2024-07-15T19:37:40-05:00 2023-08-31 390859910 BAKER TILLY ADVISORY GROUP LP 790 N WATER ST SUITE 2000 MILWAUKEE WI 53202 990 2022-09-01 391534049 VIVENT HEALTH INC VIVE 4142731991 1311 N 6TH STREET MILWAUKEE WI 532030092 TIMOTHY D DYER EXECUTIVE VP & CFO 4142731991 2024-07-15 1 TIMOTHY DYER XXX-XX-XXXX 1 SHELBY NETZ CPA P01405265 4147775500 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X TIMOTHY D DYER 1311 N 6TH STREET MILWAUKEE WI 532030092 269094298 0 X WWW.VIVENTHEALTH.ORG X 1986 WI VISION: WE ENVISION A WORLD WITHOUT AIDS AND STRIVE TO ASSURE THAT EVERYONE WITH HIV DISEASE WILL LIVE A LONG AND HEALTHY LIFE.MISSION: TO BE A RELENTLESS CHAMPION FOR PEOPLE AFFECTED BY HIV AND DO ALL WE CAN TO HELP THEM THRIVE, BECAUSE WE BELIEVE EVERY PERSON HAS VALUE AND SHOULD BE TREATED WITH RESPECT. 20 20 643 167 0 0 22535296 29847736 4418706 4672766 54415 786484 37862132 42744415 64870549 78051401 5632550 9844694 0 0 32928386 38239518 0 0 2100464 17974893 21027726 56535829 69111938 8334720 8939463 94301216 163765839 8124826 66798247 86176390 96967592 X VISION: WE ENVISION A WORLD WITHOUT AIDS AND STRIVES TO ASSURE THAT EVERYONE WITH HIV DISEASE WILL LIVE A LONG AND HEALTHY LIFE. MISSION: TO BE A RELENTLESS CHAMPION FOR PEOPLE AFFECTED BY HIV AND DO ALL WE CAN TO HELP THEM THRIVE, BECAUSE WE BELIEVE EVERY PERSON HAS VALUE AND SHOULD BE TREATED WITH RESPECT. 0 0 19051215 5052948 44280109 MEDICAL SERVICES: FOLLOWING A SUCCESSFUL MERGER WITH TEST POSITIVE AWARENESS NETWORK (TPAN) IN CHICAGO, VIVENT HEALTH NOW OPERATES IN COLORADO, ILLINOIS, MISSOURI, TEXAS AND WISCONSIN. ACROSS ALL LOCATIONS, VIVENT HEALTH CARED FOR MORE THAN 17,260 PATIENTS AND CLIENTS IN 2023. IN FY 2023, VIVENT HEALTH PROVIDED $13,567,997 WORTH OF UNCOMPENSATED CARE, AND PROVIDED 28,410, MEDICAL CARE APPOINTMENTS, 11,571 DENTAL APPOINTMENTS, 12,095 BEHAVIORAL HEALTH AND WELLNESS APPOINTMENTS AND FILLED MORE THAN 284,032 PRESCRIPTIONS. MORE THAN 90% OF PATIENTS RATE THE CARE THEY RECEIVE AS GOOD OR VERY GOOD . THE VIVENT HEALTH HIV MEDICAL HOME PROVIDES PATIENTS WITH THE FOLLOWING: MEDICAL CARE THAT INCLUDES MEDICAL MANAGEMENT OF HIV DISEASE, PRIMARY CARE FOR GENERAL HEALTH CONDITIONS, DIAGNOSIS AND TREATMENT OF OTHER CHRONIC AND CO-MORBID CONDITIONS, PSYCHIATRY, INCLUDING TELEPSYCHIATRY FOR THE PATIENTS LIVING CONSIDERABLE DISTANCES FROM THEIR MENTAL HEALTH PROVIDER, MEDICATION ADHERENCE COUNSELING INCLUDING DRUG INTERACTION AND SIDE EFFECT COUNSELING, HIV PREVENTION EDUCATION AND COUNSELING INCLUDING PRE EXPOSURE PROPHYLAXIS FOR HIV-NEGATIVE INDIVIDUALS, AND REFERRALS AND CLOSE MONITORING FOR NEEDED SPECIALTY CARE; DENTAL CARE SERVICES THAT INCLUDE PREVENTIVE AND RESTORATIVE CARE, ORAL HEALTH EDUCATION, CLEANINGS, FILLINGS AND DENTAL PROSTHETICS, PARTIAL AND FULL DENTURES AND ORAL SURGERY; BEHAVIORAL HEALTH CARE SERVICES THAT INCLUDE MENTAL HEALTH SCREENINGS AND TREATMENT, NEUROPSYCHOLOGICAL TESTING, ALCOHOL AND OTHER DRUG TREATMENT AND INDIVIDUAL AND GROUP COUNSELING AND WELLNESS PROGRAMS; MEDICAL CASE MANAGEMENT THAT ASSURES SUCCESSFUL HEALTH OUTCOMES BY ENROLLING PATIENTS INTO CARE, IDENTIFYING AND SECURING HEALTH CARE PAYER SOURCES WHEN AVAILABLE, PROVIDING MEDICATION AND APPOINTMENT ADHERENCE COUNSELING, ENSURING PATIENT REFERRALS TO SPECIALTY CARE ARE COMPLETED, CONDUCTING HIV PREVENTION COUNSELING AND ASSISTING PATIENTS IN ACCESSING OTHER NEEDED SERVICES; THE VIVENT PHARMACY DISPENSES MEDICATIONS AND MEDICATION ADHERENCE COUNSELING IS AVAILABLE TO ALL HIV PATIENTS, REGARDLESS OF ABILITY TO PAY THROUGH THE INTEGRATED VIVENT PHARMACY MEDICATION ASSISTANCE PROGRAM. HEALTH CARE PROVIDERS ARE ALSO ABLE TO UTILIZE THE EXPERTISE OF VIVENT HEALTH PHARMACISTS IN PROVIDING CARE TO THEIR PATIENTS. 20375993 4699998 SOCIAL SERVICES: VIVENT HEALTH PROVIDES SOCIAL SERVICES INCLUDING SOCIAL WORK CASE MANAGEMENT, LEGAL SERVICES, HOUSING PROGRAMS, RENT AND UTILITY ASSISTANCE AND ACCESS TO FOOD PANTRIES THAT ARE INTEGRATED WITH THE HEALTH CARE SERVICES PROVIDED TO HIV PATIENTS. VIVENT HEALTH OFFERS INTEGRATED SOCIAL SERVICES TO HELP HIV PATIENTS OVERCOME SERIOUS SOCIAL DETERMINANTS OF HEALTH THAT ARE OFTEN THE DIFFERENCE BETWEEN SUCCESSFUL DISEASE MANAGEMENT AND A LONG, HEALTHY LIFE OR RAPID DISEASE PROGRESSION. IN FY-2023, VIVENT HEALTH WITNESSED YEAR-OVER-YEAR INCREASES IN FOOD PANTRY CLIENTS SERVED (35%), TOTAL FOOD PANTRY ORDERS (17%) AND HOME DELIVERIES (27%); AND SERVED NEARLY 1,500 HOUSING CLIENTS 91% OF WHICH RECEIVED HOUSING CASE MANAGEMENT SERVICES AND 49% OF WHICH RECEIVED HOUSING FINANCIAL SUPPORT. BY HELPING PATIENTS OVERCOME BARRIERS TO HEALTH CARE RELATED TO POVERTY, DISCRIMINATION, HOMELESSNESS, AND HUNGER, VIVENT HEALTH ALLOWS PATIENTS TO FOCUS ON SUCCESSFULLY ADHERING TO COMPLEX TREATMENT REGIMENS THAT AFFORD THEM THE BEST OPPORTUNITY FOR HEALTH. IN ALL LOCATIONS, VIVENT HEALTH PARTNERS WITH OTHER ORGANIZATIONS TO AVOID UNNECESSARY DUPLICATION OF SERVICES. 8129612 91748 PREVENTION SERVICES: IN ALL LOCATIONS, VIVENT HEALTH PROVIDES AGGRESSIVE, TARGETED EDUCATION, PREVENTION AND TESTING SERVICES. IN FY 2023, VIVENT HEALTH CONDUCTED 3,628 HIV TESTS, 3,628 HEP-C TESTS, AND 11,264 STD TESTS. VIVENT HEALTH PROVIDED TENS OF THOUSANDS OF HIV PREVENTION CONTACTS UTILIZING HIV AND STD PREVENTION AND RISK REDUCTION COUNSELING FOR MEN WHO HAVE SEX WITH MEN, PEOPLE WHO INJECT DRUGS, AND OTHERS AT-RISK FOR HIV AND STI, INCLUDING THE DISTRIBUTION OF MORE THAN 1 MILLION CONDOMS, THROUGH PERSONAL INTERVENTIONS, THE INTERNET AND SOCIAL MEDIA; HIV AND HEPATITIS C COUNSELING AND TESTING SERVICES FOR INJECTION DRUG USERS AND THEIR PARTNERS; SYRINGE ACCESS SERVICES (MORE THAN 5.1 MILLION SYRINGES WERE DISTRIBUTED), AND RISK REDUCTION COUNSELING FOR INJECTION DRUG USERS; OPIATE OVERDOSE PREVENTION EDUCATION (DISTRIBUTED 60,397 DOSES OF NALOXONE AND SAVED 2,142 PEER LIVES); PREVENTION AND TESTING SERVICES FOR WOMEN AND YOUTH AT-RISK FOR HIV AND HIV AWARENESS, EDUCATION, AND REFERRAL SERVICES. 47556820 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 691 0 1 643 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 WI CO MO X X TIMOTHY D DYER 4142251542 1311 N 6TH STREET MILWAUKEE WI 532030092 ARVAN CHAN BOARD CHAIR 1.00 2.00 X X 0 0 0 NOEL LANDUYT PHD MA BOARD VICE CHAIR 1.00 2.00 X X 0 0 0 DAN KAPLAN BOARD MEMBER, PAST CHAIR 1.00 2.00 X 0 0 0 AIMEE BECKER MD BOARD MEMBER 1.00 2.00 X 0 0 0 AISHA WHITE MD BOARD MEMBER 1.00 2.00 X 0 0 0 ERIC CONLEY BOARD MEMBER 1.00 2.00 X 0 0 0 FRED SSEWAMALA PHD BOARD MEMBER 1.00 2.00 X 0 0 0 GEORGE MACKINNON III PHD MS RPH BOARD MEMBER (THROUGH 12/2022) 1.00 2.00 X 0 0 0 GORDON MYERS BOARD MEMBER 1.00 2.00 X 0 0 0 JAMES SUMERS BOARD MEMBER (START 03/2023) 1.00 3.00 X 0 0 0 JANE APPLEBY BOARD MEMBER (THROUGH 12/2022) 1.00 2.00 X 0 0 0 JEANETTE KOWALIK PHD MPH MCHES BOARD MEMBER 1.00 2.00 X 0 0 0 JEROLD MCDONALD BOARD MEMBER 1.00 2.00 X 0 0 0 JOHN NYGREN BOARD MEMBER 1.00 2.00 X 0 0 0 KEVIN HAYNES BOARD MEMBER 1.00 2.00 X 0 0 0 LISA VANLERBEGHE BOARD MEMBER (THROUGH 12/2022) 1.00 2.00 X 0 0 0 MARCUS LEONARD BOARD MEMBER (START 03/2023) 1.00 3.00 X 0 0 0 MICHAEL MURPHY BOARD MEMBER (START 03/2023) 1.00 5.00 X 0 0 0 MIKE HUGHES BOARD MEMBER (THROUGH 12/2022) 1.00 2.00 X 0 0 0 MIKE ROMANO BOARD MEMBER 1.00 2.00 X 0 0 0 NANCY FLAGG BOARD MEMBER (THROUGH 12/2022) 1.00 2.00 X 0 0 0 POONNASA CORN BOARD MEMBER 1.00 2.00 X 0 0 0 ROBBIE HARRIFORD MD BOARD MEMBER 1.00 2.00 X 0 0 0 ROBERT GAROFALO MD BOARD MEMBER (START 03/2023) 1.00 3.00 X 0 0 0 RYAN COX BOARD MEMBER 1.00 2.00 X 0 0 0 SUSSANN KOTARA MD BOARD MEMBER 1.00 2.00 X 0 0 0 MICHAEL J GIFFORD PRESIDENT (THROUGH 10/2022) 40.00 2.00 X 602573 0 142135 TIMOTHY D DYER EXECUTIVE VICE PRESIDENT & CFO 40.00 2.00 X 386263 0 128048 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 40.00 2.00 X 269272 0 46936 BRANDON HILL CEO (AS OF 10/2022) 40.00 2.00 X 163380 0 30203 ANTHONY FIELDS CHIEF PHARMACY OFFICER 40.00 2.00 X 321912 0 49569 LESLIE COCKERHAM CHIEF MEDICAL OFFICER 40.00 2.00 X 294776 0 55491 WILLIAM SUMMERS MEDICAL DIRECTOR 40.00 2.00 X 279157 0 34041 MIA SCOTT MEDICAL DIRECTOR 40.00 2.00 X 266241 0 28901 THERESA DEAR CHIEF PEOPLE OFFICER 40.00 2.00 X 268257 0 26802 DEBRA ENDEAN FORMER EXECUTIVE VP & COO (THROUGH 06/2022) 40.00 2.00 X 447247 0 67769 3299078 0 609895 73 1 1 0 TRI-NORTH BUILDERS 2625 RESEARCH PARK DRIVE FITCHBURG WI 53711 CONSTRUCTION SERVICES 8729819 HENRY SCHEIN PO BOX 371952 PITTSBURGH PA 152507952 MEDICAL & DENTAL SUPPLIES 1547450 IRIS TELEHEALTH MEDICAL GROUP PA PO BOX 75284-3382 DALLAS TX 752843382 TELEPSYCHIATRY SERVICES 1086232 LAMY-ARCADIA LLC PO BOX 684548 AUSTIN TX 78768 RENTS 1031271 OCHIN INC PO BOX 5426 PORTLAND OR 972285426 CLINICAL SUPPORT SERVICE 715731 54 551261 267949 25346855 3681671 674608 29847736 MEDICARE/MEDICAID PAYM 621399 2619037 2619037 3RD PARTY HEALTH CARE 621399 1716885 1716885 CONTRACT PHARMACY 621399 336844 336844 4672766 858326 858326 9196854 9238514 30182 -41660 -30182 -71842 -71842 153195 267949 460289 -307094 -307094 220921255 181313912 39607343 39607343 MSA REV. - AFFILIATES 900099 3144285 3144285 RESEARCH REVENUE 621500 209639 209639 MISCELLANEOUS 900099 90242 90242 3444166 78051401 44280109 0 3923556 611761 611761 9232933 9232933 2331406 515016 1563424 252966 26699210 19283293 6656398 759519 1278743 933865 300699 44179 5862270 4281210 1378525 202535 2067889 1646452 344965 76472 96097 96097 136742 136742 341908 341908 3051438 527677 2114104 409657 258819 18837 235522 4460 2521769 1520491 919468 81810 2009759 833118 1107011 69630 5461049 4729993 646448 84608 948878 583553 305034 60291 58828 38831 19997 2265988 21571 2244099 318 576462 91066 485396 PROGRAM MATERIALS 2218805 2211148 842 6815 CONTRACTED PROGRAM SERV 370917 370917 PHARMACY EXPENSE 346227 4515 341712 LICENSES AND FEES 332746 75614 229925 27207 31294 24959 6335 69111938 47556820 19454654 2100464 21483864 16843310 11259768 16927711 4700218 9228090 13661058 18805156 3632695 5334134 495607 473466 24456876 8038906 8629629 16417970 2825499 1661184 3666720 5106158 23946158 72968660 94301216 163765839 6251301 10301291 774286 461573 1099239 56035383 8124826 66798247 X 85868202 96350373 308188 617219 86176390 96967592 94301216 163765839 X 8939463 401738 1450001 X X 0 1 X 1 1 1 X 21602142 20553018 25777311 22535296 29847736 120315503 21602142 20553018 25777311 22535296 29847736 120315503 120315503 146084 101412 2466 24098 2352573 2626633 18167 168704 1101023 1949919 3237813 126179949 818658287 0.95350 0.98460 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 18,167. 2020 AMOUNT: $ 168,704. 2021 AMOUNT: $ 1,101,023. 2022 AMOUNT: $ 1,949,919. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 337314 0 1 4594 341908 0 PART II-B, LINE 1: VIVENT HEALTH ACTIVELY ADVOCATES IN SUPPORT OF PUBLIC POLICY PROGRAMS THAT PROVIDE ACCESS TO HEALTH CARE AND SOCIAL SERVICES THAT ALLOW PEOPLE LIVING WITH HIV TO ACHIEVE OPTIMAL HEALTH. VH ALSO ADVOCATES IN SUPPORT OF PUBLIC POLICY THAT SUPPORTS AGGRESSIVE HIV PREVENTION PROGRAMS. ADVOCACY IS CARRIED OUT BY PAID STAFF AND CONSULTANTS WHO REGISTER AND COMPLY WITH ALL REGULATIONS RELATED TO LOBBYING, AS WELL AS GRASSROOTS LOBBYING CARRIED OUT BY VOLUNTEERS. 0 1 X 845757 56790 902547 1054483 -208726 845757 892586 161897 1054483 698558 25000 169028 892586 670303 28255 698558 0.40000 0.60000 0 1 1 17742971 4908294 12834677 4982355 1971314 3011041 1731550 1159298 572252 16417970 DUE FROM MILWAUKEE AIDS HOUSING CORPORATION 877238 DUE FROM VIVENT HEALTH ENDOWMENT FUND 5311 DEPOSITS 242468 DEFERRED COMPENSATION INVESTMENTS 250671 DUE FROM ASA 35596094 RIGHT OF USE ASSET 21848977 INTERCOMPANY RECEIVABLES 13353537 DUE FROM TPA NETWORK 794364 72968660 DEFERRED COMPENSATION 114192 LEASE LIABILITY 23780261 DUE TO TX PHARMACY 32140930 56035383 X 261217052 401738 1450001 1851739 259365313 -181313912 -181313912 78051401 250425850 0 250425850 -181313912 -181313912 69111938 PART IV, LINE 2B: VIVENT HEALTH ACTS AS A FISCAL AGENT FOR THE LATINO HEALTH COUNCIL. VIVENT HEALTH COORDINATES THE FINANCIAL ACTIVITIES ON BEHALF OF THE LATINO HEALTH COUNCIL THROUGH RECEIPT AND DISBURSEMENT OF FUNDS. CASH RECEIPTS IN EXCESS OF DISBURSEMENTS ARE REFLECTED IN THE LIABILITIES IN THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION. PART V, LINE 4: VIVENT HEALTH USES INCOME AND REALIZED GAINS FROM ENDOWMENT FUNDS FOR GENERAL PURPOSES. PART X, LINE 2: VIVENT HEALTH IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, VIVENT HEALTH QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). VIVENT HEALTH IS ALSO EXEMPT FROM STATE INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON DEFERRED COMPENSATION PLAN 10,563. INHERENT CONTRIBUTION FROM ACQUISITIONS 1,439,438. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -181,313,912. PART XII, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -181,313,912. MAKE A PROMISE 216426 188226 28200 924 114675 74779 32534 87144 ART OF PAWS AND PEOPLE 79723 79723 3033 3355 9366 14949 35350 5 124995 124995 1000 11919 163 12012 59086 421144 267949 153195 4957 129949 84308 59495 181580 460289 -307094 1 WASHINGTON UNIVERSITY IN ST LOUIS 700 ROSEDALE AVE SAINT LOUIS MO 631121408 430653611 501(C)(3) 309856 0 TO PROVIDE HIV/AIDS RELATED SERVICES UNIVERSITY OF WISCONSIN MEDICAL 7974 UW HEALTH COURT MIDDLETON WI 53562 391824445 501(C)(3) 43156 0 TO PROVIDE HIV/AIDS RELATED SERVICES MILWAUKEE PRIDE INC PO BOX 1444 MILWAUKEE WI 53201 383901627 501(C)(3) 26000 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES RODNEY SCHEEL HOUSE 1966 S STOUGHTON ROAD MADISON WI 53208 391742330 501(C)(3) 40089 0 TO PROVIDE HIV/AIDS RELATED SERVICES AUSTIN PRIDE PO BOX 162924 AUSTIN TX 78716 271779701 501(C)(3) 15000 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES COMMON GROUND MINISTRY PO BOX 26916 WAUWATOSA WI 53226 392005369 501(C)(3) 13660 0 TO PROVIDE HIV/AIDS RELATED SERVICES KANSAS CITY PRIDE COMMUNITY ALLIANC 208 WESTPORT RD KANSAS CITY MO 64111 853147608 501(C)(3) 10000 0 TO PROVIDE STIGMA REDUCTION AND EDUCATION RELATED SERVICES DOORWAYS 4385 MARYLAND AVE SAINT LOUIS MO 63108 431484279 501(C)(3) 6500 0 TO PROVIDE HIV/AIDS RELATED SERVICES GAY LESBIAN BISEXUAL & TRANSGENDER COMMUNITY CENTER OF COLORADO 1301 E COLFAX AVNUE DENVER CO 80218 840738879 501(C)(3) 12500 0 PRIDEFEST SPONSORSHIP NATIONAL AIDS MEMORIAL PO BOX 2270 SAN FRANCISCO CA 94126 824329012 501(C)(3) 100000 0 TO RAISE AWARENESS OF HIV, HIV HISTORY AND LEGACY, AND DECREASING STIGMA MUSEUM OF WISCONSIN ART 205 VETERANS AVE WEST BEND WI 53095 391017647 501(C)(3) 15000 0 EVENT SPONSORSHIP, STIGMA REDUCTION HILL COUNTRY RIDE FOR AIDS PO BOX 49097 AUSTIN TX 78765 273560102 501(C)(3) 10000 0 SUPPORT OF 501C3 THAT ORGANIZES AND HOSTS A LARGE COMBINED EVENT TO RAISE MONEY FOR THE ASO COMMUNITY IN AUSTIN 12 0 FINANCIAL ASSISTANCE FOR PATIENTS 1463 5581789 FOOD ASSISTANCE FOR PATIENTS 3883 1241816 MEDICATION ASSISTANCE FOR PATIENTS 2102 2409328 PART I, LINE 2: VIVENT HEALTH GRANTS FUNDS TO OTHER ORGANIZATIONS IN ONE OF TWO WAYS. VIVENT HEALTH MAY PARTNER WITH ANOTHER ORGANIZATION AS A SUB GRANTEE. IN THAT CASE, A FORMAL CONTRACT IS ISSUED WITH SPECIFIC PROGRAM ACTIVITIES REQUIRED TO QUALIFY FOR THE FUNDS. THESE SUB GRANTEES ARE REQUIRED TO SUBMIT GRANT BUDGETS FOR PRIOR APPROVAL AND THEN TO BILL FOR ACTUAL EXPENSES INCURRED ACCORDING TO THE APPROVED BUDGET. VIVENT HEALTH PROGRAM STAFF ARE RESPONSIBLE FOR MONITORING THE SUB GRANTEES PERFORMANCE AGAINST THEIR SCOPE OF ACTIVITIES. IN ADDITION, FROM TIME TO TIME VIVENT HEALTH MAY ALSO GRANT UNRESTRICTED FUNDS TO ORGANIZATIONS TO SPONSOR AN EVENT OR ACTIVITY. THESE ARE ONE-TIME GRANTS AUTHORIZED FOR PAYMENT IN ADVANCE. X X X X X 1 1 0 0 0 1 0 0 0 MICHAEL J GIFFORD PRESIDENT (THROUGH 10/2022) 418099 0 121624 0 62850 0 108662 0 33473 0 744708 0 0 0 DEBRA ENDEAN FORMER EXECUTIVE VP & COO (THROUGH 06/2022) 357993 0 89254 0 0 0 57727 0 10042 0 515016 0 0 0 TIMOTHY D DYER EXECUTIVE VICE PRESIDENT & CFO 282237 0 62600 0 41426 0 107964 0 20084 0 514311 0 31473 0 ANTHONY FIELDS CHIEF PHARMACY OFFICER 285883 0 36029 0 0 0 16096 0 33473 0 371481 0 0 0 LESLIE COCKERHAM CHIEF MEDICAL OFFICER 281180 0 13596 0 0 0 14738 0 40753 0 350267 0 0 0 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 241843 0 27429 0 0 0 13463 0 33473 0 316208 0 0 0 WILLIAM SUMMERS MEDICAL DIRECTOR 263097 0 16060 0 0 0 13957 0 20084 0 313198 0 0 0 MIA SCOTT MEDICAL DIRECTOR 251733 0 14508 0 0 0 13312 0 15589 0 295142 0 0 0 THERESA DEAR CHIEF PEOPLE OFFICER 238047 0 30210 0 0 0 13413 0 13389 0 295059 0 0 0 BRANDON HILL CEO (AS OF 10/2022) 157226 0 0 0 6154 0 24615 0 5588 0 193583 0 0 0 PART I, LINES 4A-B SOME EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDER YEAR. THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. THE PREVIOUS PRESIDENT & CEO, MICHAEL J. GIFFORD, PREVIOUS CHIEF OPERATING OFFICER, DEBRA ENDEAN, CHIEF FINANCIAL OFFICER, TIMOTHY DYER, AND PRESIDENT AND CEO, BRANDON HILL PARTICIPATE IN A 457(F) PLAN SPONSORED BY VIVENT HEALTH. THE AMOUNT PAID TO DEB ENDEAN DURING 2022 WAS $168,251. THERE WERE NO AMOUNTS PAID OUT TO ANY OTHER PARTICIPANTS. PART I, LINE 6 ALL STAFF HAVE PAY FOR PERFORMANCE GOALS EACH YEAR, AND AS PART OF THOSE GOALS, SOME SENIOR STAFF HAVE A NET EARNINGS TARGET AS ONE OF THEIR GOALS. HOWEVER, COMPENSATION IS NOT CALCULATED BASED ON THE NET EARNINGS, BUT ON THE ACHIEVEMENT OF THE NET EARNINGS GOAL ITSELF. X 2 6616 FAIR MARKET VALUE X DENTAL EQUIPMENT 1 667992 FAIR MARKET VALUE 0 0 1 1 PART I, COLUMN (B): VIVENT HEALTH RECEIVED A SIGNIFICANT PRICING DISCOUNT ON DENTAL EQUIPMENT FOR THE BUILT OR EXPANSION OF THREE VIVENT HEALTH DENTAL CLINICS. THIS DISCOUNT WAS DUE TO THE NEGOTIATED, ONGOING RELATIONSHIP BETWEEN VIVENT HEALTH AND HENRY SCHEIN. THE AMOUNT OF THE DISCOUNT AS COMPARED TO THE NORMAL SALES PRICE (CONSIDERED TO BE FMV) WAS RECORDED AS A NON CASH CONTRIBUTION. PART I, LINE 32B: VIVENT HEALTH USES A BROKERAGE ACCOUNT TO RECEIVE STOCK GIFTS FOR IMMEDIATE SALE. A BROKER/BROKERAGE FIRM IS USED TO FACILITATE THE SALE AND ARE PAID A COMMISSION. ONCE THE SALE IS FINALIZED, THE CASH IS USED FOR OPERATING EXPENSE OR AS INTENDED BY THE DONOR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL ACT ON BEHALF OF THE FULL BOARD BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS; PROVIDED, HOWEVER, THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO ELECT OR REMOVE DIRECTORS OR OFFICERS OF THE CORPORATION, INCLUDING THE PRESIDENT & CHIEF EXECUTIVE OFFICER, FILL VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY BOARD COMMITTEE, OR APPROVE ANY CORPORATE ACQUISITION OR MERGER. THE EXECUTIVE COMMITTEE SHALL OVERSEE THE ORGANIZATIONAL EXPANSION OF THE CORPORATION, INCLUDING THE IMPLEMENTATION AND EXECUTION OF MERGERS AND ACQUISITIONS. ANY ACTIONS TAKEN BY EXECUTIVE COMMITTEE SHALL BE RATIFIED BY THE FULL BOARD AT ITS NEXT REGULARLY SCHEDULED MEETING. THE EXECUTIVE COMMITTEE SHALL ALSO ANALYZE AND ASSURE IMPLEMENTATION OF GOVERNANCE BEST PRACTICES. FORM 990, PART VI, SECTION B, LINE 11B THE VIVENT HEALTH BOARD OF DIRECTORS HAS DESIGNATED THE FINANCE COMMITTEE OF THE BOARD TO ACT AS THE AUDIT COMMITTEE. AS PART OF THAT ROLE, THE COMMITTEE CONDUCTS A DETAILED REVIEW OF THE 990 PRIOR TO ITS FILING. THE COMMITTEE PROVIDES A REPORT OF THE RESULTS OF THAT REVIEW ALONG WITH A COPY OF THE 990 TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE FINANCE AND PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CURRENT WRITTEN CONFLICT OF INTEREST POLICY AND MAKES RECOMMENDATIONS FOR ANY NECESSARY CHANGE TO THE FULL BOARD OF DIRECTORS FOR ADOPTION. THE CORPORATE SECRETARY DISTRIBUTES AND COLLECTS THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THE QUESTIONNAIRES ARE THEN REVIEWED BY EXECUTIVE MANAGEMENT FOR POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE MEETS IN EXECUTIVE SESSION TO REVIEW THE PREVIOUS YEAR'S PERFORMANCE OF THE CEO, AND SETS HIS COMPENSATION FOR THE NEXT YEAR USING VARIOUS COMPENSATION DATA AVAILABLE FOR THEIR USE. THE CHAIR OF THE BOARD COMMUNICATES IN WRITING TO THE CFO THE COMPENSATION TO BE AWARDED FOR THE CEO FOR THE NEXT YEAR. THE AGENCY HAS A FORMAL PERFORMANCE REVIEW PROCESS FOR ALL STAFF INCLUDING OFFICERS AND KEY EMPLOYEES THAT IS CONDUCTED ON AN ANNUAL BASIS, USING A PAY FOR PERFORMANCE SYSTEM. EXECUTIVE MANAGEMENT PROVIDES GUIDANCE ON THE RANGE OF SALARY INCREASES THAT ARE AVAILABLE TO STAFF UTILIZING VARIOUS DATA INCLUDING THE ANNUAL CPI, INFLATION RATE, AND A NATIONAL NON-PROFIT SALARY SURVEY CONDUCTED ON AN BI-ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC IN TWO WAYS, ELECTRONICALLY THROUGH GUIDESTAR.ORG AND ON ITS OWN WEBSITE. THE EXECUTIVE VICE PRESIDENT & CFO MAINTAINS BOTH ELECTRONIC AND HARDCOPY FILES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, AUDITS, AND FORMS 990 AND 1023. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON DEFERRED COMPENSATION PLAN 10,563. INHERENT CONTRIBUTION FROM ACQUISITIONS 1,439,438. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR THE PROCESS USED TO SELECT AN INDEPENDENT ACCOUNTANT. 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