2023-07-13T15:45:49-05:00 2022-08-31 390859910 BAKER TILLY US LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2021-09-01 391534049 VIVENT HEALTH INC VIVE 4142731991 PO BOX 510498 MILWAUKEE WI 532030092 TIMOTHY D DYER EXECUTIVE VP & CFO 4142731991 2023-07-13 1 TIMOTHY DYER XXX-XX-XXXX TROY MARINE CPA P00187863 4147775500 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TIMOTHY D DYER PO BOX 510498 MILWAUKEE WI 532030092 222168388 0 X WWW.VIVENTHEALTH.ORG X 1986 WI VISION: WE ENVISION A WORLD WITHOUT AIDS AND STRIVE TO ASSURE THAT EVERYONE WITH HIV DISEASE WILL LIVE A LONG AND HEALTHY LIFE.MISSION: TO BE A RELENTLESS CHAMPION FOR PEOPLE AFFECTED BY HIV AND DO ALL WE CAN TO HELP THEM THRIVE, BECAUSE WE BELIEVE EVERY PERSON HAS VALUE AND SHOULD BE TREATED WITH RESPECT. 21 21 619 88 0 0 25777311 22535296 4211501 4418706 -2326080 54415 38991831 37862132 66654563 64870549 5138142 5632550 0 0 29326294 32928386 0 0 1631475 15375644 17974893 49840080 56535829 16814483 8334720 84987861 94301216 6952439 8124826 78035422 86176390 X VISION: WE ENVISION A WORLD WITHOUT AIDS AND STRIVES TO ASSURE THAT EVERYONE WITH HIV DISEASE WILL LIVE A LONG AND HEALTHY LIFE. MISSION: TO BE A RELENTLESS CHAMPION FOR PEOPLE AFFECTED BY HIV AND DO ALL WE CAN TO HELP THEM THRIVE, BECAUSE WE BELIEVE EVERY PERSON HAS VALUE AND SHOULD BE TREATED WITH RESPECT. 0 0 19699663 2914317 42051327 FOLLOWING A SUCCESSFUL MERGER WITH KANSAS CITY THRIVE IN KANSAS CITY, MISSOURI, VIVENT HEALTH NOW OPERATES IN COLORADO, MISSOURI, TEXAS AND WISCONSIN. ACROSS ALL LOCATIONS, VIVENT HEALTH NOW SERVES MORE THAN 11,200 PATIENTS AND CLIENTS. IN FY 2022, VIVENT HEALTH PROVIDED $13,651,215 WORTH OF UNCOMPENSATED CARE, AND PROVIDED 20,547 MEDICAL CARE APPOINTMENTS, 9,295 DENTAL APPOINTMENTS, 9.295 BEHAVIORAL HEALTH AND WELLNESS APPOINTMENTS AND FILLED MORE THAN 243,280 PRESCRIPTIONS. MORE THAN 90% OF PATIENTS RATE THE CARE THEY RECEIVE AS GOOD OR VERY GOOD. THE VIVENT HEALTH HIV MEDICAL HOME PROVIDES PATIENTS WITH THE FOLLOWING: MEDICAL CARE THAT INCLUDES MEDICAL MANAGEMENT OF HIV DISEASE, PRIMARY CARE FOR GENERAL HEALTH CONDITIONS, DIAGNOSIS AND TREATMENT OF OTHER CHRONIC AND CO-MORBID CONDITIONS, PSYCHIATRY, INCLUDING TELEPSYCHIATRY FOR THE PATIENTS LIVING CONSIDERABLE DISTANCES FROM THEIR MENTAL HEALTH PROVIDER, MEDICATION ADHERENCE COUNSELING INCLUDING DRUG INTERACTION AND SIDE EFFECT COUNSELING, HIV PREVENTION EDUCATION AND COUNSELING INCLUDING PRE EXPOSURE PROPHYLAXIS FOR HIV-NEGATIVE INDIVIDUALS, AND REFERRALS AND CLOSE MONITORING FOR NEEDED SPECIALTY CARE; DENTAL CARE SERVICES THAT INCLUDE PREVENTATIVE AND RESTORATIVE CARE, ORAL HEALTH EDUCATION, CLEANINGS, FILLINGS AND DENTAL PROSTHETICS, PARTIAL AND FULL DENTURES AND ORAL SURGERY; BEHAVIORAL HEALTH CARE SERVICES THAT INCLUDE MENTAL HEALTH SCREENINGS AND TREATMENT, NEUROPSYCHOLOGICAL TESTING, ALCOHOL AND OTHER DRUG TREATMENT AND INDIVIDUAL AND GROUP COUNSELING AND WELLNESS PROGRAMS; MEDICAL CASE MANAGEMENT THAT ASSURES SUCCESSFUL HEALTH OUTCOMES BY ENROLLING PATIENTS INTO CARE, IDENTIFYING AND SECURING HEALTH CARE PAYER SOURCES WHEN AVAILABLE, PROVIDING MEDICATION AND APPOINTMENT ADHERENCE COUNSELING, ENSURING PATIENT REFERRALS TO SPECIALTY CARE ARE COMPLETED, CONDUCTING HIV PREVENTION COUNSELING AND ASSISTING PATIENTS IN ACCESSING OTHER NEEDED SERVICES; THE VIVENT PHARMACY DISPENSES MEDICATIONS AND MEDICATION ADHERENCE COUNSELING IS AVAILABLE TO ALL HIV PATIENTS, REGARDLESS OF ABILITY TO PAY THROUGH THE INTEGRATED VIVENT PHARMACY MEDICATION ASSISTANCE PROGRAM. HEALTH CARE PROVIDERS ARE ALSO ABLE TO UTILIZE THE EXPERTISE OF VIVENT HEALTH PHARMACISTS IN PROVIDING CARE TO THEIR PATIENTS. IN 2021, VH ALSO EXPANDED ACCESS TO PRE-EXPOSURE PROPHYLAXIS - A BIOMEDICAL INTERVENTION THAT IS MORE THAN 95% EFFECTIVE AT PREVENTING HIV UPTAKE- TO MORE THAN 1,311 PATIENTS. 17106887 2699342 VIVENT HEALTH PROVIDES SOCIAL SERVICES INCLUDING SOCIAL WORK CASE MANAGEMENT, LEGAL SERVICES, HOUSING PROGRAMS, RENT AND UTILITY ASSISTANCE AND ACCESS TO FOOD PANTRIES THAT ARE INTEGRATED WITH THE HEALTH CARE SERVICES PROVIDED TO HIV PATIENTS. VIVENT HEALTH OFFERS INTEGRATED SOCIAL SERVICES TO HELP HIV PATIENTS OVERCOME SERIOUS SOCIAL DETERMINANTS OF HEALTH THAT ARE OFTEN THE DIFFERENCE BETWEEN SUCCESSFUL DISEASE MANAGEMENT AND A LONG, HEALTHY LIFE OR RAPID DISEASE PROGRESSION. IN FY-2022, VIVENT HEALTH HANDLED MORE THAN 850 LEGAL MATTERS, PROVIDED MORE THAN 404,000 MEALS TO HIV PATIENTS AND ENSURED INDIVIDUALS WITH HIV RECEIVED MORE THAN 82,600 SAFE HOUSING OVERNIGHT STAYS. BY HELPING PATIENTS OVERCOME BARRIERS TO HEALTH CARE RELATED TO POVERTY, DISCRIMINATION, HOMELESSNESS AND HUNGER, VIVENT HEALTH SOCIAL SERVICES ALLOWS PATIENTS TO FOCUS ON SUCCESSFULLY ADHERING TO COMPLEX TREATMENT REGIMENS THAT AFFORD THEM THE BEST OPPORTUNITY FOR HEALTH. IN ALL LOCATIONS, VIVENT HEALTH PARTNERS WITH OTHER ORGANIZATIONS TO AVOID UNNECESSARY DUPLICATION OF SERVICES. 7467195 18891 IN ALL LOCATIONS, VIVENT HEALTH PROVIDES AGGRESSIVE, TARGETED EDUCATION, PREVENTION AND TESTING SERVICES--INCLUDING THE PROVISION OF MORE THAN 5,000 HIV TESTS TO INDIVIDUALS AT HIGHEST RISK FOR CONTRACTING HIV. IN FY 2022, VIVENT HEALTH PROVIDED MORE THAN 90,000 HIV PREVENTION CONTACTS UTILIZING HIV AND STD PREVENTION AND RISK REDUCTION COUNSELING FOR MEN WHO HAVE SEX WITH MEN,PEOPLE WHO INJECT DRUGS, AND OTHERS AT-RISK FOR HIV AND STI, INCLUDING THE DISTRIBUTION OF MORE THAN 500,000 CONDOMS, THROUGH PERSONAL INTERVENTIONS, THE INTERNET AND SOCIAL MEDIA; HIV AND HEPATITIS C COUNSELING AND TESTING SERVICES FOR INJECTION DRUG USERS AND THEIR PARTNERS; SYRINGE ACCESS SERVICES (MORE THAN 5,350,000 SYRINGES WERE DISTRIBUTED AND MORE THAN 2,160,000 SYRINGES WERE SAFELY DISPOSED OF)--WHERE LEGAL--AND RISK REDUCTION COUNSELING FOR INJECTION DRUG USERS; OPIATE OVERDOSE PREVENTION EDUCATION; PREVENTION AND TESTING SERVICES FOR WOMEN AND YOUTH AT-RISK FOR HIV AND HIV AWARENESS, EDUCATION, AND REFERRAL SERVICES. 44273745 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 259 0 1 619 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI CO MO X X TIMOTHY D DYER 4142251626 648 N PLANKINTON AVENUE SUITE 200 MILWAUKEE WI 53203 MICHAEL J GIFFORD PRESIDENT 40.00 2.00 X 625102 0 119408 DEBRA ENDEAN EXECUTIVE VP & COO (THROUGH 06/2022) 40.00 2.00 X 360963 0 71858 TIMOTHY D DYER EXECUTIVE VP & CFO 40.00 2.00 X 349653 0 72029 ANTHONY FIELDS CHIEF PHARMACY OFFICER 40.00 2.00 X 291182 0 43789 LESLIE COCKERHAM CHIEF MEDICAL OFFICER 40.00 2.00 X 258184 0 43750 WILLIAM SUMMERS MEDICAL DIRECTOR 40.00 2.00 X 249408 0 37427 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 40.00 2.00 X 243354 0 35029 THERESA DEAR CHIEF PEOPLE OFFICER 40.00 2.00 X 233739 0 20750 MIA SCOTT MEDICAL DIRECTOR 40.00 2.00 X 228034 0 23304 BRANDON HILL EXECUTIVE VP & COO (START 07/2022) 40.00 2.00 X 0 0 0 DAN KAPLAN BOARD CHAIR 1.00 2.00 X X 0 0 0 ARVAN CHAN BOARD VICE CHAIR 1.00 2.00 X X 0 0 0 AIMEE BECKER MD BOARD MEMBER 1.00 2.00 X 0 0 0 AISHA WHITE MD BOARD MEMBER 1.00 2.00 X 0 0 0 BOOKER GATSON II BOARD MEMBER (THROUGH 12/2021) 1.00 2.00 X 0 0 0 CHRIS PRICE BOARD MEMBER (THROUGH 12/2021) 1.00 2.00 X 0 0 0 ERIC CONLEY BOARD MEMBER 1.00 2.00 X 0 0 0 FRED SSEWAMALA PHD BOARD MEMBER 1.00 2.00 X 0 0 0 GEORGE MACKINNON III PHD MS RPH BOARD MEMBER 1.00 2.00 X 0 0 0 GORDON MYERS BOARD MEMBER 1.00 2.00 X 0 0 0 JANE APPLEBY BOARD MEMBER 1.00 2.00 X 0 0 0 JEANETTE KOWALIK PHD MPH MCHES BOARD MEMBER 1.00 2.00 X 0 0 0 JEROLD MCDONALD BOARD MEMBER 1.00 2.00 X 0 0 0 JOHN NYGREN BOARD MEMBER 1.00 2.00 X 0 0 0 KEVIN HAYNES BOARD MEMBER 1.00 2.00 X 0 0 0 LISA VANLERBEGHE BOARD MEMBER 1.00 2.00 X 0 0 0 MIKE HUGHES BOARD MEMBER 1.00 2.00 X 0 0 0 MIKE ROMANO BOARD MEMBER 1.00 2.00 X 0 0 0 NANCY FLAGG BOARD MEMBER 1.00 2.00 X 0 0 0 NOEL LANDUYT PHD MA BOARD MEMBER (THROUGH 12/2021) 1.00 2.00 X 0 0 0 POONNASA CORN BOARD MEMBER 1.00 2.00 X 0 0 0 ROBBIE HARRIFORD MD BOARD MEMBER 1.00 2.00 X 0 0 0 RYAN COX BOARD MEMBER 1.00 2.00 X 0 0 0 SUSSANN KOTARA MD BOARD MEMBER 1.00 2.00 X 0 0 0 2839619 0 467344 58 0 1 0 TRI-NORTH BUILDERS 2625 RESEARCH PARK DRIVE FITCHBURG WI 53711 CONSTRUCTION SERVICES 6627452 BROTHERS BUSINESS INTERIORS 400 S 5TH STREET MILWAUKEE WI 53204 CONSTRUCTION/DESIGN SERVICES 971804 JIGSAW LLC 610 E PLEASANT STREET MILWAUKEE WI 53202 MULTI-MEDIA CONSULITING 907035 OCHIN INC PO BOX 5426 PORTLAND OR 972285426 CLINICAL SUPPORT SERVICE 886291 AE BUSINESS SOLUTIONS 2323 CROSSROADS DR SUITE 300 MADISON WI 53718 DATA AND BUSINESS SOLUTIONS CONSULTING 582332 57 705690 75616 20390213 1363777 22535296 MEDICARE/MEDICAID PAYM 621399 2765781 2765781 3RD PARTY HEALTH CARE 621399 1077880 1077880 CONTRACT PHARMACY 621399 575045 575045 4418706 24098 24098 3083000 25631 3078314 0 4686 25631 30317 30317 2464 75616 483944 -481480 -481480 191368202 153735581 37632621 37632621 REFUND OF EVENT DEPOSI 900099 343000 343000 MISCELLANEOUS 900099 185444 185444 RESEARCH REVENUE 621500 182547 182547 710991 64870549 42051327 0 283926 601197 601197 5031353 5031353 1859302 432820 1203776 222706 23400679 18896715 3884206 619758 838394 658256 155781 24357 5086762 3993816 945163 147783 1743249 1454612 231783 56854 568531 568531 100012 100012 264672 264672 2327827 784382 1301852 241593 342850 17466 325384 1601407 1468556 74961 57890 2409346 1577393 740078 91875 3347459 3720486 -436214 63187 584513 411395 134978 38140 443492 24386 409900 9206 1731094 1333652 373558 23884 439398 91549 347849 PROGRAM MATERIALS 1772229 1761310 917 10002 CONTRACTED PROGRAM SERV 1525975 1525975 LICENSES AND FEES 176139 43001 110146 22992 PHARMACY EXPENSE 135659 6600 128059 1000 204290 438825 -234783 248 56535829 44273745 10630609 1631475 24596757 21483864 252571 211072 5249706 4700218 12707001 13661058 4636672 3632695 719227 495607 18100672 9471043 7876030 8629629 12055941 13874195 3666720 3666720 13227236 23946158 84987861 94301216 5356903 6251301 1733 774286 1593803 1099239 6952439 8124826 X 77422470 85868202 612952 308188 78035422 86176390 84987861 94301216 X 8334720 -187173 390032 -396611 X X 0 1 X 1 1 1 X 15391581 21602142 20553018 25777311 22535296 105859348 15391581 21602142 20553018 25777311 22535296 105859348 105859348 65638 146084 101412 2466 24098 339698 27361 18167 168704 1101023 1315255 107514301 682476603 0.98460 0.99350 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2017 AMOUNT: $ 27,361. 2018 AMOUNT: $ 18,167. 2020 AMOUNT: $ 168,704. 2021 AMOUNT: $ 1,101,023. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 236443 0 1 28229 264672 0 PART II-B, LINE 1: VIVENT HEALTH ACTIVELY ADVOCATES IN SUPPORT OF PUBLIC POLICY PROGRAMS THAT PROVIDE ACCESS TO HEALTH CARE AND SOCIAL SERVICES THAT ALLOW PEOPLE LIVING WITH HIV TO ACHIEVE OPTIMAL HEALTH. VH ALSO ADVOCATES IN SUPPORT OF PUBLIC POLICY THAT SUPPORTS AGGRESSIVE HIV PREVENTION PROGRAMS. ADVOCACY IS CARRIED OUT BY PAID STAFF AND CONSULTANTS WHO REGISTER AND COMPLY WITH ALL REGULATIONS RELATED TO LOBBYING, AS WELL AS GRASSROOTS LOBBYING CARRIED OUT BY VOLUNTEERS. 0 1 X 1054483 -208726 845757 892586 161897 1054483 698558 25000 169028 892586 670303 28255 698558 603005 70569 3271 670303 0.36000 0.64000 0 1 1 13162461 6273295 6889166 3208534 2179358 1029176 1729677 1018390 711287 8629629 DUE FROM MAHC 867010 DUE FROM ENDOWMENT 5311 DEPOSITS 83818 DEFERRED COMPENSATION INVESTMENTS 547510 DUE FROM ASA 22442509 23946158 DEFERRED COMPENSATION 375061 DUE TO TX PHARMACY 724178 1099239 X 218022346 -187173 -396611 -583784 218606130 -153735581 -153735581 64870549 210271410 0 210271410 -153735581 -153735581 56535829 PART IV, LINE 2B: VIVENT HEALTH ACTS AS A FISCAL AGENT FOR THE LATINO HEALTH COUNCIL. VIVENT HEALTH COORDINATES THE FINANCIAL ACTIVITIES ON BEHALF OF THE LATINO HEALTH COUNCIL THROUGH RECEIPT AND DISBURSEMENT OF FUNDS. CASH RECEIPTS IN EXCESS OF DISBURSEMENTS ARE REFLECTED IN THE LIABILITIES IN THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION. PART V, LINE 4: VIVENT HEALTH USES INCOME AND REALIZED GAINS FROM ENDOWMENT FUNDS FOR GENERAL PURPOSES. PART X, LINE 2: VIVENT HEALTH, MAHC, ASA AND THE ENDOWMENT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, VIVENT HEALTH, ASA, MAHC, AND THE ENDOWMENT QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAVE BEEN CLASSIFIED AS ORGANIZATIONS THAT ARE NOT PRIVATE FOUNDATIONS UNDER SECTION 509(A)(2). VIVENT HEALTH, ASA, MAHC, AND THE ENDOWMENT ARE ALSO EXEMPT FROM STATE INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON DEFERRED COMPENSATION PLAN -396,611. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -153,735,581. PART XII, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -153,735,581. AIDS WALK 1 16867 16867 1099 AIDS WALK 2 61213 58749 2464 56900 91430 141304 193211 78080 75616 2464 56900 91430 141304 194310 483944 -481480 1 WASHINGTON UNIVERSITY IN ST LOUIS 700 ROSEDALE AVE SAINT LOUIS MO 631121408 430653611 501 C 3 266142 0 TO PROVIDE HIV/AIDS RELATED SERVICES UNIVERSITY OF WISCONSIN MEDICAL 7974 UW HEALTH COURT MIDDLETON WI 53562 391824445 501 C 3 93466 0 TO PROVIDE HIV/AIDS RELATED SERVICES PROJECT TRANSITIONS 7101 WOODROW AVE UNIT B AUSTIN TX 78757 742502171 501 C 3 50000 0 TO PROVIDE HIV/AIDS RELATED SERVICES MILWAUKEE PRIDE INC PO BOX 1444 MILWAUKEE WI 53201 383901627 501 C 3 45000 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES RODNEY SCHEEL HOUSE 1966 S STOUGHTON ROAD MADISON WI 53208 391742330 501 C 3 37726 0 TO PROVIDE HIV/AIDS RELATED SERVICES AUSTIN PRIDE PO BOX 162924 AUSTIN TX 78716 271779701 501 C 3 20500 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES UWM FOUNDATION (LGBT RESOURCE CTR) 1440 E NORTH AVE MILWAUKEE WI 53202 237337744 501 C 3 19000 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES COMMON GROUND MINISTRY PO BOX 26916 WAUWATOSA WI 53226 392005369 501 C 3 15863 0 TO PROVIDE HIV/AIDS RELATED SERVICES NAACP 4805 MT HOPE DRIVE BALTIMORE MD 21215 237028846 501 C 3 15000 0 TO PROVIDE RACIAL STIGMA REDUCTION SERVICES KANSAS CITY PRIDE COMMUNITY ALLIANC 208 WESTPORT RD KANSAS CITY MO 64111 853147608 501 C 3 7500 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES PRIDE ST LOUIS INC P O BOX 15051 SAINT LOUIS MO 63110 431331630 501 C 3 6000 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES 11 0 FINANCIAL ASSISTANCE FOR PATIENTS 826 2612635 FOOD ASSISTANCE FOR PATIENTS 3410 472718 MEDICATION ASSISTANCE FOR PATIENTS 1939 1946000 PART I, LINE 2: VIVENT HEALTH GRANTS FUNDS TO OTHER ORGANIZATIONS IN ONE OF TWO WAYS. VIVENT HEALTH MAY PARTNER WITH ANOTHER ORGANIZATION AS A SUB GRANTEE. IN THAT CASE, A FORMAL CONTRACT IS ISSUED WITH SPECIFIC PROGRAM ACTIVITIES REQUIRED TO QUALIFY FOR THE FUNDS. THESE SUB GRANTEES ARE REQUIRED TO SUBMIT GRANT BUDGETS FOR PRIOR APPROVAL AND THEN TO BILL FOR ACTUAL EXPENSES INCURRED ACCORDING TO THE APPROVED BUDGET. VIVENT HEALTH PROGRAM STAFF ARE RESPONSIBLE FOR MONITORING THE SUB GRANTEES PERFORMANCE AGAINST THEIR SCOPE OF ACTIVITIES. IN ADDITION, FROM TIME TO TIME VIVENT HEALTH MAY ALSO GRANT UNRESTRICTED FUNDS TO ORGANIZATIONS TO SPONSOR AN EVENT OR ACTIVITY. THESE ARE ONE-TIME GRANTS AUTHORIZED FOR PAYMENT IN ADVANCE. X 0 0 X X X X X 0 1 0 0 0 1 0 0 0 MICHAEL J GIFFORD PRESIDENT 436358 0 133735 0 55009 0 90094 0 29314 0 744510 0 37360 0 DEBRA ENDEAN EXECUTIVE VP & COO (THROUGH 06/2022) 276412 0 58238 0 26313 0 53376 0 18482 0 432821 0 17557 0 TIMOTHY D DYER EXECUTIVE VP & CFO 265273 0 58802 0 25578 0 52647 0 19382 0 421682 0 16844 0 ANTHONY FIELDS CHIEF PHARMACY OFFICER 253437 0 37745 0 0 0 15231 0 28558 0 334971 0 0 0 LESLIE COCKERHAM CHIEF MEDICAL OFFICER 236351 0 21833 0 0 0 13452 0 30298 0 301934 0 0 0 WILLIAM SUMMERS MEDICAL DIRECTOR 228958 0 20450 0 0 0 12724 0 24703 0 286835 0 0 0 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 219407 0 23947 0 0 0 7815 0 27214 0 278383 0 0 0 THERESA DEAR CHIEF PEOPLE OFFICER 210226 0 23513 0 0 0 8154 0 12596 0 254489 0 0 0 MIA SCOTT MEDICAL DIRECTOR 228034 0 0 0 0 0 11520 0 11784 0 251338 0 0 0 PART I, LINE 4B THE PRESIDENT & CEO, MICHAEL J. GIFFORD, CHIEF OPERATING OFFICER, DEBRA ENDEAN, AND CHIEF FINANCIAL OFFICER, TIMOTHY DYER PARTICIPATE IN A 457(F) PLAN SPONSORED BY VH. MICHAEL J. GIFFORD WAS PAID OUT $55,009 IN 2021. THERE WERE NO AMOUNTS PAID OUT TO ANY OTHER PARTICIPANTS. PART I, LINE 6 ALL STAFF HAVE PAY FOR PERFORMANCE GOALS EACH YEAR, AND AS PART OF THOSE GOALS, SOME SENIOR STAFF HAVE A NET EARNINGS TARGET AS ONE OF THEIR GOALS. HOWEVER, COMPENSATION IS NOT CALCULATED BASED ON THE NET EARNINGS, BUT ON THE ACHIEVEMENT OF THE NET EARNINGS GOAL ITSELF. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL ACT ON BEHALF OF THE FULL BOARD BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS; PROVIDED, HOWEVER, THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO ELECT OR REMOVE DIRECTORS OR OFFICERS OF THE CORPORATION, INCLUDING THE PRESIDENT & CHIEF EXECUTIVE OFFICER, FILL VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY BOARD COMMITTEE, OR APPROVE ANY CORPORATE ACQUISITION OR MERGER. THE EXECUTIVE COMMITTEE SHALL OVERSEE THE ORGANIZATIONAL EXPANSION OF THE CORPORATION, INCLUDING THE IMPLEMENTATION AND EXECUTION OF MERGERS AND ACQUISITIONS. ANY ACTIONS TAKEN BY EXECUTIVE COMMITTEE SHALL BE RATIFIED BY THE FULL BOARD AT ITS NEXT REGULARLY SCHEDULED MEETING. THE EXECUTIVE COMMITTEE SHALL ALSO ANALYZE AND ASSURE IMPLEMENTATION OF GOVERNANCE BEST PRACTICES. FORM 990, PART VI, SECTION B, LINE 11B THE VIVENT HEALTH BOARD OF DIRECTORS HAS DESIGNATED THE FINANCE COMMITTEE OF THE BOARD TO ACT AS THE AUDIT COMMITTEE. AS PART OF THAT ROLE, THE COMMITTEE CONDUCTS A DETAILED REVIEW OF THE 990 PRIOR TO ITS FILING. THE COMMITTEE PROVIDES A REPORT OF THE RESULTS OF THAT REVIEW ALONG WITH A COPY OF THE 990 TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE FINANCE AND PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CURRENT WRITTEN CONFLICT OF INTEREST POLICY AND MAKES RECOMMENDATIONS FOR ANY NECESSARY CHANGE TO THE FULL BOARD OF DIRECTORS FOR ADOPTION. THE CORPORATE SECRETARY DISTRIBUTES AND COLLECTS THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THE QUESTIONNAIRES ARE THEN REVIEWED BY EXECUTIVE MANAGEMENT FOR POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE MEETS IN EXECUTIVE SESSION TO REVIEW THE PREVIOUS YEAR'S PERFORMANCE OF THE CEO, AND SETS HIS COMPENSATION FOR THE NEXT YEAR USING VARIOUS COMPENSATION DATA AVAILABLE FOR THEIR USE. THE CHAIR OF THE BOARD COMMUNICATES IN WRITING TO THE VICE PRESIDENT OF PROGRAMS AND HUMAN RESOURCES THE COMPENSATION TO BE AWARDED FOR THE CEO FOR THE NEXT YEAR. THE AGENCY HAS A FORMAL PERFORMANCE REVIEW PROCESS FOR ALL STAFF INCLUDING OFFICERS AND KEY EMPLOYEES THAT IS CONDUCTED ON AN ANNUAL BASIS, USING A PAY FOR PERFORMANCE SYSTEM. EXECUTIVE MANAGEMENT PROVIDES GUIDANCE ON THE RANGE OF SALARY INCREASES THAT ARE AVAILABLE TO STAFF UTILIZING VARIOUS DATA INCLUDING THE ANNUAL CPI, INFLATION RATE, AND A NATIONAL NON-PROFIT SALARY SURVEY CONDUCTED ON AN BI-ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC IN TWO WAYS, ELECTRONICALLY THROUGH GUIDESTAR.ORG AND ON ITS OWN WEBSITE. THE EXECUTIVE VICE PRESIDENT & CFO MAINTAINS BOTH ELECTRONIC AND HARDCOPY FILES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, AUDITS, AND FORMS 990 AND 1023. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON DEFERRED COMPENSATION PLAN -396,611. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR THE PROCESS USED TO SELECT AN INDEPENDENT ACCOUNTANT. VIVENT HEALTH PHARMACY LLC PO BOX 510498 MILWAUKEE WI 53203 273785751 RETAIL PHARAMACY WI 93361869 31892389 VIVENT HEALTH CARES PHARMACY LLC 4500 E 9TH AVE DENVER CO 80220 371741557 RETAIL PHARAMACY CO 57536619 11741586 VIVENT HEALTH AMC PHARMACY LLC 2653 LOCUST STREET ST LOUIS MO 63103 831909080 RETAIL PHARAMACY MO 40639934 13819588 VIVENT HEALTH MILWAUKEE AIDS HOUSING CORPORATION PO BOX 510498 MILWAUKEE WI 53203 391779442 HOUSING FOR HIV POSITIVE INDIVIDUALS WI 501(C)(3) LINE 7 VIVENT HEALTH 1 ARCW ENDOWMENT FUND INC PO BOX 510498 MILWAUKEE WI 53203 391963731 RAISING FUNDS FOR VH'S EXEMPT PURPOSE WI 501(C)(3) LINE 7 VIVENT HEALTH 1 AIDS SERVICES OF AUSTIN 7215 CAMERON ROAD AUSTIN TX 78752 742440845 HIV PREVENTION, CARE, AND TREATMENT TX 501(C)(3) LINE 7 VIVENT HEALTH 1 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 MILWAUKEE AIDS HOUSING CORPORATION D 867010 NET BOOK VALUE AIDS SERVICES OF AUSTIN D 22442509 NET BOOK VALUE