Health Partners Plans Inc
Public records raise at least one point you should look into before giving.
What it says it does
TO BUILD HEALTHIER LIVES AND STRONGER COMMUNITIES. HEALTH PARTNERS PLANS IS AN AWARD-WINNING, NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION SERVING PENNSYLVANIA RESIDENTS. FOR ADDITIONAL INFORMATION PLEASE REFER TO SCHEDULE O.
- Income
- $2.6 billion
- Spending
- $2.6 billion
- Employees
- 966
- Volunteers
- 0
- Highest pay
- $2.3 million, president & ceo
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate
Financial health
We do not score finances when yearly spending is very small or the return has too little detail. The ratios stop meaning much at that size.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate
Governance
This return does not answer enough of the governance questions to score.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (4)
- $1.6 billion spent. HEALTH PARTNERS IS OUR MEDICAID PLAN THAT SERVES PENNSYLVANIANS WITH LOW OR NO INCOME. WHILE WE COVER DOCTOR VISITS, PRESCRIPTIONS, IMMUNIZATIONS, EYE EXAMS AND HOSPITALIZATIONS, WE ALSO PROMOTE HEALTH AND WELLNESS WITH EXTRA BENEFITS. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION. LINE 4A: HEALTH PARTNERS MEDICAID --------------------------------- THE COMPANY PROVIDES FOR THE PROVISION OF PHYSICAL HEALTH (INCLUDING MANDATED BEHAVIORAL-RELATED PHARMACEUTICAL COVERAGE FOR MEMBERS AS PRESCRIBED) MEDICAL ASSISTANCE (MA) PROGRAM (HEALTHCHOICES MEDICAID PROGRAM) BENEFITS TO ENROLLED MA RECIPIENTS RESIDING IN THE COMMONWEALTH OF PENNSYLVANIA (ALL ZONES)- PURSUANT TO AN AGREEMENT WITH THE DEPARTMENT OF HUMAN SERVICES OF THE COMMONWEALTH OF PENNSYLVANIA (DHS). EFFECTIVE SEPTEMBER 1, 2022, THE COMPANY WAS SELECTED BY DHS AS ONE THE MANAGED CARE ORGANIZATION'S (MCO) TO PARTICIPATE IN THE STATE'S HEALTHCHOICES MEDICAID PROGRAM IN ALL FIVE OF THE STATE'S ZONES (NORTHEAST, NORTHWEST, SOUTHEAST, SOUTHWEST, AND LEHIGH/CAPITAL ZONES). THE COMPANY'S CONTRACT WITH DHS IS EFFECTIVE SEPTEMBER 1, 2022 AND EXTENDS THE TERM OF THE PREVIOUS HEALTHCHOICES AGREEMENT FOR A PERIOD OF FIVE YEARS WITH AN OPTION FOR RENEWAL FOR AN ADDITIONAL THREE-YEAR PERIOD. AS OF DECEMBER 31, 2024 AND 2023, THERE WERE APPROXIMATELY 315,400 AND 338,000 MEMBERS, RESPECTIVELY, ENROLLED WITH HEALTH PARTNERS UNDER THE HEALTHCHOICES PROGRAM WITH 65% AND 66%, RESPECTIVELY, OF THE COMPANY'S MEMBERS IN PHILADELPHIA COUNTY. LINE 4B: HEALTH PARTNERS MEDICARE --------------------------------- THE COMPANY PROVIDES COMPREHENSIVE (PHYSICAL AND BEHAVIORAL) HEALTH INSURANCE THROUGH ITS MEDICARE ADVANTAGE PROGRAM AND PRODUCTS THROUGH A CONTRACT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE COMPANY'S PROGRAM, JEFFERSON HEALTH PLANS MEDICARE, WHICH COMMENCED IN 2014, PROVIDES FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH PRIMARILY TO ADULTS 65 AND OLDER. THE COMPANY OFFERS SEVERAL HMO PRODUCTS AND PROGRAM BENEFITS TO ENROLLED MEDICARE MEMBERS RESIDING IN PENNSYLVANIA AND NEW JERSEY - PURSUANT TO ITS AGREEMENT WITH CMS. THE PENNSYLVANIA SERVICE AREA INCLUDES PHILADELPHIA COUNTY AND 14 SURROUNDING COUNTIES - BERKS, BUCKS, CARBON, CHESTER, CUMBERLAND, DAUPHIN, DELAWARE, LANCASTER, LEBANON, LEHIGH, MONTGOMERY, NORTHAMPTON, PERRY, AND SCHUYLKILL. THE NEW JERSEY SERVICE AREA INCLUDES 5 COUNTIES - ATLANTIC, BURLINGTON, CAMDEN, GLOUCESTER AND MERCER COUNTIES. AS OF DECEMBER 31, 2024 AND 2023, THERE WERE APPROXIMATELY 13,100 AND 13,300 MEMBERS, RESPECTIVELY, ENROLLED WITH JEFFERSON HEALTH PLANS MEDICARE PROGRAM. LINE 4C: KIDZPARTNERS (CHIP) ---------------------------- THE COMPANY ALSO PROVIDES COMPREHENSIVE (PHYSICAL AND BEHAVIORAL) HEALTH INSURANCE THROUGH THE COMMONWEALTH OF PENNSYLVANIA'S CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). THE COMPANY'S CHIP PROGRAM, KIDZPARTNERS, PROVIDES FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH TO UNINSURED CHILDREN AND TEENS UP TO AGE 19 THAT ARE ELIGIBLE THROUGH CHIP. THE COMPANY PROVIDES PROGRAM BENEFITS TO ENROLLED CHIP RECIPIENTS RESIDING IN ALL 67 COUNTIES IN PENNSYLVANIA PURSUANT TO AN AGREEMENT WITH DHS. AS OF DECEMBER 31, 2024 AND 2023, THERE WERE APPROXIMATELY 20,400 AND 11,900 MEMBERS, RESPECTIVELY, ENROLLED WITH HEALTH PARTNERS UNDER THE CHIP PROGRAM. LINE 4D: ACA HMO ----------------- THE COMPANY PROVIDES COMPREHENSIVE (PHYSICAL AND BEHAVIORAL) HEALTH INSURANCE THROUGH THE AFFORDABLE CARE ACT (ACA) MARKETPLACE. THE COMPANY'S ACA PROGRAM OFFERS COVERAGE TO INDIVIDUALS AND FAMILIES WHO ARE ELIGIBLE UNDER THE ACA GUIDELINES. THE COMPANY IS COMMITTED TO ENSURING THAT ACA RECIPIENTS RESIDING IN PHILADELPHIA, BUCKS, AND MONTGOMERY COUNTIES HAVE ACCESS TO HIGH-QUALITY HEALTH CARE, IN LINE WITH FEDERAL AND STATE REGULATIONS. AS OF DECEMBER 31, 2024, THERE WERE APPROXIMATELY 13,000 MEMBERS ENROLLED WITH HEALTH PARTNERS UNDER THE ACA PROGRAM. DURING 2024 AND 2023, APPROXIMATELY 84% AND 88%, RESPECTIVELY, OF TOTAL RISK PREMIUM REVENUE WAS DERIVED FROM PROVIDING MEDICAL CARE PURSUANT TO THE HEALTHCHOICES PROGRAM CONTRACT WITH DHS.
- $231.6 million spent. HEALTH PARTNERS MEDICARE OFFERS THREE MEDICARE ADVANTAGE PLANS ALL DESIGNED TO MEET YOUR UNIQUE HEALTHCARE NEEDS. OUR MEDICARE ADVANTAGE PLANS PROVIDE MORE BENEFITS THAN ORIGINAL MEDICARE WITH NO OR LOW MONTHLY PLAN PREMIUMS. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION.
- $31.5 million spent. THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP), BROUGHT TO YOU BY KIDZPARTNERS, PROVIDES PENNSYLVANIA CHILDREN (UP TO AGE 19) WITH FREE OR LOW-COST HEALTH COVERAGE, DEPENDING ON FAMILY SIZE AND INCOME. PLEASE REFER TO SCHEDULE O FOR ADDITIONAL INFORMATION.
- LINE 4A: HEALTH PARTNERS MEDICAID --------------------------------- THE COMPANY PROVIDES FOR THE PROVISION OF PHYSICAL HEALTH (INCLUDING MANDATED BEHAVIORAL-RELATED PHARMACEUTICAL COVERAGE FOR MEMBERS AS PRESCRIBED) MEDICAL ASSISTANCE (MA) PROGRAM (HEALTHCHOICES MEDICAID PROGRAM) BENEFITS TO ENROLLED MA RECIPIENTS RESIDING IN THE COMMONWEALTH OF PENNSYLVANIA (ALL ZONES)- PURSUANT TO AN AGREEMENT WITH THE DEPARTMENT OF HUMAN SERVICES OF THE COMMONWEALTH OF PENNSYLVANIA (DHS). EFFECTIVE SEPTEMBER 1, 2022, THE COMPANY WAS SELECTED BY DHS AS ONE THE MANAGED CARE ORGANIZATION'S (MCO) TO PARTICIPATE IN THE STATE'S HEALTHCHOICES MEDICAID PROGRAM IN ALL FIVE OF THE STATE'S ZONES (NORTHEAST, NORTHWEST, SOUTHEAST, SOUTHWEST, AND LEHIGH/CAPITAL ZONES). THE COMPANY'S CONTRACT WITH DHS IS EFFECTIVE SEPTEMBER 1, 2022 AND EXTENDS THE TERM OF THE PREVIOUS HEALTHCHOICES AGREEMENT FOR A PERIOD OF FIVE YEARS WITH AN OPTION FOR RENEWAL FOR AN ADDITIONAL THREE-YEAR PERIOD. AS OF DECEMBER 31, 2024 AND 2023, THERE WERE APPROXIMATELY 315,400 AND 338,000 MEMBERS, RESPECTIVELY, ENROLLED WITH HEALTH PARTNERS UNDER THE HEALTHCHOICES PROGRAM WITH 65% AND 66%, RESPECTIVELY, OF THE COMPANY'S MEMBERS IN PHILADELPHIA COUNTY. LINE 4B: HEALTH PARTNERS MEDICARE --------------------------------- THE COMPANY PROVIDES COMPREHENSIVE (PHYSICAL AND BEHAVIORAL) HEALTH INSURANCE THROUGH ITS MEDICARE ADVANTAGE PROGRAM AND PRODUCTS THROUGH A CONTRACT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE COMPANY'S PROGRAM, JEFFERSON HEALTH PLANS MEDICARE, WHICH COMMENCED IN 2014, PROVIDES FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH PRIMARILY TO ADULTS 65 AND OLDER. THE COMPANY OFFERS SEVERAL HMO PRODUCTS AND PROGRAM BENEFITS TO ENROLLED MEDICARE MEMBERS RESIDING IN PENNSYLVANIA AND NEW JERSEY - PURSUANT TO ITS AGREEMENT WITH CMS. THE PENNSYLVANIA SERVICE AREA INCLUDES PHILADELPHIA COUNTY AND 14 SURROUNDING COUNTIES - BERKS, BUCKS, CARBON, CHESTER, CUMBERLAND, DAUPHIN, DELAWARE, LANCASTER, LEBANON, LEHIGH, MONTGOMERY, NORTHAMPTON, PERRY, AND SCHUYLKILL. THE NEW JERSEY SERVICE AREA INCLUDES 5 COUNTIES - ATLANTIC, BURLINGTON, CAMDEN, GLOUCESTER AND MERCER COUNTIES. AS OF DECEMBER 31, 2024 AND 2023, THERE WERE APPROXIMATELY 13,100 AND 13,300 MEMBERS, RESPECTIVELY, ENROLLED WITH JEFFERSON HEALTH PLANS MEDICARE PROGRAM. LINE 4C: KIDZPARTNERS (CHIP) ---------------------------- THE COMPANY ALSO PROVIDES COMPREHENSIVE (PHYSICAL AND BEHAVIORAL) HEALTH INSURANCE THROUGH THE COMMONWEALTH OF PENNSYLVANIA'S CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). THE COMPANY'S CHIP PROGRAM, KIDZPARTNERS, PROVIDES FOR THE PROVISION OF PHYSICAL AND BEHAVIORAL HEALTH TO UNINSURED CHILDREN AND TEENS UP TO AGE 19 THAT ARE ELIGIBLE THROUGH CHIP. THE COMPANY PROVIDES PROGRAM BENEFITS TO ENROLLED CHIP RECIPIENTS RESIDING IN ALL 67 COUNTIES IN PENNSYLVANIA PURSUANT TO AN AGREEMENT WITH DHS. AS OF DECEMBER 31, 2024 AND 2023, THERE WERE APPROXIMATELY 20,400 AND 11,900 MEMBERS, RESPECTIVELY, ENROLLED WITH HEALTH PARTNERS UNDER THE CHIP PROGRAM. LINE 4D: ACA HMO ----------------- THE COMPANY PROVIDES COMPREHENSIVE (PHYSICAL AND BEHAVIORAL) HEALTH INSURANCE THROUGH THE AFFORDABLE CARE ACT (ACA) MARKETPLACE. THE COMPANY'S ACA PROGRAM OFFERS COVERAGE TO INDIVIDUALS AND FAMILIES WHO ARE ELIGIBLE UNDER THE ACA GUIDELINES. THE COMPANY IS COMMITTED TO ENSURING THAT ACA RECIPIENTS RESIDING IN PHILADELPHIA, BUCKS, AND MONTGOMERY COUNTIES HAVE ACCESS TO HIGH-QUALITY HEALTH CARE, IN LINE WITH FEDERAL AND STATE REGULATIONS. AS OF DECEMBER 31, 2024, THERE WERE APPROXIMATELY 13,000 MEMBERS ENROLLED WITH HEALTH PARTNERS UNDER THE ACA PROGRAM. DURING 2024 AND 2023, APPROXIMATELY 84% AND 88%, RESPECTIVELY, OF TOTAL RISK PREMIUM REVENUE WAS DERIVED FROM PROVIDING MEDICAL CARE PURSUANT TO THE HEALTHCHOICES PROGRAM CONTRACT WITH DHS.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(4) social welfare organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Caution.
The IRS master file records contributions to this 501(c)(4) social welfare organization as not deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since April 1989.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.