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Nonprofiteer
← QUARTZ HEALTH PLAN CORPORATION

Form 990 for tax year 2023

Filed by QUARTZ HEALTH PLAN CORPORATION.

Totals

Total revenue
$431,530,483
Total expenses
$438,579,778
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$428,752,288
Investment income
$2,778,195
Other revenue
$0
Total assets, end of year
$113,470,719
Total liabilities, end of year
$66,108,118
Net assets or fund balances, end of year
$47,362,601
Program services expenses (Part IX)
$413,383,037
Management and general expenses
$25,196,741
Fundraising expenses
$0
Program service expenses (Part III)
$413,383,037

Program services were 94.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUM REVENUE

    total $428,752,288 · related or exempt $428,752,288

  • 3 · Investment income

    total $2,777,760 · excluded $2,777,760

  • 7a · Gross sales of assets other than inventory

    securities $435

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $435

  • 7d · Net gain or loss

    total $435 · excluded $435

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $14,235,952 · program services $5,381,751 · management and general $8,854,201

  • 8 · Pension plan contributions

    total $442,295 · program services $172,782 · management and general $269,513

  • 9 · Other employee benefits

    total $2,649,822 · program services $65,405 · management and general $2,584,417

  • 10 · Payroll taxes

    total $990,687 · program services $412,758 · management and general $577,929

  • 11c · Fees: accounting

    total $187,270 · management and general $187,270

  • 11f · Fees: investment management

    total $375,759 · management and general $375,759

  • 11g · Fees: other

    total $439,957 · management and general $439,957

  • 12 · Advertising and promotion

    total $1,148,856 · program services $44,368 · management and general $1,104,488

  • 13 · Office expenses

    total $799,386 · program services $90,989 · management and general $708,397

  • 14 · Information technology

    total $4,887,786 · program services $2,225,250 · management and general $2,662,536

  • 16 · Occupancy

    total $511,666 · management and general $511,666

  • 17 · Travel

    total $112,441 · program services $23,405 · management and general $89,036

  • 19 · Conferences, conventions and meetings

    total $55,999 · program services $8,780 · management and general $47,219

  • 20 · Interest

    total $8,429 · program services $8,429

  • 22 · Depreciation, depletion and amortization

    total $540,696 · program services $9,196 · management and general $531,500

  • 23 · Insurance

    total $356,613 · management and general $356,613

  • 24a · Other expenses: MEDICAL EXPENSES

    total $400,572,353 · program services $400,572,353

  • 24b · Other expenses: OUTSOURCED SERVICES

    total $6,226,270 · program services $4,109,016 · management and general $2,117,254

  • 24c · Other expenses: COMMISSIONS

    total $3,315,378 · management and general $3,315,378

  • 24d · Other expenses: CORPORATE DUES, LICENSE

    total $192,321 · program services $973 · management and general $191,348

  • 24e · All other expenses

    total $529,842 · program services $257,582 · management and general $272,260

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $55,574,858 · end of year $59,630,163

  • 2 · Savings and temporary cash investments

    beginning of year $144,932 · end of year $151,327

  • 4 · Accounts receivable

    beginning of year $20,521,204 · end of year $34,547,214

  • 9 · Prepaid expenses and deferred charges

    beginning of year $13,300 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $6,370,906 · end of year $8,479,986

  • 13 · Investments: program-related

    beginning of year $8,378,743 · end of year $8,975,385

  • 15 · Other assets

    beginning of year $896,446 · end of year $1,686,644

  • 17 · Accounts payable and accrued expenses

    beginning of year $47,566,847 · end of year $53,984,704

  • 19 · Deferred revenue

    beginning of year $4,123,487 · end of year $7,376,003

  • 25 · Other liabilities

    beginning of year $962,859 · end of year $4,747,411

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $32,850,999 · end of year $47,005,731

  • 31 · Retained earnings, endowment or other funds

    beginning of year $6,396,197 · end of year $356,870

Mission and programs · 2023

Mission

TO PROMOTE SOCIAL WELFARE BY OPERATION OF A HEALTH MAINTENANCE ORGANIZATION AND OTHER ACTIVITIES INCIDENTAL THERETO.

  • PROVISION OF HEALTH CARE SERVICES PROVIDED FOR 80,793 MEMBERS.

    Expenses $413,383,037 · Revenue $428,752,288

As filed on the 2023 return.

Listed in Part VII

  • Gerald E Arndt

    BOD - MEMBER

    Total calculated
    $18,473
    From this org
    $0
    From related orgs
    $18,473
    Other
    $0
    Hours/week
    2
  • Gerald R Kember

    BOD - MEMBER

    Total calculated
    $15,092
    From this org
    $0
    From related orgs
    $15,092
    Other
    $0
    Hours/week
    2
  • George H Tervalon III

    BOD - MEMBER

    Total calculated
    $12,175
    From this org
    $0
    From related orgs
    $12,175
    Other
    $0
    Hours/week
    2
  • Randy R Bruegman

    BOD - MEMBER

    Total calculated
    $10,302
    From this org
    $0
    From related orgs
    $10,302
    Other
    $0
    Hours/week
    2
  • William J Farrell

    BOD - CHAIRMAN

    Total calculated
    $0
    Hours/week
    2 + 48 related
  • Alan S Kaplan MD

    BOD - MEMBER

    Total calculated
    $0
    Hours/week
    2 + 48 related
  • Carey M Gehl

    BOD - MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Gerald P Oetzel

    BOD - MEMBER (TERM 08/2023)

    Total calculated
    $0
    Hours/week
    2 + 48 related
  • Jennifer B Atkins

    BOD - MEMBER (TERM DURING 2023)

    Total calculated
    $0
    Hours/week
    2
  • Michael J Dolan MD

    BOD - MEMBER (START 12/2023)

    Total calculated
    $0
    Hours/week
    2 + 48 related
  • Rebekah J Gales Swain

    BOD - MEMBER (START 12/2023)

    Total calculated
    $0
    Hours/week
    2 + 48 related
  • Robert W Flannery

    BOD - MEMBER

    Total calculated
    $0
    Hours/week
    2 + 48 related
  • Susan I Erickson

    BOD - MEMBER

    Total calculated
    $0
    Hours/week
    2
  • Susan R Johansen Green

    BOD - MEMBER (TERM 08/2023)

    Total calculated
    $0
    Hours/week
    2
  • Mark J Selna MD

    PRESIDENT & CEO (TERM 05/2023)

    Total calculated
    $847,355
    From this org
    $0
    From related orgs
    $810,251
    Other
    $37,104
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,095 related
    Bonus
    $0 + $179,925 related
    Other
    $0 + $355,231 related
    Deferred
    $0 + $11,154 related
    Nontaxable benefits
    $0 + $25,950 related
    Filer's total
    $0 + $847,355 related
  • Jeffrey A Butcher

    SENIOR VP, TREASURER & CFO

    Total calculated
    $686,402
    From this org
    $0
    From related orgs
    $650,584
    Other
    $35,818
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $379,608 related
    Bonus
    $0 + $176,057 related
    Other
    $0 + $94,919 related
    Deferred
    $0 + $12,072 related
    Nontaxable benefits
    $0 + $23,746 related
    Filer's total
    $0 + $686,402 related
  • Christine C Senty JD

    PRESIDENT & CEO

    Total calculated
    $618,458
    From this org
    $0
    From related orgs
    $571,762
    Other
    $46,696
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $485,829 related
    Bonus
    $0 + $52,629 related
    Other
    $0 + $33,304 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $33,496 related
    Filer's total
    $0 + $618,458 related
  • David S Hanekom MD

    SENIOR VP & CHIEF MEDICAL OFFICER

    Total calculated
    $588,700
    From this org
    $0
    From related orgs
    $540,460
    Other
    $48,240
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $460,111 related
    Bonus
    $0 + $76,685 related
    Other
    $0 + $3,664 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $35,040 related
    Filer's total
    $0 + $588,700 related
  • James L Hiveley

    VP, TREASURER & CFO (TERM 04/2023)

    Total calculated
    $540,467
    From this org
    $0
    From related orgs
    $517,354
    Other
    $23,113
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $189,501 related
    Bonus
    $0 + $50,989 related
    Other
    $0 + $276,864 related
    Deferred
    $0 + $4,688 related
    Nontaxable benefits
    $0 + $18,425 related
    Filer's total
    $0 + $540,467 related
  • Kristie S Breunig JD

    GENERAL COUNSEL, VP & SECRETARY

    Total calculated
    $311,194
    From this org
    $0
    From related orgs
    $272,239
    Other
    $38,955
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $204,156 related
    Bonus
    $0 + $67,387 related
    Other
    $0 + $696 related
    Deferred
    $0 + $8,273 related
    Nontaxable benefits
    $0 + $30,682 related
    Filer's total
    $0 + $311,194 related
  • Jami J Berger Senior Vp Chief

    CLINICAL OFFICER (AS OF 11/2023)

    Total calculated
    $78,958
    From this org
    $0
    From related orgs
    $78,958
    Other
    $0
    Hours/week
    2 + 48 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
QUARTZ HEALTH PLAN CORPORATION RELIED ON A RELATED ORGANIZATION, QUARTZ HEALTH SOLUTIONS, INC., THAT USED METHODS DESCRIBED BELOW TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION. - COMPENSATION SURVEY OR STUDY - INDEPENDENT COMPENSATION CONSULTANT - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B
PART I, LINE 4A: SOME EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDER YEAR. THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. PART I, LINE 4B: QUARTZ HEALTH SOLUTIONS, INC. INITIATED A NONQUALIFIED DEFERRED RETIREMENT PLAN IN 2019 AND STARTED FUNDING IN 2020. A NUMBER OF EMPLOYEES PARTICIPATED IN THE PLAN DURING THE YEAR. THE DEFERRED AMOUNT IS INCLUDED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C AND THE VESTED AMOUNT IS INCLUDED IN PART VII, COLUMN D AND SCHEDULE J, PART II, COLUMN B(III). THE TERMS AND CONDITIONS OF THE CONFIDENTIAL AGREEMENTS ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. THE AMOUNT PAID TO JAMES L. HIVELEY DURING 2023 WAS $150,308. THERE WERE NO AMOUNTS PAID OUT TO ANY OTHER PARTICIPANTS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • QUARTZ HEALTH BENEFIT PLANS CORPORATION

    C · HEALTH MAINTENANCE ORGANIZATION · WI

  • QUARTZ HOLDING COMPANY

    C · HOLDING COMPANY · WI

  • QUARTZ HEALTH SOLUTIONS INC

    C · TPA · WI

  • QUARTZ HEALTH INSURANCE CORPORATION

    C · INDEMNITY CORPORATION · WI

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202443179349304884

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