2025-11-14T12:52:56-06:00 2024-12-31 135565207 KPMG LLP 350 NORTH 5TH ST STE 600 MINNEAPOLIS MN 55401 990 2024-01-01 010571840 MEDICA HOLDING COMPANY MEDI 9529922058 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 KRISTA DUSIL CFO 9529922058 2025-11-12 1 0 HOLLY MOEN P01800653 6123055000 2025-11-12 2024 2025-03-06 01:10:19Z ELIZABETH ERICKSON 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 161115814 0 X WWW.MEDICA.COM X 2002 MN TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. 10 9 0 0 -28518 0 0 0 0 0 22445270 156385778 0 0 22445270 156385778 0 0 0 0 0 0 0 0 0 13956522 1575144 13956522 1575144 8488748 154810634 468669723 586945448 153000 153000 468516723 586792448 TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES. 0 0 0 0 0 MEDICA HOLDING COMPANY IS THE HOLDING COMPANY FOR ALL OF THE MEDICA ENTITIES. THE GOAL OF MEDICA IS TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS, OUR EMPLOYEES. 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 10 9 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 MN X KRISTA DUSIL 9529923908 401 CARLSON PARKWAY CP 330 MINNETONKA MN 55305 X ELIZABETH F ERICKSON PRESIDENT, CEO, & TREAS THRU 1/2024 0.00 40.00 X X 0 1669649 201202 JOHN BUCK DIRECTOR & CHAIR 0.00 15.00 X X 0 145250 0 JOHN STANOCH DIRECTOR & VICE CHAIR 0.00 10.00 X X 0 128500 0 MARY TWINEM DIRECTOR 0.00 10.00 X 0 90250 0 GAYE ADAMS MASSEY DIRECTOR 0.00 10.00 X 0 87750 0 RAJESH AGGARWAL DIRECTOR 0.00 10.00 X 0 100000 0 BRIGID BONNER DIRECTOR 0.00 10.00 X 0 98750 0 PETER KELLEY DIRECTOR 0.00 10.00 X 0 94750 0 EARL STRATTON DIRECTOR 0.00 10.00 X 0 95250 0 UGWUJI MADUEKWE DIRECTOR 0.00 10.00 X 0 18500 0 MARY P QUIST SR. VP, FINANCE THRU 6/2024 0.00 40.00 X 0 604708 35245 KRISTA DUSIL SVP, CFO, & TREASURER 0.00 40.00 X 0 804123 116115 ALICIA REUTER SVP & CHIEF LEGAL OFFICER, SECRETARY 0.00 40.00 X 0 408482 72742 SAMUEL LEON FORMER DIRECTOR 0.00 10.00 X 0 23250 0 MARK L BAIRD FORMER SVP & CFO 0.00 40.00 X 0 370125 0 JAMES JACOBSON FORMER SVP SEC & GEN COUNS 0.00 0.00 X 0 403815 0 JOHN NAYLOR FORMER PRESIDENT & CEO 0.00 40.00 X 0 565230 0 DAVID H ELLENBOGEN FORMER SVP SEC & GEN COUNSEL 0.00 40.00 X 0 224611 1619 0 5932993 426923 0 1 1 0 0 156549366 -28518 156577884 4566448 4730036 -163588 -163588 -163588 156385778 0 -28518 156414296 729690 729690 406654 406654 MEMBERSHIP GUARANTEE AD 438800 438800 1575144 0 1575144 0 16000045 127763488 183860120 187118727 347214 9719102 268462344 262344131 468669723 586945448 153000 153000 153000 153000 X 468516723 586792448 468516723 586792448 468669723 586945448 X 154810634 764433 -37299342 X 0 1 X 1 0 0 OTHER RECEIVABLE 449536 INVESTMENT IN SUBSIDIARIES 217629585 INTERCOMPANY ACCOUNT 44265010 262344131 X PART X, LINE 2: THE COMPANY RECOGNIZES TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. 0 1 0 0 0 0 1 0 0 ELIZABETH F ERICKSON PRESIDENT, CEO, & TREAS THRU 1/2024 0 985480 0 522989 0 161180 0 160811 0 40391 0 1870851 0 152285 KRISTA DUSIL SVP, CFO, & TREASURER 0 428011 0 300026 0 76086 0 91882 0 24233 0 920238 0 0 MARY P QUIST SR. VP, FINANCE THRU 6/2024 0 185247 0 355809 0 63652 0 13800 0 21445 0 639953 0 58545 JOHN NAYLOR FORMER PRESIDENT & CEO 0 0 0 0 0 565230 0 0 0 0 0 565230 0 208756 ALICIA REUTER SVP & CHIEF LEGAL OFFICER, SECRETARY 0 244472 0 125026 0 38984 0 55274 0 17468 0 481224 0 0 JAMES JACOBSON FORMER SVP SEC & GEN COUNS 0 0 0 0 0 403815 0 0 0 0 0 403815 0 126993 MARK L BAIRD FORMER SVP & CFO 0 0 0 124000 0 246125 0 0 0 0 0 370125 0 43667 DAVID H ELLENBOGEN FORMER SVP SEC & GEN COUNSEL 0 11188 0 0 0 213423 0 453 0 1166 0 226230 0 213151 SAMUEL LEON FORMER DIRECTOR 0 23250 0 0 0 0 0 0 0 0 0 23250 0 0 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 4B THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA SERVICES COMPANY, A RELATED ORGANIZATION: MARK L. BAIRD - $43,667 KRISTA DUSIL - $73,769 DAVID H. ELLENBOGEN - $213,151 ELIZABETH F. ERICKSON - $152,285 JAMES P. JACOBSON - $126,993 JOHN W. NAYLOR - $208,756 ALICIA REUTER - $37,500 MARY P. QUIST - $58,545 PART I, LINE 6 MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATION'S OPERATING EARNINGS. FORM 990, PART VI, SECTION A, LINE 3 MEDICA HOLDING COMPANY HAS ENTERED INTO AN ADMINISTRATIVE SERVICE AGREEMENT WITH MEDICA SERVICES COMPANY (MSC), A RELATED TAXABLE ORGANIZATION. THROUGH THIS AGREEMENT, MSC LEASES ITS EMPLOYEES AND PROVIDES VARIOUS MANAGEMENT/ADMINISTRATIVE SERVICES TO MEDICA HOLDING COMPANY AND MEDICA HOLDING COMPANY 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 HEALTH 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 HOLDING COMPANY DOES NOT HAVE ANY EMPLOYEES. ALL COMPENSATION IS PAID BY A RELATED ORGANIZATION WHICH USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION: A COMPENSATION COMMITTEE 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 REVIEW 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. 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 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, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990S ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, 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. THE FOLLOWING CHANGES TO THE OFFICERS OF MEDICA HOLDING COMPANY OCCURRED DURING THE TAXABLE PERIOD: IN 2024 KRISTA DUSIL WAS APPOINTED AS CHIEF FINANCIAL OFFICER OF THE ORGANIZATION. FORM 990, PART VII JOHN STANOCH'S BOARD STIPEND WAS PAID TO JNN VENTURES INC. FORM 990, PART XI, LINE 9: INVESTMENT IN SUBSIDIARY 2,700,658. CAPITAL CONTRIBUTIONS TO MSC -40,000,000. MEDICA HEALTH PLANS 401 CARLSON PARKWAY MINNETONKA MN 55305 411242261 HEALTH COVERAGE MN 501(C)(4) N/A MHC 1 MEDICA FOUNDATION 401 CARLSON PARKWAY MINNETONKA MN 55305 411812461 FOUNDATION MN 501(C)(3) LINE 12B MHC 1 MEDICA COMMUNITY HEALTH PLAN 401 CARLSON PARKWAY MINNETONKA MN 55305 411843804 HEALTH COVERAGE MN 501(C)(4) N/A MHC 1 MEDICA CENTRAL HEALTH PLAN 10101 WOODFIELD LANE ST LOUIS MO 63132 831979548 HEALTH INSURANCE MO 501(C)(4) N/A MFCJVN 0 MS COMMUNITY NFP JV LLC (MFCJVN) 401 CARLSON PARKWAY MINNETONKA MN 55305 873268926 HOLDING COMPANY MN MHC RELATED 5114402 0 0 0.55000 MEDICA SERVICES COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 852902940 ADMIN. SERVICES MN MAS C 0 DEAN HEALTH SERVICES COMPANY LLC 1277 DEMING WAY MADISON WI 53717 842933639 ADMIN. SERVICES WI MSCJV 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 MEDICA CENTRAL INSURANCE COMPANY 10101 WOODFIELD LANE ST LOUIS MO 63132 834718249 HEALTH INSURANCE MO MSCJV C 0 MEDICA REGIONAL INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 854111612 HEALTH INSURANCE MN MAS C 0 MEDICA INSURANCE COMPANY 401 CARLSON PARKWAY MINNETONKA MN 55305 411490988 HEALTH INSURANCE MN MAS C 0 MEDICA HEALTH MANAGEMENT 401 CARLSON PARKWAY MINNETONKA MN 55305 208005519 HEALTH MANAGEMENT MN MAS C 0 MEDICA AFFILIATED SERVICES (MAS) 401 CARLSON PARKWAY MINNETONKA MN 55305 411716415 HOLDING COMPANY MN MHC C 20857937 4312524 1.00000 1 MS COMMUNITY JV LLC (MSCJV) 401 CARLSON PARKWAY MINNETONKA MN 55305 873240022 HOLDING COMPANY MN MHC C 0.55000 1 MEDICA SELF-INSURED 401 CARLSON PARKWAY MINNETONKA MN 55305 411479417 THIRD PARTY ADMIN MN MAS C 0 MMSI INC 401 CARLSON PARKWAY MINNETONKA MN 55305 411547003 THIRD PARTY ADMIN MN MAS C 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 0 MEDICA AFFILIATED SERVICES F 140000000 FMV