Civic Intelligence

Group Health Plan Inc

990 • Fiscal year 2013 • EIN 41-0797853

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 14, 2014

8170 33rd Ave South PO Box 130955440-1309

(952) 883-6584

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

87th percentile

0.71x

Higher debt load relative to assets than 87% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Liabilities / Revenue

27th percentile

0.45x

Higher debt load relative to revenue than 27% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Net Margin

31st percentile

3.2%

Higher net margin than 31% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Top Officer Pay

77th percentile

$3,507,389

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Asset Growth

94th percentile

34%

Faster asset growth than 94% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$852,685,946

Up $215,106,516 (+34%) from 2012

Net Assets

Up

$247,116,583

Up $128,742,643 (+109%) from 2012

Liabilities

Up

$605,569,363

Up $86,363,873 (+17%) from 2012

Revenue

$1,335,748,713

No earlier filing loaded for comparison.

Expenses

Up

$1,292,703,157

Up $57,053,928 (+4.6%) from 2012

Net Income

$43,045,556

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.5B$1.0B$500M$0Assets 2010: $583,137,785Liabilities 2010: $492,936,956Net Assets 2010: $90,200,8292010Assets 2011: $679,391,991Liabilities 2011: $589,997,135Net Assets 2011: $89,394,8562011Assets 2012: $637,579,430Liabilities 2012: $519,205,490Net Assets 2012: $118,373,9402012Assets 2013: $852,685,946Liabilities 2013: $605,569,363Net Assets 2013: $247,116,5832013Assets 2014: $910,541,844Liabilities 2014: $655,621,725Net Assets 2014: $254,920,1192014Assets 2015: $920,598,061Liabilities 2015: $680,133,153Net Assets 2015: $240,464,9082015Assets 2016: $871,491,530Liabilities 2016: $660,186,059Net Assets 2016: $211,305,4712016Assets 2017: $936,559,484Liabilities 2017: $667,620,646Net Assets 2017: $268,938,8382017Assets 2018: $930,373,807Liabilities 2018: $731,901,062Net Assets 2018: $198,472,7452018Assets 2019: $954,704,702Liabilities 2019: $629,937,202Net Assets 2019: $324,767,5002019Assets 2020: $1,077,481,525Liabilities 2020: $706,486,775Net Assets 2020: $370,994,7502020Assets 2021: $1,403,307,501Liabilities 2021: $1,014,798,266Net Assets 2021: $388,509,2352021Assets 2022: $1,275,552,065Liabilities 2022: $966,537,267Net Assets 2022: $309,014,7982022Assets 2023: $1,032,220,770Liabilities 2023: $783,229,703Net Assets 2023: $248,991,0672023Assets 2024: $1,733,607,504Liabilities 2024: $1,473,876,372Net Assets 2024: $259,731,1322024

Highlighted filing

2013

Assets$852,685,946
Liabilities$605,569,363
Net Assets$247,116,583

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0B$1.0B$0-$1.0BExpenses 2010: $1,119,694,8582010Expenses 2011: $1,182,805,8232011Expenses 2012: $1,235,649,2292012Revenue 2013: $1,335,748,713Expenses 2013: $1,292,703,157Net Income 2013: $43,045,5562013Revenue 2014: $1,416,924,900Expenses 2014: $1,375,202,690Net Income 2014: $41,722,2102014Revenue 2015: $1,460,868,603Expenses 2015: $1,448,779,462Net Income 2015: $12,089,1412015Revenue 2016: $1,623,580,771Expenses 2016: $1,637,432,532Net Income 2016: -$13,851,7612016Revenue 2017: $1,775,895,219Expenses 2017: $1,751,727,799Net Income 2017: $24,167,4202017Revenue 2018: $1,927,944,004Expenses 2018: $1,955,928,120Net Income 2018: -$27,984,1162018Revenue 2019: $1,731,955,242Expenses 2019: $1,850,905,516Net Income 2019: -$118,950,2742019Revenue 2020: $1,554,519,216Expenses 2020: $1,666,873,979Net Income 2020: -$112,354,7632020Revenue 2021: $1,671,047,795Expenses 2021: $1,742,774,838Net Income 2021: -$71,727,0432021Revenue 2022: $1,627,810,443Expenses 2022: $1,749,809,323Net Income 2022: -$121,998,8802022Revenue 2023: $1,261,559,253Expenses 2023: $1,398,043,529Net Income 2023: -$136,484,2762023Revenue 2024: $1,519,002,057Expenses 2024: $1,576,869,175Net Income 2024: -$57,867,1182024

Highlighted filing

2013

Revenue$1,335,748,713
Expenses$1,292,703,157
Net Income$43,045,556
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 14, 2014
Return Version
2013v3.0
Gross Receipts
$1,499,467,713
Mission and Program Overview

Mission

Our mission is to improve health and well-being in partnership with our members, patients and community.

See schedule o - exempt purpose and achievements

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$280,435,000$300,810,000▲ $20,375,000
Accounts Receivable$148,602,585$207,679,688▲ $59,077,103
Land, Buildings, and Equipment, Net$127,776,886$141,905,602▲ $14,128,716
Investments Other Securities$82,197,416$97,684,850▲ $15,487,434
Prepaid Expenses and Deferred Charges$9,707,579$70,865,129▲ $61,157,550
Savings and Temporary Cash Investments$4,749,123$62,594,925▲ $57,845,802
Inventories for Sale or Use$7,739,623$7,864,133▲ $124,510
Cash and Non-Interest-Bearing Accounts$-44,661,450$-49,083,068▼ $4,421,618
Total Assets$637,579,430$852,685,946▲ $215,106,516
Other Assets Total$21,032,668$12,364,687▼ $8,667,981
Liabilities
Accounts Payable and Accrued Expenses$303,611,981$445,242,945▲ $141,630,964
Other Liabilities$147,044,418$111,754,444▼ $35,289,974
Tax Exempt Bond Liabilities$53,845,000$43,030,000▼ $10,815,000
Deferred Revenue$14,704,091$5,541,974▼ $9,162,117
Total Liabilities$519,205,490$605,569,363▲ $86,363,873
Net Assets / Fund Balance
Unrestricted Net Assets$118,373,940$247,116,583▲ $128,742,643
Total Net Assets Fund Balance$118,373,940$247,116,583▲ $128,742,643
Total Liabilities and Net Assets / Fund Balance$637,579,430$852,685,946▲ $215,106,516

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$65,757,286$258,817,982$324,575,268
Buildings$46,005,133$78,648,771$124,653,904
Leasehold Improvements$21,296,154$45,074,351$66,370,505
Land$8,847,029-$8,847,029
Other Securities$3--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Timothy KroshusPhysicianFT$3,379,200$128,189$3,507,389
Mary K BrainerdPresident & CEO-$989,800$1,165,565$2,155,365
David Abelson MdPresident - Care Group-$889,915$812,901$1,702,816
Dennis W Zhu MdPhysicianFT$1,123,204$107,204$1,230,408
Richard DavisPhysicianFT$1,028,415$73,923$1,102,338
Kathleen M CooneyExecutive VP & CAOPT$562,902$525,594$1,088,496
David J DriesAssociate Medical DirectorFT$907,483$117,234$1,024,717
Stephen R Tan MdPhysicianFT$903,953$89,273$993,226
Andrea M WalshExec VP & Chief MarketingPT$501,916$445,039$946,955
Brian H Rank MdDirector & Medical DirectorFT$538,408$404,446$942,854
Nancy a McclureChief Operating OfficerFT$467,154$409,258$876,412
Kenneth D Holmen MdVP Medical Affairs & Chief Medical OfficerFT$623,413$168,261$791,674
Kenneth D Holmen MdVP Medical Affairs & Chief Medical O-$454,471$337,203$791,674
Barbara E TrethewaySr VP General CounselPT$447,853$338,970$786,823
David a DziukSr VP & Chief Financial ofPT$417,027$319,514$736,541
Robert B CummingSr VP Actuarial/underwriti-$375,558$354,796$730,354
Calvin U AllenSr VP Strat Planning/hrPT$379,404$310,843$690,247
Alan V AbramsonSrvp & CIOPT$354,999$258,820$613,819
David S GeskoSr VP - Dental DirectorFT$363,300$222,285$585,585
Megan M RemarkVP Specialty Care & Operat-$347,619$230,856$578,475
Katie B SayreSr VP Hlth Plan Ops & GovPT$294,560$273,334$567,894
Scott a AebischerSr VP Customer Serv/product Innovation-$441,095$125,574$566,669
Scott a AebischerSr VP Customer Serv/product Innovati-$322,261$244,408$566,669
Doug N SmithSr VP Sales-$263,984$279,403$543,387
Babette a AplandSr VP, Melrose Institute & Behavioral HealthFT$421,315$117,780$539,095
Babette a AplandSr VP, Melrose Institute & Behaviora-$296,526$242,569$539,095
Scott a SchnuckleSr VP Dental, Rx, BusinessPT$306,826$228,156$534,982
Robert H Van WhySr VP Primary Care/clinicFT$287,245$204,062$491,307
Patrick T CourneyaAssoc Med Director - Delivery S-$330,213$150,692$480,905
Beth a WatermanVP Hlth Improve/care Innov-$264,413$176,249$440,662
Donna J ZimmermanVP Govt & Community RelatiPT$231,235$200,894$432,129
David J BerghVP Health/fin Info SystemsPT$258,631$152,526$411,157
Kevin J PalattaoVP Clinic Patient Care SystemsFT$241,327$159,975$401,302
Nico Pronk PhdVP Health Mgmt Behavior GrFT$254,260$138,010$392,270
Tricia L DegeVP Finance & PlanningFT$261,602$127,018$388,620
Kim R LareauVP Is&t Care DeliveryPT$239,139$145,536$384,675
Tim M HaleyVP Broker Sales-$213,552$161,674$375,226
Frank P McquillanVP - Treasury & Real EstatePT$208,724$165,846$374,570
Tobi TanzerVP Corporate IntegrityPT$236,461$135,809$372,270
Susan M KnudsonVP Health Informatics-$231,183$134,840$366,023
Rick J BruzekVP Pharmacy ServicesPT$219,720$136,200$355,920
Shannon B Beaudin-kleinVP Marketing & Communications-$214,828$120,454$335,282
Sharon a SteinVP Health Behavior GroupPT$220,533$105,065$325,598
Elizabeth L SwansonVP Human ResourcesPT$191,856$126,204$318,060
Karen K KraemerVP Disease & Case Mgmt-$183,236$134,422$317,658
Charles J AbrahamsonVP-network Mgmt & Provider Relations-$208,816$104,865$313,681
Gregg DahlgrenVP Dental Plan-$179,667$98,334$278,001
Ann WyniaDirector & Chair-$43,750-$43,750
Thomas BrinskoDirector-$23,750-$23,750
Susan HoytDirector-$18,750-$18,750
Gregory StrongDirector-$18,750-$18,750

Highest Paid Contractors

ContractorServicesLocationCompensation
University Of Mn PhysiciansPhysician Services-$8,007,902
Marketing MidwestMarketing Services-$4,519,212
St Paul RadiologyMedical Services-$3,002,840
Volt Management CorporationTemporary Staffing-$2,908,069
Suburban Green & White TaxiTransportation Services-$2,154,007
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,055,558,292
Investment Income
$5,012,274
Other Revenue
$275,178,147
Change in Net Assets
$43,045,556

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,045,269,998
Revenue Not Reported on Financial Statements
$290,478,715
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$290,478,715
Total Revenue per Audited Statements
$1,045,269,998
Total Revenue per Form 990
$1,335,748,713
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$773,912,038
Salaries, Compensation, and Employee Benefits$511,896,829
Grants and Similar Amounts Paid$6,894,290
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$378,692,667$23,522,579-$402,215,246
Other Expenses$112,855,143$2,849-$112,857,992
All Other Expenses$97,582,590$14,210,763-$111,793,353
Other Employee Benefits$51,325,433$4,500,377-$55,825,810
Pension Plan Contributions$29,454,548$2,582,668-$32,037,216
Occupancy$27,684,841$2,278,223-$29,963,064
Payroll Taxes$20,059,662$1,758,895-$21,818,557
Depreciation Depletion$14,593,508$6,141,392-$20,734,900
Fees for Services Other$13,702,983$5,348,098-$19,051,081
Office Expenses$9,510,635$1,422,501-$10,933,136
Grants to Domestic Orgs$6,894,290--$6,894,290
Information Technology$2,742,994$4,075,575-$6,818,569
Advertising$2,212,607$1,686,663-$3,899,270
Insurance$3,572,493$111,132-$3,683,625
Interest$3,188,637--$3,188,637
Travel$1,900,701$182,031-$2,082,732
Conferences and Meetings$384,101$98,212-$482,313
Fees for Services Legal$103,031$144,777-$247,808
Fees for Services Accounting-$237,738-$237,738
Total Functional Expenses$949,220,537$343,482,620$0$1,292,703,157

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,292,703,157
Expenses per Audited Statements$1,002,224,442
Total Expenses per Audited Statements$1,002,224,442
Expenses Not Reported on Financial Statements$290,478,715
Other Expense Adjustments$290,478,715
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
---Program Support$3,757,018
---Program Support$1,254,801
---Program Support$500,000
---Program Support$272,666
---Program Support$90,000
---Program Support$65,000
---Program Support$61,226
---Program Support$58,000
---Program Support$55,100
---Program Support$55,000
---Program Support$54,000
---Program Support$50,000
---Program Support$50,000
---Program Support$37,500
---Program Support$32,123
---Program Support$27,600
---Program Support$25,000
---Program Support$25,000
---Program Support$20,000
---Program Support$20,000
---Program Support$20,000
---Program Support$16,000
---Program Support$16,000
---Program Support$15,000
---Program Support$15,000
---Program Support$14,400
---Program Support$12,500
---Program Support$11,345
---Program Support$10,000
---Program Support$10,000
---Program Support$10,000
---Program Support$10,000
---Program Support$10,000
---Program Support$10,000
---Program Support$8,750
---Program Support$8,100
---Program Support$7,826
---Program Support$7,500
---Program Support$7,500
---Program Support$7,500
---Program Support$6,343
---Program Support$6,100
---Program Support$6,000
---Program Support$5,150
---Program Support$5,039
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation and Benefits$47,228,825
Professional Liability$36,129,099
Claims Payable$19,926,091
Post Retirement Benefit Obligation$8,470,429

Bond Issues

BondIssuerIssuedIssue PricePurpose
A41-60055212003-10-30$81,218,536Refund bonds issued 11/5/1992. Fund various projects & equipment

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$83,667,706$45,017,283$37,410,000$1,111,232

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
Yes
Gross proceeds invested in GIC
Yes
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Hpi is the sole corporate member of ghi. Additionally, each contract holder of ghi or its related organizations is an "associate member" of ghi. 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 11

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 boardeffect 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

As required by the bylaws of ghi, the board monitors potential conflicts of interest on the part of board members, officers and key employees pursuant to its conflict of interest policy. Under the policy, all board members, principal officers, members of a committee with board delegated powers and key employees annually are provided with a copy of the policy and required to complete a questionnaire identifying any potential conflicts of interest. The general counsel summarizes the findings from the questionnaire and provides a report to the governance committee. A written report of the potential conflicts is shared with the chair of the board and chief executive officer who, along with the general counsel and the board assistant secretary, continually monitor board agendas and proposed actions to identify and address actual conflicts.

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 committee (compensation committee), a total compensation market review is completed. 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. 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 committee. For the chief executive officer and certain other positions full independent reviews are performed. In all cases, committee members complete an annual conflict of interest survey to assure the compensation committee members' independence, staff is not in room during deliberations or vote including executive sessions, and contemporaneous minutes are kept. Total compensation is appropriately documented on the form 990 and w2 statements. The board of directors has delegated to the compensation 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 had delegated to the ceo (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 need to be approved by the compensation committee.

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, board minutes and principles of corporate governance can be viewed through the healthpartners.com website.

Filing and Contact Details

Filer

EIN
41-0797853
Phone
9528836584

Signing Officer

Name
Dave a Dziuk
Title
SVP-finance & CFO
Phone
9528836584
Signed
2014-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dave a Dziuk
Formed
1955
Legal Domicile
Mn
Voting Board Members
5
Independent Board Members
4
Employees
6,849
Volunteers
356

Preparer

Preparer
Ann Lamoureux
Phone
6123055000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A - Exempt Purpose and Achievements

I. 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 is part of the family of healthpartners organizations (healthpartners), an integrated system of health financing, care delivery, and support services providing health plan services to over 1,165,000 members and delivering care to over 4,500,000 patient encounters, primarily in minnesota and western wisconsin. Healthpartners' mission is to improve health and well-being in partnership with our members, patients and community. Healthpartners seeks to transform healthcare through a relentless focus on the triple aim - providing exceptional experience for the individual, improving the health of the population, and improving affordability - all at the same time. Healthpartners includes an array of tax-exempt and taxable entities - including five hospitals and their related foundations, two health maintenance organizations, four non-profit physician groups, home care, transitional care, medical equipment, a third party administrator that serves self insured employers, and many more. A complete listing of all healthpartners organizations, for which hpi is the parent organization and the reporting relationship between each of those organizations, can be found on schedule r within this 990 return. 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 the sole corporate member of physicians neck & back clinics (pnbc), which employs physicians and support staff to provide treatment of chronic neck and/or back pain. Pnbc is a minnesota not for profit corporation that is tax-exempt under irc section 501(c)(3). Ghi is committed to improving the health of the community by providing prepaid medical and dental care to its enrolled members, 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. On january 1, 2013, park nicollet health services (pnhs), and its subsidiaries joined the family of healthpartners organizations. Pnhs provides care and support to minneapolis and west metro communities through an acute care hospital licensed for 426 beds, 593 full-time-equivalent physicians practicing 45 specialties at 20 primary care clinics, 2 ambulatory surgery centers, 11 retail

Form 990, Part III, Line 4A

Ghi employed physicians are the primary physician group affiliated with regions hospital. Regions hospital is the only level i adult and pediatric trauma center in the east metro of the twin cities. In 2013, regions hospital provided $62.2 million in charity care charges ($21.4 million in charity care costs) to care for 43,237 patients who did not have insurance or could not afford care. 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. Iv. Benefits to members and the community in 2012 together with the healthpartners family of organizations, ghi seeks to be the best and most trusted provider of health care, health promotion, health care financing and health care administration in the united states. Healthpartners is working to transform health care by delivering outstanding care and service that is consistent with the institute for healthcare improvement's "triple aim" initiative. The "triple aim" seeks to simultaneously optimize the health of the population, the experience of each individual and reduce per capita health care costs. Triple aim healthpartners is working to transform health care by delivering outstanding care and service that is consistent with the institute for healthcare improvement's "triple aim" initiative. Healthpartners is one of 12 organizations participating in the institute for healthcare improvement's triple aim project, an international initiative to develop models of care that simultaneously optimize the health of the population, the experience of each individual and reduce per capita health care costs. The institute for healthcare improvement (ihi) selected healthpartners in 2007 for this multi-year project based on current initiatives healthpartners had in place that support the triple aim. Being part of an integrated organization allows entities to adopt and share improvements such as best practices and patient education materials across the system. Healthpartners continues to work with the triple aim as we work towards excellence in healthcare. 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. Ghi, along with its subsidiary pnbc, works with the other exempt organizations within healthpartners to achieve these aims with maximum efficiency and collaboration. For example, when one entity develops a best practice, patient education materials, or system improvements, the benefits are spread to members and patients throughout the integrated system. 2013 community benefit activities included: a. Providing care to non-members unable to pay 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 patien

Form 990, Part III, Line 4A

Affordable care act in 2013, many major provisions of the affordable care act (aca) also known as health care reform went into effect. Throughout 2013, ghi worked alongside our members, patients and employer groups, working together to navigate the complexities of reform. Health care reform touches everyone, regardless of health, age or employment status. With webinars, training sessions, informational alerts and a reform-specific website, healthpartners brought reform into simple, practical clarity. Over-the-phone, online and face-to-face in our hospitals and clinics, we have had hundreds of one-on-one discussions to help individuals understand their options and make the choices that are best for them. Health care reform is a test of any organization's commitment to partnership. In 2013, we committed to 18 "health reform roadshow" presentations done across the organization by leaders throughout the year, helping colleagues to understand health reform and mnsure, while equipping colleagues to address member and patient questions. Health reform will continue to evolve and change, and our mission to improve health and well-being in partnership with those we serve will be important as ever. We have been a trusted partner for more than 55 years and our commitment will never change. E. Equitable care initiatives healthpartners has a longstanding commitment to improving the health of the diverse communities we serve. Healthpartners created a cross cultural care and service task force in 2001 to lay the foundation for delivering equitable care and reducing disparities. Enterprise-wide programming for equitable care and service encompasses the healthpartners health plan, hpmg, hpdg and regions hospital. In 2013, programming included the following: data collection healthpartners systematically collects data on race, ethnicity and language preferences directly from patients and members in a variety of ways, all of them voluntary. Data is collected through healthpartners.com, telephone contacts with departments such as member services and case management and online through health assessments. Healthpartners uses the electronic medical records in our care delivery system to capture this data face-to-face with patients. The data is used to continually monitor the quality of care delivered and patient experience by race and language, as well as identify strategies to reduce health disparities in treatment, outcomes and service. The eban experience the eban experience is an innovative approach to link quality improvement with the health of populations. As part of the eban experience, healthpartners works to test and implement strategies to reduce disparities using language, race and other data. In 2013, healthpartners launched the second iteration of the eban experience, called the 3d collaborative, to improve diabetes outcomes in african american and east african populations. The 3d collaborative is a yearlong learning collaborative that began in may 2013 and ends in june 2014. It brings health care professionals, patients and community members together to reduce diabetes disparities. Five teams will identify culturally specific best practices to improve diabetes health education, explore healthy life style choices, and eliminate barriers to care for african american and east african populations. The teams will learn and apply basic quality improvement processes to improve health outcomes. They will review current knowledge, learn from peer organizations, assess current diabetes education tools, and design culturally specific interventions. They will implement and evaluate the success of their recommendations. Outcomes data will be analyzed to determine whether improvements are occurring for each population. Once best practices are identified, they will be spread across the health system and communities. Relationships with community leaders, organizations and patients continue to expand as we learn ways to collaborate to improve outcomes. I

Form 990, Part III, Line 4A

Diversity and inclusion (d&i) leaders are individuals across the organization that are responsible for guiding, facilitating and partnering with business leaders, teams and employees to ensure as an organization. D&i leaders support our organization through: 1) recruit, retain and develop excellent talent that will thrive, 2) equip employees with cultural humility through education and development, 3) foster engagement by ingraining diversity and inclusion in everything we do and 4) reduce disparities and promote equality in our community. Business engagement network for leaders of color business engagement network for leaders of color is a group of volunteer leaders who serve as a network that fosters education, awareness, respect, diversity, inclusion and cultural humility in our organization. This effort is to help us serve the diverse and individual needs of patients, members and customers and it is intended to strengthening respect and inclusion in our workplace. This group is involved in influencing and executing of organization priorities, creating and participating in development opportunities or community outreach efforts. They are a network for any leader interested in being a part of the network and its initiatives. With this group, it is our aim to also engage its members in helping us recruit, develop, and retain employees, cultivate a culture of inclusion to impact our ability to achieve the triple aim. Hpmg's center for international health (cih) healthpartners center for international health clinic (cih) welcomes patients covered by most major insurance plans as well as self-pay patients. Cih is the largest multi-disciplinary health care program in minnesota for refugees, immigrants and non-native-english speaking families. Cihwas 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 russian, african and burmese patients as immigration trends change minnesota's demographics. Since 1980, the program has expanded to include patients from more than 30 countries, with a staff of providers combining more than 100 years of experience in international health with extensive experience practicing both internationally and in the united states. The international mental health program was established in 1984 offering psychiatry, psychology, and group therapy. Ghi also employ a full time social worker and offer onsite interpreters for over 10 languages or language line interpreters via phone for virtually any language. The bilingual staff is dedicated to providing culturally competent health care to all patients. Additional services at the cih includes adult internal medicine primary care for non-english speaking and limited english speaking patients, medical issues/chronic illness, refugee & immigrant health care, medication evaluation & management, cross cultural health care consults, workers compensation exams for foreign born patients, ins adjustment of status exams for families (civil surgeon on staff). In addition, to offering same-day appointments for primary care removing the need for most referrals to specialists with the healthpartners clinics. Behavioral health national alliance on mental illness (nami) - for the past several years, healthpartners behavioral health personnel have been on the board of the leading minnesota mental health advocacy organization, national alliance on mental illness - minnesota (nami). Again, in 2013, healthpartners was a gold sponsor ($50,000) of minnesota's nami walk, an event to raise awareness and reduce the stigma associated with mental illness. As an internal community effort, healthpartners employees contributed, in addition to our sponsorship, $21,000 in donations. Make it ok campaign healthpartners teamed with the national alliance on mental illness (nami) minnesota and preston kelly, a creative advertising agency to create

Form 990, Part III, Line 4A

Services to patients living with hiv/aids in 1985, ghi's healthpartners medical group's infectious disease (id) clinic became the first designated hiv/aids clinic program in minnesota. Using a multi-disciplinary approach that includes physicians specializing in hiv, nurses, case managers, and psychiatrists, the id clinic provides a holistic approach to care. The clinic receives grants for case management services, comprehensive primary care services regardless of income or insurance status, transportation to and from medical and social service appointments, hiv-related laboratory services and medical adherence services. V. Community health improvement efforts physical activity and wellness healthpartners offered incentives in 2013 for staying fit through the healthpartners frequent fitness and frequent fitness challenge programs. The frequent fitness program provides fully insured members the opportunity to earn a reimbursement of up to $20 on their monthly fitness club dues at over 5,000 health club locations if they achieve at least 12 workouts in the month (self-insured members had access to the frequent fitness program if their employer elected to offer the program). More than one out of three members enrolled in the program met the monthly goal in 2013. The frequent fitness challenge program is an additional incentive program that awards members meeting the frequent fitness visit criteria in 8 of the previous 12 months. Physical, healthy and driven (phd) healthpartners also supported the phd (physical, healthy and driven) program through ymca twin cities. This program teaches urban youth in the minneapolis area how to stay healthy for life. Healthpartners also promotes yumpower, a community-based initiative to promote intake of fruits and vegetables and better-for-you food choice. This program includes a wide range of digital tools, including better-for-you eating tools, tips, and cooking videos, as well as a free smart phone app that helps to find better options at commonly-chosen restaurants. 18,218 pounds of free vegetables we gave to more than 2,500 families over the course of three days in august during the yumpower veggie giveaways. In addition to providing fresh produce to families, yumpower brought better-for-you eating habits to 25,000 elementary school students in minnesota and wisconsin through school challenged, and conducted 14 cooking classes in partnership with cooks of crocus hill. Worksite wellness healthpartners facilitated the saint paul public schools worksite wellness program, called choose well, live well. The program continued to service the entire district of roughly 80 sites and 6,100 employees. The program measurably improves health through behavior change and reductions in modifiable risk factors with an estimated gross savings of over two million dollars over five years. Employer health and well-being, a healthpartners business unit, continued to provide members support to become more active, eat a healthier diet, manage stress and quit smoking. Healthpartners emphasizes the importance of living a healthy lifestyle through community presentations and, in order to increase accessibility, under health and well-being, programs and services are available for all companies and organizations regardless of health plan affiliation. Ghi also offers a virtual coach by which members can interact with a virtual coach by taking steps toward healthy lifestyle choices. The online virtual coach is tailored uniquely to the member, thus helping the member to achieve personal health goals for life. "let's talk about health" virtual coaching includes topics such as dealing with stress, healthy eating, getting active, positive thinking, healthy weight, sleeping well, quitting smoking again, and medicine to treat depression. The online virtual coach experience takes 15-20 minutes and when the member is finished, they can print the summary to share with their doctor. Partnerships with community-based health advocacy

Form 990, Part III, Line 4A

- partners in integrated care (pic) initiative. Icsi was one of four regional partners in this three-year funded project. It combined the diamond program for treating patients with depression and the sbirt (screening, brief interventions, and referral to treatment) program to help patients with risky substance use to further integrate behavioral health into primary care. Lessons learned from pic, which ended in 2013, are being applied to the compass initiative. In addition, icsi received a grant from the minnesota department of public safety to introduce sbirt to dwi offenders. - compass (care of mental, physical and substance-use syndromes) initiative. The center for medicare and medicaid innovation awarded icsi (as the lead organization) and nine other health care organizations - including the healthpartners institute for education and research - a collaborative agreement to design and implement a diamond-like collaborative care management model across eight states. The three-year initiative is focused on developing a sustainable model to manage patients with diabetes and/or cardiovascular disease who also suffer from depression and possibly substance abuse. In year two, the model is being offered in more than 50 primary care clinics across the country, including five icsi members. - active (active care for treating intense low back pain very effectively). An icsi initiative focused on ensuring that evidence-based and appropriate care is provided to patients suffering from low back pain resulted in the development of an active (active care for treating intense low back pain very effectively) tool kit for clinicians. A follow-up activity led to the creation of an evidence-based protocol on the appropriate use of opioids to address patient pain. - choosing wisely minnesota. Within the context of the triple aim (better health, care experience and affordability of care), icsi led efforts to address the total cost of care and work with providers and communities to make health care more affordable. A key initiative was linking three american board of internal medicine grantees-icsi, minnesota medical association and minnesota health action group-to form choosing wisely minnesota. Choosing wisely minnesota is a campaign that provides recommendations from specialty medical societies and supporting materials from consumer reports to enable discussions between doctors and patients on tests and procedures that are overused, unnecessary or in some cases harmful. Vi. Community stewardship and leadership in 2012, in partnership with the healthpartners hospital division (the hospital), healthpartners engaged the resources of community hospital consulting (chc consulting) to conduct a comprehensive, six-step community health needs assessment (chna). The chna utilized relevant health data, findings from the healthier together - st. Croix county, which was a 2009 qualitative, and quantitative chna conducted in partnership with the st. Croix county health improvement process (chip) steering committee. It is a strategic, countywide, community-based approach for creating and maintaining healthy communities. Additionally, the hospital's 2012 chna worked with stakeholders by way of in-depth interviews, electronic survey results, a focus group, and a town hall meeting to identify the main community health priorities that healthpartners will address in its chna implementation plan. To further identify and address specific needs in our market area's, the hospital's engagement with chc consulting coordinated and completed the comprehensive community needs assessment for our market area serving a population of more than 250,000 residents in the eastern twin cities' metro area and western wisconsin in 2012. The healthpartners chna utilized relevant health data, findings from the st. Croix community health needs assessment, and stakeholder input (in depth interviews, electronic survey results, a focus group, and a town hall meeting) to identify the main

Form 990, Part III, Line 4A

Healthpartners commitment to improving the health of the community extends beyond its doors. Addressing disparities is one of the reasons healthpartners has a commitment to workplace giving. A comprehensive employee giving campaign is a key way to provide a safety net of services and support to improve the health of the community. For healthpartners employees, healthpartners hosts an annual healthpartners community giving campaign that supports six local federations: greater twin cities united way, united way of washington county-east, st. Croix valley united way, community shares, community health charities-minnesota and the minnesota environmental fund. In 2013, healthpartners' employees pledged to give the community giving campaign over $312,915 through automatic payroll deductions, plus $60,000 from healthpartners that was distributed to all federations. Additionally, employees donated $33,894 through special events across the organization. In-kind donation healthpartners supports and contributes to numerous non-profit organizations throughout the year by providing meeting space and donating used equipment. In 2013, healthpartners donated office supplies and furniture to local organizations including common hope, ppl (project for pride and living), companies to classrooms, furnish office and home, intermediate district 287, and the salvation army. In addition, healthpartners provides time and opportunities for employees to coordinate drives for food, clothing, books and toys on location at the work place. In 2013, healthpartners riverway clinic closed and relocated to a new location. Some medical materials and equipment at that location still had life in them. Healthpartners made sure the equipment made its way into classrooms at anoka technical college. Exam tables, blood pressure cuffs, swabs, syringes, stretchers, exam tables, cabinetry, sinks, and stools from the riverway clinic were donated to anoka technical college. In all, about $12,000 worth of medical materials and equipment were given to the college. The donation of medical equipment from a closing medical facility to a facility training new medical personnel is part of healthpartners' twice-yearly recycle-a-thon. The items will be used for laboratory training in the college's practical nursing and surgical technology programs. Healthpartners regularly partners with the college "in student clinical training, serving on our program advisory boards, providing this kind of equipment and financial support, and ultimately hiring its graduates. The healthpartners donation to anoka technical college is an example of the tremendous efforts to develop a high quality future health care workforce. Sustainability our sustainability department ensures that the mission of our organization is carried out without causing unnecessary harm to our natural environment. The sustainability department is responsible for managing and improving the energy efficiency, waste management, and material purchasing of the organization. Healthpartners is committed to caring for the places where we live and work so we can provide a healthier and cleaner community for our employees, members, patients and future generations. Our sustainability goals will be to: - expand the use of sustainable and earth-friendly practices that help us work smarter, be healthier and save money. - encourage employees to participate in and champion or support sustainability practices, both at work and at home. - measure and monitor our progress toward our sustainability goals. Our commitment to sustainability is reflected through four 2013 environmental excellence awards from practice greenhealth and saving over more than one million dollars. This is one reason we were honored by the minnesota waste wise foundation for being a leader in recycling, source reduction, energy efficiency and water conservation. One example of many that demonstrates the great work being done to show commitment to sustainability is the 11,00

Form 990, Part III, Line 4A

In 2013, healthpartners received approximately 40 awards and recognitions. The range is astounding, from high member experience honors given by j.d. Power and associates, to honors for leading in equality. By receiving these awards and recognition, we know that we are making progress, leading the way to improved health and well-being for our members, patients and community. Several awards and honors received in 2013 included: - recognized as being 'most wired' by hospital & health networks magazine for the fourth straight year. - healthpartners and park nicollet won hennepin county wellness by design awards for healthy workplace environments. - healthpartners mobile app and recruitment website received ehealthcare leadership awards from strategic health care communications. - national committee for quality assurance (ncqa). Healthpartners is among the top 30 private health plans in the nation and is the top-ranked plan in minnesota, according to ncqa's private health insurance plan rankings 2013-2014. The rankings are based on more than 50 measures of clinical performance and member satisfaction, as well as ncqa accreditation. Placing 30th of the 484 plans ranked nationally by ncqa puts healthpartners in the top six percent of health plans in the country. Ncqa is a private, not-for-profit organization. - national committee for quality assurance (ncqa). Healthpartners freedom medicare plan remains the top ranked medicare plan in minnesota for the fifth straight year, and is in the top four percent of 405 plans evaluated, according to ncqa's medicare health insurance plan rankings 2013-2014. - accountable care organization accreditation. Healthpartners was among six organizations to receive a new accreditation as an accountable care organization from the national committee for quality assurance and was among the first two to receive the highest designation- level 3 aco accreditation. To receive ncqa aco accreditation, which is valid for three years, organizations had to demonstrate the ability to improve quality, reduce costs and coordinate whole-person care throughout the health care system. - joint commission. Three healthpartners hospitals were recognized for quality and safety in the joint commission's top performer on key quality measures report. Regions hospital was recognized for delivering the highest quality care in four areas (heart attack, heart failure, pneumonia and surgical care) while lakeview and hudson hospitals were recognized for high quality surgical care. The report summarized the performance of 3,300 joint commission-accredited hospitals on 47 processes that research shows are the safest and most effective care. - minnesota community measurement. Healthpartners medical group & park nicollet health services were two of the top five highest performing medical groups for primary care in the minnesota community measurement 2013 health care quality report.

FORM 990, PART XI, LINE 9:

Fasb 124 fair market valuation adjustment 1,175,081. Fasb 158 pension adjustment 80,422,402. Fasb 158 post retirement adjustment 3,148,658. Equity transfer from healthpartners central minnesota clinics 946,646. Equity transfer from regions hospital foundation 4,300.

Financial Statement Notes

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Intercompany activity 290,478,715.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Intercompany activity 290,478,715.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm4BRIAN H RANK MD
IRS990/Form990PartVIISectionAGrp/PersonNm5CHARLES J ABRAHAMSON
IRS990/Form990PartVIISectionAGrp/PersonNm6ALAN V ABRAMSON
IRS990/Form990PartVIISectionAGrp/PersonNm7SCOTT A AEBISCHER
IRS990/Form990PartVIISectionAGrp/PersonNm8CALVIN U ALLEN
IRS990/Form990PartVIISectionAGrp/PersonNm9BABETTE A APLAND
IRS990/Form990PartVIISectionAGrp/PersonNm10SHANNON B BEAUDIN-KLEIN
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IRS990/Form990PartVIISectionAGrp/PersonNm15PATRICK T COURNEYA
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,734$1,474$260$1,519$1,577$57.9
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,032$783$249$1,262$1,398$136
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,276$967$309$1,628$1,750$122
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,403$1,015$389$1,671$1,743$71.7
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,077$706$371$1,555$1,667$112
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$955$630$325$1,732$1,851$119
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$930$732$198$1,928$1,956$28.0
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$937$668$269$1,776$1,752$24.2
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$871$660$211$1,624$1,637$13.9
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$921$680$240$1,461$1,449$12.1
2014Detailed filing. Detailed filing data is available for this year.$911$656$255$1,417$1,375$41.7
2013Detailed filing. Detailed filing data is available for this year.$853$606$247$1,336$1,293$43.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$638$519$118$1,236
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$679$590$89.4$1,183
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$583$493$90.2$1,120