INDEPENDENT HEALTH ASSOCIATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: INDEPENDENT HEALTH ASSOCIATION INC (EIN 16-1080163)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-14
IRS object ID: 202243189349318354
Schema version: 2021v4.2
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)
Return	2022-11-14T17:38:51-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462045108	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161080163	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INDEPENDENT HEALTH ASSOCIATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	INDE	BusinessNameControlTxt
Phone	7166313001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	511 FARBER LAKES DRIVE	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14221	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL W CROPP MD	PersonNm
Person Title	MD, PRESIDENT, & CEO	PersonTitleTxt
Phone	7166313001	PhoneNum
Signature	2022-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	CROPP MD	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SHAWNA M JANSONS	PreparerPersonNm
PTIN	P01222873	PTIN
Phone	3174648600	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	511 FARBER LAKES DRIVE	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14221	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,632,041,830	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c	Yes (X)	Organization501cInd
Website Address	WWW.INDEPENDENTHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1331	TotalEmployeeCnt
Total Volunteers	254	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$1,428,474,947	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,474,942,149	CYProgramServiceRevenueAmt
PY Investment Income	$15,100,027	PYInvestmentIncomeAmt
CY Investment Income	$14,061,144	CYInvestmentIncomeAmt
PY Other Revenue	$10,942	PYOtherRevenueAmt
CY Other Revenue	$180,297	CYOtherRevenueAmt
PY Total Revenue	$1,443,585,916	PYTotalRevenueAmt
CY Total Revenue	$1,489,183,590	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,023,651	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,141,584	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$1,194,335,312	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$1,351,671,707	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$94,945,286	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$76,741,028	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$94,502,409	PYOtherExpensesAmt
CY Other Expenses	$102,440,430	CYOtherExpensesAmt
PY Total Expenses	$1,388,806,658	PYTotalExpensesAmt
CY Total Expenses	$1,535,994,749	CYTotalExpensesAmt
PY Revenues Less Expenses	$54,779,258	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$46,811,159	CYRevenuesLessExpensesAmt
Total Assets BOY	$805,543,530	TotalAssetsBOYAmt
Total Assets EOY	$961,041,739	TotalAssetsEOYAmt
Total Liabilities BOY	$202,337,570	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$407,305,860	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$603,205,960	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$553,735,879	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,404,058,759	ExpenseAmt
Grant	$5,141,584	GrantAmt
Revenue	$1,474,942,149	RevenueAmt
Desc	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 EIGHT 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 (SEE SCH O FOR ADDITIONAL DETAIL).HEADQUARTERED IN BUFFALO, INDEPENDENT HEALTH BEGAN OPERATIONS IN 1980 AND HAS CONSISTENTLY BEEN RATED AMONG THE TOP HEALTH PLANS IN THE COUNTRY FOR CUSTOMER SERVICE AND MEMBER SATISFACTION. INDEPENDENT HEALTH'S COMPREHENSIVE PORTFOLIO OF PROGRESSIVE PRODUCTS INCLUDE HMO, POS, PPO AND EPO PRODUCTS, MEDICARE AND MEDICAID PLANS, TRADITIONAL INDEMNITY INSURANCE, INDIVIDUAL AND SMALL GROUP EXCHANGE PRODUCTS, AND CONSUMER-DIRECTED PLANS, PLUS COVERAGE FOR SELF-FUNDED EMPLOYERS. INDEPENDENT HEALTH'S SUBSIDIARY COMPANIES INCLUDE PHARMACY BENEFIT DIMENSIONS, RELIANCE RX AND NOVA HEALTHCARE ADMINISTRATORS, INC., AND WNY COLLABORATIVE MANAGEMENT SERVICES, LLC.IHA OFFERS ITS MEMBERS HEALTH RISK MANAGEMENT TOOLS INCLUDING AN ONLINE HEALTH RISK ASSESSMENT TO GIVE THEM THE INFORMATION THEY NEED TO HELP CONTROL CURRENT AND PREVENT FUTURE PROBLEMS. PROGRAMS FOR COVERED EMPLOYEES, AS WELL AS FOR EMPLOYERS, HELP THEM MAKE GOOD HEALTH A PART OF THEIR CULTURE. IHA OFFERS A 24-HOUR MEDICAL HELP LINE WITH ACCESS TO A REGISTERED NURSE WHO HELPS MEMBERS EXPLORE TREATMENT OPTIONS, DISCUSS NEEDED HEALTH SCREENINGS AND HELP DETERMINE APPROPRIATE CARE. OTHER MEMBERSHIP SERVICES INCLUDE PREVENTIVE CARE WITH ACTIVE PARTICIPATION BY COMMUNITY ORGANIZATIONS IN INITIATIVES SUCH AS THE POPULATION HEALTH COLLABORATIVE OF WESTERN NEW YORK, 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 SECURE SHARING OF CLINICAL INFORMATION, AS WELL AS THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND ELECTRONIC MEDICAL RECORDS, THROUGH ORGANIZATIONS SUCH AS HEALTHELINK.IN THE PAST, THE IHA HEALTH COACH PROGRAM OFFERED A BROAD RANGE OF SERVICES, INCLUDING EDUCATION AND CARE COORDINATION, TO IMPROVE THE HEALTH OF IHA MEMBERS AND EMPLOYEES. AS A CURRENT RESOURCE TO ENGAGE WITH MEMBERS AT ANY POINT IN THEIR DAY OR ANY STAGE OF HEALTH, BROOK DIGITAL HEALTH COMPANION IS AN AVAILABLE RESOURCE. BROOK IS AN INNOVATIVE COMPANY THAT HAS DEVELOPED A DIGITAL PERSONAL ASSISTANT TO HELP PEOPLE WITH CHRONIC CONDITIONS (THE FIRST CONDITION ADDRESSED WAS DIABETES), AS WELL AS PEOPLE LOOKING TO MAINTAIN THEIR GENERAL WELL-BEING, BETTER MANAGE THEIR HEALTH VIA THEIR SMARTPHONE. BROOK BLENDS INTELLIGENT, TECHNOLOGY-BASED RESPONSES WITH THE INTERACTION AND HUMAN TOUCH THAT CAN ONLY COME FROM COMPASSIONATE, UNDERSTANDING EXPERTS. IHA'S MEDICARE FAMILY CHOICE PLAN IS A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN OFFERED IN NURSING FACILITIES IN WESTERN NEW YORK. FAMILY CHOICE OF NEW YORK IS A CARE MANAGEMENT COMPANY THAT WORKS IN PARTNERSHIP WITH AREA NURSING HOMES, PHYSICIANS AND HOSPITALS TO BRING ADDITIONAL CARE - INCLUDING ENHANCED HEALTH CARE AND SOCIAL SERVICES - TO THE PATIENTS WHO NEED SPECIALIZED MEDICAL AND NURSE MANAGEMENT. THE PROGRAM ACCOMPLISHES THIS BY ASSIGNING A NURSE PRACTITIONER WHO IS SPECIALLY TRAINED IN GERIATRICS TO NURSING HOME RESIDENTS. THE GOAL IS TO IMPROVE NOT ONLY THE MEMBER'S QUALITY OF CARE, BUT ALSO THEIR QUALITY OF LIFE. FAMILY CHOICE'S SPECIALLY TRAINED NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS ARE ON CALL 24 HOURS A DAY, SEVEN DAYS A WEEK TO PROVIDE CARE AND SUPPORT AS NEEDED. THEY WORK IN COLLABORATION WITH THE MEMBER'S PHYSICIANS AND THE NURSING FACILITY'S STAFF TO IDENTIFY POTENTIAL PROBLEMS BEFORE THEY BECOME SERIOUS AND MINIMIZE UNNECESSARY AND DISRUPTIVE EMERGENCY ROOM VISITS AND HOSPITAL STAYS WHENEVER IT'S SAFE AND APPROPRIATE.IHA ALSO OFFERS ASSURE ADVANTAGE HMO C-SNP. THIS IS A MEDICARE ADVANTAGE CHRONIC SPECIAL NEEDS PLAN SPECIFICALLY DEVELOPED FOR ELIGIBLE MEDICARE BENEFICIARIES WHO HAVE BEEN DIAGNOSED WITH BOTH DIABETES AND CHRONIC HEART FAILURE AND RESIDE IN ERIE COUNTY. THIS PLAN INCLUDES PROVIDERS WHO SPECIALIZE IN TREATING CHRONIC HEART FAILURE AND DIABETES. IT INCLUDES BENEFITS AND HEALTH PROGRAMS AND CARE COORDINATION SERVICES DESIGNED TO SERVE THE SPECIALIZED NEEDS OF PEOPLE WITH THESE CONDITIONS. IN ADDITION, ASSURE ADVANTAGE COVERS PRESCRIPTION DRUGS TO TREAT MOST MEDICAL CONDITIONS, INCLUDING THE DRUGS THAT ARE USUALLY USED TO TREAT CHRONIC HEART FAILURE AND DIABETES. 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. 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. THE 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 DEVELOPS AND CONDUCTS EXTENSIVE COMMUNITY WELLNESS AND BENEFIT INITIATIVES THAT HELP MEMBERS LEAD HEALTHIER LIVES AND HELP EMPLOYERS CONTROL HEALTH CARE COSTS. THROUGH ITS PARTNERSHIP WITH JERICHO ROAD COMMUNITY HEALTH CENTER, IN 2019 THE INDEPENDENT HEALTH MEDICALLY ORIENTED GYM (MOG) AT JERICHO ROAD WAS CREATED TO PROVIDE PHYSICAL THERAPY AND EXERCISE PROGRAMMING FOR COMMUNITY MEMBERS, ESPECIALLY INDIVIDUALS SUFFERING FROM CHRONIC DISEASES LIKE DIABETES AND CARDIOVASCULAR DISEASE. DESIGNED TO FOCUS ON MEDICAL OUTCOMES IN ADDITION TO FITNESS, THE MOG IS LOCATED IN A ZIP CODE WITH SOME OF THE HIGHEST RATES OF DIABETES AND HIGH BLOOD PRESSURE IN THE REGION. IN EARLY 2021, INDEPENDENT HEALTH BEGAN A REFRESH OF ITS FIVE-YEAR STRATEGIC PLAN, ENTITLED IH2025: DESTINATION EXCELLENCE, TO HELP ENVISION WHAT THE FUTURE OF HEALTH CARE LOOKS LIKE AND THE CAPABILITIES THAT ARE NEEDED TO BE SUCCESSFUL. IH2025: DESTINATION EXCELLENCE WILL FOCUS ON SEVERAL AREAS INCLUDING ADVANCED CARE MODELS, THE ENHANCED DIGITAL EXPERIENCE FOR MEMBERS THROUGH REDSHIRT 2.0 AND OPERATIONAL EXCELLENCE. THE HOPE IS IH2025: DESTINATION EXCELLENCE WILL IMPROVE THE HEALTH OF OUR MEMBERS, STRENGTHEN OUR POSITION AS THE LEADING HEALTH PLAN IN OUR COMMUNITY AND EMPOWER ASSOCIATES TO CONTINUE PROVIDING THE BEST REDSHIRT EXPERIENCE FOR OUR MEMBERS.	Desc
Total Program Service Expenses	$1,404,058,759	TotalProgramServiceExpensesAmt
Described In Section501c3	0	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	329	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1331	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (1)	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES DUNLOP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7166313001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	511 FARBER LAKES DRIVE	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14221	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DONALD ROBINSON MD
BOARD MEMBER	6.00	0.00	Yes (X)	$1,000	$0	$0
STUART H ANGERT
BOARD MEMBER	6.00	3.00	Yes (X)	$1,000	$0	$1,599
THOMAS J FOELS
BOARD MEMBER	6.00	0.00	Yes (X)	$45,500	$0	$0
DANIEL B WEINTRAUB CPA
BOARD MEMBER	6.00	2.00	Yes (X)	$81,333	$0	$2,981
PAMELA D REED MD
BOARD MEMBER	6.00	1.00	Yes (X)	$45,500	$0	$0
COLLEEN C DIPIRRO
BOARD MEMBER	6.00	1.00	Yes (X)	$69,500	$0	$4,359
YVONNE S MINOR-RAGAN PHD
BOARD MEMBER	6.00	2.00	Yes (X)	$45,500	$0	$411
FAUD SHERIFF MD
BOARD MEMBER	6.00	0.00	Yes (X)	$45,500	$0	$5,961
DAVID PAWLOWSKI MD
BOARD MEMBER	6.00	0.00	Yes (X)	$43,500	$0	$8,718
LISA MENDONZA MD
BOARD MEMBER	6.00	0.00	Yes (X)	$45,500	$0	$6,959
PATRICIA SMITH
BOARD MEMBER	6.00	0.00	Yes (X)	$55,500	$0	$411
DAN GAGLIARDO
BOARD MEMBER	6.00	3.00	Yes (X)	$51,500	$0	$8,718
DONALD BOSWELL
BOARD MEMBER	6.00	0.00	Yes (X)	$59,500	$0	$8,718
DAVID J MCNAMARA ESQ
BOARD MEMBER	6.00	0.00	Yes (X)	$60,500	$0	$0
GERARD T MAZURKIEWICZ CPA
BOARD MEMBER 12/20	6.00	0.00	Yes (X)	$60,500	$0	$0
KATHLEEN MYLOTTE MD
CHAIRPERSON	15.00	0.00	Yes (X)	$127,100	$0	$0
MICHAEL W CROPP
PRESIDENT & CEO	29.00	20.00	Yes (X)	$2,108,051	$0	$489,044	Yes (X)
JOHN MINEO
SECRETARY- EVP GEN.COUNSEL	29.00	17.00	Yes (X)	$641,912	$0	$185,909	Yes (X)
JAMES DUNLOP
TREASURER & EVP CFO (7/21)	15.00	8.00	Yes (X)	$265,893	$0	$50,358	Yes (X)
ANN M PENTKOWSKI
TREASURER & EVP CFO (END 6/21)	14.00	8.00	Yes (X)	$1,226,547	$0	$69,023	Yes (X)
ANTHONY J BAYNES
VICE CHAIRPERSON	6.00	1.00	Yes (X)	$57,500	$0	$4,359	Yes (X)
NICOLE BRITTON
CHF COMPLIANCE OFCR	33.00	10.00		$133,544	$0	$36,381	Yes (X)
ANTHONY BILLITTIER
EVP-CHF MEDICAL OFCR	27.00	14.00		$654,362	$0	$172,924	Yes (X)
GEORGE WANDS
CHIEF AUDIT OFFICER	34.00	9.00		$170,052	$0	$34,727		Yes (X)
JOHN REID RODGERS
EVP - COO	33.00	18.00		$1,518,860	$0	$314,794		Yes (X)
PATRICIA C CLABEAUX
EVP-CHIEF HR OFFICER	30.00	16.00		$915,075	$0	$155,131		Yes (X)
S PAUL KAHLON
SVP - CHF ACTUARY & STRATEGY	40.00	17.00		$344,986	$0	$35,391		Yes (X)
AMIN M SEREHALI
SVP - CHF DATA & ANALYTICS OFCR	41.00	11.00		$414,897	$0	$36,001		Yes (X)
ANTHONY MONTAGNA
SVP - CHF NETWORK OFCR	30.00	17.00		$327,936	$0	$85,333		Yes (X)
CHERYL FRIEDMAN
SVP - HEALTH CARE SERVICES	40.00	12.00		$405,277	$0	$54,989		Yes (X)
RICHARD M ARGENTIERI
SVP- CHF SALES & MARKT OFCR	31.00	17.00		$368,815	$0	$77,605		Yes (X)
MIKE REILLY
SVP-CHF HEALTHCARE INNV & STRAT. OFCR	34.00	14.00		$318,098	$0	$15,207		Yes (X)
NORA K MCGUIRE
SVP-CHF SALES&MARKT OFCR (END 5/21).	21.00	10.00		$414,358	$0	$54,410		Yes (X)
MARGARET STEFFAN
SVP-FINANCE & CAO	33.00	22.00		$425,605	$0	$114,289		Yes (X)
ROBERTA D RIFKIN
SVP-GOVT AFFAIRS & STRAT PRTNRSHPS	29.00	15.00		$381,988	$0	$102,427		Yes (X)
ROBERT TRACY
SVP-GOVT PROGRAMS	35.00	10.00		$315,683	$0	$47,842		Yes (X)
ERIC J DECKER
SVP-INFORMATION TECHNOLOGY CIO	35.00	13.00		$472,339	$0	$43,450		Yes (X)
ANNE O'NEILL
VP-CHIEF RISK OFFICER	33.00	10.00		$297,304	$0	$71,002		Yes (X)
MICHAEL MERRILL
ASSOCIATE MED DIRECTOR- UM	11.00	19.00		$375,537	$0	$34,817			Yes (X)
TIMOTHY HALEY
MED DIR MED POLICY & UM	11.00	31.00		$355,819	$0	$36,449			Yes (X)
DEIRDRE WHEAT
MED DIR QUALITY DISEASE CASE MGT.	19.00	28.00		$327,059	$0	$39,217			Yes (X)
JOSHUA ZALEN
VP - IT SERVICE OPERATIONS	36.00	15.00		$306,318	$0	$30,464			Yes (X)
DAVID SCHUTE
VP-OPERATIONS	34.00	9.00		$307,899	$0	$32,958			Yes (X)
MARK I JOHNSON
SENIOR FINANCE ADVISOR (END 12/20)	7.00	5.00		$247,282	$0	$18				Yes (X)
JOHN HAUGHTON
SVP-CHF CLIN IMPRV (END 10/19)	0.00	0.00		$152,719	$0	$0				Yes (X)
MICHAEL J FASO
SVP-CHF REV&ACCTG (END 7/19)	0.00	0.00		$142,732	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,232,880	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,473,354	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	305	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
INDEPENDENT PRACTICE ASSOCIATION OF WNY
511 FARBER LAKES DRIVE	BUFFALO	NY	14221	MEDICAL & PHARMACY BENEFIT SERVICES	$892,057,444
HEALTHPLEX IPA
333 EARLE OVINGTON BLVD SUITE 300	UNIONDALE	NY	115533608	DENTAL BENEFITS COMPANY	$24,020,330
SYNTEL INC
525 E BIG BEAVER ROAD SUITE 300	TROY	MI	48083	INFORMATION TECHNOLOGY SERVICES	$12,287,931
SIRIUS COMPUTER SOLUTIONS
PO BOX 202289	DALLAS	TX	753202289	INFORMATION TECHNOLOGY SERVICES	$9,904,245
NTT DATA INC
PO BOX 4201	BOSTON	MA	02211	INFORMATION TECHNOLOGY SERVICES	$7,067,884

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	159	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PREMIUMS,REINSURANCE,&REB	Desc
Business	524114	BusinessCd
Total Revenue Column	$1,474,942,149	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,474,942,149	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,474,942,149	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,805,640	TotalRevenueColumnAmt
Exclusion	$11,805,640	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$167,219	TotalRevenueColumnAmt
Exclusion	$167,219	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$35,190	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$22,112	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$13,078	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,078	TotalRevenueColumnAmt
Exclusion	$13,078	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$145,082,632	SecuritiesAmt
Other	$9,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$142,830,530	SecuritiesAmt
Other	$5,598	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,252,102	SecuritiesAmt
Other	$3,402	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,255,504	TotalRevenueColumnAmt
Exclusion	$2,255,504	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,489,183,590	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,474,942,149	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$14,241,441	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,141,584	TotalAmt
Program Services	$5,141,584	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$1,351,671,707	TotalAmt
Program Services	$1,351,671,707	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$15,316,944	TotalAmt
Management And General	$15,316,944	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,705,029	TotalAmt
Program Services	$18,006,552	ProgramServicesAmt
Management And General	$25,698,477	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$6,559,463	TotalAmt
Program Services	$769,925	ProgramServicesAmt
Management And General	-$7,329,388	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,481,585	TotalAmt
Program Services	$3,634,324	ProgramServicesAmt
Management And General	$12,847,261	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,796,933	TotalAmt
Program Services	$1,418,507	ProgramServicesAmt
Management And General	$6,378,426	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$894,772	TotalAmt
Management And General	$894,772	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$389,240	TotalAmt
Management And General	$389,240	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$149,959	TotalAmt
Management And General	$149,959	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,246,577	TotalAmt
Management And General	$1,246,577	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,095,001	TotalAmt
Program Services	$95,634	ProgramServicesAmt
Management And General	$32,999,367	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,328,971	TotalAmt
Program Services	$17,496	ProgramServicesAmt
Management And General	$5,311,475	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,591,539	TotalAmt
Program Services	$314,955	ProgramServicesAmt
Management And General	$7,276,584	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,831,350	TotalAmt
Program Services	$541	ProgramServicesAmt
Management And General	$18,830,809	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,639,516	TotalAmt
Management And General	$1,639,516	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$37,663	TotalAmt
Program Services	$1,975	ProgramServicesAmt
Management And General	$35,688	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$14,558	TotalAmt
Program Services	$1,519	ProgramServicesAmt
Management And General	$13,039	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$33,067	TotalAmt
Management And General	$33,067	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,772,695	TotalAmt
Management And General	$7,772,695	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,193,049	TotalAmt
Program Services	$39,072	ProgramServicesAmt
Management And General	$1,153,977	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
GME SURCHARGE	$19,937,942	$19,937,942
FAMILY CHOICE	$2,812,728	$2,812,728
NYS ASSESSMENT/ACA	$1,206,803		$1,206,803
DUES	$514,964	$24,873	$490,091

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$249,964	TotalAmt
Program Services	$169,425	ProgramServicesAmt
Management And General	-$419,389	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,535,994,749	TotalAmt
Program Services	$1,404,058,759	ProgramServicesAmt
Management And General	$131,935,990	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,251,101	BOYAmt
EOY	$19,238,782	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$149,597,878	BOYAmt
EOY	$273,082,067	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,255,120	BOYAmt
EOY	$27,232,103	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$177,528,939	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$131,968,349	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,449,907	BOYAmt
EOY	$45,560,590	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$385,436,060	BOYAmt
EOY	$397,672,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,735,417	BOYAmt
EOY	$1,653,750	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$196,818,047	BOYAmt
EOY	$196,602,447	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$805,543,530	BOYAmt
EOY	$961,041,739	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$78,812,088	BOYAmt
EOY	$109,712,913	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$7,020,303	BOYAmt
EOY	$1,745,725	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$3,093,175	BOYAmt
EOY	$3,973,457	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$55,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,412,004	BOYAmt
EOY	$236,873,765	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$202,337,570	BOYAmt
EOY	$407,305,860	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$444,072,847	BOYAmt
EOY	$395,426,830	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$159,133,113	BOYAmt
EOY	$158,309,049	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$603,205,960	BOYAmt
EOY	$553,735,879	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$805,543,530	BOYAmt
EOY	$961,041,739	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$46,811,159	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,658,922	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$542,713	OtherCostOrOtherBasisAmt
Book Value	$542,713	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,772,167	OtherCostOrOtherBasisAmt
Depreciation	$9,521,757	DepreciationAmt
Book Value	$14,250,410	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,468,467	OtherCostOrOtherBasisAmt
Depreciation	$12,140,822	DepreciationAmt
Book Value	$5,327,645	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,048,692	OtherCostOrOtherBasisAmt
Depreciation	$24,840,412	DepreciationAmt
Book Value	$12,208,280	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,696,900	OtherCostOrOtherBasisAmt
Depreciation	$85,465,358	DepreciationAmt
Book Value	$13,231,542	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$45,560,590	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS HELD IN ESCROW PER NYSDOH REGULATION 98-1.11CF	$84,427,700
INVESTMENT IN AFFILIATES	$112,174,747

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$196,602,447	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
BENEFITS PAYABLE	$41,177,680
CAPITATION PAYABLE	$1,872,456
INTERCOMPANY PAYABLE	$171,023,629
MEDICAL LOSS RATIO REBATES	$22,800,000

Field	Value	IRS element (for citing)
Total Liability	$236,873,765	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,474,805,665	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,658,922	NetUnrealizedGainsInvstAmt
Other Revenue	-$1,134,313	OtherRevenueAmt
Revenue Not Reported	-$3,793,235	RevenueNotReportedAmt
Revenue Subtotal	$1,478,598,900	RevenueSubtotalAmt
Other Revenues Not Included	$10,584,690	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$10,584,690	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,489,183,590	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,535,087,538	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$10,584,691	OtherExpensesIncludedAmt
Expenses Not Reported	-$10,584,691	ExpensesNotReportedAmt
Expenses Subtotal	$1,545,672,229	ExpensesSubtotalAmt
Other Expenses Not Included	-$9,677,480	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$9,677,480	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,535,994,749	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	LONG TERM INCENTIVE DEFERRED COMPENSATION PLAN(S) ARE OFFERED TO KEY EXECUTIVES. FUTURE PAYMENT IS BASED ON PERFORMANCE AND HISTORICAL COMPENSATION, ASSETS ARE UNDER CUSTODIAL ARRANGEMENT WITH M&T BANK.
PART X, LINE 2:	INDEPENDENT HEALTH ASSOCIATION & AFFILIATES (THE ASSOCIATION) RECOGNIZED NO LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS AT DECEMBER 31, 2021 AND 2020. THE ASSOCIATION DID NOT RECORD INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2021 AND 2020. THE ASSOCIATION IS SUBJECT TO U.S. FEDERAL INCOME TAX AND INCOME TAX IN VARIOUS STATE JURISDICTIONS. AS OF DECEMBER 31, 2021, THE ASSOCIATION'S TAX YEARS FOR 2018, 2019, AND 2020 ARE SUBJECT TO EXAMINATION BY FEDERAL TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME -1,597,486. OPERATING GRANT NETTED AGAINST INCOME -2,281,030. NON-SERVICE NET PERIODIC PENSION COSTS NETTED AGAINST INCOME 2,744,203.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	REINSURANCE RECOVERIES 5,198,879. RX REBATE 5,407,923. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -22,112.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	REINSURANCE RECOVERIES -5,198,880. RX REBATE -5,407,923. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 22,112.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME 1,597,486. OPERATING GRANT NETTED AGAINST INCOME 2,281,030. PENSION RELATED CHARGES AND NON SERVICE NET PERIODIC PENSION COST -13,555,996.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	PROGRAM SERVICES	REINSURANCE	$290,656
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS		$30,347,926

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$30,638,582	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$30,638,582	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
BUFFALO NIAGARA ENTERPRISE
665 MAIN STREET	BUFFALO	NY	142031425	161579523	501(C)(3)	$37,687	$0	SPONSORSHIP
BROTHERS OF MERCY FACILITIES FOUNDATION
4520 RANSOM ROAD	CLARENCE	NY	14031	166074666	501(C)(3)	$5,276	$0	SPONSORSHIP
CANISIUS COLLEGE
2001 MAIN STREET	BUFFALO	NY	14208	160743209	501(C)(3)	$7,858	$0	SPONSORSHIP
CATHOLIC CHARITIES OF BUFFALO NEW YORK
741 DELAWARE AVENUE	BUFFALO	NY	14209	160743251	501(C)(3)	$11,903	$0	SPONSORSHIP FOR HEALTHY LIVING
EIGHT DAYS OF HOPE INC
142 KINGS HIGHWAY	PONTOTOC	MS	38863	753212540	501(C)(3)	$8,134	$0	SPONSORSHIP
GREEN OPTIONS BUFFALO (GOBIKESLOW ROLL)
640 ELLICOTT ST SUITE 447	BUFFALO	NY	14203	272501533	501(C)(3)	$75,374	$0	SPONSORSHIP FOR HEALTHY LIVING
LMHF STRIVE TO THRIVE PROGRAM INC
3786 BROADWAY STREET	CHEEKTOWAGA	NY	14227	815207846	501(C)(3)	$131,904	$0	SPONSORSHIP FOR HEALTHY LIVING
HOSPICE FOUNDATION OF WNY INC
225 COMO PARK BLVD	CHEEKTOWAGA	NY	142271416	223137812	501(C)(3)	$6,030	$0	SPONSORSHIP
ENDEAVOR WESTERN NEW YORK INC
211 RUSKIN ROAD	AMHERST	NY	14226	842898352	501(C)(3)	$15,075	$0	SPONSORSHIP
LEADERSHIP BUFFALO
237 MAIN STREET SUITE 1500	BUFFALO	NY	142032720	161363536	501(C)(3)	$7,537	$0	SPONSORSHIP
NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY
360 DELAWARE AVENUE	BUFFALO	NY	14202	203185568	501(C)(3)	$7,537	$0	SPONSORSHIP
NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION (NFADA)
1144 WEHRLE DRIVE	WILLIAMSVILLE	NY	14221	161194880	501(C)(3)	$30,149	$0	SPONSORSHIP
P2 COLLABORATIVE
355 HARLEM ROAD BUILDING C	WEST SENECA	NY	14224	421604185	501(C)(3)	$76,504	$0	SPONSORSHIP FOR HEALTHY LIVING
POLICE ATHLETIC LEAGUE
65 NIAGARA SQUARE 21ST FLOOR	BUFFALO	NY	14202	161468698	501(C)(3)	$18,843	$0	SPONSORSHIP FOR HEALTHY LIVING
SENECA DIABETES FOUNDATION
PO BOX 309	IRVING	NY	140810309	203214056	501(C)(3)	$30,149	$0	SPONSORSHIP
THEATRE OF YOUTH (TOY)
203 ALLEN STREET	BUFFALO	NY	14201	237286004	501(C)(3)	$30,149	$0	SPONSORSHIP FOR HEALTHY LIVING
UNITED WAY OF BUFFALO & ERIE COUNTY - ENDOWMENT CAMPAIGN
742 DELAWARE AVENUE	BUFFALO	NY	14209	160743969	501(C)(3)	$94,217	$0	SPONSORSHIP
THE ARC OF ERIE COUNTY NEW YORK
30 WILSON ROAD	WILLIAMSVILLE	NY	14221	160769044	501(C)(3)	$10,929	$0	SPONSORSHIP FOR HEALTHY LIVING
AMHERST CHAMBER OF COMMERCE
400 ESSJAY ROAD SUITE 150	AMHERST	NY	14221	160959485	501(C)(6)	$27,719	$0	SPONSORSHIP
GATEWAY LONGVIEW FOUNDATION
6350 MAIN STREET	WILLIAMSVILLE	NY	14221	161559402	501(C)(6)	$6,030	$0	SPONSORSHIP
TASTE OF BUFFALO INC
276 GREENWOOD COURT	EAST AURORA	NY	14052	161390601	501(C)(6)	$11,683	$0	SPONSORSHIP FOR HEALTHY LIVING
THE SUMMIT CENTER INC
150 STAHL ROAD	GETZVILLE	NY	14068	161095750	501(C)(3)	$5,653	$0	SPONSORSHIP FOR HEALTHY LIVING
BACK TO BASICS PEACEKEEPERS
1370 WILLIAM ST SUITE 100	BUFFALO	NY	14206	161509888	501(C)(3)	$9,422	$0	SPONSORSHIP FOR HEALTHY LIVING
CHILD & FAMILY SERVICES
330 DELAWARE AVE	BUFFALO	NY	14202	161004825	501(C)(3)	$7,161	$0	SPONSORSHIP
BUFFALO BILLS LLC
ONE BILLS DRIVE	ORCHARD PARK	NY	14127	471762470		$493,360	$0	SPONSORSHIP FOR HEALTHY LIVING
BUFFALO RIVERWORKS LLC
359 GANSON ST	BUFFALO	NY	14203	463720236		$244,965	$0	SPONSORSHIP FOR HEALTHY LIVING
FRW BEAVER HOLLOW MANAGEMENT LLC
1083 PIT RD	JAVA CENTER	NY	14082	454403158		$226,121	$0	SPONSORSHIP FOR HEALTHY LIVING
RICH PRODUCTS CORPORATION
1150 NIAGARA ST PO BOX 245	BUFFALO	NY	14240	311387980		$75,374	$0	SPONSORSHIP
SHARED MOBILITY
640 ELLICOTT ST 441	BUFFALO	NY	14203	465072814	501(C)(3)	$345,965	$0	SPONSORSHIP FOR HEALTHY LIVING
PEOPLE INC
1219 NORTH FOREST ROAD	BUFFALO	NY	14221	161450321	501(C)(3)	$56,530	$0	SPONSORSHIP
INDEPENDENT HEALTH FOUNDATION
777 INTERNATIONAL DRIVE	BUFFALO	NY	14221	161417199	501(C)(3)	$2,285,552	$0	OPERATING GRANT/SPONSORSHIP
AMERICAN LUNG ASSOCIATION
45 ASH STREET	EAST HARTFORD	CT	06108	060646594	501(C)(3)	$11,306	$0	SPONSORSHIP FOR HEALTHY LIVING
BUFFALO NIAGARA PARTNERSHIP FOUNDATION INC
257 WEST GENESEE STREET SUITE 600	BUFFALO	NY	14202	160761958	501(C)(3)	$12,060	$0	SPONSORSHIP
BUSINESS FIRST
AMERICAN CITY BUSINESS JOURNALS INC	CHARLOTTE	NC	28202	431366184		$12,659	$0	SPONSORSHIP FOR HEALTHY LIVING	120 EST MOREHEAD ST
ERIE COUNTY AGRICULTURAL SOCIETY
2300 MCKINLEY PARKWAY	HAMBURG	NY	14075	160790021	501(C)(3)	$14,698	$0	SPONSORSHIP
JERICHO ROAD COMMUNITY HEALTH CENTER
184 BARTON ST	BUFFALO	NY	14213	451571876	501(C)(3)	$71,100	$0	SPONSORSHIP FOR HEALTHY LIVING
NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION
621 10TH STREET	NIAGARA FALLS	NY	14302	222877349	501(C)(3)	$11,306	$0	SPONSORSHIP
WHEEL B HERD INC
604 HERTEL AVENUE	BUFFALO	NY	14207	834114381	501(C)(3)	$38,441	$0	SPONSORSHIP FOR HEALTHY LIVING

Field	Value	IRS element (for citing)
Total501c3 Org	30	Total501c3OrgCnt
Total Other Org	8	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DONATIONS/CONTRIBUTION: SUPPORT IS PROVIDED TO COLLABORATING COMMUNITY PARTNERS WHO ALIGN WITH OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE WNY COMMUNITY. THE GRANTS OR SPONSORSHIPS ARE RECORDED IN THE FINANCIAL SYSTEM'S GENERAL LEDGER AS COMMUNITY PROGRAMS AND COPIES OF ALL PAYMENTS ARE KEPT ON FILE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL W CROPP
PRESIDENT & CEO	$1,095,718	$0	$963,500	$0	$48,833	$0	$478,449	$0	$10,595	$0	$2,597,095	$0	$201,325	$0
JOHN REID RODGERS
EVP - COO	$580,906	$0	$907,217	$0	$30,737	$0	$282,885	$0	$31,909	$0	$1,833,654	$0	$574,704	$0
ANN M PENTKOWSKI
TREASURER & EVP CFO (END 6/21)	$260,861	$0	$849,976	$0	$115,710	$0	$63,619	$0	$5,404	$0	$1,295,570	$0	$551,216	$0
PATRICIA C CLABEAUX
EVP-CHIEF HR OFFICER	$375,477	$0	$533,517	$0	$6,081	$0	$108,117	$0	$47,014	$0	$1,070,206	$0	$334,521	$0
JOHN MINEO
SECRETARY- EVP GEN.COUNSEL	$374,478	$0	$253,446	$0	$13,988	$0	$150,572	$0	$35,337	$0	$827,821	$0	$54,450	$0
ANTHONY BILLITTIER
EVP-CHF MEDICAL OFCR	$422,508	$0	$224,070	$0	$7,784	$0	$112,593	$0	$60,331	$0	$827,286	$0	$0	$0
MARGARET STEFFAN
SVP-FINANCE & CAO	$269,601	$0	$150,946	$0	$5,058	$0	$88,681	$0	$25,608	$0	$539,894	$0	$0	$0
ERIC J DECKER
SVP-INFORMATION TECHNOLOGY CIO	$339,547	$0	$131,082	$0	$1,710	$0	$18,735	$0	$24,715	$0	$515,789	$0	$0	$0
ROBERTA D RIFKIN
SVP-GOVT AFFAIRS & STRAT PRTNRSHPS	$272,234	$0	$105,905	$0	$3,849	$0	$76,814	$0	$25,613	$0	$484,415	$0	$0	$0
NORA K MCGUIRE
SVP-CHF SALES&MARKT OFCR (END 5/21).	$258,853	$0	$152,442	$0	$3,063	$0	$49,272	$0	$5,138	$0	$468,768	$0	$26,240	$0
CHERYL FRIEDMAN
SVP - HEALTH CARE SERVICES	$272,458	$0	$129,906	$0	$2,913	$0	$33,370	$0	$21,619	$0	$460,266	$0	$26,000	$0
AMIN M SEREHALI
SVP - CHF DATA & ANALYTICS OFCR	$303,578	$0	$109,072	$0	$2,247	$0	$14,046	$0	$21,955	$0	$450,898	$0	$0	$0
RICHARD M ARGENTIERI
SVP- CHF SALES & MARKT OFCR	$266,822	$0	$100,104	$0	$1,889	$0	$54,203	$0	$23,402	$0	$446,420	$0	$0	$0
ANTHONY MONTAGNA
SVP - CHF NETWORK OFCR	$237,291	$0	$90,094	$0	$551	$0	$65,693	$0	$19,640	$0	$413,269	$0	$0	$0
MICHAEL MERRILL
ASSOCIATE MED DIRECTOR- UM	$302,389	$0	$53,029	$0	$20,119	$0	$14,788	$0	$20,029	$0	$410,354	$0	$0	$0
TIMOTHY HALEY
MED DIR MED POLICY & UM	$309,048	$0	$44,549	$0	$2,222	$0	$11,692	$0	$24,757	$0	$392,268	$0	$0	$0
S PAUL KAHLON
SVP - CHF ACTUARY & STRATEGY	$279,373	$0	$64,263	$0	$1,350	$0	$11,729	$0	$23,662	$0	$380,377	$0	$0	$0
ANNE O'NEILL
VP-CHIEF RISK OFFICER	$237,890	$0	$56,988	$0	$2,426	$0	$47,397	$0	$23,605	$0	$368,306	$0	$0	$0
DEIRDRE WHEAT
MED DIR QUALITY DISEASE CASE MGT.	$284,753	$0	$41,089	$0	$1,217	$0	$13,071	$0	$26,146	$0	$366,276	$0	$0	$0
ROBERT TRACY
SVP-GOVT PROGRAMS	$226,077	$0	$87,300	$0	$2,306	$0	$23,502	$0	$24,340	$0	$363,525	$0	$0	$0
DAVID SCHUTE
VP-OPERATIONS	$246,346	$0	$58,885	$0	$2,668	$0	$12,292	$0	$20,666	$0	$340,857	$0	$0	$0
JOSHUA ZALEN
VP - IT SERVICE OPERATIONS	$246,321	$0	$58,451	$0	$1,546	$0	$11,600	$0	$18,864	$0	$336,782	$0	$0	$0
MIKE REILLY
SVP-CHF HEALTHCARE INNV & STRAT. OFC	$275,007	$0	$42,035	$0	$1,056	$0	$12,537	$0	$2,670	$0	$333,305	$0	$0	$0
JAMES DUNLOP
TREASURER & EVP CFO (7/21)	$261,610	$0	$0	$0	$4,283	$0	$0	$0	$50,358	$0	$316,251	$0	$0	$0
MARK I JOHNSON
SENIOR FINANCE ADVISOR (END 12/20)	$225,845	$0	$21,437	$0	$0	$0	$0	$0	$18	$0	$247,300	$0	$0	$0
GEORGE WANDS
CHIEF AUDIT OFFICER	$147,597	$0	$21,732	$0	$723	$0	$10,967	$0	$23,760	$0	$204,779	$0	$0	$0
NICOLE BRITTON
CHF COMPLIANCE OFCR	$115,279	$0	$18,071	$0	$194	$0	$4,271	$0	$32,110	$0	$169,925	$0	$0	$0
JOHN HAUGHTON
SVP-CHF CLIN IMPRV (END 10/19)	$0	$0	$0	$0	$152,719	$0	$0	$0	$0	$0	$152,719	$0	$0	$0
MICHAEL J FASO
SVP-CHF REV&ACCTG (END 7/19)	$0	$0	$126,079	$0	$16,653	$0	$0	$0	$0	$0	$142,732	$0	$126,079	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	PART I, LINES 4A THE FOLLOWING LISTED PERSON FROM PART VII, SECTION A RECEIVED SEVERANCE PAYMENTS AS PART OF A SEPARATION AGREEMENT WITH INDEPENDENT HEALTH DURING 2021: MICHAEL FASO - $16,653 JOHN HAUGHTON - $152,719 PART I, LINES 4B ELIGIBLE ASSOCIATES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F), 457A AND 409A. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE ASSOCIATE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: MICHAEL CROPP - $201,325 JOHN REID RODGERS - $574,704 ANN PENTKOWSKI - $551,216 PATRICIA CLABEAUX - $334,521 JOHN MINEO - $54,450 CHERYL FRIEDMAN - $26,000 NORA MCGUIRE - $26,240 MICHAEL FASO - $126,079	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
D'AVOLIO OLIVE OIL & VINEGAR
SEE PART V	$153,457	SEE PART V	0
WNY COORDINATED MEDICAL CARE PC
SEE PART V	$200,000	SEE PART V	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES:	FormAndLineReferenceDesc
Explanation	(A) NAME OF INTERESTED PERSON: D'AVOLIO OLIVE OIL & VINEGAR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY DAN GAGLIARDO, CURRENT BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, FOR COMMUNITY HEALTH PROGRAMS(A) NAME OF INTERESTED PERSON: WNY COORDINATED MEDICAL CARE PC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY ANTHONY BILLITIER, CURRENT OFFICER(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACT ARRANGEMENT, DELIVERY OF HEALTHCARE	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FROM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS	IHA ALSO CONTRACTED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH IN A HEALTH CARE REFORM ACT (HCRA) PAY FOR PERFORMANCE DEMONSTRATION PROJECT (P4P) TO SUPPORT REGIONAL EFFORTS TO IMPROVE THE QUALITY OF HEALTH CARE BY DEVELOPING A STANDARDIZED PHYSICIAN PERFORMANCE MEASUREMENT AND REPORTING SYSTEM. THIS GRANT EXPIRED DECEMBER 31, 2009; HOWEVER AT THE END OF THIS GRANT PERIOD THE THREE REGIONAL HEALTH PLANS ENDORSED A CONTINUATION STRATEGY FOR THE QUALITY MEASURES COLLABORATIVE PROGRAM. THE PLANS CONTINUE TO PROVIDE REGULAR DATA EXTRACTS TO POPULATION HEALTH COLLABORATIVE'S DESIGNATED DATA MANAGEMENT VENDOR, VIPS, WHO PERFORMS DATA AGGREGATION AND ANALYSIS. POPULATION HEALTH COLLABORATIVE THEN REPORTS THIS PERFORMANCE DATA TO PROVIDERS VIA A SECURE INTERNET-BASED PORTAL. EACH PLAN PROVIDES ONGOING FUNDING FOR THE QUALITY MEASURES COLLABORATIVE PROPORTIONATE TO ITS RESPECTIVE MARKET SHARE. IHA ALSO SUBSIDIZES INDIGENT CARE AND HEALTH CARE INITIATIVES UNDER HCRA AND CONTRIBUTES TO A PROFESSIONAL EDUCATION POOL, LARGELY TO FUND GRADUATE MEDICAL EDUCATION EXPENSES. IHA IS ALSO RESPONSIBLE FOR THE COVERED LIVES ASSESSMENT BASED ON THE REGION IN WHICH THE MEMBER RESIDES AND HIS/HER ENROLLMENT STATUS (FAMILY OR INDIVIDUAL). SURCHARGES AND COVERED LIVES REMITTANCES ARE REQUIRED MONTHLY AND TOTALED APPROXIMATELY $19.9 MILLION DURING 2021. IHA'S REDSHIRT VOLUNTEER PROGRAM PROVIDES IHA ASSOCIATES AN OPPORTUNITY TO VOLUNTEER IN THEIR COMMUNITY, WHILE PROMOTING IHA AS A COMPANY THAT GIVES BACK TO WNY. REDSHIRT ASSOCIATES VOLUNTEERS PROVIDE THE REDSHIRT TREATMENT TO THE COMMUNITY THROUGH DIRECT ASSOCIATE INTERACTION AND EXHIBIT IHA'S MESSAGE OF QUALITY CARE THROUGHOUT WESTERN NEW YORK. THE REDSHIRT TREATMENT IS A COMPANY-WIDE COMMITMENT TO DEMONSTRATE OUR CORE VALUES OF BEING PASSIONATE, CARING, RESPECTFUL, COLLABORATIVE AND ACCOUNTABLE. IN 2021, 240 IHA ASSOCIATES SERVED AS REDSHIRT VOLUNTEERS. IN TOTAL, THESE INDIVIDUALS VOLUNTEERED AT 30 COMMUNITY EVENTS, WHICH REPRESENTED MORE THAN 700 HOURS OF VOLUNTEER TIME. IHA ENCOURAGES ITS MANAGEMENT TEAM AND ASSOCIATES TO SUPPORT THE LOCAL COMMUNITY. TO THIS END, WE ARE PROUD TO SAY MORE THAN 20 MEMBERS OF OUR MANAGEMENT TEAM ARE VOLUNTEERS OR ACTIVE PARTICIPANTS AS DIRECTORS ON COMMUNITY BOARDS. THE IHA ASSOCIATES SUPPORTING THE COMMUNITY PROGRAM, FORMERLY KNOWN AS THE DRESS DOWN PROGRAM, ALLOWS ASSOCIATES TO MAKE A CHARITABLE CONTRIBUTION TO COMMUNITY ORGANIZATIONS. THIS PROGRAM HAS RESULTED IN SUBSTANTIAL SUPPORT FOR THE CHARITABLE ORGANIZATIONS IN OUR COMMUNITY AND DEMONSTRATES THE GOODWILL OF IHA ASSOCIATES. THE PROGRAM IS ASSOCIATE-DRIVEN WITH A GOAL TO BROADLY SUPPORT MANY 501(C)(3) ORGANIZATIONS THROUGHOUT WESTERN NEW YORK. TO DATE, IHA HAS RAISED MORE THAN $6,877 FOR NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY. IN ADDITION, IHA ASSOCIATES 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. TO DATE THE 2021 CAMPAIGN RAISED MORE THAN $77,000. THE COMMUNITY ALSO BENEFITS FROM IHA'S SPONSORSHIPS THAT PROMOTE HEALTH AND WELLNESS. THE CURRENT COVID-19 PANDEMIC HAS IMPACTED THE WAY CERTAIN COMMUNITY PROGRAMS ARE PROVIDED. DURING THESE UNPRECEDENTED TIMES, WE ARE WORKING ALONG WITH OUR PARTNERS TO PROVIDE RESOURCES THAT CAN HELP THE WESTERN NEW YORK COMMUNITY TO STAY ACTIVE AND CONNECTED, EVEN IF IT IS VIRTUALLY. SINCE 2014, INDEPENDENT HEALTH HAS SUPPORTED GOBIKE BUFFALO IN ITS EFFORTS TO BRING GREATER AWARENESS TO THE HEALTH AND SOCIOECONOMIC BENEFITS OF BICYCLING IN OUR COMMUNITY. THIS SUPPORT INCLUDES PRESENTING SPONSORSHIP OF THE ANNUAL SKYRIDE EVENT, WHICH UNITED NEARLY 1,200 RIDERS AND VOLUNTEERS AT LAKESIDE BIKE PARK, OUTER HARBOR BUFFALO, ON AUGUST 15, 2021. TO EXPAND ACCESS TO LAST YEAR'S EVENT, INDEPENDENT HEALTH AND GOBIKE DISTRIBUTED 1,000 TICKETS TO SKYRIDE THROUGH COMMUNITY AND EDUCATIONAL PARTNERS ACROSS BUFFALO'S EAST- AND WEST-SIDE NEIGHBORHOODS. INDEPENDENT HEALTH AND GOBIKE BUFFALO PLAN TO CONDUCT THE SAME INITIATIVE PRIOR TO THIS YEAR'S SKYRIDE ON AUGUST 14, 2022. TO PROVIDE THE COMMUNITY WITH GREATER ACCESS TO BIKES, IHA ENTERED INTO A PARTNERSHIP WITH SHARED MOBILITY, INC. IN 2016 TO ESTABLISH REDDY BIKESHARE. THIS BIKE-SHARING PROGRAM FIRST BROUGHT 200 GPS-ENABLED BIKES TO BUFFALO AND YIELDED SUCH SUCCESS THAT IT EXPANDED INTO THE CITY OF NIAGARA FALLS IN 2019, OFFERING AN ADDITIONAL 150 BIKES TO THE COMMUNITY FOR SHORT-TERM, SHARED USE. REDDY BIKESHARE ALLOWS USERS TO EXPLORE THEIR COMMUNITY WHILE SUPPORTING THEIR HEALTH, LOCAL BUSINESSES, AND THE ENVIRONMENT BY ENHANCING ALTERNATIVE TRANSPORTATION OPTIONS. BY THE END OF THE 2021 SEASON, REDDY REPORTED MORE THAN 19,400 TOTAL RIDERS FROM APRIL THROUGH NOVEMBER, ALONG WITH 3.85 MILLION CALORIES BURNED, OVER 39,000 TRIPS TAKEN, AND MORE THAN 96,000 TOTAL MILES TRAVELED. TO DATE, REDDY REPORTS HAVING CLOSE TO 57,000 ALL-TIME RIDERS WHO BURNED MORE THAN 15 MILLION CALORIES, TOOK OVER 176,000 TRIPS, AND TRAVELED MORE THAN 380,000 MILES ALL BY BIKE. THROUGH A UNIQUE PARTNERSHIP WITH YMCA BUFFALO-NIAGARA, A STATE-OF-THE-ART FACILITY OPENED ITS DOORS IN 2013 TO OFFER PERSONAL AND FAMILY FITNESS OPPORTUNITIES TO THE AMHERST COMMUNITY. THE INDEPENDENT HEALTH FAMILY BRANCH YMCA IS A 92,000-SQUARE-FOOT FACILITY OFFERING A VARIETY OF HEALTH AND WELLNESS PROGRAMS THAT TARGET OBESITY AND OTHER HEALTH CONDITIONS. FURTHERMORE, IHA AND THE YMCA OF BUFFALO-NIAGARA AS WELL AS THE JAMESTOWN YMCA CONTINUE TO PARTNER TOGETHER ON FITNESS IN THE PARKS OUR 11TH YEAR OF OFFERING FREE OUTDOOR FITNESS CLASSES TO THE COMMUNITY, DESIGNED TO ENCOURAGE ALL AGES AND ABILITIES TO TAKE A MORE ACTIVE ROLE IN THEIR HEALTH. THE 2022 PROGRAM, WHICH KICKED OFF JUNE 1, OFFERS MORE THAN 560 CLASSES THROUGHOUT THE SUMMER AT 25 LOCATIONS ACROSS WNY OUR LARGEST OFFERING TO-DATE. POPULAR LOCATIONS INCLUDE BUFFALO'S DELAWARE PARK, LARKIN SQUARE AND WILKESON POINTE AT OUTER HARBOR; ORCHARD PARK'S ADPRO SPORTS TRAINING CENTER AND CHESTNUT RIDGE PARK; WESTWOOD PARK IN LANCASTER; AND LOSSON PARK IN CHEEKTOWAGA. MOST CLASSES WILL RUN THROUGH END OF AUGUST; HOWEVER, FOUR SELECT LOCATIONS WILL CONTINUE THROUGH SEPTEMBER: DELAWARE PARK, LARKIN SQUARE, BUFFALO RIVERWORKS AND WILKESON POINTE AT OUTER HARBOR. IN AN EFFORT TO FURTHER PROMOTE HEALTHIER LIFESTYLES IN OUR COMMUNITY, IHA JOINED FORCES WITH SNYDER CORPORATION AND FITNESS RIDGE WORLDWIDE IN 2012 TO BRING THE BIGGEST LOSER RESORT NIAGARA TO WESTERN NEW YORK. FOCUSING ON EXERCISE, NUTRITION AND EDUCATION, THE RESORT OFFERS CUSTOM PROGRAMING THAT PROVIDES PARTICIPANTS WITH THE TOOLS THEY NEED TO ADOPT HEALTHY LIFESTYLE CHANGES TO REDUCE THEIR RISK OF CHRONIC DISEASE, SUCH AS DIABETES AND HEART DISEASE.
FROM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS	UNDERSTANDING THAT HEALTHY HABITS MUST BE NURTURED FROM A YOUNG AGE, IHA JOINED TOGETHER WITH THE BUFFALO MUSEUM OF SCIENCE TO OPEN THE FIRST PERMANENT HEALTH-SCIENCE STUDIO IN 2012. "EXPLORE YOU PRESENTED BY INDEPENDENT HEALTH" ALLOWS VISITORS OF ALL AGES TO EXPLORE ANATOMY AND LEARN ABOUT IMPORTANT CHOICES THAT CAN BE MADE TO IMPROVE AND MAINTAIN ONE'S HEALTH. IN CONNECTION WITH THE EXHIBIT, IHA SPONSORS THE MUSEUM'S COMMUNITY HEALTH DAY EVENT EVERY JANUARY, OFFERING FAMILIES A FREE DAY OF FUN AND INTERACTIVE ACTIVITIES THAT PROMOTE THE IMPORTANCE OF HEALTHY LIVING. DUE TO A RISE IN COVID-19 CASES EARLIER THIS YEAR, COMMUNITY HEALTH DAY HAS BEEN POSTPONED TO JUNE 20, 2022. THE SUMMERTIME EVENT WILL FEATURE A VARIETY OF INDOOR AND OUTDOOR ACTIVITIES FOR THE COMMUNITY TO TAKE PART IN, MANY OF WHICH WILL BE PROVIDED BY INDEPENDENT HEALTH'S COMMUNITY PARTNERS. THIS INCLUDES FREE FITNESS CLASSES LED BY YMCA BUFFALO NIAGARA INSTRUCTORS, GOBIKE BUFFALO'S SMOOTHIE BIKE, REDDY BIKESHARE DEMONSTRATIONS, A FOOTBALL TOSS COURTESY OF THE BUFFALO BILLS, AND PLAYSTREETS PROGRAMMING FROM THE POLICE ATHLETIC LEAGUE OF BUFFALO. INDEPENDENT HEALTH ALSO INVITES MANY OF ITS OWN INTERNAL DEPARTMENTS TO PARTICIPATE, INCLUDING THE STATE PRODUCT TEAM FROM SALES AND THE WELLNESS TEAM. INDEPENDENT HEALTH WILL DISTRIBUTE FREE BRANDED GIVEAWAYS TO ALL GUESTS, WHILE SUPPLIES LAST. NEW THIS YEAR, INDEPENDENT HEALTH IS THE PRESENTING SPONSOR OF WELLNESS WALKS AT TIFFT NATURE PRESERVE. THIS WEEKLY WALK, HELD EVERY THURSDAY MORNING (WEATHER PENDING), IS FREE AND OPEN TO THE PUBLIC YEAR-ROUND. KNOWLEDGEABLE VOLUNTEERS FROM TIFFT GUIDE PARTICIPANTS ON UNIQUE ROUTES THROUGH THE PRESERVE, OFFERING AN OPPORTUNITY TO GET HEALTHY WHILE TAKING IN THE SIGHTS AND SOUNDS OF NATURE. IHA IS ALSO PROUD TO PARTNER WITH LARKIN SQUARE TO SPONSOR MANY COMMUNITY EVENTS AND BRING HEALTHY INITIATIVES TO ITS REVITALIZED PUBLIC GATHERING SPACE ALL YEAR LONG. THROUGH THIS PARTNERSHIP, THE INDEPENDENT HEALTH FOUNDATION WAS ABLE TO IMPLEMENT THE HEALTHY OPTIONS BUFFALO PROGRAM INTO FOOD TRUCK TUESDAYS HELD OUTDOORS EACH WEEK, FROM APRIL THROUGH OCTOBER REQUIRING EACH PARTICIPATING FOOD TRUCK TO OFFER AT LEAST ONE PRE-APPROVED HEALTHY MENU ITEM CONSIDERED TO BE LOWER IN FAT, SATURATED FAT, CHOLESTEROL AND SODIUM. THE 2022 SEASON KICKED OFF JUNE 7 WITH INDEPENDENT HEALTH TABLING TO PROVIDE INFORMATION ON SUMMER PROGRAMMING, ALONG WITH REDSHIRT VOLUNTEERS WHO HELPED DISTRIBUTE 2,000 BRANDED THERMAL TOTES TO GUESTS. FOOD TRUCK TUESDAYS IS SCHEDULED TO OCCUR EVERY TUESDAY THROUGH AUGUST, DURING WHICH INDEPENDENT HEALTH WILL RETURN WITH MORE GIVEAWAYS ON JULY 12, AUGUST 3 AND AUGUST 30. ADMISSION AND PARKING FOR THE EVENT ARE ALWAYS FREE THANKS IN PART TO INDEPENDENT HEALTH'S SPONSORSHIP.
FROM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS	SINCE 2014, IHA HAS BEEN PROUD TO SERVE AS THE OFFICIAL HEALTH AND WELLNESS PARTNER OF THE BUFFALO BILLS, WORKING TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF WESTERN NEW YORK THROUGH A VARIETY OF INITIATIVES. THIS INCLUDES THE SIX-WEEK HEALTH & WELLNESS CHALLENGE, A COMMUNITY-WIDE FITNESS AND NUTRITION PROGRAM DESIGNED TO ENCOURAGE SMALL CHANGES TOWARD A HEALTHIER LIFESTYLE. THE SPRING 2021 HEALTH & WELLNESS CHALLENGE WAS THE LAST TO BE HELD ON THE SPARKPEOPLE PLATFORM. INDEPENDENT HEALTH HAS SINCE WORKED WITH THE BILLS/PSE TO RECREATE THE CHALLENGE WITH WELLABLE, AN AWARD-WINNING PLATFORM, WHICH PROVIDED OPPORTUNITIES TO ENHANCE THE EXPERIENCE FOR PARTICIPANTS INCLUDING THE USE OF A MOBILE APP. THE SPRING 2022 HEALTH & WELLNESS CHALLENGE KICKED OFF APRIL 25 AND CONCLUDED ON JUNE 5 WITH MORE THAN 5,700 PEOPLE REGISTERED THE LARGEST NUMBER OF REGISTRANTS FOR A SINGLE CHALLENGE TO-DATE. REPORTING FOR THE SPRING CHALLENGE IS NOT YET AVAILABLE. THE BUFFALO BILLS AND IHA ALSO CONTINUE TO WORK TOGETHER TO ENCOURAGE PHYSICAL ACTIVITY AND HEALTHY EATING AMONG OUR COMMUNITY'S YOUTH THROUGH THE INDEPENDENT HEALTH FOUNDATION'S FITNESS FOR KIDS CHALLENGE IN COLLABORATION WITH THE BUFFALO BILLS PLAY 60 CHALLENGE. INDEPENDENT HEALTH'S PARTNERSHIP WITH BUFFALO RIVERWORKS LAUNCHED IN 2015, OFFERING A WIDE VARIETY OF SEASONAL ACTIVITIES FOR INDIVIDUALS OF ALL AGES AND FITNESS LEVELS. BUILT AROUND PROMOTING HEALTH AND EXERCISE, PARTICIPANTS CAN TRY THEIR HAND AT KAYAKING, WATER BIKES, PADDLE BOARDING, ZIP LINING AND MORE WHEN THE WEATHER IS WARM, AND THEN LACE UP THEIR ICE SKATES OR PARTAKE IN A FRIENDLY GAME OF CURLING WHEN THE COLD WEATHER SETS IN. ADVENTURE-SEEKERS CAN ALSO TEST THEIR AGILITY AND STRENGTH ON THE NEW TWO-LEVEL ROPES COURSE, OPEN YEAR-ROUND. AS THE OFFICIAL HEALTH AND WELLNESS PARTNER OF BUFFALO RIVERWORKS, IHA MEMBERS CAN SHOW THEIR ID CARD AND RECEIVE DISCOUNTS FOR ANY HEALTH AND WELLNESS ACTIVITY. ADDITIONALLY, THERE ARE SEVERAL HEALTHY OPTIONS ITEMS ON THE MENU AT RIVERWORKS, MAKING IT EASY TO EAT HEALTHY WHILE DINING OUT. NEW IN 2022, RIVERWORKS BEGAN OFFERING OPEN ROLLER SKATING SPONSORED BY INDEPENDENT HEALTH ON SELECT DATES STARTING IN THE SPRING AND WILL CONTINUE INTO FALL. FURTHER CAPITALIZING ON THE OUTDOOR HEALTH AND WELLNESS OPPORTUNITIES AVAILABLE IN OUR COMMUNITY, IHA BECAME THE OFFICIAL HEALTH AND WELLNESS PARTNER OF OUTER HARBOR BUFFALO IN 2016. GUESTS CAN VENTURE TO WILKESON POINTE TO RENT KAYAKS, BIKES, PADDLE BOARDS AND HYDRO BIKES; TAKE PART IN FREE OUTDOOR FITNESS CLASSES; AND EXPLORE THE 3-MILE INDEPENDENT HEALTH WELLNESS TRAIL CONNECTING THE POINTE TO LAKESIDE BIKE PARK. THE PARK OFFERS A VARIETY OF TRAILS FOR BIKE AND NATURE ENTHUSIASTS ALIKE, AND ALSO HAS A QUANTITY OF RED BIKES AVAILABLE TO RENT COURTESY OF IHA AS THE PRESENTING SPONSOR. IHA MEMBERS CAN SHOW THEIR ID CARD TO RECEIVE DISCOUNTS ON ALL OUTER HARBOR OUTDOOR ACTIVITY RENTALS. ON JUNE 5, INDEPENDENT HEALTH SPONSORED THE OUTER HARBOR'S "START UP THE SUMMER" EVENT AT WILKESON POINTE, WHICH OFFERED THE INDEPENDENT HEALTH MEMBER DISCOUNT ON BIKE AND KAYAK RENTALS TO EVERYONE IN THE COMMUNITY, AS WELL AS A VARIETY OF OTHER PROGRAMMING THROUGHOUT THE DAY. INDEPENDENT HEALTH BEGAN SPONSORING THE POLICE ATHLETIC LEAGUE (PAL) OF BUFFALO'S PLAYSTREETS PROGRAM ANNUALLY IN 2021, WHICH OFFERS SEASONAL PROGRAMMING THROUGHOUT THE YEAR TO YOUTH IN UNDERSERVED COMMUNITIES. PLAYSTREETS PROVIDES OPPORTUNITIES FOR CHILDREN TO ENGAGE IN ORGANIZED PHYSICAL ACTIVITIES, TO LEARN VALUABLE LESSONS ABOUT POSITIVE LIFE CHOICES AND TO ACCESS HELPFUL RESOURCES IN THEIR COMMUNITIES. EVERY CHILD RECEIVES A FREE SPORTS EQUIPMENT KIT, ALONG WITH A SNACK AND BOTTLED DRINK, TO INSPIRE THEM TO STAY ACTIVE AND HEALTHY AT HOME. BY THE END OF 2021, PAL REPORTED 1,016 UNDUPLICATED YOUTH WHO ATTENDED A PLAYSTREETS EVENT. THE MAJORITY OF PARTICIPANTS WERE BETWEEN THE AGES OF 5 AND 9, WITH 67 PERCENT OF ATTENDEES REPORTED BEING BLACK OR AFRICAN AMERICAN, AND 74 PERCENT REPORTED BEING IN LOW OR EXTREMELY LOW-INCOME LEVELS. INDEPENDENT HEALTH IS CONTINUING THIS SPONSORSHIP FOR 2022. IN 2021, THE MARKETING TEAM DEVELOPED AND EXECUTED A NEW CAMPAIGN TO HELP SUPPORT ITS ENGAGEMENT STRATEGY TO POSITION INDEPENDENT HEALTH AS WNY'S LOCAL HEALTH THAT PROVIDES OPPORTUNITIES FOR EVERYONE TO GET AND STAY HEALTHY. THE THEME "BRINGING HEALTHY TO YOU" SHOWCASES THE NUMEROUS PARTNERSHIPS, EVENTS AND PROGRAMS THAT INDEPENDENT HEALTH AND THE INDEPENDENT HEALTH FOUNDATION OFFER TO THE COMMUNITY. IN ADDITION TO VARIOUS ADVERTISING AND PROMOTIONAL TACTICS (E.G., PRINT ADS, BILLBOARDS, MEMBER EBLASTS, WEBSITE PROMOS, INCLUSION IN DIRECT MAIL), MARKETING BEGAN TO INTEGRATE THIS CAMPAIGN THEMATIC INTO SEVERAL "ENTER TO WIN" CONTESTS AT EVENTS THROUGHOUT 2021 AND IS CONTINUING AN ENHANCED APPROACH FOR 2022. IN PARTICULAR, INDEPENDENT HEALTH IS CURRENTLY OFFERING AN ENTER TO WIN CONTEST THROUGH ITS FACEBOOK PAGE THAT HIGHLIGHTS FIVE KEY PARTNERS AND PROGRAMS - REDDY BIKESHARE, BUFFALO MUSEUM OF SCIENCE, FITNESS IN THE PARKS, OUTER HARBOR, AND BUFFALO RIVERWORKS EACH MONTH FROM MAY THROUGH SEPTEMBER. THE CONTEST WILL AWARD 10 PARTICIPANTS CHOSEN AT RANDOM ALONG WITH THREE GRAND PRIZE WINNERS ALL TO RECEIVE AN AMAZON GIFT CARD ALONG WITH A "BRINGING HEALTHY TO YOU PRIZE PACK" THAT PROVIDES VOUCHERS FOR FREE MEMBERSHIPS, RENTALS AND MORE WITH OUR COMMUNITY PARTNERS. WNYHEALTHENET FURTHERS IHA'S COMMITMENT TO REDUCING THE COST OF AND IMPROVING THE QUALITY OF HEALTH CARE IN THE WESTERN NEW YORK COMMUNITY. WNYHEALTHENET OPTIMIZES THE DELIVERY OF PATIENT INFORMATION THAT SPEEDS THE DELIVERY AND ACCURACY OF VITAL ELIGIBILITY, CLAIM STATUS, REFERRAL AND AUTHORIZATION INFORMATION TO THE PROVIDER COMMUNITY, AND WESTERN NEW YORK'S CLINICAL INFORMATION EXCHANGE ("HEALTHELINK") - A 501(C) (3) ORGANIZATION THAT OPERATES AN INFORMATION EXCHANGE TO FACILITATE ACCESS TO CLINICAL INFORMATION AMONG HEALTH CARE PROVIDERS AND HEALTH INSURERS. HEALTHELINK IS PART OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY), A TECHNOLOGY FRAMEWORK SPANNING THE ENTIRE STATE THAT ALLOWS HEALTH CARE PROVIDERS EFFICIENT ACCESS TO THEIR PATIENTS' DATA. HEALTHELINK HAS BEEN RECOGNIZED FOR ITS WORK IN BUILDING A REGIONAL HEALTH INFORMATION TECHNOLOGY INFRASTRUCTURE AND FOR TESTING INNOVATIVE APPROACHES BY BOTH STATE AND FEDERAL AGENCIES, INCLUDING BEING NAMED A BEACON COMMUNITY, AN EFFORT FUNDED BY THE OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY. AS OF JUNE 2022, APPROXIMATELY 89 PERCENT OF WESTERN NEW YORK PROVIDER PRACTICES PARTICIPATE WITH HEALTHELINK, MORE THAN 500 DATA SOURCES ARE CONNECTED, APPROXIMATELY 300 MILLION RESULTS (LAB, RADIOLOGY AND TRANSCRIBED REPORTS) ARE AVAILABLE AND MORE THAN 1.3 MILLION COMMUNITY-WIDE CONSENTS HAVE BEEN SIGNED BY PATIENTS AUTHORIZING TREATING PHYSICIANS TO ACCESS THEIR ELECTRONIC MEDICAL RECORDS THROUGH HEALTHELINK. IHA COORDINATES THE DELIVERY OF HEALTH CARE SERVICES FOR APPROXIMATELY 170,823 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 AS OF NOVEMBER 2021. INDEPENDENT HEALTH PROVIDES HEALTH BENEFITS AND SERVICES TO INDIVIDUALS IN WESTERN NEW YORK AND THROUGHOUT THE COUNTRY. THE COMPANY HAS CONSISTENTLY BEEN RATED AMONG THE TOP HEALTH PLANS IN THE COUNTRY FOR CUSTOMER SERVICE AND MEMBER SATISFACTION. INDEPENDENT HEALTH HAS RECEIVED THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE'S (NCQA) HIGHEST ACCREDITATION STATUS OF "EXCELLENT" FOR ITS COMMERCIAL HMO/POS AND MEDICARE LINES OF BUSINESS FOR 19 CONSECUTIVE YEARS. "EXCELLENT" ACCREDITATION IS GRANTED ONLY TO THOSE HEALTH PLANS THAT EXHIBIT LEVELS OF SERVICE AND CLINICAL QUALITY THAT MEET OR EXCEED NCQA'S RIGOROUS REQUIREMENTS FOR CONSUMER PROTECTION AND QUALITY IMPROVEMENT. INDEPENDENT HEALTH WAS ALSO RANKED AS THE TOP HEALTH INSURANCE PLAN IN THE NEW YORK/NEW JERSEY REGION, ACCORDING TO J.D. POWER'S 2010, 2011, 2012, 2013, 2016, 2018 AND 2020 U.S. MEMBER HEALTH INSURANCE PLAN STUDIES, AND RANKED SECOND IN THE NEW YORK/NEW JERSEY REGION IN THE J.D. POWER 2014, 2015 AND 2017 U.S. MEMBER HEALTH PLAN STUDIES. IN ADDITION, INDEPENDENT HEALTH WAS RANKED AMONG THE HIGHEST-RANKED HEALTH PLANS IN THE NATION FOR ALL LINES OF BUSINESS COMMERCIAL, MEDICARE AND MEDICAID ACCORDING TO THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) IN ITS HEALTH INSURANCE PLAN RANKINGS 2018-2019. THE RANKINGS ARE BASED ON CLINICAL QUALITY, MEMBER SATISFACTION AND NCQA ACCREDITATION STANDARDS.
FROM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS	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. THE 2012 COMMONWEALTH FUND REPORT RANKED BUFFALO 54TH BEST AMONG 306 MEDICARE SERVICE AREAS FOR QUALITY, ACCESSIBILITY AND AFFORDABILITY OF CARE AND IN 2016 IHA WAS RANKED 62 OUT OF 306 MEDICARE SERVICE AREAS. IHA WAS IN THE TOP 10 PERCENT FOR ACCESS AND AFFORDABILITY AND IN THE TOP QUARTILE FOR PREVENTION, TREATMENT AND OVERALL PERFORMANCE. THIS RANKING IS EVEN MORE IMPRESSIVE GIVEN THAT BUFFALO IS CITED AS THE THIRD-POOREST CITY IN THE U.S. AND THE STUDY REVEALED A STRONG CORRELATION BETWEEN POVERTY AND A POOR SCORE AMONG THE RANKED AREAS. ADDITIONALLY, THE COLLABORATIVE WORK UNDER WAY IN WESTERN NEW YORK WAS RECOGNIZED IN A RECENTLY RELEASED CASE STUDY ON REGIONAL HEALTH CARE IMPROVEMENT BY THE COMMONWEALTH FUND, "BUFFALO AND WESTERN NEW YORK: COLLABORATING TO IMPROVE HEALTH SYSTEM PERFORMANCE BY LEVERAGING SOCIAL CAPITAL", WHICH TAKES A CLOSER LOOK AT THE REASONS FOR OUR REGION'S SUCCESS. THESE REPORT EMPHASIZE THE NEED FOR LOCAL SOLUTIONS AND WIDESPREAD ENGAGEMENT AND COLLABORATION TO ACHIEVE THE QUADRUPLE AIM OF BETTER HEALTH, BETTER CARE, LOWER COSTS AND PROVIDER VITALITY .
FORM 990, PART VI, SECTION A, LINE 2	MICHAEL W. CROPP, JOHN MIDEO, ESQ, ANTHONY BAYNES, COLLEEN DIPIRRIO, DANIEL WEINTRAUB, AND JAMES DUNLOP HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). MICHAEL W. CROPP, JAMES DUNLOP, JOHN RODGERS, JOHN MINEO, DANIEL WEINTRAUB, AND DAN GAGLIARDO HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). THOMAS J. FOELS AND DAVID PAWLOWSKI HAVE A BUSINESS RELATIONSHIP (PRIVATE ENTERPRISE). IHA DOES NOT DO BUDINESS WITH THEIR PRIVATE ENTERPRISE.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING OF THE IRS FORM 990, THE FINAL RETURN WAS REVIEWED WITH THE CHAIR OF THE AUDIT AND FINANCE COMMITTEES, MANAGEMENT, AND MADE AVAILABLE TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	INDEPENDENT HEALTH ASSOCIATION, INC.'S (IHA) CONFLICT OF INTEREST REPORTING POLICY ENCOMPASSES ALL CURRENT IHA OFFICERS AND EMPLOYEES (INCLUDING HIGHEST COMPENSATED AND KEY EMPLOYEES) OF THE ORGANIZATION. EMPLOYEES ARE REQUIRED AS PART OF THEIR EMPLOYMENT WITH IHA TO IMMEDIATELY REPORT CONFLICTS OF INTEREST THAT THEY ARE PARTY TO OR THAT THEY OBSERVED, TO MANAGEMENT OR INDEPENDENT HEALTH'S CHIEF COMPLIANCE OFFICER FOR REVIEW BY THE CONFLICT OF INTEREST COMMITTEE OF INDEPENDENT HEALTH. CONFLICTS ARE ALSO INDENTIFIED ANNUALLY WHEN EMPLOYEES COMPLETE ATTESTATIONS, CONFIDENTIAL QUESTIONAIRES & PLEDGE OF CONFIDENTIALITY AND CONTINUING DISCLOSURES FORM (FOR HIGHEST COMPENSATED EMPLOYEES, KEY EMPLOYEES, OFFICERS, DIRECTORS, AND MEMBERS OF THE BOARD) ARE RECEIVED. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE DELIBERATIONS OR DECISIONS RELATED TO THIS TRANSACTION. THE RESOLUTION OF CONFLICT REVIEW WILL BE DOCUMENTED IN MEETING MINUTES MAINTAINED BY THE CONFLICT OF INTEREST COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15	THE GOVERNING BOARD OF DIRECTORS OF INDEPENDENT HEALTH ASSOCIATION, INC. (IHA) APPOINTED A GROUP OF BOARD MEMBERS TO ACT AS THE COMPENSATION COMMITTEE. COMPENSATION OF THE CEO IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE AND THE BOD ANNUALLY. ADDITIONALLY, THE RECOMMENDATIONS OF THE CEO PERTAINING TO THE COMPENSATION OF HIS/HER DIRECT REPORTS ARE SUBJECT TO REVIEW AND ADVISEMENT BY THE COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE; A COPY OF ITS 990, ITS AUDITED FINANCIAL STATEMENTS AND ANY OTHER DOCUMENTS AS REQUIRED.
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC	JOHN HAUGHTON - 536 LAFAYETTE, BUFFALO, NY 14222. MICHAEL J. FASO - 9187 BEECH MEADOW CT, CLARENCE CENTER, NY 14032. ANN M. PENTKOWSKI - 8069 HIGHLAND FARMS DR., E. AMHERST, NY 14051.
FORM 990, PART IX, LINE 24E	FEDERAL NFP EXCISE TAX: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 415,373. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 415,373. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 169,425. MANAGEMENT AND GENERAL EXPENSES 164,689. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 334,114. CLAIMS ADJUSTMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -300,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -300,000. BAD DEBT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -699,451. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -699,451.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	INDEPENDENT HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	777 INTERNATIONAL DRIVE	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14221	ZIPCd

Field	Value	IRS element (for citing)
EIN	161417199	EIN
Primary Activities	TO PROMOTE GOOD HEALTH IN WESTERN NEW YORK & SUPPORT THE ACTIVITIES OF IHA	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	12A, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	INDEPENDENT HEALTH ASSOCIATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
511 FARBER LAKES DRIVE	BUFFALO	NY	14221	161237733	THIRD PARTY CLAIMS ADMINISTRATION	NY	INDEPENDENT HEALTH ASSOCIATION INC	C	-$3,788,058	$298,184,361	1.00000	Yes (1)
INDEPENDENT HEALTH BENEFITS CORPORATION
511 FARBER LAKES DRIVE	BUFFALO	NY	14221	161483784	POS AND INDEMNITY PRODUCT ADMINISTRATION	NY	INDEPENDENT HEALTH ASSOCIATION INC	C	-$31,954,535	$331,163,831	1.00000	Yes (1)
MASON INSURANCE COMPANY LTD
					REINSURANCE		INDEPENDENT HEALTH ASSOCIATION INC	C	$8,641,858	$39,550,386	1.00000	Yes (1)	FB FERRY BUILDING 40 CHURCH STRE	HAMILTON	HM-HX	BD	BD

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INDEPENDENT HEALTH FOUNDATION
B	$2,287,030	FMV
INDEPENDENT HEALTH FOUNDATION
L	$149,789	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
B	$1,000,000	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
L	$632,316,470	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
L	$931,698,117	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
M	$35,568,179	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
M	$1,402,903,205	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
N	$21,499,539	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
N	$7,224,684	FMV
INDEPENDENT HEALTH FOUNDATION
O	$274,853	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
O	$34,653,560	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
O	$14,797,918	FMV
INDEPENDENT HEALTH FOUNDATION
P	$189,395	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
P	$565,963,860	FMV
INDEPENDENT HEALTH FOUNDATION
Q	$154,271	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
Q	$570,881,594	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
Q	$3,923,594	FMV
MASON INSURANCE COMPANY LTD
R	$290,657	FMV
INDEPENDENT HEALTH FOUNDATION
R	$1,521,030	FMV
INDEPENDENT HEALTH BENEFITS CORPORATION
S	$23,500,000	FMV
INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY
S	$248,845,000	FMV