2024-11-08T16:03:22-06:00 2023-12-31 990 2023-01-01 592742907 AVMED INC AVME 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 COLIN DROZDOWSKI PRESIDENT 7574557020 2024-11-08 0 X 2023 2024-10-15 13:58:12Z X COLIN DROZDOWSKI 1300 SENTARA PARK VIRGINIA BEACH VA 23464 724312526 0 X WWW.AVMED.ORG X 1986 FL TO HELP OUR MEMBERS LIVE HEALTHIER BY PROVIDING HIGH QUALITY HEALTH CARE PLANS. 11 7 551 0 0 0 0 0 823248577 691312065 -1515831 7013022 1335946 407705 823068692 698732792 0 0 0 0 47496293 55956408 0 0 0 941425530 753470868 988921823 809427276 -165853131 -110694484 378952909 536967116 307966047 300551175 70986862 236415941 X THE MISSION OF AVMED, INC. IS TO HELP OUR MEMBERS LIVE HEALTHIER BY PROVIDING ACCESS TO HIGH QUALITY, AFFORDABLE HEALTH CARE SERVICES THROUGH A NETWORK OF CREDENTIALED HEALTH CARE PROVIDERS LOCATED THROUGHOUT AVMED INC.'S SERVICE AREAS. AVMED, INC. PROVIDES AFFORDABLE, NON-COMMERCIAL-TYPE HEALTH BENEFITS CONTRACTS, EDUCATES ITS ENROLLEES ABOUT HEALTH ISSUES, PROVIDES WELLNESS AND DISEASE PREVENTION PROGRAMS, CONDUCTS HEALTH FAIRS, PROVIDES DISEASE AND CHRONIC CARE MANAGEMENT PROGRAMS, MANAGES COMPLEX CASES, AND PROVIDES PRESCRIPTION DRUGS AND CERTAIN MEDICAL RESEARCH PROGRAMS. AVMED, INC. OFFERS ITS PROGRAM OF SERVICES AT AFFORDABLE FIXED PRICES TO FLORIDA EMPLOYERS AND VULNERABLE POPULATIONS INCLUDING INDIVIDUALS, SMALL EMPLOYER GROUPS AND SENIOR CITIZENS THROUGH THE MEDICARE ADVANTAGE PROGRAM (INCLUDING PRESCRIPTION DRUGS). 0 0 767881153 691697098 AVMED, INC. PROVIDED HEALTH MAINTENANCE ORGANIZATION SERVICES TO EMPLOYERS AND INDIVIDUALS, INCLUDING SMALL EMPLOYER GROUPS AND SENIOR CITIZENS, REPRESENTING 776,034 MEMBER MONTHS OF NETWORK ACCESS, 899,607 DRUG PRESCRIPTIONS, AND 38,179 DAYS OF INPATIENT CARE. AVMED, INC. ALSO PROVIDED ADMINISTRATIVE SERVICES FOR SELF-FUNDED HEALTH CARE PLANS.SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 767881153 0 0 1 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 13461 0 1 551 1 0 0 0 0 0 0 1 0 X 11 7 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X CORPORATE OFFICERS 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 COLIN DROZDOWSKI DIRECTOR/PRESIDENT 7.00 34.00 X X 0 1514230 197193 DENNIS A MATHEIS DIRECTOR 1.00 46.00 X X 0 5723707 84854 ROBERT C FORT DIRECTOR/CHAIRMAN 1.00 1.00 X X 0 0 0 CATHIE J VICK DIRECTOR 1.00 1.00 X 0 0 0 FREDERICK C COBLE DIRECTOR 1.00 1.00 X 0 0 0 G WILKINS HUBBARD II MD DIRECTOR 1.00 41.00 X 0 263478 33519 J LESLIE HALL DIRECTOR 1.00 3.20 X 0 2077 0 JEFFERY O SMITH ED D DIRECTOR 1.00 3.80 X 0 44191 0 DARYL L JONES DIRECTOR 1.00 0.00 X 0 0 0 JAMES M REPP DIRECTOR 40.00 1.00 X 1989348 0 43463 NANCY R BOTERO DIRECTOR 1.00 0.00 X 0 0 0 EARL J BARNES II SECRETARY 1.00 48.00 X 0 1094606 143768 ROBERT A BROERMANN TREASURER 1.00 50.00 X 0 2673690 135907 FRANK IZQUIERDO SR. VP PROVIDER SOLUTIONS 40.00 0.00 X 922383 0 47763 CATHERINE A ALLEN SR. VP CHIEF MARKETING OFFICER 40.00 0.00 X 939540 0 24753 ERIC D JOHNSON SR. VP CHIEF ACTUARY, CIO 40.00 0.00 X 885592 0 42192 CHRISTINE M SHIPLEY SR. VP CHIEF PEOPLE OFFICER 40.00 0.00 X 907133 0 27537 PAUL AITKEN MD SR. VP CMO (THRU 9/8/23) 40.00 0.00 X 699947 0 36562 TIMOTHY MATSUBARA VP FINANCE 40.00 0.00 X 633212 0 45083 ROBERT D BONNELL MD REGIONAL MEDICAL DIRECTOR 40.00 0.00 X 646550 0 46163 JAVIER MENDOZA VP PRODUCT PORTFOLIO MGMT 40.00 0.00 X 590683 0 37970 ANDRES GONZALEZ VP DEPUTY GENERAL COUNSEL 40.00 0.00 X 581752 0 13085 IAN M ANDES VP PROVIDER CONTRACT & SVS 40.00 0.00 X 539406 0 26432 9335546 11315979 986244 111 0 1 0 BAPTIST HOSPITAL OF MIAMI INC 8900 N KENDALL DRIVE MIAMI FL 33176 MEDICAL SERVICES 120409852 UNIV OF MIAMI HOSPCLNS 1475 NW 12TH AVENUE MIAMI FL 33136 MEDICAL SERVICES 117340495 SOUTH BROWARD HOSPITAL DISTRICT PO BOX 538527 ATLANTA GA 303538527 MEDICAL SERVICES 101430416 PUBLIC HEALTH TRUST OF DADE COUNTY 1611 NW 12TH AVE MIAMI FL 33136 MEDICAL SERVICES 51902470 SOUTH MIAMI HOSPITAL INC 6200 SW 73RD ST MIAMI FL 331434679 MEDICAL SERVICES 46996514 746 COMPREHENSIVE REVENUE 524114 329866694 329866694 MEDICARE REVENUE 524114 281982775 281982775 SELF-FUNDED ADMIN FEE 524292 66093884 66093884 FEDERAL REVENUE 524114 13368712 13368712 691312065 7907641 7907641 24685115 25573782 5952 -888667 -5952 -894619 -894619 FEE CREDITS AND SETTLEMENTS 900099 318832 318832 INCOME FROM PARTNERSHIP 900099 66201 66201 MISCELLANEOUS REBATES 900099 22672 22672 407705 698732792 691697098 0 7035694 X 4184210 1629502 2554708 41667924 30956124 10711800 1388312 1181578 206734 5577943 4267796 1310147 3138019 2344236 793783 981283 981283 650380 650380 682198403 676927124 5271279 5265635 5265635 6374898 5103120 1271778 38839533 30195030 8644503 2588249 1341540 1246709 380625 194417 186208 97564 37390 60174 1414 1414 3197097 705007 2492090 131944 131944 LICENSES AND FEES 10581318 5783810 4797508 OTHER EXPENSES 1133042 1133042 DUES AND ASSESSMENTS 663166 434485 228681 COMMUNITY SUPPORT 386317 381317 5000 809427276 767881153 41546123 0 10000 10000 20862324 127576859 24803774 38242174 18612690 16317763 28425808 20886556 7209195 7539252 69436969 105680969 0 126626527 238017957 114973572 378952909 536967116 169569553 117202841 2257525 2822560 67803839 92717837 68335130 87807937 307966047 300551175 X 70986862 236415941 70986862 236415941 378952909 536967116 X -110694484 3174767 272948796 X 0 1 X 1 0 49700 49700 49700 1 ALEXIS CALATAYUD CAMPAIGN 10865 SW 136 TERRACE MIAMI FL 33176 881549399 1000 BRYAN AVILA CAMPAIGN 2600 SOUTH DOUGLAS ROAD CORAL GABLES FL 33134 473081858 1000 BUILDING ON YOURS DREAMS 133 HARBOR R S VENICE FL 34285 464865807 2500 DANIELLA LEVINE CAVA CAMPAIGN 1742 W FLAGLER STREET MIMAI FL 33135 821021036 1000 FLORIDA REPUBLICAN SENATORIAL 2640-A MITCHAM DRIVE TALLAHASSEE FL 32308 472058962 10000 FLORIDIANS UNITED 5901 SW 74TH STREET STE 400 MIAMI FL 33143 831348728 1000 HONEST LEADERSHIP 1103 HAYS STREET TALLAHASSEE FL 32301 841927605 2500 JUAN ALFONSO FERNANDEZ-BARQUIN CAMPAIGN 7265 SW 138TH AVE MIAMI FL 33183 830817709 1000 MIAMI UNITED PC 2100 SALZEDO STREET STE 200 CORAL GABLES FL 33134 844043279 10000 OUR DEMOCRACY PM 1742 S FLAGLER STREET MIAMI FL 33135 834150476 4200 REBRANDING POLITICS 2929 SW 3RD AVENUE STE 220 MIAMI FL 33129 831135711 1000 REPUBLICAN PARTY OF FLORIDA 420 E JEFFERSON STREET TALLAHASSEE FL 32301 590683241 10000 VICKI LOPEZ CAMPAIGN 2600 DOUGLAS ROAD STE 800 CORAL GABLES FL 33134 881477681 1000 VISION & INTEGRITY FOR FLORIDA 2100 SALZEDO STREET STE 200 CORAL GABLES FL 33134 882275805 3500 PART I-A, LINE 1: DURING 2023, AVMED, INC. MADE CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES AND THE GENERAL CAMPAIGN FUNDS OF STATE AND LOCAL POLITICAL CANDIDATES. 0 1 X 6607244 567810 6039434 21818564 20318746 1499818 7539252 REBATE RECEIVABLES 64259074 AMOUNTS DUE FROM ASO PLANS 25569959 RIGHT OF USE ASSET 8774293 OTHER HEALTH CARE RECEIVABLES 5855842 RISK SHARING RECEIVABLES 5069290 REINSURANCE RECEIVABLES 2603587 OTHER RECEIVABLES 1564752 INTEREST RECEIVABLE 1276775 114973572 PREMIUM DEFICIENCY RESERVE 71145146 LEASE LIABILITIES 15386684 AFFORDABLE CARE ACT LIABILITIES 833972 OTHER LIABILITIES 433968 BENEFITS PAYABLE 8167 87807937 PART IV, LINE 2B: INCLUDED IN THIS LINE ARE OBLIGATIONS TO PAY BENEFITS FROM ESCROWED FUNDS ON BEHALF OF SELF-FUNDED HEALTH PLANS. X 1 1 0 1 0 0 0 0 0 0 0 DENNIS A MATHEIS DIRECTOR 0 2115675 0 2319360 0 1288672 0 53706 0 31148 0 5808561 0 746489 ROBERT A BROERMANN TREASURER 0 1250127 0 1116632 0 306931 0 106554 0 29353 0 2809597 0 0 JAMES M REPP DIRECTOR 710322 0 1012630 0 266396 0 13200 0 30263 0 2032811 0 151693 0 COLIN DROZDOWSKI DIRECTOR/PRESIDENT 0 911158 0 487901 0 115171 0 165810 0 31383 0 1711423 0 0 EARL J BARNES II SECRETARY 0 739648 0 225826 0 129132 0 113312 0 30456 0 1238374 0 0 FRANK IZQUIERDO SR. VP PROVIDER SOLUTIONS 394411 0 481033 0 46939 0 13200 0 34563 0 970146 0 0 0 CATHERINE A ALLEN SR. VP CHIEF MARKETING OFFICER 394773 0 483853 0 60914 0 7674 0 17079 0 964293 0 0 0 CHRISTINE M SHIPLEY SR. VP CHIEF PEOPLE OFFICER 390170 0 468921 0 48042 0 13200 0 14337 0 934670 0 0 0 ERIC D JOHNSON SR. VP CHIEF ACTUARY, CIO 405182 0 459250 0 21160 0 13200 0 28992 0 927784 0 0 0 PAUL AITKEN MD SR. VP CMO (THRU 9/8/23) 342468 0 306193 0 51286 0 13200 0 23362 0 736509 0 0 0 ROBERT D BONNELL MD REGIONAL MEDICAL DIRECTOR 315643 0 278577 0 52330 0 11437 0 34726 0 692713 0 0 0 TIMOTHY MATSUBARA VP FINANCE 311285 0 290340 0 31587 0 13200 0 31883 0 678295 0 0 0 JAVIER MENDOZA VP PRODUCT PORTFOLIO MGMT 289130 0 252872 0 48681 0 10527 0 27443 0 628653 0 0 0 ANDRES GONZALEZ VP DEPUTY GENERAL COUNSEL 290290 0 243593 0 47869 0 9211 0 3874 0 594837 0 0 0 IAN M ANDES VP PROVIDER CONTRACT & SVS 278675 0 233928 0 26803 0 11545 0 14887 0 565838 0 0 0 G WILKINS HUBBARD II MD DIRECTOR 0 263478 0 0 0 0 0 33496 0 23 0 296997 0 0 PART I, LINE 1A TAX GROSS-UP PAYMENTS OCCUR FOR GROUP VARIABLE LIFE INSURANCE PREMIUMS PAID ON BEHALF OF THE LISTED AND OTHER EMPLOYEES. EMPLOYER PAID PREMIUMS ARE DEEMED TO BE TAXABLE COMPENSATION AND ARE GROSSED-UP FOR THE TAX IMPACT PRIOR TO BEING ADDED AS IMPUTED INCOME TO AN EMPLOYEE'S YEAR-END FORM W-2. TAX GROSS-UP PAYMENTS ARE PROVIDED FOR VESTED DISTRIBUTIONS FROM THE DEFINED CONTRIBUTION AND (NOW FROZEN) DEFINED BENEFIT PENSION RESTORATION PLANS. PART I, LINE 3 SENTARA HEALTH, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTH'S COMPENSATION COMMITTEE. SENTARA HEALTH RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. THE SENTARA HEALTH BOARD HAS DIRECTED A COMMITTEE OF INDEPENDENT, CONFLICT-FREE BOARD MEMBERS TO DEVOTE THEIR TIME AND ATTENTION TO THE OVERSIGHT OF SENTARA HEALTH'S EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE CONSISTS OF PROFESSIONAL, EXPERIENCED, AND DEDICATED BOARD MEMBERS WHO TAKE THIS RESPONSIBILITY VERY SERIOUSLY. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES IN THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE IS ASSISTED BY OUTSIDE ADVISORS WHO ARE ENGAGED BY THE COMMITTEE. PART I, LINE 4B THE ORGANIZATION MAINTAINS TWO ACTIVE NONQUALIFIED DEFERRED COMPENSATION RETIREMENT PLANS FOR A CERTAIN GROUP OF EXECUTIVES. ONE PLAN RESTORES RETIREMENT BENEFITS EQUIVALENT TO QUALIFIED 401(K) BENEFITS ON INCOME EARNED IN EXCESS OF THE INTERNAL REVENUE SERVICE CODE SECTION 401(A)(17) RECOGNIZABLE PAY LIMITS (A DEFINED CONTRIBUTION RESTORATION PLAN.) VESTING FOR THIS PLAN IS ACHIEVED AT AGE 55 AND 10 YEARS OF SERVICE OR AT AGE 65 AND 5 YEARS OF SERVICE. THE SECOND SUPPLEMENTAL DEFINED CONTRIBUTION PLAN PROVIDES ADDITIONAL RETIREMENT INCOME BASED ON A PERCENTAGE OF BASE SALARY AND VESTS AT THREE AND FIVE YEARS OF SERVICE. LISTED PERSONS VESTED AND RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DURING 2023 AS FOLLOWS: JAMES M. REPP 232,844 ANDRES GONZALEZ 44,852 CATHERINE A. ALLEN 40,517 CHRISTINE M. SHIPLEY 36,695 ROBERT D. BONNELL, M.D. 33,403 JAVIER MENDOZA 29,176 FRANK IZQUIERDO 26,601 ERIC D. JOHNSON 18,563 TIMOTHY MATSUBARA 15,675 IAN M. ANDES 14,494 ROBERT BROERMANN, DENNIS MATHEIS, COLIN DROZDOWSKI, AND EARL BARNES, II PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PROGRAM. SUCH PLANS ARE COMMONLY OFFERED TO NOT-FOR-PROFIT HEALTH CARE EXECUTIVES TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT LIMITATIONS IN QUALIFIED PLANS. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTH'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. EFFECTIVE JANUARY 1, 2023, VESTING OF CONTRIBUTIONS EXPANDED TO INCLUDE AGE 60 WITH 5 YEARS OF SERVICE FROM THE DATE OF HIRE, OR AGE 65 WITH 2 YEARS OF SERVICE FROM THE CAA PLAN ENTRY DATE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). FICA AND FUTA TAXATION OF PRE-2009 CONTRIBUTIONS MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DURING 2023, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED TAXABLE DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($222,448) AND DENNIS MATHEIS ($1,243,768). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. PART I, LINE 4 CERTAIN SENIOR EXECUTIVES OF THE SENTARA HEALTH SYSTEM ARE COVERED BY THE SENTARA HEALTH EXECUTIVE CHANGE IN CONTROL AND SEVERANCE BENEFIT PLAN. THE PLAN PROVIDES FOR SPECIFIED SEVERANCE PAY AND BENEFITS IN THE EVENT OF INVOLUNTARY TERMINATION OF EMPLOYMENT THAT OCCURS: (1) IN THE ORDINARY COURSE OF EMPLOYMENT OR (2) WITHIN TWO YEARS FOLLOWING A QUALIFYING CHANGE IN CONTROL TO ELIGIBLE INDIVIDUALS AS DEFINED IN THE PLAN. PLAN BENEFITS VARY BASED UPON AN ELIGIBLE INDIVIDUAL'S TIER LEVEL AND WHETHER THE TERMINATION IS OR IS NOT WITHIN TWO YEARS FOLLOWING A CHANGE IN CONTROL, BUT GENERALLY RANGE BETWEEN 12 - 18 MONTHS. THE PLAN IS UNFUNDED AND DESIGNED AS AN ERISA TOP HAT WELFARE BENEFIT PLAN. DURING 2023, CERTAIN LISTED EMPLOYEES OF THE FILING ORGANIZATION WHICH WERE NOT COVERED UNDER THE ABOVE PLAN WERE COVERED UNDER A SEVERANCE POLICY WHICH INCLUDED MONTHLY PAYMENTS UP TO A MAXIMUM OF 12 - 36 MONTHS UNDER QUALIFYING CIRCUMSTANCES AND DEPENDING ON POSITION. NO ONE LISTED RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS DURING 2023. FORM 990, PART III, LINE 4A IN ADDITION, AVMED, INC. PROVIDED EDUCATION, WELLNESS AND DISEASE PREVENTION, HEALTH FAIRS, DISEASE AND CHRONIC CARE MANAGEMENT, MANAGEMENT OF COMPLEX CASES, CLINICAL EDUCATION AND COORDINATION, AND OTHER HEALTH IMPROVEMENT SERVICES. AVMED, INC. IS "ACCREDITED" FOR ITS MEDICARE, COMMERCIAL, AND MARKETPLACE/EXCHANGE PRODUCTS FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) FOR ITS PROGRAMS OF HEALTH CARE. AVMED, INC. ANNUALLY MEASURES THE HEALTH CARE PERFORMANCE OF ITS NETWORK OF PROVIDERS THROUGH THE HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) PROCESS. HEDIS INCLUDES MORE THAN 90 MEASURES ACROSS 6 DOMAINS OF CARE. AT LAST MEASUREMENT, AVMED, INC.'S RESULTS WERE RANKED AT 4 STAR OR HIGHER FOR 9 OF THE 44 HEALTH PLAN RATING MEASURES AND AT 3 STAR OR HIGHER FOR 16 OF THE 44 MEASURES USED IN THE NCQA ACCREDITATION SCORING FOR ITS COMMERCIAL PRODUCTS. FOR THE MEDICARE PRODUCT, AVMED, INC.'S RESULTS WERE RANKED AT 4 STAR OR HIGHER FOR 20 OF THE 48 MEASURES AND 3 STAR OR HIGHER FOR 32 OUT OF THE 48 MEASURES USED IN THE NCQA ACCREDITATION SCORING. FOR MARKETPLACE/EXCHANGE PRODUCT LINE, AVMED, INC. RECEIVED A QRS RATING OF 4 OR HIGHER FOR 20 OF THE 27 MEASURES AND A 3 OR HIGHER FOR 22 OF THE 27 MEASURES USED FOR QRS SCORING. AVMED, INC. ALSO ANNUALLY MEASURES THE SATISFACTION OF ITS MEMBERS THROUGH THE CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (CAHPS) SURVEY. THE SURVEY PROVIDES INFORMATION ON THE EXPERIENCES OF AVMED, INC. MEMBERS WITH THE HEALTH PLAN AND HOW WELL THE HEALTH PLAN MEETS MEMBERS' EXPECTATIONS. AVMED, INC. AS A HEALTH PLAN WAS RATED 86% BY MEDICARE MEMBERS, 71.7% BY COMMERCIAL MEMBERS, AND 67.2% BY FFM MEMBERS ON THE RATING OF HEALTH PLAN MEASURE WHICH WERE ALL ABOVE THE NATIONAL AVERAGE AMONGST HEALTH PLANS. IN ADDITION TO HELPING MEMBERS LIVE HEALTHIER, AVMED, INC. HELPS BUILD HEALTHIER COMMUNITIES IN EACH MARKET IT SERVES. IN 2023, AVMED, INC. CONTINUED ITS SUPPORT OF MIAMI-DADE COUNTY'S BIKE305 PROGRAM, WHICH CULMINATED WITH BIKE TO WORK DAY. THIS PROGRAM SHOWED RESIDENTS HOW EASY IT IS TO COMMUTE MORE HEALTHILY BY COMBINING THE EFFICIENCY OF PUBLIC TRANSPORTATION WITH THE OPEN-AIR EXPERIENCE OF A BICYCLE RIDE. ALL MIAMI-DADE COUNTY PUBLIC TRANSPORTATION OPTIONS ACCOMMODATE BICYCLES ON BOARD, SO THIS ONE DAY IS DESIGNED TO DEVELOP HEALTHY HABITS THAT LAST A LIFETIME. IN ADDITION, AVMED, INC. CONTINUES ITS SUPPORT OF SENIOR WELLNESS FAIRS THROUGHOUT THE STATE. THESE PROGRAMS ARE DESIGNED TO ENHANCE PHYSICAL AND MENTAL WELL-BEING FOR OUR MEMBERS AND THE COMMUNITY. AVMED, INC. ALSO CONTINUED ITS SPONSORSHIP OF SEVERAL COMMUNITY FITNESS AND HEALTH EVENTS THROUGHOUT THE STATE. THESE INCLUDE JACKSON HEALTH'S "MIND YOUR HEALTH" EVENT, THE AMERICAN HEART ASSOCIATION HEART WALKS, THE ORANGE BOWL BEACH RUN AND THE WOMEN'S BREAST & HEART INITIATIVE GOLF TOURNAMENT. OUR EMPLOYEES ALSO PARTICIPATED IN A THANKSGIVING FOOD DRIVE BENEFITTING THE UNITED WAY. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS IN WHICH SENTARA HEALTH OR ITS SUBSIDIARIES HAVE AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS SENTARA HOLDINGS FLORIDA, LLC, A FLORIDA LIMITED LIABILITY COMPANY AND A DIRECT WHOLLY OWNED SUBSIDIARY OF SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND SECTION 501(C)(3) TAX-EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND SECTION 501(C)(3) TAX EXEMPT ENTITY, THROUGH ITS DIRECT WHOLLY OWNED SUBSIDIARY SENTARA HOLDINGS FLORIDA, LLC, HAS CONTROL TO APPOINT AVMED, INC.'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SENTARA HEALTH, THROUGH ITS DIRECT WHOLLY OWNED SUBSIDIARY SENTARA HOLDINGS FLORIDA, LLC, HAS THE POWER AND AUTHORITY TO AMEND, RESCIND, OR REPEAL ANY ACTION TAKEN BY THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE ORGANIZATION'S FINAL FORM 990, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF SENTARA HEALTH'S GOVERNING BODY BEFORE BEING FILED. SENTARA HEALTH IS A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM".) THE ORGANIZATION USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C AVMED, INC. HAS A PROCEDURE FOR MONITORING AND ENFORCING COMPLIANCE WITH ITS CORPORATE CONFLICT OF INTEREST POLICY (POLICY). EACH COVERED PERSON SHALL RECEIVE A COPY OF THE POLICY FOR REVIEW AND SUBMIT AN AFFIRMATION WHICH IS ATTACHED TO THE CODE OF ETHICAL BUSINESS CONDUCT. ADDITIONALLY, EACH COVERED PERSON ENGAGED IN MAKING OR INFLUENCING DECISIONS SHALL COMPLETE A QUESTIONNAIRE CONCERNING CONFLICTS OF INTEREST ANNUALLY. THE PROCEDURE DETAILS THAT THE CORPORATE SECRETARY HAS RESPONSIBILITY FOR DELIVERY OF THE POLICY TO DIRECTORS AND OFFICERS AND RECEIPT OF THEIR AFFIRMATIONS AND QUESTIONNAIRES. THE HUMAN RESOURCES DEPARTMENT SHALL OBTAIN THE AFFIRMATION AND QUESTIONNAIRE FROM EVERY NEW EMPLOYEE AT ORIENTATION. THE HUMAN RESOURCES DEPARTMENT SHALL ALSO OBTAIN THE AFFIRMATION FROM ALL EMPLOYEES AND THE CONFLICT OF INTEREST QUESTIONNAIRE FROM APPLICABLE EMPLOYEES ANNUALLY. MEMBERS OF CORPORATE ADVISORY BOARDS SUBMIT THE AFFIRMATION AND QUESTIONNAIRE TO THE CHIEF COMPLIANCE OFFICER. ANNUAL CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY INTERNAL STAFF TO ENSURE RECORDS ARE COMPLETE. AS PART OF THE CORPORATE CONTRACT REVIEW PROCESS, CONSIDERATION IS GIVEN TO ANY POTENTIAL CONFLICTS OF INTEREST INVOLVING OPERATIONAL OR FINANCIAL TRANSACTIONS. ALL EMPLOYEES ARE EXPECTED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS. INITIAL REVIEW OF EMPLOYEE QUESTIONNAIRES WILL BE PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND AFFILIATE COMPLIANCE OFFICER, WITH REVIEW OF ANY DISCLOSURES BY THE CHIEF COMPLIANCE OFFICER WHO WILL EVALUATE, MAKE NECESSARY INQUIRIES, AND INVESTIGATE ALTERNATIVES. BOARD MEMBERS SHALL DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS TO THE CHAIRPERSON OF THE BOARD, AND THE CHAIRPERSON OR CHIEF COMPLIANCE OFFICER SHALL EVALUATE CONFLICT DISCLOSURES AND, IF APPROPRIATE, INVESTIGATE ALTERNATIVES AND REPORT TO DISINTERESTED BOARD MEMBERS FOR RESOLUTION. THE MINUTES OF THE BOARD OR ANY COMMITTEE MEETING AT WHICH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST IS DISCLOSED OR DISCUSSED SHALL REFLECT THE NAME OF THE INTERESTED PARTY, THE NATURE OF THE CONFLICT, THE DELIBERATIONS AND THE RESOLUTION OF THE CONFLICT. IF IT IS DETERMINED THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE CHIEF COMPLIANCE OFFICER OR THE CHAIRPERSON SHALL TAKE APPROPRIATE ACTION, WHICH MAY INCLUDE REMOVAL FROM OFFICE OR TERMINATION OF EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE ORGANIZATION IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE AND PERFORMANCE OF THE EXECUTIVE BEING COMPENSATED AND OVERALL PERFORMANCE OF THE ORGANIZATION. IN LINE WITH THIS PHILOSOPHY, THE ORGANIZATION PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE COMPENSATION COMMITTEE, WHICH CONSISTS OF INDEPENDENT BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, TO CONDUCT A STUDY ASSESSING THE COMPETITIVENESS OF TOTAL COMPENSATION (INCLUDING CASH COMPENSATION, BENEFITS AND PERQUISITES) OF ITS SENIOR EXECUTIVES PRIOR TO MAKING DECISIONS REGARDING ANNUAL BASE SALARY ADJUSTMENTS, APPROVING INCENTIVE AWARDS, OR CONSIDERING PROGRAMMATIC CHANGES. THE STUDY COMPARED THE COMPENSATION OF THE ORGANIZATION'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM PUBLISHED SURVEY SOURCES BASED ON EACH SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 26 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 37 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, VARIOUS CLINICAL QUALITY METRICS AND PATIENT SATISFACTION. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE ORGANIZATION'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION DECISIONS BASED ON A) ITS REVIEW AND ANALYSIS OF THE PERFORMANCE OF BOTH THE ORGANIZATION AND ITS SENIOR EXECUTIVES AND, B) A REASONABLENESS OF COMPENSATION ANALYSIS AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETINGS AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF INDEPENDENT BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, SECRETARY, AND TREASURER. THE SECRETARY AND TREASURER ALSO SERVED AS EXECUTIVE VICE PRESIDENT/CLO SECRETARY AND EXECUTIVE VICE PRESIDENT AND CFO OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR THE POSITIONS LISTED. FORM 990, PART VI, SECTION C, LINE 19 AVMED, INC.'S PROCEDURE FOR MAKING VARIOUS DOCUMENTS AVAILABLE TO THE PUBLIC IS AS FOLLOWS: THE ARTICLES OF INCORPORATION CAN BE ACCESSED DIRECTLY THROUGH THE FLORIDA DEPARTMENT OF STATE, DIVISION OF CORPORATIONS WEBSITE AT WWW.SUNBIZ.ORG. AVMED, INC.'S CONFLICT OF INTEREST POLICY IS INCLUDED IN ITS CODE OF ETHICAL BUSINESS CONDUCT AND IS AVAILABLE TO THE GENERAL PUBLIC AT HTTP://WWW.AVMED.ORG. AVMED, INC. DID NOT OTHERWISE MAKE ITS GOVERNING DOCUMENTS, INCLUDING BYLAWS, AVAILABLE TO THE PUBLIC. THE FLORIDA OFFICE OF INSURANCE REGULATION SERVES AS THE OVERSIGHT AND LICENSING ENTITY FOR FLORIDA HEALTH MAINTENANCE ORGANIZATIONS AND CONDUCTS ROUTINE AND REGULAR EXAMINATIONS OF THE FINANCIAL AND OPERATING CONDITIONS OF LICENSED ENTITIES. THE EXAMINATION REPORTS INCLUDE STATUTORY-BASIS FINANCIAL STATEMENT DETAILS AND ANALYSIS, AS WELL AS EVALUATION AND OPINIONS ON THE ENTITY'S GOVERNING DOCUMENTS AND GOVERNING BODY OPERATIONS AND MEETINGS. THE GENERAL PUBLIC HAS ACCESS TO THE FULL EXAMINATION REPORTS AT HTTP://WWW.FLOIR.COM/SECTIONS/LANDH/MANAGEDCARE/IS_MC_FINANCIAL_EXAMS.ASPX. THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTH AND SUBSIDIARIES WERE MADE PUBLICLY AVAILABLE THROUGH THE USE OF DAC BOND (DISCLOSURE DISSEMINATION AGENT) AND CAN BE FOUND ON THE INTERNET AT WWW.DACBOND.COM. FORM 990, PART IX, LINE 11G HEALTH CARE SERVICES: PROGRAM SERVICE EXPENSES 657,930,902. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 657,930,902. AGENT/BROKER COMMISSIONS AND INCENT: PROGRAM SERVICE EXPENSES 10,647,757. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,647,757. HEALTH CARE CONSULTING AND OUTSIDE: PROGRAM SERVICE EXPENSES 7,710,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,710,400. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 638,065. MANAGEMENT AND GENERAL EXPENSES 101,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 739,538. RECRUITING AND TESTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 263,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,222. CONSULTING AND OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,874,908. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,874,908. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,676. FORM 990, PART XI, LINE 9: PARTNERSHIP INCOME BOOK > TAX -66,201. CAPITAL CONTRIBUTION FROM PARENT 344,000,000. PURCHASE ACCOUNTING ADJUSTMENT -85,490,737. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE - ASC 842 14,505,734. 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