TIN:
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
(Form 990)
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
2021
Open to Public
Inspection
Inspection
Name of the organization
HEALTH PARTNERS PLANS INC
Employer identification number
23-2379751
23-2379751
| Return Reference | Explanation |
|---|---|
| PART I, LINES 3 & 4 AND PART VI, SECTION A; QUESTIONS 1A & 1B | EFFECTIVE NOVEMBER 1, 2021, THE ORGANIZATION BECAME AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THOMAS JEFFERSON UNIVERSITY IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALTHOUGH THIS FEDERAL FORM 990 SHOWS A MINORITY OF INDEPENDENT MEMBERS OF THE ORGANIZATION'S GOVERNING BODY UNDER THE INTERNAL REVENUE CODE DEFINITION, THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 501(C)(4) AND IS ULTIMATELY CONTROLLED BY THOMAS JEFFERSON UNIVERSITY. THOMAS JEFFERSON UNIVERSITY IS GOVERNED BY A BOARD WHOSE MAJORITY IS COMPRISED OF INDEPENDENT VOTING MEMBERS. |
| CORE FORM, PART III; LINE 1 | HEALTH PARTNERS PLANS ("HPP") IS A LOCAL NOT-FOR-PROFIT MANAGED CARE COMPANY THAT IS COMMITTED TO IMPROVING HEALTH OUTCOMES FOR MORE THAN 290,000 PENNSYLVANIANS. HPP IS COMMITTED TO LIVING OUR MISSION OF BUILDING HEALTHIER LIVES AND STRONGER COMMUNITIES. OUR VISION 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. HEALTH PARTNERS PLANS --------------------- 1) HEALTH PARTNERS (MEDICAID) SERVES PENNSYLVANIANS WITH LOW OR NO INCOME AND THOSE WITH DISABILITIES. HEALTH PARTNERS CURRENTLY SERVES MORE THAN 269,000 MEDICAL ASSISTANCE (MEDICAID) MEMBERS THROUGHOUT SOUTHEASTERN PENNSYLVANIA. MANY 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 OR MEDICAID. KIDZPARTNERS PROVIDES ACCESS TO QUALITY HEALTH CARE TO MORE THAN 8,900 CHILDREN AND TEENS. 3) HEALTH PARTNERS MEDICARE SERVES MORE THAN 13,400 MEMBERS IN 13 PENNSYLVANIA. 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 D-SNP PLAN IN PENNSYLVANIA FOR PEOPLE WHO ARE ELIGIBLE FOR 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, RECEIVING AN OVERALL RATING OF 4.5 OUT OF 5, AS OF SEPTEMBER 2021, ACCORDING TO THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE'S (NCQA) MEDICAID HEALTH INSURANCE PLAN RATINGS 2020-2021. ADDITIONALLY, HEALTH PARTNERS WAS THE FIRST PLAN IN THE COUNTRY TO BE AWARDED AND CONTINUE TO HOLD 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. CMS AWARDED HEALTH PARTNERS MEDICARE 4 STARS IN THEIR ANNUAL STAR RATINGS PROGRAM. CMS CALCULATES STAR RATINGS FROM 1 TO 5 (WITH 5 BEING THE BEST) BASED ON QUALITY AND PERFORMANCE FOR MEDICARE HEALTH AND DRUG PLANS TO HELP BENEFICIARIES, THEIR FAMILIES AND CAREGIVERS COMPARE PLANS. RATINGS ARE GIVEN FOR QUALITY MEASURES ACROSS SEVERAL CATEGORIES INCLUDING KEEPING MEMBERS HEALTHY, MANAGING CHRONIC CONDITIONS, MEMBER SATISFACTION, CUSTOMER SERVICE AND PHARMACY SERVICES. CMS PROVIDES A REVENUE OPPORTUNITY FOR PLANS WHO SCORE 4 STARS AND ABOVE THROUGH BONUS PAYMENT AND MEMBERSHIP INCREASE. INNOVATIVE PARTNERSHIPS ----------------------- 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. FOR SOME OF OUR PLANS, WE OFFER A 24-HOUR, SEVEN-DAY-A-WEEK MEMBER SERVICES PHONE LINE. WE ALSO HAVE ON-DEMAND PHONE AND VIDEO CONSULTATIONS WITH BOARD-CERTIFIED DOCTORS. 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. 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 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 -------------------- 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 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 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. |
| CORE FORM, PART III; LINES 4A - 4D | LINE 4A: HEALTH PARTNERS 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 AGREEMENT FOR THE HEALTHCHOICES-SOUTHEAST (HC-SE) PHYSICAL HEALTH PROGAM IS COMPLETE. The Company was notified by DHS that statewide expansion is being implemented on September 1, 2022. AS OF DECEMBER 31, 2021 AND 2020, THERE WERE APPROXIMATELY 269,000 AND 252,000 MEMBERS, RESPECTIVELY, ENROLLED WITH HEALTH PARTNERS UNDER THE HEALTHCHOICES PROGRAM WITH 85% AND 83%, RESPECTIVELY, OF THE COMPANY'S MEMBERS IN PHILADELPHIA COUNTY. LINE 4B: HEALTH PARTNERS MEDICARE --------------------------------- THE COMPANY PROVIDES COMPREHENSIVE (PHYSICAL AND BEHAVIORAL) HEALTH INSURANCE THROUGH ITS MEDICARE ADVANTAGE PROGRAM AND PRODUCTS THROUGH A CONTRACT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE COMPANY'S PROGRAM, HEALTH PARTNERS MEDICARE, WHICH COMMENCED IN 2014, PROVIDES FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH PRIMARILY TO ADULTS 65 AND OLDER. THE COMPANY OFFERS SEVERAL PRODUCTS AND PROGRAM BENEFITS TO ENROLLED MEDICARE MEMBERS RESIDING IN PHILADELPHIA AND SURROUNDING COUNTIES - BUCKS, CHESTER, DELAWARE, LANCASTER, LEHIGH, NORTHAMPTON AND MONTGOMERY - PURSUANT TO ITS AGREEMENT WITH CMS. AS OF DECEMBER 31, 2021 AND 2020, THERE WERE APPROXIMATELY 13,400 AND 14,100 MEMBERS, RESPECTIVELY, ENROLLED WITH HEALTH PARTNERS MEDICARE PROGRAM. LINE 4C: KIDZPARTNERS (CHIP) ---------------------------- 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 THAT ARE ELIGIBLE THROUGH CHIP. THE COMPANY PROVIDES PROGRAM BENEFITS TO ENROLLED CHIP RECIPIENTS RESIDING IN PHILADELPHIA, BUCKS, CHESTER, DELAWARE, AND MONTGOMERY COUNTIES PURSUANT TO AN AGREEMENT WITH DHS. AS OF DECEMBER 31, 2021, AND 2020, THERE WERE APPROXIMATELY 8,900 AND 10,000 MEMBERS ENROLLED, RESPECTIVELY, WITH HEALTH PARTNERS UNDER THE CHIP PROGRAM. LINE 4D: OTHER PROGRAM SERVICES ------------------------------- THE COMPANY PROVIDES SUPPORT FOR HEALTH PARTNERS FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THE HEALTH PARTNERS FOUNDATION SUPPORTS LOW-INCOME COMMUNITIES IN PHILADELPHIA AND SURROUNDING COUNTIES WITH EDUCATIONAL PROGRAMS, SCHOLARSHIPS, EMERGENCY ASSISTANCE AND MORE. THE FOUNDATION IS FUNDED BY OUR EMPLOYEES AS WELL AS VENDORS AND FRIENDS OF HEALTH PARTNERS PLANS WHO SHARE OUR COMMITMENT TO OFFERING A HELPING HAND IN DISADVANTAGED COMMUNITIES. |
| CORE FORM, PART VI, SECTION A; QUESTION 4 | AS OF DECEMBER 31, 2020, HEALTH PARTNERS PLANS, INC. ("COMPANY") WAS OWNED BY FOUR HOSPITALS (MEMBER HOSPITALS) LOCATED WITHIN THE COMPANY'S SERVICE AREA. THE FOUR MEMBERS INCLUDED JEFFERSON HEALTH - NORTHEAST WITH A 25% OWNERSHIP INTEREST, ALBERT EINSTEIN MEDICAL CENTER ("EINSTEIN") WITH A 25% OWNERSHIP INTEREST, AND TEMPLE HEALTH'S COMBINED OWNERSHIP INTEREST OF 50% HELD BY TEMPLE UNIVERSITY HOSPITAL AND EPISCOPAL HOSPITAL. ON OCTOBER 4, 2021, THOMAS JEFFERSON UNIVERSITY ("JEFFERSON") COMPLETED THE ACQUISITION OF ALBERT EINSTEIN HEALTHCARE NETWORK, WHICH INCLUDED OWNER MEMBER HOSPITAL EINSTEIN. EINSTEIN CONTINUES TO BE A VOTING MEMBER HOSPITAL REPRESENTING 25% OWNERSHIP INTEREST AND IS A PARTICIPATING PROVIDER OF CARE OF THE COMPANY. THE ACQUISITION INCREASED JEFFERSON'S OWNERSHIP INTEREST IN THE COMPANY TO 50% SINCE JEFFERSON HEALTH - NORTHEAST AND EINSTEIN ARE WHOLLY OWNED ENTITIES. ON NOVEMBER 1, 2021, JEFFERSON HEALTH - NORTHEAST COMPLETED A TRANSACTION TO ACQUIRE TEMPLE HEALTH'S COMBINED 50% OWNERSHIP INTEREST IN THE COMPANY HELD BY TEMPLE UNIVERSITY HOSPITAL AND EPISCOPAL HOSPITAL. BOTH TEMPLE UNIVERSITY HOSPITAL AND EPISCOPAL HOSPITAL ARE NO LONGER VOTING MEMBER HOSPITALS OF THE COMPANY, HOWEVER EACH HOSPITAL REMAINS A PARTICIPATING PROVIDER AND MAINTAINS RISK CONTRACTS WITH THE COMPANY. THE EQUITY OF TEMPLE UNIVERSITY HOSPITAL AND EPISCOPAL HOSPITAL REMAINS WITH THE COMPANY. AS A RESULT OF THE TRANSACTION, JEFFERSON HEALTH - NORTHEAST CONTINUES TO BE A VOTING MEMBER REPRESENTING 75% OWNERSHIP INTEREST IN THE COMPANY. THE COMPANY BECAME A WHOLLY OWNED ENTITY OF JEFFERSON AND ITS CONTROLLED SUBSIDIARIES. ACCORDINGLY, THE ORGANIZATION'S GOVERNING DOCUMENTS WERE AMENDED TO REFLECT THE ABOVE-MENTIONED CHANGE IN OWNERSHIP. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | ON NOVEMBER 1, 2021, JEFFERSON HEALTH - NORTHEAST COMPLETED A TRANSACTION TO ACQUIRE TEMPLE HEALTH'S COMBINED 50% OWNERSHIP INTEREST IN THE COMPANY HELD BY TEMPLE UNIVERSITY HOSPITAL AND EPISCOPAL HOSPITAL. BOTH TEMPLE UNIVERSITY HOSPITAL AND EPISCOPAL HOSPITAL ARE NO LONGER VOTING MEMBER HOSPITALS OF THIS ORGANIZATION. AS A RESULT OF THE TRANSACTION, JEFFERSON HEALTH - NORTHEAST CONTINUES TO BE A VOTING MEMBER REPRESENTING 75% OWNERSHIP INTEREST IN THE COMPANY. THE COMPANY BECAME A WHOLLY OWNED ENTITY OF JEFFERSON AND ITS CONTROLLED SUBSIDIARIES. IN ACCORDANCE WITH THE ORGANIZATION'S AMENDED AND RESTATED BYLAWS, THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, IS COMPRISED OF SEVEN DIRECTORS (THREE WHO ARE DESIGNATED BY JHNE; ONE WHO IS DESIGNATED BY AEMC; AND THREE COMMUNITY AT LARGE MEMBERS). AS OF DECEMBER 31, 2021, JEFFERSON HEALTH - NORTHEAST ("JHNE") MAINTAINED A 75% OWNERSHIP INTEREST IN THE ORGANIZATION. JEFFERSON HEALTH - NORTHEAST SYSTEM ("JHNES") IS THE SOLE MEMBER OF JHNE. ALBERT EINSTEIN MEDICAL CENTER ("AEMC") MAINTAINED A 25% OWNERSHIP INTEREST IN THE ORGANIZATION. ALBERT EINSTEIN HEALTHCARE NETWORK ("AEHN") IS THE SOLE MEMBER OF AEMC. THOMAS JEFFERSON UNIVERSITY ("TJU") IS THE SOLE MEMBER OF BOTH JHNES AND AEHN. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE INTERNAL WORKING GROUP FOR THEIR REVIEW. THE INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE INTERNAL WORKING GROUP FOR FINAL REVIEW. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED TO THE ORGANIZATION'S AUDIT COMMITTEE AND PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH IT REGULARLY MONITORS AND ENFORCES COMPLIANCE. THE CONFLICT OF INTEREST POLICY IS REVIEWED EACH YEAR BEFORE BEING DISTRIBUTED TO THE BOARD OF DIRECTORS AND TO THE HEALTH PARTNERS PLANS ("HPP") 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. 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 CONFLICT OR APPEAR 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. ALL BOARD MEMBERS AND THE HPP WORKFORCE ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND SIGN AN ANNUAL ATTESTATION WHICH AFFIRMS THAT THEY: (A) RECEIVED A COPY OF THIS CONFLICT OF INTEREST POLICY; (B) READ AND UNDERSTOOD THE POLICY; (C) AGREE TO COMPLY AND HAVE COMPLIED WITH THE POLICY, AND (D) UNDERSTAND THAT THE ORGANIZATION IS AN IRS 501(C)(4) CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND HPP MAY NOT PERMIT ITS INCOME OR ASSETS TO INURE TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER, OWNER MEMBER OR INDIVIDUAL. THE ORGANIZATION FOLLOWED THIS PROCESS FOR ITS CONFLICT OF INTEREST POLICY IN CALENDAR YEAR 2021. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THIS ORGANIZATION'S BOARD OF DIRECTORS HAS A COMPENSATION AND EVALUATION EXECUTIVE COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT TEAM INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT & CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND CERTAIN KEY EMPLOYEES ("SENIOR MANAGEMENT"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THESE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE IS RESPONSIBLE FOR ASSURING THAT THE ORGANIZATION'S SALARY STRATEGIES ARE COMPETITIVE AND CONSISTENT WITH CURRENT MARKET TRENDS, IN ORDER TO PROVIDE A STABLE, QUALIFIED AND FAIRLY COMPENSATED WORKFORCE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1) THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2) THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3) THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE ENGAGES 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. IN ADDITION, 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 ORGANIZATION'S SENIOR MANAGEMENT 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. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ORGANIZATION'S BOARD OF DIRECTORS ALSO APPROVES THE MINUTES OF THE COMMITTEE. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT. IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, COMPENSATION IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. OTHER GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE OFFICE OF THE SECRETARY OF STATE. |
| CORE FORM, PART VII AND SCHEDULE J | BRUCE A. MEYER, M.D., MBA, CRISTINA G. CAVALIERI, ESQ., AND MICHAEL B. WALSH ARE VOTING MEMBERS AND/OR OFFICERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS; AN UNCOMPENSATED POSITION. THESE INDIVIDUALS ARE INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THOMAS JEFFERSON UNIVERSITY ON A FULL-TIME BASIS. EFFECTIVE NOVEMBER 1, 2021, THOMAS JEFFERSON UNIVERSITY BECAME A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. ACCORDINGLY, THE COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP FOR THESE INDIVIDUALS IS WITH THOMAS JEFFERSON UNIVERSITY. THEIR RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990 FOR THE YEAR ENDING JUNE 30, 2022. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. BARRY R. FREEDMAN (TERMED 10/31/2021) AND KENNETH LEVITAN WERE VOTING MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS; AN UNCOMPENSATED POSITION. THESE INDIVIDUALS ARE INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF ALBERT EINSTEIN MEDICAL CENTER. EFFECTIVE NOVEMBER 1, 2021, ALBERT EINSTEIN MEDICAL CENTER BECAME A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. ACCORDINGLY, THE COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP FOR THESE INDIVIDUALS IS WITH ALBERT EINSTEIN MEDICAL CENTER. THEIR RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ALBERT EINSTEIN HEALTHCARE NETWORK GROUP LETTER RULING (EIN: 46-5338502) FEDERAL FORM 990 FOR THE YEAR ENDING JUNE 30, 2022. PLEASE REFER TO THE ALBERT EINSTEIN HEALTHCARE NETWORK GROUP LETTER RULING FEDERAL FORM 990 FOR THIS INFORMATION. |
| CORE FORM, PART VII AND SCHEDULE J | DENISE M. NAPIER, PRESIDENT & CEO, IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS. SHE IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH HEALTH PARTNERS PLANS, INC. (EIN: 23-2379751). THIS ORGANIZATION FILED A 2021 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MS. NAPIER'S COMPENSATION IN EXCESS OF $1M. |
| CORE FORM, PART VII AND SCHEDULE J | RAMESH J. VANGALA, A FORMER KEY EMPLOYEE OF THE ORGANIZATION, IS STILL EMPLOYED WITHIN THE ORGANIZATION AS THE VICE PRESIDENT, MEDICAID PHARMACY SERVICES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ORGANIZATION OF HEALTH PARTNERS PLANS, INC. ("HPP") AND SUBSIDIARIES. ADDITIONALLY, EFFECTIVE NOVEMBER 1, 2021, THE ORGANIZATION BECAME AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF DIRECTORS MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE GOVERNING BODY OF OTHER RELATED ORGANIZATIONS WITHIN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY OR PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART XII; QUESTION 2 | AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF HEALTH PARTNERS PLANS, INC. AND SUBSIDIARIES FOR THE YEARS ENDED DECEMBER 31, 2021 AND DECEMBER 31, 2020; RESPECTIVELY AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE GOVERNING BODY OF HEALTH PARTNERS PLANS, INC. ("HPP"), ITS BOARD OF DIRECTORS, HAS AN AUDIT COMMITTEE. THE HPP AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 | THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021
Additional Data
| Software ID: | |
| Software Version: |