MEDICA HEALTH PLANS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEDICA HEALTH PLANS (EIN 41-1242261)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201333199349304103
- Schema version
- 2012v2.1
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T10:37:04-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 NICOLLET MALL SUITE 1100 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411242261 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICA HEALTH PLANS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEDI | NameControl |
| Phone | 9529922058 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CP 330 | AddressLine1 |
| City | MINNETONKA | City |
| State | MN | State |
| ZIP Code | 55305 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK L BAIRD | Name |
| Title | CFO | Title |
| Phone | 9529922058 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TODD A JACKSON | Name |
| PTIN | P00092672 | PTIN |
| Phone | 6123324300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID TILFORD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CP 330 | AddressLine1 |
| City | MINNETONKA | City |
| State | MN | State |
| ZIP Code | 55305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1938554978 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MEDICA.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | MEDICA'S MISSION IS TO MEET OUR CUSTOMERS' NEED FOR HEALTH PLAN PRODUCTS AND SERVICES. IN DOING SO, WE WORK WITH OUR MEMBERS AND PROVIDERS TO MAKE HEALTH CARE ACCESSIBLE, AFFORDABLE AND A MEANS BY WHICH OUR MEMBERS IMPROVE THEIR HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1367 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 1324169 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1205071 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1721786050 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1739770823 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 20476422 | InvestmentIncomePriorYear |
| Investment Income Current Year | 17703859 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 488499 | OtherRevenuePriorYear |
| Other Revenue Current Year | 837299 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1742750971 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1758311981 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 10913725 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11218300 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 1473196095 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 1448611093 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 98919793 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 107801496 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 145457268 | OtherExpensePriorYear |
| Other Expenses Current Year | 146196590 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1728486881 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1713827479 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 14264090 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 44484502 | RevenuesLessExpensesCY |
| Total Assets BOY | 718887557 | TotalAssetsBOY |
| Total Assets EOY | 681817662 | TotalAssetsEOY |
| Total Liabilities BOY | 302567425 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 239757907 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 416320132 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 442059755 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MEDICA'S MISSION IS TO MEET OUR CUSTOMERS' NEEDS FOR HEALTH PLAN PRODUCTS AND SERVICES. IN DOING SO, WE WORK WITH MEMBERS AND PROVIDERS TO MAKE HEALTH CARE ACCESSIBLE, AFFORDABLE AND A MEANS BY WHICH OUR MEMBERS IMPROVE THEIR HEALTH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1044387198 | Expense |
| Revenue | 1125825497 | Revenue |
| Description | MEDICA HEALTH PLANS (MHP) IN 2012 PROVIDED NONPROFIT HMO COVERAGE TO ENROLLEES IN THE STATE OF MINNESOTA'S PREPAID MEDICAL ASSISTANCE (MEDICAID) AND MINNESOTACARE PROGRAMS. IT ALSO PROVIDED A SPECIAL NEEDS BASIC CARE (SBNBC) PRODUCT FOR INDIVIDUALS WITH PHYSICAL, DEVELOPMENTAL OR MENTAL DISABILITIES. A TOTAL OF 127,304 MEDICA MEMBERS OR 91.5% OF MHP'S TOTAL ENROLLMENT WERE IN STATE PROGRAMS AS OF 12/31/2012. THERE WERE 88,963 PREPAID MEDICAL ASSISTANCE PROGRAM MEMBERS, 22,749 MINNESOTACARE MEMBERS, AND 15,592 SPECIAL NEEDS BASIC CARE MEMBERS. IN 2012 MEDICA HEALTH PLANS ACHIEVED THE HIGHEST RANKINGS IN MINNESOTA FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THAT RANKING PLACED MHP AMONG THE TOP 14 MEDICAID HMO PLANS IN THE UNITED STATES. ALONG WITH THE RANKING, MHP ACHIEVED EXCELLENT ACCREDITATION STATUS, THE HIGHEST STATUS AWARDED BY NCQA. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12455833 | Expense |
| Revenue | 11579728 | Revenue |
| Description | IN 2012 MHP PROVIDED FULLY INSURED COMMERCIAL HMO HEALTH INSURANCE COVERAGE IN MINNESOTA. AS OF 12/31/2012, THE ENROLLMENT IN MHP FULLY INSURED MINNESOTA GROUP PLANS WAS 1,228. MHP IN 2012 ALSO INSURED 71 PERSONS WHOSE COVERAGE WAS CONVERTED FROM GROUP INSURANCE TO INDIVIDUAL INSURANCE.THE 1,299 PERSONS WITH FULLY INSURED COVERAGE REPRESENTED 0.9% OF MHP'S TOTAL ENROLLMENT AS OF 12/31/2012 2012.IN 2012, MHP ASSUMED RISK FROM A RELATED ENTITY, MEDICA INSURANCE COMPANY (MIC), THROUGH A QUOTA SHARE REINSURANCE ARRANGEMENT. IN 2012, MHP ASSUMED $461,252,000 GROSS PREMIUMS AND $389,830,000 OF CLAIMS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 391768062 | Expense |
| Revenue | 602458804 | Revenue |
| Description | IN 2012 MHP PROVIDED MEDICARE-RELATED PRODUCTS IN THREE STATES: MINNESOTA, NORTH DAKOTA AND SOUTH DAKOTA. THE COMBINED MEDICARE-RELATED MHP MEMBERSHIP IN THOSE STATES WAS 10,581 OR 7.6% OF MHP'S TOTAL ENROLLMENT.IN 2012 MHP'S TOTAL MEDICARE-RELATED MEMBERSHIP IN MINNESOTA WAS 10,267. THIS INCLUDED 297 MEMBERS WITH MEDICARE ADVANTAGE SPECIAL NEEDS PLAN COVERAGE FOR SENIORS WITH CHRONIC CONDITIONS; 9,773 MEMBERS WITH MINNESOTA SENIOR HEALTH OPTIONS (MSHO) COVERAGE; 197 MEMBERS WITH MEDICARE SUPPLEMENTAL AND PRIVATE FEE FOR SERVICE (PFFS) COVERAGE.IN 2012 MHP PROVIDED MEDICARE PRIVATE FEE FOR SERVICE (PFFS) COVERAGE TO 126 MEMBERS IN NORTH DAKOTA AND TO 188 MEMBERS IN SOUTH DAKOTA.THE PRIVATE FEE-FOR-SERVICE (PFFS) PRODUCTS UNDER CMS CONTRACT HAVE PLAN DESIGNS THAT INCLUDE A VARIETY OF CO-PAY PLANS, PLANS WHICH COVER MEDICAL ONLY, AND PLANS THAT INCLUDE PRESCRIPTION DRUG COVERAGE. THESE PLANS DO NOT LIMIT BENEFICIARIES TO A CONTRACTED MEDICAL PROVIDER NETWORK, BUT RATHER UTILIZE A DEEMED NETWORK WHERE ALL MEDICARE CERTIFIED PROVIDERS MAY BE UTILIZED, AS LONG AS THEY AGREE TO MEDICARE PAYMENT ASSIGNMENT. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11218300 | Expense |
| Grants | 11218300 | Grants |
| Description | MEDICA HEALTH PLANS (MHP) AND COMMUNITY BENEFITMHPTHE STATE OF MINNESOTA SETS RATES WHEN IT CONTRACTS WITH THE STATE'S NONPROFIT HMOS, PAYING A FIXED SUM PER ENROLLEE. MHP BEARS THE RISK FOR COSTS ABOVE THE PREDETERMINED RATE. MHP'S PERFORMANCE ON BEHALF OF THE STATE OF MINNESOTA IS EFFICIENT. IN 2012 APPROXIMATELY 93 CENTS OF EACH STATE PROGRAM DOLLAR WENT TO PROVIDE CARE; THE ADMINISTRATIVE COST RATIO WAS APPROXIMATELY 6.0% INCLUDING PREMIUM TAXES AND CONTRIBUTIONS TO THE MEDICA FOUNDATION.CONTRIBUTIONS BY MEDICA ON BEHALF OF MEMBERS BEYOND CONTRACTED SERVICES IN 2012 MHP COVERED, ON BEHALF OF PMAP, MINNESOTACARE AND OTHER MINNESOTA HEALTH CARE PROGRAM MEMBERS, A NUMBER OF EXPENSES THAT WENT BEYOND ITS CONTRACTED SERVICES. THESE INCLUDED: THE WAY TO BETTER HEALTH (TWTBH), $391,488; ESTIMATED ADMINISTRATIVE EXPENSES FOR TWTBH, $66,028; VALUE OF WAIVED FAMILY DEDUCTIBLES, $63,661; MSC+ ELDERLY WAIVER COVERAGE FOR NON-ELIGIBLE MEMBERS, $212,744; AND ADDITIONAL SERVICES, $101,209.IN 2012 MHP PAID FOR, ON BEHALF OF MEDICARE-ONLY CHRONIC CARE SPECIAL NEEDS PLAN MEMBERS, A NUMBER OF EXPENSES THAT WENT BEYOND ITS CONTRACTED SERVICES. IN 2012 THESE EXPENSES INCLUDED: MEDICARE-ONLY CHRONIC CARE SNP, $3,705,579; MSHO ELDERLY WAIVER FOR NON-ELIGIBLE MEMBERS, $858,064; WAIVED MSHO NON-MEDICARE PART D PHARMACY COPAYMENTS, $223,864; AND MSHO ADDITIONAL SERVICES, $236,267.IN 2012 MHP PAID FOR, ON BEHALF OF SPECIAL NEEDS BASIC CARE PLAN MEMBERS, A NUMBER OF EXPENSES BEYOND ITS CONTRACTED SERVICES. THESE INCLUDED: SNBC NON-MEDICARE PART D PHARMACY COPAYMENTS, $508,740; SNBC NON0MEDICARE VALUE OF COST-SHARING WAIVED (DEDUCTIBLES, COPAYS), $265,234; AND SNBC ADDITIONAL SERVICES, $205,581.OTHER COMMUNITY BENEFITSMHP PROVIDED OTHER COMMUNITY BENEFITS WITH A WIDE RANGE OF PROGRAMS AND INITIATIVES TO PROMOTE PUBLIC AND INDIVIDUAL HEALTH, REDUCE DISPARITIES IN ACCESS TO CARE, IMPROVE HEALTH CARE SYSTEM PERFORMANCE, AND HELP PROVIDE FINANCIAL ASSISTANCE TO ACCESS CARE. MEDICA FOUNDATIONMHP IN 2012 CONTRIBUTED $5.5 MILLION TO ENABLE GRANTS BY THE MEDICA FOUNDATION, A 501(C)(3) NONPROFIT CHARITABLE GRANT-MAKING FOUNDATION, WHICH PROVIDES FUNDING FOR NUMEROUS NONPROFIT COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH-RELATED SERVICES TO THE COMMUNITY. THE MEDICA FOUNDATION IN 2012 MADE 88 GRANTS TOTALING $1.35 MILLION TO SUPPORT PROJECTS STATEWIDE AROUND BEHAVIORAL HEALTH, DISPARITIES IN HEALTH CARE, HEALTHY LIVING, WORKSITE WELLNESS AND GENERAL HEALTH IMPROVEMENT. FROM 2003-2012 MEDICA FOUNDATION GRANTS TOTALED NEARLY $14.4 MILLION. MEDICA RESEARCH INSTITUTEIN 2012 MHP GAVE $4.5 MILLION TO SUPPORT THE MISSION OF THE MEDICA RESEARCH INSTITUTE. THE MEDICA RESEARCH INSTITUTE, ESTABLISHED IN JANUARY 2010, IS A NONPROFIT 501(C)(3) FOUNDATION AND A SISTER ORGANIZATION TO MEDICA HEALTH PLANS. ITS MISSION IS TO CONDUCT RESEARCH THAT GENERATES INFORMATION FOR TIMELY TRANSLATION INTO ACTIVITIES WHICH PROTECT HEALTH AND IMPROVE LIVES. COLLABORATIVE EFFORTSIN ADDITION, MHP DONATED FUNDING, EMPLOYEE TIME AND OTHER RESOURCES IN SUPPORT OF MORE THAN TWO DOZEN COLLABORATIVE EFFORTS WITH LOCAL, STATE, REGIONAL AND NATIONAL COLLABORATIVE EFFORTS AND CHARITIES. EXAMPLES INCLUDE: MINNESOTA COMMUNITY MEASUREMENT, WHICH PROMOTES COMMUNITY-BASED, EVIDENCE-BASED CARE AND PROVIDES THE PUBLIC WITH QUALITY COMPARISONS OF PROVIDER GROUPS AND CLINICS; INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT, WHICH PROVIDES EVIDENCE-GRADED PRACTICAL GUIDELINES AND TECHNOLOGY ASSESSMENT REPORTS; MINNESOTA HEALTH INFORMATION EXCHANGE, WHICH CONNECTS DOCTORS, HOSPITALS AND CLINICS STATEWIDE SO THEY CAN QUICKLY ACCESS MEDICAL RECORDS, IMPROVING SAFETY AND QUALITY. MEDICA ALSO FUNDED CONFERENCES AND EVENTS SUCH AS THE AGE AND DISABILITIES ODYSSEY CONFERENCE, WORLD REFUGEE DAY, HMONG HEALTH CARE PROFESSIONALS COALITION HEALTH FAIR AND LA OPPORTUNIDAD PEACE CONFERENCE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 11218300 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 11218300 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 1459829393 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 258 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1367 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY QUIST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9529922058 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 9310 CP 330 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554409310 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| JOHN BUCK | |||||||||
| CHAIR | 15.00 | X | X | 103000 | 0 | 0 | |||
| ESTHER TOMLJANOVICH | |||||||||
| VICE CHAIR | 10.00 | X | X | 71000 | 0 | 0 | |||
| KRIS SANDA | |||||||||
| SECRETARY | 10.00 | X | X | 71000 | 0 | 0 | |||
| DAVID TILFORD | |||||||||
| PRESIDENT/CEO | 40.00 | X | X | 2341634 | 0 | 234762 | |||
| PETER KELLY MD | |||||||||
| DIRECTOR | 10.00 | X | 67000 | 0 | 0 | ||||
| AARON L REYNOLDS | |||||||||
| TREASURER/EVP | 40.00 | X | 1163231 | 0 | 132279 | ||||
| JAMES P JACOBSON | |||||||||
| SVP | 40.00 | X | 562531 | 0 | 73385 | ||||
| JANA L JOHNSON | |||||||||
| SVP | 40.00 | 609821 | 0 | 83051 | X | ||||
| GLENN E ANDIS | |||||||||
| SVP | 40.00 | 658316 | 0 | 99090 | X | ||||
| ROBERT LONGENDYKE | |||||||||
| SVP | 40.00 | 565843 | 0 | 87116 | X | ||||
| DEBBY S KNUTSON | |||||||||
| SVP | 40.00 | 537782 | 0 | 63055 | X | ||||
| SIMEON A SCHINDELMAN | |||||||||
| SVP | 40.00 | 972434 | 0 | 45261 | X | ||||
| TIMOTHY D THULL | |||||||||
| SVP | 40.00 | 439157 | 0 | 72723 | X | ||||
| JOHN W NAYLOR | |||||||||
| SVP | 40.00 | 597557 | 0 | 85911 | X | ||||
| THEODORE J LOFTNESS | |||||||||
| VP | 40.00 | 537639 | 0 | 85925 | X | ||||
| MARK L BAIRD | |||||||||
| SVP | 40.00 | 570073 | 0 | 82576 | X | ||||
| RICHARD H SYKORA | |||||||||
| GM/VP | 40.00 | 494428 | 0 | 71822 | X | ||||
| DANNETTE M COLEMAN | |||||||||
| GM/VP | 40.00 | 416891 | 0 | 65798 | X | ||||
| SCOTT REID | |||||||||
| VP | 40.00 | 410426 | 0 | 65054 | X | ||||
| DARYL DURUM | |||||||||
| (FORMER DIRECTOR) | 0.00 | 11000 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 11200763 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1347808 | TotalOtherCompensation |
| Number Individuals GT100 K | 180 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNITED HEALTHCARE SERVICES INC | |||||
| 9900 BREN DR E MN008-T380 | MINNETONKA | MN | 55343 | CLAIMS PROCESSING | 88571810 |
| CDW DIRECT LLC | |||||
| 7145 BOONE AVE N | BROOKLYN PARK | MN | 55128 | TECHNOLOGY SERVICES | 5883874 |
| CIBER INC | |||||
| 4400 W 78TH ST 100 | BLOOMINGTON | MN | 55435 | TECHNOLOGY SERVICES | 2455934 |
| DELOITTE CONSULTING LLP | |||||
| 50 SOUTH SIXTH STREET | MINNEAPOLIS | MN | 55402 | CONSULTING | 2304083 |
| DAHL CONSULTING INC | |||||
| 418 COUNTY ROAD D E | ST PAUL | MN | 55117 | TEMP SERVICES | 2237788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 37 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICARE REVENUE | 524114 | 1145114853 | 1145114853 | |
| SUBSCRIBER REVENUE | 524114 | 445050747 | 443821858 | 1228889 |
| INTERCOMPANY ADMIN FEES | 561000 | 145345405 | 145345405 | |
| DENTAL REVENUE | 541900 | 3698613 | 3698613 | |
| OTHER REVENUE | 524114 | 561205 | 561205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1739770823 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13593155 | TotalRevenueColumn |
| Exclusion | $13,593,155 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1087093 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 343000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 744093 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 744093 | TotalRevenueColumn |
| Exclusion | $744,093 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 184010701 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 179899997 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4110704 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4110704 | TotalRevenueColumn |
| Exclusion | $4,110,704 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| MEDICA TAX PARTNERSHIP | 900099 | 95280 | 95280 | |
| MN EXCHANGE PARTNERSHIP | 561499 | -2074 | -2074 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 93206 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1758311981 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1738539860 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1324169 | UnrelatedBusinessRevenue |
| Exclusion | $18,447,952 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11218300 | Total |
| Program Services | 11218300 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1448611093 | Total |
| Program Services | 1448611093 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9034156 | Total |
| Management And General | 9034156 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74048552 | Total |
| Management And General | 74048552 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7328172 | Total |
| Management And General | 7328172 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11270955 | Total |
| Management And General | 11270955 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6119661 | Total |
| Management And General | 6119661 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1775412 | Total |
| Management And General | 1775412 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 600150 | Total |
| Management And General | 600150 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486385 | Total |
| Management And General | 486385 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1514146 | Total |
| Management And General | 1514146 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8596206 | Total |
| Management And General | 8596206 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3438624 | Total |
| Management And General | 3438624 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8855759 | Total |
| Management And General | 8855759 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1910503 | Total |
| Management And General | 1910503 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 507174 | Total |
| Management And General | 507174 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 735594 | Total |
| Management And General | 735594 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134010 | Total |
| Management And General | 134010 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9383470 | Total |
| Management And General | 9383470 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1257900 | Total |
| Management And General | 1257900 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| REINSURANCE | 43818894 | 43818894 |
| OUTSOURCED SERVICES | 35213335 | 35213335 |
| PREMIUM TAXES | 16434051 | 16434051 |
| PRINTING AND PUBLICATIO | 7150342 | 7150342 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4384635 | Total |
| Management And General | 4384635 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1713827479 | Total |
| Program Services | 1459829393 | ProgramServices |
| Management And General | 253998086 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307823502 | BOY |
| EOY | 125085764 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83746555 | BOY |
| EOY | 84326924 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 110471125 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16790906 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7719297 | BOY |
| EOY | 93680219 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 278618283 | BOY |
| EOY | 326705482 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40979920 | BOY |
| EOY | 52019273 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 718887557 | BOY |
| EOY | 681817662 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302307602 | BOY |
| EOY | 239605872 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 259823 | BOY |
| EOY | 152035 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302567425 | BOY |
| EOY | 239757907 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 416320132 | BOY |
| EOY | 442059755 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 416320132 | BOY |
| EOY | 442059755 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 718887557 | BOY |
| EOY | 681817662 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 44484502 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 122799 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -18867678 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20449010 | OtherCostOrOtherBasis |
| Book Value | 20449010 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 66050990 | OtherCostOrOtherBasis |
| Depreciation | 6900365 | Depreciation |
| Book Value | 59150625 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12573182 | OtherCostOrOtherBasis |
| Depreciation | 340781 | Depreciation |
| Book Value | 12232401 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11397943 | OtherCostOrOtherBasis |
| Depreciation | 9549760 | Depreciation |
| Book Value | 1848183 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 93680219 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| BONDS | 326032643 | C |
| PREFERRED STOCK | 672839 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 326705482 | TotalOfBookValueSecurities |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT RELATED RECEIVABLES | 1922161 |
| HEALTH CARE RECEIVABLES | 4716151 |
| DUE FROM AFFILIATES | 2917901 |
| FUNDS HELD BY REINSURED COMPANIES | 41588333 |
| ACCOUNTS RECEIVABLE RELATING TO UNINSURED PLANS | 874727 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 52019273 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 1610576401 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -1648156 | OtherRevenues |
| Revenue Not Rptd F990 | -1648156 | RevenueNotRptdF990 |
| Revenue Subtotal | 1612224557 | RevenueSubtotal |
| Other Revenues Not Included | 146087424 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 146087424 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1758311981 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1566089825 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | -146089498 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | -146089498 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1712179323 | ExpensesSubtotal |
| Other Expenses Not Included | 1648156 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1648156 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1713827479 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | AS OF DECEMBER 31, 2012, THE COMPANY'S TAX YEARS 2008 THROUGH 2012 REMAIN OPEN TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) AND VARIOUS STATE AUTHORITIES. TAX YEARS 2008, 2009 AND 2010 ARE CURRENTLY UNDER EXAMINATION BY THE IRS. MANAGEMENT HAS NOT RECORDED AN AMOUNT FOR UNCERTAIN TAX POSITIONS FOR ANY MATTERS, INCLUDING THOSE CURRENTLY UNDER EXAMINATION. HOWEVER, THE ULTIMATE RESOLUTION OF THESE ITEMS IS DEPENDENT ON A NUMBER OF FACTORS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INVESTMENT EXPENSE RECLASSED AS EXPENSE -1,514,146. INTEREST EXPENSE RECLASSED AS EXPENSE -134,010. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | MN HEALTH INFO EXCHANGE K-1 -2,074. INTERCOMPANY ADMIN FEES RECLASSED FROM EXPENSE 145,345,405. NET RENTAL INCOME RECLASSED FROM EXPENSE 744,093. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INTERCOMPANY ADMIN FEES RECLASSED AS REVENUE -145,345,405. NET RENTAL INCOME RECLASSED AS REVENUE -744,093. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT EXPENSE RECLASSED AS REVENUE 1,514,146. INTEREST EXPENSE RECLASSED AS REVENUE 134,010. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| MEDICA FOUNDATION | |||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411812461 | 501(C)(3) | 5500000 | SUPPORT OF THE MANY PROGRAMS CONDUCTED BY THE FOUNDATION. |
| MEDICA RESEARCH INSTITUTE | |||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 270600894 | 501(C)(3) | 4500000 | SUPPORT OF THE MANY PROGRAMS CONDUCTED BY THE INSTITUTE. |
| INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT | |||||||
| 8009 34TH AVE SO STE 1200 | BLOOMINGTON | MN | 55425 | 411782168 | 501(C)(3) | 1218300 | SUPPORT THE BEST PRACTICES IN THE MEDICAL WORLD |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: MEDICA HEALTH PLANS DONATES FUNDS PERIODICALLY TO ITS RELATED ORGANIZATIONS, MEDICA FOUNDATION AND MEDICA RESEARCH INSTITUTE, AS WELL AS OTHER 501(C)(3) ORGANIZATIONS. THE FOUNDATIONS RETAIN RECORDS TO SUBSTANTIATE THE USE OF THESE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID TILFORD | ||||||||||||||
| PRESIDENT/CEO | 765069 | 0 | 679359 | 0 | 897206 | 0 | 219987 | 0 | 14775 | 0 | 2576396 | 0 | 0 | 0 |
| AARON L REYNOLDS | ||||||||||||||
| TREASURER/EVP | 436332 | 0 | 282291 | 0 | 444608 | 0 | 115692 | 0 | 16587 | 0 | 1295510 | 0 | 0 | 0 |
| JAMES P JACOBSON | ||||||||||||||
| SVP | 262079 | 0 | 121279 | 0 | 179173 | 0 | 58604 | 0 | 14781 | 0 | 635916 | 0 | 0 | 0 |
| JANA L JOHNSON | ||||||||||||||
| SVP | 265235 | 0 | 139854 | 0 | 204732 | 0 | 68793 | 0 | 14258 | 0 | 692872 | 0 | 0 | 0 |
| GLENN E ANDIS | ||||||||||||||
| SVP | 289319 | 0 | 153743 | 0 | 215254 | 0 | 76940 | 0 | 22150 | 0 | 757406 | 0 | 0 | 0 |
| ROBERT LONGENDYKE | ||||||||||||||
| SVP | 258567 | 0 | 122217 | 0 | 185059 | 0 | 65419 | 0 | 21697 | 0 | 652959 | 0 | 0 | 0 |
| DEBBY S KNUTSON | ||||||||||||||
| SVP | 250456 | 0 | 115758 | 0 | 171568 | 0 | 56180 | 0 | 6875 | 0 | 600837 | 0 | 0 | 0 |
| SIMEON A SCHINDELMAN | ||||||||||||||
| SVP | 607572 | 0 | 237287 | 0 | 127575 | 0 | 30063 | 0 | 15198 | 0 | 1017695 | 0 | 0 | 0 |
| TIMOTHY D THULL | ||||||||||||||
| SVP | 247650 | 0 | 95936 | 0 | 95571 | 0 | 55721 | 0 | 17002 | 0 | 511880 | 0 | 0 | 0 |
| JOHN W NAYLOR | ||||||||||||||
| SVP | 297722 | 0 | 243064 | 0 | 56771 | 0 | 68809 | 0 | 17102 | 0 | 683468 | 0 | 0 | 0 |
| THEODORE J LOFTNESS | ||||||||||||||
| VP | 248987 | 0 | 100794 | 0 | 187858 | 0 | 63584 | 0 | 22341 | 0 | 623564 | 0 | 0 | 0 |
| MARK L BAIRD | ||||||||||||||
| SVP | 256576 | 0 | 132693 | 0 | 180804 | 0 | 65289 | 0 | 17287 | 0 | 652649 | 0 | 0 | 0 |
| RICHARD H SYKORA | ||||||||||||||
| GM/VP | 226128 | 0 | 110057 | 0 | 158243 | 0 | 58110 | 0 | 13712 | 0 | 566250 | 0 | 0 | 0 |
| DANNETTE M COLEMAN | ||||||||||||||
| GM/VP | 219450 | 0 | 100250 | 0 | 97191 | 0 | 54604 | 0 | 11194 | 0 | 482689 | 0 | 0 | 0 |
| SCOTT REID | ||||||||||||||
| VP | 207138 | 0 | 101870 | 0 | 101418 | 0 | 50982 | 0 | 14072 | 0 | 475480 | 0 | 0 | 0 |
| DARYL DURUM | ||||||||||||||
| (FORMER DIRECTOR) | 0 | 0 | 0 | 0 | 11000 | 0 | 0 | 0 | 0 | 0 | 11000 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | THE FOLLOWING RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: DAVID TILFORD $64,451 AARON REYNOLDS $27,891 GLENN ANDIS $14,264 JANA JOHNSON $11,841 MARK BAIRD $10,614 ROBERT LONGENDYKE $10,660 JAMES JACOBSON $ 9,346 DEBBY KNUTSON $ 8,498 THEODORE LOFTNESS $ 9,589 RICHARD SYKORA $ 8,102 TIMOTHY THULL $ 3,633 DANNETTE COLEMAN $ 6,446 SCOTT REID $ 5,607 |
| PART I, LINE 6 | MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATIONS OPERATING EARNINGS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS EXIST WITHIN MEDICA HEALTH PLANS AS MEMBERS COVERED UNDER REGULATED INSURANCE PLANS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERSHIP OF MEDICA HEALTH PLANS ELECTS THE CONSUMER BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | MEDICA'S TAX ADVISORS COMPLETE THE RETURN, MEDICA'S CONTROLLER AND TAX MANAGER REVIEW THE RETURN BEFORE IT IS SIGNED BY THE CFO. A COPY WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING FORM 990 WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY ALL EMPLOYEES OF MEDICA HEALTH PLANS AND DIRECTORS OF ALL MEDICA ENTITIES COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND ARE REQUIRED TO REVIEW THE CURRENT POLICY. ALL POTENTIAL CONFLICTS ARE REVIEWED BY LEGAL/COMPLIANCE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD'S PERSONNEL AND COMPENSATION COMMITTEE REVIEWS AND OBTAINS THE BOARD'S APPROVAL OF THE TOTAL COMPENSATION FOR THE PRESIDENT/CEO AND REVIEWS AND APPROVES THE TOTAL COMPENSATION RECOMMENDATIONS MADE BY THE CEO FOR THE EXECUTIVE AND SENIOR VICE PRESIDENTS; REVIEWS ALL OFFICER COMPENSATION AND PERFORMANCE GOALS APPROVED BY THE CEO ANNUALLY. THE PERSONNEL AND COMPENSATION COMMITTEE ALSO REVIEWS AND RECOMMENDS TO THE BOARD, OFFICER AND NON-OFFICER COMPENSATION GUIDELINES FOR THE COMPANY AND ITS SUBSIDIARIES PERIODICALLY REVIEWING MARKET DATA TO ASSESS THE COMPANY'S COMPETITIVE POSITION. PROCESS OUTSIDE THE CHARTER: THE PERSONNEL AND COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT IN REVIEWING MARKET COMPETITIVE DATA THAT AIDS IN SETTING THE COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | MEDICA DOES NOT CONSIDER ITS CONFLICT OF INTEREST POLICY TO BE A CONFIDENTIAL OR PROPRIETARY DOCUMENT. THEREFORE, MEDICA WOULD MAKE THIS POLICY AVAILABLE TO ANYONE WHO REQUESTS IT. CERTAIN OF THE MEDICA ENTITIES ARE REQUIRED TO FILE ANNUAL FINANCIAL STATEMENTS WITH THE REGULATORS. MEDICA CONSIDERS FINANCIAL STATEMENTS THAT ARE FILED WITH THE REGULATORS TO BE PUBLIC DOCUMENTS. ARTICLES AND BYLAWS, CONFLICT OF INTEREST POLICY, AND FORM 990S ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF NONADMITTED ASSETS -18,869,752. MN HEALTH INFO EXCHANGE K-1 2,074. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART VII, COLUMN B | CERTAIN INDIVIDUALS REPORTED ON FORM 990, PART VII SPLIT THEIR TIME BETWEEN SEVERAL OF THE MEDICA ENTITIES (MEDICA HEALTH PLANS, MEDICA HEALTH PLANS WI, MEDICA FOUNDATION, AND MEDICA RESEARCH INSTITUTE). THE AVERAGE HOURS PER WEEK REPORTED IN PART VII ARE THE TOTAL HOURS PER WEEK FOR ALL MEDICA ORGANIZATIONS. | AVERAGE HOURS PER WEEK |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICA FOUNDATION | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411812461 | FOUNDATION | MN | 501(C)(3) | 509(A)(3) II | MEDICA HOLDING COMPANY | 1 | |
| MEDICA HEALTH PLANS OF WISCONSIN | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411843804 | HEALTH COVERAGE | MN | 501(C)(4) | MEDICA HOLDING COMPANY | 1 | ||
| MEDICA HOLDING COMPANY | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 010571840 | HOLDING COMPANY/NO ACTIVITY | MN | 501(C)(4) | 0 | N/A | ||
| MEDICA RESEARCH INSTITUTE | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 270600894 | RESEARCH FOUNDATION | MN | 501(C)(3) | 509(A)(3) I | MEDICA HOLDING COMPANY | 1 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| MEDICA INSURANCE COMPANY | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411490988 | HEALTH INSURANCE | MN | MEDICA AFFILIATED SERVICES | C | 0 |
| MEDICA SELF-INSURED | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411479417 | THIRD PARTY ADMINISTRATOR | MN | MEDICA AFFILIATED SERVICES | C | 0 |
| MEDICA AFFILIATED SERVICES | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411716415 | HOLDING COMPANY | MN | MEDICA HOLDING COMPANY | C | 0 |
| MEDICA HEALTH MANAGEMENT | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 208005519 | HEALTH MANAGEMENT | MN | MEDICA AFFILIATED SERVICES | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MEDICA FOUNDATION | ||
| B | 5500000 | ACTUAL AMOUNT |
| MEDICA FOUNDATION | ||
| N | 125062 | ACTUAL AMOUNT |
| MEDICA FOUNDATION | ||
| O | 237174 | ACTUAL AMOUNT |
| MEDICA RESEARCH INSTITUTE | ||
| B | 4500000 | ACTUAL AMOUNT |
| MEDICA RESEARCH INSTITUTE | ||
| N | 714976 | ACTUAL AMOUNT |
| MEDICA RESEARCH INSTITUTE | ||
| O | 153785 | ACTUAL AMOUNT |
| MEDICA HEALTH PLANS OF WISCONSIN | ||
| A | 105964 | ACTUAL AMOUNT |