MEDICA HEALTH PLANS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MEDICA HEALTH PLANS (EIN 41-1242261)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201133199349300138
- Schema version
- 2010v3.4
- 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 | 2011-11-15T08:37:19-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM MCGLADREY INC | 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 | 2010-01-01 | 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 | AARON REYNOLDS | Name |
| Title | CFO | Title |
| Phone | 9529922058 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | COLLIN F BUZZELL | Name |
| Phone | 6125738750 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 1724880450 | 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 | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1193 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 2302666 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -330334 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1367530236 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1706184411 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 20797269 | InvestmentIncomePriorYear |
| Investment Income Current Year | 19424490 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -424856 | OtherRevenuePriorYear |
| Other Revenue Current Year | -728451 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1387902649 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1724880450 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5000000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11526241 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 1237406667 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 1565038859 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 116496142 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 98487054 | 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 | -20172724 | OtherExpensePriorYear |
| Other Expenses Current Year | 21434630 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1338730085 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1696486784 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 49172564 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 28393666 | RevenuesLessExpensesCY |
| Total Assets BOY | 586325665 | TotalAssetsBOY |
| Total Assets EOY | 675307053 | TotalAssetsEOY |
| Total Liabilities BOY | 225052658 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 275977683 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 361273007 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 399329370 | 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 | 443767100 | Expense |
| Grants | 11526241 | Grants |
| Revenue | 477731000 | Revenue |
| Description | MEDICA'S HMO PRODUCTS PROVIDE EMPLOYER GROUPS WITH HEALTH COVERAGE AND HEALTH MAINTENANCE SERVICES. MANY OF THESE EMPLOYER GROUPS ARE SMALL BUSINESSES. MEDICA'S HMO PLANS PROVIDE IN-NETWORK ACCESS TO APPROXIMATELY 96 PERCENT OF MINNESOTA PHYSICIANS. MEDICA HMO PLANS ALSO OFFER A WIDE RANGE OF CARE MANAGEMENT, CARE COORDINATION AND HEALTH PROMOTION PROGRAMS TO HELP MEMBERS IMPROVE AND MAINTAIN THEIR HEALTH. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1132798000 | Expense |
| Revenue | 1225820000 | Revenue |
| Description | THROUGH MINNESOTA HEALTH CARE PROGRAMS, MEDICA IN 2010 OFFERED COVERAGE TO INDIVIDUALS WHO ARE ELIGIBLE FOR ONE OF THREE OF THE STATE OF MINNESOTA'S PUBLICLY FUNDED BASIC HEALTH CARE PROGRAMS: MEDICAL ASSISTANCE (MA); MINNESOTA'S MEDICAID PROGRAM, GENERAL ASSISTANCE MEDICAL CARE (GAMC); AND MINNESOTACARE. MEDICA OFFERS MEDICARE SUPPLEMENT PLANS, MEDICARE ADVANTAGE PRIVATE FEE-FOR-SERVICE PLANS, AND MEDICARE PART D PRESCRIPTION DRUG PLANS. MEDICA ALSO OFFERS MEDICARE ADVANTAGE PRIVATE FEE-FOR-SERVICE SPECIAL NEEDS PLANS THAT PROVIDE HEALTH CARE COVERAGE, CARE COORDINATION SERVICES AND ADDITIONAL SERVICES TO MEDICARE AND/OR MEDICAID ELIGIBLE INDIVIDUALS WITH SPECIFIED CHRONIC CONDITIONS OR DISABILITIES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1576565100 | 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 | 0 | 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 | 297 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1193 | 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 (27 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN BUCK | ||||||||
| CHAIR | 15.00 | X | X | 77833 | 0 | 0 | ||
| ESTHER TOMLJANOVICH | ||||||||
| VICE CHAIR | 10.00 | X | X | 62000 | 0 | 0 | ||
| KRIS SANDA | ||||||||
| SECRETARY | 10.00 | X | X | 61000 | 0 | 0 | ||
| DAVID TILFORD | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 2029937 | 0 | 138484 | ||
| BURTON COHEN | ||||||||
| DIRECTOR | 7.00 | X | 56000 | 0 | 0 | |||
| DARYL DURUM | ||||||||
| DIRECTOR | 10.00 | X | 61000 | 0 | 0 | |||
| PETER KELLY MD | ||||||||
| DIRECTOR | 10.00 | X | 61000 | 0 | 0 | |||
| SAMUEL LEON MD | ||||||||
| DIRECTOR | 7.00 | X | 56000 | 0 | 0 | |||
| RAJESH AGGARWAL | ||||||||
| DIRECTOR | 7.00 | X | 60000 | 0 | 0 | |||
| EARL STRATTON | ||||||||
| DIRECTOR | 10.00 | X | 58000 | 0 | 0 | |||
| AUSTIN SULLIVAN | ||||||||
| DIRECTOR | 10.00 | X | 64000 | 0 | 0 | |||
| BEN BACHE-WIIG MD | ||||||||
| DIRECTOR | 10.00 | X | 64250 | 0 | 0 | |||
| AARON REYNOLDS | ||||||||
| TREASURER/EVP/CAO | 40.00 | X | 875520 | 0 | 84169 | |||
| JAMES P JACOBSON | ||||||||
| SVP/GENERAL COUNSEL | 40.00 | X | 435707 | 0 | 48499 | |||
| CHARLES J FAZIO | ||||||||
| CMO/SVP | 40.00 | 647472 | 0 | 70529 | X | |||
| TOM L HENKE | ||||||||
| SVP COMMERCIAL MARKETS | 40.00 | 647974 | 0 | 14710 | X | |||
| JANA L JOHNSON | ||||||||
| SVP OPERATIONS | 40.00 | 461860 | 0 | 56275 | X | |||
| GLENN E ANDIS | ||||||||
| SVP GOVERNMENT PROGRAMS | 40.00 | 537802 | 0 | 63051 | X | |||
| ROBERT LONGENDYKE | ||||||||
| SVP MARKETING/COMMUNICATIONS | 40.00 | 453564 | 0 | 53253 | X | |||
| DEBBY S KNUTSON | ||||||||
| SVP HRLF | 40.00 | 430505 | 0 | 44836 | X | |||
| GERALD FILLER | ||||||||
| SVP/CTO | 40.00 | 329718 | 0 | 37892 | X | |||
| SIMEON SCHINDELMAN | ||||||||
| SVP COMMERICAL MARKETS | 40.00 | 569336 | 0 | 68095 | X | |||
| THEODORE J LOFTNESS | ||||||||
| VP REGIONAL HEALTH SERVICES | 40.00 | 400133 | 0 | 49539 | X | |||
| MARK L BAIRD | ||||||||
| SVP FINANCE | 40.00 | 427362 | 0 | 51721 | X | |||
| ROBERT LACHER | ||||||||
| SR EX BUS DEVELOPMENT | 40.00 | 341034 | 0 | 21652 | X | |||
| RICHARD H SYKORA | ||||||||
| GM/VP PRICE & ACCOUNT | 40.00 | 346296 | 0 | 43754 | X | |||
| JOHN CHOMEAU | ||||||||
| GM/VP CHA | 40.00 | 338911 | 0 | 44310 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9954214 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 890769 | TotalOtherCompensation |
| Number Individuals GT100 K | 175 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 HEATHCARE SERVICES | |||||
| 9900 BREN DR E MN008-T380 | MINNETONKA | MN | 55343 | CLAIMS PROCESSING | 87174880 |
| CDW DIRECT LLC | |||||
| PO BOX 88626 | MILWAUKEE | WI | 553288062 | IT SERVICES | 2690029 |
| XEROX CORPORATION | |||||
| PO BOX 802555 | CHICAGO | IL | 606802555 | COPY SERVICES | 2570137 |
| DAHL CONSULTING INC | |||||
| 418 COUNTY ROAD D E | ST PAUL | MN | 55117 | TEMP SERVICES | 2291220 |
| MILLIMAN USA | |||||
| 8500 NORMANDALE LAKE BLVD STE 1850 | MINNEAPOLIS | MN | 55437 | ACTUARIAL SERVICES | 2262884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICARE REVENUE | 524114 | 1225820114 | 1225820114 | |
| SUBSCRIBER REVENUE | 524114 | 469257466 | 469257466 | |
| OTHER REVENUE | 524114 | 8075714 | 8075714 | |
| DENTAL REVENUE | 541900 | 3031117 | 3031117 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1706184411 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14905338 | TotalRevenueColumn |
| Exclusion | $14,905,338 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4519152 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4519152 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4519152 | TotalRevenueColumn |
| Exclusion | $4,519,152 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PARTNERSHIP INCOME | Description |
| Business Code | 561499 | BusinessCode |
| Total Revenue Column | -728451 | TotalRevenueColumn |
| Unrelated Business Revenue | -728451 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -728451 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1724880450 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1703153294 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2302666 | UnrelatedBusinessRevenue |
| Exclusion | $19,424,490 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11526241 | Total |
| Program Services | 11526241 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1565038859 | Total |
| Program Services | 1565038859 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8780271 | Total |
| Management And General | 8780271 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68167039 | Total |
| Management And General | 68167039 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6912138 | Total |
| Management And General | 6912138 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8906013 | Total |
| Management And General | 8906013 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5721593 | Total |
| Management And General | 5721593 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 670348 | Total |
| Management And General | 670348 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 515203 | Total |
| Management And General | 515203 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246601 | Total |
| Management And General | 246601 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36603202 | Total |
| Management And General | 36603202 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3947898 | Total |
| Management And General | 3947898 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3031542 | Total |
| Management And General | 3031542 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12269978 | Total |
| Management And General | 12269978 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9974837 | Total |
| Management And General | 9974837 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343089 | Total |
| Management And General | 343089 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 513608 | Total |
| Management And General | 513608 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7806742 | Total |
| Management And General | 7806742 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1200973 | Total |
| Management And General | 1200973 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| REINSURANCE | 37279852 | 37279852 |
| PREMIUM TAXES | 17373878 | 17373878 |
| PRINTING AND PUBLICATIO | 7021806 | 7021806 |
| BROKER COMMISSIONS | 5417393 | 5417393 |
| INTERCOMPANY ADMIN FEES | -124831018 | -124831018 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2048698 | Total |
| Management And General | 2048698 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1696486784 | Total |
| Program Services | 1576565100 | ProgramServices |
| Management And General | 119921684 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174040909 | BOY |
| EOY | 343031090 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60134459 | BOY |
| EOY | 73380437 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 29917954 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21267662 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8550521 | BOY |
| EOY | 8650292 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 277118296 | BOY |
| EOY | 199371755 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66481480 | BOY |
| EOY | 50873479 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 586325665 | BOY |
| EOY | 675307053 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 223190489 | BOY |
| EOY | 275376573 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1862169 | BOY |
| EOY | 601110 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225052658 | BOY |
| EOY | 275977683 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361273007 | BOY |
| EOY | 399329370 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361273007 | BOY |
| EOY | 399329370 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 586325665 | BOY |
| EOY | 675307053 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 28393666 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 9662697 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12056300 | OtherCostOrOtherBasis |
| Depreciation | 5155712 | Depreciation |
| Book Value | 6900588 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17861654 | OtherCostOrOtherBasis |
| Depreciation | 16111950 | Depreciation |
| Book Value | 1749704 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8650292 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| BONDS | 197922686 | C |
| PREFERRED STOCK | 1449069 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 199371755 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENT RELATED RECEIVABLES | 1689216 |
| HEALTH CARE RECEIVABLES | 4360028 |
| DUE FROM AFFILIATES | 15844380 |
| FUNDS HELD BY REINSURED COMPANIES | 28979855 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 50873479 | TotalBookValueOtherAssets |
| Total Revenue | 1724880450 | TotalRevenue |
| Total Expenses | 1696486784 | TotalExpenses |
| Excess Or Deficit For Year | 28393666 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 180975 | NetUnrealizedGLOnInvestments |
| Other | $9,481,722 | OtherAmount |
| Total Adjustments | 9662697 | TotalAdjustments |
| Excess Or Deficit Per FS | 38056363 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1725608901 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1725608901 | RevenueSubtotal |
| Other Revenues Not Included | -728451 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -728451 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1724880450 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1696486784 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1696486784 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1696486784 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE COMPANY RECOGNIZES TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. THE COMPANY DID NOT INCUR ANY INTEREST OR PENALTIES DURING THE YEARS ENDED DECEMBER 31, 2010 AND 2009, HOWEVER, IF INTEREST WERE TO BE INCURED, IT WOULD BE RECORDED IN NET INVESTMENT INCOME ON THE COMBINED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS, AND IF THE COMPANY INCURRED PENALTIES DURING THE YEAR, IT WOULD BE RECORDED IN ADMINISTRATIVE EXPENSE ON THE COMBINED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. GENERALLY, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE US FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR THE YEARS ENDED BEFORE DECEMBER 31, 2007. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF NONADMITTED ASSETS 8,753,271. MN HEALTH INFO EXCHANGE K-1 728,451. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | MN HEALTH INFO EXCHANGE K-1 -728,451. |
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) | 3500000 | SUPPORT OF THE MANY PROGRAMS CONDUCTED BY THE FOUNDATION. |
| MEDICA RESEARCH FOUNDATION DBA MEDICA RESEARCH INSTITUTE | |||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 270600894 | 501(C)(3) | 6500000 | SUPPORT OF THE MANY PROGRAMS CONDUCTED BY THE FOUNDATION. |
| INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT | |||||||
| 8009 34TH AVE SO STE 1200 | BLOOMINGTON | MN | 55425 | 411782168 | 501(C)(3) | 1526241 | SUPPORT THE BEST PRACTICES IN THE MEDICAL WORLD |
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 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
| 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 | 1 | 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)
| 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 | |||||||||||||
| 716239 | 0 | 749113 | 0 | 564585 | 0 | 125523 | 0 | 12961 | 0 | 2168421 | 0 | 0 | 0 |
| AARON REYNOLDS | |||||||||||||
| 418008 | 0 | 381520 | 0 | 75992 | 0 | 69419 | 0 | 14750 | 0 | 959689 | 0 | 0 | 0 |
| JAMES P JACOBSON | |||||||||||||
| 252453 | 0 | 164068 | 0 | 19186 | 0 | 35002 | 0 | 13497 | 0 | 484206 | 0 | 0 | 0 |
| CHARLES J FAZIO | |||||||||||||
| 157719 | 0 | 428379 | 0 | 61374 | 0 | 55284 | 0 | 15245 | 0 | 718001 | 0 | 0 | 0 |
| TOM L HENKE | |||||||||||||
| 43464 | 0 | 262963 | 0 | 341547 | 0 | 1753 | 0 | 12957 | 0 | 662684 | 0 | 0 | 0 |
| JANA L JOHNSON | |||||||||||||
| 255253 | 0 | 186705 | 0 | 19902 | 0 | 41918 | 0 | 14357 | 0 | 518135 | 0 | 0 | 0 |
| GLENN E ANDIS | |||||||||||||
| 263943 | 0 | 219883 | 0 | 53976 | 0 | 47820 | 0 | 15231 | 0 | 600853 | 0 | 0 | 0 |
| ROBERT LONGENDYKE | |||||||||||||
| 247757 | 0 | 163067 | 0 | 42740 | 0 | 38278 | 0 | 14975 | 0 | 506817 | 0 | 0 | 0 |
| DEBBY S KNUTSON | |||||||||||||
| 238007 | 0 | 153792 | 0 | 38706 | 0 | 32719 | 0 | 12117 | 0 | 475341 | 0 | 0 | 0 |
| GERALD FILLER | |||||||||||||
| 214370 | 0 | 97331 | 0 | 18017 | 0 | 27404 | 0 | 10488 | 0 | 367610 | 0 | 0 | 0 |
| SIMEON SCHINDELMAN | |||||||||||||
| 326452 | 0 | 223366 | 0 | 19518 | 0 | 52490 | 0 | 15605 | 0 | 637431 | 0 | 0 | 0 |
| THEODORE J LOFTNESS | |||||||||||||
| 247691 | 0 | 131538 | 0 | 20904 | 0 | 36170 | 0 | 13369 | 0 | 449672 | 0 | 0 | 0 |
| MARK L BAIRD | |||||||||||||
| 247089 | 0 | 159351 | 0 | 20922 | 0 | 36793 | 0 | 14928 | 0 | 479083 | 0 | 0 | 0 |
| ROBERT LACHER | |||||||||||||
| 126999 | 0 | 0 | 0 | 214035 | 0 | 9800 | 0 | 11852 | 0 | 362686 | 0 | 0 | 0 |
| RICHARD H SYKORA | |||||||||||||
| 218644 | 0 | 107567 | 0 | 20085 | 0 | 29754 | 0 | 14000 | 0 | 390050 | 0 | 0 | 0 |
| JOHN CHOMEAU | |||||||||||||
| 172708 | 0 | 147270 | 0 | 18933 | 0 | 28990 | 0 | 15320 | 0 | 383221 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINES 4A-B | TOM L HENKE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $230,556. THE FOLLOWING RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: DAVID TILFORD $235,752 AARON REYNOLDS $ 18,080 CHARLES J FAZIO $ 13,132 TOM L HENKE $ 48,009 GLENN E ANDIS $ 10,091 ROBERT LONGENDYKE $ 7,180 DEBBY S KNUTSON $ 6,307 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 GERLAD FILLER SIMEON SCHINDELMAN MARK L BAIRD THEODORE J LOFTNESS RICHARD H SYKORA JOHN CHOMEAU |
| PART I, LINE 6 | MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATIONS OPERATING EARNINGS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 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. | |
| 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 12C | |
| 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 B, LINE 15 | |
| 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 VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 180,975. CHANGE IN VALUE OF NONADMITTED ASSETS 8,753,271. MN HEALTH INFO EXCHANGE K-1 728,451. TOTAL TO FORM 990, PART XI, LINE 5: 9,662,697. | FORM 990, PART XI, LINE 5: |
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 FOUNDATION DBA MEDICA RESEARCH INSTITUTE | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 270600894 | RESEARCH FOUNDATION | MN | 501(C)(3) | 509(A)(3) I | MEDICA HOLDING COMPANY | 0 | |
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 |
|---|---|---|---|---|---|---|---|---|
| MEDICA INSURANCE COMPANY | ||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411490988 | HEALTH INSURANCE | MN | MEDICA AFFILIATED SERVICES | C |
| MEDICA SELF-INSURED | ||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411479417 | THIRD PARTY ADMINISTRATOR | MN | MEDICA AFFILIATED SERVICES | C |
| MEDICA AFFILIATED SERVICES | ||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411716415 | HOLDING COMPANY | MN | MEDICA HOLDING COMPANY | C |
| MEDICA HEALTH MANAGEMENT | ||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 208005519 | HEALTH MANAGEMENT | MN | MEDICA AFFILIATED SERVICES | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | 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 |
| 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 (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MEDICA FOUNDATION | ||
| B | 3500000 | ACTUAL AMOUNT |
| MEDICA FOUNDATION | ||
| M | 108488 | ACTUAL AMOUNT |
| MEDICA FOUNDATION | ||
| N | 162049 | ACTUAL AMOUNT |