2022-07-12T14:43:36-05:00 2021-08-31 390859910 BAKER TILLY US LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2020-09-01 391534049 VIVENT HEALTH INC VIVE 4142731991 PO BOX 510498 MILWAUKEE WI 532030092 TIMOTHY D DYER EXECUTIVE VP & CFO 4142731991 2022-06-28 1 TIMOTHY DYER XXX-XX-XXXX TROY MARINE CPA P00187863 4147775500 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z TIMOTHY D DYER PO BOX 510498 MILWAUKEE WI 532030092 199645182 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. 22 22 545 171 0 0 20553018 25777311 3572031 4211501 92091 -2326080 29277500 38991831 53494640 66654563 5152283 5138142 0 0 25289466 29326294 0 0 1301038 13787362 15375644 44229111 49840080 9265529 16814483 66221344 84987861 7746765 6952439 58474579 78035422 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. 1 0 16684780 2168263 43355122 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 2021, VIVENT HEALTH PROVIDED $10,381,267 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 215,416 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. 15534572 2969879 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-2021, 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. 5954009 IN ALL LOCATIONS, VIVENT HEALTH PROVIDES AGGRESSIVE, TARGETED EDUCATION, PREVENTION AND TESTING SERVICES--INCLUDING THE PROVISION OF MORE THAN 7,500 HIV TESTS TO INDIVIDUALS AT HIGHEST RISK FOR CONTRACTING HIV. IN FY 2021, VIVENT HEALTH PROVIDED MORE THAN 90,000 HIV PREVENTION CONTACTS UTILIZING HIV AND STD PREVENTION AND RISK REDUCTION COUNSELING FOR GAY MEN, MEN WHO HAVE SEX WITH MEN, AND OTHERS AT-RISK FOR HIV AND STI, INCLUDING THE DISTRIBUTION OF MORE THAN 511,000 CONDOMS, THROUGH PERSONAL INTERVENTIONS, THE INTERNET AND SOCIAL MEDIA; HIV AND HEPATITIS C COUNSELING AND TESTING SERVICES FOR INJECTION DRUG USERS AND THEIR PARTNERS; CLEAN NEEDLE EXCHANGE (MORE THAN 5,000,000 SYRINGES WERE DISTRIBUTED AND MORE THAN 2,000,000 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. 38173361 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 1 313 1 1 545 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 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 & CEO 40.00 2.00 X 568262 0 108955 DEBRA ENDEAN EXECUTIVE VP & COO 40.00 2.00 X 338691 0 65117 TIMOTHY D DYER EXECUTIVE VP & CFO 40.00 2.00 X 325243 0 58179 ANTHONY FIELDS VP & CHIEF PHARMACY OFFICE 40.00 2.00 X 288506 0 41032 WILLIAM SUMMERS MEDICAL DIRECTOR 40.00 2.00 X 279059 0 40190 LESLIE COCKERHAM DIRECTOR OF MEDICAL AFFAIR 40.00 2.00 X 260106 0 41584 GINA NEGRETTE PSYCHIATRY PROGRAM COORDINATOR 40.00 2.00 X 221282 0 9805 ERIK BAUCH DIRECTOR OF PHARMACY 40.00 2.00 X 215391 0 9397 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 40.00 2.00 X 154979 0 18612 RON DUNN BOARD CHAIR (THROUGH 12/20) 1.00 2.00 X X 0 0 0 DAN KAPLAN BOARD CHAIR 1.00 2.00 X X 0 0 0 ARVAN CHAN VICE CHAIR 1.00 2.00 X X 0 0 0 JANE APPLEBY BOARD MEMBER 1.00 2.00 X 0 0 0 AIMEE BECKER MD BOARD MEMBER 1.00 2.00 X 0 0 0 ERIC CONLEY BOARD MEMBER 1.00 2.00 X 0 0 0 RYAN COX BOARD MEMBER 1.00 2.00 X 0 0 0 NANCY FLAGG BOARD MEMBER 1.00 2.00 X 0 0 0 BOOKER GATSON II BOARD MEMBER 1.00 2.00 X 0 0 0 ROBBIE HARRIFORD MD BOARD MEMBER 1.00 2.00 X 0 0 0 KEVIN HAYNES BOARD MEMBER 1.00 2.00 X 0 0 0 MIKE HUGHES BOARD MEMBER 1.00 2.00 X 0 0 0 BRAD KALSCHEUR BOARD MEMBER (THROUGH 12/20) 1.00 2.00 X 0 0 0 SUSSANN KOTARA MD BOARD MEMBER 1.00 2.00 X 0 0 0 NOEL LANDUYT PHD MA 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 JEROLD MCDONALD BOARD MEMBER 1.00 2.00 X 0 0 0 GORDON MYERS BOARD MEMBER 1.00 2.00 X 0 0 0 CHRIS PRICE BOARD MEMBER 1.00 2.00 X 0 0 0 MIKE ROMANO BOARD MEMBER 1.00 2.00 X 0 0 0 TAMIM SIFRI DDS BOARD MEMBER 1.00 2.00 X 0 0 0 FRED SSEWAMALA PHD BOARD MEMBER 1.00 2.00 X 0 0 0 LISA VANLERBERGHE BOARD MEMBER 1.00 2.00 X 0 0 0 AISHA WHITE MD BOARD MEMBER 1.00 2.00 X 0 0 0 2651519 0 392871 58 0 1 0 OCHIN INC PO BOX 5426 PORTLAND OR 972285426 CLINICAL SUPPORT SERVICE 747148 ELIOT'S NEIGHBOR 2647 LOCUST STREET ST LOUIS MO 53103 RENT/CONSTRUCTION SERVICES 724731 BROTHERS BUSINESS INTERIORS 400 S 5TH STREET MILWAUKEE WI 53204 CONSTRUCTION/DESIGN SERVICES 697752 KLM CONSTRUCTION 7000 W 14TH AVE LAKEWOOD CO 80214 CONSTRUCTION SERVICES 697080 JIGSAW LLC 610 E PLEASANT STREET MILWAUKEE WI 53202 MULTI-MEDIA CONSULITING 576375 52 802871 256101 23307539 1410800 25777311 MEDICARE/MEDICAID PAYMENT 621399 2318473 2318473 3RD PARTY HEALTH CARE REIMBURSEME 621399 1320448 1320448 CONTRACT PHARMACY 621399 572580 572580 4211501 2466 2466 3013260 2959163 2382643 54097 -2382643 -2328546 -2328546 0 256101 320494 -320494 -320494 166471940 127328319 39143621 39143621 PPP LOAN INTEREST FORGIVEN 900099 57423 57423 MISCELLANEOUS 900099 41196 41196 RESEARCH REVENUE 621500 39075 39075 31010 31010 168704 66654563 43355122 0 -2477870 454850 454850 4683292 4683292 1638038 403808 1095357 138873 20858184 17388783 2892123 577278 913334 704967 194022 14345 4354147 3360794 924966 68387 1562591 1304557 209462 48572 82950 82950 118039 118039 150937 150937 1654211 493481 948996 211734 189825 10116 170824 8885 1601141 954796 598197 48148 2408494 1610865 733457 64172 2767147 2738474 -32521 61194 344495 235762 93345 15388 635460 16756 614237 4467 2088569 978350 1086804 23415 333353 50773 282580 PROGRAM MATERIALS 1446044 1445206 790 48 CONTRACTED PROGRAM SERV 1182505 1182505 LICENSES AND FEES 250530 45122 189967 15441 PHARMACY EXPENSE 78500 2000 76500 43444 108104 -65351 691 49840080 38173361 10365681 1301038 22650815 24596757 210128 252571 4704221 5249706 7523807 12707001 3551722 4636672 507671 719227 15406686 7530656 7366586 7876030 10024139 12055941 5166720 3666720 4515535 13227236 66221344 84987861 4573180 5356903 50000 1733 3123585 1593803 7746765 6952439 X 57599201 77422470 875378 612952 58474579 78035422 66221344 84987861 X 16814483 57438 2688922 X X 0 1 X 1 1 1 X 13856206 15391581 21602142 20553018 25777311 97180258 13856206 15391581 21602142 20553018 25777311 97180258 97180258 42211 65638 146084 101412 2466 357811 59220 27361 18167 168704 273452 97811521 556417163 0.99350 0.99390 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 59,220. 2017 AMOUNT: $ 27,361. 2018 AMOUNT: $ 18,167. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 168,704. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 128854 0 1 22083 150937 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 892586 161897 1054483 698558 25000 169028 892586 670303 28255 698558 603005 70569 3271 670303 541464 61716 175 603005 0.49000 0.51000 0 1 1 10635590 5093717 5541873 3183085 1573899 1609186 1588011 863040 724971 7876030 DUE FROM MAHC 857740 DUE FROM ENDOWMENT 5311 DEPOSITS 89729 DEFERRED COMPENSATION INVESTMENTS 548656 DUE FROM ASA 10261481 DUE FROM TEXAS PHARMACY 1464319 13227236 DEFERRED COMPENSATION 285588 DUE TO TX PHARMACY 1308215 1593803 X 196911649 57438 2871329 2928767 193982882 -127328319 -127328319 66654563 177168399 0 177168399 -127328319 -127328319 49840080 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 57,396. INHERENT CONTRIBUTION FROM AIDS SERVICES OF AUSTIN 1,349,614. TRANSFERS FROM AIDS SERVICES OF AUSTIN PHARMACY 1,464,319. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -127,328,319. PART XII, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -127,328,319. AIDS WALK 1 135977 135977 900 2064 54581 AIDS WALK 2 90722 90722 2459 2 29402 29402 260490 256101 256101 900 2064 317530 320494 -320494 1 BLACK HEALTH COALITION 3020 VLIET STREET MILWAUKEE WI 53208 391691744 501 C 3 17660 TO PROVIDE HIV/AIDS RELATED SERVICES COMMON GROUND MINISTRY ELENA'S HOUSE PO BOX 26916 WAUWATOSA WI 53226 392005369 501 C 3 11963 TO PROVIDE HIV/AIDS RELATED SERVICES HARRIS-STOWE FOUNDATION INC 3026 LACLEDE AVENUE ST LOUIS MO 63103 431631601 501 C 3 20000 TO PROVIDE HIV/AIDS RELATED SERVICES DIVERSE & RESILIENT 2439 N HOLTON STREET MILWAUKEE WI 53212 300084919 501 C 3 3298 TO PROVIDE HIV/AIDS RELATED SERVICES HUSTON-TILLOTSON UNIVERSITY 900 CHICON STREET AUSTIN TX 78702 741180151 501 C 3 20000 TO PROVIDE EDUCATION ASSISTANCE NATIONAL AIDS MEMORIAL 870 MARKET STREET SUITE 965 SAN FRANCISCO CA 94102 824329012 501 C 3 75000 TO PROVIDE HIV/AIDS RELATED SERVICES RODNEY SCHEEL HOUSE 1966 S STOUGHTON ROAD MADISON WI 53208 391742330 501 C 3 38033 TO PROVIDE HIV/AIDS RELATED SERVICES METROPOLITAN STATE UNIVERSITY DENVER FOUNDATION 890 AURARIA PKWY DENVER CO 80204 840576459 501 C 3 20000 TO PROVIDE EDUCATION ASSISTANCE WASHINGTON UNIVERSITY 700 ROSEDALE AVE ST LOUIS MO 63112 430653611 501 C 3 228896 TO PROVIDE HIV/AIDS RELATED SERVICES UNIVESITY OF WISCONSIN MILWAUKEE 3203 N DOWNER AVE MILWAUKEE WI 53211 391805963 501 C 3 20000 TO PROVIDE EDUCATION ASSISTANCE 10 FINANCIAL ASSISTANCE FOR PATIENTS 826 2407577 FOOD ASSISTANCE FOR PATIENTS 3410 753932 MEDICATION ASSISTANCE FOR PATIENTS 1939 1521783 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. VH PROGRAM STAFF ARE RESPONSIBLE FOR MONITORING THE SUB GRANTEES PERFORMANCE AGAINST THEIR SCOPE OF ACTIVITIES. IN ADDITION, FROM TIME TO TIME VH 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 & CEO 392488 0 78285 0 97489 0 81870 0 27085 0 677217 0 25432 0 DEBRA ENDEAN EXECUTIVE VP & COO 284024 0 37110 0 17557 0 41945 0 23172 0 403808 0 11380 0 TIMOTHY D DYER EXECUTIVE VP & CFO 272567 0 35832 0 16844 0 40134 0 18045 0 383422 0 10935 0 ANTHONY FIELDS VP & CHIEF PHARMACY OFFICE 255512 0 32994 0 0 0 14847 0 26185 0 329538 0 0 0 WILLIAM SUMMERS MEDICAL DIRECTOR 261059 0 18000 0 0 0 13787 0 26403 0 319249 0 0 0 LESLIE COCKERHAM DIRECTOR OF MEDICAL AFFAIR 240306 0 19800 0 0 0 13514 0 28070 0 301690 0 0 0 GINA NEGRETTE PSYCHIATRY PROGRAM COORDINATOR 221282 0 0 0 0 0 8605 0 1200 0 231087 0 0 0 ERIK BAUCH DIRECTOR OF PHARMACY 199191 0 16200 0 0 0 5849 0 3548 0 224788 0 0 0 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 154979 0 0 0 0 0 0 0 18612 0 173591 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 $56,155 IN 2020. 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 III, LINE 2 FOLLOWING THE SUCCESSFUL AFFILIATION WITH THRIVE HEALTH CONNECTION IN JUNE 2021, VIVENT HEALTH NOW OPERATES IN KANSAS CITY, MISSOURI, ST. LOUIS, DENVER, COLORADO, AND THROUGHOUT THE STATE OF WISCONSIN AND HAS AN AFFILIATED PARTNER AGENCY IN AUSTIN, TEXAS. ACROSS ALL LOCATIONS, VIVENT HEALTH NOW SERVES MORE THAN 11,200 PATIENTS AND CLIENTS. IN FY 2021, VIVENT HEALTH PROVIDED $10,381,267 WORTH OF UNCOMPENSATED CARE. FORM 990, PART VI, SECTION A, LINE 1 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 57,396. INHERENT CONTRIBUTION FROM ACQUISITIONS 1,349,614. TRANSFERS FROM AIDS SERVICES OF AUSTIN PHARMACY, LLC 1,464,319. SCALES PHARMACY NET ASSETS TRANSFERRED TO VIVENT HEALTH -182,407. 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 86882525 30508581 VIVENT HEALTH CARES PHARMACY LLC 4500 E 9TH AVE DENVER CO 80220 371741557 RETAIL PHARAMACY CO 52328683 12386094 VIVENT HEALTH AMC PHARMACY LLC 2653 LOCUST STREET ST LOUIS MO 63103 831909080 RETAIL PHARAMACY MO 27260732 9965641 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 SCALES PHARMACY LLC 1999 PENNSYLVANIA ST DENVER CO 80203 463313808 PHARMACY - DISSOLVED 10/2020 CO VIVENT HEALTH INC C 1.00000 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 MILWAUKEE AIDS HOUSING CORPORATION D 857740 NET BOOK VALUE SCALES PHARMACY S 784716 NET BOOK VALUE AIDS SERVICES OF AUSTIN S 1464319 AMOUNT TRANSFERRED