Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| Form 990 Part VI Section A. Question 1A. | Executive Committee of the Board of Directors:Committee is comprised of six (6) members of the Board of Directors, including the four (4) officers of the organization; Chairman, Vice Chairman, Secretary and Treasurer. The Committee, as provided in its corporate By-Laws, 'is authorized to act in the place of the Board of Directors and to have such authority and powers of the Board between meetings of the Board.except as such authority and powers may be reserved to the Board of Directors or be limited by the Articles of Incorporation, the By-Laws, or a specific resolution of the Board of Directors.' | |
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. STATUTORY FILING FINANCIAL DOCUMENTS ARE AVAILABLE THROUGH THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONER'S WEBSITE. |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | THE COMPENSATION COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS, AND IS RESPONSIBLE FOR COMPENSATION MATTERS INCLUDING:DETERMINING APPROPRIATE COMPENSATION FOR SENIOR MANAGEMENT AND OTHER DISQUALIFIED PERSONS; EVALUATING SENIOR MANAGERS AND OTHER DISQUALIFIED PERSONS' COMPENSATION PLANS, POLICIES AND PROGRAMS; REVEIWING BENEFIT PLANS FOR SENIOR MANAGERS AND OTHER DISQUALIFIED PERSONS AND VERIFYING THAT COMPENSATION INFORMATION IS APPROPRIATELY AND FULLY DISCLOSED. COMMITTEE MEMBERSHIP INCLUDES ONLY INDEPENDENT DIRECTORS, HAVING NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANGEMENTS AND SUCH INDEPENDENCE AND ABSENCE OF CONFLICTS WILL BE ASSESSED ON A REGULAR BASIS. |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | ALL OFFICERS AND ALL EMPLOYEES ARE REQUIRED, UPON HIRE AND ON AN ANNUAL BASIS, TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. MEMBERS OF CHP'S BOARD OF DIRECTORS ALSO ARE REQUIRED, UPON ELECTION TO THE BOARD AND ON AN ANNUAL BASIS, TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | THE RETURN IS DRAFTED AND REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE. IT IS THEN SENT TO THE BOARD OF DIRECTORS WITH SUFFICIENT TIME TO REVIEW PRIOR TO FILING. |
| Form 990, Part VI, Line 2 | Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | C. DUBOSE AUSLEY AND THOMAS BARRON SERVE TOGETHER ON CAPITAL HEALTH PLAN'S BOARD OF DIRECTORS AND ON THE CAPITAL CITY BANK GROUP'S BOARD OF DIRECTORS. |
| Client Note 3 - BACKGROUND AND MISSION:Capital Health Plan is a local HMO focused on serving the Tallahassee, Florida metropolitan area and adjoining rural counties. The health plan's mission is to provide our residents with high quality, affordable health care that:Focuses on delivery of evidence-based medical care under the direction of primary care physicians in an effective, timely and cost effective manner.Emphasizes low administrative costs and ethical business practices.Is proactive and innovative in its quest to continually improve the health of the community.In pursuing this mission, Capital Health Plan impacts the health and well being of Tallahassee area residents - both those who are plan members and those who are not. CHP serves a membership of 114,000 people; over 30% of the area's population. The health plan has developed a high quality delivery system that includes over 400 area physicians, more than 90% of the medical community. The core of this delivery system is CHP's employed clinical staff, a group of 31 physicians and 8 optometrists who practice in two state of the art health centers the plan has developed. These health centers are equipped with electronic medical records and can accommodate a broad range of primary and specialist care services including evening and weekend urgent care, lab, x-ray and digital mammography. CHP's ability to offer a highly organized component of its delivery system to its members has provided unique opportunities for improving health care outcomes. The staff component of CHP's delivery system consistently produces better results on measures of clinical care, member satisfaction and efficiency.Capital Health Plan seeks to lead our area and continually improve performance against benchmarks for clinical quality, member satisfaction, and affordability. In that regard, CHP has been consistently recognized by NCQA. CHP was ranked in 2010 by the NCQA as the top Medicare health plan and the 4th best private health plan in the nation. As the area's market leader, Capital Health Plan attempts to raise the bar for providing value in health care throughout our community. In addition to these marketplace impacts, CHP directly invests in the community it serves through a formal community benefit policy adopted by its Board of Directors. The policy focuses the organization's community benefit initiatives in three primary areas:Addressing Market Failures - CHP will be a leading partner in the Tallahassee area in addressing the needs of the uninsured and underinsured.Promoting Community Health - CHP will transform its heritage in population-based health to pursue strategies that go beyond traditional medical care to impact the health of the entire Tallahassee Community.Clinical Training/Research - CHP will partner with the educational institutions in our area to help train the clinical workforce our community will need in the future and to maximize an evidence-based focus on population health in training and research.Capital Health Plan's commitment to community benefit represents a social dividend derived from the organization's ongoing focus on excellent clinical care and service to its members.2010 ACCOMPLISHMENTS AND BENEFIT TO THE COMMUNITYHighlights of Capital Health Plan's contributions to the health of the Tallahassee area in 2010 include the following:AffordabilityCapital Health Plan's commercial premium increases for 2010 averaged 7.9%, the seventh consecutive year of single digit price adjustment. These low price adjustments were achieved while maintaining a comprehensive level of health benefits.CHP's premiums for the State of Florida Group, the area's largest employer, were again the lowest of all HMO's offered the State's workforce in 2010. Compared to the prices paid HMO competitors for an identical standard HMO benefit package, CHP's price saved the State in excess of $ 30 million in 2010.CHP's administrative overhead is consistently maintained at one of the lowest levels in the State of Florida, has been below 5% of revenues for the past twenty years, and in 2010 totaled 3.8% of revenues.Reflecting CHP's success in maintaining over 30% of area residents in its comprehensive HMO program, the Tallahassee area - specifically Leon County, Florida - has maintained the highest level of HMO membership and the lowest level, by survey, of uninsured population in the State of Florida.Clinical Quality and Member SatisfactionCHP was nationally recognized, as the top-ranked Medicare plan by NCQA's Health Insurance Plan Raking and CHP's commercial plan was ranked 4th in the nation according to NCQA's ranking. CHP is the only Medicare Advantage plan in Florida, and one of only three in the nation in 2010, to receive 5 stars for the summary rating of health plan quality from CMS. CHP was the only Medicare Advantage plan in the nation in 2010 to achieve this for two straight years.The Florida HMO Report published by the Agency for Health Care Administration rated CHP with the highest customer satisfaction scores among all HMO's in Florida.CHP has performed well across a broad range of clinical benchmarks highlighted by colon cancer screening, where CHP consistently performs at one of the highest rates in the nation for the past six years.Community Benefit InitiativesIn accordance with its community benefit policy, the following initiatives were supported in 2010:Addressing Market Failure/Uninsured and UnderinsuredCapital Health Partnership - This is a "three-share" program established to help the uninsured in our community by providing uninsured small businesses the opportunity to offer subsidized coverage to their employees. An uninsured small business with low income workers can receive a 40% subsidy toward premiums for each employee. The employer then pays at least 50% of the remaining premium and the employee is responsible for the remaining amount. This initiative is administered through the Capital Area Health Access Foundation which was created by CHP for this purpose.Safety Net Institutions - CHP provides financial support for the "We Care" program administered by the Capital Medical Society Foundation. "We Care" provides donated professional healthcare services to medically indigent individuals who do not qualify for public assistance. CHP's financial support helps fund the administrative costs of this program. CHP also provides financial support through the United Way and Whole Child Leon to fund outreach workers to assist families in qualifying their uninsured children for a variety of health programs. CHP also funds a significant portion of the budget of Neighborhood Health Services in Tallahassee which directly provides a range of primary health care services to low-income people in our community.Promoting Community HealthCHP Champions Program - This is a public school partnership created to help stem the tide of childhood obesity by offering fitness programs before and after school. It was developed as a collaborative partnership with Leon County Schools and the Tallahassee Area Chamber of Commerce with services provided through Titus Sports Academy. CHP started the program in eight (8) Leon County Schools in the Fall of 2006, expanding it to all public elementary, and middle schools in four counties within two (2) years. Currently, over 14,000 children are registered for the program in Leon County and the adjoining rural counties of Jefferson, Gadsden and Wakulla with planned expansion into two (2) more counties .Cascades Park Health and Fitness Trails - To enhance opportunities for outdoor activity and exercise, CHP committed to a multi-year financing of health and fitness trails to be developed over the next three years as a part of a major park development in downtown Tallahassee.Florida State University Center on Better Health and Life - CHP provided matching support to initiate an innovative, community outreach program to impact health disparities in minority communities through health education and preventive services. Clinical TrainingCHP continued a five year investment in each of our area's three public nursing schools, Florida A&M University, Florida State University and Tallahassee Community College. The investments are intended to significantly enhance the capacity of each training program and positively impact the growing shortage of nurses our community is facing. CHP also serves as an affiliated educational partner for precepting both nursing students from Florida A&M University and medical students from Florida State University. These services are provided directly by CHP's employed medical and nursing staff at CHP facilities. Through a comprehensive range of services and initiatives noted above, Capital Health Plan fulfilled its mission and positively impacted the health of the Tallahassee area it serves in 2010. | ||
| Client Note 2 - Capital Health Plan's purpose as a non-profit HMO is to provide the people in Leon and surrounding counties with high quality, affordable health care that: Focuses on delivery of evidence- based medical care under the direction of primary care physicians in an effective, timely and cost efficient manner. Emphasizes low administrative costs and ethical business practices. Is proactive and innovative in its quest to continually improve the health of the community. | ||
| Client Note 1 - Capital Health Plan operates as a Health Maintenance Organization (HMO) that provides comprehensive, high quality, affordable health care to residents of the Tallahassee area through an organized delivery system focused on evidence-based care under the direction of primary care physicians (See Part III 4A for additional detail). |
| Software ID: | 10000105 |
| Software Version: | 2010v3.2 |