Medica Research Institute: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
Medica Research Institute (EIN 27-0600894)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349313062
Schema version
2016v3.1
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)
Return2017-11-15T15:14:07-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

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Address Line14200 Wells Fargo Ctr 90 S 7thAddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270600894EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Medica Research InstituteBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARK L BAIRDInCareOfNm
Business Name ControlMEDIBusinessNameControlTxt
Phone9529922058PhoneNum

US Address USAddress

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Address Line1401 CARLSON PARKWAY CP330AddressLine1Txt
CityMINNETONKACityNm
State AbbreviationMNStateAbbreviationCd
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Business Officer BusinessOfficerGrp

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PersonMARK L BAIRDPersonNm
Person TitleCFOPersonTitleTxt
Phone9529922058PhoneNum
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

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Preparer PersonMonroe J GierlPreparerPersonNm
PTINP01413237PTIN
Phone6123055000PhoneNum
Preparation2017-11-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id41438720173195000004FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
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FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

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Principal OfficerDAVID TILFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP330AddressLine1Txt
CityMINNETONKACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55305ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,880,814GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMEDICARESEARCHINSTITUTE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionMEDICA RESEARCH INSTITUTE CONDUCTS RESEARCH TO ADVANCE KNOWLEDGE THAT INFORMS VALUE-BASED HEALTH CARE AND ACCOUNTABLE COMMUNITIES FOR HEALTH.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
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Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
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Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,000,000PYContributionsGrantsAmt
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CY Program Service Revenue$563,444CYProgramServiceRevenueAmt
PY Investment Income$282,672PYInvestmentIncomeAmt
CY Investment Income$184,967CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,650,683PYTotalRevenueAmt
CY Total Revenue$748,411CYTotalRevenueAmt
PY Grants And Similar Paid$118,462PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$120,759CYGrantsAndSimilarPaidAmt
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CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
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PY Other Expenses$638,639PYOtherExpensesAmt
CY Other Expenses$2,907,407CYOtherExpensesAmt
PY Total Expenses$2,430,736PYTotalExpensesAmt
CY Total Expenses$3,028,166CYTotalExpensesAmt
PY Revenues Less Expenses$4,219,947PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,279,755CYRevenuesLessExpensesAmt
Total Assets BOY$15,216,654TotalAssetsBOYAmt
Total Assets EOY$13,264,225TotalAssetsEOYAmt
Total Liabilities BOY$352,280TotalLiabilitiesBOYAmt
Total Liabilities EOY$399,023TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,864,374NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,865,202NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMEDICA RESEARCH INSTITUTE CONDUCTS RESEARCH TO ADVANCE KNOWLEDGE THAT INFORMS VALUE-BASED HEALTH CARE AND ACCOUNTABLE COMMUNITIES FOR HEALTH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$784,433ExpenseAmt
Grant$120,759GrantAmt
Revenue$563,444RevenueAmt
DescSee Schedule ODesc

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Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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Partial LiquidationfalsePartialLiquidationInd
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Related EntityYes (true)RelatedEntityInd
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IRP Document5IRPDocumentCnt
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Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
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
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Upon RequestYes (X)UponRequestInd

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PersonMARK L BAIRDPersonNm
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ZIP55305ZIPCd
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Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Glenn E Andis
SVP Government Programs0.040.0Yes (X)Yes (X)$0$766,143$47,478
Kristina Bloomquist
Executive Director0.040.0Yes (X)Yes (X)$0$210,229$34,764
James P Jacobson
SVP, General Counsel, & Sec.0.040.0Yes (X)Yes (X)$0$595,877$46,153
Debby S Knutson
SVP HR0.040.0Yes (X)$0$574,593$29,180
Robert Longendyke
SVP & CMO0.040.0Yes (X)$0$603,527$45,672
Mary P Quist
VP Fin & Controller, Treasurer0.040.0Yes (X)Yes (X)$0$505,694$44,230
Alan Spiro MD
SVP & CMO0.040.0Yes (X)Yes (X)$0$527,660$31,295
Timothy D Thull
SVP & CIO0.040.0Yes (X)$0$661,794$45,845
David Tilford
President/CEO0.040.0Yes (X)Yes (X)$0$2,247,460$37,954
Mark L Baird
SVP & CFO0.040.0Yes (X)$0$990,763$45,182
FieldValueIRS element (for citing)
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Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonMedica Health PlansPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
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CityMINNETONKACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55305ZIPCd
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ServicesLEASED EMPLOYEESServicesDesc
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Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

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DescResearch RevenueDesc
Business541700BusinessCd
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Exclusion$279,818ExclusionAmt

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Royalties Revenue RoyaltiesRevenueGrp

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Personal$0PersonalAmt

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Gross Amount Sales Assets GrossAmountSalesAssetsGrp

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Securities$8,132,403SecuritiesAmt

Gain Or Loss GainOrLossGrp

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Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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Net Income Or Loss NetIncomeOrLossGrp

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Total Revenue TotalRevenueGrp

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Exclusion$184,967ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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Total$112,759TotalAmt
Program Services$112,759ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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Program Services$8,000ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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Benefits To Members BenefitsToMembersGrp

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Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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Comp Disqual Persons CompDisqualPersonsGrp

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Other Salaries And Wages OtherSalariesAndWagesGrp

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Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

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Payroll Taxes PayrollTaxesGrp

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Fees For Services Management FeesForServicesManagementGrp

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Fees For Services Legal FeesForServicesLegalGrp

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Fees For Services Accounting FeesForServicesAccountingGrp

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Total$21,759TotalAmt
Management And General$21,759ManagementAndGeneralAmt

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Management And General$16,325ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

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Total$198,853TotalAmt
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Advertising AdvertisingGrp

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Program Services$7,880ProgramServicesAmt
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Office Expenses OfficeExpensesGrp

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Program Services$940ProgramServicesAmt
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Information Technology InformationTechnologyGrp

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Management And General$1,890ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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Occupancy OccupancyGrp

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Travel TravelGrp

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Conferences Meetings ConferencesMeetingsGrp

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Program Services$2,029ProgramServicesAmt
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Interest InterestGrp

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Payments To Affiliates PaymentsToAffiliatesGrp

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Depreciation Depletion DepreciationDepletionGrp

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Total$0TotalAmt

Insurance InsuranceGrp

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Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DUES, LICENSES, SUBSCRIP$65,639$33,018$32,621
Corporate Contributions$3,750$2,000$1,750
LEASED EMPLOYEES$2,072,356$701,249$1,371,107
BOARD EXPENSES$2,553$2,553

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,651TotalAmt
Program Services$750ProgramServicesAmt
Management And General$901ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

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Total$3,028,166TotalAmt
Program Services$997,312ProgramServicesAmt
Management And General$2,030,854ManagementAndGeneralAmt
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Cash Non Interest Bearing CashNonInterestBearingGrp

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BOY$1,236,173BOYAmt
EOY$935,710EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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Accounts Receivable AccountsReceivableGrp

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Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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Investments Other Securities InvestmentsOtherSecuritiesGrp

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EOY$12,263,231EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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Intangible Assets IntangibleAssetsGrp

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Total Assets TotalAssetsGrp

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EOY$13,264,225EOYAmt

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EOY$399,023EOYAmt

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Deferred Revenue DeferredRevenueGrp

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Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

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EOY$399,023EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

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BOY$14,864,374BOYAmt
EOY$12,865,202EOYAmt

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BOY$0BOYAmt
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BOY$0BOYAmt
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Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,864,374BOYAmt
EOY$12,865,202EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,216,654BOYAmt
EOY$13,264,225EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,279,755ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$280,583NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Medica Health PlansBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN411242261EIN
Organization Type10OrganizationTypeCd
Governing Document ListedfalseGoverningDocumentListedInd
Support$876,553SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$876,553SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (true)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (true)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 BYes (true)SuprtExclusivelySec170c2BInd
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch A Part IV Section A Line 1The original articles of incorporation correctly identify Medica Health Plans as the supported organization. In 2013, the Medica Research Institute Articles of Incorporation were restated, and erroneously excluded the original purpose paragraph listing Medica Health Plans as the supported organization. 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 3cMEDICA RESEARCH INSTITUTE CLOSELY MONITORS THE USE OF GRANT FUNDS THAT IT AWARDS TO EXTERNAL ORGANIZATIONS. ALL GRANTEES ARE REQUIRED TO SUBMIT PERIODIC PROGRESS REPORTS THROUGHOUT THE GRANT PERIOD. SEE SCHEDULE I, PART I, LINE 2 NARRATIVE FOR ADDITIONAL INFORMATION RELATED TO THE PROCESS USED FOR MONITORING GRANTS.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmt
MUTUAL FUNDS - FIXED INCOME$11,042,917
MUTUAL FUNDS - EQUITY$1,220,314
FieldValueIRS element (for citing)
Total Book Value Securities$12,263,231TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,012,669TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$280,583NetUnrealizedGainsInvstAmt
Revenue Not Reported$280,583RevenueNotReportedAmt
Revenue Subtotal$732,086RevenueSubtotalAmt
Investment Expenses Not Incld$16,325InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$16,325RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$748,411TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,011,841TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$3,011,841ExpensesSubtotalAmt
Investment Expenses Not Incld2$16,325InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$16,325ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,028,166TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch D Part X Line 2AS OF DECEMBER 31, 2016 AND 2015, THE INSTITUTE EVALUATED ITS TAX POSITIONS AND CONCLUDED THERE WERE NO UNCERTAIN TAX POSITIONS TO BE RECORDED. GENERALLY THE INSTITUTE IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2013.
Sch D Part XI Line 4aOTHER ADJUSTMENTS: Investment expense Reclassified on Functional Expenses $16,325.
Sch D Part XII Line 4aOTHER ADJUSTMENTS: INVESTMENT EXPENSE RECLASSIFIED ON FUNCTIONAL EXPENSES $16,325.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
REGENTS UNIVERSITY OF MINNESOTA
450 MCNAMARA ALUMNI CENTER200 OAK STREET SEMINNEAPOLISMN554552070416007513115$25,349PROGRAM SUPPORT FOR RESEARCH
URBAN INSTITUTE
2100 M STREET NWWASHINGTONDC20037520880375501(c)(3)$6,021CONSULTANT ON RWJF RESEARCH PROJECT
UNIVERSITY OF SOUTHERN CALIFORNIA
3600 S FIGUEROA SUITE 102LOS ANGELESCA900898001951642394501(c)(3)$63,404FELLOWSHIP PROGRAM AGREEMENT
ACCESSIBLE TRANSLATION SOLUTIONS LLC
PO BOX 943PLACENTIACA95871272487420$6,020CONSULTANT SERVICES ON PROJECT 158
UBIQUS REPORTING INC
61 BROADWAYSUITE 1400NEW YORKNY10006132791733$11,965CONSULTANT SERVICES ON PROJECT 158
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeTranslation services assistanceGrantTypeTxt
Recipient1RecipientCnt
Cash Grant$8,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSch I Part I Line 2FormAndLineReferenceDesc
ExplanationTHE INSTITUTE REQUIRES GRANT RECIPIENTS TO REGULARLY REPORT ON THE STATUS OF ALL GRANTS. ON A QUARTERLY BASIS, GRANT RECIPIENTS ARE REQUIRED TO SUBMIT A STATUS REPORT AND AN ACCOUNTING OF THE QUARTER'S EXPENDITURES AS COMPARED TO BUDGET.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
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 OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Glenn E Andis
SVP Government Programs$335,089$352,317$78,737$0$20,538$0$28,822$0$815,503$0$51,983
Mark L Baird
SVP & CFO$408,519$484,906$97,338$0$20,538$0$26,743$0$1,038,044$0$71,051
Kristina Bloomquist
Executive Director$158,407$49,828$1,994$0$11,849$0$23,555$0$245,633$0$0
James P Jacobson
SVP, General Counsel, & Sec.$288,344$248,737$58,796$0$19,213$0$28,707$0$643,797$0$35,483
Debby S Knutson
SVP HR$280,787$236,330$57,476$0$19,213$0$11,676$0$605,482$0$31,616
Robert Longendyke
SVP & CMO$291,710$249,582$62,235$0$20,538$0$26,890$0$650,955$0$36,549
Mary P Quist
VP Fin & Controller, Treasurer$256,402$201,798$47,494$0$20,538$0$25,360$0$551,592$0$25,371
Alan Spiro MD
SVP & CMO$168,952$120,684$238,024$0$22,718$0$9,338$0$559,716$0$0
Timothy D Thull
SVP & CIO$311,068$287,767$62,959$0$20,538$0$27,117$0$709,449$0$41,034
David Tilford
President/CEO$803,372$1,232,635$211,453$0$20,538$0$19,635$0$2,287,633$0$180,409

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch J Part I Line 3MEDICA RESEARCH INSTITUTE, THE FILING ORGANIZATION, DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEDICA HEALTH PLANS, A RELATED ORGANIZATION. WHEN ESTABLISHING COMPENSATION, MEDICA HEALTH PLANS UTILIZES THE FOLLOWING: 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 4bTHE FOLLOWING EMPLOYEES RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA HEALTH PLANS, A RELATED ORGANIZATION: DAVID TILFORD $ 180,409 GLENN E. ANDIS $ 51,983 ROBERT LONGENDYKE $ 36,549 JAMES P. JACOBSON $ 35,483 TIMOTHY D. THULL $ 41,034 MARY P. QUIST $ 25,371 MARK L. BAIRD $ 71,051 DEBBY S. KNUTSON $ 31,616
Sch J Part I Line 6BMANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO OPERATING EARNINGS OF AFFILIATED MEDICA ENTITIES.
Sch J Part IISCHEDULE 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 Part III Line 4aIn 2016 the institute's doctoral-level investigators continued to seek and receive extramural funding to conduct Health services research. As a result, collaborative partnerships continued to develop with regional and national Research institutions and major research networks. Throughout the year, institute investigators devoted effort To 17 distinct research studies. In addition, institute investigators authored 13 publications. Major themes of the Publications included: health care delivery, community health, and health care use engagement. In 2016, two Institute investigators held adjunct faculty appointments at the university of minnesota where they provided Lecturer assistance for courses qualitative & in quantitative research methods, and health economics & policy. Each course had an average class size of 30 college students.
Form 990 Part III Line 4bTHE INSTITUTE CONTINUED TO ADMINISTER ITS INTRAMURAL AWARDS PROGRAM (IAP) WHICH WAS INITIATED IN 2010. THE PROGRAM PROVIDED INSTITUTE INVESTIGATORS WITH AN OPPORTUNITY TO CONDUCT PILOT AND FEASIBILITY STUDIES USING INTERNAL RESOURCES AND EXTERNAL CONSULTANTS. THE INSTITUTE AWARDED FOUR IAPs IN 2016. RESEARCH TOPICS INCLUDED: - A PILOT STUDY OF THE EFFECT OF A DISCOUNT PRODUCE CARD AND EDUCATIONAL PROGRAMMING ON HEALTHY EATING IN LOW INCOME HOUSEHOLDS - A MIXED-METHODS NEEDS ASSESSMENT OF COMMUNITIES EXPERIENCING RACIAL/ETHNIC DISPARITIES IN CHILDHOOD ASTHMA - THE IMPACT OF NURSE PRACTITIONER SCOPE OF PRACTICE LEGISLATION ON HEALTH AND ACCESS TO HEALTH CARE - DISCRETE CHOICE MODELS: A REVIEW OF METHODS Form 990 Part VI Line 3 Medica Research Institute 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 Research Institute and Medica Research Institute pays for such services throughout the year.
Form 990 Part VI Line 11bMEDICA'S TAX ADVISORS COMPLETE THE RETURN. PRIOR TO OBTAINING THE SIGNATURE OF MEDICA'S CFO, THE RETURN IS REVIEWED BY MEDICA RESEARCH INSTITUTE'S EXECUTIVE DIRECTOR AND ITS MANAGER OF FINANCIAL REPORTING & GRANTS MANAGEMENT, AS WELL AS MEDICA'S CONTROLLER. A COPY WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
Form 990 Part VI Line 12cMEDICA'S GENERAL COUNSEL MONITORS THE ANNUAL COMPLETION OF ALL EMPLOYEES' CONFLICT OF INTEREST STATEMENTS. ALSO, AT THE BEGINNING OF EACH RESEARCH STUDY, THE INSTITUTE'S RESEARCH COMPLIANCE MANAGER MONITORS COMPLETION OF CONFLICT OF INTEREST STATEMENTS FOR ALL PROJECT STAFF. SANCTION CHECKS ARE CONDUCTED ANNUALLY FOR ALL CURRENT EMPLOYEES AND PRIOR TO HIRE OF ALL NEW INSTITUTE EMPLOYEES. CORRECTIVE ACTION IS TAKEN IF EMPLOYEES FAIL TO SUBMIT NECESSARY DISCLOSURES, INTENTIONALLY SUBMIT ERRONEOUS OR INACCURATE INFORMATION, OR FAIL TO ABIDE BY ANY CONFLICT OF INTEREST STRATEGIES IMPOSED BY MEDICA'S GENERAL COUNSEL OR THE INSTITUTE'S RESEARCH COMPLIANCE MANAGER.
Form 990 Part VI Line 15aMEDICA RESEARCH INSTITUTE 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 19AS MEDICA RESEARCH INSTITUTE DOES NOT CONSIDER ITS CONFLICT OF INTEREST POLICY TO BE A CONFIDENTIAL OR PROPRIETARY DOCUMENT, IT HAS POSTED THE DOCUMENT ON ITS WEBSITE AND WILL MAKE IT AVAILABLE TO ANYONE WHO REQUESTS IT. ARTICLES, BYLAWS, AND FORM 990 TAX RETURNS ARE ALSO AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
Form 990 Part VIICERTAIN 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, 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.
Form 990 Part XII Line 2cMEDICA RESEARCH INSTITUTE DOES NOT HAVE A FORMAL AUDIT COMMITTEE. MEDICA HEALTH PLANS' FULL BOARD ASSUMES RESPONSIBILITY FOR AUDIT OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MEDICA FOUNDATION
401 CARLSON PARKWAYMINNETONKAMN55305411812461FOUNDATIONMN501(C)(3)509(A)(3)IIMH COMPANYfalse
MEDICA HEALTH PLANS OF WISCONSIN
401 CARLSON PARKWAYMINNETONKAMN55305411843804HEALTH CVRGEMN501(C)(4)MH COMPANYfalse
MEDICA HOLDING COMPANY
401 CARLSON PARKWAYMINNETONKAMN55305010571840HOLDING COMN501(C)(4)NAfalse
MEDICA HEALTH PLANS
401 CARLSON PARKWAYMINNETONKAMN55305411242261HEALTH CVRGEMN501(C)(4)MH COMPANYfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
MEDICA INSURANCE COMPANY
401 CARLSON PARKWAYMINNETONKAMN55305411490988HEALTH INSURANCEMNMEDICA AFFC Corp$0$00.00000false
MEDICA SELF-INSURED
401 CARLSON PARKWAYMINNETONKAMN55305411479417THIRD PARTY ADMINMNMEDICA AFFC Corp$0$00.00000false
MEDICA AFFILIATED SERVICES
401 CARLSON PARKWAYMINNETONKAMN55305411716415HOLDING COMPANYMNMH COMPANYC Corp$0$00.00000false
MEDICA HEALTH MANAGEMENT
401 CARLSON PARKWAYMINNETONKAMN55305208005519HEALTH MGMTMNMEDICA AFFC Corp$0$00.00000false
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 OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICA HEALTH PLANS
n$818,601BOOK
MEDICA HEALTH PLANS
o$2,072,356BOOK
MEDICA HEALTH PLANS
p$460,624BOOK

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