MEDICA FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MEDICA FOUNDATION (EIN 41-1812461)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-13
- IRS object ID
- 202133179349300538
- Schema version
- 2020v4.1
- 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) |
|---|---|---|
| Return | 2021-11-13T11:35:45-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 WELLS FARGO CTR 90 S 7TH | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411812461 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICA FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDI | BusinessNameControlTxt |
| Phone | 9529922058 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CP 330 | AddressLine1Txt |
| City | MINNETONKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55305 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK L BAIRD | PersonNm |
| Person Title | SVP & CFO, TREASURER | PersonTitleTxt |
| Phone | 9529922058 | PhoneNum |
| Signature | 2021-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARK | PersonFirstNm |
| Person Last | BAIRD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | HOLLY MOEN | PreparerPersonNm |
| PTIN | P01800653 | PTIN |
| Phone | 6123055000 | PhoneNum |
| Preparation | 2021-11-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK L BAIRD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CP 330 | AddressLine1Txt |
| City | MINNETONKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,987,730 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEDICAFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OTHE MEDICA FOUNDATION FUNDS PROGRAMS THAT IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,500,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,000,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,694,683 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,054,845 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $10,194,683 | PYTotalRevenueAmt |
| CY Total Revenue | $13,054,845 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,810,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,220,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $707,205 | PYOtherExpensesAmt |
| CY Other Expenses | $751,959 | CYOtherExpensesAmt |
| PY Total Expenses | $2,517,205 | PYTotalExpensesAmt |
| CY Total Expenses | $4,971,959 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,677,478 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,082,886 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $52,383,395 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,599,900 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,858,711 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,744,000 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $50,524,684 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $62,855,900 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE FOUNDATION GENERALLY SEEKS TO FUND COMMUNITY-BASED PROGRAMS AND INITIATIVES THAT CAN PROVIDE SUSTAINABLE AND MEASURABLE IMPROVEMENTS IN THE AVAILABILITY, ACCESS, AND QUALITY OF HEALTHCARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $895,000 | ExpenseAmt |
| Grant | $895,000 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH: THE BEHAVIORAL HEALTH FUNDING AREA SEEKS PROPOSALS FOR NEW OR EXPANDING PROGRAMS THAT PROVIDE SUPPORT FOR SERIOUS MENTAL ILLNESS AND CHEMICAL ADDICTION RECOVERY, INCLUDING PROGRAMS THAT ADDRESS GAPS IN CURRENT SERVICE; INTEGRATE PHYSICAL AND MENTAL HEALTH CARE; ADDRESS CO-OCCURRING DISORDERS AND PROVIDE SUPPORTIVE AND INTENSIVE CASE MANAGEMENT SERVICES. ORGANIZATIONS EXHIBITING TRAUMA-SENSITIVE PRACTICES AND USING A STRENGTHS-BASED APPROACH TO CARE ARE PREFERRED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $525,000 | ExpenseAmt |
| Grant | $525,000 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | EARLY CHILDHOOD HEALTH: THE EARLY CHILDHOOD HEALTH FUNDING AREA SEEKS PROPOSALS FOR NEW OR EXPANDING EARLY INTERVENTION PROGRAMS THAT FOCUS ON DEVELOPING HEALTHY FAMILIES TO FOSTER OPTIMAL GROWTH AND DEVELOPMENT OF YOUNG CHILDREN. PROGRAMS SHOULD EMBRACE THE NEEDS OF THE WHOLE-CHILD/WHOLE-FAMILY AND MAY INCORPORATE THE HEALTH AND WELLBEING COMPONENTS OF THE TWO-GENERATION APPROACH THAT IS CENTRAL TO SUPPORTING CHILDREN AND PARENTS SIMULTANEOUSLY. PROGRAMMING FOCUSES ON CHILDREN BIRTH THROUGH AGE TWELVE AND MAY INVOLVE PARENTS, CAREGIVERS, HEALTH CARE PROVIDERS, SCHOOLS, SHELTERS, EARLY CHILDHOOD PROGRAMS AND THE OVERALL COMMUNITY. ORGANIZATIONS EXHIBITING TRAUMA-SENSITIVE PRACTICES AND USING A STRENGTHS-BASED APPROACH TO CARE ARE PREFERRED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $315,000 | ExpenseAmt |
| Grant | $315,000 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | RURAL HEALTH: RURAL AREAS HAVE SPECIFIC HEALTH NEEDS THAT ARE UNDERSTOOD BEST BY THOSE WITHIN THEIR OWN COMMUNITIES. WE AIM TO SUPPORT COMMUNITY-LED SOLUTIONS TO HEALTH CONCERNS WITH THE NONPROFITS IN THOSE AREAS. THIS FUNDING AREA SUPPORTS HEALTH-RELATED PROGRAMMING THAT IS ESSENTIAL TO AN ORGANIZATION'S NONPROFIT MISSION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $200,000 | $200,000 | $0 | MEDICA FOUNDATION HAS THE FOLLOWING OTHER PROGRAM SERVICES:STRATEGIC GRANT |
| $335,000 | $335,000 | $0 | MEDICAL FOUNDATION GENERAL FUNDING |
| $1,950,000 | $1,950,000 | EMERGENCY RELIEF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,485,000 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $2,485,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $4,220,000 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY QUIST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9529922058 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CP 330 | AddressLine1Txt |
| City | MINNETONKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN BUCK | ||||||||
| DIRECTOR | 0.00 | 15.00 | Yes (X) | $0 | $126,625 | $0 | ||
| SAM LEON | ||||||||
| DIRECTOR | 0.00 | 10.00 | Yes (X) | $0 | $78,500 | $0 | ||
| JOHN STANOCH | ||||||||
| DIRECTOR, CHAIR | 0.00 | 10.00 | Yes (X) | $0 | $87,875 | $0 | Yes (X) | |
| ESTHER TOMLJANOVICH | ||||||||
| DIRECTOR, VICE CHAIR | 0.00 | 6.00 | Yes (X) | $0 | $74,125 | $0 | Yes (X) | |
| MARY TWINEM | ||||||||
| DIRECTOR | 0.00 | 10.00 | Yes (X) | $0 | $87,250 | $0 | ||
| MARK BAIRD | ||||||||
| SVP & CFO, TREASURER | 0.00 | 40.00 | $0 | $1,252,275 | $51,449 | Yes (X) | ||
| DAVID ELLENBOGEN | ||||||||
| SVP & GEN COUNSEL, SECRETARY | 0.00 | 40.00 | $0 | $55,108 | $688 | Yes (X) | ||
| JAMES P JACOBSON | ||||||||
| SVP & GEN COUNSEL, SECRETARY | 0.00 | 40.00 | $0 | $847,800 | $54,490 | Yes (X) | ||
| MARY QUIST | ||||||||
| SVP FIN & CORP CONTROLLER | 0.00 | 40.00 | $0 | $675,807 | $50,108 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,285,365 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $156,735 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICA HEALTH PLANS | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CP 330 | AddressLine1Txt |
| City | MINNETONKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | LEASED EMPLOYEES | ServicesDesc |
| Compensation | $389,265 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,000,000 | RelatedOrganizationsAmt |
| Total Contributions | $10,000,000 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,098,015 | TotalRevenueColumnAmt |
| Exclusion | $1,098,015 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,889,715 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,932,885 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,956,830 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,956,830 | TotalRevenueColumnAmt |
| Exclusion | $1,956,830 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,054,845 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,054,845 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,220,000 | TotalAmt |
| Program Services | $4,220,000 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,806 | TotalAmt |
| Management And General | $201,806 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122 | TotalAmt |
| Management And General | $122 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104 | TotalAmt |
| Management And General | $104 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,725 | TotalAmt |
| Management And General | $26,725 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,232 | TotalAmt |
| Management And General | $2,232 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,537 | TotalAmt |
| Management And General | $1,537 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| LEASED EMPLOYEES | $389,265 | $389,265 |
| ALL OTHER EXPENSES | $101,269 | $101,269 |
| DUES, MEMBERSHIPS & SUB | $15,399 | $15,399 |
| COMMUNITY OUTREACH | $7,500 | $7,500 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Management And General | $6,000 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,971,959 | TotalAmt |
| Program Services | $4,220,000 | ProgramServicesAmt |
| Management And General | $751,959 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $892,891 | BOYAmt |
| EOY | $8,430 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,937 | BOYAmt |
| EOY | $68,414 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,405,567 | BOYAmt |
| EOY | $64,523,056 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,383,395 | BOYAmt |
| EOY | $64,599,900 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,772,147 | BOYAmt |
| EOY | $1,744,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,564 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,858,711 | BOYAmt |
| EOY | $1,744,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,524,684 | BOYAmt |
| EOY | $62,855,900 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,524,684 | BOYAmt |
| EOY | $62,855,900 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,383,395 | BOYAmt |
| EOY | $64,599,900 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,082,886 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,248,330 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| MEDICA HEALTH PLANS | ||||
| 411242261 | 10 | Yes (1) | $9,000,000 | $0 |
| MEDICA INSURANCE COMPANY | ||||
| 411490988 | 10 | Yes (1) | $1,000,000 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $10,000,000 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | Yes (1) | SupportedOrgSectionC456Ind |
| Supported Org Qualified | Yes (1) | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | Yes (1) | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH A PART IV SECTION A LINE 3B | MEDICA HEALTH PLANS, THE SUPPORTED ORGANIZATION, IS A 501(C)(4) ORGANIZATION. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, ANY CHANGE IN EXEMPT STATUS OR ACTIVITIES OF MEDICA HEALTH PLANS WOULD BE KNOWN BY MEDICA FOUNDATION. EACH YEAR, IT IS DETERMINED IF MHP CONTINUES TO MEET THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2) BEFORE THE TAX RETURN IS FILED. |
| SCH A PART IV SECTION A LINE 3C | THE MEDICA FOUNDATION MONITORS THE USE OF GRANT FUNDS THROUGH SEVERAL MECHANISMS. ALL GRANTEES ARE ASKED TO SUBMIT PROGRESS REPORTS RELATED TO THE GRANT FUNDING. UPDATES ON PROGRAM GRANTS ARE RECEIVED DURING AND AT THE END OF THE GRANT PERIOD. SEE SCHEDULE I, PART I, LINE 2 NARRATIVE FOR ADDITIONAL INFORMATION RELATED TO THE PROCESS USED FOR GRANT MONITORING. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SHORT TERM INVESTMENTS | Desc |
| Book Value | $64,523,056 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $64,523,056 | TotalBookValueSecuritiesAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (106 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| CHILDREN'S DENTAL SERVICES | ||||||||
| 636 BROADWAY STREET NE | MINNEAPOLIS | MN | 55413 | 410857929 | 501C(3) | $200,000 | PROGRAM SUPPORT | |
| GREATER TWIN CITIES UNITED WAY | ||||||||
| 404 SOUTH EIGHTH STREET | MINNEAPOLIS | MN | 55404 | 411973442 | 501C(3) | $137,500 | PROGRAM SUPPORT | |
| YMCA OF THE GREATER TWIN CITIES | ||||||||
| 651 NICOLLET AVENUE STE 500 | MINNEAPOLIS | MN | 55402 | 452563299 | 501C(3) | $125,000 | PROGRAM SUPPORT | |
| FRASER | ||||||||
| 2400 WEST 64TH STREET | MINNEAPOLIS | MN | 55423 | 410781858 | 501C(3) | $100,000 | PROGRAM SUPPORT | |
| HENNEPIN HEALTHCARE FOUNDATION | ||||||||
| 701 PARK AVENUE LSB-3 | MINNEAPOLIS | MN | 55415 | 410845733 | 501C(3) | $100,000 | PROGRAM SUPPORT | |
| MENTAL HEALTH RESOURCES INC | ||||||||
| 762 TRANSFER ROAD SUITE 21 | ST PAUL | MN | 55114 | 411273885 | 501C(3) | $100,000 | PROGRAM SUPPORT | |
| ST DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT | ||||||||
| 3395 PLYMOUTH ROAD | MINNETONKA | MN | 55305 | 411429208 | 501C(3) | $100,000 | PROGRAM SUPPORT | |
| WASHBURN CENTER FOR CHILDREN | ||||||||
| 1100 GLENWOOD AVENUE | MINNEAPOLIS | MN | 55405 | 410711618 | 501C(3) | $100,000 | PROGRAM SUPPORT | |
| UNIVERSITY OF MINNESOTA FOUNDATION | ||||||||
| 200 OAK STREET SE SUITE 500 | MINNEAPOLIS | MN | 55455 | 416042488 | 501C(3) | $75,000 | PROGRAM SUPPORT | |
| AMERICAN RED CROSS | ||||||||
| 431 18TH STREET NW | WASHINGTON | DC | 20006 | 530196605 | 501C(3) | $60,000 | PROGRAM SUPPORT | |
| ANNA MARIE'S ALLIANCE | ||||||||
| 505 NORTH 10TH AVENUE | ST CLOUD | MN | 56303 | 411344743 | 501C(3) | $55,000 | PROGRAM SUPPORT | |
| BANISTERS LEADERSHIP ACADEMY | ||||||||
| PO BOX 4002 | OMAHA | NE | 68104 | 510666677 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| CANVAS HEALTH | ||||||||
| 7066 STILLWATER BLVD NORTH | OAKDALE | MN | 55128 | 410955577 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| CATHOLIC SOCIAL SERVICES | ||||||||
| 529 KANSAS CITY ST SUITE 100 | RAPID CITY | SD | 57701 | 460418272 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| CENTERPOINTE | ||||||||
| 2633 P ST | LINCOLN | NE | 68503 | 470550702 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| CHURCHES UNITED IN MINISTRY | ||||||||
| 102 W SECOND STREET | DULUTH | MN | 55802 | 411227969 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| COMUNIDADES LATINAS UNIDAS EN SERVICIO | ||||||||
| 797 EAST 7TH STREET | ST PAUL | MN | 55106 | 411386986 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| CORNERHOUSE INTERAGENCY CHILD ABUSE EVALUATION AND | ||||||||
| 2502 10TH AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 411640731 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| HEALTHFINDERS COLLABORATIVE INC | ||||||||
| PO BOX 731 | NORTHFIELD | MN | 55057 | 201805262 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| HEARTLAND FAMILY SERVICE | ||||||||
| 2101 S 42ND ST | OMAHA | NE | 68105 | 470390618 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| HENNEPIN COUNTY | ||||||||
| 300 SOUTH 6TH STREET | MINNEAPOLIS | MN | 55487 | 416005801 | GOVERNMENT AGEN | $50,000 | PROGRAM SUPPORT | |
| KENTE CIRCLE TRAINING INSTITUTE | ||||||||
| 345 EAST 38TH ST | MINNEAPOLIS | MN | 55409 | 474342558 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| LIFE HOUSE INC | ||||||||
| 102 WEST FIRST STREET | DULUTH | MN | 55802 | 411704840 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| LUTHERAN SOCIAL SERVICES OF SOUTH DAKOTA | ||||||||
| 705 E 41ST STREET SUITE 200 | SIOUX FALLS | SD | 57105 | 460224731 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| MINNESOTA RECOVERY CONNECTION | ||||||||
| 800 TRANSFER ROAD SUITE 31 | ST PAUL | MN | 55114 | 411948764 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| NATIVE AMERICAN COMMUNITY CLINIC | ||||||||
| 1213 EAST FRANKLIN AVENUE | MINNEAPOLIS | MN | 55404 | 030445789 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| NEBRASKA METHODIST HOSPITAL FOUNDATION | ||||||||
| 8701 WEST DODGE ROAD SUITE 450 | OMAHA | NE | 68114 | 470595345 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| NIIBI CENTER | ||||||||
| PO BOX 133 | CALLAWAY | MN | 56521 | 814593567 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| OPEN CITIES HEALTH CENTER | ||||||||
| 409 NORTH DUNLAP STREET | SAINT PAUL | MN | 55104 | 363381598 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| OPEN DOORS FOR YOUTH | ||||||||
| 554 3RD STREET NW SUITE 201 | ELK RIVER | MN | 55330 | 472291925 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| PEOPLE SERVING PEOPLE CHARITIES INC | ||||||||
| 614 3RD STREET SOUTH | MINNEAPOLIS | MN | 55415 | 411965067 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| RAICES SAGRADAS COMMUNITY MENTAL HEALTH | ||||||||
| 3817 PLEASANT AVE | MINNEAPOLIS | MN | 55408 | 834273268 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| SOUTHSIDE FAMILY NURTURING CENTER | ||||||||
| 2448 18TH AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 411274177 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| TASKS UNLIMITED INC | ||||||||
| 2419 NICOLLET AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 237087205 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| YWCA OF MINNEAPOLIS | ||||||||
| 1130 NICOLLET MALL | MINNEAPOLIS | MN | 55403 | 410693891 | 501C(3) | $50,000 | PROGRAM SUPPORT | |
| CENTER FOR VICTIMS OF TORTURE | ||||||||
| 2356 UNIVERSITY AVENUE W STE 430 | ST PAUL | MN | 55114 | 363383933 | 501C(3) | $40,000 | PROGRAM SUPPORT | |
| CHARLES DREW HEALTH CENTER INC | ||||||||
| 2915 GRANT ST | OMAHA | NE | 68111 | 470666715 | 501C(3) | $40,000 | PROGRAM SUPPORT | |
| ONEWORLD COMMUNITY HEALTH CENTERS INC | ||||||||
| 4920 S 30TH ST STE 103 | OMAHA | NE | 68107 | 470548990 | 501C(3) | $40,000 | PROGRAM SUPPORT | |
| CREATING HEALTHIER COMMUNITIES | ||||||||
| 1199 N FAIRFAX STREET SUITE 600 | ALEXANDRIA | VA | 22314 | 136167225 | 501C(3) | $37,500 | PROGRAM SUPPORT | |
| HELPCARE CLINIC | ||||||||
| 3015 AVENUE A | KEARNEY | NE | 68847 | 465551263 | 501C(3) | $30,000 | PROGRAM SUPPORT | |
| UNITED WAY OF THE MIDLANDS | ||||||||
| 2201 FARNAM STREET SUITE 200 | OMAHA | NE | 68102 | 470376605 | 501C(3) | $30,000 | PROGRAM SUPPORT | |
| AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION | ||||||||
| 1508 E FRANKLIN AVE | MINNEAPOLIS | MN | 55404 | 411716667 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| ASSOCIATION FOR TRAINING ON TRAUMA AND ATTACHMENT | ||||||||
| 3001 METRO DRIVE SUITE 290 | BLOOMINGTON | MN | 55425 | 841153488 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| AVIVO | ||||||||
| 1900 CHICAGO AVENUE | MINNEAPOLIS | MN | 554041903 | 410828779 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| BABY'S SPACE | ||||||||
| 2438 18TH AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 204502788 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| BETTER FUTURES MINNESOTA | ||||||||
| 2620 MINNEHAHA AVENUE SOUTH | MINNEAPOLIS | MN | 55406 | 450550557 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| CARE CLINIC | ||||||||
| 906 COLLEGE AVENUE DOOR 1 | RED WING | MN | 55066 | 270540451 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| CARVER COUNTY HEALTH AND HUMAN SERVICES | ||||||||
| GOVERNMENT CENTER | CHASKA | MN | 55318 | 416005768 | GOVERNMENT AGEN | $25,000 | PROGRAM SUPPORT | |
| CHILDREN'S HOSPITAL & MEDICAL CENTER FOUNDATION | ||||||||
| 8404 INDIAN HILLS DRIVE SUITE 650 | OMAHA | NE | 68114 | 476105603 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| COLLEGE POSSIBLE | ||||||||
| 755 PRIOR AVENUE N 200 | ST PAUL | MN | 55104 | 411968798 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| COMMUNITY DENTAL CARE | ||||||||
| 1670 BEAM AVENUE SUITE 204 | MAPLEWOOD | MN | 55109 | 043692982 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| COOKIE CART | ||||||||
| 1119 WEST BROADWAY AVENUE | MINNEAPOLIS | MN | 55411 | 411866804 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| DIVISION OF INDIAN WORK | ||||||||
| 1001 EAST LAKE STREET | MINNEAPOLIS | MN | 55407 | 815265328 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| FAMILY INC | ||||||||
| 3501 HARRY LANGDON BLVD STE 150 | COUNCIL BLUFFS | IA | 51503 | 510657063 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| FAMILYWISE SERVICES | ||||||||
| 3036 UNIVERSITY AVE SE | MINNEAPOLIS | MN | 55414 | 411343909 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| GENESYS WORKS - TWIN CITIES | ||||||||
| 445 MINNESOTA STREET SUITE 720 | ST PAUL | MN | 55101 | 262999242 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| HALLIE Q BROWN COMMUNITY CENTER | ||||||||
| 270 N KENT ST | SAINT PAUL | MN | 55102 | 410693846 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| HOPESPOKE | ||||||||
| 2444 O STREET | LINCOLN | NE | 68510 | 470398819 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| LUTHERAN FAMILY SERVICES OF NEBRASKA INC | ||||||||
| 124 SOUTH 24TH STREET | OMAHA | NE | 69102 | 237267972 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| MARCH OF DIMES | ||||||||
| 1550 CRYSTAL DRIVE SUITE 1300 | ARLINGTON | VA | 22202 | 131846366 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| MARNITA'S TABLE INC | ||||||||
| 1330 LAGOON AVENUE 4TH FLOOR | MINNEAPOLIS | MN | 55408 | 204045171 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| NEBRASKA CHILDREN'S HOME SOCIETY | ||||||||
| 4939 SOUTH 118TH STREET | OMAHA | NE | 68137 | 470378995 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| NORTHERN DENTAL ACCESS CENTER | ||||||||
| 1405 ANNE STREET NW | BEMIDJI | MN | 56601 | 841711812 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| NORTHSIDE ACHIEVEMENT ZONE | ||||||||
| 2123 WEST BROADWAY AVE SUITE 100 | MINNEAPOLIS | MN | 55411 | 300238807 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| NORTHSIDE ECONOMIC OPPORTUNITY NETWORK | ||||||||
| 1007 W BROADWAY AVE | MINNEAPOLIS | MN | 55411 | 800163521 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| OSTARA INITIATIVE | ||||||||
| PO BOX 18603 | MINNEAPOLIS | MN | 55418 | 824855661 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| PAGE EDUCATION FOUNDATION | ||||||||
| PO BOX 581254 | MINNEAPOLIS | MN | 55458 | 363605013 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| PREVENT CHILD ABUSE MINNESOTA | ||||||||
| 709 UNIVERSITY AVENUE WEST SUITE | SAINT PAUL | MN | 55104 | 411354842 | 501C(3) | $25,000 | PROGRAM SUPPORT | 141 |
| PROJECT HARMONY CHILD ADVOCACY CENTER (HAVEN FOR A | ||||||||
| 11949 Q STREET | OMAHA | NE | 68137 | 470789054 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| RELATE INC | ||||||||
| 5125 COUNTY ROAD 101 SUITE 300 | MINNETONKA | MN | 553451511 | 410993494 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| SICANGU COMMUNITY DEVELOPMENT CORPORATION | ||||||||
| 27565 RESEARCH PARK DR | MISSION | SD | 57555 | 833857527 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| SUMMIT ACADEMY OIC | ||||||||
| 935 OLSON MEMORIAL HIGHWAY | MINNEAPOLIS | MN | 55405 | 410908458 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| THE BRIDGE FOR YOUTH | ||||||||
| 1111 W 22ND STREET | MINNEAPOLIS | MN | 55405 | 410983062 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| THE FAMILY PARTNERSHIP | ||||||||
| 414 SOUTH 8TH STREET | MINNEAPOLIS | MN | 55404 | 410693858 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| THE MINNESOTA ACADEMY OF PEDIATRICS FOUNDATION | ||||||||
| 1043 GRAND AVE 544 | ST PAUL | MN | 55105 | 411670813 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| URBAN LEAGUE TWIN CITIES | ||||||||
| 2100 PLYMOUTH AVENUE NORTH | MINNEAPOLIS | MN | 55411 | 410706915 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| WAY TO GROW | ||||||||
| 201 IRVING AVE NORTH SUITE 100 | MINNEAPOLIS | MN | 55405 | 710956749 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| YOUTHLINK | ||||||||
| 41 NORTH 12TH STREET | MINNEAPOLIS | MN | 55403 | 411341773 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| YOUTHPRISE | ||||||||
| 3001 BROADWAY STREET NE SUITE 330 | MINNEAPOLIS | MN | 55413 | 274126970 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| YWCA OF DULUTH | ||||||||
| 32 EAST FIRST STREET SUITE 202 | DULUTH | MN | 55802 | 410696493 | 501C(3) | $25,000 | PROGRAM SUPPORT | |
| COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA | ||||||||
| 3350 10TH STREET | GERING | NE | 69341 | 470493594 | 501C(3) | $15,000 | PROGRAM SUPPORT | |
| ALZHEIMER'S ASSOCIATION MINNESOTA - NORTH DAKOTA | ||||||||
| 7900 WEST 78TH STREET SUITE 100 | MINNEAPOLIS | MN | 55439 | 133039601 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| BIG LAKE COMMUNITY FOOD SHELF | ||||||||
| 160 LAKE STREET N | BIG LAKE | MN | 55309 | 411820136 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| COMMUNITY ACTION PARTNERSHIP OF MID-NEBRASKA | ||||||||
| 16 W 11TH STREET | KEARNEY | NE | 68848 | 476039628 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| COMMUNITY EMERGENCY SERVICE INC | ||||||||
| 1900 11TH AVE S | MINNEAPOLIS | MN | 55404 | 411728341 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| CREIGHTON UNIVERSITY MAGIS CLINIC | ||||||||
| 2500 CALIFORNIA PLAZA | OMAHA | NE | 68178 | 470376583 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| CULTURAL WELLNESS CENTER | ||||||||
| 2025 PORTLAND AVENUE S | MINNEAPOLIS | MN | 55404 | 411850859 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| FEEDING OUR COMMUNITIES PARTNERS | ||||||||
| 2120 HOWARD DRIVE WEST SUITE F | MANKATO | MN | 56003 | 272374187 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| FOOD BANK FOR THE HEARTLAND | ||||||||
| 10525 J STREET | OMAHA | NE | 68127 | 470637701 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| GUILD | ||||||||
| 130 SOUTH WABASHA STREET SUITE 90 | ST PAUL | MN | 55107 | 411669233 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| HEALTH CENTER ASSOCIATION OF NEBRASKA | ||||||||
| 3929 S 147TH ST SUITE 100A | OMAHA | NE | 68144 | 215731401 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| HEARTLAND HEALTH CENTER INC | ||||||||
| 3307 W CAPITAL AVENUE | GRAND ISLAND | NE | 68803 | 271700281 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| INTERFAITH ACTION OF GREATER SAINT PAUL | ||||||||
| 1671 SUMMIT AVENUE | ST PAUL | MN | 55105 | 410694741 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| LUTHERAN SOCIAL SERVICE OF MINNESOTA | ||||||||
| 2485 COMO AVENUE | ST PAUL | MN | 55108 | 410872993 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| MICAH HOUSE CORPORATION | ||||||||
| 1415 AVENUE J | COUNCIL BLUFFS | IA | 51501 | 421292393 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| NEBRASKA FARM BUREAU FOUNDATION FOR AGRICULTURE I | ||||||||
| 5225 S 16TH STREET | LINCOLN | NE | 68512 | 461740947 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| OPEN ARMS OF MINNESOTA | ||||||||
| 2500 BLOOMINGTON AVE SO | MINNEAPOLIS | MN | 55404 | 411681317 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| PEOPLE'S CENTER HEALTH SERVICES | ||||||||
| 425 20TH AVENUE SOUTH | MINNEAPOLIS | MN | 55454 | 410982430 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| PILLSBURY UNITED COMMUNITIES | ||||||||
| 125 WEST BROADWAY AVE SUITE 130 | MINNEAPOLIS | MN | 55411 | 410916478 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| PROPEL NONPROFITS | ||||||||
| ONE MAIN ST SE SUITE 600 | MINNEAPOLIS | MN | 55414 | 411916337 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| RAINBOW HEALTH | ||||||||
| 2577 TERRITORIAL ROAD | ST PAUL | MN | 55114 | 411524746 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| SAWTOOTH MOUNTAIN CLINIC INC | ||||||||
| 513 5TH AVE W | GRAND MARAIS | MN | 55604 | 411347593 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| THE FOOD GROUP MINNESOTA INC | ||||||||
| 8501 54TH AVENUE NORTH | NEW HOPE | MN | 55428 | 411246504 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| TWO HARBORS AREA FOOD SHELF | ||||||||
| 2124 10TH ST | TWO HARBORS | MN | 55616 | 471321541 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| URBAN VENTURES LEADERSHIP FOUNDATION | ||||||||
| 2924 4TH AVE S | MINNEAPOLIS | MN | 55408 | 363558710 | 501C(3) | $10,000 | PROGRAM SUPPORT | |
| AMERICAN HEART ASSOCIATION | ||||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | 135613797 | 501C(3) | $7,500 | PROGRAM SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 106 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE MEDICA FOUNDATION MONITORS THE USE OF GRANT FUNDS THROUGH SEVERAL MECHANISMS. ALL GRANTEES ARE ASKED TO SUBMIT PROGRESS REPORTS RELATED TO THE GRANT FUNDING. UPDATES ON PROGRAM GRANTS ARE RECEIVED DURING AND AT THE END OF THE GRANT PERIOD. ADDITIONALLY, THE FOUNDATION ENGAGES A COMMITTEE OF EMPLOYEES TO WORK DIRECTLY WITH GRANT RECIPIENTS TO PROVIDE OVERSIGHT AND SUPPORT TO HELP ENSURE GRANT OBJECTIVES ARE ACCOMPLISHED. THE COMMITTEE FUNCTIONS UNDER THE DIRECTION OF FOUNDATION STAFF. COMMITTEE MEMBERS REVIEW PROPOSALS, PERFORM SITE VISITS AND PROVIDE QUARTERLY UPDATES FOR THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK BAIRD | ||||||||||||||
| SVP & CFO, TREASURER | $0 | $466,139 | $0 | $673,136 | $0 | $113,000 | $0 | $22,088 | $0 | $29,361 | $0 | $1,303,724 | $0 | $84,595 |
| JAMES P JACOBSON | ||||||||||||||
| SVP & GEN COUNSEL, SECRETARY | $0 | $373,654 | $0 | $390,196 | $0 | $83,950 | $0 | $22,088 | $0 | $32,402 | $0 | $902,290 | $0 | $53,911 |
| MARY QUIST | ||||||||||||||
| SVP FIN & CORP CONTROLLER | $0 | $319,568 | $0 | $292,887 | $0 | $63,352 | $0 | $22,088 | $0 | $28,020 | $0 | $725,915 | $0 | $37,144 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MEDICA FOUNDATION, THE FILING ORGANIZATION DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEDICA HEALTH PLANS, A RELATED ORGANIZATION. WHEN ESTABLISHING COMPENSATION MEDICA HEALTH PLANS USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B | THE FOLLOWING RECEIVED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA HEALTH PLANS, A RELATED ORGANIZATION: MAEY P. QUIST - $37,144 JAMES P. JACOBSON - $53,911 MARK L. BAIRD - $84,595 |
| SCH J PART I LINE 6B | MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO OPERATING EARNINGS OF MEDICA HEALTH PLANS. |
| SCH J PART II | SCHEDULE J, PART II, COLUMN (F), COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED IN PRIOR FORM 990: COLUMN (F) INCLUDES AMOUNTS VESTED IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MEDICA FOUNDATION HAS ENTERED INTO AN ADMINISTRATIVE SERVICE AGREEMENT WITH MEDICA HEALTH PLANS (MHP), A RELATED EXEMPT ORGANIZATION. THROUGH THIS AGREEMENT, MHP LEASES ITS EMPLOYEES AND PROVIDES VARIOUS MANAGEMENT/ADMINISTRATIVE SERVICES TO MEDICA FOUNDATION AND MEDICA FOUNDATION PAYS FOR SUCH SERVICES THROUGHOUT THE YEAR. THE ADMINISTRATIVE SERVICE AGREEMENT WAS MOVED TO MEDICA SERVICES COMPANY (MSC) IN NOVEMBER OF 2020. |
| FORM 990, PART VI, SECTION B, LINE 11B | MEDICA'S TAX ADVISORS COMPLETE THE RETURN, FINANCE STAFF REVIEWS THE RETURN BEFORE IT IS SIGNED BY THE CFO. A COPY WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING 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 | MEDICA FOUNDATION DOES NOT HAVE ANY EMPLOYEES. ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION. WHICH USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION. THE PERSONNEL AND COMPENSATION COMMITTEE, AS DESCRIBED IN THE CHARTER, REVIEWS AND OBTAINS THE BOARD'S APPROVAL FOR TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE COMMITTEE ALSO REVIEWS AND APPROVES TOTAL COMPENSATION RECOMMENDATIONS MADE BY THE CEO FOR THE EXECUTIVE AND SENIOR VICE PRESIDENTS, AND REVIEWS ALL OFFICER COMPENSATION AND ANNUAL PERFORMANCE GOALS APPROVED BY THE CEO. THE COMMITTEE REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD REGARDING OFFICER AND NON-OFFICER COMPENSATION GUIDELINES FOR MEDICA AND ITS SUBSIDIARIES, PERIODICALLY REVIEWING MARKET DATA TO ASSESS MEDICA'S COMPETITIVE POSITION. OUTSIDE THE CHARTER, THE PERSONNEL AND COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT TO REVIEW MARKET 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. FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| FORM 990 PART VII LINE SECTION B LINE 1: | CERTAIN INDIVIDUALS REPORTED ON FORM 990, PART VII SPLIT THEIR TIME BETWEEN SEVERAL OF THE MEDICA ENTITIES (MEDICA HEALTH PLANS, MEDICA COMMUNITY HEALTH PLAN, MEDICA FOUNDATION, MEDICA AFFILIATED SERVICES, MEDICA INSURANCE COMPANY, MEDICA SELF-INSURED, MEDICA HEALTH MANAGEMENT, MMSI, INC, MEDICA SERVICES COMPANY, MEDICA REGIONAL INSURANCE COMPANY, AND MEDICA HOLDING COMPANY). THE AVERAGE HOURS PER WEEK REPORTED IN PART VII ARE THE TOTAL HOURS PER WEEK FOR ALL MEDICA ORGANIZATIONS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| MEDICA HEALTH PLANS | ||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411242261 | HEALTH COVERAGE | MN | 501(C)(4) | MH COMPANY | 0 | |
| MEDICA COMMUNITY HEALTH PLANS | ||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411843804 | HEALTH COVERAGE | MN | 501(C)(4) | MH COMPANY | 0 | |
| MEDICA HOLDING COMPANY | ||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 010571840 | HOLDING COMPANY | MN | 501(C)(4) | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MEDICA INSURANCE COMPANY | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411490988 | HEALTH INSURANCE | MN | MEDICA AFF | C | 0 |
| MEDICA SELF-INSURED | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411479417 | THIRD PARTY ADMIN | MN | MEDICA AFF | C | 0 |
| MEDICA AFFILIATED SERVICES | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411716415 | HOLDING COMPANY | MN | MH COMPANY | C | 0 |
| MEDICA HEALTH MANAGEMENT | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 208005519 | HEALTH MGMT | MN | MEDICA AFF | C | 0 |
| MMSI INC | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411547003 | HEALTH INSURANCE | MN | MEDICA AFF | C | 0 |
| MEDICA SERVICES COMPANY LLC | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 852902940 | ADMIN SERVICES | MN | MEDICA AFF | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEDICA HEALTH PLANS | ||
| N | $160,887 | ACTUAL AMOUNT |
| MEDICA HEALTH PLANS | ||
| O | $389,265 | ACTUAL AMOUNT |
| MEDICA HEALTH PLANS | ||
| P | $26,725 | ACTUAL AMOUNT |
| MEDICA HEALTH PLANS | ||
| C | $9,000,000 | ACTUAL AMOUNT |
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