MEDICA HEALTH PLANS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MEDICA HEALTH PLANS (EIN 41-1242261)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201443219349307034
Schema version
2013v3.0
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)
Return2014-11-17T13:56:13-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1801 NICOLLET MALL SUITE 1100AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411242261EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEDICA HEALTH PLANSBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMEDIBusinessNameControlTxt
Phone9529922058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP 330AddressLine1
CityMINNETONKACity
StateMNState
ZIP Code55305ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK L BAIRDPersonNm
Person TitleCFOPersonTitleTxt
Phone9529922058PhoneNum
Signature2014-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTODD A JACKSONPreparerPersonNm
PTINP00092672PTIN
Phone6123324300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID TILFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP 330AddressLine1
CityMINNETONKACity
StateMNState
ZIP Code55305ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,652,886,943GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.MEDICA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionMEDICA'S MISSION IS TO MEET OUR CUSTOMERS' NEED FOR HEALTH PLAN PRODUCTS AND SERVICES. IN DOING SO, WE WORK WITH OUR MEMBERS AND PROVIDERS TO MAKE HEALTH CARE ACCESSIBLE, AFFORDABLE AND A MEANS BY WHICH OUR MEMBERS IMPROVE THEIR HEALTH.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee1569TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$4,616,556TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$4,203,603NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,739,770,823PYProgramServiceRevenueAmt
CY Program Service Revenue$1,396,459,145CYProgramServiceRevenueAmt
PY Investment Income$17,703,859PYInvestmentIncomeAmt
CY Investment Income$14,125,222CYInvestmentIncomeAmt
PY Other Revenue$837,299PYOtherRevenueAmt
CY Other Revenue$1,888,065CYOtherRevenueAmt
PY Total Revenue$1,758,311,981PYTotalRevenueAmt
CY Total Revenue$1,412,472,432CYTotalRevenueAmt
PY Grants And Similar Paid$11,218,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,254,801CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,448,611,093PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,204,147,936CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$107,801,496PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$111,121,112CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$146,196,590PYOtherExpensesAmt
CY Other Expenses$100,265,009CYOtherExpensesAmt
PY Total Expenses$1,713,827,479PYTotalExpensesAmt
CY Total Expenses$1,416,788,858CYTotalExpensesAmt
PY Revenues Less Expenses$44,484,502PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,316,426CYRevenuesLessExpensesAmt
Total Assets BOY$681,817,662TotalAssetsBOYAmt
Total Assets EOY$686,464,242TotalAssetsEOYAmt
Total Liabilities BOY$239,757,907TotalLiabilitiesBOYAmt
Total Liabilities EOY$281,950,229TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$442,059,755NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$404,514,013NetAssetsOrFundBalancesEOYAmt
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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,184,696,756ExpenseAmt
Revenue$1,230,893,746RevenueAmt
DescMEDICA HEALTH PLANS (MHP) IN 2013 PROVIDED NONPROFIT 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 130,007 MEDICA MEMBERS - 91.9% OF MHP'S TOTAL ENROLLMENT - WERE IN MINNESOTA STATE PROGRAMS AS OF 12/31/2013. THERE WERE 85,195 PREPAID MEDICAL ASSISTANCE (MEDICAID) MEMBERS, 26,959 MINNESOTACARE MEMBERS, AND 17,853 SPECIAL NEEDS BASIC CARE MEMBERS.IN 2013 MEDICA HEALTH PLANS ACHIEVED THE HIGHEST RANKINGS IN MINNESOTA FROM THE NCQA. THAT RANKING PLACED MHP AMONG THE TOP 11 MEDICAID HMO PLANS IN THE UNITED STATES. MEDICA HEALTH PLANS HAS BEEN IN THE TOP 20 OF NCQA'S ANNUAL RANKINGS OF U.S. HEALTH INSURERS SINCE 2005.IN 2013 MEDICA HEALTH PLANS MINNESOTA MEDICAID HMO WAS ACCREDITED BY THE NCQA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,488,104ExpenseAmt
Revenue$13,342,938RevenueAmt
DescIN 2013 MHP PROVIDED FULLY INSURED COMMERCIAL HMO HEALTH INSURANCE COVERAGE TO GROUPS AND INDIVIDUALS IN MINNESOTA. AS OF 12/31/2013, THE ENROLLMENT IN MHP FULLY INSURED MINNESOTA GROUP PLANS WAS 1,092. MHP IN 2013 INSURED 66 PERSONS WHOSE COVERAGE WAS CONVERTED FROM GROUP INSURANCE TO INDIVIDUAL INSURANCE.THE 1,158 TOTAL FOR PERSONS WITH FULLY INSURED COVERAGE REPRESENTED 0.8% OF MHP'S TOTAL ENROLLMENT AS OF 12/31/2013.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,963,076ExpenseAmt
Revenue$1,379,150RevenueAmt
DescIN 2013 MHP PROVIDED MEDICARE-RELATED PRODUCTS IN MINNESOTA. ENROLLMENT IN THOSE PRODUCTS WAS 10,234 OR 7.2% OF MHP'S TOTAL ENROLLMENT. MHP'S MEDICARE-RELATED MEMBERSHIP IN MINNESOTA INCLUDED 9,800 MEMBERS WITH MINNESOTA SENIOR HEALTH OPTIONS (MSHO) COVERAGE, FOR PEOPLE AGE 65 AND OLDER AND ELIGIBLE FOR BOTH MEDICARE AND MEDICAID; 229 MEMBERS WITH MEDICARE ADVANTAGE SPECIAL NEEDS PLAN COVERAGE FOR SENIORS WITH CHRONIC CONDITIONS; AND 205 MEMBERS WITH MEDICARE SUPPLEMENTAL AND PRIVATE FEE FOR SERVICE (PFFS) COVERAGE.THE PRIVATE FEE-FOR-SERVICE (PFFS) PRODUCTS UNDER CMS CONTRACT INCLUDE A VARIETY OF CO-PAY PLANS, PLANS WHICH COVER MEDICAL ONLY, AND PLANS THAT INCLUDE PRESCRIPTION DRUG COVERAGE. THESE PLANS UTILIZE A DEEMED NETWORK WHERE ALL MEDICARE CERTIFIED PROVIDERS MAY BE UTILIZED, AS LONG AS THEY AGREE TO MEDICARE PAYMENT ASSIGNMENT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,254,801ExpenseAmt
Grant$1,254,801GrantAmt
Revenue$146,531,129RevenueAmt
DescMEDICA HEALTH PLANS (MHP) AND COMMUNITY BENEFIT - MEDICA HEALTH PLANS (MHP) IS LICENSED UNDER MINNESOTA STATUTES CHAPTER 62D AS A MINNESOTA NONPROFIT HEALTH MAINTENANCE ORGANIZATION (HMO), REGULATED BY THE MINNESOTA DEPARTMENT OF HEALTH (MDH). IT IS INCORPORATED AS A NONPROFIT ORGANIZATION UNDER MINNESOTA STATUTES CHAPTER 317A. MHP IS AUTHORIZED TO PROVIDE PREPAID COMPREHENSIVE HMO SERVICES AND IN 2013 DID SO TO THREE MARKET SEGMENTS: 1) STATE OF MINNESOTA HEALTH CARE PROGRAMS; 2) COMMERCIAL FULLY INSURED GROUPS AND INDIVIDUALS CONVERTED FROM GROUP PLANS; AND 3) MEDICARE (THESE THREE PROGRAMS ARE EXPLAINED IN MORE DETAIL IN PSA'S 4A, B & C).TO MEET ITS MISSION AND ITS TAX-EXEMPT OBLIGATION AS AN ORGANIZATION DESCRIBED UNDER IRC 501(C)(4), MHP PROVIDED SIGNIFICANT COMMUNITY BENEFITS.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.AS OF 12/31/2013, 91.9% OF MHP ENROLLMENT WAS IN STATE OF MINNESOTA HEALTH CARE PROGRAMS (COVERED IN PSA 4A & 4B). THE TOTAL ENROLLMENT WAS 130,007. THE STATE OF MINNESOTA SETS 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. MEDICA HEALTH PLAN'S 2013 PERFORMANCE ON BEHALF OF THE STATE OF MINNESOTA WAS EFFICIENT WITH MORE THAN 96-CENTS OF EACH STATE PROGRAM DOLLAR SPENT TO PROVIDE CARE. CONTRIBUTIONS BY MEDICA ON BEHALF OF MEMBERS BEYOND CONTRACTED SERVICES - IN 2013 MHP SPENT $11.21 MILLION TO PROVIDE ADDITIONAL, BEYOND-CONTRACT SUPPORT ON BEHALF OF MEDICAL ASSISTANCE, MINNESOTACARE, MEDICARE SPECIAL NEEDS PLANS, SPECIAL NEEDS BASIC CARE PLAN MEMBERS AND OTHER MINNESOTA HEALTH CARE PROGRAM MEMBERS. 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. MEDICA ANNUALLY HELPS FUND A NUMBER OF COLLABORATIVE EDUCATION AND TRAINING SEMINARS AND CONFERENCES IN ITS SERVICE AREA.HEALTH AND WELLNESS PROGRAMS PROVIDING COMMUNITY BENEFIT - MEDICA ANNUALLY UNDERTAKES A VARIETY OF INITIATIVES TO MAKE HEALTH CARE MORE AFFORDABLE, AVAILABLE AND EFFECTIVE. EXAMPLES OF PERFORMANCE AND VALUE INCLUDE IMPROVING CARE EFFICIENCY, REDUCING THE COST OF CARE, REDUCTION IN ER VISITS, REDUCTION IN HOSPITAL ADMISSIONS, IMPROVE THE OUTCOMES OF CARE, IMPROVED A1C, CHOLESTEROL LEVELS, INCREASED PARTICIPATION IN EXERCISE AND NUTRITION PROGRAMS, AND IMPROVED MEDICATION MANAGEMENT.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 2013 THE CORE MY HEALTH REWARDS FROM MEDICA PROGRAM WAS PROVIDED AT NO ADDITIONAL CHARGE TO FULLY INSURED GROUPS. 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 2013 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.NOTE - THE AMOUNT OF REVENUE REPORTED IN PROGRAM 4D IN THE AMOUNT OF $146,531,129 IS RELATED TO ALLOCATION OF EXPENSES TO RELATED ORGANIZATIONS, AND IS ALREADY REPORTED IN COLUMN C OF THE FUNCTIONAL EXPENSES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,254,801TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,254,801TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$146,531,129TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,205,402,737TotalProgramServiceExpensesAmt
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document250IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1569EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY QUISTBusinessNameLine1
FieldValueIRS element (for citing)
Phone9529922058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 CARLSON PARKWAY CP330AddressLine1
CityMINNETONKACity
StateMNState
ZIP Code55305ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN BUCK
CHAIR15.00Yes (X)Yes (X)$105,500$0$0
ESTHER TOMLJANOVICH
VICE CHAIR10.00Yes (X)Yes (X)$72,500$0$0
KRIS SANDA
SECRETARY10.00Yes (X)Yes (X)$70,250$0$0
DAVID TILFORD
PRESIDENT/CEO40.00Yes (X)Yes (X)$1,494,977$0$34,565
PETER KELLY MD
DIRECTOR10.00Yes (X)$68,000$0$0
AARON L REYNOLDS
EVP/TREASURER/CFO40.00Yes (X)$818,082$0$35,746
JAMES P JACOBSON
SVP40.00Yes (X)$456,056$0$45,228
JANA L JOHNSON
SVP40.00$667,847$0$40,451Yes (X)
GLENN E ANDIS
SVP40.00$519,793$0$44,459Yes (X)
ROBERT LONGENDYKE
SVP40.00$434,534$0$40,045Yes (X)
DEBBY S KNUTSON
SVP40.00$423,430$0$25,436Yes (X)
MARK L BAIRD
SVP40.00$484,895$0$42,290Yes (X)
TIMOTHY D THULL
SVP40.00$415,998$0$52,944Yes (X)
JOHN W NAYLOR
SVP40.00$540,107$0$78,466Yes (X)
MARK WERNER
SVP40.00$420,971$0$47,931Yes (X)
THEODORE J LOFTNESS
VP & MEDICAL DIRECTOR40.00$398,614$0$41,301Yes (X)
RICHARD H SYKORA
GM/VP40.00$466,723$0$38,322Yes (X)
DANNETTE M COLEMAN
GM/VP40.00$380,277$0$33,164Yes (X)
THOMAS JIM GUYN MD
VP40.00$399,119$0$37,976Yes (X)
BARBARA LYNCH
VP40.00$360,771$0$31,842Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,998,444TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$670,166TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K212IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
UNITED HEALTHCARE SERVICES INC
9900 BREN DR E MN008-T380MINNETONKAMN55343CLAIMS PROCESSING$91,488,680
DAHL CONSULTING INC
418 COUNTY ROAD D EST PAULMN55117TEMP SERVICES$11,640,862
NTT DATA INC
5601 GRANITE PARKWAY SUITE 1000PLANOTX75024TECHNOLOGY SERVICES$9,258,416
HEALTHEDGE SOFTWARE INC
30 CORPORATE DRBURLINGTONMA01803TECHNOLOGY SERVICES$3,666,312
CONCORD INC
509 2ND AVE SHOPKINSMN55343TECHNOLOGY SERVICES$783,837
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K34CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAID REVENUE524114$1,230,893,764$1,230,893,764
INTERCOMPANY ADMIN FEES561000$146,531,129$146,531,129
GROUP & INDIVIDUAL PREMIUMS524114$13,405,646$9,095,247$4,310,399
DENTAL REVENUE541900$4,249,456$4,249,456
MEDICARE REVENUE524114$1,379,150$1,379,150
FieldValueIRS element (for citing)
Total Program Service Revenue$1,396,459,145TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,712,848TotalRevenueColumnAmt
Exclusion$11,712,848ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,549,714RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,966,023RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,583,691RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,583,691TotalRevenueColumnAmt
Exclusion$1,583,691ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$238,860,862SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$236,448,488SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,412,374SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,412,374TotalRevenueColumnAmt
Exclusion$2,412,374ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICA TAX PARTNERSHIP900099$306,157$306,157
MN EXCHANGE PARTNERSHIP561499-$1,783-$1,783
FieldValueIRS element (for citing)
Other Revenue Total$304,374OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,412,472,432TotalRevenueColumnAmt
Related Or Exempt Func Income$1,392,146,963RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,616,556UnrelatedBusinessRevenueAmt
Exclusion$15,708,913ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,254,801TotalAmt
Program Services$1,254,801ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$1,204,147,936TotalAmt
Program Services$1,204,147,936ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,480,501TotalAmt
Management And General$7,480,501ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$81,770,969TotalAmt
Management And General$81,770,969ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,606,856TotalAmt
Management And General$5,606,856ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,640,574TotalAmt
Management And General$9,640,574ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,622,212TotalAmt
Management And General$6,622,212ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,313,836TotalAmt
Management And General$1,313,836ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$456,000TotalAmt
Management And General$456,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$523,204TotalAmt
Management And General$523,204ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,529,084TotalAmt
Management And General$1,529,084ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,087,331TotalAmt
Management And General$5,087,331ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,017,783TotalAmt
Management And General$4,017,783ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,186,139TotalAmt
Management And General$8,186,139ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,064,813TotalAmt
Management And General$8,064,813ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$505,487TotalAmt
Management And General$505,487ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$672,012TotalAmt
Management And General$672,012ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$250,407TotalAmt
Management And General$250,407ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,843,147TotalAmt
Management And General$12,843,147ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,246,744TotalAmt
Management And General$1,246,744ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
OUTSOURCED SERVICES$26,928,722$26,928,722
PREMIUM TAXES$16,488,452$16,488,452
PRINTING AND PUBLICATIO$7,120,536$7,120,536

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,031,312TotalAmt
Management And General$5,031,312ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,416,788,858TotalAmt
Program Services$1,205,402,737ProgramServicesAmt
Management And General$211,386,121ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,792,174BOYAmt
EOY$6,325,685EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$119,293,590BOYAmt
EOY$25,776,967EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$84,326,924BOYAmt
EOY$89,654,172EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$117,466,537LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,148,062LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$93,680,219BOYAmt
EOY$97,318,475EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$326,705,482BOYAmt
EOY$293,185,386EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$68,708,875EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$52,019,273BOYAmt
EOY$105,494,682EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$681,817,662BOYAmt
EOY$686,464,242EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$239,605,872BOYAmt
EOY$281,746,313EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$152,035BOYAmt
EOY$203,916EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$239,757,907BOYAmt
EOY$281,950,229EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$442,059,755BOYAmt
EOY$404,514,013EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$442,059,755BOYAmt
EOY$404,514,013EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$681,817,662BOYAmt
EOY$686,464,242EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,316,426ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,308,623NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$35,537,939OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,675,799OtherCostOrOtherBasisAmt
Book Value$18,675,799BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$81,824,804OtherCostOrOtherBasisAmt
Depreciation$9,907,769DepreciationAmt
Book Value$71,917,035BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,965,934OtherCostOrOtherBasisAmt
Depreciation$10,240,293DepreciationAmt
Book Value$6,725,641BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$97,318,475TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPRUDENTIAL INVESTMENTDesc
Book Value$68,708,875BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$68,708,875TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INVESTMENT RELATED RECEIVABLES$1,545,815
HEALTH CARE RECEIVABLES$24,184,741
DUE FROM AFFILIATES$10,243,403
FUNDS HELD BY REINSURED COMPANIES$67,688,233
ACCOUNTS RECEIVABLE RELATING TO UNINSURED PLANS$1,832,490
FieldValueIRS element (for citing)
Total Book Value Other Assets$105,494,682TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,792,498,466TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$1,779,491OtherRevenueAmt
Revenue Not Reported-$1,779,491RevenueNotReportedAmt
Revenue Subtotal$1,794,277,957RevenueSubtotalAmt
Other Revenues Not Included-$381,805,525OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$381,805,525RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,412,472,432TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,796,813,109TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$381,803,742OtherExpensesIncludedAmt
Expenses Not Reported$381,803,742ExpensesNotReportedAmt
Expenses Subtotal$1,415,009,367ExpensesSubtotalAmt
Other Expenses Not Included$1,779,491OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,779,491ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,416,788,858TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:AS OF DECEMBER 31, 2013, THE COMPANY'S TAX YEARS 2012 AND 2013 REMAIN OPEN TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) AND VARIOUS STATE AUTHORITIES. THE IRS HAS COMPLETED ITS REVIEW OF TAX YEARS 2008, 2009, 2010 AND 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT EXPENSE RECLASSED AS EXPENSE -1,529,084. INTEREST EXPENSE RECLASSED AS EXPENSE -250,407.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MN HEALTH INFO EXCHANGE K-1 -1,783. INTERCOMPANY ADMIN FEES RECLASSED FROM EXPENSE 146,531,129. REINSURANCE EXPENSE RECLASSED TO REVENUE -528,334,871.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INTERCOMPANY ADMIN FEES RECLASSED AS REVENUE -146,531,129. REINSURANCE EXPENSE RECLASSED TO REVENUE 528,334,871.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT EXPENSE RECLASSED AS REVENUE 1,529,084. INTEREST EXPENSE RECLASSED AS REVENUE 250,407.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENTBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line18009 34TH AVE SO STE 1200AddressLine1
CityBLOOMINGTONCity
StateMNState
ZIP Code55425ZIPCode
FieldValueIRS element (for citing)
Recipient EIN411782168RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$1,254,801CashGrantAmt
Purpose Of GrantSUPPORT THE BEST PRACTICES IN THE MEDICAL WORLDPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
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 Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
DAVID TILFORD
PRESIDENT/CEO$798,534$0$493,620$0$202,823$0$18,325$0$16,240$0$1,529,542$0$0$0
AARON L REYNOLDS
EVP/TREASURER/CFO$448,534$0$257,294$0$112,254$0$18,325$0$17,421$0$853,828$0$0$0
JAMES P JACOBSON
SVP$261,395$0$136,808$0$57,853$0$18,325$0$26,903$0$501,284$0$0$0
JANA L JOHNSON
SVP$269,167$0$129,115$0$269,565$0$18,325$0$22,126$0$708,298$0$210,851$0
GLENN E ANDIS
SVP$303,747$0$147,586$0$68,460$0$19,575$0$24,884$0$564,252$0$0$0
ROBERT LONGENDYKE
SVP$266,259$0$112,768$0$55,507$0$18,325$0$21,720$0$474,579$0$0$0
DEBBY S KNUTSON
SVP$257,031$0$116,960$0$49,439$0$15,200$0$10,236$0$448,866$0$0$0
MARK L BAIRD
SVP$310,575$0$114,085$0$60,235$0$18,325$0$23,965$0$527,185$0$0$0
TIMOTHY D THULL
SVP$256,853$0$122,538$0$36,607$0$32,144$0$20,800$0$468,942$0$0$0
JOHN W NAYLOR
SVP$345,705$0$169,113$0$25,289$0$53,746$0$24,720$0$618,573$0$0$0
MARK WERNER
SVP$248,041$0$150,000$0$22,930$0$33,277$0$14,654$0$468,902$0$0$0
THEODORE J LOFTNESS
VP & MEDICAL DIRECTOR$243,380$0$101,329$0$53,905$0$19,575$0$21,726$0$439,915$0$0$0
RICHARD H SYKORA
GM/VP$228,885$0$81,403$0$156,435$0$18,325$0$19,997$0$505,045$0$109,457$0
DANNETTE M COLEMAN
GM/VP$245,000$0$91,549$0$43,728$0$19,575$0$13,589$0$413,441$0$0$0
THOMAS JIM GUYN MD
VP$261,411$0$88,010$0$49,698$0$14,162$0$23,814$0$437,095$0$0$0
BARBARA LYNCH
VP$230,154$0$83,496$0$47,121$0$11,959$0$19,883$0$392,613$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE FOLLOWING RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: DAVID TILFORD $61,817 AARON REYNOLDS $28,858 GLENN ANDIS $15,126 JANA JOHNSON $117,324 MARK BAIRD $12,666 ROBERT LONGENDYKE $10,905 JAMES JACOBSON $11,744 DEBBY KNUTSON $ 9,178 RICHARD SYKORA $63,582 TIMOTHY THULL $ 4,837 DANNETTE COLEMAN $ 7,773 THEODORE LOFTNESS $10,043 THOMAS (JIM) GUYN $6,846 BARBARA LYNCH $5,776
PART I, LINE 6MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATIONS OPERATING EARNINGS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS EXIST WITHIN MEDICA HEALTH PLANS AS MEMBERS COVERED UNDER REGULATED INSURANCE PLANS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERSHIP OF MEDICA HEALTH PLANS ELECTS THE CONSUMER BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11MEDICA'S TAX ADVISORS COMPLETE THE RETURN, MEDICA'S CONTROLLER REVIEWS 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, SECTION B, 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, SECTION B, LINE 15THE 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, SECTION C, 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 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. ARTICLES AND BYLAWS, CONFLICT OF INTEREST POLICY, AND FORM 990S ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF NONADMITTED ASSETS -35,539,722. MN HEALTH INFO EXCHANGE K-1 1,783.
FORM 990, PART VII, COLUMN BCERTAIN 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 AFFILIATD SERVICES, 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MEDICA FOUNDATION
401 CARLSON PARKWAYMINNETONKAMN55305411812461FOUNDATIONMN501(C)(3)509(A)(3) IIMEDICA HOLDING COMPANY0
MEDICA HEALTH PLANS OF WISCONSIN
401 CARLSON PARKWAYMINNETONKAMN55305411843804HEALTH COVERAGEMN501(C)(4)MEDICA HOLDING COMPANY0
MEDICA HOLDING COMPANY
401 CARLSON PARKWAYMINNETONKAMN55305010571840HOLDING COMPANY/NO ACTIVITYMN501(C)(4)0N/A
MEDICA RESEARCH INSTITUTE
401 CARLSON PARKWAYMINNETONKAMN55305270600894RESEARCH FOUNDATIONMN501(C)(3)509(A)(3) IMEDICA HOLDING COMPANY0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MEDICA INSURANCE COMPANY
401 CARLSON PARKWAYMINNETONKAMN55305411490988HEALTH INSURANCEMNMEDICA AFFILIATED SERVICESC0
MEDICA SELF-INSURED
401 CARLSON PARKWAYMINNETONKAMN55305411479417THIRD PARTY ADMINISTRATORMNMEDICA AFFILIATED SERVICESC0
MEDICA AFFILIATED SERVICES
401 CARLSON PARKWAYMINNETONKAMN55305411716415HOLDING COMPANYMNMEDICA HOLDING COMPANYC0
MEDICA HEALTH MANAGEMENT
401 CARLSON PARKWAYMINNETONKAMN55305208005519HEALTH MANAGEMENTMNMEDICA AFFILIATED SERVICESC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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