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Nonprofiteer
← MEDICA COMMUNITY HEALTH PLAN

Form 990 for tax year 2022

Filed by MEDICA COMMUNITY HEALTH PLAN.

Totals

Total revenue
$124,250,679
Total expenses
$130,033,938
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$122,724,916
Investment income
$1,525,763
Other revenue
$0
Total assets, end of year
$129,865,512
Total liabilities, end of year
$28,758,374
Net assets or fund balances, end of year
$101,107,138
Program services expenses (Part IX)
$117,840,248
Management and general expenses
$12,193,690
Fundraising expenses
$0
Program service expenses (Part III)
$117,840,248

Program services were 90.6% 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 $122,724,916 · related or exempt $122,724,916

  • 3 · Investment income

    total $2,013,509 · excluded $2,013,509

  • 7a · Gross sales of assets other than inventory

    securities $16,912,559

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

    securities $17,400,305

  • 7c · Gain or loss

    securities -$487,746

  • 7d · Net gain or loss

    total -$487,746 · excluded -$487,746

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $117,840,248 · program services $117,840,248

  • 11b · Fees: legal

    total $47,807 · management and general $47,807

  • 11c · Fees: accounting

    total $29,694 · management and general $29,694

  • 11d · Fees: lobbying

    total $8,410 · management and general $8,410

  • 11g · Fees: other

    total $2,089,889 · management and general $2,089,889

  • 12 · Advertising and promotion

    total $207,756 · management and general $207,756

  • 13 · Office expenses

    total $97,822 · management and general $97,822

  • 14 · Information technology

    total $719,996 · management and general $719,996

  • 16 · Occupancy

    total $139,812 · management and general $139,812

  • 17 · Travel

    total $10,567 · management and general $10,567

  • 19 · Conferences, conventions and meetings

    total $8,298 · management and general $8,298

  • 22 · Depreciation, depletion and amortization

    total $562,292 · management and general $562,292

  • 23 · Insurance

    total $56,566 · management and general $56,566

  • 24a · Other expenses: LEASED EMPLOYEES

    total $5,550,886 · management and general $5,550,886

  • 24b · Other expenses: PREMIUM TAXES

    total $1,240,103 · management and general $1,240,103

  • 24c · Other expenses: ALL OTHER EXPENSES

    total $1,225,346 · management and general $1,225,346

  • 24d · Other expenses: PRINTING AND PUBLICATIO

    total $198,446 · management and general $198,446

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 $32,392,304 · end of year $19,771,457

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $76,057 · end of year $4,607,869

  • 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 $83,290,848 · end of year $82,967,886

  • 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 $18,484,346 · end of year $22,518,300

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,660,704 · end of year $1,900,176

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $1,047,097 · end of year $1,073,338

  • 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 $22,474,909 · end of year $25,784,860

  • 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 $106,060,845 · end of year $101,107,138

Mission and programs · 2022

Mission

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

  • SEE SCHEDULE O.

    Expenses $117,840,248 · Revenue $122,724,916

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • John W Naylor

    PRESIDENT & CEO

    Total calculated
    $2,880,062
    From this org
    $0
    From related orgs
    $2,835,957
    Other
    $44,105
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,064,714 related
    Bonus
    $0 + $1,511,877 related
    Other
    $0 + $259,366 related
    Deferred
    $0 + $19,605 related
    Nontaxable benefits
    $0 + $24,500 related
    Filer's total
    $0 + $2,880,062 related

  • Rajesh Aggarwal

    DIRECTOR

    Total calculated
    $91,875
    From this org
    $0
    From related orgs
    $91,875
    Other
    $0
    Hours/week
    0 + 10 related

  • Brigid Bonner

    DIRECTOR

    Total calculated
    $83,250
    From this org
    $0
    From related orgs
    $83,250
    Other
    $0
    Hours/week
    0 + 10 related

  • John Buck

    DIRECTOR & CHAIR

    Total calculated
    $133,000
    From this org
    $0
    From related orgs
    $133,000
    Other
    $0
    Hours/week
    0 + 15 related

  • Peter Kelly

    DIRECTOR

    Total calculated
    $87,375
    From this org
    $0
    From related orgs
    $87,375
    Other
    $0
    Hours/week
    0 + 10 related

  • Samuel Leon

    DIRECTOR

    Total calculated
    $80,750
    From this org
    $0
    From related orgs
    $80,750
    Other
    $0
    Hours/week
    0 + 10 related

  • Gaye Adams Massey

    DIRECTOR

    Total calculated
    $71,750
    From this org
    $0
    From related orgs
    $71,750
    Other
    $0
    Hours/week
    0 + 10 related

  • John Stanoch

    DIRECTOR & VICE CHAIR

    Total calculated
    $92,625
    From this org
    $0
    From related orgs
    $92,625
    Other
    $0
    Hours/week
    0 + 10 related

  • Earl Stratton

    DIRECTOR

    Total calculated
    $92,625
    From this org
    $0
    From related orgs
    $92,625
    Other
    $0
    Hours/week
    0 + 10 related

  • Mary Twinem

    DIRECTOR

    Total calculated
    $87,375
    From this org
    $0
    From related orgs
    $87,375
    Other
    $0
    Hours/week
    0 + 10 related

  • Mary P Quist

    SVP FIN & CORP CONTROLLER

    Total calculated
    $718,936
    From this org
    $0
    From related orgs
    $663,642
    Other
    $55,294
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $329,723 related
    Bonus
    $0 + $268,265 related
    Other
    $0 + $65,654 related
    Deferred
    $0 + $23,638 related
    Nontaxable benefits
    $0 + $31,656 related
    Filer's total
    $0 + $718,936 related

  • Mark L Baird

    SVP & CFO

    Total calculated
    $1,067,504
    From this org
    $0
    From related orgs
    $1,039,962
    Other
    $27,542
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,343 related
    Bonus
    $0 + $548,698 related
    Other
    $0 + $154,921 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $15,342 related
    Filer's total
    $0 + $1,067,504 related

  • David H Ellenbogen

    SVP SEC & GENERAL COUNSEL

    Total calculated
    $835,374
    From this org
    $0
    From related orgs
    $735,741
    Other
    $99,633
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $395,550 related
    Bonus
    $0 + $261,312 related
    Other
    $0 + $78,879 related
    Deferred
    $0 + $74,554 related
    Nontaxable benefits
    $0 + $25,079 related
    Filer's total
    $0 + $835,374 related

  • Esther Tomljanovich

    FORMER DIRECTOR

    Total calculated
    $11,500
    From this org
    $0
    From related orgs
    $11,500
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $11,500 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $11,500 related

  • James P Jacobson

    FORMER SVP SEC & GEN COUNSEL

    Total calculated
    $595,469
    From this org
    $0
    From related orgs
    $595,469
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $124,339 related
    Other
    $0 + $471,130 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $595,469 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 6
MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATION'S OPERATING EARNINGS.
PART-I LINE-4B
THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA SERVICES COMPANY, A RELATED ORGANIZATION. MARK L. BAIRD - $84,354 MARY P. QUIST - $58,551 JOHN W. NAYLOR - $250,332 DAVID H. ELLENBOGEN - $75,880 JAMES P. JACOBSON - $150,790

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.

  • MS COMMUNITY NFP JV LLC (MFCJVN)

    0 · HOLDING COMPANY · MN

    Directly controlled by MHC

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 HEALTH MANAGMENT

    C · HEALTH MANAGEMENT · MN

    Directly controlled by MAS

  • MEDICA AFFILIATED SERVICES (MAS)

    C · HOLDING COMPANY · MN

    Directly controlled by MHC

  • MMSI INC

    C · THIRD PARTY ADMIN · 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
2022
Filed
23 October 2023
IRS schema version
2022v5.0
Source object
202343129349303789

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