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← MEDICA COMMUNITY HEALTH PLAN

Form 990 for tax year 2023

Filed by MEDICA COMMUNITY HEALTH PLAN.

What the amendment changed

Compared with the return it replaced , filed 14 November 2024. matched by us Only the Part I totals and the names listed in Part VII 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.

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

Totals

Total revenue
$152,054,828
Total expenses
$133,916,019
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$149,373,340
Investment income
$2,681,488
Other revenue
$0
Total assets, end of year
$148,944,995
Total liabilities, end of year
$30,488,524
Net assets or fund balances, end of year
$118,456,471
Program services expenses (Part IX)
$119,095,421
Management and general expenses
$14,820,598
Fundraising expenses
$0
Program service expenses (Part III)
$119,095,421

Program services were 88.9% 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 $149,373,340 · related or exempt $149,373,340

  • 3 · Investment income

    total $3,089,952 · excluded $3,089,952

  • 7a · Gross sales of assets other than inventory

    securities $16,537,774

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

    securities $16,946,238

  • 7c · Gain or loss

    securities -$408,464

  • 7d · Net gain or loss

    total -$408,464 · excluded -$408,464

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $119,095,421 · program services $119,095,421

  • 11b · Fees: legal

    total $66,001 · management and general $66,001

  • 11c · Fees: accounting

    total $17,837 · management and general $17,837

  • 11d · Fees: lobbying

    total $16,103 · management and general $16,103

  • 11g · Fees: other

    total $2,188,569 · management and general $2,188,569

  • 12 · Advertising and promotion

    total $215,530 · management and general $215,530

  • 13 · Office expenses

    total $128,926 · management and general $128,926

  • 14 · Information technology

    total $952,313 · management and general $952,313

  • 16 · Occupancy

    total $155,383 · management and general $155,383

  • 17 · Travel

    total $20,527 · management and general $20,527

  • 19 · Conferences, conventions and meetings

    total $11,563 · management and general $11,563

  • 22 · Depreciation, depletion and amortization

    total $693,405 · management and general $693,405

  • 23 · Insurance

    total $71,496 · management and general $71,496

  • 24a · Other expenses: LEASED EMPLOYEES

    total $7,436,662 · management and general $7,436,662

  • 24b · Other expenses: OTHER EXPENSES

    total $1,410,428 · management and general $1,410,428

  • 24c · Other expenses: PREMIUM TAXES

    total $1,251,805 · management and general $1,251,805

  • 24d · Other expenses: PRINTING & PUBLICATION

    total $184,050 · management and general $184,050

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $19,771,457 · end of year $30,600,320

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $4,607,869 · end of year $13,359,638

  • 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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $82,967,886 · end of year $87,083,250

  • 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 $22,518,300 · end of year $17,901,787

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,900,176 · end of year $913,433

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $1,073,338 · end of year $762,782

  • 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

  • 25 · Other liabilities

    beginning of year $25,784,860 · end of year $28,812,309

  • 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 $101,107,138 · end of year $118,456,471

Mission and programs · 2023

Mission

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

  • SEE SCHEDULE O

    Expenses $119,095,421 · Revenue $149,373,340

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

Listed in Part VII

  • DAVID 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

  • 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 & CHAIR

    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 & VICE CHAIR

    Total calculated
    $121,250
    From this org
    $0
    From related orgs
    $121,250
    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

  • PETER KELLEY

    DIRECTOR

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

  • RAJ AGGARWAL

    DIRECTOR

    Total calculated
    $119,750
    From this org
    $0
    From related orgs
    $119,750
    Other
    $0
    Hours/week
    0 + 10 related

  • BRIGID BONNER

    DIRECTOR

    Total calculated
    $108,000
    From this org
    $0
    From related orgs
    $108,000
    Other
    $0
    Hours/week
    0 + 10 related

  • SAM LEON

    DIRECTOR

    Total calculated
    $100,250
    From this org
    $0
    From related orgs
    $100,250
    Other
    $0
    Hours/week
    0 + 10 related

  • GAYE ADAMS MASSEY

    DIRECTOR

    Total calculated
    $95,000
    From this org
    $0
    From related orgs
    $95,000
    Other
    $0
    Hours/week
    0 + 10 related

  • EARL STRATTON

    DIRECTOR

    Total calculated
    $114,750
    From this org
    $0
    From related orgs
    $114,750
    Other
    $0
    Hours/week
    0 + 10 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

  • 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

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 COMMUNITY HEALTH PLAN, THE FILING ORGANIZATION DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEDICA SERVICES COMPANY, A RELATED ORGANIZATION. WHEN ESTABLISHING COMPENSATION MEDICA HEALTH PLANS UTILIZES THE FOLLOWING; 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. MARK L. BAIRD - $32,279 MARY P. QUIST - $65,748 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

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 partnerships

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2023
Filed
5 March 2025
IRS schema version
2023v6.0
Source object
202500659349300905

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