INDEPENDENT HEALTH ASSOCIATION INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- INDEPENDENT HEALTH ASSOCIATION INC (EIN 16-1080163)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2018-01-12
- IRS object ID
- 201800129349300405
- Schema version
- 2016v3.0
- 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 | 2018-01-12T08:35:14-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 482431300 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | 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 | TREASURER & CFO | PersonTitleTxt |
| Phone | 7166313001 | PhoneNum |
| Signature | 2018-01-12 | 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 | 198.208.72.23 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-01-12 | IPDt |
| IP Tm | 07:38:02 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Federal Original Submission Id | 38368720173180334e03 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5D1D8FFD29A5D915C2D704A49D0C87155FE83209 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 31135B9FFC45FEA094427B6CCAF711C378779EA2 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | MICHAEL W CROPP MD | PrincipalOfficerNm |
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 | $1,781,337,070 | 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 | 1356 | TotalEmployeeCnt |
| Total Volunteers | 257 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,514,828,437 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,516,332,353 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,758,182 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,030,461 | CYInvestmentIncomeAmt |
| PY Other Revenue | $54,641,781 | PYOtherRevenueAmt |
| CY Other Revenue | $20,027 | CYOtherRevenueAmt |
| PY Total Revenue | $1,580,228,400 | PYTotalRevenueAmt |
| CY Total Revenue | $1,527,382,841 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,031,552 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,002,372 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,400,164,143 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,340,584,630 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $100,019,916 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $75,119,652 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $115,969,033 | PYOtherExpensesAmt |
| CY Other Expenses | $82,620,917 | CYOtherExpensesAmt |
| PY Total Expenses | $1,618,184,644 | PYTotalExpensesAmt |
| CY Total Expenses | $1,500,327,571 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$37,956,244 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $27,055,270 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $805,443,960 | TotalAssetsBOYAmt |
| Total Assets EOY | $733,259,803 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $390,641,859 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $290,965,228 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $414,802,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $442,294,575 | 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 | $1,381,160,579 | ExpenseAmt |
| Grant | $2,002,372 | GrantAmt |
| Revenue | $1,516,332,353 | 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 CHILD HEALTH PLUS (CHP) PROGRAM AND TWO NEW STATE PRODUCTS EFFECTIVE DURING 2016: HEALTH AND RECOVERY PLAN (HARP) AND THE ESSENTIAL HEALTH PLAN), 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 | $1,381,160,579 | 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 | 235 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1356 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | BD | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| 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 | MICHAEL J FASO | 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 (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY B MARTINO | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $41,000 | $0 | $6,625 | ||||
| ANTHONY J BAYNES | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $34,000 | $0 | $6,625 | ||||
| COLLEEN C DIPIRRO | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $34,000 | $0 | $6,625 | ||||
| DANIEL B WEINTRAUB CPA | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $34,000 | $0 | $5,186 | ||||
| DONALD ROBINSON MD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $45,500 | $0 | $6,625 | ||||
| DONNA M FERNANDES PHD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $34,000 | $0 | $6,625 | ||||
| FAUD SHERIFF MD START 416 | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $46,669 | $0 | $3,458 | ||||
| JOHN N WALSH III | ||||||||||
| BOARD MEMBER | 5.00 | 2.00 | Yes (X) | $41,000 | $0 | $0 | ||||
| LISA MENDONZA MD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $38,000 | $0 | $6,625 | ||||
| MOISES SUDIT PHD | ||||||||||
| BOARD MEMBER | 5.00 | 1.00 | Yes (X) | $41,000 | $0 | $0 | ||||
| NORA B SULLIVAN JD MBA | ||||||||||
| BOARD MEMBER | 5.00 | 1.00 | Yes (X) | $41,000 | $0 | $6,625 | ||||
| PATRICIA SMITH | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $34,000 | $0 | $240 | ||||
| RENE F JONES | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHAWN COTTON MD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $38,000 | $0 | $6,625 | ||||
| SIDNEY N WEISS CPA | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $49,000 | $0 | $6,625 | ||||
| STUART H ANGERT | ||||||||||
| BOARD MEMBER | 5.00 | 2.00 | Yes (X) | $34,000 | $0 | $0 | ||||
| YVONNE S MINOR-RAGAN PHD | ||||||||||
| BOARD MEMBER | 5.00 | 0.00 | Yes (X) | $34,000 | $0 | $411 | ||||
| JOHN ANTKOWIAK MD | ||||||||||
| CHAIRPERSON | 12.00 | 2.00 | Yes (X) | $98,000 | $0 | $6,625 | Yes (X) | |||
| MICHAEL HEIMERL MD | ||||||||||
| VICE CHAIRPERSON | 5.00 | 0.00 | Yes (X) | $41,300 | $0 | $6,625 | Yes (X) | |||
| MICHAEL W CROPP MD | ||||||||||
| PRESIDENT & CEO | 43.00 | 16.00 | Yes (X) | $1,576,639 | $0 | $386,300 | Yes (X) | |||
| JOHN MINEO ESQ | ||||||||||
| SECRETARY-EVP GEN.COUNSEL | 39.00 | 10.00 | $693,903 | $0 | $160,824 | Yes (X) | ||||
| MARK I JOHNSON | ||||||||||
| TREASURER & CFO | 44.00 | 12.00 | $1,705,808 | $0 | $338,299 | Yes (X) | ||||
| DAWN C ODRZYWOLSKI | ||||||||||
| CHIEF COMPLIANCE OFFICER | 25.00 | 14.00 | $102,430 | $0 | $28,247 | Yes (X) | ||||
| THOMAS J FOELS | ||||||||||
| EVP-CHIEF MEDICAL OFFICER | 37.00 | 11.00 | $583,221 | $0 | $224,404 | Yes (X) | ||||
| ANN M PENTKOWSKI | ||||||||||
| SVP-CHIEF ACTUARY & UNDER. OFF | 37.00 | 12.00 | $489,636 | $0 | $112,544 | Yes (X) | ||||
| ANNE C O'NEILL | ||||||||||
| VP-CHIEF RISK OFFICER | 40.00 | 10.00 | $174,740 | $0 | $35,742 | Yes (X) | ||||
| DAVID V NARAMORE | ||||||||||
| VP-ACTUARIAL | 36.00 | 12.00 | $231,052 | $0 | $33,455 | Yes (X) | ||||
| ERIC J DECKER | ||||||||||
| SVP-INFORMATION TECHNOLOGY CIO | 38.00 | 13.00 | $316,002 | $0 | $50,123 | Yes (X) | ||||
| SCOTT J DWYER | ||||||||||
| VP-CHIEF AUDIT EXECUTIVE | 40.00 | 11.00 | $211,036 | $0 | $32,374 | Yes (X) | ||||
| JAMES B WALLESHAUSER | ||||||||||
| VP-OFFICE OF STRATEGY MGMT | 37.00 | 11.00 | $297,374 | $0 | $41,400 | Yes (X) | ||||
| JILL M SYRACUSE | ||||||||||
| EVP-CHIEF ENGMT & SERVCNG. OFF | 37.00 | 12.00 | $516,949 | $0 | $167,904 | Yes (X) | ||||
| MICHAEL J FASO | ||||||||||
| SVP-FINANCE & NEW BUS DEVELOP. | 30.00 | 13.00 | $378,139 | $0 | $114,439 | Yes (X) | ||||
| NORA K MCGUIRE | ||||||||||
| SVP-CHIEF MARKETING OFFICER | 28.00 | 17.00 | $364,191 | $0 | $34,356 | Yes (X) | ||||
| PAMELA S MENARD END 316 | ||||||||||
| SVP-HC DELIVERY INNOVATION | 7.00 | 2.00 | $420,335 | $0 | $291,613 | Yes (X) | ||||
| PATRICIA C CLABEAUX | ||||||||||
| EVP-CHIEF HR OFFICER | 37.00 | 13.00 | $351,538 | $0 | $110,219 | Yes (X) | ||||
| ROBERTA D RIFKIN | ||||||||||
| SVP-GOVT PROGS & AFFAIRS | 36.00 | 13.00 | $302,752 | $0 | $75,216 | Yes (X) | ||||
| JOHN R RODGERS | ||||||||||
| EVP-COO | 36.00 | 14.00 | $641,366 | $0 | $212,354 | Yes (X) | ||||
| AMIN M SEREHALI | ||||||||||
| VP-CLINICAL & BUS. INFORMATICS | 41.00 | 14.00 | $259,919 | $0 | $31,071 | Yes (X) | ||||
| ANNE S LAVIGNE | ||||||||||
| VP-ESCO | 26.00 | 7.00 | $403,148 | $0 | $90,881 | Yes (X) | ||||
| BRIAN J SAME | ||||||||||
| MEDICAL DIRECTOR-MED POLICY&UM | 36.00 | 0.00 | $311,996 | $0 | $58,136 | Yes (X) | ||||
| JUDITH FELD MD | ||||||||||
| MEDICAL DIRECTOR-PROV ENGT | 35.00 | 14.00 | $273,627 | $0 | $70,624 | Yes (X) | ||||
| RICHARD M ARGENTIERI | ||||||||||
| VICE PRESIDENT-SALES | 28.00 | 21.00 | $309,755 | $0 | $39,705 | Yes (X) | ||||
| JUDITH ANN FELDMAN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $126,123 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,800,148 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,822,400 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 200 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INDIVIDUAL PRACTICE ASSOCIATION OF WNY | |||||
| 511 FARBER LAKES DRIVE | BUFFALO | NY | 14221 | MEDICAL & PHARMACY BENEFIT SERVICES | $1,052,238,421 |
| HEALTHPLEX IPA | |||||
| 333 EARLE OVINGTON BLVD | UNIONDALE | NY | 115533608 | DENTAL BENEFITS COMPANY | $16,623,306 |
| INOVALON INC | |||||
| 4321 COLLINGTON RD | BOWIE | MD | 20716 | REVENUE CONSULTING SERVICES | $10,489,825 |
| EYEMED VISION CARE | |||||
| 15274 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | VISION BENEFITS COMPANY | $6,119,283 |
| PCI | |||||
| 703 WASHINGTON ST | BUFFALO | NY | 142031416 | INFORMATION TECHNOLOGY SERVICES | $4,959,714 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 151 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREMIUMS, COB & REINSU | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $1,516,332,353 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,516,332,353 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,516,332,353 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,470,638 | TotalRevenueColumnAmt |
| Exclusion | $10,470,638 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $25,573 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,099 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,474 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,474 | TotalRevenueColumnAmt |
| Exclusion | $18,474 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $254,496,853 | SecuritiesAmt |
| Other | $10,100 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $253,886,738 | SecuritiesAmt |
| Other | $60,392 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $610,115 | SecuritiesAmt |
| Other | -$50,292 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $559,823 | TotalRevenueColumnAmt |
| Exclusion | $559,823 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONSULTING | Desc |
| Business | 541610 | BusinessCd |
| Total Revenue Column | $1,553 | TotalRevenueColumnAmt |
| Exclusion | $1,553 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,553 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,527,382,841 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,516,332,353 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,050,488 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,002,372 | TotalAmt |
| Program Services | $2,002,372 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,340,584,630 | TotalAmt |
| Program Services | $1,340,584,630 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,647,571 | TotalAmt |
| Management And General | $12,647,571 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,563,595 | TotalAmt |
| Program Services | $10,915,152 | ProgramServicesAmt |
| Management And General | $27,648,443 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,209,808 | TotalAmt |
| Program Services | $305,052 | ProgramServicesAmt |
| Management And General | $3,904,756 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,981,213 | TotalAmt |
| Program Services | $2,552,213 | ProgramServicesAmt |
| Management And General | $10,429,000 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,717,465 | TotalAmt |
| Program Services | $878,080 | ProgramServicesAmt |
| Management And General | $5,839,385 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,408 | TotalAmt |
| Program Services | $19 | ProgramServicesAmt |
| Management And General | $716,389 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,700 | TotalAmt |
| Management And General | $302,700 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,420 | TotalAmt |
| Management And General | $162,420 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,018,496 | TotalAmt |
| Management And General | $1,018,496 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,683,243 | TotalAmt |
| Program Services | $5,101,398 | ProgramServicesAmt |
| Management And General | $14,581,845 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,506,209 | TotalAmt |
| Program Services | $31,839 | ProgramServicesAmt |
| Management And General | $3,474,370 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,603,879 | TotalAmt |
| Program Services | $83,207 | ProgramServicesAmt |
| Management And General | $7,520,672 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,641,439 | TotalAmt |
| Program Services | $1,040,608 | ProgramServicesAmt |
| Management And General | $15,600,831 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,524 | TotalAmt |
| Management And General | $1,113,524 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,348 | TotalAmt |
| Program Services | $39,893 | ProgramServicesAmt |
| Management And General | $505,455 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,692 | TotalAmt |
| Management And General | $138,692 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,582 | TotalAmt |
| Management And General | $186,582 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,323,887 | TotalAmt |
| Management And General | $8,323,887 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $701,927 | TotalAmt |
| Management And General | $701,927 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| GME SURCHARGE | $15,241,773 | $15,241,773 | |
| FAMILY CHOICE | $2,372,843 | $2,372,843 | $0 |
| NYS ASSESSMENT/ACA FEE | $2,099,931 | $2,099,931 | |
| REPAIRS AND MAINTENANCE | $1,083,604 | $0 | $1,083,604 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,012 | TotalAmt |
| Program Services | $11,500 | ProgramServicesAmt |
| Management And General | $1,166,512 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500,327,571 | TotalAmt |
| Program Services | $1,381,160,579 | ProgramServicesAmt |
| Management And General | $119,166,992 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,906,634 | BOYAmt |
| EOY | $11,228,642 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,321,222 | BOYAmt |
| EOY | $169,818,087 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,439,794 | BOYAmt |
| EOY | $26,992,553 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $143,378,895 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $106,388,462 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,094,548 | BOYAmt |
| EOY | $36,990,433 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,672,162 | BOYAmt |
| EOY | $302,360,466 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,160,417 | BOYAmt |
| EOY | $2,075,426 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,849,183 | BOYAmt |
| EOY | $183,794,196 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $805,443,960 | BOYAmt |
| EOY | $733,259,803 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,879,304 | BOYAmt |
| EOY | $38,804,479 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,795 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,797,175 | BOYAmt |
| EOY | $28,109,187 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,494,726 | BOYAmt |
| EOY | $3,397,777 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000,000 | BOYAmt |
| EOY | $23,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,467,859 | BOYAmt |
| EOY | $197,653,785 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390,641,859 | BOYAmt |
| EOY | $290,965,228 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,356,636 | BOYAmt |
| EOY | $272,223,859 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,445,465 | BOYAmt |
| EOY | $170,070,716 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,802,101 | BOYAmt |
| EOY | $442,294,575 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $805,443,960 | BOYAmt |
| EOY | $733,259,803 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $27,055,270 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $437,204 | 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 | $6,831,605 | DepreciationAmt |
| Book Value | $16,940,562 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,208,050 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,823,521 | DepreciationAmt |
| Book Value | $8,384,529 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,980,424 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,066,282 | DepreciationAmt |
| Book Value | $4,914,142 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,875,541 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,667,054 | DepreciationAmt |
| Book Value | $6,208,487 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,990,433 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENTS RESTRICTED AS TO USE | $73,403,222 |
| INVESTMENTS IN AFFILIATES | $110,390,974 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $183,794,196 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| BENEFITS PAYABLE | $28,955,054 |
| CAPITATION PAYABLE | $21,259,383 |
| INTERCOMPANY PAYABLE | $147,439,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $197,653,785 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,520,068,524 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $437,204 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$2,754,055 | OtherRevenueAmt |
| Revenue Not Reported | -$2,316,851 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,522,385,375 | RevenueSubtotalAmt |
| Other Revenues Not Included | $4,997,466 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $4,997,466 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,527,382,841 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,492,315,559 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$4,997,464 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$4,997,464 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,497,313,023 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,014,548 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,014,548 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,500,327,571 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | LONG TERM INCENTIVE DEFERRED COMPENSATION PLAN IS 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, 2016 AND 2015. THE ASSOCIATION DID NOT RECORD INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2016 AND 2015. THE ASSOCIATION IS SUBJECT TO U.S. FEDERAL INCOME TAX AND INCOME TAX IN VARIOUS STATE JURISDICTIONS. AS OF DECEMBER 31, 2016, THE ASSOCIATION'S TAX YEARS FOR 2014, 2015 AND 2016 ARE SUBJECT TO EXAMINATIONS BY FEDERAL TAX AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME -1,501,255. OPERATING GRANT NETTED AGAINST INCOME -1,252,800. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | COB REVENUE 2,156. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -7,099. MASON & NYS REINSURANCE 831,934. RX REBATE 4,170,475. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COB REVENUE -2,154. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 7,099. MASON & NYS REINSURANCE ADJUSTMENT -831,934. RX REBATE -4,170,475. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME 1,501,255. OPERATING GRANT NETTED AGAINST INCOME 1,252,800. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 260,493. |
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 | $3,810,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $3,810,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $3,810,000 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | 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 (32 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH | ||||||||
| 212 MAIN STREET SUITE 300 | BUFFALO | NY | 14214 | 222565278 | 501(C)(3) | $16,907 | FMV | SPONSORSHIP |
| ECMC LIFELINE FOUNDATION | ||||||||
| 462 GRIDER STREET NO G-1 | BUFFALO | NY | 14215 | 223283946 | 501(C)(3) | $8,000 | FMV | SPONSORSHIP |
| PHARMACISTS ASSOCIATION WNY (PAWNY) | ||||||||
| PO BOX 1234 | TONAWANDA | NY | 14151 | 160742611 | 501(C)(3) | $11,300 | FMV | SPONSORSHIP |
| AMHERST CHAMBER OF COMMERCE | ||||||||
| 400 ESSJAY ROAD SUITE 150 | AMHERST | NY | 14221 | 160959485 | 501(C)(6) | $50,000 | FMV | SPONSORSHIP |
| NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION (NFADA) | ||||||||
| 1144 WEHRLE DRIVE | WILLIAMSVILLE | NY | 14221 | 161194880 | 501(C)(3) | $40,000 | FMV | SPONSORSHIP |
| CANISIUS COLLEGE | ||||||||
| 2001 MAIN STREET | BUFFALO | NY | 14208 | 160743209 | 501(C)(3) | $32,720 | FMV | SPONSORSHIP |
| ASPIRE OF WNY | ||||||||
| 2356 NORTH FOREST ROAD | GETZVILLE | NY | 14068 | 160757756 | 501(C)(3) | $6,500 | FMV | SPONSORSHIP |
| CATHOLIC CHARITIES OF BUFFALO NEW YORK | ||||||||
| 741 DELAWARE AVENUE | BUFFALO | NY | 14209 | 160743251 | 501(C)(3) | $15,000 | FMV | SPONSORSHIP |
| HERITAGE CENTERS ERIE COUNTY | ||||||||
| 101 OAK STREET | BUFFALO | NY | 14203 | 160769044 | 501(C)(3) | $7,500 | BOOK | SPONSORSHIP |
| GATEWAY-LONGVIEW | ||||||||
| 10 SYMPHONY CIRCLE | BUFFALO | NY | 143041798 | 161559402 | 501(C)(3) | $5,000 | FMV | SPONSORSHIP |
| BROTHERS OF MERCY | ||||||||
| 4520 RANSOM RD | CLARENCE | NY | 140312108 | 166074666 | 501(C)(3) | $5,500 | FMV | SPONSORSHIP |
| SUMMIT EDUCATIONAL RESOURCES | ||||||||
| 150 STAHL RD | GETZVILLE | NY | 140681231 | 161095750 | 501(C)(3) | $5,000 | FMV | SPONSORSHIP |
| HOSPICE FOUNDATION OF WNY INC | ||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 142271416 | 223137812 | 501(C)(3) | $5,800 | FMV | SPONSORSHIP |
| HILLSIDE WORK SCHOLARSHIP PROGRAM | ||||||||
| 1183 MONROE AVENUE | ROCHESTER | NY | 14620 | 161453581 | 501(C)(3) | $100,000 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| BUFFALO NIAGARA ENTERPRISE | ||||||||
| 665 MAIN STREET | BUFFALO | NY | 142031425 | 161579523 | 501(C)(3) | $50,000 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| SENECA DIABETES FOUNDATION | ||||||||
| PO BOX 309 | IRVING | NY | 140810309 | 203214056 | 501(C)(3) | $40,000 | FMV | SPONSORSHIP & FIOM PROJECT |
| BUFFALO NIAGARA PARTNERSHIP | ||||||||
| 655 MAIN STREET SUITE 200 | BUFFALO | NY | 142031425 | 160761958 | 501(C)(6) | $32,050 | FMV | SPONSORSHIP |
| BUFFALO URBAN LEAGUE | ||||||||
| 15 E GENESEE STREET | BUFFALO | NY | 14203 | 160743940 | 501(C)(3) | $25,000 | FMV | SPONSORSHIP |
| TASTE OF BUFFALO INC | ||||||||
| 276 GREENWOOD COURT | EAST AURORA | NY | 14052 | 161390601 | 501(C)(6) | $15,500 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| GREEN OPTIONS BUFFALO (GOBIKE) | ||||||||
| 640 ELLICOTT ST SUITE 447 | BUFFALO | NY | 14203 | 272501533 | 501(C)(3) | $70,000 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY | ||||||||
| 360 DELAWARE AVENUE | BUFFALO | NY | 14202 | 203185568 | 501(C)(3) | $13,000 | FMV | SPONSORSHIP |
| LEUKEMIA & LYMPHOMA SOCIETY | ||||||||
| 1311 MAMARONECK AVENUE SUITE 310 | WHITE PLAINS | NY | 10605 | 135644916 | 501(C)(3) | $10,000 | FMV | SPONSORSHIP |
| LEADERSHIP BUFFALO | ||||||||
| 237 MAIN STREET SUITE 1500 | BUFFALO | NY | 142032720 | 161363536 | 501(C)(3) | $10,000 | FMV | SPONSORSHIP |
| POLICE ATHLETIC LEAGUE | ||||||||
| 65 NIAGARA SQUARE 21ST FLOOR | BUFFALO | NY | 14202 | 161468698 | 501(C)(3) | $8,000 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| INDEPENDENT HEALTH FOUNDATION | ||||||||
| 777 INTERNATIONAL DRIVE | BUFFALO | NY | 14221 | 161417199 | 501(C)(3) | $1,252,800 | FMV | OPERATING GRANT |
| KALEIDA HEALTH | ||||||||
| 726 EXCHANGE ST | BUFFALO | NY | 14210 | 161533232 | 501(C)(3) | $5,000 | FMV | SPONSORSHIP |
| SUBURBAN ADULT SERVICES (SASI) | ||||||||
| 960 WEST MAPLE CT | ELMA | NY | 14059 | 161115992 | 501(C)(3) | $5,300 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| BUFFALO HEARING & SPEECH | ||||||||
| 50 E NORTH ST | BUFFALO | NY | 14203 | 160776186 | 501(C)(3) | $5,000 | FMV | SPONSORSHIP |
| BUFFALO PREP | ||||||||
| PO BOX 1192 | BUFFALO | NY | 14215 | 161359846 | 501(C)(3) | $5,000 | FMV | SPONSORSHIP |
| P2 COLLABORATIVE | ||||||||
| 355 HARLEM ROAD BUILDING C | WEST SENECA | NY | 14224 | 421604185 | 501(C)(3) | $30,000 | FMV | SPONSORSHIP |
| LAKESHORE BEHAVIORAL HEALTH | ||||||||
| 255 DELAWARE AVE STE 300 | BUFFALO | NY | 14202 | 161004090 | 501(C)(3) | $5,000 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| LARKIN SQUARE | ||||||||
| 726 EXCHANGE ST STE 825 | BUFFALO | NY | 14210 | 454273890 | 501(C)(3) | $10,000 | FMV | SPONSORSHIP FOR HEALTHY LIVING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 29 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS/CONTRIBUTIONS: ONLY REMIT 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) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL W CROPP MD | ||||||||||||||
| PRESIDENT & CEO | $921,194 | $0 | $628,543 | $0 | $26,902 | $0 | $347,733 | $0 | $38,567 | $0 | $1,962,939 | $0 | $0 | $0 |
| JOHN MINEO ESQ | ||||||||||||||
| SECRETARY-EVP GEN.COUNSEL | $292,350 | $0 | $377,473 | $0 | $24,080 | $0 | $120,778 | $0 | $40,046 | $0 | $854,727 | $0 | $250,571 | $0 |
| MARK I JOHNSON | ||||||||||||||
| TREASURER & CFO | $647,695 | $0 | $1,015,396 | $0 | $42,717 | $0 | $307,344 | $0 | $30,955 | $0 | $2,044,107 | $0 | $637,334 | $0 |
| THOMAS J FOELS | ||||||||||||||
| EVP-CHIEF MEDICAL OFFICER | $352,250 | $0 | $201,853 | $0 | $29,118 | $0 | $163,607 | $0 | $60,797 | $0 | $807,625 | $0 | $0 | $0 |
| ANN M PENTKOWSKI | ||||||||||||||
| SVP-CHIEF ACTUARY & UNDER. OFF | $324,131 | $0 | $137,581 | $0 | $27,924 | $0 | $104,516 | $0 | $8,028 | $0 | $602,180 | $0 | $0 | $0 |
| ANNE C O'NEILL | ||||||||||||||
| VP-CHIEF RISK OFFICER | $159,464 | $0 | $13,857 | $0 | $1,419 | $0 | $18,302 | $0 | $17,440 | $0 | $210,482 | $0 | $0 | $0 |
| DAVID V NARAMORE | ||||||||||||||
| VP-ACTUARIAL | $208,204 | $0 | $18,895 | $0 | $3,953 | $0 | $16,972 | $0 | $16,483 | $0 | $264,507 | $0 | $0 | $0 |
| ERIC J DECKER | ||||||||||||||
| SVP-INFORMATION TECHNOLOGY CIO | $251,065 | $0 | $44,414 | $0 | $20,523 | $0 | $32,187 | $0 | $17,936 | $0 | $366,125 | $0 | $0 | $0 |
| SCOTT J DWYER | ||||||||||||||
| VP-CHIEF AUDIT EXECUTIVE | $181,902 | $0 | $20,807 | $0 | $8,327 | $0 | $12,265 | $0 | $20,109 | $0 | $243,410 | $0 | $0 | $0 |
| JAMES B WALLESHAUSER | ||||||||||||||
| VP-OFFICE OF STRATEGY MGMT | $229,723 | $0 | $45,330 | $0 | $22,321 | $0 | $21,539 | $0 | $19,861 | $0 | $338,774 | $0 | $0 | $0 |
| JILL M SYRACUSE | ||||||||||||||
| EVP-CHIEF ENGMT & SERVCNG. OFF | $321,495 | $0 | $189,266 | $0 | $6,188 | $0 | $140,829 | $0 | $27,075 | $0 | $684,853 | $0 | $0 | $0 |
| MICHAEL J FASO | ||||||||||||||
| SVP-FINANCE & NEW BUS DEVELOP. | $253,250 | $0 | $98,118 | $0 | $26,771 | $0 | $92,473 | $0 | $21,966 | $0 | $492,578 | $0 | $0 | $0 |
| NORA K MCGUIRE | ||||||||||||||
| SVP-CHIEF MARKETING OFFICER | $241,011 | $0 | $99,136 | $0 | $24,044 | $0 | $17,457 | $0 | $16,899 | $0 | $398,547 | $0 | $0 | $0 |
| PAMELA S MENARD END 316 | ||||||||||||||
| SVP-HC DELIVERY INNOVATION | $48,797 | $0 | $137,442 | $0 | $234,096 | $0 | $289,254 | $0 | $2,359 | $0 | $711,948 | $0 | $0 | $0 |
| PATRICIA C CLABEAUX | ||||||||||||||
| EVP-CHIEF HR OFFICER | $274,618 | $0 | $74,920 | $0 | $2,000 | $0 | $69,735 | $0 | $40,484 | $0 | $461,757 | $0 | $0 | $0 |
| ROBERTA D RIFKIN | ||||||||||||||
| SVP-GOVT PROGS & AFFAIRS | $221,145 | $0 | $58,186 | $0 | $23,421 | $0 | $54,906 | $0 | $20,310 | $0 | $377,968 | $0 | $0 | $0 |
| JOHN R RODGERS | ||||||||||||||
| EVP-COO | $397,195 | $0 | $235,410 | $0 | $8,761 | $0 | $155,095 | $0 | $57,259 | $0 | $853,720 | $0 | $0 | $0 |
| AMIN M SEREHALI | ||||||||||||||
| VP-CLINICAL & BUS. INFORMATICS | $232,233 | $0 | $22,495 | $0 | $5,191 | $0 | $11,185 | $0 | $19,886 | $0 | $290,990 | $0 | $0 | $0 |
| ANNE S LAVIGNE | ||||||||||||||
| VP-ESCO | $155,859 | $0 | $244,867 | $0 | $2,422 | $0 | $73,094 | $0 | $17,787 | $0 | $494,029 | $0 | $0 | $0 |
| BRIAN J SAME | ||||||||||||||
| MEDICAL DIRECTOR-MED POLICY&UM | $286,174 | $0 | $19,118 | $0 | $6,704 | $0 | $40,038 | $0 | $18,098 | $0 | $370,132 | $0 | $0 | $0 |
| JUDITH FELD MD | ||||||||||||||
| MEDICAL DIRECTOR-PROV ENGT | $259,926 | $0 | $9,356 | $0 | $4,345 | $0 | $47,604 | $0 | $23,020 | $0 | $344,251 | $0 | $0 | $0 |
| RICHARD M ARGENTIERI | ||||||||||||||
| VICE PRESIDENT-SALES | $193,621 | $0 | $111,291 | $0 | $4,843 | $0 | $21,712 | $0 | $17,993 | $0 | $349,460 | $0 | $0 | $0 |
| JUDITH ANN FELDMAN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $126,123 | $0 | $0 | $0 | $0 | $0 | $126,123 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | AT THE DISCRETION OF THE CEO, 14 EXECUTIVES (OFFICERS AND KEY EMPLOYEES) RECEIVE A DISCRETIONARY SPENDING ACCOUNT. THESE AMOUNTS ARE A PERCENTAGE OF BASE COMPENSATION AND ARE CAPPED AT SPECIFIC AMOUNTS. ANY REIMBURSEMENT WHICH IS NOT DEDUCTIBLE UNDER IRS REGULATIONS OR ANY UNCLAIMED AMOUNT AT THE END OF THE CALENDAR YEAR IS TREATED AS INCOME AND ADDED TO THE EXECUTIVE'S W-2. |
| PART I, LINE 4A: | THE FOLLOWING LISTED PERSONS FROM PART VII, SECTION A RECEIVED SEVERANCE PAYMENTS AS PART OF A SEPARATION AGREEMENT WITH INDEPENDENT HEALTH DURING 2016: PAMELA S. MENARD - $202,848. JUDITH ANN FELDMAN - $126,123 |
| PART I, LINE 4B: | ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). 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: MARK I. JOHNSON - $637,334 JOHN MINEO, ESQ. - $250,571 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SEE PART V | |||
| SEE PART V | $1,207,141 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | $655,036 | SEE PART V | 0 |
| SEE PART V | |||
| SEE PART V | $671,302 | 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 PERSONS: | 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 CARESCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(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 CARESCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF INTERESTED PERSON: DONALD W. ROBINSON, MD (SOLE PRACTITIONER)(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 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - AMENDED RETURN | THE 2016 FORM 990 HAS BEEN AMENDED TO INCLUDE THE REQUIRED FORM 5471 FOR MASON INSURANCE CO., LTD. |
| 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 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, WHICH OFFICIALLY BEGAN JULY 1, 2012. 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 32 PRACTICES AND 189 PHYSICIANS, IMPACTING 121,000 INDEPENDENT HEALTH MEMBERS. THIS PROGRESSIVE ALLIANCE HAS LED TO IMPROVED CARE COORDINATION, AND REDUCING THE REDUNDANCIES AND INEFFICIENT CARE THAT CAUSE HEALTH CARE COSTS TO INCREASE UNNECESSARILY. A SAMPLE OF RESULTS FOLLOWS: - FROM 2013 TO 2016, THE PRIMARY CONNECTION PHYSICIANS DECREASED UNNECESSARY REFERRALS TO SPECIALIST PHYSICIANS BY 19 PERCENT. - THEY ALSO INCREASED REFERRALS TO HIGH-PERFORMING SPECIALISTS BY 7 PERCENT DURING THAT TIME. - THE PRIMARY CONNECTION PRACTICES DECREASED PRESCRIPTIONS TO COSTLY BRAND-NAME MEDICATIONS BY 23 PERCENT. - THE PRIMARY CONNECTION REDUCED THE AMOUNT OF POTENTIALLY PREVENTABLE HOSPITAL ADMISSIONS BY 17 PERCENT AND READMISSION RATES BY 25 PERCENT BY TREATING PATIENTS IN MORE APPROPRIATE CARE SETTINGS AT LOWER COSTS. - PRIMARY CONNECTION PATIENTS RECEIVED 10,000 MORE PREVENTIVE AND WELLNESS SERVICES THAN OTHER MEMBERS IN JUST ONE YEAR. OTHER MEMBERSHIP SERVICES INCLUDE PREVENTIVE CARE WITH ACTIVE PARTICIPATION BY COMMUNITY ORGANIZATIONS IN INITIATIVES SUCH AS THE P2 COLLABORATIVE OF WESTERN NEW YORK (P2), 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 HEALTHELINK. THE IHA HEALTH COACH PROGRAM OFFERS A BROAD RANGE OF SERVICES, INCLUDING EDUCATION AND CARE COORDINATION, TO IMPROVE THE HEALTH OF IHA MEMBERS AND EMPLOYEES. HEALTH COACHES ARE LICENSED REGISTERED NURSES, DIETITIANS, RESPIRATORY THERAPISTS, SOCIAL WORKERS, AND OTHER CERTIFIED HEALTH PROFESSIONALS WHO ENCOURAGE SELF-MANAGEMENT AND EDUCATE MEMBERS ON LIVING A HEALTHY LIFE. THEY PROVIDE PERSONALIZED SERVICES TO HELP MEMBERS MAKE LASTING CHANGES TO ACHIEVE BETTER HEALTH AND WELL-BEING. EXAMPLES OF THEIR SUPPORT INCLUDE HELPING DEVELOP A DIET PLAN TO ASSIST WITH WEIGHT LOSS, ASSISTANCE WITH A SPECIFIC MEDICAL CONDITION OR COMPILING A LIST OF QUESTIONS FOR THE MEMBER TO ASK HIS/HER DOCTOR. OUR HEALTH COACHES AND DISEASE MANAGERS FREQUENTLY ENGAGE IN ON-SITE WORKPLACE WELLNESS ACTIVITIES, SUCH AS EMPLOYEE HEALTH FAIRS. THEY ALSO REGULARLY REACH OUT TO SUPPORT MEMBERS IDENTIFIED AS HAVING A CHRONIC DISEASE OR CARE OPPORTUNITY. IHA IS COMMITTED TO IMPROVING THE QUALITY, ACCESS AND AFFORDABILITY OF HEALTH CARE THROUGH MANY COMMUNITY OUTREACH PROGRAMS. INDEPENDENT HEALTH HAS A TEAM OF FOUR COMMUNITY HEALTH OUTREACH WORKERS (CHOWS) BASED IN THE COMMUNITY, WHO MAKE HOME VISITS TO MEDISOURCE MEMBERS IN NEED TO BUILD RELATIONSHIPS IN TARGETED NEIGHBORHOODS TO PROMOTE HEALTH AND WELLNESS BEHAVIORS AND BELIEFS. CHOWS SPECIFICALLY WORK WITH MEMBERS WHO INAPPROPRIATELY UTILIZE SERVICES. THEY FOCUS ON GETTING MEMBERS IN NEED OF CARE TO A VISIT, SCHEDULING APPOINTMENTS, COORDINATING TRANSPORTATION AND BRIDGING LANGUAGE BARRIERS. THESE DEDICATED WORKERS, WHO ARE ALL CERTIFIED DIABETES AND CHRONIC DISEASE PEER EDUCATORS, PROVIDE CARE COORDINATION SERVICES TO MEMBERS IN NEED OF PREVENTIVE SERVICES, SCREENINGS OR A PRIMARY CARE PROVIDER. CHOWS COLLABORATE WITH IHA'S CASE MANAGEMENT DEPARTMENT TO BRING MEMBERS HOPE AND AN UNDERSTANDING OF COMPLEX ISSUES. SOME OF THE SERVICES THE CHOWS PROVIDE INCLUDE: - TEACHING DIABETES AND CHRONIC DISEASE SELF-MANAGEMENT GROUP CLASSES IN COMMUNITY CENTERS; - ONE-ON-ONE DIABETES EDUCATION TO MEMBERS WHO ARE UNABLE TO LEAVE THEIR HOMES; - HELP RUN A GRANT-FUNDED PROGRAM CALLED "BABY AND ME, TOBACCO FREE," A SMOKING CESSATION PROGRAM FOR PREGNANT WOMEN; - PROVIDING NEW MEMBER ORIENTATION TO HELP MEMBERS UNDERSTAND HOW TO USE THEIR BENEFITS, ALIGN THEM WITH A PRIMARY CARE PHYSICIAN, CLOSE GAPS IN CARE, AND APPROPRIATE EMERGENCY ROOM USE. 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 PRACTITIONE |
| YMCA BUFFALO NIAGARA AND IHA ALSO TEAMED UP 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 JUNE AND AUGUST 2016 THE WNY COMMUNITY WAS ABLE TO PARTICIPATE IN FREE 60-MINUTE FITNESS CLASSES WITH YMCA-CERTIFIED INSTRUCTORS. IN 2016 THE PROGRAM EXPANDED TO 18 AREA PARKS AND INCLUDED 30 SESSIONS WEEKLY, COMPARED TO 2015 WHICH HAD 16 AREA PARKS AND 25 WEEKLY 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, IN FEBRUARY 2013, 2014, 2015 AND 2016, IHA HOSTED AN "EXPLORE TOGETHER" FREE EVENT FOR PARENTS AND CHILDREN TO LEARN ABOUT HEALTH TOPICS 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 COLLABORATED WITH FOOD TRUCKS PARTICIPATING IN LARKIN SQUARE'S FOOD TRUCK TUESDAYS EVENTS FROM MAY THROUGH OCTOBER 2016 TO HELP THEM OFFER HEALTHY MENU ITEMS THAT ARE CONSIDERED TO BE LOWER IN FAT, SATURATED FAT, CHOLESTEROL AND SODIUM. IHA AND THE BUFFALO BILLS ARE WORKING TOGETHER TO IMPROVE THE HEALTH AND WELL-BEING OF THE WESTERN NEW YORK COMMUNITY THROUGH A VARIETY OF INITIATIVES, INCLUDING THE INDEPENDENT HEALTH AND BUFFALO BILLS HEALTH & WELLNESS CHALLENGE, A COMMUNITY-WIDE FITNESS AND NUTRITION PROGRAM TO ENCOURAGE HEALTHY LIVING. OVERALL, IN 2016 MORE THAN 15,700 INDIVIDUALS IN THE REGION PARTICIPATED IN THE SPRING AND FALL CHALLENGE, WHICH RAN FROM APRIL 18 MAY 29 AND OCTOBER 3 THROUGH NOVEMBER 13, 2016. 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 ADDITION, IHA SPONSORS THE HILLSIDE WORK-SCHOLARSHIP CONNECTION TO HELP ENSURE OUR COMMUNITY'S YOUTH HAVE THE OPPORTUNITY TO REACH THEIR FULL POTENTIAL. BY ENGAGING OUR YOUTH THROUGH EVIDENCE-BASED PROGRAMS SUCH AS HILLSIDE'S, IHA CAN MAKE A SUSTAINABLE IMPACT IN THE COMMUNITY'S FUTURE. AS AN EMPLOYMENT PARTNER, IHA NOT ONLY RECOGNIZES THE IMPORTANCE OF HELPING STUDENTS STAY IN SCHOOL AND ACHIEVE ACADEMIC SUCCESS, BUT GRADUATE WITH THE SKILLS AND CONFIDENCE THEY NEED FOR LIFELONG SUCCESS. 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 JUNE 2016, APPROXIMATELY 84 PERCENT OF WESTERN NEW YORK PRACTICES PARTICIPATE WITH HEALTHELINK, 89 DATA SOURCES ARE CONNECTED, MORE THAN 200 MILLION RESULTS (LAB, RADIOLOGY AND TRANSCRIBED REPORTS), AND MORE THAN 960,000 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 171,353 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 JUNE 2016. 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 18 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, AND 2016 U.S. MEMBER HEALTH INSURANCE PLAN STUDIES, AND RANKED SECOND IN THE NEW YORK/NEW JERSEY REGION IN THE J.D. POWER 2014 AND 2015 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 2016-2017. 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 COMMONWEALTH FUND REPORT RANKED BUFFALO 54TH BEST AMONG 306 MEDICARE SERVICE AREAS FOR QUALITY, ACCESSIBILITY AND AFFORDABILITY OF CARE. 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, MARK I. JOHNSON, 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, MOISES SUDIT, NORA B. SULLIVAN, MARK I. JOHNSON, AND JOHN MINEO, ESQ. HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF A RELATED TAXABLE ENTITY). THOMAS J. FOELS AND MICHAEL HEIMERL HAVE A BUSINESS RELATIONSHIP (PRIVATE ENTERPRISE). |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 WAS REVIEWED WITH THE CHAIRMANS OF THE FINANCE AND AUDIT COMMITTEE AND CERTAIN MEMBERS OF THE EXECUTIVE COMMITTEE OF IHA'S BOARD OF DIRECTORS. THE FINAL FORM 990 WAS DISTRIBUTED TO THE BOARD OF DIRECTORS AT A MEETING 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 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 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 2016) AND WAS USED TO ESTABLISH COMPENSATION FOR THE FOLLOWING POSITIONS: EXECUTIVE VICE PRESIDENT - CHIEF FINANCIAL OFFICER; EXECUTIVE VICE PRESIDENT - CHIEF ENGAGEMENT & SERVICING OFFICER; EXECUTIVE VICE PRESIDENT - CHIEF OPERATING OFFICER; EXECUTIVE VICE PRESIDENT - CHIEF MEDICAL OFFICER; EXECUTIVE VICE PRESIDENT - GENERAL COUNSEL, EXECUTIVE VICE PRESIDENT - CHIEF HR OFFICER; SVP - NETWORK & PERFORMANCE MANAGEMENT; AND VICE PRESIDENT - CHIEF AUDIT EXECUTIVE. THE CEO EXCLUDES HIMSELF/HERSELF FROM DELIBERATIONS WHEN DISCUSSING HIS/HER COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE: A COPY OF ITS 990, ITS AUDITED FINANCIAL STATEMENTS, AND ANY OTHER DOCUMENTS AS REQUIRED. |
| FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | JUDITH ANN FELDMAN - 8421 LAKEWOOD CT., 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 | 11A, 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 | $6,599,498 | $183,109,414 | 1.00000 | Yes (1) | ||||
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||||||||||||||||
| 511 FARBER LAKES DRIVE | BUFFALO | NY | 14221 | 161483784 | POS AND INDEMNITY PRODUCT ADMINISTRATION | NY | INDEPENDENT HEALTH ASSOCIATION INC | C | -$888,261 | $239,543,093 | 1.00000 | Yes (1) | ||||
| MASON INSURANCE COMPANY LTD | ||||||||||||||||
| REINSURANCE | INDEPENDENT HEALTH ASSOCIATION INC | C | $826,000 | $13,134,000 | 1.00000 | Yes (1) | 16 CHURCH STREET | HAMILTON | 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 | 0 | 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 (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INDEPENDENT HEALTH FOUNDATION | ||
| B | $1,258,800 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| M | $6,102,399 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| N | $380,017 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| N | $2,374,854 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| N | $21,421,848 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| O | $30,979,813 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| O | $7,880,566 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| P | $168,890 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| P | $1,879,853 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| P | $29,163,145 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| Q | $162,986 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| Q | $609,636,391 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| Q | $327,258,146 | FMV |
| INDEPENDENT HEALTH FOUNDATION | ||
| R | $943,947 | FMV |
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | ||
| S | $34,138 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| S | $13,918,463 | FMV |
| INDEPENDENT HEALTH BENEFITS CORPORATION | ||
| M | $542,011,182 | FMV |