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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
2015
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 | Statement of Program Service Accomplishments Health Partners Plans (HPP) is a licensed health maintenance organization committed to building healthier communities. 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, HPP has been improving quality and access to care for residents of Southeastern Pennsylvania. We offer three high-quality programs: 1. Health Partners (Medicaid) currently serves more than 228,000 Medical Assistance (Medicaid) members throughout Southeastern Pennsylvania. More than half of those members are children and adolescents. 2. KidzPartners, our Children's Health Insurance Program (CHIP), provides access to quality health care more than 10,000 children and teens. 3. Health Partners Medicare now serves more than 14,000 Medicare individuals, offering four Medicare Advantage plans. 4. Health Partners Essential was the Health Partners Plans Private Coverage Option (PCO) for Pennsylvanias Health PA Medicaid reform program with enrollment opening on December 1, 2014. Health Partners Essential provided a full range of Healthy PA benefits, plus extra benefits from Health Partners Plans. At the time the program was dismantled, there were more than 21,000 members enrolled in Health Partners Essential. Healthy PA PCO members were fully transitioned to the Companys Medicaid HealthChoices program by September 1. As a not-for-profit, hospital-owned health maintenance organization, our success in improving access for our more than 250,000 (and growing) members has been recognized through numerous local and national honors. These include being the first plan in the country to receive the National Committee on Quality Assurance's (NCQA) Multicultural Health Care Distinction designation, in addition to maintaining NCQA's "Commendable" rating. Health Partners Plans has also received the Most Innovative Expansion Population Award from the Medicaid Health Plans of America (MHPA) for our "Bridging the Gap" program that connects at-risk members to routine diagnostic testing. We have received the American Diabetes Association (ADA) Health Champion Designation, the Modern Healthcare Best Places to Work in Healthcare distinction, and numerous communications awards for member materials and programs, as well as awards for workplace diversity and corporate responsibility. Health Partners Plans has garnered national attention for innovations in managed care. We received an MHPA Best Practices award for our Oral Health Initiative in which members receive physical well-care and dental prevention exams on the same day at the same place. As the recipient of a Health Care Innovation Award sponsored by the Center for Medicare & Medicaid Innovation, HPP worked with Finity, Inc. to develop an innovative population health program that provides members with incentives and peer health counseling through a closed-loop platform to improve health outcomes and reduce costs. As part of a shift to promoting overall wellness rather than simply treating illness, HPP has partnered with Philadelphias MANNA to provide medically appropriate meals and nutritional counseling to individuals with diabetes and congestive heart failure. We consistently receive high ratings for member and provider satisfaction and operate one of the highest rated Medicaid plans in Pennsylvania. Our outreach efforts include bringing health awareness directly to our members (and the general public) by hosting health screenings and education events throughout the city. We offer a 24-hour, 7 day-a-week member service phone line, as well as on-demand phone or video consultations with board-certified doctors through Teladoc. We are a catalyst to improving the overall health of not only our members, but also 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 community support activities include: * Convening a conference for health care 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 that can improve their quality of life and financial status * Sponsoring social activities for seniors to encourage social interaction and physical activity * Providing community-based health education and training on topics such as asthma, diabetes and other health issues * Deploying custom-built mobile service offices to provide information on health care in the community * Offering educational support including scholarships, behavior support programs and teacher support * Lending our expertise to numerous community advisory boards of local non-profits with a focus on health issues, community connectivity and best practices in business and human services * Supporting community-based artistic development through local arts initiatives for low-income, at-risk youth * Joining 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 * Distributing emergency relief to individuals and families including electric box fans for summer heat, food baskets and holiday gifts * Strengthening 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 a strong sense of our mission. We remain committed to working with numerous minority and women-owned vendors in our area. Form 990, Part III, Line 2 and 3 See Narrative for Form 990, Part III, Line 4d. |
| Form 990, Part III, Line 4d | The Company also provides comprehensive (physical and behavioral) health insurance through the Commonwealth of Pennsylvania's Children's Health Insurance Program (CHIP). The Company's CHIP program, KidzPartners, provides for the provision of physical and behavioral health to uninsured children and teens up to age 19 who are eligible through CHIP. The Company provides program benefits to enrolled CHIP recipients residing in Philadelphia, Bucks, Delaware, Montgomery, and Chester counties pursuant to an agreement with the Department of Insurance of the Commonwealth of Pennsylvania (PID). |
| 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 | JUDY HARRINGTON CANNOT BE REACHED AT HPP. HER ADDRESS IS: 4884 E ALDER DRIVE SAN DIEGO, CA 92116 HAL AUGUSTINE CANNOT BE REACHED AT HPP. HIS ADDRESS IS: 8 N PEMBROKE MARGATE, NJ 08402 |
| 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 2015. 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. As noted in the 2014 report, there was a review of the documents and forms of the Conflicts Policy done by the members of the Audit Committee of the Board, HPP management, and external counsel which began in 2015 and continued through the end of the 2015 year. In April of 2016 the revised Policy was distributed to the Board. |
| 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 X, Line 33 Surplus Notes During 2015, the Companys Board approved the Companys use of medical operations surplus generated during the year to the member hospitals and administrative surplus to be converted to surplus notes to support the Companys capital and surplus requirements. |
| Form 990, Part XII, Line 2c | AUDITED FINANCIAL STATEMENTS HPP did receive an audited financial statement from KPMG in 2015 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) 2015
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