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Nonprofiteer
← QUARTZ HEALTH PLAN CORPORATION

Form 990 for tax year 2022

Filed by QUARTZ HEALTH PLAN CORPORATION.

Totals

Total revenue
$391,121,092
Total expenses
$397,289,259
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$390,577,636
Investment income
$543,456
Other revenue
$0
Total assets, end of year
$91,900,389
Total liabilities, end of year
$52,653,193
Net assets or fund balances, end of year
$39,247,196
Program services expenses (Part IX)
$378,123,467
Management and general expenses
$19,165,792
Fundraising expenses
$0
Program service expenses (Part III)
$378,123,467

Program services were 95.2% 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: PREMIUM REVENUE

    total $390,577,636 · related or exempt $390,577,636

  • 3 · Investment income

    total $543,456 · excluded $543,456

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $10,914,399 · program services $4,376,471 · management and general $6,537,928

  • 8 · Pension plan contributions

    total $503,319 · program services $204,249 · management and general $299,070

  • 9 · Other employee benefits

    total $2,029,468 · program services $24,450 · management and general $2,005,018

  • 10 · Payroll taxes

    total $722,052 · program services $314,045 · management and general $408,007

  • 11a · Fees: management

    total $138,547 · program services $137,506 · management and general $1,041

  • 11b · Fees: legal

    total $105,135 · management and general $105,135

  • 11c · Fees: accounting

    total $593,681 · program services $22,179 · management and general $571,502

  • 11f · Fees: investment management

    total $414,824 · management and general $414,824

  • 11g · Fees: other

    total $177,233 · program services $6,810 · management and general $170,423

  • 12 · Advertising and promotion

    total $1,303,888 · program services $55,595 · management and general $1,248,293

  • 13 · Office expenses

    total $768,020 · program services $99,192 · management and general $668,828

  • 14 · Information technology

    total $740,113 · program services $469,479 · management and general $270,634

  • 16 · Occupancy

    total $346,791 · management and general $346,791

  • 17 · Travel

    total $78,085 · program services $12,833 · management and general $65,252

  • 22 · Depreciation, depletion and amortization

    total $130,374 · management and general $130,374

  • 23 · Insurance

    total $274,108 · management and general $274,108

  • 24a · Other expenses: MEDICAL EXPENSES

    total $366,605,193 · program services $366,605,193

  • 24b · Other expenses: OUTSOURCED SERVICES

    total $8,555,447 · program services $5,427,012 · management and general $3,128,435

  • 24c · Other expenses: COMMISSIONS

    total $2,383,918 · management and general $2,383,918

  • 24d · Other expenses: OTHER

    total $461,320 · program services $356,451 · management and general $104,869

  • 24e · All other expenses

    total $43,344 · program services $12,002 · management and general $31,342

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $39,737,977 · end of year $55,574,858

  • 2 · Savings and temporary cash investments

    beginning of year $149,706 · end of year $144,932

  • 4 · Accounts receivable

    beginning of year $19,975,338 · end of year $20,521,204

  • 9 · Prepaid expenses and deferred charges

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

  • 11 · Investments: publicly traded securities

    beginning of year $8,234,029 · end of year $6,370,906

  • 13 · Investments: program-related

    beginning of year $5,176,505 · end of year $8,378,743

  • 15 · Other assets

    beginning of year $525,359 · end of year $896,446

  • 17 · Accounts payable and accrued expenses

    beginning of year $36,014,016 · end of year $47,566,847

  • 19 · Deferred revenue

    beginning of year $3,191,990 · end of year $4,123,487

  • 25 · Other liabilities

    beginning of year $2,850,849 · end of year $962,859

  • 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 $19,409,750 · end of year $32,850,999

  • 31 · Retained earnings, endowment or other funds

    beginning of year $12,332,309 · end of year $6,396,197

Mission and programs · 2022

Mission

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

  • PROVISION OF HEALTH CARE SERVICES PROVIDED FOR 83,902 MEMBERS.

    Expenses $378,123,467 · Revenue $390,577,636

As filed on the 2022 return.

Listed in Part VII

  • Gerald E Arndt

    BOD - MEMBER

    Total calculated
    $14,015
    From this org
    $0
    From related orgs
    $14,015
    Other
    $0
    Hours/week
    2

  • George H Tervalon III

    BOD - MEMBER

    Total calculated
    $13,400
    From this org
    $0
    From related orgs
    $13,400
    Other
    $0
    Hours/week
    2

  • Gerald R Kember

    BOD - MEMBER

    Total calculated
    $13,259
    From this org
    $0
    From related orgs
    $13,259
    Other
    $0
    Hours/week
    2

  • Randy R Bruegman

    BOD - MEMBER

    Total calculated
    $11,047
    From this org
    $0
    From related orgs
    $11,047
    Other
    $0
    Hours/week
    2

  • Susan R Johansen Green

    BOD - MEMBER

    Total calculated
    $11,000
    From this org
    $0
    From related orgs
    $11,000
    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 Monica Gehl

    BOD - MEMBER (AS OF 02/2022)

    Total calculated
    $0
    Hours/week
    2

  • Gerald Patrick Oetzel

    BOD - MEMBER (AS OF 05/2022)

    Total calculated
    $0
    Hours/week
    2 + 48 related

  • Jennifer Barb Atkins

    BOD - MEMBER (AS OF 02/2022)

    Total calculated
    $0
    Hours/week
    2

  • Michael J Dolan MD

    BOD - MEMBER (TERM. 02/2022)

    Total calculated
    $0
    Hours/week
    2

  • Robert W Flannery

    BOD - MEMBER

    Total calculated
    $0
    Hours/week
    2 + 48 related

  • Susan Erickson

    BOD - MEMBER (AS OF 02/2022)

    Total calculated
    $0
    Hours/week
    2

  • Mark J Selna MD

    PRESIDENT & CEO (TERM. 05/2023)

    Total calculated
    $950,318
    From this org
    $0
    From related orgs
    $893,228
    Other
    $57,090
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $715,439 related
    Bonus
    $0 + $174,000 related
    Other
    $0 + $3,789 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $38,790 related
    Filer's total
    $0 + $950,318 related

  • David S Hanekom MD

    SENIOR VP & CHIEF MEDICAL OFFICER

    Total calculated
    $500,129
    From this org
    $0
    From related orgs
    $447,913
    Other
    $52,216
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $425,389 related
    Bonus
    $0 + $18,540 related
    Other
    $0 + $3,984 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $33,916 related
    Filer's total
    $0 + $500,129 related

  • Christine C Senty

    GENERAL COUNSEL, VP & SECRETARY

    Total calculated
    $475,277
    From this org
    $0
    From related orgs
    $424,642
    Other
    $50,635
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $340,216 related
    Bonus
    $0 + $50,896 related
    Other
    $0 + $33,530 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $32,335 related
    Filer's total
    $0 + $475,277 related

  • James L Hiveley

    VP, TREASURER & CFO (TERM. 04/2023)

    Total calculated
    $460,359
    From this org
    $0
    From related orgs
    $409,308
    Other
    $51,051
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $327,214 related
    Bonus
    $0 + $49,310 related
    Other
    $0 + $32,784 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $32,751 related
    Filer's total
    $0 + $460,359 related

  • Kristie S Breunig

    ASSISTANT SECRETARY

    Total calculated
    $243,575
    From this org
    $0
    From related orgs
    $212,153
    Other
    $31,422
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $195,375 related
    Bonus
    $0 + $16,120 related
    Other
    $0 + $658 related
    Deferred
    $0 + $11,833 related
    Nontaxable benefits
    $0 + $19,589 related
    Filer's total
    $0 + $243,575 related

  • Heidi M Eglash

    FORMER BOD - MEMBER

    Total calculated
    $12,079
    From this org
    $0
    From related orgs
    $12,079
    Other
    $0
    Hours/week
    0

  • Kevin R Hauser

    FORMER BOD - MEMBER

    Total calculated
    $11,234
    From this org
    $0
    From related orgs
    $11,234
    Other
    $0
    Hours/week
    0

  • Kyle P Brua

    FORMER CHIEF ACTUARY (TERM. 05/2021)

    Total calculated
    $177,658
    From this org
    $0
    From related orgs
    $177,658
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $177,658 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $177,658 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: IN YEAR 2022, KYLE P. BRUA RECEIVED A $177,658 SERVERANCE PAYMENT. 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.

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
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202313189349302421

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