2021-11-05T19:46:22-05:00 2020-12-31 366055558 GRANT THORNTON LLP 757 THIRD AVENUE 3RD FLOOR NEW YORK NY 100172013 990 2020-01-01 141640868 MVP HEALTH PLAN INC MVPH 5183882357 625 STATE STREET SCHENECTADY NY 12305 KARLA AUSTEN TREASURER 5183882357 2021-11-05 1 KARLA AUSTEN XXX-XX-XXXX SCOTT THOMPSETT P00741490 2125990100 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRISTOPHER DEL VECCHIO 625 STATE STREET SCHENECTADY NY 12305 4095763715 0 X WWW.MVPHEALTHCARE.COM X 1982 NY SEE SCHEDULE O 9 9 1982 0 0 0 0 0 2672272355 2757614111 16330928 9406284 2206468 5313804 2690809751 2772334199 923545 1309996 0 0 594342 524552 0 0 0 2670687378 2745406259 2672205265 2747240807 18604486 25093392 717854791 843925304 279005084 379732295 438849707 464193009 X IMPROVING HEALTH. PROVIDING PEACE OF MIND. 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OFF. & HEAD OF SHARED SVCS. 27.36 10.14 X 498639 154024 29095 LAURIE METHENY CHIEF OF CUSTOMER ENGAGEMENT 26.75 10.75 X 388735 164905 34148 BRUCE HIMELSTEIN SR. LEADER, MEDICAL (THRU 1/20) 29.43 8.07 X 179155 42611 4050 DOMINICK BIZZARRO CHIEF OF INNOVATION 37.50 0.00 X 358438 107394 37785 KELLY SMITH CHIEF OF SALES 11.76 25.74 X 137221 300406 38176 LYNN MANNING VP, PEOPLE & TALENT (THRU 8/20) 27.36 10.14 X 496549 153378 39839 AUGUSTA MARTIN - VP PORTFOLIO & BUSINESS DEVELOPMENT 21.26 16.24 X 326645 136819 34293 JAMES HOPSICKER - SR LEADER HEALTH AND PHARMACY MGMT. 30.29 7.21 X 357055 84924 37049 KIMBERLY KILBY SR. LEADER, MEDICAL DIRECTOR TEAM 30.29 7.21 X 353042 83970 37646 IAN FLOR - SR LEADER OPERATIONS TRANSFORMATION 28.80 8.70 X 327341 98832 37825 WILLIAM REDDY FORMER DIRECTOR 0.00 0.00 X 51458 0 0 EMILY TITSWORTH FORMER SECRETARY 27.53 9.97 X 272971 81546 36774 9100130 2646014 1040010 413 1 1 0 MEDIA LOGIC USA LLC 59 WOLF ROAD ALBANY NY 12205 MEDIA RELATIONS/PR 6033205 CHANGE HEALTHCARE SOLUTIONS PO BOX 572490 MURRAY UT 84157 TECHNOLOGY SOLUTIONS 2432095 HITACHI SOLUTIONS AMERICA LTD 100 SPECTRUM CENTER DR SUITE 350 IRVINE CA 92618 TECHNOLOGY SOLUTIONS 2392806 TIVITY HEALTH PO BOX 116718 ATLANTA GA 30368 UTILIZATION FEES 1895627 ROSE AND KIERNAN 99 TROY ROAD EAST GREENBUSH NY 12061 BROKERAGE FIRM 1149247 63 MEDICAID PREMIUM 524114 1127238824 1127238824 MEDICARE PREMIUM 524114 781438195 781438195 COMMERCIAL PREMIUM 524114 714489339 714489339 ESSENTIAL PLAN PREMIUM 524114 123934127 123934127 OTHER GOVERNMENT PROGRAM PREMIUM 524114 10513626 10513626 2757614111 7937870 7937870 1324897930 1323429516 1468414 1468414 1468414 LEGAL SETTLEMENT 900099 3783700 3783700 MISCELLANEOUS REVENUE 900099 1530104 1530104 5313804 2772334199 2757614111 0 14720088 X 1309996 1309996 524552 524552 15361459 15361459 1854205 1854205 578848 578848 286798 286798 483398 483398 25276578 13805457 11471121 11139527 11139527 13518315 13518315 24010530 24010530 9281787 9281787 201590 201590 70371 1100 69271 2506 2506 129798137 129798137 2407764 2407764 1510483 1510483 HOSPITAL, PHYSICIAN, OT 1948977844 1948977844 PHARMACY 407503445 407503445 CAPITATED MEDICAL EXPEN 125057206 125057206 REGULATORY EXPENSE 28085468 28085468 2747240807 2524740516 222500291 0 3913117 12868696 98517945 188905818 25119308 2783389 79358592 80802806 8605397 9619483 121359980 98190669 17447179 23169311 146679616 163562869 338213637 362212932 717854791 843925304 24158179 44263744 29190433 42180380 225656472 293288171 279005084 379732295 X 171257452 185524671 267592255 278668338 438849707 464193009 717854791 843925304 X 25093392 6314206 578335 -6642631 X 0 1 X 1 1 1 21234253 12587093 8647160 100125727 85603576 14522151 23169311 STATUTORY DEPOSITS 141410969 MEDICARE PART D RECEIVABLES 26499046 DUE FROM AFFILIATES 1947055 CUMULATIVE CHANGE IN VALUE OF SUBSIDIARY 40198315 REINSURANCE RECOVERIES 21910438 PHARMACY REBATES 82413094 MISCELLANEOUS 2320248 PROVIDER ADVANCES 30165903 DUE FROM PROVIDERS 15347864 362212932 -92914 MEDICAL EXPENSE PAYABLE 229011814 MISCELLANEOUS PAYABLES 1188361 DUE TO STATE 18593136 RISK ADJUSTMENT PAYABLE 44587774 293288171 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, 2020 AND 2019, 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 AMERICAN RED CROSS OF EASTERN NEW YORK 33 EVERETT ROAD ALBANY NY 12205 530196605 501(C)(3) 15000 READY 365 BLOOD SAVES LIVES CAPITAL REPERTORY THEATRE 432 STATE STREET SCHENECTADY NY 12305 132894677 501(C)(3) 25000 THIRD PAYMENT, THEREP CAPITAL CAMPAIGN UNITED WAY OF THE GREATER CAPITAL REGION ONE UNITED WAY ALBANY NY 12212 141364505 501(C)(3) 35000 20/21 518 DAY, FIVE TO WATCH, OTHER EVENTS, 2019 MVP CORPORATE MATCH REGIONAL FOOD BANK OF NORTHEASTERN NEW YORK INC 965 ALBANY SHAKER ROAD LATHAM NY 12110 222470885 501(C)(3) 60000 CAPITAL CAMPAIGN CONTRIBUTION, COVID-19 RELIEF AMERICAN CANCER SOCIETY 1 PENNY LANE LATHAM NY 12110 131788491 501(C)(3) 10000 2020 GALA OF HOPE SCHENECTADY COMMUNITY COLLEGE FOUNDATION 78 WASHINGTON AVENUE SCHENECTADY NY 12305 237194187 501(C)(3) 15000 PYMT #2 - PROMISE COMMON FUTURE CAMPAIGN CITY MISSION OF SCHENECTADY 425 HAMILTON STREET SCHENECTADY NY 12305 141403652 501(C)(3) 36842 DOWNTOWN AMBASSADOR SUPPORT ALBANY MEDICAL FOUNDATION 43 NEW SCOTLAND AVENUE ALBANY NY 12208 146023119 501(C)(3) 45000 PATIENT PAVILION/ MEDSCOPE MVP GIFT FUND UNITED WAY OF GREATER ROCHESTER INC 75 COLLEGE AVENUE ROCHESTER NY 14607 161015782 501(C)(3) 35000 COVID-19 RELIEF, WORKFORCE DEVELOPMENT COLLABORATIVE BOYS & GIRLS CLUBS SCHENECTADY INC PO BOX 466 SCHENECTADY NY 12301 141364595 501(C)(3) 15000 CAPITAL CAMPAIGN DONATION PLEDGE #4 OF 5 UNIVERSITY OF ROCHESTER 300 EAST RIVER ROAD PO BOX 278996 ROCHESTER NY 14627 160743037 501(C)(3) 15000 SUPPORT GERIATRIC EDUCATION CENTER ALBANY COLLEGE OF PHARMACY AND HEALTH SCIENCES 106 NEW SCOTLAND AVENUE ALBANY NY 12208 141423161 501(C)(3) 20000 STUDENT OPERATED PHARMACY COMMUNITY FOUNDATION FOR THE GREATER CAPITAL REGION INC 2 TOWER PLACE ALBANY NY 12203 141505623 501(C)(3) 42500 BUILDING MINI GRANT PROGRAM , DIVERSITY, EQUITY, AND ACTION FUND NY COUNCIL OF NONPROFITS INC 272 BROADWAY ALBANY NY 12204 141343047 501(C)(3) 25000 CORPORATE GIVING GRANT - DIGITAL FUNDRAISING & CONSULTATION AND TRAINING JUNIOR ACHIEVEMENT OF CENTRAL UPSTATE NEW YORK INC 1 SOUTH WASHINGTON STREET SUITE 110 110 ROCHESTER NY 14614 160956147 501(C)(3) 45000 EDUCATIONAL PROGRAMMING CAPITAL ROOTS INC 594 RIVER STREET TROY NY 12180 141596291 501(C)(3) 30000 HEALTHY STORES SPONSORSHIP FOOD PANTRIES FOR THE CAPITAL DISTRICT INC 32 ESSEX STREET ALBANY NY 12206 141752164 501(C)(3) 15000 HEALTHY FOOD DELIVERY SCHENECTADY FOUNDATION INC 376 BROADWAY 2ND FLOOR SCHENECTADY NY 12305 611600398 501(C)(3) 25000 CONTRIBUTION FOR WEEKEND BACKPACK PARTNERSHIP, COVID-19 EMERGENCY RESPONSE COALITION BOYS & GIRLS CLUB OF THE CAPITAL AREA 21 DELAWARE AVENUE ALBANY NY 12210 141338303 501(C)(3) 10000 TEEN PROGRAM SUPPORT ADIRONDACK HEALTH CENTER PO BOX 471 SARANAC LAKE NY 12983 472920659 501(C)(3) 15000 GRANT FUNDING FOR COVID 19 CRISIS RESPONSE INTERFAITH PARTNERSHIP FOR THE HOMELESS 176 SHERIDAN AVENUE ALBANY NY 12210 141666321 501(C)(3) 5000 IPH'S HLTHY CONNECTION PROGRAM TRINITY ALLIANCE OF THE CAPITAL REGION INC 15 TRINITY PLACE ALBANY NY 12202 141340122 501(C)(3) 15921 NEW PARENTS PROGRAM & NON-FOOD PANTRY WELLSPRING 480 BROADWAY SARATOGA SPRINGS NY 12866 141644567 501(C)(3) 5000 SUPPORT DOMESTIC VIOLENCE SHELTER CAPITAL DISTRICT WOMEN'S BAR ASSOCIATION 24 AVIATION ROAD SUITE 101 ALBANY NY 12205 133841519 501(C)(3) 7500 FORECLOSURE PROGRAM SUPPORT EL CENTRO HISPANO INC 346 SOUTH LEXINGTON AVENUE WHITE PLAINS NY 10606 134149424 501(C)(3) 17000 UNDERWRITE STUDENT FEES DUE TO VIRTUAL TEACHING OPEN DOOR FOUNDATION INC 165 MAIN STREET OSSINING NY 10562 133598184 501(C)(3) 15000 REFORMER SPONSORSHIP OPEN DOOR POWER UP UNITED WAY OF THE DUTCHESS-ORANGE REGION INC 75 MARKET STREET POUGHKEEPSIE NY 12601 061045698 501(C)(3) 5000 COVID-19 FUND SARATOGA INSTITUTE 110 SPRING STREET SARATOGA SPRINGS NY 12866 141664693 501(C)(3) 10000 2020-21 CONTRIBUTION, FOUNDING SPONSOR GRANT FOOD BANK FOR WESTCHESTER 200 CLEARBROOK ROAD ELMSFORD NY 10523 133507988 501(C)(3) 15000 MOBILE SCHOOL PANTRIES GRANT SOCIAL ENTERPRISE AND TRAINING CENTER INC 131 STATE STREET SCHENECTADY NY 12305 473946521 501(C)(3) 10000 20-21 GRANT AWARD TECHNOLOGY & NUTRITIOUS FOOD HOMELESS & TRAVELERS AID SOCEITY 138 CENTRAL AVENUE ALBANY NY 12206 141482188 501(C)(3) 10000 CAP REG FURNITURE BANK CORNELL COOPERATIVE EXTENSION ALBANY COUNTY 24 MARTIN ROAD VOORHEESVILLE NY 12186 146036881 501(C)(3) 20000 GHHI 2020 EMPIRE CENTER FOR PUBLIC POLICY 30 SOUTH PEARL STREET SUITE 1210 ALBANY NY 12207 461987418 501(C)(3) 12000 ANNUAL CONTRIBUTION COMMUNITY RESOURCE CENTER 134 CENTER AVE MAMARONECK NY 10543 311678682 501(C)(3) 10000 BUILDING OUR FUTURE THE RED BOOKSHELF INC 22 VALLEYVIEW DRIVE ALBANY NY 12208 811450799 501(C)(3) 20000 ART OF STORYTELLING PROGRAM - SUPPLIES AND MATERIALS, READING IS OUR RIGHT PROGRAM - BOOKS MECHANICVILLE AREA COMMUNITY CENTER INC 6 SOUTH MAIN STREET MECHANICVILLE NY 12118 141536118 501(C)(3) 7500 DONATION OF FUNDS TOWARD VAN PURCHASE WESTCHESTER COMMUNITY FOUNDATION 210 NORTH CENTRAL AVENUE SUITE 310 HARTSDALE NY 10530 136089923 501(C)(3) 20000 WESTCHESTER WORKFORCE FUND JOSEPH'S HOUSE & SHELTER INC 74 FERRY STREET TROY NY 12180 141636163 501(C)(3) 20000 COVID RELIEF GRAND STREET COMMUNITY ARTS INC 68 GRAND STREET ALBANY NY 12202 300195212 501(C)(3) 10900 UNDERWRITING PACKAGE 2020/21 FUNDING CENTER FOR DISABILITY SERVICES INC 314 SOUTH MANNING BOULEVARD ALBANY NY 12208 141425851 501(C)(3) 12632 EMPLOYMENT/ EDUCATION/ RESIDENTIAL EQUINOX INC 500 CENTRAL AVENUE ALBANY NY 12206 141437421 501(C)(3) 12632 TEMP HOUSING/ FAMILY SUPPORT NORTHERN RIVERS FAMILY SERVICES INC 60 ACADEMY ROAD ALBANY NY 12208 460759782 501(C)(3) 12632 EDUCATION/ FAMILY SUPPORT UNITY HOUSE OF TROY INC 2431 6TH AVENUE TROY NY 12180 232378930 501(C)(3) 8421 FOOD/ HOUSING/ EDUCATION FAMILY SUPPORT LEGAL AID SOCIETY OF NORTHEASTERN NEW YORK INC 95 CENTRAL AVENUE ALBANY NY 12206 141338448 501(C)(3) 8421 FAIRNESS, DIGNITY AND JUSTICE FOR THOSE LIVING IN POVERTY ROCHESTER EDUCATION FOUNDATION 250 MILL STREET ROCHESTER NY 14614 270132133 501(C)(3) 5000 BOOKS PROGRAM 45 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 DOES NOT CONDUCT ANY POST-GRANT INQUIRY OF THE 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 678886 203405 933607 279725 42595 12762 32207 9650 15036 4505 1702331 510047 0 0 PATRICK GLAVEY - VP MEDICARE SALES & RETAIL OUTREACH (THRU 8/20) 235273 0 251500 0 570794 0 452789 0 1076 0 1511432 0 434264 0 KARLA AUSTEN TREASURER 361671 141203 252802 98698 35618 13906 13323 5202 5801 2265 669215 261274 0 0 CATHERINE BUHLER CLANCY CHIEF OF OPERATIONS 291894 123090 207323 87427 24827 10469 13030 5495 13666 5763 550740 232244 0 0 MONICE BARBERO SECRETARY 306716 91628 229338 68512 2841 848 39384 11766 6174 1844 584453 174598 0 0 LYNN MANNING VP, PEOPLE & TALENT (THRU 8/20) 166583 51456 174870 54015 155096 47907 29474 9104 963 298 526986 162780 15470 4778 MICHAEL DELLA VILLA - CHIEF INFO. OFF. & HEAD OF SHARED SVCS. 287933 88940 191766 59234 18940 5850 9664 2985 12565 3881 520868 160890 0 0 LAURIE METHENY CHIEF OF CUSTOMER ENGAGEMENT 218936 92875 154472 65528 15327 6502 13007 5518 10969 4654 412711 175077 0 0 CARL CAMERON CHIEF MEDICAL OFFICER 306929 73002 113961 27105 22806 5425 14966 3559 12787 3042 471449 112133 0 0 DOMINICK BIZZARRO CHIEF OF INNOVATION 358438 107394 0 0 0 0 14081 4219 14993 4492 387512 116105 0 0 AUGUSTA MARTIN - VP PORTFOLIO & BUSINESS DEVELOPMENT 228568 95737 87534 36665 10543 4417 13056 5469 11114 4654 350815 146942 0 0 JAMES HOPSICKER - SR LEADER HEALTH AND PHARMACY MGMT. 254347 60495 92445 21988 10263 2441 14966 3559 14965 3559 386986 92042 0 0 KELLY SMITH CHIEF OF SALES 96788 211888 36059 78941 4374 9577 5668 12410 6302 13796 149191 326612 0 0 KIMBERLY KILBY SR. LEADER, MEDICAL DIRECTOR TEAM 270835 64417 82207 19553 0 0 14784 3516 15629 3717 383455 91203 0 0 IAN FLOR - SR LEADER OPERATIONS TRANSFORMATION 227638 68729 90635 27365 9068 2738 14229 4296 14824 4476 356394 107604 0 0 EMILY TITSWORTH FORMER SECRETARY 189858 56718 75535 22565 7578 2263 14264 4261 14051 4198 301286 90005 0 0 BRUCE HIMELSTEIN SR. LEADER, MEDICAL (THRU 1/20) 43490 10344 0 0 135665 32267 0 0 3272 778 182427 43389 0 0 WILLIAM REDDY FORMER DIRECTOR 51458 0 0 0 0 0 0 0 0 0 51458 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A: THE PAYMENT OF THESE EXPENSES ARE PAID AS PART OF THE TOTAL REWARDS PACKAGE TO EXECUTIVES AS REVIEWED WITHIN OUR OVERALL COMPENSATION PHILOSOPHY. FORM 990, SCHEDULE J, 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. FROM 990, SCHEDULE J, PART I, LINE 4A: THE FOLLOWING EMPLOYEES RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2020; THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). GLAVEY, PATRICK $117,822 MANNING, LYNN $155,033 HIMELSTEIN, BRUCE $127,012 FORM 990, SCHEDULE J, 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). THE FOLLOWING OFFICERS AND KEY EMPLOYEES RECEIVED PAYMENTS UNDER THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR: GLAVEY, PATRICK $434,264 MANNING, LYNN $20,248 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 2020. 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. FORM 990, SCHEDULE J, PART I, LINE 6B: 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 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 2020, MVP HAD MEDICAID MANAGED CARE, CHILD HEALTH PLUS (CHP), HEALTH AND RECOVERY PLAN (HARP), AND ESSENTIAL PLAN ENROLLMENT OF 236,074 IN NEW YORK STATE. MVP MEDICARE ADVANTAGE ENROLLMENT TOTALED 67,745 DURING 2020 THROUGH ITS MEDICARE ADVANTAGE CONTRACTS. MVP ALSO HAD 2020 COMMERCIAL (LARGE AND SMALL GROUP AND INDIVIDUAL) HMO ENROLLMENT TOTALING 99,071. 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 2020, 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. 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 A 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. MVP MAINTAINED UPDATED WEBSITE PAGES, MVPHEALTHCARE.COM/COVID19, AND ONGOING MEMBER EMAILS AND OTHER COMMUNICATIONS TO KEEP MEMBERS INFORMED. IN ADDITION TO THE MYERNOW, MVP CONTINUED TO OFFER VIRTUAL CARE SERVICES THROUGH MYVISITNOW. 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 2020, MVP CONTINUED TO OFFER LIVING WELL PROGRAMS VIRTUALLY 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). THROUGH THE 2020 CMS STARS PROGRAM, HEALTH PLANS WERE COMPARED TO STATE AND NATIONAL BENCHMARKS AS WELL AS THE PERFORMANCE OF OTHER HEALTH PLANS 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 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. MVP CHOSE TO OPT OUT OF REPORTING THE 2020 QRS RATING FOR THE VT EXCHANGE PRODUCTS. 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 INFILTRATES ALL THAT MVP DOES - TO HELP CREATE HEALTHY COMMUNITIES. TO SUPPORT THIS VISION, MVP IS FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH WITH MORE THAN $1,300,000 IN FUNDING DIRECTED 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 IN ADDITION TO EMPLOYEE ENGAGEMENT VOLUNTEERING IN THE COMMUNITY THROUGH VIRTUAL AND ONSITE VOLUNTEER ACTIVITIES. WORKING WITH COMMUNITY BASED NOT-FOR-PROFIT ORGANIZATIONS AND HOSPITALS, MVP PROVIDED FINANCIAL SUPPORT FOR SUCH PROGRAMS AS: COMPANY-WIDE: - DRIVING EFFORTS DURING THE PANDEMIC TO PROVIDE PPE TO CBOS, PROVIDING SANITIZING SPRAYERS TO AREA POLICE AND FIRE DEPARTMENTS, FINANCIAL SUPPORT FOR FOOD DRIVES AND PROGRAMS. - COATS FOR KIDS: WITH THIS ALL-COMPANY EFFORT, COMBINING NEW AND USED COAT DONATIONS, AS WELL AS COATS PURCHASED BY MVP, MORE THAN 6500 COATS WERE DISTRIBUTED TO CHILDREN IN NEED ACROSS NEW YORK STATE. VOLUNTEERISM: - DURING THE PANDEMIC, EMPLOYEES VOLUNTEERED IN LEADING AND ASSISTING WITH FOOD DRIVES, ASSISTED WITH COORDINATING SERVICES FOR A FOOD DELIVERY SYSTEM AS WELL AS DELIVERED MEAL BOXES TO THOSE IN NEED; CAPITAL REGION, NY: - PARTNERED WITH THE ALLIANCE FOR BETTER HEALTH TO DEVELOP PROJECTS THAT WOULD ENHANCE SERVICES TO THOSE IN NEED IN THE COMMUNITY WHILE CONNECTING COMMUNITY-BASED ORGANIZATIONS (CBOS) AND THEIR CLIENTS WITH A CLOSED-LOOP REFERRAL SYSTEM (UNITEUS) THAT ENSURES THE CLIENTS ARE RECEIVING THE NECESSARY SERVICES TO REDUCE SOCIAL DETERMINANTS OF HEALTH (SDOH); - JOINED A COALITION TO PROVIDE FUNDING TO SUPPORT THE NEEDS OF CBOS AND THEIR CLIENTS DURING THE PANDEMIC INCLUDING SUPPORT FOR FOOD, STAFFING NEEDS AND PPES; - SUPPORTED CAPITAL ROOTS' HEALTHY STORES INITIATIVE 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; - LED 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 BEYOND THE SANCTUARY WITH A GRANT TO ASSIST UNDER-SERVED BLACK AND BROWN COMMUNITY MEMBERS WITH EDUCATIONAL RESOURCES, FOOD PANTRY, JOB READINESS PROGRAM AND WINTER ATTIRE FOR THOSE IN NEED. FUNDED A SUPPORT PROGRAM WITH ROCOVERY, DEDICATED TO ASSISTING THOSE IN RECOVERY FROM DRUGS AND ALCOHOL, AND THE RESIDENCE PROGRAM FROM THE UNIVERSITY OF ROCHESTER MEDICAL SCHOOL PROVIDING SUPPORT THROUGH GROUP SESSIONS, EDUCATIONAL PROGRAMS ABOUT FOOD AND NUTRITION, FITNESS AND OVERALL HEALTH AND WELLNESS. GRANTS WERE PROVIDED TO THE UNITED WAY OF ROCHESTER FOR COVID RELIEF AS WELL AS WORKFORCE TRAINING. CONTRIBUTED TO THE ROCHESTER EDUCATION FOUNDATIONS BOOK GIVEAWAY FROM UNDERSERVED YOUTH IN MONROE COUNTY. FORM 990, PART III, LINE 4A 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; - BY PARTNERING WITH THE POUGHKEEPSIE SCHOOL DISTRICT TO PROMOTE SUMMER READING, MVP WAS ABLE TO DISTRIBUTE OVER 2,500 BOOKS TO CHILDREN IN UNDERSERVED COMMUNITIES AT THE POUGHKEEPSIE SUMMER MEALS PROGRAMS. - PROVIDED FUNDING SUPPORTING THE CONSTRUCTION OF A NEW STEM STARTER ACADEMY IN MT. VERNON, NY. THIS STEM ACADEMY WILL HOST PROGRAMMING FOR SCHOOL AGED CHILDREN BY PARTNERING WITH MONTEFIORE HEALTH, REGENERON, MVP HEALTH CARE, MT. VERNON SCHOOL DISTRICT AND OTHER COMMUNITY BASED EDUCATIONAL ORGANIZATIONS IN WESTCHESTER COUNTY. - PROVIDED FUNDING IN SUPPORT OF THE CONSTRUCTION OF A REGIONAL FOOD DISTRIBUTION CENTER TO BE LOCATED IN NEWBURGH, NY. - PROVIDED FUNDING TO NEW YORK COUNCIL OF NONPROFITS TO PROVIDE VIRTUAL TRAINING PROGRAMS TO ASSIST NON-PROFITS IN NAVIGATING AND SUSTAINING THROUGH CLOSURES DUE TO THE PANDEMIC. 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 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC (UPON REQUEST) IN ACCORDANCE WITH APPLICABLE LAWS AND REGULATIONS. FORM 990, PART VII, SECTION A, LINE 2: THE NUMBER OF INDIVIDUALS REPORTED ONLY INCLUDES DIRECTORS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES THAT RECEIVED GREATER THAN OR EQUAL TO $100,000 IN REPORTABLE COMPENSATION DURING THE YEAR. ALL EMPLOYEE COMPENSATION EXCEPT FOR DIRECTOR COMPENSATION IS RECORDED IN THE MANAGEMENT ALLOCATION AND THIS ALLOCATION DOES NOT INCLUDE DETAIL BY EMPLOYEE. FOR FORM 990 REPORTING PURPOSES, THE ORGANIZATION TRACKS ALLOCATED COMPENSATION FOR SELECT INDIVIDUALS, INCLUDING DIRECTORS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. FORM 990, PART IX, LINES 5-9: ALL SALARIES PAID TO EMPLOYEES OF 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 -6,736,104. CHANGE IN INVESTMENT IN HHP 93,473. 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