2015-11-13T09:59:28-06:00 2014-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 482431300 990 2014-01-01 161080163 INDEPENDENT HEALTH ASSOCIATION INC INDE 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 MICHAEL CROPP MD PRESIDENT & CEO 7166313001 2015-11-13 1 LORI BOYCE P00121981 3133963000 2014 2016-04-25 22:37:26Z MICHAEL CROPP MD 511 FARBER LAKES DRIVE BUFFALO NY 14221 1580744021 0 X WWW.INDEPENDENTHEALTH.COM X 1980 NY PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 20 14 1211 245 0 0 0 0 1357749152 1356181916 10701403 17318844 59650935 57141511 1428101490 1430642271 1410901 1948848 1182143416 1257009523 67458262 117915471 0 0 0 119971483 143739593 1370984062 1520613435 57117428 -89971164 738416788 712095782 189108086 252101096 549308702 459994686 X PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 0 0 1289141395 1948848 1356181916 SEE SCHEDULE O. 1289141395 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 1 1 1 1 0 1 203 0 1 1211 1 0 1 BD 0 0 0 0 0 0 0 0 X 20 14 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 0 NY X MICHAEL J FASO 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 STUART H ANGERT BOARD MEMBER 5.00 1.00 X 34000 0 1452 ANTHONY BAYNES BOARD MEMBER 5.00 0.00 X 34000 0 5345 FRANK J COLANTUONO BOARD MEMBER 5.00 0.00 X 30000 0 5831 SHAWN COTTON BOARD MEMBER 5.00 0.00 X 34000 0 5831 COLLEEN C DIPIRRO BOARD MEMBER 5.00 0.00 X 34000 0 5831 RENE F JONES BOARD MEMBER 5.00 0.00 X 0 0 0 DONNA M KELSCH BOARD MEMBER 5.00 0.00 X 37000 0 5831 ANTHONY B MARTINO BOARD MEMBER 5.00 0.00 X 41000 0 5831 BRENDA W MCDUFFIE BOARD MEMBER 5.00 0.00 X 34000 0 5831 YVONNE MINOR-RAGAN BOARD MEMBER 5.00 0.00 X 16500 0 0 DONALD ROBINSON BOARD MEMBER 5.00 0.00 X 52400 0 5831 EDWARD STEHLIK BOARD MEMBER 5.00 0.00 X 41425 0 5831 MOISES SUDIT BOARD MEMBER 5.00 0.00 X 41000 0 0 JOHN N WALSH III BOARD MEMBER 5.00 1.00 X 41000 0 0 SIDNEY N WEISS CPA BOARD MEMBER 5.00 0.00 X 49000 0 5831 R MARSHALL WINGATE BOARD MEMBER 5.00 0.00 X 41000 0 12401 JOHN ANTKOWIAK CHAIRPERSON 28.00 1.00 X X 94000 0 5831 MICHAEL HEIMERL VICE CHAIRPERSON 5.00 0.00 X X 41000 0 5831 JOHN MINEO ESQ SECRETARY, GENERAL COUNSEL 35.00 16.00 X X 458394 0 142008 NORA B SULLIVAN BOARD MEMBER 5.00 0.00 X 34000 0 5831 MARK JOHNSON TREASURER & CFO 39.00 18.00 X X 1081899 0 362011 MICHAEL W CROPP PRESIDENT & CEO 37.00 19.00 X X 1640593 0 766036 DAWN CAROLINE ODRZYWOLSKI CHIEF COMPLIANCE OFFICE 31.00 11.00 X 106141 0 21380 THOMAS J FOELS EVP - CHIEF MED. OFFICER 33.00 17.00 X 994350 0 253602 JOHN R RODGERS EVP - COO 32.00 18.00 X 1094590 0 271398 ANN M PENTKOWSKI SVP - CHIEF ACT. & UNDER. 31.00 16.00 X 832742 0 167481 JILL SYRACUSE EVP - CHIEF SERV. OFFICER 33.00 16.00 X 914277 0 225604 PATRICIA CLABEAUX SVP - HUMAN RESOURCES 33.00 16.00 X 352486 0 113275 MICHAEL J FASO SVP - FINANCE & BUS. DEV. 27.00 15.00 X 633055 0 141498 JUDITH ANN FELDMAN SVP - INFORMATION TECH 31.00 17.00 X 706817 0 544274 NORA K MCGUIRE SVP - CMO 31.00 16.00 X 369698 0 49318 PAMELA MENARD SVP - HEALTHCARE SERVICING 30.00 14.00 X 327864 0 97136 JAMES BRIAN WALLESHAUSER SVP - OFFICE OF STRAT. MGMT. 33.00 16.00 X 288864 0 33131 LOUIS G DISERAFINO CHIEF RISK OFFICER 35.00 17.00 X 200366 0 6987 RICHARD M ARGENTIERI VICE PRESIDENT SALES 29.00 18.00 X 304106 0 35321 WILLIAM RICHARD BASILE VP - ACT/UNDER/INFORM 35.00 19.00 X 310636 0 28585 DAVID W DONOVAN SVP - CHIEF SALES OFFICER 32.00 17.00 X 376175 0 15801 BRIAN J SAME ASSOC. MED. DIRECTOR 33.00 14.00 X 330518 0 43669 MARGARET M STEFFAN VP - FIN. & TREASURY SRVCS. 22.00 24.00 X 287489 0 68241 12340385 0 3475926 200 0 1 0 INDIVIDUAL PRACTICE ASSOCIATION OF WNY 511 FARBER LAKES DRIVE BUFFALO NY 14221 MEDICAL & PHARMACY BENEFITS SERVICES 992654456 HEALTHPLEX IPA 333 EARLE OVINGTON BLVD UNIONDALE NY 115533608 DENTAL BENEFITS COMPANY 13047295 COMPUTER TASK GROUP PO BOX 711778 CINCINATTI OH 452711778 PRODUCTION & PROJECT SUPPORT SERVICES 10949510 SIRIUS COMPUTER SOLUTIONS PO BOX 202289 DALLAS TX 753202289 PRODUCTION & PROJECT SUPPORT SERVICES 8366685 EYEMED VISION CARE 15274 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 VISION BENEFITS COMPANY 5271167 146 PREMIUMS, COB & REINS 524114 1356181916 1356181916 1356181916 10613355 10613355 70311 9921 60390 60390 60390 156796907 411 149726224 365605 7070683 -365194 6705489 6705489 CONSULTING 541610 57081121 57081121 57081121 1430642271 1356181916 0 74460355 1948848 1948848 1257009523 1257009523 14015770 14015770 67832436 8080850 59751586 18979628 212887 18766741 11358926 1396840 9962086 5728711 636936 5091775 462843 462843 295356 295356 178803 178803 806200 806200 28117808 476907 27640901 4455099 83335 4371764 14958081 54159 14903922 18765564 2846493 15919071 4180194 4180194 500470 44081 456389 460376 4738 455638 27216823 27216823 913821 32266 881555 NYS ASSESSMENT/ACA TAX 14440253 14440253 BAD DEBT & CHARITY, GME 14063417 14063417 FAMILY CHOICE 6630845 6630845 UBI TAX EXPENSES 359457 359457 6934183 2250115 4684068 1520613435 1289141395 231472040 0 21110394 8678162 133092370 126474512 35633273 24373053 171097272 124069975 52907683 47027297 318379950 324912980 2310667 2275417 174982451 178354361 738416788 712095782 56070581 87538434 2915 2795 25899471 30419265 835294 1989356 106299825 132151246 189108086 252101096 X 380233260 306691641 169075442 153303045 549308702 459994686 738416788 712095782 -89971164 657148 0 X 0 1 X 1 1 1 0 1 X 542713 542713 23793181 5760842 18032339 11250646 2574423 8676223 25702243 23280439 2421804 109808489 92454271 17354218 47027297 INVESTMENTS RESTRICTED AS TO USE 68103684 INVESTMENTS IN AFFILIATES 110250677 178354361 BENEFITS PAYABLE 24238968 CAPTITATION PAYABLE 39509232 INTERCOMPANY PAYABLE 68403046 132151246 X 1423792725 657148 -2047870 -1390722 1425183447 5458824 5458824 1430642271 1496103618 -5458824 -5458824 1501562442 19050993 19050993 1520613435 PART IV, LINE 2B: LONG TERM INCENTIVE DEFERRED COMPENSATION PLAN IS 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 DECEMBER 31, 2014 AND 2013. THE ASSOCIATION DID NOT RECORD INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2014 AND 2013. THE ASSOCIATION IS SUBJECT TO U.S. FEDERAL INCOME TAX AND INCOME TAX IN VARIOUS STATE JURISDICTIONS. AS OF DECEMBER 31, 2014, THE ASSOCIATION'S TAX YEARS FOR 2012, 2013, AND 2014 ARE SUBJECT TO EXAMINATIONS BY FEDERAL TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME -1,108,770. OPERATING GRANT NETTED AGAINST INCOME -939,100. PART XI, LINE 4B - OTHER ADJUSTMENTS: COB REVENUE 1,046,018. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -9,921. MASON & NYS REINSURANCE 1,185,588. REINSURANCE ADJUSTMENT 1,619,094. RX REBATE 1,618,045. PART XII, LINE 2D - OTHER ADJUSTMENTS: COB REVENUE -1,046,018. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 9,921. MASON & NYS REINSURANCE -1,185,588. REINSURANCE ADJUSTMENT -1,619,094. RX REBATE -1,618,045. PART XII, LINE 4B - OTHER ADJUSTMENTS: BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME 1,108,770. OPERATING GRANT NETTED AGAINST INCOME 939,100. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 17,003,123. CENTRAL AMERICA & THE CARIBBEAN INVESTMENTS 3810000 0 0 0 0 0 0 3810000 0 3810000 1 0 1 0 0 0 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 7500 SPONSORSHIPS AMHERST CHAMBER OF COMMERCE 400 ESSJAY ROAD SUITE 150 AMHERST NY 14221 160959485 501(C)(3) 50000 SPONSORSHIPS ASPIRE OF WNY 2356 NORTH FOREST ROAD GETZVILLE NY 14068 160757756 501(C)(3) 11000 SPONSORSHIPS BUFFALO NIAGARA PARTNERSHIP PO BOX 53 BUFFALO NY 14205 160365700 501(C)(3) 33000 SPONSORSHIPS BUFFALO URBAN LEAGUE 15 E GENESEE STREET BUFFALO NY 14203 160743940 501(C)(3) 25000 SPONSORSHIPS BUFFALO ZOO (ZOOLOGICAL SOCIETY OF BUFFALO INC) 300 PARKSIDE AVENUE BUFFALO NY 14214 160911204 501(C)(3) 20000 SPONSORSHIPS CANISIUS COLLEGE 2001 MAIN STREET BUFFALO NY 14208 160743209 501(C)(3) 26000 SPONSORSHIPS CANTALICIAN CENTER 2049 GEORGE URBAN BLVD DEPEW NY 14043 161003618 501(C)(3) 15000 SPONSORSHIPS CATHOLIC CHARITIES OF BUFFALO NEW YORK 741 DELAWARE AVENUE BUFFALO NY 14209 160743251 501(C)(3) 12500 SPONSORSHIPS CATHOLIC HEALTH 212 MAIN STREET SUITE 300 BUFFALO NY 14214 222565278 501(C)(3) 15000 SPONSORSHIPS ECMC LIFELINE FOUNDATION 462 GRIDER STREET NO G-1 BUFFALO NY 14215 223283946 501(C)(3) 7500 SPONSORSHIPS GREEN OPTIONS BUFFALO (GOBIKE) 640 ELLICOTT ST SUITE 447 BUFFALO NY 14203 272501533 501(C)(3) 15000 SPONSORSHIPS HERITAGE CENTERS ERIE COUNTY 101 OAK STREET BUFFALO NY 14203 160769044 501(C)(3) 17500 SPONSORSHIPS HILLSIDE WORK SCHOLARSHIP PROGRAM 1183 MONROE AVENUE ROCHESTER NY 14620 161453581 501(C)(3) 100000 SPONSORSHIPS INDEPENDENT HEALTH FOUNDATION 777 INTERNATIONAL DRIVE BUFFALO NY 14221 161417199 501(C)(3) 939100 OPERATING GRANT LEADERSHIP BUFFALO 237 MAIN STREET - SUITE 1500 BUFFALO NY 142032720 161363536 501(C)(3) 9000 SPONSORSHIPS LEUKEMIA & LYMPHOMA SOCIETY 1311 MAMARONECK AVENUE SUITE 310 WHITE PLAINS NY 10605 135644916 501(C)(3) 11000 SPONSORSHIPS NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY 360 DELAWARE AVENUE BUFFALO NY 14202 203185568 501(C)(3) 13000 SPONSORSHIPS NIAGARA FALLS MEMORIAL MEDICAL CENTER 621 TENTH STREET NIAGARA FALLS NY 14302 160743094 501(C)(3) 250000 SPONSORSHIPS NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION 1144 WEHRLE DRIVE WILLIAMSVILLE NY 14221 161194880 501(C)(3) 30000 SPONSORSHIPS P2 COLLABORATIVE 6225 SHERIDAN DRIVE WILLIAMSVILLE NY 14221 421604185 501(C)(3) 30400 SPONSORSHIPS POLICE ATHLETIC LEAGUE 65 NIAGARA SQUARE 21ST FLOOR BUFFALO NY 14202 161468698 501(C)(3) 7500 SPONSORSHIPS SENECA DIABETES FOUNDATION PO BOX 309 IRVING NY 140810309 203214056 501(C)(3) 70000 SPONSORSHIPS/FIOM PROJECT TASTE OF BUFFALO INC 276 GREENWOOD COURT EAST AURORA NY 14052 161390601 501(C)(6) 15500 SPONSORSHIPS THEATRE OF YOUTH 203 ALLEN STREET BUFFALO NY 14201 237286004 501(C)(3) 75000 SPONSORSHIPS UNIVERSITY AT BUFFALO FOUNDATION PO BOX 900 BUFFALO NY 142032720 160865182 501(C)(3) 10000 SPONSORSHIPS 25 1 PART I, LINE 2: INDEPENDENT HEALTH ASSOCIATION SUPPORTS NON-PROFIT ORGANIZATIONS THAT ARE ALIGNED WITH OUR MISSION TO PROVIDE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE, AND/OR WOULD BENEFIT FROM INDEPENDENT HEALTH'S COMMUNITY LEADERSHIP AND GOODWILL. AMOUNTS ARE RECORDED IN THE GENERAL LEDGER, PRIMARILY UNDER COMMUNITY RELATIONS, AND HARD COPIES OF ALL PAYMENTS ARE KEPT ON FILE (BOTH PAPER AND ELECTRONICALLY). X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 JOHN MINEO ESQ SECRETARY, GENERAL COUNSEL 302797 0 130370 0 25227 0 115714 0 26294 0 600402 0 0 0 MARK JOHNSON TREASURER & CFO 659815 0 380095 0 41989 0 333165 0 28846 0 1443910 0 0 0 MICHAEL W CROPP PRESIDENT & CEO 941855 0 662662 0 36076 0 730078 0 35958 0 2406629 0 0 0 THOMAS J FOELS EVP - CHIEF MED. OFFICER 371154 0 590892 0 32304 0 214306 0 39296 0 1247952 0 305038 0 JOHN R RODGERS EVP - COO 408622 0 669494 0 16474 0 215747 0 55651 0 1365988 0 325586 0 ANN M PENTKOWSKI SVP - CHIEF ACT. & UNDER. 334157 0 476309 0 22276 0 142714 0 24767 0 1000223 0 255040 0 JILL SYRACUSE EVP - CHIEF SERV. OFFICER 331884 0 577342 0 5051 0 193268 0 32336 0 1139881 0 267552 0 PATRICIA CLABEAUX SVP - HUMAN RESOURCES 254700 0 95904 0 1882 0 96991 0 16284 0 465761 0 0 0 MICHAEL J FASO SVP - FINANCE & BUS. DEV. 262257 0 345259 0 25539 0 121601 0 19897 0 774553 0 197159 0 JUDITH ANN FELDMAN SVP - INFORMATION TECH 241236 0 395354 0 70227 0 528919 0 15355 0 1251091 0 299100 0 NORA K MCGUIRE SVP - CMO 251469 0 95904 0 22325 0 39318 0 10000 0 419016 0 0 0 PAMELA MENARD SVP - HEALTHCARE SERVICING 232992 0 88189 0 6683 0 88233 0 8903 0 425000 0 0 0 JAMES BRIAN WALLESHAUSER SVP - OFFICE OF STRAT. MGMT. 204129 0 74510 0 10225 0 15558 0 17573 0 321995 0 0 0 LOUIS G DISERAFINO CHIEF RISK OFFICER 107544 0 85664 0 7158 0 6639 0 348 0 207353 0 0 0 RICHARD M ARGENTIERI VICE PRESIDENT SALES 174883 0 126398 0 2825 0 17428 0 17893 0 339427 0 0 0 WILLIAM RICHARD BASILE VP - ACT/UNDER/INFORM 218205 0 71743 0 20688 0 12284 0 16301 0 339221 0 0 0 DAVID W DONOVAN SVP - CHIEF SALES OFFICER 237788 0 136340 0 2047 0 14482 0 1319 0 391976 0 0 0 BRIAN J SAME ASSOC. MED. DIRECTOR 283341 0 40095 0 7082 0 30903 0 12766 0 374187 0 0 0 MARGARET M STEFFAN VP - FIN. & TREASURY SRVCS. 204390 0 56943 0 26156 0 49960 0 18281 0 355730 0 0 0 PART I, LINE 1A AT THE DISCRETION OF THE CEO, 15 EXECUTIVES (OFFICERS AND KEY EMPLOYEES) RECEIVE A DISCRETIONARY SPENDING ACCOUNT. THESE AMOUNTS ARE A PERCENTAGE OF BASE COMPENSATION AND ARE CAPPED AT SPECIFIC AMOUNTS. ANY REIMBURSEMENT WHICH IS NOT DEDUCTIBLE UNDER IRS REGULATIONS OR ANY UNCLAIMED AMOUNT AT THE END OF THE CALENDAR YEAR IS TREATED AS INCOME AND ADDED TO THE EXECUTIVE'S W-2. PART I, LINE 4A: THE FOLLOWING LISTED PERSONS FROM PART VII, SECTION A RECEIVED SEVERANCE PAYMENTS AS PART OF A SEPARATION AGREEMENT WITH INDEPENDENT HEALTH DURING 2014: JUDITH ANN FELDMAN - $50,093 PART I, LINE 4B: ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NONQUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NONQUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: JOHN RODGERS - $431,629 THOMAS J. FOELS - $399,756 JILL M. SYRACUSE - $356,987 ANN M. PENTKOWSKI - $334,701 JUDITH ANN FELDMAN - $299,100 MICHAEL J. FASO - $257,846 SEE PART V SEE PART V 502730 SEE PART V 0 SEE PART V SEE PART V 374755 SEE PART V 0 SEE PART V SEE PART V 870767 SEE PART V 0 SEE PART V SEE PART V 999922 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF INTERESTED PERSON: DONALD W. ROBINSON, M.D.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY DONALD W. ROBINSON, M.D., CURRENT BOARD MEMBER.(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARESCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: NORTHTOWNS MEDICAL GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY EDWARD STEHLIK, CURRENT BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARESCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: ALDEN PHARMACY, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY JOHN RODGERS, CURRENT KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARESCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: WALSH DUFFIELD COMPANIES(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY JOHN WALSH, CURRENT BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: 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 8 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. HEADQUARTERED IN BUFFALO, INDEPENDENT HEALTH & AFFILIATES 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, CONSUMER-DIRECTED PLANS, AND COVERAGE FOR SELF-FUNDED EMPLOYERS. INDEPENDENT HEALTH'S SUBSIDIARY COMPANIES INCLUDE PHARMACY BENEFIT DIMENSIONS, RELIANCE RX, DXID, AND NOVA HEALTHCARE ADMINISTRATORS, INC. IHA OFFERS ITS MEMBERS HEALTH RISK MANAGEMENT TOOLS INCLUDING AN ONLINE HEALTH RISK ASSESSMENT AND THE USE OF A DATA WAREHOUSE TO ANALYZE AND PREDICT POTENTIAL RISK AND DEVELOP SOLUTIONS 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, CASE MANAGEMENT, DISEASE MANAGEMENT AND HEALTH COACHES. IHA ALSO ESTABLISHED AN ADVANCED PATIENT CENTERED MEDICAL HOME (PCMH) PILOT PROGRAM IN JANUARY 2009. THE PCMH PROGRAM INCLUDED 18 DIVERSE PRIMARY CARE PRACTICES ACROSS WNY, 130 PHYSICIANS AND NEARLY 50,000 IHA MEMBERS. THE PRACTICES WORKED TOWARD IMPROVED QUALITY OF CARE WITH EXPANDED ACCESS TO ALLOW SAME-DAY APPOINTMENTS AND AFTER-HOURS CARE; ENHANCED TECHNOLOGY TO INCLUDE ELECTRONIC MEDICAL RECORDS AND EMAILS WITH PATIENTS; AND A COMPREHENSIVE CARE TEAM FOR THOSE WITH OR AT RISK OF HAVING A CHRONIC CONDITION. ADMINISTRATIVE ASSISTANCE WAS ALSO PROVIDED TO HELP IMPLEMENT NEW OFFICE PROCEDURES. ANOTHER IMPORTANT ASPECT OF THE PCMH MODEL WAS THAT IT ALSO INCLUDED MANY OF THE FEDERAL HEALTH CARE REFORM EFFORTS INCLUDING PREVENTION AND WELLNESS THROUGH COORDINATED CARE, EVIDENCED-BASED GUIDELINES TO GAUGE OUTCOMES AND REFORM OF PHYSICIAN PAYMENT TO IMPROVE QUALITY AND EFFICIENCY. IHA DEVOTED TIME AND FINANCIAL RESOURCES THAT ENABLED THE 130 PHYSICIANS IN THIS PROGRAM TO REDESIGN THEIR PRACTICES. IHA ALSO PROVIDED DETAILED MEMBER INFORMATION TO ENABLE OUR PHYSICIANS TO MANAGE CARE OPPORTUNITIES FOR IHA MEMBERS. AT THE END OF THE PILOT IN DECEMBER, 2011, THE 18 PRIMARY CARE PRACTICES INVOLVED IN THE PILOT PROGRAM ACHIEVED THE HIGHEST RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). IN 2012, IHA EVOLVED ITS SUCCESSFUL PCMH CARE MODEL FOR PRIMARY CARE INTO A MORE COMPREHENSIVE PROGRAM CALLED THE PRIMARY CONNECTION, WHICH OFFICIALLY BEGAN JULY 1, 2012. THE INITIATIVE CONNECTS A STRONG, COLLABORATIVE GROUP OF PRIMARY CARE PHYSICIAN PRACTICES WITH SPECIALISTS AND OTHER HEALTH CARE PROVIDERS. PRACTICES ARE UNDERGOING TRANSFORMATION TO IMPROVE CARE COORDINATION, ACCESS AND AVAILABILITY. THE PRIMARY CONNECTION FOSTERS INTERDEPENDENCY AND INTENSE COLLABORATION AMONG THE PRACTICES TO CREATE AND IMPLEMENT SPECIFIC CARE COORDINATION PROGRAMS (SUCH AS HOSPITAL ALTERNATIVE PROGRAMS, CARE TRANSITION PROGRAMS FROM HOSPITAL TO HOME), DESIGNATED PRACTICE RESOURCES (SUCH AS PHARMACISTS PROVIDING MEDICATION THERAPY MANAGEMENT, IMBEDDED BEHAVIORAL COUNSELORS WITHIN PRACTICES), AND CARE COORDINATION CONTRACTS BETWEEN PRIMARY AND SPECIALTY CARE PHYSICIANS. THE PRIMARY CONNECTION PRACTICES ARE CLOSELY MONITORED FOR PERFORMANCE AND ADHERENCE TO THE TENETS OF THE TRIPLE AIM. THE PATIENT CENTRIC MODEL IS A VIABLE WAY TO ACHIEVE THE TRIPLE AIM: BETTER HEALTH, BETTER CARE AND LOWER COSTS. HEALTH CARE REFORM INITIATIVES ENCOURAGE THIS TYPE OF CARE DELIVERY, AND IHA AND THESE PROGRESSIVE PRIMARY CARE PHYSICIAN PRACTICES ARE AT THE FOREFRONT OF WHAT THE NATION WILL BE DOING. THESE PRACTICES ARE REIMBURSED UNDER AN INNOVATIVE HYBRID REIMBURSEMENT METHODOLOGY THAT RETAINS ELEMENTS OF FEE-FOR-SERVICE PAYMENT, BUT INCLUDES A RISK-ADJUSTED POPULATION-BASED CARE COORDINATION FEE AND A SHARED SAVINGS COMPONENT. THE HYBRID PAYMENT SYSTEM ALLOWS PRIMARY CARE PRACTICES TO MORE FULLY UTILIZE ANCILLARY NURSING AND MIDLEVEL STAFF, RECOGNIZES THE PRACTICES' EFFORTS TO IMPLEMENT E-COMMUNICATION STRATEGIES, AND REWARDS EFFORTS TO WORK COOPERATIVELY AND EFFECTIVELY WITH HOSPITALS AND SPECIALTY PHYSICIANS TO REDUCE MEDICALLY UNNECESSARY SERVICES AND POTENTIALLY AVOIDABLE ADMISSIONS. THIS PROGRESSIVE APPROACH INITIALLY INVOLVED 21 PRACTICES, THEIR 140 PHYSICIANS AND MORE THAN 54,000 PATIENTS AND HAS SINCE GROWN TO 29 PRACTICES AND 188 PHYSICIANS, SERVING 91,838 PATIENTS. AS PART OF IHA'S EFFORTS TO IMPROVE THE QUALITY, ACCESS AND AFFORDABILITY OF HEALTH CARE, THE HEALTH CARE INSURER IS ATTEMPTING TO REDUCE UNNECESSARY EMERGENCY ROOM VISITS AND PREVENT HOSPITAL ADMISSIONS AND READMISSIONS THROUGH VARIOUS INITIATIVES. IHA RECOGNIZES CARE COORDINATION AMONG PHYSICIANS AND OTHER HEALTH PROVIDERS - INCLUDING HOSPITALS, NURSING HOMES AND OTHERS - IMPROVES EFFICIENCY AND PATIENT OUTCOMES. IHA PROVIDES PRACTICE CARE COORDINATORS (PCC) TO THE 29 PHYSICIAN OFFICES OF THE PRIMARY CONNECTION. THE PCC'S ARE WORKING RIGHT WITHIN PRIMARY CARE PRACTICES AS EXTENDED CASE MANAGERS TO ENSURE THE DELIVERY OF QUALITY, EFFICIENT AND COORDINATED HEALTH CARE SERVICES. USING A TEAM APPROACH WITH THE OFFICE PRACTICES TO OPTIMIZE A MEMBER'S CARE, THE PCC PLANS, COORDINATES AND EVALUATES ALL OPTIONS AND SERVICES AVAILABLE TO DEVELOP AN INDIVIDUALIZED PLAN FOR THE PATIENT. IN ADDITION, IHA HAS QUALITY INCENTIVE PROGRAMS IN PLACE WITH SELECT HIGH-PERFORMING PROVIDERS IN ORDER TO FACILITATE QUALITY IMPROVEMENT INITIATIVES IN THE COMMUNITY. IT ALSO WORKS WITH THE COMMUNITY OF HEALTH CARE PROVIDERS TO MANAGE AND DEVELOP INNOVATIVE HEALTH CARE SYSTEMS TO PROVIDE AFFORDABLE ACCESS TO COVERAGE AND TO REDUCE MEDICAL EXPENSE WITHIN THE COMMUNITY. OTHER MEMBERSHIP SERVICES INCLUDE PREVENTIVE CARE WITH ACTIVE PARTICIPATION BY COMMUNITY ORGANIZATIONS IN INITIATIVES SUCH AS THE P2 COLLABORATIVE OF WESTERN NEW YORK (P2), 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 SHARING OF CLINICAL INFORMATION, AS WELL AS THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND ELECTRONIC MEDICAL RECORDS, THROUGH ORGANIZATIONS SUCH AS HEALTHELINK. THE IHA HEALTH COACH PROGRAM OFFERS A BROAD RANGE OF SERVICES, INCLUDING EDUCATION AND CARE COORDINATION, TO IMPROVE THE HEALTH OF IHA MEMBERS AND EMPLOYEES. HEALTH COACHES ARE LICENSED REGISTERED NURSES, DIETITIANS, RESPIRATORY THERAPISTS, SOCIAL WORKERS, AND OTHER CERTIFIED HEALTH PROFESSIONALS WHO ENCOURAGE SELF-MANAGEMENT AND EDUCATE MEMBERS ON LIVING A HEALTHY LIFE. THEY PROVIDE PERSONALIZED SERVICES TO HELP MEMBERS MAKE LASTING CHANGES TO ACHIEVE BETTER HEALTH AND WELL-BEING. EXAMPLES OF THEIR SUPPORT INCLUDE HELPING DEVELOP A DIET PLAN TO ASSIST WITH WEIGHT LOSS, ASSISTANCE WITH A SPECIFIC MEDICAL CONDITION OR COMPILING A LIST OF QUESTIONS FOR THE MEMBER TO ASK HIS/HER DOCTOR. OUR HEALTH COACHES AND DISEASE MANAGER'S FREQUENTLY ENGAGE IN ON-SITE WORKPLACE WELLNESS ACTIVITIES, SUCH AS EMPLOYEE HEALTH FAIRS. THEY ALSO REGULARLY REACH OUT TO SUPPORT MEMBERS IDENTIFIED AS HAVING A CHRONIC DISEASE OR CARE OPPORTUNITY. IHA IS COMMITTED TO IMPROVING THE QUALITY, ACCESS AND AFFORDABILITY OF HEALTH CARE THROUGH MANY COMMUNITY OUTREACH PROGRAMS. IHA COMMUNITY HEALTH OUTREACH WORKERS (CHOWS) ARE BASED IN THE COMMUNITY, MAKING HOME VISITS TO MEDISOURCE MEMBERS IN NEED THROUGHOUT ERIE AND NIAGARA COUNTIES AND BUILDING RELATIONSHIPS IN TARGETED NEIGHBORHOODS TO PROMOTE HEALTH AND WELLNESS BEHAVIORS AND BELIEFS. CHOWS SPECIFICALLY WORK WITH MEMBERS WHO INAPPROPRIATELY UTILIZE SERVICES, AS WELL AS HIGH-RISK PATIENTS WHO HAVE UNMANAGED OR END-STAGE CHRONIC DISEASES. THESE DEDICATED WORKERS ALSO PROVIDE CARE COORDINATION SERVICES TO MEMBERS IN NEED OF PREVENTIVE SERVICES, SCREENINGS OR A PRIMARY CARE PROVIDER, AND OFFER SPECIAL OUTREACH PROGRAMS SUCH AS THE MAMMOGRAPHY BUS. CHOWS COLLABORATE WITH IHA'S CASE MANAGEMENT DEPARTMENT TO BRING MEMBERS HOPE AND AN UNDERSTANDING OF COMPLEX ISSUES. 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, PHY DURING THE UNPRECEDENTED NOVEMBER 2014 SNOWSTORM, THE INDEPENDENT HEALTH FOUNDATION TEAMED UP WITH TELADOC TO PROVIDE FREE MEDICAL CONSULTATIONS TO ANY WESTERN NEW YORKERS WHO WERE UNABLE TO REACH THEIR PRIMARY CARE PHYSICIANS. THE STORM CAUSED WIDESPREAD CLOSURE OF DOCTORS' OFFICES. THIS NON-EMERGENCY HEALTH CARE OPTION PROVIDES TIMELY ACCESS TO A NETWORK OF HIGH-QUALITY MEDICAL CONSULTATION WITH U.S. BOARD-CERTIFIED, STATE-LICENSED PHYSICIANS WHO CAN DIAGNOSE AND TREAT MANY NON-EMERGENT MEDICAL ISSUES VIA PHONE, SECURE ONLINE VIDEO OR MOBILE APPLICATIONS 24 HOURS A DAY. IHA WAS PROUD TO BE ABLE TO OFFER THIS SERVICE TO HELP COMMUNITY MEMBERS SAFELY ACCESS A PHYSICIAN. 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. 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 P2 COLLABORATIVE'S DESIGNATED DATA MANAGEMENT VENDOR, VIPS, WHO PERFORMS DATA AGGREGATION AND ANALYSIS. THE P2 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 $14 MILLION DURING 2014. IHA IS THE PRIMARY DEVELOPER OF MY ONLINE RECORD TO ACCESS RESOURCES (MORTAR), A SOFTWARE PROGRAM DESIGNED SPECIFICALLY FOR UNDERSERVED COMMUNITY POPULATIONS TO IDENTIFY HEALTH AND SOCIAL CONCERNS AND THEN ASSIST PEOPLE IN CONNECTING WITH SERVICES TO ADDRESS THESE ISSUES. MORTAR CAPTURES DATA RELATED TO A PERSON'S HEALTH (MEDICATIONS, HEALTH STATUS, FAMILY HISTORY, ETC.) BUT ALSO INCORPORATES LIVING CONDITIONS THAT AFFECT HEALTH, SUCH AS NOT HAVING ELECTRICITY OR LIVING IN AN UNSAFE HOME. THE INITIATIVE RECOGNIZES THE SOCIAL AND ENVIRONMENTAL BARRIERS THESE POPULATIONS OFTEN ENCOUNTER IN ACCESSING HEALTH CARE. MORTAR WORKS TO SUPPORT AN INDIVIDUAL'S NEED FOR OBTAINING A VARIETY OF SERVICES, FROM APPLYING FOR HEALTH INSURANCE AND FINDING A PRIMARY CARE PHYSICIAN TO GETTING INFORMATION AND COUNSEL ON MEDICAL CONDITIONS, NUTRITION AND PRESCRIPTION DRUG USE, AS WELL AS ADDRESSING OTHER SOCIAL DETERMINANTS OF HEALTH, FOR EXAMPLE HEATING SUPPORT AND OBTAINING PERSONAL HYGIENE ITEMS. IHA CONTRIBUTED 73 HOURS OF PERSONNEL SUPPORT - THE EQUIVALENT OF $3,481 - TO THIS INITIATIVE FROM JANUARY THROUGH JUNE 2014. IT IS OUR HOPE THE PROGRAM WILL PROVIDE SUPPORT TO HEALTH AND HUMAN RESOURCE ORGANIZATIONS, SOCIAL SERVICE AGENCIES, COMMUNITY HEALTH WORKERS, HEALTH CARE PROVIDERS, AND OTHERS, AS WE ATTEMPT TO BRIDGE THE GAP BETWEEN SOCIAL AND MEDICAL PROBLEMS. MORTAR WILL SUPPORT THESE ORGANIZATIONS AS THEY ATTEMPT TO IMPROVE THEIR CLIENTS' LIVES AND ADDRESS SOCIAL PROBLEMS WITH SOCIAL SOLUTIONS, RATHER THAN MEDICAL SOLUTIONS. THERE IS AN EXPECTATION THAT THIS PROGRAM CAN BE BROUGHT TO OTHERS LOCATED IN UNDERSERVED AREAS. IHA'S REDSHIRT VOLUNTEER PROGRAM PROVIDES IHA EMPLOYEES AN OPPORTUNITY TO VOLUNTEER IN THEIR COMMUNITY, WHILE PROMOTING IHA AS A COMPANY WHO IS WILLING TO HELP GIVE BACK TO WNY. REDSHIRT EMPLOYEE VOLUNTEERS PROVIDE THE REDSHIRT TREATMENT TO THE COMMUNITY THROUGH DIRECT EMPLOYEE INTERACTION AND EXHIBIT IHA'S MESSAGE OF QUALITY CARE THROUGHOUT WNY. THE REDSHIRT TREATMENT IS A COMPANY-WIDE COMMITMENT TO DEMONSTRATE OUR CORE VALUES OF BEING PASSIONATE, CARING, RESPECTFUL, COLLABORATIVE AND ACCOUNTABLE. DURING 2014, 231 IHA EMPLOYEES SERVED AS REDSHIRT VOLUNTEERS. IN TOTAL, THESE INDIVIDUALS VOLUNTEERED AT 63 COMMUNITY EVENTS, WHICH REPRESENTED 693 HOURS OF VOLUNTEER TIME. IHA ENCOURAGES ITS MANAGEMENT TEAM AND EMPLOYEES TO SUPPORT THE LOCAL COMMUNITY. TO THIS END, WE ARE PROUD TO SAY MORE THAN 80 MEMBERS OF OUR MANAGEMENT TEAM ARE VOLUNTEERS OR ACTIVE PARTICIPANTS AS DIRECTORS ON COMMUNITY BOARDS. THE IHA EMPLOYEE DRESS DOWN DAY AND MONTH PROGRAM ALLOWS EMPLOYEES TO MAKE A CHARITABLE CONTRIBUTION IN EXCHANGE FOR THE PRIVILEGE OF DRESSING DOWN FOR WORK. THIS PROGRAM HAS RESULTED IN SUBSTANTIAL SUPPORT FOR THE CHARITABLE ORGANIZATIONS IN OUR COMMUNITY AND DEMONSTRATES THE GOODWILL OF IHA EMPLOYEES. THE PROGRAM IS EMPLOYEE-DRIVEN WITH A GOAL TO BROADLY SUPPORT MANY 501(C)(3) ORGANIZATIONS THROUGHOUT WESTERN NEW YORK. IN 2014, IHA RAISED NEARLY $126,000 FOR NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY. IN ADDITION, IHA EMPLOYEES 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. THE 2014-2015 CAMPAIGN RAISED MORE THAN $90,000. THE COMMUNITY ALSO BENEFITS FROM IHA'S SPONSORSHIPS THAT PROMOTE HEALTH AND WELLNESS. ONE EXAMPLE IS IHA'S COMMITMENT OF SUPPORT TO THEATRE OF YOUTH'S (TOY) HEALTH SERIES, A PROFESSIONAL THEATRE FOR YOUNG AUDIENCES THAT FOCUSES ON HEALTH-RELATED ISSUES IN CHILDREN. THERE IS ALSO A UNIQUE PARTNERSHIP WITH THE YMCA BUFFALO NIAGARA AND IHA THAT INTEGRATES PERSONAL AND FAMILY FITNESS OPPORTUNITIES WITH ON-SITE MEDICAL SERVICES IN A NEW STATE-OF-THE-ART, 92,000-SQUARE-FOOT FACILITY THAT OPENED IN EARLY 2013. IHA HAS PROVIDED $2 MILLION TOWARDS THIS INITIATIVE. THE NEW YMCA HAS AN ON-SITE PRESENCE OFFERING HEALTH AND WELLNESS PROGRAMS INCLUDING CUSTOMIZED FITNESS PROGRAMS TARGETING OBESITY. YMCA BUFFALO NIAGARA AND IHA ALSO TEAMED UP WITH LOCAL PARKS THIS SUMMER TO PROMOTE THE VALUE OF A HEALTHY LIFESTYLE AND ENCOURAGE WESTERN NEW YORK RESIDENTS TO PARTICIPATE IN PHYSICAL ACTIVITY. BETWEEN JUNE AND AUGUST, 2014 THE WNY COMMUNITY WAS ABLE TO PARTICIPATE IN FREE 60-MINUTE FITNESS CLASSES WITH YMCA-CERTIFIED INSTRUCTORS AT 12 AREA PARKS. IHA AND THE YMCA ALSO DEVELOPED THE FITNESS PROGRAM FITSTART, A STRUCTURED, EVIDENCE-BASED, 12-WEEK EXERCISE PROGRAM DESIGNED AROUND THE CONCEPT OF SMALL GROUP PERSONAL TRAINING (8-10 PARTICIPANTS TO TWO PERSONAL TRAINERS) TO TEACH MEMBERS HOW TO SAFELY AND EFFECTIVELY EXERCISE. PARTICIPANTS LEARN HOW TO DESIGN AN EXERCISE PROGRAM, AS WELL AS DEVELOP A SENSE OF BELONGING AND BUILD RELATIONSHIPS WITH OTHER PARTICIPANTS TO GIVE A FOUNDATION OF SUPPORT TO IMPROVE THEIR HEALTH. THIS COLLABORATIVE EFFORT WITH THE YMCA IS A VISIBLE SHOW OF SUPPORT FOR THE HEALTH OF PEOPLE IN OUR COMMUNITY, AN INITIATIVE THAT IS IN LINE WITH IHA'S EFFORTS TO TRANSFORM HEALTH CARE AND DEVELOP WESTERN NEW YORK AS A HIGH-QUALITY, HIGH PERFORMING COMMUNITY. IN AN EFFORT TO FURTHER PROMOTE HEALTHIER LIFESTYLES IN OUR COMMUNITY, IHA JOINED FORCES WITH SNYDER CORPORATION AND FITNESS RIDGE WORLDWIDE TO BRING THE BIGGEST LOSER RESORT NIAGARA TO WNY AT THE BEAVER HOLLOW CONFERENCE CENTER IN WYOMING COUNTY. THE RESORT FOCUSES ON EXERCISE, HEALTH NUTRITION AND EDUCATION. THE PROGRAM ENGAGES PARTICIPANTS IN THEIR OWN HEALTH AND GIVES THEM THE TOOLS THEY NEED TO ADOPT LIFESTYLE CHANGES TO STAY HEALTHY AND REDUCE THEIR RISK OF CHRONIC DISEASE LIKE DIABETES AND HEART DISEASE. IHA IS EXPECTED TO PROVIDE $3 MILLION TOWARDS THIS INITIATIVE. THIS INCLUDED $50,000 IN FULLY FUNDED SCHOLARSHIPS PRESENTED IN 2014 TO KEY EMPLOYER GROUPS FOR ONE-WEEK STAYS AT THE RESORT. SCHOLARSHIP RECIPIENTS EXPERIENCED A FULL-IMMERSION PROGRAM OF NUTRITION, LIFE COACHING AND FITNESS EDUCATION IN A CONTROLLED AND SUPPORTIVE ENVIRONMENT. THEY ALSO HAD A CHANCE TO TRY A VARIETY OF FITNESS CLASSES TAILORED TO ALL FITNESS LEVELS. IHA HAS ALSO JOINED TOGETHER WITH THE BUFFALO MUSEUM OF SCIENCE TO OPEN THE FIRST OF EIGHT PERMANENT SCIENCE STUDIOS AT THE MUSEUM. CALLED "EXPLORE YOU PRESENTED BY INDEPENDENT HEALTH," THE THEMED STUDIO ALLOWS VISITORS TO EXPLORE ANATOMY AND LEARN ABOUT IMPORTANT CHOICES THEY CAN MAKE TO IMPROVE AND MAINTAIN THEIR HEALTH. THE EXHIBIT OPENED IN MARCH OF 2012 AND WILL BE OPEN FOR 10 YEARS. IN CONNECTION TO THE EXHIBIT, IN FEBRUARY 2013 AND 2014, IHA HOSTED AN "EXPLORE TOGETHER" FREE EVENT FOR PARENTS AND CHILDREN TO LEARN ABOUT HEALTH TOPICS THROUGH INTERACTIVE ACTIVITIES AND PRESENTATIONS. IHA IS ALSO PROUD TO PARTNER WITH LARKIN SQUARE TO SPONSOR MANY COMMUNITY EVENTS AND HELP BRING HEALTHY INITIATIVES TO THIS NEWLY REVITALIZED PUBLIC GATHERING SPACE ALL YEAR LONG. IHA COLLABORATED WITH FOOD TRUCKS PARTICIPATING IN LARKIN SQUARE'S FOOD TRUCK TUESDAYS EVENTS FROM MAY THROUGH OCTOBER, 2014 TO HELP THEM OFFER HEALTHY MENU ITEMS THAT ARE CONSIDERED TO BE LOWER IN FAT, SATURATED FAT, CHOLESTEROL AND SODIUM. NEW IN 2014, IHA TEAMED UP WITH THE BUFFALO BILLS AS THEIR OFFICIAL HEALTH AND WELLNESS PARTNER. IHA AND THE BILLS ARE WORKING TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF THE WESTERN NEW YORK COMMUNITY THROUGH A VARIETY OF INITIATIVES, INCLUDING THE INDEPENDENT HEALTH AND BUFFALO BILLS HEALTH & WELLNESS CHALLENGE, A COMMUNITY-WIDE FITNESS AND NUTRITION PROGRAM TO ENCOURAGE HEALTHY LIVING. OVERALL, MORE THAN 2,300 INDIVIDUALS IN THE REGION COMPLETED THE FIRST CHALLENGE, WHICH RAN FROM OCTOBER 6 THROUGH NOVEMBER 16, 2014. THE BUFFALO BILLS AND IHA WILL ALSO WORK TOGETHER TO ENCOURAGE PHYSICAL ACTIVITY AND HEALTHY EATING AMONG OUR COMMUNITY'S YOUTH IN SCHOOL AND AT HOME THROUGH THE INDEPENDENT HEALTH FOUNDATION'S FITNESS FOR KIDS CHALLENGE AND THE BUFFALO BILLS PLAY 60 CHALLENGE. IN ADDITION, IHA SPONSORS THE HILLSIDE WORK SCHOLARSHIP CONNECTION TO HELP ENSURE OUR COMMUNITY'S YOUTH HAVE THE OPPORTUNITY TO REACH THEIR FULL POTENTIAL. BY ENGAGING OUR YOUTH THROUGH EVIDENCE-BASED PROGRAMS SUCH AS HILLSIDE'S, IHA CAN MAKE A SUSTAINABLE IMPACT IN THE COMMUNITY'S FUTURE. AS AN EMPLOYMENT PARTNER, IHA NOT ONLY RECOGNIZES THE IMPORTANCE OF HELPING STUDENTS STAY IN SCHOOL AND ACHIEVE ACADEMIC SUCCESS, BUT GRADUATE WITH THE SKILLS AND CONFIDENCE THEY NEED FOR LIFELONG SUCCESS. IHA FURTHER COLLABORATES WITH THE WESTERN NEW YORK COMMUNITY IN ITS AFFILIATION WITH THE HEALTH SCIENCES CHARTER SCHOOL THAT WAS DEVELOPED TO PROVIDE OPPORTUNITIES FOR HIGH SCHOOL STUDENTS FOR CAREERS IN THE MEDICAL FIELD. IN ADDITION TO COMMUNITY STAKEHOLDERS, IHA IN 2014 FORMED A STRATEGIC ALLIANCE WITH CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP), AN ALBANY-BASED HEALTH PLAN, TO EXPLORE OPPORTUNITIES TO COLLABORATE ON A NUMBER OF LEVELS TO FURTHER TRANSFORM HEALTH CARE IN OUR RESPECTIVE COMMUNITIES, WHILE REMAINING INDEPENDENT. LEADERS FROM BOTH ORGANIZATIONS ARE WORKING COLLABORATIVELY, UTILIZING COMBINED INTELLECTS AND JOINT EXPERTISE TO SEEK WAYS TO IMPROVE OUR TECHNOLOGIES, MANAGE RESOURCES EFFECTIVELY, AND GROW OUR REVENUES. THE LEARNING AND DISCIPLINE THAT WILL COME FROM WORKING TOGETHER WILL GREATLY ACCELERATE BOTH ORGANIZATIONS' RESPECTIVE ABILITIES TO MEET THE NEEDS OF PROVIDER PARTNERS AND CUSTOMERS. 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. AS OF DECEMBER 2014, NEARLY 3,300 WESTERN NEW YORK PROVIDERS HAVE SIGNED PARTICIPATION AGREEMENTS; MORE THAN 50 DATA SOURCES ARE CONNECTED TO HEALTHELINK, APPROXIMATELY 139 MILLION RESULTS (LAB, RADIOLOGY AND TRANSCRIBED REPORTS, AND MORE THAN 701,000 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 APPROXIMATELY 182,524 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. THE COMPANY PROVIDES HEALTH BENEFITS AND SERVICES TO INDIVIDUALS IN WESTERN NEW YORK AND THROUGHOUT THE COUNTRY. THE QUALITY OF SERVICES IS EVIDENCED BY IHA BEING NAMED A J.D. POWER 2014 CUSTOMER CHAMPION FOR DELIVERING EXCELLENCE IN CUSTOMER SERVICE. IHA WAS ALSO THE SECOND HIGHEST RANKED HEALTH INSURANCE PLAN IN THE NEW YORK/NEW JERSEY REGION, ACCORDING TO J.D. POWER AND ASSOCIATES 2014 MEMBER HEALTH PLAN STUDY(SM). THE ANNUAL STUDY RANKS MEMBERS' EXPERIENCES IN SIX CATEGORIES, INCLUDING COVERAGE AND BENEFITS; INFORMATION AND COMMUNICATION; PROVIDER CHOICE; CUSTOMER SERVICE; CLAIMS PROCESSING AND COST. WITHIN THE NEW YORK/NEW JERSEY REGION, IHA ACHIEVED THE FIRST OR SECOND HIGHEST MEMBER SATISFACTION RATING IN THE REGION FOR NEARLY EVERY CATEGORY. THE STUDY, CONDUCTED THROUGH AN ONLINE SURVEY, WAS BASED ON THE RESPONSES OF 34,315 MEMBERS IN 138 HEALTH PLANS THROUGHOUT THE UNITED STATES. FOR THE 17TH CONSECUTIVE YEAR, IHA ALSO RECEIVED THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE'S (NCQA) HIGHEST ACCREDITATION STATUS OF "EXCELLENT" FOR OUR COMMERCIAL HMO/POS AND MEDICARE LINES OF BUSINESS, AS WELL AS THE 2ND HIGHEST ACCREDITATION STATUS OF "COMMENDABLE" FOR OUR COMMERCIAL PPO AND MEDICAID LINES OF BUSINESS. IHA IS AGAIN THE ONLY LOCAL PLAN IN WESTERN NEW YORK TO RECEIVE THIS RECOGNITION, WHICH IS PROOF THAT ITS PROGRAMS AND INITIATIVES TO ACHIEVE IMPROVED PATIENT CARE AND SATISFACTION ARE WORKING. 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. RECENTLY, THE COMMONWEALTH FUND REPORT RANKED BUFFALO 54TH BEST AMONG 306 MEDICARE SERVICE AREAS FOR QUALITY, ACCESSIBILITY AND AFFORDABILITY OF CARE. 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 "TRIPLE AIM" OF BETTER HEALTH, BETTER CARE AND LOWER COSTS. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL CROPP, MARK JOHNSON, JOHN RODGERS, THOMAS J. FOELS, JOHN MINEO, AND MICHAEL FASO HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). SIDNEY N. WEISS, R. MARSHALL WINGATE, STUART ANGERT, FRANK COLANTUONO, MICHAEL CROPP, MOISES SUDIT, NORA SULLIVAN, MARK JOHNSON, JAMES WALLESHAUSER, JOHN RODGERS, AND JOHN MINEO HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). R. MARSHALL WINGATE, FRANK COLANTUONO, MARK JOHNSON, AND ANN PENTKOWSKI HAVE A BUSINESS RELATIONSHIP (PRIVATE ENTERPRISE). FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WAS REVIEWED WITH THE EXECUTIVE COMMITTEE OF IHA'S BOARD OF DIRECTORS AND THE CHAIRMAN OF THE FINANCE AND AUDIT COMMITTEE. THE FINAL FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C INDEPENDENT HEALTH ASSOCIATION'S (IHA) CONFLICT OF INTEREST REPORTING POLICY ENCOMPASSES ALL CURRENT IHA OFFICERS AND EMPLOYEES (INCLUDING 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 A MANAGEMENT OR INDEPENDENT HEALTH'S CORPORATE COMPLIANCE OFFICER FOR REVIEW BY THE CONFLICT OF INTEREST COMMITTEE OF INDEPENDENT HEALTH. CONFLICTS ARE ALSO IDENTIFIED ANNUALLY WHEN THE SIGNED EMPLOYEE ATTESTATIONS, CONFIDENTIAL QUESTIONNAIRES & PLEDGE OF CONFIDENTIALITY AND CONTINUING DISCLOSURE FORM (FOR KEY EMPLOYEES, OFFICERS, DIRECTORS AND MEMBERS OF THE BOARD) ARE RECEIVED. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE DELIBERATIONS OR DECISIONS RELATED TO THIS TRANSACTION. THE RESOLUTION OF THE 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. TO DETERMINE EXECUTIVE COMPENSATION AND INCENTIVE ELIGIBILITY OF THE CEO, THE EXECUTIVE TEAM AND OTHER SENIOR MANAGEMENT, THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE RECOMMENDATIONS AND ANY COMPARABLE DATA (COMPENSATION OF SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SIZED ORGANIZATIONS). COMPARABILITY DATA MAY BE OBTAINED VIA THE FORM 990 OF OTHER ORGANIZATIONS AND/OR COMPENSATION SURVEYS OR STUDIES. THE COMPENSATION COMMITTEE, IN DELIBERATIONS WITH THE INDEPENDENT CONSULTANT, DETERMINES THE COMPENSATION AND INCENTIVE FOR THE CEO. THE COMPENSATION COMMITTEE WILL DOCUMENT THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. THE BOD WILL THEN RATIFY ALL DECISIONS OF THE COMPENSATION COMMITTEE AT ITS REGULARLY SCHEDULED BOARD MEETING. IHA'S EXECUTIVE COMPENSATION POLICY/PROCESS IS AN ANNUAL PROCESS (LAST PERFORMED IN 2014). THE CEO EXCLUDES HIMSELF/HERSELF FROM DELIBERATIONS WHEN DISCUSSING HIS/HER COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE: A COPY OF ITS 990, ITS AUDITED FINANCIAL STATEMENTS, AND ANY OTHER DOCUMENTS AS REQUIRED. FORM 990, PART VI, SECTION A, LINE 9: JUDY FELDMAN - 8421 LAKEWOOD CT., EAST AMHERST, NY 14051 LOU DISERAFINO - 40274 WARREN GLEN LN., LEEBURG, VA 20175 THE PRIMARY CONNECTION LLC 511 FARBER LAKES DRIVE BUFFALO NY 14221 472349293 HEALTH CARE MANAGEMENT SERVICES NY 0 0 INDEPENDENT HEALTH ASSOCIATION INC INDEPENDENT HEALTH FOUNDATION 777 INTERNATIONAL DRIVE WILLIAMSVILLE NY 14221 161417199 TO PROMOTE GOOD HEALTH IN WESTERN NY & TO SUPPORT THE ACTIVITIES OF IHA, INC NY 501(C)(3) 11A, 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 2150222 100496407 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 9090586 171943557 1.00000 1 MASON INSURANCE COMPANY LTD 16 CHURCH STREET HAMILTON BD REINSURANCE BD INDEPENDENT HEALTH ASSOCIATION INC C 1722786 12184805 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 INDEPENDENT HEALTH FOUNDATION B 939100 FMV INDEPENDENT HEALTH BENEFITS CORPORATION M 11427623 FMV INDEPENDENT HEALTH FOUNDATION N 116627 FMV INDEPENDENT HEALTH BENEFITS CORPORATION N 20367427 FMV INDEPENDENT HEALTH CORPORATION N 3468015 FMV INDEPENDENT HEALTH BENEFITS CORPORATION O 29102607 FMV INDEPENDENT HEALTH CORPORATION O 4878277 FMV INDEPENDENT HEALTH FOUNDATION P 141699 FMV INDEPENDENT HEALTH BENEFITS CORPORATION P 25440251 FMV INDEPENDENT HEALTH CORPORATION P 107181880 FMV INDEPENDENT HEALTH FOUNDATION Q 147015 FMV INDEPENDENT HEALTH BENEFITS CORPORATION Q 60806245 FMV INDEPENDENT HEALTH CORPORATION Q 8119968 FMV INDEPENDENT HEALTH FOUNDATION R 610841 FMV INDEPENDENT HEALTH BENEFITS CORPORATION S 8583102 FMV MASON INSURANCE CORPORATION S 5268931 FMV INDEPENDENT HEALTH CORPORATION S 213141306 FMV