2013-10-23T16:09:48-05:00 2012-12-31 LEWIS KISCH & ASSOCIATES LTD 1125 SOUTH FRONTAGE ROAD SUITE 1 HASTINGS MN 550332489 990 2012-01-01 411907276 INVITATION HEALTH INSTITUTE MINN 7634275310 3535 BLUE CROSS ROAD ST PAUL MN 55122 DENISE BERGEVIN 7634275310 2013-10-16 true JAMES V LEWIS 6514373356 2013-10-23 2012 2016-02-24 21:20:13Z JAMISON RICE CFO 1430611 false X X 1998 MN INVITATION HEALTH INSTITUTE ("THE INSTITUTE") PROMOTES PUBLIC HEALTH BY COLLABERATING WITH COMMUNITIES TO CREATE AND PROVIDE INNOVATIVE AND CULTURALLY APPROPRIATE PREVENTION SERVICES AND PRODUCTS WORLDWIDE. 6 2 0 0 0 2605971 1430589 16446 22 0 2622417 1430611 0 0 2548460 2205114 0 0 1465240 1126001 4013700 3331115 -1391283 -1900504 3613102 2935217 727553 2232843 2885549 702374 X INVITATION HEALTH INSTITUTE ("THE INSTITUTE") PROMOTES PUBLIC HEALTH BY COLLABERATING WITH COMMUNITIES TO CREATE AND PROVIDE INNOVATIVE AND CULTURALLY APPROPRIATE PREVENTION SERVICES AND PRODUCTS WORLDWIDE. false true 456760 602385 MINNESOTA PREVENTION CENTER (MPRC) - ON CONTRACT WITH THE STATE OF MINNESOTA TO HOUSE AND PROVIDE A CLEARINGHOUSE, TRAINING AND CONSULTATION CENTER FOR MINNESOTA COMMUNITIES, SCHOOLS, ORGANIZATIONS AND INDIVIDUALS TO CONDUCT SUBSTANCE ABUSE AND VIOLENCE PREVENTION. 60623 136657 THE LEAD EPIDEMIOLOGIST (EPI) MANAGES MINNESOTA STATE EPIDEMIOLOGICAL OUTCOMES WORKGROUP (SEOW) MEETINGS, ADMINISTERS THE WWW.SUMN.ORG WEBSITE, AND PROVIDES A VARIETY OF OTHER TRAINING AND TECHNICAL ASSISTANCE RELATED TO SUBSTANCE ABUSE DATA TO STAKEHOLDERS AROUND THE STATE OF MINNESOTA. 105139 141927 DPS BLOCK GRANT (DPS)- TO PROVIDE IDENTIFIED COMMUNITIES IN MINNESOTA WITH TECHNICAL ASSISTANCE AND COMPLIANCE CHECKS TO REDUCE ALCHOHOL ACCESS BY YOUTH AT THE LOCAL COMMUNITY LEVEL. 786985 549619 PROGRAM EVALUATION SERVICES - FEE FOR SERVICE BASIS HEALTH PROMOTION RESOURCES - MATERIALS AND TRAINING - FEE FOR SERVICES BASIS 786985 549619 1409507 true false false false false false false false true false true false false false true true true true false false false false false false false false false false false true false false false false false false false true false false false false false true false false false true 39 0 true 0 false false false false false false false false false false X 6 2 false false true false true true false true true false false true true true true true true true true false MN X X DENISE BERGEVIN 6516621106 3535 BLUE CROSS ROAD EAGAN MN 55122 JAMES EPPEL 1.00 39.00 X 0 1007943 29778 KATHY MOCK 1.00 39.00 X 0 986648 18994 SCOTT LYNCH 1.00 39.00 X 0 914592 37248 PAMELA SEDMAK 1.00 39.00 X 0 882742 14610 DAVID SPALDING 1.00 39.00 X X 0 554665 47335 JENNIFER GILLESPIE 1.00 39.00 X 0 421027 36763 ZACHARY MEYER 18.00 22.00 X X 0 326794 6008 DENISE BERGEVIN 1.00 39.00 X X 0 321476 100024 DIANE POZDOLSKI 1.00 39.00 X 0 293983 89863 JANE MCMAHON 1.00 39.00 X X 0 212869 44825 CAROLYN LINK 1.00 39.00 X 0 199429 56143 GERALD JAKER 40.00 X X 0 156505 47335 JOHN URIBE 1.00 39.00 X X 0 141513 18214 SHAWN CURTI 1.00 39.00 X X 0 101064 14527 JOHN LAUX 1.00 X 850 0 0 MEE MOUA 1.00 X 300 0 0 NANCY NELSON 1.00 39.00 X 0 944787 53505 MARC MANLEY 1.00 39.00 X 0 619254 52739 JOHN ORNER 1.00 39.00 X 0 512104 58300 JAMISON RICE 1.00 39.00 X 0 223698 14858 KATHY DUNMIRE 0.00 40.00 X 0 649350 82811 GREG GILMET 0.00 40.00 X 0 514194 0 MARSHA SHOTLEY 0.00 0.00 X 0 470719 17035 LAURA WOODWARD 0.00 40.00 X 0 309004 7672 MICHAEL MCKURAS 0.00 0.00 X 0 65679 57359 NANCY REED 1.00 39.00 X 0 142491 14657 1150 10972530 920603 true true false BCBSM INC 3535 BLUE CROSS ROAD EAGAN MN 55122 ADMIN SERVICE 3221978 1 GRANTS AND CONTRACTS 900099 1380932 1380932 SALES OF MATERIALS & SERVICES 900099 25787 25787 FEES 900099 23870 23870 1430589 22 22 1430611 1430589 22 1678978 629833 1049145 161672 60648 101024 364464 136721 227743 252982 138188 114794 187686 147040 40646 3002 3002 127068 127068 CONTRACTED SERVICES 430413 276325 154088 MISCELLANEOUS 57891 8664 49227 BUILDING UTILITIES & TAX 50723 50723 PROGRAM FEES 16236 12088 4148 3331115 1409507 1921608 0 124739 1137988 971852 13382 5418 8516 2417302 858397 1943974 1558905 390609 390526 2410 3613102 2935217 656311 2186099 9441 6250 61801 40494 727553 2232843 X 2885549 702374 2885549 702374 3613102 2935217 X -1900504 -282671 X false true X true true true X 3795988 3038768 3652407 2532125 1380932 14400220 1093771 1236231 834246 73846 49657 3287751 4889759 4274999 4486653 2605971 1430589 17687971 17687971 50381 -17006 60987 -6245 22 88139 50381 -17006 60987 -6245 22 88139 4940140 4257993 4547640 2599726 1430611 17776110 0.99500 0.99040 0.00000 0.01000 X false true X 345000 345000 1679307 564307 1115000 392995 294090 98905 1558905 CHECKS OUTSTANDING 40494 40494 X 1430611 1430611 1430611 3331115 3331115 3331115 ESCROW LIABILITY ARRANGEMENT EXPLANATION SCHEDULE D, PAGE 2, PART IV, LINE 2B INVITATION HEALTH INSTITUTE IS A FISCAL AGENT FOR THE MINNESOTA CANCER ALLIANCE. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X AS OF DECEMBER 31, 2012 THERE WERE NO MATERIAL TAX POSITIONS FOR WHICH MANAGEMENT BELIEVES IT IS REASONABLY POSSIBLE THAT THEY WOULD BE CHALLENGED. TAX RETURNS FOR 2009 THROUGH 2012 REMAIN OPEN FOR EXAMINATION BY TAX JURISDICTIONS. X true true false false false false false false false JAMES EPPEL 531294 424701 51948 29778 1037721 KATHY MOCK 76011 329504 581133 5118 13876 1005642 292590 SCOTT LYNCH 408532 468265 37795 37248 951840 PAMELA SEDMAK 124140 271097 487505 14610 897352 97874 DAVID SPALDING 273341 191264 90060 13926 33409 602000 36690 JENNIFER GILLESPIE 217727 146918 56382 21631 15132 457790 18155 ZACHARY MEYER 258750 47764 20280 6008 332802 DENISE BERGEVIN 223600 61453 36423 67780 32244 421500 DIANE POZDOLSKI 208000 56986 28997 70118 19745 383846 JANE MCMAHON 164985 37149 10735 24649 20176 257694 CAROLYN LINK 167234 31783 412 32019 24124 255572 GERALD JAKER 130591 21554 4360 23412 23923 203840 JOHN URIBE 141347 166 18214 159727 NANCY NELSON 321019 318367 305401 22252 31253 998292 238686 MARC MANLEY 277490 193609 148155 23510 29229 671993 113694 JOHN ORNER 226741 195741 89622 26970 31330 570404 57715 JAMISON RICE 212500 11198 14858 238556 KATHY DUNMIRE 235033 187850 226467 53661 29150 732161 173696 GREG GILMET 78819 154536 280839 514194 38600 MARSHA SHOTLEY 7527 205357 257835 14777 2258 487754 LAURA WOODWARD 49046 64110 195848 7672 316676 15389 MICHAEL MCKURAS 65679 57359 123038 NANCY REED 113935 27371 1185 14657 157148 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 KATHY MOCK 223,427 15,932 0 PAMELA SEDMAK 364,897 0 0 GREG GILMET 231,681 0 0 MARSHA SHOTLEY 188,167 14,777 0 LAURA WOODWARD 147,137 0 0 MICHAEL MCKURAS 0 3,237 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4A - THE ABOVE INDIVIDUALS RECEIVED SEVERANCE PAY IN 2012. ALL AMOUNTS REPORTED ABOVE ARE INCLUDED IN FORM 990, PART VII AND IN SCHEDULE J, PART II, AS APPLICABLE. PART I, LINE 4B - THE BCBSM, INC. SUPPLEMENTAL RETIREMENT PLAN (SRP) PROVIDES BENEFITS FOR EMPLOYEES WHO PARTICIPATE IN THE PENSION EQUITY PLAN IN EXCESS OF THE LIMITATION OF BENEFIT IMPOSED BY SECTION 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. DURING 2012, THE ABOVE INDIVIDUALS RECEIVED PAYOUTS OF SRP FUNDS. ALL AMOUNTS REPORTED ABOVE ARE INCLUDED IN FORM 990, PART VII AND IN SCHEDULE J, PART II, AS APPLICABLE. BCBSM INC BCBS INC COMMON CONTROL 3221978 PAYROLL AND MISC ADM false ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES FORM 990, PAGE 2, PART III, LINE 3 AS OF NOVEMBER 2012, INVITATION HEALTH AND WELLNESS, THE SOLE MEMBER OF INVITATION HEALTH INSTITUTE, TOOK ACTION TO AUTHORIZE THE BUSINESS UNWIND PROCESS FOR INVITATION HEALTH INSTITUTE. THE INVITATION HEALTH INSTITUTE BOARD TOOK SIMILAR ACTION TO AFFIRM THE WIND UP AND EXITING OF EXISTING BUSINESS ACTIVITIES AND AUTHORIZED THE SAME. ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D PROGRAM EVALUATION SERVICES - FEE FOR SERVICE BASIS HEALTH PROMOTION RESOURCES - MATERIALS AND TRAINING - FEE FOR SERVICES BASIS SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 EFFECTIVE JULY 30, 2012, THE BYLAWS WERE AMENDED TO STATE THAT THE BOARD SHALL CONSIST OF NO FEWER THAN THREE AND NO MORE THAN TWELVE PERSONS. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 INVITATION HEALTH AND WELLNESS, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A INVITATION HEALTH AND WELLNESS, INC. AS THE SOLE MEMBER, ELECTS DIRECTORS OF THE ORGANIZATION. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B REVIEWED AND ACCEPTED BY THE BOARD OF DIRECTORS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY DIRECTORS, OFFICERS AND KEY EMPLOYEES OF INVITATION HEALTH INSTITUTE, ARE REQUIRED TO COMPLETE A DETAILED QUESTIONNAIRE ASKING FOR INFORMATION THAT COULD GIVE RISE TO POTENTIAL CONFLICTS PURSUANT TO THE INVITATION HEALTH INSTITUTE STANDARDS OF CONDUCT FOR THE BOARD AND ITS MEMBERS, THE INVITATION HEALTH INSTITUTE ARTICLES OF INCORPORATION, AND THE BCBSM, INC. COMPLIANCE PROGRAM ADOPTED BY THE INVITATION HEALTH INSTITUTE. ALL THOSE PERSONS ARE ADVISED TO PROVIDE UPDATES WITH RESPECT TO CIRCUMSTANCES THAT COULD GIVE RISE TO POTENTIAL CONFLICTS. INFORMATION IS REVIEWED BY THE BOARD CHAIR, LEGAL COUNSEL AND THE FULL BOARD OF DIRECTORS TO DETERMINE IF CONFLICTS EXIST AND IF ANY SAFEGUARDS NEED TO BE TAKEN WITH RESPECT TO ANY SUCH POTENTIAL CONFLICTS. IF CONFLICTS WERE TO BE FOUND, THE PERSON WOULD RECUSE HIMSELF/HERSELF FROM ANY BOARD DISCUSSIONS AND/OR BOARD ACTIONS IF IT BECAME A BOARD RELATED MATTER AND THE CORPORATION WOULD FOLLOW APPLICABLE LAW FOR MINNESOTA NONPROFIT CORPORATIONS IN DEALING WITH THE SITUATION. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A PROTOCOL OF BCBSM, INC. VIA MARKETPLACE COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B PROTOCOL OF BCBSM, INC. VIA MARKETPLACE GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL INFORMATION ABOUT THE ORGANIZATION IS AVAILABLE TO THE GENERAL PUBLIC THROUGH THE WEBSITE MAINTAINED BY THE MINNESOTA ATTORNEY GENERAL. THE GENERAL CONFLICT OF INTEREST POLICY WITHIN THE CODE OF CONDUCT IS AVAILABLE ON THE BCBSM, INC. WEBSITE. COPIES OF THE ORGANIZATION'S ARTICLES OF INCORPORATION CAN BE ORDERED FROM THE MN SECRETARTY OF STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS ARE NOT MADE AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 BUILDING IMPAIRMENT 282,671 WRITEDOWN OF REAL ESTATE ASSETS TO APPRAISED VALUE BCBSM FOUNDATION INC PO BOX 64560 ST PAUL MN 55122 363525653 PRIVATE F. MN 501C3 PF NA false HMO MN PO BOX 64560 ST PAUL MN 55122 416173747 HEALTH MA. MN 501C4 NA false AWARE INTEGRATED INC PO BOX 64560 ST PAUL MN 55164 411785972 HLTH CRE B MN N/A C CORP false BCBSM INC PO BOX 64560 ST PAUL MN 55164 410984460 DIRECT INS MN N/A C CORP false CAPITAL ASSET CARE INC PO BOX 64560 ST PAUL MN 55164 411501130 O FIN. 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