Medica Health Plans is a 501(c)(4) organization based in Minnetonka, Minnesota, registered in 1975, with $1,827,807,730 in FY2024 revenue. CharityIndex grades it A, and it directs about 89% of spending to programs.
Revenue (FY2024)
$1.8B
▲ 25.7% vs prior year
Expenses (FY2024)
$1.9B
Net assets
$555.4M
Employees
14
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Medica Health Plans: 89% to programs earns a A+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Medica Health Plans: 3 mo reserves · -6% margin earns a B+ on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Medica Health Plans: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Medica Health Plans: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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Contributions by medica on behalf of members beyond contracted services in 2023 mhp spent approximately $3.5 million to provide additional, non-state plan services on behalf of the following categories of minnesota health care programs; pmap, mncare, msc+, snbc, and snbc snp.non-state plan services included: value of waived family deductible, msc+/msho elderly waiver for non-eligible members; non-medicare part d pharmacy copayments; drugs not eligible for rebate; non-medicare value of cost-sharing waived copays; member incentives and rewards, fitness programs and camps; and tuition reimbursement.mhp provided other community benefits with a wide range of programs and initiatives to promote public and individual health, reduce disparities in access to care, improve health care system performance, and help provide financial assistance to access care.mhp donates funding, employee time and other resources in support of more than two dozen collaborative efforts with local, state, regional and national organizations. examples include: minnesota community measurement, which promotes community-based, evidence-based care, and quality comparisons of provider groups and clinics; institute for clinical systems improvement, which provides evidence-graded guidelines and assessments.medica undertakes a variety of initiatives to make health care more affordable, available and effective. examples include:-improvements in rates of annual screenings among members for diseases such as cancers, heart disease and diabetes, pre and post-birth maternity care, immunizations, and annual dental visits.-reductions in medically unnecessary er visits and in-patient hospital admissions-tying provider reimbursement to improvements in care outcomes, quality and efficiency-increased participation in exercise.medica's optum onepass fitness program offered a large, nationwide network of gyms and fitness locations. additionally, members received online access to thousands of on-demand workout videos and customizable workout programs accessible via a mobile app called my health rewards which also offers opportunities for person-to-person direct guidance in creating a personalized nutrition and fitness plan. in 2023, medica offered the optum onepass program to members in medicare advantage products that included the msho and snbc snp minnesota state programs.medica's tobacco cessation coaching program is a self-directed program offering a wide variety of tools and resources to help members quit tobacco use. coaching support includes private, confidential access to trained health coaches. there was no cost to medica members to participate in the tobacco cessation coaching program.in 2023 offered a portfolio of disease management programs for physical and mental health, tobacco cessation, healthy pregnancy, common chronic medical diseases, and rare and complex diseases.these programs provide education and resources that help support the members' ability to manage chronic conditions. the goals are to improve health and quality of life, reduce complications through early intervention and monitoring, promote medical care and compliance with the patient's physician-recommended medical treatment regimen, and to improve satisfaction with health care services.medica's disease management programs were provided at no additional charge to fully insured groups, and to minnesota state health care program enrollees served by medica. there is no cost to eligible medica members.
Revenue grew from $1.4B (FY2013) to $1.8B (FY2024) across 12 reported years.
Financial snapshot
Operating margin
-5.9%
Spent more than it raised in the latest fiscal year.
Total assets
$971.7M
Total liabilities
$416.3M
Net assets
$555.4M
Salaries & benefits
$0
0% of expenses
Board members
5
4 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $1,827,807,730▲25.7% | $1,934,770,747▲35.7% | $555,423,674▼15.0% | $971,675,180▲5.0% | 990 |
| 2023 | $1,453,962,017▲10.1% | $1,425,557,707▲14.4% | $653,180,904▲5.8% | $925,548,510▲8.9% | 990 |
| 2022 | $1,320,077,888▲8.4% | $1,246,496,448▲10.6% | $617,247,844▲3.8% | $849,808,305▲1.1% | 990 |
| 2021 | $1,218,114,241▲5.2% | $1,126,958,539▲3.6% | $594,577,910▲40.0% | $840,677,669▲19.6% | 990 |
| 2020 | $1,158,090,888▼16.3% | $1,087,409,259▼18.4% | $424,821,689▲22.6% | $702,929,390▲19.6% | 990 |
| 2019 | $1,383,149,041▲33.0% | $1,333,307,619▲33.7% | $346,613,155▲18.3% | $587,940,014▲8.9% | 990 |
| 2018 | $1,039,894,413▼30.4% | $997,535,181▼29.4% | $293,067,215▲1.8% | $539,695,899▲12.0% | 990 |
| 2017 | $1,494,831,948▼41.1% | $1,413,593,300▼48.1% | $287,857,921▼9.3% | $481,974,194▼40.0% | 990 |
| 2016 | $2,538,424,327▲29.5% | $2,725,768,488▲42.6% | $317,350,376▼37.0% | $803,328,154▼10.4% | 990 |
| 2015 | $1,959,862,328▲3.2% | $1,911,663,681▲3.3% | $504,002,409▲9.5% | $896,765,075▲4.7% | 990 |
| 2014 | $1,898,923,332▲34.4% | $1,849,795,148▲30.6% | $460,098,765▲13.7% | $856,911,737▲24.8% | 990 |
| 2013 | $1,412,472,432 | $1,416,788,858▼17.3% | $404,514,013▼8.5% | $686,464,242▲0.7% | 990 |
| 2012 | — | $1,713,827,479▼0.8% | $442,059,755▲6.2% | $681,817,662▼5.2% | 990 |
| 2011 | — | $1,728,486,881▲1.9% | $416,320,132▲4.3% | $718,887,557▲6.5% | 990 |
| 2010 | — | $1,696,486,784 | $399,329,370 | $675,307,053 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Alicia Reuter | Svp & Clo, Secretary | 0 | — |
| David H Ellenbogen | Former Svp Sec & Gen Counsel | 0 | — |
| Elizabeth F Erickson | President, Ceo, & Treas Thru 1/2024 | 0 | — |
| James P Jacobson | Former Svp Sec & Gen Counsel | 0 | — |
| John Buck | Director & Chair | 0 | — |
| John Naylor | Former President & Ceo | 0 | — |
| John Stanoch | Director & Vice Chair | 0 | — |
| Krista Dusil | Svp, Cfo, & Treasurer | 0 | — |
| Mark L Baird | Former Svp & Cfo | 0 | — |
| Mary P Quist | Sr. Vp, Finance Thru 6/2024 | 0 | — |
| Mary Twinem | Director | 0 | — |
| Peter Kelley | Director | 0 | — |
| Contractor | Services | Paid |
|---|---|---|
| Medica Services Company | Leased Employees | $69,894,564 |
2 grants totaling $7.0M in FY2023. All grants made by Medica Health Plans →
| Recipient | Purpose | Amount |
|---|---|---|
| Medica Foundation | To support best practices of the organization. | $3,500,000 |
| Medica Foundation | To support best practices of the organization. | $3,500,000 |
Explore more
Data for Medica Health Plans (EIN 41-1242261) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.