LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY (EIN 90-0962741)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-10
IRS object ID
201643159349301014
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

FieldValueIRS element (for citing)
Return2016-11-10T07:32:16-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S High St Suite 100AddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900962741EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAND OF LINCOLNBusinessNameLine1Txt
Business Name Line2MUTUAL HEALTH INSURANCE COMPANYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLANDBusinessNameControlTxt
Phone3129066100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 S RIVERSIDE PLAZA No 1600AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUGLAS HARRELLPersonNm
Person TitleCFOPersonTitleTxt
Phone3129066100PhoneNum
Signature2016-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBERNIE OSTROWSKIPreparerPersonNm
PTINP00366367PTIN
Phone6148493000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOUGLAS HARRELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 S RIVERSIDE PLAZA No 1600AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$163,779,077GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresshttps://www.landoflincolnhealth.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE CO-OP IS TO PROVIDE ITS MEMBERS HIGH QUALITY HEALTHCARE WHILE LOWERING THEIR COSTS THROUGH A MOVEMENT TOWARD CLINICAL INTEGRATION AND CARE EFFICIENCIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$11,411,645PYProgramServiceRevenueAmt
CY Program Service Revenue$147,555,046CYProgramServiceRevenueAmt
PY Investment Income$710,958PYInvestmentIncomeAmt
CY Investment Income$443,609CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,122,603PYTotalRevenueAmt
CY Total Revenue$147,998,655CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$16,300,880PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,096,481PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,992,154CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,006,932PYOtherExpensesAmt
CY Other Expenses$224,450,037CYOtherExpensesAmt
PY Total Expenses$32,404,293PYTotalExpensesAmt
CY Total Expenses$239,442,191CYTotalExpensesAmt
PY Revenues Less Expenses-$20,281,690PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$91,443,536CYRevenuesLessExpensesAmt
Total Assets BOY$56,759,127TotalAssetsBOYAmt
Total Assets EOY$108,001,718TotalAssetsEOYAmt
Total Liabilities BOY$24,838,319TotalLiabilitiesBOYAmt
Total Liabilities EOY$77,165,372TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,920,808NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,836,346NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE CO-OP IS TO PROVIDE ITS MEMBERS HIGH QUALITY HEALTHCARE WHILE LOWERING THEIR COSTS THROUGH A MOVEMENT TOWARD CLINICAL INTEGRATION AND CARE EFFICIENCIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescLAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY (LLH) IS A NON-PROFIT CONSUMER OPERATED AND ORIENTED PLAN DESIGNED TO CREATE AND MANAGE AN AFFORDABLE, ACCESSIBLE AND ACCOUNTABLE CONSUMER-CENTRIC HEALTH COOPERATIVE IN THE STATE OF ILLINOIS THAT CREATES A NEW COMPETITIVE PRESENCE IN THE INSURANCE MARKETPLACE UNDER THE AUSPICES OF THE AFFORDABLE CARE ACT.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Licensed More Than One State0LicensedMoreThanOneStateInd
State Required Reserves$1,500,000StateRequiredReservesAmt
Reserves Maintained$30,836,346ReservesMaintainedAmt
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOUGLAS HARRELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3129066100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 S RIVERSIDE PLAZA STE 1600AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN SCANLAN
CHAIRMAN4.000.00Yes (X)Yes (X)$0$0$0
JUAN SALGADO
VICE CHAIRMAN4.000.00Yes (X)Yes (X)$3,021$0$0
VINCENT PRYOR
TREASURER4.000.00Yes (X)Yes (X)$3,902$0$0
MELINDA KELLY
SECRETARY4.000.00Yes (X)Yes (X)$6,700$0$0
LARRY DONALDSON
DIRECTOR4.000.00Yes (X)$6,277$0$0
KEITH KUDLA
DIRECTOR4.000.00Yes (X)$3,737$0$0
JASON SCIARRO
DIRECTOR4.000.00Yes (X)$2,897$0$0
J TODD PHILLIPS
DIRECTOR4.000.00Yes (X)$11,002$0$0
ELLIOT RICHARDSON
DIRECTOR4.000.00Yes (X)$0$0$0
TRISHA HOMANS
DIRECTOR4.000.00Yes (X)$1,361$0$0
RICHARD BUCHLER
DIRECTOR4.000.00Yes (X)$0$0$0
DANIEL YUNKER
CEO20.000.00Yes (X)$213,438$0$0
BRIAN MAUDE
CFO20.000.00Yes (X)$33,101$0$247
PATRICK SHANNON
CFO40.000.00$151,838$0$1,603Yes (X)
JASON MONTRIE
PRESIDENT40.000.00$452,563$0$0Yes (X)
BARBARA LOEB
CMO40.000.00$358,130$0$6,864Yes (X)
MONICA KATZ
VP, OPERATIONS40.000.00$251,816$0$8,537Yes (X)
CHRISTOPHER WILEY
MARKET PRACTICE LEADER, SALES40.000.00$248,069$0$4,034Yes (X)
SHAWN DORGAN
VP, SALES40.000.00$215,696$0$0Yes (X)
ANDREA CHRISTOPHERSON
CHIEF ACTUARY40.000.00$185,480$0$9,195Yes (X)
AMANDA LOTT
CP, MEMBER EXPERIENCE40.000.00$192,681$0$186Yes (X)
MEGAN SCHAAR
SALES40.000.00$168,203$0$766Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,509,912TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$31,432TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CATAMARAN PBM OF ILLINOIS INC
2441 WARRENVILLE RD STE 610LISLEIL60532PHARMACY BENEFIT MANAGEMENT SERVICES$30,879,095
MCHC - SERVICE CORPORATION
222 SOUTH RIVERSIDE PLAZA STE 1900CHICAGOIL60606MEMBERSHIP AND SERVICE ORGANIZATION$13,356,135
VALENCE HEALTH INC
540 W MADISON ST STE 1500CHICAGOIL60661TECHNOLOGY SOLUTIONS$10,665,094
BEECHER CARLSON INSURANCE SERVICES LLC
321 NORTH CLARK STREETCHICAGOIL60654RISK MANAGEMENT$4,348,502
MULTIPLAN INC
115 FIFTH AVENUENEW YORKNY10003COST MANAGEMENT SERVICES$1,210,198
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PREMIUMS EARNEDDesc
Business524114BusinessCd
Total Revenue Column$147,555,046TotalRevenueColumnAmt
Related Or Exempt Func Income$147,555,046RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$147,555,046TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$813,079TotalRevenueColumnAmt
Exclusion$813,079ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$15,410,952OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$15,780,422OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$369,470OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$369,470TotalRevenueColumnAmt
Exclusion-$369,470ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,998,655TotalRevenueColumnAmt
Related Or Exempt Func Income$147,555,046RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$443,609ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,530,264TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,336,319TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,455,427TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$670,144TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$570,408TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$405,247TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,914,526TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$425,782TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,180,381TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,320,981TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$687,436TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,132TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$217,158TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$244,690TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$222,190TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
HOSPITAL/MEDICAL BENEFI$143,134,303
PRESCRIPTION DRUGS$39,213,190
EMERGENCY ROOM AND OUT-$16,826,152
CLAIMS ADJUSTMENT EXPEN$12,514,690

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$5,498,229TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$239,442,191TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,110,093EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,024,212BOYAmt
EOY$6,028,023EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,648,225BOYAmt
EOY$45,338,943EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,086,690BOYAmt
EOY$46,524,659EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,759,127BOYAmt
EOY$108,001,718EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,879,546BOYAmt
EOY$35,737,081EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,341,363BOYAmt
EOY$8,486,768EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$16,878,391BOYAmt
EOY$15,918,314EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$739,019BOYAmt
EOY$17,023,209EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,838,319BOYAmt
EOY$77,165,372EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$31,920,808BOYAmt
EOY$31,920,808EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY-$1,084,462EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,920,808BOYAmt
EOY$30,836,346EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,759,127BOYAmt
EOY$108,001,718EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$91,443,536ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,243NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$90,351,831OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PREMIUM DEFICIENCY RESERVE$11,900,000
SUSPENSE LIABILITY$13,868
CEDED REINSURANCE PREMIUMS PAYABLE$1,360,964
GENERAL EXPENSE AND TAXES DUE OR ACCRUED$3,748,377
FieldValueIRS element (for citing)
Total Liability$17,023,209TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$148,000,024TotalRevEtcAuditedFinclStmtAmt
Other Revenue$1,369OtherRevenueAmt
Revenue Not Reported$1,369RevenueNotReportedAmt
Revenue Subtotal$147,998,655RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$147,998,655TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$239,443,560TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,369OtherExpensesIncludedAmt
Expenses Not Reported$1,369ExpensesNotReportedAmt
Expenses Subtotal$239,442,191ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$239,442,191TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:INCOME TAXES- THE COMPANY IS CURRENTLY ORGANIZED AS A NOT-FOR-PROFIT ORGANIZATION IN THE STATE OF ILLINOIS. SECTION 501(C)(29), ADDED TO THE CODE BY SECTION 1322(H)(I) OF THE AFFORDABLE CARE ACT, PROVIDES FOR THE EXEMPTION OF QUALIFIED NONPROFIT HEALTH INSURANCE ISSUERS (QNHIIS) THAT HAVE RECEIVED A LOAN OR GRANT UNDER THE CMS CO-OP PROGRAM FOR PERIODS IN WHICH THEY MEET BOTH THE REQUIREMENTS OF SECTION 1322 OF THE AFFORDABLE CARE ACT AND OF ANY LOAN AGREEMENT WITH CMS. DURING 2013, THE COMPANY RECEIVED A DETERMINATION LETTER FROM THE IRS GRANTING IT 501(C)(29) TAX-EXEMPT STATUS. THE EFFECTS OF TAX POSITIONS ARE GENERALLY RECOGNIZED IN THE STATUTORY FINANCIAL STATEMENTS, CONSISTENT WITH AMOUNTS REFLECTED IN RETURNS FILED, OR EXPECTED TO BE FILED, WITH TAXING AUTHORITIES. AS OF DECEMBER 31, 2015 AND 2014, THE COMPANY IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS.
Part XI, Line 2d - Other Adjustments:REVENUES RELATING TO MISC EXPENSES 1,369.
Part XII, Line 2d - Other Adjustments:REVENUE RELATING TO MISC EXPENSES 1,369.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL YUNKER
CEO$150,000$0$63,438$0$0$0$0$0$0$0$213,438$0$0$0
PATRICK SHANNON
CFO$142,135$0$0$0$9,703$0$0$0$1,603$0$153,441$0$0$0
JASON MONTRIE
PRESIDENT$368,333$0$68,697$0$15,533$0$0$0$0$0$452,563$0$0$0
BARBARA LOEB
CMO$290,000$0$26,250$0$41,880$0$0$0$6,864$0$364,994$0$0$0
MONICA KATZ
VP, OPERATIONS$196,893$0$39,293$0$15,630$0$0$0$8,537$0$260,353$0$0$0
CHRISTOPHER WILEY
MARKET PRACTICE LEADER, SALES$112,920$0$37,164$0$97,985$0$0$0$4,034$0$252,103$0$0$0
SHAWN DORGAN
VP, SALES$185,955$0$14,625$0$15,116$0$0$0$0$0$215,696$0$0$0
ANDREA CHRISTOPHERSON
CHIEF ACTUARY$170,000$0$0$0$15,480$0$0$0$9,195$0$194,675$0$0$0
AMANDA LOTT
CP, MEMBER EXPERIENCE$147,500$0$14,063$0$31,118$0$0$0$186$0$192,867$0$0$0
MEGAN SCHAAR
SALES$142,155$0$22,951$0$3,097$0$0$0$766$0$168,969$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationCOMPENSATION TO EMPLOYEES OF LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY IS PAID BY AN UNRELATED MANAGEMENT COMPANY. THE MANAGEMENT AGREEMENT IS AN ARM'S LENGTH TRANSACTION AND COMPENSATION IS SET BY THE MANAGEMENT COMPANY BASED ON OTHER ORGANIZATIONS' FORMS 990 AND COMPENSATION SURVEY RESULTS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BRENDAN SCANLAN
FAMILY MEMBER OF BOARD CHAIRMAN, KEVIN SCANLAN$50,226EMPLOYEE COMPENSATION0
PARSON PARTNERS LLC
BOARD MEMBER J. TODD PHILLIPS OWNS BUSINESS$106,700STRATEGIC CONSULTING0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 13aIL
Form 990, Part V, Line 13aTHE COOPERATIVE IS LICENSED TO ISSUE QUALIFIED HEALTH PLANS IN ILLINOIS AND IS REQUIRED TO MAINTAIN RESERVES OF $1,500,000 AND HAD $31,479,713 ON HAND AT YEAR-END.
Form 990, Part VI, Section A, line 3PURSUANT TO A MANAGEMENT AGREEMENT, METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) PROVIDES SUPPORT SERVICES TO LAND OF LINCOLN MUTUAL HEALTH INSURANCE COMPANY (LLH), INCLUDING FINANCIAL AND ACCOUNTING MANAGEMENT, HUMAN RESOURCES, PUBLIC RELATIONS, AND ENTERPRISE TECHNOLOGY. MCHC ALSO PROVIDES LLH WITH A COMPREHENSIVE SET OF EXECUTIVE MANAGERS, AS APPROVED BY THE LLH'S BOARD, AND SUCH OPERATIONAL PERSONNEL NEEDED TO PERFORM ALL THE NECESSARY MANAGEMENT ACTIVITIES OF LLH.
Form 990, Part VI, Section A, line 6LLH IS ORGANIZED AS A NOT-FOR-PROFIT COMPANY WITH A SINGLE CLASS OF MEMBERS. MEMBERS SHALL BE EACH INSURED INDIVIDUAL, EIGHTEEN YEARS OR OLDER, UNDER AN INDIVIDUAL OR GROUP POLICY OF HEALTH INSURANCE ISSUED BY LLH. THE INITIAL MEMBERS PRIOR TO ISSUANCE OF INSURANCE SHALL BE THE INCORPORATORS OF LLH.
Form 990, Part VI, Section A, line 7aEACH MEMBER SHALL VOTE FOR OPEN SEATS ON THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE MEMBERS SHALL BE ENTITLED TO A SINGLE VOTE FOR EACH OPEN POSITION ON THE BOARD OF DIRECTORS DURING AN ELECTION.
Form 990, Part VI, Section B, line 11NO REVIEW WILL BE CONDUCTED AS THE ENTITY IS IN THE PROCESS OF LIQUIDATION.
Form 990, Part VI, Section B, line 12cTHE COMPANY HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT REQUIRES DIRECTORS, OFFICERS AND KEY EMPLOYEES TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THE ANNUAL DISCLOSURE REQUIRES DIRECTORS, OFFICERS AND KEY EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT TRANSACTS BUSINESS WITH THE COMPANY. IN ADDITION, DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT ARISES MID-YEAR IN RELATION TO A PROPOSED TRANSACTION. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY INDIVIDUAL WITH A CONFLICT BE RECUSED FROM THE DECISION MAKING PROCESS, THAT INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS DETERMINE THAT THE PROPOSED TRANSACTION IS IN THE BEST INTEREST OF THE COMPANY, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF THE INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICIPATION OF ANY INTERESTED INDIVIDUAL. THE ANNUAL CONFLICT DISCLOSURE STATEMENTS ARE SUBMITTED TO, AND REVIEWED BY, THE AUDIT COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADDITION, THE EXECUTIVE STAFF IS RESPONSIBLE FOR MONITORING ANY POSSIBLE CONFLICT TRANSACTIONS THAT ARISE AND MANAGING THEM TO ENSURE THAT ALL TRANSACTIONS REPRESENT ARM'S LENGTH, FAIR MARKET VALUE TERMS FOR THE BENEFIT OF THE COMPANY.
Form 990, Part VI, Section C, line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, EITHER AS A PRINTED OR ELECTRONIC COPY, FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).
Form 990, Part XI, line 9:CHANGE IN NONADMITTED ASSETS -1,877,028. CHANGE IN SURPLUS NOTES 92,227,365. AGGREGATE WRITE-INS FOR GAINS/(LOSSES) IN SURPLUS 1,494.
Form 990, Part XII, Line 1:THE STATUTORY FINANCIAL STATEMENTS HAVE BEEN PREPARED IN ACCORDANCE WITH THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC) ACCOUNTING PRACTICES AND PROCEDURES MANUAL AND THE STATUTORY ACCOUNTING PRINCIPLES AS PRESCRIBED BY THE ILLINOIS DEPARTMENT OF INSURANCE. STATUTORY ACCOUNTING PRINCIPLES ARE DESIGNED PRIMARILY TO DEMONSTRATE THE COMPANY'S ABILITY TO MEET THE CLAIMS OF POLICYHOLDERS. THERE ARE NO DIFFERENCES BETWEEN NAIC AND THE STATE OF ILLINOIS ACCOUNTING PRACTICES WITH REGARDS TO THE PREPARATION OF THE COMPANY'S STATUTORY FINANCIAL STATEMENTS.
Form 990, Part XII, Line 2c:THE BOARD OF DIRECTORS SELECTS AN INDEPENDENT ACCOUNTANT DURING A PROPOSAL PROCESS. THE ACCOUNTANT PRESENTS THE FINAL COPY OF THE FINANCIAL STATEMENTS TO THE BOARD. THE BOARD REVIEWS AND VOTES TO APPROVE THE STATEMENTS AS PRESENTED.

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