HMO MINNESOTA: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HMO MINNESOTA (EIN 41-6173747)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-04
IRS object ID
202143089349300334
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

FieldValueIRS element (for citing)
Return2021-11-04T09:19:01-00:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN416173747EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HMO MinnesotaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHMOMBusinessNameControlTxt
Phone6516629668PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 64560AddressLine1Txt
CitySaint PaulCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55164ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAndrea ChristophersonPersonNm
Person TitleTreasurerPersonTitleTxt
Phone6516622077PhoneNum
Signature2021-10-27SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJayPersonFirstNm
Person LastMatushakPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Blue PlusBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMonica EngelPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13535 Blue Cross RoadAddressLine1Txt
CityEaganCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,142,193,135GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTo provide comprehensive health maintenance services for the people of Minnesota and to advance public health and the art and science of hospital, medical and health care services.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,315,678,055PYProgramServiceRevenueAmt
CY Program Service Revenue$2,527,227,959CYProgramServiceRevenueAmt
PY Investment Income$27,689,999PYInvestmentIncomeAmt
CY Investment Income$25,872,119CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,343,368,054PYTotalRevenueAmt
CY Total Revenue$2,553,100,078CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$2,061,365,261PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$2,237,700,191CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,255,665PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,551,892CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$235,923,208PYOtherExpensesAmt
CY Other Expenses$240,627,063CYOtherExpensesAmt
PY Total Expenses$2,335,544,134PYTotalExpensesAmt
CY Total Expenses$2,519,879,146CYTotalExpensesAmt
PY Revenues Less Expenses$7,823,920PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,220,932CYRevenuesLessExpensesAmt
Total Assets BOY$1,137,767,342TotalAssetsBOYAmt
Total Assets EOY$1,339,028,107TotalAssetsEOYAmt
Total Liabilities BOY$516,815,474TotalLiabilitiesBOYAmt
Total Liabilities EOY$674,948,743TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$620,951,868NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$664,079,364NetAssetsOrFundBalancesEOYAmt
MissionNone formally approved by governing body, but see Part I Line 1, which is based on Articles of Incorporation.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,919,690,016ExpenseAmt
Revenue$1,996,547,356RevenueAmt
DescBlue Plus has contracted with the Minnesota Department of Human Services DHS to provide health care coverage to Prepaid Medical Assistance Program PMAP, prepaid MinnesotaCare, and Minnesota SeniorCare Plus MSC recipients via a managed care model. In total these programs provide comprehensive medical, dental and pharmacy services to approximately 389,000 individuals who qualify under the respective state program.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$303,208,586ExpenseAmt
Revenue$335,410,799RevenueAmt
DescBlue Plus contracts with the Centers for Medicare Medicaid Services CMS and the Minnesota Department of Human Services DHS to offer a program that combines Medicare Advantage Special Needs Plans and state Medical Assistance coverage. Minnesota Senior Health Options MSHO provides coverage to beneficiaries age 65 and older who are eligible for DHS Medical Assistance and Medicare Parts A and B. This program serves 8,300 members. Our MSHO product, SecureBlue, has broad geographic reach, covering members in 62 counties. A hallmark of MSHO is the care coordination provided to members regardless of whether they reside in the community or in an institution. Special attention is paid to helping members remain in the community with appropriate services and support.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$225,210,158ExpenseAmt
Revenue$221,141,923RevenueAmt
DescBlue Plus provides benefit payments for healthcare coverage based on contractual agreements with groups and individual subscribers, including Medicare Advantage. There were approximately 38,000 members at December 31, 2020.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,448,108,760TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1744IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonFasi MohammedPersonNm
Phone6516629668PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13535 Blue Cross RoadAddressLine1Txt
CityEaganCityNm
State AbbreviationMNStateAbbreviationCd
ZIP551221154ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jay Matushak
Treasurer007.00040.00Yes (X)$0$1,277,234$51,979
Frank Fernandez
Pres. CEOYes (X)$0$768,505$0Yes (X)Yes (X)
Monica Engel
President CEO016.00040.00Yes (X)$0$677,914$65,026Yes (X)
John Orner
Vice President002.00040.00Yes (X)$0$582,393$67,896
Marc Baer
Vice President009.00040.00Yes (X)$0$579,424$27,734
Kelly Bengston
Vice President006.00040.00Yes (X)$0$566,760$28,662
Andrea Christopherson
Vice President010.00040.00Yes (X)$0$545,510$42,457
Eric Hoag
Vice President009.00040.00Yes (X)$0$474,803$52,516Yes (X)
Mark Steffen
Vice President002.00Yes (X)$0$447,647$43,535Yes (X)
David Nollette
Vice President029.00040.00Yes (X)$0$443,156$45,843
Nancy Nelson
Vice President$0$434,206$0Yes (X)
Denise Bergevin
Vice PresidentYes (X)$0$395,806$0Yes (X)
Christine Reiten
Vice President040.00040.00Yes (X)$0$289,109$46,294
Alison Colton
Secretary008.00040.00Yes (X)$0$293,061$28,751
Elizabeth Moran
Secretary$0$260,459$0Yes (X)
Jane McMahon
Vice President$0$178,825$0Yes (X)
Patricia Riley
Senior Vice President$0$148,641$0Yes (X)
Mark Anderson
Director001.00Yes (X)$13,500$0$0Yes (X)
Gretchen Lohrbach
Director001.00$11,000$0$0Yes (X)
Aaron Hurd
Director001.00$11,000$0$0Yes (X)
Michael Jones
Director001.00$11,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$46,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,363,453TotReportableCompRltdOrgAmt
Total Other Compensation$500,693TotalOtherCompensationAmt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BCBSM IncBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13535 Blue Cross RoadAddressLine1Txt
CityEaganCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55122ZIPCd
FieldValueIRS element (for citing)
ServicesAdministrative servicesServicesDesc
Compensation$204,511,107CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Subscriber income524114$195,975,293$195,975,293
Medicare/Medicaid payments524114$2,331,252,666$2,331,252,666
FieldValueIRS element (for citing)
Total Program Service Revenue$2,527,227,959TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,101,632TotalRevenueColumnAmt
Exclusion$25,101,632ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$589,863,544SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$589,093,057SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$770,487SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$770,487TotalRevenueColumnAmt
Exclusion$770,487ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,553,100,078TotalRevenueColumnAmt
Related Or Exempt Func Income$2,527,227,959RelatedOrExemptFuncIncomeAmt
Exclusion$25,872,119ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$2,237,700,191TotalAmt
Program Services$2,237,700,191ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,284,044TotalAmt
Program Services$21,028,425ProgramServicesAmt
Management And General$12,255,619ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,648,455TotalAmt
Program Services$1,242,737ProgramServicesAmt
Management And General$405,718ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,324,209TotalAmt
Program Services$3,259,933ProgramServicesAmt
Management And General$1,064,276ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,295,184TotalAmt
Program Services$1,507,011ProgramServicesAmt
Management And General$788,173ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,882,196TotalAmt
Management And General$1,882,196ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$412,664TotalAmt
Management And General$412,664ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$273,590TotalAmt
Management And General$273,590ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,785,705TotalAmt
Management And General$4,785,705ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$128,203,572TotalAmt
Program Services$101,903,751ProgramServicesAmt
Management And General$26,299,821ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$779,975TotalAmt
Program Services$641,102ProgramServicesAmt
Management And General$138,873ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$622,944TotalAmt
Program Services$387,750ProgramServicesAmt
Management And General$235,194ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,520,268TotalAmt
Program Services$5,214,197ProgramServicesAmt
Management And General$1,306,071ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,302,270TotalAmt
Program Services$61,126ProgramServicesAmt
Management And General$3,241,144ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$65,368TotalAmt
Program Services$17,067ProgramServicesAmt
Management And General$48,301ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,286,192TotalAmt
Management And General$6,286,192ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,534,883TotalAmt
Program Services$1,011,492ProgramServicesAmt
Management And General$523,391ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$627,761TotalAmt
Management And General$627,761ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Gross Premium Tax$23,689,103$23,689,103
Drug Processing$22,035,853$21,961,146$74,707
Medical Care Surcharge$13,450,800$13,450,800
MN Exchange Fees$3,717,659$3,717,659

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,436,260TotalAmt
Program Services$11,315,270ProgramServicesAmt
Management And General$11,120,990ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,519,879,146TotalAmt
Program Services$2,448,108,760ProgramServicesAmt
Management And General$71,770,386ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$257,521,369BOYAmt
EOY$421,237,297EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,043,996BOYAmt
EOY$70,638,071EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$396,400LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$396,400LandBldgEquipAccumDeprecAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$685,517,977BOYAmt
EOY$690,397,739EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$142,684,000BOYAmt
EOY$156,755,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,137,767,342BOYAmt
EOY$1,339,028,107EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$234,457,155BOYAmt
EOY$261,133,382EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$282,358,319BOYAmt
EOY$413,815,361EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$516,815,474BOYAmt
EOY$674,948,743EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$620,951,868BOYAmt
EOY$664,079,364EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$620,951,868BOYAmt
EOY$664,079,364EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,137,767,342BOYAmt
EOY$1,339,028,107EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$33,220,932ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,497,598NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,408,966OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$396,400OtherCostOrOtherBasisAmt
Depreciation$396,400DepreciationAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescPMAP/MNCare withholdsDesc
Book Value$156,755,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$156,755,000TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Federal income taxes
Claims unpaid$319,687,722
Aggregate health policy reserves$64,734,546
Premiums receivable in advance$8,896,771
Unpaid claims adjustment expense$8,076,000
Liability for amounts held under uninsured plans
Accrued medical incentive pool and bonus amounts$8,484,206
Remittance not allocated$3,936,116
FieldValueIRS element (for citing)
Total Liability$413,815,361TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,553,100,078TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$2,553,100,078RevenueSubtotalAmt
Total Revenue Per Form990$2,553,100,078TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,520,279,000TotExpnsEtcAuditedFinclStmtAmt
Losses Reported$399,854LossesReportedAmt
Expenses Not Reported$399,854ExpensesNotReportedAmt
Expenses Subtotal$2,519,879,146ExpensesSubtotalAmt
Total Expenses Per Form990$2,519,879,146TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceX 2FormAndLineReferenceDesc
ExplanationFIN 48 Footnote - The financial statements of Blue Plus are prepared in conformity with accounting practices prescribed or permitted by the Minnesota Department of Health, of which the NAIC Accounting Practices and Procedures Manual NAIC SAP has been adopted as a component. These accounting practices differ from GAAP and do not include FIN 48.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt
Frank Fernandez
Pres. CEO$231,096$537,409$768,505$768,505
Elizabeth Moran
Secretary$106,366$154,093$260,459$154,093
Nancy Nelson
Vice President$434,206$434,206$434,206
John Orner
Vice President$230,129$1,347$650,289$350,917$25,887$42,009
Denise Bergevin
Vice President$113,404$282,402$395,806$124,809
Jane McMahon
Vice President$84,393$94,432$178,825
Jay Matushak
Treasurer$592,321$92,974$1,329,213$591,939$14,914$37,065
Eric Hoag
Vice President$187,156-$585$527,319$288,232$13,303$39,213
Marc Baer
Vice President$235,864$7,697$607,158$335,863$12,997$14,737
Kelly Bengston
Vice President$212,683$7,156$595,422$346,921$13,460$15,202
Andrea Christopherson
Vice President$192,966$21,928$587,967$330,616$12,266$30,191
Alison Colton
Secretary$43,670$17,117$321,812$232,274$28$28,723
Monica Engel
President CEO$251,898$16,785$742,940$409,231$21,164$43,862
David Nollette
Vice President$152,090$7,717$488,999$283,349$11,974$33,869
Mark Steffen
Vice President$88,695$3,567$491,182$355,385$11,783$31,752
Patricia Riley
Senior Vice President$121,385$27,256$148,641$27,256
Christine Reiten
Vice President$34,301$335,403$254,808$9,717$36,577

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 4bSupplemental Retirement Plan SRP provides benefits for certain employees who participate in the Pension Equity Plan in excess of the limitation of benefit imposed by Section 401a17 and 415 of the Internal Revenue Code. Listed are the individuals who received an SRP Supplemental Retirement Plan payment from BCBSM, Inc. Denise Bergevin 55,830, Nancy Nelson 42,768, Frank Fernandez 45,146, Patricia Riley 27,256 and Elizabeth Moran 6,553
Part II Line 4aSeverance provides continuation of base salary if participant is separated from service under an involuntary separation. Listed are the individuals who received a severance payment from BCBSM, Inc. Frank Fernandez 314,761, Denise Bergevin 157,593 and Jane McMahon 94,432.

Schedule L IRS990ScheduleL

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6A regular member and enrollee members.
Form 990, Part VI, Section A, Line 7aThe sole regular member BCBSM, Inc. elects regular directors. Enrollee members elect enrollee directors which comprise at least 40 of the board of directors.
Form 990, Part VI, Section B, Line 11bCopies of the Form 990 were distributed in advance to members of the Blue Plus Board of Directors for review and discussion at their meeting prior to filing with the IRS.
Form 990, Part VI, Section B, Line 12cAnnually directors and officers of HMO Minnesota and others who provide services pursuant to the administrative services agreement between HMO Minnesota and BCBSM, Inc. are required to complete a detailed questionnaire asking for information that could give rise to potential conflicts. All those persons are advised to provide updates with respect to circumstances that could give rise to potential conflicts. Information is reviewed by the Board chair, legal counsel and full Board of Directors to determine if conflicts exist and if any safeguards need to be taken. If conflicts were to be found, the person would recuse himself/herself from any board discussions and/or board actions if it became a board related matter and the corporation would follow applicable law for Minnesota nonprofit corporations in dealing with the situation.
Form 990, Part VI, Section B, Line 15a 15bHMO Minnesota does not pay any direct compensation to its officers except for outside directors whose compensation is established by the HMO Minnesota Board of Directors for their service as directors.
Form 990, Part VI, Section C, Line 19The following documents and information about the organization are available to the general public through the website mainained by the Minnesota Department of Health Form 990 and executive compensation financial examinations by state regulators annual statement of revenue, expenses, and net income quality and performance measurements. The general conflict of interest policy within the Code of Conduct is available on the BCBSM, Inc. website. Articles of Incorporation are available through the Minnesota Secretary of States office. Other governing documents, such as corporate bylaws, are not available to the public.
Form 990, Part VII, Section A, Line 1aThe remaining balance of all current officers average hours per week worked are allocated to the related organization.
Form 990, Part XI, Line 9399,854 tax adjustment for stock impairments 6,808,820 decrease in non-admitted assets 6,408,966.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BCBSM Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 64560AddressLine1Txt
CitySaint PaulCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55122ZIPCd
FieldValueIRS element (for citing)
EIN363525653EIN
Primary ActivitiesPrivate FoundationPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Exempt Code Section501c3ExemptCodeSectionTxt
Public Charity StatusPFPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Aware Integrated Inc
PO Box 64560Saint PaulMN55164411785972Health Care BenefitsMNN/AC Corpfalse
BCBSM Inc
PO Box 64560Saint PaulMN55164410984460Direct Insurance CarrierMNN/AC Corpfalse
Aware Asset Management Inc
PO Box 64560Saint PaulMN55164411501130Other Financial Investment ActivitiesMNN/AC Corpfalse
Comprehensive Care Services Inc
PO Box 64560Saint PaulMN55164411427596Other Insurance Related ActivitiesMNN/AC Corpfalse
ClearStone Solutions Inc
PO Box 64560Saint PaulMN55164411768896Offices of Admin SupportMNN/AC Corpfalse
Employer Provided Network Inc
PO Box 64560Saint PaulMN55164411561266Other Insurance Related ActivitiesMNN/AC Corpfalse
MII Life Insurance Incorporated
PO Box 64560Saint PaulMN55164416019132Other Insurance Related ActivitiesMNN/AC Corpfalse
MII Services Inc
PO Box 64560Saint PaulMN55164411501128Offices of Other Holding CompaniesMNN/AC Corpfalse
MII Inc
PO Box 64560Saint PaulMN55164411501129Offices of Other Holding CompaniesMNN/AC Corpfalse
Pharmacy Gold Inc
PO Box 64560Saint PaulMN55164411762964Offices of Other Holding CompaniesMNN/AC Corpfalse
Stella Diversified Inc
PO Box 64560Saint PaulMN55164823045916Offices of Other Holding CompaniesDEN/AC Corpfalse
Stella Resources Company Inc
PO Box 64560Saint PaulMN55164822935829Other Administrative ServicesDEN/AC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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