2020-11-12T10:39:58-06:00 2019-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2019-01-01 411812461 Medica Foundation % Mary Quist MEDI 9529922058 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 MARK L BAIRD CFO 9529922058 2020-11-10 true Monroe J Gierl P01413237 6123055000 2020-11-09 127.0.0.1 41438720203175000001 2020-11-12 P D62D24C6D336028470863B0825818D0C3237C4FC D753EA4DD2A09437EBC7FC39E786EC2504231D00 2019 2021-01-29 14:40:06Z Mark Baird 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 18875447 false X WWW.MEDICAFOUNDATION.ORG X 1996 MN THE MEDICA FOUNDATION FUNDS PROGRAMS THAT IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES. 6 6 0 0 0 0 11000000 8500000 0 0 1666309 1694683 0 0 12666309 10194683 1456390 1810000 0 0 0 0 0 0 0 561429 707205 2017819 2517205 10648490 7677478 39564384 52383395 1522202 1858711 38042182 50524684 X 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. false false 450000 450000 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. 520000 520000 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. 320500 320500 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. 319500 319500 Medica Foundation General Funding 200000 200000 Strategic Grant 519500 519500 1810000 true true false false false false false false false false false true false false true false false false false false false false false false false false false true false true false false false false false false false false false false false false false true false true false true 0 0 true 0 false false false false false false false false false false false false X 6 6 false true true false false false false true true false false true true true true true true false false false MN X Mary Quist 9529922058 401 CARLSON PARKWAY CP330 MINNETONKA MN 55305 X Mark L Baird SVP & CFO, Treasurer 0.0 40.0 X 0 1036756 52987 James P Jacobson SVP & Gen Counsel, Secretary 0.0 40.0 X 0 716604 54361 Robert Longendyke SVP & Chief Mktg Officer 0.0 40.0 X 0 652642 33333 John Buck Director, Chair 0.0 15.0 X X 0 126500 0 John Stanoch Director 0.0 10.0 X 0 97250 0 Mary Twinem Director 0.0 10.0 X 0 81625 0 Sam Leon Director 0.0 10.0 X 0 78375 0 Esther Tomljanovich Director, Vice Chair 0.0 6.0 X X 0 75250 0 Burt Cohen Director 0.0 2.0 X 0 4000 0 0 2869002 140681 0 false true false Medica Health Plans 401 Carlson Parkway CP 330 Minnetonka MN 55305 Leased Employees 399375 1 8500000 8500000 0 1283443 1283443 0 0 0 0 0 9092004 8680764 411240 411240 411240 0 0 0 0 0 0 0 0 0 0 10194683 1694683 1810000 1810000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210646 210646 0 0 1490 1490 0 0 34033 34033 12970 12970 0 4074 4074 0 0 0 0 BOARD EXPENSES 18000 18000 DUES, MEMBERSHIPS & SUBS 15402 15402 COMMUNITY OUTREACH 7450 7450 LEASED EMPLOYEES 399375 399375 3765 3765 2517205 1810000 707205 0 0 0 5612722 892891 0 0 70837 84937 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33880825 51405567 0 0 0 0 0 0 39564384 52383395 0 0 1493990 1772147 0 0 0 0 0 0 0 0 0 0 0 0 28212 86564 1522202 1858711 X 38042182 50524684 0 0 38042182 50524684 39564384 52383395 7677478 4805024 X false false false X X 1 Medica Health Plans 411242261 10 true 0 0 1 0 0 true false true true true false false false false false false false false false false false false true 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED SHORT TERM INVESTMENTS 51405567 F 51405567 0 PAYABLE TO MEDICA HEALTH PLANS 86564 86564 true HousingLink 275 Market St Suite 509 Minneapolis MN 55405 411873314 501(C)(3) 200000 Program Support March of Dimes 1550 Crystal Drive Suite 1300 Arlington VA 22202 131846366 501(C)(3) 60000 Program Support Program Support Canvas Health 7066 Stillwater Blvd North Oakdale MN 55128 410955577 501(C)(3) 50000 Program Support Program Support Program Support Charles Drew Health Center Inc 2915 Grant St Omaha NE 68111 470666715 501(C)(3) 50000 Program Support Program Support Program Support Children's Hospital & Medical Center Fnd 8404 Indian Hills Drive 6th Floor Omaha NE 68114 476105603 501(C)(3) 50000 Program Support Program Support Program Support East Side Neighborhood Services Inc 1700 Second Street Northeast Minneapolis MN 55413 410873798 501(C)(3) 50000 Program Support Program Support Program Support HopeSpoke 2444 O Street Lincoln NE 68510 470398819 501(C)(3) 50000 Program Support Program Support Program Support JustUs Health 2577 Territorial Road St Paul MN 55114 411524746 501(C)(3) 50000 Program Support Program Support Program Support Minneapolis American Indian Center 1530 East Franklin Avenue Minneapolis MN 55404 410966005 501(C)(3) 50000 Program Support Program Support Program Support Nebraska Early Childhood Collaborative 3200 N 30th Street Suite 200 Omaha NE 68111 465532642 501(C)(3) 50000 Program Support Program Support Program Support OneWorld Community Health Centers Inc 4920 S 30th St Ste 103 Omaha NE 68107 470548990 501(C)(3) 50000 Program Support Program Support Program Support St Mary's Health Clinics 1884 Randolph Avenue St Paul MN 55105 411760632 501(C)(3) 50000 Program Support Program Support Program Support The Link 1210 Glenwood Avenue Minneapolis MN 55405 411920649 501(C)(3) 50000 Program Support Program Support Program Support Wayside Recovery Center 3705 Park Center Boulevard St Louis Park MN 55416 410873104 501(C)(3) 50000 Program Support Program Support Program Support Community Health Charities Minnesota 1199 N Fairfax Street Suite 600 Alexandria VA 22314 136167225 501(C)(3) 37500 Program Support Program Support Program Support Greater Twin Cities United Way 404 South Eighth Street Minneapolis MN 55404 411973442 501(C)(3) 37500 Program Support Program Support Program Support Bridges of Hope PO Box 742 Brainerd MN 56401 721538846 501(C)(3) 25000 Program Support Program Support Program Support Emma Norton Services 670 N Robert Street St Paul MN 55101 410859485 501(C)(3) 25000 Program Support Program Support Program Support Fargo Public Schools 415 4th Street North Fargo ND 58102 456000294 501(C)(3) 25000 Program Support Program Support Program Support Fraser 2400 West 64th Street Minneapolis MN 55423 410781858 501(C)(3) 25000 Program Support Program Support Program Support North Shore Health Care Foundation PO Box 454 Grand Marais MN 55604 411694904 501(C)(3) 25000 Program Support Program Support Program Support Perspectives Inc 3381 Gorham Avenue St Louis Park MN 55426 411288300 501(C)(3) 25000 Program Support Program Support Program Support Project for Pride in Living Inc 1035 East Franklin Avenue Minneapolis MN 55404 237232208 501(C)(3) 25000 Program Support Program Support Program Support Project Harmony Child Advocacy Center 11949 Q Street Omaha NE 68137 470789054 501(C)(3) 25000 Program Support Program Support Program Support Youth & Family Services Inc PO Box 2813 Rapid City SD 57709 466017085 501(C)(3) 25000 Program Support Program Support Program Support American Red Cross 431 18th Street NW Washington DC 20006 530196605 501(C)(3) 20000 Program Support Program Support Program Support Bi-County Community Action Programs Inc PO Box 579 Bemidji MN 56619 410885981 501(C)(3) 20000 Program Support Program Support Program Support Cattlemen's Ball of Nebraska PO Box 9 Wauneta NE 69045 911812186 501(C)(3) 20000 Program Support Program Support Program Support Community Dental Care 1670 Beam Avenue Suite 204 Maplewood MN 55109 043692982 501(C)(3) 20000 Program Support Program Support Program Support Family Resource Center Inc 4800 Golf Road Suite 450 61 Eau Claire WI 54701 391958904 501(C)(3) 20000 Program Support Program Support Joyce Preschool 3400 Park Ave Minneapolis MN 55407 810594016 501(C)(3) 20000 Program Support Lee Carlson Ctr for Men Health&Well Being 7954 University Avenue NE Fridley MN 55432 411354967 501(C)(3) 20000 Program Support Alzheimer's Association Minnesota - ND 7900 West 78th Street Suite 100 Minneapolis MN 55439 133039601 501(C)(3) 15000 Program Support American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 501(C)(3) 12500 Program Support Buffalo County Community Partners 1755 Prairie View Place Kearney NE 68848 205852415 501(C)(3) 10000 Program Support Lutheran Social Service of Minnesota 2485 Como Avenue St Paul MN 55108 410872993 501(C)(3) 10000 Program Support NE Farm Bureau Fnd For Agriculture Inc 5225 S 16th Street Lincoln NE 68512 461740947 501(C)(3) 10000 Program Support Propel Nonprofits One Main St SE Suite 600 Minneapolis MN 55414 411916337 501(C)(3) 10000 Program Support Two Rivers Public Health Department 701 4th Avenue Suite 1 Holdrege NE 68949 812027204 501(C)(3) 5500 Program Support 39 Sch I Part I Line 2 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. false true false false false false true false false Mark L Baird SVP & CFO, Treasurer 0 441413 0 487061 0 108282 0 25900 0 29036 0 1091692 0 80481 James P Jacobson SVP & Gen Counsel, Secretary 0 355261 0 282829 0 78514 0 25900 0 30219 0 772723 0 50257 Robert Longendyke SVP & Chief Mktg Officer 0 283005 0 312140 0 57497 0 11200 0 23218 0 687060 0 30630 Sch J 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. Sch J Part I Line 4b THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA HEALTH PLANS, A RELATED ORGANIZATION: MARK L. BAIRD - $80,481 JAMES P. JACOBSON - $50,257 ROBERT LONGENDYKE - $30,630 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. Form 990 Part III Line 4d OTHER PROGRAM SERVICES: MEDICA FOUNDATION HAS THE FOLLOWING OTHER PROGRAM SERVICES: 1) STRATEGIC GRANT - TOTAL EXPENSES: $200,000; GRANTS: $200,000 2) MEDICA FOUNDATION GENERAL FUNDING - TOTAL EXPENSES: $319,500; GRANTS: $319,500 Form 990 Part VI 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. FORM 990 PART VI LINE 4 THE BYLAW CHANGES DECOUPLE "OFFICERS" FROM "VICE PRESIDENTS" BY REMOVING REFERENCES TO VICE PRESIDENTS AND SENIOR VICE PRESIDENTS IN THE BYLAWS AND BY ELIMINATING THE REQUIREMENT THAT THE BOARD MUST APPROVE THE CEO'S APPOINTMENT OF SENIOR VICE PRESIDENTS AND ABOVE. UNDER THE BYLAWS AS REVISED, THE BOARD WILL ONLY APPROVE THE APPOINTMENT OF "OFFICERS" OF THE COMPANY - DEFINED AS THE PRESIDENT AND CEO, THE TREASURER AND CFO, THE SECRETARY, AND ANY OTHER OFFICERS THE BOARD "DEEMS NECESSARY FOR THE OPERATION AND MANAGEMENT" OF THE COMPANY. UNDER THE REVISED BYLAWS, VICE PRESIDENTS AND SENIOR VICE PRESIDENTS WILL NO LONGER BE PRESUMED TO BE "OFFICERS" OF THE COMPANY (OTHER THAN THOSE NOTED ABOVE), UNLESS SPECIFICALLY APPOINTED BY THE CEO AND APPROVED BY THE BOARD. Form 990 Part VI Line 11b MEDICA'S TAX ADVISORS COMPLETE THE RETURN, MEDICA'S CONTROLLER AND FINANCE MANAGER REVIEW 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 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 Line 15a MEDICA FOUNDATION DOES NOT HAVE ANY EMPLOYEES. ALL COMPENSATION IS PAID BY MEDICA HEALTH PLANS, A RELATED ORGANIZATION. MEDICA HEALTH PLANS 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 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, AND MEDICA HEALTH MANAGEMENT). THE AVERAGE HOURS PER WEEK REPORTED IN PART VII ARE THE TOTAL HOURS PER WEEK FOR ALL MEDICA ORGANIZATIONS. MEDICA HEALTH PLANS 401 CARLSON PARKWAY MINNETONKA MN 55305 411242261 HEALTH CVRGE MN 501(C)(4) MH COMPANY false MEDICA COMMUNITY HEALTH PLAN 401 CARLSON PARKWAY MINNETONKA MN 55305 411843804 HEALTH CVRGE MN 501(C)(4) MH COMPANY false MEDICA HOLDING COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 010571840 HOLDING CO MN 501(C)(4) NA false MEDICA INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 411490988 HEALTH INSURANCE MN MEDICA AFF C Corp 0 0 false MEDICA SELF-INSURED 401 CARLSON PARKWAY MINNETONKA MN 55305 411479417 THIRD PARTY ADMIN MN MEDICA AFF C Corp 0 0 false MEDICA AFFILIATED SERVICES 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING CO MN MH COMPANY C Corp 0 0 false MEDICA HEALTH MANAGEMENT 401 CARLSON PARKWAY MINNETONKA MN 55305 208005519 HEALTH MGMT MN MEDICA AFF C Corp 0 0 false MMSI INC 401 CARLSON PARKWAY MINNETONKA MN 55305 411547003 HEALTH INSURANCE MN MEDICA AFF C Corp 0 0 false false false true false false false false false false false false false false true true true false false false Medica Health Plans n 97184 Actual Amount Medica Health Plans o 399375 Actual Amount Medica Health Plans p 34033 Actual Amount Medica Health Plans c 5000000 Actual Amount