Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
REGIONS HOSPITAL |
410956618 | 170(B)(1) (A)(III) | Yes | 0 | 0 | |
| (B)
GROUP HEALTH PLAN INC |
410797853 | 170(B)(1) (A)(III) | Yes | 0 | 0 | |
Total 2
|
0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 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) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| FORM 990, SCHEDULE A, PART I, LINE 11H, COLUMN (V): MONETARY | NO DIRECT MONETARY SUPPORT IS INDICATED FROM PHYSICIANS NECK & BACK CLINICS (PNBC) TO ITS SUPPORTED ORGANIZATIONS: HOWEVER, PNBC PERFORMS SERVICES WHICH ITS SUPPORTED ORGANIZATIONS WOULD OTHERWISE PERFORM ON THEIR OWN. THE NATURE OF THESE SERVICES, AND THE RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS IS DESCRIBED IN SCHEDULE O "FORM 990, PART III, LINE 4A, EXEMPT PURPOSE AND ACHIEVEMENTS." |
| SCHEDULE A, PAGE 5, SECTION C, LINE 1 | THE BYLAWS OF THE SUPPORTING ORGANIZATIONS PROVIDE THAT IT'S BOARD OF DIRECTORS BE COMPOSED OF FOUR VOTING DIRECTORS, ALL OF WHOM SERVE EX-OFFICIO, BASED ON THEIR POSITIONS AS OFFICERS OF THE SUPPORTED ORGANIZATIONS. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A EXEMPT PURPOSE AND ACHIEVEMENTS | CORPORATE STRUCTURE, PURPOSE, GOVERNANCE PHYSICIANS NECK & BACK CENTER (PNBC) IS A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS "HEALTHPARTNERS". FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED SYSTEM OF HEALTH CARE DELIVERY AND HEALTH CARE FINANCING ORGANIZATIONS, AND IS ONE OF THE LARGEST CONSUMER-GOVERNED ORGANIZATIONS IN THE COUNTRY. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTHCARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY, ALL AT THE SAME TIME. HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS WITH HEALTH CARE ACTIVITIES PRIMARILY OPERATING IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS PROVIDES A FULL-RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLAN'S SERVE MORE THAN 1.5 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE, AND IS THE TOP-RANKED COMMERCIAL PLAN IN MINNESOTA. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,700 PHYSICIANS, SIX HOSPITALS, 55 PRIMARY CARE CLINICS, 22 URGENT CARE LOCATIONS AND NUMEROUS SPECIALTY PRACTICES IN MINNESOTA AND WESTERN WISCONSIN. IN ADDITION, HEALTHPARTNERS DENTAL CARE SYSTEM HAS MORE THAN 60 DENTISTS AND 22 DENTAL CLINICS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUND RAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN THE HEALTHPARTNERS FAMILY, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS AND PATIENTS LIVE HEALTHIER LIVES. HEALTHPARTNERS COLLABORATE WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES CONTINUING IN 2014 ARE TOTAL COST OF CARE MEASUREMENTS (DEVELOPMENT OF A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). HPI IS THE SOLE CORPORATE MEMBER OF GROUP HEALTH PLAN, INC. (GHI), A MINNESOTA NON-PROFIT CORPORATION AND LICENSED STAFF MODEL HMO RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). IN TURN, GHI IS THE SOLE CORPORATE MEMBER OF PNBC. PNBC IS RECOGNIZED AS A SUPPORTING ORGANIZATION UNDER IRC SECTION 509(A)(3). AS SUCH, PNBC PERFORMS CERTAIN FUNCTIONS ON BEHALF OF OTHER TAX-EXEMPT ENTITIES WITHIN THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS. SPECIFICALLY, IN ADDITION TO SUPPORTING GHI, IT ALSO SUPPORTS REGIONS HOSPITAL (REGIONS), A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). REGIONS IS A LEADING, FULL-SERVICE HOSPITAL LOCATED IN ST. PAUL, MINNESOTA THAT PROVIDES OUTSTANDING MEDICAL CARE WITH SPECIAL PROGRAMS IN HEART, CANCER, BEHAVIORAL HEALTH, BURN, EMERGENCY AND TRAUMA. PNBC SPECIALIZES IN THE TREATMENT OF CHRONIC NECK AND BACK PAIN THAT MAY OFTEN BE ACCOMPANIED BY ARM OR LEG PAIN. PNBC SERVES THE TWIN CITIES METRO AREA AND HAS CLINICS IN ROSEVILLE, WOODBURY, COON RAPIDS, EDINA, LAKEVILLE, AND MAPLE GROVE, MINNESOTA. GOVERNMENT-SPONSORED MEANS-TESTED HEALTH CARE: PNBC HAS A MIX OF HEALTH CARE PAYERS. IN 2014, APPROXIMATELY 12.3 PERCENT OF PNBC'S HEALTH CARE SERVICES WERE DELIVERED TO PATIENTS ENROLLED IN MEDICAL ASSISTANCE PROGRAMS. THE WRITE-OFF TO A REDUCED CHARGE AMOUNT FOR MEDICAL ASSISTANCE PATIENTS IN 2014 WAS $86,000. PNBC CURRENTLY DOES NOT PARTICIPATE IN THE MEDICARE FEE FOR SERVICE PROGRAM. PNBC OFFERS THESE PATIENTS AN OPTION TO RECEIVE SERVICES ON A PRIVATE CONTRACT BASIS. UNDER THE PRIVATE CONTRACT, THE PATIENTS PAY A SIGNIFICANTLY REDUCED RATE FOR THE INITIAL CONSULTATION AND FOLLOW UP VISITS (UP TO A MAXIMUM OF $1,000). PURSUANT TO 42 C.F.R. PART 405 SUBPART D (PRIVATE CONTRACTS), THESE MEDICARE PATIENTS, WITH OR WITHOUT SUPPLEMENTAL INSURANCE, ARE ASKED TO SIGN A CONTRACT WITH PNBC IN WHICH THEY AGREE TO NOT SUBMIT BILLS TO MEDICARE. IN 2014, THE TOTAL WRITE-OFF TO REDUCED CHARGE AMOUNTS FOR MEDICARE, MEDICARE WITH SUPPLEMENTAL INSURANCE, AND MEDICARE ADVANTAGE PATIENTS WERE APPROXIMATELY $285,000. COMMUNITY HEALTH EDUCATION: PNBC PROVIDED 22 HEALTH EDUCATION LECTURES TO EMPLOYERS AND LABOR GROUPS IN THE TWIN CITIES. THESE ORGANIZATIONS RANGED FROM PUBLIC GROUPS SUCH AS ST. PAUL PUBLIC SCHOOL EMPLOYEES TO NON-PROFITS SUCH AS WILDER FOUNDATION TO MANUFACTURING COMPANIES SUCH AS TURCK. THE OBJECTIVE OF THESE LECTURES WAS TO PROVIDE EDUCATION ON HOW TO MINIMIZE THE RISK OF DEVELOPING CHRONIC NECK/BACK PAIN. FOR THOSE WHO ALREADY HAVE THIS CONDITION, PNBC TRIED TO SHARE THE OPTIMAL CARE PROCESS FOR LONG TERM RELIEF AND REDUCE ANY UNNECESSARY PROCEDURES. BASED ON THE NUMBER OF HOURS FOR THE LECTURES, TRAINING /TRAVEL TIME AND MATERIALS, PNBC CONTRIBUTED APPROXIMATELY $3,500 WITHOUT ANY REIMBURSEMENT FROM THESE ORGANIZATIONS. COMMUNITY-BASED CLINICAL SERVICES: CORE HEALTH ASSESSMENTS - IN JANUARY AND JULY, PNBC PROVIDED FREE HEALTH ASSESSMENT AND EDUCATION FOR 450 PEOPLE AT FOUR CLINICS. RESEARCH: TOTAL COST OF CARE FOR SPINE CARE RESEARCH - THE OBJECTIVE OF THE TOTAL COST OF CARE FOR SPINE CARE RESEARCH WAS TO IDENTIFY AND COMPARE HOW MUCH WAS SPENT ON VARIOUS TREATMENT OPTIONS FOR CHRONIC NECK/BACK CONDITIONS. THE GOAL IS TO USE THE RESEARCH OUTCOMES TO REDUCE THE OVERALL COST OF CARE FOR THESE CONDITIONS. $3,500 STIPEND WAS PROVIDED TO EACH RESEARCHER AND 500-1000 HOURS OF LABOR CONTRIBUTED IN RESEARCH INCLUDES MEDICAL DIRECTOR, PHYSICIAN RESEARCHER, INFORMATICS DIRECTOR AND ANALYST, BUSINESS DEVELOPMENT MANAGER AND DATA ANALYST TIME. FINANCIAL CONTRIBUTIONS: SPONSORSHIP ACTIVITIES/EVENTS- - LABORCARE HEALTH FAIR - HEALTH EDUCATION FOR 8,500+ MEMBERS OF MINNESOTA LABOR UNIONS, AT A COST OF $2,500. - WOODBURY COMMUNITY HEALTH - HEALTH EDUCATION, FRUIT/HEALTHY FOOD GIVEAWAY AND HEALTH ASSESSMENT FOR 1,500+ RESIDENTS OF WOODBURY AT A COST OF $5,000. - AMERICAN CANCER SOCIETY DONATION OF $320 FOR BREAST CANCER AWARENESS. COMMUNITY BUILDING ACTIVITIES: - RESOURCE ADOPT-A- FAMILY CONTRIBUTION (NOVEMBER/DECEMBER) - PNBC SUPPORTED A LOCAL LOW INCOME FAMILY OF FIVE BY PROVIDING BASIC NECESSITIES TO GIFTS FOR THE HOLIDAY. - SCHOOL SUPPLIES DRIVE (AUGUST) - PNBC COLLECTED 135 POUNDS OF SUPPLIES AND DONATED TO LOCAL SCHOOLS. - HABITAT FOR HUMANITY (SEPTEMBER) - SEVEN LEADERS OF PNBC HELPED BUILD A HOME FOR A FAMILY IN NORTH MINNEAPOLIS. |
| FORM 990, PART VI, SECTION A, LINE 6 | GHI IS THE SOLE CORPORATE MEMBER OF PNBC. |
| FORM 990, PART VI, SECTION A, LINE 7B | GHI, THE SOLE CORPORATE MEMBER, MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: - AMMENDMENT OF ARTICLES OR BYLAWS - ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG RANGE PLANS - UNBUDGETED SPECIAL PROJECTS IN EXCESS OF $10,000 - GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY - A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF $10,000 - VOLUNTARY DISSOLUTION - DISPOSAL OF SUBSTANTIALLY ALL OF THE ASSETS - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION |
| FORM 990, PART VI, SECTION B, LINE 11 | PNBC'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF PNBC. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF PNBC, GHI'S INTERNAL LEGAL DEPARTMENT AND PNBC'S 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 COMPLETED AND PRESENTED TO THE GOVERNING BODY OF PNBC. PNBC MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT A MEETING OF THE FULL BOARD OF DIRECTORS. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN MINUTES OF THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE PNBC BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES BY MAINTAINING A 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 REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE GENERAL COUNSEL OF HEALTHPARTNERS SHARES A REPORT OF THESE POTENTIAL CONFLICTS WITH THE EXECUTIVE DIRECTOR AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | PNBC HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS ESECUTIVE DIRECTOR AND OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE BOARD OF DIRECTORS, A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE PNBC BOARD, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES. FOR THE EXECUTIVE DIRECTOR AND CERTAIN OTHER POSITIONS, FULL INDEPENDENT REVIEWS ARE PERFORMED. |
| FORM 990, PART VI, SECTION C, LINE 19 | PNBC'S) FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM PNBC OR HEALTHPARTNERS. PNBC'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. PNBC'S CONFLICT OF INTEREST POLICY THROUGH IT'S RELATED ORGANIZATION, HEALTHPARTNERS, INC. CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE. |
| FORM 990, PRT VII, SEC A, LN 1A, COL (B) - AVERAGE HOURS | DIRECTORS AND OFFICERS OF PNBC ARE EMPLOYED AND COMPENSATED BY GHI, REGIONS OR PNBC. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. |
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