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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
MVP HEALTH PLAN INC
 
Employer identification number
14-1640868
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Addictions Care Foundation
90 Mccarty Avenue
Suite 200
Albany,NY12202 		04-3629235 501C3 10,000   Cash   Book Grant AMC mobile dental clinic Beyond Practice Ready Campaign Medscope and Patient Pavilion Coaches vs Cancer & Paint Town Purple pledge Disaster relief Urban Grow, healthy stores Healthy Living & garden grant, 15-LOVE Capital 20.20 & Breathing Lights funds Ellis Medicine & Commun. Shuttle camp. Planning & Capacity/CTAAB Analysis Fund drive Cooking Matters at the Store General Nursing program Guideline implementation project STEM P-TECH Health Information Tech Program Collaborative planning Ambassador program Stemi Modem Upgrade donation Champion Academy Scholarships Weekend backpack & Call to Action progs McAuley fund Matching grant & family Resource Center Healthy Living Center Visiting Nurse Meals on Wheels Partner in Prevention Program Prevention education Obstetrical program support Prevention program
(2) Interfaith Partnership of the Homeless
176 Sheridan Ave
Albany,NY12210 		14-1666321 501C3 20,000   Cash   Community high blood pressure collaborative Capital Campaigan Donation
(3) Albany College of Pharmacy
106 New Scotland Avenue
Albany,NY12208 		14-1423161 501C3 40,000   Cash   Planning and capacity/CTA AB analysis contribution College Parkside Pharmacy Doation
(4) Albany Medical Center Foundation
43 New Scotland Avenue
Albany,NY12208 		14-6023119 501C3 45,000   Cash   Quality collaborative contribution Medscope and Patient Pavilion Medscope and Patient Pavilion Medscope and Patient Pavilion
(5) Albany Police Athletic Foundation
844 Madison Ave
Albany,NY12208 		14-1708276 501C3 10,000   Cash   General Support Hall of Fame Program Support Program Support PAL
(6) Girls of the Greater Capital District
962 Albany Street
Schenectady,NY12307 		14-1434157 501C3 17,000   Cash   Primary care outreach program FD HW pledges Program Support Program Support
(7) American Red Cross of Northeastern NY
33 Everett Road
Albany,NY12205 		53-0196605 501C3 10,000   Cash   Nursing program expansion Ready 365 Ready 365 Ready 365
(8) Capital Distr Comm Gardens dba Capital Roots
594 River Street
Troy,NY12180 		14-1596291 501C3 30,000   Cash   Building campaign Urban Grow, healthy stores Urban Grow, healthy stores Healthy stores
(9) United Way of the capital
PO BOX 13865
Albany,NY12205 		14-1364505 501C3 25,000   Cash   Pavillion fund Women of Achievement 2-1-1 NE Region Program Support 2-1-1 NE Region Program Support
(10) Community Foundation for Greater Capital Region
6 Tower Place
Albany,NY12203 		14-1505623 501C3 20,000   Cash   Capacity build. supp, online grant mod Capacity build. supp, online grant mod Capacity builder, Mini Grant Program
(11) Ellis Hospital Foundation
1101 Nott Street
Schenectady,NY12308 		14-1638957 501C3 15,000   Cash   Community Shuttle support BSN Education Support Outpatient BH Program
(12) DBA Common ground Finger Lakes Health System
1150 University Avenue
Rochester,NY14607 		16-1061456 501C3 125,000   Cash   Contribution and Gert it Done
(13) The Food Pantries for the Capital District
32 Essex Street
Albany,NY12206 		14-1752164 501C3 22,000   Cash   WAMC Match Fund drive Food Pantries Support Food Pantries Support
(14) Foodlink
1999 Mt Read Blvd
Rochester,NY14615 		22-2428304 501C3 17,600   Cash   Cooking Matters program Cooking Matters program Curbside Market Coupons and partnership
(15) Mid Hudson Childrens
75 N Water Street
184 Washington Avenue Ext
Poughkeepsie,NY12601 		22-3021355 501C3 10,000   Cash   Program Support
(16) City Mission of Schenectady
425 Hamilton Street
Schenectady,NY12305 		14-1403652 501C3 25,000   Cash   Nursing program ERN Program Support ERN Program Support
(17) Cornell Cooperative Ext
24 Martin Road
Vooheesville,NY12186 		14-6036881 501C3 25,000   Cash   Program Support
(18) Adirondack Medical Center
PO Box 471
Saranac Lake,NY12983 		14-1731786 501C3 25,000   Cash   Program Support
(19) United Way of greater Rochester
75 College Ave
Rochester,NY14607 		16-1015782 501C3 25,000   Cash   Program Support
(20) Boys and Girls Club of Schenectady
PO Box 466 Craig St
Schenectady,NY12301 		14-1364595 501C3 15,000   Cash   Program Support
(21) Proctors Theatre
432 State Street
Schenectady,NY12305 		14-1602083 501C3 20,000   Cash   Ambassador program Capitalizing our future support Capitalization Campaign
(22) Saratoga Hospital Foundation
211 Church Street
Saratoga,NY12866 		14-1775218 501C3 7,500   Cash   Program Support
(23) Schenectady Foundation
376 Broadway 2nd Floor
Schenectady,NY12305 		61-1600398 501C3 50,000   Cash   Weekend backpack & Youth Mentoring Init. Weekend backpack & Youth Mentoring Init. Weekend backpack & thriving Neighorhood
(24) Salvation Army
70 Liberity Pole Way PO Box 41210
Rochester,NY14604 		13-5562351 501C3 10,000   Cash   Hunger programs Hunger programs Program Support
(25) Trinity Alliance of the Capital Region
105 Trinity Place
Albany,NY12202 		14-1340122 501C3 10,000   Cash   Matching grant & family Resource Center Matching grant & family Resource Center Matching grant & family Resource Center
(26) Homeless and Travelers
138 Cemtral Ave
Albany,NY12203 		14-1482188 501C3 10,000   Cash   Program Support
(27) Family Services of Westchester
47 Purdy Ave
Port Chester,NY10573 		13-1773419 501C3 10,000   Cash   Program Support
(28) George Biddle Kelly
PO Box 14692
Albany,NY12212 		16-1772170 501C3 10,000   Cash   Crisis nursery support Collegiate Scholar of Tomorrow Collegiate Scholar of Tomorrow
(29) Open Door Foundation
2 Church Street Suite 101
Ossining,NY10562 		13-3598184 501C3 25,000   Cash   Program Support
(30) Empire Center for Public
100 State Street Suite 410
Albany,NY12207 		46-1987418 501C3 10,000   Cash   Program Support
(31) Community Resource Center
134 Center Ave PO Box 312
Mamaroneck,NY10543 		31-1678682 501C3 10,000   Cash   Program Support
(32) Saratoga Institute
110 Spring Street
Saratoga Springs,NY12866 		14-1664693 501C3 15,000   Cash   Program support
(33) SEAT Center
131 State Street
Schenectady,NY12305 		47-3946521 501C3 7,500   Cash   Program support Program support Program support
(34) Affordable Housing Partners
255 Orange Street
Albany,NY12210 		14-1724900 501C3 5,800   Cash   Sponsor CAN program Program Suport Program Suport
(35) Capital Repertory Theater
432 State Street
Schenectady,NY12305 		13-2894677 501C3 25,000   Cash   Program Support Program Support
(36) El Centro hispano Inc
346 S Lexington Ave
White Plains,NY10606 		13-4149424 501C3 10,000   Cash   Thanksgiving Food Drive Support Training and Education Support
(37) RCPN
259 Monroe Ave Level B
Rochester,NY14607 		16-1293681 501C3 200,000   Cash   Program Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
37
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018
Page 2

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
SCHEDULE I, 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, OR A COMMUNITY WITHIN MVP'S SERVICE AREA.
Schedule I (Form 990) 2018



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