2023-11-08T15:23:04-06:00 2022-12-31 135565207 KPMG LLP 90 S 7TH ST STE 4200 MINNEAPOLIS MN 55402 990 2022-01-01 411812461 MEDICA FOUNDATION MEDI 9529922058 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 ELIZABETH ERICKSON PRESIDENT AND CEO 9529922058 2023-10-23 1 ELIZABETH ERICKSON 999009999 0 HOLLY MOEN P01800653 6123055000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ELIZABETH ERICKSON 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 6015911 0 X WWW.MEDICAFOUNDATION.ORG X 1996 MN THE FOUNDATION FUNDS PROGRAMS THAT IMPROVE HEALTH AND INCREASE ACCESS TO HEALTH CARE SERVICES. 4 4 0 0 0 0 0 2800000 0 0 7726701 2148323 0 0 7726701 4948323 2735000 1395700 0 0 0 0 0 0 0 901077 800574 3636077 2196274 4090624 2752049 70871769 61623458 2554000 1395700 68317769 60227758 X THE FOUNDATION GENERALLY SEEKS TO IMPROVE THE HEALTH OF THOSE IN NEED BY INVESTING IN COMMUNITY-LED INITIATIVES THAT ADVANCE HEALTH EQUITY. 0 0 345000 345000 0 BEHAVIORAL HEALTH: THE BEHAVIORAL HEALTH FUNDING AREA SEEKS PROPOSALS FOR NEW OR EXPANDING PROGRAMS THAT PROVIDE SUPPORT FOR SERIOUS MENTAL ILLNESS AND CHEMICAL ADDICTION RECOVERY, INCLUDING PROGRAMS THAT ADDRESS GAPS IN CURRENT SERVICE; INTEGRATE PHYSICAL AND MENTAL HEALTH CARE; ADDRESS CO-OCCURRING DISORDERS AND PROVIDE SUPPORTIVE AND INTENSIVE CASE MANAGEMENT SERVICES. ORGANIZATIONS EXHIBITING TRAUMA-SENSITIVE PRACTICES AND USING A STRENGTHS-BASED APPROACH TO CARE ARE PREFERRED. 250000 250000 0 EARLY CHILDHOOD HEALTH: THE EARLY CHILDHOOD HEALTH FUNDING AREA SEEKS PROPOSALS FOR NEW OR EXPANDING EARLY INTERVENTION PROGRAMS THAT FOCUS ON DEVELOPING HEALTHY FAMILIES TO FOSTER OPTIMAL GROWTH AND DEVELOPMENT OF YOUNG CHILDREN. PROGRAMS SHOULD EMBRACE THE NEEDS OF THE WHOLE-CHILD/WHOLE-FAMILY AND MAY INCORPORATE THE HEALTH AND WELLBEING COMPONENTS OF THE TWO-GENERATION APPROACH THAT IS CENTRAL TO SUPPORTING CHILDREN AND PARENTS SIMULTANEOUSLY. PROGRAMMING FOCUSES ON CHILDREN BIRTH THROUGH AGE TWELVE AND MAY INVOLVE PARENTS, CAREGIVERS, HEALTH CARE PROVIDERS, SCHOOLS, SHELTERS, EARLY CHILDHOOD PROGRAMS AND THE OVERALL COMMUNITY. ORGANIZATIONS EXHIBITING TRAUMA-SENSITIVE PRACTICES AND USING A STRENGTHS-BASED APPROACH TO CARE ARE PREFERRED. 308200 308200 0 RURAL HEALTH: RURAL AREAS HAVE SPECIFIC HEALTH NEEDS THAT ARE UNDERSTOOD BEST BY THOSE WITHIN THEIR OWN COMMUNITIES. WE AIM TO SUPPORT COMMUNITY-LED SOLUTIONS TO HEALTH CONCERNS WITH THE NONPROFITS IN THOSE AREAS. THIS FUNDING AREA SUPPORTS HEALTH-RELATED PROGRAMMING THAT IS ESSENTIAL TO AN ORGANIZATION?S NONPROFIT MISSION. 292500 292500 0 MEDICA FOUNDATION GENERAL FUNDING 200000 200000 STRATEGIC GRANT 492500 492500 0 1395700 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X ELIZABETH ERICKSON 9529922753 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 X JOHN BUCK DIRECTOR 0.00 15.00 X 0 133000 0 SAMUEL LEON DIRECTOR 0.00 10.00 X 0 80750 0 JOHN STANOCH DIRECTOR & CHAIR 0.00 10.00 X X 0 92625 0 MARY TWINEM DIRECTOR & VICE CHAIR 0.00 10.00 X X 0 87375 0 MARY P QUIST SVP FIN & CORP CONTROLLER 0.00 40.00 X 0 663642 55294 MARK L BAIRD SVP & CFO 0.00 40.00 X 0 1039962 27542 DAVID H ELLENBOGEN SVP SEC & GENERAL COUNSEL 0.00 40.00 X 0 735741 99633 ESTHER TOMLJANOVICH FORMER DIRECTOR 0.00 0.00 X 0 11500 0 JAMES P JACOBSON FORMER SVP & GEN COUNSEL 0.00 0.00 X 0 595469 0 0 3440064 182469 0 1 1 0 MEDICA SERVICES COMPANY 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 LEASED EMPLOYEES 600000 1 2800000 2800000 1359840 1359840 1856071 1067588 788483 788483 788483 4948323 0 0 2148323 1395700 1395700 200574 200574 LEASED EMPLOYEES 600000 600000 2196274 1395700 800574 0 0 0 480757 326830 0 0 37019 53850 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70353993 61242778 0 0 0 0 0 0 70871769 61623458 0 0 2554000 1395700 0 0 0 0 0 0 0 0 0 0 0 0 2554000 1395700 X 68317769 60227758 0 0 68317769 60227758 70871769 61623458 2752049 -10842060 0 X 0 0 0 X X 1 MEDICA HEALTH PLANS 411242261 10 1 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A LINE 3B: MEDICA HEALTH PLANS, THE SUPPORTED ORGANIZATION, IS A 501(C)(4) ORGANIZATION. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, ANY CHANGE IN EXEMPT STATUS OR ACTIVITIES OF MEDICA HEALTH PLANS WOULD BE KNOWN BY MEDICA FOUNDATION. EACH YEAR, IT IS DETERMINED IF MHP CONTINUES TO MEET THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2) BEFORE THE TAX RETURN IS FILED. PART IV, SECTION A, LINE 3C: THE MEDICA FOUNDATION MONITORS THE USE OF GRANT FUNDS THROUGH SEVERAL MECHANISMS. ALL GRANTEES ARE ASKED TO SUBMIT PROGRESS REPORTS RELATED TO THE GRANT FUNDING. UPDATES ON PROGRAM GRANTS ARE RECEIVED DURING AND AT THE END OF THE GRANT PERIOD. SEE SCHEDULE I, PART I, LINE 2 NARRATIVE FOR ADDITIONAL INFORMATION RELATED TO THE PROCESS USED FOR GRANT MONITORING. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 SHORT TERM INVESTMENTS 61242778 C 61242778 1 AMERICAN RED CROSS 431 18TH STREET NW WASHINGTON DC 20006 530196605 501C(3) 10000 0 GENERAL FUNDING ANGELS OF MCGREGOR 7 SOUTH MADDY ST MCGREGOR MN 55760 200587492 501C(3) 5400 0 RURAL HEALTH ARROWHEAD HEALTH ALLIANCE 230 WEST SUPERIOR STREET SUITE 400 DULUTH MN 55802 273315614 501C(3) 10000 0 GENERAL FUNDING AVIVO 1900 CHICAGO AVENUE MINNEAPOLIS MN 554041903 410828779 501C(3) 50000 0 BEHAVIORAL HEALTH BANISTERS LEADERSHIP ACADEMY PO BOX 4002 OMAHA NE 68104 510666677 501C(3) 20000 0 BEHAVIORAL HEALTH BARNESVILLE AMBULANCE 102 FRONT ST N BARNESVILLE MN 56514 416004957 GOVERNMENT AGEN 8300 0 RURAL HEALTH BELLIS PO BOX 75 ELK RIVER MN 55330 411444119 501C(3) 50000 0 BEHAVIORAL HEALTH CARE CLINIC 906 COLLEGE AVENUE DOOR 1 RED WING MN 55066 270540451 501C(3) 10000 0 RURAL HEALTH CENTRO TYRONE GUZMAN 1915 CHICAGO AVENUE MINNEAPOLIS MN 55404 411290349 501C(3) 25000 0 EARLY CHILDHOOD HEALTH CHILDREN'S DENTAL HEALTH SERVICES UNITED WAY BUILDING ROCHESTER MN 55902 203677586 501C(3) 10000 0 RURAL HEALTH CHURCHES UNITED FOR THE HOMELESS 1901 FIRST AVE N MOORHEAD MN 56560 411594892 501C(3) 10000 0 RURAL HEALTH CHURCHES UNITED IN MINISTRY 102 W SECOND STREET DULUTH MN 55802 411227969 501C(3) 10000 0 RURAL HEALTH CORNERHOUSE INTERAGENCY CHILD ABUSE EVALUATION AND 2502 10TH AVENUE SOUTH MINNEAPOLIS MN 55404 411640731 501C(3) 50000 0 BEHAVIORAL HEALTH CREATING HEALTHIER COMMUNITIES 1199 N FAIRFAX STREET SUITE 600 ALEXANDRIA VA 22314 136167225 501C(3) 37500 0 GENERAL FUNDING CULTURAL WELLNESS CENTER 2025 PORTLAND AVENUE S MINNEAPOLIS MN 55404 411850859 501C(3) 10000 0 GENERAL FUNDING ELDER NETWORK 1130 7TH ST NW SUITE 205 ROCHESTER MN 55901 411704390 501C(3) 6000 0 RURAL HEALTH ELLISON CENTER 600 25TH AVENUE S SUITE 102 ST CLOUD MN 56301 832525766 501C(3) 10000 0 RURAL HEALTH EMPOWERING KIDS PERHAM PO BOX 452 PERHAM MN 56573 822099328 501C(3) 10000 0 RURAL HEALTH FAMILY PATHWAYS 6413 OAK STREET NORTH BRANCH MN 55056 411332828 501C(3) 10000 0 RURAL HEALTH FOOTNOTES TRAUMA FOUNDATION INC 808 N 2ND ST MANKATO MN 56001 844896207 501C(3) 8000 0 RURAL HEALTH FRASER 2400 WEST 64TH STREET MINNEAPOLIS MN 55423 410781858 501C(3) 25000 0 EARLY CHILDHOOD HEALTH GREATER TWIN CITIES UNITED WAY 404 SOUTH EIGHTH STREET MINNEAPOLIS MN 55404 411973442 501C(3) 37500 0 GENERAL FUNDING HEALTH CENTER ASSOCIATION OF NEBRASKA 3929 S 147TH ST SUITE 100A OMAHA NE 68144 215731401 501C(3) 10000 0 GENERAL FUNDING HEARTLAND FAMILY SERVICE 2101 S 42ND ST OMAHA NE 68105 470390618 501C(3) 20000 0 BEHAVIORAL HEALTH HENNEPIN HEALTHCARE FOUNDATION 701 PARK AVENUE LSB-3 MINNEAPOLIS MN 55415 410845733 501C(3) 200000 0 STRATEGIC GRANT ISANTI COUNTY PUBLIC HEALTH SERVICES 555 18TH AVE SW CAMBRIDGE MN 55008 416005808 GOVERNMENT AGEN 10000 0 RURAL HEALTH JUST KIDS DENTAL 1313 FAIRGROUNDS ROAD TWO HARBORS MN 55616 272311353 501C(3) 10000 0 RURAL HEALTH LAKES AREA INTERFAITH CAREGIVERS PO BOX 2855 BAXTER MN 56425 134230071 501C(3) 10000 0 RURAL HEALTH LE SUEUR COUNTY 88 S PARK AVE LE CENTER MN 56057 416005828 GOVERNMENT AGEN 8000 0 RURAL HEALTH LET'S SMILE INC 155 OAKDALE STREET OWATONNA MN 55060 462672230 501C(3) 10000 0 RURAL HEALTH LINCOLN PARK CHILDREN AND FAMILIES COLLABORATIVE 2424 WEST 5TH STREET SUITE 108 DULUTH MN 55806 274990487 501C(3) 25000 0 EARLY CHILDHOOD HEALTH LUTHERAN SOCIAL SERVICE OF MINNESOTA 2485 COMO AVENUE ST PAUL MN 55108 410872993 501C(3) 25000 0 EARLY CHILDHOOD HEALTH MAIN STREET FAMILY SERVICES 400 JACKSON AVE NW SUITE 101 ELK RIVER MN 55330 861142008 501C(3) 25000 0 EARLY CHILDHOOD HEALTH MARCH OF DIMES 1550 CRYSTAL DRIVE SUITE 1300 ARLINGTON VA 22202 131846366 501C(3) 25000 0 GENERAL FUNDING NATIONAL ALLIANCE ON MENTAL ILLNESS - MINNESOTA 1919 UNIVERSITY AVE SUITE 400 ST PAUL MN 55104 411317030 501C(3) 10000 0 GENERAL FUNDING NEBRASKA CHILDREN'S HOME SOCIETY 4939 SOUTH 118TH STREET OMAHA NE 68137 470378995 501C(3) 10000 0 EARLY CHILDHOOD HEALTH NEBRASKA METHODIST HOSPITAL FOUNDATION 8701 WEST DODGE ROAD SUITE 450 OMAHA NE 68114 470595345 501C(3) 20000 0 BEHAVIORAL HEALTH NEIGHBORHOOD HEALTH SOURCE 3300 FREMONT AVENUE N MINNEAPOLIS MN 55412 411235064 501C(3) 25000 0 EARLY CHILDHOOD HEALTH OPEN ARMS OF MINNESOTA 2500 BLOOMINGTON AVE SO MINNEAPOLIS MN 55404 411681317 501C(3) 10000 0 GENERAL FUNDING OPEN DOOR HEALTH CENTER 309 HOLLY LANE STE 101 MANKATO MN 56001 411461726 501C(3) 10000 0 RURAL HEALTH OPEN DOORS FOR YOUTH 554 3RD STREET NW SUITE 201 ELK RIVER MN 55330 472291925 501C(3) 10000 0 RURAL HEALTH PEARL BATTERED WOMEN'S RESOURCE CENTER 235 2ND STREET SW SUITE 105 MILACA MN 56353 411706195 501C(3) 10000 0 RURAL HEALTH PEOPLE INCORPORATED 3000 AMES CROSSING ROAD SUITE 600 EAGAN MN 55121 410962296 501C(3) 50000 0 BEHAVIORAL HEALTH PEOPLE'S CENTER CLINICS & SERVICES 425 20TH AVENUE SOUTH MINNEAPOLIS MN 55454 410982430 501C(3) 25000 0 EARLY CHILDHOOD HEALTH PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT 32 EAST 1ST STREET SUITE 200 DULUTH MN 55802 411350021 501C(3) 10000 0 RURAL HEALTH PROPEL NONPROFITS ONE MAIN ST SE SUITE 600 MINNEAPOLIS MN 55414 411916337 501C(3) 10000 0 GENERAL FUNDING RS EDEN 1931 W BROADWAY SUITE 101 MINNEAPOLIS MN 55114 411948604 501C(3) 50000 0 BEHAVIORAL HEALTH SAWTOOTH MOUNTAIN CLINIC INC 513 5TH AVE W GRAND MARAIS MN 55604 411347593 501C(3) 25000 0 EARLY CHILDHOOD HEALTH SOUTHERN MINNESOTA CRISIS NURSERY DBA IVY HOUSE PO BOX 53 NEW ULM MN 56073 320496216 501C(3) 10000 0 RURAL HEALTH SOUTHWEST METRO INTERMEDIATE SCHOOL DISTRICT #288 4601 DEAN LAKES BLVD SHAKOPEE MN 55379 411295656 GOVERNMENT AGEN 25000 0 EARLY CHILDHOOD HEALTH ST DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT 3395 PLYMOUTH ROAD MINNETONKA MN 55305 411429208 501C(3) 25000 0 EARLY CHILDHOOD HEALTH TEREBINTH REFUGE 110 2ND STREET SOUTH SUITE 231 WAITE PARK MN 56387 813807059 501C(3) 50000 0 BEHAVIORAL HEALTH THE FOOD GROUP MINNESOTA INC 8501 54TH AVENUE NORTH NEW HOPE MN 55428 411246504 501C(3) 10000 0 GENERAL FUNDING THE OWATONNA HEALTHY SENIORS PROGRAM PO BOX 1089 OWATONNA MN 55060 411885511 501C(3) 10000 0 RURAL HEALTH THREE RIVERS COMMUNITY ACTION INC 1414 NORTHSTAR DRIVE ZUMBROTA MN 55992 410906178 501C(3) 10000 0 RURAL HEALTH TOUCHSTONE MENTAL HEALTH 2312 SNELLING AVENUE MINNEAPOLIS MN 55404 411920740 501C(3) 50000 0 BEHAVIORAL HEALTH TWO HARBORS AREA FOOD SHELF 2124 10TH ST TWO HARBORS MN 55616 471321541 501C(3) 7500 0 GENERAL FUNDING UNIVERSITY OF MINNESOTA FOUNDATION 200 OAK STREET SE SUITE 500 MINNEAPOLIS MN 55455 416042488 501C(3) 25000 0 EARLY CHILDHOOD HEALTH VINE FAITH IN ACTION 421 EAST HICKORY STREET MANKATO MN 56001 411802861 501C(3) 7500 0 RURAL HEALTH WASHBURN CENTER FOR CHILDREN 1100 GLENWOOD AVENUE MINNEAPOLIS MN 55405 410711618 501C(3) 25000 0 EARLY CHILDHOOD HEALTH WAYSIDE RECOVERY CENTER 3705 PARK CENTER BOULEVARD ST LOUIS PARK MN 55416 410873104 501C(3) 50000 0 BEHAVIORAL HEALTH WE HEALTH CLINIC PA 32 EAST FIRST STREET SUITE 300 DULUTH MN 55802 411444270 501C(3) 10000 0 RURAL HEALTH WOMEN'S ADVOCATES INC PO BOX 4039 ST PAUL MN 55104 237310701 501C(3) 50000 0 BEHAVIORAL HEALTH YOUTHLINK 41 NORTH 12TH STREET MINNEAPOLIS MN 55403 411341773 501C(3) 50000 0 BEHAVIORAL HEALTH FAMILY INC 3501 HARRY LANGDON BLVD STE 150 COUNCIL BLUFFS IA 51503 510657063 501C(3) 10000 0 EARLY CHILDHOOD HEALTH 65 0 PART I, LINE 2: THE MEDICA FOUNDATION MONITORS THE USE OF GRANT FUNDS THROUGH SEVERAL MECHANISMS. ALL GRANTEES ARE ASKED TO SUBMIT PROGRESS REPORTS RELATED TO THE GRANT FUNDING. UPDATES ON PROGRAM GRANTS ARE RECEIVED DURING AND AT THE END OF THE GRANT PERIOD. ADDITIONALLY, THE FOUNDATION ENGAGES A COMMITTEE OF EMPLOYEES TO WORK DIRECTLY WITH GRANT RECIPIENTS TO PROVIDE OVERSIGHT AND SUPPORT TO HELP ENSURE GRANT OBJECTIVES ARE ACCOMPLISHED. THE COMMITTEE FUNCTIONS UNDER THE DIRECTION OF FOUNDATION STAFF. COMMITTEE MEMBERS REVIEW PROPOSALS, PERFORM SITE VISITS AND PROVIDE QUARTERLY UPDATES FOR THE BOARD OF DIRECTORS. X X X X X 0 1 0 0 0 1 1 0 0 MARK L BAIRD SVP & CFO 0 336343 0 548698 0 154921 0 12200 0 15342 0 1067504 0 84354 DAVID H ELLENBOGEN SVP SEC & GENERAL COUNSEL 0 395550 0 261312 0 78879 0 74554 0 25079 0 835374 0 75880 MARY P QUIST SVP FIN & CORP CONTROLLER 0 329723 0 268265 0 65654 0 23638 0 31656 0 718936 0 58551 JAMES P JACOBSON FORMER SVP & GEN COUNSEL 0 0 0 124339 0 471130 0 0 0 0 0 595469 0 150790 ESTHER TOMLJANOVICH FORMER DIRECTOR 0 0 0 0 0 11500 0 0 0 0 0 11500 0 0 PART I, LINE 3 MEDICA FOUNDATION, 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: MARY P. QUIST - $58,551 MARK L. BAIRD - $84,354 DAVID H. ELLENBOGEN - $75,880 JAMES P. JACOBSON - $150,790 FORM 990, PART VI, SECTION A, LINE 3 MEDICA FOUNDATION HAS ENTERED INTO AN ADMINISTRATIVE SERVICE AGREEMENT WITH MEDICA SERVICES COMPANY (MSC), A RELATED EXEMPT ORGANIZATION. THROUGH THIS AGREEMENT, MSC LEASES ITS EMPLOYEES AND PROVIDES VARIOUS MANAGEMENT/ADMINISTRATIVE SERVICES TO MEDICA FOUNDATION AND MEDICA FOUNDATION PAYS FOR SUCH SERVICES THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B MEDICA'S TAX ADVISORS COMPLETE THE RETURN, FINANCE STAFF REVIEWS THE RETURN BEFORE IT IS SIGNED BY THE CFO. A COPY WILL BE PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL EMPLOYEES OF MEDICA SERVICES COMPANY AND DIRECTORS OF ALL MEDICA ENTITIES COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND ARE REQUIRED TO REVIEW THE CURRENT POLICY. ALL POTENTIAL CONFLICTS ARE REVIEWED BY LEGAL/COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 MEDICA FOUNDATION DOES NOT HAVE ANY EMPLOYEES. ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION. WHICH USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION. THE PERSONNEL AND COMPENSATION COMMITTEE, AS DESCRIBED IN THE CHARTER, REVIEWS AND OBTAINS THE BOARD'S APPROVAL FOR TOTAL COMPENSATION FOR THE PRESIDENT/CEO. THE COMMITTEE ALSO REVIEWS AND APPROVES TOTAL COMPENSATION RECOMMENDATIONS MADE BY THE CEO FOR THE EXECUTIVE AND SENIOR VICE PRESIDENTS, AND REVIEWS ALL OFFICER COMPENSATION AND ANNUAL PERFORMANCE GOALS APPROVED BY THE CEO. THE COMMITTEE REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD REGARDING OFFICER AND NON-OFFICER COMPENSATION GUIDELINES FOR MEDICA AND ITS SUBSIDIARIES, PERIODICALLY REVIEWING MARKET DATA TO ASSESS MEDICA'S COMPETITIVE POSITION. OUTSIDE THE CHARTER, THE PERSONNEL AND COMPENSATION COMMITTEE WORKS WITH AN OUTSIDE CONSULTANT TO REVIEW MARKET DATA THAT AIDS IN SETTING THE COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 MEDICA DOES NOT CONSIDER ITS CONFLICT OF INTEREST POLICY TO BE A CONFIDENTIAL OR PROPRIETARY DOCUMENT. THEREFORE, MEDICA WOULD MAKE THIS POLICY AVAILABLE TO ANYONE WHO REQUESTS IT. CERTAIN OF THE MEDICA ENTITIES ARE REQUIRED TO FILE ANNUAL FINANCIAL STATEMENTS WITH THE REGULATORS. MEDICA CONSIDERS FINANCIAL STATEMENTS THAT ARE FILED WITH THE REGULATORS TO BE PUBLIC DOCUMENTS. FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VII, SECTION B, LINE 1: CERTAIN INDIVIDUALS REPORTED ON FORM 990, PART VII SPLIT THEIR TIME BETWEEN ALL ENTITIES UNDER MEDICA HOLDING COMPANY. THE AVERAGE HOURS PER WEEK REPORTED IN PART VII ARE THE TOTAL HOURS PER WEEK FOR ALL MEDICA ORGANIZATIONS. FORM 990, PART VII JOHN STANOCH'S BOARD STIPEND WAS PAID TO STANOCH, LLC. MEDICA HEALTH PLANS 401 CARLSON PARKWAY MINNETONKA MN 55305 411242261 HEALTH COVERAGE MN 501(C)(4) MHC 0 MEDICA COMMUNITY HEALTH PLANS 401 CARLSON PARKWAY MINNETONKA MN 55305 411843804 HEALTH COVERAGE MN 501(C)(4) MHC 0 MEDICA HOLDING COMPANY (MHC) 401 CARLSON PARKWAY MINNETONKA MN 55305 010571840 HOLDING COMPANY MN 501(C)(4) N/A 0 SSM HEALTH PLAN INC 10101 WOODFIELD LANE ST LOUIS MO 63132 831979548 HEALTH COVERAGE MO 501(C)(4) MFCJVN 0 MS COMMUNITY NFP JV (MFCJVN) LLC 401 CARLSON PARKWAY MINNETONKA MN 55305 873268926 HOLDING COMPANY MN MHC 0 0 0 MEDICA INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 411490988 HEALTH INSURANCE MN MAS C 0 MEDICA SELF-INSURED 401 CARLSON PARKWAY MINNETONKA MN 55305 411479417 THIRD PARTY ADMIN MN MAS C 0 MEDICA AFFILIATED SERVICES (MAS) 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING COMPANY MN MHC C 0 MEDICA HEALTH MANAGEMENT 401 CARLSON PARKWAY MINNETONKA MN 55305 208005519 HEALTH MANAGEMENT MN MAS C 0 MMSI INC 401 CARLSON PARKWAY MINNETONKA MN 55305 411547003 HEALTH INSURANCE MN MAS C 0 MEDICA SERVICES COMPANY LLC 401 CARLSON PARKWAY MINNETONKA MN 55305 852902940 ADMIN SERVICES MN MAS C 0 DEAN HEALTH PLAN INC 1277 DEMING WAY MADISON WI 53717 391535024 HEALTH INSURANCE WI DHI C 0 DEAN HEALTH INSURANCE INC (DHI) PO BOX 56099 MADISON WI 53705 391830837 HEALTH INSURANCE WI MSCJV C 0 SSM HEALTH INSURANCE COMPANY 10101 WOODFIELD LANE ST LOUIS MO 63132 834718249 HEALTH INSURANCE MO MSCJV C 0 DEAN HEALTH SERVICES COMPANY LLC 1277 DEMING WAY MADISON WI 53717 842933639 ADMIN SERVICES WI MSCJV C 0 MS COMMUNITY JV LLC (MSCJV) 401 CARLSON PARKWAY MINNETONKA MN 55305 873240022 HOLDING COMPANY MN MHC C 0 MEDICA REGIONAL INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 854111612 HEALTH INSURANCE MN MAS C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 MEDICA HEALTH PLANS C 2800000 FMV