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. 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 plans serve more than 1.6 million medical and dental members nationwide. Healthpartners medical care system includes more than 1,700 physicians and dentists, six owned hospitals with over 1,000 acute care beds, over 100 owned and leased primary and specialty care medical facilities and 24 dental facilities with practices in minnesota and western wisconsin. 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 collaborates with other plans, care providers and other community and business organizations in the region and throughout the nation to increase access, create and share quality measures and initiatives, participate in development of public policy, and collaborate in improvements that support the triple aim. Among healthpartners' signature initiatives continuing in 2016 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 committed to improving the health of the community by providing prepaid medical and dental care to its enrolled me”

“In 2016, hpmg and hpdg contributed to the community in many ways, including: 58 hours donated to hospice and home care in-service, assisted living and palliative care to various community organizations; 18.5 hours donated to participation in community festivals and fairs; 92 hours donated to education in the community about health topics and mentoring students; 10 hours donated to supporting efforts on the topic of grief in the community; 19 hours donated to the minnesota home care association (mhca) board of directors meetings. Hpmg and hpdg also provided support groups in music therapy, breast, blood, head and neck cancers and vouchers for patients for transportation and food. 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 hospital, 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 memorial 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 2016, these organizations provided comprehensive, prepaid health care services to 980,170 fully insured members, encompassing both medical and dental products. These members fit within the following categories: 312,181 fully insured commercial group medical members; 70,180 fully insured individual members; 55,474 medicare (includes cost, supplement/select, and medicare advantage plan, both group and individual) members; 98,599 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 443,736 dental members. In addition, healthpartners also provides administrative services, through hpai, to 487,435 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 drug assistance program (mdhap) which provides medications to medical assistance patients. Virtuwell virtuwell is a 24/7 online clinic that reinvents the diagnosis and treatment experience for everyday illnesses. Through a refreshingly simple online and mobile platform, paired with best-in-class customer service, virtuwell is saving co”

“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 2016, 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. Healthpartners employees gave with their million dollar hearts to the community and our foundation missions through the community giving and sharing at work campaigns, as well as our walk engagements. 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: fundraising walks american heart walk (may 14, 2016) - 437 registered walkers plus friends and family raised $34,609 march for babies (april 30, 2016) - 27 registered walkers plus friends and family raised $3,712 nami walk (sept 26, 2016) - 260 registered walkers plus friends and family raised over $17,000 festivals and health fairs freedom school somali independence day rondo days fiesta latina fair native american indian health fair hmong health fair at july 4th soccer tournament hmong mental health conference , "koj puas nyob zoo" bright futures partnership with greater twin cities united way baraza power to end stroke twin cities pride festival local healthy foods exhibit at the minnesota state fair habitat for humanity healthpartners sponsored a two-week build in st. Paul in 2016. Our 116 volunteers contributed 826 hours of build service. Speed volunteering speed volunteering are volunteering opportunities organized by healthpartners community relations to continue our employee engagement with our community organizations. Two-hour drop-in volunteering sessions are organized on site and employees donate their time. Volunteer times have ranged anywhere from five minutes up to 120 minutes, depending on the employee volunteer availability. Martin luther king, jr. Day of service - 1/18 - 384 pounds of food donated, 1, 348 pounds of personal hygiene, 330 snack packs and 138 detergent bags were donated to community organizations with over 40 volunteers and a total of 25 hours donated for this event. Gardening matters - 3/10, 4/27 - since 2008, gardening matters has been dedicated to the success and sustainability of community gardens. This is the go-to organization for all things community gardening-related. Gardening matters provides resources, training, referrals, and much more. Healthpartners employees donated over 30 hours to this event and repackaged hundreds of seeds! Card coloring partnership with minnesota brain injury alliance - 6/22 - the minnesota brain injury alliance offers support to minnesotans affected by brain injury through advocacy and public policy and resource facilitation services, which provide personal one-on-one connection to information and resources. Healthpartners had 16 volunteers who made over 80 cards for this event and totaled 11 hours donated. Donations healthpar”

“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. Organization-wide programming for equitable care and service encompasses the healthpartners health plans, hpmg and hpdg clinics and regions hospital. Equitable care champions in 2016, the equitable care champion was launched (previously known as the equitable care fellows program). "a champion is a person who voluntarily takes extraordinary interest in the adoption, implementation and success of a cause, policy or program throughout an organization. Also called change advocate, change agent or idea champion." this is how we define our equitable care champions across the healthpartners organization. 2016 accomplishments include: participation of 170 equitable champions org wide 650 subscribers to the culture roots newsletter hosted annu”

“Organization awards and achievements in 2016, healthpartners received a number of awards that recognize our commitment to providing high-quality care, coverage and service for our members and patients. The range of awards is astounding, from those that recognized top-notch customer service to those that honor innovation, health outcomes and patient safety. We received more than 50 awards and recognition from third-party organizations in 2016. Through such recognition, we know that we are leading the way and making progress toward our mission - to improve health and well-being in partnership with our members, patients and community. Several awards and honors from the last year are outlined below: the minnesota business ethics award, which is given to organizations that exemplify high ethical standards in business. Being named the top-rated private health plan in minnesota by the national committee for quality assurance for the 12th year in a row! Having our regions hospital "street to treat" stroke program named "innovation of the year in patient care" by the minnesota hospital association. Receiving more than a dozen practice greenhealth "environmental excellence" awards for healthpartners, hudson hospital and westfields hospital, which recognize our sustainability efforts. Other awards include: j.d. Power and associates top health plan in minnesota and wisconsin region minneapolis st. Paul business journal eureka! Innovation award (make it ok) human rights campaign 2016 lgbt healthcare equality leader (methodist, regions and lakeview hospitals) forbes america's best employer (park nicollet health services) minneapolis st paul business journal 40 under 40 (dr. Drew zinkel) health data management most powerful women in healthcare it (mary brainerd) city of st. Paul sustainable st. Paul awards (regions hospital) minnesota safety council governor's workplace safety award (park nicollet) mpls st. Paul magazine top doctors minnesota monthly best doctors hospital and health network magazine's most wired (healthpartners) modern healthcare 100 most influential people in healthcare (mary brainerd) minnesota physician top 100 leaders in health care (mary brainerd, dr. Brian rank, dr. Steve connelly, megan remark) minnesota business magazine leaders in health care awards (dr. Drew zinkel) centers for medicare and medicaid services cms 5 star rating (medicare plans) association of community cancer centers innovator award (frauenshuh cancer center) becker's hospital review 130 women hospital and health system leaders to know (mary brainerd)”

“Presenting cash postions that were characterized as overnight to investments due to timing.”

“Equity transfer to an affiliated organization -9,500,000. Fasb 158 pension adjustment -137,783. Fasb 158 post retirement adjustment 600,012.”