Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
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| 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 WAS RATED ONE OF THE TOP MEDICAID PLANS IN PENNSYLVANIA AND THE COUNTRY, 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. HEALTH PARTNERS WAS ALSO RATED AS ONE OF THE TOP PLANS 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 CURRENTLY SERVES MORE THAN 227,000 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) PLAN, 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 SERVES MORE THAN 15,000 MEMBERS. HEALTH PARTNERS MEDICARE IS AVAILABLE IN 8 PENNSYLVANIA COUNTIES WITH ALL ORIGINAL MEDICARE BENEFITS AND MORE. WE OFFER MEDICARE ADVANTAGE PLANS TO MEET MEMBERS' COST AND COVERAGE NEEDS, INCLUDING PRESCRIPTION DRUG COVERAGE AND A HOST OF OTHER BENEFITS. WE ALSO OFFER 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 NEARLY 250,000 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. 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. THEY 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 IS AMONG A SMALL NUMBER OF MANAGED CARE ORGANIZATIONS IN THE NATION TO IMPLEMENT IT ON A LARGE SCALE. HPP PRESENTED THIS 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. 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 HEALTH CARE FOR INDIVIDUALS BATTLING HOMELESSNESS AND CHRONIC HEALTH CONDITIONS. WE 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. 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 HEART DISEASE, ASTHMA, DIABETES AND OTHER CHRONIC CONDITIONS * LENDING OUR EXPERTISE TO NUMEROUS COMMUNITY ADVISORY BOARDS FOR LOCAL NON-PROFITS WITH A FOCUS ON HEALTH ISSUES, COMMUNITY CONNECTIVITY AND BEST PRACTICES IN BUSINESS AND HUMAN SERVICES * STRENGTHENING FAMILIES THROUGH PARENTING SUPPORT INITIATIVES, SUPPORTING NEW MOTHERS AND VARIOUS FATHERHOOD INITIATIVES AS AN EMPLOYER, 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 COMMENTS. 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 HEALTH PARTNERS PLANS (HPP) EMPLOYEES ARE REQUIRED TO COMPLETE ON AN ANNUAL BASIS, A STATEMENT OF CONFLICT OF INTEREST CERTIFICATION. IT IS PART OF A MANDATORY, ONLINE TRAINING PROGRAM FOR EMPLOYEES. AT THE CONCLUSION OF THE TRAINING, THE EMPLOYEE CERTIFIES TO HAVING READ AND UNDERSTOOD THE CONFLICTS OF INTEREST POLICY. EMPLOYEES ARE ALSO REQUIRED TO LIST ANY CONFLICTS, DISCLOSURES AND/OR POTENTIAL CONFLICTS THAT MAY BE PRESENT WITH ANY INDIVIDUALS, ORGANIZATIONS OR ENTITIES, WITH THE INTERESTS OR BUSINESS OF HEALTH PARTNERS PLANS, INC., AND/OR ITS EMPLOYEES AND/OR BOARD, AND/OR MAY INTERFERE WITH THE EMPLOYEES ABILITY TO FULLY AND PROPERLY PERFORM THEIR JOB RESPONSIBILITIES. POTENTIAL CONFLICTS ARE REPORTED BY THE EMPLOYEE TO HUMAN RESOURCES; AND, PER THE TRAINING AND HPPS PROCESS, THE SIGNED DOCUMENTS ARE REVIEWED BY HUMAN RESOURCES DEPARTMENT AND ANY DISCLOSURES, CONFLICTS AND/OR POTENTIAL CONFLICTS ARE BROUGHT BY HUMAN RESOURCES TO HPPS CHIEF LEGAL OFFICER, HEAD OF THE LEGAL AFFAIRS & RISK DIVISION ("CLO"). THE CLO CONDUCTS A LEGAL REVIEW OF THE DOCUMENTATION AND IF IT RISES TO THE LEVEL OF A CONFLICT, SHE DETERMINES IF THERE IS A MITIGATION FOR SAID CONFLICT OR IF ACTION MUST BE TAKEN TO ALLEVIATE THE CONFLICT. THE CLO THEN REPORTS HER FINDINGS TO HUMAN RESOURCES AND WHEN APPLICABLE TO THE EMPLOYEE. THERE WERE NO DISCLOSURES TO THE NATURE OF A CONFLICT PRESENTED BY THE EMPLOYEES IN THE 2019 CONFLICT OF INTEREST PROCESS. THE BOARD OF DIRECTORS IS ALSO REQUIRED TO COMPLETE, ON AN ANNUAL BASIS, A REVIEW OF THE CONFLICTS 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/THEY PRESENT IT TO THE BOARD OR COUNSEL (EXTERNAL FOR HPP, OR, HPPS CLO) FOR DISCUSSION AND VOTE TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. EXTERNAL COUNSEL ALONG WITH HPPS CLO MANAGE THIS PROCESS FOR THE BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY. SAID POLICY WAS DISTRIBUTED TO THE BOARD IN 2019 AND ANY POTENTIAL CONFLICTS WERE REVIEWED AND HANDLE BY EXTERNAL COUNSEL, WITH ASSISTANCE OF THE CLO IF APPLICABLE, PER THE PROCESS IN PLACE. NO CONFLICTS WERE FOUND TO EXIST. |
| 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 XI, Line 9 | OTHER CHANGES IN NET ASSETS CONTRIBUTIONS FROM MEMBER HOSPITALS...... $46,895,000 ROUNDING................................. $ (637) ----------- TOTAL OTHER CHANGES IN NET ASSETS $46,894,363 |
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