TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) AMY LANGER...................................................................... DIRECTOR & CHAIR	4.00 ................. 0.00	X	X	50,000	0	0
(2) ANA LEE...................................................................... DIRECTOR	2.50 ................. 0.00	X		30,000	0	0
(3) PAUL WILLIAMS...................................................................... DIRECTOR	3.20 ................. 0.00	X		30,000	0	0
(4) PHILIP DONALDSON...................................................................... DIRECTOR & VICE CHAIR	2.10 ................. 0.00	X		33,000	0	0
(5) STEVEN M CONNELLY MD...................................................................... DIRECTOR & EXEC. MEDICAL DIR	56.80 ................. 3.20	X	X	0	990,654	167,158
(6) ANTHONY J ANDERSEN...................................................................... VP UNDERWRITING (SEPT - DEC)	36.00 ................. 0.00		X	244,586	0	83,303
(7) JEANETTE L AUGUSTSON...................................................................... VP HEALTHPARTNERS INSTITUTE	0.00 ................. 45.00		X	265,516	0	57,646
(8) RANDALL M BILLINGS...................................................................... SVP PROVIDER PARTNERSHIPS	49.50 ................. 0.50		X	515,021	0	115,048
(9) JULIE M BUNDE...................................................................... VP PRODUCT AND MARKET INNO	40.20 ................. 7.80		X	284,050	0	85,654
(10) STEVEN D BUNDE...................................................................... VP INTERNAL AUDIT, INTEGRI	35.90 ................. 9.10		X	323,455	0	104,969
(11) DAVID L BUSCH...................................................................... VP PHARMACY SERVICES	37.20 ................. 22.80		X	374,588	0	99,557
(12) SHARILYN A CAMPBELL...................................................................... HEALTH PLAN CFO AND CAO	35.10 ................. 12.90		X	571,571	0	56,691
(13) PENNY D CERMAK...................................................................... EVP & CFO	37.10 ................. 19.90		X	1,185,339	0	246,286
(14) JENNIFER J CLELLAND...................................................................... VP GOVERNMENT PROGRAMS	32.10 ................. 22.90		X	332,501	0	96,397
(15) HEIDI G CONRAD...................................................................... VP & CFO CARE DELIVERY	20.00 ................. 35.00		X	549,913	0	116,747
(16) PATRICK T COURNEYA MD...................................................................... SENIOR VP, CHPMO	45.00 ................. 10.00		X	637,051	0	148,734
(17) BARBARA H COX...................................................................... VP LEG & REGULATION AFFAIRS	44.50 ................. 0.50		X	198,001	0	51,555

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) AMY L DEWANE........................................................................ VP - CARE SYSTEMS GROWTH	51.50 .......................0.50	X			428,046	0	62,187
(19) STEPHEN W DI RITO........................................................................ VP SECURITY	64.50 .......................0.50	X			357,786	0	15,148
(20) LESLIE G DOCKAN........................................................................ VP, PRIMARY CARE & CLINIC	49.50 .......................0.50	X			436,087	0	62,304
(21) KIMBERLY T EGAN........................................................................ VP NATIONAL ACCOUNTS	49.50 .......................0.50	X			403,213	0	61,827
(22) JAMES W EPPEL........................................................................ EXECUTIVE VP & CAO	49.50 .......................0.50	X			1,335,515	0	248,114
(23) NANCY L EVERT........................................................................ SR VP GENERAL COUNSEL	39.90 .......................10.10	X			718,467	0	195,651
(24) JASON M GALLAGHER........................................................................ VP HEALTH AND CARE ENGAGEMENT	37.80 .......................12.20	X			394,749	0	98,032
(25) DAVID S GESKO........................................................................ SR VP - DENTAL DIRECTOR	49.50 .......................0.50	X			752,622	0	146,968
(26) ALICIA L GILBERT........................................................................ VP COMP AND BENEFITS	45.00 .......................0.00	X			155,297	0	32,114
(27) TIM M HALEY........................................................................ VP BROKER SALES	31.20 .......................8.80	X			370,204	0	14,625
(28) GINA T HALL........................................................................ VP IT OPERATIONS	37.20 .......................2.80	X			298,399	0	99,322
(29) MARK E HANSBERRY........................................................................ VP, BUSINESS DEVELOPMENT I	54.50 .......................0.50	X			520,091	0	130,857
(30) CHAD C HEIM........................................................................ VP - HEALTH INFORMATICS	0.50 .......................49.50	X			348,447	0	109,976
(31) MARGARET D HELMS........................................................................ VP,HEALTH INFORMATICS	12.20 .......................37.80	X			372,640	0	60,990
(32) STEVEN C HOUSH........................................................................ VP ORTHOPEDIC SERVICES	52.50 .......................0.50	X			417,571	0	62,630
(33) PAHOUA Y HOFFMAN........................................................................ SR. VP GOV. & COMM RELATIONS	39.50 .......................0.50	X			252,864	0	71,519
(34) CARA M HULL........................................................................ CHIEF QUALTY OFFICER	0.50 .......................49.50	X			465,917	0	63,425
(35) VIRGINIA L KAKACEK MD........................................................................ VP AND SR MEDICAL DIRECTOR	39.50 .......................0.50	X			466,469	0	62,650
(36) SUSAN M KNUDSON........................................................................ SR. VP HEALTH CARE ENGAGEM	49.50 .......................0.50	X			809,733	0	276,919
(37) JOSEPH D LACEYGOTZ........................................................................ VP HEALTH SOLUTIONS	44.50 .......................0.50	X			301,564	0	111,421
(38) BRANDI L LUNNEBORG........................................................................ LH PRESIDENT, ST CROIX VALLY EXC LEADER	0.50 .......................54.50	X			444,324	0	104,404
(39) AMY E MAHAN........................................................................ VP HEALTH SOLUTIONS	55.50 .......................0.50	X			258,758	0	58,704
(40) VINI T MANCHANDA........................................................................ VP - SUPPLY CHAIN SERVICES	48.30 .......................6.70	X			373,503	0	95,121
(41) MARK M MATZKE........................................................................ VP HEALTH SOLUTIONS FOR NE WISCONSIN	0.50 .......................44.50	X			333,495	0	60,494
(42) NANCY A MCCLURE........................................................................ CHIEF OPERATING OFFICER	49.50 .......................0.50	X			1,111,700	0	340,733
(43) FRANK P MCQUILLAN........................................................................ VP - TREASURY & REAL ESTAT	45.40 .......................4.60	X			441,332	0	138,792
(44) FRANK J MULLER........................................................................ VP - TECHNOLOGY & INFRASTR	41.70 .......................8.30	X			376,789	0	111,342
(45) JENNIFER L MYSTER........................................................................ VP - HP CARE GROUP	52.50 .......................0.50	X			640,479	0	130,531
(46) CASEY M NOLAN........................................................................ VP HR-SYSTEMS	54.50 .......................0.50	X			298,159	0	59,981
(47) BRIAN S O'SHEILDS........................................................................ VP - ACTUARIAL AND UNDERWR	0.50 .......................44.50	X			617,455	0	126,066
(48) KEVIN J PALATTAO........................................................................ VP CLINIC PATIENT CARE SYS	54.50 .......................0.50	X			517,185	0	188,837
(49) NICO P PRONK PHD........................................................................ VP & HEALTH SCIENCE OFFICE	35.80 .......................20.20	X			481,119	0	129,661
(50) VINCE J RIVARD........................................................................ VP - COMMUNICATIONS	59.50 .......................0.50	X			319,858	0	92,123
(51) SCOTT M ROBERTSON........................................................................ VP - EXEC, MEDICAL DIRECTOR	49.50 .......................0.50	X			456,610	0	39,456
(52) KEVIN R RONNEBERG........................................................................ VP - ASSOCIATE MEDICAL DIR	0.50 .......................39.50	X			445,447	0	62,117
(53) MARK R SANNES MD........................................................................ EXC MEDICAL DIRECTOR	20.00 .......................30.00	X			0	779,819	157,906
(54) KATIE B SAYRE........................................................................ SR VP HLTH PLAN OPS & GOV	34.70 .......................15.30	X			614,953	0	234,740
(55) DOUG N SMITH........................................................................ SR VP SALES	50.20 .......................9.80	X			363,292	0	109,989
(56) TOBI TANZER........................................................................ VP CORPORATE INTEGRITY	34.30 .......................20.70	X			482,568	0	186,280
(57) KARI L TOFT........................................................................ VP , IS&T CARE DELIVERY SY	44.50 .......................0.50	X			203,734	0	32,430
(58) ANDREA M WALSH........................................................................ CEO	45.30 .......................9.70	X			2,482,363	0	788,695
(59) DENISE WATERS........................................................................ VP REVENUE CYCLE	30.00 .......................10.00	X			242,591	0	44,582
(60) DELINDA H WASHINGTON........................................................................ SVP CPO	39.30 .......................20.70	X			710,540	0	146,924
(61) WENDY M WEEKS........................................................................ VP CARE DELIVERY SYSTEMS	39.50 .......................0.50	X			239,296	0	89,418
(62) REBECCA A WOODY........................................................................ VP - HEALTH SOLUTIONS SALE	44.50 .......................0.50	X			370,006	0	46,448
(63) ERIC C ZILGE........................................................................ VP CUSTOMER SERVICE	30.00 .......................20.00	X			300,344	0	45,537
(64) DONNA J ZIMMERMAN........................................................................ SR VP GOVT & COMMUNITY REL	39.60 .......................15.40	X			209,819	0	61,535
(65) PAMELA S ZOELLER........................................................................ VP - SPECIALTY CARE & CLIN	49.50 .......................0.50	X			447,388	0	63,431
(66) DENNIS M ZUZEK........................................................................ VP - HEALTH PLAN & ENTERPR	37.20 .......................9.80	X			529,174	0	118,536
(67) TIMOTHY J KROSHUS MD........................................................................ PHYSICIAN	70.00 .......................0.00		X		1,736,804	0	81,164
(68) MATTHEW M KANG MD........................................................................ PHYSICIAN	60.00 .......................0.00		X		1,451,493	0	73,046
(69) TROY J BOFFELI MD........................................................................ PHYSICIAN	80.00 .......................0.00		X		1,439,502	0	135,810
(70) EMILY S KOECK MD........................................................................ PHYSICIAN	80.00 .......................0.00		X		1,348,374	0	74,815
(71) CHAD M MYEROFF MD........................................................................ PHYSICIAN	80.00 .......................0.00		X		1,217,971	0	73,143
(72) FELIX K ANKEL MD........................................................................ FORMER EXEC. DIRECTOR	49.50 .......................0.00			X	313,440	0	120,595
(73) SCOTT A SCHNUCKLE........................................................................ FORMER SR VP PHARMACY	0.00 .......................0.00			X	507,469	0	37,256
(74) BRIAN H RANK........................................................................ FORMER MEDICAL DIRECTOR	35.00 .......................0.00			X	651,005	0	137,500

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF MN PHYSICIANS BOX 195 516 DELAWARE ST SE MINNEAPOLIS,MN55455	PHYSICIAN SERVICES	8,817,341
UNIVERSITY OF MN MED CTR-WEST PO BOX 147 MINNEAPOLIS,MN554400147	PHYSICIAN SERVICES	7,279,266
INTERIM HEALTHCARE STAFFING 2950 METRO DR STE 11 BLOOMINGTON,MN55425	PROFESSIONAL SERVICES	6,997,766
HAWORTH MARKETING MEDIA LLC 45 S 7TH ST STE 2400 MINNEAPOLIS,MN55402	ADVERTISING	3,303,959
SAGILITI 23505 SMITHTOWN RD STE 280 EXCELSIOR,MN553314550	UTILITY CONSULTANT	3,054,833
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 122

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

GROUP HEALTH PLAN INC

Employer identification number

41-0797853

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART I, LN 3:	GROUP HEALTH PLAN, INC. HAS OBTAINED TAX-EXEMPT STATUS AS AN ORGANIZATION WHOSE MAIN PURPOSE IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HOWEVER, GROUP HEALTH PLAN, INC. IS NOT REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE OF MINNESOTA AS A HOSPITAL AND IS NOT REQUIRED TO FILE SCHEDULE H.

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GROUP HEALTH PLAN INC

Employer identification number

41-0797853

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................	518,426
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................	518,426
d	Other exempt purpose expenditures ...............................................................................	1,749,290,897
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................	1,749,809,323
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	492,975	491,516	511,019	518,426	2,013,936

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

GROUP HEALTH PLAN INC

Employer identification number

41-0797853

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	21,020,929		21,020,929
b	Buildings ....	229,009,946	149,438,644	79,571,302
c	Leasehold improvements	93,959,971	81,997,690	11,962,281
d	Equipment ....	466,527,732	399,165,500	67,362,232
e	Other .....	6,603,241		6,603,241
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				186,519,985

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) PROFESSIONAL LIABILITY TRUST	49,571,890	C
(B) DEFERRED COMPENSATION INVESTMENTS	131,621,642	C
(C) INVESTMENT IN CRITICAL ACCESS HOSPITALS LOCATED IN WISCONSIN	4,735,611	C
(D) INVESTMENT IN SUBURBAN IMAGING, LLC.	3,502,393	C
(E) INVESTMENT IN "PET" IMAGING EQUIPMENT	84,877	C
(F) INVESTMENT IN MYRTLE DIALYSIS	406,808	C
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	189,923,221

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	233,091,921
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

GROUP HEALTH PLAN, INC. (GHI) IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. JUDGMENT IS REQUIRED IN DETERMINING HP'S EFFECTIVE TAX RATE AND IN EVALUATING ITS TAX POSITION. HP ESTABLISHES ACCRUALS FOR UNCERTAIN TAX POSITIONS WHEN, DESPITE THE BELIEF THAT HP'S TAX RETURN POSITIONS ARE FULLY SUPPORTABLE, HP BELIEVES THAT ITS POSITION MAY NOT BE FULLY SUSTAINED, PRIMARILY GIVEN THE RISKS ASSOCIATED WITH TAX LITIGATION OR DISPUTES. THE UNCERTAIN TAX POSITION ACCRUALS ARE ADJUSTED IN LIGHT OF CHANGING FACTS AND CIRCUMSTANCES, SUCH AS THE PROGRESS OF TAX AUDITS, CASE LAW, AND EMERGING LEGISLATION. HP'S EFFECTIVE TAX RATE INCLUDES THE IMPACT OF CHANGES TO THE ACCRUALS FOR UNCERTAIN TAX POSITIONS. HP CLASSIFIES INTEREST AND PENALTIES ON TAX-RELATED MATTERS AS INCOME AND OTHER TAX EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2022 OR 2021 FOR UNRECOGNIZED TAX BENEFITS.

Schedule D (Form 990) 2021

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
GROUP HEALTH PLAN INC

Employer identification number
41-0797853

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AMERICAN RED CROSS 431 18TH ST NW WASHINGTON,DC20006	53-0196605	501(C)(3)	20,000	PROGRAM SUPPORT
(2) PENUMBRA THEATRE 270 NORTH KENT STREET ST PAUL,MN55102	41-1563764	501(C)(3)	15,000	PROGRAM SUPPORT
(3) FRIENDS OF ST PAUL PUBLIC LIBRARY 325 CEDAR STREET SUITE 555 SAINT PAUL,MN55101	41-6029683	501(C)(3)	12,000	PROGRAM SUPPORT
(4) TWIN CITIES HABITAT FOR HUMANITY 570 ASBURY STREET SUITE 208 ST PAUL,MN55104	41-1334642	501(C)(3)	12,000	PROGRAM SUPPORT
(5) REACH OUT AND READ MINNESOTA 3800 AMERICAN BLVD WEST SUITE 1500-8013 BLOOMINGTON,MN55431	81-1641189	501(C)(3)	10,000	PROGRAM SUPPORT
(6) ST PAUL FIRE FOUNDATION 645 RANDOLPH AVE ST PAUL,MN55102	26-4710527	501(C)(3)	15,000	PROGRAM SUPPORT
(7) YMCA OF THE GREATER ST PAUL AREA 651 NICOLLET MALL SUITE NO 500 MINNEAPOLIS,MN55402	45-2563299	501(C)(3)	50,000	PROGRAM SUPPORT
(8) ST DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT 3395 PLYMOUTH RD MINNETONKA,MN55305	41-1429208	501(C)(3)	20,000	PROGRAM SUPPORT
(9) WASHINGTON COUNTY 14949 62ND STREET NORTH STILLWATER,MN55082	41-6005919	GOV	15,000	PROGRAM SUPPORT
(10) THE LINK 1210 GLENWOOD AVENUE MINNEAPOLIS,MN55405	41-1920649	501(C)(3)	10,000	PROGRAM SUPPORT
(11) RENEWING THE COUNTRYSIDE 2637 27TH AVE S MINNEAPOLIS,MN55406	20-0189339	501(C)(3)	10,000	PROGRAM SUPPORT
(12) PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426	23-7346465	501(C)(3)	163,771	PROGRAM SUPPORT
(13) HUTCHINSON HEALTH FOUNDATION 8170 33RD AVE S BLOOMINGTON,MN55440	36-3317820	501(C)(3)	37,985	PROGRAM SUPPORT
(14) LAKEVIEW HEALTH FOUNDATION 8170 33RD AVE S BLOOMINGTON,MN55440	41-1386635	501(C)(3)	21,760	PROGRAM SUPPORT
(15) HUDSON HOSPITAL FOUNCATION 8170 33RD AVE S BLOOMINGTON,MN55440	39-1279567	501(C)(3)	28,644	PROGRAM SUPPORT
(16) OLIVIA HOSPITAL AND CLINIC FOUNDATION 8170 33RD AVE S BLOOMINGTON,MN55440	41-1839619	501(C)(3)	13,450	PROGRAM SUPPORT
(17) REGIONS HOSPITAL FOUNDATION 8170 33RD AVE S BLOOMINGTON,MN55440	41-1888902	501(C)(3)	130,110	PROGRAM SUPPORT
(18) WESTFIELDS HOSPITAL FOUNDATION 8170 33RD AVE S BLOOMINGTON,MN55440	39-1770913	501(C)(3)	34,522	PROGRAM SUPPORT
(19) NAMI MINNESOTA 1919 UNIVERSITY AVE W SUITE 400 ST PAUL,MN55104	41-1317030	501(C)(3)	10,000	PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	GROUP HEALTH PLAN, INC. (GHI) MANAGEMENT STAFF REVIEWS THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH GHI'S MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO GHI'S FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE.

Schedule I (Form 990) 2022

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

GROUP HEALTH PLAN INC

Employer identification number

41-0797853

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

Yes

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ANDREA M WALSH CEO	(i) (ii)	1,437,647 ------------- 0	838,595 ------------- 0	206,121 ------------- 0	719,918 ------------- 0	68,777 ------------- 0	3,271,058 ------------- 0	173,628 ------------- 0
2TIMOTHY J KROSHUS MD PHYSICIAN	(i) (ii)	835,554 ------------- 0	0 ------------- 0	901,250 ------------- 0	22,875 ------------- 0	58,289 ------------- 0	1,817,968 ------------- 0	0 ------------- 0
3JAMES W EPPEL EXECUTIVE VP & CAO	(i) (ii)	816,472 ------------- 0	359,412 ------------- 0	159,631 ------------- 0	195,644 ------------- 0	52,470 ------------- 0	1,583,629 ------------- 0	143,853 ------------- 0
4TROY J BOFFELI MD PHYSICIAN	(i) (ii)	1,016,600 ------------- 0	12,460 ------------- 0	410,442 ------------- 0	81,832 ------------- 0	53,978 ------------- 0	1,575,312 ------------- 0	0 ------------- 0
5MATTHEW M KANG MD PHYSICIAN	(i) (ii)	1,237,449 ------------- 0	5,192 ------------- 0	208,852 ------------- 0	22,875 ------------- 0	50,171 ------------- 0	1,524,539 ------------- 0	0 ------------- 0
6NANCY A MCCLURE CHIEF OPERATING OFFICER	(i) (ii)	676,870 ------------- 0	240,834 ------------- 0	193,996 ------------- 0	291,508 ------------- 0	49,225 ------------- 0	1,452,433 ------------- 0	0 ------------- 0
7PENNY D CERMAK EVP & CFO	(i) (ii)	805,021 ------------- 0	360,450 ------------- 0	19,868 ------------- 0	196,481 ------------- 0	49,805 ------------- 0	1,431,625 ------------- 0	0 ------------- 0
8EMILY S KOECK MD PHYSICIAN	(i) (ii)	426,441 ------------- 0	0 ------------- 0	921,933 ------------- 0	22,875 ------------- 0	51,940 ------------- 0	1,423,189 ------------- 0	0 ------------- 0
9CHAD M MYEROFF MD PHYSICIAN	(i) (ii)	896,539 ------------- 0	0 ------------- 0	321,432 ------------- 0	22,875 ------------- 0	50,268 ------------- 0	1,291,114 ------------- 0	0 ------------- 0
10STEVEN M CONNELLY MD DIRECTOR & EXEC. MEDICAL DIR	(i) (ii)	0 ------------- 655,097	0 ------------- 230,119	0 ------------- 105,438	0 ------------- 108,036	0 ------------- 59,122	0 ------------- 1,157,812	0 ------------- 88,585
11SUSAN M KNUDSON SR. VP HEALTH CARE ENGAGEM	(i) (ii)	574,658 ------------- 0	198,114 ------------- 0	36,961 ------------- 0	232,072 ------------- 0	44,847 ------------- 0	1,086,652 ------------- 0	0 ------------- 0
12MARK R SANNES MD EXC MEDICAL DIRECTOR	(i) (ii)	0 ------------- 604,186	0 ------------- 107,763	0 ------------- 67,870	0 ------------- 101,841	0 ------------- 56,065	0 ------------- 937,725	0 ------------- 51,156
13NANCY L EVERT SR VP GENERAL COUNSEL	(i) (ii)	500,726 ------------- 0	174,605 ------------- 0	43,136 ------------- 0	167,010 ------------- 0	28,641 ------------- 0	914,118 ------------- 0	37,844 ------------- 0
14DAVID S GESKO SR VP - DENTAL DIRECTOR	(i) (ii)	509,402 ------------- 0	183,082 ------------- 0	60,138 ------------- 0	103,272 ------------- 0	43,696 ------------- 0	899,590 ------------- 0	0 ------------- 0
15DELINDA H WASHINGTON SVP CPO	(i) (ii)	550,340 ------------- 0	160,200 ------------- 0	0 ------------- 0	103,516 ------------- 0	43,408 ------------- 0	857,464 ------------- 0	0 ------------- 0
16KATIE B SAYRE SR VP HLTH PLAN OPS & GOV	(i) (ii)	404,788 ------------- 0	150,339 ------------- 0	59,826 ------------- 0	192,718 ------------- 0	42,022 ------------- 0	849,693 ------------- 0	16,260 ------------- 0
17BRIAN H RANK FORMER MEDICAL DIRECTOR	(i) (ii)	234,548 ------------- 0	245,195 ------------- 0	171,262 ------------- 0	98,682 ------------- 0	38,818 ------------- 0	788,505 ------------- 0	144,699 ------------- 0
18PATRICK T COURNEYA MD SENIOR VP, CHPMO	(i) (ii)	454,100 ------------- 0	164,205 ------------- 0	18,746 ------------- 0	106,714 ------------- 0	42,020 ------------- 0	785,785 ------------- 0	0 ------------- 0
19JENNIFER L MYSTER VP - HP CARE GROUP	(i) (ii)	452,929 ------------- 0	125,611 ------------- 0	61,939 ------------- 0	88,461 ------------- 0	42,070 ------------- 0	771,010 ------------- 0	19,970 ------------- 0
20BRIAN S O'SHEILDS VP - ACTUARIAL AND UNDERWR	(i) (ii)	401,284 ------------- 0	149,609 ------------- 0	66,562 ------------- 0	84,007 ------------- 0	42,059 ------------- 0	743,521 ------------- 0	47,326 ------------- 0
21KEVIN J PALATTAO VP CLINIC PATIENT CARE SYS	(i) (ii)	337,978 ------------- 0	126,329 ------------- 0	52,878 ------------- 0	148,232 ------------- 0	40,605 ------------- 0	706,022 ------------- 0	12,752 ------------- 0
22TOBI TANZER VP CORPORATE INTEGRITY	(i) (ii)	346,401 ------------- 0	124,600 ------------- 0	11,567 ------------- 0	146,177 ------------- 0	40,103 ------------- 0	668,848 ------------- 0	0 ------------- 0
23HEIDI G CONRAD VP & CFO CARE DELIVERY	(i) (ii)	363,640 ------------- 0	166,627 ------------- 0	19,646 ------------- 0	80,282 ------------- 0	36,465 ------------- 0	666,660 ------------- 0	0 ------------- 0
24MARK E HANSBERRY VP, BUSINESS DEVELOPMENT I	(i) (ii)	318,305 ------------- 0	157,143 ------------- 0	44,643 ------------- 0	88,485 ------------- 0	42,372 ------------- 0	650,948 ------------- 0	40,241 ------------- 0
25DENNIS M ZUZEK VP - HEALTH PLAN & ENTERPR	(i) (ii)	381,196 ------------- 0	131,720 ------------- 0	16,258 ------------- 0	78,080 ------------- 0	40,456 ------------- 0	647,710 ------------- 0	0 ------------- 0
26RANDALL M BILLINGS SVP PROVIDER PARTNERSHIPS	(i) (ii)	396,720 ------------- 0	106,800 ------------- 0	11,501 ------------- 0	74,797 ------------- 0	40,251 ------------- 0	630,069 ------------- 0	0 ------------- 0
27SHARILYN A CAMPBELL HEALTH PLAN CFO AND CAO	(i) (ii)	345,497 ------------- 0	213,020 ------------- 0	13,054 ------------- 0	22,875 ------------- 0	33,816 ------------- 0	628,262 ------------- 0	0 ------------- 0
28NICO P PRONK PHD VP & HEALTH SCIENCE OFFICE	(i) (ii)	372,570 ------------- 0	98,730 ------------- 0	9,819 ------------- 0	89,673 ------------- 0	39,988 ------------- 0	610,780 ------------- 0	0 ------------- 0
29FRANK P MCQUILLAN VP - TREASURY & REAL ESTAT	(i) (ii)	279,379 ------------- 0	77,997 ------------- 0	83,956 ------------- 0	99,287 ------------- 0	39,505 ------------- 0	580,124 ------------- 0	0 ------------- 0
30BRANDI L LUNNEBORG LH PRESIDENT, ST CROIX VALLY EXC LEA	(i) (ii)	415,140 ------------- 0	25,000 ------------- 0	4,184 ------------- 0	65,250 ------------- 0	39,154 ------------- 0	548,728 ------------- 0	0 ------------- 0
31SCOTT A SCHNUCKLE FORMER SR VP PHARMACY	(i) (ii)	0 ------------- 0	0 ------------- 0	507,469 ------------- 0	19,862 ------------- 0	17,394 ------------- 0	544,725 ------------- 0	503,489 ------------- 0
32CARA M HULL CHIEF QUALTY OFFICER	(i) (ii)	314,137 ------------- 0	133,606 ------------- 0	18,174 ------------- 0	22,875 ------------- 0	40,550 ------------- 0	529,342 ------------- 0	0 ------------- 0
33VIRGINIA L KAKACEK MD VP AND SR MEDICAL DIRECTOR	(i) (ii)	339,738 ------------- 0	95,786 ------------- 0	30,945 ------------- 0	22,875 ------------- 0	39,775 ------------- 0	529,119 ------------- 0	0 ------------- 0
34PAMELA S ZOELLER VP - SPECIALTY CARE & CLIN	(i) (ii)	339,206 ------------- 0	92,836 ------------- 0	15,346 ------------- 0	23,838 ------------- 0	39,593 ------------- 0	510,819 ------------- 0	0 ------------- 0
35KEVIN R RONNEBERG VP - ASSOCIATE MEDICAL DIR	(i) (ii)	325,523 ------------- 0	93,345 ------------- 0	26,579 ------------- 0	22,875 ------------- 0	39,242 ------------- 0	507,564 ------------- 0	0 ------------- 0
36LESLIE G DOCKAN VP, PRIMARY CARE & CLINIC	(i) (ii)	339,121 ------------- 0	90,690 ------------- 0	6,276 ------------- 0	22,875 ------------- 0	39,429 ------------- 0	498,391 ------------- 0	0 ------------- 0
37SCOTT M ROBERTSON VP - EXEC, MEDICAL DIRECTOR	(i) (ii)	358,016 ------------- 0	93,451 ------------- 0	5,143 ------------- 0	22,875 ------------- 0	16,581 ------------- 0	496,066 ------------- 0	0 ------------- 0
38JASON M GALLAGHER VP HEALTH AND CARE ENGAGEMENT	(i) (ii)	297,950 ------------- 0	82,511 ------------- 0	14,288 ------------- 0	59,525 ------------- 0	38,507 ------------- 0	492,781 ------------- 0	0 ------------- 0
39AMY L DEWANE VP - CARE SYSTEMS GROWTH	(i) (ii)	318,940 ------------- 0	89,679 ------------- 0	19,427 ------------- 0	22,875 ------------- 0	39,312 ------------- 0	490,233 ------------- 0	0 ------------- 0
40FRANK J MULLER VP - TECHNOLOGY & INFRASTR	(i) (ii)	298,472 ------------- 0	72,090 ------------- 0	6,227 ------------- 0	72,773 ------------- 0	38,569 ------------- 0	488,131 ------------- 0	0 ------------- 0
41STEVEN C HOUSH VP ORTHOPEDIC SERVICES	(i) (ii)	310,752 ------------- 0	96,154 ------------- 0	10,665 ------------- 0	22,875 ------------- 0	39,755 ------------- 0	480,201 ------------- 0	0 ------------- 0
42DAVID L BUSCH VP PHARMACY SERVICES	(i) (ii)	282,770 ------------- 0	77,997 ------------- 0	13,821 ------------- 0	61,020 ------------- 0	38,537 ------------- 0	474,145 ------------- 0	0 ------------- 0
43DOUG N SMITH SR VP SALES	(i) (ii)	176,468 ------------- 0	161,355 ------------- 0	25,469 ------------- 0	82,783 ------------- 0	27,206 ------------- 0	473,281 ------------- 0	12,151 ------------- 0
44VINI T MANCHANDA VP - SUPPLY CHAIN SERVICES	(i) (ii)	288,580 ------------- 0	74,840 ------------- 0	10,083 ------------- 0	56,600 ------------- 0	38,521 ------------- 0	468,624 ------------- 0	0 ------------- 0
45KIMBERLY T EGAN VP NATIONAL ACCOUNTS	(i) (ii)	277,677 ------------- 0	80,834 ------------- 0	44,702 ------------- 0	22,875 ------------- 0	38,952 ------------- 0	465,040 ------------- 0	0 ------------- 0
46CHAD C HEIM VP - HEALTH INFORMATICS	(i) (ii)	259,379 ------------- 0	82,511 ------------- 0	6,557 ------------- 0	71,481 ------------- 0	38,495 ------------- 0	458,423 ------------- 0	0 ------------- 0
47FELIX K ANKEL MD FORMER EXEC. DIRECTOR	(i) (ii)	255,359 ------------- 0	0 ------------- 0	58,081 ------------- 0	82,945 ------------- 0	37,650 ------------- 0	434,035 ------------- 0	0 ------------- 0
48MARGARET D HELMS VP,HEALTH INFORMATICS	(i) (ii)	292,456 ------------- 0	77,430 ------------- 0	2,754 ------------- 0	22,875 ------------- 0	38,115 ------------- 0	433,630 ------------- 0	0 ------------- 0
49JENNIFER J CLELLAND VP GOVERNMENT PROGRAMS	(i) (ii)	259,979 ------------- 0	65,682 ------------- 0	6,840 ------------- 0	58,470 ------------- 0	37,927 ------------- 0	428,898 ------------- 0	0 ------------- 0
50STEVEN D BUNDE VP INTERNAL AUDIT, INTEGRI	(i) (ii)	248,766 ------------- 0	64,073 ------------- 0	10,616 ------------- 0	82,071 ------------- 0	22,898 ------------- 0	428,424 ------------- 0	0 ------------- 0
51REBECCA A WOODY VP - HEALTH SOLUTIONS SALE	(i) (ii)	244,978 ------------- 0	64,314 ------------- 0	60,714 ------------- 0	22,875 ------------- 0	23,573 ------------- 0	416,454 ------------- 0	0 ------------- 0
52JOSEPH D LACEYGOTZ VP HEALTH SOLUTIONS	(i) (ii)	220,444 ------------- 0	64,519 ------------- 0	16,601 ------------- 0	74,659 ------------- 0	36,762 ------------- 0	412,985 ------------- 0	0 ------------- 0
53VINCE J RIVARD VP - COMMUNICATIONS	(i) (ii)	251,729 ------------- 0	66,002 ------------- 0	2,127 ------------- 0	54,473 ------------- 0	37,650 ------------- 0	411,981 ------------- 0	0 ------------- 0
54GINA T HALL VP IT OPERATIONS	(i) (ii)	211,308 ------------- 0	71,703 ------------- 0	15,388 ------------- 0	76,348 ------------- 0	22,974 ------------- 0	397,721 ------------- 0	0 ------------- 0
55MARK M MATZKE VP HEALTH SOLUTIONS FOR NE WISCONSIN	(i) (ii)	220,294 ------------- 0	52,288 ------------- 0	60,913 ------------- 0	22,875 ------------- 0	37,619 ------------- 0	393,989 ------------- 0	0 ------------- 0
56TIM M HALEY VP BROKER SALES	(i) (ii)	259,335 ------------- 0	75,341 ------------- 0	35,528 ------------- 0	6,144 ------------- 0	8,481 ------------- 0	384,829 ------------- 0	0 ------------- 0
57STEPHEN W DI RITO VP SECURITY	(i) (ii)	240,821 ------------- 0	50,000 ------------- 0	66,965 ------------- 0	0 ------------- 0	15,148 ------------- 0	372,934 ------------- 0	0 ------------- 0
58JULIE M BUNDE VP PRODUCT AND MARKET INNO	(i) (ii)	217,904 ------------- 0	58,909 ------------- 0	7,237 ------------- 0	63,228 ------------- 0	22,426 ------------- 0	369,704 ------------- 0	0 ------------- 0
59CASEY M NOLAN VP HR-SYSTEMS	(i) (ii)	233,353 ------------- 0	61,410 ------------- 0	3,396 ------------- 0	22,875 ------------- 0	37,106 ------------- 0	358,140 ------------- 0	0 ------------- 0
60ERIC C ZILGE VP CUSTOMER SERVICE	(i) (ii)	238,041 ------------- 0	58,740 ------------- 0	3,563 ------------- 0	22,875 ------------- 0	22,662 ------------- 0	345,881 ------------- 0	0 ------------- 0
61WENDY M WEEKS VP CARE DELIVERY SYSTEMS	(i) (ii)	197,636 ------------- 0	32,788 ------------- 0	8,872 ------------- 0	53,165 ------------- 0	36,253 ------------- 0	328,714 ------------- 0	0 ------------- 0
62ANTHONY J ANDERSEN VP UNDERWRITING (SEPT - DEC)	(i) (ii)	198,458 ------------- 0	36,180 ------------- 0	9,948 ------------- 0	61,449 ------------- 0	21,854 ------------- 0	327,889 ------------- 0	0 ------------- 0
63PAHOUA Y HOFFMAN SR. VP GOV. & COMM RELATIONS	(i) (ii)	251,523 ------------- 0	0 ------------- 0	1,341 ------------- 0	37,515 ------------- 0	34,004 ------------- 0	324,383 ------------- 0	0 ------------- 0
64JEANETTE L AUGUSTSON VP HEALTHPARTNERS INSTITUTE	(i) (ii)	199,733 ------------- 0	56,070 ------------- 0	9,713 ------------- 0	20,691 ------------- 0	36,955 ------------- 0	323,162 ------------- 0	0 ------------- 0
65AMY E MAHAN VP HEALTH SOLUTIONS	(i) (ii)	169,871 ------------- 0	55,638 ------------- 0	33,249 ------------- 0	21,847 ------------- 0	36,857 ------------- 0	317,462 ------------- 0	0 ------------- 0
66DENISE WATERS VP REVENUE CYCLE	(i) (ii)	187,591 ------------- 0	55,000 ------------- 0	0 ------------- 0	18,434 ------------- 0	26,148 ------------- 0	287,173 ------------- 0	0 ------------- 0
67DONNA J ZIMMERMAN SR VP GOVT & COMMUNITY REL	(i) (ii)	88,076 ------------- 0	112,131 ------------- 0	9,612 ------------- 0	44,161 ------------- 0	17,374 ------------- 0	271,354 ------------- 0	0 ------------- 0
68BARBARA H COX VP LEG & REGULATION AFFAIRS	(i) (ii)	164,162 ------------- 0	27,174 ------------- 0	6,665 ------------- 0	15,578 ------------- 0	35,977 ------------- 0	249,556 ------------- 0	0 ------------- 0
69KARI L TOFT VP , IS&T CARE DELIVERY SY	(i) (ii)	130,416 ------------- 0	67,144 ------------- 0	6,174 ------------- 0	15,466 ------------- 0	16,964 ------------- 0	236,164 ------------- 0	0 ------------- 0
70ALICIA L GILBERT VP COMP AND BENEFITS	(i) (ii)	151,631 ------------- 0	0 ------------- 0	3,666 ------------- 0	8,072 ------------- 0	24,042 ------------- 0	187,411 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINES 4A-B	TOTAL COMPENSATION IN COLUMN E OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM SEVERANCE FOR THE FOLLOWING DIRECTORS AND OFFICERS: SCOTT A. SCHNUCKLE $ 4,198 DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: RANDALL M. BILLINGS $ 36,109 PENNY D. CERMAK $ 107,171 STEVEN M. CONNELLY, MD $79,995 PATRICK T. COURNEYA $ 44,511 JAMES W. EPPEL $ 106,715 NANCY L. EVERT $ 47,347 DAVID S. GESKO $ 29,356 MARK E. HANSBERRY $ 42,717 PAHOUA Y. HOFFMAN $18,003 SUSAN M. KNUDSON $ 35,149 NANCY A. MCCLURE $ 44,974 JENNIFER L. MYSTER $ 22,205 BRANDI L. LUNNEBORG $31,500 BRIAN S. O'SHIELDS $ 40,555 KEVIN J. PALATTAO $ 13,772 MARK R. SANNES $73,800 KATHERINE B. SAYRE $ 20,309 TOBI TANZER $ 33,997 ANDREA M. WALSH $ 276,551 DELINDA H. WASHINGTON $ 49,973 DENNIS M. ZUZEK $ 37,694 SCOTT A. SCHNUCKLE $503,489
PART I, LINE 6	OFFICERS AND HIGHEST COMPENSATED EMPLOYEES MAY RECEIVE COMPENSATION BASED ON THE MANAGEMENT INCENTIVE PROGRAM (PROGRAM) OF GROUP HEALTH PLAN INC OR PARK NICOLLET HEALTH SERVICES. THE PROGRAM INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE PROGRAM REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE, BUT ARE NOT LIMITED TO, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH CARE AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. A OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT.
SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION	COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS, OFFICERS, AND FORMER OFFICERS: STEVEN M. CONNELLY, MD $ 88,585 JAMES W. EPPEL $ 143,853 NANCY L. EVERT $ 37,844 DAVID S. GESKO, DDS $ 28,252 MARK E. HANSBERRY $ 40,241 NANCY A. MCCLURE $ 149,768 JENNIFER L. MYSTER $ 19,970 BRIAN S. O'SHIELDS $ 47,326 KEVIN J. PALATTAO $ 12,752 BRIAN H. RANK, MD $ 144,699 MARK R. SANNES, MD $ 51,156 KATIE B. SAYRE $ 16,260 DOUG A. SMITH $ 12,151 ANDREA M. WALSH $ 173,628 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

GROUP HEALTH PLAN INC

Employer identification number

41-0797853

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) DAVID GALLAGHER	BROTHER OF JASON GALLAGHER	181,963	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(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.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

GROUP HEALTH PLAN INC

Employer identification number

41-0797853

Return Reference	Explanation
FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS	CORPORATE STRUCTURE, PURPOSE, GOVERNANCE GROUP HEALTH PLAN, INC. (GHI) IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND PART OF THE HEALTHPARTNERS ORGANIZATION REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,900 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4) AND IS THE SOLE CORPORATE MEMBER OF GHI. GHI IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY BY PROVIDING PREPAID MEDICAL AND DENTAL CARE TO ITS ENROLLED MEMBERS AND MEDICAL AND DENTAL CARE TO FEE-FOR-SERVICE PATIENTS, INCREASING ACCESS TO AFFORDABLE MEDICAL AND DENTAL CARE IN THE COMMUNITY AND RAISING THE STANDARDS OF MEDICAL AND DENTAL CARE IN THE COMMUNITY. THE GHI STAFF MODEL HMO COMBINES FINANCING AND HEALTH CARE SERVICES FOR THE PURPOSE OF IMPROVING THE HEALTH OF ITS MEMBERS AND PATIENTS. GHI OFFERS COMMERCIAL HMO PRODUCTS, INDIVIDUAL/CONVERSION PRODUCTS, AND MEDICARE COST PRODUCTS. PEOPLE WHO ENROLL IN A GHI MANAGED CARE PRODUCT RECEIVE A FULL RANGE OF PREPAID HEALTH CARE SERVICES, INCLUDING PROFESSIONAL CARE IN HOSPITALS, PHYSICIAN SERVICES, IMAGING AND LABORATORY SERVICES, VARIOUS THERAPIES, PREVENTIVE SERVICES, HEALTH EDUCATION AND CERTAIN PRESCRIPTION DRUGS. ADDITIONALLY, GHI'S EMPLOYED AND CONTRACTED PHYSICIANS PROVIDE A SUBSTANTIAL AMOUNT OF HEALTH CARE SERVICES TO A WIDE ARRAY OF PATIENTS WHO ARE NOT ENROLLED IN GHI'S MANAGED CARE PRODUCTS, SOME OF WHOM ARE UNINSURED OR UNDERINSURED. GHI ALSO OPERATES A MEDICARE-CERTIFIED AND MINNESOTA-LICENSED HOSPICE PROGRAM FOR PATIENTS WITH A TERMINAL DIAGNOSIS OF SIX MONTHS OR LESS. HEALTHPARTNERS OPERATES A PATIENT COUNCIL THAT GIVES MEMBERS AND PATIENTS A FORUM TO PROVIDE INPUT TO IMPROVE HEALTHPARTNERS PROGRAMS AND SERVICES. THE PATIENT COUNCIL IS MADE UP OF A GROUP OF 15 HEALTH PLAN MEMBERS WHO MEET TEN TIMES ANNUALLY AND PROVIDE FEEDBACK ON A VARIETY OF HEALTH CARE TOPICS. THIS FEEDBACK IS INCORPORATED IN THE DESIGN AND PLANNING OF PROGRAMS AND SERVICES. HEALTHPARTNERS MEDICAL GROUP (HPMG) & HEALTHPARTNERS DENTAL GROUP (HPDG) GHI PROVIDES COVERAGE TO MEMBERS AND SERVICES TO PATIENTS THROUGH A BROAD NETWORK OF HOSPITALS AND CLINICS, INCLUDING THOSE STAFFED BY GHI EMPLOYED PHYSICIANS. GHI'S EMPLOYED "STAFF MODEL" PHYSICIANS AND DENTISTS ARE KNOWN AS HEALTHPARTNERS MEDICAL GROUP (HPMG) AND HEALTHPARTNERS DENTAL GROUP (HPDG) RESPECTIVELY. HPMG IS ONE OF MINNESOTA'S LARGEST MEDICAL GROUPS. HPMG EMPLOYS APPROXIMATELY 600 FULL TIME EQUIVALENT PHYSICIANS. HPMG PHYSICIANS PRACTICE IN MORE THAN 36 MEDICAL AND SURGICAL SPECIALTIES. FOR MORE THAN 46 YEARS, HPDG HAS BEEN RECOGNIZED AS A LEADER IN INNOVATIVE DENTISTRY. HPDG OWNS AND OPERATES 25 DENTAL CLINICS AND A DENTAL SPECIALTY CLINIC WITH APPROXIMATELY 75 DENTISTS AND CONTRACTS WITH AN ADDITIONAL 2,200 PLUS DENTISTS IN THE HEALTHPARTNERS DENTAL NETWORK TO PROVIDE DENTAL CARE. HPDG DENTAL CLINICS OFFER A WIDE RANGE OF INDIVIDUALIZED, INNOVATIVE SERVICES FROM BASIC PREVENTIVE DENTISTRY TO HIGHLY SPECIALIZED CARE, INCLUDING SPECIALISTS IN ORTHODONTICS, ORAL SURGERY, PERIODONTICS, PROSTHODONTICS AND PEDIATRIC DENTISTRY. HPDG IS A CRITICAL ACCESS PROVIDER OF DENTAL SERVICES; THAT MEANS THAT A SIGNIFICANT NUMBER OF ITS PATIENTS ARE ENROLLED IN A GOVERNMENT PROGRAM. HPDG HAS THE LARGEST NUMBER OF GOVERNMENT PROGRAM DENTAL PATIENTS IN THE STATE. HPDG REMAINS COMMITTED TO FINDING THE MOST EFFECTIVE WAYS TO IMPROVE OUR PATIENTS' DENTAL HEALTH AND IS ONE OF THE FEW DENTAL PRACTICES THAT CONDUCTS A RISK ASSESSMENT FOR PATIENTS, WHICH ALLOWS US TO CREATE AN INDIVIDUALIZED PROGRAM OF TRUE PREVENTIVE DENTAL CARE BASED ON PATIENT NEEDS AND DESIRES. OUR HEALTHPARTNERS MIDWAY DENTAL CLINIC IS THE SITE OF OUR NEWLY CREATED ADVANCED EDUCATION IN GENERAL DENTISTRY (AEGD) RESIDENCY AND FEATURES 6 DENTAL RESIDENTS. THE CLINIC FOCUSES ON SERVING PATIENTS ENROLLED IN MINNESOTA PUBLIC PROGRAMS.THIS CLINIC PROVIDES INTERPRETER SERVICES AND SAME-DAY ACCESS TO URGENT CARE AND APPOINTMENTS. THIS MODEL OF CARE HAS BEEN ADOPTED BY THE MINNESOTA LEGISLATURE'S "DENTAL ACCESS ADVISORY COMMITTEE AND WAS IMPLEMENTED AT OTHER CLINICS IN THE STATE. IN ADDITION TO PROVIDING CARE TO PERSONS ENROLLED IN GHI'S HMO PRODUCTS, HPMG AND HPDG WORK TOGETHER TO IMPROVE THE HEALTH OF THE COMMUNITY BY PROVIDING MEDICAL AND DENTAL CARE TO A GROWING NUMBER OF PATIENTS WHO ARE MEMBERS OF HPI, HEALTHPARTNERS INSURANCE COMPANY (HPIC), HEALTHPARTNERS ADMINISTRATORS, INC. (HPAI), UNRELATED MANAGED CARE ORGANIZATIONS, INSURED BY COMMERCIAL PAYERS, SELF-PAY PATIENTS AND/OR CHARITY CARE PATIENTS. HPMG AND HPDG FOCUS THEIR EFFORTS ON COMPASSIONATE, PATIENT-CENTERED CARE, RANGING FROM PREVENTIVE CARE TO MANAGEMENT OF PATIENTS WITH ACUTE AND/OR CHRONIC CONDITIONS.
PART III, CONT.	BENEFIT TO THE COMMUNITY: MEMBERSHIP GHI MEMBERS RECEIVE A FULL RANGE OF PREPAID HEALTH CARE SERVICES, INCLUDING PROFESSIONAL CARE IN HOSPITALS AND PHYSICIAN OFFICES, IMAGING AND LABORATORY SERVICES, VARIOUS THERAPIES, PREVENTIVE SERVICES, HEALTH EDUCATION, AND CERTAIN PRESCRIPTION DRUGS. GHI PROVIDES THESE SERVICES TO ITS MEMBERS AND PATIENTS THROUGH A BROAD NETWORK OF PHYSICIANS AND HOSPITALS. THIS NETWORK INCLUDES CLINICS STAFFED BY GHI- AND PARK NICOLLET CLINIC (PNC)- EMPLOYED PHYSICIANS AND EIGHT HEALTHPARTNERS HOSPITALS: REGIONS HOSPITAL (REGIONS), A LEVEL I ADULT AND PEDIATRIC TRAUMA CENTER IN ST. PAUL, MINNESOTA; WESTFIELDS HOSPITAL, A CRITICAL ACCESS HOSPITAL IN NEW RICHMOND, WISCONSIN; HUDSON HOSPITAL, A CRITICAL ACCESS HOSPITAL IN HUDSON, WISCONSIN; AMERY REGIONAL MEDICAL CENTER, A CRITICAL ACCESS HOSPITAL IN AMERY, WISCONSIN; LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION (LAKEVIEW HOSPITAL), A COMMUNITY HOSPITAL IN STILLWATER, MINNESOTA; PARK NICOLLET METHODIST HOSPITAL, A LEADER IN CANCER, CARDIOVASCULAR AND MATERNITY CARE IN ST. LOUIS PARK, MINNESOTA; HUTCHINSON HEALTH, A COMMUNITY HOSPITAL IN HUTCHINSON, MINNESOTA; AND OLIVIA HOSPITAL & CLINIC, A COMMUNITY HOSPITAL IN OLIVIA, MINNESOTA. IN ADDITION, GHI'S MEMBERS RECEIVE HEALTH CARE SERVICES THROUGH HEALTHPARTNERS' EXTENSIVE NETWORK OF OWNED AND CONTRACTED MEDICAL AND DENTAL PROVIDERS, INCLUDING OVER 100 MULTI-SPECIALTY CLINICS OWNED AND OPERATED BY GHI, KNOWN AS THE HPMG CLINICS, THE PNC CLINICS, AND THE STILLWATER MEDICAL GROUP CLINICS. HPI, GHI AND HPIC PROVIDE COMMERCIAL GROUP, COMMERCIAL INDIVIDUAL, MEDICARE, AND MEDICAID MANAGED CARE PRODUCTS TO THEIR MEMBERS. IN 2022, THESE ORGANIZATIONS PROVIDED COMPREHENSIVE, PREPAID HEALTH CARE SERVICES TO 1,055,982 MEMBERS FOR MEDICAL PRODUCTS. THESE MEMBERS FIT WITHIN THE FOLLOWING CATEGORIES: 263,056 FULLY INSURED COMMERCIAL GROUP MEDICAL MEMBERS; 412,293 SELF-INSURED COMMERCIAL GROUP HPAI; 49,308 SELF-INSURED COMMERCIAL GROUP - INDIVIDUAL; 59,206 MEDICARE; 216,523 MEDICAID AND MSHO. TOTAL MEMBERSHIP WITH DENTAL PRODUCTS INCLUDES 620,111. THESE MEMBERS FALL INTO THE FOLLOWING CATEGORIES: 174,798 FULLY-INSURED COMMERCIAL GROUP; 212,880 SELF-INSURED COMMERCIAL GROUP HPAI; 10,744 INDIVIDUAL; 5,290 MEDICARE; 216,399 MEDICAID AND MSHO. IN ADDITION TO PROVIDING DIRECT CARE TO PERSONS ENROLLED IN GHI'S HMO PRODUCTS, HPMG PHYSICIANS SERVE PATIENTS WHO ARE UNINSURED AND UNABLE TO PAY FOR CARE. GHI EMPLOYS FINANCIAL COUNSELORS WHO PROVIDE PATIENTS WITH OPTIONS WHEN THEY ARE UNINSURED OR UNDERINSURED. FINANCIAL COUNSELORS LINK PATIENTS TO COMMUNITY RESOURCES, PROVIDE INFORMATION AND ASSISTANCE ON HPMG'S FINANCIAL ASSISTANCE PROGRAM AND ASSISTANCE WITH APPLYING FOR MINNESOTA HEALTH CARE PROGRAMS THROUGH THE MINNESOTA DEPARTMENT OF HUMAN SERVICES. GHI ALSO HELPS PATIENTS WHO ARE UNABLE TO PAY FOR PRESCRIPTION DRUGS OR DO NOT HAVE PRESCRIPTION INSURANCE COVERAGE BY PROVIDING ASSISTANCE THROUGH THE MENTAL HEALTH DRUG ASSISTANCE PROGRAM (MDHAP), WHICH PROVIDES MEDICATIONS TO MEDICAL ASSISTANCE PATIENTS. HEALTHPARTNERS CENTER FOR INTERNATIONAL HEALTH (CIH) HEALTHPARTNERS CENTER FOR INTERNATIONAL HEALTH CLINIC (CIH) PRIMARILY FOCUSES ON CULTURALLY COMPETENT CARE FOR FOREIGN-BORN INDIVIDUALS. THIS INCLUDES PRIMARY CARE AS WELL AS SPECIALIZED CARE, SUCH AS NEW ARRIVAL SCREENINGS AND IMMIGRATION PHYSICALS. CIH WAS ESTABLISHED IN 1980 IN RESPONSE TO THE INFLUX OF SOUTHEAST ASIANS TO MINNESOTA AFTER THE END OF THE VIETNAM WAR. INITIALLY CALLED THE HMONG CLINIC, OR THE SOUTHEAST ASIAN CLINIC, THE CLINIC NOW SEES MANY MORE KAREN, NEPALI, SOMALI, AND AFGHANI PATIENTS AS IMMIGRATION TRENDS CHANGE MINNESOTA'S DEMOGRAPHICS. THE INTERNATIONAL MENTAL HEALTH PROGRAM WAS ESTABLISHED IN 1984, OFFERING PSYCHIATRY, PSYCHOLOGY, AND GROUP THERAPY. CIH ALSO EMPLOYS A FULL-TIME SOCIAL WORKER AND OFFERS ONSITE INTERPRETERS FOR OVER 10 LANGUAGES AND INTERPRETERS VIA PHONE FOR VIRTUALLY ANY LANGUAGE. THE BILINGUAL STAFF PROVIDES CULTURALLY COMPETENT HEALTH CARE TO ALL PATIENTS. HEALTH PROFESSIONAL EDUCATION HEALTHPARTNERS IS COMMITTED TO CREATING AND MAINTAINING AN EDUCATION SYSTEM THAT PROVIDES RICH TRAINING EXPERIENCES IN WHICH STUDENTS CAN CONTRIBUTE TO THE CARE OF PATIENTS AND THE COMMUNITY. OUR COMMITMENT TO BEING A PLACE OF LEARNING IS DEMONSTRATED BY THE DEPTH AND BREADTH OF THE TRAINING WE PROVIDE FOR OVER 65 DIFFERENT STUDENT TYPES FOR 3500 ROTATIONS PER YEAR. OUR 160+ SCHOOL PARTNERS RELY ON OUR HANDS ON CLINICAL TRAINING AND SIMULATION TO MEET THEIR PROGRAM REQUIREMENTS. OUR COLLABORATION IS ESSENTIAL TO ENSURE WE HAVE ADEQUATE NUMBERS OF PEOPLE READY TO DELIVER QUALITY CARE. FOR A FULL REPORT ON HEALTHPARTNER INSTITUTE'S (INSTITUTE) 2022 ACTIVITIES, PLEASE SEE THE INSTITUTE'S FORM 990 RETURN. RESEARCH RESEARCH AT THE INSTITUTE IS DEDICATED TO IMPROVING HEALTH AND WELL-BEING FOR PATIENTS, MEMBERS AND THE COMMUNITY. IN 2022, INSTITUTE RESEARCHERS DISSEMINATED THE RESULTS OF THEIR RESEARCH BY PUBLISHING 46 ARTICLES, BOOKS AND BOOK CHAPTERS AND BY GIVING PAPER AND POSTER PRESENTATIONS AT NATIONAL AND INTERNATIONAL CONFERENCES. FOR A FULL REPORT ON THE INSTITUTE'S 2022 RESEARCH, PLEASE SEE THE INSTITUTE'S FORM 990 RETURN. HOSPICE AND PALLIATIVE CARE (HPC) GHI ALSO OPERATES HEALTHPARTNERS HOSPICE AND PALLIATIVE CARE (HPC), A COMPREHENSIVE CARE PROGRAM FOR PATIENTS WITH A TERMINAL DIAGNOSIS OF SIX MONTHS OR LESS. HPC IS MEDICARE-CERTIFIED AND LICENSED BY THE STATE OF MINNESOTA. WITH AN EMPHASIS ON ENABLING PATIENTS TO REMAIN IN THEIR HOMES FOR AS LONG AS POSSIBLE, HOSPICE TEAMS INCLUDE SPECIALLY-TRAINED HPMG PHYSICIANS AND NURSES, SOCIAL WORKERS, HOME HEALTH AIDES, VOLUNTEERS, CHAPLAINS AND COUNSELORS WHO TOGETHER PROVIDE, EMOTIONAL, SPIRITUAL, AND MEDICAL SUPPORT. HEALTHPARTNERS SPECIALTY CENTER THE HEALTHPARTNERS SPECIALTY CENTER IS COMPRISED OF TWO BUILDINGS - 401 PHALEN BOULEVARD AND 435 PHALEN BOULEVARD - AND CONTAINS HPMG CLINICS AND REGIONS HOSPITAL DEPARTMENTS AND SERVICES. THE LOCATIONS FEATURE MORE THAN 25 SPECIALTIES. WITHIN WALKING DISTANCE THERE IS A THIRD FACILITY, THE NEUROSCIENCE CENTER, OFFERING COMPREHENSIVE NEUROSCIENCE SPECIALTIES ALONG WITH RESEARCH, REHABILITATION AND ANCILLARY SUPPORT SERVICES. COMMUNITY BUILDING ACTIVITIES TRANSFORMING CARE AND COVERAGE TO IMPROVE OUTCOMES HEALTHPARTNERS IS WORKING TO TRANSFORM HEALTH CARE BY DELIVERING OUTSTANDING CARE AND SERVICE THAT IS CONSISTENT WITH THE ORGANIZATIONS VISION: HEALTH AS IT SHOULD BE, AFFORDABILITY AS IT MUST BE THROUGH RELATIONSHIPS BASED ON TRUST. OUR STRATEGIC APPROACH TO IS SUPPORT OUR HEALTHY HIGH PERFORMING TEAMS TO DELIVER BEST OUTCOMES FOR PATIENTS AND MEMBERS. THIS MEANS WE FOCUS ON THE PURSUIT TO SIMULTANEOUSLY OPTIMIZE THE HEALTH OF THE POPULATION AND THE EXPERIENCE OF EVERYONE, WHILE REDUCING PER CAPITA HEALTH CARE COSTS. AS AN INTEGRATED ORGANIZATION WE COLLABORATE AND CONNECT WITH OTHERS TO ADOPT AND SHARE IMPROVEMENTS SUCH AS BEST PRACTICES AND PATIENT EDUCATION MATERIALS ACROSS THE SYSTEM. HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS LIVE HEALTHIER LIVES AND LOWERS COSTS. THROUGH OUR UNIQUE WELLNESS PROGRAMS, ADVOCACY EFFORTS AND INNOVATIVE PAYMENT APPROACHES WHICH INCENT AND REWARD QUALITY, WE ARE ABLE TO PROVIDE BETTER VALUE FOR OUR CUSTOMERS. WE COLLABORATE WITH OTHER PLANS, CARE PROVIDERS AND NON-PROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS. BY PARTNERING WITH PROVIDERS, MEMBERS, PURCHASERS, AND THE COMMUNITY, WE ARE LEVERAGING OUR PLAN CAPABILITIES TO DEVELOP INITIATIVES, WHICH IMPROVE HEALTH, MEMBER EXPERIENCE AND AFFORDABILITY. TOTAL COST OF CARE TOTAL COST OF CARE (TCOC), IS A METHOD OF MEASURING HEALTH CARE AFFORDABILITY. TCOC MEASURES ARE POWERFUL ANALYTICAL TOOLS FOR HEALTH PLANS, PROVIDERS, MEDICAL GROUPS, GOVERNMENT AGENCIES, EMPLOYERS AND OTHERS WITH A STAKE IN REDUCING HEALTH CARE COST TRENDS. THEY CAN HELP PINPOINT WAYS TO MAKE HEALTH CARE MORE AFFORDABLE WITHOUT SACRIFICING QUALITY OR EXPERIENCE. MANY ORGANIZATIONS HAVE EXPERIMENTED WITH TCOC MODELS IN RECENT YEARS. HEALTHPARTNERS' TOTAL COST OF CARE AND RESOURCE USE (TCOC) FRAMEWORK ADDRESSES ONE OF THE MOST FUNDAMENTAL PROBLEMS RELATED TO POPULATION HEALTH: RISING HEALTH CARE COSTS. HEALTHPARTNERS HAS DEVELOPED A TCOC MODEL THAT IS UNIQUE IN A SIGNIFICANT WAY. IT IS A FULL-POPULATION, PERSON-CENTERED MEASUREMENT TOOL THAT ACCOUNTS FOR 100 PERCENT OF THE CARE PROVIDED TO A PATIENT.
PART III, CONT.	ADDITIONALLY, IT SUPPLIES A REPORTING SUITE TO SUPPORT MULTIPLE LEVELS OF ANALYSIS, CONSIDERING THE COST OF CARE PROVIDED TO A PATIENT (OR "TOTAL COST INDEX"), AND INCORPORATES AN INNOVATIVE APPROACH TO MEASURING RESOURCES USED IN PROVIDING THAT CARE (OR "TOTAL RESOURCE USE INDEX"). WHEN USED IN COMBINATION, THESE MEASURES YIELD MORE COMPREHENSIVE, REVEALING AND ACTIONABLE RESULTS THAN COST MEASURES ALONE. USING THIS SYSTEM, WHICH HAS BEEN MORE THAN A DECADE IN DEVELOPMENT AND STAGED-IN USE, HEALTHPARTNERS HAS OUTPERFORMED MINNESOTA, REGIONAL AND NATIONAL RISK-ADJUSTED COST OF CARE BENCHMARKS FOR MANY YEARS. HEALTHPARTNERS FINANCIALLY INCENTS PROVIDERS THROUGH ITS TCOC PROGRAM TO ACHIEVE THE BEST OUTCOMES FOR THE POPULATION THEY SERVE BY IMPROVING THE HEALTH OF THE POPULATION, ENHANCING THE PATIENTS EXPERIENCE AND MAKING HEALTH CARE MORE AFFORDABLE. HEALTHPARTNERS HAS BEEN DEVELOPING HEALTH CARE COST OF CARE AND RESOURCE USE MEASURES SINCE 1995. IN 2021, THE MEASUREMENT SUITE WAS RE-ENDORSED BY THE NATIONAL QUALITY FORUM. COMMUNITY COLLABORATION TO GAIN INSIGHTS AND ENGAGE COMMUNITY COMMUNITY HEALTH NEEDS ASSESSMENT: ALL EIGHT HOSPITALS WITHIN THE HEALTHPARTNERS ORGANIZATION PARTNERED WITH THE COMMUNITY IN WHICH IT IS EMBEDDED TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS COMPLETED EVERY THREE YEARS, AND THE LAST CHNA WAS CONDUCTED IN 2021. THE CHNA PROCESS IS DESIGNED TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY THAT THE HOSPITAL SERVES AS WELL AS TO IDENTIFY RESOURCES TO ADDRESS THOSE NEEDS. THIS PROCESS IS AN ESSENTIAL COMPONENT IN ACHIEVING THE HEALTHPARTNERS MISSION: TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS, AND COMMUNITY. MULTIPLE DATA SOURCES WERE USED INCLUDING HEALTHPARTNERS PATIENT AND MEMBER-REPORTED DATA, AND PUBLICLY AVAILABLE DATA DESCRIBING BOTH DEMOGRAPHIC CHARACTERISTICS AND HEALTH AND WELLBEING OUTCOMES. DURING THE PROCESS, WE ENGAGED COMMUNITY MEMBERS AND PUBLIC HEALTH, HOSTED 41 COMMUNITY CONVERSATIONS, AND SURVEYED 444 OF OUR OWN CLINICIANS TO MORE DEEPLY UNDERSTAND HOW WE MIGHT IMPACT THE HEALTH OF OUR COMMUNITY. COMMUNITY BENEFIT OPERATIONS: THE TOP PRIORITIES WERE REVIEWED WITHIN THE CONTEXT OF COVID-19 IMPACT AND STRUCTURAL RACISM. AND ALL PRIORITIES WERE DETERMINED TO BE INTERTWINED AND COLLECTIVELY IMPACT OUR COMMUNITIES. PRIORITIES WERE THEN RANKED TO DEFINE THE TOP FIVE NEEDS ACROSS THE COMMUNITIES THAT HEALTHPARTNERS SERVES. 1. MENTAL HEALTH AND WELL-BEING IS THE INTERCONNECTION BETWEEN MENTAL ILLNESS AND THE ASSOCIATED STIGMA, SOCIAL CONNECTEDNESS, RESILIENCY, AND OVERALL MENTAL, SOCIAL, AND EMOTIONAL WELL-BEING. 2. ACCESS TO HEALTH REFERS TO THE SOCIAL AND ENVIRONMENTAL CONDITIONS AND UNMET SOCIAL NEEDS THAT DIRECTLY AND INDIRECTLY AFFECT PEOPLE'S HEALTH AND WELL-BEING SUCH AS HOUSING, INCOME, FOOD SECURITY, TRANSPORTATION, EMPLOYMENT, EDUCATION, CLEAN AND SUSTAINABLE ENVIRONMENT, AND MORE. 3. ACCESS TO CARE MEANS HAVING EQUITABLE ACCESS TO APPROPRIATE, CONVENIENT, AFFORDABLE AND CULTURALLY RESPONSIVE, TRAUMA INFORMED HEALTH CARE. THIS INCLUDES FACTORS SUCH AS PROXIMITY TO CARE, DIVERSITY TRAINING FOR STAFF, DIVERSE BACKGROUNDS OF PROVIDERS, COST OF CARE, INSURANCE COVERAGE, MEDICAL TRANSPORTATION, AND CARE COORDINATION WITHIN THE HEALTH CARE SYSTEM. 4. NUTRITION & PHYSICAL ACTIVITY MEANS EQUITABLE ACCESS TO NUTRITION, PHYSICAL ACTIVITY AND HEALTHY SUPPORTIVE ENVIRONMENTS FOR FAMILIES AND COMMUNITIES. 5. SUBSTANCE USE COVERS SUBSTANCE ABUSE AND ADDICTION, WHICH ARE THE USE OF SUBSTANCES INCLUDING ALCOHOL, TOBACCO AND E-CIGARETTES, PRESCRIPTION DRUGS, OPIOIDS AND OTHER DRUGS IN A MANNER THAT IS HARMFUL TO HEALTH AND WELL-BEING AND CAUSES PROBLEMS OR DISTRESS THAT AFFECT DAILY LIFE. CHILDREN'S HEALTH INITIATIVES EARLY BRAIN DEVELOPMENT - REACH OUT AND READ: TO EXPAND ON OUR ORGANIZATION-WIDE IMPLEMENTATION OF THE REACH OUT & READ PROGRAM FOR BABIES AND CHILDREN, AGES SIX MONTHS TO FIVE YEARS, HEALTHPARTNERS ALSO GIVES EXPECTANT MOTHERS A BLACK AND WHITE BABY BOOK AND DISCUSSES EARLY BRAIN DEVELOPMENT AT THEIR 32-WEEK PRENATAL VISIT. THIS STARTS THE CONVERSATION ABOUT BOOSTING A CHILD'S BRAIN POWER AND THE IMPORTANCE OF STARTING AT BIRTH, WITH READING, TALKING, PLAYING AND SINGING. ACROSS OUR ORGANIZATION, HEALTHPARTNERS GAVE OUT OVER 85,000 BOOKS IN 2022 IN 10 DIFFERENT LANGUAGES. - THINK SMALL PARENT POWERED TEXT PROGRAM: HEALTHPARTNERS CARE SYSTEM CONTINUES TO DISTRIBUTE THINK SMALL PARENT POWERED TEXT PROGRAM BOOKMARKS AT THE 32-WEEK PRENATAL AND 1 MONTH WELL CHILD CHECK TO CONTINUE TO PROMOTE THE IMPORTANCE OF EARLY BRAIN DEVELOPMENT AND HELP PARENTS/CARETAKERS ENGAGE WITH THEIR CHILD. IT IS OFFERED IN ENGLISH, SPANISH AND SOMALI LANGUAGES. THIS LEADS TO ALMOST 20,000 YEARLY CLINICIAN EDUCATION CONVERSATIONS ABOUT EARLY BRAIN DEVELOPMENT. - DISCUSSION AROUND RACE: THROUGHOUT 2022, HEALTHPARTNERS, IN PARTNERSHIP WITH MN REACH OUT AND READ, CONTINUES TO PILOT A BOOKMARK THAT HELPS PARENTS TALK ABOUT RACE WITH THEIR CHILDREN. THEY ARE INCORPORATING THIS AT TWO DIFFERENT AGE INTERVALS AT WELL CHILD CHECKS AND WILL USE SPECIFIC REACH OUT AND READ BOOKS TO HELP FOSTER THAT DISCUSSION. IT IS OFFERED IN ENGLISH, SPANISH AND SOMALI LANGUAGES. - DEVELOPMENTAL AND SOCIAL EMOTIONAL SCREENING: O HEALTHPARTNERS CONTINUED TO TRACK THEIR EARLY CHILDHOOD SCREENING ACROSS ALL PRIMARY CARE CLINICS THROUGHOUT 2022. COVID CONTINUED TO PRESENT SOME CHALLENGES WITH GETTING PATIENTS IN FOR WELL CHILD CHECKS BUT FOR THOSE WHO MADE IT IN, THERE WAS ABOUT AN 80% COMPLETION RATE FOR ALL SCREENS. LANGUAGE HAS BEEN IDENTIFIED AS A POTENTIAL BARRIER TO COMPLETION OF THE FORMS SO IN 2023, LEADERSHIP WILL BE WORKING ON ADVOCATING FOR STATE ALIGNMENT IN OFFERING SCREENING FORMS IN OTHER LANGUAGES. MENTAL HEALTH: PRENATAL SCREENING: - HEALTHPARTNERS' OB/GYN TEAM CONTINUES TO SCREEN EXPECTANT MOMS USING THE EDINBURGH POSTPARTUM DEPRESSION SCREEN AT THE INITIAL AND 28-WEEK OB VISIT. - THIS ADDITIONAL SCREENING WILL HELP OUR CARE TEAM IDENTIFY IF A MOM IS STRUGGLING PRIOR TO DELIVERY AND IN TURN, WILL HELP IMPROVE THE HEALTH OF THE MOM AND BABY. IT WILL ALSO GIVE THE CARE TEAM A BASELINE TO COMPARE TO AT HER POSTPARTUM VISIT. POSTPARTUM SCREENING: - ALL MOMS ARE SCREENED AT THEIR BABY'S 1, 2, 4, AND 6 MONTHS WELL CHILD CHECK, IN ADDITION TO HER 6-WEEK POSTPARTUM VISIT. RESPONSES ARE DOCUMENTATION DIRECTLY INTO THE MOM'S CHART DURING THE WELL CHILD CHECK. THIS PROCESS HELPS ENSURE CONSISTENCY OF CARE BECAUSE THE MOM'S CLINICIANS WILL BE ABLE TO SEE HER SCORES, ALONG WITH ANY ALERTS WITH A HIGH SCORE. - MOTHERS WHO SCREEN POSITIVE ARE OFFERED SUPPORT THROUGH CARE COORDINATION, MENTAL HEALTH RESOURCES, AND COMMUNITY REFERRALS (WHEN APPROPRIATE). ADOLESCENT MENTAL HEALTH: - IN EFFORTS TO HELP CLOSE THE GAP BETWEEN IDENTIFYING AND TIME OF BEHAVIORAL HEALTH CARE, PRIMARY CARE AND BEHAVIORAL HEALTH LEADERS DID A LUNCHEON TRAINING FOR CLINICIANS ON HOW TO ASSIST THOSE THAT CANNOT GET IN RIGHT AWAY FOR CARE AFTER THEY HAVE BEEN IDENTIFIED AS NEEDING MENTAL HEALTH ASSISTANCE. LACTATION LACTATION CAFE: - CHANGED TILE OF MOM & BABY CAFE TO LACTATION CAFE TO BE MORE INCLUSIVE - EARLY 2022, METHODIST AND LAKEVIEW HOSPITALS STARTED TO OFFER THEIR LACTATION CAFES IN PERSON. - IN SEPTEMBER 2022, METHODIST EXPANDED CAFES INTO FOUR PARK NICOLLET CLINICS. ATTENDANCE HAS SLOWLY BEEN INCREASING, MAINLY GIVEN WORD OF MOUTH O WE HAVE A SOMALI TRANSLATOR AT OUR MINNEAPOLIS CLINIC AND SPANISH AT OUR SHAKOPEE CLINIC O WE RECEIVED A GRANT TO HAVE HENNEPIN COUNTY WIC JOIN TWO OF OUR METRO CLINIC CAFES TO HELP SUPPORT PATIENTS AND CONNECT THEM WITH COMMUNITY RESOURCES LACTATION EDUCATION AND SUPPORT RESTRUCTURE: - IN 2022, AN INTERNAL CENTRALIZED LACTATION PAGE WAS BUILT ON MYPARTNER. THIS RESOURCE WILL HELP DIRECT STAFF TO ALL THINGS LACTATION, FROM PHONE NUMBERS, EDUCATION, COMMUNITY RESOURCES, AND EMPLOYEE INFORMATION. LACTATION PARTNERSHIP WITH COUNTY WOMEN, INFANT & CHILDREN'S NUTRITION PROGRAM (WIC): - IN 2022, THE LACTATION TEAMS CONTINUED THEIR JOINT PAID INTERNSHIP OPPORTUNITY FOR INTERESTED LACTATION CANDIDATES OF COLOR INTO A WIC AND REGIONS JOINT-HOSTED IBCLC PROGRAM. THIS INTERNSHIP STARTED AT REGIONS HOSPITAL AND WIC BEGAN IN EARLY 2022.
PART III, CONT.	MATERNAL AND NEWBORN CARE - HEALTHY BEGINNINGS: ALL HEALTHPARTNERS CLINICS ARE UNIVERSALLY SCREENING WOMEN FOR SOCIAL DRIVERS OF HEALTH (SDOH) NEEDS AND SUBSTANCE USE AT THEIR INITIAL OB PRENATAL VISIT. THOSE WHO SCREEN POSITIVE ARE OFFERED THE 1:1 SUPPORT OF A HEALTHY BEGINNINGS SPECIALIST, WHO HELPS CONNECT THE PATIENT TO NEEDED RESOURCES OR COACHES THAT PATIENT BY HELPING THEM SET GOALS AND CREATE A PRACTICAL PLAN TO REACH SOBRIETY AND PARENTING GOALS; THIS INCLUDES IBCLC SPECIALIZED SUPPORT AND GUIDANCE ALONGSIDE OPIOID AVOIDANCE MAINTENANCE MEDICATION. - BY ADDING THE SDOH QUESTIONS, WE HAVE MORE THAN DOUBLED OUR REFERRALS TO HEALTHY BEGINNINGS. - HEALTHY BLACK PREGNANCY PRE AND POST JOURNEY MAPPING: IN PARTNERSHIP WITH A LOCAL CONSULTANT AGENCY AND COMMUNITY PARTNERS, WE INTERVIEWED 60 BLACK WOMEN FROM THEIR INITIAL PRENATAL VISIT THROUGH BIRTH REGARDING THEIR EXPERIENCE AT HEALTHPARTNERS/PARK NICOLLET. INFORMATION WAS GATHERED VIA PHONE CALLS, VIDEO FEEDBACK AND LARGE VIRTUAL GROUPS. THE REPORT OUT WAS IN JUNE 2022, FROM WHICH WORKGROUPS WERE THEN CREATED TO FOCUS ON IMPROVEMENT EFFORTS IDENTIFIED DURING THIS ASSESSMENT. - COMMUNITY CIRCLES: ONE THING THAT WE HEARD LOUD AND CLEAR FROM BLACK PATIENTS WAS THE NEED FOR A FORUM TO BRING OTHER BLACK WOMEN TOGETHER WHERE THEY CAN SHARE THEIR EXPERIENCES AND TIPS/TRICKS AND NOT FEEL SO ISOLATED. THIS IS OFFERED IN A VIRTUAL FORMAT AND TWICE A MONTH. THEY ARE FACILITATED BY TWO COMMUNITY CONSULTANTS THAT HELPED WITH THE ORIGINAL PROJECT AND INTERVIEWS. - PERINATAL ANALYSIS: IN 2022, WE HAVE COMPLETED THE DEVELOPMENT OF OUR COMPREHENSIVE PERINATAL ANALYSIS, WHICH INCLUDES KEY STATE PERINATAL SAFETY MEASURES AND WILL HELP OUR TEAMS DEVELOP CONSISTENT DEFINITIONS AND ESTABLISH BEST PRACTICE IN THE IDENTIFICATION, METHOD OF TREATMENT AND PREVENTION MODELS TO REDUCE COSTS AND COMPLICATION RATES. - EVERYDAY MIRACLES: WE CONTINUE TO OFFER HELP IN COVERING THE COST OF PRENATAL CLASSES AT EVERYDAY MIRACLES. WHICH WILL HELP IN PROVIDING MORE CULTURALLY RELEVANT SUPPORT TO FAMILIES. ADOLESCENT HEALTH - TEEN LEADERSHIP COUNCIL: IN 2022, CHI LEADERS CONTINUED THEIR PARTNERSHIP WITH THE POWERUP TEEN LEADERSHIP COUNCIL. THEY REACHED OUT TO THEM ON WHAT THEY THOUGHT WERE IMPORTANT TOPICS TO COVER WITH TEENS, INCLUDING HOW TO TALK TO THEM ABOUT IT. ONE TOPIC THAT WAS THOROUGH DISCUSSED WAS SCREEN-TIME AND USE, WHICH WE WILL BE INCORPORATING INTO A 2023 REFRESH TRAINING VIDEO. - LONG ACTING REVERSIBLE CONTRACEPTION: THE GROUP WILL CONTINUE TO WORK ON EXPANDING TIMELY ACCESS TO LONG ACTING REVERSIBLE CONTRACEPTION BY IMPLEMENTING TRAINING OPPORTUNITIES ACROSS HEALTHPARTNERS CLINICS, AND WORK WITH THE PATIENT PRIVACY WORK GROUP TO SUPPORT CLINICAL GUIDANCE FOR MINOR CONSENT. LITTLE MOMENTS COUNT LITTLE MOMENTS COUNT: LMC IS A GROWING SOCIAL MOVEMENT SEEKING TO INCREASE AWARENESS OF THE IMPORTANCE AND INCREASE PARENT AND CAREGIVER BEHAVIORS OF TALKING, PLAYING, READING, SINGING AND STORYTELLING WITH CHILDREN, IN THE FIRST 1000 DAYS OF LIFE (0-3 YEARS OLD). LMC ACHIEVES THIS THROUGH COLLECTIVE IMPACT PARTNERSHIP WITH OVER 70 CROSS-SECTOR ORGANIZATIONS, INCLUDING EARLY CHILDHOOD, HEALTHCARE, NON-PROFIT COMMUNITY AND CULTURAL, FAITH COMMUNITY, MEDIA, GOVERNMENTAL AND OTHER PRIVATE SECTOR ORGANIZATIONS. LMC PARTNERS WORK TOGETHER TO MAGNIFY KEY FAMILY SUPPORT RESOURCES AND OPPORTUNITIES, AS WELL AS IDENTIFY GAPS TO FILL THROUGH COLLECTIVE IMPACT STRATEGIES. IN 2022, LMC REACHED MANY MINNESOTA AND WI FAMILIES AND PROFESSIONALS THROUGH: - OVER 14 MILLION MN PUBLIC RADIO (MPR) RADIO AND DIGITAL PUBLIC SERVICE ANNOUNCEMENTS (PSAS). - OVER 90,000 PRINTS, 525,000 RADIO AND 182,000 DIGITAL CULTURAL COMMUNITY MEDIA IMPRESSIONS WITHIN LATINX, HMONG, SOMALI, AFRICAN AMERICAN AND INDIGENOUS COMMUNITIES THROUGH STRATEGIC TRUSTED COMMUNITY MEDIA AND SOCIAL MEDIA PARTNERSHIPS. - REACHING APPROXIMATELY 22,000 COMMUNITY EVENT IMPRESSIONS THROUGH LARGE EVENTS LIKE THE MN STATE FAIR, AND SMALLER COMMUNITY OUTREACH EFFORTS, LIKE THE RAMSEY COUNTY MOTHER'S FIRST COMMUNITY BABY SHOWER. - OVER 1000 VIEWS OF THE LMC ANNUAL CONFERENCE FEATURING KEYNOTE SPEAKER, DR. ROSEMARIE ALLEN, MED, "RACISM AND THE DEVELOPING BRAIN." - 150,000 FAMILIES RECEIVING REACH OUT & READ EARLY BRAIN DEVELOPMENT EDUCATION AND OVER 214,000 CHILDREN'S BOOKS AT WELL CHILD VISITS ACROSS 10 HEALTH CARE SYSTEMS. - OVER 1100 FAMILY LMC LEARN SURVEY RESPONSES FROM AFRICAN AMERICAN, LATINX, HMONG, SOMALI, INDIGENOUS AND MEDICAID-INSURED COMMUNITIES SHOWING COMMUNITY-SPECIFIC ASSETS AND NEEDS TO HELP GUIDE LMC STRATEGY IN THE FUTURE. - OVER 5000 FAMILIES REACHED THROUGH A NEW FAMILY BIRTH CENTER PILOT INTRODUCING LMC RESOURCES TO NEW PARENTS DELIVERING AT 5 MN FAMILY BIRTH CENTERS. - IN PARTNERSHIP WITH THE ITASCA PROJECT, NEW AND ENHANCED EMPLOYER COMMUNICATION CAMPAIGN AND FAMILY SUPPORT BEST PRACTICES AND POLICY EXAMPLES TOOLS.
PART III, CONT.	POWERUP AND POWERUP SCHOOL CHALLENGE POWERUP: THE POWERUP INITIATIVE MAKES IT EASY AND FUN FOR EVERYONE TO EAT BETTER, MOVE MORE AND LIVE HEALTHIER LIVES. WE DO THIS IMPORTANT WORK IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS, COLLEAGUES AND COMMUNITIES THROUGH PROGRAMS, TOOLS AND RESOURCES THAT SUPPORT AND INSPIRE CHANGE. POWERUP HAS A SPECIAL FOCUS ON KIDS AND FAMILIES BECAUSE CHILDHOOD OVERWEIGHT AND OBESITY TRIPLED IN THE PAST 30 YEARS AND REMAINS A CRITICAL ISSUE FOR THE FUTURE OF CHILDREN'S HEALTH. RESEARCH SHOWS THAT TODAY, KIDS ARE EXPECTED TO LIVE SHORTER, LESS HEALTHY LIVES THAN THEIR PARENTS FOR THE FIRST TIME. RESEARCH ALSO SHOWS THAT IT TAKES A MULTI-LEVEL APPROACH, INCLUDING SCHOOLS, ORGANIZATIONS AND THE ENTIRE COMMUNITY WORKING TOGETHER TO CHANGE THESE TRENDS. IN 2022, THE POWERUP COMMUNITY HEALTH INITIATIVE CONTINUED TO INSPIRE AND SUPPORT KIDS AND FAMILIES TO EAT BETTER, MOVE MORE AND FEEL GOOD, WHILE INCREASING FOCUS AND COMMITMENT TO EQUITY AND THE NUMEROUS FACTORS THAT INFLUENCE HEALTH AND WELL-BEING IN CHILDREN. NEW RESOURCES WERE CREATED TO EXPAND RESOURCES FOCUSED ON "FEELING GOOD" WITH WAYS TO RELAX AND RECHARGE, AND RESOURCES WERE TRANSLATED INTO THREE ADDITIONAL LANGUAGES, SPANISH, HMONG AND SOMALI. COMMUNITY OUTREACH WAS ROBUST, BOTH VIRTUAL AND IN PERSON, AND IN 2022, POWERUP REACHED 64,686+ VIRTUALLY, THROUGH CLASSES, WEBSITE, AND E-NEWSLETTERS, AND 8,05 KIDS AND FAMILIES AT 50 COMMUNITY EVENTS. POWERUP SCHOOL CHALLENGE: THE SCHOOL CHALLENGE IS AN INNOVATIVE PROGRAM FOCUSED ON ENCOURAGING ELEMENTARY-AGED STUDENTS TO GET CURIOUS AND EXCITED TO TRY FRUITS AND VEGGIES AND MOVE THEIR BODIES IN FUN, NEW WAYS. IN 2022, SCHOOLS TOLD US IT IS A PRIORITY TO HELP STUDENTS FEEL GOOD AND RECHARGE THEIR BODIES AND BRAINS. THEREFORE, "FEEL GOOD" WAS ADDED AS A KEY FOCUS ALONGSIDE "EAT BETTER AND "MOVE MORE," HELPING KIDS EXPLORE THE MIND-BODY CONNECTION AND WAYS TO RELAX AND RECHARGE. THE SCHOOL CHALLENGE PIVOTED TO INCREASE FLEXIBILITY AND ADAPTABILITY FOR ANY LEARNING PLATFORM, WHETHER INSIDE A CLASSROOM OR VIRTUALLY FROM HOME. THE CHALLENGE OFFERS EASY MODULES WITH DIGITAL TOOLS, RESOURCES, AND LESSON PLANS, ALLOWING TEACHERS TO CHOOSE WHEN, WHERE, AND HOW TO USE THEM WITH THEIR CLASS. TEACHERS CAN NOW PARTICIPATE AS AN INDIVIDUAL CLASSROOM OR AS PART OF AN OVERALL SCHOOL PROGRAM. THIS PROGRAM IS PROVIDED AT NO COST TO SCHOOLS OR YOUTH ORGANIZATIONS. BY PARTICIPATING, TEACHERS AND YOUTH LEADERS: - CHOOSE WHEN, WHERE AND HOW TO IMPLEMENT THE CHALLENGE - SUPPORT AND ENCOURAGE STUDENTS TO EAT BETTER, MOVE MORE AND FEEL GOOD - EARN CLASSROOM INCENTIVES TO FURTHER PROMOTE STUDENT WELL-BEING - RECEIVE FUN AND ENGAGING POWERUP RESOURCES TO SHARE WITH STUDENTS AND - FAMILIES, AVAILABLE IN MULTIPLE LANGUAGES - ARE GUIDED THROUGH THE CHALLENGE WITH WEEKLY PROGRAM COMMUNICATIONS - PRIORITIZE STUDENT WELLNESS AND DO WHAT'S BEST FOR KIDS! NOW GOING INTO ITS TENTH YEAR, THE CLASSROOM-BASED PROGRAM INCLUDES MORE THAN 50 SCHOOLS AND ON AVERAGE, REACHES MORE THAN 19,000 STUDENTS THROUGHOUT THE REGION. AS A RESULT OF PARTICIPATING IN THE CHALLENGE, 83% OF STAFF AND 74% OF FAMILIES REPORTED POSITIVE CHANGES IN THE EATING HABITS, OBSERVING KIDS EATING MORE FRUITS AND VEGETABLES. POWER UP SCHOOL CHALLENGE AND HEALTH EQUITY: POWERUP IS ACTIVELY TRYING TO REACH AND RECRUIT MORE VULNERABLE COMMUNITIES TO PARTICIPATE IN THE SCHOOL CHALLENGE. USING THE CENTER FOR DISEASE CONTROL'S SOCIAL VULNERABILITY INDEX, WHICH USES CENSUS VARIABLES TO IDENTIFY COMMUNITIES THAT NEED EXTRA SUPPORT, WE REASSESSED OUR RECRUITMENT STRATEGY TO TARGET SOCIALLY VULNERABLE DISTRICTS AND ZIPS CODES THROUGH PARTNERSHIPS, OUTREACH AND SOCIAL MEDIA ADS. WITH OUR INCREASED FOCUS ON SOCIAL NEEDS AND HEALTH EQUITY, POWERUP CONVENED THE NEWLY FORMED COMMUNITY HEALTH EDUCATION ADVISORY COUNCIL AT HEALTHPARTNERS TO REVIEW AND ADVISE ON THE POWERUP FAMILY MAGAZINE, DISTRIBUTED TO KIDS AND FAMILIES DURING THE SCHOOL CHALLENGE. THE GROUP PROVIDED THEIR PERSPECTIVES AND INSIGHTS, KEEPING IN MIND INCLUSIVENESS, CULTURAL RELEVANCE, HEALTH LITERACY, PHYSICAL ABILITIES AND BODY SIZES, AND SOCIAL NEEDS. SUPERSHELF: HEALTHPARTNERS AND LAKEVIEW HOSPITAL ARE FOUNDING PARTNERS OF SUPERSHELF, AN INNOVATIVE PROJECT TO TRANSFORM FOOD SHELVES BY OFFERING A POSITIVE, GROCERY STORE-LIKE EXPERIENCE FOR MEMBERS TO ACCESS HEALTHY AND APPEALING FOODS. SUPERSHELF USES BEHAVIORAL ECONOMICS TO MAKE THE HEALTHIEST CHOICE THE EASIEST CHOICE WHILE RESPECTING INDIVIDUAL PREFERENCES. THERE ARE NOW 40 SUPERSHELF SITES ACROSS MINNESOTA WHO PROVIDE A WELCOMING AND DIGNIFIED EXPERIENCE FOR COMMUNITY MEMBERS WHO ARE FOOD INSECURE TO ACCESS APPEALING, HEALTHY FOOD. HTTPS://WWW.SUPERSHELFMN.ORG/ MAKE IT OK MAKE IT OK IS A COMMUNITY CAMPAIGN TO REDUCE STIGMA BY INCREASING UNDERSTANDING AND CREATING CARING CONVERSATIONS ABOUT MENTAL ILLNESS. MAKE IT OK IS CELEBRATING 10 YEARS OF PROGRESS IN HELPING TO STOP THE STIGMA OF MENTAL ILLNESSES. LAUNCHED IN COLLABORATION WITH HEALTHPARTNERS, REGIONS HOSPITAL, THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), AND OTHER PARTNERS, THE CAMPAIGN WORKS THROUGH COMMUNITY ENGAGEMENT, TRAINED AMBASSADORS, PARTNERS, ONLINE RESOURCES AND MORE TO MOBILIZE AND SHARE MAKE IT OK THROUGHOUT COMMUNITIES. BY CREATING OPEN AND CARING CONVERSATIONS AND HELPING TO CHANGE ATTITUDES ABOUT MENTAL HEALTH AND ILLNESSES, MAKE IT OK IS INCREASING UNDERSTANDING AND REDUCING THE STIGMA SO THOSE LIVING WITH A MENTAL ILLNESS GET THE CARE AND SUPPORT THEY DESERVE. READ MORE IN THE 10-YEAR REPORT AT HTTPS://MAKEITOK.ORG/WP-CONTENT/UPLOADS/2022/12/2012-22_HP_MAKE_IT_OK_RE PORT_UA_COMPLIANT_CC.PDF 2022 MAKE IT OK HIGHLIGHTS: IN 2022, MAKE IT OK CONTINUED TO EXPAND REACH AND ENGAGEMENT: - 209 AMBASSADORS TRAINED THROUGH 17 VIRTUAL TRAININGS - 533 REACHED THROUGH 32 VIRTUAL PRESENTATIONS - 2,175 ENGAGED IN MAKE IT OK WITH A FULL RETURN TO COMMUNITY EVENTS - LAUNCHED RESOURCES TO PROMOTE MENTAL WELL-BEING AND RESILIENCY, REDUCE STIGMA OF SUBSTANCE USE DISORDER, AND EQUIP ADULTS TO EFFECTIVELY SUPPORT YOUTH MENTAL HEALTH. HEALTH EQUITY CHAMPIONS - THE HEALTHPARTNERS HEALTH EQUITY CHAMPIONS PROGRAM CONTINUED IN 2022. THE CHAMPIONS ARE STAFF MEMBERS AND PROVIDERS WHO RECEIVE EXPERT TRAINING SO THEY CAN BECOME ADVOCATES AND SERVE AS LOCAL RESOURCES FOR THEIR COLLEAGUES IN CARING FOR PATIENTS FROM DIVERSE CULTURES AND THOSE WITH LIMITED ENGLISH PROFICIENCY. - NEARLY 338 CHAMPIONS WERE PARTICIPATING BY END OF 2022; WE HAD 52 NEW CHAMPIONS JOIN US THIS YEAR. - IN ADDITION TO PRODUCING CULTURE ROOTS, THE HEALTH EQUITY CHAMPIONS TEAM DISTRIBUTED ANNOUNCEMENTS TO HELP INCREASE CHAMPIONS' AWARENESS OF AND PARTICIPATION OF VARIOUS HEALTH-EQUITY-RELATED EVENTS AND ACTIVITIES.
PART III, CONT.	- WE CONTINUE TO USE OUR TEAMS CHANNEL TO COMMUNICATE IN REAL TIME TO SHARE INSIGHTS, NEWS AND ANNOUNCEMENTS. CHAMPIONS OPT-IN TO THIS DEDICATED TEAMS SPACE. CURRENTLY, 113 MEMBERS STAY CONNECTED THROUGH THIS CHANNEL. - OUR 2022 ANNUAL EVENT WAS HELD VIRTUALLY IN OCTOBER. THE TOPIC WAS ON AGEISM. OUR PRESENTER WAS DR. RAJEAN MOONE, ASSOCIATE DIRECTOR OF EDUCATION AT THE CENTER FOR HEALTHY AGING & INNOVATION AT THE UNIVERSITY OF MINNESOTA. DR. MOONE'S PRESENTATION INCLUDED AN AGE-FRIENDLY ORGANIZATION ASSESSMENT TOOL THAT WE CAN USE TO ADDRESS AGEISM IN OUR ORGANIZATION'S CULTURE, PRACTICES AND POLICIES. - THE HEALTH EQUITY CHAMPIONS PROGRAM HELD FOUR QUARTERLY TEAMS PRESENTATIONS IN 2022 TO HELP CHAMPIONS STAY UPDATED ON HEALTH EQUITY ACTIVITIES, PROGRAMS AND INITIATIVES HAPPENING ACROSS OUR SYSTEM. EACH PRESENTATION FOCUSED ON INITIATIVES CASCADING UP TO THE "ELIMINATING DISPARITIES" CORNERSTONE OF OUR ORGANIZATION'S EQUITY, INCLUSION AND ANTI-RACISM WORK. TOPICS INCLUDED HEALTH EQUITY RESEARCH UPDATES, THE HEALTHPARTNERS CHILDREN'S HEALTH COUNCIL, USING OUR ORGANIZATION'S FRAMEWORK FOR DESIGNING FOR EQUITY, AND OUR ADDRESSING HEALTH DISPARITIES MAINTENANCE OF CERTIFICATION (MOC) PROJECT. - WE HELD TWO "COMMUNITY ORGANIZATION SPOTLIGHTS," DESIGNED TO HIGHLIGHT ORGANIZATIONS THAT HAD VOLUNTEER OPPORTUNITIES AND WHOSE MISSION ALIGNED WITH OUR VISION TO ADVANCE EQUITY AND INCLUSION AND ELIMINATE RACISM. - CHAMPIONS CONTINUED TO HAVE OPPORTUNITIES THIS YEAR TO PARTICIPATE IN SMALL-GROUP FEEDBACK SESSIONS OR PILOT TRAININGS TO LEND A DIVERSITY LENS TO VARIOUS PROJECTS WE HAVE HAPPENING ACROSS THE ORGANIZATION. EARLY IN 2022, WE SENT OUT A SURVEY TO CHAMPIONS ASKING THEM ABOUT THE ORGANIZATIONS THEY VOLUNTEER WITH. THIS WAS IN PARTNERSHIP WITH COMMUNITY RELATIONS. WE EVALUATED THE RESPONSES TO INFORM HOW WE MIGHT PROCEED WITH OUR VOLUNTEER SPOTLIGHT PRESENTATIONS DONE THROUGHOUT 2022. WE SENT OUT AN INVITATION IN OCTOBER FOR CHAMPIONS TO PARTICIPATE IN FOCUS GROUPS TO DISCUSS MEMBER COMMUNICATION FOR INDIGENOUS POPULATIONS. - CULTURE ROOTS: WE HAVE EXTENSIVE INTERNAL COMMUNICATIONS TO BUILD STAFF UNDERSTANDING AND CAPABILITIES IN CULTURAL HUMILITY. THE BIMONTHLY "CULTURE ROOTS" NEWSLETTER CONTINUES TO BE AN ORGANIZATION-WIDE EDUCATIONAL TOOL. THE CULTURE ROOTS SUBSCRIBER LIST IS CURRENTLY AT 841. TOPICS FOR 2022 INCLUDED ADDRESSING BREASTFEEDING DISPARITIES, PARTNERING TO ADVANCE HEALTH LITERACY, ELIMINATING DISPARITIES IN CHILDHOOD IMMUNIZATIONS, AGEISM IN HEALTH CARE, AND IMPROVING ACCESSIBILITY TO ADVANCE HEALTH EQUITY. FINANCIAL CONTRIBUTIONS HEALTHPARTNERS GIVES PRIORITY TO FUNDING PARTNERSHIPS AND PROJECTS THAT ARE CONSISTENT WITH ITS STRATEGIC HEALTH PROMOTION INITIATIVES, FOCUS ON ACTIVITIES THAT PREVENT HEALTH PROBLEMS, ADDRESS THE NEEDS OF PEOPLE IN OUR SERVICE AREA, AND/OR DISPLAY UNDERSTANDING OF THE DIVERSE NEEDS OF OUR POPULATION AND INDICATE HOW THEY WILL REDUCE DISPARITIES IN HEALTH OUTCOMES. HEALTHPARTNERS EMPLOYEES DONATED TO SUPPORT THE COMMUNITY AND OUR HOSPITAL FOUNDATIONS' MISSIONS THROUGH OUR ANNUAL EMPLOYEE GIVING CAMPAIGN CALLED THE ONE CAMPAIGN AS WELL AS PARTICIPATING IN FUNDRAISING WALKS. ADDITIONALLY, HEALTHPARTNERS PARTICIPATED IN OUTDOOR COMMUNITY FESTIVALS AND EVENTS PROVIDING OUTREACH AND EDUCATION RESOURCES TO THE COMMUNITY ON A VARIETY OF HEALTH TOPICS, INCLUDING LGBTQ+, MENTAL HEALTH, IMMUNIZATIONS AND MORE. ADDITIONAL COMMUNITY BENEFIT ACTIVITIES CAN BE FOUND ON THE HEALTHPARTNERS INC 990.
FORM 990, PART VI, SECTION A, LINE 2	JULIE BUNDE AND STEVEN BUNDE ARE BOTH OFFICERS AT GHI AND ARE MARRIED.
FORM 990, PART VI, SECTION A, LINE 6	GHI HAS ASSOCIATE MEMBERS. THESE ASSOCIATE MEMBERS ARE INDIVIDUAL CONTRACT HOLDERS OF GHI OR ITS RELATED ORGANIZATION THAT ADMINISTERS SELF-INSURED CONTRACTS. HPI IS THE SOLE CORPORATE MEMBER OF GHI AND EXERCISES CERTAIN RESERVED POWERS. EACH ASSOCIATE MEMBER HAS ONE VOTE. BYLAWS, SECTION 1.1.
FORM 990, PART VI, SECTION A, LINE 7A	THE ASSOCIATE MEMBERS ELECT THE "MEMBER-ELECTED DIRECTORS." THREE OF THE FIVE DIRECTORS ARE MEMBER-ELECTED DIRECTORS. THE CHAIR OF THE CORPORATE MEMBER SERVES AS A DIRECTOR EX OFFICIO AND AS THE CHAIR OF GHI.
FORM 990, PART VI, SECTION A, LINE 7B	THE ASSOCIATE MEMBERS HAVE APPROVAL RIGHTS REGARDING AMENDMENTS TO THE ARTICLES AND BYLAWS OF GHI AND ANY MERGER WHEREBY GHI IS MERGED INTO AND SURVIVED BY A DIFFERENT CORPORATION. THE SOLE CORPORATE MEMBER MUST APPROVE THE DECISIONS OF THE BOARD OF DIRECTORS AS FOLLOWS: ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG RANGE PLANS, INDEBTEDNESS IN EXCESS OF AMOUNTS DETERMINED FROM TIME TO TIME, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, DISPOSAL OF ASSETS IN EXCESS OF AMOUNTS DETERMINED FROM TIME TO TIME, APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER, AMENDMENT OF ARTICLES OR BYLAWS, VOLUNTARY DISSOLUTION, VENDOR AGREEMENT INVOLVING 20% OR MORE OF OPERATING EXPENSES, ANY ACTION TAKEN BY THE VOTE OF THE FULL BOARD OF DIRECTORS. BYLAWS, ARTS IV, XIII, XIV.
FORM 990, PART VI, SECTION B, LINE 11B	GHI'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF GHI. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY GHI'S TAX DEPARTMENT, MANAGEMENT TEAM, INTERNAL LEGAL DEPARTMENT AND OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS PRESENTED TO THE GOVERNING BODY OF GHI. GHI MAKES AVAILABLE, TO THE AUDIT AND COMPLIANCE COMMITTEE OF GHI'S BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS, A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED IN THE HEALTHPARTNERS BOARD EFFECT PORTAL FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO THE FILING OF THE 990, AND IS AN AGENDA ITEM AT THE COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	THE GHI BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15	GHI HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS CEO AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE GHI BOARD OF DIRECTORS' COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED BY AN EXTERNAL COMPENSATION CONSULTANT. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE. BASED ON THIS MARKET DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMPENSATION COMMITTEE. FOR THE CHIEF EXECUTIVE OFFICER AND CERTAIN OTHER POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE BOARD OF DIRECTORS HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE CEO BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA, APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAS DELEGATED TO THE HEALTHPARTNERS CEO AND PRESIDENT (WITH AUTHORITY TO FURTHER DELEGATE) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	GHI FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM GHI OR HPI. GHI'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. GHI'S ARTICLES, BYLAWS, CONFLICT OF INTEREST POLICY, AND PRINCIPLES OF CORPORATE GOVERNANCE CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFER FROM AN AFFILIATED ORGANIZATION 114,798,827. FASB 158 PENSION ADJUSTMENT -55,656,461. FAIR MARKET VALUATION ADJUSTMENT -5,425,937.

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

GROUP HEALTH PLAN INC

Employer identification number

41-0797853

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)HEALTHPARTNERS INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1693838	HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION	MN	501(C)(4)		N/A		No
(2)HPI-RAMSEY 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1793333	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(3) TYPE I	HEALTHPARTNERS INC		No
(3)RH WISCONSIN INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 20-2287016	CORPORATE PLANNING AND OVERSIGHT	WI	501(C)(3)	509(A)(3) TYPE I	HPI - RAMSEY		No
(4)HEALTHPARTNERS INSTITUTE 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1670163	HEALTHCARE EDUCATION AND RESEARCH	MN	501(C)(3)	509(A)(3) TYPE I	HEALTHPARTNERS INC		No
(5)CAPITOL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-2011453	TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	HPI - RAMSEY		No
(6)REGIONS HOSPITAL 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-0956618	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	HPI - RAMSEY		No
(7)REGIONS HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1888902	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	MN	501(C)(3)	170(B)(1) (A)(VI)	HPI - RAMSEY		No
(8)RHSC INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1891928	HEALTHCARE STAFFING AND INTENSE REHAB SERVICES	MN	501(C)(3)	509(A)(3) TYPE II	HEALTHPARTNERS INC		No
(9)HUDSON HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-0804125	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	RH-WISCONSIN INC		No
(10)HUDSON HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-1279567	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	WI	501(C)(3)	170(B)(1) (A)(VI)	HUDSON HOSPITAL INC		No
(11)LAKEVIEW HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1386635	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	MN	501(C)(3)	170(B)(1) (A)(VI)	LAKEVIEW HEALTH		No
(12)LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-0811697	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	LAKEVIEW HEALTH		No
(13)STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 83-0379473	CLINIC STAFF AND FACILITIES	MN	501(C)(3)	509(A)(3) TYPE I	LAKEVIEW HEALTH		No
(14)LAKEVIEW HEALTH 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 30-0221189	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(3) TYPE II	HPI - RAMSEY		No
(15)WESTFIELDS HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-0808442	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	RH-WISCONSIN INC		No
(16)WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-1770913	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	WI	501(C)(3)	170(B)(1) (A)(VI)	WESTFIELDS HOSPITAL INC		No
(17)PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 36-3465840	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(2)	HEALTHPARTNERS INC		No
(18)PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 23-7346465	SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH	MN	501(C)(3)	170(B)(1) (A)(VI)	PARK NICOLLET HEALTH SERVICES		No
(19)PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-0132080	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES		No
(20)PARK NICOLLET HEALTH CARE PRODUCTS 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 01-0638901	DURABLE MEDICAL EQUIPMENT AND OTHER HEALTH CARE RETAIL SALES	MN	501(C)(3)	509(A)(3) TYPE I	PARK NICOLLET HEALTH SERVICES		No
(21)PARK NICOLLET CLINIC 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-0834920	CLINIC SERVICES	MN	501(C)(3)	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES		No
(22)PNMC HOLDINGS 6500 EXCELSIOR BLVD ST LOUIS PARK,MN55426 41-1741792	HEALTHCARE REAL ESTATE	MN	501(C)(3)	509(A)(3) TYPE I	PARK NICOLLET HEALTH SERVICES		No
(23)AMERY REGIONAL MEDICAL CENTER INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-0908320	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	RH-WISCONSIN INC		No
(24)AMERY REGIONAL MEDICAL CENTER FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 39-1726539	PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH	WI	501(C)(3)	170(B)(1) (A)(VI)	AMERY REGIONAL MEDICAL CENTER INC		No
(25)HUTCHINSON HEALTH 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 84-1715908	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	PARK NICOLLET HEALTH SERVICES		No
(26)HUTCHINSON HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 36-3317820	PROVIDE SUPPORT TO HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(VI)	HUTCHINSON HEALTH		No
(27)HEALTHPARTNERS RC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 84-4261122	HOSPITAL	MN	501(C)(3)	170(B)(1)(A)(III)	PARK NICOLLET HEALTH SERVICES		No
(28)OLIVIA HOSPITAL & CLINIC FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1839619	PROVIDE SUPPORT TO HOSPITAL	MN	501(C)(3)	509(A)(3) TYPE I	HEALTHPARTNERS RC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1629390	THIRD PARTY ADMINISTRATOR	MN	HEALTHPARTNERS INC	C					No
(2) HEALTHPARTNERS ASSOCIATES INC 8170 33RD AVE S PO BOX 1309 MPM,MN554401309 52-2365151	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C					No
(3) HEALTHPARTNERS SERVICES INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1683568	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C					No
(4) HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 41-1683523	MEDICAL AND DENTAL INSURANCE	MN	HEALTHPARTNERS ADMINISTRATORS INC	C					No
(5) DENTAL SPECIALTIES INC 8170 33RD AVE S PO BOX 1309 MPLS,MN554401309 45-1297583	PROFESSIONAL DENTAL SERVICES	MN	HEALTHPARTNERS ADMINISTRATORS INC	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) HEALTHPARTNERS INC - MANAGEMENT AND HEALTHCARE SUPPORT SERVICES	L	141,012,861	CASH AMOUNT
(2) HEALTHPARTNERS INC - HEALTHCARE SERVICES	L	133,276,130	CASH AMOUNT

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	8,327
6	Total number of volunteers (estimate if necessary) .............	6	73
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,830,517	9,906,100
9	Program service revenue (Part VIII, line 2g) .........	1,178,763,833	1,197,755,566
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,086,706	5,645,741
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	472,366,739	414,503,036
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,671,047,795	1,627,810,443
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,032,271	721,804
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	959,361,217	979,631,881
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	782,381,350	769,455,638
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,742,774,838	1,749,809,323
19	Revenue less expenses. Subtract line 18 from line 12.......	-71,727,043	-121,998,880
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,403,307,501	1,275,552,065
21	Total liabilities (Part X, line 26).............	1,014,798,266	966,537,267
22	Net assets or fund balances. Subtract line 21 from line 20.....	388,509,235	309,014,798

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,421,194,179 including grants of $ 721,804 ) (Revenue $ 1,611,955,679 )
	SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,421,194,179

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	38,208,612	1,770,473	8,014,566

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	9,899,547

f	All other contributions, gifts, grants, and similar amounts not included above		1f	6,553

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		9,906,100

		Business Code
2a	FEE FOR SERVICE HEALTH	621400	670,689,786	670,689,786
b	MEDICAL PREMIUMS	524114	289,691,910	289,691,910
c	OTHER MEDICAL SERVICE	621400	172,678,279	172,678,279
d	DENTAL PATIENT SERVICE	524114	64,630,425	64,630,425
e	MEDICARE & MEDICAID PA	621400	65,166	65,166
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,197,755,566

3 Investment income (including dividends, interest, and othersimilar amounts) ......			15,587,770			15,587,770
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,754,065	6a
b	Less: rental expenses		1,451,142	6b
c	Rental income or (loss)		302,923	6c
d	Net rental income or (loss).......			302,923			302,923
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		211,547,497	7a
b	Less: cost or other basis and sales expenses		221,489,526	7b
c	Gain or (loss)		-9,942,029	7c
d	Net gain or (loss).........			-9,942,029			-9,942,029
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	TAXABLE AFFIL. A&G		561000	223,113,530	223,113,530
b	NON-TAXABLE AFFIL. A&G		561000	190,921,203	190,921,203
c	OTHER REVENUE		561000	165,380	165,380
d	All other revenue ....
e	Total. Add lines 11a–11d ......			414,200,113
12	Total revenue. See instructions.....			1,627,810,443	1,611,955,679	0	5,948,664

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	721,804	721,804
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	38,402,969		38,402,969
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	687,250,673	540,851,778	146,398,895
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	63,167,619	59,361,395	3,806,224
9	Other employee benefits .......	143,679,545	135,022,000	8,657,545
10	Payroll taxes ...........	47,131,075	44,291,148	2,839,927
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,118,319		1,118,319
c	Accounting ...........	1,772,777		1,772,777
d	Lobbying ...........	518,426		518,426
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	123,975,509	78,468,484	45,507,025
12	Advertising and promotion ....	20,764,965	1,247,912	19,517,053
13	Office expenses .......	23,525,181	9,478,960	14,046,221
14	Information technology ......	74,889,101	52,227,235	22,661,866
15	Royalties ..
16	Occupancy ...........	48,256,589	34,383,030	13,873,559
17	Travel ............	2,291,142	1,576,903	714,239
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	436,506	163,181	273,325
20	Interest ...........	892,177	892,177
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	20,835,846	20,835,846
23	Insurance ...	20,917,538	15,775,396	5,142,142
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	HOSPITAL & MEDICAL SERV	253,739,220	253,739,220
b	SUPPLIES - MEDICAL & PH	139,470,475	139,470,475
c	OTHER EXPENSE	16,973,000	16,973,000
d	TAXES & ASSESSMENTS	15,042,372	11,677,740	3,364,632
e	All other expenses	4,036,495	4,036,495
25	Total functional expenses. Add lines 1 through 24e	1,749,809,323	1,421,194,179	328,615,144	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			301,961,197	1	287,915,691
2	Savings and temporary cash investments .........			56,177,419	2	51,114,139
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			311,786,385	4	337,512,347
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			12,818,056	8	11,111,511
9	Prepaid expenses and deferred charges ......			245,692,885	9	180,939,556
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	817,121,819
b	Less: accumulated depreciation	10b	630,601,834	221,746,805	10c	186,519,985
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			216,622,856	12	189,923,221
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			36,501,898	15	30,515,615
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,403,307,501	16	1,275,552,065

17	Accounts payable and accrued expenses .....	743,053,858	17	720,513,275
18	Grants payable ...		18
19	Deferred revenue .........	6,047,773	19	570,386
20	Tax-exempt bond liabilities .........	20,715,888	20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23	12,361,685
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	244,980,747	25	233,091,921
26	Total liabilities. Add lines 17 through 25..	1,014,798,266	26	966,537,267

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	388,509,235	27	309,014,798
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	388,509,235	32	309,014,798
33	Total liabilities and net assets/fund balances ........	1,403,307,501	33	1,275,552,065