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
2020
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 I, LINE 1 | HEALTH PARTNERS IS A LICENSED HEALTH MAINTENANCE ORGANIZATION COMMITTED TO BUILDING HEALTHIER LIVES AND STRONGER COMMUNITIES. |
| FORM 990 PART III, LINE 4A: | MEDICAID THE COMPANY PROVIDES FOR THE PROVISION OF PHYSICAL HEALTH (INCLUDING MANDATED BEHAVIORAL-RELATED PHARMACEUTICAL COVERAGE FOR MEMBERS AS PRESCRIBED) MEDICAL ASSISTANCE (MA) PROGRAM (HEALTHCHOICES MEDICAID PROGRAM) BENEFITS TO ENROLLED MA RECIPIENTS RESIDING IN THE SOUTH EAST ZONE (PHILADELPHIA AND FOUR SURROUNDING COUNTIES - BUCKS, CHESTER, DELAWARE, AND MONTGOMERY) (SERVICE AREA) - PURSUANT TO AN AGREEMENT WITH THE DEPARTMENT OF HUMAN SERVICES OF THE COMMONWEALTH OF PENNSYLVANIA (DHS). THE COMPANY'S CONTRACT WITH DHS IS EFFECTIVE THROUGH DECEMBER 31, 2021, OR UNTIL THE TRANSITION TO A NEW PHYSICAL HEALTH MANAGED CARE ORGANIZATION (PH-MCO) GRANT AGREEMENTS FOR THE HEALTHCHOICES-SOUTHEAST (HC-SE) PHYSICAL HEALTH PROGAM IS COMPLETE. AS OF DECEMBER 31, 2020 AND 2019, THERE WERE APPROXIMATELY 252,000 AND 227,000 MEMBERS, RESPECTIVELY, ENROLLED WITH HEALTH PARTNERS UNDER THE HEALTHCHOICES PROGRAM WITH 83% AND 85%, RESPECTIVELY, OF THE COMPANY'S MEMBERS IN PHILADELPHIA COUNTY. |
| FORM 990 PART III, LINE 1: | HEALTH PARTNERS PLANS IS A LOCAL NOT-FOR-PROFIT MANAGED CARE ORGANIZATION THAT IS COMMITTED TO IMPROVING HEALTH OUTCOMES FOR MORE THAN 250,000 PENNSYLVANIANS. HPP IS COMMITTED TO LIVING OUR MISSION OF BUILDING HEALTHIER LIVES AND STRONGER COMMUNITIES. THE VISION OF THE COMPANY IS TO CONNECT WITH THE HEARTS AND MINDS OF THOSE WE SERVE, IMPROVING THE HEALTH OUTCOMES FOR OUR MEMBERS, OPERATING WITH RESPECT AND DIGNITY, WHILE CULIVATING INCLUSIVTY AND BELONGING. SINCE ITS FOUNDING IN 1987, HPP CONTINUES TO POSTIVIVELY IMPACT PENNSYLVANIA THROUGH ITS MEDICAID PLAN, CHIP PLAN,AND MEDICARE ADVANTAGE AND DUAL ELIGIBLE SPECIAL NEEDS PLANS. HPP HEALTH PLANS HEALTH PARTNERS PLANS (MEDICAID) SERVES PENNSYLVANIANS WITH LOW OR NO INCOME. HPP CURRENTLY SERVES MORE THAN 252,000 MEDICAL ASSISTANCE (MEDICAID) MEMBERS THROUGHOUT SOUTHEASTERN PENNSYLVANIA. MANY OF THOSE MEMBERS ARE CHILDREN AND ADOLESCENTS. 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 OR MEDICAID. KIDZPARTNERS PROVIDES ACCESS TO QUALITY HEALTH CARE TO MORE THAN 10,000 CHILDREN AND TEENS. HEALTH PARTNERS MEDICARE SERVES MORE THAN 14,000 MEMBERS. HEALTH PARTNERS MEDICARE IS AVAILABLE IN 7 PENNSYLVANIA COUNTIES. 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. AWARD WINNING PROGRAMS AND SERVICES 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 ASSURANCE'S (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. ADDITIONALLY, HPP WAS 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 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 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. INNOVATIVE PARTNERSHIPS 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. COMMUNITY ENGAGEMENT DEEPLY ENGAGED IN OUR COMMUNITIES, HPP PROVIDES A VARIETY OF HEALTH AND WELLNESS RESOURCES INCLUDING HEALTH EDUCATION, FITNESS AND AFTER-SCHOOL PROGRAMS, WORKSHOPS, HEALTH SCREENINGS, AND SPONSORSHIPS OF YOUTH ENRICHMENT PROGRAMS AND NON-PROFIT ORGANIZATIONS. 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. OUR COMMUNITY-SUPPORT ACTIVITIES INCLUDE: 1. SPONSORING SOCIAL ACTIVITIES FOR SENIORS TO ENCOURAGE SOCIAL INTERACTION AND PHYSICAL ACTIVITY 2. PROVIDING COMMUNITY-BASED HEALTH EDUCATION AND TRAINING ON TOPICS SUCH AS HEART DISEASE, ASTHMA, DIABETES AND OTHER CHRONIC CONDITIONS 3. 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 4. STRENGTHENING FAMILIES THROUGH PARENTING SUPPORT INITIATIVES, SUPPORTING NEW MOTHERS AND VARIOUS FATHERHOOD INITIATIVES COMMITMENT TO DIVERSITY AND INCLUSION AS AN EMPLOYER, HPP MAINTAINS A SUPPORTIVE, MULTICULTURAL ENVIRONMENT AND A STRONG SENSE OF OUR MISSION. HPP CREATED THE COMPANY'S DIVERSITY COMMITMENT BASED ON EMPLOYEE FEEDBACK, FOCUSING ON THREE KEY AREAS: COMMUNICATION AND ENGAGEMENT; TALENT DEVELOPMENT, AND TRAINING. HPP CREATES TOOLS AND PROVIDES RESOURCES TO SUPPORT THE EMPLOYEE EXPERIENCE AND CREATE SPACE FOR CRUCIAL CONVERSATIONS, FEEDBACK AND REAL-TIME SUPPORT. IN ADDITION, HPP REMAINS COMMITTED TO WORKING WITH NUMEROUS MINORITY- AND WOMEN-OWNED VENDORS IN OUR AREA. |
| FORM 990, PART VI, SECTION A, LINE 6 | 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, SECTION A, LINE 7A | 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, SECTION B, LINE 11B | 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 IS SENT TO THE AUDIT COMMITTEE PRIOR TO 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 | HPP DRAFTED ITS ORIGINAL CONFLICT OF INTEREST POLICY IN 1999 AND IT WENT THROUGH REVISIONS IN 2005 BASED ON THE IRS MODEL POLICY. HPP CONTINUED TO USE THAT POLICY THROUGH 2014. IN 2015 HPP BEGAN WORKING WITH ITS AUDIT COMMITTEE TO DEVELOP WAYS TO ENCOURAGE DISCLOSURE OF POTENTIAL CONFLICTS. THE RESULT WAS THAT THE NEW POLICY FOLLOWED STANDARDS IN THE INDUSTRY AND INCORPORATED INPUT FROM EXTERNAL CONSULTANTS AND EXPERTS IN CORPORATE GOVERNANCE. THE REVISED COI POLICY WAS PRESENTED TO THE HPP BOARD IN MARCH OF 2016 AND APPROVED FOR USE. IT WAS THEN INTRODUCED TO THE BOARD COMMITTEES AND THEN USED BY HPP FOR ITS WORKFORCE. THE POLICY ITSELF ASKS FOR POTENTIAL CONFLICTS WHICH ARE THEN REVIEWED BY COUNSEL AND CATEGORIZED INTO WHETHER THE DISCLOSURE IS A CONFLICT THAT IS PROHIBITED, ONE THAT IS NOT PROHIBITED OR NOT A CONFLICT AT ALL, AND, THEN PROVIDE ANY MITIGATION STEPS NECESSARY. AS STATED ABOVE, THE DISTRIBUTION IS TO BOTH THE BOARD AND WORKFORCE. IN MARCH OF EACH YEAR, HPP ASKS THE BOARD OF DIRECTORS TO REVIEW AND SIGN-OFF ON THEIR COMMITMENT TO MAINTAINING THEIR FIDUCIARY DUTY TO STAY IMPARTIAL, RESPONSIBLE, AND DEDICATED TO THE GOOD OF THE ORGANIZATION. THIS CONFLICT OF INTEREST DISCLOSURE DEMONSTRATES THEIR UNDERSTANDING OF THESE RESPONSIBILITIES AND ENSURES THAT ANY OUTSIDE BUSINESS OR FINANCIAL INTERESTS OR ACTIVITIES, WHICH CONFLICTS OR APPEARS TO CONFLICT WITH THE INTERESTS OF HPP, ARE PROPERLY DISCLOSED AND MANAGED PURSUANT TO THE PROPER PROCESSES. ADDITIONALLY, EACH YEAR HPP HAS THE WORKFORCE/STAFF COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT AS A PART OF ITS ANNUAL, MANDATORY EMPLOYEE TRAINING AND AWARENESS EFFORTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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. 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, SECTION C, LINE 19 | HPP'S FINANCIALS ARE PUBLICLY AVAILABLE AND GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE OFFICE OF THE SECRETARY OF STATE. |
| FORM 990, PART XI, LINE 9: | CAPITAL CONTRIBUTION FROM OWNER HOSPITALS 6,000,000. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020
Additional Data
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