2023-06-23T15:00:13+00:00 2022-12-31 990 2022-01-01 411796007 PreferredOne Community Health Plan PREF 6126727272 2450 Riverside Ave Minneapolis MN 55416 Trudi Trysla Director 6126727272 2023-06-23 Trudi Trysla 999009999 2022 2023-04-26 12:10:37Z X TRUDI TRYSLA 2450 Riverside Ave Minneapolis MN 55416 20471 false X WWW.FAIRVIEW.COM X 1994 MN The mission of PreferredOne Community Health Plan (PCHP) is to make available to the residents of the state of Minnesota comprehensive health maintenance services that are accessible, acceptable, and delivered in a manner congruent with the economic and social needs of the community. The health plan will advocate for improvements in the delivery, quality and coverage of health care services and pursue health care programs to meet community needs. 4 1 0 0 0 0 0 1146701 0 41554 20471 0 1188255 20471 0 0 16003 0 0 0 1834332 78912 1850335 78912 -662080 -58441 2826703 2579868 1584951 1478433 1241752 1101435 X The mission of PreferredOne Community Health Plan (PCHP) is to make available to the residents of the state of Minnesota comprehensive health maintenance services that are accessible, acceptable, and delivered in a manner congruent with the economic and social needs of the community. The health plan will advocate for improvements in the delivery, quality and coverage of health care services and pursue health care programs to meet community needs. false true 78912 PREFERREDONE COMMUNITY HEALTH PLAN MADE AVAILABLE TO THE RESIDENTS OF THE STATE OF MINNESOTA COMPREHENSIVE HEALTH MAINTENANCE SERVICES THAT WERE ACCESSIBLE, ACCEPTABLE, AND DELIVERED IN A MANNER CONGRUENT WITH THE ECONOMIC AND SOCIAL NEEDS OF THE COMMUNITY. THE HEALTH PLAN ADVOCATED FOR IMPROVEMENTS IN THE DELIVERY, QUALITY AND COVERAGE OF HEALTH CARE SERVICES AND PURSUE HEALTH CARE PROGRAMS TO MEET COMMUNITY NEEDS. THESE EXPENSES REPRESENT THE RUN DOWN OF ACTIVITIES FOR THE ORGANIZATION. THE ORGANIZATION ENDED SERVICES IN 2021. 78912 false false false false false false false false false false true false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 0 0 0 false false false false false false false false X 4 1 false false false false true true false true true false false true true true true true true true true false MN X Dawn Kspeka 6126727272 2450 Riverside Avenue Minneapilis MN 55454 John Batson Chair 0.0 40.0 X X 0 1077616 10301 Kimberly DeRoche MD Director 0.0 40.0 X 0 601139 106593 Rebecca Hilley Director 0.0 0.0 X 0 0 0 Trudi Trysla Director 0.0 40.0 X 0 931521 117476 0 2610275 234371 0 false true false 0 0 0 0 0 0 0 20471 20471 0 0 0 0 0 0 0 0 0 20471 0 0 20471 0 0 0 0 Claims run off 59090 59090 Bank Service Charges 18394 18394 Taxes - Other 1428 1428 0 0 0 0 78912 78912 0 0 198138 579955 3162 3189 128969 0 0 0 0 0 0 0 0 2491501 1996724 0 4933 0 2826703 2579868 80654 849 0 0 1504297 1477584 1584951 1478433 1241752 1101435 1241752 1101435 2826703 2579868 -58441 -81876 0 0 0 0 X false true X true false Investments 1111040 Assets Limited to Use 885684 Certificate of Deposit Statutory Deposits Corp Debt Securities Asset Back Securities U.S. Govt Obligations 1996724 Negative Goodwill 1476734 Claims Payable Due to Affiliates Due to Providers Bad Debt Allowance 850 1477584 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Part X - FIN 48 Footnote PCHP is exempt from federal income taxes under section 501(c)(4) of the Internal Revenue Code. No provision for federal income taxes has been made in the statutory financial statements. Generally, PCHP is no longer subject to income tax examinations by the U.S. federal, state or local tax authorities for years before 2019. false true false false false false false true false John Batson Chair 0 646045 0 431486 0 85 0 9150 0 1151 0 1087917 0 0 Trudi Trysla Director 0 598239 0 233318 0 99964 0 102593 0 14883 0 1048997 0 0 Kimberly DeRoche MD Director 0 467287 0 129405 0 4446 0 85490 0 21103 0 707732 0 97069 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participated in a nonqualified retirement plan: Trudi Trysla John Batson Kimberly DeRoche, MD Due to a vesting event, the following individuals had income in Part VII and Schedule J related to a nonqualified retirement plan: Trudi Trysla, $97,069 Schedule J, Part I, Line 7 Non-fixed payments FAIRVIEW HEALTH SERVICES PROVIDES LUMP SUM FINANCIAL AWARDS BASED ON SYSTEM-WIDE, BUSINESS UNIT AND/OR DEPARTMENTS FINANCIAL AND QUALITY MEASURES. ANNUAL GOALS, SPECIFICALLY TIED TO PRODUCTIVITY AND QUALITY INDICATORS, ARE SET FOR THE YEAR AND AN INCENTIVE PAID OUT ANNUALLY IF KEY GOALS AND MEASURES ARE ACHIEVED. Schedule J, Part I, Line 4b Fairview Health Services' plan is only open to a select group of highly compensated employees. The plan contributes the difference of that 403(b) employer contributions were missed for participant who earn more than the IRS limit on eligible compensation for qualified retirement plans. The contribution is unfunded. The plan complies with Section 457(f) of the code. Form 990, Part III, Line 3 Significant changes in program services In 2021, PCHP began winding down operations and had no members participating in its plans at the end of calendar year 2021. Form 990, Part VI, Line 6 Classes of members or stockholders Members consist of the participants of the board of directors. The board of directors consists of: a contributing member, composed of employees of provided owners that have contributed capital to PreferredOne Community Health Plan (PCHP) and enrollee directors, which are enrolled employees of employer groups that have purchased health insurance coverage or health administrative services through PCHP or it affiliates. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Members consist of the participants of the board of directors. The board of directors consists of: a contributing member, composed of employees of provided owners that have contributed capital to PreferredOne Community Health Plan (PCHP) and enrollee directors, which are enrolled employees of employer groups that have purchased health insurance coverage or health administrative services through PCHP or it affiliates. The contributing member appoints (and fills vacancies of) up to 4 directors respectively. The vacancies that arise with respect to enrollee directors are filled by majority vote of other enrollee directors for the remainder of the unexpired term. Form 990, Part VI, Line 11b Review of form 990 by governing body The Tax Department then prepares and conducts a detailed review of the completed return. The return is then reviewed by the organization's Tax Director. The Form 990 is then provided to the members of the Board of Directors prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy Enforcement of Conflicts Policy Annually the board of directors update conflict of interest statements. Form 990, Part VI, Line 15a Process to establish compensation of top management official Compensation Process for Top Official PreferredOne Administrative Services (PAS), the common paymaster of PCHP, has a compensation committee consisting of the CEO and members of the board or directors of PAS that meet annually to review the compensation of the PCHP officers. Every three years this compensation review process involves an outside compensation consultant that conducts industry comparison analysis and other compensation comparisons. Form 990, Part VI, Line 15b Process to establish compensation of other employees Compensation Process for Officers PreferredOne Administrative Services (PAS), the common paymaster of PCHP, has a compensation committee consisting of the CEO and members of the board or directors of PAS that meet annually to review the compensation of the PCHP officers. Every three years this compensation review process involves an outside compensation consultant that conducts industry comparison analysis and other compensation comparisons. Form 990, Part VI, Line 19 Required documents available to the public Documents Disclosure Explanation Financial statements, conflict of interest policy and governing documents are available upon request for the same period of disclosure as set forth in Section 6104(D). Annual statutory filings are available on the State of MN website. Tri-Annual audits by the MN Department of Commerce are also available. D&T Facility Management Company PO Box 64624 St Paul MN 551640624 411928275 Management MN 501(c)(3) Type II Fairview false Ebenezer Society 7505 Metro Blvd Suite 100 Edina MN 55439 410706141 Nursing MN 501(c)(3) 10 Fairview false Fairview Foundation 2450 Riverside Avenue South Minneapolis MN 55454 411573810 Fundraising MN 501(c)(3) 1 Fairview false Fairview Health Services 2450 Riverside Avenue Minneapolis MN 55454 410991680 Hospital MN 501(c)(3) 3 NA false Fairview Home Care and Hospice 2450 26th Avenue South Minneapolis MN 55454 411434246 Home Health MN 501(c)(3) 10 Fairview false Fairview Physician Associates Netwo 3400 West 66th Street Minneapolis MN 55435 411753325 Clinical MN 501(c)(3) 10 Fairview false Grand Itasca Clinic and Hosptial 1601 Golf Course Road Grand Rapids MN 55744 411865874 Hospital MN 501(c)(3) 3 Fairview false Fairview Bethesda Hospital 2450 Riverside Avenue South Minneapolis MN 55454 363517697 Hospital MN 501(c)(3) 3 Fairview false HealthEast Medical Research Institute 2450 Riverside Avenue South Minneapolis MN 55454 411765832 Med Resear MN 501(c)(3) 4 Fairview false HealthEast Professional Services 2450 Riverside Avenue South Minneapolis MN 55454 261226617 Physician MN 501(c)(3) 11 Fairview false HealthEast St John's Hospital 2450 Riverside Avenue South Minneapolis MN 55454 411456897 Hospital MN 501(c)(3) 3 Fairview false HealthEast St Joseph's Hospital 2450 Riverside Avenue South Minneapolis MN 55454 410693880 Hospital MN 501(c)(3) 3 Fairview false HealthEast Woodwinds Hospital 2450 Riverside Avenue South Minneapolis MN 55454 411592761 Hospital MN 501(c)(3) 3 Fairview false Range Regional Health Services 750 East 34th Street Hibbing MN 55746 411293970 Hospital MN 501(c)(3) 3 Fairview false Ridges Surgery Center LLC 14101 Fairview Drive Ste 400 Burnsville MN 55337 462441825 Surg Cntr MN NA N/A Crosstown Surgery Center LLC 4200 Dahlberg Drive Suite 300 Golden Valley MN 55422 272552748 Surgery Center MN NA N/A SouthHealth ASC LLC 4200 Dahlberg Drive Suite 300 Golden Valley MN 55422 822364607 Surgery Center MN NA N/A Fairview Clinics 2450 Riverside Avenue South Minneapolis MN 55454 411761760 Physician MN NA C Corporation false Fairview Physician and Clinic Services 2450 Riverside Avenue South Minneapolis MN 55454 411544996 Physician MN NA C Corporation false Fairview Development Company 2450 Riverside Avenue South Minneapolis MN 55454 411568579 Leasehold MN NA C Corporation false Fairview Express Care 2450 Riverside Avenue South Minneapolis MN 55454 205996177 Physician MN NA C Corporation false FHS Assurance Limited 2450 Riverside Avenue South Minneapolis MN 55454 980417513 Self insur MN NA C Corporation false HealthEast Diversified Services Inc 2450 Riverside Avenue South Minneapolis MN 55454 411388583 Reference MN NA C Corporation false false false false false false false false false false false false false false false false false false false false