2022-11-10T13:21:53-06:00 2021-12-31 366055558 GRANT THORNTON LLP 757 THIRD AVENUE 3RD FLOOR NEW YORK NY 100172013 990 2021-01-01 141640868 MVP HEALTH PLAN INC MVPH 5183882357 625 STATE STREET SCHENECTADY NY 12305 KARLA AUSTEN TREASURER 5184274600 2022-11-10 1 KARLA AUSTEN XXX-XX-XXXX SCOTT THOMPSETT P00741490 2125990100 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHRISTOPHER DEL VECCHIO 625 STATE STREET SCHENECTADY NY 12305 3409535934 0 X WWW.MVPHEALTHCARE.COM X 1982 NY SEE SCHEDULE O 9 9 2013 0 0 0 0 0 2757614111 2987229016 9406284 14773808 5313804 117223 2772334199 3002120047 1309996 902191 0 0 524552 729672 0 0 0 2745406259 3021104496 2747240807 3022736359 25093392 -20616312 843925304 792531200 379732295 375693591 464193009 416837609 X IMPROVING HEALTH. PROVIDING PEACE OF MIND. SERVING UPSTATE NY AND VT COMMUNITIES INCLUDING THEIR NY MEDICAID, CHIP, HARP, ESSENTIAL PLAN, MEDICARE & EXCHANGE POPULATIONS. 0 0 2789720936 902191 2987229016 SEE SCHEDULE O 2789720936 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 13719 0 1 2013 1 0 0 0 0 0 0 0 0 1 0 X 9 9 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KARLA A AUSTEN 5183882357 625 STATE STREET SCHENECTADY NY 12305 ALAN GOLDBERG CHAIRMAN 4.00 4.00 X X 89500 0 0 DAVID S PRATT MD VICE CHAIR 3.50 3.50 X X 80700 0 0 RICHARD D'ASCOLI DIRECTOR 3.00 3.00 X 65500 0 0 KEVIN O'CONNOR DIRECTOR 1.50 1.50 X 65500 0 0 BURT DANOVITZ DIRECTOR 3.00 3.00 X 63727 0 0 CURTIS LLOYD DIRECTOR 1.50 1.50 X 61500 0 0 MENG-LING HSIAO DIRECTOR 2.00 2.00 X 60500 0 0 KIMBERLY ZEOLI DIRECTOR 1.50 1.50 X 56500 0 0 LINDSAY FARRELL DIRECTOR 1.50 1.50 X 55500 0 0 CHRISTOPHER DEL VECCHIO PRESIDENT & CEO 29.82 7.68 X 2115986 544583 300946 KARLA AUSTEN TREASURER 27.35 10.15 X 713258 264804 27289 MONICE BARBERO SECRETARY 29.27 8.23 X 636709 179094 65218 DOMINICK BIZZARRO CHIEF GROWTH OFFICER 29.82 7.68 X 749356 192859 73954 CATHERINE BUHLER CLANCY CHIEF OPERATIONS OFFICER 26.96 10.54 X 574926 224683 39403 CARL CAMERON CHIEF MEDICAL OFFICER 30.39 7.11 X 610909 143044 35536 MICHAEL DELLA VILLA CHIEF INFORMATION OFFICER 29.15 8.35 X 552854 158414 34441 LAURIE METHENY CHIEF CUSTOMER EXPERIENCE OFFICER 30.55 6.95 X 529093 120363 42908 KELLY SMITH CHIEF OF SALES 21.88 15.62 X 288094 205767 38885 AMY HARLOW CHIEF TALENT OFFICER 29.15 8.35 X 272729 78147 5063 DENISE STASIK - SR LEADER QUALITY & CLINIC. COMP. (THRU 11/21) 30.39 7.11 X 417068 97656 138432 PATRICK ROOHAN - VP DATA SCIENCE & MEDICAL MANAGEMENT 30.39 7.11 X 438916 102772 23955 KIMBERLY KILBY - VP MEDICAL DIRECTOR HEALTH & WELL-BEING 30.22 7.28 X 388436 93564 38874 AUGUSTA MARTIN - VP STRATEGIC PROVIDER ENGAGEMENT & CARE MGMT. 30.39 7.11 X 384269 89976 35506 JAMES HOPSICKER VP, HEALTH AND PHARMACY MANAGEMENT 30.39 7.11 X 374977 87801 35506 EMILY TITSWORTH FORMER SECRETARY 29.27 8.23 X 283612 79774 36645 9930119 2663301 972561 394 1 1 0 MEDIA LOGIC USA LLC 59 WOLF ROAD ALBANY NY 12205 MEDIA RELATIONS/PR 7443986 DIGITAL MOBILE INNOVATIONS PO BOX 203692 DALLAS TX 75320 TECHNOLOGY SOLUTIONS 5808862 CHANGE HEALTHCARE SOLUTIONS PO BOX 572490 MURRAY UT 84157 TECHNOLOGY SOLUTIONS 2423961 HITACHI SOLUTIONS AMERICA LTD 100 SPECTRUM CENTER DRIVE IRVINE CA 92618 TECHNOLOGY SOLUTIONS 2098389 TIVITY HEALTH PO BOX 116718 ATLANTA GA 30368 UTILIZATION FEES 1806700 118 MEDICAID PREMIUM 524114 1339775329 1339775329 MEDICARE PREMIUM 524114 769888822 769888822 COMMERCIAL PREMIUM 524114 662503016 662503016 ESSENTIAL PLAN PREMIUM 524114 145984267 145984267 CHILD HEALTH PLUS 524114 61502555 61502555 7575027 7575027 2987229016 5844629 5844629 416345066 407415887 8929179 8929179 8929179 MISCELLANEOUS REVENUE 900099 117223 117223 117223 3002120047 2987229016 0 14891031 X 902191 902191 729672 729672 17979165 17979165 1617972 1617972 901744 901744 189775 189775 532484 532484 25644489 12704821 12939668 10801576 10801576 13258533 13258533 26686859 26686859 8095897 8095897 34838 34838 125273 1000 124273 129511942 129511942 3957723 3957723 1744682 1744682 HOSPITAL,PHYSICIAN,OT 2202924353 2202924353 PHARMACY 450622591 450622591 CAPITATED MEDICAL EXP. 119173738 119173738 REGULATORY EXPENSE 3392242 3392242 3908620 3908620 3022736359 2789720936 233015423 0 12868696 85799850 188905818 18951320 2783389 9236679 80802806 81003865 9619483 9462290 128727900 101998740 23169311 26729160 163562869 175913882 250000 362212932 385184154 843925304 792531200 44263744 44182395 42180380 33430711 293288171 298080485 379732295 375693591 X 185524671 125189420 278668338 291648189 464193009 416837609 843925304 792531200 X -20616312 -11858661 -14880427 X 0 1 X 1 1 1 22057742 13505553 8552190 106670158 88493187 18176970 26729160 STATUTORY DEPOSITS 142418290 MEDICARE PART D RECEIVABLES 44373682 DUE FROM AFFILIATES 3462937 REINSURANCE RECOVERIES 32151533 PHARMACY REBATES 96490522 MISCELLANEOUS 3669062 PROVIDER ADVANCES 30165903 DUE FROM STATE 32452225 385184154 2369003 MEDICAL EXPENSE PAYABLE 253892193 MISCELLANEOUS PAYABLES 1100296 RISK ADJUSTMENT PAYABLE 32317680 DUE TO AFFILIATES 2891196 DEFERRED RENT 5510117 298080485 X PART X, LINE 2: TO ACCOUNT FOR UNCERTAINTY IN INCOME TAXES, A TAX POSITION CAN BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS ONLY WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE RELEVANT TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. A POSITION THAT MEETS THIS STANDARD IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT WILL MORE LIKELY THAN NOT BE REALIZED UPON SETTLEMENT. A LIABILITY IS ESTABLISHED FOR DIFFERENCES BETWEEN POSITIONS TAKEN IN A TAX RETURN AND AMOUNTS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE UNRECOGNIZED TAX BENEFITS OF THE PLAN ARE NOT EXPECTED TO SIGNIFICANTLY CHANGE OVER THE NEXT 12 MONTHS. THE PLAN'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS AS A COMPONENT OF PRETAX INCOME. AS OF DECEMBER 31, 2021 AND 2020, THE COMPANY HAD NO INTEREST AND PENALTIES INCLUDED AS A COMPONENT OF UNRECOGNIZED TAX BENEFIT. THERE WAS NO INTEREST AND PENALTIES PERTAINING TO UNCERTAIN TAX POSITIONS RECOGNIZED IN THE CONSOLIDATED STATEMENT OF OPERATIONS. 1 CAPITAL DISTRICT WOMEN'S BAR ASSOCIATION 24 AVIATION ROAD SUITE 101 ALBANY NY 12205 133841519 501(C)(3) 130000 0 ELDER LAW ASSISTANCE PROGRAM NORTHEAST STEM ACADEMY 50 COLUMBUS AVENUE TUCHAHOE NY 10707 463284375 501(C)(3) 75000 0 SUPPORT OF NSSA STAKEHOLDER RELATIONSHIP - INFORMAL LEARNING CENTER ALBANY MEDICAL FOUNDATION 43 NEW SCOTLAND AVENUE ALBANY NY 12208 146023119 501(C)(3) 100000 0 DONT HESITATE - VACCINATE CAMPAIGN CAPITAL ROOTS INC 594 RIVER STREET TROY NY 12180 141596291 501(C)(3) 35000 0 HEALTHY STORES SPONSORSHIP CITY MISSION OF SCHENECTADY PO BOX 1816 SCHENECTADY NY 12301 141403652 501(C)(3) 32500 0 2021 AMBASSADOR PROGRAM - PALACE THEATER CAPITAL REPERTORY THEATRE 432 STATE STREET SCHENECTADY NY 12305 132894677 501(C)(3) 25000 0 THE REP CAPITAL CAMPAIGN UNITED WAY OF THE GREATER CAPITAL REGION 1 STEUBEN PLACE ALBANY NY 12207 141364505 501(C)(3) 25000 0 518 DAY PRESENTING SPONSORSHIP SCHENECTADY FOUNDATION INC 376 BROADWAY 2ND FLOOR SCHENECTADY NY 12305 611600398 501(C)(3) 25000 0 WEEKEND BACKPACK PARTNERSHIP BLUELIGHT DEVELOPMENT 135 SOUTH PEARL STREET ALBANY NY 12202 813475487 501(C)(3) 25000 0 SOUTH END GROCERY AND CULTURAL DEVELOPMENT OPEN DOOR FOUNDATION INC 2 CHURCH STREET SUITE 101 OSSINING NY 10562 133598184 501(C)(3) 20000 0 BEST START PROGRAM COMMUNITY FUNDS INC 4 CHASE METROTECH CENTER BROOKLYN NY 11245 136089923 501(C)(3) 20000 0 WESTCHESTER WORKFORCE FUND CATHOLIC CHARITIES COMMUNITY 27 MATTHEWS STREET GOSHEN NY 10924 320151827 501(C)(3) 18500 0 GRANT FOR PURCHASE OF FOOD DELIVERY VAN EL CENTRO HISPANO INC 346 SOUTH LEXINGTON AVENUE WHITE PLAINS NY 10606 134149424 501(C)(3) 17000 0 TUTORING PROGRAM - ELMSFORD UNION FREE SCHOOL DISTRICT AMERICAN RED CROSS OF EASTERN NEW YORK 33 EVERETT ROAD ALBANY NY 12205 530196605 501(C)(3) 15000 0 SICKLE CELL PROGRAM HUDSON VALLEY CC FOUNDATION 80 VANDENBURGH AVENUE TROY NY 12180 222427015 501(C)(3) 15000 0 PUBLIC HEALTH SCHOLORSHIP PLEDGE SCHENECTADY COMMUNITY COLLEGE FOUNDATION 78 WASHINGTON AVENUE SCHENECTADY NY 12305 237194187 501(C)(3) 15000 0 COMMON FUTURE CAMPAIGN CAPITAL DISTRICT YMCA PO BOX 12640 151 VLY ROAD ALBANY NY 12205 141726531 501(C)(3) 15000 0 2021 CAMPAIGN PLEDGE ADIRONDACK MEDICAL CENTER PO BOX 471 SARANAC LAKE NY 12983 141731786 501(C)(3) 15000 0 GRANT FUNDING FOR MOBILE COVID 19 TESTING SUPPORT BOYS & GIRLS CLUBS SCHENECTADY PO BOX 466 SCHENECTADY NY 12301 141364595 501(C)(3) 15000 0 2021 CAPITAL CAMPAIGN UNIVERSITY OF ROCHESTER 300 EAST RIVER ROAD PO BOX 278996 ROCHESTER NY 14627 160743037 501(C)(3) 15000 0 2021 GERIATRICS & AGING GRANT FOOD PANTRIES FOR THE CAPITAL DISTRICT INC 32 ESSEX STREET ALBANY NY 12206 141752164 501(C)(3) 15000 0 THE FOOD PANTRIES PATNERSHIP (COMMUNITIY RESOURCE HUB/FOOD EXPRESS) UNITED WAY OF WESTCHESTER & PUTNAM INC 336 CENTRAL PARK AVENUE WHITE PLAINS NY 10606 131997636 501(C)(3) 15000 0 LITERACY PROJECT CORNELL COOPERATIVE EXTENSION - SERVICES OF ORANGE COUNTY 24 MARTIN ROAD VOORHEESVILLE NY 12186 146036881 501(C)(3) 15000 0 SUPPORT GREEN & HEALTHY HOMES INITIATIVES HEALTHY ALLIANCE IPA 403 FULTON STREET 2ND FLOOR TROY NY 12180 872992168 501(C)(3) 15000 0 PROGRAM ASSISTANCE FOR FAMILIES IN NEED YWCA OF SCHENECTADY 44 WASHINGTON AVENUE SCHENECTADY NY 12305 141340139 501(C)(3) 15000 0 2021 PARTNERSHIP - SHELTER EMPIRE CENTER FOR PUBLIC POLICY 30 SOUTH PEARL STREET NO 1210 ALBANY NY 12207 461987418 501(C)(3) 12000 0 2021 ANNUAL CONTRIBUTION PALACE THEATRE 19 CLINTON AVENUE ALBANY NY 12207 141708151 501(C)(3) 10000 0 MARQUEE INITIATIVE DONATION LIFESPAN OF GREATER ROCHESTER 1900 SOUTH CLINTON AVENUE ROCHESTER NY 14618 160986298 501(C)(3) 10000 0 HOME SAFE PROGRAM CATHOLIC CHARITIES OF THE DIOCESE OF ALBANY PO BOX 28 RENSSELAER NY 12144 141340033 501(C)(3) 10000 0 HEALTHY FOOD PANTRY PROGRAM - RENSSELAER COUNTY TRINITY ALLIANCE OF CAPITAL REGION 15 TRINITY PLACE ALBANY NY 12202 141340122 501(C)(3) 10000 0 2021 FAMILY/NGHBRHD RESOURCE CTR SEAT CENTER 131 STATE STREET SCHENECTADY NY 12305 473946521 501(C)(3) 10000 0 2021 GRANT AWARD BEYOND THE SANCTUARY 549 CLARISSA STREET ROCHESTER NY 14608 834557198 501(C)(3) 10000 0 DRIVE TO SUCCESS PROGRAM CEK RN CONSULTING INC 1 STEUBEN PLACE ALBANY NY 12207 099723919 501(C)(3) 10000 0 APPRENTICESHIP PROGRAM GEORGE BIDDLE KELLEY EDUCATION FOUNDATION PO BOX 14692 ALBANY NY 12212 161772170 501(C)(3) 10000 0 COLLEGIATE SCHOLARS OF TOMORROW WHITNEY M YOUNG JR HEALTH CENTER INC 920 LARK DRIVE ALBANY NY 12207 132922147 501(C)(3) 7500 0 2021 DEVELOPMENT DONATION WELLSPRING 2816 US 9 MALTA NY 12020 141644567 501(C)(3) 7500 0 TO SUPPORT CREATION OF AN OUTDOOR RESPITE SPACE HOMELESS & TRAVELERS AID 138 CENTRAL AVENUE ALBANY NY 12035 141482188 501(C)(3) 7500 0 FURNITURE WAREHOUSE TRAINING PROGRAM SCHENECTADY COMMUNITY MINISTRIES PO BOX 1049 SCHENECTADY NY 12301 141548263 501(C)(3) 7500 0 SUPPORT ELLIS HEALTH CLINIC FRIENDS & FOUNDATION OF RPL 115 SOUTH AVENUE ROCHESTER NY 14604 161347453 501(C)(3) 7500 0 GRANT FOR CHILDREN'S LITERACY PROGRAM 49 PART I, LINE 2: THE ORGANIZATION FOCUSES ITS FINANCIAL COMMUNITY SUPPORT ON PROGRAMS AND EVENTS IN ITS SERVICE AREA THAT: 1) PROMOTE WELLNESS, FITNESS, AND HEALTHY LIFESTYLES 2) ENHANCE THE HEALTH OF INDIVIDUALS AND OUR COMMUNITIES 3) IMPROVE THE EFFICIENCY OF HEALTH CARE OR ENHANCE THE VITALITY OF THE CAPITAL REGION, ROCHESTER, MID-HUDSON REGION, VERMONT, OR A COMMUNITY WITHIN MVP'S SERVICE AREA PRIOR TO AUTHORIZING A GRANT, THE ORGANIZATION REQUIRES THE SELECTED ORGANIZATIONS TO VERIFY THEIR SECTION 501(C)(3) PUBLIC CHARITY STATUS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED TO FULFILL A CHARITABLE PURPOSE. THE ORGANIZATION REQUESTS RECAP REPORTS FROM GRANT RECIPIENTS. X X 0 1 X X X X X 1 1 0 0 0 0 1 0 0 CHRISTOPHER DEL VECCHIO PRESIDENT & CEO 675698 173902 1390955 357985 49333 12696 222918 57372 16428 4228 2355332 606183 0 0 DOMINICK BIZZARRO CHIEF GROWTH OFFICER 386236 99404 358005 92139 5115 1316 41590 10704 17227 4433 808173 207996 0 0 KARLA AUSTEN TREASURER 353135 131105 323334 120041 36789 13658 13746 5104 6154 2285 733158 272193 0 0 MONICE BARBERO SECRETARY 330575 92984 301846 84904 4288 1206 44214 12436 6687 1881 687610 193411 0 0 CATHERINE BUHLER CLANCY CHIEF OPERATIONS OFFICER 287316 112284 262258 102492 25352 9907 13553 5297 14778 5775 603257 235755 0 0 CARL CAMERON CHIEF MEDICAL OFFICER 303603 71089 281064 65811 26242 6144 15274 3576 13520 3166 639703 149786 0 0 MICHAEL DELLA VILLA CHIEF INFORMATION OFFICER 281638 80700 245170 70251 26046 7463 13545 3882 13224 3790 579623 166086 0 0 LAURIE METHENY CHIEF CUSTOMER EXPERIENCE OFFICER 274269 62393 233393 53095 21431 4875 21049 4789 13907 3163 564049 128315 0 0 DENISE STASIK - SR LEADER QUALITY & CLINIC. COMP. (THRU 11/21) 166280 38934 95711 22411 155077 36311 99944 23402 12224 2862 529236 123920 84671 19826 PATRICK ROOHAN - VP DATA SCIENCE & MEDICAL MANAGEMENT 227274 53216 197797 46314 13845 3242 17591 4119 1819 426 458326 107317 0 0 KELLY SMITH CHIEF OF SALES 173437 123876 100882 72053 13775 9838 10704 7645 11980 8556 310778 221968 0 0 KIMBERLY KILBY - VP MEDICAL DIRECTOR HEALTH & WELL-BEING 270068 65052 118368 28512 0 0 14828 3572 16500 3974 419764 101110 0 0 AUGUSTA MARTIN - VP STRATEGIC PROVIDER ENGAGEMENT & CARE MGMT. 257478 60288 113341 26539 13450 3149 15274 3576 13496 3160 413039 96712 0 0 JAMES HOPSICKER VP, HEALTH AND PHARMACY MANAGEMENT 255411 59804 107430 25155 12136 2842 15274 3576 13496 3160 403747 94537 0 0 EMILY TITSWORTH FORMER SECRETARY 193487 54424 82496 23204 7629 2146 13445 3782 15155 4263 312212 87819 0 0 AMY HARLOW CHIEF TALENT OFFICER 252616 72384 18934 5425 1179 338 2915 835 1021 292 276665 79274 0 0 PART I, LINE 1B THE PRESIDENT & CEO IS THE ONLY INDIVIDUAL RECEIVING THE BENEFITS REFLECTED IN SCHEDULE J, PART I, LINE 1. THE PAYMENT OF THESE EXPENSES ARE MADE AS PART OF HIS TOTAL REWARDS PACKAGE AND ARE REVIEWED TO ENSURE THEY ALIGN WITHIN THE ORGANIZATION'S OVERALL COMPENSATION PHILOSOPHY. PART I, LINE 4A: DENISE STASIK RECEIVED A $51,123 SEVERANCE PAYMENT IN CALENDAR YEAR 2021; THIS AMOUNT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). PART I, LINE 4B: DURING THE YEAR, SEVERAL OF THE PERSONS LISTED ON SCHEDULE J PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II, COLUMNS (B)(III) AND (C). DENISE STASIK RECEIVED A $104,496 PAYMENT UNDER THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR. WHILE OTHER INDIVIDUALS REPORTED ON THE FORM 990, SCHEDULE J PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, NO ONE ELSE RECEIVED A PAYOUT IN CALENDAR YEAR 2021. PAYOUTS FROM THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ARE REPORTED IN PART II, COLUMN (F) TO MAKE CLEAR THAT AMOUNTS PAID OUT WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION (IN COLUMN C) ON PREVIOUSLY FILED FORMS 990. PART I, LINE 6 RELATIVE TO BONUSES, MVP'S BOARD HAS A COMPENSATION COMMITTEE MADE UP OF FOUR BOARD MEMBERS WHO PROVIDE GOVERNANCE OVERSIGHT PROCEDURES TO ENSURE ADEQUATE BOARD OVERSIGHT OF ITS EXECUTIVE COMPENSATION PROGRAMS. THE COMPENSATION COMMITTEE MEETS AT LEAST TWO TIMES PER YEAR AND MAINTAINS FORMAL MINUTES EVIDENCING THIS OVERSIGHT. ADDITIONALLY, MVP ENGAGES AN INDEPENDENT CONSULTANT TO EVALUATE THE COMPETITIVENESS OF EXISTING REMUNERATION LEVELS FOR PURPOSES OF ATTRACTING AND RETAINING TALENTED STAFF AT ALL LEVELS. MVP PROVIDES BONUS PROGRAMS TO EMPLOYEES THAT TIE VARIABLE PAY AND INDIVIDUAL PERFORMANCE TO THE CORPORATE GOALS OF THE ORGANIZATION. THE PLANS INCLUDE LONG-TERM INCENTIVES FOR EXECUTIVES, MANAGEMENT INCENTIVES FOR MANAGEMENT-LEVEL AND ABOVE PERFORMANCE INCENTIVE FOR THE BALANCE OF THE ORGANIZATION. FORM 990, PART I, LINE 1 A NON-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION SERVING UPSTATE NY AND VT COMMUNITIES INCLUDING THEIR NY MEDICAID, CHIP, HARP, ESSENTIAL PLAN, MEDICARE & EXCHANGE POPULATIONS. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: THE ORGANIZATION, MVP HEALTH PLAN, INC. ("MVP"), IS A NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION (HMO) SERVING NEW YORK AND VERMONT COMMUNITIES, INCLUDING THEIR MEDICAID MANAGED CARE, CHILD HEALTH PLUS (CHP), HEALTH AND RECOVERY PLAN (HARP), ESSENTIAL PLAN, AND MEDICARE ADVANTAGE POPULATIONS. DURING THE YEAR 2021, MVP HAD MEDICAID MANAGED CARE, CHILD HEALTH PLUS (CHP), HEALTH AND RECOVERY PLAN (HARP), AND ESSENTIAL PLAN ENROLLMENT OF 254,581 IN NEW YORK STATE. MVP MEDICARE ADVANTAGE ENROLLMENT TOTALED 65,737 DURING 2021. MVP ALSO HAD COMMERCIAL (LARGE AND SMALL GROUP AND INDIVIDUAL) HMO ENROLLMENT TOTALING 93,779 IN 2021. WHILE SERVING THE POPULATIONS WHO RELY ON MEDICAID MANAGED CARE, CHP, HARP, AND ESSENTIAL PLAN IS CENTRAL TO MVP'S PURPOSE, MVP ALSO PROMOTES AND IMPROVES THE DELIVERY OF HEALTH CARE SERVICE IN THE COMMUNITY AND THE EFFICIENCY AND QUALITY OF HEALTH CARE SERVICES THROUGH ITS EFFORTS TO SERVE MEDICARE ADVANTAGE AND COMMERCIAL MEMBERSHIP. DURING 2021, MVP WAS COMMITTED TO SUPPORTING OUR MEMBERS' HEALTH AND WELL-BEING DURING THE COVID-19 PANDEMIC, ENSURING THEY HAD RELIABLE AND TIMELY INFORMATION ON TESTING, TREATMENT, RESOURCES, AND VIRTUAL SERVICES AVAILABLE TO THEM. IN MARCH 2020, MVP LAUNCHED MYERNOW, A 24/7 VIRTUAL EMERGENCY ROOM TELEMEDICINE SERVICE THAT GAVE MEMBERS VIRTUAL/DIGITAL ACCESS TO TRAINED MEDICAL PROFESSIONALS TO ASSESS THE NEED FOR COVID-19 TESTING AND OTHER URGENT/EMERGENT HEALTH CARE NEEDS. THROUGHOUT 2021, MYERNOW WAS AVAILABLE VIA MOBILE APP, WEB, OR PHONE. MVP ALSO HELPED TO LAUNCH A PSA CAMPAIGN, TRY TELEMEDICINE FIRST, FOR HEALTH CARE CONSUMERS ACROSS NY AND VT WITH TV COMMERCIALS, RADIO ANNOUNCEMENTS, BILLBOARDS, AND TRYTELEMEDICINEFIRST.COM; THE PSA WAS AIMED AT CONNECTING PEOPLE WITH VIRTUAL CARE SERVICES WHEN PROVIDER OFFICES AND HOSPITALS WERE CLOSED OR NOT ACCESSIBLE DUE TO THE PANDEMIC. IN 2021, MVP CONTINUED TO MAINTAIN AN UPDATED WEBSITE, MVPHEALTHCARE.COM/COVID19, AND DISTRIBUTE EMAILS AND OTHER COMMUNICATIONS TO KEEP MEMBERS INFORMED. IN ADDITION TO MYERNOW, MVP CONTINUED TO OFFER VIRTUAL CARE SERVICES THROUGH MYVISITNOW IN 2021. WITH MYVISITNOW, MVP MEMBERS HAVE 24/7 ACCESS TO ADULT AND PEDIATRIC URGENT CARE AND CAN SELF-SCHEDULE APPOINTMENTS WITH BEHAVIORAL HEALTH SPECIALISTS, PSYCHIATRISTS, LACTATION CONSULTANTS AND NUTRITION COUNSELORS. THROUGHOUT 2021, MVP CONTINUED TO OFFER VIRTUAL LIVING WELL PROGRAMS TO HELP KEEP MEMBERS ENGAGED AND ACTIVE AND CONTINUED TO SUPPORT MEMBERS WITH HEALTH AND WELL-BEING RESOURCES SUCH AS ONLINE WELL-BEING TOOLS, WEBINARS, AND AN ONLINE HEALTH LIBRARY. IN ADDITION TO THE ABOVE, MVP PARTICIPATES IN QUALITY AND SATISFACTION-FOCUSED PROGRAMS SPONSORED BY THE CENTERS FOR MEDICAID & MEDICARE SERVICES (CMS), WHICH ADMINISTERS THE CMS STARS PROGRAM, THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH), WHICH ADMINISTERS THE QUALITY ASSURANCE REPORTING REQUIREMENTS (QARR) PROGRAM AND MARKETPLACE PLAN REPORTING REQUIREMENTS FOR NEW YORK, THE VERMONT DEPARTMENT OF FINANCIAL REGULATION (DFR), WHICH ADMINISTERS THE MARKETPLACE REPORTING REQUIREMENTS FOR VERMONT, AND THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), WHICH ADMINISTERS THE VOLUNTARY HEALTH PLAN ACCREDITATION PROGRAM. THESE PROGRAMS REQUIRE THAT HEALTH PLANS COLLECT AND MONITOR INFORMATION PERTAINING TO THE QUALITY OF CARE DELIVERED AND MEMBER SATISFACTION EXPERIENCED BY MEMBERS WITH THE OVERALL GOAL OF IMPROVING AND MAINTAINING THE HEALTH AND SATISFACTION OF MEMBERS. QUALITY AND SATISFACTION ARE MEASURED BY INDUSTRY STANDARD TOOLS SUCH AS THE HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) AND CONSUMER ASSESSMENT OF HEALTH PLAN SURVEY (CAHPS). THE 2021 CMS STARS PROGRAM COMPARED HEALTH PLANS TO EACH OTHER AND TO STATE AND NATIONAL BENCHMARKS TO PROVIDE A NORMATIVE UNDERSTANDING OF PERFORMANCE AND A FRAME OF REFERENCE FOR IMPROVEMENT TARGETS. BASED UPON THE RESULTS OF THESE MEASUREMENTS, MVP ACHIEVED A RATING OF 4.5 STARS FOR ITS HMO MEDICARE PRODUCT AND 4.5 STARS FOR ITS PPO MEDICARE PRODUCTS. THESE STAR RATINGS ARE OUT OF A TOTAL POSSIBLE SCORE OF 5.0 STARS AND REPRESENT STRONG PERFORMANCE. OVERALL MVP'S PERFORMANCE REMAINS CREDIBLE AS COMPARED TO THE INDUSTRY AND MVP REMAINS COMMITTED TO ONGOING REVIEW OF THE QUALITY OF CARE DELIVERED TO ITS MEMBERS AND SATISFACTION OF ITS MEMBERS FOR NEW IMPROVEMENT OPPORTUNITIES. AS A NOT-FOR-PROFIT HMO, MVP HAS A RESPONSIBILITY TO SUPPORT THE COMMUNITIES WITHIN ITS SERVICE AREA. RECOGNIZING THAT COMMUNITY NEEDS ARE MULTIFACETED, MVP HAS AN OVERARCHING VISION THAT FLOWS THROUGHOUT ALL THAT MVP DOES TO HELP CREATE HEALTHY COMMUNITIES. TO SUPPORT THIS VISION, MVP IS FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH AND IN 2021 MVP DIRECTED MORE THAN $1,300,000 IN FUNDING TOWARD SUCH AREAS AS: ACCESS TO AND QUALITY OF HEALTH CARE; SOCIAL SUPPORT INCLUDING EMPLOYMENT, FOOD SECURITY, HOUSING SUPPORT AND CHILDCARE; AND AFTER-SCHOOL PROGRAMMING AND LITERACY. IN SPITE OF THE PANDEMIC, THIS FINANCIAL SUPPORT WAS COMPLEMENTED BY MVP'S EMPLOYEE ENGAGEMENT VOLUNTEERING IN THE COMMUNITY THROUGH VIRTUAL AND ONSITE VOLUNTEER ACTIVITIES. IN 2021 96% OF MVP'S GRANTS WERE FOCUSED ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH. WORKING WITH COMMUNITY BASED NOT-FOR-PROFIT ORGANIZATIONS AND HOSPITALS, MVP PROVIDED FINANCIAL SUPPORT FOR SUCH PROGRAMS AS: - COATS FOR KIDS: LED A COMMUNITYWIDE EFFORT TO SECURE AND PURCHASE MORE THAN 4400 COATS FOR CHILDREN IN NEED IN THE CAPITAL REGION. 400 COATS WERE ALSO DISTRIBUTED TO SENIOR CITIZENS IN YONKERS. VOLUNTEERISM: - DURING 2021 MORE THAN 850 EMPLOYEES VOLUNTEERED THROUGH MVP'S VOLUNTEER TIME-OFF PROGRAM BY ASSISTING WITH FOOD PACKING AND DRIVES, CLEANING PARKS AND PLAYGROUNDS, AND WORK TO SUPPORT THE COMMUNITY; - SUPPORTING CBOS IN THEIR WORK TO SUPPORT THE COMMUNITY CAPITAL REGION, NY: - PARTNERED WITH THE ALLIANCE FOR BETTER HEALTH TO PROVIDE OUTREACH/INTAKE SUPPORT FOR TWO SMALL BUT GROWING CBOS LEAD BY PEOPLE OF COLOR; - SUPPORTED A CBO FOCUSED ON LITERACY IN SECURING CULTURALLY DIVERSE BOOKS AND SUPPORTING OUTREACH AND DISTRIBUTION; - SUPPORTED CAPITAL ROOTS' HEALTHY STORES INITIATIVE BY BRINGING FRESH FRUITS AND VEGETABLES INTO CONVENIENCE STORES IN ECONOMICALLY CHALLENGED COMMUNITIES IN ALBANY, SCHENECTADY AND TROY AND UNDERWRITING THE PRODUCE CENTER AT THE URBAN GROW CENTER IN TROY; - CONTINUED TO LEAD A COALITION, INCLUDING OTHER FOUNDATIONS AND COMPANIES, TO SUPPORT A WEEKEND BACKPACK PROGRAM IN THE SCHENECTADY CITY SCHOOLS PROVIDING NUTRITIOUS FOOD FOR THE WEEKEND FOR MORE THAN 900 ELEMENTARY STUDENTS, AS WELL AS COUNTYWIDE; - CONTINUED TO SUPPORT THE IMPLEMENTATION OF THE GREEN & HEALTHY HOMES INITIATIVE (GHHI) BY ASSISTING THREE AREA COUNTIES IN STREAMLINING SERVICES TO IMPROVE AND REPAIR HOUSING. ROCHESTER, NY & CENTRAL NY REGION: - PROVIDED FUNDING TO THE UNIVERSITY OF ROCHESTER MEDICAL CENTER FOR THEIR GERONTOLOGY PROGRAM WHICH PROVIDES TRAINING TO HEALTH CARE WORKER, CARE GIVERS AND AGENCIES DEDICATED TO WORKING WITH OUR AGING POPULATION. - SUPPORTED A DRIVE TO SUCCESS PROGRAM DESIGNED TO ADDRESS SYSTEMIC INEQUITY AND DISPARITY IN THE CURRENT DRIVER'S LICENSE ACQUISITION PROCESS BY PROVIDING ONE-ON-ONE MENTORING, COACHING AND GUIDANCE TO INDIVIDUALS LIVING IN POVERTY TO HELP THEM NAVIGATE THE PROCESS OF OBTAINING A DRIVER'S LICENSE. - SUPPORTED SEVERAL LITERACY PROJECTS TO PROVIDE BOOKS TO CHILDREN ATTENDING WELLNESS VISITS AS WELL AS BACK-TO-SCHOOL BOOKS AND SUPPLIES HUDSON VALLEY AND NY METRO AREA: - CONTRIBUTED TO THE WESTCHESTER WORKFORCE FUNDERS COLLABORATIVE (WWFC), WHICH WORKS TO MEET CURRENT AND PROJECTED SKILL SHORTAGES FACED BY WESTCHESTER AND PUTNAM COUNTY EMPLOYERS IN HIGH-DEMAND SECTORS AND TO ENHANCE THE ECONOMIC MOBILITY OF RESIDENTS; - PARTNERED WITH UNITED WAY OF WESTCHESTER/PUTNAM TO PROVIDE NEW BOOKS TO CHILDREN IN THE OSSINING AND PUTNAM SCHOOL DISTRICTS EACH WEEK IN THE SUMMER. - PROVIDED FUNDING FOR A MOBILE FOOD PANTRY IN WESTCHESTER COUNTY SO THAT THEY COULD INCREASE FOOD AVAILABILITY THROUGHOUT THE SUMMER MONTHS. - PROVIDED FUNDING TO EXPAND A HIGH SCHOOL TUTORING PROGRAM IN WHITE PLAINS TO INCLUDE A NEIGHBORING SCHOOL DISTRICT. LOW INCOME COLLEGE STUDENTS FROM WHITE PLAINS RECEIVED A STIPEND TO PROVIDE TUTORING TO HIGH SCHOOL STUDENTS. - SUPPORTED A FQHC TO CREATE AND IMPLEMENT A HEALTH AND WELLNESS PROGRAM FOR NEW MOTHERS. THESE VARIED ACTIVITIES REPRESENT MVP'S STRONG COMMITMENT TO ITS NOT-FOR-PROFIT PURPOSE, BUT DO NOT REFLECT AN EXHAUSTIVE LIST OF THE CONTRIBUTIONS THAT MVP HAS MADE AND CONTINUES TO MAKE TO THE COMMUNITIES AND MEMBERSHIP POPULATION THAT IT SERVES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS MVPHP HOLDING COMPANY, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT TEAM (I.E. A TEAM COMPRISED OF REPRESENTATIVES OF THE FINANCE, HUMAN RESOURCES, AND LEGAL AFFAIRS DEPARTMENTS) IN CONSULTATION WITH THE ORGANIZATION'S TAX ACCOUNTANTS AT GRANT THORNTON, LLP. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C AS A TERM AND CONDITION OF EMPLOYMENT/APPOINTMENT, UPON EMPLOYMENT/APPOINTMENT AND ANNUALLY THEREAFTER, EACH EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT THEIR PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN: 1) MAKE A DETERMINATION AS TO WHETHER AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND 2) MONITOR WORK ASSIGNMENTS/RESPONSIBILITIES TO AVOID PLACING THE INDIVIDUAL IN A POSITION WHERE THERE MAY BE A QUESTION AS TO OBJECTIVITY AND TO AVOID ANY APPEARANCE OF IMPROPRIETY. EMPLOYEES AND OFFICERS ARE ALSO OBLIGATED TO PROMPTLY NOTIFY THEIR MANAGERS OF ANY CHANGES TO THEIR DISCLOSURES THROUGHOUT THE YEAR. ALSO, THE LEGAL AFFAIRS DEPARTMENT SUBMITS A COPY OF EMPLOYEES' (VP AND HIGHER) COMPLETED DISCLOSURE CONFLICT OF INTEREST FORMS TO THE AUDIT COMMITTEE OF THE BOARD. DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON APPOINTMENT/ELECTION AND ANNUALLY THEREAFTER DIRECTOR'S CONFLICT OF INTEREST DISCLOSURE FORMS ARE SUBMITTED TO THE LEGAL AFFAIRS DEPARTMENT. THE LEGAL AFFAIRS DEPARTMENT TRACKS THESE FORMS TO ENSURE THAT EACH AND EVERY DIRECTOR COMPLETES ONE. THE LEGAL AFFAIRS DEPARTMENT THEN REVIEWS THE DIRECTORS' DISCLOSURES, PREPARES A CHART LISTING EACH ONE AND PROVIDES A COPY OF THE CHART TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AND EACH DIRECTOR SO THAT ALL DIRECTORS ARE MADE AWARE OF ALL DIRECTORS' POTENTIAL CONFLICTS OF INTEREST. WHEN AN ISSUE WHICH PRESENTS A POTENTIAL CONFLICT OF INTEREST COMES BEFORE THE BOARD OF DIRECTORS, THE AFFECTED DIRECTOR MUST RECUSE HIMSELF/HERSELF FROM ALL RELATED VOTES OR APPROVALS. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT CONSULTANT IS HIRED ANNUALLY TO EVALUATE THE COMPENSATION ARRANGEMENTS FOR THE CEO AND THE CEO'S DIRECT REPORTS AND COMPARE THEM TO THE INDUSTRY STANDARDS TO DETERMINE/CONFIRM THAT THE COMPENSATION STRUCTURE IS REASONABLE. SUCH COMPENSATION ARRANGEMENTS ARE SUBJECT TO THE FINAL APPROVAL OF THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. THIS PROCESS MEETS THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION STANDARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC (UPON REQUEST) IN ACCORDANCE WITH APPLICABLE LAW AND REGULATION. FORM 990, PART IX, LINES 5-9: ALL SALARIES ALLOCATED TO MVP HEALTH PLAN, INC. ARE PAID BY A RELATED ENTITY, MVP SERVICE CORP. (SEE SCHEDULE R, PART IV). MVP HEALTH PLAN REIMBURSES MVP SERVICE CORP. FOR THESE EXPENSES AND RECORDS THE EXPENSE ON FORM 990, PART IX, LINE 21 AS A PAYMENT TO AFFILIATE RATHER THAN AS SALARY AND BENEFIT EXPENSES ON LINES 5 THROUGH 9. AMOUNTS REPORTED ON PART IX, LINE 5 REPRESENT THE FEES PAID BY MVP HEALTH PLAN TO BOARD OF DIRECTORS MEMBERS (AS REPORTED IN PART VII) FOR THEIR BOARD SERVICE. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -4,880,427. INTERCOMPANY TRANSFER TO MVPHP HOLDING COMPANY, INC. -10,000,000. 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