INDEPENDENT HEALTH ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: INDEPENDENT HEALTH ASSOCIATION INC (EIN 16-1080163)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-11
IRS object ID: 201313169349302216
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-11T13:03:13-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 RENAISSANCE CENTER SUITE 3900	AddressLine1
City	DETROIT	City
State	MI	State
ZIP Code	482431895	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	161080163	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	INDEPENDENT HEALTH ASSOCIATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	INDE	NameControl
Phone	7166313001	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	511 FARBER LAKES DRIVE	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14221	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL CROPP MD	Name
Title	PRESIDENT & CEO	Title
Phone	7166313001	Phone
Date Signed	2013-11-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LORI BOYCE	Name
PTIN	P00121981	PTIN
Phone	3133963000	Phone
Date Prepared	2013-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL CROPP	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	511 FARBER LAKES DRIVE	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14221	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1542720435	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.INDEPENDENTHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1980	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	WE PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1240	TotalNbrEmployees
Total Nbr Volunteers	197	TotalNbrVolunteers
Total Gross UBI	58173828	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1207031999	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1355311963	ProgramServiceRevenueCY
Investment Income Prior Year	12576768	InvestmentIncomePriorYear
Investment Income Current Year	12788782	InvestmentIncomeCurrentYear
Other Revenue Prior Year	63208988	OtherRevenuePriorYear
Other Revenue Current Year	58176913	OtherRevenueCurrentYear
Total Revenue Prior Year	1282817755	TotalRevenuePriorYear
Total Revenue Current Year	1426277658	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	543850	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	653465	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	1047641195	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	1254827966	BenefitsPaidToMembersCY
Salaries Etc Prior Year	116261330	SalariesEtcPriorYear
Salaries Etc Current Year	105295614	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	105832903	OtherExpensePriorYear
Other Expenses Current Year	119294801	OtherExpensesCurrentYear
Total Expenses Prior Year	1270279278	TotalExpensesPriorYear
Total Expenses Current Year	1480071846	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	12538477	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-53794188	RevenuesLessExpensesCY
Total Assets BOY	672797157	TotalAssetsBOY
Total Assets EOY	678726747	TotalAssetsEOY
Total Liabilities BOY	126927851	TotalLiabilitiesBOY
Total Liabilities EOY	182454368	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	545869306	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	496272379	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1289575245	Expense
Grants	653465	Grants
Revenue	1355311963	Revenue
Description	SEE SCHEDULE O.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. IHA OFFERS ITS MEMBERS HEALTH RISK MANAGEMENT TOOLS INCLUDING AN ONLINE HEALTH RISK ASSESSMENT AND USES INFORMATION OBTAINED FROM ITS DATA WAREHOUSE TO ANALYZE AND PREDICT POTENTIAL RISK AND DEVELOP SOLUTIONS TO HELP CONTROL PROBLEMS FOR MEMBERS. 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. THE 18 PRIMARY CARE PRACTICES INVOLVED IN THE PILOT PROGRAM ACHIEVED THE HIGHEST RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THE PATIENT CENTRIC MODEL IS A VIABLE WAY TO ACHIEVE THE "TRIPLE AIM": BETTER CARE, IMPROVED SATISFACTION AND BENDING THE MEDICAL TREND. 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. IN 2012, IHA EVOLVED ITS SUCCESSFUL PCMH CARE MODEL FOR PRIMARY CARE(ESTABLISHED IN 2009) INTO A MORE COMPREHENSIVE PROGRAM FOR OUR COMMERCIAL AND MEDICARE ADVANTAGE LINES OF BUSINESS 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. 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 PRACTICE'S 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. 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 21 PHYSICIAN OFFICES OF THE PRIMARY CONNECTION. THE PCCS 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.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 MANAGERS 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 HIGH-COST MEMBERS OR THOSE 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. PART OF THE AFFORDABLE CARE ACT AND MEDICAID REFORM EFFORTS, HEALTH HOMES ARE COMMUNITY NETWORKS OF PROVIDERS DESIGNATED BY THE STATE TO COORDINATE CARE AND SOCIAL NEEDS FOR MEDICAID MEMBERS WITH CHRONIC CONDITIONS, SUCH AS HIV/AIDS, SERIOUS MENTAL ILLNESS OR MULTIPLE CHRONIC HEALTH PROBLEMS. IHA ASSIGNS MEMBERS TO HEALTH HOMES AND SUPPORTS THESE NETWORKS ADMINISTRATIVELY, BILLING FOR SERVICES RENDERED AND REIMBURSING THEM. HEALTH HOMES ALSO REPORT QUALITY INDICATORS TO IHA.	Description
Total Program Service Expense	1289575245	TotalProgramServiceExpense
Described In501 C3	0	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	180	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1240	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	1	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MICHAEL J FASO	NamePerson
Telephone Number	7166313001	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	511 FARBER LAKES DRIVE	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14221	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ANTKOWIAK JOHN
CHAIRPERSON	12.00	1.00	X	63000	0	6188
HEIMERL MICHAEL
VICE CHAIRPERSON	3.00		X	32300	0	6188
ANGERT STUART H
SECOND VICE CHAIRPERSON	3.00	1.00	X	31000	0	2076
SULLIVAN NORA B
SECRETARY	3.00		X	31000	0	6188
COLANTUONO FRANK J
BOARD MEMBER	3.00		X	38000	0	6188
COTTON SHAWN
BOARD MEMBER	3.00		X	32700	0	6188
CULKIN JOHN J
BOARD MEMBER	3.00		X	31000	0	6188
KELSCH DONNA M
BOARD MEMBER	3.00		X	31000	0	6188
MARTINO ANTHONY B
BOARD MEMBER	3.00		X	31000	0	3609
MCDUFFIE BRENDA W
BOARD MEMBER	3.00	1.00	X	31000	0	6188
ROBINSON DONALD
BOARD MEMBER	3.00		X	42738	0	6188
STEHLIK EDWARD
BOARD MEMBER	3.00		X	39300	0	6188
SUDIT MOISES
BOARD MEMBER	3.00		X	38000	0	0
SUNDELL DUANE J
BOARD MEMBER	3.00		X	31000	0	0
TILLOTSON JR RICHARD T
BOARD MEMBER	3.00	1.00	X	31000	0	6188
WALSH III JOHN N
BOARD MEMBER	3.00	1.00	X	31000	0	0
WEISS SIDNEY N
BOARD MEMBER	3.00		X	38000	0	6188
WINGATE R MARSHALL
BOARD MEMBER	3.00		X	31000	0	6188
CROPP MICHAEL W
PRESIDENT & CEO	33.00	21.00	X	1508361	0	373154	X
JOHNSON MARK
EVP & CFO	36.00	16.00		1623883	0	344911	X
FOELS THOMAS J
EVP-CHIEF MED. OFFICER	42.00	14.00		544810	0	115011	X
DIGIULIO LAWRENCE C
VP & GENERAL COUNSEL	5.00	7.00		416182	0	35983	X
MINEO JOHN ESQ
SECRETARY, GENERAL COUNSEL	27.00	11.00		219939	0	12910	X
DUNNE CARLEEN A
GOVT PRG COMPLIANCE OFF	40.00	10.00		94351	0	33870	X
TULYK-ROSSI LAURA
COMPLIANCE OFFICER	7.00	44.00		88796	0	17670	X
MCDONALD AMY R
GOVT PRG COMPLIANCE OFF	11.00			38174	0	-4408	X
RODGERS JOHN R
EVP-CHIEF OPERATING OFF	37.00	16.00		625970	0	229392		X
SYRACUSE JILL
EVP-CHIEF SERVICING OFF	22.00	30.00		532415	0	220921		X
PENTKOWSKI ANN M
SVP-CHIEF ACT & UNDERWRI	35.00	16.00		461231	0	160790		X
FASO MICHAEL J
SVP-FINANCE & BUS DEVEL	25.00	22.00		345159	0	267105		X
CUMMING GORDON B
SVP-CHIEF ADMIN OFFICER	27.00	1.00		464775	0	77211		X
FELDMAN JUDITH ANN
SVP-INFORMATION TECHNOLO	35.00	20.00		343635	0	102404		X
DISERAFINO LOUIS
CHIEF RISK OFFICER	45.00	9.00		355601	0	36950		X
MCGUIRE NORA K
SVP-CHIEF MARKETING OFF	32.00	20.00		343472	0	7507		X
WALLESHAUSER JAMES B
VP - OFFICE STRATEGY	27.00	28.00		263667	0	46428		X
MENARD PAMELA
SVP-HEALTHCARE DELIVERY INNOVATION	32.00	17.00		273075	0	110248			X
DONOVAN DAVID W
VP - SALES	33.00	19.00		336288	0	31452			X
SAME J BRIAN
ASSOC. MED DIRECTOR	29.00	12.00		267249	0	57112			X
BASILE WILLIAM R
VP-ACTUARIAL/UNDERWRITING/INFORMATICS	18.00	32.00		259875	0	43719			X
MYLOTTE KATHLEEN MARIE
ASSOC. MED DIRECTOR	31.00	10.00		272546	0	25990			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10313492	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2432459	TotalOtherCompensation
Number Individuals GT100 K	148	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
INDIVIDUAL PRACTICE ASSOCIATION OF WNY
511 FARBER LAKES DRIVE	BUFFALO	NY	14221	MEDICAL & PHARMACY BENEFIT SERVICES	972304891
COMPUTER TASK GROUP
PO BOX 711778	CINICINNATI	OH	452711778	PRODUCTION & PROJECT SUPPORT SERVICES	16068930
HEALTHEDGE SOFTWARE INC
PO BOX 347589	PITTSBURGH	PA	152514589	PRODUCTION & PROJECT SUPPORT SERVICES	7934838
SIRIUS COMPUTER SOLUTIONS
4810 KIRKWOOD ROAD	COHOCTON	NY	14826	SALE & MAINTENANCE OF SERVERS	7878986
HEALTHPLEX IPA
333 EARLE OVINGTON BLVD	UNIONDALE	NY	115533608	DENTAL BENEFITS COMPANY	5671431

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	194	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PREMIUMS, COB & REINS	Description
Business Code	524114	BusinessCode
Total Revenue Column	1355311963	TotalRevenueColumn
Related Or Exempt Function Income	1355311963	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1355311963	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	11651834	TotalRevenueColumn
Exclusion	$11,651,834	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3900	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	815	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3085	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3085	TotalRevenueColumn
Exclusion	$3,085	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	117578910	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	116346054	Securities
Other	95908	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1232856	Securities
Other	-95908	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1136948	TotalRevenueColumn
Exclusion	$1,136,948	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CONSULTING	Description
Business Code	541610	BusinessCode
Total Revenue Column	58173828	TotalRevenueColumn
Unrelated Business Revenue	58173828	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	58173828	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1426277658	TotalRevenueColumn
Related Or Exempt Function Income	1355311963	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	58173828	UnrelatedBusinessRevenue
Exclusion	$12,791,867	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	509500	Total
Program Services	509500	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	143965	Total
Program Services	143965	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	1254827966	Total
Program Services	1254827966	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	11068392	Total
Management And General	11068392	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	65247032	Total
Program Services	10029152	ProgramServices
Management And General	55217880	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10722637	Total
Program Services	921000	ProgramServices
Management And General	9801637	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12619230	Total
Program Services	1916324	ProgramServices
Management And General	10702906	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5638323	Total
Program Services	823102	ProgramServices
Management And General	4815221	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	278727	Total
Management And General	278727	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	248366	Total
Management And General	248366	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	174816	Total
Management And General	174816	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	967437	Total
Management And General	967437	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	30052597	Total
Program Services	546434	ProgramServices
Management And General	29506163	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5708421	Total
Program Services	175433	ProgramServices
Management And General	5532988	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9292274	Total
Program Services	432655	ProgramServices
Management And General	8859619	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	21179896	Total
Program Services	2776472	ProgramServices
Management And General	18403424	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7911662	Total
Management And General	7911662	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	388957	Total
Program Services	62216	ProgramServices
Management And General	326741	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	64436	Total
Program Services	40309	ProgramServices
Management And General	24127	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15752388	Total
Management And General	15752388	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2234724	Total
Program Services	1350726	ProgramServices
Management And General	883998	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT & CHARITY, GME	13636774	13636774	0
FAMLIY CHOICE	4124372	0	4124372
MISCELLANEOUS	3633818	1383217	2250601
NYS ASSESSMENT	2064787	0	2064787

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1580349	Total
Management And General	1580349	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1480071846	Total
Program Services	1289575245	ProgramServices
Management And General	190496601	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	60536178	BOY
EOY	24619375	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	86424404	BOY
EOY	101490542	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	11871620	BOY
EOY	15079818	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	148247875	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	93830345	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	44510971	BOY
EOY	54417530	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	299108574	BOY
EOY	307001651	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	601001	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2396667	BOY
EOY	2394668	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	167948743	BOY
EOY	173122162	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	672797157	BOY
EOY	678726747	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	58805445	BOY
EOY	73889799	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	6324	BOY
EOY	6098	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	12608512	BOY
EOY	17184761	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	1260068	BOY
EOY	1604472	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	54247502	BOY
EOY	89769238	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	126927851	BOY
EOY	182454368	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	419149742	BOY
EOY	340663407	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	126719564	BOY
EOY	155608972	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	545869306	BOY
EOY	496272379	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	672797157	BOY
EOY	678726747	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-53794188	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	4197261	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	542713	OtherCostOrOtherBasis
Book Value	542713	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18316583	OtherCostOrOtherBasis
Depreciation	5157472	Depreciation
Book Value	13159111	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10484667	OtherCostOrOtherBasis
Depreciation	3407265	Depreciation
Book Value	7077402	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31170494	OtherCostOrOtherBasis
Depreciation	26086429	Depreciation
Book Value	5084065	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	87733418	OtherCostOrOtherBasis
Depreciation	59179179	Depreciation
Book Value	28554239	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	54417530	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
INVESTMENTS RESTRICTED AS TO USE	62926845
INVESTMENTS IN AFFILIATES	110195317

Field	Value	IRS element (for citing)
Total Book Value Other Assets	173122162	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
BENEFITS PAYABLE	$15,937,461
CAPITATION PAYABLE	$64,901,047
PLEDGE TO IHF	$820,000
PENSION LIABILITY OBLIGATION	$8,110,730

Field	Value	IRS element (for citing)
Total Of Amounts	89769238	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	1425209220	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	4197261	NetUnrealizedGainsInvestments
Other Revenues	-1344806	OtherRevenues
Revenue Not Rptd F990	2852455	RevenueNotRptdF990
Revenue Subtotal	1422356765	RevenueSubtotal
Other Revenues Not Included	3920893	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	3920893	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1426277658	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1470952216	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-3920893	OtherExpensesIncluded
Expenses Not Rptd F990	-3920893	ExpensesNotRptdF990
Expenses Subtotal	1474873109	ExpensesSubtotal
Other Expenses Not Included	5198737	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	5198737	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1480071846	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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) ADOPTED THE PROVISIONS OF ASC 740 RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES EFFECTIVE JANUARY 1, 2009. THE ASSOCIATION RECOGNIZED NO MATERIAL ADJUSTMENT IN THE LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS. THE ASSOCIATION DID NOT RECORD INTEREST & PENALITES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2012.	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
	BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME -1,344,580. P4P GRANT EXPENSES NETTED AGAINST OTHER INCOME -226.	PART XI, LINE 2D - OTHER ADJUSTMENTS:
	COB REVENUE 884,082. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -815. MASON & NYS REINSURANCE 1,775,738. REINSURANCE ADJUSTMENT 61,062. RX REBATE 1,200,826.	PART XI, LINE 4B - OTHER ADJUSTMENTS:
	COB REVENUE -884,082. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 815. MASON & NYS REINSURANCE -1,775,738. REINSURANCE ADJUSTMENT -61,062. RX REBATE -1,200,826.	PART XII, LINE 2D - OTHER ADJUSTMENTS:
	BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME 1,344,580. P4P GRANT EXPENSE 226. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 3,853,932. ROUNDING -1.	PART XII, LINE 4B - OTHER ADJUSTMENTS:

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICE	REINSURANCE	62997
CENTRAL AMERICA AND THE CARIBBEAN			INVESTMENT		3810000

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	3872997	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	3872997	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (22 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
THEATRE OF YOUTH
203 ALLEN STREET	BUFFALO	NY	14201	237286004	501(C)(3)	100000	0	TO IMPACT THE HEALTH OF YOUTH THROUGH LIVE THEATRE. STRATEGIC TRANSFORMATION SPONSORSHIP
SENECA DIABETES FOUNDATION
PO BOX 309	IRVING	NY	140810309	203214056	501(C)(3)	40000	0	SUPPORT THE MISSION TO PROVIDE EDUCATION OUTREACH, PREVENTION AWARENESS, AND FUND RESEARCH TO IMPROVE THE LIVES OF THOSE AFFECTED WITH DIABETES
BUFFALO NIAGARA PARTNERSHIP
PO BOX 53	BUFFALO	NY	14205	160365700	501(C)(3)	30000	0	STRATEGIC SUPPORT FOR COMMUNITY
P2 COLLABORATIVE
6225 SHERIDAN DRIVE SUITE 206	WILLIAMSVILLE	NY	14221	421604185	501(C)(3)	30000	0	SUPPORT THE ORGANIZATION'S COMMITMENT TO COLLABORATION AND IMPROVING THE HEALTH OF ALL INDIVIDUALS IN WNY. STRATEGIC TRANSFORMATION SPONSORSHIP
SHEA'S PERFORMING ARTS CENTER
646 MAIN STREET	BUFFALO	NY	142021978	161158412	501(C)(3)	35000		CORPORATE SPONSORSHIP TO SUPPORT THE ARTS AND IMPROVE INDIVIDUALS' WELL-BEING AND QUALITY OF LIFE
CANISIUS COLLEGE
2001 MAIN STREET	BUFFALO	NY	14208	160743942	501(C)(3)	20000		GENERAL SUPPORT - 2012 REGENTS SCHOLARSHIP BALL & CONFERENCE
JAMES P WILMOT CANCER CENTER
ADVANCEMENT CENTER 300 E RIVER RD	ROCHESTER	NY	14627	160743209	501(C)(3)	75000		GENERAL SUPPORT FOR RPCI-WILMOT CANCER CENTER COLLABORATION	BOX 278996
BUFFALO URBAN LEAGUE
15 E GENESEE ST	BUFFALO	NY	14203	160743940	501(C)(3)	25000		SUPPORT TO EMPOWER MINORITIES AND DISADVANTAGE INDIVDIUALS, SPECIFICALLY IN THE AREAS OF HEALTH AND QUALITY OF LIFE
UNIVERSITY AT BUFFALO FOUNDATION
BOX 900	BUFFALO	NY	14226	160865182	501(C)(3)	25000		STRATEGIC SUPPORT FOR COMMUNITY
LEADERSHIP BUFFALO
237 MAIN STREET - SUITE 1500	BUFFALO	NY	142032720	161363536	501(C)(3)	22000		STRATEGIC SUPPORT COMBINING COMMUNITY SUPPORT, VISIBILIY AND ALIGNMENT WITH OUR MISSION
CATHOLIC CHARITIES OF BUFFALO NEW YORK
741 DELAWARE AVENUE	BUFFALO	NY	14209	160743251	501(C)(3)	10000		GENERAL SUPPORT - 2012 CORPORATE APPEAL
BUFFALO ZOO (ZOOLOGICAL SOCITY OF BUFFALO INC)
300 PARKSIDE AVENUE	BUFFALO	NY	14214	160911204	501(C)(3)	20000		GENERAL SUPPORT TO INCOPORATE FUN FAMILY FITNESS ACTIVITIES AT BUFFALO ZOO TO SUPPORT COMMUNITY HEALTH ENGAGEMENT
TASTE OF BUFFALO INC
276 GREENWOOD COURT	EAST AURORA	NY	14052	161390601	501(C)(6)	15500		GENERAL SUPPORT FOR THE 2012 TASTE OF BUFFALO
LEUKEMIA & LYMPHOMA SOCIETY
1311 MAMARONECK AVENUE SUITE 310	WHITE PLAINS	NY	10605	135644916	501(C)(3)	8000		GENERAL SUPPORT TO ORGANIZATION ALIGNED WITH OUR MISSION
BUFFALO PHILHARMONIC ORCHESTRA
499 FRANKLIN STREET	BUFFALO	NY	14202	160755739	501(C)(3)	12500		CORPORATE SPONSORHIP TO SUPPORT THE ARTS AND IMPROVE INDIVIDUALS' WELL BEING AND QUALITY OF LIFE
POLICE ATHLETIC LEAGUE
65 NIAGARA SQUARE 21ST FL	BUFFALO	NY	14202	161468698	501(C)(3)	7500		TO SUPPORT THE IMPROVEMENT OF THE IMMEDIATE AND FUTURE QUALITY OF LIFE FOR THE YOUTH IN THE COMMUNITY THROUGH EDUCATIONAL, RECREATIONAL, CULTURAL, ENVIRONMENTAL, AND PREVENTION PROGRAMMING
HERITAGE CENTERS ERIE COUNTY
101 OAK STREET	BUFFALO	NY	14203	160769044	501(C)(3)	7500		GENERAL SUPPORT - STRIDE WITH PRIDE RUN/WALK
CANISIUS COLLEGE ATHLETICS
2001 MAIN STREET	BUFFALO	NY	14208	160743942	501(C)(3)	6000		GENERAL SUPPORT - COPORATE SPONSORSHIP
SUMMIT EDUCATIONAL RESOURCES INC
150 STAHL ROAD	GETZVILLE	NY	14068	161095750	501(C)(3)	5000		GENERAL SUPPORT - 2012 AUTISM AWARENESS WALK
NFJC
360 DELAWARE AVENUE ROOM 106	BUFFALO	NY	14202	203185568	501(C)(3)	5500		GENERAL SUPPORT - ORGANIZATION ALIGNED WITH OUR MISSION
OPPORTUNITIES UNLIMITED OF NIAGARA
1555 FACTORY OUTLET BLVD	NIAGARA FALLS	NY	14304	222221343	501(C)(3)	5000		GENERAL SUPPORT - CORPORATE SPONSORSHIP
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	5000		SUPPORT THE ENCOURAGEMENT OF HEALTHY LIFESTYLES TO PREVENT CARDIOVASCULAR DISEASES AND STROKES

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	21	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, 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).	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Account	X	DiscretionarySpendingAccount
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CROPP MICHAEL W
PRESIDENT & CEO	863202	0	631742	0	13417	0	321976	0	51178	0	1881515	0	0	0
JOHNSON MARK
EVP & CFO	595738	0	1000056	0	28089	0	297662	0	47249	0	1968794	0	510512	0
FOELS THOMAS J
EVP-CHIEF MED. OFFICER	345692	0	174015	0	25103	0	75170	0	39841	0	659821	0	15965	0
DIGIULIO LAWRENCE C
VP & GENERAL COUNSEL	110206	0	52500	0	253476	0	22900	0	13083	0	452165	0	0	0
MINEO JOHN ESQ
SECRETARY, GENERAL COUNSEL	209890	0	0	0	10049	0	0	0	12910	0	232849	0	0	0
RODGERS JOHN R
EVP-CHIEF OPERATING OFF	371007	0	241996	0	12967	0	172547	0	56845	0	855362	0	0	0
SYRACUSE JILL
EVP-CHIEF SERVICING OFF	305586	0	223452	0	3377	0	187961	0	32960	0	753336	0	0	0
PENTKOWSKI ANN M
SVP-CHIEF ACT & UNDERWRI	307750	0	130500	0	22981	0	135231	0	25559	0	622021	0	0	0
FASO MICHAEL J
SVP-FINANCE & BUS DEVEL	242738	0	80500	0	21921	0	249569	0	17536	0	612264	0	0	0
CUMMING GORDON B
SVP-CHIEF ADMIN OFFICER	194938	0	130500	0	139337	0	65657	0	11554	0	541986	0	0	0
FELDMAN JUDITH ANN
SVP-INFORMATION TECHNOLO	235642	0	94000	0	13993	0	82931	0	19473	0	446039	0	0	0
DISERAFINO LOUIS
CHIEF RISK OFFICER	251193	0	82110	0	22298	0	17118	0	19832	0	392551	0	0	0
MCGUIRE NORA K
SVP-CHIEF MARKETING OFF	234470	0	90000	0	19002	0	0	0	7507	0	350979	0	0	0
WALLESHAUSER JAMES B
VP - OFFICE STRATEGY	180884	0	63000	0	19783	0	28645	0	17783	0	310095	0	0	0
MENARD PAMELA
SVP-HEALTHCARE DELIVERY INNOVATION	212385	0	58436	0	2254	0	101874	0	8374	0	383323	0	0	0
DONOVAN DAVID W
VP - SALES	222256	0	112114	0	1918	0	29789	0	1663	0	367740	0	0	0
SAME J BRIAN
ASSOC. MED DIRECTOR	249828	0	11127	0	6294	0	39982	0	17130	0	324361	0	0	0
BASILE WILLIAM R
VP-ACTUARIAL/UNDERWRITING/INFORMATIC	190660	0	51408	0	17807	0	25743	0	17976	0	303594	0	0	0
MYLOTTE KATHLEEN MARIE
ASSOC. MED DIRECTOR	258373	0	11621	0	2552	0	16415	0	9575	0	298536	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	AT THE DISCRETION OF THE CEO, KEY EXECUTIVES (OFFICERS AND KEY EMPLOYEES) ARE ELIGIBLE TO 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. $296,183 WAS RECEIVED IN 2012 AND $196,876 WAS REPORTED AS TAXABLE COMPENSATION.
PART III	THE FOLLOWING LISTED PERSONS FROM PART VII, SECTION A RECEIVED SEVERANCE PAYMENTS AS PART OF A SEPARATION AGREEMENT WITH INDEPENDENT HEALTH. 2012 AMOUNTS RECEIVED AND ACCRUED INCLUDED: SALARY AND HEALTH BENEFIT COMPONENTS. 1) GORDON CUMMING - RECEIVED $130,212 DURING 2012 WITH $177,323 ACCRUED AT 12/31/12 WITH AN END DATE OF 07/13; AND 2) LAWRENCE DIGIULIO - RECEIVED $247,692 DURING 2012 WITH $103,183 ACCRUED AT 12/31/12 WITH AN END DATE OF 04/13.	SUPPLEMENTAL INFORMATION
PART III	PART I, LINE 4B: THE FOLLOWING LISTED PERSONS FROM PART VII, SECTION A PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (457(F)) WITH INDEPENDENT HEALTH. MICHAEL CROPP, M.D.: AMOUNT RECEIVED: $0; VALUE INCREASE INCLUDED IN PART VII, SECTION A, COLUMN F: $226,573 MARK JOHNSON: AMOUNT RECEIVED: $663,420; VALUE INCREASE INCLUDED IN PART VII, SECTION A, COLUMN F: $152,908. JOHN RODGERS: AMOUNT RECEIVED: $0; VALUE INCREASE INCLUDED IN PART VII, SECTION A, COLUMN F: $98,712. ANN PENTKOWSKI: AMOUNT RECEIVED $0; VALUE INCREASE INCLUDED IN PART VII, SECTION A, COLUMN F: $71,618. JILL SYRACUSE: AMOUNT RECEIVED $0; VALUE INCREASE INCLUDED IN PART VII, SECTION A, COLUMN F: $86,341. THOMAS J. FOELS: AMOUNT RECEIVED $0; VALUE DECREASE INCLUDED IN PART VII, SECTION A, COLUMN F: ($15,965). JUDITH FELDMAN: AMOUNT RECEIVED $0; VALUE INCREASE INCLUDED IN PART VII, SECTION A, COLUMN F: $52,384. GORDON CUMMING: AMOUNT RECEIVED $0; VALUE INCREASE INLCUDED IN PART VII, SECTION A, COLUMN F: $47,978. MICHAEL J. FASO: AMOUNT RECEIVED $0; VALUE INCREASE INCLUDED IN PART VII, SECTION A, COLUMN F: $179,755.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
EAST AURORA FAMILY PRACTICE
PARTNERSHIP MORE THAN 5% OWNED BY SHAWN COTTON, CURRENT BOARD MEMBER	598919	INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE	0
TONAWANDA PEDIATRICS
PARTNERSHIP MORE THAN 5% OWNED BY MICHAEL HEIMERL, CURRENT BOARD MEMBER	2142782	INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE	0
BUFFALO GERIATRIC AND REHABILITATION MEDICINE LLP
PARTNERSHIP MORE THAN 5% OWNED BY KATHLEEN MYLOTTE, CURRENT KEY EMPLOYEE	350111	PAYMENTS TO PROVIDER FOR HEALTHCARE SERVICES RENDERED TO IHA MEMBERS	0
WALSH DUFFIELD COMPANIES
ENTITY INDIRECTLY OWNED BY MORE THAN 35% BY JOHN WALSH,CURRENT BOARD MEMBER	478932	BROKER OF IHA PRODUCTS	0
DONALD W ROBINSON MD
100% OWNERSHIP IN MEDICAL PRACTICE BY DR.DONALD ROBINSON, CURRENT BOARD MEM	473806	INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE	0
AMERICA'S HEATH INSURANCE PLANS
SHARED BOARD MEMBER, DR. MICHAEL CROPP	207351	SERVICE PROVIDER (MEMBERSHIP DUES, LOBBYING ACTIVITIES)	0
NORTHTOWNS MEDICAL GROUP
PARTNERSHIP MORE THAN 5% OWNED BY EDWARD STEHLIK, CURRENT BOARD MEMBER	384897	INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE	0
WESTERN NEW YORK HEALTHENET
SHARED INTERESTED PERSON, JUDITH FELDMAN	120000	FUNDING OF OPERATIONS	0
ALDEN PHARMACY INC
40% OWNED BY JOHN RODGERS, CURRENT KEY EMPLOYEE	887050	PROVIDING PHARMACY SERVICES TO INDEPENDENT HEALTH	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

ExplanationExplanation	Return ReferenceReturnReference
FOR FRAIL ELDERLY MEMBERS AND THEIR CAREGIVERS, THE CAREPARTNERS PROGRAM IS AVAILABLE AT NO ADDITIONAL COST. THIS HOME-BASED PROGRAM FACILITATES THE RIGHT CARE AND LIVING ENVIRONMENT AND IS DESIGNED TO PREVENT EMERGENCY ROOM VISITS AND HOSPITALIZATIONS. THROUGH HOME VISITS AND PHONE CALLS, REGISTERED NURSES AND SOCIAL WORKERS HELP COORDINATE CARE AND OFFER PSYCHO-SOCIAL SUPPORT, INCLUDING LINKING MEMBERS AND CAREGIVERS TO COMMUNITY AND FINANCIAL RESOURCES, ASSESSING THE SAFETY OF THE MEMBER AND HELPING COMPLETE ADVANCE DIRECTIVES IN ACCORDANCE WITH THE MEMBER'S WISHES. MEMBERS ALSO HAVE 24-HOUR ACCESS TO A REGISTERED NURSE THROUGH THIS PROGRAM. IHA OFFERS AN ADDITIONAL LEVEL OF SUPPORT AT NO COST TO MEMBERS FACING SERIOUS ILLNESS AND THEIR FAMILIES THROUGH OUR PALLIATIVE CARE PROGRAM. OUR PALLIATIVE CARE TEAM, WHICH INCLUDES A REGISTERED NURSE, SOCIAL WORKER AND MEDICAL DIRECTOR, PARTNERS WITH THE MEMBER'S PHYSICIAN TO COORDINATE CARE AND REDUCE AVOIDABLE HOSPITAL VISITS AND ADMISSIONS. THE PALLIATIVE CARE PROFESSIONALS HAVE OPEN AND SUPPORTIVE DISCUSSIONS ABOUT TREATMENT CHOICES WITH THE MEMBER AND PROVIDE THE SAME OUTREACH AND SERVICES AS CAREPARTNERS WITH THE GOAL OF HELPING MEMBERS LIVE MORE COMFORTABLY BY MANAGING SYMPTOMS IN ACCORDANCE WITH THEIR HEALTH CARE WISHES TO PROVIDE A BETTER QUALITY OF LIFE. IN ADDITION, IHA HAS QUALITY INCENTIVE PROGRAMS IN PLACE WITH SELECT 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. SPECIFICALLY, 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 COMMUNITY WELLNESS AWARENESS PROGRAMS, AND PRACTICE EXCELLENCE, THE NATIONALLY RECOGNIZED PAY FOR PERFORMANCE PROGRAM. IHA ALSO CONTRACTED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH IN A 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'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. THERE IS ALSO THE COMMUNITY ELECTRONIC MEDICAL RECORDS (EMR) PROGRAM THAT INCLUDES THREE REGIONAL HEALTH PLANS OF WNY, WHERE ALL PARTIES AGREED TO CREATE A FUNDING MECHANISM TO PROMOTE THE ADOPTION OF EMR TECHNOLOGIES IN WNY. THE LARGEST PORTION OF THIS FUNDING HAS BEEN ALLOCATED TO A HEAL 10 GRANT AS AN "IN-KIND" CONTRIBUTION TO COMMUNITY EMR'S EFFORTS TO IMPLEMENT EMRS IN PRIMARY CARE PRACTICES UNDER THE MEDICAL HOME CONCEPT WITH A CLINICAL FOCUS ON IMPROVING DIABETES MANAGEMENT. THE REMAINING PORTION OF THE COMMUNITY EMR FUNDING, NOT ALLOCATED TO THE HEAL 10 GRANT, HAS BEEN DEVOTED TOWARD IMPLEMENTATION OF EMRS IN PRIMARY AND SPECIALTY PHYSICIAN OFFICES, PER A MUTUALLY AGREED UPON NEEDS ASSESSMENT. IHA ALSO SUBSIDIZES INDIGENT CARE AND HEALTH CARE INITIATIVES UNDER THE HEALTH CARE REFORM ACT LAW 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 2012. 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 MORE THAN 57 HOURS OF PERSONNEL SUPPORT TO THIS INITIATIVE AND INVESTED MORE THAN $94,000 IN 2012. 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 2012, 184 IHA EMPLOYEES SERVED AS REDSHIRT VOLUNTEERS. IN TOTAL, THESE INDIVIDUALS VOLUNTEERED AT 30 COMMUNITY EVENTS, WHICH REPRESENTED 552 HOURS OF VOLUNTEER TIME. IHA ENCOURAGES ITS MANAGEMENT TEAM AND EMPLOYEES TO SUPPORT THE LOCAL COMMUNITY. TO THIS END, WE ARE PROUD TO SAY THAT 125 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 2012, IHA RAISED MORE THAN $150,000 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 2012-2013 CAMPAIGN RAISED $90,591. 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 ONSITE 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 CLINICIANS FROM OUR CASE AND DISEASE MANAGEMENT DEPARTMENT WORK COLLABORATIVELY WITH THE YMCA AND INDEPENDENT HEALTH FOUNDATION TO OFFER CLASSES IN AN INDEPENDENT HEALTH INFORMATION CENTER ONSITE AT THE YMCA BRANCH. PROGRAMS COVER TOPICS INCLUDING HOW TO MANAGE CHRONIC DISEASES SUCH AS DIABETES AND DEPRESSION, AS WELL HEALTH AND WELLNESS PROGRAMS AND CUSTOMIZED FITNESS PROGRAMS TARGETING OBESITY. YMCA BUFFALO NIAGARA AND IHA ALSO TEAMED UP WITH LOCAL PARKS IN THE SUMMER OF 2012 TO PROMOTE THE VALUE OF A HEALTHY LIFESTYLE AND ENCOURAGE WESTERN NEW YORK RESIDENTS TO PARTICIPATE IN PHYSICAL ACTIVITY. THROUGHOUT THE MONTHS OF JUNE, JULY AND AUGUST THE WNY COMMUNITY WAS ABLE TO PARTICIPATE IN FREE 60-MINUTE FITNESS CLASSES WITH YMCA-CERTIFIED INSTRUCTORS AT SIX 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 INDIVIDUALS 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 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 PLACE TO LIVE. 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 SPONSORSHIP IS EXPECTED TO PROVIDE $3 MILLION TOWARDS THIS INITIATIVE. IN ANOTHER PARTNERSHIP THAT SUPPORTS THE HEALTH OF THE COMMUNITY, IHA AND THE BUFFALO MUSEUM OF SCIENCE HAVE TEAMED UP TO PROVIDE INNOVATIVE OPPORTUNITIES FOR INDIVIDUALS AND FAMILIES TO BECOME BETTER INFORMED AND ENGAGED IN THEIR HEALTH. IHA AND THE BUFFALO MUSEUM OF SCIENCE PARTNERED TO DEVELOP A HEALTH SCIENCES STUDIO CALLED "EXPLORE YOU PRESENTED BY INDEPENDENT HEALTH." OUR HEALTH COACHES AND DISEASE MANAGERS HAVE A MONTHLY PRESENCE AT THE INTERACTIVE STUDIO. THEY ARE ALSO REGULARLY ON HAND TO SPEAK TO PATRONS AND ANSWER ANY QUESTIONS AT THE MUSEUM'S BODY WORLDS VITAL TRAVELING EXHIBIT, CO-SPONSORED BY INDEPENDENT HEALTH. THIS EXHIBIT TELLS THE FASCINATING STORY OF HOW TO MANAGE AND PREVENT LIFE-THREATENING DISEASES SUCH AS CANCER, DIABETES AND HEART DISEASE THROUGH HEALTHY CHOICES AND LIFESTYLE CHANGES. 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. 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 THE WESTERN NEW YORK 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 NEARING COMPLETION OF A THREE-YEAR FEDERAL BEACON COMMUNITY GRANT TO SUPPORT THE USE OF HEALTH INFORMATION TECHNOLOGY TO IMPROVE CLINICAL OUTCOMES AND PATIENT SAFETY IN DIABETES CARE MANAGEMENT IN THE WESTERN NEW YORK REGION. HEALTHELINK IS ONE OF ONLY 17 COMMUNITIES SELECTED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PARTICIPATE IN THE BEACON COMMUNITY PROGRAM AND RECEIVED A $16.1 MILLION FEDERAL GRANT IN 2010. THE GRANT HAS PROVIDED SIGNIFICANT OPPORTUNITIES TO BUILD HEALTH INFORMATION TECHNOLOGY INFRASTRUCTURE, IMPROVE HEALTH, CARE AND COSTS, AND TEST INNOVATIVE APPROACHES. THE WORK OF THE BEACON COMMUNITY GRANT IS INCREASING AND ENHANCING THE QUALITY OF DATA AVAILABLE TO PARTICIPATING PHYSICIANS THROUGH HEALTHELINK. FOR EXAMPLE, FOUR LONG-TERM CARE FACILITIES TO DATE HAVE CONNECTED TO THE HEALTH INFORMATION EXCHANGE TO ENABLE BETTER TRANSITIONS OF CARE COORDINATION AMONG PATIENTS. APPROXIMATELY 105 DIABETIC PATIENTS ARE CURRENTLY PARTICIPATING IN A TELEMONITORING PILOT, WITH A GOAL OF REDUCING PREVENTABLE EMERGENCY ROOM VISITS AND FUTURE HOSPITAL RE-ADMISSIONS. THROUGH THE USE OF MOBILE DEVICES, CRITICAL DATA SUCH AS BLOOD PRESSURE, GLUCOSE READINGS AND OTHER VITAL SIGNS ARE REPORTED ELECTRONICALLY TO HEALTH CARE PROVIDERS THROUGH HEALTHELINK. HEALTHELINK WAS ALSO SELECTED BY THE DEPARTMENT OF VETERANS AFFAIRS (VA) TO PARTICIPATE IN THE VIRTUAL LIFETIME ELECTRONIC RECORD (VLER) HEALTH COMMUNITIES PROGRAM, A PILOT PROJECT TO IMPROVE THE DELIVERY OF CARE AND SERVICES TO VETERANS IN BOTH THE PUBLIC AND PRIVATE HEALTH CARE SECTORS THROUGH HEALTH INFORMATION TECHNOLOGY. THE WESTERN NEW YORK REGION IS SETTING AN EXAMPLE FOR THE NATION BY LINKING DOCTORS, HOSPITALS AND OTHER PROVIDERS ELECTRONICALLY TO IMPROVE THE CARE THAT PATIENTS RECEIVE AND HELP AVOID UNNECESSARY COSTS. CURRENTLY, THE MAJORITY OF WESTERN NEW YORK PROVIDERS HAVE SIGNED PARTICIPATION AGREEMENTS; MORE THAN 95 MILLION RESULTS (LAB, RADIOLOGY AND TRANSCRIBED REPORTS, WITH APPROXIMATELY 2 MILLION NEW RESULTS ADDED PER MONTH), AND MORE THAN 500,000 COMMUNITY-WIDE CONSENTS HAVE BEEN SIGNED BY PATIENTS AUTHORIZING TREATING PHYSICIANS TO ACCESS THEIR ELECTRONIC MEDICAL RECORDS THROUGH HEALTHELINK. PATIENTS DO NOT HAVE TO HAVE INSURANCE COVERAGE TO BE ELIGIBLE TO PARTICIPATE IN THIS COMMUNITY WIDE PROGRAM. WITH THIS CONSENT, 324,500 QUERIES FOR PATIENT INFORMATION OCCURRED IN 2012, REPRESENTING A 197 PERCENT INCREASE OVER 2011! THROUGH JUNE 2013, THE SIGNIFICANT UPWARD TREND CONTINUES. IHA HAS PROVIDED ALMOST $8.5 MILLION TO SUPPORT THESE INITIATIVES SINCE THEIR INCEPTION ($3.5 MILLION IN 2012). ADDITIONALLY, DURING 2012, NIAGARA FAMILY MEDICINE ASSOCIATES PARTNERED WITH IHA IN AN ONSITE HEALTH OFFICE, WHICH PROVIDES 3,700 EMPLOYEES THROUGHOUT WESTERN NEW YORK ACCESS TO IMMEDIATE AND PREVENTIVE HEALTH CARE SERVICES AT NO COST. THE 865-SQUARE-FOOT FACILITY INCLUDES TWO EXAM ROOMS, A NURSE'S STATION A CONSULTATION AREA AND A HEALTH COACH, WITH HOURS EVERY TUESDAY SATURDAY FROM 11 AM TO 7 PM. A FULL-TIME NURSE PRACTITIONER FROM NIAGARA FAMILY MEDICINE ASSOCIATES EVALUATES AND TREATS COMMON AILMENTS. OTHER SERVICES ARE AVAILABLE, SUCH AS SPOT TESTS FOR CHOLESTEROL LEVELS OR STREP THROAT, BLOOD PRESSURE SCREENING, BLOOD SUGAR MONITORING AND FLU VACCINES. IN ADDITION, A HEALTH COACH AND WELLNESS SPECIALIST FROM IHA PROVIDE EMPLOYEES WITH SERVICES SUCH AS STRESS MANAGEMENT AND CHRONIC CARE EDUCATION SERVICES FOR DIABETES, HEART DISEASE, ASTHMA AND OBESITY. SERVICES OF THE HEALTH OFFICE ARE PROVIDED FREE-OF-CHARGE, AND THERE ARE NO CO-PAYMENTS OR ANY OTHER COSTS TO EMPLOYEES REGARDLESS OF WHETHER OR NOT THEY PARTICIPATE IN THE SENECA GAMING CORPORATION HEALTH PLAN (IHA) OR HAVE COVERAGE THROUGH ANOTHER SOURCE. THE HEALTH OFFICE HAS HAD MORE THAN 1,000 VISITS SINCE ITS INSTITUTION IN 2011.
IHA COORDINATES THE DELIVERY OF HEALTH CARE SERVICES FOR APPROXIMATELY 179,939 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. COMBINED, THE COMPANY PROVIDES HEALTH BENEFITS AND SERVICES TO NEARLY 377,291 INDIVIDUALS IN WESTERN NEW YORK AND THROUGHOUT THE COUNTRY. THE QUALITY OF SERVICES IS EVIDENCED BY IHA BEING NAMED, FOR THE FOURTH CONSECUTIVE YEAR, THE TOP HEALTH INSURANCE PLAN IN THE NEW YORK/NEW JERSEY REGION, ACCORDING TO J.D. POWER AND ASSOCIATES 2013 MEMBER HEALTH INSURANCE PLAN STUDYSM. THE ANNUAL STUDY RANKS MEMBERS' EXPERIENCES IN SEVEN CATEGORIES, INCLUDING COVERAGE AND BENEFITS, INFORMATION AND COMMUNICATION, PROVIDER CHOICE, CUSTOMER SERVICE, CLAIMS PROCESSING, APPROVAL PROCESS AND STATEMENTS. WITHIN THE NEW YORK/NEW JERSEY REGION, IHA ACHIEVED THE HIGHEST MEMBER SATISFACTION SCORES IN EACH OF THE CATEGORIES SURVEYED. THE STUDY, CONDUCTED THROUGH AN ONLINE SURVEY, WAS BASED ON THE RESPONSES OF 32,868 MEMBERS IN 141 HEALTH PLANS THROUGHOUT THE UNITED STATES. FOR THE 16TH 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. THE REPORT ALSO DEMONSTRATES THAT IMPROVED ACCESS HAS A STRONG CORRELATION TO BETTER CARE AND LOWER COSTS, AND UNDERSCORES THE NEED FOR LOCAL SOLUTIONS AND COLLABORATIVE EFFORTS TO ACHIEVE THESE GOALS.
THOMAS J. FOELS, KATHLEEN MARIE MYLOTTE, AND BRIAN SAME HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF AN AFFILIATED ENTITY) . MICHAEL CROPP, MARK JOHNSON, JOHN RODGERS, THOMAS J. FOELS, JOHN MINEO, AND MICHAEL FASO HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF AN AFFILIATED ENTITY). SIDNEY N. WEISS, R. MARSHAL WINGATE, STUART ANGERT, JAMES COPPOLA, FRANK COLANTUONO, MICHAEL CROPP, MOISES SUDIT, NORA SULLIVAN, MARK JOHNSON, JOHN MINEO, JOHN RODGERS AND JAMES WALLESHAUSER HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF AN AFFILIATED ENTITY). FRANK COLANTUONO, JAMES COPPOLA, AND THOMAS FOELS HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF AN AFFILIATED ENTITY). MARSHALL WINGATE, FRANK COLANTUONO, MARK JOHNSON, AND ANN PENTKOWSKI HAVE A BUSINESS RELATIONSHIP(PRIVATE ENTERPRISE).	FORM 990, PART VI, SECTION A, LINE 2
THE FOLLOWING CHANGES WERE MADE TO IHA'S BY-LAWS DURING 2012: ONE OF THE QUALIFICATIONS OF IHA DIRECTORS/BOARD COMPOSITION WAS MODIFIED: SPECIFICALLY, THE BY-LAWS NOW STATE AT LEAST FIVE (5) SHALL BE INDEPENDENT PHYSICIANS, FOUR (4) (PREVIOUSLY (5) OF WHOM MUST BE PERSONS WHO SHALL BE A PARTY TO A SERVICE CONTRACT WITH INDEPENDENT HEALTH ASSOCIATION, INC. (IHA) OR THE INDIVDIUAL PRACTICE ASSOCIATION OF WESTERN NEW YORK, INC. (IPA/WNY) OF WHICH TWO (2) IN NUMBER SHALL BE PHYSICIANS CHOSEN BY THE BOARD OF DIRECTORS FROM A LIST OF AT LEAST FOUR (4) NOMINEES SUBMITTED BY THE BOARD OF DIRECTORS OF IPA/WNY AND TWO (2) IN NUMBER SHALL BE PHYSICIANS NOMINATED BY THE GOVERNANCE AND NOMINATING COMMITTEE. FORM 990, PART VI, SECTION A, LINE 9: GORDON CUMMING - 210 LORD BYRON LN, WILLIAMSVILLE, NY 14221; LAWRENCE DIGIULIO - 385 MT. VERNON ROAD, SNYDER NY 14226; CARLEEN DUNNE - 58 CARPENTER AVE, BUFFALO NY 14223; AMY MCDONALD - 600 YOUNGS RD, UNIT H, WILLIAMSVILLE, NY 14221; AND LAURA TULYK-ROSSI - 233 WARDMAN RD, KENMORE, NY 14217	FORM 990, PART VI, SECTION A, LINE 4
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 DISTRIBUTED TO THE BOARD OF DIRECTORS AT THE BOARD MEETING PRIOR TO THE FILING OF THE RETURN.	FORM 990, PART VI, SECTION B, LINE 11
IHA'S CONFLICT OF INTEREST REPORTING POLICY ENCOMPASSES ALL CURRENT IHA OFFICERS AND EMPLOYEES (INCLUDING KEY EMPLOYEES) OF THE ORGANIZATION. THE CEO, CHIEF LEGAL COUNSEL, CORPORATE COMPLIANCE/PRIVACY OFFICER, OR SPECIAL INVESTIGATIONS UNIT MAY MAKE THE DETERMINATION THAT A CONFLICT OF INTEREST EXISTS AND WILL REVIEW THE ACTUAL CONFLICT AS CONFLICTS ARE REPORTED TO THEM. CONFLICTS ARE ALSO IDENTIFIED ANNUALLY WHEN THE SIGNED EMPLOYEE ATTESTATIONS, CONFIDENTIAL QUESTIONNAIRES & PLEDGE OF CONFIDENTIALITY AND CONTINUING DISCLOSURE FORM (FOR BOD MEMBERS) ARE RECEIVED. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE DELIBERATIONS OR DECISIONS RELATED TO THIS TRANSACTION.	FORM 990, PART VI, SECTION B, LINE 12C
THE GOVERNING BOARD OF DIRECTORS OF INDEPENDENT HEALTH ASSOCIATION, INC. 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 AND HIS/HER DIRECT REPORTS, 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 2012) AND WAS USED TO ESTABLISH COMPENSATION FOR THE FOLLOWING POSITIONS: EXECUTIVE VICE PRESIDENT - CHIEF FINANCIAL OFFICER; EXECUTIVE VICE PRESIDENT - CHIEF SERVICING OFFICER; EXECUTIVE VICE PRESIDENT - CHIEF OPERATING OFFICER; SENIOR VICE PRESIDENT - CHIEF ADMINISTRATIVE OFFICER; EXECUTIVE VICE PRESIDENT CHIEF MEDICAL OFFICER; VICE PRESIDENT & GENERAL COUNSEL, SENIOR VICE PRESIDENT - HUMAN RESOURCES & ORGANIZATIONAL DEVELOPMENT; SENIOR VICE PRESIDENT- GENERAL COUNSEL; VICE PRESIDENT - CHIEF AUDIT EXECUTIVE; AND VICE PRESIDENT - GOVERNMENT AFFAIRS. THE CEO EXCLUDES HIMSELF/HERSELF FROM DELIBERATIONS WHEN DISCUSSING HIS/HER COMPENSATION.	FORM 990, PART VI, SECTION B, LINE 15
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 C, LINE 19

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	INDEPENDENT HEALTH FOUNDATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	777 INTERNATIONAL DRIVE	AddressLine1
City	WILLIAMSVILLE	City
State	NY	State
ZIP Code	14221	ZIPCode

Field	Value	IRS element (for citing)
EIN	161417199	EIN
Primary Activities	TO PROMOTE GOOD HEALTH IN WESTERN NY & TO SUPPORT THE ACTIVITIES OF IHA, INC	PrimaryActivities
Legal Domicile State	NY	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	LINE 11,TYPE I: 509(	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	INDEPENDENT HEALTH ASSOCIATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	0	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
LIGHTHOUSE NATURALS LLC
525 OVERLOOK DRIVE	N PALM BEACH	FL	33408	262015851	RETAIL SALES OF FOOD-BASED NUTRITIONAL SUPPLEMENTS	FL	INDEPENDENT HEALTH CORPORATION	RELATED	91453	5907	0	0
SPECIALTY PHARMACY MANAGEMENT LLC
511 FARBER LAKES DRIVE	WILLIAMSVILLE	NY	14221	272204019	SPECIALTY PHARMACEUTICAL MANAGEMENT	NY	INDEPENDENT HEALTH CORPORATION	RELATED	2274052	13373998	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
INDEPENDENT HEATH CORPORATION AND SUBSIDIARY
511 FARBER LAKES DRIVE	BUFFALO	NY	14221	161237733	THIRD PARTY CLAIMS ADMINISTRATION	NY	INDEPENDENT HEALTH ASSOCIATION	C	31672876	24398586	1.00000	0
INDEPENDENT HEALTH BENEFITS CORPORATION
511 FARBER LAKES DRIVE	BUFFALO	NY	14221	161483784	POS AND INDEMNITY PRODUCT ADMINISTRATION	NY	INDEPENDENT HEALTH ASSOCIATION	C	515918706	172857979	1.00000	0
NOVA INC
511 FARBER LAKES DRIVE	BUFFALO	NY	14221	166443379	THIRD PARTY CLAIMS ADMINISTRATION	NY	INDEPENDENT HEALTH ASSOCIATION	C			1.00000	0
MASON INSURANCE COMPANY LTD
					REINSURANCE		INDEPENDENT HEALTH ASSOCIATION	C	2971425	17045163	1.00000	0	16 CHURCH STREET	HAMILTON	BD	BD
AZEROS HEALTH PLANS INC
6125 SHERIDAN DRIVE	WILLIAMSVILLE	NY	14221	270722677	PROVIDING SFS ADMINISTRATION	NY	NOVA INC	C			1.00000	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
INDEPENDENT HEALTH FOUNDATION
B	826000	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
M	12293366	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
N	22200628	FMV
INDEPENDENT HEALTH CORPORATION
N	900624	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
O	27119896	FMV
INDEPENDENT HEALTH CORPORATION
O	5985600	FMV
INDEPENDENT HEALTH FOUNDATION
P	259524	FMV
INDEPENDENT HEALTH FOUNDATION
Q	248602	FMV
INDEPENDENT HEALTH FOUNDATION
R	583233	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
P	35724564	FMV
INDEPENDENT HEALTH CORPORATION
P	178466624	FMV
INDEPENDENT HEALTH CORPORATION
Q	7948414	FMV
MASON INSURANCE CORPORATION
R	10502451	FMV
MASON INSURANCE CORPORATION
S	5880982	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
S	7799782	FMV
INDEPENDENT HEALTH CORPORATION
S	176844299	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
Q	56237758	FMV