2017-11-15T15:14:07-06:00 2016-12-31 KPMG LLP 4200 Wells Fargo Ctr 90 S 7th Minneapolis MN 55402 990 2016-01-01 411812461 Medica Foundation % Mary Quist MEDI 9529922058 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 MARK L BAIRD CFO 9529922058 2017-11-15 true Monroe J Gierl P01413237 6123055000 2017-11-15 167.68.102.5 41438720173195000002 2017-11-15 P 75AD43D5D3230F88CBEB61BC8D6AEDAF032C85B4 30031D5E7EADAC179FA13A5C3B90D0218042D0DA 2016 2017-02-10 21:41:12Z ROBERT LONGENDYKE 401 CARLSON PARKWAY CW 104 MINNETONKA MN 55305 5131673 false X WWW.MEDICAFOUNDATION.ORG X 1996 MN See Schedule O. 4 4 0 0 0 0 4000000 2500000 0 0 868343 810399 0 0 4868343 3310399 1489500 1208112 0 0 257397 0 0 0 0 328089 576456 2074986 1784568 2793357 1525831 26540615 29290892 1432707 1204014 25107908 28086878 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 360000 360000 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. 296869 296869 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. 351243 351243 1208112 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 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 Chair 0.0 15.0 X X 0 106250 0 Esther Tomljanovich Vice Chair 0.0 6.0 X X 0 66000 0 Burton Cohen Director 0.0 2.0 X 0 4000 0 Daryl Durum Director until June 0.0 0.0 X 0 48000 0 Samuel Leon Director 0.0 10.0 X 0 70750 0 Mark L Baird SVP & CFO, Treasurer 0.0 40.0 X 0 990763 45182 James P Jacobson SVP & Gen Counsel, Secretary 0.0 40.0 X 0 595877 46153 Robert Longendyke SVP & CMO 0.0 40.0 X 0 603527 45672 David Tilford President/CEO 0.0 40.0 X 0 2247460 37954 0 4732627 174961 0 false true false Medica Health Plans 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 LEASED EMPLOYEES 260439 1 2500000 2500000 0 731518 731518 0 0 0 0 0 1900155 1821274 78881 78881 78881 0 0 0 0 0 0 0 0 0 0 3310399 0 0 810399 1208112 1208112 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155279 155279 2601 2601 0 8920 8920 0 0 77947 77947 6761 6761 0 9058 9058 0 0 0 0 Board Expenses 14000 14000 Dues, Memberships & Subs 17093 17093 Community Outreach 9350 9350 LEASED EMPLOYEES 260439 260439 15008 15008 1784568 1208112 576456 0 0 0 886111 278129 0 0 32991 34154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25621513 28978609 0 0 0 0 0 0 26540615 29290892 0 0 1399467 1170390 0 0 0 0 0 0 0 0 0 0 0 0 33240 33624 1432707 1204014 X 25107908 28086878 0 0 0 0 25107908 28086878 26540615 29290892 1525831 1453139 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 RESEARCH INSTITUTE. 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 28978609 F 28978609 0 PAYABLE TO MEDICA HEALTH PLANS 33624 33624 true CARE Clinic 1407 W 4th St Red Wing MN 55066 270540451 501(C)(3) 40000 Address unmet needs of vulnerable people Catholic Charities of St Paul & Minneapolis 1200 Second Avenue South Minneapolis MN 55403 411302487 501(C)(3) 40000 Improve health outcome of homeless adult Centro Guadalupano at Holy Rosary Church 2424 18th Ave S Minneapolis MN 55404 410731799 501(C)(3) 40000 Provide bilingual mental health services Domestic Abuse Project 204 West Franklin Avenue Minneapolis MN 55404 411356278 501(C)(3) 40000 Provide intensive case management servic Hazelden Betty Ford Foundation 15251 Pleasant Valley Rd Center City MN 550120011 410682405 501(C)(3) 40000 Provide on-campus chemical health educ Life House Inc 102 West First Street Duluth MN 55802 411704840 501(C)(3) 40000 Provide mobile mental health and mgmt North Metro Pediatrics PA 10081 Dogwood Street NW Suite 100 Coon Rapids MN 55448 201773869 501(C)(3) 40000 Offer trauma-focused counseling The Mental Health Collective 3548 Bryant Avenue South Minneapolis MN 55408 411946275 501(C)(3) 40000 Support new immigrant and refugees White Earth Land Recovery Project 607 Main Avenue Callaway MN 56521 411673625 501(C)(3) 40000 Help high-risk members in the tribal com Lutheran Social Service of Minnesota 2485 Como Avenue St Paul MN 55108 410872993 501(C)(3) 18547 support health-related programming core Centro Tyrone Guzman 1915 Chicago Avenue Minneapolis MN 55404 411290349 501(C)(3) 12845 Hire and train a family health specialis Children's Dental Health Services United Way Building Rochester MN 55902 203677586 501(C)(3) 25000 Increase access to dental care Community Violence Intervention Center (CVIC) 211 S 4th St Grand Forks ND 58201 450359167 501(C)(3) 25000 Improve physical/mental health of kids Exchange Club Center for Family Unity 209 W Bridge Street Owatonna MN 55060 363305404 501(C)(3) 15600 Extend a parent mentor program Headway Emotional Health Services 6425 Nicollet Avenue Suite 210 Richfield MN 55423 410962511 501(C)(3) 25000 Promote healthy social, emotional, and Hmong American Partnership 1075 Arcade Street Saint Paul MN 55106 411667580 501(C)(3) 25000 Help families enroll in health insurance Isanti County Public Health Services 555 18th Ave SW Cambridge MN 55008 416005808 GOVT 15977 Provide dental care for low-income kids Myers-Wilkins Community School Collaborative 1027 N 8th Ave E Duluth MN 55805 412002724 501(C)(3) 25000 Prepare at-risk children for successful Neighborhood Health Source 3300 Fremont Avenue N Minneapolis MN 55412 411235064 501(C)(3) 25000 Implement a patient registry for pediatr Ready Set Smile 3751 17th Avenue South Minneapolis MN 55407 462229395 501(C)(3) 20000 Expand early childhood preventive servic University of Minnesota Foundation 200 Oak Street SE Suite 300 Minneapolis MN 55455 416042488 501(C)(3) 25000 Provide support and prenatal education i YMCA of the Greater Twin Cities 30 South 9th Street Minneapolis MN 55402 452563299 501(C)(3) 25000 Improve mental-social-emotional health o YWCA of Mankato 127 South 2nd Street Suite 200 Mankato MN 56001 410711619 501(C)(3) 18900 Provide home visits to improve school Metropolitan Area Agency on Aging 2365 N McKnight Rd Suite 3 North St Paul MN 55109 411774247 501(C)(3) 60000 Expand Resources for Enhancing Alzheimer Volunteers of America of Minnesota 7625 Metro Boulevard Minneapolis MN 55439 411554078 501(C)(3) 80000 Provide culturally appropriate support American Heart Association 4701 West 77th Street Minneapolis MN 55435 135613797 501(C)(3) 7500 2017 Twin Cities Go Red for Women American Red Cross 1201 West River Parkway Minneapolis MN 55454 530196605 501(C)(3) 12500 2017 Centennial Heroes Event Arthritis Foundation 1876 Minnehaha Ave W St Paul MN 55104 390860526 501(C)(3) 25000 2016 Twin Cities Jingle Bell Run Community Health Charities Minnesota 121 Hennepin Avenue South Minneapolis MN 55401 136167225 501(C)(3) 39750 Medica Employee Giving Campaign Greater Twin Cities United Way 404 South Eighth Street Minneapolis MN 55404 411973442 501(C)(3) 35250 Medica Employee Giving Campaign March of Dimes Minnesota Chapter Edina MN 55439 131846366 501(C)(3) 25000 2017 March for Babies 31 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. Sch I Part II Line 1 Column (H) NAME OF ORGANIZATION OR GOVERNMENT: C.A.R.E. CLINIC (H) PURPOSE OF GRANT OR ASSISTANCE: ADDRESS UNMET NEEDS OF VULNERABLE PEOPLE WITH CHEMICAL AND MENTAL HEALTH SUPPORT AND EDUCATION THAT FITS THEIR CULTURAL AND LINGUISTIC NEEDS. NAME OF ORGANIZATION OR GOVERNMENT: CATHOLIC CHARITIES OF ST. PAUL & MINNEAPOLIS (H) PURPOSE OF GRANT OR ASSISTANCE: IMPROVE HEALTH OUTCOMES OF HOMELESS ADULTS BEING RELEASED FROM HOSPITALS BY DEDICATING MEDICAL RESPITE BEDS AND A FULL-TIME MENTAL HEALTH PROVIDER AT THE NEW DOROTHY DAY CENTER IN ST. PAUL. NAME OF ORGANIZATION OR GOVERNMENT: CENTRO GUADALUPANO AT HOLY ROSARY CHURCH (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE BILINGUAL MENTAL HEALTH SERVICES FOR INDIVIDUALS, COUPLES AND FAMILIES IMPACTED BY TRAUMA. NAME OF ORGANIZATION OR GOVERNMENT: DOMESTIC ABUSE PROJECT (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE INTENSIVE CASE MANAGEMENT SERVICES TO ABUSE VICTIM-SURVIVORS IN THE WOMEN'S THERAPY PROGRAM. NAME OF ORGANIZATION OR GOVERNMENT: HAZELDEN BETTY FORD FOUNDATION (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE ON-CAMPUS CHEMICAL HEALTH EDUCATION AND PREVENTION SERVICES AT NORTHEAST METRO INTERMEDIATE SCHOOL DISTRICT 916 THOUGH A PILOT PROJECT THAT PLACES A HAZELDEN BETTY FORD FOUNDATION (HBFF) COUNSELOR ON SITE. NAME OF ORGANIZATION OR GOVERNMENT: LIFE HOUSE, INC. (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE MOBILE MENTAL HEALTH AND CASE MANAGEMENT FOR HOMELESS AND STREET YOUTH BY EXPANDING THE MENTAL HEALTH & WELLNESS PROGRAM. NAME OF ORGANIZATION OR GOVERNMENT: NORTH METRO PEDIATRICS, P.A. (H) PURPOSE OF GRANT OR ASSISTANCE: OFFER TRAUMA-FOCUSED COUNSELING TO UNINSURED OR UNDERINSURED CHILDREN IN THE TWIN CITIES, IN PARTNERSHIP WITH LUTHERAN SOCIAL SERVICES. NAME OF ORGANIZATION OR GOVERNMENT: THE MENTAL HEALTH COLLECTIVE (H) PURPOSE OF GRANT OR ASSISTANCE: SUPPORT NEW IMMIGRANT AND REFUGEE STUDENTS BY INNOVATING AND EXPANDING THE SUCCESSFUL MINNEAPOLIS EXPANDED SCHOOL MENTAL HEALTH PROGRAM (ESMHP) INTO A SPECIAL HIGH SCHOOL DESIGNED TO FIT THEIR UNIQUE NEEDS. NAME OF ORGANIZATION OR GOVERNMENT: WHITE EARTH LAND RECOVERY PROJECT (H) PURPOSE OF GRANT OR ASSISTANCE: HELP HIGH-RISK MEMBERS IN THE TRIBAL COMMUNITY PREVENT AND OVERCOME TRAUMA AND ADDICTION THROUGH A PROGRAM OF CULTURALLY RELEVANT, MINDFULNESS-BASED INTERVENTIONS AND HOLISTIC STRATEGIES. NAME OF ORGANIZATION OR GOVERNMENT: LUTHERAN SOCIAL SERVICE OF MINNESOTA (H) PURPOSE OF GRANT OR ASSISTANCE: SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION NAME OF ORGANIZATION OR GOVERNMENT: CENTRO TYRONE GUZMAN (H) PURPOSE OF GRANT OR ASSISTANCE: HIRE AND TRAIN A FAMILY HEALTH SPECIALIST TO COORDINATE YEAR-ROUND PARENT EDUCATION ON MENTAL HEALTH AND POSITIVE DISCIPLINE FOR LATINO FAMILIES. NAME OF ORGANIZATION OR GOVERNMENT: CHILDREN'S DENTAL HEALTH SERVICES (H) PURPOSE OF GRANT OR ASSISTANCE: INCREASE ACCESS TO RESTORATIVE DENTAL CARE FOR UNDERSERVED CHILDREN IN NEED OF TREATMENT IN SOUTHEAST MINNESOTA. NAME OF ORGANIZATION OR GOVERNMENT: COMMUNITY VIOLENCE INTERVENTION CENTER (CVIC) (H) PURPOSE OF GRANT OR ASSISTANCE: IMPROVE THE PHYSICAL/MENTAL HEALTH OF TRAUMATIZED CHILDREN, ENHANCE RELATIONSHIPS AND BUILD RESILIENCE BY HELPING FAMILIES IN CRISIS AND PROVIDING PARENTING EDUCATION, CONNECTIONS TO HEALTHCARE, SCHOOLING & OTHER SERVICES. NAME OF ORGANIZATION OR GOVERNMENT: EXCHANGE CLUB CENTER FOR FAMILY UNITY (H) PURPOSE OF GRANT OR ASSISTANCE: EXTEND A PARENT MENTOR PROGRAM TO OFFER IN-HOME SUPPORT FOR AT-RISK FAMILIES IN FREEBORN COUNTY, TEACHING PARENTS THE SKILLS THEY NEED TO PROVIDE THEIR CHILDREN WITH HEALTHY, HAPPY AND NURTURING HOMES. NAME OF ORGANIZATION OR GOVERNMENT: HEADWAY EMOTIONAL HEALTH SERVICES (H) PURPOSE OF GRANT OR ASSISTANCE: PROMOTE HEALTHY SOCIAL, EMOTIONAL, AND PHYSICAL DEVELOPMENT OF YOUNG CHILDREN, AGES 0-4 THOUGH CULTURALLY COMPETENT EDUCATION AND CASE MANAGEMENT FOR NATIVE AMERICAN FAMILIES. NAME OF ORGANIZATION OR GOVERNMENT: HMONG AMERICAN PARTNERSHIP (H) PURPOSE OF GRANT OR ASSISTANCE: HELP FAMILIES ENROLL IN HEALTH INSURANCE AND ACCESS EARLY CHILDHOOD SCREENING SERVICES THROUGH THE FAMILY CONNECTION PROGRAM, WHICH PLACES HEALTH NAVIGATORS IN THE SCHOOL AND COMMUNITY. NAME OF ORGANIZATION OR GOVERNMENT: ISANTI COUNTY PUBLIC HEALTH SERVICES (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE NEEDED DENTAL CARE FOR LOW-INCOME CHILDREN AND FAMILIES THROUGH A PARTNERSHIP WITH CHILDREN'S DENTAL SERVICES. NAME OF ORGANIZATION OR GOVERNMENT: MYERS-WILKINS COMMUNITY SCHOOL COLLABORATIVE (H) PURPOSE OF GRANT OR ASSISTANCE: PREPARE AT-RISK CHILDREN FOR SUCCESSFUL TRANSITIONS FROM EARLY CHILDHOOD TO ELEMENTARY SCHOOL AND FROM ELEMENTARY TO MIDDLE SCHOOL BY CONNECTING CHILDREN AND THEIR FAMILIES WITH SERVICES AND SUPPORT. NAME OF ORGANIZATION OR GOVERNMENT: NEIGHBORHOOD HEALTH SOURCE (H) PURPOSE OF GRANT OR ASSISTANCE: IMPLEMENT A PATIENT REGISTRY FOR PEDIATRIC PATIENTS, COORDINATING CARE TO IMPROVE ASTHMA CONTROL, MEDICATION AND COMPLIANCE, AND SCREENING OF PATIENTS WHO REPORT SYMPTOMS. NAME OF ORGANIZATION OR GOVERNMENT: READY, SET, SMILE (H) PURPOSE OF GRANT OR ASSISTANCE: EXPAND EARLY CHILDHOOD PREVENTIVE SERVICES, FLUORIDE VARNISH APPLICATION AND ORAL HEALTH EDUCATION TO FAMILY PARTNERSHIPS SOUTH MINNEAPOLIS SITE. NAME OF ORGANIZATION OR GOVERNMENT: UNIVERSITY OF MINNESOTA FOUNDATION (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE SUPPORT AND PRENATAL EDUCATION IN RURAL COUNTY JAILS FOR INCARCERATED WOMEN WHO ARE PREGNANT AND PARENTING. NAME OF ORGANIZATION OR GOVERNMENT: YMCA OF THE GREATER TWIN CITIES (H) PURPOSE OF GRANT OR ASSISTANCE: IMPROVE MENTAL-SOCIAL-EMOTIONAL HEALTH OUTCOMES AND IMPROVE PARENT AND CAREGIVER UNDERSTANDING OF CHILDHOOD HEALTH BENCHMARKS FOR CHILDREN AGES 0-5 EARLY CHILDHOOD LEARNING CENTERS IN SAINT PAUL. NAME OF ORGANIZATION OR GOVERNMENT: YWCA OF MANKATO (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE HOME VISITS FROM THE READY TO LEARN EARLY CHILDHOOD EDUCATION PROGRAM TO IMPROVE SCHOOL READINESS FOR CHILDREN OF IMMIGRANT AND REFUGEE FAMILIES IN RURAL SOUTH-CENTRAL MINNESOTA. NAME OF ORGANIZATION OR GOVERNMENT: METROPOLITAN AREA AGENCY ON AGING (H) PURPOSE OF GRANT OR ASSISTANCE: EXPAND RESOURCES FOR ENHANCING ALZHEIMER'S CAREGIVER HEALTH (REACH) PROGRAM THROUGHOUT THE STATE OF MINNESOTA. NAME OF ORGANIZATION OR GOVERNMENT: VOLUNTEERS OF AMERICA OF MINNESOTA (H) PURPOSE OF GRANT OR ASSISTANCE: PROVIDE CULTURALLY APPROPRIATE SUPPORT, INFORMATION AND RESOURCES FOR OUR COMMUNITY'S DIVERSE AGING POPULATION AND THOSE THAT CARE FOR THEM THROUGH INDIVIDUALIZED AFRICAN AMERICAN CAREGIVER SUPPORT SERVICES AND COMMUNITY OUTREACH. NAME OF ORGANIZATION OR GOVERNMENT: AMERICAN HEART ASSOCIATION (H) PURPOSE OF GRANT OR ASSISTANCE: 2017 TWIN CITIES GO RED FOR WOMEN NAME OF ORGANIZATION OR GOVERNMENT: AMERICAN RED CROSS (H) PURPOSE OF GRANT OR ASSISTANCE: 2017 CENTENNIAL HEROES EVENT NAME OF ORGANIZATION OR GOVERNMENT: ARTHRITIS FOUNDATION (H) PURPOSE OF GRANT OR ASSISTANCE: 2016 TWIN CITIES JINGLE BELL RUN NAME OF ORGANIZATION OR GOVERNMENT: COMMUNITY HEALTH CHARITIES MINNESOTA (H) PURPOSE OF GRANT OR ASSISTANCE: MEDICA EMPLOYEE GIVING CAMPAIGN NAME OF ORGANIZATION OR GOVERNMENT: GREATER TWIN CITIES UNITED WAY (H) PURPOSE OF GRANT OR ASSISTANCE: MEDICA EMPLOYEE GIVING CAMPAIGN NAME OF ORGANIZATION OR GOVERNMENT: MARCH OF DIMES (H) PURPOSE OF GRANT OR ASSISTANCE: 2017 MARCH FOR BABIES false true false false false false true false false Mark L Baird SVP & CFO, Treasurer 408519 484906 97338 0 20538 0 26743 0 1038044 0 71051 James P Jacobson SVP & Gen Counsel, Secretary 288344 248737 58796 0 19213 0 28707 0 643797 0 35483 Robert Longendyke SVP & CMO 291710 249582 62235 0 20538 0 26890 0 650955 0 36549 David Tilford President/CEO 803372 1232635 211453 0 20538 0 19635 0 2287633 0 180409 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: DAVID TILFORD $ 180,409 JAMES P. JACOBSON $ 35,483 MARK L. BAIRD $ 71,051 ROBERT LONGENDYKE $ 36,549 Sch J Part I Line 6 MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO OPERATING EARNINGS OF MEDICA HEALTH PLANS. Sch 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) HEALTHY AGING - TOTAL EXPENSES: $140,000; GRANTS: $140,000 2) MEDICA FOUNDATION GENERAL FUNDING - TOTAL EXPENSES: $211,243; GRANTS: $211,243 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 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 MEDICA RESEARCH INSTITUTE 401 CARLSON PARKWAY MINNETONKA MN 55305 270600894 RESEARCH FDTN MN 501(C)(3) 509(A)(3) I MH COMPANY false MEDICA INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 411490988 HEALTH INSURANCE MN MEDICA AFF C Corp 0 0 0.00000 false MEDICA SELF-INSURED 401 CARLSON PARKWAY MINNETONKA MN 55305 411479417 THIRD PARTY ADMIN MN MEDICA AFF C Corp 0 0 0.00000 false MEDICA AFFILIATED SERVICES 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING COMPANY MN MH COMPANY C Corp 0 0 0.00000 false MEDICA HEALTH MANAGEMENT 401 CARLSON PARKWAY MINNETONKA MN 55305 208005519 HEALTH MGMT MN MEDICA AFF C Corp 0 0 0.00000 false false false true false false false false false false false false false false true true true false false false Medica Health Plans c 2500000 BOOK Medica Health Plans n 160738 BOOK Medica Health Plans o 260439 BOOK Medica Health Plans p 77947 BOOK