2022-11-14T17:38:51-06:00 2021-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2021-01-01 161080163 INDEPENDENT HEALTH ASSOCIATION INC INDE 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 MICHAEL W CROPP MD MD, PRESIDENT, & CEO 7166313001 2022-11-14 1 MICHAEL CROPP MD 999009999 SHAWNA M JANSONS P01222873 3174648600 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z 511 FARBER LAKES DRIVE BUFFALO NY 14221 1632041830 0 X WWW.INDEPENDENTHEALTH.COM X 1980 NY PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 16 14 1331 254 0 0 0 0 1428474947 1474942149 15100027 14061144 10942 180297 1443585916 1489183590 5023651 5141584 1194335312 1351671707 94945286 76741028 0 0 0 94502409 102440430 1388806658 1535994749 54779258 -46811159 805543530 961041739 202337570 407305860 603205960 553735879 X PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 0 0 1404058759 5141584 1474942149 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. 1404058759 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 329 0 1 1331 1 0 1 BD 0 0 0 0 0 0 1 0 X 16 14 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 0 NY X JAMES DUNLOP 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 DONALD ROBINSON MD BOARD MEMBER 6.00 0.00 X 1000 0 0 STUART H ANGERT BOARD MEMBER 6.00 3.00 X 1000 0 1599 THOMAS J FOELS BOARD MEMBER 6.00 0.00 X 45500 0 0 DANIEL B WEINTRAUB CPA BOARD MEMBER 6.00 2.00 X 81333 0 2981 PAMELA D REED MD BOARD MEMBER 6.00 1.00 X 45500 0 0 COLLEEN C DIPIRRO BOARD MEMBER 6.00 1.00 X 69500 0 4359 YVONNE S MINOR-RAGAN PHD BOARD MEMBER 6.00 2.00 X 45500 0 411 FAUD SHERIFF MD BOARD MEMBER 6.00 0.00 X 45500 0 5961 DAVID PAWLOWSKI MD BOARD MEMBER 6.00 0.00 X 43500 0 8718 LISA MENDONZA MD BOARD MEMBER 6.00 0.00 X 45500 0 6959 PATRICIA SMITH BOARD MEMBER 6.00 0.00 X 55500 0 411 DAN GAGLIARDO BOARD MEMBER 6.00 3.00 X 51500 0 8718 DONALD BOSWELL BOARD MEMBER 6.00 0.00 X 59500 0 8718 DAVID J MCNAMARA ESQ BOARD MEMBER 6.00 0.00 X 60500 0 0 GERARD T MAZURKIEWICZ CPA BOARD MEMBER 12/20 6.00 0.00 X 60500 0 0 KATHLEEN MYLOTTE MD CHAIRPERSON 15.00 0.00 X 127100 0 0 MICHAEL W CROPP PRESIDENT & CEO 29.00 20.00 X X 2108051 0 489044 JOHN MINEO SECRETARY- EVP GEN.COUNSEL 29.00 17.00 X X 641912 0 185909 JAMES DUNLOP TREASURER & EVP CFO (7/21) 15.00 8.00 X X 265893 0 50358 ANN M PENTKOWSKI TREASURER & EVP CFO (END 6/21) 14.00 8.00 X X 1226547 0 69023 ANTHONY J BAYNES VICE CHAIRPERSON 6.00 1.00 X X 57500 0 4359 NICOLE BRITTON CHF COMPLIANCE OFCR 33.00 10.00 X 133544 0 36381 ANTHONY BILLITTIER EVP-CHF MEDICAL OFCR 27.00 14.00 X 654362 0 172924 GEORGE WANDS CHIEF AUDIT OFFICER 34.00 9.00 X 170052 0 34727 JOHN REID RODGERS EVP - COO 33.00 18.00 X 1518860 0 314794 PATRICIA C CLABEAUX EVP-CHIEF HR OFFICER 30.00 16.00 X 915075 0 155131 S PAUL KAHLON SVP - CHF ACTUARY & STRATEGY 40.00 17.00 X 344986 0 35391 AMIN M SEREHALI SVP - CHF DATA & ANALYTICS OFCR 41.00 11.00 X 414897 0 36001 ANTHONY MONTAGNA SVP - CHF NETWORK OFCR 30.00 17.00 X 327936 0 85333 CHERYL FRIEDMAN SVP - HEALTH CARE SERVICES 40.00 12.00 X 405277 0 54989 RICHARD M ARGENTIERI SVP- CHF SALES & MARKT OFCR 31.00 17.00 X 368815 0 77605 MIKE REILLY SVP-CHF HEALTHCARE INNV & STRAT. OFCR 34.00 14.00 X 318098 0 15207 NORA K MCGUIRE SVP-CHF SALES&MARKT OFCR (END 5/21). 21.00 10.00 X 414358 0 54410 MARGARET STEFFAN SVP-FINANCE & CAO 33.00 22.00 X 425605 0 114289 ROBERTA D RIFKIN SVP-GOVT AFFAIRS & STRAT PRTNRSHPS 29.00 15.00 X 381988 0 102427 ROBERT TRACY SVP-GOVT PROGRAMS 35.00 10.00 X 315683 0 47842 ERIC J DECKER SVP-INFORMATION TECHNOLOGY CIO 35.00 13.00 X 472339 0 43450 ANNE O'NEILL VP-CHIEF RISK OFFICER 33.00 10.00 X 297304 0 71002 MICHAEL MERRILL ASSOCIATE MED DIRECTOR- UM 11.00 19.00 X 375537 0 34817 TIMOTHY HALEY MED DIR MED POLICY & UM 11.00 31.00 X 355819 0 36449 DEIRDRE WHEAT MED DIR QUALITY DISEASE CASE MGT. 19.00 28.00 X 327059 0 39217 JOSHUA ZALEN VP - IT SERVICE OPERATIONS 36.00 15.00 X 306318 0 30464 DAVID SCHUTE VP-OPERATIONS 34.00 9.00 X 307899 0 32958 MARK I JOHNSON SENIOR FINANCE ADVISOR (END 12/20) 7.00 5.00 X 247282 0 18 JOHN HAUGHTON SVP-CHF CLIN IMPRV (END 10/19) 0.00 0.00 X 152719 0 0 MICHAEL J FASO SVP-CHF REV&ACCTG (END 7/19) 0.00 0.00 X 142732 0 0 15232880 0 2473354 305 1 1 0 INDEPENDENT PRACTICE ASSOCIATION OF WNY 511 FARBER LAKES DRIVE BUFFALO NY 14221 MEDICAL & PHARMACY BENEFIT SERVICES 892057444 HEALTHPLEX IPA 333 EARLE OVINGTON BLVD SUITE 300 UNIONDALE NY 115533608 DENTAL BENEFITS COMPANY 24020330 SYNTEL INC 525 E BIG BEAVER ROAD SUITE 300 TROY MI 48083 INFORMATION TECHNOLOGY SERVICES 12287931 SIRIUS COMPUTER SOLUTIONS PO BOX 202289 DALLAS TX 753202289 INFORMATION TECHNOLOGY SERVICES 9904245 NTT DATA INC PO BOX 4201 BOSTON MA 02211 INFORMATION TECHNOLOGY SERVICES 7067884 159 PREMIUMS,REINSURANCE,&REB 524114 1474942149 1474942149 1474942149 11805640 11805640 167219 167219 35190 22112 13078 13078 13078 145082632 9000 142830530 5598 2252102 3402 2255504 2255504 1489183590 1474942149 0 14241441 X 5141584 5141584 1351671707 1351671707 15316944 15316944 43705029 18006552 25698477 -6559463 769925 -7329388 16481585 3634324 12847261 7796933 1418507 6378426 894772 894772 389240 389240 149959 149959 1246577 1246577 33095001 95634 32999367 5328971 17496 5311475 7591539 314955 7276584 18831350 541 18830809 1639516 1639516 37663 1975 35688 14558 1519 13039 33067 33067 7772695 7772695 1193049 39072 1153977 GME SURCHARGE 19937942 19937942 FAMILY CHOICE 2812728 2812728 NYS ASSESSMENT/ACA 1206803 1206803 DUES 514964 24873 490091 -249964 169425 -419389 1535994749 1404058759 131935990 0 18251101 19238782 149597878 273082067 16255120 27232103 177528939 131968349 37449907 45560590 385436060 397672000 1735417 1653750 196818047 196602447 805543530 961041739 78812088 109712913 7020303 1745725 3093175 3973457 55000000 113412004 236873765 202337570 407305860 X 444072847 395426830 159133113 158309049 603205960 553735879 805543530 961041739 -46811159 -2658922 0 X 0 1 X 1 1 1 0 1 X 542713 542713 23772167 9521757 14250410 17468467 12140822 5327645 37048692 24840412 12208280 98696900 85465358 13231542 45560590 INVESTMENTS HELD IN ESCROW PER NYSDOH REGULATION 98-1.11CF 84427700 INVESTMENT IN AFFILIATES 112174747 196602447 BENEFITS PAYABLE 41177680 CAPITATION PAYABLE 1872456 INTERCOMPANY PAYABLE 171023629 MEDICAL LOSS RATIO REBATES 22800000 236873765 X 1474805665 -2658922 -1134313 -3793235 1478598900 10584690 10584690 1489183590 1535087538 -10584691 -10584691 1545672229 -9677480 -9677480 1535994749 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES REINSURANCE 290656 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 30347926 0 0 0 0 0 0 30638582 0 30638582 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 BUFFALO NIAGARA ENTERPRISE 665 MAIN STREET BUFFALO NY 142031425 161579523 501(C)(3) 37687 0 SPONSORSHIP BROTHERS OF MERCY FACILITIES FOUNDATION 4520 RANSOM ROAD CLARENCE NY 14031 166074666 501(C)(3) 5276 0 SPONSORSHIP CANISIUS COLLEGE 2001 MAIN STREET BUFFALO NY 14208 160743209 501(C)(3) 7858 0 SPONSORSHIP CATHOLIC CHARITIES OF BUFFALO NEW YORK 741 DELAWARE AVENUE BUFFALO NY 14209 160743251 501(C)(3) 11903 0 SPONSORSHIP FOR HEALTHY LIVING EIGHT DAYS OF HOPE INC 142 KINGS HIGHWAY PONTOTOC MS 38863 753212540 501(C)(3) 8134 0 SPONSORSHIP GREEN OPTIONS BUFFALO (GOBIKESLOW ROLL) 640 ELLICOTT ST SUITE 447 BUFFALO NY 14203 272501533 501(C)(3) 75374 0 SPONSORSHIP FOR HEALTHY LIVING LMHF STRIVE TO THRIVE PROGRAM INC 3786 BROADWAY STREET CHEEKTOWAGA NY 14227 815207846 501(C)(3) 131904 0 SPONSORSHIP FOR HEALTHY LIVING HOSPICE FOUNDATION OF WNY INC 225 COMO PARK BLVD CHEEKTOWAGA NY 142271416 223137812 501(C)(3) 6030 0 SPONSORSHIP ENDEAVOR WESTERN NEW YORK INC 211 RUSKIN ROAD AMHERST NY 14226 842898352 501(C)(3) 15075 0 SPONSORSHIP LEADERSHIP BUFFALO 237 MAIN STREET SUITE 1500 BUFFALO NY 142032720 161363536 501(C)(3) 7537 0 SPONSORSHIP NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY 360 DELAWARE AVENUE BUFFALO NY 14202 203185568 501(C)(3) 7537 0 SPONSORSHIP NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION (NFADA) 1144 WEHRLE DRIVE WILLIAMSVILLE NY 14221 161194880 501(C)(3) 30149 0 SPONSORSHIP P2 COLLABORATIVE 355 HARLEM ROAD BUILDING C WEST SENECA NY 14224 421604185 501(C)(3) 76504 0 SPONSORSHIP FOR HEALTHY LIVING POLICE ATHLETIC LEAGUE 65 NIAGARA SQUARE 21ST FLOOR BUFFALO NY 14202 161468698 501(C)(3) 18843 0 SPONSORSHIP FOR HEALTHY LIVING SENECA DIABETES FOUNDATION PO BOX 309 IRVING NY 140810309 203214056 501(C)(3) 30149 0 SPONSORSHIP THEATRE OF YOUTH (TOY) 203 ALLEN STREET BUFFALO NY 14201 237286004 501(C)(3) 30149 0 SPONSORSHIP FOR HEALTHY LIVING UNITED WAY OF BUFFALO & ERIE COUNTY - ENDOWMENT CAMPAIGN 742 DELAWARE AVENUE BUFFALO NY 14209 160743969 501(C)(3) 94217 0 SPONSORSHIP THE ARC OF ERIE COUNTY NEW YORK 30 WILSON ROAD WILLIAMSVILLE NY 14221 160769044 501(C)(3) 10929 0 SPONSORSHIP FOR HEALTHY LIVING AMHERST CHAMBER OF COMMERCE 400 ESSJAY ROAD SUITE 150 AMHERST NY 14221 160959485 501(C)(6) 27719 0 SPONSORSHIP GATEWAY LONGVIEW FOUNDATION 6350 MAIN STREET WILLIAMSVILLE NY 14221 161559402 501(C)(6) 6030 0 SPONSORSHIP TASTE OF BUFFALO INC 276 GREENWOOD COURT EAST AURORA NY 14052 161390601 501(C)(6) 11683 0 SPONSORSHIP FOR HEALTHY LIVING THE SUMMIT CENTER INC 150 STAHL ROAD GETZVILLE NY 14068 161095750 501(C)(3) 5653 0 SPONSORSHIP FOR HEALTHY LIVING BACK TO BASICS PEACEKEEPERS 1370 WILLIAM ST SUITE 100 BUFFALO NY 14206 161509888 501(C)(3) 9422 0 SPONSORSHIP FOR HEALTHY LIVING CHILD & FAMILY SERVICES 330 DELAWARE AVE BUFFALO NY 14202 161004825 501(C)(3) 7161 0 SPONSORSHIP BUFFALO BILLS LLC ONE BILLS DRIVE ORCHARD PARK NY 14127 471762470 493360 0 SPONSORSHIP FOR HEALTHY LIVING BUFFALO RIVERWORKS LLC 359 GANSON ST BUFFALO NY 14203 463720236 244965 0 SPONSORSHIP FOR HEALTHY LIVING FRW BEAVER HOLLOW MANAGEMENT LLC 1083 PIT RD JAVA CENTER NY 14082 454403158 226121 0 SPONSORSHIP FOR HEALTHY LIVING RICH PRODUCTS CORPORATION 1150 NIAGARA ST PO BOX 245 BUFFALO NY 14240 311387980 75374 0 SPONSORSHIP SHARED MOBILITY 640 ELLICOTT ST 441 BUFFALO NY 14203 465072814 501(C)(3) 345965 0 SPONSORSHIP FOR HEALTHY LIVING PEOPLE INC 1219 NORTH FOREST ROAD BUFFALO NY 14221 161450321 501(C)(3) 56530 0 SPONSORSHIP INDEPENDENT HEALTH FOUNDATION 777 INTERNATIONAL DRIVE BUFFALO NY 14221 161417199 501(C)(3) 2285552 0 OPERATING GRANT/SPONSORSHIP AMERICAN LUNG ASSOCIATION 45 ASH STREET EAST HARTFORD CT 06108 060646594 501(C)(3) 11306 0 SPONSORSHIP FOR HEALTHY LIVING BUFFALO NIAGARA PARTNERSHIP FOUNDATION INC 257 WEST GENESEE STREET SUITE 600 BUFFALO NY 14202 160761958 501(C)(3) 12060 0 SPONSORSHIP BUSINESS FIRST AMERICAN CITY BUSINESS JOURNALS INC 120 EST MOREHEAD ST CHARLOTTE NC 28202 431366184 12659 0 SPONSORSHIP FOR HEALTHY LIVING ERIE COUNTY AGRICULTURAL SOCIETY 2300 MCKINLEY PARKWAY HAMBURG NY 14075 160790021 501(C)(3) 14698 0 SPONSORSHIP JERICHO ROAD COMMUNITY HEALTH CENTER 184 BARTON ST BUFFALO NY 14213 451571876 501(C)(3) 71100 0 SPONSORSHIP FOR HEALTHY LIVING NIAGARA FALLS MEMORIAL MEDICAL CENTER FOUNDATION 621 10TH STREET NIAGARA FALLS NY 14302 222877349 501(C)(3) 11306 0 SPONSORSHIP WHEEL B HERD INC 604 HERTEL AVENUE BUFFALO NY 14207 834114381 501(C)(3) 38441 0 SPONSORSHIP FOR HEALTHY LIVING 30 8 PART I, LINE 2: 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. X X X X X 1 1 0 0 0 0 0 0 0 MICHAEL W CROPP PRESIDENT & CEO 1095718 0 963500 0 48833 0 478449 0 10595 0 2597095 0 201325 0 JOHN REID RODGERS EVP - COO 580906 0 907217 0 30737 0 282885 0 31909 0 1833654 0 574704 0 ANN M PENTKOWSKI TREASURER & EVP CFO (END 6/21) 260861 0 849976 0 115710 0 63619 0 5404 0 1295570 0 551216 0 PATRICIA C CLABEAUX EVP-CHIEF HR OFFICER 375477 0 533517 0 6081 0 108117 0 47014 0 1070206 0 334521 0 JOHN MINEO SECRETARY- EVP GEN.COUNSEL 374478 0 253446 0 13988 0 150572 0 35337 0 827821 0 54450 0 ANTHONY BILLITTIER EVP-CHF MEDICAL OFCR 422508 0 224070 0 7784 0 112593 0 60331 0 827286 0 0 0 MARGARET STEFFAN SVP-FINANCE & CAO 269601 0 150946 0 5058 0 88681 0 25608 0 539894 0 0 0 ERIC J DECKER SVP-INFORMATION TECHNOLOGY CIO 339547 0 131082 0 1710 0 18735 0 24715 0 515789 0 0 0 ROBERTA D RIFKIN SVP-GOVT AFFAIRS & STRAT PRTNRSHPS 272234 0 105905 0 3849 0 76814 0 25613 0 484415 0 0 0 NORA K MCGUIRE SVP-CHF SALES&MARKT OFCR (END 5/21). 258853 0 152442 0 3063 0 49272 0 5138 0 468768 0 26240 0 CHERYL FRIEDMAN SVP - HEALTH CARE SERVICES 272458 0 129906 0 2913 0 33370 0 21619 0 460266 0 26000 0 AMIN M SEREHALI SVP - CHF DATA & ANALYTICS OFCR 303578 0 109072 0 2247 0 14046 0 21955 0 450898 0 0 0 RICHARD M ARGENTIERI SVP- CHF SALES & MARKT OFCR 266822 0 100104 0 1889 0 54203 0 23402 0 446420 0 0 0 ANTHONY MONTAGNA SVP - CHF NETWORK OFCR 237291 0 90094 0 551 0 65693 0 19640 0 413269 0 0 0 MICHAEL MERRILL ASSOCIATE MED DIRECTOR- UM 302389 0 53029 0 20119 0 14788 0 20029 0 410354 0 0 0 TIMOTHY HALEY MED DIR MED POLICY & UM 309048 0 44549 0 2222 0 11692 0 24757 0 392268 0 0 0 S PAUL KAHLON SVP - CHF ACTUARY & STRATEGY 279373 0 64263 0 1350 0 11729 0 23662 0 380377 0 0 0 ANNE O'NEILL VP-CHIEF RISK OFFICER 237890 0 56988 0 2426 0 47397 0 23605 0 368306 0 0 0 DEIRDRE WHEAT MED DIR QUALITY DISEASE CASE MGT. 284753 0 41089 0 1217 0 13071 0 26146 0 366276 0 0 0 ROBERT TRACY SVP-GOVT PROGRAMS 226077 0 87300 0 2306 0 23502 0 24340 0 363525 0 0 0 DAVID SCHUTE VP-OPERATIONS 246346 0 58885 0 2668 0 12292 0 20666 0 340857 0 0 0 JOSHUA ZALEN VP - IT SERVICE OPERATIONS 246321 0 58451 0 1546 0 11600 0 18864 0 336782 0 0 0 MIKE REILLY SVP-CHF HEALTHCARE INNV & STRAT. OFC 275007 0 42035 0 1056 0 12537 0 2670 0 333305 0 0 0 JAMES DUNLOP TREASURER & EVP CFO (7/21) 261610 0 0 0 4283 0 0 0 50358 0 316251 0 0 0 MARK I JOHNSON SENIOR FINANCE ADVISOR (END 12/20) 225845 0 21437 0 0 0 0 0 18 0 247300 0 0 0 GEORGE WANDS CHIEF AUDIT OFFICER 147597 0 21732 0 723 0 10967 0 23760 0 204779 0 0 0 NICOLE BRITTON CHF COMPLIANCE OFCR 115279 0 18071 0 194 0 4271 0 32110 0 169925 0 0 0 JOHN HAUGHTON SVP-CHF CLIN IMPRV (END 10/19) 0 0 0 0 152719 0 0 0 0 0 152719 0 0 0 MICHAEL J FASO SVP-CHF REV&ACCTG (END 7/19) 0 0 126079 0 16653 0 0 0 0 0 142732 0 126079 0 PART I, LINES 4A-B 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 D'AVOLIO OLIVE OIL & VINEGAR SEE PART V 153457 SEE PART V 0 WNY COORDINATED MEDICAL CARE PC SEE PART V 200000 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES: (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 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. 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