Invitation Health Institute: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Invitation Health Institute (EIN 41-1907276)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-23
- IRS object ID
- 201302969349300335
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2013-10-23T16:09:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS KISCH & ASSOCIATES LTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 SOUTH FRONTAGE ROAD SUITE 1 | AddressLine1 |
| City | HASTINGS | City |
| State | MN | State |
| ZIP Code | 550332489 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411907276 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INVITATION HEALTH INSTITUTE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MINN | NameControl |
| Phone | 7634275310 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3535 BLUE CROSS ROAD | AddressLine1 |
| City | ST PAUL | City |
| State | MN | State |
| ZIP Code | 55122 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENISE BERGEVIN | Name |
| Title | VICE PRESIDENT | Title |
| Phone | 7634275310 | Phone |
| Date Signed | 2013-10-16 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES V LEWIS | Name |
| Phone | 6514373356 | Phone |
| Date Prepared | 2013-10-23 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMISON RICE CFO | NameOfPrincipalOfficerPerson |
| Gross Receipts | 1430611 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | INVITATION HEALTH INSTITUTE ("THE INSTITUTE") PROMOTES PUBLIC HEALTH BY COLLABERATING WITH COMMUNITIES TO CREATE AND PROVIDE INNOVATIVE AND CULTURALLY APPROPRIATE PREVENTION SERVICES AND PRODUCTS WORLDWIDE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2605971 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1430589 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 16446 | InvestmentIncomePriorYear |
| Investment Income Current Year | 22 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2622417 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1430611 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2548460 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2205114 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1465240 | OtherExpensePriorYear |
| Other Expenses Current Year | 1126001 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4013700 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3331115 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1391283 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1900504 | RevenuesLessExpensesCY |
| Total Assets BOY | 3613102 | TotalAssetsBOY |
| Total Assets EOY | 2935217 | TotalAssetsEOY |
| Total Liabilities BOY | 727553 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2232843 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2885549 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 702374 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | INVITATION HEALTH INSTITUTE ("THE INSTITUTE") PROMOTES PUBLIC HEALTH BY COLLABERATING WITH COMMUNITIES TO CREATE AND PROVIDE INNOVATIVE AND CULTURALLY APPROPRIATE PREVENTION SERVICES AND PRODUCTS WORLDWIDE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 456760 | Expense |
| Revenue | 602385 | Revenue |
| Description | MINNESOTA PREVENTION CENTER (MPRC) - ON CONTRACT WITH THE STATE OF MINNESOTA TO HOUSE AND PROVIDE A CLEARINGHOUSE, TRAINING AND CONSULTATION CENTER FOR MINNESOTA COMMUNITIES, SCHOOLS, ORGANIZATIONS AND INDIVIDUALS TO CONDUCT SUBSTANCE ABUSE AND VIOLENCE PREVENTION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 60623 | Expense |
| Revenue | 136657 | Revenue |
| Description | THE LEAD EPIDEMIOLOGIST (EPI) MANAGES MINNESOTA STATE EPIDEMIOLOGICAL OUTCOMES WORKGROUP (SEOW) MEETINGS, ADMINISTERS THE WWW.SUMN.ORG WEBSITE, AND PROVIDES A VARIETY OF OTHER TRAINING AND TECHNICAL ASSISTANCE RELATED TO SUBSTANCE ABUSE DATA TO STAKEHOLDERS AROUND THE STATE OF MINNESOTA. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 105139 | Expense |
| Revenue | 141927 | Revenue |
| Description | DPS BLOCK GRANT (DPS)- TO PROVIDE IDENTIFIED COMMUNITIES IN MINNESOTA WITH TECHNICAL ASSISTANCE AND COMPLIANCE CHECKS TO REDUCE ALCHOHOL ACCESS BY YOUTH AT THE LOCAL COMMUNITY LEVEL. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 786985 | Expense |
| Revenue | 549619 | Revenue |
| Description | PROGRAM EVALUATION SERVICES - FEE FOR SERVICE BASIS HEALTH PROMOTION RESOURCES - MATERIALS AND TRAINING - FEE FOR SERVICES BASIS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 786985 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 549619 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1409507 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 39 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DENISE BERGEVIN | NamePerson |
| Telephone Number | 6516621106 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3535 BLUE CROSS ROAD | AddressLine1 |
| City | EAGAN | City |
| State | MN | State |
| ZIP Code | 55122 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| JAMES EPPEL | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 1007943 | 29778 | ||
| KATHY MOCK | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 986648 | 18994 | ||
| SCOTT LYNCH | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 914592 | 37248 | ||
| PAMELA SEDMAK | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 882742 | 14610 | ||
| DAVID SPALDING | ||||||||
| CHAIR/CEO | 1.00 | 39.00 | X | 0 | 554665 | 47335 | X | |
| JENNIFER GILLESPIE | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 421027 | 36763 | ||
| ZACHARY MEYER | ||||||||
| DIRECTOR | 18.00 | 22.00 | X | 0 | 326794 | 6008 | X | |
| DENISE BERGEVIN | ||||||||
| VICE PRESIDE | 1.00 | 39.00 | X | 0 | 321476 | 100024 | X | |
| DIANE POZDOLSKI | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 293983 | 89863 | ||
| JANE MCMAHON | ||||||||
| SECRETARY/TR | 1.00 | 39.00 | X | 0 | 212869 | 44825 | X | |
| CAROLYN LINK | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 199429 | 56143 | ||
| GERALD JAKER | ||||||||
| EXEC DIRECTO | 40.00 | X | 0 | 156505 | 47335 | X | ||
| JOHN URIBE | ||||||||
| EXECUTIVE DI | 1.00 | 39.00 | X | 0 | 141513 | 18214 | X | |
| SHAWN CURTI | ||||||||
| DIRECTOR | 1.00 | 39.00 | X | 0 | 101064 | 14527 | X | |
| JOHN LAUX | ||||||||
| DIRECTOR | 1.00 | X | 850 | 0 | 0 | |||
| MEE MOUA | ||||||||
| DIRECTOR | 1.00 | X | 300 | 0 | 0 | |||
| NANCY NELSON | ||||||||
| VICE PRESIDE | 1.00 | 39.00 | 0 | 944787 | 53505 | X | ||
| MARC MANLEY | ||||||||
| CHIEF MEDICA | 1.00 | 39.00 | 0 | 619254 | 52739 | X | ||
| JOHN ORNER | ||||||||
| CHIEF INVEST | 1.00 | 39.00 | 0 | 512104 | 58300 | X | ||
| JAMISON RICE | ||||||||
| CHIEF FINANC | 1.00 | 39.00 | 0 | 223698 | 14858 | X | ||
| KATHY DUNMIRE | ||||||||
| DIRECTOR | 0.00 | 40.00 | 0 | 649350 | 82811 | X | ||
| GREG GILMET | ||||||||
| DIRECTOR | 0.00 | 40.00 | 0 | 514194 | 0 | X | ||
| MARSHA SHOTLEY | ||||||||
| DIRECTOR | 0.00 | 0.00 | 0 | 470719 | 17035 | X | ||
| LAURA WOODWARD | ||||||||
| DIRECTOR | 0.00 | 40.00 | 0 | 309004 | 7672 | X | ||
| MICHAEL MCKURAS | ||||||||
| DIRECTOR | 0.00 | 0.00 | 0 | 65679 | 57359 | X | ||
| NANCY REED | ||||||||
| DIRECTOR | 1.00 | 39.00 | 0 | 142491 | 14657 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1150 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 10972530 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 920603 | TotalOtherCompensation |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCBSM INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3535 BLUE CROSS ROAD | AddressLine1 |
| City | EAGAN | City |
| State | MN | State |
| ZIP Code | 55122 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | ADMIN SERVICE | DescriptionOfServices |
| Compensation | 3221978 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| GRANTS AND CONTRACTS | 900099 | 1380932 | 1380932 |
| SALES OF MATERIALS & SERVICES | 900099 | 25787 | 25787 |
| FEES | 900099 | 23870 | 23870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1430589 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22 | TotalRevenueColumn |
| Exclusion | $22 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1430611 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1430589 | RelatedOrExemptFunctionIncome |
| Exclusion | $22 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1678978 | Total |
| Program Services | 629833 | ProgramServices |
| Management And General | 1049145 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161672 | Total |
| Program Services | 60648 | ProgramServices |
| Management And General | 101024 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364464 | Total |
| Program Services | 136721 | ProgramServices |
| Management And General | 227743 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252982 | Total |
| Program Services | 138188 | ProgramServices |
| Management And General | 114794 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187686 | Total |
| Program Services | 147040 | ProgramServices |
| Management And General | 40646 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3002 | Total |
| Management And General | 3002 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127068 | Total |
| Management And General | 127068 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED SERVICES | 430413 | 276325 | 154088 |
| MISCELLANEOUS | 57891 | 8664 | 49227 |
| BUILDING UTILITIES & TAX | 50723 | 50723 | |
| PROGRAM FEES | 16236 | 12088 | 4148 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3331115 | Total |
| Program Services | 1409507 | ProgramServices |
| Management And General | 1921608 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124739 | BOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1137988 | BOY |
| EOY | 971852 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13382 | BOY |
| EOY | 5418 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 8516 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2417302 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 858397 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1943974 | BOY |
| EOY | 1558905 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 390609 | BOY |
| EOY | 390526 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2410 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3613102 | BOY |
| EOY | 2935217 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 656311 | BOY |
| EOY | 2186099 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9441 | BOY |
| EOY | 6250 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61801 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 40494 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 727553 | BOY |
| EOY | 2232843 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2885549 | BOY |
| EOY | 702374 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2885549 | BOY |
| EOY | 702374 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3613102 | BOY |
| EOY | 2935217 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1900504 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -282671 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3795988 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3038768 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3652407 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2532125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1380932 | CurrentTaxYear |
| Total | 14400220 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1093771 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1236231 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 834246 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 73846 | CurrentTaxYearMinus1Year |
| Current Tax Year | 49657 | CurrentTaxYear |
| Total | 3287751 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4889759 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4274999 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4486653 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2605971 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1430589 | CurrentTaxYear |
| Total | 17687971 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 17687971 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50381 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -17006 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 60987 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | -6245 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22 | CurrentTaxYear |
| Total | 88139 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50381 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | -17006 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 60987 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | -6245 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22 | CurrentTaxYear |
| Total | 88139 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4940140 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4257993 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4547640 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2599726 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1430611 | CurrentTaxYear |
| Total | 17776110 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99500 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99040 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01000 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | true | IncludedOnFS |
| Explanation In Part XIII | X | ExplanationInPartXIII |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 345000 | OtherCostOrOtherBasis |
| Book Value | 345000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1679307 | OtherCostOrOtherBasis |
| Depreciation | 564307 | Depreciation |
| Book Value | 1115000 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 392995 | OtherCostOrOtherBasis |
| Depreciation | 294090 | Depreciation |
| Book Value | 98905 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1558905 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CHECKS OUTSTANDING | Description |
| Amount | $40,494 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 40494 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 1430611 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 1430611 | RevenueSubtotal |
| Total Revenue Per Form990 | 1430611 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3331115 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 3331115 | ExpensesSubtotal |
| Total Expenses Per Form990 | 3331115 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ESCROW LIABILITY ARRANGEMENT EXPLANATION | SCHEDULE D, PAGE 2, PART IV, LINE 2B | INVITATION HEALTH INSTITUTE IS A FISCAL AGENT FOR THE MINNESOTA CANCER ALLIANCE. |
| LIABILITY UNDER FIN 48 FOOTNOTE | SCHEDULE D, PAGE 3, PART X | AS OF DECEMBER 31, 2012 THERE WERE NO MATERIAL TAX POSITIONS FOR WHICH MANAGEMENT BELIEVES IT IS REASONABLY POSSIBLE THAT THEY WOULD BE CHALLENGED. TAX RETURNS FOR 2009 THROUGH 2012 REMAIN OPEN FOR EXAMINATION BY TAX JURISDICTIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|
| JAMES EPPEL | |||||||
| DIRECTOR | 531294 | 424701 | 51948 | 29778 | 1037721 | ||
| KATHY MOCK | |||||||
| DIRECTOR | 76011 | 329504 | 581133 | 13876 | 1005642 | 5118 | 292590 |
| SCOTT LYNCH | |||||||
| DIRECTOR | 408532 | 468265 | 37795 | 37248 | 951840 | ||
| PAMELA SEDMAK | |||||||
| DIRECTOR | 124140 | 271097 | 487505 | 14610 | 897352 | 97874 | |
| DAVID SPALDING | |||||||
| CHAIRCEO | 273341 | 191264 | 90060 | 33409 | 602000 | 13926 | 36690 |
| JENNIFER GILLESPIE | |||||||
| DIRECTOR | 217727 | 146918 | 56382 | 15132 | 457790 | 21631 | 18155 |
| ZACHARY MEYER | |||||||
| DIRECTOR | 258750 | 47764 | 20280 | 6008 | 332802 | ||
| DENISE BERGEVIN | |||||||
| VICE PRESIDENT | 223600 | 61453 | 36423 | 32244 | 421500 | 67780 | |
| DIANE POZDOLSKI | |||||||
| DIRECTOR | 208000 | 56986 | 28997 | 19745 | 383846 | 70118 | |
| JANE MCMAHON | |||||||
| SECRETARYTREASURER | 164985 | 37149 | 10735 | 20176 | 257694 | 24649 | |
| CAROLYN LINK | |||||||
| DIRECTOR | 167234 | 31783 | 412 | 24124 | 255572 | 32019 | |
| GERALD JAKER | |||||||
| EXEC DIRECTO | 130591 | 21554 | 4360 | 23923 | 203840 | 23412 | |
| JOHN URIBE | |||||||
| EXECUTIVE DIRECTOR | 141347 | 166 | 18214 | 159727 | |||
| NANCY NELSON | |||||||
| VICE PRESIDENT | 321019 | 318367 | 305401 | 31253 | 998292 | 22252 | 238686 |
| MARC MANLEY | |||||||
| CHIEF MEDICAL OFFICE | 277490 | 193609 | 148155 | 29229 | 671993 | 23510 | 113694 |
| JOHN ORNER | |||||||
| CHIEF INVESTMENT OFF | 226741 | 195741 | 89622 | 31330 | 570404 | 26970 | 57715 |
| JAMISON RICE | |||||||
| CHIEF FINANCIAL OFFI | 212500 | 11198 | 14858 | 238556 | |||
| KATHY DUNMIRE | |||||||
| DIRECTOR | 235033 | 187850 | 226467 | 29150 | 732161 | 53661 | 173696 |
| GREG GILMET | |||||||
| DIRECTOR | 78819 | 154536 | 280839 | 514194 | 38600 | ||
| MARSHA SHOTLEY | |||||||
| DIRECTOR | 7527 | 205357 | 257835 | 2258 | 487754 | 14777 | |
| LAURA WOODWARD | |||||||
| DIRECTOR | 49046 | 64110 | 195848 | 7672 | 316676 | 15389 | |
| MICHAEL MCKURAS | |||||||
| DIRECTOR | 65679 | 123038 | 57359 | ||||
| NANCY REED | |||||||
| DIRECTOR | 113935 | 27371 | 1185 | 14657 | 157148 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | KATHY MOCK 223,427 15,932 0 PAMELA SEDMAK 364,897 0 0 GREG GILMET 231,681 0 0 MARSHA SHOTLEY 188,167 14,777 0 LAURA WOODWARD 147,137 0 0 MICHAEL MCKURAS 0 3,237 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 4A - THE ABOVE INDIVIDUALS RECEIVED SEVERANCE PAY IN 2012. ALL AMOUNTS REPORTED ABOVE ARE INCLUDED IN FORM 990, PART VII AND IN SCHEDULE J, PART II, AS APPLICABLE. PART I, LINE 4B - THE BCBSM, INC. SUPPLEMENTAL RETIREMENT PLAN (SRP) PROVIDES BENEFITS FOR EMPLOYEES WHO PARTICIPATE IN THE PENSION EQUITY PLAN IN EXCESS OF THE LIMITATION OF BENEFIT IMPOSED BY SECTION 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. DURING 2012, THE ABOVE INDIVIDUALS RECEIVED PAYOUTS OF SRP FUNDS. ALL AMOUNTS REPORTED ABOVE ARE INCLUDED IN FORM 990, PART VII AND IN SCHEDULE J, PART II, AS APPLICABLE. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCBSM INC | BusinessNameLine1 |
| Business Name Line2 | BCBS INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | COMMON CONTROL | Relationship |
| Amount Of Transaction | 3221978 | AmountOfTransaction |
| Description Of Transaction | PAYROLL AND MISC ADM | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES | FORM 990, PAGE 2, PART III, LINE 3 | AS OF NOVEMBER 2012, INVITATION HEALTH AND WELLNESS, THE SOLE MEMBER OF INVITATION HEALTH INSTITUTE, TOOK ACTION TO AUTHORIZE THE BUSINESS UNWIND PROCESS FOR INVITATION HEALTH INSTITUTE. THE INVITATION HEALTH INSTITUTE BOARD TOOK SIMILAR ACTION TO AFFIRM THE WIND UP AND EXITING OF EXISTING BUSINESS ACTIVITIES AND AUTHORIZED THE SAME. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | PROGRAM EVALUATION SERVICES - FEE FOR SERVICE BASIS HEALTH PROMOTION RESOURCES - MATERIALS AND TRAINING - FEE FOR SERVICES BASIS |
| SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PAGE 6, PART VI, LINE 4 | EFFECTIVE JULY 30, 2012, THE BYLAWS WERE AMENDED TO STATE THAT THE BOARD SHALL CONSIST OF NO FEWER THAN THREE AND NO MORE THAN TWELVE PERSONS. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | INVITATION HEALTH AND WELLNESS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | INVITATION HEALTH AND WELLNESS, INC. AS THE SOLE MEMBER, ELECTS DIRECTORS OF THE ORGANIZATION. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | REVIEWED AND ACCEPTED BY THE BOARD OF DIRECTORS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY DIRECTORS, OFFICERS AND KEY EMPLOYEES OF INVITATION HEALTH INSTITUTE, ARE REQUIRED TO COMPLETE A DETAILED QUESTIONNAIRE ASKING FOR INFORMATION THAT COULD GIVE RISE TO POTENTIAL CONFLICTS PURSUANT TO THE INVITATION HEALTH INSTITUTE STANDARDS OF CONDUCT FOR THE BOARD AND ITS MEMBERS, THE INVITATION HEALTH INSTITUTE ARTICLES OF INCORPORATION, AND THE BCBSM, INC. COMPLIANCE PROGRAM ADOPTED BY THE INVITATION HEALTH INSTITUTE. ALL THOSE PERSONS ARE ADVISED TO PROVIDE UPDATES WITH RESPECT TO CIRCUMSTANCES THAT COULD GIVE RISE TO POTENTIAL CONFLICTS. INFORMATION IS REVIEWED BY THE BOARD CHAIR, LEGAL COUNSEL AND THE FULL BOARD OF DIRECTORS TO DETERMINE IF CONFLICTS EXIST AND IF ANY SAFEGUARDS NEED TO BE TAKEN WITH RESPECT TO ANY SUCH POTENTIAL CONFLICTS. IF CONFLICTS WERE TO BE FOUND, THE PERSON WOULD RECUSE HIMSELF/HERSELF FROM ANY BOARD DISCUSSIONS AND/OR BOARD ACTIONS IF IT BECAME A BOARD RELATED MATTER AND THE CORPORATION WOULD FOLLOW APPLICABLE LAW FOR MINNESOTA NONPROFIT CORPORATIONS IN DEALING WITH THE SITUATION. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | PROTOCOL OF BCBSM, INC. VIA MARKETPLACE |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | PROTOCOL OF BCBSM, INC. VIA MARKETPLACE |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL INFORMATION ABOUT THE ORGANIZATION IS AVAILABLE TO THE GENERAL PUBLIC THROUGH THE WEBSITE MAINTAINED BY THE MINNESOTA ATTORNEY GENERAL. THE GENERAL CONFLICT OF INTEREST POLICY WITHIN THE CODE OF CONDUCT IS AVAILABLE ON THE BCBSM, INC. WEBSITE. COPIES OF THE ORGANIZATION'S ARTICLES OF INCORPORATION CAN BE ORDERED FROM THE MN SECRETARTY OF STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | BUILDING IMPAIRMENT 282,671 WRITEDOWN OF REAL ESTATE ASSETS TO APPRAISED VALUE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| BCBSM FOUNDATION INC | ||||||||||
| PO BOX 64560 | ST PAUL | MN | 55122 | 363525653 | PRIVATE F. | MN | 501C3 | PF | NA | false |
| HMO MN | ||||||||||
| PO BOX 64560 | ST PAUL | MN | 55122 | 416173747 | HEALTH MA. | MN | 501C4 | NA | false | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| AWARE INTEGRATED INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411785972 | HLTH CRE B | MN | N/A | C CORP | false |
| BCBSM INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 410984460 | DIRECT INS | MN | N/A | C CORP | false |
| CAPITAL ASSET CARE INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501130 | O FIN. INV | MN | N/A | C CORP | false |
| INVITATION HEALTH & WELLNESS INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411784487 | SCI TECH C | MN | N/A | C CORP | false |
| COMPREHENSIVE CARE SERVICES INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411427596 | OTHER INSU | MN | N/A | C CORP | false |
| CLEARSTONE SOLUTIONS INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411768896 | OFF ADM SU | MN | N/A | C CORP | false |
| EMPLOYER PROVIDED NETWORK INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411561266 | OTHER INSU | MN | N/A | C CORP | false |
| MII LIFE INCORPORATED | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 416019132 | OTHER INSU | MN | N/A | C CORP | false |
| MII SERVICES INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501128 | OFF OT HOC | MN | N/A | C CORP | false |
| MII INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501129 | OTHER HOLD | MN | N/A | C CORP | false |
| PHARMACY GOLD INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411762964 | OFF OT HOC | MN | N/A | C CORP | false |
| SUPPORTSOURCE INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411721203 | EAP SERVIC | MN | N/A | C CORP | false |
| AWARE INTEGRATED INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411785972 | HLTH CRE B | MN | N/A | C CORP | false |
| BCBSM INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 410984460 | DIRECT INS | MN | N/A | C CORP | false |
| CAPITAL ASSET CARE INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501130 | O FIN. INV | MN | N/A | C CORP | false |
| INVITATION HEALTH & WELLNESS INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411784487 | SCI TECH C | MN | N/A | C CORP | false |
| COMPREHENSIVE CARE SERVICES INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411427596 | OTHER INSU | MN | N/A | C CORP | false |
| CLEARSTONE SOLUTIONS INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411768896 | OFF ADM SU | MN | N/A | C CORP | false |
| EMPLOYER PROVIDED NETWORK INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411561266 | OTHER INSU | MN | N/A | C CORP | false |
| MII LIFE INCORPORATED | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 416019132 | OTHER INSU | MN | N/A | C CORP | false |
| MII SERVICES INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501128 | OFF OT HOC | MN | N/A | C CORP | false |
| MII INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501129 | OTHER HOLD | MN | N/A | C CORP | false |
| PHARMACY GOLD INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411762964 | OFF OT HOC | MN | N/A | C CORP | false |
| SUPPORTSOURCE INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411721203 | EAP SERVIC | MN | N/A | C CORP | false |
| AWARE INTEGRATED INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411785972 | HLTH CRE B | MN | N/A | C CORP | false |
| BCBSM INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 410984460 | DIRECT INS | MN | N/A | C CORP | false |
| CAPITAL ASSET CARE INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501130 | O FIN. INV | MN | N/A | C CORP | false |
| INVITATION HEALTH & WELLNESS INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411784487 | SCI TECH C | MN | N/A | C CORP | false |
| COMPREHENSIVE CARE SERVICES INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411427596 | OTHER INSU | MN | N/A | C CORP | false |
| CLEARSTONE SOLUTIONS INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411768896 | OFF ADM SU | MN | N/A | C CORP | false |
| EMPLOYER PROVIDED NETWORK INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411561266 | OTHER INSU | MN | N/A | C CORP | false |
| MII LIFE INCORPORATED | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 416019132 | OTHER INSU | MN | N/A | C CORP | false |
| MII SERVICES INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501128 | OFF OT HOC | MN | N/A | C CORP | false |
| MII INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411501129 | OTHER HOLD | MN | N/A | C CORP | false |
| PHARMACY GOLD INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411762964 | OFF OT HOC | MN | N/A | C CORP | false |
| SUPPORTSOURCE INC | |||||||||
| PO BOX 64560 | ST PAUL | MN | 55164 | 411721203 | EAP SERVIC | MN | N/A | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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