD MEMBER 5.00 2.00 X 54500 0 411 DAVID PAWLOWSKI MD BOARD MEMBER 5.00 0.00 X 42500 0 9582 LISA MENDONZA MD BOARD MEMBER 5.00 0.00 X 44500 0 7158 FAUD SHERIFF MD BOARD MEMBER 5.00 0.00 X 44500 0 6747 GERARD T MAZURKIEWICZ CPA BOARD MEMBER 5.00 0.00 X 49500 0 411 MANSI DEMIA BOARD MEMBER (BEGIN 02/22) 5.00 0.00 X 49417 0 0 DAVID J MCNAMARA ESQ BOARD MEMBER 5.00 0.00 X 46500 0 0 PAMELA D REED MD BOARD MEMBER 5.00 0.00 X 46500 0 0 THOMAS J FOELS MD BOARD MEMBER 5.00 0.00 X 43500 0 0 JAMES DUNLOP TREASURER & EVP CFO 30.00 18.00 X 767419 0 292104 ANTHONY BILLITTIER EVP-CHF MEDICAL OFCR 25.00 18.00 X 642146 0 250980 JOHN MINEO SECRETARY- EVP GEN.COUNSEL 28.00 16.00 X 621054 0 211197 NICOLE BRITTON VP - CHF COMPLIANCE OFFICER 33.00 10.00 X 191932 0 32233 JOHN REID RODGERS EVP - COO 31.00 19.00 X 1099970 0 435430 PATRICIA C CLABEAUX EVP-CHIEF HR OFFICER 29.00 17.00 X 558629 0 218310 ERIC J DECKER SVP-INFORMATION TECHNOLOGY CIO 33.00 13.00 X 667483 0 78240 MARGARET STEFFAN SVP-FINANCE & CAO 33.00 21.00 X 397827 0 146805 ROBERTA D RIFKIN SVP - GOVT AFFAIRS & STRAT PRTNRSHPS 28.00 15.00 X 371777 0 145183 RICHARD M ARGENTIERI SVP- CHF SALES & MARKT OFCR 32.00 16.00 X 395003 0 112630 CHERYL FRIEDMAN SVP - HEALTH CARE SERVICES 41.00 14.00 X 447041 0 60341 AMIN M SEREHALI SVP - CHF DATA & ANALYTICS OFCR 38.00 12.00 X 421493 0 65171 S PAUL KAHLON SVP - CHF ACTUARY & STRATEGY 33.00 19.00 X 386593 0 68805 MIKE REILLY SVP-CHF HEALTHCARE INNV & STRAT. OFCR 27.00 20.00 X 405779 0 47819 ANNE O'NEILL SVP-CHIEF RISK OFFICER 33.00 10.00 X 328526 0 106691 ANTHONY MONTAGNA SVP - CHF NETWORK OFCR 30.00 19.00 X 329206 0 98254 ROBERT TRACY SVP-GOVT PROGRAMS 33.00 11.00 X 322036 0 73155 GEORGE WANDS VP - CHIEF AUDIT OFFICER 32.00 10.00 X 197430 0 38394 TIMOTHY HALEY MED DIR MED POLICY & UM 11.00 31.00 X 359960 0 39161 DEIRDRE WHEAT MED DIR QUALITY DISEASE POP HEALTH 19.00 30.00 X 342455 0 43773 DAVID SHUTE SVP - OPERATIONS 33.00 10.00 X 321433 0 35145 JOSHUA ZALEN VP - IT SERVICE OPEARATIONS 33.00 20.00 X 309347 0 33049 JENNIFER WALSH ASSOCIATED MED DIR UM 10.00 29.00 X 295451 0 14611 MARK I JOHNSON FORMER OFFICER (END 05/18) 7.00 5.00 X 227780 0 18 14213323 0 3329929 342 1 1 0 INDEPENDENT PRACTICE ASSOCIATION OF WNY 511 FARBER LAKES DRIVE BUFFALO NY 14221 MEDICAL & PHARMACY BENEFIT SERVICES 920582068 HEALTHPLEX IPA 333 EARLE OVINGTON BLVD SUITE 300 UNIONDALE NY 115533608 DENTAL BENEFITS COMPANY 22160520 ATOS SYNTEL INC 4851 REGENT BLVD IRVING TX 75063 INFORMATION TECHNOLOGY SERVICES 11153772 NTT DATA INC PO BOX 4201 BOSTON MA 02211 INFORMATION TECHNOLOGY SERVICES 9404506 SIRIUS COMPUTER SOLUTIONS PO BOX 202289 DALLAS TX 753202289 INFORMATION TECHNOLOGY SERVICES 8408017 181 PREMIUMS,REINSURANCE,& 524114 1563806495 1557430244 6376251 1563806495 11328367 102570 11225797 413458 413458 37590 21550 16040 16040 16040 167841579 171115885 18878 -3274306 -18878 -3293184 -3293184 1572271176 1557430244 6478821 8362111 2489100 2489100 1351805706 1351805706 15521066 15521066 44194762 17142518 27052244 -2701412 605307 -3306719 17915544 3614860 14300684 8163739 1351051 6812688 1127089 1127089 420810 420810 148543 148543 1165706 1165706 37843179 133821 37709358 4378923 8805 4370118 8141531 231674 7909857 19000517 72 19000445 1694700 1694700 250316 27757 222559 184366 11874 172492 1009369 1009369 10990408 10990408 1696256 39638 1656618 UBTI TAXES 180000 0 180000 GME SURCHARGE 18925326 18925326 0 ENCOUNTER PENALTY 5028757 0 5028757 FAMILY CHOICE 2990703 2990703 0 6112838 227885 5884953 1558677842 1399606097 159071745 0 19238782 5654819 273082067 297549558 27232103 35289920 166747750 121096155 45560590 45651595 397672000 348619839 1653750 1608750 196602447 185799334 961041739 920173815 109712913 84261644 1745725 5907663 3973457 3985657 55000000 78500000 236873765 241940866 407305860 414595830 X 394745538 338337166 158990341 167240819 553735879 505577985 961041739 920173815 13593334 -61751228 0 X 0 1 X 1 1 1 0 1 X 542713 542713 23772167 10059788 13712379 18513479 13436737 5076742 42415372 26640180 15775192 81504019 70959450 10544569 45651595 INVESTMENTS HELD IN ESCROW PER NYSDOH REGULATION 98-1.11CF 74232193 INVESTMENT IN AFFILIATES 111567141 185799334 BENEFITS PAYABLE 52338742 INTERCOMPANY PAYABLE 187602124 MEDICAL LOSS RATIO REBATES 2000000 241940866 X 1496101654 -61751230 -7475835 -69227065 1565328719 6942457 6942457 1572271176 1550638723 -6942457 -6942457 1557581180 1096662 1096662 1558677842 PART IV, LINE 2B: LONG TERM INCENTIVE DEFERRED COMPENSATION PLAN(S) ARE OFFERED TO KEY EXECUTIVES. FUTURE PAYMENT IS BASED ON PERFORMANCE AND HISTORICAL COMPENSATION, ASSETS ARE UNDER CUSTODIAL ARRANGEMENT WITH M&T BANK. PART X, LINE 2: INDEPENDENT HEALTH ASSOCIATION & AFFILIATES (THE ASSOCIATION) RECOGNIZED NO LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS AT DECMEBER 31, 2022 AND 2021. THE ASSOCIATION DID NOT RECORD INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2022 AND 2021. THE ASSOCIATION IS SUBJECT TO U.S. FEDERAL INCOME TAX AND INCOME TAX IN VARIOUS STATE JURISDICTIONS. AS OF DECEMBER 31, 2022, THE ASSOCIATION'S TAX YEARS FOR 2019, 2020, AND 2021 ARE SUBJECT TO EXAMINATION BY FEDERAL TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BANK CHARGES & INVESTMENT FEES NEETED AGAINST OTHER INCOME -2,885,367. NON-SERVICE NET PERIODIC PENSION COSTS NETTED AGAINST INCOME 3,300,789. ENCOUNTER PENALTY NETTED AGAINST INCOME -5,028,757. LITIGATION EXPENSE NETTED AGAINST INCOME -2,862,500. PART XI, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE RECOVERIES 1,292,133. RX REBATE 5,671,874. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -21,550. PART XII, LINE 2D - OTHER ADJUSTMENTS: REINSURANCE RECOVERIES -1,292,133. RX REBATE -5,671,874. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 21,550. PART XII, LINE 4B - OTHER ADJUSTMENTS: BANK CHARGES & INVESTEMENT FEES NETTED AGAINST OTHER INCOME 2,885,367. PENSION RELATED CHARGES AND NON-SERVICE NET PERIODIC PENSION COST -9,679,962. ENCOUNTER PENALTY NETTED AGAINST OTHER INCOME 5,028,757. LITIGATION EXPENSE NETTED AGAINST OTHER INCOME 2,862,500. CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICES REINSURANCE 309115 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 26538501 0 0 0 0 0 0 26847616 0 26847616 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 AMERICAN LUNG ASSOCIATION 45 ASH STREET EAST HARTFORD CT 06108 060646594 501(C)(3) 10848 0 SPONSORSHIP FOR HEALTHY LIVING AMHERST CHAMBER OF COMMERCE 400 ESSJAY ROAD SUITE 150 AMHERST NY 14221 160959485 501(C)(6) 25476 0 SPONSORSHIP BACK TO BASICS PEACEKEEPERS 1370 WILLIAM ST SUITE 100 BUFFALO NY 14206 161509888 501(C)(3) 8679 0 SPONSORSHIP FOR HEALTHY LIVING BISONS BASEBALL INC ONE JAMES D GRIFFIN PLAZA BUFFALO NY 142032729 161193569 18080 0 SPONSORSHIP BROTHERS OF MERCY FACILITIES FOUNDATION 4520 RANSOM ROAD CLARENCE NY 14031 166074666 501(C)(3) 5062 0 SPONSORSHIP BUFFALO BILLS LLC ONE BILLS DRIVE ORCHARD PARK NY 14127 471762470 630465 0 SPONSORSHIP FOR HEALTHY LIVING BUFFALO NIAGARA ENTERPRISE 665 MAIN STREET BUFFALO NY 142031425 161579523 501(C)(3) 36161 0 SPONSORSHIP BUFFALO NIAGARA PARTNERSHIP FOUNDATION INC 257 WEST GENESEE STREET SUITE 600 BUFFALO NY 14202 160761958 501(C)(3) 54964 0 SPONSORSHIP BUFFALO RIVERWORKS LLC 359 GANSON ST BUFFALO NY 14203 463720236 235044 0 SPONSORSHIP FOR HEALTHY LIVING BUFFALO STATE COLLEGE FOUNDATION INC 1300 ELMWOOD AVENUE CLEVELAND HALL 511 BUFFALO NY 142221095 166037117 501(C)(3) 7232 0 SPONSORSHIP FOR HEALTHY LIVING BUFFALO URBAN LEAGUE INC 15 GENESEE ST BUFFALO NY 14203 160743940 501(C)(3) 36161 0 SPONSORSHIP FOR HEALTHY LIVING BUSINESS FIRST AMERICAN CITY BUSINESS JOURNALS INC 120 EST MOREHEAD ST CHARLOTTE NC 28202 431366184 9275 0 SPONSORSHIP FOR HEALTHY LIVING CANISIUS COLLEGE 2001 MAIN STREET BUFFALO NY 14208 160743209 501(C)(3) 7539 0 SPONSORSHIP CATHOLIC CHARITIES OF BUFFALO NEW YORK 741 DELAWARE AVENUE BUFFALO NY 14209 160743251 501(C)(3) 11029 0 SPONSORSHIP FOR HEALTHY LIVING CHILD & FAMILY SERVICES 330 DELAWARE AVE BUFFALO NY 14202 161004825 501(C)(3) 7232 0 SPONSORSHIP CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION 1028 MAIN ST 4TH FL BUFFALO NY 14202 161332044 501(C)(3) 5424 0 SPONSORSHIP FOR HEALTHY LIVING COMMUNITY FOUNDATION FOR GREATER BUFFALO INC 726 EXCHANGE ST SUITE 525 BUFFALO NY 14210 222743917 501(C)(3) 39777 0 SPONSORSHIP ECMC FOUNDATION 462 GRIDER ST STE G1 BUFFALO NY 14215 223283946 501(C)(3) 77800 0 SPONSORSHIP ENDEAVOR WESTERN NEW YORK INC 211 RUSKIN ROAD AMHERST NY 14226 842898352 501(C)(3) 14464 0 SPONSORSHIP FRW BEAVER HOLLOW MANAGEMENT LLC 1083 PIT RD JAVA CENTER NY 14082 454403158 108482 0 SPONSORSHIP FOR HEALTHY LIVING GATEWAY LONGVIEW FOUNDATION 6350 MAIN STREET WILLIAMSVILLE NY 14221 161559402 501(C)(6) 5424 0 SPONSORSHIP GREEN OPTIONS BUFFALO (GOBIKESLOW ROLL) 640 ELLICOTT ST SUITE 447 BUFFALO NY 14203 272501533 501(C)(3) 36161 0 SPONSORSHIP FOR HEALTHY LIVING HISPANIC HERITAGE COUNCIL OF WNY INC PO BOX 361 BUFFALO NY 14201 800719778 501(C)(3) 14464 0 SPONSORSHIP HOSPICE FOUNDATION OF WNY INC 225 COMO PARK BLVD CHEEKTOWAGA NY 142271416 223137812 501(C)(3) 7232 0 SPONSORSHIP JERICHO ROAD COMMUNITY HEALTH CENTER 184 BARTON ST BUFFALO NY 14213 451571876 501(C)(3) 76688 0 SPONSORSHIP FOR HEALTHY LIVING LARKIN SQUARE LLC 726 EXCHANGE ST SUITE 825 BUFFALO NY 14210 454273897 61473 0 SPONSORSHIP LEADERSHIP BUFFALO 237 MAIN STREET SUITE 1500 BUFFALO NY 142032720 161363536 501(C)(3) 7232 0 SPONSORSHIP LMHF STRIVE TO THRIVE PROGRAM INC 3786 BROADWAY STREET CHEEKTOWAGA NY 14227 815207846 501(C)(3) 126562 0 SPONSORSHIP FOR HEALTHY LIVING NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY 360 DELAWARE AVENUE BUFFALO NY 14202 203185568 501(C)(3) 7232 0 SPONSORSHIP NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION 621 10TH STREET NIAGARA FALLS NY 14302 222877349 501(C)(3) 10848 0 SPONSORSHIP NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION (NFADA) 1144 WEHRLE DRIVE WILLIAMSVILLE NY 14221 161194880 501(C)(3) 29828 0 SPONSORSHIP PEOPLE INC 1219 NORTH FOREST ROAD BUFFALO NY 14221 161450321 501(C)(3) 45875 0 SPONSORSHIP POLICE ATHLETIC LEAGUE 65 NIAGARA SQUARE 21ST FLOOR BUFFALO NY 14202 161468698 501(C)(3) 25312 0 SPONSORSHIP FOR HEALTHY LIVING RICH PRODUCTS CORPORATION 1150 NIAGARA ST PO BOX 245 BUFFALO NY 14240 311387980 72321 0 SPONSORSHIP SENECA DIABETES FOUNDATION PO BOX 309 IRVING NY 140810309 203214056 501(C)(3) 28929 0 SPONSORSHIP SHARED MOBILITY 640 ELLICOTT ST 441 BUFFALO NY 14203 465072814 501(C)(3) 331955 0 SPONSORSHIP FOR HEALTHY LIVING SHERIDAN BENEFITS LLC 7 LIMESTONE DRIVE WILLIAMSVILLE NY 14221 204617070 13810 0 SPONSORSHIP TASTE OF BUFFALO INC 276 GREENWOOD COURT EAST AURORA NY 14052 161390601 501(C)(6) 13018 0 SPONSORSHIP FOR HEALTHY LIVING THE SUMMIT CENTER INC 150 STAHL ROAD GETZVILLE NY 14068 161095750 501(C)(3) 5424 0 SPONSORSHIP FOR HEALTHY LIVING UNITED WAY OF BUFFALO & ERIE COUNTY - ENDOWMENT CAMPAIGN 742 DELAWARE AVENUE BUFFALO NY 14209 160743969 501(C)(3) 39777 0 SPONSORSHIP WNY CLINICAL INFORMATION EXCHANGE INC 2475 GEORGE URBAN BLVD SUITE 202 DEPEW NY 14043 364594483 501(C)(3) 36161 0 SPONSORSHIP 30 11 PART I, LINE 2: DONATIONS/CONTRIBUTION: SUPPORT IS PROVIDED TO COLLABORATING COMMUNITY PARTNERS WHO ALIGN WITH OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE WNY COMMUNITY. THE GRANTS OR SPONSORSHIPS ARE RECORDED IN THE FINANCIAL SYSTEM'S GENERAL LEDGER AS COMMUNITY PROGRAMS AND COPIES OF ALL PAYMENTS ARE KEPT ON FILE. X X X X X 0 1 0 0 0 0 0 0 0 MICHAEL W CROPP PRESIDENT & CEO 1103351 0 1793179 0 37506 0 609510 0 12296 0 3555842 0 1156096 0 JOHN REID RODGERS EVP - COO 585450 0 483783 0 30737 0 401688 0 33742 0 1535400 0 189388 0 JAMES DUNLOP TREASURER & EVP CFO 564201 0 196553 0 6665 0 223173 0 68931 0 1059523 0 0 0 ANTHONY BILLITTIER EVP-CHF MEDICAL OFCR 437177 0 195569 0 9400 0 188774 0 62206 0 893126 0 0 0 JOHN MINEO SECRETARY- EVP GEN.COUNSEL 377390 0 229635 0 14029 0 171190 0 40007 0 832251 0 55950 0 PATRICIA C CLABEAUX EVP-CHIEF HR OFFICER 377390 0 173685 0 7554 0 168263 0 50047 0 776939 0 0 0 ERIC J DECKER SVP-INFORMATION TECHNOLOGY CIO 369854 0 295969 0 1660 0 51448 0 26792 0 745723 0 0 0 MARGARET STEFFAN SVP-FINANCE & CAO 300873 0 92800 0 4154 0 119094 0 27711 0 544632 0 0 0 ROBERTA D RIFKIN SVP - GOVT AFFAIRS & STRAT PRTNRSHPS 274339 0 93677 0 3761 0 117504 0 27679 0 516960 0 0 0 RICHARD M ARGENTIERI SVP- CHF SALES & MARKT OFCR 297380 0 94880 0 2743 0 89077 0 23553 0 507633 0 0 0 CHERYL FRIEDMAN SVP - HEALTH CARE SERVICES 312058 0 130560 0 4423 0 36217 0 24124 0 507382 0 26780 0 AMIN M SEREHALI SVP - CHF DATA & ANALYTICS OFCR 314403 0 104995 0 2095 0 41749 0 23422 0 486664 0 0 0 S PAUL KAHLON SVP - CHF ACTUARY & STRATEGY 295140 0 90151 0 1302 0 42951 0 25854 0 455398 0 0 0 MIKE REILLY SVP-CHF HEALTHCARE INNV & STRAT. OFC 315954 0 88649 0 1176 0 45219 0 2600 0 453598 0 0 0 ANNE O'NEILL SVP-CHIEF RISK OFFICER 254274 0 71751 0 2501 0 80886 0 25805 0 435217 0 0 0 ANTHONY MONTAGNA SVP - CHF NETWORK OFCR 246894 0 81428 0 884 0 76699 0 21555 0 427460 0 0 0 TIMOTHY HALEY MED DIR MED POLICY & UM 319355 0 38352 0 2253 0 12336 0 26825 0 399121 0 0 0 ROBERT TRACY SVP-GOVT PROGRAMS 239136 0 79798 0 3102 0 46318 0 26837 0 395191 0 0 0 DEIRDRE WHEAT MED DIR QUALITY DISEASE POP HEALTH 301577 0 39733 0 1145 0 13608 0 30165 0 386228 0 0 0 DAVID SHUTE SVP - OPERATIONS 265377 0 53468 0 2588 0 12602 0 22543 0 356578 0 0 0 JOSHUA ZALEN VP - IT SERVICE OPEARATIONS 254618 0 53081 0 1648 0 12200 0 20849 0 342396 0 0 0 JENNIFER WALSH ASSOCIATED MED DIR UM 271421 0 23044 0 986 0 12305 0 2306 0 310062 0 0 0 GEORGE WANDS VP - CHIEF AUDIT OFFICER 166705 0 29853 0 872 0 12604 0 25790 0 235824 0 0 0 MARK I JOHNSON FORMER OFFICER (END 05/18) 227630 0 150 0 0 0 0 0 18 0 227798 0 0 0 NICOLE BRITTON VP - CHF COMPLIANCE OFFICER 163076 0 28637 0 219 0 6003 0 26230 0 224165 0 0 0 PART I, LINE 4B ELIGIBLE ASSOCIATES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F), 457A AND 409A. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE ASSOCIATE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: MICHAEL CROPP - $1,156,096 JOHN REID RODGERS - $189,388 JOHN MINEO - $55,950 CHERYL FRIEDMAN - $26,780 WNY COORDINATED MEDICAL CARE PC SEE PART V 7575000 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES: (A) NAME OF INTERESTED PERSON: WNY COORDINATED CARE PC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY ANTHONY BILITIER, CURRENT OFFICER(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACT ARRANGEMENT, DELIVERY OF HEALTHCARE FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: HEADQUARTERED IN BUFFALO, INDEPENDENT HEALTH BEGAN OPERATIONS IN 1980 AND HAS CONSISTENTLY BEEN RATED AMONG THE TOP HEALTH PLANS IN THE COUNTRY FOR CUSTOMER SERVICE AND MEMBER SATISFACTION. INDEPENDENT HEALTH'S COMPREHENSIVE PORTFOLIO OF PROGRESSIVE PRODUCTS INCLUDE HMO, POS, PPO AND EPO PRODUCTS, MEDICARE AND MEDICAID PLANS, TRADITIONAL INDEMNITY INSURANCE, INDIVIDUAL AND SMALL GROUP EXCHANGE PRODUCTS, AND CONSUMER-DIRECTED PLANS, PLUS COVERAGE FOR SELF-FUNDED EMPLOYERS. INDEPENDENT HEALTH'S SUBSIDIARY COMPANIES INCLUDE PHARMACY BENEFIT DIMENSIONS, RELIANCE RX AND NOVA HEALTHCARE ADMINISTRATORS, INC. IHA OFFERS ITS MEMBERS HEALTH RISK MANAGEMENT TOOLS INCLUDING AN ONLINE HEALTH RISK ASSESSMENT TO GIVE THEM THE INFORMATION THEY NEED TO HELP CONTROL CURRENT AND PREVENT FUTURE PROBLEMS. PROGRAMS FOR COVERED EMPLOYEES, AS WELL AS FOR EMPLOYERS, HELP THEM MAKE GOOD HEALTH A PART OF THEIR CULTURE. IHA OFFERS A 24-HOUR MEDICAL HELP LINE WITH ACCESS TO A REGISTERED NURSE WHO HELPS MEMBERS EXPLORE TREATMENT OPTIONS, DISCUSS NEEDED HEALTH SCREENINGS AND HELP DETERMINE APPROPRIATE CARE. OTHER MEMBERSHIP SERVICES INCLUDE PREVENTIVE CARE WITH ACTIVE PARTICIPATION BY COMMUNITY ORGANIZATIONS IN INITIATIVES SUCH AS THE POPULATION HEALTH COLLABORATIVE OF WESTERN NEW YORK, A NOT-FOR-PROFIT DEDICATED TO IMPROVING THE HEALTH OF PEOPLE IN WESTERN NEW YORK. IT DEPENDS ON UNPRECEDENTED COLLABORATION AMONG KEY STAKEHOLDERS AND THE SECURE SHARING OF CLINICAL INFORMATION, AS WELL AS THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND ELECTRONIC MEDICAL RECORDS, THROUGH ORGANIZATIONS SUCH AS HEALTHELINK. IN THE PAST, THE IHA HEALTH COACH PROGRAM OFFERED A BROAD RANGE OF SERVICES, INCLUDING EDUCATION AND CARE COORDINATION, TO IMPROVE THE HEALTH OF IHA MEMBERS AND EMPLOYEES. AS A CURRENT RESOURCE TO ENGAGE WITH MEMBERS AT ANY POINT IN THEIR DAY OR ANY STAGE OF HEALTH, BROOK DIGITAL HEALTH COMPANION IS AN AVAILABLE RESOURCE. BROOK IS AN INNOVATIVE COMPANY THAT HAS DEVELOPED A DIGITAL PERSONAL ASSISTANT TO HELP PEOPLE WITH CHRONIC CONDITIONS, AS WELL AS PEOPLE LOOKING TO MAINTAIN THEIR GENERAL WELL-BEING, BETTER MANAGE THEIR HEALTH VIA THEIR SMARTPHONE. THE FIRST CHRONIC CONDITION BROOK ADDRESSED WAS DIABETES. FOR MEMBERS DIAGNOSED WITH THE DISEASE, BROOK CAN HELP USERS TRACK THEIR DAILY BLOOD GLUCOSE LEVELS, MEALS, MEDICATIONS, SLEEPING PATTERNS AND EXERCISE. BASED ON A USER'S DATA INPUT AND ACTIVITY, BROOK CAN PROVIDE INSIGHT ON WHAT IS WORKING ALONG WITH RECOMMENDATIONS TO KEEP BLOOD SUGAR LEVELS IN A SAFE ZONE, ALLOWING MEMBERS TO TAKE THE GUESSWORK OUT OF UNDERSTANDING HOW DAILY DECISIONS AFFECT THEIR HEALTH. USERS CAN ACCESS BROOK 24 HOURS A DAY, SEVEN DAYS A WEEK, WHETHER THEY ARE IN BETWEEN DOCTOR VISITS, AT THE GROCERY STORE OR TRAVELING. BROOK BLENDS INTELLIGENT, TECHNOLOGY-BASED RESPONSES WITH THE INTERACTION AND HUMAN TOUCH THAT CAN ONLY COME FROM COMPASSIONATE, UNDERSTANDING EXPERTS. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: IHA'S MEDICARE FAMILY CHOICE PLAN IS A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN OFFERED IN NURSING FACILITIES IN WESTERN NEW YORK. FAMILY CHOICE OF NEW YORK IS A CARE MANAGEMENT COMPANY THAT WORKS IN PARTNERSHIP WITH AREA NURSING HOMES, PHYSICIANS AND HOSPITALS TO BRING ADDITIONAL CARE - INCLUDING ENHANCED HEALTH CARE AND SOCIAL SERVICES - TO THE PATIENTS WHO NEED SPECIALIZED MEDICAL AND NURSE MANAGEMENT. THE PROGRAM ACCOMPLISHES THIS BY ASSIGNING A NURSE PRACTITIONER WHO IS SPECIALLY TRAINED IN GERIATRICS TO NURSING HOME RESIDENTS. THE GOAL IS TO IMPROVE NOT ONLY THE MEMBER'S QUALITY OF CARE, BUT ALSO THEIR QUALITY OF LIFE. FAMILY CHOICE'S SPECIALLY TRAINED NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ARE ON CALL 24 HOURS A DAY, SEVEN DAYS A WEEK TO PROVIDE CARE AND SUPPORT AS NEEDED. THEY WORK IN COLLABORATION WITH THE MEMBER'S PHYSICIANS AND THE NURSING FACILITY'S STAFF TO IDENTIFY POTENTIAL PROBLEMS BEFORE THEY BECOME SERIOUS AND MINIMIZE UNNECESSARY AND DISRUPTIVE EMERGENCY ROOM VISITS AND HOSPITAL STAYS WHENEVER IT'S SAFE AND APPROPRIATE. IHA ALSO OFFERS ASSURE ADVANTAGE HMO C-SNP. THIS IS A MEDICARE ADVANTAGE CHRONIC SPECIAL NEEDS PLAN SPECIFICALLY DEVELOPED FOR ELIGIBLE MEDICARE BENEFICIARIES WHO HAVE BEEN DIAGNOSED WITH BOTH DIABETES AND CHRONIC HEART FAILURE AND RESIDE IN ERIE COUNTY. THIS PLAN INCLUDES PROVIDERS WHO SPECIALIZE IN TREATING CHRONIC HEART FAILURE AND DIABETES. IT INCLUDES BENEFITS AND HEALTH PROGRAMS AND CARE COORDINATION SERVICES DESIGNED TO SERVE THE SPECIALIZED NEEDS OF PEOPLE WITH THESE CONDITIONS. IN ADDITION, ASSURE ADVANTAGE COVERS PRESCRIPTION DRUGS TO TREAT MOST MEDICAL CONDITIONS, INCLUDING THE DRUGS THAT ARE USUALLY USED TO TREAT CHRONIC HEART FAILURE AND DIABETES. PART OF THE AFFORDABLE CARE ACT AND MEDICAID REFORM EFFORTS, HEALTH HOMES ARE COMMUNITY NETWORKS OF PROVIDERS DESIGNATED BY THE STATE TO COORDINATE CARE AND SOCIAL NEEDS FOR MEDICAID MEMBERS WITH CHRONIC CONDITIONS, SUCH AS HIV/AIDS, SERIOUS MENTAL ILLNESS OR MULTIPLE CHRONIC HEALTH PROBLEMS. IHA ASSIGNS MEMBERS TO HEALTH HOMES AND SUPPORTS THESE NETWORKS ADMINISTRATIVELY, BILLING FOR SERVICES RENDERED AND REIMBURSING THEM. FOR FRAIL ELDERLY MEMBERS AND THEIR CAREGIVERS, THE CAREPARTNERS PROGRAM IS AVAILABLE AT NO ADDITIONAL COST. THIS HOME-BASED PROGRAM FACILITATES THE RIGHT CARE AND LIVING ENVIRONMENT AND IS DESIGNED TO PREVENT EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. THROUGH HOME VISITS AND PHONE CALLS, REGISTERED NURSES AND SOCIAL WORKERS HELP COORDINATE CARE AND OFFER PSYCHO-SOCIAL SUPPORT, INCLUDING LINKING MEMBERS AND CAREGIVERS TO COMMUNITY AND FINANCIAL RESOURCES, ASSESSING THE SAFETY OF THE MEMBER AND HELPING COMPLETE ADVANCE DIRECTIVES IN ACCORDANCE WITH THE MEMBER'S WISHES. MEMBERS ALSO HAVE 24-HOUR ACCESS TO A REGISTERED NURSE THROUGH THIS PROGRAM. IHA OFFERS AN ADDITIONAL LEVEL OF SUPPORT AT NO COST TO MEMBERS FACING SERIOUS ILLNESS AND THEIR FAMILIES THROUGH OUR PALLIATIVE CARE PROGRAM. THE PALLIATIVE CARE TEAM, WHICH INCLUDES A REGISTERED NURSE, SOCIAL WORKER AND MEDICAL DIRECTOR, PARTNERS WITH THE MEMBER'S PHYSICIAN TO COORDINATE CARE AND REDUCE AVOIDABLE HOSPITAL VISITS AND ADMISSIONS. THE PALLIATIVE CARE PROFESSIONALS HAVE OPEN AND SUPPORTIVE DISCUSSIONS ABOUT TREATMENT CHOICES WITH THE MEMBER AND PROVIDE THE SAME OUTREACH AND SERVICES AS CAREPARTNERS WITH THE GOAL OF HELPING MEMBERS LIVE MORE COMFORTABLY BY MANAGING SYMPTOMS IN ACCORDANCE WITH THEIR HEALTH CARE WISHES TO PROVIDE A BETTER QUALITY OF LIFE. IN ADDITION, IHA DEVELOPS AND CONDUCTS EXTENSIVE COMMUNITY WELLNESS AND BENEFIT INITIATIVES THAT HELP MEMBERS LEAD HEALTHIER LIVES AND HELP EMPLOYERS CONTROL HEALTH CARE COSTS. INCLUDED AMONG THESE INITIATIVES ARE PREVIOUS COMMUNITY WELLNESS AWARENESS PROGRAMS: PRACTICE EXCELLENCE, THE NATIONALLY RECOGNIZED PAY FOR PERFORMANCE PROGRAM, AND THE IDEALIZED DESIGN OF CLINICAL OFFICE PRACTICE, A MULTI-FACETED APPROACH TO RE-DESIGN PHYSICIAN OFFICES TO BE MORE PATIENT-CENTRIC. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: THROUGH ITS PARTNERSHIP WITH JERICHO ROAD COMMUNITY HEALTH CENTER, IN 2019 THE INDEPENDENT HEALTH MEDICALLY ORIENTED GYM (MOG) AT JERICHO ROAD WAS CREATED TO PROVIDE PHYSICAL THERAPY AND EXERCISE PROGRAMMING FOR COMMUNITY MEMBERS, ESPECIALLY INDIVIDUALS SUFFERING FROM CHRONIC DISEASES LIKE DIABETES AND CARDIOVASCULAR DISEASE. DESIGNED TO FOCUS ON MEDICAL OUTCOMES IN ADDITION TO FITNESS, THE MOG IS LOCATED IN A ZIP CODE WITH SOME OF THE HIGHEST RATES OF DIABETES AND HIGH BLOOD PRESSURE IN THE REGION. IN EARLY 2021, INDEPENDENT HEALTH BEGAN A REFRESH OF ITS FIVE-YEAR STRATEGIC PLAN, ENTITLED IH2025: DESTINATION EXCELLENCE, TO HELP ENVISION WHAT THE FUTURE OF HEALTH CARE LOOKS LIKE AND THE CAPABILITIES THAT ARE NEEDED TO BE SUCCESSFUL. IH2025: DESTINATION EXCELLENCE WILL FOCUS ON SEVERAL AREAS INCLUDING ADVANCED CARE MODELS, THE ENHANCED DIGITAL EXPERIENCE FOR MEMBERS THROUGH REDSHIRT 2.0 AND OPERATIONAL EXCELLENCE. THE HOPE IS IH2025: DESTINATION EXCELLENCE WILL IMPROVE THE HEALTH OF OUR MEMBERS, STRENGTHEN OUR POSITION AS THE LEADING HEALTH PLAN IN OUR COMMUNITY AND EMPOWER ASSOCIATES TO CONTINUE PROVIDING THE BEST REDSHIRT EXPERIENCE FOR OUR MEMBERS. IHA ALSO CONTRACTED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH IN A HEALTH CARE REFORM ACT (HCRA) PAY FOR PERFORMANCE DEMONSTRATION PROJECT (P4P) TO SUPPORT REGIONAL EFFORTS TO IMPROVE THE QUALITY OF HEALTH CARE BY DEVELOPING A STANDARDIZED PHYSICIAN PERFORMANCE MEASUREMENT AND REPORTING SYSTEM. THIS GRANT EXPIRED DECEMBER 31, 2009; HOWEVER AT THE END OF THIS GRANT PERIOD THE THREE REGIONAL HEALTH PLANS ENDORSED A CONTINUATION STRATEGY FOR THE QUALITY MEASURES COLLABORATIVE PROGRAM. THE PLANS CONTINUE TO PROVIDE REGULAR DATA EXTRACTS TO POPULATION HEALTH COLLABORATIVE'S DESIGNATED DATA MANAGEMENT VENDOR, VIPS, WHO PERFORMS DATA AGGREGATION AND ANALYSIS. POPULATION HEALTH COLLABORATIVE THEN REPORTS THIS PERFORMANCE DATA TO PROVIDERS VIA A SECURE INTERNET-BASED PORTAL. EACH PLAN PROVIDES ONGOING FUNDING FOR THE QUALITY MEASURES COLLABORATIVE PROPORTIONATE TO ITS RESPECTIVE MARKET SHARE. IHA ALSO SUBSIDIZES INDIGENT CARE AND HEALTH CARE INITIATIVES UNDER HCRA AND CONTRIBUTES TO A PROFESSIONAL EDUCATION POOL, LARGELY TO FUND GRADUATE MEDICAL EDUCATION EXPENSES. IHA IS ALSO RESPONSIBLE FOR THE COVERED LIVES ASSESSMENT BASED ON THE REGION IN WHICH THE MEMBER RESIDES AND HIS/HER ENROLLMENT STATUS (FAMILY OR INDIVIDUAL). SURCHARGES AND COVERED LIVES REMITTANCES ARE REQUIRED MONTHLY AND TOTALED APPROXIMATELY $18.9 MILLION DURING 2022. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: IHA'S REDSHIRT VOLUNTEER PROGRAM PROVIDES IHA ASSOCIATES AN OPPORTUNITY TO VOLUNTEER IN THEIR COMMUNITY, WHILE PROMOTING IHA AS A COMPANY THAT GIVES BACK TO WNY. REDSHIRT ASSOCIATE VOLUNTEERS PROVIDE THE REDSHIRT TREATMENT TO THE COMMUNITY THROUGH DIRECT ASSOCIATE INTERACTION AND EXHIBIT IHA'S MESSAGE OF QUALITY CARE THROUGHOUT WESTERN NEW YORK. THE REDSHIRT TREATMENT IS A COMPANY-WIDE COMMITMENT TO DEMONSTRATE OUR CORE VALUES OF BEING PASSIONATE, CARING, RESPECTFUL, COLLABORATIVE AND ACCOUNTABLE. IN 2022, 269 IHA ASSOCIATES SERVED AS REDSHIRT VOLUNTEERS. IN TOTAL, THESE INDIVIDUALS VOLUNTEERED AT 67 COMMUNITY EVENTS, WHICH REPRESENTED MORE THAN 800 HOURS OF VOLUNTEER TIME. IHA ENCOURAGES ITS MANAGEMENT TEAM AND ASSOCIATES TO SUPPORT THE LOCAL COMMUNITY. TO THIS END, WE ARE PROUD TO SAY MORE THAN 60 MEMBERS OF OUR LEADERSHIP FORUM AND JOINT LEADERSHIP TEAMS ARE VOLUNTEERS OR ACTIVE PARTICIPANTS AS DIRECTORS ON COMMUNITY BOARDS. THE INDEPENDENT HEALTH ASSOCIATES SUPPORTING THE COMMUNITY PROGRAM, FORMERLY KNOWN AS THE DRESS DOWN PROGRAM, ALLOWS ASSOCIATES TO MAKE A CHARITABLE CONTRIBUTION TO COMMUNITY ORGANIZATIONS. THIS PROGRAM HAS RESULTED IN SUBSTANTIAL SUPPORT FOR THE CHARITABLE ORGANIZATIONS IN OUR COMMUNITY AND DEMONSTRATES THE GOODWILL OF IHA ASSOCIATES. THE PROGRAM IS ASSOCIATE-DRIVEN WITH A GOAL TO BROADLY SUPPORT MANY 501(C)(3) ORGANIZATIONS THROUGHOUT WESTERN NEW YORK. TO DATE, IHA HAS RAISED MORE THAN $16,000 FOR NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY. IN ADDITION, IHA ASSOCIATES SUPPORT THE UNITED WAY OF BUFFALO AND ERIE COUNTY'S COMMUNITY CARE CAMPAIGN. THE UNITED WAY OF BUFFALO AND ERIE COUNTY WORKS TO ADVANCE THE COMMON GOOD BY FOCUSING ON WELLNESS, INCOME AND EDUCATION. IT PROMOTES LONG-TERM GOOD HEALTH AND INDEPENDENCE AND WORKS TO CREATE LONG-LASTING CHANGES THAT WILL IMPROVE THE LIVES OF PEOPLE LIVING IN POVERTY IN ERIE COUNTY. IHA CONDUCTS A MONTH-LONG CAMPAIGN EACH FALL TO RAISE MONEY FOR UNITED WAY. IHA CARES ABOUT MAKING A DIFFERENCE IN THE LIVES OF INDIVIDUALS IN THE COMMUNITIES WE SERVE. TO DATE THE 2022 CAMPAIGN RAISED MORE THAN $65,500. THE COMMUNITY ALSO BENEFITS FROM IHA'S SPONSORSHIPS THAT PROMOTE HEALTH AND WELLNESS. SINCE 2014, INDEPENDENT HEALTH HAS SUPPORTED GOBIKE BUFFALO IN ITS EFFORTS TO BRING GREATER AWARENESS TO THE HEALTH AND SOCIOECONOMIC BENEFITS OF BICYCLING IN OUR COMMUNITY. THIS SUPPORT INCLUDES PRESENTING SPONSORSHIP OF THE ANNUAL SKYRIDE EVENT, WHICH UNITED NEARLY 1,200 RIDERS AND VOLUNTEERS AT LAKESIDE BIKE PARK, OUTER HARBOR BUFFALO, ON AUGUST 14, 2022. TO EXPAND ACCESS TO THE ANNUAL EVENT, INDEPENDENT HEALTH AND GOBIKE DISTRIBUTED 1,000 TICKETS TO SKYRIDE THROUGH COMMUNITY AND EDUCATIONAL PARTNERS ACROSS BUFFALO'S UNDERSERVED NEIGHBORHOODS. ADDITIONALLY, INDEPENDENT HEALTH SPONSORED THE DISTRIBUTION OF 230 BIKE HELMETS (ADULT AND YOUTH SIZES) THAT GOBIKE OFFERED TO COMMUNITY GROUPS AND AT COMMUNITY EVENTS LEADING UP TO SKYRIDE. SIMILAR INITIATIVES ARE BEING PLANNED FOR SKYRIDE, WHICH WILL BE HELD ON SUNDAY, JULY 16, 2023. NEW THIS YEAR, INDEPENDENT HEALTH SPONSORED GOBIKE'S BIKE MONTH INITIATIVES, WHICH CREATED GREATER BRAND AWARENESS AND VISIBILITY FOR INDEPENDENT HEALTH'S COMMUNITY ENGAGEMENT INITIATIVES. THIS SPONSORSHIP LED TO GREATER INTERNAL EFFORTS BY INDEPENDENT HEALTH TO CAPITALIZE ON THE MONTH-LONG CELEBRATION, WHICH SPURRED A NEW COMMUNITY-WIDE CONTEST. ENTRANTS WERE ASKED TO SUBMIT SHORT STORIES ON WHY THEY LOVE BIKING IN WNY. DOZENS OF STORIES WERE COLLECTED WITH THE WINNER TO BE ANNOUNCED SOON WHO IS SET TO RECEIVE A $200 GIFT CARD TO DICK'S SPORTING GOODS ALONG WITH COMPLIMENTARY SKYRIDE REGISTRATIONS, TWO FREE REDDY BIKESHARE MEMBERSHIPS AND A PRIZE PACK FROM INDEPENDENT HEALTH. THE CONTEST WAS PRIMARILY PROMOTED AT COMMUNITY EVENTS AND ON SOCIAL MEDIA, WHICH WAS SHARED SEVERAL TIMES BY SUCH PARTNERS AS GOBIKE AND REDDY BIKESHARE. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: TO PROVIDE THE COMMUNITY WITH GREATER ACCESS TO BIKES, IHA ENTERED INTO A PARTNERSHIP WITH SHARED MOBILITY, INC. IN 2016 TO ESTABLISH REDDY BIKESHARE. THIS BIKE-SHARING PROGRAM FIRST BROUGHT 200 GPS-ENABLED BIKES TO BUFFALO AND YIELDED SUCH SUCCESS THAT IT EXPANDED INTO THE CITY OF NIAGARA FALLS IN 2019, OFFERING AN ADDITIONAL 150 BIKES TO THE COMMUNITY FOR SHORT-TERM, SHARED USE. REDDY BIKESHARE ALLOWS USERS TO EXPLORE THEIR COMMUNITY WHILE SUPPORTING THEIR HEALTH, LOCAL BUSINESSES, AND THE ENVIRONMENT BY ENHANCING ALTERNATIVE TRANSPORTATION OPTIONS. IN 2022, REDDY BIKESHARE REPORTED NEARLY 14,000 RIDERS WHO COLLECTIVELY BURNED MORE THAN 4 MILLION CALORIES BY TRAVELING OVER 102,000 MILES ACROSS WESTERN NEW YORK. SINCE INCEPTION, REDDY BIKESHARE IS RESPONSIBLE FOR HELPING NEARLY 43,000 RIDERS BURN MORE THAN 19 MILLION CALORIES BY TRAVELING A TOTAL OF MORE THAN 478,000 MILES. THE PHYSICAL ACTIVITY BY RIDERS OVER THE LAST SEVEN YEARS ALSO LED TO A TOTAL OF 421,526 POUNDS OF CARBON OFFSET EQUIVALENT TO ALMOST 30,000 BAGS OF TRASH IN LOCAL LANDFILLS. THROUGH A UNIQUE PARTNERSHIP WITH YMCA BUFFALO-NIAGARA, A STATE-OF-THE-ART FACILITY OPENED ITS DOORS IN 2013 TO OFFER PERSONAL AND FAMILY FITNESS OPPORTUNITIES TO THE AMHERST COMMUNITY. THE INDEPENDENT HEALTH FAMILY BRANCH YMCA IS A 92,000-SQUARE-FOOT FACILITY OFFERING A VARIETY OF HEALTH AND WELLNESS PROGRAMS THAT TARGET OBESITY AND OTHER HEALTH CONDITIONS. FURTHERMORE, IHA AND THE YMCA OF BUFFALO-NIAGARA AS WELL AS THE JAMESTOWN YMCA CONTINUE TO PARTNER TOGETHER ON FITNESS IN THE PARKS. THIS IS THE 12TH YEAR OF OFFERING FREE OUTDOOR FITNESS CLASSES TO THE COMMUNITY, DESIGNED TO ENCOURAGE ALL AGES AND ABILITIES TO TAKE A MORE ACTIVE ROLE IN THEIR HEALTH. THE 2023 PROGRAM KICKED OFF JUNE 1, OFFERING MORE THAN 500 CLASSES THROUGHOUT THE SUMMER AT 26 LOCATIONS ACROSS WNY THE LARGEST OFFERING TO-DATE. POPULAR LOCATIONS INCLUDE BUFFALO'S DELAWARE PARK, LARKIN SQUARE AND WILKESON POINTE AT OUTER HARBOR; ORCHARD PARK'S ADPRO SPORTS TRAINING CENTER AND CHESTNUT RIDGE PARK; WESTWOOD PARK IN LANCASTER; AND LOSSON PARK IN CHEEKTOWAGA. UNDERSTANDING HEALTHY HABITS MUST BE NURTURED FROM A YOUNG AGE, IHA JOINED TOGETHER WITH THE BUFFALO MUSEUM OF SCIENCE TO OPEN THE FIRST PERMANENT HEALTH-SCIENCE STUDIO IN 2012. "EXPLORE YOU PRESENTED BY INDEPENDENT HEALTH" ALLOWS VISITORS OF ALL AGES TO EXPLORE ANATOMY AND LEARN ABOUT IMPORTANT CHOICES THAT CAN BE MADE TO IMPROVE AND MAINTAIN ONE'S HEALTH. IN CONNECTION WITH THE EXHIBIT, IHA SPONSORS THE MUSEUM'S ANNUAL COMMUNITY HEALTH DAY EVENT, OFFERING FAMILIES A FREE DAY OF FUN AND INTERACTIVE ACTIVITIES THAT PROMOTE THE IMPORTANCE OF HEALTHY LIVING. DUE TO A RISE IN COVID-19 CASES EARLIER IN 2022, COMMUNITY HEALTH DAY WAS POSTPONED TO JUNE 20. THE SUMMERTIME EVENT FEATURED A VARIETY OF INDOOR AND OUTDOOR ACTIVITIES FOR THE COMMUNITY TO TAKE PART IN, MANY OF WHICH WERE PROVIDED BY INDEPENDENT HEALTH'S COMMUNITY PARTNERS. IT INCLUDED FREE FITNESS CLASSES LED BY YMCA BUFFALO NIAGARA INSTRUCTORS, GOBIKE BUFFALO'S SMOOTHIE BIKE, REDDY BIKESHARE DEMONSTRATIONS, A FOOTBALL TOSS COURTESY OF THE BUFFALO BILLS, AND PLAYSTREETS PROGRAMMING FROM THE POLICE ATHLETIC LEAGUE OF BUFFALO. INDEPENDENT HEALTH'S PARTICIPATION ALSO INCLUDED THE STATE PRODUCT TEAM FROM SALES AND THE WELLNESS TEAM, WHICH OFFERED AN OUTDOOR OBSTACLE COURSE FOR YOUTH WITH PRIZES. INDEPENDENT HEALTH DISTRIBUTED A VARIETY OF FREE BRANDED GIVEAWAYS TO THE NEARLY 1,300 GUESTS WHO ATTENDED THIS YEAR'S EVENT. THE EVENT WAS INTENTIONALLY HELD JUNE 20 TO COINCIDE WITH THE OBSERVANCE AND CELEBRATIONS OF JUNETEENTH. SIMILAR ACTIVITIES AND PROGRAMMING ARE BEING PLANNED FOR THIS YEAR'S EVENT TO BE HELD ON JUNE 19, 2023. INDEPENDENT HEALTH IS CONTINUING ITS PRESENTING SPONSORSHIP OF WELLNESS WALKS AT TIFFT NATURE PRESERVE FOR 2023. THIS WEEKLY WALK, HELD EVERY THURSDAY MORNING (WEATHER PENDING), IS FREE AND OPEN TO THE PUBLIC YEAR-ROUND. KNOWLEDGEABLE VOLUNTEERS FROM TIFFT GUIDE PARTICIPANTS ON UNIQUE ROUTES THROUGH THE PRESERVE, OFFERING AN OPPORTUNITY TO GET HEALTHY WHILE TAKING IN THE SIGHTS AND SOUNDS OF NATURE. INFORMATION ON THE 2022 SEASON HAS NOT YET BEEN RECEIVED. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: IHA IS ALSO PROUD TO PARTNER WITH LARKIN SQUARE TO SPONSOR MANY COMMUNITY EVENTS AND BRING HEALTHY INITIATIVES TO ITS REVITALIZED PUBLIC GATHERING SPACE ALL YEAR LONG. THROUGH THIS PARTNERSHIP, THE INDEPENDENT HEALTH FOUNDATION WAS ABLE TO IMPLEMENT THE HEALTHY OPTIONS BUFFALO PROGRAM INTO FOOD TRUCK TUESDAYS HELD OUTDOORS EACH WEEK, FROM APRIL THROUGH OCTOBER REQUIRING EACH PARTICIPATING FOOD TRUCK TO OFFER AT LEAST ONE PRE-APPROVED HEALTHY MENU ITEM CONSIDERED TO BE LOWER IN FAT, SATURATED FAT, CHOLESTEROL AND SODIUM. INDEPENDENT HEALTH ATTENDED FOUR EVENTS THROUGHOUT THE 2022 SEASON WITH REDSHIRTS WHO DISTRIBUTED APPROXIMATELY 2,000 BRANDED GIVEAWAYS EACH NIGHT (TOTALING APPROXIMATELY 8,000 ITEMS). ADDITIONAL GIVEAWAYS WERE DISTRIBUTED AT THE INDEPENDENT HEALTH TABLE, ALONG WITH COLLATERAL ON DIFFERENT HEALTH AND WELLNESS PROGRAMMING AND AN ENTER TO WIN CONTEST THAT OFFERED FOUR BUFFALO BILLS GAMEDAY TICKETS, BRINGING GREATER EXPOSURE TO INDEPENDENT HEALTH'S WIDE-RANGING COMMUNITY PARTNERSHIPS. THE 2023 SEASON IS SET TO KICK OFF ON JUNE 6, AT WHICH INDEPENDENT HEALTH WILL BE PRESENT WITH PLANS TO RETURN THREE ADDITIONAL TIMES DURING THE SUMMER. SINCE 2014, IHA HAS BEEN PROUD TO SERVE AS THE OFFICIAL HEALTH AND WELLNESS PARTNER OF THE BUFFALO BILLS, WORKING TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF WESTERN NEW YORK THROUGH A VARIETY OF INITIATIVES. THIS INCLUDES THE SIX-WEEK HEALTH & WELLNESS CHALLENGE, A COMMUNITY-WIDE FITNESS AND NUTRITION PROGRAM DESIGNED TO ENCOURAGE SMALL CHANGES TOWARD A HEALTHIER LIFESTYLE. TO DATE, MORE THAN 13,000 PEOPLE HAVE REGISTERED FOR THE HEALTH & WELLNESS CHALLENGE SINCE IT SWITCHED PLATFORMS (FROM SPARK PEOPLE TO WELLABLE) IN EARLY 2022. THE SPRING 2023 CHALLENGE IS CURRENTLY UNDERWAY, WHICH KICKED OFF MAY 1 AND RUNS THROUGH JUNE 11. A TOTAL OF 26 PRIZES WILL ONCE AGAIN BE AWARDED TO ELIGIBLE PARTICIPANTS, INCLUDING A GRAND PRIZE: EIGHT TICKETS TO A BUFFALO BILLS PRESEASON GAME WITH PARKING, PRIZE PACKS FROM THE BILLS AND INDEPENDENT HEALTH, AND A $1,000 VISA GIFT CARD. ELIGIBLE PARTICIPANTS ARE THOSE WHO EARN A MINIMUM OF 25 POINTS IN THE CHALLENGE. PRIZES ARE RANDOMLY AWARDED AT THE END OF THE CHALLENGE USING A WEIGHTED-RAFFLE SYSTEM. THE BUFFALO BILLS AND IHA ALSO CONTINUE TO WORK TOGETHER TO ENCOURAGE PHYSICAL ACTIVITY AND HEALTHY EATING AMONG OUR COMMUNITY'S YOUTH THROUGH THE INDEPENDENT HEALTH FOUNDATION'S FITNESS FOR KIDS CHALLENGE IN COLLABORATION WITH THE BUFFALO BILLS PLAY 60 CHALLENGE. ADDITIONALLY, IHA SPONSORS THE BILLS ANNUAL 50 YARD FINISH, WHICH ATTRACTED 1,500 RUNNERS IN 2022, AS WELL AS 500 YOUTH WHO PARTICIPATED IN THE KIDS FUN RUN ON THE SAME DAY. INDEPENDENT HEALTH WAS PRESENT AT THE EVENT TO WELCOME RUNS ACROSS THE FINISH LINE AND DISTRIBUTE FREE THERMAL TOTES AND OTHER GIVEAWAYS DURING THE POST-RACE PARTY. INDEPENDENT HEALTH'S PARTNERSHIP WITH BUFFALO RIVERWORKS LAUNCHED IN 2015, OFFERING A WIDE VARIETY OF SEASONAL ACTIVITIES FOR INDIVIDUALS OF ALL AGES AND FITNESS LEVELS. BUILT AROUND PROMOTING HEALTH AND EXERCISE, PARTICIPANTS CAN TRY THEIR HAND AT KAYAKING, WATER BIKES, PADDLE BOARDING, ZIP LINING AND MORE WHEN THE WEATHER IS WARM, AND THEN LACE UP THEIR ICE SKATES OR PARTAKE IN A FRIENDLY GAME OF CURLING WHEN THE COLD WEATHER SETS IN. ADVENTURE-SEEKERS CAN ALSO TEST THEIR AGILITY AND STRENGTH ON THE NEW TWO-LEVEL ROPES COURSE, OPEN YEAR-ROUND (WEATHER PENDING). AS THE OFFICIAL HEALTH AND WELLNESS PARTNER OF BUFFALO RIVERWORKS, IHA MEMBERS CAN SHOW THEIR ID CARD AND RECEIVE DISCOUNTS FOR ANY HEALTH AND WELLNESS ACTIVITY. ADDITIONALLY, THERE ARE SEVERAL HEALTHY OPTIONS ITEMS ON THE MENU AT RIVERWORKS, MAKING IT EASY TO EAT HEALTHY WHILE DINING OUT. IN 2022, RIVERWORKS BEGAN OFFERING OPEN ROLLER SKATING SPONSORED BY INDEPENDENT HEALTH ON SELECT DATES. EARLIER THIS YEAR, INDEPENDENT HEALTH AND RIVERWORKS WORKED TOGETHER TO HOST WINTER RECESS AND SPRING RECESS ACTIVITIES FOR WNY FAMILIES ON BREAK FROM SCHOOL. THE EVENTS FEATURED FREE ICE SKATING AND ROLLER SKATING ALONG WITH DISCOUNTED SKATE RENTALS, AS WELL AS A DISCOUNT ON THE ROPES COURSE. BOTH EVENTS WERE SUCCESSFUL AND WILL BE HELD ANNUALLY MOVING FORWARD. THIS SUMMER, KAYAKS AND OTHER WATER SPORT RENTALS WILL BE AVAILABLE AND RIVERWORKS WILL CONTINUE TO SERVE AS A POPULAR FITNESS IN THE PARKS LOCATION. FURTHER CAPITALIZING ON THE OUTDOOR HEALTH AND WELLNESS OPPORTUNITIES AVAILABLE IN OUR COMMUNITY, IHA BECAME THE OFFICIAL HEALTH AND WELLNESS PARTNER OF OUTER HARBOR BUFFALO IN 2016. APPROXIMATELY 350,000 PEOPLE VISIT OUTER HARBOR EACH YEAR. GUESTS CAN VENTURE TO WILKESON POINTE TO RENT KAYAKS, BIKES, PADDLE BOARDS AND HYDRO BIKES; TAKE PART IN FREE OUTDOOR FITNESS CLASSES; AND EXPLORE THE 3-MILE INDEPENDENT HEALTH WELLNESS TRAIL CONNECTING THE POINTE TO LAKESIDE BIKE PARK. THE PARK OFFERS A VARIETY OF TRAILS FOR BIKE AND NATURE ENTHUSIASTS ALIKE, AND ALSO HAS A QUANTITY OF RED BIKES AVAILABLE TO RENT COURTESY OF IHA AS THE PRESENTING SPONSOR. IHA MEMBERS CAN SHOW THEIR ID CARD TO RECEIVE DISCOUNTS ON ALL OUTER HARBOR OUTDOOR ACTIVITY RENTALS. THIS SUMMER, INDEPENDENT HEALTH WILL SPONSOR THE OUTER HARBOR'S "START UP THE SUMMER" EVENT AT WILKESON POINTE ON JUNE 10, 2023, WHICH OFFERS THE INDEPENDENT HEALTH MEMBER DISCOUNT ON BIKE AND KAYAK RENTALS TO EVERYONE IN THE COMMUNITY, AS WELL AS A VARIETY OF FREE FITNESS CLASSES AND OTHER HEALTH-FOCUSED PROGRAMMING THROUGHOUT THE DAY. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: INDEPENDENT HEALTH BEGAN SPONSORING THE POLICE ATHLETIC LEAGUE (PAL) OF BUFFALO'S PLAYSTREETS PROGRAM ANNUALLY IN 2021, WHICH OFFERS SEASONAL PROGRAMMING THROUGHOUT THE YEAR TO YOUTH IN UNDERSERVED COMMUNITIES. PLAYSTREETS PROVIDES OPPORTUNITIES FOR CHILDREN TO ENGAGE IN ORGANIZED PHYSICAL ACTIVITIES, TO LEARN VALUABLE LESSONS ABOUT POSITIVE LIFE CHOICES AND TO ACCESS HELPFUL RESOURCES IN THEIR COMMUNITIES. EVERY CHILD RECEIVES A FREE SPORTS EQUIPMENT KIT, ALONG WITH A SNACK AND BOTTLED DRINK, TO INSPIRE THEM TO STAY ACTIVE AND HEALTHY AT HOME. BY THE END OF 2022, PAL REPORTED 864 UNDUPLICATED YOUTH WHO ATTENDED A PLAYSTREETS EVENT. THE MAJORITY OF PARTICIPANTS WERE BETWEEN THE AGES OF 5 AND 9, WITH THE SUMMER SESSION ATTRACTING THE MOST PARTICIPATION. BASED ON THEIR 2022 SURVEY, PAL REPORTED 100 PERCENT OVERALL PROGRAM SATISFACTION FROM PARTICIPATING FAMILIES WITH 100 PERCENT OF FAMILIES REPORTING THAT THEIR CHILDREN ARE MORE ACTIVE AT HOME FOLLOWING PARTICIPATION IN PLAYSTREETS. INDEPENDENT HEALTH IS CONTINUING THIS SPONSORSHIP FOR 2023. THE INDEPENDENT HEALTH MARKETING TEAM IS CONTINUING TO PROMOTE IHA'S COMMUNITY ENGAGEMENT ACTIVITIES UNDER THE "BRINGING HEALTHY TO YOU" THEME THAT WAS DEVELOPED IN 2021. THIS CAMPAIGN HELPS SUPPORT THE STRATEGY TO POSITION INDEPENDENT HEALTH AS WNY'S LOCAL HEALTH PLAN THAT PROVIDES OPPORTUNITIES FOR EVERYONE TO GET AND STAY HEALTHY. THE CAMPAIGN SHOWCASES THE NUMEROUS PARTNERSHIPS, EVENTS AND PROGRAMS THAT INDEPENDENT HEALTH AND THE INDEPENDENT HEALTH FOUNDATION SPONSOR AND/OR OFFER TO THE COMMUNITY. IN ADDITION TO VARIOUS ADVERTISING AND PROMOTIONAL TACTICS (E.G., PRINT ADS, BILLBOARDS, MEMBER EBLASTS, WEBSITE PROMOS, INCLUSION IN DIRECT MAIL), MARKETING ALSO INTEGRATED THIS CAMPAIGN THEMATIC INTO SEVERAL "ENTER TO WIN" CONTESTS. MOST NOTABLY, INDEPENDENT HEALTH OFFERED AN ENTER TO WIN CONTEST THROUGH ITS FACEBOOK PAGE IN 2022 THAT HIGHLIGHTED FIVE KEY PARTNERS AND PROGRAMS - REDDY BIKESHARE, BUFFALO MUSEUM OF SCIENCE, FITNESS IN THE PARKS, OUTER HARBOR, AND BUFFALO RIVERWORKS. THE 5-MONTH CONTEST AWARDED 10 PARTICIPANTS CHOSEN AT RANDOM ALONG WITH THREE GRAND PRIZE WINNERS ALL WHO RECEIVED AN AMAZON GIFT CARD ALONG WITH A "BRINGING HEALTHY TO YOU PRIZE PACK" THAT PROVIDED VOUCHERS FOR FREE MEMBERSHIPS, RENTALS AND MORE WITH OUR COMMUNITY PARTNERS. THE CONTEST OFFERED GREATER VISIBILITY INTO INDEPENDENT HEALTH'S COMMUNITY PARTNERSHIPS AND APPROACH TO CREATING A HEALTHIER A WESTERN NEW YORK FOR ALL, NOT JUST ITS MEMBERS. SOME OF THE DATA COLLECTED FROM THE CONTEST POSTS INCLUDES: TOTAL REACH, 152,800; TOTAL ENGAGEMENT, 4,381; TOTAL REACTIONS, 833; AND TOTAL NUMBER OF COMMENTS OR ENTRIES, 537. OTHER "BRINGING HEALTHY TO YOU" ENTER TO WIN CONTESTS ARE BEING PLANNED FOR 2023, INCLUDING AT THE TASTE OF BUFFALO IN JULY 2023. THIS YEAR'S CONTEST WILL SPECIFICALLY BE PROMOTED BY THE TASTE OF BUFFALO, WHICH WILL HOPEFULLY DRAW MORE INTEREST AND ENTRIES FROM GUESTS OF THE TWO-DAY FESTIVAL. INDEPENDENT HEALTH PLANS TO ONCE AGAIN DISTRIBUTE THOUSANDS OF THERMAL TOTES TO ATTENDEES TO INCREASE BRAND AWARENESS. WNYHEALTHENET FURTHERS IHA'S COMMITMENT TO REDUCING THE COST OF AND IMPROVING THE QUALITY OF HEALTH CARE IN THE WESTERN NEW YORK COMMUNITY. WNYHEALTHENET OPTIMIZES THE DELIVERY OF PATIENT INFORMATION THAT SPEEDS THE DELIVERY AND ACCURACY OF VITAL ELIGIBILITY, CLAIM STATUS, REFERRAL AND AUTHORIZATION INFORMATION TO THE PROVIDER COMMUNITY, AND WESTERN NEW YORK'S CLINICAL INFORMATION EXCHANGE ("HEALTHELINK") - A 501(C) (3) ORGANIZATION THAT OPERATES AN INFORMATION EXCHANGE TO FACILITATE ACCESS TO CLINICAL INFORMATION AMONG HEALTH CARE PROVIDERS AND HEALTH INSURERS. HEALTHELINK IS PART OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY), A TECHNOLOGY FRAMEWORK SPANNING THE ENTIRE STATE THAT ALLOWS HEALTH CARE PROVIDERS EFFICIENT ACCESS TO THEIR PATIENTS' DATA. HEALTHELINK HAS BEEN RECOGNIZED FOR ITS WORK IN BUILDING A REGIONAL HEALTH INFORMATION TECHNOLOGY INFRASTRUCTURE AND FOR TESTING INNOVATIVE APPROACHES BY BOTH STATE AND FEDERAL AGENCIES, INCLUDING BEING NAMED A BEACON COMMUNITY, AN EFFORT FUNDED BY THE OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: AS OF MAY 2023, APPROXIMATELY 89 PERCENT OF WESTERN NEW YORK PROVIDER PRACTICES PARTICIPATE WITH HEALTHELINK, MORE THAN 550 DATA SOURCES ARE CONNECTED, APPROXIMATELY 350 MILLION RESULTS (LAB, RADIOLOGY AND TRANSCRIBED REPORTS) ARE AVAILABLE AND MORE THAN 1.4 MILLION COMMUNITY-WIDE CONSENTS HAVE BEEN SIGNED BY PATIENTS AUTHORIZING TREATING PHYSICIANS TO ACCESS THEIR ELECTRONIC MEDICAL RECORDS THROUGH HEALTHELINK. IHA COORDINATES THE DELIVERY OF HEALTH CARE SERVICES FOR 174,794 MEMBERS OF IHA'S COMMERCIAL PRODUCTS UNDER ARTICLE 44 OF THE NEW YORK PUBLIC HEALTH LAW, MEDICAID MANAGED CARE PRODUCTS AS ADMINISTERED BY THE STATE OF NEW YORK, AND MEDICARE MANAGED CARE PRODUCTS AS ADMINISTERED BY CMS AS OF MAY 2023. INDEPENDENT HEALTH PROVIDES HEALTH BENEFITS AND SERVICES TO INDIVIDUALS IN WESTERN NEW YORK AND THROUGHOUT THE COUNTRY. THE COMPANY HAS CONSISTENTLY BEEN RATED AMONG THE TOP HEALTH PLANS IN THE COUNTRY FOR CUSTOMER SERVICE AND MEMBER SATISFACTION. INDEPENDENT HEALTH HAS RECEIVED THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE'S (NCQA) HIGHEST ACCREDITATION STATUS OF "EXCELLENT" FOR ITS COMMERCIAL HMO/POS AND MEDICARE LINES OF BUSINESS HAVE BEEN RATED 4.5 OUT OF 5 NATIONALLY IN 2022, AND WAS RATED AS A 4.5 PLAN FROM 2015-2021. IN 2022 AND 2023, INDEPENDENT HEALTH WAS RECOGNIZED AS A 5-STAR RATED MEDICARE ADVANTAGE PLAN BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). "EXCELLENT" ACCREDITATION IS GRANTED ONLY TO THOSE HEALTH PLANS THAT EXHIBIT LEVELS OF SERVICE AND CLINICAL QUALITY THAT MEET OR EXCEED NCQA'S RIGOROUS REQUIREMENTS FOR CONSUMER PROTECTION AND QUALITY IMPROVEMENT. INDEPENDENT HEALTH WAS ALSO RANKED AS THE TOP HEALTH INSURANCE PLAN IN THE NEW YORK/NEW JERSEY REGION, ACCORDING TO J.D. POWER'S 2010, 2011, 2012, 2013, 2016, 2018 AND 2020 U.S. MEMBER HEALTH INSURANCE PLAN STUDIES, AND RANKED SECOND IN THE NEW YORK/NEW JERSEY REGION IN THE J.D. POWER 2014, 2015 AND 2017 U.S. MEMBER HEALTH PLAN STUDIES. IN ADDITION, INDEPENDENT HEALTH WAS RANKED AMONG THE HIGHEST-RANKED HEALTH PLANS IN THE NATION FOR ALL LINES OF BUSINESS COMMERCIAL, MEDICARE AND MEDICAID ACCORDING TO THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) IN ITS HEALTH INSURANCE PLAN RANKINGS 2018-2019. THE RANKINGS ARE BASED ON CLINICAL QUALITY, MEMBER SATISFACTION AND NCQA ACCREDITATION STANDARDS. LONG BEFORE THE ENACTMENT OF THE AFFORDABLE CARE ACT (ACA), IHA WAS TAKING STEPS TO TRANSFORM HEALTH CARE IN WESTERN NEW YORK, PROVIDING OUR MEMBERS WITH MANY OF THE QUALITY COVERAGE AND MARKET REFORM PROVISIONS CONTAINED IN THE LAW ($0 COPAY FOR PREVENTIVE SERVICES, AGE-EXTENSION RIDERS UP TO AGE 26, NO LIFETIME LIMITS ON MEMBERS' COVERAGE, AND COMPREHENSIVE INTERNAL AND EXTERNAL REVIEW PROCESSES TO ENSURE OUR MEMBERS RECEIVED NEEDED HEALTH CARE SERVICES). IHA CONTINUES TO LOOK FOR OPPORTUNITIES TO IMPROVE THE QUALITY AND AFFORDABILITY OF HEALTH CARE FOR OUR REGION, AS ACHIEVING HEALTH CARE REFORM WILL REQUIRE COMMUNITY OWNERSHIP, WIDE-RANGING PARTNERSHIPS AND RENEWED COLLABORATION AMONG DIVERSE STAKEHOLDERS. BY FOCUSING ON COLLABORATION AND HEALTH ENGAGEMENT, IHA CAN HELP BUILD A CULTURE OF HEALTH IN OUR REGION. AS A COMMUNITY, WE MUST CONTINUE TO DEVELOP PROGRAMS THAT ENHANCE FITNESS, FOSTER PREVENTION AND ENGAGE PEOPLE IN BETTER HEALTH. THESE EFFORTS WILL HELP PEOPLE MAKE POSITIVE LIFESTYLE CHANGES AND REDUCE CHRONIC DISEASE ESSENTIAL ELEMENTS FOR LOWERING HEALTH CARE COSTS AND IMPROVING THE OVERALL HEALTH STATUS OF OUR COMMUNITY. IHA'S COLLABORATIVE EFFORTS ARE HAVING AN IMPACT. THE 2012 COMMONWEALTH FUND REPORT RANKED BUFFALO 54TH BEST AMONG 306 MEDICARE SERVICE AREAS FOR QUALITY, ACCESSIBILITY AND AFFORDABILITY OF CARE AND IN 2016 IHA WAS RANKED 62 OUT OF 306 MEDICARE SERVICE AREAS. IHA WAS IN THE TOP 10 PERCENT FOR ACCESS AND AFFORDABILITY AND IN THE TOP QUARTILE FOR PREVENTION, TREATMENT AND OVERALL PERFORMANCE. THIS RANKING IS EVEN MORE IMPRESSIVE GIVEN THAT BUFFALO IS CITED AS THE THIRD-POOREST CITY IN THE U.S. AND THE STUDY REVEALED A STRONG CORRELATION BETWEEN POVERTY AND A POOR SCORE AMONG THE RANKED AREAS. ADDITIONALLY, THE COLLABORATIVE WORK UNDER WAY IN WESTERN NEW YORK WAS RECOGNIZED IN A RECENTLY RELEASED CASE STUDY ON REGIONAL HEALTH CARE IMPROVEMENT BY THE COMMONWEALTH FUND, "BUFFALO AND WESTERN NEW YORK: COLLABORATING TO IMPROVE HEALTH SYSTEM PERFORMANCE BY LEVERAGING SOCIAL CAPITAL," WHICH TAKES A CLOSER LOOK AT THE REASONS FOR OUR REGION'S SUCCESS. THESE REPORTS EMPHASIZE THE NEED FOR LOCAL SOLUTIONS AND WIDESPREAD ENGAGEMENT AND COLLABORATION TO ACHIEVE THE QUADRUPLE AIM OF BETTER HEALTH, BETTER CARE, LOWER COSTS AND PROVIDER VITALITY. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL W. CROPP, JOHN MINEO, ESQ, COLLEEN DIPIRRIO, ANTHONY BAYNES, DANIEL WEINTRAUB, AND JAMES DUNLOP HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). MICHAEL W. CROPP, JAMES DUNLOP, JOHN MINEO, DANIEL WEINTRAUB, AND DAN GAGLIARDO HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). THOMAS J. FOELS AND DAVID PAWLOWSKI HAVE A BUSINESS RELATIONSHIP (PRIVATE ENTERPRISE). IHA DOES NOT DO BUSINESS WITH THEIR PRIVATE ENTERPRISE. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING OF THE IRS FORM 990, THE FINAL RETURN WAS REVIEWED WITH THE CHAIR OF THE AUDIT AND FINANCE COMMITTEES, MANAGEMENT, AND MADE AVAILABLE TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C INDEPENDENT HEALTH ASSOCIATION, INC'S (IHA) CONFLICT OF INTEREST REPORTING POLICY ENCOMPASSES ALL CURRENT IHA OFFICERS AND EMPLOYEES (INCLUDING HIGHEST COMPENSATED AND KEY EMPLOYEES) OF THE ORGANIZATION. EMPLOYEES ARE REQUIRED AS PART OF THEIR EMPLOYMENT WITH IHA TO IMMEDIATELY REPORT CONFLICTS OF INTEREST THAT THEY ARE PARTY TO OR THAT THEY OBSERVED, TO MANAGEMENT OR INDEPENDENT HEALTH'S CHIEF COMPLIANCE OFFICER FOR REVIEW BY THE CONFLICT OF INTEREST COMMITTEE OF INDEPENDENT HEALTH. CONFLICTS ARE ALSO INDENTIFIED ANNUALLY WHEN EMPLOYEES COMPLETE ATTESTATIONS, CONFIDENTIAL QUESTIONAIRES & PLEDGE OF CONFIDENTIALITY AND CONTINUING DISCLOSURES FORM (FORM HIGHEST COMPENSATED EMPLOYEES, KEY EMPLOYEES, OFFICERS, DIRECTORS, AND MEMBERS OF THE BOARD) ARE RECEIVED. IF A CONFLICT OF INTEREST IS INDENTIFIED, THE INDIVIDUAL IS PROHIBITED FROM PARTICPATING IN THE DELIBERATIONS OR DECISIONS RELATED TO THIS TRANSACTION. THE RESOLUTION OF CONFLICT REVIEW WILL BE DOCUMENTED IN MEETING MINUTES MAINTAINED BY THE CONFLICT OF INTEREST COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNING BOARD OF DIRECTORS OF INDEPENDENT HEALTH ASSOCIATION, INC. (IHA) APPOINTED A GROUP OF BOARD MEMBERS TO ACT AS THE COMPENSATION COMMITTEE. COMPENSATION OF THE CEO IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE AND THE BOD ANNUALLY. ADDITIONALLY, THE RECOMMENDATIONS OF THE CEO PERTAINING TO THE COMPENSATION OF HIS/HER DIRECT REPORTS ARE SUBJECT TO REVIEW AND ADVISEMENT BY THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUET, THE ORGANIZATION WILL MAKE AVAILABLE; A COPY OF ITS 990, ITS AUDITED FINANCIAL STATEMENTS AND ANY OTHER DOCUMENTS AS REQUIRED. INDEPENDENT HEALTH FOUNDATION 777 INTRENATIONAL DRIVE BUFFALO NY 14221 161417199 TO PROMOTE GOOD HEALTH IN WESTERN NEW YORK & SUPPORT THE ACTIVITIES OF IHA NY 501(C)(3) 12A, I INDEPENDENT HEALTH ASSOCIATION INC 1 INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY 511 FARBER LAKES DRIVE BUFFALO NY 14221 161237733 THIRD PARTY CLAIMS ADMINISTRATION NY INDEPENDENT HEALTH ASSOCIATION INC C -6855438 344284381 1.00000 1 INDEPENDENT HEALTH BENEFITS CORPORATION 511 FARBER LAKES DRIVE BUFFALO NY 14221 161483784 POS AND INDEMNITY PRODUCT ADMINISTRATION NY INDEPENDENT HEALTH ASSOCIATION INC C -42472709 330304914 1.00000 1 MASON INSURANCE COMPANY LTD FB FERRY BUILDING 40 CHURCH STR HAMILTON HMHX BERMUDA HM-HX BD REINSURANCE BD INDEPENDENT HEALTH ASSOCIATION INC C -3809427 35751670 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 INDEPENDENT HEALTH FOUNDATION L 154590 FMV INDEPENDENT HEALTH FOUNDATION O 334753 FMV INDEPENDENT HEALTH FOUNDATION P 346375 FMV INDEPENDENT HEALTH FOUNDATION Q 339115 FMV INDEPENDENT HEALTH FOUNDATION R 2260000 FMV INDEPENDENT HEALTH BENEFITS CORPORATION L 725565890 FMV INDEPENDENT HEALTH BENEFITS CORPORATION M 44553282 FMV INDEPENDENT HEALTH BENEFITS CORPORATION N 27215658 FMV INDEPENDENT HEALTH BENEFITS CORPORATION O 39341284 FMV INDEPENDENT HEALTH BENEFITS CORPORATION Q 712082003 FMV INDEPENDENT HEALTH BENEFITS CORPORATION S 11000000 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY L 974436281 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY M 1454300080 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY N 8514402 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY O 15406357 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY P 995637935 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY Q 415819 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY S 553285000 FMV MASON INSURANCE COMPANY LTD R 282982 FMV MASON INSURANCE COMPANY LTD S 592482 FMV