Totals
- Total revenue
- $1,037,106
- Total expenses
- $652,335
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $1,037,106
- Other revenue
- $0
- Total assets, end of year
- $602,876,570
- Total liabilities, end of year
- $108,433,048
- Net assets or fund balances, end of year
- $494,443,522
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $652,335
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
Program services were 0.0% 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.
-
3 · Investment income
total $1,037,106 · excluded $1,037,106
Functional expenses
Part IX, the statement of functional expenses.
-
11f · Fees: investment management
total $470,535 · management and general $470,535
-
20 · Interest
total $181,800 · management and general $181,800
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 $37,502,109 · end of year $122,250,106
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $0 · end of year $0
-
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 $77,022,620 · end of year $178,390,303
-
12 · Investments: other securities
beginning of year $157,716,528 · end of year $11,636,573
-
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 $249,209,434 · end of year $290,599,588
-
17 · Accounts payable and accrued expenses
beginning of year $0 · end of year $153,000
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
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 $0 · end of year $108,280,048
-
27 · Net assets without donor restrictions
beginning of year $521,450,691 · end of year $494,443,522
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
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
- 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
- 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
- 6a · Pay contingent on this 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
- MEDICA HOLDING COMPANY, THE FILING ORGANIZATION, DOES NOT PAY COMPENSATION. ALL COMPENSATION IS PAID BY MEDICA SERVICES COMPANY, A RELATED 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 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 JOHN W. NAYLOR - $250,332 DAVID H. ELLENBOGEN - $75,880 MARY P. QUIST - $58,551 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.
-
501(C)(4) · HEALTH COVERAGE · MN · controlled entity
Directly controlled by MHC
-
501(C)(3) · FOUNDATION · MN · controlled entity
Directly controlled by MHC
-
501(C)(4) · HEALTH COVERAGE · MN · controlled entity
Directly controlled by MHC
-
501(C)(4) · HEALTH INSURANCE · MO
Directly controlled by MFCJVN
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)
RELATED · HOLDING COMPANY · MN · 55% owned · share of assets $5,114,402
Directly controlled by MHC
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · ADMIN. SERVICES · MN
Directly controlled by MAS
-
DEAN HEALTH SERVICES COMPANY LLC
C · ADMIN. SERVICES · WI
Directly controlled by MSCJV
-
C · HEALTH INSURANCE · WI
Directly controlled by DHI
-
DEAN HEALTH INSURANCE INC (DHI)
C · HEALTH INSURANCE · WI
Directly controlled by MSCJV
-
C · HEALTH INSURANCE · MO
Directly controlled by MSCJV
-
MEDICA REGIONAL INSURANCE COMPANY
C · HEALTH INSURANCE · MN
Directly controlled by MAS
-
C · HEALTH INSURANCE · MN
Directly controlled by MAS
-
C · HEALTH MANAGEMENT · MN
Directly controlled by MAS
-
MEDICA AFFILIATED SERVICES (MAS)
C · HOLDING COMPANY · MN · controlled entity
Directly controlled by MHC
-
C · HOLDING COMPANY · MN
Directly controlled by MHC
-
C · THIRD PARTY ADMIN · MN
Directly controlled by MAS
-
C · THIRD PARTY ADMIN · MN
Directly controlled by MAS
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 23 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333129349303788
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