2019-11-15T08:32:03-06:00 2018-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2018-01-01 411812461 Medica Foundation % Mary Quist MEDI 9529922058 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 MARK L BAIRD CFO 9529922058 2019-11-13 true Monroe J Gierl P01413237 6123055000 167.68.102.5 41438720193195000002 2019-11-15 P 78E8547FA765C8D9E89905B57511D075833AD426 8BD7D0D2F7BAF24950AAE7E4793AA7726A034EC5 2018 2020-03-31 21:24:44Z ROBERT LONGENDYKE 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 18167679 false X WWW.MEDICAFOUNDATION.ORG X 1996 MN THE MEDICA FOUNDATION FUNDS PROGRAMS THAT improve health and increase access to health care services. 4 4 0 0 0 0 0 11000000 0 0 1674528 1666309 0 0 1674528 12666309 1197000 1456390 0 0 0 0 0 0 0 614951 561429 1811951 2017819 -137423 10648490 31977835 39564384 1254335 1522202 30723500 38042182 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 336095 336095 BEHAVIORAL HEALTH: THIS FUNDING PRIORITY SEEKS PROGRAMS THAT FOCUS ON DEVELOPING CAPABILITIES OR CHANGING PROCESSES RELATED TO THE CONTINUUM OF BEHAVIORAL HEALTH CARE SERVICE INTERVENTIONS, ACCESSIBILITY AND SUSTAINABILITY. THIS INCLUDES PROGRAMS THAT ADDRESS GAPS IN CURRENT SERVICE, INTEGRATE PHYSICAL AND MENTAL HEALTH, PROVIDE SUPPORTIVE SERVICE AND CASE MANAGEMENT AND ADDRESS NEEDS IDENTIFIED BY THE MINNESOTA 10X10 ASSERTIVE COMMUNITY TREATMENT (ACT) INITIATIVE. 295295 295295 EARLY CHILDHOOD HEALTH: THIS FUNDING PRIORITY SEEKS PROGRAMS THAT FOCUS ON HEALTHY FAMILIES TO FOSTER OPTIMAL GROWTH AND DEVELOPMENT OF YOUNG CHILDREN. THIS INCLUDES PROGRAMS THAT IMPROVE ACCESS TO PRENATAL AND POSTNATAL CARE; PARENTING; PREVENTION, INCLUDING CHILD AND TEEN CHECKUPS; DENTAL SERVICES AND SOCIAL AND EMOTIONAL HEALTH. PROGRAMMING FOCUSES ON CHILDREN AGES BIRTH THROUGH AGE TWELVE AND MAY INVOLVE PARENTS, CAREGIVERS, HEALTH CARE PROVIDERS AND THE OVERALL COMMUNITY. 300000 300000 ORGANIZATIONAL CORE MISSION SUPPORT: THE MEDICA FOUNDATION PROVIDES GRANTS TO SUPPORT THE HEALTH-RELATED PROGRAMMING OF NONPROFIT ORGANIZATIONS LOCATED OUTSIDE OF THE TWIN CITIES METROPOLITAN AREA. THESE GRANTS PROVIDE CRITICAL SUPPORT TO SMALL ORGANIZATIONS, WHICH STRENGTHENS REGIONAL AND RURAL COMMUNITIES. 250000 250000 Medica Foundation General Funding 200000 200000 Strategic Grant 75000 75000 Expansion Giving 525000 525000 1456390 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 2 0 true 0 false false false false false false false false false false false false X 4 4 false true false 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 John Buck Director, Chair 0.0 15.0 X X 0 110250 0 Burton Cohen Director 0.0 2.0 X 0 4000 0 Esther Tomljanovich Director, Vice Chair 0.0 6.0 X X 0 67750 0 Sam Leon Director 0.0 10.0 X 0 70250 0 Mark L Baird SVP & CFO, Treasurer 0.0 40.0 X 0 1007625 52175 James P Jacobson SVP & Gen Counsel, Secretary 0.0 40.0 X 0 693328 52578 John W Naylor President & CEO 0.0 40.0 X 0 1725038 41286 Robert Longendyke SVP & CMO, Executive Director 0.0 40.0 X 0 594804 51718 David Tilford Former President & CEO 0.0 0.0 X 0 292799 0 0 4565844 197757 0 true true false Medica Health Plans 401 Carlson Parkway CP 330 Minnetonka MN 55305 Leased Employees 301759 1 11000000 0 11000000 0 909048 909048 0 0 0 0 0 6258631 5501370 757261 757261 757261 0 0 0 0 0 0 0 0 0 0 12666309 0 1666309 1456390 1456390 0 0 0 0 0 0 0 0 0 0 0 0 0 0 171947 171947 0 0 10 10 0 0 30626 30626 3132 3132 0 6123 6123 0 0 0 0 Board Expenses 12000 12000 Dues, Memberships & Subs 14456 14456 Community Outreach 10000 10000 Leased Employees 301759 301759 11376 11376 2017819 1456390 561429 0 0 0 0 186029 5612722 0 0 28861 70837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31762945 33880825 0 0 0 0 0 0 31977835 39564384 14109 0 1170680 1493990 0 0 0 0 0 0 0 0 0 0 0 0 69546 28212 1254335 1522202 X 30723500 38042182 0 0 0 0 30723500 38042182 31977835 39564384 10648490 -3329808 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 Line 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 Line 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 33880825 F 33880825 0 PAYABLE TO MEDICA HEALTH PLANS 28212 28212 true Lutheran Social Services of South Dakota 705 E 41st Street Suite 200 Sioux Falls SD 57105 460224731 501c(3) 26095 Program Support University of Minnesota Foundation 200 Oak Street SE Suite 300 Minneapolis MN 55455 416042488 501c(3) 50000 Program Support Program Support Miller-Dwan Foundation 502 East 2nd Street Duluth MN 55805 237396466 501c(3) 30000 Program Support Program Support Minnesota Community Healthcare Network 2351 Grays Landing Road Wayzata MN 55391 472590506 501c(3) 50000 Program Support Program Support MoveFwd Inc 1001 Highway 7 Room 237 Hopkins MN 55305 411689632 501c(3) 50000 Program Support Program Support Valley Community Health Centers 212 S 4th St Ste 200 Grand Forks ND 58201 270056777 501c(3) 50000 Program Support Program Support Native American Community Clinic 1213 East Franklin Avenue Minneapolis MN 55404 030445789 501c(3) 50000 Program Support Program Support HealthFinders Collaborative Inc PO Box 731 Northfield MN 55057 201805262 501c(3) 40000 Program Support Program Support American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 501c(3) 7500 Program Support Program Support Northern Dental Access Center 1405 Anne Street NW Bemidji MN 56601 841711812 501c(3) 25000 Program Support Program Support Urban Ventures Leadership Foundation 2924 4th Ave S Minneapolis MN 55408 363558710 501c(3) 25000 Program Support Program Support Way to Grow 125 West Broadway Suite 110 Minneapolis MN 55411 710956749 501c(3) 25000 Program Support Program Support Churches United in Ministry 102 W Second Street Duluth MN 55802 411227969 501c(3) 25000 Program Support Program Support Lifetrack Resources 709 University Avenue W St Paul MN 55104 410874507 501c(3) 25000 Program Support Program Support Jeremiah Program 1510 Laurel Avenue Minneapolis MN 55403 411801834 501c(3) 25000 Program Support Program Support Southside Family Nurturing Center 2448 18th Avenue South Minneapolis MN 55404 411274177 501c(3) 25000 Program Support Program Support A Chance To Grow 1800 Second Street NE Minneapolis MN 55418 411444113 501c(3) 25000 Program Support Program Support Reach-Up Inc 350 Hwy 10 S Ste 100 St Cloud MN 56304 411352018 501c(3) 20295 Program Support Program Support Division of Indian Work 1001 East Lake Street Minneapolis MN 55407 815265328 501c(3) 25000 Program Support Program Support Children's Dental Services 636 Broadway Street NE Minneapolis MN 55413 410857929 501c(3) 25000 Program Support Program Support Solid Ground 3521 Century Avenue North White Bear Lake MN 55110 363578158 501c(3) 25000 Program Support Program Support Community Health Charities Minnesota 1199 N Fairfax Street Suite 600 Alexandria VA 22314 136167225 501c(3) 37500 Program Support Program Support Greater Twin Cities United Way 404 South Eighth Street Minneapolis MN 55404 411973442 501c(3) 37500 Program Support Program Support March of Dimes Minnesota Chapter Edina MN 55439 131846366 501c(3) 25000 Program Support Program Support Volunteers of America of Minnesota 7625 Metro Boulevard Minneapolis MN 55439 411554078 501c(3) 200000 Program Support Program Support JustUs Health 2577 Territorial Road St Paul MN 55114 411524746 501c(3) 10000 Program Support Program Support American Red Cross 1201 West River Parkway Minneapolis MN 55454 530196605 501c(3) 10000 Program Support Program Support Propel Nonprofits One Main St SE Suite 600 Minneapolis MN 55414 411916337 501c(3) 8000 Program Support Program Support Visiting Nurse Association of the Midlands 12565 W Center Rd Suite 100 Omaha NE 68144 470690207 501c(3) 50000 Program Support Program Support Creighton University Magis Clinic 2500 California Plaza Omaha NE 68178 470376583 501c(3) 20000 Program Support 30 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. true true false false false false true false false Mark L Baird SVP & CFO, Treasurer 0 426322 0 483680 0 97623 0 25438 0 28653 0 1061716 0 70542 James P Jacobson SVP & Gen Counsel, Secretary 0 344235 0 278497 0 70596 0 25438 0 28873 0 747639 0 43106 Robert Longendyke SVP & CMO, Executive Director 0 302179 0 234664 0 57961 0 25438 0 27662 0 647904 0 33988 David Tilford Former President & CEO 0 0 0 0 0 292799 0 0 0 0 0 292799 0 5358 John W Naylor President & CEO 775426 721508 228104 20625 22645 1768308 200570 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 4A Severance Payments: David Tilford - $83,077 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 - $70,542 JAMES P. JACOBSON $43,106 ROBERT LONGENDYKE $33,988 DAVID TILFORD $5,358 JOHN W. NAYLOR $200,570 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: $250,000; GRANTS: $250,000 3) EXPANSION GIVING - TOTAL EXPENSES: $75,000; GRANTS: $75,000 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 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 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 THIRD PARTY ADMIN 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 83025 Actual Amount Medica Health Plans o 301759 Actual Amount Medica Health Plans p 30626 Actual Amount Medica Health Plans c 3000000 Actual Amount