Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
990 • Fiscal year 2013 • EIN 41-1796007
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
65th percentile
Higher debt load relative to assets than 65% of similar nonprofits.
Liabilities / Revenue
29th percentile
Higher debt load relative to revenue than 29% of similar nonprofits.
Net Margin
18th percentile
Higher net margin than 18% of similar nonprofits.
Top Officer Pay
91st percentile
Higher top officer pay than 91% of similar nonprofits.
Top officer pay equals 1.6% of source-year revenue.
Asset Growth
2nd percentile
Faster asset growth than 2% of similar nonprofits.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Assets
Down$14,751,956
Down $4,749,931 (-24%) from 2012
Net Assets
Down$7,785,341
Down $2,694,798 (-26%) from 2012
Liabilities
Down$6,966,615
Down $2,055,133 (-23%) from 2012
Revenue
$60,421,353
No earlier filing loaded for comparison.
Expenses
Down$63,083,152
Down $1,873,957 (-2.9%) from 2012
Net Income
-$2,661,799
No earlier filing loaded for comparison.
The mission of preferredone community health plan (pchp) is to make available to the residents of the state of minnesota comprehensive health maintenance services that are accessible, acceptable, and delivered in a manner congruent with the economic and social needs of the community. The health plan will advocate for improvements in the delivery, quality and coverage of health care services and pursue health care programs to meet community needs.
See schedule o for organization mission statement.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $13,048,136 | $10,889,421 | ▼ $2,158,715 |
| Savings and Temporary Cash Investments | $2,317,547 | $2,545,668 | ▲ $228,121 |
| Accounts Receivable | $3,436,612 | $1,225,652 | ▼ $2,210,960 |
| Cash and Non-Interest-Bearing Accounts | $589,897 | - | - |
| Prepaid Expenses and Deferred Charges | $40,120 | $28,708 | ▼ $11,412 |
| Total Assets | $19,501,887 | $14,751,956 | ▼ $4,749,931 |
| Other Assets Total | $69,575 | $62,507 | ▼ $7,068 |
| Liabilities | |||
| Other Liabilities | $6,796,206 | $4,431,789 | ▼ $2,364,417 |
| Accounts Payable and Accrued Expenses | $924,591 | $1,329,638 | ▲ $405,047 |
| Deferred Revenue | $1,300,951 | $1,205,188 | ▼ $95,763 |
| Total Liabilities | $9,021,748 | $6,966,615 | ▼ $2,055,133 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $10,480,139 | $7,785,341 | ▼ $2,694,798 |
| Total Net Assets Fund Balance | $10,480,139 | $7,785,341 | ▼ $2,694,798 |
| Total Liabilities and Net Assets / Fund Balance | $19,501,887 | $14,751,956 | ▼ $4,749,931 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Securities | $989,192 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Marcus a Merz | President | PT | $64,520 | $69,605 | $134,125 |
| Michael S Umland | Treasurer | PT | $52,344 | $38,419 | $90,763 |
| Paul D Geiwitz | Exec VP/chief Marketing Officer | PT | $47,794 | $41,490 | $89,284 |
| Darcee a Weber | VP, Network Management | PT | $45,816 | $36,380 | $82,196 |
| Joseph M Pupkes | VP, Uw & Product Development | PT | $30,892 | $26,018 | $56,910 |
| Debra Jr Shoemaker | Secretary | PT | $26,834 | $21,619 | $48,453 |
| John P Frederick Md | Exec VP/chief Medical Officer | - | $27,526 | $19,445 | $46,971 |
| Renee M Ambrosia | VP, Account Management | PT | $22,041 | $20,123 | $42,164 |
| Mary Miller | VP Integrated Healthcare Services | PT | $22,240 | $16,016 | $38,256 |
| Robert J Gadola | VP Operations/hipaa Privacy Officer | - | $20,331 | $17,185 | $37,516 |
| John M Hofflander | Sr VP, Is & CIO and Security Officer | - | $19,592 | $16,347 | $35,939 |
| Patricia L Rissinger | VP, Business Systems | - | $13,300 | $11,266 | $24,566 |
| Ann M Nowak | Chair | - | $3,500 | - | $3,500 |
| Susan C Niccum | Director | - | $3,150 | - | $3,150 |
| Deborah M Gephart | Director (resigned June 2013) | - | $2,100 | - | $2,100 |
| Debra M Sylvester | Director (resigned June 2013) | - | $1,750 | - | $1,750 |
| John E Schuette | Director | - | $1,050 | - | $1,050 |
| Betty F Fedde | Vice Chair | - | $700 | - | $700 |
| Name | Title |
|---|---|
| Daniel M Fromm | Director |
| Donald L Deye | Director |
| James K Croston Md | Director |
| Mark E Hansberry | Director |
| Steven E Prawer Md | Director |
| Tiffany H Zitzewitz | Director |
| Line Item | Amount |
|---|---|
| Other Expenses | $62,625,364 |
| Salaries, Compensation, and Employee Benefits | $457,788 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Expenses | $5,506,970 | - | - | $5,506,970 |
| All Other Expenses | - | $2,918,800 | - | $2,918,800 |
| Fees for Services Management | - | $2,667,397 | - | $2,667,397 |
| Fees for Services Other | - | $2,103,363 | - | $2,103,363 |
| Current Officers, Directors, Trustees, and Key Employees | - | $457,788 | - | $457,788 |
| Insurance | - | $68,829 | - | $68,829 |
| Fees for Services Accounting | - | $40,102 | - | $40,102 |
| Total Functional Expenses | $54,826,873 | $8,256,279 | $0 | $63,083,152 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $63,083,152 |
| Expenses per Audited Statements | $63,026,968 |
| Total Expenses per Audited Statements | $63,026,968 |
| Expenses Not Reported on Financial Statements | $56,184 |
| Other Expense Adjustments | $56,184 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Claims Payable | $4,234,875 |
| Due to Affiliates | $135,768 |
| Due to Providers | $61,146 |
“Members consists of the participants on the board of directors. The board of directors consists of: contributing members, composed of employees of provider owners that have contributed capital to preferredone community health plan; non-contributing members, composed of individuals of preferredone physicians association, which are practicing physicians;and enrollee directors, which are employees of employer groups that have purchased health insurance coverage or health administrative services through pchp or its affiliates.”
“Members consists of the participants on the board of directors. The board of directors consists of: contributing members, composed of employees of provider owners that have contributed capital to preferredone community health plan; non-contributing members, composed of individuals of preferredone physicians association, which are practicing physicians;and enrollee directors, which are employees of employer groups that have purchased health insurance coverage or health administrative services through pchp or its affiliates. The two contributing members appoint (and fill vacancies of)up to 4 directors respectively. The non-contributing member may appoint (and fill vacancies of) up to 2 directors. Vacancies that arise with respect to enrolee directors are filled by majority vote of other enrollee directors for the remainder of the unexpired term.”
“The manager of accounting completes form 990. The director of accounting, cfo, and board review form 990 prior to filing with the irs.”
“Annually board of directors update conflict of interest statements.”
“Preferredone administrative services (pas), the common paymaster of pchp, has a compensation committee consisting of the ceo and members of the board of directors of pas that meet annually to review compensation of pchp officers. Every three years this compensation review process involves an outside compensation consultant that conducts industry comparison analysis and other compensation comparisons.”
“Annual statutory filings are available on the state of mn website. Tri-annual audits by the mn department of commerce are also available.”
“The mission of preferredone community health plan (pchp) is to make available to the residents of the state of minnesota comprehensive health maintenance services that are accessible, acceptable, and delivered in a manner congruent with the economic and social needs of the community. The health plan will advocate for improvements in the delivery, quality and coverage of health care services and pursue health care programs to meet community needs.”
“Our accreditation status was awarded after rigorous evaluation by ncqa of all aspects of our plan, including preventive health services, member satisfaction, physician credentialing and quality improvement.”
“Pchp has reviewed its tax positions for all open tax years and has concluded that the adoption of fin48 did not affect its financial statement presentation.”
“Investment expenses reclassed to expense -56,184. Change in unrealized gains/losses on trading securities 162,518.”
“Investment expenses reclassed to expense 56,184.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 924591 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1329638 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3436612 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1225652 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT. |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 2918800 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 2918800 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1 | 0 | MICHAEL S UMLAND |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7638473204 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1 | 0 | 6105 GOLDEN HILLS DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/City | 0 | GOLDEN VALLEY |
| IRS990/BooksInCareOfDetail/USAddress/State | 0 | MN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCode | 0 | 55416 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 589897 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 457788 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 457788 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 730363 |
| IRS990/CYOtherExpensesAmt | 0 | 62625364 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 59690990 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2661799 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 457788 |
| IRS990/CYTotalExpensesAmt | 0 | 63083152 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 60421353 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1300951 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1205188 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | PREFERREDONE COMMUNITY HEALTH PLAN SHALL PROVIDE, EITHER DIRECTLY OR THROUGH ARRANGEMENTS WITH HEALTH CARE PROVIDERS, COMPREHENSIVE HEALTH SERVICES, OR ARRANGE FOR THE PROVISION OF SUCH SERVICES, FOR THE PEOPLE IN ITS SERVICE AREA ON THE BASIS OF A FIXED PREPAID SUM WITHOUT REGARD TO THE FREQUENCY OR EXTENT OF SERVICES FURNISHED.THE MISSION OF THE QUALITY MANAGEMENT (QM) PROGRAM IS TO IDENTIFY AND ACT ON OPPORTUNITIES THAT IMPROVE THE QUALITY, SAFETY AND VALUE OF CARE PROVIDED TO PREFERREDONE MEMBERS, BOTH INDEPENDENTLY AND/OR COLLABORATIVELY, WITH CONTRACTED PRACTITIONERS AND COMMUNITY EFFORTS, AND ALSO IMPROVE SERVICE PROVIDED TO PREFERREDONE MEMBERS AND OTHER CUSTOMERS. AS PART OF THE ORGANIZATION'S MISSION PREFERREDONE WILL ADVOCATE FOR IMPROVEMENTS IN THE DELIVERY, QUALITY AND COVERAGE OF HEALTH CARE SERVICES AND PURSUE HEALTH CARE PROGRAMS TO MEET COMMUNITY NEEDS.IN 2013, PREFERREDONE COMMUNITY HEALTH PLAN MAINTAINED AN ACCREDITATION STATUS OF COMMENDABLE FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), A PRIVATE, NONPROFIT ORGANIZATION THAT EVALUATES AND REPORTS ON HEALTH CARE QUALITY. NCQA ACCREDITATION RECOGNIZES THE COMMITMENT OF OUR ORGANIZATION TO PROVIDE QUALITY HEALTH CARE TO OUR MEMBERS AND DEMONSTRATES THAT WE HAVE INCORPORATED QUALITY IMPROVEMENTS INTO THE FABRIC OF OUR BUSINESS. OUR ACCREDITATION STATUS WAS AWARDED AFTER RIGOROUS EVALUATION BY NCQA OF ALL ASPECTS OF OUR PLAN, INCLUDING PREVENTIVE HEALTH SERVICES, MEMBER SATISFACTION, PHYSICIAN CREDENTIALING AND QUALITY IMPROVEMENT. |
| IRS990/DescribedInSection501c3Ind | 0 | 0 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 54826873 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 40102 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 40102 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 2667397 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 2667397 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 2103363 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2103363 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 34.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 35.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 36.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 34.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 34.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 34.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 36.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 34.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 3.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 3.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 5.20 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 64787 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 46884 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 42741 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 42542 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 42841 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 42274 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 49282 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 39731 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 45249 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 32262 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 30721 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 31925 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ANN M NOWAK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | BETTY F FEDDE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DEBORAH M GEPHART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MARK E HANSBERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JOHN E SCHUETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SUSAN C NICCUM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DONALD L DEYE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JAMES K CROSTON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DEBRA M SYLVESTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DANIEL M FROMM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TIFFANY H ZITZEWITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | STEVEN E PRAWER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MARCUS A MERZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MICHAEL S UMLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DEBRA JR SHOEMAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JOHN M HOFFLANDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ROBERT J GADOLA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | JOHN P FREDERICK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | PAUL D GEIWITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | DARCEE A WEBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JOSEPH M PUPKES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | RENEE M AMBROSIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | PATRICIA L RISSINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MARY MILLER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 3500 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 2100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 1050 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 3150 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 1750 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR (RESIGNED JUNE 2013) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR (RESIGNED JUNE 2013) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | SR VP, IS & CIO AND SECURITY OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP OPERATIONS/HIPAA PRIVACY OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | EXEC VP/CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | EXEC VP/CHIEF MARKETING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | VP, NETWORK MANAGEMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | VP, UW & PRODUCT DEVELOPMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | VP, ACCOUNT MANAGEMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | VP, BUSINESS SYSTEMS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | VP INTEGRATED HEALTHCARE SERVICES |
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| IRS990/MissionDesc | 0 | THE MISSION OF PREFERREDONE COMMUNITY HEALTH PLAN (PCHP) IS TO MAKE AVAILABLE TO THE RESIDENTS OF THE STATE OF MINNESOTA COMPREHENSIVE HEALTH MAINTENANCE SERVICES THAT ARE ACCESSIBLE, ACCEPTABLE, AND DELIVERED IN A MANNER CONGRUENT WITH THE ECONOMIC AND SOCIAL NEEDS OF THE COMMUNITY. THE HEALTH PLAN WILL ADVOCATE FOR IMPROVEMENTS IN THE DELIVERY, QUALITY AND COVERAGE OF HEALTH CARE SERVICES AND PURSUE HEALTH CARE PROGRAMS TO MEET COMMUNITY NEEDS. |
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| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PREMIUM REVENUE |
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| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | PARTICIPATION IN COLLABORATIVE AND COMMUNITY PROJECTSPREFERREDONE TAKES PRIDE IN BEING DIRECTLY INVOLVED IN COMMUNITY ACTIVITIES THAT IMPACT OUR MEMBERS IN THE COMMUNITIES THEY LIVE AND WORK. IN AN EFFORT TO CREATE CONSISTENCY AMONG PROVIDER NETWORKS IN OUR COMMUNITY AND IMPROVE THE DELIVERY OF HEALTH CARE TO OUR MEMBERS PREFERREDONE PARTICIPATES IN SEVERAL COLLABORATIVE ACTIVITIES:1) MINNESOTA COMMUNITY MEASUREMENT (MCM) IS A COLLABORATION AMONG HEALTH PLANS AND PROVIDER GROUPS DESIGNED TO IMPROVE THE QUALITY OF MEDICAL CARE IN MINNESOTA. MCM IMPROVES CARE BY:- REPORTING THE RESULTS OF HEALTH CARE QUALITY IMPROVEMENT EFFORTS IN A FAIR AND RELIABLE WAY TO MEDICAL GROUPS, REGULATORS, PURCHASERS AND CONSUMERS.- PROVIDING RESOURCES TO PROVIDERS AND CONSUMERS TO IMPROVE CARE.- INCREASING THE EFFICIENCIES OF HEALTH CARE REPORTING IN ORDER TO USE OUR HEALTH CARE DOLLARS WISELY.PREFERREDONE IS ONE OF SEVEN HEALTH PLAN FOUNDING MEMBERS OF MINNESOTA COMMUNITY MEASUREMENT. THE STATE MEDICAL ASSOCIATION, PARTICIPATING MEDICAL GROUPS, CONSUMERS, BUSINESSES AND HEALTH PLANS ARE ALL REPRESENTED ON THE ORGANIZATION'S BOARD OF DIRECTORS. DATA IS SUPPLIED BY PARTICIPATING HEALTH PLANS ON AN ANNUAL BASIS FOR USE IN DEVELOPING THEIR ANNUAL HEALTH CARE QUALITY REPORT.2) MINNESOTA COUNCIL OF HEALTH PLANS (MCHP) IS A NON-PROFIT TRADE ASSOCIATION REPRESENTING MINNESOTA HEALTH PLAN ORGANIZATIONS. THE COUNCIL PROMOTES THE DELIVERY OF HIGH-QUALITY, AFFORDABLE HEALTH CARE. HEALTH PLAN MEMBERS ARE ACTIVE IN THE AREAS OF HEALTH CARE REFORM, RESEARCH-BASED GUIDELINE DEVELOPMENT, COMMUNITY HEALTH AND PREVENTION, MEDICAL TECHNOLOGY ASSESSMENT AND HEALTH CARE QUALITY DATA COLLECTION.PREFERREDONE STAFF MEMBERS SERVE ON VARIOUS COMMITTEES THROUGH THE MCHP INCLUDING COMMUNITY HEALTH, COMMUNICATIONS, HEALTH POLICY, QUALITY AND MEDICAL ISSUES.3) BRIDGES TO EXCELLENCE IS A COLLABORATION OF HEALTH PLANS, PROVIDERS AND EMPLOYERS COMMITTED TO IDENTIFYING AND REWARDING HIGH QUALITY HEALTHCARE PROVIDERS. SEVERAL PREFERREDONE STAFF, INCLUDING THE CMO, ARE ACTIVELY INVOLVED IN THIS COMMUNITY COLLABORATION. |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | ORGANIZATIONAL SUPPORT FOR EMPLOYEE VOLUNTEER EVENTSPREFERREDONE SUPPORTS COMMUNITY INVOLVEMENT THROUGHOUT THE ORGANIZATION. EVENTS ARE EMPLOYEE-DRIVEN, WITH THE ORGANIZATION ENABLING OR PROVIDING EMPLOYEE TIME AND/OR FINANCIAL SUPPORT TO ENCOURAGE VOLUNTEERISM. EXAMPLES INCLUDE:- ADOPT-A-FAMILY (PREFERREDONE EMPLOYEES SPONSOR FAMILIES DURING THE HOLIDAY SEASON)- UNITED WAY- ON-SITE BLOOD DRIVES- COLLECTION OF SCHOOL SUPPLIES TO BENEFIT STEP (ST. LOUIS PARK EMERGENCY PROGRAM)- TOYS FOR TOTS |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | OTHER CONDITION-SPECIFIC EDUCATION AND SUPPORT PROGRAMS:ACCORDANT - PREFERREDONE HAS AN AGREEMENT IN PLACE WITH ACCORDANT HEALTH SERVICES TO OFFER DISEASE MANAGEMENT SERVICES DESIGNED TO IMPROVE MEMBER OUTCOMES. ACCORDANTCARE FOCUSES ON PROVIDING DISEASE AND CASE MANAGEMENT SERVICES TO MEMBERS WHO SUFFER FROM CHRONIC, PROGRESSIVE CONDITIONS. ACCORDANT HAS A UNIQUE PATIENT CARE MODEL THAT MINIMIZES THE OCCURRENCE OF COSTLY MEDICAL EVENTS AND CAN ACHIEVE REDUCTIONS IN HOSPITAL, HOME HEALTH, SPECIALTY PHARMACY AND PHYSICIAN VISIT COSTS.CHRONIC ILLNESS MANAGEMENT - PCHP HAS IMPLEMENTED A CHRONIC ILLNESS MANAGEMENT PROGRAM AVAILABLE TO MEMBERS WHO LIVE WITH VARIOUS CHRONIC CONDITIONS. THE GOALS OF THE CHRONIC ILLNESS MANAGEMENT PROGRAM ARE TO PROMOTE SELF-MANAGEMENT OF CHRONIC CONDITIONS, IMPROVE ADHERENCE TO TREATMENT PLANS WITH AN EMPHASIS ON MEDICATION THERAPY, REDUCE OR DELAY DISEASE PROGRESSION AND COMPLICATIONS, REDUCE HOSPITALIZATIONS AND EMERGENCY ROOM VISITS, AND IMPROVE QUALITY OF LIFE.ACCOMPLISHING THESE GOALS WILL ULTIMATELY LEAD TO SIGNIFICANT COST SAVINGS FOR THE MEMBER AND THE HEALTH PLAN.PREFERREDONE IDENTIFIES ELIGIBLE MEMBERS AND CONTACTS THEM WITH AN INVITATION TO PARTICIPATE IN THE PROGRAM. ENROLLED MEMBERS RECEIVE TELEPHONIC, PRINT AND ELECTRONIC INFORMATION SPECIFIC TO THEIR CONDITION FROM A NURSE. MEMBERS ALSO HAVE ACCESS TO THEIR NURSE TO ANSWER QUESTIONS AND CONCERNS THAT MAY DEVELOP IN BETWEEN SCHEDULED CALLS.TREATMENT DECISION SUPPORT - THE PREFERREDONE TREATMENT DECISION SUPPORT PROGRAM TARGETS TWO SPECIFIC CONDITIONS, LOW BACK PAIN AND PREGNANCY, THAT HAVE BEEN IDENTIFIED BASED ON THEIR PREVALENCE AND COST PER EPISODE. THE PROGRAM ENCOURAGES MEMBERS TO ACTIVELY ENGAGE IN TREATMENT DECISIONS OF THEIR CONDITIONS BY PROVIDING THEM INFORMATION ABOUT THEIR MEDICAL CONDITIONS, POSSIBLE TREATMENT OPTIONS THAT A MEMBER COULD DISCUSS WITH THEIR HEALTH CARE PROVIDER(S) AND THE CLINICAL AND COST RAMIFICATIONS OF THEIR TREATMENT CHOICES. MEMBERS ARE IDENTIFIED FOR THE TREATMENT DECISION SUPPORT PROGRAM BY BOTH MEMBER AND CLAIM INITIATED METHODS. SPECIALIZED NURSES THEN FOCUS ON GETTING MEMBERS TO ENGAGE IN THEIR CARE AND MAKING FULLY-INFORMED DECISIONS BASED ON THEIR PERSONAL VALUES AND NEEDS. THEY USE COMPREHENSIVE ASSESSMENT TOOLS TO EVALUATE BEHAVIORAL HEALTH, SOCIO-ECONOMIC, PSYCHOLOGICAL AND PHYSIOLOGIC ATTRIBUTES. NURSES MATCH THE CONSUMER'S PREFERENCE AND NEED TO AN APPROPRIATE TREATMENT OPTIONS AND THEN GUIDE THEM TO EITHER PREFERREDONE NETWORK PROVIDERS OR PROGRAMS RECOGNIZED IN THEIR FIELD BASED ON OUTCOMES AND QUALITY MEASURES.ALERE SMOKING CESSATION PROGRAM - PREFERREDONE CONTRACTS THROUGH ALERE WELLBEING FOR THE QUIT-SMOKING PROGRAM (FORMERLY FREE & CLEAR). THIS PROGRAM USES INBOUND AND OUTBOUND TELEPHONE SUPPORT TO SYSTEMATICALLY MOVE PARTICIPANTS TOWARD A SUCCESSFUL QUIT. ALERE WELLBEING IS A SYSTEMATIC SCIENTIFIC EVIDENCE BASED BEHAVIOR CHANGE PROGRAM THAT HELPS TOBACCO USERS QUIT. CLINICAL TRIAL RESULTS INDICATE THAT TELEPHONE COUNSELING, ALONG WITH SELF-HELP MATERIALS, INCREASES QUIT RATES. NATIONALLY TWELVE-MONTH QUIT RATES FOR THE PROGRAM IS 48.1%. HEALTH RISK ASSESSMENT (HRA) - PREFERREDONE OFFERS A HRA THROUGH WELLSOURCE HEALTH ASSESSMENT TO ALL PCHP AND PAS MEMBERS AND THEIR DEPENDANTS. THE HRA IS ACCESSED ONLINE THROUGH THE PREFERREDONE MEMBER WEBSITE (WWW.PREFERREDONE.COM). THERE IS NO COST TO THE EMPLOYEE AND THEIR EMPLOYER FOR COMPLETING THE HRA UNLESS THE REPORTING AND HEALTH COACHING PACKAGE IS PURCHASED BY THE EMPLOYER GROUP. PREFERREDONE ENCOURAGES MEMBERS TO PRINT THEIR INDIVIDUAL RESULTS AND SHARE THEM WITH THEIR PHYSICIAN IF THEY DESIRE ADVICE OR DIRECTION TO IMPROVE THEIR LIFESTYLE.PATIENT SAFETY - PREFERREDONE DEMONSTRATES A COMMITMENT TO PATIENT SAFETY BY INCORPORATING SAFETY INTO EXISTING QM ACTIVITIES AND TAKING PATIENT SAFETY INTO CONSIDERATION WHEN EXAMINING TRENDS AND DATA FOR POSSIBLE QUALITY IMPROVEMENT ACTIVITIES. PREFERREDONE ALWAYS IMPLEMENTS PROCESSES WITH OVERALL PAT |
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| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | CLAIMS PAYABLE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | DUE TO PROVIDERS |
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| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | CORP DEBT SECURITIES |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 1 | CERTIFICATE OF DEPOSITS |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 2 | U.S. GOVT OBLIGATIONS |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 3 | ASSET BACKED SECURITIES |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 4 | MUNICIPAL BONDS |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 5 | EQUITY MUTUAL FUNDS |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 6 | CORP EQUITY SECURITIES |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 7 | STATUTORY DEPOSIT |
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Displayed year
2013 • Form 990Detailed filing. Detailed filing data is available for this year.