2022-11-14T15:53:55-06:00 2021-12-31 161131146 BONADIO & CO LLP 7936 SENECA TPKE CLINTON NY 13323 990 2021-01-01 834123043 NORTHWINDS INTEGRATED HEALTH NETWORK IPA NORT 5186232590 22 US OVAL SUITE 218 PLATTSBURGH NY 12903 MARK LUKENS PRESIDENT 5186232590 2022-11-14 1 MARK LUKENS 999009999 RICHARD ZWEIFEL P00085938 3157977781 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MARK LUKENS 22 US OVAL SUITE 218 PLATTSBURGH NY 12903 108251 0 X N/A X 2019 NY IT IS THE MISSION OF NORTHWINDS INTEGRATED HEALTH NETWORK IPA TO LEVERAGE OUR EXTENSIVE NETWORK OF COMMUNITY-BASED PROVIDERS TO CONNECT PEOPLE TO ESSENTIALS FOR LIVING AND HIGH QUALITY CARE. 4 4 0 12 0 0 0 0 769333 108251 0 0 0 0 769333 108251 0 0 0 0 0 0 0 0 0 326339 282219 326339 282219 442994 -173968 1441475 1218339 69509 20341 1371966 1197998 X IT IS THE MISSION OF NORTHWINDS INTEGRATED HEALTH NETWORK IPA TO LEVERAGE OUR EXTENSIVE NETWORK OF COMMUNITY-BASED PROVIDERS TO CONNECT PEOPLE TO ESSENTIALS FOR LIVING AND HIGH QUALITY CARE. 0 0 250061 108251 ACCOMPLISHMENTS FOR 2021 INCLUDE THE ENGAGEMENT IN OUR SECOND LEVEL TWO RISK-BASED CONTRACT THAT WILL SUPPORT THE ADVANCEMENT OF INTEGRATION OF PHYSICAL AND BEHAVIORAL HEALTH ACROSS THE REGION. WE ALSO SAW SHARED SAVINGS FROM 2020. THIS CONTRACT SUPPORTS THE SUCCESSFUL COMPLETION OF OUR WORKPLAN REQUIREMENTS WITH THE NYS OFFICE OF MENTAL HEALTH. ADDITIONALLY, NORTHWINDS CONTINUED ITS DATA AGGREGATION AND ANALYSIS BY UTILIZING MEDICAID CLAIMS DATA THROUGH PSYCKES. OUR IPA AND THE ADIRONDACK ACO ALSO FINALIZED THE CREATION OF A PROPRIETARY QUIC (QUALITY UTILIZATION AND INTEGRATED CARE) DASHBOARD THAT PROVIDES DATA ON THE 9 METRICS INCLUDED IN OUR VBP CONTRACT USING FIDELIS CLAIMS FOR PATIENTS IN THE ACO REGION. PSYCKES AND THE QUIC DASHBOARD ALLOW THE IPA TO EVALUATE INDIVIDUAL PROVIDER AND NETWORK PERFORMANCE ON KEY MEASURES. NORTHWINDS COLLABORATED EXTENSIVELY TO SUPPORT RURAL POPULATION HEALTH AND REGIONAL ALL-PAYER MODELS THAT ADVANCE QUALITY OF CARE FOR PATIENTS, COST SAVINGS AND IMPROVE PROVIDER SATISFACTION. 250061 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X REBECCA EVANSKY 5186232590 22 US OVAL SUITE 218 PLATTSBURGH NY 12903 MARK LUKENS PRESIDENT 1.00 X X 0 0 0 VALERIE AINSWORTH TREASURER 1.00 X X 0 0 0 CONNIE WILLIE SECRETARY 1.00 X X 0 0 0 TERRI MORSE BOARD MEMBER 1.00 X 0 0 0 ANDREA DEEPE BOARD MEMBER 1.00 X 0 0 0 JOANNE CASWELL BOARD MEMBER 1.00 X 0 0 0 JAY ULRICH BOARD MEMBER 1.00 X 0 0 0 MIKE KETTLE BOARD MEMBER 1.00 X 0 0 0 JULIA BEEBE BOARD MEMBER 1.00 X 0 0 0 BOB ROSS VICE PRESIDENT 1.00 X X 0 0 0 JENNIFER BARRON BOARD MEMBER 1.00 X 0 0 0 JAMES BUTTON BOARD MEMBER 1.00 X 0 0 0 REBECCA EVANSKY DIRECTOR OF OPERATIONS 40.00 X 66864 0 13525 66864 0 13525 0 0 0 0 0 MEMBERSHIP DUES 624100 81584 81584 COORDINATION OF INTERG 624100 26667 26667 108251 108251 108251 0 0 X 151488 128765 22723 14317 12169 2148 29083 24721 4362 55600 55600 5921 3375 2546 2529 2150 379 DATA MANAGEMENT 23281 23281 282219 250061 32158 0 1431475 1194472 10000 4167 19700 1441475 1218339 64509 20341 5000 69509 20341 X 1371966 1197998 1371966 1197998 1441475 1218339 -173968 0 X 1 X 0 1 0 X X 12 CITIZEN ADVOCATES INC 141577715 10 0 0 0 CHAMPLAIN VALLEY FAMILY CENTER 141638308 10 0 0 0 MHA IN ESSEX 141579531 10 0 0 0 FAMILIES FIRST IN ESSEX COUNTY 141763863 10 0 0 0 BEHAVIORAL HEALTH SERVICES NORTH INC 141338346 10 0 0 0 WARREN WASHINGTON ASSOCIATES FOR MENTAL HEALTH INC 141495169 10 0 0 0 ST JOSEPH'S ADDICTION TREATMENT & RECOVERY 141536222 10 0 0 0 CONIFER PARK INC 042806417 10 0 0 0 NORTH COUNTRY FREEDOM HOMES 161180179 10 0 0 0 ESSEX COUNTY MENTAL HEALTH 146002889 10 0 0 0 ST LAWRENCE COUNTY COMMUNITY SERVICES 156000465 10 0 0 0 LIBERTY HOUSE FOUNDATION 141568361 10 0 0 0 12 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2 IN ACCORDANCE WITH THE BYLAWS, CERTIAN SUPPORTED ORGANIZATIONS WHO ARE NOT REQUIRED TO BE RECOGNIZED AS EXEMPT FROM TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE, MAY BE A MEMBER IF THE ORGANIZATION IS A GOVERNMENT-RELATED ENTITY OR A TIER 3 MEMBER AND THEY MEET OTHER CRITIERA FOR PARTICIPATION. PART IV SECTION A, LINE 5A THE FOLLOWING ORGANIZATIONS ARE NO LONGER MEMBERS AND SUPPORTED ORGANIZATIONS: (I) UNITED HELPERS, INC. EIN 22-2412205 CLINTON COUNTY COMMUNITY SERVICES EIN 14-6002565 (II) THE ORGANIZATIONS VOLUNTARILY WITHDREW THEIR MEMBERSHIP (III) THEIR VOLUNTARY WITHDRAWAL DID NOT REQUIRE AMENDMENT OF THE ORGANIZING DOCUMENT PART IV SECTION A, LINE 5B NO SUPPORTED ORGANIZATIONS WERE ADDED OR SUBSTITUTED DURING THE CURRENT YEAR FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION MEMBERS CONSIST OF TIER 1, TIER 2 AND TIER 3 CLASSES. TIER 1 MEMBERS EACH HAVE ONE VOTE AND TIER 2 MEMBERS COLLECTIVELY HAVE 1 VOTE. TIER 3 MEMBERS HAVE NO VOTING RIGHTS. FORM 990, PART VI, SECTION A, LINE 7A EACH TIER 1 MEMBER APPOINTS A REPRESENTATIVE TO THE BOARD TO VOTE ON MATTERS IN ACCORDANCE WITH THE INSTRUCTIONS OF THE MEMBER. TIER 2 MEMBERS SHALL DETERMINE HOW TO CAST THEIR ONE COLLECTIVE VOTE BY A TWO-THIRDS MAJORITY VOTE AMONG ALL TIER 2 MEMBERS. EACH TIER 2 MEMBER SHALL HAVE ONE VOTE FOR SUCH MATTERS. FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS ARE PROVIDED A COPY OF THE 990 TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST BY SIGNING "CODE OF ETHICS" QUESTIONNAIRES. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS COMPARES POSITIONS TO SIMILAR ROLES IN MEMBER ORGANIZATIONS, MARKET DATA, AND REGIONAL PUBLIC SALARY DATA WHEN DETERMINING COMPENSATION FOR SENIOR LEADERSHIP. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G CLINICAL CONTRACTUAL: PROGRAM SERVICE EXPENSES 55,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,600.