Liabilities / Assets
74th percentile
Higher debt load relative to assets than 74% of similar nonprofits.
990 • Fiscal year 2014 • EIN 41-1796007
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
74th percentile
Higher debt load relative to assets than 74% of similar nonprofits.
Liabilities / Revenue
28th percentile
Higher debt load relative to revenue than 28% of similar nonprofits.
Net Margin
17th percentile
Higher net margin than 17% of similar nonprofits.
Top Officer Pay
87th percentile
Higher top officer pay than 87% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
3rd percentile
Faster asset growth than 3% of similar nonprofits.
Revenue Growth
24th percentile
Faster revenue growth than 24% of similar nonprofits.
Assets
Down$11,945,997
Down $2,805,959 (-19%) from 2013
Net Assets
Down$4,953,675
Down $2,831,666 (-36%) from 2013
Liabilities
Up$6,992,322
Up $25,707 (+0.4%) from 2013
Revenue
Down$57,658,770
Down $2,762,583 (-4.6%) from 2013
Expenses
Down$60,507,330
Down $2,575,822 (-4.1%) from 2013
Net Income
Down-$2,848,560
Down $186,761 (-7.0%) from 2013
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 | $10,889,421 | $9,719,987 | ▼ $1,169,434 |
| Accounts Receivable | $1,225,652 | $1,533,727 | ▲ $308,075 |
| Cash and Non-Interest-Bearing Accounts | - | $363,870 | - |
| Savings and Temporary Cash Investments | $2,545,668 | $143,809 | ▼ $2,401,859 |
| Prepaid Expenses and Deferred Charges | $28,708 | $24,727 | ▼ $3,981 |
| Total Assets | $14,751,956 | $11,945,997 | ▼ $2,805,959 |
| Other Assets Total | $62,507 | $159,877 | ▲ $97,370 |
| Liabilities | |||
| Other Liabilities | $4,431,789 | $4,733,828 | ▲ $302,039 |
| Accounts Payable and Accrued Expenses | $1,329,638 | $1,585,662 | ▲ $256,024 |
| Deferred Revenue | $1,205,188 | $672,832 | ▼ $532,356 |
| Total Liabilities | $6,966,615 | $6,992,322 | ▲ $25,707 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $7,785,341 | $4,953,675 | ▼ $2,831,666 |
| Total Net Assets Fund Balance | $7,785,341 | $4,953,675 | ▼ $2,831,666 |
| Total Liabilities and Net Assets / Fund Balance | $14,751,956 | $11,945,997 | ▼ $2,805,959 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Securities | $992,741 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Marcus a Merz | President | PT | $74,603 | $30,670 | $105,273 |
| Paul D Geiwitz | Exec VP/chief Marketing Officer | PT | $50,337 | $33,381 | $83,718 |
| Darcee a Weber | VP, Network Management | PT | $46,951 | $25,897 | $72,848 |
| Michael S Umland | Treasurer | PT | $33,560 | $17,227 | $50,787 |
| Joseph M Pupkes | VP, Uw & Product Development | PT | $27,778 | $18,468 | $46,246 |
| Debra Jr Shoemaker | Secretary | PT | $27,973 | $16,257 | $44,230 |
| Renee M Ambrosia | VP, Account Management | PT | $22,805 | $14,837 | $37,642 |
| Mary Miller | VP Integrated Healthcare Services | PT | $23,285 | $14,302 | $37,587 |
| Robert J Gadola | VP Operations/hipaa Privacy Officer | - | $22,640 | $13,080 | $35,720 |
| John M Hofflander | Sr VP, Is & CIO and Security Officer | - | $20,443 | $12,351 | $32,794 |
| John P Frederick Md | Exec VP/chief Medical Officer | - | $17,950 | $8,539 | $26,489 |
| Patricia L Rissinger | VP, Business Systems | - | $14,037 | $8,068 | $22,105 |
| Ann M Nowak | Chair | - | $3,850 | - | $3,850 |
| John E Schuette | Director | - | $2,450 | - | $2,450 |
| Betty F Fedde | Vice Chair | - | $1,750 | - | $1,750 |
| Susan C Niccum | Director | - | $1,750 | - | $1,750 |
| Name | Title |
|---|---|
| Daniel M Fromm | Director |
| Donald L Deye | Director |
| Patrick B Herson Md | Director |
| Steven E Prawer Md | Director |
| Tiffany H Zitzewitz | Director |
| Todd R Ostendorf | Director |
| Line Item | Amount |
|---|---|
| Other Expenses | $60,159,796 |
| Salaries, Compensation, and Employee Benefits | $347,534 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $20,205,040 | $116,981 | - | $20,322,021 |
| Other Expenses | $4,681,494 | $3,022,584 | - | $3,022,584 |
| Fees for Services Management | - | $2,627,661 | - | $2,627,661 |
| All Other Expenses | $24,152 | $1,952,564 | - | $1,976,716 |
| Current Officers, Directors, Trustees, and Key Employees | - | $347,534 | - | $347,534 |
| Fees for Services Accounting | - | $60,854 | - | $60,854 |
| Insurance | - | $53,435 | - | $53,435 |
| Fees for Service Investment Mgmnt Fees | - | $45,268 | - | $45,268 |
| Total Functional Expenses | $52,280,449 | $8,226,881 | $0 | $60,507,330 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $60,507,331 |
| Expenses per Audited Statements | $60,462,063 |
| Total Expenses per Audited Statements | $60,462,063 |
| Expenses Not Reported on Financial Statements | $45,268 |
| Other Expense Adjustments | $45,268 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Claims Payable | $4,651,826 |
| Due to Providers | $51,741 |
| Due to Affiliates | $30,261 |
“Members consist 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 consist 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.”
“Financial statements, conflict of interest policy and governing documents are available upon request for the same period of disclosure as set forth in section 6104(d). Annual statutory filings are available on the state of mn website. Tri-annual audits by the mn department of commerce are also available.”
“The compensation reported in part vii, columns (d) and (e) equals the total reportable compensation, as reported on form w-2/1099-misc. Preferredone administrative services (pas), the common paymaster of pchp, pays all compensation and forms w-2/1099-misc are issued from pas. The compensation reported in part vii, column (d), reportable compensation from the organization (w-2/1099-misc), is the portion of compensation allocated to pchp.”
“Professional medical services: program service expenses 20,205,040. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,205,040. Admin fees & other purchased services: program service expenses 0. Management and general expenses 73,450. Fundraising expenses 0. Total expenses 73,450. Other fees: program service expenses 0. Management and general expenses 8,978. Fundraising expenses 0. Total expenses 8,978. Bank service fees: program service expenses 0. Management and general expenses 34,553. Fundraising expenses 0. Total expenses 34,553.”
“Change in net unrealized losses on other than trading securities -5,058.”
“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 fin 48 did not affect its financial statement presentation. Pchp is no longer subject to income tax examinations for years before calendar year 2011.”
“Investment expenses reclassed to expense -45,268.”
“Investment expenses reclassed to expense 45,268.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1585662 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1225652 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1533727 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O FOR ORGANIZATION MISSION STATEMENT. |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1952564 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 24152 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1976716 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MICHAEL S UMLAND |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7638473204 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 6105 GOLDEN HILLS DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | GOLDEN VALLEY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 55416 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 363870 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
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| IRS990/CollectionsOfArtInd | 0 | 0 |
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| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 347534 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
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| IRS990/CompensationProcessOtherInd | 0 | 1 |
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| IRS990/ConservationEasementsInd | 0 | 0 |
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| IRS990/CYRevenuesLessExpensesAmt | 0 | -2848560 |
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| IRS990/CYTotalExpensesAmt | 0 | 60507330 |
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| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 57658770 |
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| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 1205188 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 672832 |
| 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 AND SERVICE PROVIDED TO PREFERREDONE MEMBERS; WORKING BOTH INDEPENDENTLY AND COLLABORATIVELY WITH CONTRACTED PRACTITIONERS AND COMMUNITY EFFORTS. 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 2014, 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 | 52280449 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 60854 |
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| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 2627661 |
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| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 20205040 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 20322021 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 45268 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 45268 |
| 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 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 4.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 3.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 6.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 5.20 |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
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| 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 |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 65557 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 49002 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ANN M NOWAK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | BETTY F FEDDE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | PATRICK B HERSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | SUSAN C NICCUM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DONALD L DEYE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DANIEL M FROMM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | TIFFANY H ZITZEWITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | STEVEN E PRAWER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN E SCHUETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | TODD R OSTENDORF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARCUS A MERZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MICHAEL S UMLAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | DEBRA JR SHOEMAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JOHN M HOFFLANDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | ROBERT J GADOLA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JOHN P FREDERICK MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | PAUL D GEIWITZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DARCEE A WEBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | JOSEPH M PUPKES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | RENEE M AMBROSIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | PATRICIA L RISSINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | MARY MILLER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 3850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 1750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 1750 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| 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 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | SR VP, IS & CIO AND SECURITY OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP OPERATIONS/HIPAA PRIVACY OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | EXEC VP/CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | EXEC VP/CHIEF MARKETING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP, NETWORK MANAGEMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VP, UW & PRODUCT DEVELOPMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | VP, ACCOUNT MANAGEMENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | VP, BUSINESS SYSTEMS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | 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 (MNCM) IS A COLLABORATION AMONG HEALTH PLANS AND PROVIDER GROUPS DESIGNED TO IMPROVE THE QUALITY OF MEDICAL CARE IN MINNESOTA. MNCM IMPROVES CARE BY:- REPORTING THE RESULTS OF HEALTH CARE QUALITY PERFORMANCE AND IMPROVEMENT EFFORTS IN A FAIR, TRANSPARENT 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 MNCM. 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 EXECUTIVES AND STAFF MEMBERS SERVE ON VARIOUS COMMITTEES THROUGH THE MCHP INCLUDING THE BOARD OF DIRECTORS, 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 A DELEGATION AGREEMENT IN PLACE WITH ACCORDANT HEALTH SERVICES TO OFFER DISEASE MANAGEMENT SERVICES DESIGNED TO IMPROVE MEMBER OUTCOMES AND REDUCE COSTS. ACCORDANTCARE FOCUSES ON PROVIDING DISEASE AND CASE MANAGEMENT SERVICES TO MEMBERS WHO SUFFER FROM CHRONIC, PROGRESSIVE CONDITIONS INCLUDING:- PARKINSON'S DISEASE- LUPUS- MYASTHENIA GRAVIS- SICKLE CELL DISEASE- CYSTIC FIBROSIS- GAUCHER DISEASE- HEMOPHILIA- SCLERODERMA- POLYMYOSITIS- CIPD- ALS- DERMATOMYOSITISACCORDANT 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. THE PREVALENCE RATE FOR THESE DISEASES OVERALL IS APPROXIMATELY 0.09%. IN 2014 THERE WERE 111 MEMBERS ENROLLED IN ACCORDANT'S DISEASE MANAGEMENT PROGRAMS.CHRONIC ILLNESS MANAGEMENT - PREFERREDONE HAS IMPLEMENTED A CHRONIC ILLNESS MANAGEMENT PROGRAM AVAILABLE TO MEMBERS WHO ARE DIAGNOSED WITH ANY OF THE FOLLOWING CHRONIC CONDITIONS:CHRONIC DISEASES- DIABETES - CORONARY HEART DISEASE - CONGESTIVE HEART FAILURE- CHRONIC OBSTRUCTIVE PULMONARY DISEASE- ASTHMA (ADULT AND JUVENILE)RARE CHRONIC DISEASE- ULCERATIVE COLITIS- CROHN'S DISEASE- RHEUMATOID ARTHRITIS- MULTIPLE SCLEROSISTHE 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.- 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.THE PREVALENCE RATE FOR THE CHRONIC DISEASES OVERALL IS APPROXIMATELY 4.7%. IN 2014 52% OF PREFERREDONE'S ELIGIBLE POPULATION PARTICIPATED IN THE PROGRAM.THE PREVALENCE RATE FOR THE RARE CHRONIC DISEASES OVERALL IS APPROXIMATELY 0.8%. IN 2014 86% OF PREFERREDONE'S ELIGIBLE POPULATION PARTICIPATED IN THE PROGRAM.TREATMENT DECISION SUPPORT - THE PREFERREDONE TREATMENT DECISION SUPPORT PROGRAM TARGETS TWO SPECIFIC CONDITIONS (I.E., 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 FOR 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 MAKE 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 OPTION AND THEN GUIDE THEM TO EITHER PREFERREDONE NETWORK PROVIDERS OR PROGRAMS RECOGNIZED IN THEIR FIELD BASED ON OUTCOMES AND QUALITY MEASURES.THE PREVALENCE RATE FOR THE TREATMENT DECISION SUPPORT PROGRAM OVERALL IS APPROXIMATELY 5.2%. IN 2014 51% OF PREFERREDONE'S ELIGIBLE POPULATION PARTICIPATED IN THE PROGRAM.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. THE CORE COMPONENTS OF T |
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| IRS990/PYOtherExpensesAmt | 0 | 62625364 |
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| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
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| IRS990/ReportInvestmentsOtherSecInd | 0 | 1 |
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| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
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| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 4651826 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 2 | 51741 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | DUE TO AFFILIATES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | CLAIMS PAYABLE |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | DUE TO PROVIDERS |
| IRS990ScheduleD/OtherRevenueAmt | 0 | -45268 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 0 | 2043021 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 1 | 2748196 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 2 | 1056308 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 3 | 164210 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 4 | 236865 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 5 | 751632 |
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| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 7 | 992741 |
| 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 |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 0 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 1 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 2 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 3 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 4 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 5 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 6 | F |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 7 | C |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | -23315 |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | PCHP HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THE ADOPTION OF FIN 48 DID NOT AFFECT ITS FINANCIAL STATEMENT PRESENTATION. PCHP IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS BEFORE CALENDAR YEAR 2011. |
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Displayed year
2014 • Form 990Detailed filing. Detailed filing data is available for this year.