Group Health Plan Inc

“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.”

“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.”

“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.”

“Ghi's 990 return has a comprehensive review process that is followed before it is presented to the governing body of ghi. The review process includes a layered review by ghi's tax department, management team, internal legal department and outside independent accountants. Each one of those areas has an opportunity to review, ask questions and make comments back to the tax department of ghi before the form 990 is presented to the governing body of ghi. Ghi makes available, to the audit and compliance committee of ghi's board of directors and to the full board of directors, a copy of the 990 for review and comment prior to the filing of the 990 return. This copy is provided in the healthpartners board effect portal for all board members to review prior to the filing of the 990, and is an agenda item at the committee meeting. This process is noted and documented in the written committee minutes of the meeting. These minutes are presented to the full board of directors.”

“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.”

“Ghi has an annual process to review the market comparability of the total compensation of its ceo and its other officers. Every three years, under the direction of the ghi board of directors' compensation and leadership development committee (compensation committee), a total compensation market review is completed by an external compensation consultant. The review includes all components of compensation; base salary, annual incentives, benefits and perquisites. The market survey results are presented to, reviewed by and approved by the independent compensation committee. Based on this market data, the compensation committee determines minimum and maximum total compensation ranges for each officer. In interim years, ghi's human resources staff, under the direction of the compensation committee, updates changes in the salary structure based on the same independent studies performed by the compensation consultant for the compensation committee. For the chief executive officer and certain other positions full independent reviews are performed to set salary ranges based on the competitive market data specific to those positions. The compensation committee reviews and approves each year's compensation results. In all cases, committee members complete an annual conflict of interest survey to assure the compensation committee members' independence and this is updated at any meeting at which decisions are being made. Staff (other than the secretary to the board) is not in the room during deliberations or vote including executive sessions, and contemporaneous minutes are kept. The board of directors has delegated to the executive committee the accountability to conduct an annual performance evaluation and to determine the compensation of the ceo based on the performance review and the market comparability data, approved by the compensation committee. The board has delegated to the healthpartners ceo and president (with authority to further delegate) the accountability to conduct annual performance reviews and determine the compensation of all other officers within the compensation ranges determined by the compensation committee. Any exceptions to compensation in excess of the approved ranges are approved by the compensation committee. Total compensation is appropriately documented on the form 990 and w2 statements.”

“Ghi financial statements and 990 returns are made available to any person who requests the information from ghi or hpi. Ghi's articles of incorporation are available to any person who requests the information through the minnesota secretary of state's office. Ghi's articles, bylaws, conflict of interest policy, and principles of corporate governance can be viewed through the healthpartners.com website.”

“Corporate structure, purpose, governance group health plan, inc. (ghi) is a minnesota non-profit corporation and licensed health maintenance organization (hmo) recognized as exempt from federal income tax under internal revenue code (irc) section 501(c)(3) and part of the family of healthpartners organizations "healthpartners." founded in 1957, healthpartners is an integrated system of health care delivery and health care financing organizations, and is one of the largest consumer-governed organizations in the country. Healthpartners' mission is to improve health and well-being in partnership with our members, patients and community. Healthpartners seeks to transform health care through a relentless focus on the triple aim - providing exceptional experience for the individual, improving the health of the population, and maintaining affordability, all at the same time. Healthpartners includes an array of tax-exempt and taxable organizations with health care activities primarily operating in minnesota and western wisconsin. Healthpartners provides a full-range of health care delivery and health plan services including insurance, patient care, administration and health and well-being programs. Healthpartners health plan's serve more than 1.5 million medical and dental members nationwide, and is the top-ranked commercial plan in minnesota. Healthpartners medical care system includes more than 1,700 physicians, six hospitals with over 1,000 acute care beds, and 93 primary and specialty care medical facilities with practices in minnesota and western wisconsin. In addition, healthpartners dental care system has more than 60 dentists and 24 dental clinics. Healthpartners also contracts with other primary and specialty medical facilities and dental facilities, physician groups, hospitals and related healthcare providers located primarily in minnesota and western wisconsin. Healthpartners also provides medical education and training to medical professionals and conducts research and fund raising activities that support the health care delivery system. A complete listing of all organizations within the healthpartners family, and the relationship between them, can be found on schedule r within this 990 return. Detailed information about the community benefit activities and accomplishments of each tax-exempt organization can be found in the individual form 990 return for that organization. Healthpartners is driving change that helps our members and patients live healthier lives. Healthpartners collaborate with other plans, care providers and other community and business organizations in the region and throughout the nation to increase access, create and share quality measures and initiatives, participate in development of public policy, and collaborate in improvements that support the triple aim. Among healthpartners' signature initiatives continuing in 2015 are total cost of care measurements (development of a nationally recognized metric, endorsed by the national quality forum, enabling measurement and incentives based on coordination and evidence-based practices), mental health (reducing stigma, and assuring access to high quality care in the most appropriate settings), children's health (improving child health by promoting early brain development, providing family centered care, and strengthening communities), and sustainability (energy efficiency, waste reduction, and resource management). 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 committ”

“Healthpartners' contracted network includes highly specialized referral physicians and hospitals in the service area, including regions hospital (regions), which is part of the healthpartners family of organizations. Besides contracting with hospitals in the service area, healthpartners also provides emergency care for members outside the service network. Ghi employed professionals provide services in over 30 unrelated organizations' primary care clinics located throughout the twin cities region, as well as in hospitals in western wisconsin. Ghi employed physicians are the primary physician group affiliated with regions. Regions is the only level i adult and pediatric trauma center in the east metro of the twin cities. In 2015 alone, regions provided $31.7 million in charity care charges ($11.9 million in charity care costs) to care for 38,732 patients who did not have insurance or could not afford care. Of the 83,744 total patient accounts written off in 2015, 30,411 were pure self-pay patients with no coverage and no ability to pay. Benefit to the community: membership ghi members receive a full range of prepaid health care services, including professional care in hospitals and physician offices, imaging and laboratory services, various therapies, preventive services, health education, and certain prescription drugs. Ghi provides these services to its members and patients through a broad network of physicians and hospitals. This network includes clinics staffed by ghi and park nicollet clinic (pnc) employed physicians and six healthpartners hospitals: regions, a level i adult and pediatric center in st. Paul, minnesota; westfields hospital, a critical access hospital in new richmond, wisconsin; hudson hospital, a critical access hospital in hudson, wisconsin; amery regional medical center, a critical access hospital in amery, wisconsin; lakeview hospital, a community hospital in stillwater, minnesota; and park nicollet methodist hospital, a leader in cancer, cardiovascular and maternity care in st. Louis park, minnesota. In addition, ghi's members receive health care services through healthpartners' extensive network of owned and contracted medical and dental providers, including over 93 multi-specialty clinics owned and operated by ghi, known as the hpmg, the pnc clinics, the stillwater medical group clinics, amery regional medical center & clinics, and physicians neck and back clinics. Hpi, ghi and hpic provide commercial group, commercial individual, medicare, and medicaid managed care products to their members. In 2015, these organizations provided comprehensive, prepaid health care services to 973,213 fully insured members, encompassing both medical and dental products. These members fit within the following categories: 325,736 fully insured commercial group medical members; 52,857 fully insured individual members; 49,882 medicare (includes cost, supplement/select, and medicare advantage plan, both group and individual) members; 104,292 prepaid state healthcare program members, including hmo products for medicare/medicaid dual eligible, low-income pregnant women, families with children, and low-income adults; and 436,445 dental members. In addition, healthpartners also provides administrative services, through hpai, to 440,446 self-insured commercial members. In addition to providing direct care to persons enrolled in ghi's hmo products, hpmg physicians serve patients who are uninsured and unable to pay for care. Ghi employs financial counselors who provide patients with options when they are uninsured or underinsured. Financial counselors link patients to community resources, provide information and assistance on hpmg's financial assistance program and assistance with applying for minnesota health care programs through the minnesota department of human services. Ghi also helps patients who are unable to pay for prescription drugs or do not have prescription insurance coverage by providing assistance through the mental”

“Health professional education healthpartners 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 mission is to improve the health and well-being in partnership with our members, patients and community. In partnership with the university of minnesota medical school, healthpartners institute for education and research (institute) trains more than 500 resident physicians (130 ftes) annually in 22 programs at regions hospital and hpmg. For a full report on the institute's 2015 research, please see the institute's form 990 return. Hospice and palliative care (hpc) ghi also operates healthpartners hospice and palliative care (hpc), a comprehensive care program for patients with a terminal diagnosis of six months or less. Hpc is medicare-certified and licensed by the state of minnesota. With an emphasis on enabling patients to remain in their homes for as long as possible, hospice teams include specially-trained hpmg physicians and nurses, social workers, home health aides, volunteers, chaplains and counselors who together provide, emotional, spiritual, and medical support. Healthpartners specialty center the healthpartners specialty center is comprised of two buildings - 401 phalen boulevard and 435 phalen boulevard - and contains hpmg clinics and regions hospital-based specialty departments that are all connected with the latest in electronic medical records and easily accessible digital x-rays. The location features more than 25 specialties on one campus. Ghi continued to provide free shuttle services from regions hospital to the healthpartners specialty center for patients in 2015. Institute for clinical systems improvement (icsi): healthpartners is a founding member of icsi, which establishes best practice health care guidelines for the prevention, diagnosis, treatment and management of numerous diseases and health conditions. Icsi also works to improve the quality and lower the cost of care delivered by its 50 medical group, hospital and integrated health care delivery system members in minnesota and surrounding areas. Icsi helps health care delivery systems apply evidence-based practices and also brings clinical practice lessons back for systems change improvement. In 2015, healthpartners continued to contribute time and expertise to icsi initiatives. More information about healthpartners and icsi's work together can be found at www.icsi.org. Financial contributions healthpartners gives priority to funding partnerships and projects that are consistent with healthpartners' strategic health promotion initiatives, focus on activities that prevent health problems, address the needs of people in our service area, and/or display understanding of the diverse needs of our population and indicate how they will reduce disparities in health outcomes. Additionally, healthpartners participated in community festivals and events providing outreach and education resources to the community on a variety of health topics including body mass index, healthy eating, smoking cessation, cholesterol, blood pressure, immunizations and more: - american diabetes association - tour de cure - 56 riders raised $17,748 - american heart association heart walk - 446 registered walkers (plus family and friends), raised $51,826. - american red cross blood donation - - five blood drives at our healthpartners corporate office receiving 260 donations - american stroke association - power to end stroke gospel event - american indian wellness fair - the food group - 2,760 lbs of food and $472.61 in cash donations. Together, these food and cash donations provided over 3,200 meals to those fighting hunger in our community- - growing matters - seed packaging, employees donated their time to help repackage bulk seeds - habitat for humanity - 252 people volunteered between one week in the spring in hugo and three weeks in the fall in minneapolis - healthp”

“Total cost of care total cost of care (tcoc), is a method of measuring health care affordability. Tcoc measures are powerful analytical tools for health plans, providers, medical groups, government agencies, employers and others with a stake in reducing health care cost trends. They can help pinpoint ways to make health care more affordable without sacrificing quality or experience. Many organizations have experimented with tcoc models in recent years. Healthpartners' total cost of care and resource use (tcoc) framework addresses one of the most fundamental problems related to population health: rising health care costs. Healthpartners has developed a tcoc model that is unique in a significant way. It is a full-population, person-centered measurement tool that accounts for 100 percent of the care provided to a patient. Additionally, it supplies a reporting suite to support multiple levels of analysis, considering the cost of care provided to a patient (or "total cost index"), and incorporates an innovative approach to measuring resources used in providing that care (or "total resource use index"). When used in combination, these measures yield more comprehensive, revealing and actionable results than cost measures alone. Using this system, which has been more than a decade in development and staged-in use, healthpartners has outperformed minnesota, regional and national risk-adjusted cost of care benchmarks for many years. Healthpartners financially incents providers through its tcoc program to achieve the institute for healthcare improvement's triple aim: improving the health of the population, enhancing the patients experience and making health care more affordable. Healthpartners has been developing health care cost of care and resource use measures since 1995. In january 2012, the national quality forum endorsed healthpartners' total cost index (tci) and resource use index (rui). Affordable care act 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 continue to 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. We continue to help 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. Equitable care 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 plans, hpmg and hpdg clinics and regions hospital. Community health needs assessment (chna) in 2015, a comprehensive, six-step community health needs assessment ("chna") collaboration was conducted for healthpartners and its hospitals (regions hospital, lakeview memorial hospital association, hudson hospital, westfields hospital, amery regional medical center, and park nicollet methodist hospital) by community hospital consulting to determine the greatest health needs in the communities they serve. These hospitals serve similar communities and have overlapping study areas. The system's study area is defined as dakota, hennepin, ramsey, scot”

“Equity transfer to park nicollet foundation -500,000. Fasb 158 pension adjustment -26,532,092. Fasb 158 post retirement adjustment 3,358,845.”