HEALTH PARTNERS PLANS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH PARTNERS PLANS INC (EIN 23-2379751)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-07
- IRS object ID
- 201743119349301279
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-07T10:16:56-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1676 International Drive Ste 1200 | AddressLine1Txt |
| City | McLean | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232379751 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health Partners Plans Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % C ERIC HUSS | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 2159914180 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 Market Street Suite 500 | AddressLine1Txt |
| City | Philadelphia | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19107 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | C ERIC HUSS | PersonNm |
| Person Title | EVP Finance and Admi | PersonTitleTxt |
| Phone | 2159914180 | PhoneNum |
| Signature | 2017-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JG WHITE | PreparerPersonNm |
| PTIN | P01498698 | PTIN |
| Phone | 7032868000 | PhoneNum |
| Preparation | 2017-11-06 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.102.5 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 54028020173115000003 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-07 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3E895241A54B985E72EC2743C754C5778BD37633 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B017B71C9A801BBBFC774EC5B9FCE5B07033AB53 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | William George | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 Market Street500 | AddressLine1Txt |
| City | Philadelphia | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,056,916,117 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.healthpartnersplans.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | Health Partners is a licensed health maintenance organization (HMO) committed to building a healthier community in Southeastern Pennsylvania. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1036 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,536,780,848 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,986,234,774 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,012,040 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,001,492 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,539,792,888 | PYTotalRevenueAmt |
| CY Total Revenue | $1,989,236,266 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $80,026,786 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $95,708,405 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,459,766,102 | PYOtherExpensesAmt |
| CY Other Expenses | $1,866,209,486 | CYOtherExpensesAmt |
| PY Total Expenses | $1,539,792,888 | PYTotalExpensesAmt |
| CY Total Expenses | $1,961,917,891 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | $27,318,375 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $476,023,567 | TotalAssetsBOYAmt |
| Total Assets EOY | $624,496,294 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $384,747,724 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $504,218,964 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $91,275,843 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $120,277,330 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,176,979,158 | ExpenseAmt |
| Revenue | $1,681,218,956 | RevenueAmt |
| Desc | The Company provides for the provision of physical and certain behavioral health (primarily behavioral-related pharmaceutical coverage) Medicaid (MA) Program benefits to enrolled MA recipients residing in Philadelphia and four surrounding counties - Bucks, Chester, Delaware, and Montgomery - pursuant to an agreement with the Department of Public Welfare of the Commonwealth of Pennsylvania (DHS) (the HealthChoices Agreement). In addition, the Company is responsible for covering all mandated behavioral health pharmaceuticals to members enrolled as prescribed. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $247,271,323 | ExpenseAmt |
| Revenue | $286,776,954 | RevenueAmt |
| Desc | The Company provides comprehensive (physical and behavioral) health insurance through its Medicare Advantage program and products through a contract with the Centers for Medicare & Medicaid Services (CMS). The Company's program, Health Partners Medicare, which commenced in 2014, provides for the provision of physical and behavioral health. The Company offers several products and program benefits to enrolled Medicare members residing in Philadelphia County pursuant to its agreement with CMS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,661,302 | ExpenseAmt |
| Revenue | $18,238,865 | RevenueAmt |
| Desc | The Company also provides comprehensive (physical and behavioral) health insurance through the Commonwealth of Pennsylvania's Children's Health Insurance Program (CHIP). The Company's CHIP program, KidzPartners, provides for the provision of physical and behavioral health to uninsured children and teens up to age 19 who are eligible through CHIP. The Company provides program benefits to enrolled CHIP recipients residing in Philadelphia, Bucks, Delaware, Montgomery and Chester counties pursuant to an agreement with the Department of Insurance of the Commonwealth of Pennsylvania (PID). | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,439,911,783 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2439 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1036 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | C ERIC HUSS | PersonNm |
| Phone | 2159914027 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 MARKET STREET SUITE 500 | AddressLine1Txt |
| City | Philadelphia | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey Bross | ||||||||||
| Director (End 7/16) | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dennis Cook | ||||||||||
| Director (End 7/16) | 4.0 | 0.0 | Yes (X) | $9,000 | $0 | $0 | ||||
| Andrew DeVoe | ||||||||||
| Director (End 3/16) | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Verdi J DiSesa MD MBA | ||||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Cynthia Figueroa | ||||||||||
| Director | 4.0 | 0.0 | Yes (X) | $10,000 | $0 | $0 | ||||
| Barry R Freedman | ||||||||||
| Chair | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Imbimbo | ||||||||||
| Secretary and Treasurer | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Loree D Jones | ||||||||||
| Vice Chair | 4.0 | 0.0 | Yes (X) | $10,000 | $0 | $0 | ||||
| Robert H Lux | ||||||||||
| Director | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SANDRA GOMBERG | ||||||||||
| DIRECTOR | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE RIZZUTO | ||||||||||
| DIRECTOR | 4.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Clarence Armbrister | ||||||||||
| DIRECTOR | 4.0 | 0.0 | Yes (X) | $500 | $0 | $0 | ||||
| WILLIAM S GEORGE | ||||||||||
| President & CEO | 40.0 | 0.0 | $1,019,940 | $0 | $112,198 | Yes (X) | ||||
| JOHN J SEHI | ||||||||||
| SVP Finance & CFO | 40.0 | 0.0 | $431,977 | $0 | $56,027 | Yes (X) | ||||
| STEVEN SZEBENYI MD END 316 | ||||||||||
| CMO | 40.0 | 0.0 | $634,626 | $0 | $17,905 | Yes (X) | ||||
| DENISE CROCE RN | ||||||||||
| EXEC VP CLIN & PROV MGMT | 40.0 | 0.0 | $337,453 | $0 | $46,557 | Yes (X) | ||||
| LISA GETZFRID END 1016 | ||||||||||
| SVP OPERATIONS & COO | 40.0 | 0.0 | $563,794 | $0 | $27,836 | Yes (X) | ||||
| KAREN ARMSTRONG | ||||||||||
| Treasurer | 40.0 | 0.0 | $169,545 | $0 | $19,493 | Yes (X) | ||||
| JOSEPH T BRAND | ||||||||||
| CHIEF INFORMATION OFFICER | 40.0 | 0.0 | $382,975 | $0 | $33,012 | Yes (X) | ||||
| DONATO DADDARIO | ||||||||||
| SVP Pharmacy | 40.0 | 0.0 | $197,666 | $0 | $23,405 | Yes (X) | ||||
| ANDREA C D'ANGELO END 516 | ||||||||||
| VP Medical MANAGEMENT | 40.0 | 0.0 | $217,212 | $0 | $16,141 | Yes (X) | ||||
| LOVELL T HARMON END 516 | ||||||||||
| SVP BUSINESS DEVELOPMENT | 40.0 | 0.0 | $475,684 | $0 | $22,814 | Yes (X) | ||||
| REBECCA A KOHL END 716 | ||||||||||
| VP Network Management | 40.0 | 0.0 | $222,475 | $0 | $14,688 | Yes (X) | ||||
| EDMUND L LAFER Md | ||||||||||
| Medical Director | 40.0 | 0.0 | $250,248 | $0 | $26,079 | Yes (X) | ||||
| VICKI L SESSOMS | ||||||||||
| SVP Resource Mgmt & Compliance | 40.0 | 0.0 | $420,304 | $0 | $48,830 | Yes (X) | ||||
| CAROL A SMOLIJ END 316 | ||||||||||
| VP and Chief of Staff HCM | 40.0 | 0.0 | $211,097 | $0 | $11,121 | Yes (X) | ||||
| KATHLEEN F THEVENY | ||||||||||
| VP Operations | 40.0 | 0.0 | $209,972 | $0 | $23,114 | Yes (X) | ||||
| PAUL TRAFICANTI MD | ||||||||||
| Medical Director | 40.0 | 0.0 | $154,447 | $0 | $21,640 | Yes (X) | ||||
| RAMESH J VANGALA | ||||||||||
| VP Pharmacy Services | 40.0 | 0.0 | $209,979 | $0 | $16,756 | Yes (X) | ||||
| TAL ZAROM END 516 | ||||||||||
| VP Medicare Stars Program | 40.0 | 0.0 | $196,851 | $0 | $8,810 | Yes (X) | ||||
| REETIKA KUMAR | ||||||||||
| VP CHIEF CLINICAL OFFICER | 40.0 | 0.0 | $295,920 | $0 | $18,658 | Yes (X) | ||||
| MATTHEW ZIMMERMAN | ||||||||||
| VP PHARM PART D & CLIN PROGRAM | 40.0 | 0.0 | $169,330 | $0 | $38,546 | Yes (X) | ||||
| MERLEEN HARRIS-WILLIAMS | ||||||||||
| SENIOR MEDICAL DIRECTOR | 40.0 | 0.0 | $294,318 | $0 | $33,291 | Yes (X) | ||||
| JOHNNA W BAKER | ||||||||||
| VP LEGAL AFFAIRS/GEN COUNSEL | 40.0 | 0.0 | $282,565 | $0 | $37,761 | Yes (X) | ||||
| THOMAS M MONTANARO | ||||||||||
| VP Strategic Plan & Initiative | 40.0 | 0.0 | $236,574 | $0 | $35,366 | Yes (X) | ||||
| ANJE VAN BERCKELAER | ||||||||||
| MEDICAL DIRECTOR | 40.0 | 0.0 | $222,332 | $0 | $24,471 | Yes (X) | ||||
| CAROL POTTS | ||||||||||
| VP HEALTHCARE ECONOMICS | 40.0 | 0.0 | $231,139 | $0 | $17,224 | Yes (X) | ||||
| ELIZABETH STRATTON END 616 | ||||||||||
| DIRECTOR PROJECT MANAGEMENT | 40.0 | 0.0 | $219,069 | $0 | $12,667 | Yes (X) | ||||
| ELAINE MARKEZIN | ||||||||||
| FORMER SVP OPERATIONS | 0.0 | 0.0 | $114,922 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,401,914 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $764,410 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Ritter Insurance Marketing | |||||
| 2600 Commerce Drive | HARRISBURG | PA | 17110 | Medicare Ins. Broker | $3,398,722 |
| Medsolutions | |||||
| 730 Cool Springs Blvd Suite 800 | FRANKLIN | TN | 37067 | Care Management | $2,737,338 |
| OptumHealth Care Solutions | |||||
| 6300 Oslon Memorial Highway | GOLDEN VALLEY | MN | 55427 | Care Management | $2,104,759 |
| INSPIRIS SERVICES COMPANY | |||||
| 1009 WINDCROSS COURT SUITE 101 | FRANKLIN | TN | 37067 | CARE MANAGEMENT | $2,958,080 |
| CHANGE HEALTHCARE SOLUTIONS LLC | |||||
| PO BOX 572490 | MURRAY | UT | 84157 | CLAIMS CLEARINGHOUSE | $1,362,194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 51 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 524114 | $1,374,544,602 | $1,374,544,602 |
| MEDICARE | 524114 | $286,776,954 | $286,776,954 |
| CHIP | 524114 | $17,273,548 | $17,273,548 |
| MEDICAID & CHIP PREMIUM NON-RISK | 524114 | $307,639,670 | $307,639,670 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,986,234,774 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,528,854 | TotalRevenueColumnAmt |
| Exclusion | $2,528,854 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $68,152,489 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $67,679,851 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $472,638 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $472,638 | TotalRevenueColumnAmt |
| Exclusion | $472,638 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,989,236,266 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,986,234,774 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,001,492 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,702,732 | TotalAmt |
| Management And General | $7,702,732 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,922 | TotalAmt |
| Management And General | $114,922 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,828,875 | TotalAmt |
| Management And General | $69,828,875 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,176,773 | TotalAmt |
| Management And General | $4,176,773 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,883,619 | TotalAmt |
| Management And General | $7,883,619 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,001,484 | TotalAmt |
| Management And General | $6,001,484 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,138,102 | TotalAmt |
| Management And General | $1,138,102 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $614,945 | TotalAmt |
| Management And General | $614,945 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,566 | TotalAmt |
| Management And General | $150,566 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,672 | TotalAmt |
| Management And General | $516,672 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,123,344 | TotalAmt |
| Management And General | $6,123,344 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,298,882 | TotalAmt |
| Management And General | $2,298,882 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,920,537 | TotalAmt |
| Management And General | $5,920,537 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,822,532 | TotalAmt |
| Management And General | $10,822,532 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,493,767 | TotalAmt |
| Management And General | $4,493,767 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,123 | TotalAmt |
| Management And General | $209,123 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,230 | TotalAmt |
| Management And General | $215,230 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,242,614 | TotalAmt |
| Management And General | $4,242,614 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,012,276 | TotalAmt |
| Management And General | $1,012,276 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SERVICES | $1,439,911,783 | $1,439,911,783 | |
| DHS PASS THROUGHS | $307,639,670 | $307,639,670 | |
| RISK CORRIDOR | $65,589,666 | $65,589,666 | |
| MEDICARE SELLING EXPENSE | $3,611,472 | $3,611,472 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,698,305 | TotalAmt |
| Management And General | $11,698,305 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,961,917,891 | TotalAmt |
| Program Services | $1,439,911,783 | ProgramServicesAmt |
| Management And General | $522,006,108 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,188,217 | BOYAmt |
| EOY | $2,600,965 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,644,911 | BOYAmt |
| EOY | $484,681,645 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,342,488 | BOYAmt |
| EOY | $20,587,905 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,664,707 | BOYAmt |
| EOY | $2,220,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $47,966,240 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,533,026 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,048,316 | BOYAmt |
| EOY | $13,433,214 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,134,928 | BOYAmt |
| EOY | $100,971,889 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,023,567 | BOYAmt |
| EOY | $624,496,294 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,731,698 | BOYAmt |
| EOY | $464,264,351 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,802,699 | BOYAmt |
| EOY | $1,164,460 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,213,327 | BOYAmt |
| EOY | $38,790,153 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,747,724 | BOYAmt |
| EOY | $504,218,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,591,883 | BOYAmt |
| EOY | $11,082,311 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,683,960 | BOYAmt |
| EOY | $109,195,019 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,275,843 | BOYAmt |
| EOY | $120,277,330 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,023,567 | BOYAmt |
| EOY | $624,496,294 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $27,318,375 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$807,317 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,490,429 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,072,030 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,092,815 | DepreciationAmt |
| Book Value | $4,979,215 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,480,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,748,995 | DepreciationAmt |
| Book Value | $2,731,465 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,413,750 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,691,216 | DepreciationAmt |
| Book Value | $5,722,534 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,433,214 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $32,499,829 |
| LEASE INCENTIVE OBLIGATION | $535,357 |
| DEFERRED RENT LIABILITY | $5,754,967 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,790,153 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,919,170,295 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,919,170,295 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $516,672 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $69,549,299 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $70,065,971 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,989,236,266 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,891,851,920 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,891,851,920 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $516,672 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $69,549,299 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $70,065,971 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,961,917,891 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part XI, Line 4b | STOP LOSS PREMIUM $ 3,679,913 RISK CORRIDOR $ 65,589,666 OTHER FEES AND INTEREST EXPENSE $ 279,720 ----------- TOTAL $ 69,549,299 |
| Schedule D, Part XII, Line 4b | STOP LOSS PREMIUM $ 3,679,913 RISK CORRIDOR $ 65,589,666 OTHER FEES AND INTEREST EXPENSE $ 279,720 ----------- TOTAL $ 69,549,299 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (27 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN ARMSTRONG | ||||||||||||||
| Treasurer | $146,865 | $0 | $21,834 | $0 | $846 | $0 | $12,068 | $0 | $7,425 | $0 | $189,038 | $0 | $0 | $0 |
| JOHNNA W BAKER | ||||||||||||||
| VP LEGAL AFFAIRS/GEN COUNSEL | $249,158 | $0 | $32,303 | $0 | $1,104 | $0 | $17,809 | $0 | $19,952 | $0 | $320,326 | $0 | $0 | $0 |
| JOSEPH T BRAND | ||||||||||||||
| CHIEF INFORMATION OFFICER | $297,654 | $0 | $84,079 | $0 | $1,242 | $0 | $28,057 | $0 | $4,955 | $0 | $415,987 | $0 | $0 | $0 |
| DONATO DADDARIO | ||||||||||||||
| SVP Pharmacy | $132,997 | $0 | $60,922 | $0 | $3,747 | $0 | $14,611 | $0 | $8,794 | $0 | $221,071 | $0 | $0 | $0 |
| ANDREA C D'ANGELO END 516 | ||||||||||||||
| VP Medical MANAGEMENT | $115,882 | $0 | $22,022 | $0 | $79,308 | $0 | $8,223 | $0 | $7,918 | $0 | $233,353 | $0 | $0 | $0 |
| WILLIAM S GEORGE | ||||||||||||||
| President & CEO | $610,176 | $0 | $335,313 | $0 | $74,451 | $0 | $81,871 | $0 | $30,327 | $0 | $1,132,138 | $0 | $0 | $0 |
| LOVELL T HARMON END 516 | ||||||||||||||
| SVP BUSINESS DEVELOPMENT | $144,809 | $0 | $88,747 | $0 | $242,128 | $0 | $14,508 | $0 | $8,306 | $0 | $498,498 | $0 | $0 | $0 |
| REBECCA A KOHL END 716 | ||||||||||||||
| VP Network Management | $169,764 | $0 | $22,708 | $0 | $30,003 | $0 | $5,146 | $0 | $9,542 | $0 | $237,163 | $0 | $0 | $0 |
| EDMUND L LAFER Md | ||||||||||||||
| Medical Director | $220,458 | $0 | $27,726 | $0 | $2,064 | $0 | $18,000 | $0 | $8,079 | $0 | $276,327 | $0 | $0 | $0 |
| ELAINE MARKEZIN | ||||||||||||||
| FORMER SVP OPERATIONS | $0 | $0 | $39,672 | $0 | $75,250 | $0 | $0 | $0 | $0 | $0 | $114,922 | $0 | $0 | $0 |
| THOMAS M MONTANARO | ||||||||||||||
| VP Strategic Plan & Initiative | $185,282 | $0 | $33,499 | $0 | $17,793 | $0 | $15,314 | $0 | $20,052 | $0 | $271,940 | $0 | $0 | $0 |
| JOHN J SEHI | ||||||||||||||
| SVP Finance & CFO | $300,899 | $0 | $107,671 | $0 | $23,407 | $0 | $35,453 | $0 | $20,574 | $0 | $488,004 | $0 | $0 | $0 |
| VICKI L SESSOMS | ||||||||||||||
| SVP Resource Mgmt & Compliance | $298,515 | $0 | $103,345 | $0 | $18,444 | $0 | $33,343 | $0 | $15,487 | $0 | $469,134 | $0 | $0 | $0 |
| CAROL A SMOLIJ END 316 | ||||||||||||||
| VP and Chief of Staff HCM | $88,793 | $0 | $27,415 | $0 | $94,889 | $0 | $5,263 | $0 | $5,858 | $0 | $222,218 | $0 | $0 | $0 |
| STEVEN SZEBENYI MD END 316 | ||||||||||||||
| CMO | $152,846 | $0 | $96,949 | $0 | $384,831 | $0 | $11,929 | $0 | $5,976 | $0 | $652,531 | $0 | $0 | $0 |
| KATHLEEN F THEVENY | ||||||||||||||
| VP Operations | $175,689 | $0 | $22,208 | $0 | $12,075 | $0 | $15,209 | $0 | $7,905 | $0 | $233,086 | $0 | $0 | $0 |
| PAUL TRAFICANTI MD | ||||||||||||||
| Medical Director | $127,168 | $0 | $26,919 | $0 | $360 | $0 | $10,609 | $0 | $11,031 | $0 | $176,087 | $0 | $0 | $0 |
| RAMESH J VANGALA | ||||||||||||||
| VP Pharmacy Services | $180,449 | $0 | $21,759 | $0 | $7,771 | $0 | $14,922 | $0 | $1,834 | $0 | $226,735 | $0 | $0 | $0 |
| TAL ZAROM END 516 | ||||||||||||||
| VP Medicare Stars Program | $104,655 | $0 | $40,300 | $0 | $51,896 | $0 | $8,378 | $0 | $432 | $0 | $205,661 | $0 | $0 | $0 |
| ANJE VAN BERCKELAER | ||||||||||||||
| MEDICAL DIRECTOR | $208,919 | $0 | $12,966 | $0 | $447 | $0 | $16,901 | $0 | $7,570 | $0 | $246,803 | $0 | $0 | $0 |
| DENISE CROCE RN | ||||||||||||||
| EXEC VP CLIN & PROV MGMT | $328,000 | $0 | $0 | $9,453 | $0 | $29,423 | $0 | $17,134 | $0 | $384,010 | $0 | $0 | $0 | |
| REETIKA KUMAR | ||||||||||||||
| VP CHIEF CLINICAL OFFICER | $269,863 | $0 | $15,000 | $0 | $11,057 | $0 | $16,750 | $0 | $1,908 | $0 | $314,578 | $0 | $0 | $0 |
| CAROL POTTS | ||||||||||||||
| VP HEALTHCARE ECONOMICS | $191,623 | $0 | $37,779 | $0 | $1,737 | $0 | $15,376 | $0 | $1,848 | $0 | $248,363 | $0 | $0 | $0 |
| ELIZABETH STRATTON END 616 | ||||||||||||||
| DIRECTOR PROJECT MANAGEMENT | $113,814 | $0 | $40,717 | $0 | $64,538 | $0 | $8,946 | $0 | $3,721 | $0 | $231,736 | $0 | $0 | $0 |
| MATTHEW ZIMMERMAN | ||||||||||||||
| VP PHARM PART D & CLIN PROGRAM | $155,475 | $0 | $13,553 | $0 | $302 | $0 | $12,958 | $0 | $25,588 | $0 | $207,876 | $0 | $0 | $0 |
| LISA GETZFRID END 1016 | ||||||||||||||
| SVP OPERATIONS & COO | $221,545 | $0 | $10,000 | $0 | $332,249 | $0 | $15,388 | $0 | $12,448 | $0 | $591,630 | $0 | $0 | $0 |
| MERLEEN HARRIS-WILLIAMS | ||||||||||||||
| SENIOR MEDICAL DIRECTOR | $259,467 | $0 | $32,787 | $0 | $2,064 | $0 | $10,600 | $0 | $22,691 | $0 | $327,609 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4b | SEVERANCE PAYMENTS ARE INCLUDED IN SCHEDULE J, COLUMN B (III) NAME, TITLE, AMOUNT Steven Szebenyi, MD, CMO, $383,197 Lisa Getzfrid, SVP Operations, $325,000 Lovell T. Harmon, SVP Business Development, $241,674 Rebecca Kohl, VP Network Management, $28,773 Elizabeth Stratton, Director Project Management Office, $63,718 Andrea D'Angelo, VP Medical Management, $78,548 Carol Smolij, VP and Chief of Staff HCM, $94,623 Tal Zarom, VP Medicare Stars Program, $51,600 Schedule, J Part I Line 4b 457 Payments Lisa Getzfrid, SVP Operations, received a distribution of $2,551 from the 457 plan which is included in Schedule J, Column B (III) Elaine Markezin, Former SVP Operations, received a distribution of $75,250 from the 457 plan which is included in Schedule J, Column B (III) In 2016 the following people participated in, but did not receive a distribution from the 457 plan: Joseph Brand, Denise Croce, Donato Daddario, William S. George, Lovell Harmon, John Sehi, Vicki L. Sessoms and Steven Szebenyi. |
| SCHEDULE J, PART I, LINE 7 | Annually, at the end of each calendar year, management proposes bonus incentives to the compensation committee for the upcoming year. The incentives proposed are discussed and finalized by the committee. At the end of the year, the Internal Audit Department validates the results. The committee then reviews performance against those targets and approves incentive compensation payments for the recipients. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 | HEALTH PARTNERS PLANS (HPP) IS A LICENSED HEALTH MAINTENANCE ORGANIZATION COMMITTED TO BUILDING HEALTHIER COMMUNITIES. OUR MISSION IS TO: *MANAGE OUR BUSINESS TO EXCEED EXPECTATIONS *OPERATE WITH RESPECT AND DIGNITY IN ALL RELATIONSHIPS *CONTINUALLY IMPROVE THE HEALTH OUTCOMES OF OUR MEMBERS SINCE ITS FOUNDING IN 1985, HPP HAS BEEN IMPROVING QUALITY AND ACCESS TO CARE FOR RESIDENTS OF PENNSYLVANIA. WE OFFER THREE HIGH-QUALITY PROGRAMS: 1. HEALTH PARTNERS (MEDICAID) SERVES PENNSYLVANIANS WITH LOW OR NO INCOME. NATIONALLY RECOGNIZED FOR ITS INNOVATIONS IN MANAGED CARE, HEALTH PARTNERS IS AMONG THE TOP FIFTEEN MEDICAID PLANS IN THE COUNTRY AND CONSISTENTLY RECEIVES HIGH RATINGS FOR MEMBER AND PROVIDER SATISFACTION ACCORDING TO THE NATIONAL COMMITTEE FOR QUALITY ASSURANCES (NCQA) MEDICAID HEALTH INSURANCE PLAN RATINGS 20162017. CURRENTLY SERVES MORE THAN 244,000 MEDICAL ASSISTANCE (MEDICAID) MEMBERS THROUGHOUT SOUTHEASTERN PENNSYLVANIA. MORE THAN HALF OF THOSE MEMBERS ARE CHILDREN AND ADOLESCENTS. 2. KIDZPARTNERS, OUR CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), PROVIDES COVERAGE FOR CHILDREN UP TO AGE 19 WHO ARE UNINSURED AND NOT ELIGIBLE FOR MEDICAID. PROVIDES ACCESS TO QUALITY HEALTH CARE MORE THAN 12,000 CHILDREN AND TEENS. 3. HEALTH PARTNERS MEDICARE NOW SERVES MORE THAN 17,000 MEMBERS IN EIGHT PENNSYLVANIA COUNTIES WITH ALL OF THE ORIGINAL MEDICARE BENEFITS AND MORE. WE OFFER VARIOUS MEDICARE PLANS TO MEET MEMBERS COST AND COVERAGE NEEDS, INCLUDING PLANS WITH PRESCRIPTION DRUGS AND A PLAN ESPECIALLY FOR PEOPLE WITH BOTH MEDICAID AND MEDICARE. HEALTH PARTNERS PLANS IS A LOCAL NOT-FOR-PROFIT HEALTH INSURANCE COMPANY THAT IS COMMITTED TO IMPROVING HEALTH OUTCOMES FOR MORE THAN 270,000 PENNSYLVANIANS. DEEPLY ENGAGED IN OUR COMMUNITIES, WE PROVIDE HEALTH AND WELLNESS RESOURCES THROUGH THREE HEALTH PLANS: KIDZPARTNERS (CHIP), HEALTH PARTNERS (MEDICAID) AND HEALTH PARTNERS MEDICARE. HPP WAS THE FIRST PLAN IN THE COUNTRY, AND NOW A FOUR-TIME RECIPIENT, OF THE NATIONAL COMMITTEE ON QUALITY ASSURANCE'S (NCQA) MULTICULTURAL HEALTH CARE DISTINCTION DESIGNATION. WE HAVE RECEIVED THE AMERICAN DIABETES ASSOCIATION (ADA) HEALTH CHAMPION DESIGNATION, THE MODERN HEALTHCARE BEST PLACES TO WORK IN HEALTHCARE DISTINCTION, AND NUMEROUS COMMUNICATIONS AWARDS FOR MEMBER MATERIALS AND PROGRAMS, AS WELL AS AWARDS FOR WORKPLACE DIVERSITY AND CORPORATE RESPONSIBILITY. HEALTH PARTNERS PLANS HAS GARNERED NATIONAL ATTENTION FOR INNOVATIONS IN MANAGED CARE. WE RECEIVED AN MHPA BEST PRACTICES AWARD FOR OUR ORAL HEALTH INITIATIVE. THROUGH THE PROGRAM, MEMBERS RECEIVE PHYSICAL WELL-CARE AND DENTAL PREVENTION EXAMS ON THE SAME DAY, AT THE SAME PLACE. AS THE RECIPIENT OF A HEALTH CARE INNOVATION AWARD SPONSORED BY THE CENTER FOR MEDICARE & MEDICAID INNOVATION, HPP WORKED WITH FINITY, INC. TO DEVELOP AN INNOVATIVE POPULATION HEALTH PROGRAM THAT PROVIDES MEMBERS WITH INCENTIVES AND PEER HEALTH COUNSELING THROUGH A CLOSED-LOOP PLATFORM TO IMPROVE HEALTH OUTCOMES AND REDUCE COSTS. AS PART OF A SHIFT TO PROMOTING OVERALL WELLNESS RATHER THAN SIMPLY TREATING ILLNESS, HPP HAS PARTNERED WITH PHILADELPHIA-based MANNA TO PROVIDE MEDICALLY APPROPRIATE MEALS AND NUTRITIONAL COUNSELING TO MMEMBERS WITH DIABETES AND CONGESTIVE HEART FAILURE. OUR OUTREACH EFFORTS INCLUDE BRINGING HEALTH AWARENESS DIRECTLY TO OUR MEMBERS (AND THE GENERAL PUBLIC) BY HOSTING HEALTH SCREENINGS AND EDUCATION EVENTS THROUGHOUT THE CITY. WE OFFER A 24-HOUR, 7 DAY-A-WEEK MEMBER SERVICES PHONE LINE, AS WELL AS ON-DEMAND PHONE AND VIDEO CONSULTATIONS WITH BOARD-CERTIFIED DOCTORS THROUGH TELADOC. WE ARE A CATALYST TO IMPROVING THE OVERALL HEALTH OF NOT ONLY OUR MEMBERS, BUT ALSO RESIDENTS THROUGHOUT THE COMMUNITY. WE DO THIS THROUGH A VARIETY OF HEALTH EDUCATION PROGRAMS, INCLUDING SPONSORSHIPS OF SUMMER CAMPS, COMMUNITY GARDENS, NEIGHBORHOOD FITNESS PROGRAMS, AFTER-SCHOOL PROGRAMS, WORKSHOPS, BODY MASS INDEX SCREENINGS AND OTHER EFFORTS. SOME OF OUR COMMUNITY SUPPORT ACTIVITIES INCLUDE: * CONVENING A CONFERENCE FOR HEALTH CARE AND SOCIAL SERVICES PROVIDERS TO DISCUSS OUTREACH AND TREATMENT OF MENTAL HEALTH AMONG IMMIGRANT POPULATIONS * SPONSORING SOCIAL ACTIVITIES FOR SENIORS TO ENCOURAGE SOCIAL, INTERACTION AND PHYSICAL ACTIVITY * PROVIDING COMMUNITY-BASED HEALTH EDUCATION AND TRAINING ON TOPICS SUCH AS ASTHMA, DIABETES AND OTHER HEALTH ISSUES * DEPLOYING CUSTOM-BUILT MOBILE SERVICE OFFICES TO PROVIDE INFORMATION ON HEALTH CARE IN THE COMMUNITY * OFFERING EDUCATIONAL SUPPORT INCLUDING SCHOLARSHIPS * LENDING OUR EXPERTISE TO NUMEROUS COMMUNITY ADVISORY BOARDS OF LOCAL NON-PROFITS WITH A FOCUS ON HEALTH ISSUES, COMMUNITY CONNECTIVITY AND BEST PRACTICES IN BUSINESS AND HUMAN SERVICES * SUPPORTING COMMUNITY-BASED ARTISTIC DEVELOPMENT THROUGH LOCAL ARTS INITIATIVES FOR LOW-INCOME, AT-RISK YOUTH * JOINING THE FIGHT AGAINST DOMESTIC VIOLENCE THROUGH EDUCATION AND INTERVENTION PROGRAMS, AS WELL AS COMMUNITY ACTIVISM THROUGH THE PA COALITION AGAINST DOMESTIC VIOLENCE AND WOMEN AGAINST ABUSE * DISTRIBUTING EMERGENCY RELIEF TO INDIVIDUALS AND FAMILIES INCLUDING ELECTRIC BOX FANS FOR SUMMER HEAT, FOOD BASKETS AND HOLIDAY GIFTS * STRENGTHENING FAMILIES THROUGH PARENTING SUPPORT INITIATIVES SUPPORTING NEW MOTHERS AND VARIOUS FATHERHOOD INITIATIVES FINALLY, BECAUSE VIOLENCE IN OUR COMMUNITY IS ONE OF THE GREATEST THREATS TO HEALTH, WE ACTIVELY SUPPORT ANTI-VIOLENCE EFFORTS, INCLUDING DONATIONS AND ACTIVE PARTICIPATION WITH ANTI-VIOLENCE COMMUNITY GROUPS. AS AN EMPLOYER, WE TAKE PRIDE IN OUR LOW EMPLOYEE TURNOVER RATE. WE MAINTAIN A SUPPORTIVE, MULTICULTURAL ENVIRONMENT AND A STRONG SENSE OF OUR MISSION. WE REMAIN COMMITTED TO WORKING WITH NUMEROUS MINORITY AND WOMEN-OWNED VENDORS IN OUR AREA. |
| Form 990, Part VI, Line 6 & 7 | The Health Partners Plans Board consists of one class of nine members. These members are comprised of six healthcare providers and three community at-large members. Members approve admitting new members, and, unanimous approval is required. |
| Form 990, Part VI, Line 11b | Process Used to Review Form 990 An initial review is performed by an independent accounting firm, KPMG, which provides technical guidance and filing expertise. The governing body of HPP, the Board of Directors, has a committee (Audit Committee) that reviews the Form 990. A week prior to the Audit Committee meeting, HPP's chief financial officer mails out the meeting package which includes the completed draft Form 990. The members review the form and prepare any questions. At the meeting the CFO reviews the draft Form 990 and provides highlights. There is discussion regarding the responses. The CFO then has a question and answer period regarding the return. After all questions have been responded to, the form is submitted to the Board of Directors, prior to submitting the return to the IRS. |
| Form 990, Part VI, Section B, Line 12C | MONITORING OF THE CONFLICT OF INTEREST POLICY All employees are required to complete on an annual basis, a statement of Conflict of Interest Certification. It is a part of the mandatory, online training program for employees. At the conclusion of the training, the employee certifies that he/she has read the Conflicts of Interest Policy. Employees are required to list any organizations that they are involved in, which may be in conflict with the interest or business of Health Partners Plans, Inc., and/or may interfere with the employee's ability to fully and properly perform their job responsibilities. Potential conflicts are to be reported by the employee to management and Human Resources, immediately. Per the training, and the processes in place, the signed documents are reviewed by the Human Resources department and any disclosures of potential conflicts are brought to the attention of the Senior Vice President of Resources Management & Compliance (SVP) and/or the Vice President, Legal Affairs & General Counsel (VP, Legal). The SVP and/or VP, Legal review the disclosure and if it rises to the level of a conflict, he/she/they determine if there is mitigation for said conflict or if action must be taken to alleviate the conflict. There were no conflicts of employees noted in 2016. The Board of Directors is also required to complete, on an annual basis, a review of the Conflict of Interest Policy and complete a Conflicts of Interest Statement. Per the Conflicts Policy for the Board, should a member have a disclosure, he/she presents it to the Board or Committee for discussion and vote to determine if a conflict of interest exists. In April of 2016, as noted in the 2015 report, the process was reviewed and improved with regard to review of the documents and forms of the conflicts policy. The revised policy was distributed to the Board in 2016 and again in 2017 and any potential conflicts were reviewed and handled by external counsel per the process in place. |
| Form 990, Part VI, Line 15a | FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CEO The Board of Directors annually elects a board-level committee called the Compensation and Evaluation Committee (committee) which is responsible for assuring that HPP salary strategies are competitive and consistent with current market trends, in order to provide a stable, qualified and fairly compensated workforce. All members of the committee are independent. The committee also determines the compensation of the President and CEO by first engaging an independent consultant to provide market data on current, relevant CEOs' compensation including one custom survey specifically for HMO executives, in order to make their compensation recommendations. Every other year, the committee engages a benefits consulting firm to provide summarized national data. The consultant's investigation and recommendations reflect Board-specific criteria for determining payment levels for both base compensation and incentive compensation. Based on a thorough review and deliberations following the consultant's study, the committee establishes the base compensation and other benefits for the CEO so that they are aligned with current market trends and budgetary considerations. Separately, the committee approves annual incentive targets, performance against those targets, and the computation of the CEO's resulting incentive compensation payment. Contemporaneous minutes of the meeting are prepared and approved by the committee. The Board of Directors also approves the minutes of the committee. |
| Form 990, Part VI, Line 15b | PROCESS FOR THE DETERMINING THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES The Board of Directors annually elects a board-level committee called the Compensation and Evaluation Committee (committee) which is responsible for assuring that HPP salary strategies are competitive and consistent with current market trends, in order to provide a stable, qualified and fairly compensated workforce. All members of the committee are independent. The committee also determines the compensation of the Other Officers and Certain Key Employees by first engaging an independent consultant to provide market data on current, relevant compensation including one custom survey specifically for HMO executives, in order to make their compensation recommendations Every other year, the committee engages a benefits consulting firm to provide summarized national data. The consultant's investigation and recommendations reflect Board-specific criteria for determining payment levels for both base compensation and incentive compensation Based on a thorough review and deliberations following the consultant's study, the committee establishes the base compensation and other benefits so that they are aligned with current market trends and budgetary considerations. Separately, the committee approves annual incentive targets, performance against those targets, and the computation of the resulting incentive compensation payment. Contemporaneous minutes of the meeting are prepared and approved by the committee. The Board of Directors also approves the minutes of the committee. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS CONTRIBUTED CAPITAL.......$2,490,429 |
| Form 990, Part XII, Line 2c | AUDITED FINANCIAL STATEMENTS HPP did receive an audited financial statement from KPMG in 2016 that was prepared in accordance with accounting practices permitted by the Commonwealth of Pennsylvania Insurance Department, "Statutory Basis." Because HPP is licensed by the Commonwealth of Pennsylvania Departments of Insurance and Health to operate as a Health Maintenance Organization, the Statutory Financial Statements were required. A GAAP financial statement was not prepared because one was not required. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| SelectScripts LLC | |||||||||
| 901 MARKET STREET | Philadelphia | PA | 19107 | 651235663 | Pharm Ben Adm | PA | $0 | $0 | SelectBen |
| SelectBenefits LLC | |||||||||
| 901 MARKET STREET | Philadelphia | PA | 19107 | Holding Co | PA | $0 | $0 | NA | |