MEDICA FOUNDATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MEDICA FOUNDATION (EIN 41-1812461)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201603199349302140
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T10:39:29-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 NICOLLET MALL SUITE 1100 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411812461 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICA FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDI | BusinessNameControlTxt |
| Phone | 9529922058 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CW 104 | AddressLine1Txt |
| City | MINNETONKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55305 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK L BAIRD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9529922058 | PhoneNum |
| Signature | 2016-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD A JACKSON | PreparerPersonNm |
| PTIN | P00092672 | PTIN |
| Phone | 6123324300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT LONGENDYKE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CW 104 | AddressLine1Txt |
| City | MINNETONKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,869,141 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEDICAFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,000,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $909,256 | PYInvestmentIncomeAmt |
| CY Investment Income | $868,343 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $909,756 | PYTotalRevenueAmt |
| CY Total Revenue | $4,868,343 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,398,975 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,489,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $246,831 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $257,397 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $339,167 | PYOtherExpensesAmt |
| CY Other Expenses | $328,089 | CYOtherExpensesAmt |
| PY Total Expenses | $1,984,973 | PYTotalExpensesAmt |
| CY Total Expenses | $2,074,986 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,075,217 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,793,357 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,304,259 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,540,615 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,375,664 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,432,707 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,928,595 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,107,908 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $395,000 | ExpenseAmt |
| Grant | $395,000 | GrantAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $300,000 | ExpenseAmt |
| Grant | $300,000 | GrantAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $200,000 | ExpenseAmt |
| Grant | $200,000 | GrantAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $594,500 | ExpenseAmt |
| Grant | $594,500 | GrantAmt |
| Desc | MEDICA FOUNDATION HAS THE FOLLOWING OTHER PROGRAM SERVICES:1) STRATEGIC GRANT - TOTAL EXPENSES: $200,000; GRANTS: $200,0002) MEDICA FOUNDATION GENERAL FUNDING - TOTAL EXPENSES: $244,500; GRANTS: $244,5003) ALZHEIMER'S DISEASE - TOTAL EXPENSES: $150,000; GRANTS: $150,000 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $594,500 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $594,500 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $1,489,500 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY QUIST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9529922058 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 CARLSON PARKWAY CP330 | AddressLine1Txt |
| City | MINNETONKA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55305 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN BUCK | ||||||||
| CHAIR | 15.00 | Yes (X) | Yes (X) | $0 | $97,000 | $0 | ||
| ESTHER TOMLJANOVICH | ||||||||
| VICE CHAIR | 10.00 | Yes (X) | Yes (X) | $0 | $68,000 | $0 | ||
| BURTON COHEN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $5,500 | $0 | |||
| DARYL DURUM | ||||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $63,000 | $0 | |||
| SAMUEL LEON MD | ||||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $70,000 | $0 | |||
| MARK L BAIRD | ||||||||
| TREASURER/CFO & SVP | 40.00 | Yes (X) | $0 | $1,119,992 | $43,204 | |||
| JAMES P JACOBSON | ||||||||
| SECRETARY/SVP | 40.00 | Yes (X) | $0 | $635,112 | $43,765 | |||
| ROBERT LONGENDYKE | ||||||||
| EXECUTIVE DIRECTOR/MHP SVP | 40.00 | Yes (X) | $0 | $618,413 | $41,399 | |||
| DAVID TILFORD | ||||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $0 | $2,294,734 | $34,907 | |||
| GLENN E ANDIS | ||||||||
| SVP | 40.00 | $0 | $743,529 | $44,541 | Yes (X) | |||
| DEBBY S KNUTSON | ||||||||
| SVP | 40.00 | $0 | $584,623 | $29,526 | Yes (X) | |||
| JANA L JOHNSON | ||||||||
| SVP | 40.00 | $0 | $663,305 | $43,604 | Yes (X) | |||
| TIMOTHY D THULL | ||||||||
| SVP | 40.00 | $0 | $706,984 | $42,650 | Yes (X) | |||
| JOHN W NAYLOR | ||||||||
| SVP | 40.00 | $0 | $1,027,856 | $81,860 | Yes (X) | |||
| DANNETTE M COLEMAN | ||||||||
| SVP | 40.00 | $0 | $603,174 | $28,097 | Yes (X) | |||
| MARK WERNER MD | ||||||||
| SVP | 40.00 | $0 | $527,360 | $48,269 | Yes (X) | |||
| RICHARD H SYKORA | ||||||||
| GM/VP | 40.00 | $0 | $497,996 | $41,817 | Yes (X) | |||
| BARBARA LYNCH | ||||||||
| VP | 40.00 | $0 | $457,904 | $34,191 | Yes (X) | |||
| ANDREW E DAVIS | ||||||||
| VP | 40.00 | $0 | $476,600 | $37,703 | Yes (X) | |||
| GEOFFREY J BARTSH | ||||||||
| VP | 40.00 | $0 | $490,395 | $62,022 | Yes (X) | |||
| MARY QUIST | ||||||||
| VP | 40.00 | $0 | $448,513 | $41,881 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,199,990 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $699,436 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,000,000 | RelatedOrganizationsAmt |
| Total Contributions | $4,000,000 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $668,165 | TotalRevenueColumnAmt |
| Exclusion | $668,165 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,200,976 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,000,798 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $200,178 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200,178 | TotalRevenueColumnAmt |
| Exclusion | $200,178 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,868,343 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $868,343 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,489,500 | TotalAmt |
| Program Services | $1,489,500 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,483 | TotalAmt |
| Management And General | $215,483 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,529 | TotalAmt |
| Management And General | $28,529 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,385 | TotalAmt |
| Management And General | $13,385 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,515 | TotalAmt |
| Management And General | $148,515 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357 | TotalAmt |
| Management And General | $357 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,163 | TotalAmt |
| Management And General | $22,163 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,065 | TotalAmt |
| Management And General | $94,065 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,761 | TotalAmt |
| Management And General | $2,761 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,165 | TotalAmt |
| Management And General | $10,165 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| BOARD EXPENSES | $27,500 | $27,500 |
| DUES, MEMBERSHIP & SUBS | $15,450 | $15,450 |
| PUBLIC RELATIONS | $5,750 | $5,750 |
| COMMUNITY OUTREACH | $923 | $923 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440 | TotalAmt |
| Management And General | $440 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,074,986 | TotalAmt |
| Program Services | $1,489,500 | ProgramServicesAmt |
| Management And General | $585,486 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,538 | BOYAmt |
| EOY | $886,111 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,478 | BOYAmt |
| EOY | $32,991 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,986,243 | BOYAmt |
| EOY | $25,621,513 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,304,259 | BOYAmt |
| EOY | $26,540,615 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,336,675 | BOYAmt |
| EOY | $1,399,467 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,989 | BOYAmt |
| EOY | $33,240 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375,664 | BOYAmt |
| EOY | $1,432,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,928,595 | BOYAmt |
| EOY | $25,107,908 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,928,595 | BOYAmt |
| EOY | $25,107,908 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,304,259 | BOYAmt |
| EOY | $26,540,615 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,793,357 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,614,044 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICA HEALTH PLANS SEC 501(C)(4) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411242261 | EIN |
| Organization Type | 9 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $1,489,500 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $1,489,500 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | Yes (1) | SupportedOrgSectionC456Ind |
| Supported Org Qualified | Yes (1) | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | Yes (1) | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE A, SECTION A, LINE 3B | MEDICA HEALTH PLANS, THE SUPPORTED PARENT 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 THE FOUNDATION. |
| FORM 990, SCHEDULE A, 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. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SHORT TERM INVESTMENTS | Desc |
| Book Value | $25,621,513 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $25,621,513 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PAYABLE TO MEDICA HEALTH PLANS | Desc |
| Amt | $33,240 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,240 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (71 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| METROPOLITAN AREA AGENCY ON AGING | ||||||||
| 2365 N MCKNIGHT RD SUITE 3 | NORTH ST PAUL | MN | 55109 | 411774247 | 501(C)(3) | $150,000 | THROUGH A STATEWIDE COLLABORATION, PREPARE MINNESOTA FOR THE PERSONAL, SOCIAL AND BUDGETARY IMPACTS OF ALZHEIMER'S DISEASE AND RELATED DEMENTIAS BY FOSTERING DEMENTIA AND AGE FRIENDLY COMMUNITIES. | |
| CENTER FOR ALCOHOL & DRUG TREATMENT | ||||||||
| 314 WEST SUPERIOR ST | DULUTH | MN | 55802 | 410847934 | 501(C)(3) | $100,000 | CLEARPATH WILL BE A MEDICALLY ASSISTED TREATMENT PROGRAM, LICENSED AS AN OTP. INITIALLY, OUR FOCUS WILL BE OPIOID DEPENDENT PATIENTS. THE CLINIC IS EMBEDDED IN A RECOVERY-ORIENTED SYSTEM OF CARE THAT INCLUDES DETOX, RESIDENTIAL TREATMENT, OUTPATIENT TREATMENT, INDIVIDUAL COUNSELING, CARE MANAGEMENT AND OTHER SERVICES. | |
| NEIGHBORHOOD HEALTH CARE NETWORK | ||||||||
| C/O WEST SIDE COMMUNITY HEALTH | ST PAUL | MN | 55107 | 410990979 | 501(C)(3) | $100,000 | TO DEVELOP A CARE COORDINATION INFRASTRUCTURE TO SUPPORT THE 10 FQHC MEMBERS WITH THEIR ACO DEVELOPMENT SO EACH FQHC CAN BE AN ACTIVE PARTICIPANT IN THE STATE OF MINNESOTA'S INTEGRATED HEALTH PARTNERSHIPS(IHP)/MEDICAID DEMONSTRATION PROGRAM. | CENTER 153 CESAR CHAVEZ ST |
| FRASER LTD | ||||||||
| 2902 SOUTH UNIVERSITY DRIVE | FARGO | ND | 58103 | 450226418 | 501(C)(3) | $50,000 | FRASER, LTD. WILL PROVIDE MOBILE BEHAVIORAL HEALTH SERVICES TO TRANSITION AGE YOUTH AT-RISK OF HOMELESSNESS OR WHO ARE EXPERIENCING HOMELESSNESS TO INCREASE HOUSING PERMANENCE AND STABILITY. | |
| HEALTHEAST FOUNDATION | ||||||||
| 1690 UNIVERSITY AVENUE 250 | ST PAUL | MN | 55104 | 411602044 | 501(C)(3) | $50,000 | DRIVEN BY KAREN CD TASKFORCE (KCDT) INPUT, THIS PROJECT SEEKS TO DEVELOP AND FIELD TEST A CULTURALLY-RELEVANT, BRIEF INTERVENTION AND CHEMICAL DEPENDENCY (CD) ASSESSMENT TOOLS FOR KAREN REFUGEES. | |
| 180 DEGREES INC | ||||||||
| 236 CLIFTON AVENUE | MINNEAPOLIS | MN | 55403 | 237153536 | 501(C)(3) | $50,000 | 180 DEGREES' SAFE AND SOUND CENTER FOR GIRLS PROVIDES SUPPORTIVE STAFF, SECURE SHELTER, AND INTEGRATED PHYSICAL, MENTAL AND CHEMICAL HEALTH PROGRAMMING FOR SEXUALLY TRAFFICKED AND EXPLOITED GIRLS AND YOUNG WOMEN. | |
| NORTHSIDE ACHIEVEMENT ZONE | ||||||||
| 2123 WEST BROADWAY AVE SUITE 100 | MINNEAPOLIS | MN | 55411 | 300238807 | 501(C)(3) | $50,000 | WE WILL EXPAND SUPPORT FOR ADDRESSING, MITIGATING AND PREVENTING BEHAVIORAL HEALTH CHALLENGES AMONG NAZ-ENROLLED NORTH MINNEAPOLIS FAMILIES THROUGH TRAINING AND INFRASTRUCTURE DEVELOPMENT, MOVING FROM A REACTIVE TO A PROACTIVE STANCE. | |
| TOUCHSTONE MENTAL HEALTH | ||||||||
| 2312 SNELLING AVENUE | MINNEAPOLIS | MN | 55404 | 411920740 | 501(C)(3) | $50,000 | EXPAND THE TOUCHSTONE HEALTH AND WELLNESS CENTER WITH THE QUADRANT IV INTEGRATED HEALTH INITIATIVE, INCLUDING HEALTH COACHING, TO IMPROVE BEHAVIORAL AND PHYSICAL HEALTH OUTCOMES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES. | |
| VAIL PLACE | ||||||||
| 23 - 9TH AVENUE SOUTH | HOPKINS | MN | 55343 | 411394766 | 501(C)(3) | $50,000 | A PARTNERSHIP BETWEEN VAIL PLACE AND NORTH MEMORIAL HEALTH CARE TO FULLY DEVELOP A TOTAL CARE COLLABORATIVE, A WHOLE-HEALTH MODEL OFFERING INTEGRATED MEDICAL AND BEHAVIORAL HEALTH CARE. | |
| YOUTHLINK | ||||||||
| 41 NORTH 12TH STREET | MINNEAPOLIS | MN | 55403 | 411341773 | 501(C)(3) | $50,000 | BASED ON IDENTIFIED GAPS IN THE CONTINUUM OF SERVICES, MENTAL HEALTH AND RELATED ANCILLARY CARE WILL BE INTEGRATED INTO YOUTHLINK'S DROP-IN CENTER FOR HOMELESS YOUTH. | |
| INTERMEDIATE SCHOOL DISTRICT 287 | ||||||||
| 1820 XENIUM LANE | PLYMOUTH | MN | 55441 | 410970130 | $50,000 | THE DISTRICT 287 TRAUMA-REACTIVE STUDENT PROJECT WILL ENGAGE CORNERSTONE TO PROVIDE PREVENTION AND SUPPORT SERVICES FOR SECA STUDENTS, USING A TRAUMA-INFORMED APPROACH TO PROMOTE EMOTIONAL REGULATION AND HEALTHY INTERACTIONS. | ||
| MARCH OF DIMES | ||||||||
| MINNESOTA CHAPTER | EDINA | MN | 55439 | 131846366 | 501(C)(3) | $50,000 | MEDICA FOUNDATION'S SUPPORT IS REQUESTED FOR YEAR ROUND PARTNERSHIP ON THREE VITAL EVENTS FOR MARCH OF DIMES - MARCH FOR BABIES, SIGNATURE CHEF EVENT, AND NURSE OF THE YEAR AWARDS 2016. | |
| COMMUNITY HEALTH CHARITIES | ||||||||
| 121 HENNEPIN AVENUE SOUTH | MINNEAPOLIS | MN | 55401 | 136167225 | 501(C)(3) | $41,970 | COMMUNITY HEALTH CHARITIES PARTNERS WITH NEARLY 200 MINNESOTA EMPLOYERS YEAR-ROUND TO ENGAGE MORE THAN 260,000 EMPLOYEES WITH THE HEALTH CAUSES OF OUR 38 WELL KNOWN AND TRUSTED MEMBER HEALTH CHARITIES. OUR MEMBERS INCLUDE HEALTH ORGANIZATIONS SUCH AS THE RONALD MCDONALD HOUSE, MARCH OF DIMES AND ST. JUDE CHILDREN'S RESEARCH HOSPITAL. | |
| GREATER TWIN CITIES UNITED WAY | ||||||||
| 404 SOUTH EIGHTH STREET | MINNEAPOLIS | MN | 55404 | 411973442 | 501(C)(3) | $33,030 | THIS GRANT TO UNITED WAY'S ANNUAL FUND WOULD SUPPORT HUMAN SERVICES FOR MORE THAN 500,000 PEOPLE IN THE REGION LIVING AT OR NEAR POVERTY. IT WOULD CREATE PATHWAYS OUT OF POVERTY THROUGH EDUCATION AND JOB TRAINING AND STRENGTHEN THE SAFETY NET TO PREVENT HUNGER, HOMELESSNESS, DOMESTIC VIOLENCE, AND HEALTH PROBLEMS. | |
| A CHANCE TO GROW | ||||||||
| 1800 SECOND STREET NE | MINNEAPOLIS | MN | 55418 | 411444113 | 501(C)(3) | $30,000 | WE WILL EXPAND THE MOBILE VISION PROGRAM SUPPORTED BY MEDICA LAST YEAR WITH HEAD START CENTERS IN MINNEAPOLIS AND RAMSEY COUNTIES TO PROVIDE EXAMS, GLASSES AND VISION CARE. | |
| CORNERHOUSE INTERAGENCY CHILD ABUSE EVALUATION AND TRAINING CENTER | ||||||||
| 2502 10TH AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 411640731 | 501(C)(3) | $30,000 | THE REDESIGNED CORNERHOUSE HOME VISITING PROGRAM WILL PROVIDE SIX MONTHS OF INTENSIVE IN-HOME CRISIS COUNSELING, PARENT EDUCATION, AND ADVOCACY SERVICES FOR CHILDREN AND FAMILIES RECOVERING FROM THE TRAUMA OF ABUSE. | |
| LAKES & PINES COMMUNITY ACTION COUNCIL INC | ||||||||
| 1700 MAPLE AVE EAST | MORA | MN | 55051 | 410900982 | 501(C)(3) | $30,000 | THE DENTAL DAYS PROGRAM BRINGS DENTAL CARE PROFESSIONALS INTO THE COMMUNITY WHERE THERE ARE VERY FEW OR NO DENTAL CARE PROFESSIONALS THAT WILL ACCEPT STATE ASSISTED DENTAL CARE. | |
| CHURCHES UNITED IN MINISTRY | ||||||||
| 102 W SECOND STREET | DULUTH | MN | 55802 | 411227969 | 501(C)(3) | $30,000 | SERVICES AND INTERVENTIONS FOR RECENTLY HOMELESS PARENTS AND THEIR CHILDREN AGED 0 TO 5, TO SUPPORT EARLY CHILDHOOD HEALTH, WITH A SPECIAL EMPHASIS ON CHILDREN FROM PRE-BIRTH TO AGE 1. | |
| PACT FOR FAMILIES COLLABORATIVE (PUTTING ALL COMMUNITIES TOGETHER) | ||||||||
| 2200 23RD ST NE SUITE 2030 | WILLMAR | MN | 56201 | 411857830 | $30,000 | PROJECT SUCCEED (SUPPORTING AND UNDERSTANDING CHILDREN'S COGNITIVE AND EMOTIONAL EARLY DEVELOPMENT) INTENDS TO INCREASE THE CAPACITY FOR PARENTS AND PROFESSIONALS TO RESPOND TO THE SOCIAL AND EMOTIONAL NEEDS OF CHILDREN. | ||
| CHILDREN'S DENTAL SERVICES | ||||||||
| 636 BROADWAY STREET NE | MINNEAPOLIS | MN | 55413 | 410857929 | 501(C)(3) | $30,000 | CDS WILL IMPLEMENT AN INNOVATIVE, EVIDENCED-BASED MEDICAL/DENTAL SERVICES INTEGRATION PROJECT. 1,000 LOW-INCOME CHILDREN AND PREGNANT WOMEN WILL RECEIVE MEDICAL AND DENTAL SERVICES IN NORTH MINNEAPOLIS AND NORTHWEST HENNEPIN COUNTY. | |
| ST DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT | ||||||||
| 3395 PLYMOUTH ROAD | MINNETONKA | MN | 55305 | 411429208 | 501(C)(3) | $30,000 | THE PROJECT EXPANDS ST. DAVID'S CENTER'S CHILDREN'S MENTAL HEALTH SERVICES INTO FAMILY SERVING AGENCIES AND CLASSROOM SETTINGS IN CARVER COUNTY AND THE ROBBINSDALE AREA. | |
| THE FAMILY PARTNERSHIP | ||||||||
| 414 SOUTH 8TH STREET | MINNEAPOLIS | MN | 55404 | 410693858 | 501(C)(3) | $30,000 | DEMONSTRATE A MODEL CURRENTLY UNAVAILABLE IN HIGH-QUALITY EARLY LEARNING/CHILDCARE FOR POVERTY-STRICKEN CHILDREN: THERAPY GROUPS IN CLASSROOMS FOR PRESCHOOLERS IMPEDED BY ADVERSITY; ENHANCE PARENTAL NURTURING AND BEHAVIOR MANAGEMENT; MEASURE OUTCOMES. | |
| WASHBURN CENTER FOR CHILDREN | ||||||||
| 1100 GLENWOOD AVENUE | MINNEAPOLIS | MN | 55405 | 410711618 | 501(C)(3) | $30,000 | WASHBURN CENTER'S DAY TREATMENT PROGRAM EXPANSION WILL PROVIDE EARLY MENTAL HEALTH INTERVENTION AND HELP CHILDREN AGES THREE TO NINE DEVELOP THE SOCIAL, EMOTIONAL AND BEHAVIORAL SKILLS NEEDED TO BE SUCCESSFUL. | |
| SIMPSON HOUSING SERVICES INC | ||||||||
| 2100 PILLSBURY AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | 411759477 | 501(C)(3) | $25,000 | FUNDING TO EXPAND EARLY CHILDHOOD PROGRAMMING FOR FAMILIES EXPERIENCING HOMELESSNESS. STAFF WILL WORK ONE-ON-ONE WITH FAMILIES TO ENCOURAGE HEALTHY DEVELOPMENT AND POSITIVE RELATIONSHIPS. | |
| BETTER FUTURES MINNESOTA | ||||||||
| 2620 MINNEHAHA AVENUE SOUTH | MINNEAPOLIS | MN | 55406 | 450550557 | 501(C)(3) | $10,000 | FURTHER DEVELOP AND ASSESS BETTER FUTURES' MENTAL HEALTH AND SUBSTANCE ABUSE INTEGRATED CARE STRATEGY FOR PARTICIPANTS WITH SERIOUS AND PERSISTENT MENTAL ILLNESS AND CO-OCCURRING BEHAVIORAL HEALTH CONDITIONS. | |
| AMERICAN RED CROSS | ||||||||
| 1201 WEST RIVER PARKWAY | MINNEAPOLIS | MN | 55454 | 530196605 | 501(C)(3) | $10,000 | THE HEROES BREAKFAST IS A FUNDRAISING/RECOGNITION EVENT TO HONOR AND ACKNOWLEDGE LOCALINDIVIDUALS WHO HAVE GONE ABOVE AND BEYOND THE CALL OF DUTY WITH A HEROIC ACT TO SAVE LIVES. SEVEN INDIVIDUALS ARE HONORED THROUGH DISTINCT AWARDS FOR THEIR ACTS OF BRAVERY. | |
| AMERICAN HEART ASSOCIATION | ||||||||
| 4701 WEST 77TH STREET | MINNEAPOLIS | MN | 55435 | 135613797 | 501(C)(3) | $7,500 | HEART DISEASE IS THE NO. 1 KILLER OF WOMEN, CAUSING 1 IN 3 DEATHS EACH YEAR. GO RED FOR WOMEN IS THE AMERICAN HEART ASSOCIATION'S SOLUTION TO SAVE WOMEN'S LIVES BY EDUCATING AND CONNECTING MILLIONS OF WOMEN OF ALL AGES. FUNDS PROVIDE EDUCATION AND RESEARCH FOR WOMEN. | |
| BRIDGES OF HOPE | ||||||||
| PO BOX 742 | BRAINERD | MN | 56401 | 721538846 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION | ||||||||
| 2500 VALLEYHIGH DRIVE NW | ROCHESTER | MN | 55901 | 411497753 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| ELY COMMUNITY RESOURCE INC | ||||||||
| 40 N 1ST AVE E | ELY | MN | 55731 | 411333048 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| LIGHT THE LEGACY | ||||||||
| 619 WEST ST GERMAIN SUITE 216 | ST CLOUD | MN | 56301 | 472673813 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| ACCESS NORTH CENTER FOR INDEPENDENT LIVING OF NORTHEASTERN MINNESOTA | ||||||||
| 1309 EAST 40TH STREET | HIBBING | MN | 55746 | 411425959 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| LUTHERAN SOCIAL SERVICE OF MINNESOTA | ||||||||
| 2485 COMO AVENUE | ST PAUL | MN | 55108 | 410872993 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| CENTRAL MN TASK FORCE ON BATTERED WOMEN | ||||||||
| PO BOX 367 | ST CLOUD | MN | 56302 | 411344743 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| LEISURE EDUCATION FOR EXCEPTIONAL PEOPLE INC | ||||||||
| 929 N 4TH ST | MANKATO | MN | 56001 | 411403190 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| BOYS & GIRLS CLUB OF ROCHESTER | ||||||||
| 1026 EAST CENTER STREET | ROCHESTER | MN | 55904 | 411945875 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| LUTHERAN SOCIAL SERVICE OF MINNESOTA | ||||||||
| 2485 COMO AVENUE | ST PAUL | MN | 55108 | 410872993 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| NORTH SHORE HORIZONS INC | ||||||||
| 127 7TH STREET | TWO HARBORS | MN | 55616 | 411451736 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| ADVOCACY AND INCLUSION MATTER OF WEST CENTRAL MINNESOTA | ||||||||
| 200 SW 4TH STREET SUITE 25 | WILLMAR | MN | 56201 | 416038594 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| WEST CENTRAL INDUSTRIES INC | ||||||||
| PO BOX 813 / 1300 22ND ST SW | WILLMAR | MN | 56201 | 410872939 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| GENERATIONS HEALTH CARE INITIATIVES | ||||||||
| 130 W SUPERIOR ST SUITE 700 | DULUTH | MN | 55802 | 412000473 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| INTERFAITH CAREGIVERS--FAITH IN ACTION IN FARIBAULT CO | ||||||||
| 415 SOUTH GROVE STREET SUITE 5 | BLUE EARTH | MN | 56031 | 261554757 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| ARC MIDSTATE | ||||||||
| PO BOX 251 | ST CLOUD | MN | 56302 | 237577023 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| CHILDREN'S DENTAL HEALTH SERVICES | ||||||||
| UNITED WAY BUILDING | ROCHESTER | MN | 55902 | 203677586 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| OUR SAVIOR'S LUTHERAN CHURCH | ||||||||
| 4831 GRAND AVE | DULUTH | MN | 55807 | 410907199 | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | ||
| YWCA OF MANKATO | ||||||||
| 127 SOUTH 2ND STREET SUITE 200 | MANKATO | MN | 56001 | 410711619 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| PROJECT LULU | ||||||||
| 2109 MINNESOTA AVENUE | DULUTH | MN | 55802 | 460856629 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| WEST CENTRAL INITIATIVE | ||||||||
| 1000 WESTERN AVE | FERGUS FALLS | MN | 56537 | 363453471 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| WELLSPRING FAITH IN ACTION | ||||||||
| 108 8TH ST S SUITE 7 | ST JAMES | MN | 56081 | 710949569 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| NORTHLAND FOUNDATION | ||||||||
| 202 WEST SUPERIOR STREET SUITE 610 | DULUTH | MN | 55802 | 411554455 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| THIRD STREET CLINIC | ||||||||
| 360 DIVISION AVENUE SUITE 200 | GRAND FORKS | ND | 58201 | 450433253 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| GRANITE FALLS LIVING AT HOMEBLOCK NURSE PROGRAM | ||||||||
| 752 PRENTICE STREET | GRANITE FALLS | MN | 56241 | 411971745 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| FAMILY RESOURCE CENTER ST CROIX VALLEY INC | ||||||||
| 857 MAIN ST | BALDWIN | WI | 54002 | 391943404 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| ASSUMPTION COMMUNITY SERVICES INC | ||||||||
| 615 1ST ST N | COLD SPRING | MN | 56320 | 800276405 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| MONTICELLO CHRISTIAN SOCIAL SERVICES INC | ||||||||
| PO BOX 1220 | MONTICELLO | MN | 55362 | 411668149 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| RANGE RESPITE PROJECT INC | ||||||||
| 1309 20TH STREET SOUTH | VIRGINIA | MN | 55792 | 411726790 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| KNUTE NELSON FOUNDATION | ||||||||
| 420 12TH AVENUE EAST | ALEXANDRIA | MN | 56308 | 411451486 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| FAMILY HEALTHCARE CENTER | ||||||||
| 301 NP AVENUE | FARGO | ND | 58102 | 450430628 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| CARE CLINIC | ||||||||
| 1407 W 4TH ST | RED WING | MN | 55066 | 270540451 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| PEARL BATTERED WOMEN'S RESOURCE CENTER | ||||||||
| 210 2ND AVENUE SW SUITE 104 | MILACA | MN | 56353 | 411706195 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| PROJECT CARE FREE CLINIC | ||||||||
| 3112 6TH AVENUE EAST | HIBBING | MN | 55746 | 273176137 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| HELPING HANDS OUTREACH | ||||||||
| 101 PLYMOUTH STREET | HOLDINGFORD | MN | 56340 | 010697213 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| VINE FAITH IN ACTION | ||||||||
| 421 EAST HICKORY STREET | MANKATO | MN | 56001 | 411802861 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| WOMEN'S HEALTH CENTER OF DULUTH PA | ||||||||
| 32 EAST FIRST STREET SUITE 300 | DULUTH | MN | 55802 | 411444270 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| HERO HEALTHCARE EQUIPMENT RECYCLING ORGANIZATION | ||||||||
| 5012 53RD STREET SOUTH SUITE C | FARGO | ND | 58104 | 450457109 | 501(C)(3) | $5,000 | SUPPORT HEALTH-RELATED PROGRAMMING CORE TO THE ORGANIZATION'S MISSION | |
| ISD 47 SAUK RAPIDSRICE | ||||||||
| 30 S 4TH AVENUE | SAUK RAPIDS | MN | 56379 | 416000219 | $5,000 | THRIVE WILL PROVIDE A TWO DAY TRAINING AND FOLLOW UP CONSULTATION FOR PROFESSIONALS TO ADDRESS NEEDS OF CHILDREN AGE THREE TO THIRD GRADE WHO HAVE EXPERIENCED TRAUMA OR TOXIC STRESS. | ||
| ASCENSION PLACE INC | ||||||||
| 1803 BRYANT AVENUE NORTH | MINNEAPOLIS | MN | 55411 | 411396238 | 501(C)(3) | $5,000 | THE PROJECT WILL SUPPORT CHILDREN'S HEALTHY DEVELOPMENT VIA INDOOR AND OUTDOOR EXPERIENCES THAT CONTRIBUTE TO DEVELOPING LANGUAGE, FINE AND GROSS MOTOR SKILLS, CREATIVITY, COGNITIVE SKILLS, BRAIN DEVELOPMENT AND PROBLEM SOLVING. | |
| PARTNERSHIP RESOURCES INC | ||||||||
| 1069 10TH AVENUE SE | MINNEAPOLIS | MN | 55414 | 410837660 | 501(C)(3) | $5,000 | GRANT FUNDS WILL SUPPORT THE THIRD REHABILITATES: MINNEAPOLIS-ST. PAUL DISABILITIES FILM FESTIVAL (RFF). SPECIFICALLY, FUNDS WILL ALSO HELP WITH THE MINNESOTA WORKERS OF ALL ABILITIES CHALLENGE. FUNDS WILL BE USED TO PROMOTE, EVALUATE, AND FACILITATE THE CHALLENGE AS THE KEY COMPONENT OF THE ONE TO TWO DAY FESTIVAL. | |
| AMERICAN CANCER SOCIETY | ||||||||
| MIDWEST DIVISION | MENDOTA HEIGHTS | MN | 551201158 | 410724036 | 501(C)(3) | $10,000 | THE AMERICAN CANCER SOCIETY MAKING STRIDES AGAINST BREAST CANCER WALK IS A POWERFUL EVENT TO RAISE AWARENESS AND FUNDS TO END BREAST CANCER. IT IS THE LARGEST NETWORK OF BREAST CANCER AWARENESS EVENTS IN THE NATION, UNITING NEARLY 300 COMMUNITIES TO FINISH THE FIGHT. | |
| NATIONAL ALLIANCE ON MENTAL ILLNESS - MINNESOTA | ||||||||
| 800 TRANSFER ROAD SUITE 31 | ST PAUL | MN | 55114 | 411317030 | 501(C)(3) | $5,000 | THE NAMIWALK IS THE LARGEST AWARENESS RAISING ANTI-STIGMA WALK IN THE STATE AND ONE OF THE LARGEST ACROSS THE COUNTRY. PEOPLE FROM ALL WALKS OF LIFE COME TOGETHER DEMONSTRATING SUPPORT FOR PEOPLE WHOSE LIVES ARE IMPACTED BY MENTAL ILLNESSES. | |
| ALZHEIMER'S ASSOCIATION MINNESOTA - NORTH DAKOTA | ||||||||
| 7900 WEST 78TH STREET SUITE 100 | MINNEAPOLIS | MN | 55439 | 411361624 | 501(C)(3) | $5,000 | SPONSOR THE WALK TO END ALZHEIMER'S, THE WORLD'S LARGEST EVENT TO RAISE AWARENESS AND FUNDS FOR ALZHEIMER'S CARE, SUPPORT AND RESEARCH. WALK TO END ALZHEIMER'S UNITES THE ENTIRE COMMUNITY - FAMILIES, FRIENDS, CO-WORKERS, SOCIAL GROUPS AND MORE IN A DISPLAY OF STRENGTH AND DEDICATION IN THE FIGHT AGAINST DEMENTIA. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 71 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK L BAIRD | ||||||||||||||
| TREASURER/CFO & SVP | $0 | $393,715 | $0 | $446,274 | $0 | $280,003 | $0 | $20,538 | $0 | $25,216 | $0 | $1,165,746 | $0 | $253,153 |
| JAMES P JACOBSON | ||||||||||||||
| SECRETARY/SVP | $0 | $280,785 | $0 | $296,199 | $0 | $58,128 | $0 | $19,213 | $0 | $26,296 | $0 | $680,621 | $0 | $34,948 |
| ROBERT LONGENDYKE | ||||||||||||||
| EXECUTIVE DIRECTOR/MHP SVP | $0 | $286,104 | $0 | $272,579 | $0 | $59,730 | $0 | $20,538 | $0 | $22,595 | $0 | $661,546 | $0 | $32,842 |
| DAVID TILFORD | ||||||||||||||
| PRESIDENT/CEO | $0 | $803,980 | $0 | $1,287,906 | $0 | $202,848 | $0 | $19,213 | $0 | $17,913 | $0 | $2,331,860 | $0 | $172,111 |
| GLENN E ANDIS | ||||||||||||||
| SVP | $0 | $326,901 | $0 | $343,403 | $0 | $73,225 | $0 | $20,538 | $0 | $25,858 | $0 | $789,925 | $0 | $46,395 |
| DEBBY S KNUTSON | ||||||||||||||
| SVP | $0 | $271,866 | $0 | $257,327 | $0 | $55,430 | $0 | $19,213 | $0 | $12,000 | $0 | $615,836 | $0 | $29,476 |
| JANA L JOHNSON | ||||||||||||||
| SVP | $0 | $286,751 | $0 | $313,106 | $0 | $63,448 | $0 | $20,538 | $0 | $24,822 | $0 | $708,665 | $0 | $38,481 |
| TIMOTHY D THULL | ||||||||||||||
| SVP | $0 | $301,450 | $0 | $293,235 | $0 | $112,299 | $0 | $19,213 | $0 | $25,220 | $0 | $751,417 | $0 | $53,951 |
| JOHN W NAYLOR | ||||||||||||||
| SVP | $0 | $369,515 | $0 | $522,755 | $0 | $135,586 | $0 | $55,054 | $0 | $28,805 | $0 | $1,111,715 | $0 | $110,669 |
| DANNETTE M COLEMAN | ||||||||||||||
| SVP | $0 | $299,239 | $0 | $248,366 | $0 | $55,569 | $0 | $20,538 | $0 | $9,313 | $0 | $633,025 | $0 | $20,945 |
| MARK WERNER MD | ||||||||||||||
| SVP | $0 | $155,088 | $0 | $336,465 | $0 | $35,807 | $0 | $39,088 | $0 | $9,926 | $0 | $576,374 | $0 | $0 |
| RICHARD H SYKORA | ||||||||||||||
| GM/VP | $0 | $239,971 | $0 | $211,535 | $0 | $46,490 | $0 | $20,538 | $0 | $22,884 | $0 | $541,418 | $0 | $22,288 |
| BARBARA LYNCH | ||||||||||||||
| VP | $0 | $244,155 | $0 | $167,219 | $0 | $46,530 | $0 | $14,307 | $0 | $21,506 | $0 | $493,717 | $0 | $0 |
| ANDREW E DAVIS | ||||||||||||||
| VP | $0 | $279,992 | $0 | $176,227 | $0 | $20,381 | $0 | $37,703 | $0 | $1,695 | $0 | $515,998 | $0 | $0 |
| GEOFFREY J BARTSH | ||||||||||||||
| VP | $0 | $238,609 | $0 | $222,796 | $0 | $28,990 | $0 | $36,340 | $0 | $27,294 | $0 | $554,029 | $0 | $6,278 |
| MARY QUIST | ||||||||||||||
| VP | $0 | $248,542 | $0 | $154,384 | $0 | $45,587 | $0 | $20,538 | $0 | $22,972 | $0 | $492,023 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MEDICA FOUNDATION, THE FILING ORGANZATION 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. |
| PART I, LINE 4B | THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA HEALTH PLANS, A RELATED ORGANIZATION: DAVID TILFORD $ 60,239 JAMES P JACOBSON $ 12,232 MARY QUIST $ 14,936 GLENN E ANDIS $ 16,238 TIMOTHY D THULL $ 41,166 DEBBY S KNUTSON $ 10,317 MARK L BAIRD $119,990 JANA L JOHNSON $ 13,468 JOHN W NAYLOR $ 50,865 DANNETTE M COLEMAN $ 11,975 RICHARD H SYKORA $ 7,801 BARBARA LYNCH $ 6,400 GEOFFREY J BARTSH $ 2,745 |
| PART I, LINE 6 | MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO OPERATING EARNINGS OF MEDICA HEALTH PLANS. |
| SCHEDULE J, PART II | SCHEDULE J, PART II, COLUMN (F), COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED IN PRIOR FORM 990: COLUMN (F) INCLUDES AMOUNTS VESTED IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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 OF FORM 990 WILL ALSO BE PRESENTED TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, 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, SECTION B, LINE 15 | 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, SECTION C, 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, COLUMN B | 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 SERVICS, 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICA HEALTH PLANS | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411242261 | HEALTH COVERAGE | MN | 501(C)(4) | MEDICA HOLDING COMPANY | 0 | ||
| MEDICA HEALTH PLANS OF WISCONSIN | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411843804 | HEALTH COVERAGE | MN | 501(C)(4) | MEDICA HOLDING COMPANY | 0 | ||
| MEDICA HOLDING COMPANY | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 010571840 | HOLDING COMPANY/NO ACTIVITY | MN | 501(C)(4) | 0 | N/A | ||
| MEDICA RESEARCH INSTITUTE | |||||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 270600894 | RESEARCH FOUNDATION | MN | 501(C)(3) | MEDICA HOLDING COMPANY | 0 | 509(A)(3) I | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MEDICA INSURANCE COMPANY | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411490988 | HEALTH INSURANCE | MN | MEDICA AFFILIATED SERVICES | C | 0 |
| MEDICA SELF-INSURED | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411479417 | THIRD PARTY ADMINISTRATOR | MN | MEDICA AFFILIATED SERVICES | C | 0 |
| MEDICA AFFILIATED SERVICES | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 411716415 | HOLDING COMPANY | MN | MEDICA HOLDING COMPANY | C | 0 |
| MEDICA HEALTH MANAGEMENT | |||||||||
| 401 CARLSON PARKWAY | MINNETONKA | MN | 55305 | 208005519 | HEALTH MANAGEMENT | MN | MEDICA AFFILIATED SERVICES | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEDICA HEALTH PLANS | ||
| C | $4,000,000 | ACTUAL AMOUNT |
| MEDICA HEALTH PLANS | ||
| N | $179,573 | ACTUAL AMOUNT |
| MEDICA HEALTH PLANS | ||
| O | $257,397 | ACTUAL AMOUNT |
| MEDICA HEALTH PLANS | ||
| P | $94,065 | ACTUAL AMOUNT |
Comments