2018-11-14T16:19:59-06:00 2017-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2017-01-01 411812461 Medica Foundation % Mary Quist MEDI 9529922058 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 MARK L BAIRD CFO 9529922058 2018-11-08 true Monroe J Gierl P01413237 6123055000 2018-11-08 167.68.102.5 41438720183185000004 2018-11-14 P 80A177424C680C2DAD2A222932BC57697C814DAD 1AC817DA654FAC82C3A77F7D3F33864379930489 2017 2019-02-21 02:37:17Z ROBERT LONGENDYKE 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 2288167 false X WWW.MEDICAFOUNDATION.ORG X 1996 MN See Schedule O. 4 4 0 0 0 0 2500000 0 0 0 810399 1674528 0 0 3310399 1674528 1208112 1197000 0 0 0 0 0 0 0 576456 614951 1784568 1811951 1525831 -137423 29290892 31977835 1204014 1254335 28086878 30723500 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. false false 300000 300000 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. 300000 300000 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. 200000 200000 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. 197000 197000 Medica Foundation General Funding 200000 200000 Strategic Grant 397000 397000 1197000 true false 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 1 0 true 0 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 123250 0 Burton Cohen Director 0.0 2.0 X 0 4000 0 Samuel Leon Director 0.0 10.0 X 0 76000 0 Esther Tomljanovich Director, Vice Chair 0.0 6.0 X X 0 78750 0 David Tilford Pres/CEO thru 1/17 0.0 40.0 X X 0 1444272 7239 ROBERT LONGENDYKE SVP & CMO, Executive Director 0.0 40.0 X X 0 471138 50357 Mark L Baird SVP & CFO, Treasurer 0.0 40.0 X 0 728871 50231 James P Jacobson SVP & Gen Counsel, Secretary 0.0 40.0 X 0 494384 52065 0 3420665 159892 0 false true false Medica Health Plans 401 Carlson Parkway CP 330 Minnetonka MN 55305 Leased Employees 275017 1 0 0 780952 780952 0 0 0 0 0 1507215 613639 893576 893576 893576 0 0 0 0 0 0 0 0 0 0 1674528 0 1674528 1197000 1197000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 169530 169530 477 477 0 0 0 0 95825 95825 2724 2724 0 4027 4027 0 0 0 0 Board Expenses 20000 20000 Dues, Memberships & Subs 13679 13679 Community Outreach 13285 13285 Leased Employees 275017 275017 20387 20387 1811951 1197000 614951 0 0 0 278129 186029 0 0 34154 28861 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28978609 31762945 0 0 0 0 0 0 29290892 31977835 0 14109 1170390 1170680 0 0 0 0 0 0 0 0 0 0 0 0 33624 69546 1204014 1254335 X 28086878 30723500 0 0 0 0 28086878 30723500 29290892 31977835 -137423 2774045 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. SHORT TERM INVESTMENTS 31762945 F 31762945 0 PAYABLE TO MEDICA HEALTH PLANS 69546 69546 true A Chance To Grow 1800 Second Street NE Minneapolis MN 55418 411444113 501(C)(3) 20000 Program Support American Heart Association 2750 Blue Waters Road Suite 250 Eagan MN 55121 135613797 501(C)(3) 7500 Program Support American Indian Family Center 579 Wells Street St Paul MN 55130 411841352 501(C)(3) 40000 Program Support American Red Cross 1201 West River Parkway Minneapolis MN 55454 530196605 501(C)(3) 10000 Program Support Baby's Space 2438 18th Avenue South Minneapolis MN 55436 204502788 501(C)(3) 25000 Program Support Center for Victims of Torture 2356 University Avenue W Ste 430 St Paul MN 55114 363383933 501(C)(3) 40000 Program Support Children's Dental Services 636 Broadway Street NE Minneapolis MN 55413 410857929 501(C)(3) 25000 Program Support Churches United in Ministry 102 W Second Street Duluth MN 55802 411227969 501(C)(3) 25000 Program Support Community Dental Care 1670 Beam Avenue Suite 204 Maplewood MN 55109 043692982 501(C)(3) 25000 Program Support Community Health Charities Minnesota 1199 N Fairfax Street Suite 600 Alexandria VA 22314 136167225 501(C)(3) 43500 Program Support Comunidades Latinas Unidas En Servicio 797 East 7th Street St Paul MN 55106 411386986 501(C)(3) 20000 Program Support CornerHouse Interagency Child Abuse Evaluation and 2502 10th Avenue South Minneapolis MN 55404 411640731 501(C)(3) 25000 Program Support Emma Norton Services 670 N Robert Street St Paul MN 55101 410859485 501(C)(3) 25000 Program Support Greater Twin Cities United Way 404 South Eighth Street Minneapolis MN 55404 411973442 501(C)(3) 31500 Program Support HealthEast Foundation 1690 University Avenue West 250 St Paul MN 55104 411602044 501(C)(3) 40000 Program Support Interfaith Outreach & Community Partners 1605 County Road 101 N Plymouth MN 55447 363482724 501(C)(3) 20000 Program Support Life House Inc 102 West First Street Duluth MN 55802 411704840 501(C)(3) 40000 Program Support March of Dimes Minnesota Chapter Edina MN 55439 131846366 501(C)(3) 25000 Program Support National Alliance on Mental Illness - Minnesota 1919 University Ave Suite 400 St Paul MN 55104 411317030 501(C)(3) 10000 Program Support North Shore Health Care Foundation PO Box 454 Grand Marais MN 55604 411694904 501(C)(3) 10000 Program Support Propel Nonprofits One Main St SE Suite 600 Minneapolis MN 55414 411916337 501(C)(3) 10000 Program Support Reclaim 771 Raymond Avenue St Paul MN 55114 800829665 501(C)(3) 40000 Program Support St David's Center for Child & Family Development 3395 Plymouth Road Minnetonka MN 55305 411429208 501(C)(3) 40000 Program Support The Family Partnership 414 South 8th Street Minneapolis MN 55404 410693858 501(C)(3) 25000 Program Support Ujamaa Place 1821 University Avenue Suite N257 Saint Paul MN 55104 271216065 501(C)(3) 40000 Program Support University of Minnesota Foundation 200 Oak Street SE Suite 300 Minneapolis MN 55455 416042488 501(C)(3) 25000 Program Support Washburn Center for Children 1100 Glenwood Avenue Minneapolis MN 55405 410711618 501(C)(3) 25000 Program Support Way to Grow 125 West Broadway Suite 110 Minneapolis MN 55411 710956749 501(C)(3) 25000 Program Support YouthLink 41 North 12th Street Minneapolis MN 55403 411341773 501(C)(3) 200000 Program Support 29 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 417556 0 236600 0 74715 0 24975 0 27150 0 780996 0 48290 James P Jacobson SVP & Gen Counsel, Secretary 0 322201 0 123500 0 48683 0 24975 0 28773 0 548132 0 24617 David Tilford Pres/CEO thru 1/17 0 226344 0 679900 0 538028 0 4546 0 2996 0 1451814 0 61103 ROBERT LONGENDYKE SVP & CMO, Executive Director 0 298228 0 123500 0 49410 0 24975 0 26990 0 523103 0 23568 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 - $456,923 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 - $48,290 JAMES P. JACOBSON - $24,617 David Tilford - $61,103 Robert Longedyke - $23,568 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 I Line 1 OUR MISSION IS TO FUND COMMUNITY-BASED INITIATIVES AND PROGRAMS THAT SUPPORT THE NEEDS OF MEDICA'S CUSTOMERS AND THE GREATER COMMUNITY BY IMPROVING THEIR HEALTH AND REMOVING BARRIERS TO HEALTH CARE SERVICES. 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: $197,000; GRANTS: $197,000 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 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 HEALTH PLANS WI, MEDICA FOUNDATION, MEDICA RESEARCH INSTITUTE, 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 HEALTH PLANS OF WISCONSIN 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 Mayo Research Inc 401 CARLSON PARKWAY MINNETONKA MN 55305 270600894 RESEARCH FDTN MN 501(C)(3) Line 12A MH COMPANY 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 false false false false false false false false false false false true true true false false false Medica Health Plans n 170404 Actual Amount Medica Health Plans o 275017 Actual Amount Medica Health Plans p 95825 Actual Amount