FURP.ORG / PUBLIC DATA EXPLORER

MEDICA HEALTH PLANS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MEDICA HEALTH PLANS (EIN 41-1242261)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201703199349313060
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

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
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)
EIN411242261EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Medica Health PlansBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARY QUISTInCareOfNm
Business Name ControlMEDIBusinessNameControlTxt
Phone9529922058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP 330AddressLine1Txt
CityMINNETONKACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55305ZIPCd

Business Officer BusinessOfficerGrp

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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
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 Id41438720173195000001FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id75AD43D5D3230F88CBEB61BC8D6AEDAF032C85B4AtSubmissionCreationDeviceId
At Submission Filing Device Id30031D5E7EADAC179FA13A5C3B90D0218042D0DAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID TILFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP 330AddressLine1Txt
CityMINNETONKACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55305ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,183,857,600GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.MEDICA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionSee Schedule O.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee1773TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$100,103,106TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$726,463NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,951,942,410PYProgramServiceRevenueAmt
CY Program Service Revenue$2,520,267,901CYProgramServiceRevenueAmt
PY Investment Income$6,178,100PYInvestmentIncomeAmt
CY Investment Income$16,566,033CYInvestmentIncomeAmt
PY Other Revenue$1,741,818PYOtherRevenueAmt
CY Other Revenue$1,590,393CYOtherRevenueAmt
PY Total Revenue$1,959,862,328PYTotalRevenueAmt
CY Total Revenue$2,538,424,327CYTotalRevenueAmt
PY Grants And Similar Paid$7,900,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,220,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,537,555,991PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$2,296,968,554CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$143,929,227PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$150,323,269CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$222,278,463PYOtherExpensesAmt
CY Other Expenses$275,256,665CYOtherExpensesAmt
PY Total Expenses$1,911,663,681PYTotalExpensesAmt
CY Total Expenses$2,725,768,488CYTotalExpensesAmt
PY Revenues Less Expenses$48,198,647PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$187,344,161CYRevenuesLessExpensesAmt
Total Assets BOY$896,765,075TotalAssetsBOYAmt
Total Assets EOY$803,328,154TotalAssetsEOYAmt
Total Liabilities BOY$392,762,666TotalLiabilitiesBOYAmt
Total Liabilities EOY$485,977,778TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$504,002,409NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$317,350,376NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMEDICA'S MISSION IS TO MEET OUR CUSTOMERS' NEEDS FOR HEALTH PLAN PRODUCTS AND SERVICES. IN DOING SO, WE WORK WITH MEMBERS AND PROVIDERS TO MAKE HEALTH CARE ACCESSIBLE, AFFORDABLE AND A MEANS BY WHICH OUR MEMBERS IMPROVE THEIR HEALTH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,256,563,275ExpenseAmt
Revenue$2,193,032,367RevenueAmt
DescSee Schedule O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$40,228,320ExpenseAmt
Revenue$29,734,007RevenueAmt
DescIN 2016 MHP PROVIDED FULLY INSURED COMMERCIAL HMO HEALTH INSURANCE COVERAGE TO GROUPS AND INDIVIDUALS IN MINNESOTA. AS OF 12/31/2016, THE ENROLLMENT IN MHP FULLY INSURED MINNESOTA GROUP PLANS WAS 6,454, WHICH WAS APPROXIMATELY 1.9% OF MHP'S TOTAL 2016 ENROLLMENT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$176,959ExpenseAmt
Revenue$382,323RevenueAmt
DescIN 2016, MHP PARTICIPATED IN MINNESOTA SENIOR HEALTH OPTIONS (MSHO), A MEDICARE-RELATED PRODUCT, IN MINNESOTA. ENROLLMENT IN THAT PRODUCT WAS 11,270 OR 3.2% OF MHP'S TOTAL ENROLLMENT. MSHO IS A PRODUCT FOR PEOPLE AGE 65 AND OLDER AND ELIGIBLE FOR BOTH MEDICARE AND MEDICAID.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,220,000TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$3,220,000TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$197,269,832TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,300,188,554TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
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 IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1335IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1773EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARY QUISTPersonNm
Phone9529922058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP330AddressLine1Txt
CityMINNETONKACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55305ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
David Tilford
President/CEO40.00.0Yes (X)Yes (X)$2,247,460$0$37,954
John Buck
Chair15.00.0Yes (X)Yes (X)$106,250$0$0
Esther Tomljanovich
Vice Chair- Through June 20166.00.0Yes (X)$66,000$0$0
Peter Kelly
Director10.00.0Yes (X)$67,000$0$0
John Stanoch
Vice Chair -Start June 201610.00.0Yes (X)Yes (X)$68,250$0$0
Earl Stratton
Director -Through June 201610.00.0Yes (X)$70,250$0$0
Mark L Baird
SVP & CFO, Treasurer40.00.0Yes (X)$990,763$0$45,182
James P Jacobson
SVP & Gen Counsel, Secretary40.00.0Yes (X)$595,877$0$46,153
Glenn E Andis
SVP Government Programs40.00.0$766,143$0$47,478Yes (X)
Dannette M Coleman
SVP Ind & Fam Business40.00.0$612,659$0$42,849Yes (X)
Jana L Johnson
SVP Hlth & Prov Services40.00.0$674,121$0$46,843Yes (X)
Debby S Knutson
SVP HR40.00.0$574,593$0$29,180Yes (X)
Robert Longendyke
SVP & CMO40.00.0$603,527$0$45,672Yes (X)
John W Naylor
SVP Commercial Markets40.00.0$836,003$0$67,080Yes (X)
Alan Spiro MD
SVP & CMO40.00.0$527,660$0$31,295Yes (X)
Timothy D Thull
SVP & CIO40.00.0$661,794$0$45,845Yes (X)
Geoffrey J Bartsh
VP & GM SPP40.00.0$567,551$0$67,826Yes (X)
Andrew E Davis
GM & VP CHA40.00.0$581,300$0$42,862Yes (X)
Mary P Quist
VP Fin & Corp Controller40.00.0$505,694$0$44,230Yes (X)
Scott R Reid
VP Comm Prod & Ops40.00.0$476,274$0$45,835Yes (X)
Richard H Sykora
VP/GM Com Fin & Undwrtng40.00.0$508,930$0$42,967Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,108,099TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$729,251TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K360IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
United Health Care Services Inc
9900 Bren Dr E MN008-T380MinnetonkaMN55343Claims Processing$105,657,827
Dahl Consulting Inc
418 County Road D ESt PaulMN55117Temp Services$10,502,191
Loffler Companies Inc
1101 East 78th Street Suite 200BloomingtonMN55420Printing$1,330,876
Change HealthCare Solutions LLC
3055 Lebanon Pike Ste 1000NashvilleTN37214Issues claim pymnts$697,985
Atomic Data LLC
250 Marquette Ave Suite 225MinneapolisMN55401Technology Services$635,658
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Medicaid Revenue524114$2,193,032,367$2,193,032,367
Group & Individual Premiums524114$129,583,379$29,734,007$99,849,372
Medicare Revenue524114$382,323$382,323
Intercompany Admin Fees561000$197,269,832$197,269,832
FieldValueIRS element (for citing)
Total Program Service Revenue$2,520,267,901TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,981,886TotalRevenueColumnAmt
Exclusion$10,981,886ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,435,820RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,099,161RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,336,659RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,336,659TotalRevenueColumnAmt
Exclusion$1,336,659ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,646,918,259SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$13,641,334,112SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,584,147SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,584,147TotalRevenueColumnAmt
Exclusion$5,584,147ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMedica Tax Partnership - Dental RevenueDesc
Business900099BusinessCd
Total Revenue Column$253,734TotalRevenueColumnAmt
Unrelated Business Revenue$253,734UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$253,734OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,538,424,327TotalRevenueColumnAmt
Related Or Exempt Func Income$2,420,418,529RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$100,103,106UnrelatedBusinessRevenueAmt
Exclusion$17,902,692ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,220,000TotalAmt
Program Services$3,220,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$2,296,968,554TotalAmt
Program Services$2,296,968,554ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,382,848TotalAmt
Management And General$9,382,848ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$110,539,259TotalAmt
Management And General$110,539,259ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,503,394TotalAmt
Management And General$10,503,394ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,250,056TotalAmt
Management And General$11,250,056ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,647,712TotalAmt
Management And General$8,647,712ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,097,702TotalAmt
Management And General$2,097,702ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$373,853TotalAmt
Management And General$373,853ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$515,516TotalAmt
Management And General$515,516ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,332,999TotalAmt
Management And General$1,332,999ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$50,988,096TotalAmt
Management And General$50,988,096ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,232,315TotalAmt
Management And General$7,232,315ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,506,778TotalAmt
Management And General$4,506,778ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$35,163,264TotalAmt
Management And General$35,163,264ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,799,527TotalAmt
Management And General$4,799,527ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$624,619TotalAmt
Management And General$624,619ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$524,818TotalAmt
Management And General$524,818ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$186,846TotalAmt
Management And General$186,846ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,286,100TotalAmt
Management And General$24,286,100ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,647,963TotalAmt
Management And General$1,647,963ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
Reinsurance$98,907,025$98,907,025
Premium Taxes$28,965,537$28,965,537
Printing & Publication$8,892,271$8,892,271
Other$4,211,436$4,211,436

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,725,768,488TotalAmt
Program Services$2,300,188,554ProgramServicesAmt
Management And General$425,579,934ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,122,848BOYAmt
EOY$28,395,441EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$294,310,693BOYAmt
EOY$161,954,916EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$78,911,787BOYAmt
EOY$141,446,432EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$119,205,748LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,939,882LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$91,266,359BOYAmt
EOY$88,265,866EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$323,516,795BOYAmt
EOY$237,463,007EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$67,917,188BOYAmt
EOY$67,677,405EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$33,719,405BOYAmt
EOY$78,125,087EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$896,765,075BOYAmt
EOY$803,328,154EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$245,217,267BOYAmt
EOY$336,961,958EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$147,545,399BOYAmt
EOY$149,015,820EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$392,762,666BOYAmt
EOY$485,977,778EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$504,002,409BOYAmt
EOY$317,350,376EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$504,002,409BOYAmt
EOY$317,350,376EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$896,765,075BOYAmt
EOY$803,328,154EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$187,344,161ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,959,887NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,267,759OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,775,799OtherCostOrOtherBasisAmt
Book Value$18,775,799BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,842,702OtherCostOrOtherBasisAmt
Depreciation$7,115,813DepreciationAmt
Book Value$60,726,889BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,752,991OtherCostOrOtherBasisAmt
Depreciation$11,766,025DepreciationAmt
Book Value$4,986,966BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,834,256OtherCostOrOtherBasisAmt
Depreciation$12,058,044DepreciationAmt
Book Value$3,776,212BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$88,265,866TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPRUDENTIAL INVESTMENTDesc
Book Value$67,677,405BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$67,677,405TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
INVESTMENT INCOME$1,274,892
REINSURANCE RECOVERIES$1,619,865
REINSURANCE RECEIVABLES$8,755,069
UNINSURED PLANS RECEIVABLE$6,000,000
FEDERAL INCOME TAX RECOVERABLE$82,572
INTERCOMPANY RECEIVABLES$34,674,478
GENERAL EXPENSE RECEIVABLE$25,718,211
FieldValueIRS element (for citing)
Total Book Value Other Assets$78,125,087TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,345,335,967TotalRevEtcAuditedFinclStmtAmt
Other Revenue$8,851,371OtherRevenueAmt
Revenue Not Reported$8,851,371RevenueNotReportedAmt
Revenue Subtotal$2,336,484,596RevenueSubtotalAmt
Investment Expenses Not Incld$1,332,999InvestmentExpensesNotIncldAmt
Other Revenues Not Included$200,606,732OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$201,939,731RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,538,424,327TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,535,186,887TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$11,358,130OtherExpensesIncludedAmt
Expenses Not Reported$11,358,130ExpensesNotReportedAmt
Expenses Subtotal$2,523,828,757ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,332,999InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$200,606,732OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$201,939,731ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,725,768,488TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch D Part X Line 2The Company is generally exempt from federal income taxes under section 501(c)(4) of The IRC. The Company realized a federal and state income tax benefit on unrelated business activities of Approximately $84,000 in 2016, and the Company realized a federal and state income tax expense on Unrelated business activities of approximately $431,000 in 2015.
Sch D Part XI Line 2dOTHER ADJUSTMENTS: STATUTORY GROSS UP FOR RENTAL INCOME $ 4,404,538 DENTAL EXPENSES (MEDICA TAX PARTNERSHIP K-1) $ 4,200,113 FEDERAL TAXES BENEFIT $ 246,720 TOTAL TO SCHEDULE D, PART XI, LINE 2D $ 8,851,371
Sch D Part XI Line 4bOTHER ADJUSTMENTS: MN HEALTH INFO EXCHANGE K-1 INTERCOMPANY ADMIN FEES RECLASSED FROM EXPENSE $197,269,832 INTEREST EXPENSE RECLASSED AS EXPENSE $ 186,846 DEPRECIATION ON REAL ESTATE RECLASSED AS EXPENSE $ 3,150,054 TOTAL TO SCHEDULE D, PART XI, LINE 4B $200,606,732
Sch D Part XII Line 2dOTHER ADJUSTMENTS: STATUTORY GROSS UP FOR DEPRECIATION EXPENSE $ 2,753,479 STATUTORY GROSS UP FOR RENTAL INCOME $ 4,404,538 DENTAL EXPENSES (MEDICA TAX PARTNERSHIP K-1), RECLASSED AS REVENUE $ 4,200,113 TOTAL TO SCHEDULE D, PART XII, LINE 2D $11,358,130
Sch D Part XII Line 4bOTHER ADJUSTMENTS: INTEREST EXPENSE RECLASSED AS REVENUE $ 186,846 DEPRECIATION ON REAL ESTATE RECLASSED AS EXPENSE $ 3,150,054 INTERCOMPANY ADMIN FEES RECLASSED AS REVENUE $197,269,832 TOTAL TO SCHEDULE D, PART XII, LINE 4B $200,606,732

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT
8009 34TH AVE SSUITE 1200BLOOMINGTONMN55425411782168501(C)(3)$720,000SUPPORT BEST PRACTICES IN MEDICAL WORLD
MEDICA FOUNDATION
401 CARLSON PARKWAYMINNETONKAMN55305411812461501(C)(3)$2,500,000SUPPORT PROGRAMS CONDUCTED BY FOUNDATION
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSch I Part I Line 2FormAndLineReferenceDesc
ExplanationMEDICA HEALTH PLANS (MHP) DONATES TO 501(C)(3) ORGANIZATIONS. MHP HAS MEETINGS TO MONITOR THE WORK BEING DONE TO SUPPORT THE MISSION OF THE GRANT RECIPIENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred 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$20,538$0$28,822$0$815,503$0$51,983$0
Mark L Baird
SVP & CFO, Treasurer$408,519$484,906$97,338$20,538$0$26,743$0$1,038,044$0$71,051$0
Geoffrey J Bartsh
VP & GM SPP$250,747$292,722$24,082$44,167$0$25,311$0$637,029$0$3,141$0
Dannette M Coleman
SVP Ind & Fam Business$303,020$250,876$58,763$20,538$0$24,090$0$657,287$0$37,126$0
Andrew E Davis
GM & VP CHA$314,670$246,062$20,568$42,862$0$1,792$0$625,954$0$0$0
James P Jacobson
SVP & Gen Counsel, Secretary$288,344$248,737$58,796$19,213$0$28,707$0$643,797$0$35,483$0
Jana L Johnson
SVP Hlth & Prov Services$293,896$312,715$67,510$20,538$0$28,086$0$722,745$0$42,975$0
Debby S Knutson
SVP HR$280,787$236,330$57,476$19,213$0$11,676$0$605,482$0$31,616$0
Robert Longendyke
SVP & CMO$291,710$249,582$62,235$20,538$0$26,890$0$650,955$0$36,549$0
John W Naylor
SVP Commercial Markets$387,172$397,370$51,461$44,159$0$24,955$0$905,117$0$28,259$0
Mary P Quist
VP Fin & Corp Controller$256,402$201,798$47,494$20,538$0$25,360$0$551,592$0$25,371$0
Scott R Reid
VP Comm Prod & Ops$251,615$180,335$44,324$20,538$0$26,940$0$523,752$0$22,949$0
Alan Spiro MD
SVP & CMO$168,952$120,684$238,024$22,718$0$9,338$0$559,716$0$0$0
Richard H Sykora
VP/GM Com Fin & Undwrtng$246,879$212,601$49,450$20,538$0$24,052$0$553,520$0$25,719$0
Timothy D Thull
SVP & CIO$311,068$287,767$62,959$20,538$0$27,117$0$709,449$0$41,034$0
David Tilford
President/CEO$803,372$1,232,635$211,453$20,538$0$19,635$0$2,287,633$0$180,409$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch J Part I Line 4bTHE FOLLOWING RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: DAVID TILFORD $ 180,409 GLENN E. ANDIS $ 51,983 JANA L. JOHNSON $ 42,975 MARK L. BAIRD $ 71,051 ROBERT LONGENDYKE $ 36,549 JAMES P. JACOBSON $ 35,483 DEBBY S. KNUTSON $ 31,616 RICHARD H. SYKORA $ 25,719 TIMOTHY D. THULL $ 41,034 DANNETTE M. COLEMAN $ 37,126 GEOFFREY J. BARTSH $ 3,141 JOHN W. NAYLOR $ 28,259 MARY P. QUIST $ 25,371 SCOTT R. REID $ 22,949
Sch J Part I Line 6a & 6bMANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATIONS and related organizations OPERATING EARNINGS.
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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 Part I Line 1MEDICA'S MISSION IS TO MEET OUR CUSTOMERS' NEEDS FOR HEALTH PLAN PRODUCTS AND SERVICES. IN DOING SO, MEDICA WORKS WITH ITS MEMBERS AND PROVIDERS TO MAKE HEALTH CARE ACCESSIBLE, AFFORDABLE AND A MEANS BY WHICH ITS MEMBERS IMPROVE THEIR HEALTH.
Form 990 Part III Line 4aMedica Health Plans (MHP) in 2016 provided HMO coverage to enrollees in the State Of Minnesota's Medical Assistance, minnesotacare, and Special Needs Basic Care programs. Medical Assistance is Minnesota's Medicaid Program. Minnesotacare is a publicly subsidized Health care program for residents who do not have access to affordable health care coverage. Special Needs Basic Care (SNBC) provides coverage for individuals ages 18-64 that are on Medical Assistance and have been certified with physical, developmental or mental disabilities. A total of 329,474 Medica members - 94.9 % of MHP's total enrollment - were in Minnesota state programs as of 12/31/ 2016. There were 270,429 Prepaid Medical Assistance Program (Medicaid) members, 44,003 Minnesotacare members, and 15,042 Special Needs Basic Care members. In the NCQA 2016 Health Insurance Plan Ratings, Medica's Medicaid HMO was one of the Highest-rated Medicaid plan in Minnesota and among the 45 highest-rated Medicaid plans in the United States. Medica Health Plans' Minnesota Medicaid HMO currently holds an accreditation Status of Accredited from NCQA. State of Minnesota Health Care Programs Minnesota requires state-licensed hmos to be nonprofit and to participate in State of Minnesota Health Care Programs. Minnesota Health Care Programs cover people who cannot get or afford Health insurance elsewhere and helps them pay some or all-medical bills. According to the Minnesota Department of Human Services, coverage is available for qualifying individuals who Meet rules about income, assets and other factors. These programs focus on pregnant women, families and children, adults with disabilities, Children with disabilities, people 65 or older, adults without children, and low-income adults Unable to find affordable care. Coverage is also available for people who meet eligibility rules For nursing home care, home care, for children who have a disability and for employed persons with disabilities. The State of Minnesota sets or negotiates rates when it contracts with the state's nonprofit Hmos, paying a fixed sum per enrollee. MHP bears the risk for costs above the predetermined Rate. -In 2016 Medica Health Plans medical loss ratio for State of Minnesota health programs was 100.6%. -The administrative cost ratio was approximately 6.4% including premium taxes.
Form 990 Part III Line 4dMedica Health Plans Intercompany Administrative Agreements MHP has management agreements with related entities to provide administrative services. MHP is reimbursed for these services monthly. In 2016, MHP was reimbursed for $ $197,269,832 in intercompany administrative expenses, reported as revenue on the 990. Contributions by Medica On Behalf of Members Beyond Contracted Services In 2016 MHP spent approximately $3.5 million to provide additional, beyond-contract support on behalf of the following categories of Minnesota state health care programs: PMAP Families and Children; PMAP Adults without Children; MSC+; MNCare Families and Children; MNCare Adults without Children; MSHO; SNBC. Programs included: My Health Rewards (MHR) Program; Value of Waived Family Deductibles; MSC+ Elderly Waiver for non-eligible members; Non-Medicare Part D Pharmacy Copayments; and Non-Medicare Value of Cost-Sharing Waived Copays. Other Community Benefits MHP provided other community benefits with a wide range of programs and initiatives to promote public and individual health, reduce disparities in access to care, improve health care system performance, and help provide financial assistance to access care. Collaborative Efforts MHP donates funding, employee time and other resources in support of more than two dozen collaborative efforts with local, state, regional and national organizations. Examples include: Minnesota Community Measurement, which promotes community-based, evidence-based care, and quality comparisons of provider groups and clinics; Institute for Clinical Systems Improvement, which provides evidence-graded guidelines and assessments; Minnesota Health Information Exchange, which connects doctors, hospitals and clinics statewide. Medica annually helps fund a number of collaborative education and training seminars and conferences. Health and Wellness Programs Providing Community Benefit Medica undertakes a variety of initiatives to make health care more affordable, available and effective. Examples include: -Improvements in rates of annual screenings among members for diseases such as cancers, heart disease and diabetes, pre and post-birth maternity care, immunizations, and child and teen checkups -Reductions in medically unnecessary ER visits and in-patient hospital admissions -Tying provider reimbursement to improvements in care outcomes, quality and efficiency -Increased participation in exercise and nutrition programs Asthma, Diabetes and Weight-Loss Camps for Children: Medica funds medically supervised summer camps so children can learn how to better manage chronic conditions My Health Rewards from Medica includes an array of online tools and resources that make it easy for Medica members to assess their health status, and to customize and follow personalized programs for a healthier lifestyle and diet. In 2016, the core My Health Rewards from Medica program was provided at no additional charge to fully insured groups. Fit Choices by Medica provided Medica members with (a) a $20 monthly membership credit for exercising at a participating health club twelve or more days per month and (b) the opportunity for personal coaching and a personalized nutrition and fitness plan. In 2016, Fit Choices by Medica was available at no cost to MHPs fully insured and MinnesotaCare members. Health and Wellness Coaching Medica's health and wellness coaching program is a self-directed program offering a wide variety of tools and resources to help members make changes to improve their health. Health coaching support includes private, confidential access to trained health coaches. There was no cost to Medica members to participate in the health and wellness coaching program. Medical and Mental Health Disease Management and Patient Support Medica in 2016 offered a portfolio of disease management programs for physical and mental health, tobacco cessation, healthy pregnancy, common chronic medical diseases, and rare and complex diseases. These programs provide education and resources that help support the members' ability to manage chronic conditions. The goals are to improve health and quality of life, reduce complications through early intervention and monitoring, promote medical care and compliance with the patient's physician-recommended medical treatment regimen, and to improve satisfaction with health care services. Medica's disease management programs were provided at no additional charge to fully insured groups, and to Minnesota state health care program enrollees served by Medica. There is no cost to eligible Medica members.
Form 990 Part VI Line 6MEMBERS EXIST WITHIN MEDICA HEALTH PLANS AS MEMBERS COVERED UNDER REGULATED INSURANCE PLANS.
Form 990 Part VI Line 7aTHE MEMBERSHIP OF MEDICA HEALTH PLANS ELECTS THE CONSUMER BOARD MEMBERS.
Form 990 Part VI Line 11bMEDICA'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 12cANNUALLY ALL EMPLOYEES OF MEDICA HEALTH PLANS AND DIRECTORS OF ALL MEDICA ENTITIES COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND ARE REQUIRED TO REVIEW THE CONFLICT POLICY. ALL POTENTIAL CONFLICTS ARE REVIEWED BY LEGAL/COMPLIANCE.
Form 990 Part VI Line 15aTHE BOARD'S PERSONNEL AND COMPENSATION COMMITTEE REVIEWS AND OBTAINS THE BOARD'S APPROVAL OF THE TOTAL COMPENSATION FOR THE PRESIDENT/CEO AND REVIEWS AND APPROVES THE TOTAL COMPENSATION RECOMMENDATIONS MADE BY THE CFO FOR THE EXECUTIVE AND SENIOR VICE PRESIDENTS; REVIEWS ALL OFFICER COMPENSATION AND PERFORMANCE GOALS APPROVED BY THE CEO ANNUALLY. THE PERSONNEL AND COMPENSATION COMMITTEE ALSO REVIEWS AND RECOMMENDS TO THE BOARD, OFFICER AND NON-OFFICER COMPENSATION GUIDELINES FOR THE COMPANY AND ITS SUBSIDIARIES PERIODICALLY REVIEWING MARKET DATA TO ASSESS THE COMPANY'S COMPETITIVE POSITION. PROCESS OUTSIDE THE CHARTER: THE PERSONNEL AND COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT IN REVIEWING MARKET COMPETITIVE DATA THAT AIDS IN SETTING THE COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES.
Form 990 Part VI Line 19MEDICA 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 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. ARTICLES AND BYLAWS, CONFLICT OF INTEREST POLICY, AND FORM 990S ARE AVAILABLE UPON REQUEST.
Form 990 Part VII LineCERTAIN 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 INSURANCE COMPANY, MEDICA SELF-INSURED, MEDICA AFFILIATED SERVICES, 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 XI Line 9CHANGES IN NET ASSETS: CHANGE IN VALUE OF NONADMITTED ASSETS $(1,761,000) STAT GROSS UP FOR DEPRECIATION $(2,753,479) Federal Tax Benefit $ 246,720 TOTAL TO FORM 990, PART XI, LINE 9 $(4,267,759)

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)N/AMH COMPANYfalse
MEDICA HOLDING COMPANY
401 CARLSON PARKWAYMINNETONKAMN55305010571840Holding CoMN501(C)(4)N/ANAfalse
MEDICA RESEARCH INSTITUTE
401 CARLSON PARKWAYMINNETONKAMN55305270600894RESEARCH FDTNMN501(C)(3)509(A)(3)IMH 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 OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
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 OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Medica Health Plans of Wisconsin
d$33,250,000BOOK
Medica Health Plans of Wisconsin
n$18,365,546BOOK
Medica Health Plans of Wisconsin
o$14,854,455BOOK
Medica Health Plans of Wisconsin
q$17,363,250BOOK