2011-10-20T09:54:33-05:00 2010-12-31 KPMG LLP 1676 International Drive McLean VA 22102 990 2010-01-01 232379751 Health Partners of Philadelphia Inc HEAL 2159914180 901 Market Street Philadelphia PA 19107 Martin J Brill 2011-10-17 7032868000 2010 2016-03-07 17:11:31Z William George 901 Market Street PHILADELPHIA PA 19107 1000692706 false X www.healthpart.com X 1987 PA Health Partners is a licensed health maintenance organization (hmo) committed to building a healthier community in Southeastern Pennsylvania. 8 8 532 0 0 0 0 806007979 963434445 6149226 3747963 0 0 812157205 967182408 0 0 0 0 41413539 46280766 0 0 0 767810645 911679017 809224184 957959783 2933021 9222625 199464887 273656992 120815408 184336974 78649479 89320018 X Health Partners is a licensed health maintenance organization committed to building a healthier community. Our mission is to: " Manage our business to exceed expectations, " Operate with respect and dignity in all relationships, " Continually improve the health outcomes of our members. Health Partners was founded in 1987 for the purpose of improving quality and access to care for low-income residents of the Delaware Valley. For close to 25 years, Health Partners has garnered national attention for innovations in Medicaid managed care, and now serves more than 169,000 Medical Assistance members throughout southeastern Pennsylvania. Close to half of all Health Partners members are children. With the introduction of our new Children's Health Insurance Program (CHIP), KidzPartners, we have also expanded access to quality healthcare for low-income children and teens who lack health insurance. Since our founding in 1984 as a not-for-profit, hospital-owned plan, our success in improving outco false false 772666548 961011924 The Company provides for the provision of physical and certain behavioral health (primarily behavioral-related pharmaceutical coverage) Medical Assistance (MA) Program benefits to enrolled MA recipients residing in Philadelphia and four surrounding counties - Bucks, Chester, Delaware, and Montgomery - pursuant to an agreement with the Department of Public Welfare of the Commonwealth of Pennsylvania (DPW) (the HealthChoices Agreement). In addition, the Company is responsible for covering all mandated behavioral health pharmaceuticals to member's enrolled as prescribed. 2532583 2422521 Provision of comprehensive health insurance services pursuant to a contract with the Pennsylvania Insurance Department 775199131 false false false false false false false false false true false false false true false false false false false false false false false false false false false false true false false false false false false false false false false false false true false false false false true 3364 0 true 532 true false false false false false false X 8 8 false false false false true true false true true false false true true true true true true true true false X JOHN SEHI 2159914180 901 MARKET STREET Philadelphia PA 19107 Barry R Freedman 4.0 X 0 0 0 Diane Corrigan 4.0 X 0 0 0 Roy Powell 4.0 X 0 0 0 L Gil Cottle 4.0 X 0 0 0 Kenneth I Trujillo Esquire 4.0 X 6200 0 0 Linde Finsrud-Wilson 4.0 X 0 0 0 Carolyn Jackson 4.0 X 0 0 0 Michael Halter 4.0 X 0 0 0 Robert Lux 4.0 X 0 0 0 Kate Kinslow 4.0 X 0 0 0 William George 40.0 X 698271 0 80461 Elaine T Markezin 40.0 X 268995 0 41334 Martin Brill 40.0 X 391828 0 52021 Mary Stom 40.0 X 435200 0 45372 Vicki L Sessoms 40.0 X 357795 0 39649 Judy B Harrington 40.0 X 328067 0 46903 John Sehi 40.0 X 282369 0 32692 Donato Daddario 40.0 X 308137 0 40953 Hal W Augustine 40.0 X 281697 0 22145 Merleen Harris-Williams 40.0 X 262230 0 32356 Emmilyn L Lawson 40.0 X 195497 0 18388 Mark Noonan 40.0 X 184467 0 20122 Karen Armstrong 40.0 X 174754 0 17059 Johnna W Baker 40.0 X 237551 0 30283 Kearline McKellar-Jones 40.0 X 192242 0 26923 Caroline E Russell 40.0 X 182361 0 20371 Elizabeth M Stratton 40.0 X 191476 0 19247 David Coffey 40.0 X 245389 0 30750 5224526 0 617029 59 false true false Human Arc Corporation PO Box 951886 Cleveland OH 44193 Rev Enhancement Svcs 436380 Health Management System Inc 401 Park Avenue South New York NY 10016 TPL Recovery Svcs 277783 Deloitte Consulting LLP PO Box 7247 Philadelphia PA 19170 Consulting 262859 ACS Audit and Compliance Solutions PO Box 201322 Dallas TX 75320 Claims Review 167660 Duane Morris LLP United Plaza 30 South 17th Street Philadelphia PA 19103 Legal Services 161463 26 0 MEDICAID PREMIUMS 524114 847185278 847185278 CHIP 524114 2422521 2422521 MEDICAID PREMIUMS NON RISK 524114 113826646 113826646 963434445 3175033 3175033 0 0 34083228 33510298 572930 572930 572930 0 0 0 0 967182408 963434445 0 3747963 0 0 0 0 4658762 4658762 0 33071279 33071279 2085627 2085627 3839884 3839884 2625214 2625214 0 176792 176792 457689 457689 127210 127210 0 242196 242196 1552236 1552236 729618 729618 3497416 3497416 6839154 6839154 0 2815989 2815989 72687 72687 0 105120 105120 154827 154827 0 1925103 0 1925103 0 869414 869414 MEDICAL SERVICES 775199131 775199131 DPW PASS THROUGHS 113826646 113826646 QUALITY ASSURANCE 1728639 1728639 PROVIDER RELATIONS 303852 303852 BANK FEES 255163 255163 800135 800135 957959783 775199131 182760652 0 1492635 1905461 4704676 44182760 104544099 134468566 1269959 1078898 22295609 18320432 4039720 3975177 83413798 88046130 199464887 273656992 114098333 159745366 2138978 165502 4578097 24426106 120815408 184336974 X 445000 445000 78204479 88875018 78649479 89320018 199464887 273656992 X 9222625 1447914 X false true true X true true 1194757 419994 774763 1065116 386466 678650 20035736 17513972 2521764 3975177 0 DUE TO AFFILIATES 21330929 LEASE INCENTIVE OBLIGATION 1322011 DEFERRED RENT LIABILITY 1773166 24426106 X X X X X false true false false false false false false false William George 420195 0 260087 0 17989 0 56030 0 24431 0 778732 0 0 0 Elaine T Markezin 265827 0 0 0 3168 0 21600 0 19734 0 310329 0 0 0 Martin Brill 269094 0 114284 0 8450 0 31522 0 20499 0 443849 0 0 0 Mary Stom 291234 0 121806 0 22160 0 34666 0 10706 0 480572 0 0 0 Johnna W Baker 194533 0 42376 0 642 0 16283 0 14000 0 267834 0 0 0 Kearline McKellar-Jones 157574 0 34168 0 500 0 13129 0 13794 0 219165 0 0 0 Caroline E Russell 145621 0 33652 0 3088 0 9542 0 10829 0 202732 0 0 0 Elizabeth M Stratton 163426 0 27236 0 814 0 13724 0 5523 0 210723 0 0 0 David Coffey 201044 0 43332 0 1013 0 16721 0 14029 0 276139 0 0 0 Vicki L Sessoms 250778 0 103849 0 3168 0 28567 0 11082 0 397444 0 0 0 Judy B Harrington 227689 0 97210 0 3168 0 26114 0 20789 0 374970 0 0 0 John Sehi 222534 0 48181 0 11654 0 18567 0 14125 0 315061 0 0 0 Donato Daddario 203964 0 101259 0 2914 0 23166 0 17787 0 349090 0 0 0 Hal W Augustine 227907 0 47984 0 5806 0 18493 0 3652 0 303842 0 0 0 Merleen Harris-Williams 214783 0 46356 0 1091 0 17830 0 14526 0 294586 0 0 0 Emmilyn L Lawson 155964 0 33080 0 6453 0 9002 0 9386 0 213885 0 0 0 Mark Noonan 151071 0 33075 0 321 0 6355 0 13767 0 204589 0 0 0 Karen Armstrong 139430 0 30616 0 4708 0 11706 0 5353 0 191813 0 0 0 Supplemental Nonqualified Retirement Plan SCHEDULE J, PART I, LINE 4B In 2008 Health Partners of Philadelphia, Inc. established the Health Partners of Philadelphia, Inc. Retirement Benefit Restoration Plan, to provide a select group of senior management employees with retirement benefits, under a supplemental nonqualified retirement plan. Employees that are covered by this plan include William S. George, President and CEO, Martin J. Brill, Senior Vice President of Finance and CFO, Dr. Mary Stom, CMO, Elaine T. Markezin, Senior Vice President of Operations, Donato Daddario, Senior Vice President of Pharmacy, Judy Harrington, Senior Vice President of Business Development and Vicki Sessoms, Senior Vice President of Resource Management. There have been no benefit payments in the calendar year 2010. In 2008 Health Partners of Philadelphia, Inc. established a second nonqualified plan to provide the President and CEO, William S. George, with retirement benefits. There have been no benefit payments in the calendar year 2010. FORM 990, PART IV, lINE 12 Health Partners did receive an audited financial statement in 2010 that was prepared in accordance with accounting practices permitted by the Commonwealth of Pennsylvania Insurance Department, "Statutory Basis". Because Health Partners is licensed by the Commonwealth of Pennsylvania Departments of Insurance and Health to operate as a Health Maintenance Organization, the Statutory Financial Statements were required. A GAAP financial statement was not prepared because one was not required. FORM 990, PART VI, SECTION B, LINE 11A Process Used to Review Form 990 An initial review is performed by an independent accounting firm, KPMG, which provides technical guidance and filing expertise. The governing body of Health Partners, the Board, has a committee (Audit Committee) which does the review of the Form 990. The Audit Committee consists of two independent voting members and two non-voting members who are financial officers of major hospitals in Philadelphia. A week prior to the Audit Committee meeting, Health Partners' chief financial officer (HP CFO) mails out the meeting package which includes the completed draft Form 990. The members review the return and prepare any questions. At the meeting the HP CFO reviews the draft Form 990 and highlights new areas. There is discussion regarding the responses. The HP CFO then has a question and answer period regarding the return. After all questions have been responded to, the form is provided to the Board of Directors prior to submitting the return to the IRS. FORM 990, PART VI, SECTION B, LINE 12C Monitoring of the Conflict of Interest Policy All employees are required to complete, on an annual basis, a statement of Conflict of Interest Certification. It is part of an extensive online training program that all employees must complete before signing the documents. By signing the statement the employee certifies that they have read the Conflict of Interest Policy. Employees are required to list any organizations that they are involved in, which may be in conflict with the interests or business of Health Partners of Philadelphia, Inc. and/or interferes with the employee's ability to fully and properly perform their job responsibilities. The signed documents are reviewed by the Human Resource department and any conflicts are brought to the attention of the Senior Vice President of Resource Management and Compliance. The SVP determines the necessary course of action to alleviate the employee's conflict with Health Partners. There were no conflicts noted. The Board of Directors is required to complete, on an annual basis, a statement of Conflict of Interest Certification. The signed copies are reviewed by General Counsel, who determines if a conflict of interest exists. If a conflict of interest exists, General Counsel determines the necessary course of action to alleviate the conflict of interest with Health Partners. There were no conflicts noted. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR THE DETERMINING THE COMPENSATION OF THE PRESIDENT AND CEO The Board of Directors annually elects a board-level committee called the Compensation and Evaluation Committee ("committee") which is responsible for assuring that Health Partners salary strategies are competitive and consistent with current market trends, in order to provide a stable, qualified and fairly compensated workforce. The committee also determines the compensation of the President and CEO by first engaging an independent consultant to provide market data on current, relevant CEOs' compensation including one custom survey specifically for HMO executives, in order to make their compensation recommendations. Every other year, the committee engages a benefits consulting firm to provide summarized national data. The consultant's investigation and recommendations reflect Board-specific criteria for determining payment levels for both base compensation and incentive compensation. Based on a thorough review and deliberations following the consultant's study, the committee establishes the base compensation and other benefits for the CEO so that they are aligned with current market trends and budgetary considerations. Separately, the committee approves annual incentive targets, performance against those targets, and the computation of the CEO's resulting incentive compensation payment. Contemporaneous minutes of the meeting are prepared and approved by the committee. The Board of Directors also approves the minutes of the committee. FORM 990, PART VI, SECTION B, LINE 15B PROCESS FOR THE DETERMINING THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES The Board of Directors annually elects a board-level committee called the Compensation and Evaluation Committee ("committee") which is responsible for assuring that Health Partners salary strategies are competitive and consistent with current market trends, in order to provide a stable, qualified and fairly compensated workforce. The committee also determines the compensation of the Other Officers and Certain Key Employees by first engaging an independent consultant to provide market data on current, relevant compensation including one custom survey specifically for HMO executives, in order to make their compensation recommendations. Every other year, the committee engages a benefits consulting firm to provide summarized national data. The consultant's investigation and recommendations reflect Board-specific criteria for determining payment levels for both base compensation and incentive compensation. Based on a thorough review and deliberations following the consultant's study, the committee establishes the base compensation and other benefits so that they are aligned with current market trends and budgetary considerations. Separately, the committee approves annual incentive targets, performance against those targets, and the computation of the resulting incentive compensation payment. Contemporaneous minutes of the meeting are prepared and approved by the committee. The Board of Directors also approves the minutes of the committee. FORM 990, PART VI, SECTION C, LINE 19 MAKING ORGANIZATIONAL DOCUMENTS AVAILABLE TO THE PUBLIC Currently, Health Partners of Philadelphia, Inc. does not make its governing documents, conflict of interest policy or its financial statements available to the public. FORM 990, PART XI RECONCILIATION OF NET ASSETS The change in fund balance is due to the change in unrealized gain on investments from 2009 to 2010. SelectScripts LLC 901 Market Street Suite 500 Philadelphia PA 19107 651235663 phar ben admi PA 0 0 SelectBenefi SelectBenefits LLC 901 Market Street SUITE 500 Philadelphia PA 19107 Holding Co PA 0 0 N/A