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.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 (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 1987, HPP HAS BEEN IMPROVING QUALITY AND ACCESS TO CARE FOR RESIDENTS OF PENNSYLVANIA. WE OFFER THREE HIGH-QUALITY PLANS: 1. HEALTH PARTNERS (MEDICAID) SERVES PENNSYLVANIANS WITH LOW OR NO INCOME. NATIONALLY RECOGNIZED FOR ITS INNOVATIONS IN MANAGED CARE, HEALTH PARTNERS IS ONE OF THE TOP TWO MEDICAID PLANS IN PENNSYLVANIA, RECEIVING AN OVERALL RATING OF 4.5 OUT OF 5, AS OF SEPTEMBER 20, 2019, ACCORDING TO THE NATIONAL COMMITTEE FOR QUALITY ASSURANCES (NCQA) MEDICAID HEALTH INSURANCE PLAN RATINGS 2019-2020. IN ADDITION, HEALTH PARTNERS IS AMONG THE TOP 15 MEDICAID PLANS IN THE COUNTRY TO RECEIVE AN OVERALL RATING OF 4.5 OR BETTER OUT OF 5. HEALTH PARTNERS IS ALSO THE TOP-RATED PLAN FOR PREVENTION IN PENNSYLVANIA, EARNING 4.5 OUT OF 5. THIS MEASURE IS BASED ON HOW WELL PLANS PROVIDE SCREENINGS, IMMUNIZATIONS AND OTHER PREVENTIVE SERVICES. HEALTH PARTNERS (MEDICAID) CURRENTLY SERVES MORE THAN 245,000 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 COVERAGE FOR CHILDREN UP TO AGE 19 WHO ARE UNINSURED AND NOT ELIGIBLE FOR MEDICAL ASSISTANCE (MEDICAID). KIDZPARTNERS PROVIDES ACCESS TO QUALITY HEALTH CARE TO MORE THAN 10,000 CHILDREN AND TEENS. 3. HEALTH PARTNERS MEDICARE NOW SERVES MORE THAN 20,000 MEMBERS. BEGINNING IN 2020, HEALTH PARTNERS MEDICARE WILL BE AVAILABLE IN TWELVE PENNSYLVANIA COUNTIES WITH ALL ORIGINAL MEDICARE BENEFITS AND MORE. WE OFFER MEDICARE PLANS TO MEET MEMBERS' COST AND COVERAGE NEEDS, INCLUDING A PLAN WITH PRESCRIPTION DRUGS AND A PLAN SPECIFICALLY FOR PEOPLE WITH BOTH MEDICAID AND MEDICARE. HEALTH PARTNERS PLANS IS A LOCAL NOT-FOR-PROFIT MANAGED CARE ORGANIZATION THAT IS COMMITTED TO IMPROVING HEALTH OUTCOMES FOR MORE THAN 258,000 PENNSYLVANIANS. DEEPLY ENGAGED IN OUR COMMUNITIES, WE ALSO PROVIDE A VARIETY OF HEALTH AND WELLNESS RESOURCES. WE WERE THE FIRST PLAN IN THE COUNTRY TO BE AWARDED, AND ARE NOW A FIVE-TIME RECIPIENT OF, THE NATIONAL COMMITTEE ON QUALITY ASSURANCE'S (NCQA'S) MULTICULTURAL HEALTH CARE DISTINCTION DESIGNATION. 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. HPP HAS GARNERED NATIONAL ATTENTION FOR INNOVATIONS IN MANAGED CARE, INCLUDING OUR GROUNDBREAKING PARTNERSHIP WITH THE METROPOLITAN AREA NEIGHBORHOOD NUTRITION ALLIANCE (MANNA). MANNA IS A NONPROFIT ORGANIZATION THAT DESIGNS, PREPARES AND DELIVERS NUTRITIOUS, MEDICALLY APPROPRIATE MEALS TO PEOPLE BATTLING LIFE-THREATENING ILLNESSES. MANNA IS THE FIRST AGENCY TO PUBLISH PEER-REVIEWED RESEARCH ON THE IMPACT OF MEDICALLY TAILORED MEALS ON HEALTH CARE COSTS. THE PARTNERSHIP PROVIDES MANNA'S MEDICALLY TAILORED MEALS TO HPP'S MOST CHRONICALLY ILL MEDICAID AND MEDICARE MEMBERS, WHO RECEIVE THREE MEALS A DAY, SEVEN DAYS A WEEK FOR SEVERAL CYCLES AT NO COST TO THEM. HPP WAS THE FIRST HEALTH PLAN TO SUPPORT THIS ENDEAVOR IN PENNSYLVANIA AND AMONG A SMALL NUMBER OF MANAGED CARE ORGANIZATIONS IN THE NATION TO IMPLEMENT IT ON A LARGE SCALE. HPP PRESENTED THE GROUNDBREAKING PARTNERSHIP AT HARVARD AND TULANE UNIVERSITIES, AND ALSO AT CONGRESS FOOD IS MEDICINE WORKING GROUP OF THE HOUSE HUNGER CAUCUS IN WASHINGTON D.C. THE PROGRAM WAS REPORTED IN SEVERAL LOCAL AND NATIONAL NEWS OUTLETS, INCLUDING THE NEW YORK TIMES, MODERN HEALTHCARE, THE WASHINGTON POST, KAISER HEALTH NEWS AND US NEWS & WORLD REPORT. AS AN ESTABLISHED LEADER IN ADDRESSING SOCIAL DETERMINANTS OF HEALTH, HPP ALSO COLLABORATED WITH BROAD STREET MINISTRY AND PHILADELPHIA FIGHT COMMUNITY HEALTH CENTERS TO IMPROVE ACCESS TO QUALITY HALTH CARE FOR INDIVIDUALS BATTLING HOMELESSNESS AND CHRONIC HEALTH CONDITIONS. WE HAVE ALSO RECEIVED AN MHPA BEST PRACTICES AWARD FOR OUR ORAL HEALTH INITIATIVE. THROUGH THE PROGRAM, MEMBERS RECEIVE PHYSICAL WELL-CARE AND DENTAL PREVENTION EXAMS ON THE SAME DAY, AT THE SAME PLACE. IN ADDITION, HPP, IN COLLABORATION WITH FINITY COMMUNICATIONS, SCIOINSPIRE AND DUKE INTEGRATIVE MEDICINE, WAS SELECTED TO PARTICIPATE IN A THREE-YEAR, $4.9-MILLION HEALTH CARE INNOVATION GRANT PRESENTED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). AS A RESULT, HPP WORKED WITH FINITY 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. OF THE ORGANIZATIONS SELECTED TO RECEIVE THE GRANT, ONLY THREE SAVED MONEY. OF THESE THREE, ONLY HPP ACHIEVED COST SAVINGS AND SUSTAINABILITY POST-GRANT. MANY OF THE SAME COMPONENTS THAT WERE TESTED SUCCESSFULLY WITH OUR MEDICAID MEMBERS NOW COMPOSE STANDARDS OF CARE IN COLORADO, NEW MEXICO AND TEXAS. OUR OUTREACH EFFORTS INCLUDE BRINGING HEALTH AWARENESS DIRECTLY TO OUR MEMBERS AND THE GENERAL PUBLIC BY HOSTING HEALTH SCREENINGS AND EDUCATIONAL EVENTS THROUGHOUT SOUTHEASTERN PENNSYLVANIA. WE ALSO OFFER A 24-HOUR, SEVEN-DAY-A-WEEK MEMBER SERVICES PHONE LINE, AS WELL AS ON-DEMAND PHONE AND VIDEO CONSULTATIONS WITH BOARD-CERTIFIED DOCTORS. WE ARE A CATALYST TO IMPROVING THE OVERALL HEALTH OF MEMBERS AND THE COMMUNITY. WE CREATE THESE IMPACTS THROUGH A VARIETY OF HEALTH EDUCATION, FITNESS AND AFTER-SCHOOL PROGRAMS, AS WELL AS WORKSHOPS, HEALTH SCREENINGS, AND SPONSORSHIPS OF YOUTH ENRICHMENT PROGRAMS AND NON-PROFIT ORGANIZATIONS.OUR COMMUNITY-SUPPORT ACTIVITIES INCLUDE: * 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 * LENDING OUR EXPERTISE TO NUMEROUS COMMUNITY ADVISORY BOARDS FOR LOCAL NON-PROFITS WITH A FOCUSE ON HEALTH ISSUES, COMMUNITY CONNECTIVITY AND BEST PRACTICES IN BUSINESS AND HUMAN SERVICES * JOINING THE FIGHT AGAINST DOMESTIC VIOLENCE THROUGH EDUCATION AND INTERVENTION PROGRAMS, AS WELL AS COMMUNITY ACTIVISM THROUGH THE PENNSYLVANIA COALITION AGAINST DOMESTIC VIOLENCE AND WOMEN AGAINST ABUSE * ADMINISTERING 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 AND VARIOUS FATHERHOOD INITIATIVES 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 VI, Line 6 & 7 | THE HEALTH PARTNERS PLANS BOARD CONSISTS OF ONE CLASS OF SEVEN MEMBERS. THESE MEMBERS ARE COMPRISED OF FOUR HEALTHCARE PROVIDERS AND THREE COMMUNITY AT-LARGE MEMBERS. MEMBERS APPROVE ADMITTING NEW MEMBERS, AND, UNANIMOUS APPROVAL IS REQUIRED. |
| 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. THE DRAFT FORM 990 WAS SENT TO THE AUDIT COMMITTEE SHORTLY BEFORE ISSUANCE FOR THEIR REVIEW AND COMMNENTS. THE FORM IS SUBMITTED TO THE BOARD OF DIRECTORS, IMMEDIATELY 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 VICE PRESIDENT, LEGAL AFFAIRS & GENERAL COUNSEL (VP, LEGAL). THE VP OF LEGAL AFFAIRS CONDUCTS A LEGAL REVIEW OF THE DISCLOSURE AND IF IT RISES TO THE LEVEL OF A CONFLICT, SHE DETERMINES IF THERE IS MITIGATION FOR SAID CONFLICT OR IF ACTION MUST BE TAKEN TO ALLEVIATE THE CONFLICT. THE VP OF LEGAL AFFAIRS THEN REPORTS HER FINDINGS TO HUMAN RESOURCES AND WHEN APPLICABLE TO THE EMPLOYEE. THERE WERE NO CONFLICTS OF EMPLOYEES IDENTIFIED IN 2018. 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 BOARD 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. EXTERNAL COUNSEL ALONG WITH INTERNAL HPP COUNSEL MANAGE THIS PROCESS FOR THE BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY. SAID POLICY WAS DISTRIBUTED TO THE BOARD IN 2018 AND ANY POTENTIAL CONFLICTS WERE REVIEWED AND HANDLED BY EXTERNAL COUNSEL, WITH INVOLVEMENT BY INTERNAL COUNSEL, PER THE PROCESS IN PLACE. |
| Form 990, Part VI, Line 15a | 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 XII, Line 2c | AUDITED FINANCIAL STATEMENTS HPP DID RECEIVE AN AUDITED FINANCIAL STATEMENT FROM KPMG IN 2018 THAT WAS PREPARED IN ACCORDANCE WITH ACCOUNTING PRACTICES PERMITTED BY THE COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT, "STATUTORY BASIS." A GAAP FINANCIAL STATEMENT WAS ALSO PREPARED. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018
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