2016-11-14T15:43:08-06:00 2015-12-31 861065772 DELOITTE TAX LLP 200 RENAISSANCE CENTER SUITE 3900 DETROIT MI 482431300 990 2015-01-01 161080163 INDEPENDENT HEALTH ASSOCIATION INC INDE 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 MICHAEL W CROPP MD PRESIDENT & CEO 7166313001 2016-11-14 1 LORI BOYCE P00121981 3133963000 2015 2017-02-10 21:41:12Z MICHAEL W CROPP MD 511 FARBER LAKES DRIVE BUFFALO NY 14221 1819585084 0 X WWW.INDEPENDENTHEALTH.COM X 1980 NY PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 19 17 1225 201 0 0 0 0 1356181916 1514828437 17318844 10758182 57141511 54641781 1430642271 1580228400 1948848 2031552 1257009523 1400164143 117915471 100019916 0 0 0 143739593 115969033 1520613435 1618184644 -89971164 -37956244 712095782 805443960 252101096 390641859 459994686 414802101 X PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. 0 0 1435945288 2031552 1514828437 INDEPENDENT HEALTH ASSOCIATION (IHA) COORDINATES THE DELIVERY OF QUALITY HEALTH CARE COVERAGE THROUGH CONTRACTS WITH THE INDIVIDUAL PRACTICE ASSOCIATION OF WESTERN NEW YORK (IPAWNY), A TAXABLE NON-PROFIT, FOR ITS COMMERCIAL AND MEDICARE HMO PRODUCTS WITHIN THE EIGHT COUNTIES OF WESTERN NEW YORK (WNY). IHA ALSO PROVIDES COVERAGE AND COORDINATES SERVICES TO ITS MEDICAID HMO PRODUCT (WHICH INCLUDES THE FAMILY HEALTH PLUS (FHP) PROGRAM AVAILABLE TO ELIGIBLE RESIDENTS OF ERIE COUNTY AND THE CHILD HEALTH PLUS (CHP) PROGRAM) FOR THE ARRANGEMENT OF PHYSICIAN, HOSPITAL, MEDICALLY NECESSARY HEALTH SERVICES, DIAGNOSTIC AND PREVENTIVE HEALTH SERVICES TO THE COMMUNITIES LOCATED IN ERIE AND NIAGARA COUNTY. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 1435945288 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 1 0 1 232 0 1 1225 1 0 1 BD 0 0 0 0 X 19 17 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 1 0 NY X MICHAEL J FASO 7166313001 511 FARBER LAKES DRIVE BUFFALO NY 14221 ANTHONY B MARTINO BOARD MEMBER 5.00 0.00 X 41000 0 6277 ANTHONY J BAYNES BOARD MEMBER 5.00 0.00 X 34000 0 5754 BRENDA W MCDUFFIE BOARD MEMBER 5.00 0.00 X 30000 0 6277 COLLEEN C DIPIRRO BOARD MEMBER 5.00 0.00 X 34000 0 6277 DANIEL B WEINTRAUB CPA BOARD MEMBER 5.00 0.00 X 0 0 0 DONALD ROBINSON MD BOARD MEMBER 5.00 0.00 X 50400 0 6277 DONNA M FERNANDES PHD BOARD MEMBER 5.00 0.00 X 34000 0 6277 EDWARD STEHLIK MD BOARD MEMBER 5.00 1.00 X 37000 0 6277 JOHN N WALSH III BOARD MEMBER 5.00 2.00 X 41000 0 0 LISA MENDONZA MD BOARD MEMBER 5.00 0.00 X 38000 0 4185 MOISES SUDIT PHD BOARD MEMBER 5.00 1.00 X 41000 0 0 NORA B SULLIVAN JD MBA BOARD MEMBER 5.00 1.00 X 44500 0 6277 PATRICIA SMITH BOARD MEMBER 5.00 0.00 X 0 0 0 R MARSHALL WINGATE BOARD MEMBER 5.00 0.00 X 30000 0 5866 RENE F JONES BOARD MEMBER 5.00 0.00 X 0 0 0 SHAWN COTTON MD BOARD MEMBER 5.00 0.00 X 34000 0 6277 SIDNEY N WEISS CPA BOARD MEMBER 5.00 2.00 X 49000 0 6277 STUART H ANGERT BOARD MEMBER 5.00 2.00 X 34000 0 0 YVONNE S MINOR-RAGAN PHD BOARD MEMBER 5.00 0.00 X 34000 0 0 JOHN ANTKOWIAK MD CHAIRPERSON 12.00 2.00 X X 94000 0 6277 MICHAEL HEIMERL MD VICE CHAIRPERSON 5.00 0.00 X X 45000 0 6277 MICHAEL W CROPP MD PRESIDENT & CEO 42.00 14.00 X X 2233474 0 524075 THOMAS J FOELS EVP - CHIEF MED. OFFICER 40.00 10.00 X 477277 0 251582 MARK I JOHNSON TREASURER & CFO 47.00 11.00 X 880942 0 390713 JOHN MINEO ESQ SECRETARY, GENERAL COUNSEL 40.00 9.00 X 366392 0 218867 DAWN C ODRZYWOLSKI CHIEF COMPLIANCE OFFICER 36.00 4.00 X 86037 0 28068 SCOTT J DWYER CHIEF AUDIT EXECUTIVE 41.00 15.00 X 203373 0 31877 ANNE C O'NEILL CHIEF RISK OFFICER 38.00 13.00 X 170380 0 31236 ANN M PENTKOWSKI SVP - CHIEF ACT. & UNDER. 37.00 13.00 X 409201 0 139656 ERIC J DECKER SVP - INFORMATION TECH 38.00 14.00 X 274645 0 30472 JAMES B WALLESHAUSER VP - OFFICE OF STRAT. MGMT. 35.00 12.00 X 251803 0 39031 JILL M SYRACUSE EVP - CHIEF SERV. OFFICER 39.00 13.00 X 420450 0 203301 JOHN R RODGERS EVP - COO 35.00 16.00 X 519616 0 253946 MICHAEL J FASO SVP - FINANCE & BUS. DEV. 28.00 15.00 X 315320 0 137680 NORA K MCGUIRE SVP - CMO 32.00 14.00 X 305877 0 43320 PAMELA S MENARD SVP - HEALTHCARE SERVICING 34.00 11.00 X 265524 0 103391 PATRICIA C CLABEAUX SVP - HUMAN RESOURCES 37.00 10.00 X 290205 0 103075 ROBERTA D RIFKIN SVP - GOVT. PROGRAMS 36.00 15.00 X 273286 0 52771 BRIAN J SAME MEDICAL DIRECTOR 35.00 13.00 X 301019 0 54607 DAVID W DONOVAN VP - CHIEF SALES OFFICER 31.00 13.00 X 395440 0 18044 LINDA R CARR VP - GOVT. SALES 31.00 10.00 X 278684 0 70964 RICHARD M ARGENTIERI VICE PRESIDENT SALES 31.00 16.00 X 343531 0 38307 WILLIAM R BASILE VP - ACT. & UNDER. 34.00 14.00 X 310783 0 96613 GORDON B CUMMING FORMER KEY EMPLOYEE 0.00 0.00 X 272990 0 0 JUDITH ANN FELDMAN FORMER KEY EMPLOYEE 0.00 0.00 X 370317 0 4942 10761466 0 2951390 192 1 1 0 INDIVIDUAL PRACTICE ASSOCIATION OF WNY 511 FARBER LAKES DRIVE BUFFALO NY 14221 MEDICAL & PHARMACY BENEFIT SERVICES 1048135644 HEALTHPLEX IPA 333 EARLE OVINGTON BLVD UNIONDALE NY 115533608 DENTAL BENEFITS COMPANY 16853942 COMPUTER TASK GROUP PO BOX 711778 CINCINATTI OH 452711778 PRODUCTION & PROJECT SUPPORT SERVICES 8380062 INOVOLAN INC 4321 COLLINGTON RD BOWIE MD 20716 REVENUE ENHANCEMENTS 8091378 EYEMED VISION CARE 15274 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 VISION BENEFITS COMPANY 5683777 157 PREMIUMS, COB & REINS 524114 1514828437 1514828437 1514828437 11098122 11098122 142033 35686 106347 106347 106347 238981058 239230694 90304 -249636 -90304 -339940 -339940 CONSULTING 541610 54535434 54535434 54535434 1580228400 1514828437 0 65399963 2031552 2031552 1400164143 1400164143 11156615 11156615 72671778 9030550 63641228 -2169577 486932 -2656509 12549192 1540871 11008321 5811908 665968 5145940 862900 862900 300865 300865 171030 171030 1011880 1011880 23718744 1052383 22666361 3218965 31491 3187474 17960044 178880 17781164 18213672 1652071 16561601 3317673 3317673 420922 39505 381417 19553 3108 16445 16815720 16815720 827975 32384 795591 GME SURCHARGE 15429803 15429803 FAMILY CHOICE 4060901 4060901 NYS ASSESSMENT/ACA TAX 2380936 2380936 UBI TAX EXP. - BENEFIT -418906 -418906 7656356 3605647 4050709 1618184644 1435945288 182239356 0 8678162 9906634 126474512 229321222 24373053 28439794 178552782 138458234 47027297 40094548 324912980 313672162 2275417 2160417 178354361 181849183 712095782 805443960 87538434 63879304 2795 2795 30419265 27797175 1989356 1494726 25000000 132151246 272467859 252101096 390641859 X 306691641 246356636 153303045 168445465 459994686 414802101 712095782 805443960 -37956244 -7236341 0 X 0 1 X 1 1 1 0 1 X 542713 542713 23788304 6298146 17490158 12815607 3523617 9291990 27720174 25042043 2678131 113685984 103594428 10091556 40094548 INVESTMENTS RESTRICTED AS TO USE 71557408 INVESTMENTS IN AFFILIATES 110291775 181849183 BENEFITS PAYABLE 30957804 CAPITATION PAYABLE 44067837 INTERCOMPANY PAYABLE 197442218 272467859 X 1563637807 -7236341 -2328797 -9565138 1573202945 7025455 7025455 1580228400 1614848881 -7025455 -7025455 1621874336 -3689692 -3689692 1618184644 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, 2015 AND 2014. THE ASSOCIATION DID NOT RECORD INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN 2015 AND 2014. THE ASSOCIATION IS SUBJECT TO U.S. FEDERAL INCOME TAX AND INCOME TAX IN VARIOUS STATE JURISDICTIONS. AS OF DECEMBER 31, 2015, THE ASSOCIATION'S TAX YEARS FOR 2013, 2014 AND 2015 ARE SUBJECT TO EXAMINATIONS BY FEDERAL TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME -1,284,797. OPERATING GRANT NETTED AGAINST INCOME -1,044,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: COB REVENUE 4,746. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B -35,686. MASON & NYS REINSURANCE 2,565,528. REINSURANCE ADJUSTMENT 1,062,808. RX REBATE 3,428,059. PART XII, LINE 2D - OTHER ADJUSTMENTS: COB REVENUE -4,746. RENTAL EXPENSE INCLUDED ON PART VIII, LINE 6B 35,686. MASON & NYS REINSURANCE -2,565,528. REINSURANCE ADJUSTMENT -1,062,808. RX REBATE -3,428,059. PART XII, LINE 4B - OTHER ADJUSTMENTS: BANK CHARGES & INVESTMENT FEES NETTED AGAINST OTHER INCOME 1,284,797. OPERATING GRANT NETTED AGAINST INCOME 1,044,000. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -6,018,489. CENTRAL AMERICA & THE CARIBBEAN INVESTMENTS 3810000 0 0 0 0 0 0 3810000 0 3810000 1 0 1 0 0 0 1 AFRICAN AMERICAN MALE WELLNESS WALK 495 S HIGH STREET SUITE 25 COLUMBUS OH 43215 454831268 501(C)(3) 5000 SPONSORSHIPS ALBRIGHT-KNOX ART GALLERY BUFFALO FINE ARTS ACADEMY 1285 ELMWOOD AVE BUFFALO NY 142221003 166001555 501(C)(3) 10000 SPONSORSHIPS AMHERST CHAMBER OF COMMERCE 400 ESSJAY ROAD SUITE 150 AMHERST NY 14221 160959485 501(C)(3) 12500 SPONSORSHIPS ASPIRE OF WNY 2356 NORTH FOREST ROAD GETZVILLE NY 14068 160757756 501(C)(3) 13000 SPONSORSHIPS BROTHERS OF MERCY 4520 RANSOM RD CLARENCE NY 140312108 166074666 501(C)(3) 5500 SPONSORSHIPS BUFFALO NIAGARA ENTERPRISE 665 MAIN STREET BUFFALO NY 142031425 161579523 501(C)(3) 50000 SPONSORSHIPS BUFFALO NIAGARA PARTNERSHIP 655 MAIN STREET SUITE 200 BUFFALO NY 142031425 160365700 501(C)(6) 39860 SPONSORSHIPS BUFFALO URBAN LEAGUE 15 E GENESEE STREET BUFFALO NY 14203 160743940 501(C)(3) 25000 SPONSORSHIPS BUFFALO ZOO 300 PARKSIDE AVENUE BUFFALO NY 14214 160911204 501(C)(3) 20000 SPONSORSHIPS CANISIUS COLLEGE 2001 MAIN STREET BUFFALO NY 14208 160743209 501(C)(3) 27000 SPONSORSHIPS CATHOLIC CHARITIES OF BUFFALO NEW YORK 741 DELAWARE AVENUE BUFFALO NY 14209 160743251 501(C)(3) 15000 SPONSORSHIPS CATHOLIC HEALTH 212 MAIN STREET SUITE 300 BUFFALO NY 14214 222565278 501(C)(3) 15000 SPONSORSHIPS ECMC LIFELINE FOUNDATION 462 GRIDER STREET NO G-1 BUFFALO NY 14215 223283946 501(C)(3) 8100 SPONSORSHIPS GATEWAY-LONGVIEW 10 SYMPHONY CIRCLE BUFFALO NY 143041798 161559402 501(C)(3) 5000 SPONSORSHIPS GREEN OPTIONS BUFFALO (GOBIKE) 640 ELLICOTT ST SUITE 447 BUFFALO NY 14203 272501533 501(C)(3) 20000 SPONSORSHIPS HERITAGE CENTERS ERIE COUNTY 101 OAK STREET BUFFALO NY 14203 160769044 501(C)(3) 7500 SPONSORSHIPS HILLSIDE WORK SCHOLARSHIP PROGRAM 1183 MONROE AVENUE ROCHESTER NY 14620 161453581 501(C)(3) 100000 SPONSORSHIPS HOSPICE FOUNDATION OF WNY INC 225 COMO PARK BLVD CHEEKTOWAGA NY 142271416 223137812 501(C)(3) 5800 SPONSORSHIPS INDEPENDENT HEALTH FOUNDATION 777 INTERNATIONAL DRIVE BUFFALO NY 14221 161417199 501(C)(3) 1050100 OPERATING GRANT LEADERSHIP BUFFALO 237 MAIN STREET SUITE 1500 BUFFALO NY 142032720 161363536 501(C)(3) 10000 SPONSORSHIPS LEUKEMIA & LYMPHOMA SOCIETY 1311 MAMARONECK AVENUE SUITE 310 WHITE PLAINS NY 10605 135644916 501(C)(3) 10000 SPONSORSHIPS NATIONAL FEDERATION OF JUST COMMUNITIES OF WNY 360 DELAWARE AVENUE BUFFALO NY 14202 203185568 501(C)(3) 13000 SPONSORSHIPS NIAGARA FALLS MEMORIAL MEDICAL CENTER 621 TENTH STREET NIAGARA FALLS NY 14302 160743094 501(C)(3) 250000 SPONSORSHIPS NIAGARA FRONTIER AUTOMOBILE DEALERS ASSOCIATION (NFADA) 1144 WEHRLE DRIVE WILLIAMSVILLE NY 14221 161194880 501(C)(3) 30000 SPONSORSHIPS OPPORTUNITIES UNLIMITED OF NIAGARA 1555 FACTORY OUTLET BLVD NIAGARA FALLS NY 143041798 161564891 501(C)(3) 5000 SPONSORSHIPS POLICE ATHLETIC LEAGUE 65 NIAGARA SQUARE 21ST FLOOR BUFFALO NY 14202 161468698 501(C)(3) 8000 SPONSORSHIPS SENECA DIABETES FOUNDATION PO BOX 309 IRVING NY 140810309 203214056 501(C)(3) 50000 SPONSORSHIPS/FIOM PROJECT SUMMIT EDUCATIONAL RESOURCES 150 STAHL RD GETZVILLE NY 140681231 161095750 501(C)(3) 5000 SPONSORSHIPS SUSAN G KOMEN BREAST CANCER FOUNDATION 742 DELAWARE AVENUE BUFFALO NY 14209 752875179 501(C)(3) 6000 SPONSORSHIPS TASTE OF BUFFALO INC 276 GREENWOOD COURT EAST AURORA NY 14052 161390601 501(C)(6) 15500 SPONSORSHIPS THEATRE OF YOUTH 203 ALLEN STREET BUFFALO NY 14201 237286004 501(C)(3) 75000 SPONSORSHIPS UNIVERSITY AT BUFFALO FOUNDATION PO BOX 900 BUFFALO NY 142032720 160865182 501(C)(3) 15000 SPONSORSHIPS/SCHOLARSHIPS WNY HEROES PAWSITIVES FOR HEROES 2809 WEHRLE DRIVE WILLIAMSVILLE NY 142217385 611561829 501(C)(3) 5000 SPONSORSHIPS 31 2 PART I, LINE 2: 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). X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 MICHAEL W CROPP MD PRESIDENT & CEO 921634 0 1270926 0 40914 0 482474 0 41601 0 2757549 0 978753 0 THOMAS J FOELS EVP - CHIEF MED. OFFICER 352650 0 95533 0 29094 0 200083 0 51499 0 728859 0 0 0 MARK I JOHNSON TREASURER & CFO 648135 0 190090 0 42717 0 357742 0 32971 0 1271655 0 0 0 JOHN MINEO ESQ SECRETARY, GENERAL COUNSEL 293850 0 54231 0 18311 0 181988 0 36879 0 585259 0 0 0 SCOTT J DWYER CHIEF AUDIT EXECUTIVE 180585 0 18579 0 4209 0 10839 0 21038 0 235250 0 0 0 ANNE C O'NEILL CHIEF RISK OFFICER 152137 0 16223 0 2020 0 12910 0 18326 0 201616 0 0 0 ANN M PENTKOWSKI SVP - CHIEF ACT. & UNDER. 324296 0 58751 0 26154 0 131273 0 8383 0 548857 0 0 0 ERIC J DECKER SVP - INFORMATION TECH 231077 0 23394 0 20174 0 11732 0 18740 0 305117 0 0 0 JAMES B WALLESHAUSER VP - OFFICE OF STRAT. MGMT. 206135 0 29526 0 16142 0 18412 0 20619 0 290834 0 0 0 JILL M SYRACUSE EVP - CHIEF SERV. OFFICER 322135 0 95178 0 3137 0 175231 0 28070 0 623751 0 0 0 JOHN R RODGERS EVP - COO 397635 0 114469 0 7512 0 195596 0 58350 0 773562 0 0 0 MICHAEL J FASO SVP - FINANCE & BUS. DEV. 254850 0 36556 0 23914 0 116370 0 21310 0 453000 0 0 0 NORA K MCGUIRE SVP - CMO 247200 0 39721 0 18956 0 36018 0 7302 0 349197 0 0 0 PAMELA S MENARD SVP - HEALTHCARE SERVICING 226434 0 36739 0 2351 0 94013 0 9378 0 368915 0 0 0 PATRICIA C CLABEAUX SVP - HUMAN RESOURCES 248135 0 40171 0 1899 0 84246 0 18829 0 393280 0 0 0 ROBERTA D RIFKIN SVP - GOVT. PROGRAMS 221585 0 27993 0 23708 0 31518 0 21253 0 326057 0 0 0 BRIAN J SAME MEDICAL DIRECTOR 279968 0 16687 0 4364 0 35603 0 19004 0 355626 0 0 0 DAVID W DONOVAN VP - CHIEF SALES OFFICER 222856 0 170668 0 1916 0 16835 0 1209 0 413484 0 0 0 LINDA R CARR VP - GOVT. SALES 159135 0 118543 0 1006 0 50591 0 20373 0 349648 0 0 0 RICHARD M ARGENTIERI VICE PRESIDENT SALES 174746 0 165947 0 2838 0 20451 0 17856 0 381838 0 0 0 WILLIAM R BASILE VP - ACT. & UNDER. 98379 0 0 0 212404 0 90167 0 6446 0 407396 0 0 0 GORDON B CUMMING FORMER KEY EMPLOYEE 0 0 0 0 272990 0 0 0 0 0 272990 0 0 0 JUDITH ANN FELDMAN FORMER KEY EMPLOYEE 0 0 0 0 370317 0 4942 0 0 0 375259 0 370317 0 PART I, LINE 1A AT THE DISCRETION OF THE CEO, 15 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 2015: JUDITH ANN FELDMAN - $370,317 WILLIAM R. BASILE - $204,936 GORDON B. CUMMING - $272,990 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: MICHAEL W. CROPP, MD - $978,753 SEE PART V SEE PART V 1341481 SEE PART V 0 SEE PART V SEE PART V 666228 SEE PART V 0 SEE PART V SEE PART V 539361 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (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, CURRENT 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(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 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: HEADQUARTERED IN BUFFALO, INDEPENDENT HEALTH & AFFILIATES 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, AND NOVA HEALTHCARE ADMINISTRATORS, INC. 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 TRIPLE AIM: BETTER HEALTH, BETTER CARE AND LOWER COSTS. 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 PERFORMANCE IS TRACKED FOR QUALITY IMPROVEMENT AND ADHERENCE TO THE TENETS OF THE TRIPLE 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 MIDLEVEL 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 2015, THE PRIMARY CONNECTION PHYSICIANS DECREASED UNNECESSARY REFERRALS TO SPECIALIST PHYSICIANS BY 23 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 24 PERCENT. - THE PRIMARY CONNECTION REDUCED THE AMOUNT OF POTENTIALLY PREVENTABLE HOSPITAL ADMISSIONS BY 17 PERCENT AND READMISSION RATES BY 27 PERCENT BY TREATING PATIENTS IN MORE APPROPRIATE CARE SETTINGS AT LOWER COSTS. 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. IHA IS COMMITTED TO IMPROVING THE QUALITY, ACCESS AND AFFORDABILITY OF HEALTH CARE THROUGH MANY COMMUNITY OUTREACH PROGRAMS. 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, 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. 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 P2 COLLABORATIVE'S DESIGNATED DATA MANAGEMENT VENDOR, VIPS, WHO PERFORMS DATA AGGREGATION AND ANALYSIS. THE P2 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 $15.4 MILLION DURING 2015. IHA'S REDSHIRT VOLUNTEER PROGRAM PROVIDES IHA EMPLOYEES AN OPPORTUNITY TO VOLUNTEER IN THEIR COMMUNITY, WHILE PROMOTING IHA AS A COMPANY WHO IS WILLING TO HELP GIVE BACK TO WNY. REDSHIRT EMPLOYEE VOLUNTEERS PROVIDE THE REDSHIRT TREATMENT TO THE COMMUNITY THROUGH DIRECT EMPLOYEE INTERACTION AND EXHIBIT IHA'S MESSAGE OF QUALITY CARE THROUGHOUT WNY. THE REDSHIRT TREATMENT IS A COMPANY-WIDE COMMITMENT TO DEMONSTRATE OUR CORE VALUES OF BEING PASSIONATE, CARING, RESPECTFUL, TRUSTWORTHY, COLLABORATIVE AND ACCOUNTABLE. DURING 2015, 184 IHA EMPLOYEES SERVED AS REDSHIRT VOLUNTEERS. IN TOTAL, THESE INDIVIDUALS VOLUNTEERED AT 48 COMMUNITY EVENTS, WHICH REPRESENTED 552 HOURS OF VOLUNTEER TIME. IHA ENCOURAGES ITS MANAGEMENT TEAM AND EMPLOYEES TO SUPPORT THE LOCAL COMMUNITY. TO THIS END, WE ARE PROUD TO SAY MORE THAN 80 MEMBERS OF OUR MANAGEMENT TEAM ARE VOLUNTEERS OR ACTIVE PARTICIPANTS AS DIRECTORS ON COMMUNITY BOARDS. THE IHA EMPLOYEE DRESS DOWN PROGRAM ALLOWS EMPLOYEES 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 EMPLOYEES. THE PROGRAM IS EMPLOYEE-DRIVEN WITH A GOAL TO BROADLY SUPPORT MANY 501(C)(3) ORGANIZATIONS THROUGHOUT WESTERN NEW YORK. IN 2015, IHA RAISED MORE THAN $131,000 FOR NON-PROFIT ORGANIZATIONS IN OUR COMMUNITY. IN ADDITION, IHA EMPLOYEES 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. THE 2015-2016 CAMPAIGN RAISED MORE THAN $90,000. 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. INDEPENDENT HEALTH IS PROUD TO BE THE PRESENTING SPONSOR OF GOBIKE BUFFALO'S ANNUAL SKYRIDE. THIS EVENT DRAWS MORE THAN 1,000 BICYCLISTS TO OUR DOWNTOWN EACH YEAR TO EMBARK ON A GROUP BIKE RIDE. BECAUSE THE EVENT INCLUDES RIDING OVER THE SKYWAY, WHICH IS CLOSED TO TRAFFIC FOR THE RIDE, IT DRAWS CONSIDERABLE MEDIA COVERAGE AND THUS IS A HIGH-PROFILE EVENT TO PROMOTE HEALTH AND WELLNESS. 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 THE PRESENTING SPONSOR OF THE PROGRAM, WHICH DREW THOUSANDS OF PEOPLE OUT LAST SUMMER FOR GUIDED BIKE RIDES 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. 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, 2015 THE WNY COMMUNITY WAS ABLE TO PARTICIPATE IN FREE 60-MINUTE FITNESS CLASSES WITH YMCA-CERTIFIED INSTRUCTORS. IN 2015 THE PROGRAM EXPANDED TO 16 AREA PARKS AND INCLUDED 25 SESSIONS WEEKLY, COMPARED TO 2014 WHICH HAD 12 AREA PARKS AND 21 WEEKLY CLASSES. BETWEEN JUNE AND AUGUST 2015 THE WNY COMMUNITY WAS ABLE TO PARTICIPATE IN FREE 60-MINUTE FITNESS CLASSES WITH YMCA-CERTIFIED INSTRUCTORS AT 12 AREA PARKS. IHA AND THE YMCA ALSO DEVELOPED THE FITNESS PROGRAM FITSTART, A STRUCTURED, EVIDENCE-BASED, 12-WEEK EXERCISE PROGRAM DESIGNED AROUND THE CONCEPT OF SMALL GROUP PERSONAL TRAINING (8-10 PARTICIPANTS TO TWO PERSONAL TRAINERS) TO TEACH MEMBERS HOW TO SAFELY AND EFFECTIVELY EXERCISE. PARTICIPANTS LEARN HOW TO DESIGN AN EXERCISE PROGRAM, AS WELL AS DEVELOP A SENSE OF BELONGING AND BUILD RELATIONSHIPS WITH OTHER PARTICIPANTS TO GIVE A FOUNDATION OF SUPPORT TO IMPROVE THEIR HEALTH. AS THE POPULARITY OF THIS PROGRAM HAS GROWN, WE HAVE ADDED CLASSES TO MEET THE DEMAND AND CLASSES ROUTINELY HAVE 100 OR MORE PARTICIPANTS. THIS COLLABORATIVE EFFORT WITH THE YMCA IS A VISIBLE SHOW OF SUPPORT FOR THE HEALTH OF PEOPLE IN OUR COMMUNITY, AN INITIATIVE THAT IS IN LINE WITH IHA'S EFFORTS TO TRANSFORM HEALTH CARE AND DEVELOP WESTERN NEW YORK AS A HIGH-QUALITY, HIGH PERFORMING COMMUNITY. 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 AND 2015, 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 2015 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 2015 MORE THAN 10,300 INDIVIDUALS IN THE REGION COMPLETED THE SPRING AND FALL CHALLENGE, WHICH RAN FROM APRIL 20 - MAY 31 AND OCTOBER 5 THROUGH NOVEMBER 15, 2015. 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 HEALTHCARE AMBASSADORS, 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. WNY HEALTHENET FURTHERS IHA'S COMMITMENT TO REDUCING THE COST OF AND IMPROVING THE QUALITY OF HEALTH CARE IN THE WESTERN NEW YORK COMMUNITY. WNY HEALTHENET 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 DECEMBER 2015, NEARLY 3,500 WESTERN NEW YORK PROVIDERS HAVE SIGNED PARTICIPATION AGREEMENTS; MORE THAN 50 DATA SOURCES ARE CONNECTED TO HEALTHELINK, NEARLY 160 MILLION RESULTS (LAB, RADIOLOGY AND TRANSCRIBED REPORTS, AND MORE THAN 721,000 COMMUNITY-WIDE CONSENTS HAVE BEEN SIGNED BY PATIENTS AUTHORIZING TREATING PHYSICIANS TO ACCESS THEIR ELECTRONIC MEDICAL RECORDS THROUGH HEALTHELINK. IHA HAS PROVIDED ALMOST $9.2 MILLION TO SUPPORT THESE INITIATIVES. IHA COORDINATES THE DELIVERY OF HEALTH CARE SERVICES FOR APPROXIMATELY 204,047 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, 2015. 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 17 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 FOR FOUR YEARS, ACCORDING TO J.D. POWER'S 2010, 2011, 2012, AND 2013 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 2014-2015. 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. RECENTLY, 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 "TRIPLE AIM" OF BETTER HEALTH, BETTER CARE AND LOWER COSTS. 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, R. MARSHALL WINGATE, 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). R. MARSHALL WINGATE, MARK I. JOHNSON, AND ANN M. PENTKOWSKI HAVE A BUSINESS RELATIONSHIP (PRIVATE ENTERPRISE). FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WAS REVIEWED WITH THE EXECUTIVE COMMITTEE OF IHA'S BOARD OF DIRECTORS AND THE CHAIRMAN OF THE FINANCE AND AUDIT COMMITTEE. 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 CORPORATE 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 2015) 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, SENIOR VICE PRESIDENT - HUMAN RESOURCES & ORGANIZATIONAL DEVELOPMENT; 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 VI, SECTION A, LINE 9: JUDITH ANN FELDMAN - 8421 LAKEWOOD CT., EAST AMHERST, NY 14051 GORDON B. CUMMING - 210 LORD BYRON LN., WILLIAMSVILLE, NY 14221 THE PRIMARY CONNECTION LLC 511 FARBER LAKES DRIVE BUFFALO NY 14221 472349293 HEALTH CARE MANAGEMENT SERVICES NY 0 0 INDEPENDENT HEALTH ASSOCIATION INC INDEPENDENT HEALTH FOUNDATION 777 INTERNATIONAL DRIVE BUFFALO NY 14221 161417199 TO PROMOTE GOOD HEALTH IN WESTERN NY & TO SUPPORT THE ACTIVITIES OF IHA, INC NY 501(C)(3) 11A, I INDEPENDENT HEALTH ASSOCIATION INC 1 INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY 511 FARBER LAKES DRIVE BUFFALO NY 14221 161237733 THIRD PARTY CLAIMS ADMINISTRATION NY INDEPENDENT HEALTH ASSOCIATION INC C 3841466 218491418 1.00000 1 INDEPENDENT HEALTH BENEFITS CORPORATION 511 FARBER LAKES DRIVE BUFFALO NY 14221 161483784 POS AND INDEMNITY PRODUCT ADMINISTRATION NY INDEPENDENT HEALTH ASSOCIATION INC C 14446375 273490239 1.00000 1 MASON INSURANCE COMPANY LTD 16 CHURCH STREET HAMILTON BD REINSURANCE BD INDEPENDENT HEALTH ASSOCIATION INC C 112372 12293156 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 INDEPENDENT HEALTH FOUNDATION B 1050100 FMV INDEPENDENT HEALTH BENEFITS CORPORATION M 12952556 FMV INDEPENDENT HEALTH FOUNDATION N 348959 FMV INDEPENDENT HEALTH BENEFITS CORPORATION N 16514927 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY N 2556307 FMV INDEPENDENT HEALTH BENEFITS CORPORATION O 29540596 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY O 6632832 FMV INDEPENDENT HEALTH FOUNDATION P 197658 FMV INDEPENDENT HEALTH BENEFITS CORPORATION P 307189725 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY P 6720337 FMV INDEPENDENT HEALTH FOUNDATION Q 190569 FMV INDEPENDENT HEALTH BENEFITS CORPORATION Q 232723915 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY Q 139663183 FMV INDEPENDENT HEALTH FOUNDATION R 1090723 FMV INDEPENDENT HEALTH BENEFITS CORPORATION S 10263997 FMV INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY S 4470886 FMV