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TIN:
SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is atwww.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Inspection
Name of the organization
Health Partners Plans Inc
Employer identification number
23-2379751
23-2379751
| Return Reference | Explanation |
|---|---|
| Form 990 Part III Line 1 | Health Partners Plans is a licensed health maintenance organization committed to building a healthier community. Our mission is to: -Manage our business to exceed expectations, -Operate with respect and dignity in all relationships, -Continually improve the health outcomes of our members. Since its founding in 1985, Health Partners Plans, has been improving quality and access to care for low-income residents of the Delaware Valley and garnered national attention for innovations in managed care. We offer three distinct enrollment programs: 1. Our Health Partners program now serves more than 178,000 Medical Assistance members throughout southeastern Pennsylvania. Close to half of those Medicaid members are children. 2. Our Children's Health Insurance Program (CHIP), KidzPartners, provides access to quality healthcare for approximately 8,100 low-income children and teens. 3. Our Medicare Advantage Program now serves close to 7,100 Medicare individuals, with over half of them being low-income. As a not-for-profit, hospital-owned plan, our success in improving access for our almost 183,000 (and growing) members has been recognized through numerous local and national honors. These include being the first plan in the United States to receive the National Committee on Quality Assurance's Multicultural Health Care Distinction designation, in addition to maintaining NCQA's "Commendable" rating. Health Partners Plans has also received awards from the Managed Health Plans of America for our "Biggest Winner" program to reduce obesity among members and our Crazy Praise Dance Showcase - a gospel showcase to promote fitness and nutrition. We have won numerous communications awards for member materials and programs, as well as the American Health Insurance Programs' HERA award for community service, Pennsylvania Psychological Association's Psychologically Healthy Workplace award, and awards for Workplace Diversity, Corporate Responsibility, and many other distinctions. We have been ranked number one in member satisfaction in our area since 2003 and number one in the State for four of those years, based on the annual Pennsylvania Department of Public Welfare CAPHS Survey. Our outreach efforts include bringing health screenings directly to our members, and often to the public as well, by hosting health testing and education events throughout the city, supporting numerous community programs. We offer a 24-hour, 7 day-a-week member service phone line, as well as a nurse advice line. We view ourselves as an important catalyst to improving the overall health care of not only our members, but also low-income residents throughout the community. We do this through a variety of health education programs including sponsorships of summer camps, community gardens, neighborhood fitness programs, after-school programs, workshops, body mass index screenings and other efforts. Some of our activities in supporting the community include: -Convening a conference for healthcare and social services providers to discuss outreach and treatment of mental health among immigrant populations -Sponsoring, training, and delivering BenefitsCheckup to community residents over the age of 65 to help them identify Federal, State, local, and private programs to help them save money on their daily living needs -Sponsoring social activities targeting need seniors to encourage social interaction and community activity -Providing community based health education and training on topics such as Asthma, Diabetes, and other health issues -Deploying a custom built mobile service office to provide information on healthcare in community based services -Provide educational support including scholarships, behavior support programs, and teacher support -Serve on numerous Community Advisory Boards of local non-profits providing information on emerging health issues, community connectivity, and general business acumen -Provide support to community based artistic development through support of local arts initiatives targeting low-income, at-risk youth -Provide support in the fight against domestic violence through educational and intervention programs as well as community activism through the PA Coalition Against Domestic Violence and Women Against Abuse -Provide emergency relief to individuals and families through summer fan distribution, food basket distribution, and gift giving initiatives -Provide support to families through parenting support initiatives supporting new mothers (Maternity Care Coalitions) and various fatherhood initiatives Finally, because violence in our community is one of the greatest threats to health, we actively support anti-violence efforts, including donations and active participation with anti-violence community groups. As an employer, we take pride in our low employee turnover rate. We maintain a supportive, multicultural environment and strong sense of mission. We remain committed to working with numerous minority and women-owned vendors in our area. |
| Form 990, Part III, Line 2 | NEW PROGRAM SERVICE PROVIDED The Company provides comprehensive (physical and behavioral) health insurance through its Medicare Advantage program and products through a contract with the Centers for Medicare & Medicaid Services (CMS). The Company's program, Health Partners Medicare, which commenced in 2014, provides for the provision of physical and behavioral health. The Company offers several products and program benefits to enrolled Medicare members residing in Philadelphia County pursuant to its agreement with CMS. |
| FORM 990, PART VI, LINE 6 & 7 | The Health Partners Plans Board consists of one class of nine members. These members are comprised of six healthcare providers and three community at-large members. Members approve admitting new members, and, unanimous approval is required. |
| FORM 990, PART VI, SECTION A, LINE 9 | ROLANDO PORTOCARRERO CANNOT BE REACHED AT HPP. HIS ADDRESS IS: 1010 SPRUCE ST. APARTMENT 1C PHILADELPHIA, PA 19107 KENNETH I. TRUJILLO CANNOT BE REACHED AT HPP. HIS ADDRESS IS: 723 GLENGARRY ROAD PHILADELPHIA, PA 19118 KATHLEEN KINSLOW CANNOT BE REACHED AT HPP. HER ADDRESS IS: ARIA HEALTH ADMINSTRATION BUILDING KNIGHTS & RED LION ROADS PHILADELPHIA, PA 19114 CAROLYN JACKSON CANNOT BE REACHED AT HPP. HER ADDRESS IS: St. Christopher's Hospital for Children 3601 A Street, Front & Erie Avenues Philadelphia, PA 19134 |
| Form 990 Part VI Line 11b | Process Used to Review Form 990 An initial review is performed by an independent accounting firm, KPMG, which provides technical guidance and filing expertise. The governing body of HPP, the Board of Directors, has a committee (Audit Committee) that reviews the Form 990. A week prior to the Audit Committee meeting, HPP's chief financial officer mails out the meeting package which includes the completed draft Form 990. The members review the form and prepare any questions. At the meeting the CFO reviews the draft Form 990 and provides highlights. There is discussion regarding the responses. The CFO then has a question and answer period regarding the return. After all questions have been responded to, the form is submitted to the Board of Directors, prior to submitting the return to the IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING OF THE CONFLICT OF INTEREST POLICY All employees are required to complete on an annual basis, a statement of Conflict of Interest Certification. It is a part of the mandatory, online training program for employees. At the conclusion of the training, the employee certifies that he/she has read the Conflicts of Interest Policy. Employees are required to list any organizations that they are involved in, which may be in conflict with the interest or business of Health Partners Plans, Inc., and/or may interfere with the employee's ability to fully and properly perform their job responsibilities. Potential conflicts are to be reported by the employee to management and Human Resources, immediately. Per the training, and the processes in place, the signed documents are reviewed by the Human Resources department and any disclosures of potential conflicts are brought to the attention of the Senior Vice President of Resources Management & Compliance (SVP) and/or the Vice President, Legal Affairs & General Counsel (VP, Legal). The SVP and/or VP, Legal review the disclosure and if it rises to the level of a conflict, he/she/they determine if there is mitigation for said conflict or if action must be taken to alleviate the conflict. There were no conflicts of employees noted in 2014. The Board of Directors is also required to complete, on an annual basis, a review of the Conflict of Interest Policy and complete a Conflicts of Interest Statement. Per the Conflicts Policy for the Board, should a member have a disclosure, he/she presents it to the Board or Committee for discussion and vote to determine if a conflict of interest exists. The procedures for addressing a conflict are set-forth in the Policy. There were no conflict certifications submitted for year ending 2014, due to a review of the Certification with the Board members, Committees and outside counsel to HPP. The review of the form is expected to be completed by the end of calendar year 2015. The President & CEO of HPP has been working with the Committee on this issue and continue to do so to ensure appropriate conclusion. For all prior years, HPP has received these forms from the Board, without exception. |
| Form 990 Part VI Line 15a | PROCESS FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CEO The Board of Directors annually elects a board-level committee called the Compensation and Evaluation Committee (committee) which is responsible for assuring that HPP salary strategies are competitive and consistent with current market trends, in order to provide a stable, qualified and fairly compensated workforce. All members of the committee are independent. The committee also determines the compensation of the President and CEO by first engaging an independent consultant to provide market data on current, relevant CEOs' compensation including one custom survey specifically for HMO executives, in order to make their compensation recommendations. Every other year, the committee engages a benefits consulting firm to provide summarized national data. The consultant's investigation and recommendations reflect Board-specific criteria for determining payment levels for both base compensation and incentive compensation. Based on a thorough review and deliberations following the consultant's study, the committee establishes the base compensation and other benefits for the CEO so that they are aligned with current market trends and budgetary considerations. Separately, the committee approves annual incentive targets, performance against those targets, and the computation of the CEO's resulting incentive compensation payment. Contemporaneous minutes of the meeting are prepared and approved by the committee. The Board of Directors also approves the minutes of the committee. |
| Form 990 Part VI Line 15b | PROCESS FOR THE DETERMINING THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES The Board of Directors annually elects a board-level committee called the Compensation and Evaluation Committee (committee) which is responsible for assuring that HPP salary strategies are competitive and consistent with current market trends, in order to provide a stable, qualified and fairly compensated workforce. All members of the committee are independent. The committee also determines the compensation of the Other Officers and Certain Key Employees by first engaging an independent consultant to provide market data on current, relevant compensation including one custom survey specifically for HMO executives, in order to make their compensation recommendations Every other year, the committee engages a benefits consulting firm to provide summarized national data. The consultant's investigation and recommendations reflect Board-specific criteria for determining payment levels for both base compensation and incentive compensation Based on a thorough review and deliberations following the consultant's study, the committee establishes the base compensation and other benefits so that they are aligned with current market trends and budgetary considerations. Separately, the committee approves annual incentive targets, performance against those targets, and the computation of the resulting incentive compensation payment. Contemporaneous minutes of the meeting are prepared and approved by the committee. The Board of Directors also approves the minutes of the committee. |
| Form 990 Part VI Line 19 | MAKING ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLIC Currently, HPP does not make its governing documents, conflict of interest policy or its financial statements available to the public. |
| Form 990 Part XI Line 9 | RECONCILIATION OF NET ASSETS CONTRIBUTED CAPITAL...............................$800,000 |
| Form 990 Part XII Line 2c | AUDITED FINANCIAL STATEMENTS HPP did receive an audited financial statement from KPMG in 2014 that was prepared in accordance with accounting practices permitted by the Commonwealth of Pennsylvania Insurance Department, "Statutory Basis". Because HPP is licensed by the Commonwealth of Pennsylvania Departments of Insurance and Health to operate as a Health Maintenance Organization, the Statutory Financial Statements were required. A GAAP financial statement was not prepared because one was not required. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014
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