Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
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| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
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| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public Support. Subtract line 5 from line 4. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| EXEMPT PURPOSE AND ACHIEVEMENTS | FORM 990, PART III, LINE 4A | I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE GROUP HEALTH PLAN, INC. (GHI) IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). GHI IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY BY PROVIDING PREPAID MEDICAL AND DENTAL CARE TO ITS ENROLLED MEMBERS, INCREASING ACCESS TO AFFORDABLE MEDICAL AND DENTAL CARE IN THE COMMUNITY AND RAISING THE STANDARDS OF MEDICAL AND DENTAL CARE IN THE COMMUNITY. THE GHI STAFF MODEL HMO COMBINES FINANCING AND HEALTH CARE SERVICES FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS MEMBERS AND PATIENTS. GHI OFFERS COMMERCIAL HMO PRODUCTS, INDIVIDUAL/CONVERSION PRODUCTS, AND MEDICARE COST PRODUCTS. PEOPLE WHO ENROLL IN A GHI MANAGED CARE PRODUCT RECEIVE A FULL RANGE OF PREPAID HEALTH CARE SERVICES, INCLUDING PROFESSIONAL CARE IN HOSPITALS, PHYSICIAN SERVICES, IMAGING AND LABORATORY SERVICES, VARIOUS THERAPIES, PREVENTIVE SERVICES, HEALTH EDUCATION AND CERTAIN PRESCRIPTION DRUGS. ADDITIONALLY, GHI'S EMPLOYED AND CONTRACTED PHYSICIANS PROVIDE A SUBSTANTIAL AMOUNT OF HEALTH CARE SERVICES TO A WIDE ARRAY OF PATIENTS WHO ARE NOT ENROLLED IN GHI'S MANAGED CARE PRODUCTS, SOME OF WHOM ARE UNINSURED OR UNDERINSURED. GHI ALSO OPERATES A MEDICARE-CERTIFIED AND MINNESOTA-LICENSED HOSPICE PROGRAM FOR PATIENTS WITH A TERMINAL DIAGNOSIS OF SIX MONTHS OR LESS. GHI IS THE SOLE CORPORATE MEMBER OF THREE SUBSIDIARY CORPORATIONS: HEALTHPARTNERS RESEARCH FOUNDATION (HPRF), WHICH CONDUCTS SUBSTANTIAL SCIENTIFIC AND MEDICAL RESEARCH; HEALTHPARTNERS CENTRAL MINNESOTA CLINICS, INC. (HPCMC), (FORMERLY KNOWN AS CENTRAL MINNESOTA GROUP HEALTH, INC.), WHICH EMPLOYS PHYSICIANS AND SUPPORT STAFF TO PROVIDE HEALTH CARE SERVICES IN ST. CLOUD, MINNESOTA; AND PHYSICIANS NECK & BACK CLINICS (PNBC), WHICH EMPLOYS PHYSICIANS AND SUPPORT STAFF TO PROVIDE TREATMENT OF CHRONIC NECK AND/OR BACK PAIN. HPRF, HPCMC AND PNBC ARE MINNESOTA NOT FOR PROFIT CORPORATIONS THAT ARE TAX-EXEMPT UNDER IRC SECTION 501(C)(3). GHI IS PART OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS. HEALTHPARTNERS, INC. (HPI), A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4), IS THE SOLE CORPORATE MEMBER OF GHI. HPI IS ALSO THE SOLE CORPORATE MEMBER OF THE FOLLOWING MINNESOTA NON-PROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3): HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION (IME), RHSC, INC., AND HPI-RAMSEY. HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL, REGIONS HOSPITAL FOUNDATION, CAPITAL VIEW TRANSITIONAL CARE CENTER (FORMERLY KNOWN AS NORTH ST. PAUL TRANSITIONAL CARE CENTER) AND RAMSEY INTEGRATED HEALTH SERVICES (RIHS), ALL OF WHICH ARE MINNESOTA NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3) AND OF RH-WISCONSIN, INC., A WISCONSIN NON-STOCK CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. AND GHI ARE CORPORATE MEMBERS OF HUDSON HOSPITAL, INC. AND WESTFIELDS HOSPITAL, INC., BOTH OF WHICH ARE WISCONSIN NON-PROFIT CORPORATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). RH-WISCONSIN, INC. IS ALSO THE SOLE CORPORATE MEMBER OF WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY, AN AMBULANCE SERVICE WHICH IS A WISCONSIN NON-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). TOGETHER, THESE CORPORATIONS, AND OTHERS, FORM THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS (HEALTHPARTNERS). GHI HAS A LONG AND OUTSTANDING TRADITION OF CONSUMER GOVERNANCE, SPANNING 50 YEARS. GHI'S FIVE-MEMBER BOARD OF DIRECTORS INCLUDES THREE DIRECTORS ELECTED FROM GHI'S MEMBERS. ADDITIONALLY, THIS BOARD INCLUDES THE HPI'S BOARD CHAIR AND THE HEALTHPARTNERS MEDICAL GROUP (HPMG) PHYSICIAN MEMBER FROM THE HPI'S BOARD OF DIRECTORS. THIS HIGH LEVEL OF CONSUMER REPRESENTATION ENSURES THAT GHI CONTINUALLY PURSUES ITS MISSION OF SERVICE TO ITS MEMBERS AND THE COMMUNITY. HEALTHPARTNERS OPERATES A PATIENT COUNCIL THAT GIVES PLAN MEMBERS AND PATIENTS, SEEKING CARE AT HEALTHPARTNERS CLINICS OWNED AND OPERATED BY GHI, A FORUM TO PROVIDE INPUT TO IMPROVE HEALTHPARTNERS PROGRAMS AND SERVICES. THE PATIENT COUNCIL IS A GROUP OF 16 PATIENTS WHO RECEIVE CARE AT HEALTHPARTNERS CLINICS WHO MEET ON A MONTHLY BASIS AND PROVIDE PATIENT FEEDBACK ON A VARIETY OF HEALTH CARE TOPICS. THIS FEEDBACK HELPS IN THE DESIGN AND PLANNING OF PROGRAMS AND SERVICES. II. HMO PRODUCTS AND MEMBERS IN 2010, GHI PROVIDED COMPREHENSIVE, PREPAID HEALTH CARE SERVICES TO 49,857 GHI MEMBERS. THESE MEMBERS WERE COMPRISED OF 11,713, COMMERCIAL MEMBERS, 61 INDIVIDUAL/CONVERSION MEMBERS, AND 38,083 MEDICARE COST MEMBERS. III. PROVISION OF SERVICES TO MEMBERS AND NON-MEMBERS THROUGH EMPLOYED AND CONTRACTED PHYSICIANS IN 2010, HEALTHPARTNERS PROVIDED COVERAGE TO MEMBERS AND SERVICES TO PATIENTS THROUGH A BROAD NETWORK OF HOSPITALS AND CLINICS INCLUDING THOSE STAFFED BY GHI EMPLOYED PHYSICIANS. GHI'S EMPLOYED "STAFF MODEL" PHYSICIANS AND DENTISTS ARE KNOWN AS HEALTHPARTNERS MEDICAL GROUP (HPMG) AND HEALTHPARTNERS DENTAL GROUP (HPDG) RESPECTIVELY. HPMG IS ONE OF MINNESOTA'S LARGEST MEDICAL GROUPS. IN 2010, HPMG EMPLOYED APPROXIMATELY 556 FULL TIME EMPLOYEE PHYSICIANS. HPMG PHYSICIANS PRACTICE IN MORE THAN 35 MEDICAL AND SURGICAL SPECIALTIES. HPDG EMPLOYS AN AVERAGE OF 55 DENTISTS AND CONTRACTS WITH AN ADDITIONAL 2,110 DENTISTS IN THE HEALTHPARTNERS DENTAL NETWORK TO PROVIDE DENTAL CARE. HPDG DENTISTS REPRESENT FIVE DENTAL SPECIALTIES AS WELL AS GENERAL DENTISTRY. HPDG OWNS AND OPERATES 16 DENTAL CLINICS AND A DENTAL SPECIALTY CLINIC. HPDG IS A CRITICAL ACCESS PROVIDER OF DENTAL SERVICES WHICH MEANS THAT A SIGNIFICANT NUMBER OF ITS PATIENTS ARE ENROLLED IN A GOVERNMENT PROGRAM. HPDG HAS THE LARGEST NUMBER OF GOVERNMENT PROGRAM-DENTAL PATIENTS IN THE STATE. IN ADDITION TO PROVIDING CARE TO PERSONS ENROLLED IN GHI'S HMO PRODUCTS, HPMG AND HPDG SUPPORT GHI'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING MEDICAL AND DENTAL CARE TO A GROWING NUMBER OF PATIENTS WHO ARE MEMBERS OF HPI, UNRELATED MANAGED CARE ORGANIZATIONS, INSURED BY COMMERCIAL PAYERS, SELF-PAY PATIENTS AND/OR CHARITY CARE PATIENTS. HPMG AND HPDG FOCUS THEIR EFFORTS ON COMPASSIONATE, PATIENT-CENTERED CARE, RANGING FROM PREVENTIVE CARE TO MANAGEMENT OF PATIENTS WITH ACUTE AND/OR CHRONIC CONDITIONS. HPDG OPENED A UNIQUE DENTAL CLINIC IN ST. PAUL IN 2005 THAT PROVIDES INTERPRETER SERVICES AND SAME-DAY ACCESS TO URGENT CARE AND APPOINTMENTS. THIS MODEL OF CARE HAS BEEN ADOPTED BY THE MINNESOTA LEGISLATURE'S "DENTAL ACCESS ADVISORY COMMITTEE" AND WAS IMPLEMENTED AT OTHER CLINICS IN THE STATE. HEALTHPARTNERS' CONTRACTED NETWORK INCLUDES HIGHLY SPECIALIZED REFERRAL PHYSICIANS AND HOSPITALS IN THE SERVICE AREA, INCLUDING REGIONS HOSPITAL, WHICH IS PART OF HEALTHPARTNERS. IN ADDITION TO CONTRACTING WITH HOSPITALS IN THE SERVICE AREA, HEALTHPARTNERS ALSO PROVIDES EMERGENCY CARE FOR MEMBERS OUTSIDE THE SERVICE NETWORK. GHI EMPLOYED PROFESSIONALS PROVIDE SERVICES IN OVER 30 UNRELATED ORGANIZATIONS' PRIMARY CARE CLINICS LOCATED THROUGHOUT THE TWIN CITIES REGION, AS WELL AS IN HOSPITALS IN WESTERN WISCONSIN. |
| GHI EMPLOYED PHYSICIANS ARE THE PRIMARY PHYSICIAN GROUP AFFILIATED WITH REGIONS HOSPITAL. REGIONS HOSPITAL IS THE ONLY LEVEL I ADULT AND PEDIATRIC TRAUMA CENTER IN THE EAST METRO OF THE TWIN CITIES. IN 2010 ALONE, REGIONS HOSPITAL PROVIDED ABOUT $82.5 MILLION IN UNCOMPENSATED CARE ($24.8 MILLION IN ACTUAL CHARITY CARE COSTS) TO CARE FOR ABOUT 44,853 PATIENTS WHO DID NOT HAVE INSURANCE OR WHO COULD NOT AFFORD CARE. GHI ALSO OPERATES HEALTHPARTNERS HOSPICE AND PALLIATIVE CARE (HPC), A COMPREHENSIVE CARE PROGRAM FOR PATIENTS WITH A TERMINAL DIAGNOSIS OF SIX MONTHS OR LESS. HPC IS MEDICARE-CERTIFIED AND LICENSED BY THE STATE OF MINNESOTA. WITH AN EMPHASIS ON ENABLING PATIENTS TO REMAIN IN THEIR HOMES FOR AS LONG AS POSSIBLE, HOSPICE TEAMS INCLUDE SPECIALLY-TRAINED HPMG PHYSICIANS AND NURSES, SOCIAL WORKERS, HOME HEALTH AIDES, VOLUNTEERS, CHAPLAINS AND COUNSELORS WHO TOGETHER PROVIDE, EMOTIONAL, SPIRITUAL, AND MEDICAL SUPPORT. IN 2010, HEALTHPARTNERS HOSPICE SERVED 1,198 PATIENTS, WITH 1,041 NEW ADMISSIONS. HEALTHPARTNERS PALLIATIVE CARE SERVED 155 PATIENTS, WITH 155 NEW ADMISSIONS. MEDICARE PATIENTS REPRESENTED 85% OF THE POPULATION SERVED, MEDICAL ASSISTANCE PATIENTS WERE 1%, HEALTHPARTNERS MEMBERS WERE 13%, AND THE REMAINING PATIENTS WERE COVERED BY SOME OTHER INSURANCE OR WERE UNINSURED. IV. BENEFITS TO MEMBERS AND THE COMMUNITY IN 2010 TOGETHER WITH HEALTHPARTNERS, GHI SEEKS TO BE THE BEST AND MOST TRUSTED PROVIDER OF HEALTH CARE, HEALTH PROMOTION, HEALTH CARE FINANCING AND HEALTH CARE ADMINISTRATION IN THE UNITED STATES. ACTING IN CONCERT, HEALTHPARTNERS IS WORKING TO TRANSFORM HEALTH CARE BY DELIVERING OUTSTANDING CARE AND SERVICE THAT IS CONSISTENT WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "TRIPLE AIM" INITIATIVE. THE "TRIPLE AIM" SEEKS TO SIMULTANEOUSLY OPTIMIZE THE HEALTH OF THE POPULATION, THE EXPERIENCE OF EACH INDIVIDUAL AND REDUCE PER CAPITA HEALTH CARE COSTS. GHI, ALONG WITH ITS SUBSIDIARIES HPRF, HPCMC AND PNBC, WORKS WITH THE OTHER EXEMPT ORGANIZATIONS WITHIN HEALTHPARTNERS TO ACHIEVE THESE AIMS WITH MAXIMUM EFFICIENCY AND COLLABORATION. FOR EXAMPLE, WHEN ONE ENTITY DEVELOPS A BEST PRACTICE, PATIENT EDUCATION MATERIALS, OR SYSTEM IMPROVEMENTS, THE BENEFITS ARE SPREAD TO MEMBERS AND PATIENTS THROUGHOUT THE INTEGRATED SYSTEM. 2010 COMMUNITY BENEFIT ACTIVITIES INCLUDED: 1. PROVIDING CARE TO NON-MEMBERS UNABLE TO PAY IN ADDITION TO PROVIDING DIRECT CARE TO PERSONS ENROLLED IN GHI'S HMO PRODUCTS, HPMG PHYSICIANS SERVE PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY FOR CARE. IN 2010, GHI PROVIDED OVER $1,197,371 IN CHARITY CARE TO PATIENTS WHO WERE NOT GROUP HEALTH MEMBERS. IN ADDITION, GHI EMPLOYS INSURANCE FINANCIAL TECHNICAL ASSISTANTS (IFTAS) WHO PROVIDE PATIENTS WITH OPTIONS WHEN THEY ARE UNINSURED OR UNDERINSURED. IFTAS' LINK PATIENTS TO COMMUNITY RESOURCES, PROVIDE INFORMATION AND ASSISTANCE ON HPMG'S FINANCIAL ASSISTANCE PROGRAM AND ASSISTANCE WITH APPLYING FOR MINNESOTA HEALTH CARE PROGRAMS THROUGH THE MINNESOTA DEPARTMENT OF HUMAN SERVICES. GHI SPENT $20,000 FOR STAFF ASSISTANCE IN 2010 TO PROVIDE THIS RESOURCE TO PATIENTS. GHI ALSO HELPS PATIENTS WHO ARE UNABLE TO PAY FOR PRESCRIPTION DRUGS OR DO NOT HAVE PRESCRIPTION INSURANCE COVERAGE BY PROVIDING ASSISTANCE THROUGH THE DRUG ASSISTANCE PROGRAM WHICH PROVIDES MEDICATIONS TO MEDICAL ASSISTANCE PATIENTS. IN 2010, APPROXIMATELY 809 PRESCRIPTIONS WERE DISPENSED TO OVER 400 PATIENTS. HEALTHPARTNERS ALSO PROVIDED APPROXIMATELY $5,600 IN PRESCRIPTION DRUG ASSISTANCE TO UNINSURED PATIENTS WHOSE MEDICAL ASSISTANCE APPLICATIONS WERE PENDING, EVEN IF THEY NEVER BECAME ELIGIBLE MEDICAL ASSISTANCE PATIENTS. HEALTHPARTNERS RECEIVED RYAN WHITE GRANT FUNDS TO SUPPORT THE PROVISION OF MEDICATIONS TO UNINSURED PATIENTS DIAGNOSED WITH HIV. THE GRANT FUNDS MEDICATIONS FOR PATIENTS WHO RECEIVE CARE AT HEALTHPARTNERS (GHI) INFECTIOUS DISEASE CLINIC. IN 2010, APPROXIMATELY $101,000 IN HIV MEDICATIONS WAS COORDINATED THROUGH THE HEALTHPARTNERS (GHI) PHARMACY. FUNDS FROM REGIONS HOSPITAL FOUNDATION COVER A LARGE PORTION OF THAT EXPENSE. THE FUNDING COVERED THE COST OF 189 PRESCRIPTIONS AND THE COST OF CO-PAYS FOR ANOTHER 130 PRESCRIPTIONS. ACCORDING TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, IF A MEDICAL ASSISTANCE PATIENT CANNOT AFFORD TO PAY HIS OR HER PRESCRIPTION CO-PAYMENT, THE PRESCRIPTION SERVICE CANNOT BE WITHHELD AND THE PHARMACY MUST PROVIDE THE MEDICATION WITHOUT COLLECTING THE CO-PAYMENT. IN 2010, APPROXIMATELY $9,000 IN CO-PAYMENTS WENT UNPAID AT HEALTHPARTNERS' (GHI) PHARMACIES. HEALTHPARTNERS PROVIDED $249,939 IN BENEFIT COVERAGE AND ADMINISTRATIVE COSTS IN 2010 TO PORTICO HEALTHNET (PORTICO), A NONPROFIT ORGANIZATION THAT HELPS PEOPLE ENROLL IN FREE OR LOW-COST HEALTH COVERAGE PROGRAMS. SINCE 1995, PORTICO OUTREACH WORKERS HAVE PROVIDED ASSISTANCE IN COMPLETING APPLICATIONS FOR PROGRAMS SUCH AS MNCARE OR MEDICAL ASSISTANCE, AND FOR PEOPLE WHO DO NOT QUALIFY FOR THESE PROGRAMS TO MEET PROGRAM ELIGIBILITY CRITERIA. IN ADDITION, PORTICO OFFERS ITS OWN COVERAGE PROGRAM AND COVERS PRIMARY AND SPECIALTY CARE CLINIC VISITS, URGENT CARE SERVICES, AND PRESCRIPTION DRUGS ALONG WITH INTERPRETER AND TRANSPORTATION SERVICES. 2. MEDICAL EDUCATION IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HEALTHPARTNERS INSTITUTE FOR MEDICAL EDUCATION (IME) TRAINS APPROXIMATELY 300 MEDICAL STUDENTS AND ALMOST 500 RESIDENT PHYSICIANS ANNUALLY IN 19 MEDICAL SPECIALTIES AT REGIONS HOSPITAL AND HPMG CLINICS. HEALTHPARTNERS FUNDED IME WITH $1,556,874 IN 2010. FOR A FULL REPORT ON IME'S 2010 ACTIVITIES, PLEASE SEE IME'S FORM 990. HEALTHPARTNERS PARTNERS WITH IME TO CONTRACT WITH OVER 35 EDUCATIONAL INSTITUTIONS TO OFFER LEARNING EXPERIENCES IN ALL HPMG AND HPDG CLINICS. THESE AFFILIATIONS ALLOW HPMG AND HPDG TO OFFER CLINICAL EXPERIENCES TO STUDENTS ENROLLED IN FORMAL COLLEGE OR UNIVERSITY BASED CLINICAL TRAINING PROGRAMS. PROGRAMS INVOLVED INCLUDE: NURSE PRACTITIONERS, DENTAL ASSISTANTS, PHYSICIAN ASSISTANTS, LPN AND SOCIAL WORK. 3. MEDICAL RESEARCH AND HEALTHCARE IMPROVEMENT HEALTHPARTNERS RESEARCH FOUNDATION (HPRF). IN 2010, HEALTHPARTNERS CONTRIBUTED $1,417,000 TO SUPPORT HPRF'S OPERATIONS. IN 2010, HPRF CONDUCTED OVER 200 RESEARCH PROJECTS, MANY IN CONJUNCTION WITH FEDERAL FUNDING AGENCIES SUCH AS THE NATIONAL INSTITUTE OF HEALTH AND THE CENTER FOR DISEASE CONTROL. FOR MORE INFORMATION, PLEASE SEE THE HPRF FORM 990 FOR 2010. HEALTHPARTNERS SPECIALTY CENTER. THE HEALTHPARTNERS SPECIALTY CENTER IS COMPRISED OF TWO BUILDINGS - 401 PHALEN BOULEVARD AND 435 PHALEN BOULEVARD - AND CONTAINS HPMG CLINICS AND REGIONS HOSPITAL-BASED SPECIALTY DEPARTMENTS THAT ARE ALL CONNECTED WITH THE LATEST IN ELECTRONIC MEDICAL RECORDS AND EASILY ACCESSIBLE DIGITAL X-RAYS. THE LOCATION FEATURES MORE THAN 25 SPECIALTIES ON ONE CAMPUS. IN 2010, GHI CONTINUED TO PROVIDE FREE SHUTTLE SERVICES FROM REGIONS HOSPITAL TO THE HEALTHPARTNERS SPECIALTY CENTER FOR PATIENTS. IN 2010, HPMG PROVIDED TOTAL AND PARTIAL ADJUSTMENTS TO ELIGIBLE PATIENTS TOTALING $272,706 IN CHARITY CARE COSTS AT THE HEALTHPARTNERS SPECIALTY CENTER LOCATIONS. 4. INNOVATIVE STRATEGIES FOR HEALTH IMPROVEMENT, DISEASE PREVENTION AND DISEASE MANAGEMENT PAY-FOR-PERFORMANCE PROGRAM HEALTHPARTNERS WAS ONE OF THE FIRST IN THE NATION TO IMPLEMENT A PAY-FOR-PERFORMANCE PROGRAM IN 1997. THESE PROGRAMS HAVE SERVED AS A MODEL FOR SIMILAR PROGRAMS WITH NCQA AND THE FEDERAL GOVERNMENT. THE PROGRAM IS DESIGNED TO PROVIDE FINANCIAL INCENTIVES TO IMPROVE PATIENT CARE THROUGH HIGH QUALITY AND COST EFFECTIVE OUTCOMES. THE INSTITUTE OF MEDICINE (IOM) REPORT, "PERFORMANCE MEASUREMENT: ACCELERATING IMPROVEMENT," RECOMMENDS THAT THE FEDERAL GOVERNMENT ADOPT HEALTHPARTNERS' "PIONEERING" QUALITY MEASUREMENT APPROACH. IN 2010, HEALTHPARTNERS PAID OUT $27 MILLION IN FINANCIAL INCENTIVES FOR PRIMARY CARE GROUPS, SPECIALTY GROUPS AND HOSPITALS. | ||
| EQUITABLE CARE. HEALTHPARTNERS CONTINUES TO ENHANCE THE RESOURCES AVAILABLE ON AN INTRANET WEBSITE FOR STAFF AND PROVIDERS TO SUPPORT THEM IN PROVIDING EQUITABLE CARE AND SERVICE TO ALL THE MEMBERS AND PATIENTS THAT ARE SERVED. EQUITABLE CARE INVOLVES IDENTIFYING, TESTING AND IMPLEMENTING STRATEGIES TO REDUCE DISPARITIES IN TREATMENT, OUTCOMES AND SERVICE. THIS WEBSITE ENABLES EASY ACCESS TO RESOURCES FOR STAFF TO PROVIDE EQUITABLE CARE. IT INCLUDES RESOURCES ON: - HOW TO ARRANGE AND EFFECTIVELY USE INTERPRETER SERVICES - LINKS TO A VARIETY OF TRANSLATED MATERIALS FOR USE WITH PATIENTS AND MEMBERS - TRAINING PROGRAMS ON CULTURAL COMPETENCY AND RELATED TOPICS - INFORMATION ABOUT CULTURES - DATA ABOUT THE POPULATIONS SERVED - HEALTH LITERACY TOOLS AND MUCH MORE HEALTHPARTNERS HAS AN ENTERPRISE-WIDE INITIATIVE TO IMPROVE INTERPRETER AND LANGUAGE ACCESS SERVICES FOR NON-ENGLISH SPEAKING COMMUNITY MEMBERS AND PATIENTS. HEALTHPARTNERS PROVIDES INTERPRETATION SERVICES IN 12 LANGUAGES INCLUDING CAMBODIAN, KAREN, OROMO, AMHARIC, SPANISH, SOMALI, HMONG, VIETNAMESE, AND AMERICAN SIGN LANGUAGE. STAFF AND PHYSICIANS ALSO HAVE ACCESS TO AN EXTENSIVE NETWORK OF AGENCY INTERPRETERS AND HAVE TELEPHONE ACCESS TO SERVICES FOR MORE THAN 150 LANGUAGES. IN 2010, HEALTHPARTNERS INVESTED OVER $6.6 MILLION ON LANGUAGE INTERPRETATION SERVICES, BOTH AS HEALTH PLAN COVERAGE FOR STATE PUBLIC PROGRAM MEMBERS AND AS A PROVISION OF INTERPRETER SERVICES AT REGIONS HOSPITAL AND THE HPMG CLINICS. RACE AND ETHNICITY DATA IS BEING COLLECTED AT HPMG CLINICS AND REGIONS HOSPITAL THAT PROVIDES INFORMATION FOR CARE IMPROVEMENT IN MINORITY POPULATIONS. AGAIN IN 2010, GHI LICENSED ONLINE SPANISH HEALTH GUIDE AND SPANISH MEDICATION INFORMATION FROM HEALTHWISE, ONE OF THE NATION'S LEADING PROVIDERS OF CONSUMER HEALTH INFORMATION. THIS SPANISH CONTENT IS AVAILABLE ON THE HEALTHPARTNERS WEBSITE. HPMG'S CENTER FOR INTERNATIONAL HEALTH (CIH) IS THE LARGEST MULTI-DISCIPLINARY HEALTH CARE PROGRAM IN MINNESOTA FOR REFUGEES, IMMIGRANTS AND NON-NATIVE-ENGLISH SPEAKING FAMILIES. IN 2010, CIH OPERATED AT A LOSS OF $2,112,000. THERE WERE 15,754 OUTPATIENT ENCOUNTERS, WITH THE PAYER MIX FOR THE CLINIC COMPOSED OF 20.9% COMMERCIAL, 76.3% MEDICAID AND MEDICARE, AND 2.8% OTHER. AS PART OF ITS COMMITMENT TO DELIVER EQUITABLE CARE, HPMG CLINICS AND REGIONS HOSPITAL ARE BUILDING A DIVERSE WORKFORCE. IN 2010, THERE WERE 703 PHYSICIANS FROM 46 COUNTRIES SPEAKING 55 LANGUAGES. OF THIS, 37% ARE WOMEN, AND 19% ARE FROM RACIAL OR ETHNICALLY DIVERSE COMMUNITIES. BEHAVIORAL HEALTH. HEALTHPARTNERS SCORED IN THE TOP TEN PERCENT NATIONALLY IN FOLLOWING BEST PRACTICES GUIDELINES FOR TREATMENT OF DEPRESSION. HEALTHPARTNERS PROVIDES BEHAVIORAL HEALTH QUALITY AND UTILIZATION REVIEW SUPPORT TO ASSURE MEMBERS APPROPRIATELY UTILIZE BEHAVIORAL HEALTH SERVICES IN ORDER TO OBTAIN BEST OUTCOMES. HEALTHPARTNERS PARTNERED WITH CONSUMER, PROVIDER, AND PAYER GROUPS IN SEVERAL INITIATIVES, INCLUDING MINNESOTA MENTAL HEALTH ACTION GROUP, AND SOLIDIFIED A KEY COMMUNITY PARTNERSHIP WITH THE NATIONAL ALLIANCE FOR THE MENTALLY ILL, MINNESOTA (NAMI). BEHAVIORAL HEALTH OUTPATIENT CONDITION MANAGEMENT RESULTED IN A 20 PERCENT DECREASE IN PER-MEMBER PER-MONTH COST COMPARED TO A CONTROL GROUP IN 2010. BEHAVIORAL HEALTH CASE MANAGEMENT INCREASED OUTPATIENT THERAPY VISITS BY 65 PERCENT. PER-MEMBER PER-MONTH MEDICATION COSTS DECREASED SIX PERCENT. BEHAVIORAL HEALTH INPATIENT PER-MEMBER PER-MONTHS COSTS DECREASED 30 PERCENT, SUGGESTING IMPROVED CLINICAL STABILITY. THE COST OF THE HEALTHPARTNERS BEHAVIORAL HEALTH CASE MANAGEMENT PROGRAM WAS $1,207,097 IN 2010 WHICH RESULTED IN $7,321,000 IN GROSS SAVINGS. HEALTHPARTNERS IS A MAJOR SPONSOR OF THE MENTAL HEALTH CRISIS ALLIANCE (MHCA). MHCA IS COMPOSED OF ORGANIZATIONS REPRESENTING COUNTIES, HOSPITALS, HEALTH PLANS, THE STATE OF MINNESOTA, CONSUMERS AND ADVOCATES, AND WAS ORIGINALLY FORMED IN 2002 TO ADDRESS THE UNMET NEEDS OF ADULTS WHO EXPERIENCE BEHAVIORAL HEALTH CRISIS. MHCA SERVES DAKOTA, RAMSEY AND WASHINGTON COUNTIES, PROVIDING INDIVIDUALIZED ADULT MENTAL HEALTH CRISIS STABILIZATION SERVICES IN CLIENTS' HOMES, COMMUNITY SETTINGS, OR IN SHORT-TERM, SUPERVISED, LICENSED RESIDENTIAL PROGRAMS. SERVICES TO PATIENTS LIVING WITH HIV. IN 1985, HEALTHPARTNERS' (GHI) INFECTIOUS DISEASES CLINIC AT REGIONS HOSPITAL BECAME THE FIRST DESIGNATED HIV/AIDS CLINIC PROGRAM IN MINNESOTA AND CONTINUES TO BE THE PRIMARY SPECIALIZED, CUTTING-EDGE FACILITY FOR THE TREATMENT AND CARE OF HIV/AIDS PATIENTS IN THE TWIN CITIES EAST METRO AND WESTERN WISCONSIN. BY USING A MULTI-DISCIPLINARY APPROACH THAT INCLUDES PHYSICIANS SPECIALIZING IN HIV, NURSES, CASE MANAGERS, AND PSYCHIATRISTS, THE HIV CLINIC IS ABLE TO PROVIDE A HOLISTIC APPROACH TO CARE AND ASSIST PATIENTS IN MAINTAINING A HEALTHY, PRODUCTIVE LIFE. THE CLINIC RECEIVES GRANTS FOR CASE MANAGEMENT SERVICES, COMPREHENSIVE PRIMARY CARE SERVICES REGARDLESS OF THE INCOME OR INSURANCE STATUS OF PATIENTS, THE TRANSPORTATION OF PATIENTS TO AND FROM MEDICAL AND SOCIAL SERVICE APPOINTMENTS, AND HIV-RELATED LABORATORY SERVICES TO INDIVIDUALS LIVING WITH OR BEING SCREENED FOR HIV/AIDS. IN 2010, REGIONS HOSPITAL FOUNDATION SECURED OVER $519,415 IN GOVERNMENT AND PRIVATE GRANT FUNDING TO RUN THIS PROGRAM. PHYSICAL ACTIVITY AND WELLNESS. HEALTHPARTNERS OFFERED INCENTIVES IN 2010 FOR STAYING FIT THROUGH THE HEALTHPARTNERS FREQUENT FITNESS PROGRAM IN WHICH FULLY INSURED MEMBERS CAN EARN A $20 REIMBURSEMENT ON THEIR MONTHLY FITNESS CLUB DUES AT OVER 7,500 HEALTH CLUB LOCATIONS BY ACHIEVING AT LEAST 12 HEALTH CLUB WORKOUTS IN THE MONTH (SELF-INSURED MEMBERS HAD ACCESS TO THE FREQUENT FITNESS PROGRAM IF THEIR EMPLOYER ELECTED TO OFFER THE PROGRAM.). MORE THAN ONE OUT OF THREE ENROLLED MEMBERS MET THE MONTHLY GOAL IN 2010. HEALTHPARTNERS ALSO SUPPORTED THE PHD: PHYSICAL, HEALTHY AND DRIVEN PROGRAM THROUGH YMCA TWIN CITIES. THIS PROGRAM TEACHES URBAN YOUTH IN THE MINNEAPOLIS AREA HOW TO STAY HEALTHY FOR LIFE. HEALTHPARTNERS JOINED FORCES WITH ST. PAUL PUBLIC SCHOOLS ON A PILOT WORKSITE WELLNESS PROGRAM, CALLED CHOOSE WELL, LIVE WELL. IN 2010, THE PROGRAM CONTINUED TO SERVICE THE ENTIRE DISTRICT OF ROUGHLY 80 SITES AND 6,100 EMPLOYEES. THE PROGRAM MEASURABLY IMPROVES HEALTH THROUGH BEHAVIOR CHANGE AND REDUCTIONS IN MODIFIABLE RISK FACTORS AND GENERATED A 2.8:1 RETURN ON INVESTMENT (A RETURN OF $2.80 FOR EVERY $1 INVESTED) AFTER FOUR YEARS. JOURNEYWELL, A HEALTHPARTNERS BUSINESS UNIT, CONTINUED TO PROVIDE MEMBERS SUPPORT TO BECOME MORE ACTIVE, EAT A HEALTHIER DIET, MANAGE STRESS AND QUIT SMOKING. HEALTHPARTNERS EMPHASIZES THE IMPORTANCE OF LIVING A HEALTHY LIFESTYLE THROUGH COMMUNITY PRESENTATIONS AND, IN ORDER TO INCREASE ACCESSIBILITY, UNDER JOURNEYWELL, PROGRAMS AND SERVICES ARE AVAILABLE FOR ALL COMPANIES AND ORGANIZATIONS REGARDLESS OF HEALTH PLAN AFFILIATION. 5. COMMUNITY HEALTH IMPROVEMENT EFFORTS COMMUNITY HEALTH OUTREACH, SCREENINGS AND VACCINATION PROGRAMS. GROUP HEALTH EMPLOYEES HAVE PRESENTED AT AND PARTICIPATED IN A NUMBER OF COMMUNITY HEALTH EVENTS ON TOPICS SUCH AS NUTRITION, EXERCISE, TEENAGE PREGNANCY, AND DIABETES. PRIMARY AUDIENCES HAVE BEEN THE HISPANIC, HMONG, AFRICAN AMERICAN AND NATIVE AMERICAN COMMUNITIES. HEALTHPARTNERS EMPLOYEES PARTICIPATED IN THE FOLLOWING COMMUNITY FESTIVALS AND EVENTS PROVIDING OUTREACH TO THE COMMUNITY ON A VARIETY OF HEALTH TOPICS INCLUDING BODY MASS INDEX, HEALTHY EATING, SMOKING CESSATION, CHOLESTEROL, BLOOD PRESSURE, IMMUNIZATIONS AND MORE: - AMERICAN INDIAN WELLNESS FAIR - MOAPPP (MINNESOTA OFFICE OF ADOLESCENT PREGNANCY PREVENTION AND PARENTING) CONFERENCE - POWER TO END STROKE GOSPEL TOUR - TWIN CITIES PRIDE FESTIVAL - HMONG SOCCER TOURNAMENT & HEALTH FAIR - MINNESOTA STATE FAIR ECO EXPERIENCE CARELINE. HEALTHPARTNERS INVESTS OVER $4.5 MILLION PER YEAR TO STAFF A 24-HOUR NURSING CARE TELEPHONE LINE FOR ANY PATIENT CALL REGARDLESS OF INSURANCE STATUS OR CARE SYSTEM. BIOTERRORISM MONITORING. USING A GRANT FROM THE MINNESOTA DEPARTMENT OF HEALTH, HEALTHPARTNERS TRACKS PATIENTS WHO PRESENT WITH SYMPTOMS THAT MIGHT SUGGEST A BIOTERRORISM EVENT AND THEN SUPPLIES THAT INFORMATION TO THE DEPARTMENT OF HEALTH. | ||
| MULTILINGUAL HEALTH RESOURCES EXCHANGE. THE EXCHANGE IS A COLLABORATION AMONG MANY MINNESOTA ORGANIZATIONS (INCLUDING HOSPITALS, CLINIC SYSTEMS, HEALTH PLANS, PUBLIC HEALTH AGENCIES, AND COMMUNITY GROUPS) TO SHARE TRANSLATED HEALTH MATERIALS AND INFORMATION TO MEET THE HEALTH EDUCATION AND INFORMATION NEEDS OF PEOPLE WITH LIMITED ENGLISH PROFICIENCY. HEALTHPARTNERS WAS INSTRUMENTAL IN STARTING THE EXCHANGE IN 2001. EACH MEMBER OF THE EXCHANGE CONTRIBUTES MATERIALS TRANSLATED BY THEIR ORGANIZATION TO THE EXCHANGE WEBSITE WHERE ALL PARTNER ORGANIZATIONS CAN DOWNLOAD IT FOR USE WITH THEIR CLIENTS AND PATIENTS. THIS GREATLY INCREASES THE AMOUNT OF HEALTH EDUCATION AVAILABLE IN LANGUAGES OTHER THAN ENGLISH FOR ALL PARTICIPATING ORGANIZATIONS. MN COMMUNITY MEASUREMENT. HEALTHPARTNERS HELPED TO ESTABLISH MN COMMUNITY MEASUREMENT (MNCM) WITH OTHER MINNESOTA HEALTH PLANS, AND CONTRIBUTED OVER $178,955 IN 2010. IN 2010, 1,293 PHYSICIAN CLINICS REGISTERED WITH MNCM TO COLLECT AND SUBMIT DATA ON MEASURES THAT ARE APPLICABLE TO THEIR PRACTICE. IN THE 2010 MNCM HEALTH CARE QUALITY REPORT, WHICH ALLOWS CONSUMERS TO COMPARE THE QUALITY OF CARE ON SIXTEEN DIFFERENT CONDITIONS, DATA WAS REPORTED ON 192 MEDICAL GROUPS REPRESENTING 553 CLINICS. IN 2010, MNCM REPORTED AVERAGE COST FOR COMMON PROCEDURES BY MEDICAL GROUP. MNCM HAS ALSO PILOTED A PATIENT SATISFACTION SURVEY BY CLINIC WITH MEDICAL GROUPS AND HAS REPORTED RESULTS FOR PARTICIPATING CLINICS ON ITS WEBSITE. INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT. DURING 2010, HEALTHPARTNERS CONTRIBUTED $1,218,300 TO THE INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT (ICSI). HEALTHPARTNERS IS A FOUNDING MEMBER OF ICSI, WHICH ESTABLISHES BEST PRACTICE HEALTH CARE GUIDELINES FOR THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF NUMEROUS DISEASES AND HEALTH CONDITIONS. ICSI ALSO WORKS TO IMPROVE THE QUALITY AND LOWER THE COST OF CARE DELIVERED BY ITS 55 MEDICAL GROUP, HOSPITAL AND INTEGRATED SYSTEM MEMBERS IN MINNESOTA AND SURROUNDING AREAS. IN 2010, HEALTHPARTNERS PARTICIPATED IN FOUR MAJOR ICSI INITIATIVES: - THE DIAMOND PROGRAM CHANGES HOW CARE FOR THE PATIENT WITH DEPRESSION IS DELIVERED AND PAID FOR IN PRIMARY CARE, AND IS GETTING FOUR TIMES AS MANY PATIENTS INTO REMISSION AT SIX MONTHS COMPARED TO TYPICAL PRIMARY CARE TREATMENT. - THE STATEWIDE HIGH-TECHNOLOGY DIAGNOSTIC IMAGING INITIATIVE IS ENABLING MEDICAL GROUPS TO USE A COMPUTER-BASED DECISION-SUPPORT TOOL TO ENSURE THAT APPROPRIATE MRI, CT, PET AND NUCLEAR CARDIOLOGY SCANS ARE ORDERED WHILE THE PHYSICIAN IS WITH THE PATIENT. - ICSI'S HEALTH CARE HOME INITIATIVE IS HELPING PRIMARY CARE CLINICS BECOME CERTIFIED TO MEET MINNESOTA HEALTH CARE REFORM LEGISLATION CRITERIA. - A NEW ICSI INITIATIVE IS INTRODUCING THE ELEMENTS OF PALLIATIVE CARE FOR PATIENTS AT THE TIME OF THEIR DIAGNOSIS OF A LIFE-LIMITING ILLNESS IN PRIMARY AND NON-PALLIATIVE SPECIALTY CARE SETTINGS. PARTNERSHIPS WITH COMMUNITY-BASED HEALTH ADVOCACY GROUPS. HEALTHPARTNERS HAVE ESTABLISHED PARTNERSHIPS WITH NONPROFIT ORGANIZATIONS WITH COMPATIBLE MISSIONS INCLUDING THE AMERICAN HEART ASSOCIATION, THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS, THE MINNEAPOLIS/ST. PAUL DIABETES EDUCATORS, THE MN DIABETES COLLABORATIVE, THE AMERICAN CANCER SOCIETY AND THE ARTHRITIS FOUNDATION. WORKING JOINTLY WITH THESE ORGANIZATIONS, HEALTHPARTNERS HAS REACHED MORE PEOPLE WITH INFORMATION ON THE IMPORTANCE OF BEING PHYSICALLY ACTIVE, EATING WISELY AND AVOIDING TOBACCO PRODUCTS. 6. CHARITABLE CONTRIBUTIONS AND EMPLOYEE VOLUNTEERISM CORPORATE DONATIONS. IN 2010, HEALTHPARTNERS CONTRIBUTED $1,044,077.35 TO NON-PROFIT HEALTH ORGANIZATIONS. HEALTHPARTNERS GIVES PRIORITY TO FUNDING PARTNERSHIPS AND PROJECTS THAT ARE CONSISTENT WITH THE ORGANIZATION'S STRATEGIC HEALTH PROMOTION INITIATIVES, FOCUS ON ACTIVITIES THAT PREVENT HEALTH PROBLEMS, ADDRESS THE NEEDS OF PEOPLE IN OUR SERVICE AREA, AND/OR DISPLAY UNDERSTANDING OF THE DIVERSE NEEDS OF OUR POPULATION AND INDICATE HOW THEY WILL REDUCE DISPARITIES IN HEALTH OUTCOMES. EMPLOYEE GIVING. ONCE A YEAR, HEALTHPARTNERS' EMPLOYEES HAVE THE OPPORTUNITY TO CONTRIBUTE TO SHARING AT WORK, A CAMPAIGN THAT DIRECTLY BENEFITS THOSE SERVED BY HEALTHPARTNERS BY RAISING MONEY FOR THE FOLLOWING HEALTHPARTNERS ENTITIES: RHF, IME, AND HPRF. FUNDS RAISED THROUGH SHARING AT WORK ARE USED TO IMPROVE PATIENT CARE, PROVIDE EDUCATION AND PROFESSIONAL DEVELOPMENT AND CONDUCT CUTTING EDGE RESEARCH. HEALTHPARTNERS MATCHES 100 PERCENT OF ALL SHARING AT WORK DONATIONS. IN 2010, GENEROUS EMPLOYEES OF HEALTHPARTNERS RAISED $491,914 WHICH AMOUNTED TO OVER $983,828 WITH A 100 PERCENT HEALTHPARTNERS MATCH. HEALTHPARTNERS' COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY EXTENDS BEYOND ITS DOORS. ADDRESSING DISPARITIES IS ONE OF THE REASONS HEALTHPARTNERS HAS A COMMITMENT TO WORKPLACE GIVING. A COMPREHENSIVE EMPLOYEE GIVING CAMPAIGN IS A KEY WAY TO PROVIDE A SAFETY NET OF SERVICES AND SUPPORT TO IMPROVE THE HEALTH OF THE COMMUNITY. FOR HEALTHPARTNERS EMPLOYEES, THERE IS AN ANNUAL COMMUNITY GIVING CAMPAIGN THAT SUPPORTS FIVE LOCAL FEDERATIONS: GREATER TWIN CITIES UNITED WAY, UNITED WAY OF WASHINGTON COUNTY-EAST, COMMUNITY SHARES, COMMUNITY HEALTH CHARITIES-MINNESOTA AND THE MINNESOTA ENVIRONMENTAL FUND. IN 2010, HEALTHPARTNERS EMPLOYEES PLEDGED TO GIVE THE COMMUNITY GIVING CAMPAIGN OVER $365,000 THROUGH AUTOMATIC PAYROLL DEDUCTIONS AND RAISED OVER $28,000 THROUGH SPECIAL EVENTS. IN 2010, HEALTHPARTNERS SPONSORED THE HEART WALK FOR THE AMERICAN HEART ASSOCIATION. IN ADDITION TO THE SPONSORSHIP, TEAM HEALTHPARTNERS, CONSISTING OF HEALTHPARTNERS EMPLOYEES, RAISED $49,482 FOR THE AMERICAN HEART ASSOCIATION. FUNDRAISING COMMUNICATIONS. HEALTHPARTNERS COMMUNITY RELATIONS STAFF PROVIDED COMMUNICATIONS TO EMPLOYEES THROUGHOUT HEALTHPARTNERS ABOUT THE FOLLOWING OPPORTUNITIES TO VOLUNTEER AND/OR FUNDRAISE: - ALZHEIMER'S MEMORY WALK - AMERICAN RED CROSS BLOOD DONATION - BREAST CANCER 3-DAY EVENT (SUSAN G. KOMEN FOUNDATION) - DAFFODIL DAYS (AMERICAN CANCER SOCIETY) - FEED MY STARVING CHILDREN - HEART WALK (AMERICAN HEART ASSOCIATION) - MAKING STRIDES AGAINST BREAST CANCER - MINNESOTA AIDS WALK - RACE FOR THE CURE - RELAY FOR LIFE - WALK FOR THOUGHT (MN BRAIN INJURY ASSOCIATION) HEALTHPARTNERS CONTINUES TO WIN ACCOLADES FOR HIGH QUALITY CARE. SEVERAL AWARDS AND HONORS RECEIVED IN 2010 INCLUDED: - NATIONAL BUSINESS COALITION ON HEALTH'S EVALUE8 REPORT. HEALTHPARTNERS WAS NAMED AS ONE OF THE NATION'S FIVE TOP PERFORMING HEALTH PLANS IN THE NATIONAL BUSINESS COALITION ON HEALTH'S (NBCH) EVALUE8 RANKINGS. IN ADDITION, HEALTHPARTNERS WAS THE TOP-RATED PLAN IN 10 OF THE 14 CATEGORIES IN THE EVALUE8 RANKINGS. HEALTHPARTNERS WAS THE ONLY MINNESOTA HEALTH PLAN TO RECEIVE A TOP FIVE CITATION FROM NBCH. THE NBCH EVALUATED 64 HEALTH PLANS ACROSS THE NATION WHICH SERVE MORE THAN 100 MILLION AMERICANS. THE EVALUE8 PROCESS WAS ESTABLISHED TO HELP PURCHASERS BUY HEALTH CARE PRODUCTS AND SERVICES WHILE CONTROLLING COSTS AND ENSURING TOP QUALITY CARE. - NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). HEALTHPARTNERS IS AMONG THE TOP 20 PRIVATE HEALTH PLANS IN THE NATION AND THE TOP-RANKED PLAN IN MINNESOTA, ACCORDING TO NCQA'S HEALTH INSURANCE PLAN RANKINGS 2010-2011. THE RANKINGS ARE BASED ON CLINICAL PERFORMANCE, MEMBER SATISFACTION AND NCQA ACCREDITATION. IN THE REPORT, HEALTHPARTNERS RANKED 19TH OUT OF 227 PRIVATE HEALTH PLANS FROM ACROSS THE NATION. NCQA IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION. - IN JD POWER AND ASSOCIATES' 2010 MEMBER HEALTH INSURANCE PLAN STUDY, HEALTHPARTNERS HAD THE HIGHEST SCORES FOR CUSTOMER SERVICE IN THE MINNESOTA-WISCONSIN REGION. - TOP MEMBER SATISFACTION. HEALTHPARTNERS DELIVERS EXCELLENT CARE AND SERVICE FOR MEMBERS. IN A CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS SURVEY, MEMBERS RATE HEALTHPARTNERS CUSTOMER SERVICE IN THE TOP 10 PERCENT NATIONALLY. | ||
| FORM 990, PART VI, SECTION A, LINE 6 | HPI IS THE SOLE CORPORATE MEMBER OF GHI. ADDITIONALLY, EACH CONTRACT HOLDER OF GHI OR ITS RELATED ORGANIZATIONS IS AN "ASSOCIATE MEMBER" OF GHI. EACH ASSOCIATE MEMBER HAS ONE VOTE. BYLAWS, SECTION 1.1. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ASSOCIATE MEMBERS ELECT THE "MEMBER-ELECTED DIRECTORS." THREE OF THE FIVE DIRECTORS ARE MEMBER-ELECTED DIRECTORS. THE CHAIR OF THE CORPORATE MEMBER SERVES AS A DIRECTOR EX OFFICIO AND AS THE CHAIR OF GHI. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ASSOCIATE MEMBERS HAVE APPROVAL RIGHTS REGARDING AMENDMENTS TO THE ARTICLES AND BYLAWS OF GHI AND ANY MERGER WHEREBY GHI IS MERGED INTO AND SURVIVED BY A DIFFERENT CORPORATION. THE SOLE CORPORATE MEMBER MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG RANGE PLANS, INDEBTEDNESS IN EXCESS OF AMOUNTS DETERMINED FROM TIME TO TIME, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, DISPOSAL OF ASSETS IN EXCESS OF AMOUNTS DETERMINED FROM TIME TO TIME, APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER, AMENDMENT OF ARTICLES OR BYLAWS, VOLUNTARY DISSOLUTION, VENDOR AGREEMENT INVOLVING 20% OR MORE OF OPERATING EXPENSES, ANY ACTION TAKEN BY THE VOTE OF THE FULL BOARD OF DIRECTORS. BYLAWS, ARTS IV, XIII, XIV. | |
| FORM 990, PART VI, SECTION B, LINE 11 | GHI'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF GHI. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY GHI'S TAX DEPARTMENT, MANAGEMENT TEAM, INTERNAL LEGAL DEPARTMENT AND OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS PRESENTED TO THE GOVERNING BODY OF GHI. GHI MAKES AVAILABLE, TO THE FINANCE AND AUDIT COMMITTEE OF GHI'S BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS, A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE AND THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AS REQUIRED BY THE BYLAWS OF GHI, THE BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES PURSUANT TO ITS CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND REQUIRED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL SUMMARIZES THE FINDINGS FROM THE QUESTIONNAIRE AND SUBMITS A REPORT TO THE GOVERNANCE COMMITTEE. A FINAL REPORT OF THE POTENTIAL CONFLICTS IS SHARED WITH THE CHAIR OF THE BOARD AND CHIEF EXECUTIVE OFFICER WHO, ALONG WITH THE GENERAL COUNSEL AND THE BOARD ASSISTANT SECRETARY, CONTINUALLY MONITOR BOARD AGENDAS AND PROPOSED ACTIONS TO IDENTIFY AND ADDRESS ACTUAL CONFLICTS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | GHI HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS CEO AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE GHI BOARD OF DIRECTORS' COMPENSATION COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION COMMITTEE. FOR THE CHIEF EXECUTIVE OFFICER AND CERTAIN OTHER POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE, STAFF IS NOT IN ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2S THE BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE CEO BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA, APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAD DELEGATED TO THE CEO (WITH AUTHORITY TO FURTHER DELEGATE) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS NEED TO BE APPROVED BY THE COMPENSATION COMMITTEE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GHI FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM GHI OR HPI. GHI'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. GHI'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, BOARD MINUTES AND PRINCIPLES OF CORPORATE GOVERNANCE CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | FASB 124 FAIR MARKET VALUATION ADJUSTMENT 2,885,403. FASB 158 PENSION ADJUSTMENT 1,070,224. FASB 158 POST RETIREMENT ADJUSTMENT 112,164. TOTAL TO FORM 990, PART XI, LINE 5: 4,067,791. |
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