INDEPENDENT HEALTH ASSOCIATION INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- INDEPENDENT HEALTH ASSOCIATION INC (EIN 16-1080163)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201943189349303424
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T09:57:09-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 RENAISSANCE CENTER SUITE 3900 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 482431313 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161080163 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENT HEALTH ASSOCIATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDE | BusinessNameControlTxt |
| Phone | 7166313001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 FARBER LAKES DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL W CROPP MD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7166313001 | PhoneNum |
| Signature | 2019-10-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI BOYCE | PreparerPersonNm |
| PTIN | P00121981 | PTIN |
| Phone | 3133963000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.219.88.140 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-13 | IPDt |
| IP Tm | 12:28:41 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 76FF2A6BB2396675DA7FC3BECCB7F23E28595D91 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 51C336FFAA709FFFA8F156E4F74F45DB06EA871A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 FARBER LAKES DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,638,875,580 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.INDEPENDENTHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 1268 | TotalEmployeeCnt |
| Total Volunteers | 224 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $120,840 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,393,047,184 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,410,137,899 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,204,721 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,787,209 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,670 | PYOtherRevenueAmt |
| CY Other Revenue | $13,366 | CYOtherRevenueAmt |
| PY Total Revenue | $1,402,262,575 | PYTotalRevenueAmt |
| CY Total Revenue | $1,419,938,474 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,345,360 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,276,632 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,229,000,501 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,229,105,375 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $79,414,553 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $79,749,507 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,015,753 | PYOtherExpensesAmt |
| CY Other Expenses | $77,925,386 | CYOtherExpensesAmt |
| PY Total Expenses | $1,384,776,167 | PYTotalExpensesAmt |
| CY Total Expenses | $1,390,056,900 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,486,408 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,881,574 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $756,990,268 | TotalAssetsBOYAmt |
| Total Assets EOY | $716,145,017 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $312,146,143 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $252,453,356 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $444,844,125 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $463,691,661 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,269,306,580 | ExpenseAmt |
| Grant | $3,272,632 | GrantAmt |
| Revenue | $1,410,137,899 | RevenueAmt |
| Desc | INDEPENDENT HEALTH ASSOCIATION (IHA) COORDINATES THE DELIVERY OF QUALITY HEALTH CARE COVERAGE THROUGH CONTRACTS WITH THE INDIVIDUAL PRACTICE ASSOCIATION OF WESTERN NEW YORK (IPAWNY), A TAXABLE NON-PROFIT, FOR ITS COMMERCIAL AND MEDICARE HMO PRODUCTS WITHIN THE EIGHT COUNTIES OF WESTERN NEW YORK (WNY). IHA ALSO PROVIDES COVERAGE AND COORDINATES SERVICES TO ITS MEDICAID HMO PRODUCT (WHICH INCLUDES THE MEDICAID HMO PRODUCT, THE CHILD HEALTH PLUS (CHP), HEALTH AND RECOVERY PLANS (HARP) AND THE ESSENTIAL PLAN PROGRAMS) 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. | Desc |
| Total Program Service Expenses | $1,269,306,580 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 208 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1268 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | BD | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANN PENTOWSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7166313001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 FARBER LAKES DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANN M PENTKOWSKI | |||||||||
| TREASURER & CFO-START 10/19/18 | 37.00 | 14.00 | Yes (X) | Yes (X) | $982,009 | $0 | $265,736 | ||
| ANTHONY B MARTINO | |||||||||
| BOARD MEMBER | 4.00 | 1.00 | Yes (X) | $47,000 | $0 | $7,618 | |||
| ANTHONY J BAYNES | |||||||||
| BOARD MEMBER | 4.00 | 1.00 | Yes (X) | $40,000 | $0 | $7,618 | |||
| COLLEEN C DIPIRRO | |||||||||
| VICE CHAIRPERSON | 4.00 | 1.00 | Yes (X) | Yes (X) | $50,000 | $0 | $7,618 | ||
| DANIEL GAGLIARDO | |||||||||
| BOARD MEMBER | 4.00 | 6.00 | Yes (X) | $40,684 | $0 | $7,618 | |||
| DANIEL B WEINTRAUB CPA | |||||||||
| BOARD MEMBER | 5.00 | 1.00 | Yes (X) | $60,000 | $0 | $5,295 | |||
| DAVID PAWLOWSKI MD | |||||||||
| BOARD MEMBER | 4.00 | 1.00 | Yes (X) | $42,338 | $0 | $3,809 | |||
| DONALD ROBINSON MD | |||||||||
| BOARD MEMBER | 4.00 | 0.00 | Yes (X) | $45,000 | $0 | $7,618 | |||
| DONNA M FERNANDES PHD | |||||||||
| BOARD MEMBER | 4.00 | 0.00 | Yes (X) | $40,000 | $0 | $7,618 | |||
| FUAD SHERIFF MD | |||||||||
| BOARD MEMBER | 4.00 | 0.00 | Yes (X) | $50,500 | $0 | $7,207 | |||
| JOHN ANTKOWIAK MD | |||||||||
| CHAIRPERSON | 12.00 | 1.00 | Yes (X) | Yes (X) | $100,000 | $0 | $7,618 | ||
| JOHN MINEO ESQ | |||||||||
| SECRETARY- EVP GEN.COUNSEL | 33.00 | 12.00 | Yes (X) | Yes (X) | $625,154 | $0 | $204,010 | ||
| JOHN N WALSH III | |||||||||
| BOARD MEMBER | 4.00 | 1.00 | Yes (X) | $47,100 | $0 | $0 | |||
| KATHLEEN MYLOTTE MD | |||||||||
| BOARD MEMBER - START 12/12/18 | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LISA MENDONZA MD | |||||||||
| BOARD MEMBER | 4.00 | 0.00 | Yes (X) | $40,000 | $0 | $7,618 | |||
| MARK I JOHNSON | |||||||||
| TREASURER & CFO -END 5/28/18 | 23.00 | 8.00 | Yes (X) | Yes (X) | $1,298,809 | $0 | $242,665 | ||
| MICHAEL HEIMERL MD | |||||||||
| BOARD MEMBER | 4.00 | 0.00 | Yes (X) | Yes (X) | $44,775 | $0 | $7,618 | ||
| MICHAEL HUDSON | |||||||||
| TREASURER & CFO- END 10/19/18 | 27.00 | 15.00 | Yes (X) | Yes (X) | $573,557 | $0 | $17,891 | ||
| MICHAEL W CROPP MD | |||||||||
| PRESIDENT & CEO | 30.00 | 23.00 | Yes (X) | Yes (X) | $2,260,662 | $0 | $773,515 | ||
| MOISES SUDIT PHD | |||||||||
| BOARD MEMBER - END 4/21/18 | 4.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NORA B SULLIVAN JD MBA | |||||||||
| BOARD MEMBER - END 4/18/18 | 4.00 | 1.00 | Yes (X) | $0 | $0 | $2,539 | |||
| PATRICIA SMITH | |||||||||
| BOARD MEMBER | 4.00 | 0.00 | Yes (X) | $50,466 | $0 | $413 | |||
| RENE F JONES | |||||||||
| BOARD MEMBER - END 3/1/18 | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAWN COTTON MD | |||||||||
| BOARD MEMBER | 4.00 | 0.00 | Yes (X) | $40,000 | $0 | $7,618 | |||
| SIDNEY N WEISS CPA | |||||||||
| BOARD MEMBER | 4.00 | 1.00 | Yes (X) | $40,000 | $0 | $7,618 | |||
| STUART H ANGERT | |||||||||
| BOARD MEMBER | 4.00 | 2.00 | Yes (X) | $40,000 | $0 | $1,140 | |||
| YVONNE S MINOR-RAGAN PHD | |||||||||
| BOARD MEMBER | 4.00 | 1.00 | Yes (X) | $40,000 | $0 | $413 | |||
| DAWN C ODRZYWOLSKI | |||||||||
| CHF COMPLIANCE OFCR END 2/1/18 | 39.00 | 3.00 | Yes (X) | $151,682 | $0 | $33,453 | |||
| NICOLE BRITTON | |||||||||
| CHF COMPLIANCE OFCR - START 2/1/18 | 31.00 | 10.00 | Yes (X) | $103,073 | $0 | $28,951 | |||
| THOMAS J FOELS | |||||||||
| EVP-CHIEF MEDICAL OFFICER | 38.00 | 12.00 | Yes (X) | $1,150,985 | $0 | $326,170 | |||
| ANNE O'NEILL | |||||||||
| VP- CHIEF RISK OFFICER | 32.00 | 10.00 | $210,336 | $0 | $46,302 | Yes (X) | |||
| ERIC J DECKER | |||||||||
| SVP-INFORMATION TECHNOLOGY CIO | 35.00 | 14.00 | $398,479 | $0 | $89,245 | Yes (X) | |||
| J SCOTT DWYER | |||||||||
| VP-CHF AUDIT EXEC END 9/26/18 | 25.00 | 8.00 | $200,897 | $0 | $28,548 | Yes (X) | |||
| JILL M SYRACUSE | |||||||||
| EVP-CHIEF ENGMT & SERVCNG. OFF | 36.00 | 12.00 | $988,392 | $0 | $310,673 | Yes (X) | |||
| JOHN HAUGHTON | |||||||||
| SVP-CHIEF CLINICAL IMPRV OFFCR | 32.00 | 12.00 | $479,683 | $0 | $57,360 | Yes (X) | |||
| JOHN REID RODGERS RPH | |||||||||
| EVP - COO | 38.00 | 15.00 | $1,324,922 | $0 | $377,413 | Yes (X) | |||
| MICHAEL J FASO | |||||||||
| SVP- CHIEF REV & ACCTG OFFICER | 27.00 | 16.00 | $704,183 | $0 | $207,661 | Yes (X) | |||
| NORA K MCGUIRE | |||||||||
| SVP-CHIEF MARKETING OFFICER | 27.00 | 17.00 | $485,576 | $0 | $53,088 | Yes (X) | |||
| PATRICIA C CLABEAUX | |||||||||
| EVP-CHIEF HR OFFICER | 36.00 | 12.00 | $749,159 | $0 | $213,988 | Yes (X) | |||
| ROBERTA D RIFKIN | |||||||||
| SVP-GOVT PROGS & AFFAIRS | 32.00 | 13.00 | $364,228 | $0 | $119,516 | Yes (X) | |||
| AMIN M SEREHALI | |||||||||
| VP-CLINICAL & BUS. INFORMATICS | 35.00 | 17.00 | $349,768 | $0 | $34,220 | Yes (X) | |||
| MARGARET STEFFAN | |||||||||
| VP- FINANCE-TREASURY SERVICES | 34.00 | 18.00 | $308,411 | $0 | $101,802 | Yes (X) | |||
| MICHAEL MERRILL | |||||||||
| MED DIRECTOR CLINICAL PERF MGT | 31.00 | 10.00 | $368,245 | $0 | $21,983 | Yes (X) | |||
| RICHARD M ARGENTIERI | |||||||||
| VP-SALES | 28.00 | 21.00 | $325,512 | $0 | $49,738 | Yes (X) | |||
| TIMOTHY HALEY | |||||||||
| MED DIRECTOR MED POLICY & UM | 18.00 | 24.00 | $300,736 | $0 | $31,828 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $15,562,321 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,740,370 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 246 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INDIVIDUAL PRACTICE ASSOCIATION OF WNY | |||||
| 511 FARBER LAKES DRIVE | BUFFALO | NY | 14221 | MEDICAL & PHARMACY BENEFIT SERVICES | $886,827,860 |
| HEALTHPLEX I P A | |||||
| 333 EARLE OVINGTON BLVD STE 300 | UNIONDALE | NY | 115533608 | DENTAL BENEFITS COMPANY | $16,828,873 |
| SYNTEL INC | |||||
| 525 E BIG BEAVER RD STE 300 | TROY | MI | 48083 | INFORMATION TECHNOLOGY SERVICES | $8,155,788 |
| NTT DATA INC | |||||
| PO BOX 4201 | BOSTON | MA | 02211 | INFORMATION TECHNOLOGY SERVICES | $5,862,136 |
| EYEMED VISION CARE | |||||
| 15274 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | VISION BENEFITS COMPANY | $5,171,958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 155 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREMIUMS, REINSURANCE, & REBATES | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $1,410,137,899 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,410,137,899 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,410,137,899 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,805,456 | TotalRevenueColumnAmt |
| Exclusion | $11,805,456 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,445 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,079 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,366 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,366 | TotalRevenueColumnAmt |
| Exclusion | $13,366 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $216,916,780 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $218,923,938 | SecuritiesAmt |
| Other | $11,089 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$2,007,158 | SecuritiesAmt |
| Other | -$11,089 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,018,247 | TotalRevenueColumnAmt |
| Exclusion | -$2,018,247 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,419,938,474 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,410,137,899 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,800,575 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,276,632 | TotalAmt |
| Program Services | $3,276,632 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,229,105,375 | TotalAmt |
| Program Services | $1,229,105,375 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,410,446 | TotalAmt |
| Management And General | $17,410,446 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,826,079 | TotalAmt |
| Program Services | $14,088,015 | ProgramServicesAmt |
| Management And General | $23,738,064 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,569 | TotalAmt |
| Program Services | $474,415 | ProgramServicesAmt |
| Management And General | -$285,846 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,164,233 | TotalAmt |
| Program Services | $3,076,355 | ProgramServicesAmt |
| Management And General | $14,087,878 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,160,180 | TotalAmt |
| Program Services | $1,108,647 | ProgramServicesAmt |
| Management And General | $6,051,533 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,278 | TotalAmt |
| Management And General | $327,278 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,800 | TotalAmt |
| Management And General | $336,800 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,409 | TotalAmt |
| Management And General | $150,409 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,051,098 | TotalAmt |
| Management And General | $1,051,098 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,882,883 | TotalAmt |
| Program Services | $233,584 | ProgramServicesAmt |
| Management And General | $20,649,299 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,708,002 | TotalAmt |
| Program Services | $27,807 | ProgramServicesAmt |
| Management And General | $4,680,195 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,720,509 | TotalAmt |
| Program Services | $304,649 | ProgramServicesAmt |
| Management And General | $6,415,860 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,936,076 | TotalAmt |
| Program Services | $31,673 | ProgramServicesAmt |
| Management And General | $14,904,403 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,685,432 | TotalAmt |
| Management And General | $1,685,432 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,075 | TotalAmt |
| Program Services | $54,740 | ProgramServicesAmt |
| Management And General | $353,335 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,491 | TotalAmt |
| Program Services | $5,945 | ProgramServicesAmt |
| Management And General | $165,546 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,556 | TotalAmt |
| Management And General | $46,556 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,633,500 | TotalAmt |
| Management And General | $5,633,500 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755,614 | TotalAmt |
| Management And General | $755,614 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| GME SURCHARGE | $15,863,389 | $15,863,389 | |
| FAMILY CHOICE | $2,146,021 | $2,146,021 | |
| NYS ASSESSMENT/ACA | $1,177,640 | $1,177,640 | |
| EXEC COMP EXCISE TAX | $840,025 | $840,025 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,588 | TotalAmt |
| Program Services | -$490,667 | ProgramServicesAmt |
| Management And General | $575,255 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,390,056,900 | TotalAmt |
| Program Services | $1,269,306,580 | ProgramServicesAmt |
| Management And General | $120,750,320 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,310,020 | BOYAmt |
| EOY | $13,650,025 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,291,087 | BOYAmt |
| EOY | $135,797,773 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,649,704 | BOYAmt |
| EOY | $24,986,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $141,704,493 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $106,515,613 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,952,234 | BOYAmt |
| EOY | $35,188,880 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,795,826 | BOYAmt |
| EOY | $318,301,617 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,990,417 | BOYAmt |
| EOY | $1,905,417 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,000,980 | BOYAmt |
| EOY | $186,315,227 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $756,990,268 | BOYAmt |
| EOY | $716,145,017 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,861,913 | BOYAmt |
| EOY | $59,188,527 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,469,453 | BOYAmt |
| EOY | $7,630,023 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,013 | BOYAmt |
| EOY | $1,732,329 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $26,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,640,764 | BOYAmt |
| EOY | $157,902,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,146,143 | BOYAmt |
| EOY | $252,453,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,386,112 | BOYAmt |
| EOY | $308,831,075 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,458,013 | BOYAmt |
| EOY | $154,860,586 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,844,125 | BOYAmt |
| EOY | $463,691,661 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $756,990,268 | BOYAmt |
| EOY | $716,145,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $29,881,574 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$11,034,037 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $542,713 | OtherCostOrOtherBasisAmt |
| Book Value | $542,713 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,772,167 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,907,666 | DepreciationAmt |
| Book Value | $15,864,501 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,954,633 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,445,686 | DepreciationAmt |
| Book Value | $6,508,947 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,985,724 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,817,896 | DepreciationAmt |
| Book Value | $2,167,828 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,449,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,344,365 | DepreciationAmt |
| Book Value | $10,104,891 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,188,880 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENTS HELD IN ESCROW PER NYSDOH REGULATION 98-1.11(F) | $75,481,076 |
| INVESTMENTS IN AFFILIATES | $110,834,151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $186,315,227 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| BENEFITS PAYABLE | $34,230,696 |
| CAPITATION PAYABLE | $10,100,644 |
| INTERCOMPANY PAYABLE | $111,110,579 |
| MEDICAL LOSS RATIO REBATES | $2,460,558 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $157,902,477 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,399,112,926 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$11,034,037 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,970,001 | OtherRevenueAmt |
| Revenue Not Reported | -$14,004,038 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,413,116,964 | RevenueSubtotalAmt |
| Other Revenues Not Included | $6,821,510 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $6,821,510 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,419,938,474 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,383,132,050 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$6,821,510 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$6,821,510 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,389,953,560 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $103,340 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $103,340 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,390,056,900 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | LONG TERM INCENTIVE DEFERRED COMPENSATION PLAN(S) ARE OFFERED TO KEY EXECUTIVES. FUTURE PAYMENT IS BASED ON PERFORMANCE AND HISTORICAL COMPENSATION. ASSETS ARE UNDER CUSTODIAL ARRANGEMENT WITH M&T BANK. |
| PART X, LINE 2: | INDEPENDENT HEALTH ASSOCIATION & AFFILIATES (THE ASSOCIATION) RECOGNIZED NO LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS AT DECEMBER 31, 2018 AND 2017. THE ASSOCIATION DID NOT RECORD INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2018 AND 2017. THE ASSOCIATION IS SUBJECT TO U.S. FEDERAL INCOME TAX IN VARIOUS STATE JURISDICTIONS. AS OF DECEMBER 31, 2018, THE ASSOCIATION'S TAX YEARS FOR 2015, 2016 AND 2017 ARE SUBJECT TO EXAMINATIONS BY FEDERAL TAX AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME -1,376,641. OPERATING GRANT NETTED AGAINST INCOME -1,593,360. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | NYS REINSURANCE 3,713,710. RX REBATE & COB 3,109,879. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -2,079. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NYS REINSURANCE -3,713,710. RX REBATE & COB -3,109,879. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 2,079. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME 1,376,640. OPERATING GRANT NETTED AGAINST INCOME 1,593,359. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -2,866,659. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA & THE CARIBBEAN | RegionTxt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $14,531,693 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $14,531,693 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $14,531,693 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| ASPIRE OF WNY | |||||||||
| 2356 NORTH FOREST ROAD | GETZVILLE | NY | 14068 | 160757756 | 501(C)(3) | $7,995 | FMV | SPONSORSHIP | |
| BUFFALO NIAGARA ENTERPRISE | |||||||||
| 665 MAIN STREET | BUFFALO | NY | 142031425 | 161579523 | 501(C)(3) | $36,339 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| BUFFALO URBAN LEAGUE | |||||||||
| 15 E GENESEE STREET | BUFFALO | NY | 14203 | 160743940 | 501(C)(3) | $18,169 | FMV | SPONSORSHIP | |
| CANISIUS COLLEGE | |||||||||
| 2001 MAIN STREET | BUFFALO | NY | 14208 | 160743209 | 501(C)(3) | $24,656 | FMV | SPONSORSHIP | |
| CATHOLIC CHARITIES OF BUFFALO NEW YORK | |||||||||
| 741 DELAWARE AVENUE | BUFFALO | NY | 14209 | 160743251 | 501(C)(3) | $10,902 | FMV | SPONSORSHIP | |
| ECMC LIFELINE FOUNDATION | |||||||||
| 462 GRIDER STREET NO G-1 | BUFFALO | NY | 14215 | 223283946 | 501(C)(3) | $5,814 | FMV | SPONSORSHIP | |
| GREEN OPTIONS BUFFALO (GOBIKESLOW ROLL) | |||||||||
| 640 ELLICOTT ST SUITE 447 | BUFFALO | NY | 14203 | 272501533 | 501(C)(3) | $78,262 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| HILLSIDE WORK SCHOLARSHIP PROGRAM | |||||||||
| 1183 MONROE AVENUE | ROCHESTER | NY | 14620 | 161453581 | 501(C)(3) | $72,677 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| HOSPICE FOUNDATION OF WNY INC | |||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 142271416 | 223137812 | 501(C)(3) | $5,451 | FMV | SPONSORSHIP | |
| LARKIN SQUARE | |||||||||
| 726 EXCHANGE ST STE 825 | BUFFALO | NY | 14210 | 454273890 | 501(C)(3) | $7,268 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| LEADERSHIP BUFFALO | |||||||||
| 237 MAIN STREET SUITE 1500 | BUFFALO | NY | 142032720 | 161363536 | 501(C)(3) | $7,268 | FMV | SPONSORSHIP | |
| LEUKEMIA & LYMPHOMA SOCIETY | |||||||||
| 1311 MAMARONECK AVENUE SUITE310 | WHITE PLAINS | NY | 10605 | 135644916 | 501(C)(3) | $7,268 | FMV | SPONSORSHIP | |
| NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY | |||||||||
| 360 DELAWARE AVENUE | BUFFALO | NY | 14202 | 203185568 | 501(C)(3) | $9,448 | FMV | SPONSORSHIP | |
| NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION (NFADA) | |||||||||
| 1144 WEHRLE DRIVE | WILLIAMSVILLE | NY | 14221 | 161194880 | 501(C)(3) | $31,433 | FMV | SPONSORSHIP | |
| P2 COLLABORATIVE | |||||||||
| 355 HARLEM ROAD BUILDING C | WEST SENECA | NY | 14224 | 421604185 | 501(C)(3) | $41,063 | FMV | SPONSORSHIP | |
| POLICE ATHLETIC LEAGUE | |||||||||
| 65 NIAGARA SQUARE 21ST FLOOR | BUFFALO | NY | 14202 | 161468698 | 501(C)(3) | $6,178 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| SENECA DIABETES FOUNDATION | |||||||||
| PO BOX 309 | IRVING | NY | 140810309 | 203214056 | 501(C)(3) | $21,803 | FMV | SPONSORSHIP | |
| THEATRE OF YOUTH (TOY) | |||||||||
| 203 ALLEN STREET | BUFFALO | NY | 14201 | 237286004 | 501(C)(3) | $36,339 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| UNITED WAY OF BUFFALO & ERIE COUNTY - ENDOWMENT CAMPAIGN | |||||||||
| 742 DELAWARE AVENUE | BUFFALO | NY | 14209 | 160743969 | 501(C)(3) | $14,535 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| BUFFALO HEARING & SPEECH CENTER | |||||||||
| 50 E NORTH ST | BUFFALO | NY | 14203 | 160776186 | 501(C)(3) | $5,451 | FMV | SPONSORSHIP | |
| ROSWELL PARK ALLIANCE FOUNDATION | |||||||||
| ELM CARLTON STREETS | BUFFALO | NY | 14263 | 161391608 | 501(C)(3) | $6,178 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| AMHERST CHAMBER OF COMMERCE | |||||||||
| 400 ESSJAY ROAD SUITE 150 | AMHERST | NY | 14221 | 160959485 | 501(C)(6) | $32,886 | FMV | SPONSORSHIP | |
| BUFFALO NIAGARA PARTNERSHIP | |||||||||
| 655 MAIN STREET SUITE 200 | BUFFALO | NY | 142031425 | 160761958 | 501(C)(6) | $30,633 | FMV | SPONSORSHIP | |
| TASTE OF BUFFALO INC | |||||||||
| 276 GREENWOOD COURT | EAST AURORA | NY | 14052 | 161390601 | 501(C)(6) | $11,265 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| 43NORTH | |||||||||
| 640 ELLICOTT ST SUITE 108 | BUFFALO | NY | 14203 | 472878159 | 501(C)(3) | $18,169 | FMV | SPONSORSHIP | |
| AMERICAN DIABETES ASSOCIATION TOUR DE CURE | |||||||||
| PO BOX 11454 | ALEXANDRIA | VA | 22312 | 131623888 | 501(C)(3) | $5,198 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| BACK TO BASICS PEACEKEEPERS | |||||||||
| 1370 WILLIAM ST SUITE 100 | BUFFALO | NY | 14206 | 161509888 | 501(C)(3) | $7,268 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| CHILD & FAMILY SERVICES | |||||||||
| 330 DELAWARE AVE | BUFFALO | NY | 14202 | 161004825 | 501(C)(3) | $6,178 | FMV | SPONSORSHIP | |
| MARTIN HOUSE RESORATION CORPORATION | |||||||||
| 143 JEWETT PARKWAY | BUFFALO | NY | 14214 | 161426693 | 501(C)(3) | $18,169 | FMV | SPONSORSHIP | |
| BUFFALO BILLS LLC | |||||||||
| ONE BILLS DRIVE | ORCHARD PARK | NY | 14127 | 471762470 | $448,579 | FMV | SPONSORSHIP FOR HEALTHY LIVING | ||
| BUFFALO RIVERWORKS LLC | |||||||||
| 359 GANSON ST | BUFFALO | NY | 14203 | 463720236 | $181,693 | FMV | SPONSORSHIP FOR HEALTHY LIVING | ||
| BUSINESS FIRST | |||||||||
| AMERICAN CITY BUSINESS JOURNALS INC | CHARLOTTE | NC | 28202 | 431366184 | $38,156 | FMV | SPONSORSHIP FOR HEALTHY LIVING | 120 EST MOREHEAD ST | |
| FRW BEAVER HOLLOW MANAGEMENT LLC | |||||||||
| 1083 PIT RD | JAVA CENTER | NY | 14082 | 454403158 | $218,032 | FMV | SPONSORSHIP FOR HEALTHY LIVING | ||
| RICH PRODUCTS CORPORATION | |||||||||
| 1150 NIAGARA ST PO BOX 245 | BUFFALO | NY | 14240 | 311387980 | $35,218 | FMV | SPONSORSHIP | ||
| SHARED MOBILITY | |||||||||
| 640 ELLICOTT ST 441 | BUFFALO | NY | 14203 | 465072814 | 501(C)(3) | $156,983 | FMV | SPONSORSHIP FOR HEALTHY LIVING | |
| SISTERS HOSPITAL FOUNDATION | |||||||||
| 2157 MAIN ST | BUFFALO | NY | 14214 | 222283077 | 501(C)(3) | $15,989 | FMV | SPONSORSHIP | |
| INDEPENDENT HEALTH FOUNDATION | |||||||||
| 777 INTERNATIONAL DRIVE | BUFFALO | NY | 14221 | 161417199 | 501(C)(3) | $1,597,721 | FMV | OPERATING GRANT/SPONSORSHIP | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 29 | Total501c3OrgCnt |
| Total Other Org | 8 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS/CONTRIBUTIONS: 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 ON THE GENERAL LEDGER SYSTEM UNDER "COMMUNITY PROGRAMS AND COPIES OF ALL PAYMENTS ARE KEPT ON FILE (PAPER & ELECTRONICALLY). | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANN M PENTKOWSKI | ||||||||||||||
| TREASURER & CFO-START 10/19/18 | $468,991 | $0 | $505,490 | $0 | $7,528 | $0 | $249,238 | $0 | $16,498 | $0 | $1,247,745 | $0 | $362,952 | $0 |
| JOHN MINEO ESQ | ||||||||||||||
| SECRETARY- EVP GEN.COUNSEL | $343,538 | $0 | $271,602 | $0 | $10,014 | $0 | $168,320 | $0 | $35,690 | $0 | $829,164 | $0 | $141,282 | $0 |
| MARK I JOHNSON | ||||||||||||||
| TREASURER & CFO -END 5/28/18 | $467,704 | $0 | $678,961 | $0 | $152,144 | $0 | $215,096 | $0 | $27,569 | $0 | $1,541,474 | $0 | $306,284 | $0 |
| MICHAEL HUDSON | ||||||||||||||
| TREASURER & CFO- END 10/19/18 | $405,285 | $0 | $50,000 | $0 | $118,272 | $0 | $0 | $0 | $17,891 | $0 | $591,448 | $0 | $0 | $0 |
| MICHAEL W CROPP MD | ||||||||||||||
| PRESIDENT & CEO | $1,004,269 | $0 | $1,221,279 | $0 | $35,114 | $0 | $750,973 | $0 | $22,542 | $0 | $3,034,177 | $0 | $581,104 | $0 |
| DAWN C ODRZYWOLSKI | ||||||||||||||
| CHF COMPLIANCE OFCR END 2/1/18 | $134,982 | $0 | $16,523 | $0 | $177 | $0 | $7,682 | $0 | $25,771 | $0 | $185,135 | $0 | $0 | $0 |
| THOMAS J FOELS | ||||||||||||||
| EVP-CHIEF MEDICAL OFFICER | $403,370 | $0 | $738,411 | $0 | $9,204 | $0 | $267,912 | $0 | $58,258 | $0 | $1,477,155 | $0 | $556,884 | $0 |
| ANNE O'NEILL | ||||||||||||||
| VP- CHIEF RISK OFFICER | $178,146 | $0 | $30,910 | $0 | $1,280 | $0 | $25,721 | $0 | $20,581 | $0 | $256,638 | $0 | $0 | $0 |
| ERIC J DECKER | ||||||||||||||
| SVP-INFORMATION TECHNOLOGY CIO | $305,781 | $0 | $85,523 | $0 | $7,175 | $0 | $65,812 | $0 | $23,433 | $0 | $487,724 | $0 | $0 | $0 |
| J SCOTT DWYER | ||||||||||||||
| VP-CHF AUDIT EXEC END 9/26/18 | $145,312 | $0 | $43,546 | $0 | $12,039 | $0 | $11,097 | $0 | $17,451 | $0 | $229,445 | $0 | $0 | $0 |
| JILL M SYRACUSE | ||||||||||||||
| EVP-CHIEF ENGMT & SERVCNG. OFF | $374,238 | $0 | $580,752 | $0 | $33,402 | $0 | $282,441 | $0 | $28,232 | $0 | $1,299,065 | $0 | $441,986 | $0 |
| JOHN HAUGHTON | ||||||||||||||
| SVP-CHIEF CLINICAL IMPRV OFFCR | $355,000 | $0 | $119,460 | $0 | $5,223 | $0 | $36,504 | $0 | $20,856 | $0 | $537,043 | $0 | $0 | $0 |
| JOHN REID RODGERS RPH | ||||||||||||||
| EVP - COO | $539,903 | $0 | $774,468 | $0 | $10,551 | $0 | $349,746 | $0 | $27,667 | $0 | $1,702,335 | $0 | $514,527 | $0 |
| MICHAEL J FASO | ||||||||||||||
| SVP- CHIEF REV & ACCTG OFFICER | $311,396 | $0 | $386,202 | $0 | $6,585 | $0 | $185,037 | $0 | $22,624 | $0 | $911,844 | $0 | $281,222 | $0 |
| NORA K MCGUIRE | ||||||||||||||
| SVP-CHIEF MARKETING OFFICER | $305,859 | $0 | $173,560 | $0 | $6,157 | $0 | $41,218 | $0 | $11,870 | $0 | $538,664 | $0 | $0 | $0 |
| PATRICIA C CLABEAUX | ||||||||||||||
| EVP-CHIEF HR OFFICER | $340,710 | $0 | $399,647 | $0 | $8,802 | $0 | $171,685 | $0 | $42,303 | $0 | $963,147 | $0 | $277,472 | $0 |
| ROBERTA D RIFKIN | ||||||||||||||
| SVP-GOVT PROGS & AFFAIRS | $255,266 | $0 | $101,334 | $0 | $7,628 | $0 | $96,161 | $0 | $23,355 | $0 | $483,744 | $0 | $77,630 | $0 |
| AMIN M SEREHALI | ||||||||||||||
| VP-CLINICAL & BUS. INFORMATICS | $261,639 | $0 | $81,563 | $0 | $6,566 | $0 | $11,506 | $0 | $22,714 | $0 | $383,988 | $0 | $0 | $0 |
| MARGARET STEFFAN | ||||||||||||||
| VP- FINANCE-TREASURY SERVICES | $241,388 | $0 | $59,730 | $0 | $7,293 | $0 | $79,921 | $0 | $21,881 | $0 | $410,213 | $0 | $0 | $0 |
| MICHAEL MERRILL | ||||||||||||||
| MED DIRECTOR CLINICAL PERF MGT | $348,581 | $0 | $15,836 | $0 | $3,828 | $0 | $136 | $0 | $21,847 | $0 | $390,228 | $0 | $0 | $0 |
| RICHARD M ARGENTIERI | ||||||||||||||
| VP-SALES | $207,737 | $0 | $112,778 | $0 | $4,997 | $0 | $30,703 | $0 | $19,035 | $0 | $375,250 | $0 | $0 | $0 |
| TIMOTHY HALEY | ||||||||||||||
| MED DIRECTOR MED POLICY & UM | $268,221 | $0 | $27,451 | $0 | $5,064 | $0 | $11,107 | $0 | $20,721 | $0 | $332,564 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING LISTED PERSONS FROM PART VII, SECTION A RECEIVED SEVERANCE PAYMENTS AS PART OF A SEPARATION AGREEMENT WITH INDEPENDENT HEALTH DURING 2018: MIKE HUDSON - $90,000 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 - $581,104 MARK JOHNSON - $306,284 JOHN RODGERS - $514,527 THOMAS FOELS - $556.884 JILL SYRACUSE - $411,986 ANN PENTKOWSKI - $362,952 PATRICIA CLABEAUX - $277,472 MICHAEL FASO - $281,222 JOHN MINEO - $141,282 ROBERTA RIFKIN - $77,630 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ALDEN PHARMACY INC | |||
| SEE PART V | $855,395 | SEE PART V | 0 |
| NORTHTOWNS MEDICAL GROUP | |||
| SEE PART V | $697,517 | SEE PART V | 0 |
| DONALD W ROBINSON MD | |||
| SEE PART V | $396,721 | SEE PART V | 0 |
| D'AVOLIO OLIVE OIL & VINEG | |||
| SEE PART V | $143,502 | SEE PART V | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF INTERESTED PERSON: ALDEN PHARMACY, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION:GREATER THAN 35% CONTROLLED ENTITY BY JOHN RODGERS, CURRENT KEY EMPLOYEE(D) DESCRIPTION OF TRANSACTION: INDEPENDENT CONTRACTOR ARRANGEMENT, DELIVERY OF HEALTH CARE(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 PROGRAMS | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 INDEPENDENT HEALTH BENEFITS CORPORATION, INDEPENDENT HEALTH CORPORATION, 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 AND THE USE OF A DATA WAREHOUSE TO ANALYZE AND PREDICT POTENTIAL RISK AND DEVELOP SOLUTIONS 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, CASE MANAGEMENT, DISEASE MANAGEMENT AND HEALTH COACHES. IHA ALSO ESTABLISHED AN ADVANCED PATIENT CENTERED MEDICAL HOME (PCMH) PILOT PROGRAM IN JANUARY 2009. THE PCMH PROGRAM INCLUDED 18 DIVERSE PRIMARY CARE PRACTICES ACROSS WNY, 130 PHYSICIANS AND NEARLY 50,000 IHA MEMBERS. THE PRACTICES WORKED TOWARD IMPROVED QUALITY OF CARE WITH EXPANDED ACCESS TO ALLOW SAME-DAY APPOINTMENTS AND AFTER-HOURS CARE; ENHANCED TECHNOLOGY TO INCLUDE ELECTRONIC MEDICAL RECORDS AND EMAILS WITH PATIENTS; AND A COMPREHENSIVE CARE TEAM FOR THOSE WITH OR AT RISK OF HAVING A CHRONIC CONDITION. ADMINISTRATIVE ASSISTANCE WAS ALSO PROVIDED TO HELP IMPLEMENT NEW OFFICE PROCEDURES. ANOTHER IMPORTANT ASPECT OF THE PCMH MODEL WAS THAT IT ALSO INCLUDED MANY OF THE FEDERAL HEALTH CARE REFORM EFFORTS INCLUDING PREVENTION AND WELLNESS THROUGH COORDINATED CARE, EVIDENCED-BASED GUIDELINES TO GAUGE OUTCOMES AND REFORM OF PHYSICIAN PAYMENT TO IMPROVE QUALITY AND EFFICIENCY. IHA DEVOTED TIME AND FINANCIAL RESOURCES THAT ENABLED THE 130 PHYSICIANS IN THIS PROGRAM TO REDESIGN THEIR PRACTICES. IHA ALSO PROVIDED DETAILED MEMBER INFORMATION TO ENABLE OUR PHYSICIANS TO MANAGE CARE OPPORTUNITIES FOR IHA MEMBERS. AT THE END OF THE PILOT IN DECEMBER 2011, THE 18 PRIMARY CARE PRACTICES INVOLVED IN THE PILOT PROGRAM ACHIEVED THE HIGHEST RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). IN 2012, INDEPENDENT HEALTH EVOLVED ITS SUCCESSFUL PATIENT-CENTERED MEDICAL HOME (PCMH) CARE MODEL FOR PRIMARY CARE INTO A MORE COMPREHENSIVE PROGRAM CALLED THE PRIMARY CONNECTION. AN INNOVATIVE, PHYSICIAN-LED INITIATIVE, THE PRIMARY CONNECTION TAKES A COORDINATED APPROACH TO ENHANCE QUALITY, ACCESS AND AFFORDABILITY. USING PCMH PRINCIPLES AS THE FOUNDATION, THIS INNOVATIVE ALLIANCE PROMOTES BETTER CARE COORDINATION AND A COLLABORATIVE, SHARED RESPONSIBILITY AMONG PRIMARY CARE AND SPECIALTY PHYSICIANS, AS WELL AS HOSPITALS, HEALTH PLANS, MEMBERS AND OTHER KEY STAKEHOLDERS TO ACHIEVE THE GOALS OF THE QUADRUPLE AIM: BETTER HEALTH, BETTER CARE, LOWER COSTS AND PROVIDER VITALITY. HEALTH CARE REFORM INITIATIVES ENCOURAGE THIS TYPE OF CARE DELIVERY, AND INDEPENDENT HEALTH AND THESE PROGRESSIVE PRIMARY CARE PHYSICIAN PRACTICES HAVE BEEN AT THE FOREFRONT OF WHAT THE NATION WILL BE DOING. THE PRIMARY CONNECTION FOSTERS INTERDEPENDENCY AND INTENSE COLLABORATION AMONG THE PRACTICES TO CREATE AND IMPLEMENT SPECIFIC CARE COORDINATION PROGRAMS, SUCH AS HOSPITAL ALTERNATIVE PROGRAMS AND CARE TRANSITION PROGRAMS FROM HOSPITAL TO HOME. OTHER RESOURCES INCLUDE PHARMACISTS PROVIDING MEDICATION THERAPY MANAGEMENT, EMBEDDED BEHAVIORAL COUNSELORS WITHIN PRACTICES, AND CARE COORDINATION CONTRACTS BETWEEN PRIMARY AND SPECIALTY CARE PHYSICIANS. THE PRIMARY CONNECTION PRACTICES' CLINICAL AND OPERATIONAL PERFORMANCES ARE TRACKED FOR QUALITY IMPROVEMENT AND ADHERENCE TO THE TENETS OF THE QUADRUPLE AIM. THESE PRACTICES ARE REIMBURSED UNDER AN INNOVATIVE HYBRID REIMBURSEMENT METHODOLOGY THAT RETAINS ELEMENTS OF FEE-FOR-SERVICE PAYMENT BUT INCLUDES A RISK-ADJUSTED POPULATION-BASED CARE COORDINATION FEE AND A SHARED SAVINGS COMPONENT. THE HYBRID PAYMENT SYSTEM ALLOWS PRIMARY CARE PRACTICES TO MORE FULLY UTILIZE ANCILLARY NURSING AND MID-LEVEL STAFF, RECOGNIZES THE PRACTICES' EFFORTS TO IMPLEMENT E-COMMUNICATION STRATEGIES, AND REWARDS EFFORTS TO WORK COOPERATIVELY AND EFFECTIVELY WITH HOSPITALS AND SPECIALTY PHYSICIANS TO REDUCE MEDICALLY UNNECESSARY SERVICES AND POTENTIALLY AVOIDABLE ADMISSIONS. THE PRIMARY CONNECTION INITIALLY INVOLVED 21 PRACTICES, THEIR 140 PHYSICIANS AND MORE THAN 54,000 PATIENTS, AND HAS SINCE GROWN TO 25 PRACTICES AND 198 PHYSICIANS. THIS PROGRESSIVE ALLIANCE HAS LED TO IMPROVED CARE COORDINATION AND REDUCING THE REDUNDANCIES AND INEFFICIENT CARE THAT CAUSE HEALTH CARE COSTS TO INCREASE UNNECESSARILY. 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 SHARING OF CLINICAL INFORMATION, AS WELL AS THE ADOPTION OF HEALTH INFORMATION TECHNOLOGY AND ELECTRONIC MEDICAL RECORDS, THROUGH ORGANIZATIONS SUCH AS HEALTH-E-LINK. 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 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. 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. |
| FORM 990 , PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS | 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 $15.9 MILLION DURING 2018. 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. DURING 2018, 206 IHA ASSOCIATES SERVED AS REDSHIRT VOLUNTEERS. IN TOTAL, THESE INDIVIDUALS VOLUNTEERED AT 85 COMMUNITY EVENTS, WHICH REPRESENTED MORE THAN 600 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. IN 2018, IHA RAISED MORE THAN $100,000 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 2018 CAMPAIGN RAISED MORE THAN $100,000. THE COMMUNITY ALSO BENEFITS FROM IHA'S SPONSORSHIPS THAT PROMOTE HEALTH AND WELLNESS. ONE EXAMPLE IS IHA'S COMMITMENT OF SUPPORT TO THEATRE OF YOUTH'S (TOY) HEALTH SERIES, A PROFESSIONAL THEATRE FOR YOUNG AUDIENCES THAT FOCUSES ON HEALTH-RELATED ISSUES IN CHILDREN. ANOTHER EXAMPLE OF IHA IN THE COMMUNITY IS EVIDENT IN OUR SPONSORSHIP AND ACTIVE PARTICIPATION IN SLOW ROLL BUFFALO, A FAMILY-FRIENDLY BIKE EVENT THAT KICKED OFF IN BUFFALO IN 2015. IN ADDITION TO BEING A MAJOR SPONSOR OF THE PROGRAM, WHICH DREW THOUSANDS OF PEOPLE OUT ON MONDAYS FROM MAY THROUGH OCTOBER FOR A GUIDED BIKE RIDE THROUGH THE CITY, OUR REDSHIRTS VOLUNTEERED AND MANY OF OUR ASSOCIATES PARTICIPATED. THIS IS JUST ANOTHER EXAMPLE OF INDEPENDENT HEALTH'S COMMITMENT TO BUILDING A HEALTHIER COMMUNITY. THERE IS ALSO A UNIQUE PARTNERSHIP WITH THE YMCA BUFFALO NIAGARA AND IHA THAT INTEGRATES PERSONAL AND FAMILY FITNESS OPPORTUNITIES WITH ON-SITE MEDICAL SERVICES IN A NEW STATE-OF-THE-ART, 92,000-SQUARE-FOOT FACILITY THAT OPENED IN EARLY 2013. IHA HAS PROVIDED $2 MILLION TOWARDS THIS INITIATIVE. THE NEW YMCA HAS AN ON-SITE PRESENCE OFFERING HEALTH AND WELLNESS PROGRAMS INCLUDING CUSTOMIZED FITNESS PROGRAMS TARGETING OBESITY. ADDITIONALLY, YMCA AND IHA HAVE TEAMED UP FOR THE SEVENTH YEAR IN A ROW WITH LOCAL PARKS THIS SUMMER TO PROMOTE THE VALUE OF A HEALTHY LIFESTYLE AND ENCOURAGE WESTERN NEW YORK RESIDENTS TO PARTICIPATE IN PHYSICAL ACTIVITY. BETWEEN MAY AND AUGUST 2018, THE WNY COMMUNITY WAS ABLE TO PARTICIPATE IN FREE 60-MINUTE FITNESS CLASSES WITH YMCA-CERTIFIED INSTRUCTORS. IN 2018, THE PROGRAM EXPANDED TO 23 AREA PARKS IN BUFFALO-NIAGARA AND JAMESTOWN, AND OFFERED NEARLY 500 CLASSES IN TOTAL; COMPARED TO 2017 WHICH HAD 21 AREA PARKS AND APPROXIMATELY 400 CLASSES. IN AN EFFORT TO FURTHER PROMOTE HEALTHIER LIFESTYLES IN OUR COMMUNITY, IHA JOINED FORCES WITH SNYDER CORPORATION AND FITNESS RIDGE WORLDWIDE TO BRING THE BIGGEST LOSER RESORT NIAGARA TO WNY AT THE BEAVER HOLLOW CONFERENCE CENTER IN WYOMING COUNTY. THE RESORT FOCUSES ON EXERCISE, HEALTH NUTRITION AND EDUCATION. THE PROGRAM ENGAGES PARTICIPANTS IN THEIR OWN HEALTH AND GIVES THEM THE TOOLS THEY NEED TO ADOPT LIFESTYLE CHANGES TO STAY HEALTHY AND REDUCE THEIR RISK OF CHRONIC DISEASE LIKE DIABETES AND HEART DISEASE. IHA IS EXPECTED TO PROVIDE $3 MILLION TOWARDS THIS INITIATIVE. IHA HAS ALSO JOINED TOGETHER WITH THE BUFFALO MUSEUM OF SCIENCE TO OPEN THE FIRST OF EIGHT PERMANENT SCIENCE STUDIOS AT THE MUSEUM. CALLED "EXPLORE YOU PRESENTED BY INDEPENDENT HEALTH," THE THEMED STUDIO ALLOWS VISITORS TO EXPLORE ANATOMY AND LEARN ABOUT IMPORTANT CHOICES THEY CAN MAKE TO IMPROVE AND MAINTAIN THEIR HEALTH. THE EXHIBIT OPENED IN MARCH OF 2012 AND WILL BE OPEN FOR 10 YEARS. IN CONNECTION TO THE EXHIBIT, IHA BEGAN HOSTING "EXPLORE TOGETHER" IN 2013, A FREE ANNUAL EVENT NOW OFFERED IN TANDEM WITH THE MUSEUM'S COMMUNITY HEALTH DAY EVERY JANUARY. THIS COLLABORATIVE EVENT ENCOURAGES PARENTS AND CHILDREN TO LEARN ABOUT THE IMPORTANCE OF HEALTHY LIVING THROUGH INTERACTIVE ACTIVITIES AND PRESENTATIONS. IHA IS ALSO PROUD TO PARTNER WITH LARKIN SQUARE TO SPONSOR MANY COMMUNITY EVENTS AND HELP BRING HEALTHY INITIATIVES TO THIS NEWLY REVITALIZED PUBLIC GATHERING SPACE ALL YEAR LONG. IHA AND THE INDEPENDENT HEALTH FOUNDATION'S HEALTHY OPTIONS PROGRAM COLLABORATED WITH FOOD TRUCKS PARTICIPATING IN LARKIN SQUARE'S FOOD TRUCK TUESDAYS EVENTS FROM MAY THROUGH OCTOBER TO HELP THEM OFFER HEALTHY MENU ITEMS THAT ARE CONSIDERED TO BE LOWER IN FAT, SATURATED FAT, CHOLESTEROL AND SODIUM. |
| FORM 990 , PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS | IHA AND THE BUFFALO BILLS ARE CONTINUING TO WORK TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF WESTERN NEW YORK THROUGH A VARIETY OF INITIATIVES, INCLUDING THE INDEPENDENT HEALTH AND BUFFALO BILLS HEALTH & WELLNESS CHALLENGE. THIS COMMUNITY-WIDE FITNESS AND NUTRITION PROGRAM INCENTIVIZES THE COMMUNITY WITH DAILY, WEEKLY, AND GRAND PRIZES TO ENCOURAGE A HEALTHY LIFESTYLE. TO DATE, MORE THAN 30,000 INDIVIDUALS HAVE REGISTERED FOR THE HEALTH & WELLNESS CHALLENGE, WHICH IS CELEBRATING ITS TENTH CHALLENGE THIS SPRING. THE COMMUNITY-WIDE FITNESS AND NUTRITION PROGRAM RUNS TWICE EACH YEAR - ONCE IN THE SPRING AND AGAIN IN THE FALL - AND INCENTIVIZES THE COMMUNITY WITH DAILY, WEEKLY, AND GRAND PRIZES TO ENCOURAGE A HEALTHY LIFESTYLE. THE FALL 2018 CHALLENGE AND CURRENT SPRING 2019 CHALLENGE EXPERIENCED AN INCREASE OF APPROXIMATELY 2,500 REGISTRANTS SINCE THE PREVIOUS SPRING. THE BUFFALO BILLS AND IHA ALSO WORKED TOGETHER TO ENCOURAGE PHYSICAL ACTIVITY AND HEALTHY EATING AMONG OUR COMMUNITY'S YOUTH IN SCHOOL AND AT HOME THROUGH THE INDEPENDENT HEALTH FOUNDATION'S FITNESS FOR KIDS CHALLENGE AND THE BUFFALO BILLS PLAY 60 CHALLENGE. IN PARTNERSHIP WITH INDEPENDENT HEALTH, REDDY BIKESHARE WAS INTRODUCED TO THE COMMUNITY IN 2016 AND RECENTLY EXPANDED INTO THE CITY OF NIAGARA FALLS. SINCE IT BEGAN OPERATIONS IN 2016, 9,350 RIDERS HAVE TRAVELED A COLLECTIVE TOTAL OF 116,345 MILES (ALMOST THE DISTANCE FROM THE EARTH TO THE MOON) AND HAVE BURNED 4.8 MILLION CALORIES. REDDY BIKESHARE ALLOWS RIDERS TO EXPLORE THEIR COMMUNITY WHILE SUPPORTING THEIR HEALTH, THE ENVIRONMENT, AND LOCAL BUSINESSES WHILE ALSO ENHANCING ALTERNATIVE TRANSPORTATION OPTIONS. INDEPENDENT HEALTH'S PARTNERSHIP WITH 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 AND PADDLE BOARDING ALONG BUFFALO'S WATERFRONT WHEN THE WEATHER IS WARM AND LACE UP THEIR ICE SKATES OR PARTAKE IN A FRIENDLY GAME OF CURLING WHEN THE SNOW FLIES. AS WITH MANY LOCAL PROGRAMS THROUGHOUT THE REGION, INDEPENDENT HEALTH MEMBERS CAN SHOW THEIR ID CARD AND RECEIVE DISCOUNTS FOR ANY RIVERWORKS HEALTH AND WELLNESS ACTIVITY. 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. WNYHEALTH-E-NET FURTHERS IHA'S COMMITMENT TO REDUCING THE COST OF AND IMPROVING THE QUALITY OF HEALTH CARE IN THE WESTERN NEW YORK COMMUNITY. WNYHEALTH-E-NET 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 ("HEALTH-E-LINK") - A 501(C) (3) ORGANIZATION THAT OPERATES AN INFORMATION EXCHANGE TO FACILITATE ACCESS TO CLINICAL INFORMATION AMONG HEALTH CARE PROVIDERS AND HEALTH INSURERS. HEALTH-E-LINK 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. HEALTH-E-LINK 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 DECEMBER 2018, APPROXIMATELY 85 PERCENT OF WESTERN NEW YORK PROVIDER PRACTICES PARTICIPATE WITH HEALTH-E-LINK, MORE THAN 430 DATA SOURCES ARE CONNECTED, APPROXIMATELY 237 MILLION RESULTS (LAB, RADIOLOGY AND TRANSCRIBED REPORTS) ARE AVAILABLE AND 87% OF WNY POPULATION HAS SIGNED A COMMUNITY-WIDE CONSENT AUTHORIZING TREATING PHYSICIANS TO ACCESS THEIR ELECRONIC MEDICAL RECORDS THROUGH HEALTH-E-LINK. IHA COORDINATES THE DELIVERY OF HEALTH CARE SERVICES FOR APPROXIMATELY 163,387 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 DECEMBER 31, 2018. 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 AND 2018 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 UNDERWAY 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, THOMAS J. FOELS, JOHN MINEO, ESQ., AND MICHAEL J. FASO HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). SIDNEY N. WEISS, STUART H. ANGERT, MICHAEL W. CROPP, JOHN MINEO, ESQ., ANTHONY BAYNES, ANTHONY B. MARTINO, COLEEN DIPIRRIO AND DANIEL B. WEINTRAUB HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). THOMAS J. FOELS AND MICHAEL HEIMERL HAVE A BUSINESS RELATIONSHIP (PRIVATE ENTERPRISE). IHA DOES NOT DO BUSINESS WITH THEIR PRIVATE ENTERPRISE. |
| FORM 990, PART VI, SECTION B, LINE 11B | FFORM 990 WAS REVIEWED WITH THE CHAIRMANS 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 A 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 THE SIGNED EMPLOYEE ATTESTATIONS, CONFIDENTIAL QUESTIONNAIRES & PLEDGE OF CONFIDENTIALITY AND CONTINUING DISCLOSURE 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- CHIEF MEDICAL OFFICER; SENIOR VICE PRESIDENT- HEALTH CARE SERVICES; VICE PRESIDENT - CLINICAL & BUSINESS INFORMATICS; SENIOR VICE PRESIDENT, CHIEF CLINICAL IMPROVEMENT OFFICER; AND SENIOR VICE PRESIDENT - GOVERNMENT AFFAIRS. . |
| 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: | J. SCOTT DWYER - 8055 MEADOWSWEET TRC, ROSWELL, GA 30076 JILL M SYRACUSE - 5512 MARTHA'S VINEYARD, CLARENCE CENTER, NY 14032 MICHAEL HUDSON - 20 WARREN ST, SOMERS, NY 10589 THOMAS J. FOELS - 8354 BLACK WALNUT DR, EAST AMHERST, NY 14051 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENT HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 INTERNATIONAL DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161417199 | EIN |
| Primary Activities | TO PROMOTE GOOD HEALTH IN WESTERN NEW YORK & SUPPORT THE ACTIVITIES OF IHA | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENT HEALTH ASSOCIATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||||||||||||||||
| 511 FARBER LAKES DRIVE | BUFFALO | NY | 14221 | 161237733 | THIRD PARTY CLAIMS ADMINISTRATION | NY | INDEPENDENT HEALTH ASSOCIATION INC | C | $3,364,236 | $195,115,927 | 1.00000 | Yes (1) | ||||
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||||||||||||||||
| 511 FARBER LAKES DRIVE | BUFFALO | NY | 14221 | 161483784 | POS AND IMDEMNITY PRODUCT ADMINISTRATION | NY | INDEPENDENT HEALTH ASSOCIATION INC | C | $11,999,571 | $247,528,352 | 1.00000 | Yes (1) | ||||
| MASON INSURANCE COMPANY LTD | ||||||||||||||||
| REINSURANCE | INDEPENDENT HEALTH ASSOCIATION INC | C | -$658,023 | $14,540,473 | 1.00000 | Yes (1) | FB FERRY BUILDING 40 CHURCH STRE | HAMILTON HNHX | BD | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INDEPENDENT HEALTH FOUNDATION | ||
| B | $1,604,360 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| M | $393,829,099 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| N | $100,430 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| N | $20,261,973 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| N | $2,751,857 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| O | $34,808,731 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| O | $13,689,097 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| P | $196,200 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| P | $654,152,319 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| Q | $195,681 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| Q | $589,104,275 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| Q | $4,702,288 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| R | $1,593,360 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| S | $51,000,000 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| S | $255,250,000 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| L | $545,789,128 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| L | $985,511 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| O | $263,692 | FMV |