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← MEDICA HEALTH PLANS

Form 990 for tax year 2023

Filed by MEDICA HEALTH PLANS.

What the amendment changed

Compared with the return it replaced , filed 14 November 2024. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Those are the same on the two returns, so the amendment changed something else.

Totals

Total revenue
$1,453,962,017
Total expenses
$1,425,557,707
Contributions and grants received
$0
Grants paid
$3,500,000
Program service revenue
$1,437,609,915
Investment income
$19,013,780
Other revenue
-$2,661,678
Total assets, end of year
$925,548,510
Total liabilities, end of year
$272,367,606
Net assets or fund balances, end of year
$653,180,904
Program services expenses (Part IX)
$1,300,576,549
Management and general expenses
$124,981,158
Fundraising expenses
$0
Program service expenses (Part III)
$1,300,576,549

Program services were 91.2% 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: MEDICARE REVENUE

    total $979,801,996 · related or exempt $979,801,996

  • 2b · Program service revenue: MEDICAID REVENUE

    total $447,269,096 · related or exempt $447,269,096

  • 2c · Program service revenue: GROUP & INDIVIDUAL

    total $10,538,823 · related or exempt $10,538,823

  • 3 · Investment income

    total $24,809,179 · excluded $24,809,179

  • 6a · Gross rents

    real property $3,570,886

  • 6b · Less rental expenses

    real property $6,232,564

  • 6c · Rental income or loss

    real property -$2,661,678

  • 6d · Net rental income or loss

    total -$2,661,678 · excluded -$2,661,678

  • 7a · Gross sales of assets other than inventory

    securities $1,160,359,845

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

    securities $1,166,155,244

  • 7c · Gain or loss

    securities -$5,795,399

  • 7d · Net gain or loss

    total -$5,795,399 · excluded -$5,795,399

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,500,000 · program services $3,500,000

  • 4 · Benefits paid to or for members

    total $1,297,076,549 · program services $1,297,076,549

  • 11b · Fees: legal

    total $551,238 · management and general $551,238

  • 11c · Fees: accounting

    total $148,970 · management and general $148,970

  • 11d · Fees: lobbying

    total $134,494 · management and general $134,494

  • 11f · Fees: investment management

    total $2,023,183 · management and general $2,023,183

  • 11g · Fees: other

    total $18,278,778 · management and general $18,278,778

  • 12 · Advertising and promotion

    total $1,800,089 · management and general $1,800,089

  • 13 · Office expenses

    total $1,076,781 · management and general $1,076,781

  • 14 · Information technology

    total $7,953,651 · management and general $7,953,651

  • 16 · Occupancy

    total $1,297,749 · management and general $1,297,749

  • 17 · Travel

    total $171,441 · management and general $171,441

  • 19 · Conferences, conventions and meetings

    total $96,574 · management and general $96,574

  • 20 · Interest

    total $223,591 · management and general $223,591

  • 22 · Depreciation, depletion and amortization

    total $5,791,273 · management and general $5,791,273

  • 23 · Insurance

    total $597,129 · management and general $597,129

  • 24a · Other expenses: LEASED EMPLOYEES

    total $61,064,255 · management and general $61,064,255

  • 24b · Other expenses: PREMIUM TAXES

    total $10,454,994 · management and general $10,454,994

  • 24c · Other expenses: INTERCOMPANY EXPENSE

    total $10,436,497 · management and general $10,436,497

  • 24d · Other expenses: PRINTING & PUBLICATION

    total $1,537,169 · management and general $1,537,169

  • 24e · All other expenses

    total $1,343,302 · management and general $1,343,302

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,459,642 · end of year $72,415,894

  • 2 · Savings and temporary cash investments

    beginning of year $204,690,335 · end of year $49,601,043

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $86,770,845 · end of year $97,708,502

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $97,506,135

  • 10b · Land, buildings and equipment: accumulated depreciation

    $27,126,551

  • 10c · Land, buildings and equipment, net

    beginning of year $72,419,566 · end of year $70,379,584

  • 11 · Investments: publicly traded securities

    beginning of year $425,390,573 · end of year $557,477,401

  • 12 · Investments: other securities

    beginning of year $6,474,775 · end of year $4,264,185

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $52,602,569 · end of year $73,701,901

  • 17 · Accounts payable and accrued expenses

    beginning of year $229,545,568 · end of year $269,812,962

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $3,014,893 · end of year $2,554,644

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 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 $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $617,247,844 · end of year $653,180,904

Mission and programs · 2023

Mission

TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES.

Activities or mission (Part I)

TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES

  • SEE SCHEDULE O

    Expenses $400,171,534 · Revenue $447,269,096

  • SEE SCHEDULE O

    Expenses $10,377,437 · Revenue $10,538,823

  • SEE SCHEDULE O

    Expenses $886,527,578 · Revenue $979,801,996

  • CONTRIBUTIONS BY MEDICA ON BEHALF OF MEMBERS BEYOND CONTRACTED SERVICES IN 2023 MHP SPENT APPROXIMATELY $3.5 MILLION TO PROVIDE ADDITIONAL, NON-STATE PLAN SERVICES ON BEHALF OF THE FOLLOWING CATEGORIES OF MINNESOTA HEALTH CARE PROGRAMS; PMAP, MNCARE, MSC+, SNBC, AND SNBC SNP.NON-STATE PLAN SERVICES INCLUDED: VALUE OF WAIVED FAMILY DEDUCTIBLE, MSC+/MSHO ELDERLY WAIVER FOR NON-ELIGIBLE MEMBERS; NON-MEDICARE PART D PHARMACY COPAYMENTS; DRUGS NOT ELIGIBLE FOR REBATE; NON-MEDICARE VALUE OF COST-SHARING WAIVED COPAYS; MEMBER INCENTIVES AND REWARDS, FITNESS PROGRAMS AND CAMPS; AND TUITION REIMBURSEMENT.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.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 UNDERTAKES A VARIETY OF INITIATIVES TO MAKE HEALTH CARE MORE AFFORDABLE, AVAILABLE AND EFFECTIVE. EXAMPLES INCLUDE:-IMPROVEMENTS IN RATES OF ANNUAL SCREENINGS AMONG MEMBERS FOR DISEASES SUCH AS CANCERS, HEART DISEASE AND DIABETES, PRE AND POST-BIRTH MATERNITY CARE, IMMUNIZATIONS, AND ANNUAL DENTAL VISITS.-REDUCTIONS IN MEDICALLY UNNECESSARY ER VISITS AND IN-PATIENT HOSPITAL ADMISSIONS-TYING PROVIDER REIMBURSEMENT TO IMPROVEMENTS IN CARE OUTCOMES, QUALITY AND EFFICIENCY-INCREASED PARTICIPATION IN EXERCISE.MEDICA'S OPTUM ONEPASS FITNESS PROGRAM OFFERED A LARGE, NATIONWIDE NETWORK OF GYMS AND FITNESS LOCATIONS. ADDITIONALLY, MEMBERS RECEIVED ONLINE ACCESS TO THOUSANDS OF ON-DEMAND WORKOUT VIDEOS AND CUSTOMIZABLE WORKOUT PROGRAMS ACCESSIBLE VIA A MOBILE APP CALLED MY HEALTH REWARDS WHICH ALSO OFFERS OPPORTUNITIES FOR PERSON-TO-PERSON DIRECT GUIDANCE IN CREATING A PERSONALIZED NUTRITION AND FITNESS PLAN. IN 2023, MEDICA OFFERED THE OPTUM ONEPASS PROGRAM TO MEMBERS IN MEDICARE ADVANTAGE PRODUCTS THAT INCLUDED THE MSHO AND SNBC SNP MINNESOTA STATE PROGRAMS.MEDICA'S TOBACCO CESSATION COACHING PROGRAM IS A SELF-DIRECTED PROGRAM OFFERING A WIDE VARIETY OF TOOLS AND RESOURCES TO HELP MEMBERS QUIT TOBACCO USE. COACHING SUPPORT INCLUDES PRIVATE, CONFIDENTIAL ACCESS TO TRAINED HEALTH COACHES. THERE WAS NO COST TO MEDICA MEMBERS TO PARTICIPATE IN THE TOBACCO CESSATION COACHING PROGRAM.IN 2023 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.

    Expenses $3,500,000 · Grants $3,500,000

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Elizabeth F Erickson

    PRESIDENT & CEO & CFO

    Total calculated
    $1,242,128
    From this org
    $0
    From related orgs
    $1,203,089
    Other
    $39,039
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $487,530 related
    Bonus
    $0 + $600,051 related
    Other
    $0 + $115,508 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $25,839 related
    Filer's total
    $0 + $1,242,128 related

  • John Naylor

    PRESIDENT & CEO (THRU 9/23)

    Total calculated
    $5,701,057
    From this org
    $0
    From related orgs
    $5,672,385
    Other
    $28,672
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $745,040 related
    Bonus
    $0 + $3,514,090 related
    Other
    $0 + $1,413,255 related
    Deferred
    $0 + $10,532 related
    Nontaxable benefits
    $0 + $18,140 related
    Filer's total
    $0 + $5,701,057 related

  • John Buck

    DIRECTOR

    Total calculated
    $163,750
    From this org
    $0
    From related orgs
    $163,750
    Other
    $0
    Hours/week
    0 + 15 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $163,750 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $163,750 related

  • John Stanoch

    DIRECTOR & CHAIR

    Total calculated
    $121,250
    From this org
    $0
    From related orgs
    $121,250
    Other
    $0
    Hours/week
    0 + 10 related

  • Peter Kelley

    DIRECTOR

    Total calculated
    $112,500
    From this org
    $0
    From related orgs
    $112,500
    Other
    $0
    Hours/week
    0 + 10 related

  • Mary Twinem

    DIRECTOR

    Total calculated
    $111,000
    From this org
    $0
    From related orgs
    $111,000
    Other
    $0
    Hours/week
    0 + 10 related

  • David H Ellenbogen

    SVP SEC & GEN COUNSEL (THRU 12/23)

    Total calculated
    $818,602
    From this org
    $0
    From related orgs
    $773,584
    Other
    $45,018
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $407,024 related
    Bonus
    $0 + $249,087 related
    Other
    $0 + $117,473 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $31,818 related
    Filer's total
    $0 + $818,602 related

  • Mark L Baird

    FORMER SVP & CFO

    Total calculated
    $552,044
    From this org
    $0
    From related orgs
    $552,044
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $329,888 related
    Other
    $0 + $222,156 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $552,044 related

  • James P Jacobson

    FORMER SVP SEC & GEN COUNSEL

    Total calculated
    $448,077
    From this org
    $0
    From related orgs
    $448,077
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $129,138 related
    Other
    $0 + $318,939 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $448,077 related

  • Mary P Quist

    TREASURER/INTERIM CFO

    Total calculated
    $857,958
    From this org
    $0
    From related orgs
    $808,429
    Other
    $49,529
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $342,386 related
    Bonus
    $0 + $349,158 related
    Other
    $0 + $116,885 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $36,329 related
    Filer's total
    $0 + $857,958 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

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
MEDICA HEALTH PLANS, THE FILING ORGANIZATION, DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEDICA SERVICES COMPANY, A RELATED TAXABLE ORGANIZATION. WHEN ESTABLISHING COMPENSATION MEDICA SERVICES COMPANY USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA SERVICES COMPANY, A RELATED ORGANIZATION: MARY P. QUIST - $65,758 MARK L. BAIRD - $32,279 JOHN W. NAYLOR - $212,534 DAVID H. ELLENBOGEN - $62,813 JAMES P. JACOBSON - $91,442
PART I, LINE 6:
MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATION'S OPERATING EARNINGS.

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

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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MS COMMUNITY NFP JV LLC (MFCJVN)

    0 · MN

Related corporations and trusts

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

  • MEDICA INSURANCE COMPANY

    C · HEALTH INSURANCE · MN

    Directly controlled by MAS

  • MEDICA SELF-INSURED

    C · THIRD PARTY ADMIN · MN

    Directly controlled by MAS

  • MEDICA AFFILIATED SERVICES (MAS)

    C · HOLDING COMPANY · MN

    Directly controlled by MHC

  • MEDICA HEALTH MANAGEMENT

    C · HEALTH MGMT · MN

    Directly controlled by MAS

  • MMSI INC

    C · HEALTH INSURANCE · MN

    Directly controlled by MAS

  • MEDICA SERVICES COMPANY LLC

    C · ADMIN SERVICES · MN

    Directly controlled by MAS

  • DEAN HEALTH PLAN INC

    C · HEALTH INSURANCE · WI

    Directly controlled by DHI

  • DEAN HEALTH INSURANCE INC (DHI)

    C · HEALTH INSURANCE · WI

    Directly controlled by MSCJV

  • SSM HEALTH INSURANCE COMPANY

    C · HEALTH INSURANCE · MO

    Directly controlled by MSCJV

  • DEAN HEALTH SERVICES COMPANY LLC

    C · ADMIN SERVICES · WI

    Directly controlled by MSCJV

  • MS COMMUNITY JV LLC (MSCJV)

    C · HOLDING COMPANY · MN

    Directly controlled by MHC

  • MEDICA REGIONAL INSURANCE COMPANY

    C · HEALTH INSURANCE · MN

    Directly controlled by MAS

Provenance

Return type
form_990
Tax year
2023
Filed
5 March 2025
IRS schema version
2023v6.0
Source object
202510659349300421

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