Civic Intelligence

Preferredone Community Health Plan

990 • Fiscal year 2013 • EIN 41-1796007

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 21, 2014

6105 Golden Hills Drive55416

(763) 847-3204

Siviq Scores

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

Liabilities / Assets

65th percentile

0.47x

Higher debt load relative to assets than 65% of similar nonprofits.

2013 filings • $50M-$100M nonprofits • Source year 2013

Liabilities / Revenue

29th percentile

0.12x

Higher debt load relative to revenue than 29% of similar nonprofits.

2013 filings • $50M-$100M nonprofits • Source year 2013

Net Margin

18th percentile

-4.4%

Higher net margin than 18% of similar nonprofits.

2013 filings • $50M-$100M nonprofits • Source year 2013

Top Officer Pay

91st percentile

$958,041

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

2013 filings • $50M-$100M nonprofits • Source year 2013

Asset Growth

2nd percentile

-24%

Faster asset growth than 2% of similar nonprofits.

2013 filings • $50M-$100M 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

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.

Historical Trend

Balance Sheet Trend

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

$40M$30M$20M$10M$0Assets 2010: $30,772,746Liabilities 2010: $18,557,275Net Assets 2010: $12,215,4712010Assets 2011: $22,484,115Liabilities 2011: $11,537,652Net Assets 2011: $10,946,4632011Assets 2012: $19,501,887Liabilities 2012: $9,021,748Net Assets 2012: $10,480,1392012Assets 2013: $14,751,956Liabilities 2013: $6,966,615Net Assets 2013: $7,785,3412013Assets 2014: $11,945,997Liabilities 2014: $6,992,322Net Assets 2014: $4,953,6752014Assets 2015: $7,973,848Liabilities 2015: $4,573,800Net Assets 2015: $3,400,0482015Assets 2016: $4,860,454Liabilities 2016: $1,259,795Net Assets 2016: $3,600,6592016Assets 2017: $3,824,320Liabilities 2017: $2,325,426Net Assets 2017: $1,498,8942017Assets 2018: $3,517,621Liabilities 2018: $2,328,165Net Assets 2018: $1,189,4562018Assets 2019: $3,420,023Liabilities 2019: $1,935,760Net Assets 2019: $1,484,2632019Assets 2020: $3,784,365Liabilities 2020: $1,835,347Net Assets 2020: $1,949,0182020Assets 2021: $2,826,703Liabilities 2021: $1,584,951Net Assets 2021: $1,241,7522021Assets 2022: $2,579,868Liabilities 2022: $1,478,433Net Assets 2022: $1,101,4352022Assets 2023: $2,802,952Liabilities 2023: $0Net Assets 2023: $2,802,9522023Assets 2024: $2,880,581Liabilities 2024: $21,496Net Assets 2024: $2,859,0852024

Highlighted filing

2013

Assets$14,751,956
Liabilities$6,966,615
Net Assets$7,785,341

Operations Trend

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

$150M$100M$50M$0-$50MExpenses 2010: $140,111,5412010Expenses 2011: $104,517,4192011Expenses 2012: $64,957,1092012Revenue 2013: $60,421,353Expenses 2013: $63,083,152Net Income 2013: -$2,661,7992013Revenue 2014: $57,658,770Expenses 2014: $60,507,330Net Income 2014: -$2,848,5602014Revenue 2015: $27,684,469Expenses 2015: $28,619,455Net Income 2015: -$934,9862015Revenue 2016: $10,787,096Expenses 2016: $10,665,700Net Income 2016: $121,3962016Revenue 2017: $3,754,474Expenses 2017: $4,296,909Net Income 2017: -$542,4352017Revenue 2018: $2,784,797Expenses 2018: $3,059,141Net Income 2018: -$274,3442018Revenue 2019: $2,494,368Expenses 2019: $2,250,300Net Income 2019: $244,0682019Revenue 2020: $2,161,138Expenses 2020: $1,732,957Net Income 2020: $428,1812020Revenue 2021: $1,188,255Expenses 2021: $1,850,335Net Income 2021: -$662,0802021Revenue 2022: $20,471Expenses 2022: $78,912Net Income 2022: -$58,4412022Revenue 2023: $27,728Expenses 2023: $6,329Net Income 2023: $21,3992023Revenue 2024: $86,170Expenses 2024: $52,937Net Income 2024: $33,2332024

Highlighted filing

2013

Revenue$60,421,353
Expenses$63,083,152
Net Income-$2,661,799
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 21, 2014
Return Version
2013v3.0
Gross Receipts
$66,216,575
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
Other Securities$989,192--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Marcus a MerzPresidentPT$64,520$69,605$134,125
Michael S UmlandTreasurerPT$52,344$38,419$90,763
Paul D GeiwitzExec VP/chief Marketing OfficerPT$47,794$41,490$89,284
Darcee a WeberVP, Network ManagementPT$45,816$36,380$82,196
Joseph M PupkesVP, Uw & Product DevelopmentPT$30,892$26,018$56,910
Debra Jr ShoemakerSecretaryPT$26,834$21,619$48,453
John P Frederick MdExec VP/chief Medical Officer-$27,526$19,445$46,971
Renee M AmbrosiaVP, Account ManagementPT$22,041$20,123$42,164
Mary MillerVP Integrated Healthcare ServicesPT$22,240$16,016$38,256
Robert J GadolaVP Operations/hipaa Privacy Officer-$20,331$17,185$37,516
John M HofflanderSr VP, Is & CIO and Security Officer-$19,592$16,347$35,939
Patricia L RissingerVP, Business Systems-$13,300$11,266$24,566
Ann M NowakChair-$3,500-$3,500
Susan C NiccumDirector-$3,150-$3,150
Deborah M GephartDirector (resigned June 2013)-$2,100-$2,100
Debra M SylvesterDirector (resigned June 2013)-$1,750-$1,750
John E SchuetteDirector-$1,050-$1,050
Betty F FeddeVice Chair-$700-$700

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$59,690,990
Investment Income
$730,363
Other Revenue
$0
Change in Net Assets
$-2,661,799

Audited Revenue Reconciliation

Revenue per Audited Statements
$60,421,353
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$106,334
Total Revenue per Audited Statements
$60,527,687
Total Revenue per Form 990
$60,421,353
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
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
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Claims Payable$4,234,875
Due to Affiliates$135,768
Due to Providers$61,146
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

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.

Form 990, Part VI, Section A, Line 7A

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.

Form 990, Part VI, Section B, Line 11

The manager of accounting completes form 990. The director of accounting, cfo, and board review form 990 prior to filing with the irs.

Form 990, Part VI, Section B, Line 12C

Annually board of directors update conflict of interest statements.

Form 990, Part VI, Section B, Line 15

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.

Form 990, Part VI, Section C, Line 19

Annual statutory filings are available on the state of mn website. Tri-annual audits by the mn department of commerce are also available.

Filing and Contact Details

Filer

EIN
41-1796007
Phone
7638473204

Signing Officer

Name
Marcus Merz
Title
President
Phone
7638473204
Signed
2014-10-21
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Marcus Merz
Formed
1994
Legal Domicile
Mn
Voting Board Members
10
Independent Board Members
8
Employees
0
Volunteers
0

Preparer

Preparer
Todd a Jackson
Phone
6123324300
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1

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.

Form 990, Part III, Line 1

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.

Financial Statement Notes

PART X, LINE 2:

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.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Investment expenses reclassed to expense -56,184. Change in unrealized gains/losses on trading securities 162,518.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Investment expenses reclassed to expense 56,184.

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IRS990/Desc0PREFERREDONE 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.
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IRS990/Form990PartVIISectionAGrp/PersonNm5SUSAN C NICCUM
IRS990/Form990PartVIISectionAGrp/PersonNm6DONALD L DEYE
IRS990/Form990PartVIISectionAGrp/PersonNm7JAMES K CROSTON MD
IRS990/Form990PartVIISectionAGrp/PersonNm8DEBRA M SYLVESTER
IRS990/Form990PartVIISectionAGrp/PersonNm9DANIEL M FROMM
IRS990/Form990PartVIISectionAGrp/PersonNm10TIFFANY H ZITZEWITZ
IRS990/Form990PartVIISectionAGrp/PersonNm11STEVEN E PRAWER MD
IRS990/Form990PartVIISectionAGrp/PersonNm12MARCUS A MERZ
IRS990/Form990PartVIISectionAGrp/PersonNm13MICHAEL S UMLAND
IRS990/Form990PartVIISectionAGrp/PersonNm14DEBRA JR SHOEMAKER
IRS990/Form990PartVIISectionAGrp/PersonNm15JOHN M HOFFLANDER
IRS990/Form990PartVIISectionAGrp/PersonNm16ROBERT J GADOLA
IRS990/Form990PartVIISectionAGrp/PersonNm17JOHN P FREDERICK MD
IRS990/Form990PartVIISectionAGrp/PersonNm18PAUL D GEIWITZ
IRS990/Form990PartVIISectionAGrp/PersonNm19DARCEE A WEBER
IRS990/Form990PartVIISectionAGrp/PersonNm20JOSEPH M PUPKES
IRS990/Form990PartVIISectionAGrp/PersonNm21RENEE M AMBROSIA
IRS990/Form990PartVIISectionAGrp/PersonNm22PATRICIA L RISSINGER
IRS990/Form990PartVIISectionAGrp/PersonNm23MARY MILLER
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR (RESIGNED JUNE 2013)
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR (RESIGNED JUNE 2013)
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt13TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt14SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt15SR VP, IS & CIO AND SECURITY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt16VP OPERATIONS/HIPAA PRIVACY OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17EXEC VP/CHIEF MEDICAL OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt18EXEC VP/CHIEF MARKETING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP, NETWORK MANAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt20VP, UW & PRODUCT DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt21VP, ACCOUNT MANAGEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt22VP, BUSINESS SYSTEMS
IRS990/Form990PartVIISectionAGrp/TitleTxt23VP INTEGRATED HEALTHCARE SERVICES
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IRS990/MissionDesc0THE 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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetAssetsOrFundBalancesEOYAmt07785341
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IRS990/OtherExpensesGrp/Desc0PROFESSIONAL
IRS990/OtherExpensesGrp/Desc1HOSPITAL
IRS990/OtherExpensesGrp/Desc2PHARMACY
IRS990/OtherExpensesGrp/Desc3MENTAL HEALTH AND OTHER
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IRS990/PrincipalOfficerNm0MARCUS MERZ
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0524114
IRS990/ProgramServiceRevenueGrp/Desc0PREMIUM REVENUE
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IRS990/ProgSrvcAccomActy2Grp/Desc0PARTICIPATION 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/Desc0ORGANIZATIONAL 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/Desc0OTHER 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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IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1CLAIMS PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2DUE TO PROVIDERS
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IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt12174259
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt21764875
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt3382518
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt4524946
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt5779763
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt61545472
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt7989192
IRS990ScheduleD/OtherSecuritiesGrp/Desc0CORP DEBT SECURITIES
IRS990ScheduleD/OtherSecuritiesGrp/Desc1CERTIFICATE OF DEPOSITS
IRS990ScheduleD/OtherSecuritiesGrp/Desc2U.S. GOVT OBLIGATIONS
IRS990ScheduleD/OtherSecuritiesGrp/Desc3ASSET BACKED SECURITIES
IRS990ScheduleD/OtherSecuritiesGrp/Desc4MUNICIPAL BONDS
IRS990ScheduleD/OtherSecuritiesGrp/Desc5EQUITY MUTUAL FUNDS
IRS990ScheduleD/OtherSecuritiesGrp/Desc6CORP EQUITY SECURITIES
IRS990ScheduleD/OtherSecuritiesGrp/Desc7STATUTORY DEPOSIT
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd1F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd2F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd3F
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd4F

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.88$0.02$2.86$0.09$0.05$0.03
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.80$0.00$2.80$0.03$0.01$0.02
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.58$1.48$1.10$0.02$0.08$0.06
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.83$1.58$1.24$1.19$1.85$0.66
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.78$1.84$1.95$2.16$1.73$0.43
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.42$1.94$1.48$2.49$2.25$0.24
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.52$2.33$1.19$2.78$3.06$0.27
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.82$2.33$1.50$3.75$4.30$0.54
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.86$1.26$3.60$10.8$10.7$0.12
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.97$4.57$3.40$27.7$28.6$0.93
2014Detailed filing. Detailed filing data is available for this year.$11.9$6.99$4.95$57.7$60.5$2.85
2013Detailed filing. Detailed filing data is available for this year.$14.8$6.97$7.79$60.4$63.1$2.66
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.5$9.02$10.5$65.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.5$11.5$10.9$105
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.8$18.6$12.2$140