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MEDICA HEALTH PLANS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MEDICA HEALTH PLANS (EIN 41-1242261)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201223199349300762
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-11-14T07:55:19-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1801 NICOLLET MALL SUITE 1100AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411242261EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEDICA HEALTH PLANSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEDINameControl
Phone9529922058Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP 330AddressLine1
CityMINNETONKACity
StateMNState
ZIP Code55305ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAARON REYNOLDSName
TitleCFOTitle
Phone9529922058Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTODD A JACKSONName
PTINP00092672PTIN
Phone6123324300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID TILFORDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP 330AddressLine1
CityMINNETONKACity
StateMNState
ZIP Code55305ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1969972358GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MEDICA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionMEDICA'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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1372TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI261331TotalGrossUBI
Net Unrelated Business Txbl Income237096NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1706184411ProgramServiceRevenuePriorYear
Program Service Revenue CY1721786050ProgramServiceRevenueCY
Investment Income Prior Year19424490InvestmentIncomePriorYear
Investment Income Current Year20476422InvestmentIncomeCurrentYear
Other Revenue Prior Year-728451OtherRevenuePriorYear
Other Revenue Current Year488499OtherRevenueCurrentYear
Total Revenue Prior Year1724880450TotalRevenuePriorYear
Total Revenue Current Year1742750971TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11526241GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10913725GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year1565038859BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY1473196095BenefitsPaidToMembersCY
Salaries Etc Prior Year98487054SalariesEtcPriorYear
Salaries Etc Current Year98919793SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21434630OtherExpensePriorYear
Other Expenses Current Year145457268OtherExpensesCurrentYear
Total Expenses Prior Year1696486784TotalExpensesPriorYear
Total Expenses Current Year1728486881TotalExpensesCurrentYear
Revenues Less Expenses Prior Year28393666RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14264090RevenuesLessExpensesCY
Total Assets BOY675307053TotalAssetsBOY
Total Assets EOY718887557TotalAssetsEOY
Total Liabilities BOY275977683TotalLiabilitiesBOY
Total Liabilities EOY302567425TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY399329370NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY416320132NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMEDICA'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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense810367000Expense
Revenue850974000Revenue
DescriptionMEDICA HEALTH PLANS (MHP) IN 2011 PROVIDED NONPROFIT HMO COVERAGE TO ENROLLEES IN THE STATE OF MINNESOTA'S PREPAID MEDICAL ASSISTANCE (MEDICAID) AND MINNESOTACARE PROGRAMS. A TOTAL OF 150,656 MEDICA MEMBERS OR 86.1% OF MHP ENROLLMENT WERE IN MINNESOTA STATE PROGRAMS AS OF 12/31/2011: PREPAID MEDICAL ASSISTANCE PROGRAM 117,368 MEMBERS; MINNESOTACARE, 33,288.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense61309000Expense
Revenue76667000Revenue
DescriptionMHP PROVIDED FULLY INSURED SMALL GROUP AND LARGE GROUP HMO HEALTH INSURANCE IN TWO STATES, MINNESOTA AND NORTH DAKOTA, AND TO 94 INDIVIDUALS WHO WERE CONVERTED FROM A GROUP PLAN. AS OF 12/31/2011, THE ENROLLMENT IN MHP FULLY INSURED MINNESOTA GROUP PLANS WAS 13,392 AND THE NORTH DAKOTA ENROLLMENT WAS 416. THE COMBINED TOTAL OF 13,768 REPRESENTED 7.9% OF MHP ENROLLMENT. IN 2011 MEDICA HAD THE HIGHEST ACCREDITATION STATUS, "EXCELLENT", (FROM NCQA) FOR ITS MINNESOTA COMMERCIAL HMO HEALTH PLANS IN MINNESOTA AND NORTH DAKOTA.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense295828000Expense
Revenue318614000Revenue
DescriptionIN 2011 MHP PROVIDED MINNESOTA SENIOR HEALTH OPTIONS (MSHO), MEDICARE SUPPLEMENTAL AND FEE-FOR-SERVICE (FFS) COVERAGE TO 10,545 INDIVIDUALS, REPRESENTING 6.0% OF MHP ENROLLMENT IN MINNESOTA AND SOUTH DAKOTA. ENROLLMENT IN MSHO WAS 9,925 AS OF 12/31/2011. ENROLLMENT IN MEDICARE SUPPLEMENTAL AND FFS PRODUCTS TOTALED 620. THE PRIVATE FEE-FOR-SERVICE (PFFS) PRODUCTS UNDER CMS CONTRACT H2410 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

FieldValueIRS element (for citing)
Expense316605820Expense
Grants10913725Grants
Revenue337707000Revenue
DescriptionMEDICA HEALTH PLANS (MHP) AND COMMUNITY BENEFITMHPMEDICA HEALTH PLANS (MHP), A SUBSIDIARY OF MEDICA HOLDING COMPANY (MHC), IS A NON-PROFIT, NON-TAXABLE CORPORATION, LICENSED UNDER MINNESOTA STATUTES CHAPTER 62D AS A MINNESOTA NONPROFIT HEALTH MAINTENANCE ORGANIZATION (HMO), AND REGULATED BY THE MINNESOTA DEPARTMENT OF HEALTH (MDH). IT IS INCORPORATED AS A NONPROFIT ORGANIZATION UNDER MINNESOTA STATUTES CHAPTER 317A AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE (IRC). MHP IS AUTHORIZED TO PROVIDE PREPAID COMPREHENSIVE HMO SERVICES AND IN 2011 DID SO TO THREE MARKET SEGMENTS: 1) STATE OF MINNESOTA HEALTH CARE PROGRAMS; 2) COMMERCIAL FULLY INSURED GROUPS AND INDIVIDUALS CONVERTED FROM GROUP PLANS; AND 3) MEDICARE (THESE THREE PROGRAMS ARE EXPLAINED IN MORE DETAIL IN PSA'S 4A, B & C).TO MEET ITS MISSION AND ITS TAX-EXEMPT OBLIGATION AS AN ORGANIZATION DESCRIBED UNDER IRC 501(C)(4), MHP PROVIDED SIGNIFICANT COMMUNITY BENEFITS. STATE OF MINNESOTA HEALTH CARE PROGRAMSMINNESOTA REQUIRES STATE-LICENSED HMOS TO BE NONPROFIT AND TO PARTICIPATE IN STATE OF MINNESOTA HEALTH CARE PROGRAMS. MINNESOTA HEALTH CARE PROGRAMS COVER PEOPLE WHO CANNOT GET OR AFFORD HEALTH INSURANCE ELSEWHERE AND HELPS THEM PAY SOME OR ALL MEDICAL BILLS. ACCORDING TO THE MINNESOTA DEPARTMENT OF HUMAN SERVICES, COVERAGE IS AVAILABLE FOR QUALIFYING INDIVIDUALS WHO MEET RULES ABOUT INCOME, ASSETS AND OTHER FACTORS. THESE PROGRAMS FOCUS ON PREGNANT WOMEN, FAMILIES AND CHILDREN, ADULTS WITH DISABILITIES, CHILDREN WITH DISABILITIES, PEOPLE 65 OR OLDER, ADULTS WITHOUT CHILDREN, AND 19 AND 20 YEAR OLDS. COVERAGE IS ALSO AVAILABLE FOR PEOPLE WHO MEET ELIGIBILITY RULES FOR NURSING HOME CARE, HOME CARE, FOR CHILDREN WHO HAVE A DISABILITY (MA-TEFRA PROGRAM) AND FOR EMPLOYED PERSONS WITH DISABILITIES (MA-EPD PROGRAM).AS OF 12/31/2011, 86.1% OF MHP ENROLLMENT WAS IN STATE OF MINNESOTA HEALTH CARE PROGRAMS (COVERED IN PSA 4A & 4B). THE PROGRAMS AND THE RESPECTIVE ENROLLMENT TOTALS WERE: PREPAID MEDICAL ASSISTANCE PROGRAM, 111,368 MEMBERS; MINNESOTACARE, 33,288 MEMBERS. IN TOTAL, AS OF 12/31/2011, MHP PROVIDED AND ADMINISTERED PREPAID COMPREHENSIVE HMO SERVICES TO 150,656 INDIVIDUALS ENROLLED IN STATE OF MINNESOTA HEALTH CARE PROGRAMS.THE 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 2011 APPROXIMATELY 95 CENTS OF EACH STATE PROGRAM DOLLAR WENT TO PROVIDE CARE; THE ADMINISTRATIVE COST RATIO WAS APPROXIMATELY 6.0%.OTHER COMMUNITY BENEFIT PROGRAMS AND EXPENSES BY MHP ON BEHALF OF STATE OF MINNESOTA HEALTH CARE PROGRAMS INCLUDE: THE WAY TO BETTER HEALTH, $519,544; MSC+ ELDERLY WAIVER COVERAGE FOR ELIGIBLE MEMBERS, $249,017; FIT CHOICES FOR MINNESOTACARE MEMBERS, $158,100; $50,845 IN BENEFIT EXCEPTIONS FOR SERVICES NOT OTHERWISE COVERED TO HELP PMAP, MINNESOTACARE AND MSC/MSC+ MEMBERS STAY IN THEIR HOMES TO PRESERVE HEALTH; $149,950 IN BENEFIT EXCEPTIONS FOR SERVICES NOT OTHERWISE COVERED TO HELP MINNESOTA SENIOR HEALTH OPTIONS (MSHO) AND SPECIAL NEEDS BASIC COVERAGE (SNBC) MEMBERS STAY IN THEIR HOMES TO PRESERVE HEALTH; $602,744 IN MSHO ELDERLY WAIVER SERVICES TO HELP THOSE MEMBERS STAY IN THEIR HOMES.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 2011 CONTRIBUTED $3.5 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 2011 MADE GRANTS TOTALING $2.5 MILLION TO SUPPORT MORE THAN 104 PROJECTS AROUND BEHAVIORAL HEALTH, DISPARITIES IN HEALTH CARE, HEALTHY LIVING, WORKSITE WELLNESS AND GENERAL HEALTH IMPROVEMENT. FROM 2003-2011 MEDICA FOUNDATION GRANTS TOTALED NEARLY $13 MILLION. MEDICA RESEARCH INSTITUTEIN 2011 MHP GAVE $6.5 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 47 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; AND, MINNESOTA HEALTH INFORMATION EXCHANGE, WHICH CONNECTS DOCTORS, HOSPITALS AND CLINICS STATEWIDE SO THEY CAN QUICKLY ACCESS MEDICAL RECORDS, IMPROVING SAFETY AND QUALITY.HEALTH AND WELLNESS PROGRAMS PROVIDING COMMUNITY BENEFITMHP UNDERTOOK ITS OWN INITIATIVES TO DECREASE HEALTH CARE COST AND IMPROVE QUALITY PROVIDED SIGNIFICANT BENEFITS TO ITS MEMBERS AND THEIR COMMUNITIES. EXAMPLES OF PERFORMANCE AND VALUE INCLUDE:- IMPROVING CARE EFFICIENCY, REDUCING THE COST OF CARE, INCLUDING: - 11.3% REDUCTION IN ER VISITS - 20.1% REDUCTION IN HOSPITAL ADMISSIONS- IMPROVE THE OUTCOMES OF CARE INCLUDING: - IMPROVED A1C, CHOLESTEROL LEVELS - INCREASED PARTICIPATION IN EXERCISE AND NUTRITION PROGRAMS - IMPROVED MEDICATION MANAGEMENTMY HEALTH MANAGER FROM MEDICA INCLUDES AN ARRAY OF ONLINE TOOLS AND RESOURCES THAT MAKE IT EASY FOR MEDICA MEMBERS TO ASSESS THEIR HEALTH STATUS, AND TO CUSTOMIZE AND FOLLOW PERSONALIZED PROGRAMS FOR A HEALTHIER LIFESTYLE AND DIET. MY HEALTH MANAGER FROM MEDICA WAS PROVIDED AT NO ADDITIONAL CHARGE TO FULLY INSURED GROUPS AND TO MINNESOTACARE MEMBERS. IN 2011 MORE THAN 97,000 MEDICA MEMBERS IN FULLY INSURED GROUPS AND 33,288 IN MINNESOTACARE HAD ACCESS TO MY HEALTH MANAGER FROM MEDICA.FIT CHOICES BY MEDICA PROVIDED MEDICA MEMBERS WITH (A) A $20 MONTHLY MEMBERSHIP CREDIT FOR EXERCISING AT A PARTICIPATING HEALTH CLUB EIGHT OR MORE DAYS PER MONTH AND (B) THE OPPORTUNITY FOR PERSONAL COACHING AND A PERSONALIZED NUTRITION AND FITNESS PLAN. IN 2011 FIT CHOICES BY MEDICA WAS AVAILABLE AT NO COST TO MHP'S FULLY INSURED AND MINNESOTACARE MEMBERS. IN A MEDICA STUDY OF FIT CHOICES PARTICIPATION, AFTER TWO YEARS, THE AVERAGE MONTHLY MEDICAL COSTS OF STUDY PARTICIPANTS WERE 33.6% LOWER THAN THOSE IN A MATCHED CONTROL GROUP. PEOPLE NOT ENROLLED IN THE FIT CHOICES PROGRAM AND WHO DID NOT EXERCISE EIGHT TIMES A MONTH WERE 43% TO 105% MORE LIKELY TO HAVE BEEN TO A CLINIC, HOSPITAL OR EMERGENCY ROOM.HEALTH AND WELLNESS COACHING MHP'S HEALTH AND WELLNESS COACHING PROGRAM IS A SELF-DIRECTED PROGRAM OFFERING A WIDE VARIETY OF TOOLS AND RESOURCES TO HELP MEMBERS MAKE CHANGES TO IMPROVE THEIR HEALTH. HEALTH COACHING SUPPORT INCLUDES PRIVATE, CONFIDENTIAL ACCESS TO TRAINED HEALTH COACHES. THERE WAS NO COST TO MEDICA MEMBERS TO PARTICIPATE IN THE HEALTH AND WELLNESS COACHING PROGRAM.MEDICAL AND MENTAL HEALTH DISEASE MANAGEMENT AND PATIENT SUPPORTIN 2011, MHP OFFERED A PORTFOLIO OF DISEASE MANAGEMENT PROGRAMS FOR PHYSICAL AND MENTAL HEALTH, TOBACCO CESSATION, HEALTHY PREGNANCY, COMMON CHRONIC MEDICAL DISEASES, AND RARE AND COMPLEX DISEASES. THEY PROVIDE EDUCATION AND RESOURCES THAT HELP SUPPORT THE MEMBERS' ABILITY TO MANAGE CHRONIC CONDITIONS. THE GOALS ARE TO IMPROVE HEALTH AND QUALITY OF LIFE, REDUCE COMPLICATIONS THROUGH EARLY INTERVENTION AND MONITORING, PROMOTE MEDICAL CARE AND COMPLIANCE WITH THE PATIENT'S PHYSICIAN-RECOMMENDED MEDICAL TREATMENT REGIMEN, AND TO IMPROVE SATISFACTION WITH HEALTH CARE SERVICES. MEDICA'S DISEASE MANAGEMENT PROGRAMS WERE PROVIDED AT NO ADDITIONAL CHARGE TO FULLY INSURED GROUPS, AND TO MINNESOTA STATE HEALTH CARE PROGRAM ENROLLEES SERVED BY MEDICA. THERE IS NO COST TO ELIGIBLE MEDICA MEMBERS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp316605820TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt10913725TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev337707000TotalOfOtherProgramServiceRev
Total Program Service Expense1484109820TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096246NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1372NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY QUISTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9529922058TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 9310 CP 330AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code554409310ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN BUCK
CHAIR15.00XX9500000
ESTHER TOMLJANOVICH
VICE CHAIR10.00XX6700000
KRIS SANDA
SECRETARY10.00XX6700000
DAVID TILFORD
PRESIDENT/CEO40.00XX22231280171530
BURTON COHEN
DIRECTOR7.00X6100000
DARYL DURUM
DIRECTOR10.00X6600000
PETER KELLY MD
DIRECTOR10.00X6200000
SAMUEL LEON MD
DIRECTOR7.00X5900000
RAJESH AGGARWAL
DIRECTOR7.00X6000000
EARL STRATTON
DIRECTOR10.00X6300000
AUSTIN SULLIVAN
DIRECTOR10.00X6600000
BEN BACHE-WIIG MD
DIRECTOR10.00X6500000
AARON REYNOLDS
TREASURER/EVP/CAO40.00X11945980114174
JAMES P JACOBSON
SVP/GENERAL COUNSEL40.00X553401068830
CHARLES J FAZIO
CMO/SVP40.00641132062078X
JANA L JOHNSON
SVP OPERATIONS40.00595642077516X
GLENN E ANDIS
SVP GOVERNMENT PROGRAMS40.00658334083949X
ROBERT LONGENDYKE
SVP MARKETING/COMMUNICATIO40.00576176074300X
DEBBY S KNUTSON
SVP HRLF40.00549914059517X
SIMEON SCHINDELMAN
SVP COMMERICAL MARKETS40.00622772080957X
THEODORE J LOFTNESS
VP REGIONAL HEALTH SERVICE40.00656841068909X
MARK L BAIRD
SVP FINANCE40.00544943074373X
TIM THULL
SVP CIO40.00374662062118X
RICHARD H SYKORA
GM/VP PRICE & ACCOUNT40.00474838066212X
JOHN CHOMEAU
GM/VP CHA40.00340114043554X
JOHN NAYLOR
VP/GM COMM SALES, RENEWALS & ACCT SVCS40.00473453069611X
DANETTE COLEMAN
VP & GM INDIV & FAMILY BUSINESS40.00376746057272X
STEPHEN WICZEK
FORMER DIRECTOR0.004400000X
TOM L HENKE
FORMER KEY EMPLOYEE0.0028348400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org11915178TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1234900TotalOtherCompensation
Number Individuals GT100 K152NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNITED HEALTHCARE SERVICES INC
9900 BREN DR E MN008-T380MINNETONKAMN55343CLAIMS PROCESSING91153250
DAHL CONSULTING INC
418 COUNTY ROAD D EST PAULMN55117TEMP SERVICES5324915
LEVEL BRAND INC
724 NORTH 1ST STREETMINNEAPOLISMN55401ADVERTISING4385999
CDW DIRECT LLC
7145 BOONE AVE NBROOKLYN PARKMN55128TECHNOLOGY SERVICES3081364
XEROX CORPORATION
701 DECATUR AVENUE NORTHMINNEAPOLISMN55427COPY SERVICES2449554
FieldValueIRS element (for citing)
Number Of Contractors GT100 K84NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE REVENUE52411411695876401169587640
SUBSCRIBER REVENUE524114407776605407776605
INTERCOMPANY ADMIN FEE561000135206385135206385
OTHER REVENUE52411460648936064893
DENTAL REVENUE54190031505273150527
FieldValueIRS element (for citing)
Total Program Service Revenue1721786050TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12465961TotalRevenueColumn
Exclusion$12,465,961ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real885000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real310000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real575000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column575000TotalRevenueColumn
Exclusion$575,000ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities234921848Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities226911387Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8010461Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8010461TotalRevenueColumn
Exclusion$8,010,461ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICA TAX PARTNERSHIP900099261331261331
MN EXCHANGE PARTNERSHI561499-347832-347832
FieldValueIRS element (for citing)
Total Other Revenue-86501TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1742750971TotalRevenueColumn
Related Or Exempt Function Income1721438218RelatedOrExemptFunctionIncome
Unrelated Business Revenue261331UnrelatedBusinessRevenue
Exclusion$21,051,422ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10913725Total
Program Services10913725ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total1473196095Total
Program Services1473196095ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total9959395Total
Management And General9959395ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total68363630Total
Management And General68363630ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6141092Total
Management And General6141092ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9005794Total
Management And General9005794ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5449882Total
Management And General5449882ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2054752Total
Management And General2054752ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total564000Total
Management And General564000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total177831Total
Management And General177831ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1476815Total
Management And General1476815ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37422476Total
Management And General37422476ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6564939Total
Management And General6564939ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3153295Total
Management And General3153295ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8998853Total
Management And General8998853ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9464385Total
Management And General9464385ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total409376Total
Management And General409376ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total767609Total
Management And General767609ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total371853Total
Management And General371853ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7914645Total
Management And General7914645ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1196513Total
Management And General1196513ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
REINSURANCE3661962036619620
PREMIUM, STATE & FEDERA1708844617088446
PRINTING AND PUBLICATIO68223236822323
BROKER COMMISSIONS17912831791283

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2598254Total
Management And General2598254ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1728486881Total
Program Services1484109820ProgramServices
Management And General244377061ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY343031090BOY
EOY307823502EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY73380437BOY
EOY83746555EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22722128LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15002831LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8650292BOY
EOY7719297EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY199371755BOY
EOY278618283EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY50873479BOY
EOY40979920EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY675307053BOY
EOY718887557EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY275376573BOY
EOY302307602EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY601110BOY
EOY259823EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY275977683BOY
EOY302567425EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY399329370BOY
EOY416320132EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY399329370BOY
EOY416320132EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY675307053BOY
EOY718887557EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14264090ReconcilationRevenueExpenses
Reconcilation Other Changes2726672ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12254770OtherCostOrOtherBasis
Depreciation6032847Depreciation
Book Value6221923BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10467358OtherCostOrOtherBasis
Depreciation8969984Depreciation
Book Value1497374BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7719297TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BONDS277678281C
PREFERRED STOCK940002C
FieldValueIRS element (for citing)
Total Of Book Value Securities278618283TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT RELATED RECEIVABLES2142258
HEALTH CARE RECEIVABLES4688296
DUE FROM AFFILIATES4180631
FUNDS HELD BY REINSURED COMPANIES29908735
ACCOUNTS RECEIVABLE RELATING TO UNINSURED PLANS60000
FieldValueIRS element (for citing)
Total Book Value Other Assets40979920TotalBookValueOtherAssets
Total Revenue1742750971TotalRevenue
Total Expenses1728486881TotalExpenses
Excess Or Deficit For Year14264090ExcessOrDeficitForYear
Net Unrealized GL On Investments-80280NetUnrealizedGLOnInvestments
Other$2,806,952OtherAmount
Total Adjustments2726672TotalAdjustments
Excess Or Deficit Per FS16990762ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1605468750TotRevenueEtcAuditedFinclStmt
Other Revenues-1848668OtherRevenues
Revenue Not Rptd F990-1848668RevenueNotRptdF990
Revenue Subtotal1607317418RevenueSubtotal
Other Revenues Not Included135433553OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt135433553RevenueNotRptdOnFinStmt
Total Revenue Per Form9901742750971TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1590856828TotExpensesEtcAuditedFinclStmt
Other Expenses Included-135781385OtherExpensesIncluded
Expenses Not Rptd F990-135781385ExpensesNotRptdF990
Expenses Subtotal1726638213ExpensesSubtotal
Other Expenses Not Included1848668OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1848668ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901728486881TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:AS OF DECEMBER 31, 2011, THE COMPANY'S TAX YEARS 2008 THROUGH 2011 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 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF NONADMITTED ASSETS 2,459,116. MN HEALTH INFO EXCHANGE K-1 347,832. ROUNDING 4. TOTAL TO SCHEDULE D, PART XI, LINE 8: 2,806,952.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT EXPENSE RECLASSED AS EXPENSE -1,476,815. INTEREST EXPENSE RECLASSED AS EXPENSE -371,853.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MN HEALTH INFO EXCHANGE K-1 -347,832. INTERCOMPANY ADMIN FEES RECLASSED FROM EXPENSE 135,206,385. NET RENTAL INCOME RECLASSED FROM EXPENSE 575,000.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:INTERCOMPANY ADMIN FEES RECLASSED AS REVENUE -135,206,385. NET RENTAL INCOME RECLASSED AS REVENUE -575,000.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT EXPENSE RECLASSED AS REVENUE 1,476,815. INTEREST EXPENSE RECLASSED AS REVENUE 371,853.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MEDICA FOUNDATION
401 CARLSON PARKWAYMINNETONKAMN55305411812461501(C)(3)3500000SUPPORT OF THE MANY PROGRAMS CONDUCTED BY THE FOUNDATION.
MEDICA RESEARCH FOUNDATION DBA MEDICA RESEARCH INSTITUTE
401 CARLSON PARKWAYMINNETONKAMN55305270600894501(C)(3)6500000SUPPORT OF THE MANY PROGRAMS CONDUCTED BY THE FOUNDATION.
INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT
8009 34TH AVE SO STE 1200BLOOMINGTONMN55425411782168501(C)(3)913725SUPPORT THE BEST PRACTICES IN THE MEDICAL WORLD
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: MEDICA HEALTH PLANS DONATES FUNDS ANNUALLY TO ITS RELATED ORGANIZATIONS, MEDICA FOUNDATION AND MEDICA RESEARCH FOUNDATION DBA 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID TILFORD
716388013553640151376016070201082802394658000
AARON REYNOLDS
4178530685774090971010081401336001308772000
JAMES P JACOBSON
25531502781500199360549680138620622231000
CHARLES J FAZIO
2013870390860048885054670074080703210000
JANA L JOHNSON
25896503167340199430629140146020673158000
GLENN E ANDIS
27032103292800587330700530138960742283000
ROBERT LONGENDYKE
25028802775520483360602970140030650476000
DEBBY S KNUTSON
2435610264270042083052540069770609431000
SIMEON SCHINDELMAN
33346602696610196450675720133850703729000
THEODORE J LOFTNESS
246500026781501425260567920121170725750000
MARK L BAIRD
25070002733120209310588020155710619316000
TIM THULL
20720601497490177070473180148000436780000
RICHARD H SYKORA
22128302334270201280515760146360541050000
JOHN CHOMEAU
1543570167111018646033943096110383668000
JOHN NAYLOR
28403401707740186450549720146390543064000
DANETTE COLEMAN
2143660144551017829048573086990434018000
STEPHEN WICZEK
0000440000000044000000
TOM L HENKE
36748022500002173600000283484000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BTHE FOLLOWING RECEIVED A SEVERANCE PAYMENT: TOM L. HENKE $54,849 STEPHEN WICZEK $44,000 THE FOLLOWING RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: DAVID TILFORD $44,254 AARON REYNOLDS $23,293 CHARLES J FAZIO $ 9,929 TOM L HENKE $21,736 GLENN E ANDIS $12,098 ROBERT LONGENDYKE $ 9,112 DEBBY S KNUTSON $ 7,469 THEODORE J LOFTNESS $52,435 THE FOLLOWING PARTICIPATED IN, BUT DID NOT RECEIVE A PAYMENT, FROM A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN FROM MEDICA HEALTH PLANS, A RELATED ORGANIZATION: JAMES JACOBSON JANA L JOHNSON SIMEON SCHINDELMAN MARK L BAIRD RICHARD H SYKORA JOHN CHOMEAU
PART I, LINE 6MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATIONS OPERATING EARNINGS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6MEMBERS EXIST WITHIN MEDICA HEALTH PLANS AS MEMBERS COVERED UNDER REGULATED INSURANCE PLANS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERSHIP OF MEDICA HEALTH PLANS ELECTS THE CONSUMER BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11MEDICA'S TAX ADVISORS COMPLETE THE RETURN, MEDICA'S CONTROLLER AND DIRECTOR OF TREASURY 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 12CANNUALLY 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 15THE 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 19MEDICA 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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -80,280. CHANGE IN VALUE OF NONADMITTED ASSETS 2,459,116. MN HEALTH INFO EXCHANGE K-1 347,832. ROUNDING 4. TOTAL TO FORM 990, PART XI, LINE 5: 2,726,672.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART VII, COLUMN BCERTAIN 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 FOUNDATION). THE AVERAGE HOURS PER WEEK REPORTED IN PART VII ARE THE TOTAL HOURS PER WEEK FOR ALL FOUR MEDICA ORGANIZATIONS.AVERAGE HOURS PER WEEK

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
MEDICA FOUNDATION
401 CARLSON PARKWAYMINNETONKAMN55305411812461FOUNDATIONMN501(C)(3)509(A)(3) IIMEDICA HOLDING COMPANY1
MEDICA HEALTH PLANS OF WISCONSIN
401 CARLSON PARKWAYMINNETONKAMN55305411843804HEALTH COVERAGEMN501(C)(4)MEDICA HOLDING COMPANY1
MEDICA HOLDING COMPANY
401 CARLSON PARKWAYMINNETONKAMN55305010571840HOLDING COMPANY/NO ACTIVITYMN501(C)(4)0N/A
MEDICA RESEARCH FOUNDATION DBA MEDICA RESEARCH INSTITUTE
401 CARLSON PARKWAYMINNETONKAMN55305270600894RESEARCH FOUNDATIONMN501(C)(3)509(A)(3) IMEDICA HOLDING COMPANY1

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
MEDICA INSURANCE COMPANY
401 CARLSON PARKWAYMINNETONKAMN55305411490988HEALTH INSURANCEMNMEDICA AFFILIATED SERVICESC
MEDICA SELF-INSURED
401 CARLSON PARKWAYMINNETONKAMN55305411479417THIRD PARTY ADMINISTRATORMNMEDICA AFFILIATED SERVICESC
MEDICA AFFILIATED SERVICES
401 CARLSON PARKWAYMINNETONKAMN55305411716415HOLDING COMPANYMNMEDICA HOLDING COMPANYC
MEDICA HEALTH MANAGEMENT
401 CARLSON PARKWAYMINNETONKAMN55305208005519HEALTH MANAGEMENTMNMEDICA AFFILIATED SERVICESC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MEDICA FOUNDATION
B3500000ACTUAL AMOUNT
MEDICA FOUNDATION
M82864ACTUAL AMOUNT
MEDICA FOUNDATION
N176204ACTUAL AMOUNT
MEDICA RESEARCH FOUNDATION DBA MEDICA RESEARCH INSTITUTE
B6500000ACTUAL AMOUNT
MEDICA RESEARCH FOUNDATION DBA MEDICA RESEARCH INSTITUTE
M556328ACTUAL AMOUNT
MEDICA RESEARCH FOUNDATION DBA MEDICA RESEARCH INSTITUTE
N1082426ACTUAL AMOUNT
MEDICA HEALTH PLANS OF WISCONSIN
A105625ACTUAL AMOUNT
MEDICA SELF INSURED
M47455675ACTUAL AMOUNT
MEDICA SELF INSURED
P24872629ACTUAL AMOUNT
MEDICA HEALTH MANAGEMENT
M9356668ACTUAL AMOUNT
MEDICA HEALTH MANAGEMENT
N24429133ACTUAL AMOUNT
MEDICA INSURANCE COMPANY
M78467976ACTUAL AMOUNT
MEDICA INSURANCE COMPANY
P40131897ACTUAL AMOUNT