2024-11-12T16:34:20-06:00 2023-12-31 991856619 GRANT THORNTON ADVISORS LLC 757 THIRD AVENUE 3RD FLOOR NEW YORK NY 100172013 990 2023-01-01 141640868 MVP HEALTH PLAN INC MVPH 5183882357 625 STATE STREET SCHENECTADY NY 12305 KARLA AUSTEN CFO/TREASURER 5184274600 2024-11-12 1 1 SCOTT THOMPSETT P00741490 2125990100 2023 2024-10-15 13:58:12Z CHRISTOPHER DEL VECCHIO 625 STATE STREET SCHENECTADY NY 12305 3205104770 0 X WWW.MVPHEALTHCARE.COM X 1982 NY SEE SCHEDULE O 9 9 1831 0 0 0 0 0 3184284444 3027027585 5980865 12819763 208755 0 3190474064 3039847348 854909 627934 0 0 644900 643650 0 0 0 3137076690 3026686972 3138576499 3027958556 51897565 11888792 817109956 915432292 384700501 456671021 432409455 458761271 X IMPROVING HEALTH. PROVIDING PEACE OF MIND. SERVING UPSTATE NY AND VT COMMUNITIES INCLUDING THEIR NY MEDICAID, CHIP, HARP, ESSENTIAL PLAN, MEDICARE & EXCHANGE POPULATIONS. 0 0 2781101388 627934 3027027585 SEE SCHEDULE O 2781101388 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 14800 0 1 1831 1 0 0 0 0 0 0 0 0 1 0 X 9 9 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KARLA A AUSTEN 5183882357 625 STATE STREET SCHENECTADY NY 12305 ALAN GOLDBERG CHAIRMAN 4.00 4.00 X X 89500 0 0 RICHARD D'ASCOLI DIRECTOR 3.00 3.00 X 79500 0 0 KEVIN O'CONNOR DIRECTOR 1.50 1.50 X 65500 0 0 BURT DANOVITZ DIRECTOR 3.00 3.00 X 64316 0 0 CURTIS LLOYD DIRECTOR 1.50 1.50 X 61500 0 0 MENG-LING HSIAO DIRECTOR 2.00 2.00 X 60500 0 0 LINDSAY FARRELL DIRECTOR 1.50 1.50 X 60500 0 0 DAVID S PRATT MD VICE CHAIR 3.50 3.50 X X 56500 0 0 WILLIAM PHELAN DIRECTOR (AS OF 01/2023) 1.50 1.50 X 55500 0 0 KIMBERLY ZEOLI DIRECTOR (THRU 12/2023) 1.50 1.50 X 14667 0 0 CHRISTOPHER DEL VECCHIO PRESIDENT & CEO 30.05 7.45 X 2181970 540508 190086 KARLA AUSTEN CFO/TREASURER 27.63 9.87 X 669494 239254 31562 EMILY TITSWORTH - CHIEF LEGAL OFFICER & GENERAL COUNSEL 29.65 7.85 X 396431 105008 42081 DOMINICK BIZZARRO CHIEF GROWTH OFFICER 28.32 9.18 X 809792 262580 43850 CATHERINE BUHLER CLANCY CHIEF OPERATIONS OFFICER 27.44 10.06 X 550717 201970 46269 CARL CAMERON CHIEF MEDICAL OFFICER 30.14 7.36 X 567636 138650 50752 MICHAEL DELLA VILLA CHIEF DIGITAL & INFORMATION OFFICER 29.63 7.87 X 534929 142105 54514 LAURIE METHENY CHIEF CUSTOMER EXPERIENCE OFFICER 28.32 9.18 X 489682 158782 56192 AMY HARLOW CHIEF TALENT OFFICER 29.44 8.06 X 472002 129280 19644 PATRICK ROOHAN VP, RISK ADJUSTMENT 30.14 7.36 X 431605 105422 24614 JASON MEROLA VP, MEDICAL AFFARIS 30.14 7.36 X 401443 98055 46534 AUGUSTA MARTIN - VP STRATEGIC PROVIDER ENGAGEMENT & CARE MGMT. 30.14 7.36 X 389967 95251 41445 JAMES HOPSICKER VP, HEALTH & PHARMACY MANAGEMENT 30.14 7.36 X 386282 94351 41624 DEBORAH BRUNDAGE CHIEF MARKETING & SALES OFFICER 26.67 10.83 X 350014 142083 21893 9239947 2453299 711060 429 0 1 0 MEDIA LOGIC USA LLC 59 WOLF ROAD ALBANY NY 12205 MEDIA RELATIONS/PR 5960016 DIGITAL MOBILE INNOVATIONS LLC PO BOX 203692 DALLAS TX 75320 TECHNOLOGY SOLUTIONS 2670712 TIVITY HEALTH PO BOX 116718 ATLANTA GA 30368 UTILIZATION FEES 2560431 MAINLINE INFORMATION SYSTEM PO BOX 11407 BIRMINGHAM AL 35246 TECHNOLOGY SOLUTIONS 2525079 PERFICIENT INC 555 MARYVILLE UNIV DR SAINT LOUIS MO 63141 TECHNOLOGY SOLUTIONS 2268651 184 MEDICAID PREMIUM 524114 1371599052 1371599052 MEDICARE PREMIUM 524114 738670724 738670724 COMMERCIAL PREMIUM 524114 637323025 637323025 ESSENTIAL PLAN PREMIUM 524114 205062823 205062823 CHILD HEALTH PLUS 524114 68123461 68123461 6248500 6248500 3027027585 18763548 18763548 159313637 165249705 7717 -5936068 -7717 -5943785 -5943785 3039847348 3027027585 0 12819763 X 627934 627934 643650 643650 17595085 17595085 976801 976801 678936 678936 198215 198215 459947 459947 19841302 9067302 10774000 11674419 11674419 13912834 13912834 30299923 30299923 6963800 6963800 239775 239775 159958 159958 56765 56765 137545078 137545078 7109397 7109397 2384802 2384802 HOSPITAL,PHYSICIAN,OT 2348138173 2348138173 PHARMACY 284465729 284465729 CAPITATED MEDICAL EXP. 136180321 136180321 REGULATORY EXPENSE 2621929 2621929 5183783 5183783 3027958556 2781101388 246857168 0 87775064 1454279 31566027 141951004 19840104 2242355 81339763 109765745 12069418 12290023 49577303 22745864 26172497 26831439 128004216 146144863 100000 430242867 474752584 817109956 915432292 31883567 47940623 9415801 8688198 343401133 400042200 384700501 456671021 X 126246225 161569133 306163230 297192138 432409455 458761271 817109956 915432292 X 11888792 17483415 -3020391 X 0 1 X 1 1 1 12444872 3663785 8781087 37132431 19082079 18050352 26831439 STATUTORY DEPOSITS 166172627 MEDICARE PART D RECEIVABLES 9123736 REINSURANCE RECOVERIES 9185246 PHARMACY REBATES 110242005 MISCELLANEOUS 12887535 HEALTHCARE RECEIVABLES 32499236 DUE FROM STATE 107461484 OPERATING LEASE RIGHT OF USE ASSET 25519745 ACCRUED INTEREST 1660970 474752584 3123104 MEDICAL EXPENSE PAYABLE 287958427 MISCELLANEOUS PAYABLES 1030765 RISK ADJUSTMENT PAYABLE 18863566 DUE TO AFFILIATES 36102013 OPERATING LEASE LIABILITY 27536934 PREMIUM DEFICIENCY RESERVES 25427391 400042200 X 3043806017 17483415 -13532463 3950952 3039855065 -7717 -7717 3039847348 3017454201 7717 7717 3017446484 10512072 10512072 3027958556 PART X, LINE 2: TO ACCOUNT FOR UNCERTAINTY IN INCOME TAXES, A TAX POSITION CAN BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS ONLY WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE RELEVANT TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. A POSITION THAT MEETS THIS STANDARD IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT WILL MORE LIKELY THAN NOT BE REALIZED UPON SETTLEMENT. A LIABILITY IS ESTABLISHED FOR DIFFERENCES BETWEEN POSITIONS TAKEN IN A TAX RETURN AND AMOUNTS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE UNRECOGNIZED TAX BENEFITS OF THE PLAN ARE NOT EXPECTED TO SIGNIFICANTLY CHANGE OVER THE NEXT 12 MONTHS. THE PLAN'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS AS A COMPONENT OF PRETAX INCOME. AS OF DECEMBER 31, 2023 AND 2022, THE COMPANY HAD NO INTEREST AND PENALTIES INCLUDED AS A COMPONENT OF UNRECOGNIZED TAX BENEFIT. THERE WAS NO INTEREST AND PENALTIES PERTAINING TO UNCERTAIN TAX POSITIONS RECOGNIZED IN THE CONSOLIDATED STATEMENT OF OPERATIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BROKER FEES RECLASSED TO PART IX, LINE 11G -10,464,673. BAD DEBT EXPENSES RECLASSED TO PART XI, LINE 9 -6,518,945. ACCRUED INTEREST RECLASSED TO PART XI, LINE 9 3,498,554. AMORTIZATION OF BOND PREMIUM RECLASSED TO PART IX, LINE 22 -47,399. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS RECLASSED TO PART VIII, LINE 7, COLUMN (II) -7,717. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS RECLASSED TO PART VIII, LINE 7, COLUMN (II) 7,717. PART XII, LINE 4B - OTHER ADJUSTMENTS: BROKER FEES RECLASSED TO PART IX, LINE 11G 10,464,673. AMORTIZATION OF BOND PREMIUM RECLASSED TO PART IX, LINE 22 47,399. 1 WHITNEY M YOUNG JR HEALTH CENTER INC PO BOX 447 WATERVLIET NY 12189 132922147 501(C)(3) 50000 0 OPENING DOORS CAPITAL CAMPAIGN PLEDGE PAYMENT ALBANY MEDICAL CENTER FOUNDATION INC 43 NEW SCOTLAND AVE MC119 ALBANY NY 12208 146023119 501(C)(3) 50000 0 MASSRY FAMILY CHILDRENS HOSPITAL EMERGENCY CENTER CITY MISSION OF SCHENECTADY 425 HAMILTON STREET SCHENECTADY NY 12305 141403652 501(C)(3) 35000 0 AMBASSADOR PROG./SUPPORT IN HONOR OF DR PHELPS RETIREMENT/PROCTORS COLLAB. COMMON GROUND HEALTH 1150 UNIVERSITY AVENUE ROCHESTER NY 14607 161061456 501(C)(3) 30000 0 FUNDING FOR GET IT DONE PROGRAM/DIGITAL GREEN BOOK HEALTH EQUITY PROJECT CAPITAL REPERTORY COMPANY INC 432 STATE STREET ALBANY NY 12305 132894677 501(C)(3) 25000 0 THEREP CAPITAL CAMPAIGN ALBANY COLLEGE OF PHARMACY 106 NEW SCOTLAND AVENUE ALBANY NY 12208 141423161 501(C)(3) 25000 0 THE COLLABORATORY TO SUPPORT UNDERSERVED COMMUNITIES IN THE CAPITAL REGION CAPITAL ROOTS INC 594 RIVER STREET TROY NY 12180 141596291 501(C)(3) 25000 0 HEALTHY STORE CONTRIBUTION EL CENTRO HISPANO INC 295 CENTRAL AVENUE WHITE PLAINS NY 10601 134149424 501(C)(3) 20000 0 SUPPORT YOUTH EDUCATIONAL PROGRAMS UNITED WAY OF GREATER CAPITAL REGION 1 STEUBEN PLACE ALBANY NY 12207 141364505 501(C)(3) 20000 0 518 DAY SUPPORT UNITED WAY OF WESTCHESTER & PUTNAM INC 336 CENTRAL PARK AVENUE WHITE PLAINS NY 10606 131997636 501(C)(3) 20000 0 SUPPORT FOR THE FEEDING UNITED HOE DELIVERY PROGRAM FOOD PANTRIES FOR THE CAPITAL DISTRICT INC 32 ESSEX STREET ALBANY NY 12206 141752164 501(C)(3) 20000 0 FOOD EXPRESS/ FOOD ACCESS REFERRAL TEAM AND FOOD CONNECT AMERICAN RED CROSS OF EASTERN NY 33 EVERETT ROAD ALBANY NY 12205 530196605 501(C)(3) 15000 0 READY365 GIVING CIRCLE: SICKLE CELL DISEASE AND SOUND THE ALARM CAMPAIGN HUDSON VALLEY CC FOUNDATION 80 VANDENBURG AVENUE TROY NY 12180 222427015 501(C)(3) 15000 0 COMMUNITY AND PUBLIC HEALTH SCHOLARSHIP PLEDGE TRINITY ALLIANCE OF CAPITAL REGION 15 TRINITY PLACE ALBANY NY 12202 141340122 501(C)(3) 15000 0 PROGRAMMATIC SUPPORT FOR FY2023 FOR FAMILY AND NEIGHBORHOOD RESEARCH CENTER REGIONAL FOOD BANK OF NE NY INC 965 ALBANY SHAKER ROAD LATHAM NY 12110 222470885 501(C)(3) 15000 0 HOLIDAY HUNGER APPEAL EMPIRE CENTER FOR PUBLIC POLICY PO BOX 7113 ALBANY NY 12224 461987418 501(C)(3) 12000 0 EMPIRE CENTER FOR PUBLIC POLICY CEK RN CONSULTING INC 1 STEUBEN PLACE ALBANY NY 12207 821265913 501(C)(3) 10000 0 GRANT FOR HEALTH EMPOWERMENT PROGRAMS COMMUNITY CENTER OF NORTHERN WESTCHESTER INC 84 BEDFORD ROAD KATONAH NY 10536 133716471 501(C)(3) 10000 0 SUPPORT FOOD PANTRY INTERFAITH PARTNERSHIP FOR THE HOMELESS 176 SHERIDAN AVENUE ALBANY NY 12210 141666321 501(C)(3) 10000 0 IPH COMMUNITY AND HEALTHY CONNECTIONS SUPPORT SW FOOD PROGRAM INC 620 PARK AVENUE PMB 350 ROCHESTER NY 14607 871019661 501(C)(3) 7605 0 DONATION OF REFRIGERATOR & FREEZER FOR FOOD PROGRAM CATHOLIC CHARITIES OF THE DIOCESE OF ALBANY 40 N MAIN AVENUE ALBANY NY 12203 141340033 501(C)(3) 7500 0 FOOD FARMACY SERVICES THE YOUNG MEN'S CHRISTIAN ASSOC OF KINGSTON & ULSTER COUNTY 507 BROADWAY KINGSTON NY 12401 141338342 501(C)(3) 7500 0 DIABETES PREVENTION PROGRAM FAMILY SERVICES INC 29 NORTH HAMILTON STREET POUGHKEEPSIE NY 12601 141338399 501(C)(3) 7500 0 SUPPORT TEEN RESOURCE ACTIVITY CENTER UNITY HOUSE OF TROY INC 2431 SIXTH AVENUE TROY NY 12180 232378930 501(C)(3) 7500 0 COMMUNITY GRANT FOODLINK INC PO BOX 60766 ROCHESTER NY 14606 222428304 501(C)(3) 7500 0 CURBSIDE MARKET HIS BRANCHES INC 340 ARNETT BLVD ROCHESTER NY 14619 237060337 501(C)(3) 7500 0 HYPERTENSION PILOT PROGRAM SOCIAL ENTERPRISE & TRAINING CENTER 131 STATE STREET SCHENECTADY NY 12305 473946521 501(C)(3) 7500 0 2023 GRANT AWARD COMMUNITY RESOURCE CENTER 134 CENTER AVENUE MAMARONECK NY 10543 311678682 501(C)(3) 7500 0 BUILDING OUR FUTURE WORKFORCE DEVELOPMENT PROGRAM CAPITAL DISTRICT LATINOS INC 160 CENTRAL AVENUE ALBANY NY 12206 453647494 501(C)(3) 7500 0 PURCHASE OF HEALTHY CULTURALLY RESPONSIVE FOOD FOR OUR FOOD PANTRY BEYOND THE SANCTUARY PO BOX 18146 ROCHESTER NY 14618 834557198 501(C)(3) 7500 0 ANNUAL HEALTH FAIR/CHILDREN'S WINTER BOOT DISTRIBUTION ST JOSEPHS NEIGHBORHOOD CTR INC 417 SOUTH AVENUE ROCHESTER NY 14620 461176792 501(C)(3) 7500 0 LANGUAGE ACCESS GRANT REACH ADVOCACY INC 239 YARMATH ROAD ROCHESTER NY 14610 833714306 501(C)(3) 6576 0 SUPPORT FOR BEHAVE INFORMATION SYSTEM IBERO-AMERICAN ACTION LEAGUE INC 124 EVERGREEN STREET ROCHESTER NY 14605 160954745 501(C)(3) 6000 0 FURNITURE SUPPORT GRANT CATHOLIC CHARITIES COMMUNITY SERVICES OF ROCKLAND INC 78 HUDSON AVENUE HAVERSTRAW NY 10927 133919111 501(C)(3) 5500 0 SUPPORT FOR FOOD PANTRY 34 PART I, LINE 2: THE ORGANIZATION FOCUSES ITS FINANCIAL COMMUNITY SUPPORT ON PROGRAMS AND EVENTS IN ITS SERVICE AREA THAT: 1) PROMOTE WELLNESS, FITNESS, AND HEALTHY LIFESTYLES 2) ENHANCE THE HEALTH OF INDIVIDUALS AND OUR COMMUNITIES 3) IMPROVE THE EFFICIENCY OF HEALTH CARE OR ENHANCE THE VITALITY OF THE CAPITAL REGION, ROCHESTER, MID-HUDSON REGION, VERMONT, OR A COMMUNITY WITHIN MVP'S SERVICE AREA PRIOR TO AUTHORIZING A GRANT, THE ORGANIZATION REQUIRES THE SELECTED ORGANIZATIONS TO VERIFY THEIR SECTION 501(C)(3) PUBLIC CHARITY STATUS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED TO FULFILL A CHARITABLE PURPOSE. THE ORGANIZATION REQUESTS RECAP REPORTS FROM GRANT RECIPIENTS. X X 0 1 X X X X X 0 1 0 0 0 0 1 0 0 CHRISTOPHER DEL VECCHIO PRESIDENT & CEO 829030 205364 1301286 322349 51654 12795 132187 32745 20160 4994 2334317 578247 0 0 DOMINICK BIZZARRO CHIEF GROWTH OFFICER 414574 134428 358613 116283 36605 11869 16306 5287 16807 5450 842905 273317 0 0 KARLA AUSTEN CFO/TREASURER 356748 127490 273360 97689 39386 14075 15803 5647 7450 2662 692747 247563 0 0 CATHERINE BUHLER CLANCY CHIEF OPERATIONS OFFICER 292378 107227 223905 82115 34434 12628 15694 5756 18159 6660 584570 214386 0 0 CARL CAMERON CHIEF MEDICAL OFFICER 301210 73574 237621 58040 28805 7036 24286 5932 16503 4031 608425 148613 0 0 MICHAEL DELLA VILLA CHIEF DIGITAL & INFORMATION OFFICER 288097 76533 231101 61393 15731 4179 26806 7121 16266 4321 578001 153547 0 0 LAURIE METHENY CHIEF CUSTOMER EXPERIENCE OFFICER 263116 85317 202679 65720 23887 7745 27569 8939 14864 4820 532115 172541 0 0 AMY HARLOW CHIEF TALENT OFFICER 278673 76328 159153 43591 34176 9361 14569 3991 851 233 487422 133504 0 0 PATRICK ROOHAN VP, RISK ADJUSTMENT 239129 58409 175379 42837 17097 4176 18146 4432 1636 400 451387 110254 0 0 JASON MEROLA VP, MEDICAL AFFARIS 290997 71078 110446 26977 0 0 17239 4211 20160 4924 438842 107190 0 0 EMILY TITSWORTH - CHIEF LEGAL OFFICER & GENERAL COUNSEL 256941 68059 110534 29279 28956 7670 14227 3769 19041 5044 429699 113821 0 0 AUGUSTA MARTIN - VP STRATEGIC PROVIDER ENGAGEMENT & CARE MGMT. 270077 65968 105665 25809 14225 3474 17239 4211 16070 3925 423276 103387 0 0 JAMES HOPSICKER VP, HEALTH & PHARMACY MANAGEMENT 268064 65475 104848 25610 13370 3266 16912 4131 16541 4040 419735 102522 0 0 DEBORAH BRUNDAGE CHIEF MARKETING & SALES OFFICER 251758 102198 79719 32360 18537 7525 974 395 14598 5926 365586 148404 0 0 PART I, LINE 1B THE PRESIDENT & CEO IS THE ONLY INDIVIDUAL RECEIVING THE BENEFITS REFLECTED IN SCHEDULE J, PART I, LINE 1. THE PAYMENT OF THESE EXPENSES ARE MADE AS PART OF HIS TOTAL REWARDS PACKAGE AND ARE REVIEWED TO ENSURE THEY ALIGN WITHIN THE ORGANIZATION'S OVERALL COMPENSATION PHILOSOPHY. PART I, LINE 4B: DURING THE YEAR, SEVERAL OF THE PERSONS LISTED ON SCHEDULE J PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II, COLUMNS (B)(III) AND (C). WHILE OTHER INDIVIDUALS REPORTED ON THE FORM 990, SCHEDULE J PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, NO ONE RECEIVED A PAYOUT IN CALENDAR YEAR 2023. PART I, LINE 6 RELATIVE TO BONUSES, MVP'S BOARD HAS A COMPENSATION COMMITTEE MADE UP OF FOUR BOARD MEMBERS WHO PROVIDE GOVERNANCE OVERSIGHT PROCEDURES TO ENSURE ADEQUATE BOARD OVERSIGHT OF ITS EXECUTIVE COMPENSATION PROGRAMS. THE COMPENSATION COMMITTEE MEETS AT LEAST TWO TIMES PER YEAR AND MAINTAINS FORMAL MINUTES EVIDENCING THIS OVERSIGHT. ADDITIONALLY, MVP ENGAGES AN INDEPENDENT CONSULTANT TO EVALUATE THE COMPETITIVENESS OF EXISTING REMUNERATION LEVELS FOR PURPOSES OF ATTRACTING AND RETAINING TALENTED STAFF AT ALL LEVELS. MVP PROVIDES BONUS PROGRAMS TO EMPLOYEES THAT TIE VARIABLE PAY AND INDIVIDUAL PERFORMANCE TO THE CORPORATE GOALS OF THE ORGANIZATION. THE PLANS INCLUDE LONG-TERM INCENTIVES FOR EXECUTIVES, MANAGEMENT INCENTIVES FOR MANAGEMENT-LEVEL AND ABOVE PERFORMANCE INCENTIVE FOR THE BALANCE OF THE ORGANIZATION. FORM 990, PART I, LINE 1 A NON-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION SERVING UPSTATE NY AND VT COMMUNITIES INCLUDING THEIR NY MEDICAID, CHIP, HARP, ESSENTIAL PLAN, MEDICARE & EXCHANGE POPULATIONS. FORM 990, PART III, LINE 4A THE ORGANIZATION, MVP HEALTH PLAN, INC. ("MVP"), IS A NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION (HMO) SERVING NEW YORK AND VERMONT COMMUNITIES, INCLUDING THEIR MEDICAID MANAGED CARE, CHILD HEALTH PLUS (CHP), HEALTH AND RECOVERY PLAN (HARP), ESSENTIAL PLAN, AND MEDICARE ADVANTAGE POPULATIONS. DURING THE YEAR 2023, MVP HAD MEDICAID MANAGED CARE, CHP, HARP, AND ESSENTIAL PLAN ENROLLMENT OF 253,074 IN NEW YORK STATE. MVP MEDICARE ADVANTAGE ENROLLMENT TOTALED 61,108 DURING 2023. MVP ALSO HAD COMMERCIAL (LARGE AND SMALL GROUP AND INDIVIDUAL) HMO ENROLLMENT TOTALING 77,569 IN 2023. MVP PARTICIPATES IN QUALITY AND SATISFACTION-FOCUSED PROGRAMS SPONSORED BY THE CENTERS FOR MEDICAID & MEDICARE SERVICES (CMS), WHICH ADMINISTERS THE CMS STARS PROGRAM, THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH), WHICH ADMINISTERS THE QUALITY ASSURANCE REPORTING REQUIREMENTS (QARR) PROGRAM AND MARKETPLACE PLAN REPORTING REQUIREMENTS FOR NEW YORK, THE VERMONT DEPARTMENT OF FINANCIAL REGULATION (DFR), WHICH ADMINISTERS THE MARKETPLACE REPORTING REQUIREMENTS FOR VERMONT, AND THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), WHICH ADMINISTERS THE VOLUNTARY HEALTH PLAN ACCREDITATION PROGRAM. THESE PROGRAMS REQUIRE THAT HEALTH PLANS COLLECT AND MONITOR INFORMATION PERTAINING TO THE QUALITY OF CARE DELIVERED AND MEMBER SATISFACTION EXPERIENCED BY MEMBERS WITH THE OVERALL GOAL OF IMPROVING AND MAINTAINING THE HEALTH AND SATISFACTION OF MEMBERS. QUALITY AND SATISFACTION ARE MEASURED BY INDUSTRY STANDARD TOOLS SUCH AS THE HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) AND CONSUMER ASSESSMENT OF HEALTH PLAN SURVEY (CAHPS). THE 2023 CMS STARS PROGRAM COMPARED HEALTH PLANS TO EACH OTHER AND TO STATE AND NATIONAL BENCHMARKS TO PROVIDE A NORMATIVE UNDERSTANDING OF PERFORMANCE AND A FRAME OF REFERENCE FOR IMPROVEMENT TARGETS. BASED UPON THE RESULTS OF THESE MEASUREMENTS, MVP ACHIEVED A RATING OF 5 STARS FOR ITS HMO MEDICARE PRODUCT AND ITS D-SNP PRODUCT AND 5 STARS FOR ITS PPO MEDICARE PRODUCTS. THESE STAR RATINGS ARE OUT OF A TOTAL POSSIBLE SCORE OF 5 STARS AND REPRESENT STRONG PERFORMANCE. OVERALL MVP'S PERFORMANCE REMAINS CREDIBLE AS COMPARED TO THE INDUSTRY AND MVP REMAINS COMMITTED TO ONGOING REVIEW OF THE QUALITY OF CARE DELIVERED TO ITS MEMBERS AND SATISFACTION OF ITS MEMBERS FOR NEW IMPROVEMENT OPPORTUNITIES. AS A NOT-FOR-PROFIT HMO, MVP HAS A RESPONSIBILITY TO SUPPORT THE COMMUNITIES WITHIN ITS SERVICE AREA. RECOGNIZING THAT COMMUNITY NEEDS ARE MULTIFACETED, MVP HAS AN OVERARCHING VISION THAT FLOWS THROUGHOUT ALL THAT MVP DOES TO HELP CREATE HEALTHY COMMUNITIES. TO SUPPORT THIS VISION, MVP IS FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH AND IN 2023 MVP DIRECTED MORE THAN $1,500,000 IN FUNDING TOWARD SUCH AREAS AS: ACCESS TO AND QUALITY OF HEALTH CARE; SOCIAL SUPPORT INCLUDING EMPLOYMENT, FOOD SECURITY, HOUSING SUPPORT AND CHILDCARE; AND AFTER-SCHOOL PROGRAMMING AND LITERACY. THIS FINANCIAL SUPPORT WAS COMPLEMENTED BY MVP'S EMPLOYEE ENGAGEMENT VOLUNTEERING IN THE COMMUNITY THROUGH VIRTUAL AND ONSITE COMMUNITY SERVICE ACTIVITIES. IN 2023, 95% OF MVP'S GRANTS WERE FOCUSED ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH. WORKING WITH NOT-FOR-PROFIT ORGANIZATIONS AND HOSPITALS, MVP PROVIDED FINANCIAL SUPPORT FOR SUCH PROGRAMS AS: COMMUNITY: - FUNDED NINE STATE-OF-THE-ART OUTDOOR FITNESS COURTS IN PARTNERSHIP WITH THE NATIONAL FITNESS CAMPAIGN THROUGHOUT THE CAPITAL REGION, PROVIDING EQUITABLE ACCESS TO FREE, HIGH-QUALITY WORKOUTS USING STATE-OF-THE-ART EQUIPMENT. FITNESS COURT RECIPIENTS INCLUDED SUNY SCHENECTADY, ALBANY COLLEGE OF PHARMACY AND HEALTH SCIENCES, ALBANY COUNTY, CITY OF ALBANY, CITY OF SCHENECTADY AND THE CITY OF TROY. MVP PROMOTED THE PARTNERSHIP THROUGH EXTENSIVE MEDIA OUTREACH TO THE TARGET REGIONS. - PARTNERED WITH THE CITY OF AMSTERDAM, ST. MARY'S HEALTHCARE, UNITED WAY OF THE GREATER CAPITAL REGION, AND CDTA TO PROVIDE 1,000 NEW WINTER COATS, FOR CHILDREN IN NEED IN THE CITY OF AMSTERDAM THROUGH OPERATION BUNDLE UP. - PARTNERED WITH ROCHESTER SALVATION ARMY, GREATER ROCHESTER HEALTH FOUNDATION TO PROVIDE 1,000 COATS TO DISTRIBUTE TO FAMILIES IN NEED ACROSS ROCHESTER. - MANY EMPLOYEES PARTICIPATED IN THE CAPITAL REGION BLOOD CHALLENGE DURING JANUARY'S NATIONAL BLOOD DONOR MONTH, TO INCREASE THE NATION'S BLOOD SUPPLY AND PROMOTE PUBLIC HEALTH. MVP EMPLOYEES CONTRIBUTED TO THE COLLECTION OF NEARLY 50 UNITS OF BLOOD, WHICH WENT TO SAVE MORE THAN 150 LIVES. - PURCHASED MORE THAN 4,000 COATS FOR CHILDREN IN NEED THROUGH THE PROJECT BUNDLE UP COAT PROGRAM. - CO-HOSTED AN ANNUAL THANKSGIVING BASKET GIFTING TO PROVIDE MORE THAN 2,500 FAMILIES IN THE ALBANY AREA WITH THANKSGIVING DINNER, FURTHER PROMOTING HEALTHY LIVING THROUGH FOOD. - DONATED GIFTS TO THE BLACK FRIDAY PROJECT TO HELP FAMILIES IN NEED PURCHASE DISCOUNTED GIFTS FOR CHILDREN DURING THE HOLIDAYS. CORPORATE PRIORITIES: - THE CORNERSTONE OF MVP COMMUNITY SERVICE IS THE SERVICE TIME OFF (STO) PROGRAM. STO GIVES ALL MVP EMPLOYEES THE OPPORTUNITY TO MAKE A MEANINGFUL IMPACT IN OUR COMMUNITIES WHERE EVERY FULL TIME EMPLOYEE RECEIVES 7.5 HOURS OF PAID STO PER CALENDAR YEAR. IN 2023, MVP EMPLOYEES DEDICATED 5,700 SERVICE HOURS TO MORE THAN 200 NONPROFIT ORGANIZATIONS FOR AN EQUIVALENT OF $262,265 OR 143 WEEKS OF WORK. - CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AWARDED MVP HEALTH CARE'S DUAL SPECIAL NEEDS PLAN (D-SNP) 5 OUT OF 5 STARS RANKING IN NEW YORK STATE. MVP'S D-SNP WAS GIVEN THIS DESIGNATION BY CMS BASED ON FACTORS SUCH AS CUSTOMER SERVICE, QUALITY OF CARE, ACCESS TO HEALTH CARE SERVICES, DATA FROM IN-NETWORK DOCTORS AND HOSPITALS, AND MORE. - CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AWARDED MVP HEALTH CARE'S MEDICARE ADVANTAGE HMO-POS INSURANCE PLANS 5 OUT OF 5 STARS DESIGNATION. GENERAL HEALTH CARE SUPPORT AND AWARENESS: - PARTNERING WITH GALILEO TO PROVIDE 24/7 VIRTUAL CARE FOR ALL MVP MEMBERS, INCLUDING PRIMARY CARE, CHRONIC DISEASE MANAGEMENT, AND MULTISPECIALTY HEALTH CARE. THIS FIRST-OF-ITS-KIND OFFERING ALSO ALLOWED MVP'S MEDICAID MEMBERS VIRTUAL HEALTH CARE ACCESS, AS THEY WERE PREVIOUSLY REGULATED TO SEE AN IN-PERSON PCP. MVP CONDUCTED EXTENSIVE COMMUNITY OUTREACH TO INFORM CUSTOMERS AND THE COMMUNITY ABOUT THE OFFERING. - PARTNERING WITH THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN) TO PROVIDE A FIRST-OF-ITS-KIND CARE GUIDE BENEFIT, WHICH HELPS MEMBERS BETTER UNDERSTAND THEIR CONDITIONS AND NAVIGATE THEIR UNIQUE HEALTH NEEDS. THIS BENEFIT IS INCLUDED AS PART OF UNIVERSITY OF VERMONT HEALTH ADVANTAGE, A MEDICARE ADVANTAGE PLAN OFFERED BY A PARTNERSHIP BETWEEN MVP AND UVMHN AND IS A RESULT OF BOTH ORGANIZATION'S WORK TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. - PROVIDED FREE FLU SHOT CLINICS TO PROMOTE HEALTHY LIVING IN THE COMMUNITY AND PROMOTE PREVENTATIVE CARE, CONDUCTING WIDESPREAD OUTREACH TO ENSURE COMMUNITY MEMBERS KNEW THEY COULD GET VACCINATED. - SUPPORTED THE OPENING OF THE SOUTH END GROCERY STORE, A COMMUNITY GROCERY STORE AIMED AT ENDING THE FOOD DESERT IN ALBANY'S SOUTH END, IMPROVING ACCESS TO HEALTHY FOOD IN THE REGION. THESE ACTIVITIES ILLUSTRATE MVP'S STRONG COMMITMENT TO THE COMMUNITY IT SERVES AND ITS NON-PROFIT PURPOSE IN A VARIETY OF WAYS. THIS IS NOT A COMPLETE LIST OF MVP'S PAST AND ONGOING EFFORTS TO SUPPORT THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS MVPHP HOLDING COMPANY, INC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT TEAM (I.E. A TEAM COMPRISED OF REPRESENTATIVES OF THE FINANCE, HUMAN RESOURCES, AND LEGAL AFFAIRS DEPARTMENTS) IN CONSULTATION WITH THE ORGANIZATION'S TAX ACCOUNTANTS AT GRANT THORNTON, LLP. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C AS A TERM AND CONDITION OF EMPLOYMENT/APPOINTMENT, UPON EMPLOYMENT/APPOINTMENT AND ANNUALLY THEREAFTER, EACH EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT THEIR PERSONAL INTERESTS AND RELATIONSHIPS SO THAT MANAGEMENT CAN: 1) MAKE A DETERMINATION AS TO WHETHER AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND 2) MONITOR WORK ASSIGNMENTS/RESPONSIBILITIES TO AVOID PLACING THE INDIVIDUAL IN A POSITION WHERE THERE MAY BE A QUESTION AS TO OBJECTIVITY AND TO AVOID ANY APPEARANCE OF IMPROPRIETY. EMPLOYEES AND OFFICERS ARE ALSO OBLIGATED TO PROMPTLY NOTIFY THEIR MANAGERS OF ANY CHANGES TO THEIR DISCLOSURES THROUGHOUT THE YEAR. ALSO, THE LEGAL AFFAIRS DEPARTMENT SUBMITS A COPY OF EMPLOYEES' (VP AND HIGHER) COMPLETED DISCLOSURE CONFLICT OF INTEREST FORMS TO THE AUDIT COMMITTEE OF THE BOARD. DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON APPOINTMENT/ELECTION AND ANNUALLY THEREAFTER DIRECTOR'S CONFLICT OF INTEREST DISCLOSURE FORMS ARE SUBMITTED TO THE LEGAL AFFAIRS DEPARTMENT. THE LEGAL AFFAIRS DEPARTMENT TRACKS THESE FORMS TO ENSURE THAT EACH AND EVERY DIRECTOR COMPLETES ONE. THE LEGAL AFFAIRS DEPARTMENT THEN REVIEWS THE DIRECTORS' DISCLOSURES, PREPARES A CHART LISTING EACH ONE AND PROVIDES A COPY OF THE CHART TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AND EACH DIRECTOR SO THAT ALL DIRECTORS ARE MADE AWARE OF ALL DIRECTORS' POTENTIAL CONFLICTS OF INTEREST. WHEN AN ISSUE WHICH PRESENTS A POTENTIAL CONFLICT OF INTEREST COMES BEFORE THE BOARD OF DIRECTORS, THE AFFECTED DIRECTOR MUST RECUSE HIMSELF/HERSELF FROM ALL RELATED VOTES OR APPROVALS. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT CONSULTANT IS HIRED ANNUALLY TO EVALUATE THE COMPENSATION ARRANGEMENTS FOR THE CEO AND THE CEO'S DIRECT REPORTS AND COMPARE THEM TO THE INDUSTRY STANDARDS TO DETERMINE/CONFIRM THAT THE COMPENSATION STRUCTURE IS REASONABLE. SUCH COMPENSATION ARRANGEMENTS ARE SUBJECT TO THE FINAL APPROVAL OF THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. THIS PROCESS MEETS THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION STANDARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC (UPON REQUEST) IN ACCORDANCE WITH APPLICABLE LAW AND REGULATION. FORM 990, PART IX, LINES 5-9: ALL SALARIES ALLOCATED TO MVP HEALTH PLAN, INC. ARE PAID BY A RELATED ENTITY, MVP SERVICE CORP. (SEE SCHEDULE R, PART IV). MVP HEALTH PLAN REIMBURSES MVP SERVICE CORP. FOR THESE EXPENSES AND RECORDS THE EXPENSE ON FORM 990, PART IX, LINE 21 AS A PAYMENT TO AFFILIATE RATHER THAN AS SALARY AND BENEFIT EXPENSES ON LINES 5 THROUGH 9. AMOUNTS REPORTED ON PART IX, LINE 5 REPRESENT THE FEES PAID BY MVP HEALTH PLAN TO BOARD OF DIRECTORS MEMBERS (AS REPORTED IN PART VII) FOR THEIR BOARD SERVICE. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -6,518,945. ACCRUED INTEREST 3,498,554. MVP HEALTH CARE INC 625 STATE STREET SCHENECTADY NY 12305 161318351 HOLDING CORPORATION NY 501(C)(4) N/A 0 BELONG HEALTH NY LLC 625 STATE STREET SCHENECTADY NY 12305 872829532 HOLDING CORPORATION NY MVPUT HOLDING C 0 BH ACO LLC 625 STATE STREET SCHENECTADY NY 12305 881756827 MCR SUPPORT SERVICES NY BELONG HEALTH NY LLC C 0 BHNY IPA LLC 625 STATE STREET SCHENECTADY NY 12305 880562468 DSNP PROVIDER NETWORK NY BELONG HEALTH NY LLC C 0 BHNY SERVICES LLC 625 STATE STREET SCHENECTADY NY 12305 872841504 DSNP SUPPORT SERVICES NY BELONG HEALTH NY LLC C 0 GEMINI HEALTH HOLDINGS INC 625 STATE STREET SCHENECTADY NY 12305 861243569 HOLDING CORPORATION DE MVPUT HOLDING C 0 GENOMIC CARE AND CONTROL INC 625 STATE STREET SCHENECTADY NY 12305 821681921 PRECISION MEDICINE DE MVPUT HOLDING C 0 MVP BENEFIT GROUP INC 625 STATE STREET SCHENECTADY NY 12305 562364047 AGENT/BROKER NY MVPUT HOLDING C 0 MVP HEALTH INSURANCE COMPANY 625 STATE STREET SCHENECTADY NY 12305 141827918 INSURANCE NY MVPRT HOLDING C 0 MVP HEALTH SERVICES CORP 625 STATE STREET SCHENECTADY NY 12305 223197320 INSURANCE NY MVPRT HOLDING C 0 MVP HEALTH SOLUTIONS IPA INC 625 STATE STREET SCHENECTADY NY 12305 834462995 BH NTWRK CONTRACT NY MVPUT HOLDING C 0 MVP HEALTH SOLUTIONS INC 625 STATE STREET SCHENECTADY NY 12305 833390311 BH NTWRK CONTRACT NY MVPUT HOLDING C 0 MVP SELECT CARE INC 625 STATE STREET SCHENECTADY NY 12305 141704347 TPA/ASO NY MVPUT HOLDING C 0 MVP SERVICE CORP 625 STATE STREET SCHENECTADY NY 12305 141730494 MANAGEMENT NY MVPUT HOLDING C 0 MVPHIC HOLDING CORP 625 STATE STREET SCHENECTADY NY 12305 141828436 HOLDING CORPORATION NY MVP HEALTH CARE C 0 MVPHP HOLDING COMPANY INC 625 STATE STREET SCHENECTADY NY 12305 134320971 HOLDING CORPORATION NY MVP HEALTH CARE C 0 MVPRT HOLDINGS INC 625 STATE STREET SCHENECTADY NY 12305 760808233 HOLDING CORPORATION NY MVPHIC HOLD C 0 MVPUT HOLDINGS INC 625 STATE STREET SCHENECTADY NY 12305 760808234 HOLDING CORPORATION NY MVPHIC HOLD C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 PART V, LINE 2: THE PLAN HAS A MANAGEMENT SERVICES AND CONSULTING AGREEMENT WITH A RELATED ORGANIZATION, MVP SERVICES CORP, INC.. THE SUBSIDIARY PERFORMS ALL DAY-TO-DAY OPERATIONS OF THE PLAN SUBJECT TO THE SUPERVISION OF THE PLAN'S BOARD OF DIRECTORS AND CHARGES THE PLAN FOR ITS SHARE OF COSTS BASED ON A CONTRACTUAL ALLOCATION METHODOLOGY. THIS TRANSACTION IS MEMORIALIZED WITH CODE M ON SCHEDULE R, PART V, LINE 2. IN ADDITION, THE PLAN PROVIDES CERTAIN MANAGEMENT SERVICES TO ITS AFFILIATES AND CHARGES THESE NON-SALARY EXPENSES BASED ON A SIMILAR CONTRACTUAL ALLOCATION METHODOLOGY. THIS TRANSACTION IS MEMORIALIZED WITH CODE L ON SCHEDULE R, PART V, LINE 2.