2020-11-12T18:26:41-06:00 2019-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 482431313 990 2019-01-01 161080163 INDEPENDENT HEALTH ASSOCIATION INC INDE 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 MICHAEL W CROPP MD MD, PRESIDENT, & CEO 7166313001 2020-11-12 1 ALICIA JANISCH P00741382 3133963000 23.117.53.176 2020-11-12 16:03:22 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 36349DFDC8A41F8514BA56231B42690B2223D4A6 2019 2021-04-22 16:20:28Z 511 FARBER LAKES DRIVE BUFFALO NY 14221 1706814843 0 X WWW.INDEPENDENTHEALTH.COM X 1980 NY PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 22 18 1281 443 0 0 0 0 1410137899 1452386343 9787209 13829936 13366 8797 1419938474 1466225076 3276632 3948578 1229105375 1256545628 79749507 79876148 0 0 0 77925386 88781787 1390056900 1429152141 29881574 37072935 716145017 812957744 252453356 286116812 463691661 526840932 PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 0 0 1305695150 3773144 1452386343 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 SCHEDULE O FOR ADDITIONAL DETAIL. 1305695150 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 1 1 1 1 0 1 207 0 1 1281 1 0 1 BD 0 0 0 0 1 0 X 22 18 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 0 NY X MARGARET STEFFAN 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 ANN M PENTKOWSKI TREASURER & CFO 31.00 18.00 X X 792283 0 406101 ANTHONY B MARTINO BOARD MEMBER (END 10/19) 5.00 0.00 X 24000 0 6838 ANTHONY J BAYNES BOARD MEMBER 5.00 1.00 X 40000 0 8205 COLLEEN C DIPIRRO VICE CHAIRPERSON 5.00 1.00 X X 54000 0 8205 DAN GAGLIARDO BOARD MEMBER 5.00 1.00 X 40000 0 8205 DANIEL B WEINTRAUB CPA BOARD MEMBER 5.00 1.00 X 60000 0 5579 DAVID PAWLOWSKI MD BOARD MEMBER 5.00 0.00 X 40000 0 8205 DONALD BOSWELL BOARD MEMBER (NEW 4/19) 5.00 0.00 X 39000 0 0 DONALD ROBINSON MD BOARD MEMBER 5.00 0.00 X 40000 0 8205 DONNA M FERNANDES PHD BOARD MEMBER 5.00 0.00 X 40000 0 8205 FAUD SHERIFF MD BOARD MEMBER 5.00 0.00 X 51419 0 7794 JOHN ANTKOWIAK MD CHAIRPERSON 12.00 1.00 X X 100000 0 8205 JOHN MINEO SECRETARY- EVP GEN.COUNSEL 29.00 17.00 X X 585085 0 182868 JOHN N WALSH III BOARD MEMBER 5.00 1.00 X 47000 0 0 KATHLEEN MYLOTTE MD BOARD MEMBER 5.00 0.00 X 43175 0 0 KEITH M STOLZENBURG BOARD MEMBER (NEW 4/19) 5.00 0.00 X 40000 0 0 LISA MENDONZA MD BOARD MEMBER 5.00 0.00 X 40000 0 8205 MICHAEL HEIMERL MD BOARD MEMBER 5.00 0.00 X 40000 0 8205 MICHAEL W CROPP PRESIDENT & CEO 31.00 22.00 X X 3122947 0 426307 PATRICIA SMITH BOARD MEMBER 5.00 0.00 X 47000 0 411 SHAWN COTTON MD BOARD MEMBER 5.00 0.00 X 40000 0 8205 SIDNEY N WEISS CPA BOARD MEMBER 5.00 1.00 X 40000 0 8205 STUART H ANGERT BOARD MEMBER 5.00 5.00 X 40000 0 1140 THOMAS J FOELS EVP-CHF MED OFCR (BOD 12/19) 30.00 19.00 X X 434601 0 59242 YVONNE S MINOR-RAGAN PHD BOARD MEMBER 5.00 1.00 X 39000 0 411 ANTHONY BILLITTIER EVP-CHF MEDICAL OFCR (START 12/19) 30.00 17.00 X 203843 0 50358 NICOLE BRITTON CHF COMPLIANCE OFCR 32.00 9.00 X 137915 0 29315 ANNE O'NEILL VP-CHIEF RISK OFFICER 32.00 10.00 X 218599 0 55900 ANTHONY MONTAGNA SVP-CHF NETWORK OFCR 32.00 22.00 X 269420 0 53216 CHERYL FRIEDMAN SVP-HEALTH CARE SERVICES 36.00 23.00 X 312206 0 48733 ERIC J DECKER SVP-INFORMATION TECHNOLOGY CIO 35.00 15.00 X 624446 0 133400 GEORGE WANDS CHIEF AUDIT OFFICER 34.00 11.00 X 158750 0 38445 JILL M SYRACUSE EVP-CHF SRVCG OFCR (END 2/19) 35.00 2.00 X 861101 0 45097 JOHN HAUGHTON SVP-CHF CLIN IMPRV (END 10/19) 27.00 15.00 X 580025 0 31840 JOHN REID RODGERS EVP - COO 32.00 20.00 X 1009183 0 550828 MICHAEL J FASO SVP-CHF REV&ACCTG (END 7/19) 24.00 15.00 X 646730 0 73038 NORA K MCGUIRE SVP-CHIEF MARKETING OFFICER 25.00 16.00 X 434739 0 32442 PATRICIA C CLABEAUX EVP-CHIEF HR OFFICER 30.00 17.00 X 557161 0 332311 RICHARD M ARGENTIERI SVP-SALES 28.00 21.00 X 299069 0 56731 ROBERT TRACY SVP-GOVT PROGRAMS 34.00 10.00 X 270862 0 62807 ROBERTA D RIFKIN SVP-GOVT PROGS & AFFAIRS 30.00 17.00 X 408031 0 173384 S PAUL KAHLON VP-CHF ACTUARIAL OFCR 36.00 13.00 X 271516 0 33676 AMIN M SEREHALI VP-CLINICAL & BUS. INFORMATICS 33.00 19.00 X 500001 0 32791 DEIRDRE WHEAT MED DIRECTOR DISEASE & CSE MGT 17.00 21.00 X 305622 0 38195 MARGARET STEFFAN VP-FINANCE-TREASURY SERVICES 27.00 21.00 X 318506 0 113301 MICHAEL MERRILL MED DIRECTOR CLINICAL PERF MGT 18.00 23.00 X 407138 0 38797 TIMOTHY HALEY MED DIRECTOR MED POLICY & UM 10.00 32.00 X 334092 0 34711 MARK I JOHNSON SENIOR FINANCE ADVISOR 17.00 10.00 X 644952 0 150724 MICHAEL HUDSON TREASURER & CFO - END 10/19/18 0.00 0.00 X 592019 0 0 16245436 0 3396986 261 1 1 0 INDIVIDUAL PRACTICE ASSOCIATION OF WNY 511 FARBER LAES DRIVE BUFFALO NY 14221 MEDICAL & PHARMACY BENEFIT SERVICES 857714768 HEALTHPLEX I P A 333 EARLE OVINGTON BLVD STE 300 UNIONDALE NY 115533608 DENTAL BENEFITS COMPANY 16618154 SYNTEL INC 525 E BIG BEAVER RD STE 300 TROY MI 48083 INFORMATION TECHNOLOGY SERVICES 9514663 FAMILY CHOICE OF NY MEDICAL PC 3332 WALDEN AVE 110 DEPEW NY 14043 OUTSOURCED CASE MANAGEMENT SERVICES 6103123 FAMILY CHOICE OF NEW YORK LLC 3332 WALDEN AVE 110 DEPEW NY 14043 OUTSOURCED CASE MANAGEMENT SERVICES 5988215 169 PREMIUMS, REINSURANCE, 524114 1452386343 1452386343 1452386343 13004267 13004267 17680 8883 8797 8797 8797 241406553 240580884 825669 825669 825669 1466225076 1452386343 0 13838733 X 3948578 3948578 1256545628 1256545628 16131573 16131573 38052381 18903875 19148506 2554875 623324 1931551 15994337 3575763 12418574 7142982 1417010 5725972 1039970 1039970 369720 369720 151492 151492 1069134 1069134 24977267 159388 24817879 4907692 36432 4871260 6457553 432074 6025479 16728615 1231 16727384 1869078 1869078 437623 62803 374820 141770 14030 127740 46252 46252 6284680 6284680 901116 132654 768462 GME SURCHARGE 17473036 17473036 FAMILY CHOICE 2325964 2325964 NYS ASSESSMENT/ACA 1419954 1419954 CLAIMS ADJUSTMENT 1000000 1000000 1180871 43360 1137511 1429152141 1305695150 123456991 0 13650025 10282528 135797773 188414063 24986078 29177683 149541184 114900184 35188880 34641000 318301617 355956658 1905417 1820417 186315227 192665395 716145017 812957744 59188527 74260914 7630023 9612550 1732329 3191371 26000000 157902477 199051977 252453356 286116812 X 308831075 367026527 154860586 159814405 463691661 526840932 716145017 812957744 37072935 26076336 0 X 0 1 X 1 1 1 0 1 X 542713 542713 23772167 8445696 15326471 15368116 9150739 6217377 25011416 22305658 2705758 84846772 74998091 9848681 34641000 INVESTMENTS HELD IN ESCROW PER NYSDOH REGULATION 98-1.11 CF 80869850 INVESTMENTS IN AFFILIATES 111795545 192665395 BENEFITS PAYABLE 37156827 CAPITATION PAYABLE 12047158 INTERCOMPANY PAYABLE 149847992 199051977 X 1480871749 26076336 -3375701 22700635 1458171114 8053962 8053962 1466225076 1418171487 -8053962 -8053962 1426225449 2926692 2926692 1429152141 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, 2019 AND 2018. THE ASSOCIATION DID NOT RECORD INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2019 AND 2018. THE ASSOCIATION IS SUBJECT TO U.S. FEDERAL INCOME TAX IN VARIOUS STATE JURISDICTIONS. AS OF DECEMBER 31, 2019, THE ASSOCIATION'S TAX YEARS FOR 2016, 2017 AND 2018 ARE SUBJECT TO EXAMINATIONS BY FEDERAL TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME -1,411,801. OPERATING GRANT NETTED AGAINST INCOME -1,963,900. PART XI, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE 5,015,488. RX REBATE & COB 3,047,357. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -8,883. PART XII, LINE 2D - OTHER ADJUSTMENTS: REINSURANCE -5,015,488. RX REBATE & COB -3,047,357. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 8,883. PART XII, LINE 4B - OTHER ADJUSTMENTS: BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME 1,411,801. OPERATING GRANT NETTED AGAINST INCOME 1,963,900. PENSION RELATED CHANGES OTHER THAN NET PERIOD PENSION COST -449,009. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES REINSURANCE 132654 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 19392016 0 0 0 0 0 0 19524670 0 19524670 0 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 ASPIRE OF WNY 2356 NORTH FOREST ROAD GETZVILLE NY 14068 160757756 501(C)(3) 8134 FMV SPONSORSHIP BUFFALO NIAGARA ENTERPRISE 665 MAIN STREET BUFFALO NY 142031425 161579523 501(C)(3) 36970 FMV SPONSORSHIP BUFFALO URBAN LEAGUE 15 E GENESEE STREET BUFFALO NY 14203 160743940 501(C)(3) 18751 FMV SPONSORSHIP CANISIUS COLLEGE 2001 MAIN STREET BUFFALO NY 14208 160743209 501(C)(3) 25084 FMV SPONSORSHIP CATHOLIC CHARITIES OF BUFFALO NEW YORK 741 DELAWARE AVENUE BUFFALO NY 14209 160743251 501(C)(3) 11091 FMV SPONSORSHIP FOR HEALTHY LIVING ECMC LIFELINE FOUNDATION 462 GRIDER STREET NO G-1 BUFFALO NY 14215 223283946 501(C)(3) 5915 FMV SPONSORSHIP GREEN OPTIONS BUFFALO (GOBIKESLOW ROLL) 640 ELLICOTT ST SUITE 447 BUFFALO NY 14203 272501533 501(C)(3) 73941 FMV SPONSORSHIP FOR HEALTHY LIVING LMHF STRIVE TO THRIVE PROGRAM INC 3786 BROADWAY STREET CHEEKTOWAGA NY 14227 815207846 501(C)(3) 43132 FMV SPONSORSHIP FOR HEALTHY LIVING HOSPICE FOUNDATION OF WNY INC 225 COMO PARK BLVD CHEEKTOWAGA NY 142271416 223137812 501(C)(3) 5546 FMV SPONSORSHIP LARKIN SQUARE 726 EXCHANGE ST STE 825 BUFFALO NY 14210 454273890 501(C)(3) 62850 FMV SPONSORSHIP FOR HEALTHY LIVING LEADERSHIP BUFFALO 237 MAIN STREET SUITE 1500 BUFFALO NY 142032720 161363536 501(C)(3) 7394 FMV SPONSORSHIP LEUKEMIA & LYMPHOMA SOCIETY 1311 MAMARONECK AVENUE SUITE310 WHITE PLAINS NY 10605 135644916 501(C)(3) 7394 FMV SPONSORSHIP NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY 360 DELAWARE AVENUE BUFFALO NY 14202 203185568 501(C)(3) 9612 FMV SPONSORSHIP NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION (NFADA) 1144 WEHRLE DRIVE WILLIAMSVILLE NY 14221 161194880 501(C)(3) 31887 FMV SPONSORSHIP P2 COLLABORATIVE 355 HARLEM ROAD BUILDING C WEST SENECA NY 14224 421604185 501(C)(3) 38080 FMV SPONSORSHIP POLICE ATHLETIC LEAGUE 65 NIAGARA SQUARE 21ST FLOOR BUFFALO NY 14202 161468698 501(C)(3) 6285 FMV SPONSORSHIP FOR HEALTHY LIVING SENECA DIABETES FOUNDATION PO BOX 309 IRVING NY 140810309 203214056 501(C)(3) 22182 FMV SPONSORSHIP & FIOM PROJECT THEATRE OF YOUTH (TOY) 203 ALLEN STREET BUFFALO NY 14201 237286004 501(C)(3) 33226 FMV SPONSORSHIP FOR HEALTHY LIVING UNITED WAY OF BUFFALO & ERIE COUNTY - ENDOWMENT CAMPAIGN 742 DELAWARE AVENUE BUFFALO NY 14209 160743969 501(C)(3) 16637 FMV SPONSORSHIP THE ARC OF ERIE COUNTY NEW YORK 30 WILSON ROAD WILLIAMSVILLE NY 14221 160769044 501(C)(3) 5546 FMV SPONSORSHIP THE BUFFALO & ERIE COUNTY HISTORICAL SOCIETY 1 MUSEUM COURT BUFFALO NY 14216 166000166 501(C)(3) 5176 FMV SPONSORSHIP AMHERST CHAMBER OF COMMERCE 400 ESSJAY ROAD SUITE 150 AMHERST NY 14221 160959485 501(C)(6) 33495 FMV SPONSORSHIP BUFFALO NIAGARA PARTNERSHIP 655 MAIN STREET SUITE 200 BUFFALO NY 142031425 160761958 501(C)(6) 28171 FMV SPONSORSHIP TASTE OF BUFFALO INC 276 GREENWOOD COURT EAST AURORA NY 14052 161390601 501(C)(6) 11461 FMV SPONSORSHIP FOR HEALTHY LIVING THE SUMMIT CENTER INC 150 STAHL ROAD GETZVILLE NY 14068 161095750 501(C)(3) 5102 FMV SPONSORSHIP WESTERN NEW YORK PUBLIC BROADCASTING ASSOCIATION 140 LOWER TERRACE BUFFALO NY 14202 160834459 501(C)(3) 11091 FMV SPONSORSHIP BACK TO BASICS PEACEKEEPERS 1370 WILLIAM ST SUITE 100 BUFFALO NY 14206 161509888 501(C)(3) 7394 FMV SPONSORSHIP FOR HEALTHY LIVING CHILD & FAMILY SERVICES 330 DELAWARE AVE BUFFALO NY 14202 161004825 501(C)(3) 6285 FMV SPONSORSHIP BUFFALO BILLS LLC ONE BILLS DRIVE ORCHARD PARK NY 14127 471762470 415548 FMV SPONSORSHIP FOR HEALTHY LIVING BUFFALO RIVERWORKS LLC 359 GANSON ST BUFFALO NY 14203 463720236 184852 FMV SPONSORSHIP FOR HEALTHY LIVING FRW BEAVER HOLLOW MANAGEMENT LLC 1083 PIT RD JAVA CENTER NY 14082 454403158 221823 FMV SPONSORSHIP FOR HEALTHY LIVING RICH PRODUCTS CORPORATION 1150 NIAGARA ST PO BOX 245 BUFFALO NY 14240 311387980 44827 FMV SPONSORSHIP SHARED MOBILITY 640 ELLICOTT ST 441 BUFFALO NY 14203 465072814 501(C)(3) 352531 FMV SPONSORSHIP FOR HEALTHY LIVING SISTERS HOSPITAL FOUNDATION 2157 MAIN ST BUFFALO NY 14214 222283077 501(C)(3) 5546 FMV SPONSORSHIP INDEPENDENT HEALTH FOUNDATION 777 INTERNATIONAL DRIVE BUFFALO NY 14221 161417199 501(C)(3) 1970185 FMV OPERATING GRANT/SPONSORSHIP 28 3 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 TO THE SAME ACCOUNT NUMBER IN GENERAL LEDGER SYSTEM UNDER "COMMUNITY PROGRAMS AND COPIES OF ALL PAYMENTS ARE KEPT ON FILE (PAPER & ELECTRONICALLY). X 0 0 X X X X X 1 1 0 0 0 0 0 1 0 ANN M PENTKOWSKI TREASURER & CFO 519595 0 258166 0 14522 0 387766 0 18335 0 1198384 0 69931 0 JOHN MINEO SECRETARY- EVP GEN.COUNSEL 353969 0 212267 0 18849 0 146463 0 36405 0 767953 0 48000 0 MICHAEL W CROPP PRESIDENT & CEO 1005652 0 2068109 0 49186 0 407675 0 18632 0 3549254 0 1409047 0 THOMAS J FOELS EVP-CHF MED OFCR (BOD 12/19) 124603 0 252716 0 57282 0 50027 0 9215 0 493843 0 57000 0 ANTHONY BILLITTIER EVP-CHF MEDICAL OFCR (START 12/19) 196990 0 0 0 6853 0 0 0 50358 0 254201 0 0 0 NICOLE BRITTON CHF COMPLIANCE OFCR 110092 0 27688 0 135 0 4745 0 24570 0 167230 0 0 0 ANNE O'NEILL VP-CHIEF RISK OFFICER 184249 0 32930 0 1420 0 33733 0 22167 0 274499 0 0 0 ANTHONY MONTAGNA SVP-CHF NETWORK OFCR 218147 0 48127 0 3146 0 30258 0 22958 0 322636 0 0 0 CHERYL FRIEDMAN SVP-HEALTH CARE SERVICES 257430 0 51914 0 2862 0 28165 0 20568 0 360939 0 0 0 ERIC J DECKER SVP-INFORMATION TECHNOLOGY CIO 320346 0 296335 0 7765 0 109891 0 23509 0 757846 0 36655 0 GEORGE WANDS CHIEF AUDIT OFFICER 134140 0 22924 0 1686 0 10517 0 27928 0 197195 0 0 0 JILL M SYRACUSE EVP-CHF SRVCG OFCR (END 2/19) 493607 0 295447 0 72047 0 41353 0 3744 0 906198 0 263016 0 JOHN HAUGHTON SVP-CHF CLIN IMPRV (END 10/19) 379583 0 153594 0 46848 0 11114 0 20726 0 611865 0 25256 0 JOHN REID RODGERS EVP - COO 550561 0 422613 0 36009 0 521592 0 29236 0 1560011 0 129109 0 MICHAEL J FASO SVP-CHF REV&ACCTG (END 7/19) 368242 0 243620 0 34868 0 58418 0 14620 0 719768 0 129949 0 NORA K MCGUIRE SVP-CHIEF MARKETING OFFICER 290687 0 140420 0 3632 0 20544 0 11898 0 467181 0 26500 0 PATRICIA C CLABEAUX EVP-CHIEF HR OFFICER 356177 0 194772 0 6212 0 290125 0 42186 0 889472 0 53796 0 RICHARD M ARGENTIERI SVP-SALES 229123 0 64242 0 5704 0 37370 0 19361 0 355800 0 0 0 ROBERT TRACY SVP-GOVT PROGRAMS 205264 0 64169 0 1429 0 40478 0 22329 0 333669 0 0 0 ROBERTA D RIFKIN SVP-GOVT PROGS & AFFAIRS 257868 0 142442 0 7721 0 148970 0 24414 0 581415 0 48939 0 S PAUL KAHLON VP-CHF ACTUARIAL OFCR 227257 0 41717 0 2542 0 11444 0 22232 0 305192 0 0 0 AMIN M SEREHALI VP-CLINICAL & BUS. INFORMATICS 274253 0 218943 0 6805 0 11858 0 20933 0 532792 0 0 0 DEIRDRE WHEAT MED DIRECTOR DISEASE & CSE MGT 264792 0 39821 0 1009 0 13250 0 24945 0 343817 0 0 0 MARGARET STEFFAN VP-FINANCE-TREASURY SERVICES 245217 0 66003 0 7286 0 88907 0 24394 0 431807 0 0 0 MICHAEL MERRILL MED DIRECTOR CLINICAL PERF MGT 352262 0 51137 0 3739 0 14237 0 24560 0 445935 0 0 0 TIMOTHY HALEY MED DIRECTOR MED POLICY & UM 289355 0 42347 0 2390 0 11415 0 23296 0 368803 0 0 0 MARK I JOHNSON SENIOR FINANCE ADVISOR 337893 0 301283 0 5776 0 131859 0 18865 0 795676 0 102000 0 MICHAEL HUDSON TREASURER & CFO - END 10/19/18 0 0 72019 0 520000 0 0 0 0 0 592019 0 72019 0 PART I, LINE 1A JOHN MINEO EXPENSE REIMBURSEMENT DUE TO NON-REFUNDABLE PERSONAL EXPENSES THAT IHA BUSINESS INTERFERED WITH. THE REIMBURSEMENT WAS GROSSED-UP FOR TAXES AND INCLUDED IN MR. MINEO'S TAXABLE WAGES. 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 2019: MICHAEL HUDSON - $520,000 MICHAEL FASO - $199,833 JILL SYRACUSE - $442,994 JOHN HAUGHTON -$95,450 PART I, LINES 4B ELIGIBLE EMPLOYEES 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 EMPLOYEE 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 $1,409,047 MARK JOHNSON - $102,000 JOHN REID RODGERS - $129,109 THOMAS FOELS - $57,000 JILL SYRACUSE - $263,016 ANN PENTKOWSKI - $69,931 PATRICIA CLABEAUX - $53,796 MICHAEL FASO - $129,949 JOHN MINEO - $48,000 MICHAEL HUDSON - $72,019 NORA MCGUIRE - $26,500 JOHN HAUGHTON - $25,256 ERIC DECKER - $36,655 ROBERTA RIFKIN - $48,939 PART I, LINE 7 EXPENSE REIMBURSEMENT DUE TO NON-REFUNDABLE PERSONAL EXPENSES THAT IHA BUSINESS INTERFERED WITH. NORTHTOWNS MEDICAL GROUP SEE PART V 609489 SEE PART V 0 DONALD W ROBINSON MD SEE PART V 230296 SEE PART V 0 D'AVOLIO OLIVE OIL & VINEGAR SEE PART V 138470 SEE PART V 0 DOCSITE LLC DBA CONFIDENT HEALTH SEE PART V 226249 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES: (A) NAME OF INTERESTED PERSON: NORTHTOWNS MEDICAL GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY EDWARD STEHLIK, FORMER BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE(A) NAME OF INTERESTED PERSON: DONALD W. ROBINSON, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY DONALD W. ROBINSON, MD, CURRENT BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE(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 PROGRAMSA) NAME OF INTERESTED PERSON: DOCSITE, LLC DBA CONFIDENT HEALTH(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: GREATER THAN 35% CONTROLLED ENTITY BY JOHN HAUGHTON, CURRENT KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, FOR HEALTHCARE CONSULTING FORM 990 , PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS 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, DXID, NOVA HEALTHCARE ADMINISTRATORS, INC. AND EVOLVE PRACTICE PARTNERS. 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, AS WELL AS PEOPLE LOOKING TO MAINTAIN THEIR GENERAL WELL-BEING, BETTER MANAGE THEIR HEALTH VIA THEIR SMARTPHONE. THE FIRST CHRONIC CONDITION BROOK ADDRESSED WAS DIABETES. FOR MEMBERS DIAGNOSED WITH THE DISEASE, BROOK CAN HELP USERS TRACK THEIR DAILY BLOOD GLUCOSE LEVELS, MEALS, MEDICATIONS, SLEEPING PATTERNS AND EXERCISE. BASED ON A USER'S DATA INPUT AND ACTIVITY, BROOK CAN PROVIDE INSIGHT ON WHAT IS WORKING ALONG WITH RECOMMENDATIONS TO KEEP BLOOD SUGAR LEVELS IN A SAFE ZONE, ALLOWING MEMBERS TO TAKE THE GUESSWORK OUT OF UNDERSTANDING HOW DAILY DECISIONS AFFECT THEIR HEALTH. USERS CAN ACCESS BROOK 24 HOURS A DAY, SEVEN DAYS A WEEK, WHETHER THEY ARE IN BETWEEN DOCTOR VISITS, AT THE GROCERY STORE OR TRAVELING. 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. INCLUDED AMONG THESE INITIATIVES ARE PREVIOUS COMMUNITY WELLNESS AWARENESS PROGRAMS: PRACTICE EXCELLENCE, THE NATIONALLY RECOGNIZED PAY FOR PERFORMANCE PROGRAM, AND THE IDEALIZED DESIGN OF CLINICAL OFFICE PRACTICE, A MULTI FACETED APPROACH TO RE-DESIGN PHYSICIAN OFFICES TO BE MORE PATIENT-CENTRIC. 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 $14.5 MILLION DURING 2019. FORM 990 , PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS IHA'S REDSHIRT VOLUNTEER PROGRAM PROVIDES IHA ASSOCIATES AN OPPORTUNITY TO VOLUNTEER IN THEIR COMMUNITY, WHILE PROMOTING IHA AS A COMPANY WHO IS WILLING TO HELP GIVE 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 2019, 425 IHA ASSOCIATES SERVED AS REDSHIRT VOLUNTEERS. IN TOTAL, THESE INDIVIDUALS VOLUNTEERED AT 136 COMMUNITY EVENTS, WHICH REPRESENTED MORE THAN 1,200 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 100 MEMBERS OF OUR MANAGEMENT TEAM ARE VOLUNTEERS OR ACTIVE PARTICIPANTS AS DIRECTORS ON COMMUNITY BOARDS. THE IHA ASSOCIATE DRESS DOWN PROGRAM ALLOWS ASSOCIATES TO MAKE A CHARITABLE CONTRIBUTION IN EXCHANGE FOR THE PRIVILEGE OF DRESSING DOWN FOR WORK. THIS PROGRAM HAS RESULTED IN SUBSTANTIAL SUPPORT FOR THE CHARITABLE ORGANIZATIONS IN OUR COMMUNITY AND DEMONSTRATES THE GOODWILL OF IHA 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 $30,800 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 2020 CAMPAIGN RAISED MORE THAN $80,300. 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. IN ADDITION, THE EFFORTS OF SLOW ROLL BUFFALO, A WEEKLY COMMUNITY BIKE RIDE INITIATIVE, HAS UNITED RIDERS WITH A COMMON INTEREST TO GET OUT, GET ACTIVE AND GET HEALTHY. 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. STATISTICS FOR 2019 INCLUDED 6,604 SIGN-UPS, 59,649 MILES TRAVELED AND 36,511 TOTAL TRIPS TAKEN. RIDERS HAVE BURNED A COLLECTIVE 7.2 MILLION CALORIES. REDDY BIKESHARE ALLOWS USERS TO EXPLORE THEIR COMMUNITY WHILE SUPPORTING THEIR HEALTH, LOCAL BUSINESSES, AND THE ENVIRONMENT BY ENHANCING ALTERNATIVE TRANSPORTATION OPTIONS. IN LIGHT OF THE CURRENT PANDEMIC, THE CITY OF BUFFALO AND THE CITY OF NIAGARA FALLS ASKED REDDY TO ONLY PROMOTE THE USE OF REDDY BIKES FOR ESSENTIAL TRAVEL RATHER THAN FOR RECREATION. 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 HAVE PARTNERED TOGETHER FOR NINE CONSECUTIVE YEARS TO OFFER FITNESS IN THE PARKS A SERIES OF FREE OUTDOOR FITNESS CLASSES THAT ENCOURAGES ALL MEMBERS OF THE COMMUNITY TO TAKE A MORE ACTIVE ROLE IN THEIR HEALTH. 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. 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. 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. 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. TO DATE, MORE THAN 36,900 INDIVIDUALS HAVE REGISTERED FOR THE ONLINE CHALLENGE WITH THE CHANCE TO WIN DAILY, WEEKLY AND GRAND PRIZES. THE CHALLENGE IS HELD TWICE EACH YEAR, ONCE IN THE SPRING AND AGAIN THE FALL, AND IS OPEN TO ANYONE IN THE COMMUNITY. FOR 2020, PARTICIPANTS ALSO HAVE THE OPPORTUNITY TO VIRTUALLY ATTEND MONDAY NIGHT FITNESS CLASSES VIA FACEBOOK LIVE LED BY YMCA CERTIFIED INSTRUCTORS THAT ARE HELD ONCE EACH WEEK DURING THE CHALLENGE. FORM 990 , PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS THE BUFFALO BILLS AND IHA ALSO 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. IN APRIL, A SPECIAL EDITION OF THE PLAY 60 PROGRAM WAS OFFERED TO PROVIDE HEALTHY ACTIVITIES AND MOTIVATION FOR FAMILIES DURING THIS DIFFICULT TIME. 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. 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 THE NEW 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 SLOW PRESENTING SPONSOR. IHA MEMBERS CAN SHOW THEIR ID CARD TO RECEIVE DISCOUNTS ON ALL OUTER HARBOR OUTDOOR ACTIVITY RENTALS. IHA FURTHER COLLABORATES WITH THE WESTERN NEW YORK COMMUNITY IN ITS AFFILIATION WITH THE HEALTH SCIENCES CHARTER SCHOOL THAT WAS DEVELOPED TO PROVIDE OPPORTUNITIES FOR HIGH SCHOOL STUDENTS FOR CAREERS IN THE MEDICAL FIELD. WNYHEALTHENET FURTHERS IHA'S COMMITMENT TO REDUCING THE COST OF AND IMPROVING THE QUALITY OF HEALTH CARE IN THE WESTERN NEW YORK COMMUNITY. WNYHEALTHENET OPTIMIZES THE DELIVERY OF PATIENT INFORMATION THAT SPEEDS THE DELIVERY AND ACCURACY OF VITAL ELIGIBILITY, CLAIM STATUS, REFERRAL AND AUTHORIZATION INFORMATION TO THE PROVIDER COMMUNITY, AND 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 APRIL 2020, 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 166,046 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 MAY 2020. 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. 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 REPORTS 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, ANN PENTKOWSKI, JOHN R. RODGERS, AND JOHN MINEO, ESQ HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). SIDNEY N. WEISS, ANTHONY BAYNES, COLLEEN DIPIRRIO AND DANIEL B. WEINTRAUB HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). THOMAS J. FOELS, MICHAEL HEIMERL AND DAVID PAWLOWSKI HAVE A BUSINESS RELATIONSHIP (PRIVATE ENTERPRISE). IHA DOES NOT DO BUSINESS WITH THEIR PRIVATE ENTERPRISE. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED WITH THE CHAIRMAN OF THE AUDIT AND FINANCE COMMITTEES AS WELL AS THE PRESIDENT OF INDEPENDENT HEALTH. THE FINAL FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTS PRIOR TO THE FILING OF THIS RETURN. 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 IDENTIFIED ANNUALLY WHEN EMPLOYEES COMPLETE COMPLIANCE ATTESTATIONS, CONFIDENTIAL QUESTIONNAIRES & 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 THE 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. TO DETERMINE EXECUTIVE COMPENSATION AND INCENTIVE ELIGIBILITY OF THE CEO AND HIS/HER DIRECT REPORTS, THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE RECOMMENDATIONS AND ANY COMPARABLE DATA (COMPENSATION OF SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SIZED ORGANIZATIONS). COMPARABILITY DATA MAY BE OBTAINED VIA THE FORM 990 OF OTHER ORGANIZATIONS AND/OR COMPENSATION SURVEYS OR STUDIES. THE COMPENSATION COMMITTEE, IN DELIBERATIONS WITH THE INDEPENDENT CONSULTANT, DETERMINES THE COMPENSATION AND INCENTIVE FOR THE CEO. THE COMPENSATION COMMITTEE WILL DOCUMENT THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. THE BOD WILL THEN RATIFY ALL DECISIONS OF THE COMPENSATION COMMITTEE AT ITS REGULARLY SCHEDULED BOARD MEETING. IHA'S EXECUTIVE COMPENSATION POLICY/PROCESS IS AN ANNUAL PROCESS (LAST PERFORMED IN 2018) AND INCLUDED ESTABLISHING COMPENSATION FOR THE FOLLOWING POSITIONS THAT REPORT DIRECTLY TO THE CEO: EXECUTIVE VICE PRESIDENT - COO; EXECUTIVE VICE PRESIDENT, CFO; EXECUTIVE VICE PRESIDENT - CHRO; EXECUTIVE VICE PRESIDENT- GENERAL COUNSEL; EXECUTIVE VICE PRESIDENT- CHEIF MEDICAL OFFICER; SENIOR VICE PRESIDENT- HEALTH CARE SERVICES; VICE PRESIDENT - CLINICAL & BUSINESS INFORMATICS; SENIOR VICE PRESIDENT - GOVERNMENT AFFAIRS & STRATEGIC PARTNERSHIPS, AND MEDICAL DIRECTORS CLINICAL PERFORMANCE MANAGEMENT, QUALITY DISEASE & CASE MANAGEMENT AS WELL AS THE MEDICAL DIRECTOR POLICY & UTILIZATION MANAGEMENT . 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 VI, SECTION A, LINE 9: MICHAEL FASO - 9187 BEECH MEADOW CT. CLARENCE CENTER, NY 14032 JOHN HAUGHTON - 536 LAFAYETTE BUFFALO, NY 14222 THOMAS J. FOELS - 8354 BLACK WALNUT DRIVE EAST AMHERST, NY 14051 MICHAEL HUDSON - 243 WEST LANE RIDGEFIELD, CONNECTICUT NY 06877 JILL M. SYRACUSE - 5512 MARTHA'S VINEYARD CLARENCE CENTER, NY 14032 FORM 990, PART IX, LINE 24E: (B) PROGRAM SERVICE EXPENSES MISCELLANEOUS - $43,360 (C) MANAGEMENT AND GENERAL EXPENSES BAD DEBT - $537,015 DUES - $522,734 MISCELLANEOUS - $121,895 THE PRIMARY CONNECTION LLC 511 FARBER LAKES DRIVE BUFFALO NY 14221 472349293 HEALTH CARE MANAGEMENT SERVICES NY 0 0 INDEPENDENT HEALTH ASSOCIATION INC THE PRIMARY CONNECTION 2 LLC 511 FARBER LAKES DRIVE BUFFALO NY 14221 812770810 HEALTH CARE MANAGEMENT SERVICES NY 0 0 INDEPENDENT HEALTH ASSOCIATION INC INDEPENDENT HEALTH FOUNDATION 777 INTERNATIONAL DRIVE BUFFALO NY 14221 161417199 TO PROMOTE GOOD HEALTH IN WESTERN NEW YORK & SUPPORT THE ACTIVITIES OF IHA NY 501(C)(3) 12A, I INDEPENDENT HEALTH ASSOCIATION INC 1 INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY 511 FARBER LAKES DRIVE BUFFALO NY 14221 161237733 THIRD PARTY CLAIMS ADMINISTRATION NY INDEPENDENT HEALTH ASSOCIATION INC C -1626508 235534986 1.00000 1 INDEPENDENT HEALTH BENEFITS CORPORATION 511 FARBER LAKES DRIVE BUFFALO NY 14221 161483784 POS AND INDEMNITY PRODUCT ADMINISTRATION NY INDEPENDENT HEALTH ASSOCIATION INC C 19659824 310976479 1.00000 1 MASON INSURANCE COMPANY LTD FB FERRY BUILDING 40 CHURCH STREE HAMILTON HM HX BD REINSURANCE BD INDEPENDENT HEALTH ASSOCIATION INC C 4860323 27147713 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 INDEPENDENT HEALTH FOUNDATION B 1972400 FMV INDEPENDENT HEALTH FOUNDATION L 70275 FMV INDEPENDENT HEALTH BENEFITS CORPORATION L 626568891 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY L 1036070860 FMV INDEPENDENT HEALTH BENEFITS CORPORATION M 58323401 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY M 1346586009 FMV INDEPENDENT HEALTH BENEFITS CORPORATION N 19449342 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY N 4214546 FMV INDEPENDENT HEALTH FOUNDATION O 315446 FMV INDEPENDENT HEALTH BENEFITS CORPORATION O 33765701 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY O 14229374 FMV INDEPENDENT HEALTH FOUNDATION P 197595 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY P 695687207 FMV INDEPENDENT HEALTH FOUNDATION Q 211097 FMV INDEPENDENT HEALTH BENEFITS CORPORATION Q 522843036 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY Q 3343745 FMV MASON INSURANCE COMPANY LTD R 11903220 FMV INDEPENDENT HEALTH FOUNDATION R 1593360 FMV MASON INSURANCE COMPANY LTD S 2951102 FMV INDEPENDENT HEALTH BENEFITS CORPORATION S 54000000 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY S 436880999 FMV