TY 2022 Form 990 Schedule O

efile Public Visual Render ObjectId: 202303189349314400 - Submission: 2023-11-14 TIN: 41-1693838

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

HEALTHPARTNERS INC

Employer identification number

41-1693838

Return Reference	Explanation
FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS	CORPORATE STRUCTURE, PURPOSE, GOVERNANCE HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS." FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,900 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. PROVISION OF MANAGED CARE TO STATE PUBLIC PROGRAMS (SPP) BENEFICIARIES HPI SUPPORTS STATE PUBLIC PROGRAM MEMBERS BY PROVIDING INFORMATION ABOUT PLAN RESOURCES AND BENEFITS TO COUNTY EMPLOYEES, NURSING HOMES, HEALTH AND HOUSING ADVOCATES, FINANCIAL WORKERS AND COMMUNITY ORGANIZATIONS THROUGH A VARIETY OF COMMUNITY EVENTS AND PROGRAMS INCLUDING: - SCOTT/CARVER COUNTY OPERATION COMMUNITY CONNECT - NAMI ST. CLOUD CONFERENCE - KAREN NEW YEAR - MINNESOTA FINANCIAL WORKER AND CASE AIDE ASSOCIATION (MFWCAA) CONFERENCE - MINNESOTA SOCIAL SERVICE ASSOCIATION (MSSA) CONFERENCE - LOCAL PUBLIC HEALTH ASSOCIATION (LPHA) CONFERENCE - RUSSIAN NEWSPAPER (COLLABORATION WITH OTHER HEALTH PLANS TO PROMOTE MEDICAID AWARENESS IN THE RUSSIAN COMMUNITY) - MILACA AND MILLE LACS AREA OPERATION COMMUNITY CONNECT (OCC) IN MILLE LACS COUNTY - OPERATION COMMUNITY CONNECT (OCC) IN CHISAGO COUNTY - MINNESOTA GERONTOLOGICAL SOCIETY (MGS) - MINNESOTA PUBLIC HEALTH ASSOCIATION (MPHA) CONFERENCE - MANY FACES OF COMMUNITY HEALTH CONFERENCE SPP INCENTIVES TO MEMBERS HPI PROMOTES PREVENTIVE SERVICES FOR STATE PUBLIC PROGRAM PLAN MEMBERS THROUGH INCENTIVE PROGRAMS. PEDIATRIC IMMUNIZATION INCENTIVE PROGRAM. THE PEDIATRIC IMMUNIZATION INCENTIVE PROGRAM ENCOURAGES PMAP AND MNCARE INFANTS TO GET A SERIES OF VACCINES BY THEIR SECOND BIRTHDAY. ONCE HPI RECEIVES THE CLAIMS FOR THESE VACCINES, MEMBERS RECEIVE A $25 GIFT CARD IN THE MAIL. HPI DISTRIBUTED 1,778 GIFT CARDS (VALUED AT $47,177) FOR THIS PROGRAM IN 2022. THE PRE-TEEN (ADOLESCENT) IMMUNIZATIONS INCENTIVE PROGRAM. THE PRE-TEEN IMMUNIZATION PROGRAM ENCOURAGES PMAP AND MNCARE YOUTH TO GET THEIR HPV, MENINGOCOCCAL AND TDAP IMMUNIZATIONS. ONCE HPI RECEIVES THE CLAIM FOR THESE VACCINES, MEMBERS RECEIVE A $25 GIFT CARD IN THE MAIL. HPI DISTRIBUTED 1,163 GIFT CARDS (VALUED AT $30,819.50) FOR THIS PROGRAM IN 2022. POSTPARTUM INCENTIVE. SNBC, PMAP AND MNCARE MEMBERS WHO RECEIVE A POSTPARTUM EXAM THREE TO EIGHT WEEKS AFTER THE BIRTH OF THEIR CHILD RECEIVE A $25 GIFT CARD. HPI DISTRIBUTED 151 GIFT CARDS (VALUED AT $4,039.25) FOR THIS PROGRAM IN 2022. SNBC INCENTIVES. TO ENCOURAGE AN ANNUAL PRIMARY CARE VISIT, SNBC MEMBERS WHO COMPLETE THEIR ANNUAL PRIMARY VISIT RECEIVE A $25 GIFT CARD. MEMBERS ALSO RECEIVE A $25 GIFT CARD FOR DOING A CERVICAL CANCER SCREENING OR COMPLETING A MEDICATION THERAPY MANAGEMENT VISIT. HPI DISTRIBUTED 498 GIFT CARDS (VALUED AT $13,321.50) FOR THESE THREE PROGRAMS IN 2022. CAR SEAT PROGRAM. PMAP AND MNCARE MEMBERS AGES EIGHT AND YOUNGER OR MEMBERS WHO ARE AT LEAST SIX MONTHS PREGNANT ARE ELIGIBLE TO RECEIVE A CAR SEAT WITH THE COMPLETION OF A CAR SEAT SAFETY AND EDUCATION COURSE. HPI DISTRIBUTED 2,869 CAR SEATS (VALUED AT $241,618.27) IN 2022. MEDICAID IMPROVEMENT WORK. AS PART OF OUR MEDICAID IMPROVEMENT WORK, WE SENT HEALTHPARTNERS MEMBER-PATIENTS AN ADDITIONAL $50 GIFT CARD FOR GETTING CARE IN Q4 OF 2022. WE DISTRIBUTED 4,495 CARDS (VALUED AT $224,750). DENTAL KIT INITIATIVE THE DENTAL KIT INITIATIVE PROVIDES KEY DENTAL PERSONAL CARE ITEMS TO COUNTIES AS A RESPONSE TO DENTAL ACCESS BARRIERS. EACH DENTAL KIT CONTAINS A TOOTHPASTE, A TOOTHBRUSH (CHILDREN OR ADULT) AND DENTAL FLOSS ALONG WITH AN EDUCATIONAL BROCHURE ABOUT ORAL HYGIENE. HEALTHPARTNERS STATE PUBLIC PROGRAMS PROVIDED 1,280 DENTAL KITS TO 3 HEALTHPARTNERS SERVICE COUNTIES WHICH INCLUDE BENTON, MARSHALL, AND MILLE LACS COUNTIES. IN ADDITION, THE STATE PUBLIC PROGRAM TEAM DISTRIBUTED DENTAL KITS AT MULTIPLE COUNTY-LED EVENTS, SUCH AS OPERATION COMMUNITY CONNECT, HOSTED IN CARVER, CHISAGO, MILACA, MILLE LACS, AND SCOTT COUNTIES. COMMUNITY SPONSORSHIPS: IN 2022, $5,115 WAS PROVIDED TO SUPPORT COUNTY AND COMMUNITY EVENTS THAT SUPPORTED MEDICAID MEMBERS. ADDITIONALLY, WE PROVIDED $1,000,000 IN GRANTS TO THE 12-COUNTY METRO AND CENTRAL MINNESOTA COUNTIES (ANOKA, BENTON, CARVER, CHISAGO, DAKOTA, HENNEPIN, RAMSEY, SCOTT, SHERBURNE, STEARNS, WASHINGTON, WRIGHT) AND THE CITY OF BROOKLYN CENTER. HEALTHPARTNERS AS A MEMBER OF MINNESOTA COUNCIL OF HEALTH PLANS SERVES IN A A COLLABORATIVE WITH MINNESOTA DEPARTMENT OF HUMAN SERVICES, MINNESOTA DEPARTMENT OF HEALTH, THE MN COUNCIL OF HEALTH PLANS AND THE MN ASSOCIATION OF COUNTY HEALTH PLANS. THIS COLLABORATIVE HELPED TO NARROW MINNESOTA'S COVID-19 VACCINE DISPARITIES. THE SUCCESS OF THIS PARTNERSHIP ALSO LED TO AN EFFORT TO DISTRIBUTE OVER 500,000 HIGH QUALITY MASKS DURING THE OMICRON WAVE IN EARLY 2022 TO CLINICS SERVING MOSTLY MEDICAID PATIENTS AND THOSE LIVING IN HIGH SVI AREAS. THE GROUP NOW CONTINUES TO COLLABORATE ON MINNESOTA MEDICAID REENROLLMENT AND VACCINE EQUITY.
PART III, CONT.	VIRTUWELL VIRTUWELL IS A 24/7 ONLINE CLINIC THAT REINVENTS THE DIAGNOSIS AND TREATMENT EXPERIENCE FOR EVERYDAY ILLNESSES. THROUGH A REFRESHINGLY SIMPLE ONLINE AND MOBILE PLATFORM, PAIRED WITH BEST-IN-CLASS CUSTOMER SERVICE, VIRTUWELL IS SAVING CONSUMERS, EMPLOYERS AND HEALTH PLANS TIME AND MONEY. IT WAS CREATED TO BE SIMPLE, CONVENIENT AND AFFORDABLE AND LAUNCHED IN 2010 FOR MINNESOTA RESIDENTS. SINCE THEN, IT HAS EXPERIENCED STEADY GROWTH AND IS AVAILABLE TO ANYONE WHO LIVES, WORKS OR TRAVELS WITHIN THE 13 STATES VIRTUWELL SERVES: ARIZONA, CALIFORNIA, COLORADO, CONNECTICUT, IOWA, MICHIGAN, MINNESOTA, NEW YORK, NORTH DAKOTA, PENNSYLVANIA, SOUTH DAKOTA, VIRGINIA, WISCONSIN, AND CAN BE ACCESSED ANYTIME FROM A SMART PHONE, TABLET OR COMPUTER. MORE INFO AT WWW.VIRTUWELL.COM. VIRTUWELL PROVIDES OUR MEMBERS WITH UNLIMITED FREE VISITS TO GET THEIR HEALTH QUESTIONS ANSWERED. IT NOW INCLUDES 56 CONDITIONS, MORE THAN 900,000 TREATMENT PLANS AND HAS LED TO SAVINGS EXCEEDING $100 MILLION IN HEALTH CARE COSTS, AND THOUSANDS MORE REFERRED SAFELY TO IN-PERSON CARE. VIRTUWELL MAINTAINS OUTSTANDING EFFECTIVENESS AND SATISFACTION RATES. SINCE ITS LAUNCH, IT HAS RESULTED IN A REPORTED AVERAGE SAVINGS OF $150 PER VISIT FOR MEMBERS, EMPLOYERS, AND HEALTH PLANS. MEMBERS CAN RECEIVE A DIAGNOSIS AND TREATMENT BY CERTIFIED NURSE PRACTITIONERS IN MINUTES. IN ADDITION, NURSE PRACTITIONERS CAN SEND PATIENTS' PRESCRIPTIONS TO THEIR PHARMACY IF NEEDED. THERE IS NO COST IF VIRTUWELL IS UNABLE TO TREAT THE PATIENT. INDIVIDUALS WHO HAVE TRIED VIRTUWELL.COM HAVE FOUND THAT ONE VIRTUWELL VISIT CAN SAVE 2.5 HOURS OR MORE. IT IS SIMPLE TO USE AND 98 PERCENT OF CUSTOMERS WOULD HIGHLY RECOMMEND VIRTUWELL TO FRIENDS AND FAMILY. IMPROVING BEHAVIORAL HEALTH OUTCOMES THROUGH SUPPORTS FOR TREATMENT ADHERENCE HEALTHPARTNERS IS HIGHLY EFFECTIVE AT SUPPORTING MEMBERS IN INCREASING TREATMENT ADHERENCE. THE FOUR CLASSES OF PSYCHIATRIC MEDICATION THAT HEALTHPARTNERS SUPPORTS THROUGH MAILED REMINDER LETTERS FOR REFILLS ARE: ANTIDEPRESSANTS, ANTIPSYCHOTICS, MOOD STABILIZERS AND ANTI-CRAVING MEDICATIONS (USED IN THE TREATMENT OF ADDICTIONS). OUR PROGRAM TARGETING A FIFTH CATEGORY OF MEDICATION SEEKS TO REDUCE BENZODIAZEPINE USE AMONG MEMBERS WITH ANXIETY DISORDERS. IN 2022, THERE WERE MORE THAN 70,000 COMMUNICATIONS TO MEMBERS REGARDING MEDICATION REFILLS, HEALTH EDUCATION AND WITH THEIR PRESCRIBERS REGARDING OVERDUE REFILLS. THE PROGRAMS EACH HAVE DIFFERENT CONTENT BASED ON THE CONDITION BEING TARGETED AND THE OUTCOME GOALS. MEDICATION REFILL REMINDER AND HEALTH EDUCATION NEWSLETTERS WERE SENT VIA MAIL AND DIGITAL METHODS TO MEMBERS TO HELP SUPPORT ADHERENCE TO BEHAVIORAL HEALTH MEDICATIONS FOR DEPRESSION, BIPOLAR DISORDER, SCHIZOPHRENIA, CHEMICAL DEPENDENCY, AND ANXIETY DISORDERS. THE TOTAL COST OF THIS PROGRAM INCLUDING DIGITAL AND MANUAL MAILINGS WAS APPROXIMATELY $25,000. REDUCING PSYCHIATRIC HOSPITALIZATIONS & READMISSIONS HEALTHPARTNERS PLANS EMPLOY STAFF TO PROVIDE BEHAVIORAL HEALTH COACHING AND CARE COORDINATION TO SUPPORT NEARLY 10,000 HIGH-RISK MEMBERS TO PREVENT CRISES THAT LEAD TO EMERGENCY HOSPITALIZATION. HEALTHPARTNERS ALSO HELPS THOSE LEAVING THE HOSPITAL GET PROMPT TREATMENT FROM AN OUTPATIENT MENTAL HEALTH PROVIDER. HEALTHPARTNERS PLANS EMPLOY STAFF TO PROVIDE AFTERCARE COORDINATION, WHICH CONSISTS OF TELEPHONIC SUPPORT TO MEMBERS THROUGHOUT THEIR ADMISSION AND UPON DISCHARGED FROM INPATIENT PSYCHIATRY UNITS. THE CALLS HELP COORDINATE THEIR CARE AND ENCOURAGE THEM TO ATTEND OUTPATIENT AFTERCARE APPOINTMENTS. ED VISIT FOLLOW UP: EMERGENCY DEPARTMENT ADMISSIONS FOR MENTAL HEALTH AND SUBSTANCE USE CONDITIONS TRIGGER TELEPHONIC OUTREACH FROM OUR BEHAVIORAL HEALTH CASE MANAGERS TO MEMBERS WHO ARE CURRENTLY ENGAGED IN BEHAVIORAL HEALTH CASE MANAGEMENT OR WHO HAVE BEEN IDENTIFIED FOR/ENGAGED IN BEHAVIORAL HEALTH CASE MANAGEMENT IN THE PAST BUT ARE NOT ENGAGED AT THE TIME OF HEALTHPARTNERS BEING NOTIFIED OF THEIR EMERGENCY DEPARTMENT VISIT. UPON NOTIFICATION OF THE VISIT, OUR CASE MANAGERS REACH OUT TO OUR MEMBERS TO ASSESS WHAT LED TO THE RECENT EMERGENCY DEPARTMENT VISIT, CURRENT GAPS IN OR BARRIERS TO CARE, AND ONGOING NEEDS. IF THE MEMBER PREVIOUSLY DECLINED TELEPHONIC CASE MANAGEMENT SUPPORT, OUR CASE MANAGERS WILL ATTEMPT TO ENGAGE AND SUPPORT THESE MEMBERS AT A POINT OF POTENTIAL CRISIS. THESE MEMBERS ARE OFTEN INTERESTED IN ENGAGING WITH US IN THE AFTERMATH OF A CRISIS. IN 2022, 218 MEMBERS WERE TELEPHONICALLY OUTREACHED IN RESPONSE TO 264 EMERGENCY DEPARTMENT VISITS FOR BEHAVIORAL HEALTH CONCERNS, AS SEVERAL MEMBERS EXPERIENCED MORE THAN ONE ED VISIT AND, THUS, RECEIVED MULTIPLE OUTREACHES. OF THE 218 MEMBERS WHO RECEIVED THIS OUTREACH, 92 WERE NEWLY IDENTIFIED FOR BEHAVIORAL HEALTH CASE MANAGEMENT BECAUSE OF THEIR ED VISIT, AND OUR CASE MANAGERS REACHED 29 (32%) OF THOSE MEMBERS AND ENGAGED THEM IN BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES. THE REMAINING MEMBERS WERE ALREADY ENGAGED IN BEHAVIORAL HEALTH CASE MANAGEMENT AND THE CONTACT THEY RECEIVED IN RESPONSE TO THEIR ED VISIT WAS ONGOING SUPPORT THEY RECEIVED AS PART OF THE SERVICE. SUICIDE SCREENING: IN 2018, THE HEALTHPARTNERS INSTITUTE WAS PART OF A LARGE RESEARCH STUDY ACROSS SEVEN HEALTH SYSTEMS THAT DEVELOPED AND VALIDATED MODELS TO PREDICT SUICIDE ATTEMPTS USING HEALTH RECORDS AND SELF-REPORTED DATA. IN 2019, OUR HEALTH PLAN TOOK THE PUBLISHED RESEARCH AND WORKED WITH OUR OWN HEALTH INFORMATICS TEAM TO REPLICATE THE MODELS TO PREDICT RISING RISK OF SUICIDE ATTEMPTS WITH HEALTH PLAN DATA AND IMPLEMENTED USING THIS METHOD OF IDENTIFICATION TO TRIGGER OUTREACH BY OUR BEHAVIORAL HEALTH CASE MANAGERS, WHO WOULD ATTEMPT TO ENGAGE THE MEMBERS AND COMPLETE A SUICIDE ASSESSMENT AND INTERVENTION PROTOCOL TO ADDRESS RISK. OUR BEHAVIORAL HEALTH CASE MANAGERS HAVE WORKED TO ACHIEVE IMPACTFUL RESULTS WITH MEMBERS IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE. IN 2022, OUR BH CASE MANAGEMENT PROGRAM RECEIVED 313 NOTIFICATIONS OF MEMBERS WHO WERE ENGAGED IN BH CASE MANAGEMENT WHO WERE IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE. OUR CASE MANAGERS ASSESSED MEMBERS IN 171 (55%) OF THESE OCCURRENCES USING THE COLUMBIA SUICIDE SEVERITY SCREENING. BASED ON THE RISK SCORE AND CLINICAL PICTURE OF THE MEMBERS, OUR CASE MANAGERS PROVIDED CRISIS INTERVENTION AND RESOURCES, EDUCATION, COACHING AND SUPPORT WHEN THEY NEEDED IT MOST. THE COST OF THIS PROGRAM (BEHAVIORAL HEALTH CASE MANAGEMENT INCLUDING OUTPATIENT, INPATIENT, ED VISIT, AND SUICIDE SCREENING) WAS APPROXIMATELY $3.3M, WITH 98% USED FOR SALARIES AND BENEFITS FOR STAFF. IMPROVING PATIENT SAFETY AND REDUCING DRUG RELATED OVERUSE AND MISUSE HEALTHPARTNERS RESTRICTED RECIPIENT PROGRAM WAS ESTABLISHED OVER TEN YEARS AGO AND IS DESIGNED TO REDUCE MEDICATION AND UTILIZATION OVERUSE AND MISUSE. FOLLOWING SPECIFIC PROGRAM PROTOCOLS FROM THE MINNESOTA DEPARTMENT OF HUMAN SERVICES UNIVERSAL RESTRICTED RECIPIENT PROGRAM, HEALTHPARTNERS HEALTH PLAN PROVIDES OVERSIGHT AND GUIDANCE TO OVER 300 MEMBERS ANNUALLY WHO ARE RESTRICTED TO A SINGLE PHYSICIAN, PHARMACY, AND HOSPITAL TO MINIMIZE MEDICATION -- SEEKING FROM MULTIPLE PHYSICIANS SIMULTANEOUSLY. BEHAVIORAL HEALTH CASE MANAGERS WHO PROVIDE RRP CASE MANAGEMENT SUPPORT MORE THAN 100 OF HEALTHPARTNERS' MEMBERS ENROLLED IN RRP ON AN ANNUAL BASIS. THE 2022 COSTS OF THE HEALTHPARTNERS BH RESTRICTED RECIPIENT PROGRAM WERE NEARLY $200,000. COMMUNITY BUILDING ACTIVITIES TRANSFORMING CARE AND COVERAGE TO IMPROVE OUTCOMES HEALTHPARTNERS IS WORKING TO TRANSFORM HEALTH CARE BY DELIVERING OUTSTANDING CARE AND SERVICE THAT IS CONSISTENT WITH THE ORGANIZATION'S VISION: HEALTH AS IT SHOULD BE, AFFORDABILITY AS IT MUST BE THROUGH RELATIONSHIPS BASED ON TRUST. OUR STRATEGIC APPROACH TO IS SUPPORT OUR HEALTHY HIGH PERFORMING TEAMS TO DELIVER BEST OUTCOMES FOR PATIENTS AND MEMBERS. THIS MEANS WE FOCUS ON THE PURSUIT TO SIMULTANEOUSLY OPTIMIZE THE HEALTH OF THE POPULATION AND THE EXPERIENCE OF EVERYONE, WHILE REDUCING PER CAPITA HEALTH CARE COSTS. AS AN INTEGRATED ORGANIZATION WE COLLABORATE AND CONNECT WITH OTHERS TO ADOPT AND SHARE IMPROVEMENTS SUCH AS BEST PRACTICES AND PATIENT EDUCATION MATERIALS ACROSS THE SYSTEM.
PART III, CONT.	HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS LIVE HEALTHIER LIVES AND LOWERS COSTS. THROUGH OUR UNIQUE WELLNESS PROGRAMS, ADVOCACY EFFORTS AND INNOVATIVE PAYMENT APPROACHES WHICH INCENT AND REWARD QUALITY, WE ARE ABLE TO PROVIDE BETTER VALUE FOR OUR CUSTOMERS. WE COLLABORATE WITH OTHER PLANS, CARE PROVIDERS AND NON-PROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS. BY PARTNERING WITH PROVIDERS, MEMBERS, PURCHASERS, AND THE COMMUNITY, WE ARE LEVERAGING OUR PLAN CAPABILITIES TO DEVELOP INITIATIVES, WHICH IMPROVE HEALTH, MEMBER EXPERIENCE AND AFFORDABILITY. TOTAL COST OF CARE TOTAL COST OF CARE (TCOC), IS A METHOD OF MEASURING HEALTH CARE AFFORDABILITY. TCOC MEASURES ARE POWERFUL ANALYTICAL TOOLS FOR HEALTH PLANS, PROVIDERS, MEDICAL GROUPS, GOVERNMENT AGENCIES, EMPLOYERS AND OTHERS WITH A STAKE IN REDUCING HEALTH CARE COST TRENDS. THEY CAN HELP PINPOINT WAYS TO MAKE HEALTH CARE MORE AFFORDABLE WITHOUT SACRIFICING QUALITY OR EXPERIENCE. MANY ORGANIZATIONS HAVE EXPERIMENTED WITH TCOC MODELS IN RECENT YEARS. HEALTHPARTNERS' TOTAL COST OF CARE AND RESOURCE USE (TCOC) FRAMEWORK ADDRESSES ONE OF THE MOST FUNDAMENTAL PROBLEMS RELATED TO POPULATION HEALTH: RISING HEALTH CARE COSTS. HEALTHPARTNERS HAS DEVELOPED A TCOC MODEL THAT IS UNIQUE IN A SIGNIFICANT WAY. IT IS A FULL-POPULATION, PERSON-CENTERED MEASUREMENT TOOL THAT ACCOUNTS FOR 100 PERCENT OF THE CARE PROVIDED TO A PATIENT. ADDITIONALLY, IT SUPPLIES A REPORTING SUITE TO SUPPORT MULTIPLE LEVELS OF ANALYSIS, CONSIDERING THE COST OF CARE PROVIDED TO A PATIENT (OR "TOTAL COST INDEX"), AND INCORPORATES AN INNOVATIVE APPROACH TO MEASURING RESOURCES USED IN PROVIDING THAT CARE (OR "TOTAL RESOURCE USE INDEX"). WHEN USED IN COMBINATION, THESE MEASURES YIELD MORE COMPREHENSIVE, REVEALING AND ACTIONABLE RESULTS THAN COST MEASURES ALONE. USING THIS SYSTEM, WHICH HAS BEEN MORE THAN A DECADE IN DEVELOPMENT AND STAGED-IN USE, HEALTHPARTNERS HAS OUTPERFORMED MINNESOTA, REGIONAL AND NATIONAL RISK-ADJUSTED COST OF CARE BENCHMARKS FOR MANY YEARS. HEALTHPARTNERS FINANCIALLY INCENTS PROVIDERS THROUGH ITS TCOC PROGRAM TO ACHIEVE THE BEST OUTCOMES FOR THE POPULATION THEY SERVE BY IMPROVING THE HEALTH OF THE POPULATION, ENHANCING THE PATIENT'S EXPERIENCE AND MAKING HEALTH CARE MORE AFFORDABLE. HEALTHPARTNERS HAS BEEN DEVELOPING HEALTH CARE COST OF CARE AND RESOURCE USE MEASURES SINCE 1995. THE MEASUREMENT SUITE WAS RE-ENDORSED BY THE NATIONAL QUALITY FORUM. SUSTAINABILITY OUR SUSTAINABILITY PROGRAM IS IN ALIGNMENT WITH AND FULLY SUPPORTS THE MISSION OF OUR ORGANIZATION. THE SUSTAINABILITY DEPARTMENT IS RESPONSIBLE FOR MONITORING AND MAKING RECOMMENDATIONS FOR REDUCING CARBON EMISSIONS, MINIMIZING WASTE, PURCHASING ENVIRONMENTALLY PREFERRED MATERIALS WHEN APPROPRIATE, MINIMIZING OUR IMPACT ON THE NATURAL ENVIRONMENT AND INTERACTING WITH THE INTERESTED STAKEHOLDERS OF THE ORGANIZATION AND IN THE COMMUNITY. HEALTHPARTNERS IS COMMITTED TO CARING FOR THE PLACES WHERE WE LIVE AND WORK SO WE CAN PROVIDE A HEALTHIER, CLEANER AND MORE LIVABLE ENVIRONMENT FOR OUR EMPLOYEES, MEMBERS, PATIENTS AND FUTURE GENERATIONS. WE ARE COMMITTED TO: - EXPAND THE USE OF SUSTAINABLE AND EARTH-FRIENDLY PRACTICES THAT HELP US WORK SMARTER, BE HEALTHIER AND SAVE MONEY. - ENCOURAGE EMPLOYEES TO PARTICIPATE IN, CHAMPION OR SUPPORT SUSTAINABILITY PRACTICES, BOTH AT WORK AND AT HOME. - MEASURE AND MONITOR OUR PROGRESS TOWARD OUR SUSTAINABILITY GOALS. - LEAD, ADVOCATE OR IMPLEMENT INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. HEALTHPARTNERS HAS MANY GREEN TEAMS ACROSS OUR ORGANIZATION THAT WORK HARD ON LEADING OUR SUSTAINABILITY INITIATIVES. GREEN TEAMS ARE BASED AT AMERY HOSPITAL & CLINIC, HUDSON HOSPITAL & CLINIC, HUTCHINSON HEALTH HOSPITAL, LAKEVIEW HOSPITAL, METHODIST HOSPITAL, OLIVIA HOSPITAL & CLINIC, REGIONS HOSPITAL, WESTFIELDS HOSPITAL & CLINIC AND SEVERAL OF OUR CLINICS AND ADMINISTRATIVE BUILDINGS. IN 2022, DUE TO THE CONTINUED IMPACTS OF THE COVID-19 PANDEMIC, HEALTHPARTNERS HELD A VIRTUAL EARTH DAY EVENT ACROSS THE ORGANIZATION. WE CREATED A FOUR-WEEK INTERNAL EARTH MONTH SERIES THAT FEATURED WEEKLY NEWSLETTERS, HUDDLE REMINDERS, AND SHORT FORMS THAT COLLEAGUES COULD COMPLETE TO SHARE THEIR IDEAS. WE ALSO HELD IN-PERSON EARTH DAY AND FALL SUSTAINABILITY AWARENESS EVENTS WHERE IT WAS SAFE TO DO SO. HEALTHPARTNERS HAS ALSO BEEN A PIONEER IN REDUCING THE AMOUNT OF MEDICATION WASTE IN THE COMMUNITY BY CREATING A MEDICINE TAKE-BACK PROGRAM. THIS TAKE-BACK PROGRAM BEGAN IN 2011 TO COLLECT UNNEEDED AND UNUSED MEDICATION FROM COMMUNITY MEMBERS FOR FREE. IN 2022, WE HAD SIX MEDICINE TAKE-BACK KIOSKS IN SERVICE AT OUR CLINICS AND HOSPITALS. THESE KIOSKS CAN ACCEPT CONTROLLED SUBSTANCES AND OTHER MEDICATIONS. HEALTHPARTNERS IS ABLE TO PROPERLY DISPOSE OF THESE MEDICATIONS, SO THEY ARE NOT DISCHARGED TO THE ENVIRONMENT OR END UP BEING MISUSED. IN 2022, HEALTHPARTNERS ESTIMATES THAT WE COLLECTED OVER 3,500 POUNDS OF MEDICATION FROM THE PUBLIC THROUGH THIS PROGRAM. SINCE 2011, WE HAVE COLLECTED OVER 44,700 POUNDS OF MEDICINES. TO DATE THE ORGANIZATION HAS SPENT ABOUT $194,000 OR $4.34 PER POUND FOR PROPER DISPOSAL OF MEDICINES. IN 2022, OUR COMMUNITY SOLAR GARDEN AGREEMENTS PRODUCED THE EQUIVALENT OF OVER 830 HOUSES' ENERGY USE FOR ONE YEAR. IN 2022, WE ALSO SAVED THE EQUIVALENT OF 76 HOUSES' ENERGY USE FOR ONE YEAR AND RECEIVED OVER $76,000 IN REBATES BY PURSUING INNOVATIVE ENERGY EFFICIENCY PROJECTS. AT THE START OF THE PANDEMIC, OUR TEAMS QUICKLY SWITCHED TO VIDEO VISITS TO KEEP BOTH EMPLOYEES AND PATIENTS SAFE. BY EMBRACING THIS NEW TECHNOLOGY, PATIENTS WHO TYPICALLY CAME TO CLINICS FOR AN IN-PERSON VISIT SAVED OVER 5.7 MILLION MILES AND 250,000 GALLONS OF GAS IN THE FIRST NINE MONTHS OF 2022. THROUGHOUT REMOTE WORKING, EMPLOYEES TRAVELED LESS FOR BUSINESS PURPOSES AS WELL AND SAVED OVER $930,000 IN MILEAGE REIMBURSEMENT COSTS IN 2022 COMPARED TO PRE-PANDEMIC. HEALTHPARTNERS WON A 2022 SYSTEM FOR CHANGE AWARD FOR EXEMPLARY SUSTAINABILITY STRATEGY FOR THE EIGHTH YEAR IN A ROW FROM PRACTICE GREENHEALTH, THE LEADING HEALTH CARE SUSTAINABILITY ORGANIZATION IN NORTH AMERICA. HEALTHPARTNERS HAS RECEIVED ADDITIONAL HIGH HONORS NATIONALLY FROM PRACTICE GREENHEALTH, WINNING 27 AWARDS IN 2022. ADDITIONAL AWARDS OUR HOSPITALS HAVE RECEIVED IN 2022 INCLUDE THE GREEN MASTERS AWARD FROM THE WISCONSIN SUSTAINABLE BUSINESS COUNCIL, THE GREEN BUSINESS OF THE YEAR AWARD FROM SUSTAINABLE STILLWATER, TREE CAMPUS HEALTHCARE FROM THE ARBOR DAY FOUNDATION, AND AUDUBON COOPERATIVE SANCTUARY FROM AUDUBON INTERNATIONAL. LANGUAGE ASSISTANCE - MINNESOTA HEALTH LITERACY PARTNERSHIP: WE ARE A MEMBER OF THE MINNESOTA HEALTH LITERACY PARTNERSHIP, A COLLABORATIVE OF HOSPITALS, CLINIC SYSTEMS, HEALTH PLANS AND COMMUNITY AND PUBLIC ORGANIZATIONS. THIS GROUP SHARES INFORMATION AND ENGAGES IN JOINT PLANNING ON HEALTH LITERACY ISSUES. THE GROUP IS COMMITTED TO ADVANCING HEALTH LITERACY, SO ALL PEOPLE IN OUR COMMUNITY CAN UNDERSTAND AND ENGAGE IN THEIR HEALTH AND HEALTH CARE. - THE EXCHANGE: WE PARTICIPATE IN THE EXCHANGE, A COLLABORATIVE OF MINNESOTA HEALTH-RELATED ORGANIZATIONS. MEMBERS COMBINE RESOURCES AND COLLABORATE TO CREATE AND MAINTAIN AN ONLINE LIBRARY OF HEALTH-RELATED MATERIALS IN LANGUAGES MOST COMMONLY SPOKEN IN MINNESOTA. THE EXCHANGE ALSO DISSEMINATES INFORMATION ON ISSUES OF LITERACY, CLASS, CULTURE, RACE AND SPIRITUALITY AS THEY AFFECT HEALTH DISPARITIES.
PART III, CONT.	BUILDING AN EFFECTIVE WORKFORCE TO SUPPORT HEALTH EQUITY, DIVERSITY AND INCLUSION EQUITY, INCLUSION AND ANTI-RACISM CABINET IN THE WAKE OF GEORGE FLOYD'S MURDER, HEALTHPARTNERS REAFFIRMED ITS COMMITMENT TO IMPROVE RACIAL EQUITY IN QUALITY AND HEALTH OUTCOMES AND ADDRESS THE EFFECTS OF DISPARITIES IN SOCIAL DETERMINANTS OF HEALTH. WE ESTABLISHED THE EQUITY, INCLUSION, AND ANTI-RACISM CABINET TO AGGRESSIVELY ACCELERATE OUR EFFORTS TO ADVANCE RACIAL EQUITY AND HEALTH EQUITY. THE CABINET PROVIDES STRATEGIC LEADERSHIP IN PLANNING AND EXECUTING ACTIVITIES AIMED AT IMPROVING RACIAL EQUITY AND HEALTH EQUITY THROUGH REDUCING HEALTH CARE DISPARITIES, IMPROVING ACCESS, AND SUPPORTING AN INCLUSIVE CULTURE. THE CABINET ALIGNS RACIAL EQUITY AND HEALTH EQUITY ACTIVITIES ACROSS THE ORGANIZATION THROUGH INCLUSION IN ANNUAL PLANS AND SUPPORTS TRACKING, MONITORING AND MEASURING PROGRESS. THE CABINET: - PROVIDES AN ORGANIZATION-WIDE APPROACH TO MEASURE AND REDUCE HEALTH CARE DISPARITIES - SUPPORTS WORKFORCE DEVELOPMENT INITIATIVES THAT REINFORCE CULTURAL HUMILITY AND RESPECT - IMPROVES CARE FOR MEMBERS WITH LIMITED ENGLISH PROFICIENCY AND WHO ARE HEARING IMPAIRED - INVOLVES MEMBERS IN PLANNING AND IMPLEMENTING RACIAL EQUITY AND HEALTH EQUITY APPROACHES - ENGAGES WITH COMMUNITIES ACROSS THE SEVEN-COUNTY METROPOLITAN AREA IN PARTNERSHIPS TO PROMOTE RACIAL EQUITY AND HEALTH EQUITY - PROVIDES DIRECTION FOR DATA COLLECTION, ANALYSIS, AND REPORTING ACROSS THE ORGANIZATION - COMMUNICATES PROGRESS ON INITIATIVES ACROSS THE ORGANIZATION, AND EXTERNALLY AS APPROPRIATE THE EQUITY, INCLUSION AND ANTI-RACISM CABINET WILL PROVIDE LEADERSHIP, DIRECTION AND OVERSIGHT THROUGH FOUR CORNERSTONES TO ACCELERATE THE PACE OF OUR WORK AND CULTIVATE ALIGNMENT AND PARTNERSHIP ACROSS THE ORGANIZATION. COMMUNITY COLLABORATION TO GAIN INSIGHTS AND ENGAGE COMMUNITY COMMUNITY PARTNERSHIP DEVELOPMENT IS A CORE STRATEGY IN OUR WORK TO PROMOTE HEALTH EQUITY. WE INVEST IN SIX GENERAL AREAS: HEALTHY CHILDREN, MENTAL HEALTH, NUTRITION AND FITNESS, HEALTH EQUITY, WELLNESS AND PREVENTION AND RESEARCH AND EDUCATION. WE ALSO HAVE LARGER, MULTI-YEAR PARTNERSHIPS AND CAMPAIGNS WITH COMMUNITY-BASED ORGANIZATIONS TO IMPACT HEALTH DETERMINANTS, SUCH AS THE MAKEITOK CAMPAIGN, POWERUP AND LITTLE MOMENTS COUNT. EXAMPLES OF PARTNERS INCLUDE ORGANIZATIONS SUCH AS THE WAY TO GROW, THINK SMALL, NORTHSIDE ACHIEVEMENT ZONE, NAMI, OVER 60 SCHOOLS THROUGHOUT THE REGION, HUNGER SOLUTIONS, AND MANY OTHERS. COLLECTION AND USE OF DATA ON RACE, ETHNICITY AND LANGUAGE PREFERENCES - HEALTHPARTNERS SYSTEMATICALLY COLLECTS DATA ON RACE/ETHNICITY, LANGUAGE AND COUNTRY OF ORIGIN DIRECTLY FROM PATIENTS AND MEMBERS IN A VARIETY OF WAYS, ALL OF THEM VOLUNTARY. THESE DATA COLLECTION SOURCES INCLUDE HEALTHPARTNERS.COM, TELEPHONE CONTACTS WITH HEALTHPARTNERS CASE MANAGEMENT DEPARTMENT, ONLINE THROUGH OUR HEALTH ASSESSMENT, THE ELECTRONIC MEDICAL RECORD IN OUR CARE DELIVERY SYSTEM AND IN OUR DENTAL GROUP. WE'VE FOUND THAT COLLECTING THIS INFORMATION FACE TO FACE FROM PATIENTS AT THE POINT OF CARE OR HEALTH PLAN CONTACT IS AN EFFECTIVE DATA COLLECTION METHOD. ACROSS OUR CARE DELIVERY SYSTEM, WE HAVE COLLECTED RACE AND LANGUAGE INFORMATION FOR OVER 90% OF OUR PATIENTS, WITH LANGUAGE AND RACE COLLECTION RATES AT OUR HOSPITALS EXCEEDING 97%. COMMUNITY PARTNERSHIPS AND BENEFIT TO THE COMMUNITY COMMUNITY PARTNERSHIP DEVELOPMENT IS A CORE STRATEGY IN OUR WORK TO PROMOTE HEALTH EQUITY. WE INVEST IN SIX GENERAL AREAS: HEALTHY CHILDREN, MENTAL HEALTH, NUTRITION AND FITNESS, HEALTH EQUITY, WELLNESS AND PREVENTION AND RESEARCH AND EDUCATION. WE ALSO HAVE LARGER, MULTI-YEAR PARTNERSHIPS AND CAMPAIGNS WITH COMMUNITY-BASED ORGANIZATIONS TO IMPACT HEALTH DETERMINANTS, SUCH AS THE MAKE IT OK CAMPAIGN, POWERUP AND LITTLE MOMENTS COUNT. EXAMPLES OF PARTNERS INCLUDE ORGANIZATIONS SUCH AS TPT, NORTHSIDE ACHIEVEMENT ZONE, NAMI, HABITAT FOR HUMANITY, ST. PAUL BOOKMOBILE, HUNGER SOLUTIONS, AND MANY OTHERS. - CENTER FOR COMMUNITY HEALTH (CCH) - CCH IS A COLLABORATIVE WITH HEALTH PLANS, HOSPITALS, AND LOCAL PUBLIC HEALTH AGENCIES IN THE TWIN CITIES SEVEN-COUNTY METRO AREA. IN 2022, HEALTHPARTNERS SERVED ON THIS ORGANIZATION WITH REPRESENTATIVES ON THE BOARD AS WELL AS THE TWO SUBCOMMITTEES. CCH CONTINUES TO DEVELOP COMMON TOOLS AND RESOURCES, FACILITATE QUANTITATIVE AND QUALITATIVE DATA SHARING, AND TAKE COLLECTIVE ACTION FOR SYSTEMS CHANGE. IN 2022, CCH CONTINUED THE INTEGRATIONS OF COMMUNITY HEALTH ASSESSMENTS. MORE ABOUT CCH AT WWW.MNMETROCCH.ORG - :RACISM UNVEILED: HEALTHPARTNERS IS THE SPONSOR OF THE NEW TWIN CITIES PUBLIC TELEVISION PRODUCTION, "RACISM UNVEILED." THE PROJECT IS A COLLABORATION WITH COMMUNITY MEMBERS AND LEADERS THAT EXAMINES THE IMPACT OF SYSTEMIC RACISM ON BLACK, INDIGENOUS AND COMMUNITIES OF COLOR IN MINNESOTA. HTTPS://WWW.TPTORIGINALS.ORG/PROJECTS/RACISMUNVEILED/ - SCIENCE MUSEUM OF MINNESOTA: SINCE 2018, HEALTHPARTNERS SUPPORTED THE SCIENCE MUSEUM OF MINNESOTA'S DEVELOPMENT OF THE MENTAL HEALTH: MIND MATTERS EXHIBIT. THIS EXHIBIT WAS ORIGINALLY DEVELOPED IN FINLAND, BUT DID NOT USE CULTURALLY APPROPRIATE LANGUAGE OR APPROACHES FOR THE UNITED STATES, AS WELL AS DID NOT PROVIDE CULTURALLY-RELEVANT RESOURCES. HEALTHPARTNERS PROVIDED IMPORTANT FINANCIAL SUPPORT AND SUBJECT MATTER EXPERTISE AND CONTENT ON RESOURCES, INCLUDING CREATION OF A DEDICATED RESOURCE AREA FOR ADULTS AND CHILDREN. THIS RESOURCE AREA INCLUDED CULTURALLY-RELEVANT RESOURCES IN MANY LANGUAGES AND ALSO INCLUDED DEDICATED PIECES FOR PERINATAL PSYCHIATRIC DISORDERS, AND AFRICAN AMERICAN, RECENT REFUGEE IMMIGRANT, SOMALI AND LATIN AMERICAN COMMUNITIES. HTTPS://WWW.SMM.ORG/TOOLKIT/MINDMATTERS - HIGHER GROUND ACADEMY: IS A K-12 GRADE CHARTER SCHOOL LOCATED IN SAINT PAUL THAT SERVES PRIMARILY CHILDREN OF EAST AFRICAN IMMIGRANTS FROM SOMALIA AND ETHIOPIA. ANNUALLY, HIGHER GROUND ACADEMY PLANS A CAREER FAIR FOR THEIR JUNIOR AND SENIOR HIGH STUDENTS. HEALTHPARTNERS HAS RECRUITED VOLUNTEERS TO PARTICIPATE SINCE 2015. IN 2022, SIX HEALTHPARTNERS COLLEAGUES PARTICIPATED AND REACHING ABOUT 95 STUDENTS. - HABITAT FOR HUMANITY: STABLE HOUSING IMPACTS EDUCATIONAL ACHIEVEMENT AND A FAMILIES' OVERALL HEALTH. WHEN HEALTHPARTNERS AND PARK NICOLLET COMBINED IN 2012, OUR ORGANIZATIONS USED VOLUNTEERISM AS A MEANS TO LEARN ABOUT EACH OTHER AND SHARE OUR VALUES. ACCORDING TO THE POSITIVE IMPACTS OF AFFORDABLE HOUSING ON HEALTH A RESEARCH SUMMARY, WHEN FAMILIES PAY EXCESSIVE AMOUNTS OF THEIR INCOME FOR HOUSING OFTEN THEY HAVE INSUFFICIENT FUNDS REMAINING TO MEET OTHER ESSENTIAL NEEDS, INCLUDING FOOD, MEDICAL INSURANCE AND HEALTH CARE. IN 2022, HEALTHPARTNERS SPONSORED 2 BUILDS. 72 VOLUNTEERS PARTICIPATED PROVIDING 576 VOLUNTEER HOURS. - PRIDE FESTIVAL: FOR 24 YEARS, HEALTHPARTNERS HAS PARTICIPATED IN THE PRIDE FESTIVAL AND OVER 5 YEARS IN THE PARADE. IN HONOR OF THE 50TH YEAR ANNIVERSARY OF PRIDE IN THE TWIN CITIES, THE HEALTHPARTNERS BOOTH AT PRIDE HOSTED A POLLING QUESTION AND DISTRIBUTED A CHARITY GIFT OF $5000 AMONG THREE NONPROFIT CHARITIES BASED ON PARTICIPANT'S VOTING PERCENTAGE. OUR CHARITY GIFT WAS THEN DISTRIBUTED TO THESE LOCAL NONPROFITS WHO SUPPORT THE GLBTQ+ COMMUNITY: RECLAIM; TWIN CITIES PRIDE; AND OPEN ARMS MN - UNLOCKIT: A PROGRAM DEVELOPED BY CYCLE HEALTH AND NOW INTEGRATED INTO THE YMCA PROGRAMMING, IS A MAP BASED OUTDOOR SCAVENGER HUNT SET AT A VARIETY OF PARKS. HEALTHPARTNERS IS PROUD TO BE A SPONSOR IN 2021 WHICH TESTED THE INITIAL PROGRAM. PROGRAMMING EXPANDED IN 2022 INCLUDING 16 PARKS. PARTICIPANTS MAY GO ANYTIME THE PARK IS OPEN. PARTICIPANTS DOWNLOAD THE MAP, FOLLOW THE CLUES, AND UNLOCK LETTERS THAT, WHEN UNSCRAMBLED, FORM A KEYWORD. THEY THEN SUBMIT THAT KEYWORD TO BE ENTERED TO WIN FUN PRIZES. HTTPS://WWW.YMCANORTH.ORG/SITES/DEFAULT/FILES/Y-ADVENTURE-LAB-UNLOCKIT-S T-CROIX.PDF?OPENYTS=1675275840248
PART III, CONT.	- KEYSTONE COMMUNITY SERVICES: FOR OVER 80 YEARS, KEYSTONE COMMUNITY SERVICES HAS BEEN SERVING RAMSEY COUNTY WITH SENIOR CARE, ENRICHMENT FOR CHILDREN, BASIC NEEDS AND CRISIS ASSISTANCE. KEYSTONE BEGAN AS A SMALL NEIGHBORHOOD COMMUNITY CENTER. TODAY, KEYSTONE REACHES MORE THAN 40,000 PEOPLE, AND WE SHARE MANY PATIENTS AND MEMBERS. KEYSTONE CURRENTLY OPERATES TWO FOOD SHELVES RICE STREET FOOD SHELF AND MIDWAY FOOD SHELF. AND WHEN HEALTHPARTNERS WAS PILOTING OUR SUPERSHELF INITIATIVE, THE RICE STREET FOOD SHELF WAS A PILOT! OUR 3 YEAR COMMITMENT MADE IN 2022 HAS BEEN USED TO SUPPORT THE EXPANSION OF THEIR NEW WAREHOUSE AND FOOD MOBILE PROVIDING BETTER ACCESS TO NEIGHBORHOODS WITH BARRIERS. KEYSTONE FOOD SHELVES AND FOODMOBILE PROVIDE QUALITY, HEALTHY FOOD FOR THE COMMUNITY, HELPING THEM BE SELF-SUFFICIENT, STABLE AND SUCCESSFUL. EXPRESS BIKE IS A SOCIAL ENTERPRISE OF KEYSTONE COMMUNITY SERVICES. EXPRESS BIKE IS A FULL-SERVICE BIKE SHOP SPECIALIZING IN REFURBISHED BICYCLES AND A NONPROFIT YOUTH EMPLOYMENT PROGRAM - ALL ROLLED INTO ONE! IN APRIL OF 2022, WE HOSTED BICYCLE DRIVES AT FOUR HEALTHPARTNERS LOCATIONS COLLECTING 136 BICYCLES TO SUPPORT THIS PROGRAM. - OPEN ARMS: SINCE 1986, OPEN ARMS OF MINNESOTA PREPARES AND DELIVERS TASTY, NOURISHING MEALS TO CRITICALLY ILL MINNESOTANS AND THEIR FAMILIES IN NEED100 PERCENT FREE OF CHARGE. HEALTHPARTNERS IS PROUD TO SUPPORT THE CAPITAL CAMPAIGN TO EXPAND THEIR SERVICES AND OPENING A NEW KITCHEN IN SAINT PAUL. HTTPS://WWW.OPENARMSMN.ORG/ABOUT-US/ - ITASCA PROJECT: WE CONTINUE OUR WORK WITH THE ITASCA PROJECT. THIS IS AN EMPLOYER-LED ALLIANCE TO ADDRESS REGIONAL ISSUES THAT AFFECT OUR FUTURE COMPETITIVENESS AND QUALITY OF LIFE. A MAJOR FOCUS OF THE ITASCA PROJECT IS CLOSING THE GAP ON SOCIOECONOMIC DISPARITIES IN THE REGION THROUGH COLLECTIVE ACTION BY BUSINESSES. THE ITASCA PROJECT, A CROSS-SECTOR ALLIANCE OF EMPLOYERS, LAUNCHED THE FIRST 1,000 DAYS INITIATIVE TO HELP RAISE AWARENESS AMONG EMPLOYERS OF THE LIFELONG IMPACT OF EARLY EXPERIENCES PRENATAL TO AGE 3 AND THE CRUCIAL. OUR LITTLE MOMENTS COUNT COLLABORATIVE HELPED TO CREATE THE EMPLOYEE TOOLKIT: HTTPS://WWW.LITTLEMOMENTSCOUNT.ORG/EMPLOYER-TOOL-KIT - RONDO NEIGHBORHOOD: HEALTHPARTNERS IS A PROUD SPONSOR OF THE RONDO COMMEMORATIVE PLAZA. IN THE 1930S, THE RONDO NEIGHBORHOOD WAS A THRIVING AND VIBRANT COMMUNITY. BY THE 1950S, ABOUT 85% OF SAINT PAUL'S AFRICAN AMERICAN POPULATION LIVED IN THE NEIGHBORHOOD. THE COMMUNITY BOND WAS STRONG, LOCAL BUSINESSES WERE THRIVING, AND RESIDENTS WERE GAINING FINANCIAL STABILITY THAT COMES WITH HOME OWNERSHIP. IN THE 1960'S, HOWEVER, THE NEIGHBORHOOD OF RONDO WAS REMOVED FROM THE MAP FOR THE CONSTRUCTION OF INTERSTATE 94. 600 FAMILIES LOST THEIR HOMES ALONG WITH NUMEROUS BUSINESSES AND INSTITUTIONS. THE RONDO COMMEMORATIVE PLAZA WAS INSTALLED TO CAPTURE THE HISTORY OF LOSS ENDURED, LESSONS LEARNED AND THE WILL TO RECONNECT. IN 2022, WE PARTICIPATED IN RONDO JUNETEENTH FESTIVAL SHARING HEALTH EDUCATION AND BLOOD PRESSURE CHECKS. - EARLY RISERS PODCAST: HEALTHPARTNERS WAS PROUD TO SPONSOR THE SECOND SERIES AND COLLABORATE WITH MINNESOTA PUBLIC RADIO AND THINK SMALL ON THIS PROJECT. EARLY RISERS FEATURED A 6-EPISODE PODCAST MINI-SERIES IN 2020 WHICH EXPLORED TALKING WITH OUR YOUNGEST CHILDREN ABOUT RACE AND RACISM. SHORT, SWEET, SOMETIMES FUNNY AND ALWAYS RELATABLE, EACH EPISODE RAN BETWEEN 20-30 MINUTES AND HELPED PARENTS, CARETAKERS AND EDUCATORS TACKLE THIS BIG TOPIC WITH THEIR LITTLE ONES. EPISODES RELEASED WEEKLY AND WERE SUPPORTED BY BOTH LITTLE MOMENTS COUNT, HEALTHPARTNERS AND PARK NICOLLET. AS THE INITIAL PODCAST SERIES WAS SO SUCCESSFUL, HEALTHPARTNERS SPONSORED THE SECOND SERIES IN 2021 AND A THIRD SERIES IN 2022. HTTPS://WWW.MPR.ORG/COLLECTIONS/EARLY-RISERS - SAINT PAUL PUBLIC LIBRARY BOOKMOBILE: HEALTHPARTNERS HAS SPONSORED THE SAINT PAUL PUBLIC LIBRARY BOOKMOBILE SINCE 2014, WHICH IS ONE OF THE LAST URBAN BOOKMOBILE STILL IN OPERATION. THE BOOK MOBILE VISITS 45-50 SITES ON A REGULAR BASIS IN A TWO-WEEK CYCLE REACHING ABOUT 120,000 PEOPLE PER YEAR. THE BOOKMOBILE ENSURES THAT THE LIBRARY IS ACCESSIBLE TO COMMUNITIES THAT FACE BARRIERS IN USING THE LIBRARY'S FIXED FACILITY DUE TO TRANSPORTATION, CULTURAL, LANGUAGE OR OTHER BARRIERS. IN ADDITION TO A FINANCIAL CONTRIBUTION, HEALTHPARTNERS ALSO VOLUNTEERS HELPING THE BOOKMOBILE AT LOCAL EVENTS. IN 2022, THE BOOKMOBILE SERVED OVER 1,500 CHILDREN AND FAMILIES EACH WEEK! HTTPS://SPPL.ORG/BOOKMOBILE/
FORM 990, PART VI, SECTION A, LINE 2	JULIE BUNDE AND STEVEN BUNDE ARE BOTH OFFICERS AT HPI AND ARE MARRIED.
FORM 990, PART VI, SECTION A, LINE 6	EACH HPI DIRECTOR IS ALSO A CONTRACT HOLDER OF HPI HEALTH PLAN OR A HEALTH PLAN OFFERED OR ADMINISTERED BY A RELATED ORGANIZATIONS. EACH MEMBER HAS ONE VOTE. BYLAWS, SECTION 1.1.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF HPI ELECT THE MAJORITY OF THE HPI BOARD OF DIRECTORS WHO SERVE AS THE ELECTED DIRECTORS AND WHO ALSO MUST BE CONTRACT HOLDERS AS EXPLAINED IN LINE 6A. OVER 75% OF MEMBER BOARD OF DIRECTORS ARE MEMBER-ELECTED DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	HPI'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF HPI. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE INTERNAL TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM, THE LEGAL DEPARTMENT AND HPI'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS PRESENTED TO THE GOVERNING BODY OF HPI. HPI MAKES AVAILABLE, TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS, A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED IN THE HEALTHPARTNERS BOARDEFFECT PORTAL FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO THE FILING OF THE 990, AND IS AN AGENDA ITEM AT A COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	THE HPI BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15	HPI HAS NO EMPLOYEES. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. ("GHI") OR PARK NICOLLET HEALTH SERVICES (PNHS). GHI AND PNHS HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS CEO AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE BOARD OF DIRECTORS' COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED BY AN EXTERNAL COMPENSATION CONSULTANT. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE. BASED ON THIS MARKET DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMPENSATION COMMITTEE. FOR THE CHIEF EXECUTIVE OFFICER AND CERTAIN OTHER POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE BOARD OF DIRECTORS HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE CEO BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA, APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAS DELEGATED TO THE CEO (WITH AUTHORITY TO FURTHER DELEGATE) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	HPI'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM HPI. HPI'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. HPI'S CONFLICT OF INTEREST POLICY CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE.
FORM 990, PART VII, SECT. A, COL. B, AVERAGE HOURS - RELATED ORGANIZATION	ALL OFFICERS OF HPI ARE EMPLOYED AND COMPENSATED BY GHI AND PNHS. REPORTED AVERAGE HOURS WORKED ARE BASED ON TOTAL COMPENSATION FOR ALL RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFER TO AFFILIATED ORGANIZATIONS -34,533,068. EARNINGS IN AFFILIATED ORGANIZATION -314,843. FAIR MARKET VALUATION ADJUSTMENT -10,263,875.

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Explanation

FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS

CORPORATE STRUCTURE, PURPOSE, GOVERNANCE HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS." FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,900 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. PROVISION OF MANAGED CARE TO STATE PUBLIC PROGRAMS (SPP) BENEFICIARIES HPI SUPPORTS STATE PUBLIC PROGRAM MEMBERS BY PROVIDING INFORMATION ABOUT PLAN RESOURCES AND BENEFITS TO COUNTY EMPLOYEES, NURSING HOMES, HEALTH AND HOUSING ADVOCATES, FINANCIAL WORKERS AND COMMUNITY ORGANIZATIONS THROUGH A VARIETY OF COMMUNITY EVENTS AND PROGRAMS INCLUDING: - SCOTT/CARVER COUNTY OPERATION COMMUNITY CONNECT - NAMI ST. CLOUD CONFERENCE - KAREN NEW YEAR - MINNESOTA FINANCIAL WORKER AND CASE AIDE ASSOCIATION (MFWCAA) CONFERENCE - MINNESOTA SOCIAL SERVICE ASSOCIATION (MSSA) CONFERENCE - LOCAL PUBLIC HEALTH ASSOCIATION (LPHA) CONFERENCE - RUSSIAN NEWSPAPER (COLLABORATION WITH OTHER HEALTH PLANS TO PROMOTE MEDICAID AWARENESS IN THE RUSSIAN COMMUNITY) - MILACA AND MILLE LACS AREA OPERATION COMMUNITY CONNECT (OCC) IN MILLE LACS COUNTY - OPERATION COMMUNITY CONNECT (OCC) IN CHISAGO COUNTY - MINNESOTA GERONTOLOGICAL SOCIETY (MGS) - MINNESOTA PUBLIC HEALTH ASSOCIATION (MPHA) CONFERENCE - MANY FACES OF COMMUNITY HEALTH CONFERENCE SPP INCENTIVES TO MEMBERS HPI PROMOTES PREVENTIVE SERVICES FOR STATE PUBLIC PROGRAM PLAN MEMBERS THROUGH INCENTIVE PROGRAMS. PEDIATRIC IMMUNIZATION INCENTIVE PROGRAM. THE PEDIATRIC IMMUNIZATION INCENTIVE PROGRAM ENCOURAGES PMAP AND MNCARE INFANTS TO GET A SERIES OF VACCINES BY THEIR SECOND BIRTHDAY. ONCE HPI RECEIVES THE CLAIMS FOR THESE VACCINES, MEMBERS RECEIVE A $25 GIFT CARD IN THE MAIL. HPI DISTRIBUTED 1,778 GIFT CARDS (VALUED AT $47,177) FOR THIS PROGRAM IN 2022. THE PRE-TEEN (ADOLESCENT) IMMUNIZATIONS INCENTIVE PROGRAM. THE PRE-TEEN IMMUNIZATION PROGRAM ENCOURAGES PMAP AND MNCARE YOUTH TO GET THEIR HPV, MENINGOCOCCAL AND TDAP IMMUNIZATIONS. ONCE HPI RECEIVES THE CLAIM FOR THESE VACCINES, MEMBERS RECEIVE A $25 GIFT CARD IN THE MAIL. HPI DISTRIBUTED 1,163 GIFT CARDS (VALUED AT $30,819.50) FOR THIS PROGRAM IN 2022. POSTPARTUM INCENTIVE. SNBC, PMAP AND MNCARE MEMBERS WHO RECEIVE A POSTPARTUM EXAM THREE TO EIGHT WEEKS AFTER THE BIRTH OF THEIR CHILD RECEIVE A $25 GIFT CARD. HPI DISTRIBUTED 151 GIFT CARDS (VALUED AT $4,039.25) FOR THIS PROGRAM IN 2022. SNBC INCENTIVES. TO ENCOURAGE AN ANNUAL PRIMARY CARE VISIT, SNBC MEMBERS WHO COMPLETE THEIR ANNUAL PRIMARY VISIT RECEIVE A $25 GIFT CARD. MEMBERS ALSO RECEIVE A $25 GIFT CARD FOR DOING A CERVICAL CANCER SCREENING OR COMPLETING A MEDICATION THERAPY MANAGEMENT VISIT. HPI DISTRIBUTED 498 GIFT CARDS (VALUED AT $13,321.50) FOR THESE THREE PROGRAMS IN 2022. CAR SEAT PROGRAM. PMAP AND MNCARE MEMBERS AGES EIGHT AND YOUNGER OR MEMBERS WHO ARE AT LEAST SIX MONTHS PREGNANT ARE ELIGIBLE TO RECEIVE A CAR SEAT WITH THE COMPLETION OF A CAR SEAT SAFETY AND EDUCATION COURSE. HPI DISTRIBUTED 2,869 CAR SEATS (VALUED AT $241,618.27) IN 2022. MEDICAID IMPROVEMENT WORK. AS PART OF OUR MEDICAID IMPROVEMENT WORK, WE SENT HEALTHPARTNERS MEMBER-PATIENTS AN ADDITIONAL $50 GIFT CARD FOR GETTING CARE IN Q4 OF 2022. WE DISTRIBUTED 4,495 CARDS (VALUED AT $224,750). DENTAL KIT INITIATIVE THE DENTAL KIT INITIATIVE PROVIDES KEY DENTAL PERSONAL CARE ITEMS TO COUNTIES AS A RESPONSE TO DENTAL ACCESS BARRIERS. EACH DENTAL KIT CONTAINS A TOOTHPASTE, A TOOTHBRUSH (CHILDREN OR ADULT) AND DENTAL FLOSS ALONG WITH AN EDUCATIONAL BROCHURE ABOUT ORAL HYGIENE. HEALTHPARTNERS STATE PUBLIC PROGRAMS PROVIDED 1,280 DENTAL KITS TO 3 HEALTHPARTNERS SERVICE COUNTIES WHICH INCLUDE BENTON, MARSHALL, AND MILLE LACS COUNTIES. IN ADDITION, THE STATE PUBLIC PROGRAM TEAM DISTRIBUTED DENTAL KITS AT MULTIPLE COUNTY-LED EVENTS, SUCH AS OPERATION COMMUNITY CONNECT, HOSTED IN CARVER, CHISAGO, MILACA, MILLE LACS, AND SCOTT COUNTIES. COMMUNITY SPONSORSHIPS: IN 2022, $5,115 WAS PROVIDED TO SUPPORT COUNTY AND COMMUNITY EVENTS THAT SUPPORTED MEDICAID MEMBERS. ADDITIONALLY, WE PROVIDED $1,000,000 IN GRANTS TO THE 12-COUNTY METRO AND CENTRAL MINNESOTA COUNTIES (ANOKA, BENTON, CARVER, CHISAGO, DAKOTA, HENNEPIN, RAMSEY, SCOTT, SHERBURNE, STEARNS, WASHINGTON, WRIGHT) AND THE CITY OF BROOKLYN CENTER. HEALTHPARTNERS AS A MEMBER OF MINNESOTA COUNCIL OF HEALTH PLANS SERVES IN A A COLLABORATIVE WITH MINNESOTA DEPARTMENT OF HUMAN SERVICES, MINNESOTA DEPARTMENT OF HEALTH, THE MN COUNCIL OF HEALTH PLANS AND THE MN ASSOCIATION OF COUNTY HEALTH PLANS. THIS COLLABORATIVE HELPED TO NARROW MINNESOTA'S COVID-19 VACCINE DISPARITIES. THE SUCCESS OF THIS PARTNERSHIP ALSO LED TO AN EFFORT TO DISTRIBUTE OVER 500,000 HIGH QUALITY MASKS DURING THE OMICRON WAVE IN EARLY 2022 TO CLINICS SERVING MOSTLY MEDICAID PATIENTS AND THOSE LIVING IN HIGH SVI AREAS. THE GROUP NOW CONTINUES TO COLLABORATE ON MINNESOTA MEDICAID REENROLLMENT AND VACCINE EQUITY.

PART III, CONT.

VIRTUWELL VIRTUWELL IS A 24/7 ONLINE CLINIC THAT REINVENTS THE DIAGNOSIS AND TREATMENT EXPERIENCE FOR EVERYDAY ILLNESSES. THROUGH A REFRESHINGLY SIMPLE ONLINE AND MOBILE PLATFORM, PAIRED WITH BEST-IN-CLASS CUSTOMER SERVICE, VIRTUWELL IS SAVING CONSUMERS, EMPLOYERS AND HEALTH PLANS TIME AND MONEY. IT WAS CREATED TO BE SIMPLE, CONVENIENT AND AFFORDABLE AND LAUNCHED IN 2010 FOR MINNESOTA RESIDENTS. SINCE THEN, IT HAS EXPERIENCED STEADY GROWTH AND IS AVAILABLE TO ANYONE WHO LIVES, WORKS OR TRAVELS WITHIN THE 13 STATES VIRTUWELL SERVES: ARIZONA, CALIFORNIA, COLORADO, CONNECTICUT, IOWA, MICHIGAN, MINNESOTA, NEW YORK, NORTH DAKOTA, PENNSYLVANIA, SOUTH DAKOTA, VIRGINIA, WISCONSIN, AND CAN BE ACCESSED ANYTIME FROM A SMART PHONE, TABLET OR COMPUTER. MORE INFO AT WWW.VIRTUWELL.COM. VIRTUWELL PROVIDES OUR MEMBERS WITH UNLIMITED FREE VISITS TO GET THEIR HEALTH QUESTIONS ANSWERED. IT NOW INCLUDES 56 CONDITIONS, MORE THAN 900,000 TREATMENT PLANS AND HAS LED TO SAVINGS EXCEEDING $100 MILLION IN HEALTH CARE COSTS, AND THOUSANDS MORE REFERRED SAFELY TO IN-PERSON CARE. VIRTUWELL MAINTAINS OUTSTANDING EFFECTIVENESS AND SATISFACTION RATES. SINCE ITS LAUNCH, IT HAS RESULTED IN A REPORTED AVERAGE SAVINGS OF $150 PER VISIT FOR MEMBERS, EMPLOYERS, AND HEALTH PLANS. MEMBERS CAN RECEIVE A DIAGNOSIS AND TREATMENT BY CERTIFIED NURSE PRACTITIONERS IN MINUTES. IN ADDITION, NURSE PRACTITIONERS CAN SEND PATIENTS' PRESCRIPTIONS TO THEIR PHARMACY IF NEEDED. THERE IS NO COST IF VIRTUWELL IS UNABLE TO TREAT THE PATIENT. INDIVIDUALS WHO HAVE TRIED VIRTUWELL.COM HAVE FOUND THAT ONE VIRTUWELL VISIT CAN SAVE 2.5 HOURS OR MORE. IT IS SIMPLE TO USE AND 98 PERCENT OF CUSTOMERS WOULD HIGHLY RECOMMEND VIRTUWELL TO FRIENDS AND FAMILY. IMPROVING BEHAVIORAL HEALTH OUTCOMES THROUGH SUPPORTS FOR TREATMENT ADHERENCE HEALTHPARTNERS IS HIGHLY EFFECTIVE AT SUPPORTING MEMBERS IN INCREASING TREATMENT ADHERENCE. THE FOUR CLASSES OF PSYCHIATRIC MEDICATION THAT HEALTHPARTNERS SUPPORTS THROUGH MAILED REMINDER LETTERS FOR REFILLS ARE: ANTIDEPRESSANTS, ANTIPSYCHOTICS, MOOD STABILIZERS AND ANTI-CRAVING MEDICATIONS (USED IN THE TREATMENT OF ADDICTIONS). OUR PROGRAM TARGETING A FIFTH CATEGORY OF MEDICATION SEEKS TO REDUCE BENZODIAZEPINE USE AMONG MEMBERS WITH ANXIETY DISORDERS. IN 2022, THERE WERE MORE THAN 70,000 COMMUNICATIONS TO MEMBERS REGARDING MEDICATION REFILLS, HEALTH EDUCATION AND WITH THEIR PRESCRIBERS REGARDING OVERDUE REFILLS. THE PROGRAMS EACH HAVE DIFFERENT CONTENT BASED ON THE CONDITION BEING TARGETED AND THE OUTCOME GOALS. MEDICATION REFILL REMINDER AND HEALTH EDUCATION NEWSLETTERS WERE SENT VIA MAIL AND DIGITAL METHODS TO MEMBERS TO HELP SUPPORT ADHERENCE TO BEHAVIORAL HEALTH MEDICATIONS FOR DEPRESSION, BIPOLAR DISORDER, SCHIZOPHRENIA, CHEMICAL DEPENDENCY, AND ANXIETY DISORDERS. THE TOTAL COST OF THIS PROGRAM INCLUDING DIGITAL AND MANUAL MAILINGS WAS APPROXIMATELY $25,000. REDUCING PSYCHIATRIC HOSPITALIZATIONS & READMISSIONS HEALTHPARTNERS PLANS EMPLOY STAFF TO PROVIDE BEHAVIORAL HEALTH COACHING AND CARE COORDINATION TO SUPPORT NEARLY 10,000 HIGH-RISK MEMBERS TO PREVENT CRISES THAT LEAD TO EMERGENCY HOSPITALIZATION. HEALTHPARTNERS ALSO HELPS THOSE LEAVING THE HOSPITAL GET PROMPT TREATMENT FROM AN OUTPATIENT MENTAL HEALTH PROVIDER. HEALTHPARTNERS PLANS EMPLOY STAFF TO PROVIDE AFTERCARE COORDINATION, WHICH CONSISTS OF TELEPHONIC SUPPORT TO MEMBERS THROUGHOUT THEIR ADMISSION AND UPON DISCHARGED FROM INPATIENT PSYCHIATRY UNITS. THE CALLS HELP COORDINATE THEIR CARE AND ENCOURAGE THEM TO ATTEND OUTPATIENT AFTERCARE APPOINTMENTS. ED VISIT FOLLOW UP: EMERGENCY DEPARTMENT ADMISSIONS FOR MENTAL HEALTH AND SUBSTANCE USE CONDITIONS TRIGGER TELEPHONIC OUTREACH FROM OUR BEHAVIORAL HEALTH CASE MANAGERS TO MEMBERS WHO ARE CURRENTLY ENGAGED IN BEHAVIORAL HEALTH CASE MANAGEMENT OR WHO HAVE BEEN IDENTIFIED FOR/ENGAGED IN BEHAVIORAL HEALTH CASE MANAGEMENT IN THE PAST BUT ARE NOT ENGAGED AT THE TIME OF HEALTHPARTNERS BEING NOTIFIED OF THEIR EMERGENCY DEPARTMENT VISIT. UPON NOTIFICATION OF THE VISIT, OUR CASE MANAGERS REACH OUT TO OUR MEMBERS TO ASSESS WHAT LED TO THE RECENT EMERGENCY DEPARTMENT VISIT, CURRENT GAPS IN OR BARRIERS TO CARE, AND ONGOING NEEDS. IF THE MEMBER PREVIOUSLY DECLINED TELEPHONIC CASE MANAGEMENT SUPPORT, OUR CASE MANAGERS WILL ATTEMPT TO ENGAGE AND SUPPORT THESE MEMBERS AT A POINT OF POTENTIAL CRISIS. THESE MEMBERS ARE OFTEN INTERESTED IN ENGAGING WITH US IN THE AFTERMATH OF A CRISIS. IN 2022, 218 MEMBERS WERE TELEPHONICALLY OUTREACHED IN RESPONSE TO 264 EMERGENCY DEPARTMENT VISITS FOR BEHAVIORAL HEALTH CONCERNS, AS SEVERAL MEMBERS EXPERIENCED MORE THAN ONE ED VISIT AND, THUS, RECEIVED MULTIPLE OUTREACHES. OF THE 218 MEMBERS WHO RECEIVED THIS OUTREACH, 92 WERE NEWLY IDENTIFIED FOR BEHAVIORAL HEALTH CASE MANAGEMENT BECAUSE OF THEIR ED VISIT, AND OUR CASE MANAGERS REACHED 29 (32%) OF THOSE MEMBERS AND ENGAGED THEM IN BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES. THE REMAINING MEMBERS WERE ALREADY ENGAGED IN BEHAVIORAL HEALTH CASE MANAGEMENT AND THE CONTACT THEY RECEIVED IN RESPONSE TO THEIR ED VISIT WAS ONGOING SUPPORT THEY RECEIVED AS PART OF THE SERVICE. SUICIDE SCREENING: IN 2018, THE HEALTHPARTNERS INSTITUTE WAS PART OF A LARGE RESEARCH STUDY ACROSS SEVEN HEALTH SYSTEMS THAT DEVELOPED AND VALIDATED MODELS TO PREDICT SUICIDE ATTEMPTS USING HEALTH RECORDS AND SELF-REPORTED DATA. IN 2019, OUR HEALTH PLAN TOOK THE PUBLISHED RESEARCH AND WORKED WITH OUR OWN HEALTH INFORMATICS TEAM TO REPLICATE THE MODELS TO PREDICT RISING RISK OF SUICIDE ATTEMPTS WITH HEALTH PLAN DATA AND IMPLEMENTED USING THIS METHOD OF IDENTIFICATION TO TRIGGER OUTREACH BY OUR BEHAVIORAL HEALTH CASE MANAGERS, WHO WOULD ATTEMPT TO ENGAGE THE MEMBERS AND COMPLETE A SUICIDE ASSESSMENT AND INTERVENTION PROTOCOL TO ADDRESS RISK. OUR BEHAVIORAL HEALTH CASE MANAGERS HAVE WORKED TO ACHIEVE IMPACTFUL RESULTS WITH MEMBERS IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE. IN 2022, OUR BH CASE MANAGEMENT PROGRAM RECEIVED 313 NOTIFICATIONS OF MEMBERS WHO WERE ENGAGED IN BH CASE MANAGEMENT WHO WERE IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE. OUR CASE MANAGERS ASSESSED MEMBERS IN 171 (55%) OF THESE OCCURRENCES USING THE COLUMBIA SUICIDE SEVERITY SCREENING. BASED ON THE RISK SCORE AND CLINICAL PICTURE OF THE MEMBERS, OUR CASE MANAGERS PROVIDED CRISIS INTERVENTION AND RESOURCES, EDUCATION, COACHING AND SUPPORT WHEN THEY NEEDED IT MOST. THE COST OF THIS PROGRAM (BEHAVIORAL HEALTH CASE MANAGEMENT INCLUDING OUTPATIENT, INPATIENT, ED VISIT, AND SUICIDE SCREENING) WAS APPROXIMATELY $3.3M, WITH 98% USED FOR SALARIES AND BENEFITS FOR STAFF. IMPROVING PATIENT SAFETY AND REDUCING DRUG RELATED OVERUSE AND MISUSE HEALTHPARTNERS RESTRICTED RECIPIENT PROGRAM WAS ESTABLISHED OVER TEN YEARS AGO AND IS DESIGNED TO REDUCE MEDICATION AND UTILIZATION OVERUSE AND MISUSE. FOLLOWING SPECIFIC PROGRAM PROTOCOLS FROM THE MINNESOTA DEPARTMENT OF HUMAN SERVICES UNIVERSAL RESTRICTED RECIPIENT PROGRAM, HEALTHPARTNERS HEALTH PLAN PROVIDES OVERSIGHT AND GUIDANCE TO OVER 300 MEMBERS ANNUALLY WHO ARE RESTRICTED TO A SINGLE PHYSICIAN, PHARMACY, AND HOSPITAL TO MINIMIZE MEDICATION -- SEEKING FROM MULTIPLE PHYSICIANS SIMULTANEOUSLY. BEHAVIORAL HEALTH CASE MANAGERS WHO PROVIDE RRP CASE MANAGEMENT SUPPORT MORE THAN 100 OF HEALTHPARTNERS' MEMBERS ENROLLED IN RRP ON AN ANNUAL BASIS. THE 2022 COSTS OF THE HEALTHPARTNERS BH RESTRICTED RECIPIENT PROGRAM WERE NEARLY $200,000. COMMUNITY BUILDING ACTIVITIES TRANSFORMING CARE AND COVERAGE TO IMPROVE OUTCOMES HEALTHPARTNERS IS WORKING TO TRANSFORM HEALTH CARE BY DELIVERING OUTSTANDING CARE AND SERVICE THAT IS CONSISTENT WITH THE ORGANIZATION'S VISION: HEALTH AS IT SHOULD BE, AFFORDABILITY AS IT MUST BE THROUGH RELATIONSHIPS BASED ON TRUST. OUR STRATEGIC APPROACH TO IS SUPPORT OUR HEALTHY HIGH PERFORMING TEAMS TO DELIVER BEST OUTCOMES FOR PATIENTS AND MEMBERS. THIS MEANS WE FOCUS ON THE PURSUIT TO SIMULTANEOUSLY OPTIMIZE THE HEALTH OF THE POPULATION AND THE EXPERIENCE OF EVERYONE, WHILE REDUCING PER CAPITA HEALTH CARE COSTS. AS AN INTEGRATED ORGANIZATION WE COLLABORATE AND CONNECT WITH OTHERS TO ADOPT AND SHARE IMPROVEMENTS SUCH AS BEST PRACTICES AND PATIENT EDUCATION MATERIALS ACROSS THE SYSTEM.

PART III, CONT.

HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS LIVE HEALTHIER LIVES AND LOWERS COSTS. THROUGH OUR UNIQUE WELLNESS PROGRAMS, ADVOCACY EFFORTS AND INNOVATIVE PAYMENT APPROACHES WHICH INCENT AND REWARD QUALITY, WE ARE ABLE TO PROVIDE BETTER VALUE FOR OUR CUSTOMERS. WE COLLABORATE WITH OTHER PLANS, CARE PROVIDERS AND NON-PROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS. BY PARTNERING WITH PROVIDERS, MEMBERS, PURCHASERS, AND THE COMMUNITY, WE ARE LEVERAGING OUR PLAN CAPABILITIES TO DEVELOP INITIATIVES, WHICH IMPROVE HEALTH, MEMBER EXPERIENCE AND AFFORDABILITY. TOTAL COST OF CARE TOTAL COST OF CARE (TCOC), IS A METHOD OF MEASURING HEALTH CARE AFFORDABILITY. TCOC MEASURES ARE POWERFUL ANALYTICAL TOOLS FOR HEALTH PLANS, PROVIDERS, MEDICAL GROUPS, GOVERNMENT AGENCIES, EMPLOYERS AND OTHERS WITH A STAKE IN REDUCING HEALTH CARE COST TRENDS. THEY CAN HELP PINPOINT WAYS TO MAKE HEALTH CARE MORE AFFORDABLE WITHOUT SACRIFICING QUALITY OR EXPERIENCE. MANY ORGANIZATIONS HAVE EXPERIMENTED WITH TCOC MODELS IN RECENT YEARS. HEALTHPARTNERS' TOTAL COST OF CARE AND RESOURCE USE (TCOC) FRAMEWORK ADDRESSES ONE OF THE MOST FUNDAMENTAL PROBLEMS RELATED TO POPULATION HEALTH: RISING HEALTH CARE COSTS. HEALTHPARTNERS HAS DEVELOPED A TCOC MODEL THAT IS UNIQUE IN A SIGNIFICANT WAY. IT IS A FULL-POPULATION, PERSON-CENTERED MEASUREMENT TOOL THAT ACCOUNTS FOR 100 PERCENT OF THE CARE PROVIDED TO A PATIENT. ADDITIONALLY, IT SUPPLIES A REPORTING SUITE TO SUPPORT MULTIPLE LEVELS OF ANALYSIS, CONSIDERING THE COST OF CARE PROVIDED TO A PATIENT (OR "TOTAL COST INDEX"), AND INCORPORATES AN INNOVATIVE APPROACH TO MEASURING RESOURCES USED IN PROVIDING THAT CARE (OR "TOTAL RESOURCE USE INDEX"). WHEN USED IN COMBINATION, THESE MEASURES YIELD MORE COMPREHENSIVE, REVEALING AND ACTIONABLE RESULTS THAN COST MEASURES ALONE. USING THIS SYSTEM, WHICH HAS BEEN MORE THAN A DECADE IN DEVELOPMENT AND STAGED-IN USE, HEALTHPARTNERS HAS OUTPERFORMED MINNESOTA, REGIONAL AND NATIONAL RISK-ADJUSTED COST OF CARE BENCHMARKS FOR MANY YEARS. HEALTHPARTNERS FINANCIALLY INCENTS PROVIDERS THROUGH ITS TCOC PROGRAM TO ACHIEVE THE BEST OUTCOMES FOR THE POPULATION THEY SERVE BY IMPROVING THE HEALTH OF THE POPULATION, ENHANCING THE PATIENT'S EXPERIENCE AND MAKING HEALTH CARE MORE AFFORDABLE. HEALTHPARTNERS HAS BEEN DEVELOPING HEALTH CARE COST OF CARE AND RESOURCE USE MEASURES SINCE 1995. THE MEASUREMENT SUITE WAS RE-ENDORSED BY THE NATIONAL QUALITY FORUM. SUSTAINABILITY OUR SUSTAINABILITY PROGRAM IS IN ALIGNMENT WITH AND FULLY SUPPORTS THE MISSION OF OUR ORGANIZATION. THE SUSTAINABILITY DEPARTMENT IS RESPONSIBLE FOR MONITORING AND MAKING RECOMMENDATIONS FOR REDUCING CARBON EMISSIONS, MINIMIZING WASTE, PURCHASING ENVIRONMENTALLY PREFERRED MATERIALS WHEN APPROPRIATE, MINIMIZING OUR IMPACT ON THE NATURAL ENVIRONMENT AND INTERACTING WITH THE INTERESTED STAKEHOLDERS OF THE ORGANIZATION AND IN THE COMMUNITY. HEALTHPARTNERS IS COMMITTED TO CARING FOR THE PLACES WHERE WE LIVE AND WORK SO WE CAN PROVIDE A HEALTHIER, CLEANER AND MORE LIVABLE ENVIRONMENT FOR OUR EMPLOYEES, MEMBERS, PATIENTS AND FUTURE GENERATIONS. WE ARE COMMITTED TO: - EXPAND THE USE OF SUSTAINABLE AND EARTH-FRIENDLY PRACTICES THAT HELP US WORK SMARTER, BE HEALTHIER AND SAVE MONEY. - ENCOURAGE EMPLOYEES TO PARTICIPATE IN, CHAMPION OR SUPPORT SUSTAINABILITY PRACTICES, BOTH AT WORK AND AT HOME. - MEASURE AND MONITOR OUR PROGRESS TOWARD OUR SUSTAINABILITY GOALS. - LEAD, ADVOCATE OR IMPLEMENT INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. HEALTHPARTNERS HAS MANY GREEN TEAMS ACROSS OUR ORGANIZATION THAT WORK HARD ON LEADING OUR SUSTAINABILITY INITIATIVES. GREEN TEAMS ARE BASED AT AMERY HOSPITAL & CLINIC, HUDSON HOSPITAL & CLINIC, HUTCHINSON HEALTH HOSPITAL, LAKEVIEW HOSPITAL, METHODIST HOSPITAL, OLIVIA HOSPITAL & CLINIC, REGIONS HOSPITAL, WESTFIELDS HOSPITAL & CLINIC AND SEVERAL OF OUR CLINICS AND ADMINISTRATIVE BUILDINGS. IN 2022, DUE TO THE CONTINUED IMPACTS OF THE COVID-19 PANDEMIC, HEALTHPARTNERS HELD A VIRTUAL EARTH DAY EVENT ACROSS THE ORGANIZATION. WE CREATED A FOUR-WEEK INTERNAL EARTH MONTH SERIES THAT FEATURED WEEKLY NEWSLETTERS, HUDDLE REMINDERS, AND SHORT FORMS THAT COLLEAGUES COULD COMPLETE TO SHARE THEIR IDEAS. WE ALSO HELD IN-PERSON EARTH DAY AND FALL SUSTAINABILITY AWARENESS EVENTS WHERE IT WAS SAFE TO DO SO. HEALTHPARTNERS HAS ALSO BEEN A PIONEER IN REDUCING THE AMOUNT OF MEDICATION WASTE IN THE COMMUNITY BY CREATING A MEDICINE TAKE-BACK PROGRAM. THIS TAKE-BACK PROGRAM BEGAN IN 2011 TO COLLECT UNNEEDED AND UNUSED MEDICATION FROM COMMUNITY MEMBERS FOR FREE. IN 2022, WE HAD SIX MEDICINE TAKE-BACK KIOSKS IN SERVICE AT OUR CLINICS AND HOSPITALS. THESE KIOSKS CAN ACCEPT CONTROLLED SUBSTANCES AND OTHER MEDICATIONS. HEALTHPARTNERS IS ABLE TO PROPERLY DISPOSE OF THESE MEDICATIONS, SO THEY ARE NOT DISCHARGED TO THE ENVIRONMENT OR END UP BEING MISUSED. IN 2022, HEALTHPARTNERS ESTIMATES THAT WE COLLECTED OVER 3,500 POUNDS OF MEDICATION FROM THE PUBLIC THROUGH THIS PROGRAM. SINCE 2011, WE HAVE COLLECTED OVER 44,700 POUNDS OF MEDICINES. TO DATE THE ORGANIZATION HAS SPENT ABOUT $194,000 OR $4.34 PER POUND FOR PROPER DISPOSAL OF MEDICINES. IN 2022, OUR COMMUNITY SOLAR GARDEN AGREEMENTS PRODUCED THE EQUIVALENT OF OVER 830 HOUSES' ENERGY USE FOR ONE YEAR. IN 2022, WE ALSO SAVED THE EQUIVALENT OF 76 HOUSES' ENERGY USE FOR ONE YEAR AND RECEIVED OVER $76,000 IN REBATES BY PURSUING INNOVATIVE ENERGY EFFICIENCY PROJECTS. AT THE START OF THE PANDEMIC, OUR TEAMS QUICKLY SWITCHED TO VIDEO VISITS TO KEEP BOTH EMPLOYEES AND PATIENTS SAFE. BY EMBRACING THIS NEW TECHNOLOGY, PATIENTS WHO TYPICALLY CAME TO CLINICS FOR AN IN-PERSON VISIT SAVED OVER 5.7 MILLION MILES AND 250,000 GALLONS OF GAS IN THE FIRST NINE MONTHS OF 2022. THROUGHOUT REMOTE WORKING, EMPLOYEES TRAVELED LESS FOR BUSINESS PURPOSES AS WELL AND SAVED OVER $930,000 IN MILEAGE REIMBURSEMENT COSTS IN 2022 COMPARED TO PRE-PANDEMIC. HEALTHPARTNERS WON A 2022 SYSTEM FOR CHANGE AWARD FOR EXEMPLARY SUSTAINABILITY STRATEGY FOR THE EIGHTH YEAR IN A ROW FROM PRACTICE GREENHEALTH, THE LEADING HEALTH CARE SUSTAINABILITY ORGANIZATION IN NORTH AMERICA. HEALTHPARTNERS HAS RECEIVED ADDITIONAL HIGH HONORS NATIONALLY FROM PRACTICE GREENHEALTH, WINNING 27 AWARDS IN 2022. ADDITIONAL AWARDS OUR HOSPITALS HAVE RECEIVED IN 2022 INCLUDE THE GREEN MASTERS AWARD FROM THE WISCONSIN SUSTAINABLE BUSINESS COUNCIL, THE GREEN BUSINESS OF THE YEAR AWARD FROM SUSTAINABLE STILLWATER, TREE CAMPUS HEALTHCARE FROM THE ARBOR DAY FOUNDATION, AND AUDUBON COOPERATIVE SANCTUARY FROM AUDUBON INTERNATIONAL. LANGUAGE ASSISTANCE - MINNESOTA HEALTH LITERACY PARTNERSHIP: WE ARE A MEMBER OF THE MINNESOTA HEALTH LITERACY PARTNERSHIP, A COLLABORATIVE OF HOSPITALS, CLINIC SYSTEMS, HEALTH PLANS AND COMMUNITY AND PUBLIC ORGANIZATIONS. THIS GROUP SHARES INFORMATION AND ENGAGES IN JOINT PLANNING ON HEALTH LITERACY ISSUES. THE GROUP IS COMMITTED TO ADVANCING HEALTH LITERACY, SO ALL PEOPLE IN OUR COMMUNITY CAN UNDERSTAND AND ENGAGE IN THEIR HEALTH AND HEALTH CARE. - THE EXCHANGE: WE PARTICIPATE IN THE EXCHANGE, A COLLABORATIVE OF MINNESOTA HEALTH-RELATED ORGANIZATIONS. MEMBERS COMBINE RESOURCES AND COLLABORATE TO CREATE AND MAINTAIN AN ONLINE LIBRARY OF HEALTH-RELATED MATERIALS IN LANGUAGES MOST COMMONLY SPOKEN IN MINNESOTA. THE EXCHANGE ALSO DISSEMINATES INFORMATION ON ISSUES OF LITERACY, CLASS, CULTURE, RACE AND SPIRITUALITY AS THEY AFFECT HEALTH DISPARITIES.

PART III, CONT.

BUILDING AN EFFECTIVE WORKFORCE TO SUPPORT HEALTH EQUITY, DIVERSITY AND INCLUSION EQUITY, INCLUSION AND ANTI-RACISM CABINET IN THE WAKE OF GEORGE FLOYD'S MURDER, HEALTHPARTNERS REAFFIRMED ITS COMMITMENT TO IMPROVE RACIAL EQUITY IN QUALITY AND HEALTH OUTCOMES AND ADDRESS THE EFFECTS OF DISPARITIES IN SOCIAL DETERMINANTS OF HEALTH. WE ESTABLISHED THE EQUITY, INCLUSION, AND ANTI-RACISM CABINET TO AGGRESSIVELY ACCELERATE OUR EFFORTS TO ADVANCE RACIAL EQUITY AND HEALTH EQUITY. THE CABINET PROVIDES STRATEGIC LEADERSHIP IN PLANNING AND EXECUTING ACTIVITIES AIMED AT IMPROVING RACIAL EQUITY AND HEALTH EQUITY THROUGH REDUCING HEALTH CARE DISPARITIES, IMPROVING ACCESS, AND SUPPORTING AN INCLUSIVE CULTURE. THE CABINET ALIGNS RACIAL EQUITY AND HEALTH EQUITY ACTIVITIES ACROSS THE ORGANIZATION THROUGH INCLUSION IN ANNUAL PLANS AND SUPPORTS TRACKING, MONITORING AND MEASURING PROGRESS. THE CABINET: - PROVIDES AN ORGANIZATION-WIDE APPROACH TO MEASURE AND REDUCE HEALTH CARE DISPARITIES - SUPPORTS WORKFORCE DEVELOPMENT INITIATIVES THAT REINFORCE CULTURAL HUMILITY AND RESPECT - IMPROVES CARE FOR MEMBERS WITH LIMITED ENGLISH PROFICIENCY AND WHO ARE HEARING IMPAIRED - INVOLVES MEMBERS IN PLANNING AND IMPLEMENTING RACIAL EQUITY AND HEALTH EQUITY APPROACHES - ENGAGES WITH COMMUNITIES ACROSS THE SEVEN-COUNTY METROPOLITAN AREA IN PARTNERSHIPS TO PROMOTE RACIAL EQUITY AND HEALTH EQUITY - PROVIDES DIRECTION FOR DATA COLLECTION, ANALYSIS, AND REPORTING ACROSS THE ORGANIZATION - COMMUNICATES PROGRESS ON INITIATIVES ACROSS THE ORGANIZATION, AND EXTERNALLY AS APPROPRIATE THE EQUITY, INCLUSION AND ANTI-RACISM CABINET WILL PROVIDE LEADERSHIP, DIRECTION AND OVERSIGHT THROUGH FOUR CORNERSTONES TO ACCELERATE THE PACE OF OUR WORK AND CULTIVATE ALIGNMENT AND PARTNERSHIP ACROSS THE ORGANIZATION. COMMUNITY COLLABORATION TO GAIN INSIGHTS AND ENGAGE COMMUNITY COMMUNITY PARTNERSHIP DEVELOPMENT IS A CORE STRATEGY IN OUR WORK TO PROMOTE HEALTH EQUITY. WE INVEST IN SIX GENERAL AREAS: HEALTHY CHILDREN, MENTAL HEALTH, NUTRITION AND FITNESS, HEALTH EQUITY, WELLNESS AND PREVENTION AND RESEARCH AND EDUCATION. WE ALSO HAVE LARGER, MULTI-YEAR PARTNERSHIPS AND CAMPAIGNS WITH COMMUNITY-BASED ORGANIZATIONS TO IMPACT HEALTH DETERMINANTS, SUCH AS THE MAKEITOK CAMPAIGN, POWERUP AND LITTLE MOMENTS COUNT. EXAMPLES OF PARTNERS INCLUDE ORGANIZATIONS SUCH AS THE WAY TO GROW, THINK SMALL, NORTHSIDE ACHIEVEMENT ZONE, NAMI, OVER 60 SCHOOLS THROUGHOUT THE REGION, HUNGER SOLUTIONS, AND MANY OTHERS. COLLECTION AND USE OF DATA ON RACE, ETHNICITY AND LANGUAGE PREFERENCES - HEALTHPARTNERS SYSTEMATICALLY COLLECTS DATA ON RACE/ETHNICITY, LANGUAGE AND COUNTRY OF ORIGIN DIRECTLY FROM PATIENTS AND MEMBERS IN A VARIETY OF WAYS, ALL OF THEM VOLUNTARY. THESE DATA COLLECTION SOURCES INCLUDE HEALTHPARTNERS.COM, TELEPHONE CONTACTS WITH HEALTHPARTNERS CASE MANAGEMENT DEPARTMENT, ONLINE THROUGH OUR HEALTH ASSESSMENT, THE ELECTRONIC MEDICAL RECORD IN OUR CARE DELIVERY SYSTEM AND IN OUR DENTAL GROUP. WE'VE FOUND THAT COLLECTING THIS INFORMATION FACE TO FACE FROM PATIENTS AT THE POINT OF CARE OR HEALTH PLAN CONTACT IS AN EFFECTIVE DATA COLLECTION METHOD. ACROSS OUR CARE DELIVERY SYSTEM, WE HAVE COLLECTED RACE AND LANGUAGE INFORMATION FOR OVER 90% OF OUR PATIENTS, WITH LANGUAGE AND RACE COLLECTION RATES AT OUR HOSPITALS EXCEEDING 97%. COMMUNITY PARTNERSHIPS AND BENEFIT TO THE COMMUNITY COMMUNITY PARTNERSHIP DEVELOPMENT IS A CORE STRATEGY IN OUR WORK TO PROMOTE HEALTH EQUITY. WE INVEST IN SIX GENERAL AREAS: HEALTHY CHILDREN, MENTAL HEALTH, NUTRITION AND FITNESS, HEALTH EQUITY, WELLNESS AND PREVENTION AND RESEARCH AND EDUCATION. WE ALSO HAVE LARGER, MULTI-YEAR PARTNERSHIPS AND CAMPAIGNS WITH COMMUNITY-BASED ORGANIZATIONS TO IMPACT HEALTH DETERMINANTS, SUCH AS THE MAKE IT OK CAMPAIGN, POWERUP AND LITTLE MOMENTS COUNT. EXAMPLES OF PARTNERS INCLUDE ORGANIZATIONS SUCH AS TPT, NORTHSIDE ACHIEVEMENT ZONE, NAMI, HABITAT FOR HUMANITY, ST. PAUL BOOKMOBILE, HUNGER SOLUTIONS, AND MANY OTHERS. - CENTER FOR COMMUNITY HEALTH (CCH) - CCH IS A COLLABORATIVE WITH HEALTH PLANS, HOSPITALS, AND LOCAL PUBLIC HEALTH AGENCIES IN THE TWIN CITIES SEVEN-COUNTY METRO AREA. IN 2022, HEALTHPARTNERS SERVED ON THIS ORGANIZATION WITH REPRESENTATIVES ON THE BOARD AS WELL AS THE TWO SUBCOMMITTEES. CCH CONTINUES TO DEVELOP COMMON TOOLS AND RESOURCES, FACILITATE QUANTITATIVE AND QUALITATIVE DATA SHARING, AND TAKE COLLECTIVE ACTION FOR SYSTEMS CHANGE. IN 2022, CCH CONTINUED THE INTEGRATIONS OF COMMUNITY HEALTH ASSESSMENTS. MORE ABOUT CCH AT WWW.MNMETROCCH.ORG - :RACISM UNVEILED: HEALTHPARTNERS IS THE SPONSOR OF THE NEW TWIN CITIES PUBLIC TELEVISION PRODUCTION, "RACISM UNVEILED." THE PROJECT IS A COLLABORATION WITH COMMUNITY MEMBERS AND LEADERS THAT EXAMINES THE IMPACT OF SYSTEMIC RACISM ON BLACK, INDIGENOUS AND COMMUNITIES OF COLOR IN MINNESOTA. HTTPS://WWW.TPTORIGINALS.ORG/PROJECTS/RACISMUNVEILED/ - SCIENCE MUSEUM OF MINNESOTA: SINCE 2018, HEALTHPARTNERS SUPPORTED THE SCIENCE MUSEUM OF MINNESOTA'S DEVELOPMENT OF THE MENTAL HEALTH: MIND MATTERS EXHIBIT. THIS EXHIBIT WAS ORIGINALLY DEVELOPED IN FINLAND, BUT DID NOT USE CULTURALLY APPROPRIATE LANGUAGE OR APPROACHES FOR THE UNITED STATES, AS WELL AS DID NOT PROVIDE CULTURALLY-RELEVANT RESOURCES. HEALTHPARTNERS PROVIDED IMPORTANT FINANCIAL SUPPORT AND SUBJECT MATTER EXPERTISE AND CONTENT ON RESOURCES, INCLUDING CREATION OF A DEDICATED RESOURCE AREA FOR ADULTS AND CHILDREN. THIS RESOURCE AREA INCLUDED CULTURALLY-RELEVANT RESOURCES IN MANY LANGUAGES AND ALSO INCLUDED DEDICATED PIECES FOR PERINATAL PSYCHIATRIC DISORDERS, AND AFRICAN AMERICAN, RECENT REFUGEE IMMIGRANT, SOMALI AND LATIN AMERICAN COMMUNITIES. HTTPS://WWW.SMM.ORG/TOOLKIT/MINDMATTERS - HIGHER GROUND ACADEMY: IS A K-12 GRADE CHARTER SCHOOL LOCATED IN SAINT PAUL THAT SERVES PRIMARILY CHILDREN OF EAST AFRICAN IMMIGRANTS FROM SOMALIA AND ETHIOPIA. ANNUALLY, HIGHER GROUND ACADEMY PLANS A CAREER FAIR FOR THEIR JUNIOR AND SENIOR HIGH STUDENTS. HEALTHPARTNERS HAS RECRUITED VOLUNTEERS TO PARTICIPATE SINCE 2015. IN 2022, SIX HEALTHPARTNERS COLLEAGUES PARTICIPATED AND REACHING ABOUT 95 STUDENTS. - HABITAT FOR HUMANITY: STABLE HOUSING IMPACTS EDUCATIONAL ACHIEVEMENT AND A FAMILIES' OVERALL HEALTH. WHEN HEALTHPARTNERS AND PARK NICOLLET COMBINED IN 2012, OUR ORGANIZATIONS USED VOLUNTEERISM AS A MEANS TO LEARN ABOUT EACH OTHER AND SHARE OUR VALUES. ACCORDING TO THE POSITIVE IMPACTS OF AFFORDABLE HOUSING ON HEALTH A RESEARCH SUMMARY, WHEN FAMILIES PAY EXCESSIVE AMOUNTS OF THEIR INCOME FOR HOUSING OFTEN THEY HAVE INSUFFICIENT FUNDS REMAINING TO MEET OTHER ESSENTIAL NEEDS, INCLUDING FOOD, MEDICAL INSURANCE AND HEALTH CARE. IN 2022, HEALTHPARTNERS SPONSORED 2 BUILDS. 72 VOLUNTEERS PARTICIPATED PROVIDING 576 VOLUNTEER HOURS. - PRIDE FESTIVAL: FOR 24 YEARS, HEALTHPARTNERS HAS PARTICIPATED IN THE PRIDE FESTIVAL AND OVER 5 YEARS IN THE PARADE. IN HONOR OF THE 50TH YEAR ANNIVERSARY OF PRIDE IN THE TWIN CITIES, THE HEALTHPARTNERS BOOTH AT PRIDE HOSTED A POLLING QUESTION AND DISTRIBUTED A CHARITY GIFT OF $5000 AMONG THREE NONPROFIT CHARITIES BASED ON PARTICIPANT'S VOTING PERCENTAGE. OUR CHARITY GIFT WAS THEN DISTRIBUTED TO THESE LOCAL NONPROFITS WHO SUPPORT THE GLBTQ+ COMMUNITY: RECLAIM; TWIN CITIES PRIDE; AND OPEN ARMS MN - UNLOCKIT: A PROGRAM DEVELOPED BY CYCLE HEALTH AND NOW INTEGRATED INTO THE YMCA PROGRAMMING, IS A MAP BASED OUTDOOR SCAVENGER HUNT SET AT A VARIETY OF PARKS. HEALTHPARTNERS IS PROUD TO BE A SPONSOR IN 2021 WHICH TESTED THE INITIAL PROGRAM. PROGRAMMING EXPANDED IN 2022 INCLUDING 16 PARKS. PARTICIPANTS MAY GO ANYTIME THE PARK IS OPEN. PARTICIPANTS DOWNLOAD THE MAP, FOLLOW THE CLUES, AND UNLOCK LETTERS THAT, WHEN UNSCRAMBLED, FORM A KEYWORD. THEY THEN SUBMIT THAT KEYWORD TO BE ENTERED TO WIN FUN PRIZES. HTTPS://WWW.YMCANORTH.ORG/SITES/DEFAULT/FILES/Y-ADVENTURE-LAB-UNLOCKIT-S T-CROIX.PDF?OPENYTS=1675275840248

PART III, CONT.

- KEYSTONE COMMUNITY SERVICES: FOR OVER 80 YEARS, KEYSTONE COMMUNITY SERVICES HAS BEEN SERVING RAMSEY COUNTY WITH SENIOR CARE, ENRICHMENT FOR CHILDREN, BASIC NEEDS AND CRISIS ASSISTANCE. KEYSTONE BEGAN AS A SMALL NEIGHBORHOOD COMMUNITY CENTER. TODAY, KEYSTONE REACHES MORE THAN 40,000 PEOPLE, AND WE SHARE MANY PATIENTS AND MEMBERS. KEYSTONE CURRENTLY OPERATES TWO FOOD SHELVES RICE STREET FOOD SHELF AND MIDWAY FOOD SHELF. AND WHEN HEALTHPARTNERS WAS PILOTING OUR SUPERSHELF INITIATIVE, THE RICE STREET FOOD SHELF WAS A PILOT! OUR 3 YEAR COMMITMENT MADE IN 2022 HAS BEEN USED TO SUPPORT THE EXPANSION OF THEIR NEW WAREHOUSE AND FOOD MOBILE PROVIDING BETTER ACCESS TO NEIGHBORHOODS WITH BARRIERS. KEYSTONE FOOD SHELVES AND FOODMOBILE PROVIDE QUALITY, HEALTHY FOOD FOR THE COMMUNITY, HELPING THEM BE SELF-SUFFICIENT, STABLE AND SUCCESSFUL. EXPRESS BIKE IS A SOCIAL ENTERPRISE OF KEYSTONE COMMUNITY SERVICES. EXPRESS BIKE IS A FULL-SERVICE BIKE SHOP SPECIALIZING IN REFURBISHED BICYCLES AND A NONPROFIT YOUTH EMPLOYMENT PROGRAM - ALL ROLLED INTO ONE! IN APRIL OF 2022, WE HOSTED BICYCLE DRIVES AT FOUR HEALTHPARTNERS LOCATIONS COLLECTING 136 BICYCLES TO SUPPORT THIS PROGRAM. - OPEN ARMS: SINCE 1986, OPEN ARMS OF MINNESOTA PREPARES AND DELIVERS TASTY, NOURISHING MEALS TO CRITICALLY ILL MINNESOTANS AND THEIR FAMILIES IN NEED100 PERCENT FREE OF CHARGE. HEALTHPARTNERS IS PROUD TO SUPPORT THE CAPITAL CAMPAIGN TO EXPAND THEIR SERVICES AND OPENING A NEW KITCHEN IN SAINT PAUL. HTTPS://WWW.OPENARMSMN.ORG/ABOUT-US/ - ITASCA PROJECT: WE CONTINUE OUR WORK WITH THE ITASCA PROJECT. THIS IS AN EMPLOYER-LED ALLIANCE TO ADDRESS REGIONAL ISSUES THAT AFFECT OUR FUTURE COMPETITIVENESS AND QUALITY OF LIFE. A MAJOR FOCUS OF THE ITASCA PROJECT IS CLOSING THE GAP ON SOCIOECONOMIC DISPARITIES IN THE REGION THROUGH COLLECTIVE ACTION BY BUSINESSES. THE ITASCA PROJECT, A CROSS-SECTOR ALLIANCE OF EMPLOYERS, LAUNCHED THE FIRST 1,000 DAYS INITIATIVE TO HELP RAISE AWARENESS AMONG EMPLOYERS OF THE LIFELONG IMPACT OF EARLY EXPERIENCES PRENATAL TO AGE 3 AND THE CRUCIAL. OUR LITTLE MOMENTS COUNT COLLABORATIVE HELPED TO CREATE THE EMPLOYEE TOOLKIT: HTTPS://WWW.LITTLEMOMENTSCOUNT.ORG/EMPLOYER-TOOL-KIT - RONDO NEIGHBORHOOD: HEALTHPARTNERS IS A PROUD SPONSOR OF THE RONDO COMMEMORATIVE PLAZA. IN THE 1930S, THE RONDO NEIGHBORHOOD WAS A THRIVING AND VIBRANT COMMUNITY. BY THE 1950S, ABOUT 85% OF SAINT PAUL'S AFRICAN AMERICAN POPULATION LIVED IN THE NEIGHBORHOOD. THE COMMUNITY BOND WAS STRONG, LOCAL BUSINESSES WERE THRIVING, AND RESIDENTS WERE GAINING FINANCIAL STABILITY THAT COMES WITH HOME OWNERSHIP. IN THE 1960'S, HOWEVER, THE NEIGHBORHOOD OF RONDO WAS REMOVED FROM THE MAP FOR THE CONSTRUCTION OF INTERSTATE 94. 600 FAMILIES LOST THEIR HOMES ALONG WITH NUMEROUS BUSINESSES AND INSTITUTIONS. THE RONDO COMMEMORATIVE PLAZA WAS INSTALLED TO CAPTURE THE HISTORY OF LOSS ENDURED, LESSONS LEARNED AND THE WILL TO RECONNECT. IN 2022, WE PARTICIPATED IN RONDO JUNETEENTH FESTIVAL SHARING HEALTH EDUCATION AND BLOOD PRESSURE CHECKS. - EARLY RISERS PODCAST: HEALTHPARTNERS WAS PROUD TO SPONSOR THE SECOND SERIES AND COLLABORATE WITH MINNESOTA PUBLIC RADIO AND THINK SMALL ON THIS PROJECT. EARLY RISERS FEATURED A 6-EPISODE PODCAST MINI-SERIES IN 2020 WHICH EXPLORED TALKING WITH OUR YOUNGEST CHILDREN ABOUT RACE AND RACISM. SHORT, SWEET, SOMETIMES FUNNY AND ALWAYS RELATABLE, EACH EPISODE RAN BETWEEN 20-30 MINUTES AND HELPED PARENTS, CARETAKERS AND EDUCATORS TACKLE THIS BIG TOPIC WITH THEIR LITTLE ONES. EPISODES RELEASED WEEKLY AND WERE SUPPORTED BY BOTH LITTLE MOMENTS COUNT, HEALTHPARTNERS AND PARK NICOLLET. AS THE INITIAL PODCAST SERIES WAS SO SUCCESSFUL, HEALTHPARTNERS SPONSORED THE SECOND SERIES IN 2021 AND A THIRD SERIES IN 2022. HTTPS://WWW.MPR.ORG/COLLECTIONS/EARLY-RISERS - SAINT PAUL PUBLIC LIBRARY BOOKMOBILE: HEALTHPARTNERS HAS SPONSORED THE SAINT PAUL PUBLIC LIBRARY BOOKMOBILE SINCE 2014, WHICH IS ONE OF THE LAST URBAN BOOKMOBILE STILL IN OPERATION. THE BOOK MOBILE VISITS 45-50 SITES ON A REGULAR BASIS IN A TWO-WEEK CYCLE REACHING ABOUT 120,000 PEOPLE PER YEAR. THE BOOKMOBILE ENSURES THAT THE LIBRARY IS ACCESSIBLE TO COMMUNITIES THAT FACE BARRIERS IN USING THE LIBRARY'S FIXED FACILITY DUE TO TRANSPORTATION, CULTURAL, LANGUAGE OR OTHER BARRIERS. IN ADDITION TO A FINANCIAL CONTRIBUTION, HEALTHPARTNERS ALSO VOLUNTEERS HELPING THE BOOKMOBILE AT LOCAL EVENTS. IN 2022, THE BOOKMOBILE SERVED OVER 1,500 CHILDREN AND FAMILIES EACH WEEK! HTTPS://SPPL.ORG/BOOKMOBILE/

FORM 990, PART VI, SECTION A, LINE 2

JULIE BUNDE AND STEVEN BUNDE ARE BOTH OFFICERS AT HPI AND ARE MARRIED.

FORM 990, PART VI, SECTION A, LINE 6

EACH HPI DIRECTOR IS ALSO A CONTRACT HOLDER OF HPI HEALTH PLAN OR A HEALTH PLAN OFFERED OR ADMINISTERED BY A RELATED ORGANIZATIONS. EACH MEMBER HAS ONE VOTE. BYLAWS, SECTION 1.1.

FORM 990, PART VI, SECTION A, LINE 7A

THE MEMBERS OF HPI ELECT THE MAJORITY OF THE HPI BOARD OF DIRECTORS WHO SERVE AS THE ELECTED DIRECTORS AND WHO ALSO MUST BE CONTRACT HOLDERS AS EXPLAINED IN LINE 6A. OVER 75% OF MEMBER BOARD OF DIRECTORS ARE MEMBER-ELECTED DIRECTORS.

FORM 990, PART VI, SECTION B, LINE 11B

HPI'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF HPI. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE INTERNAL TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM, THE LEGAL DEPARTMENT AND HPI'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS PRESENTED TO THE GOVERNING BODY OF HPI. HPI MAKES AVAILABLE, TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS, A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED IN THE HEALTHPARTNERS BOARDEFFECT PORTAL FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO THE FILING OF THE 990, AND IS AN AGENDA ITEM AT A COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS.

FORM 990, PART VI, SECTION B, LINE 12C

THE HPI BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY.

FORM 990, PART VI, SECTION B, LINE 15

HPI HAS NO EMPLOYEES. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. ("GHI") OR PARK NICOLLET HEALTH SERVICES (PNHS). GHI AND PNHS HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS CEO AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE BOARD OF DIRECTORS' COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED BY AN EXTERNAL COMPENSATION CONSULTANT. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE. BASED ON THIS MARKET DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMPENSATION COMMITTEE. FOR THE CHIEF EXECUTIVE OFFICER AND CERTAIN OTHER POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE BOARD OF DIRECTORS HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE CEO BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA, APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAS DELEGATED TO THE CEO (WITH AUTHORITY TO FURTHER DELEGATE) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS.

FORM 990, PART VI, SECTION C, LINE 19

HPI'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM HPI. HPI'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. HPI'S CONFLICT OF INTEREST POLICY CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE.

FORM 990, PART VII, SECT. A, COL. B, AVERAGE HOURS - RELATED ORGANIZATION

ALL OFFICERS OF HPI ARE EMPLOYED AND COMPENSATED BY GHI AND PNHS. REPORTED AVERAGE HOURS WORKED ARE BASED ON TOTAL COMPENSATION FOR ALL RELATED ORGANIZATIONS.

FORM 990, PART XI, LINE 9:

EQUITY TRANSFER TO AFFILIATED ORGANIZATIONS -34,533,068. EARNINGS IN AFFILIATED ORGANIZATION -314,843. FAIR MARKET VALUATION ADJUSTMENT -10,263,875.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2022

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