Civic Intelligence

Hmo Minnesota

990 • Fiscal year 2016 • EIN 41-6173747

Jan 01, 2016 to Dec 31, 2016 • Filed on Oct 23, 2017

PO Box 64560Saint Paul, MN 55164

(651) 662-1106

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.50x

Higher debt load relative to assets than 55% of similar nonprofits.

2016 filings • $1B+ nonprofits • Source year 2016

Liabilities / Revenue

17th percentile

0.23x

Higher debt load relative to revenue than 17% of similar nonprofits.

2016 filings • $1B+ nonprofits • Source year 2016

Net Margin

10th percentile

-8.5%

Higher net margin than 10% of similar nonprofits.

2016 filings • $1B+ nonprofits • Source year 2016

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2016

Asset Growth

46th percentile

4.0%

Faster asset growth than 46% of similar nonprofits.

2016 filings • $1B+ nonprofits • Annualized from 2015 to 2016

Revenue Growth

98th percentile

100%

Faster revenue growth than 98% of similar nonprofits.

2016 filings • $1B+ nonprofits • Annualized from 2015 to 2016

Assets

Up

$858,294,768

Up $33,202,032 (+4.0%) from 2015

Net Assets

Down

$426,800,293

Down $143,366,597 (-25%) from 2015

Liabilities

Up

$431,494,475

Up $176,568,629 (+69%) from 2015

Revenue

Up

$1,839,796,599

Up $920,944,178 (+100%) from 2015

Expenses

Up

$1,996,128,912

Up $1,129,336,295 (+130%) from 2015

Net Income

Down

-$156,332,313

Down $208,392,117 (-400%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.5B$1.0B$500M$0Assets 2010: $501,246,682Liabilities 2010: $183,660,964Net Assets 2010: $317,585,7182010Assets 2011: $563,733,708Liabilities 2011: $206,496,309Net Assets 2011: $357,237,3992011Assets 2012: $572,797,371Liabilities 2012: $213,153,375Net Assets 2012: $359,643,9962012Assets 2013: $629,788,655Liabilities 2013: $180,913,808Net Assets 2013: $448,874,8472013Assets 2014: $725,374,564Liabilities 2014: $194,790,483Net Assets 2014: $530,584,0812014Assets 2015: $825,092,736Liabilities 2015: $254,925,846Net Assets 2015: $570,166,8902015Assets 2016: $858,294,768Liabilities 2016: $431,494,475Net Assets 2016: $426,800,2932016Assets 2017: $1,011,347,098Liabilities 2017: $538,359,055Net Assets 2017: $472,988,0432017Assets 2018: $1,103,210,172Liabilities 2018: $515,857,437Net Assets 2018: $587,352,7352018Assets 2019: $1,137,767,342Liabilities 2019: $516,815,474Net Assets 2019: $620,951,8682019Assets 2020: $1,339,028,107Liabilities 2020: $674,948,743Net Assets 2020: $664,079,3642020Assets 2021: $1,323,127,272Liabilities 2021: $551,688,889Net Assets 2021: $771,438,3832021Assets 2022: $1,448,086,232Liabilities 2022: $553,652,020Net Assets 2022: $894,434,2122022Assets 2023: $1,593,718,794Liabilities 2023: $549,902,978Net Assets 2023: $1,043,815,8162023Assets 2024: $1,432,430,455Liabilities 2024: $387,799,468Net Assets 2024: $1,044,630,9872024

Highlighted filing

2016

Assets$858,294,768
Liabilities$431,494,475
Net Assets$426,800,293

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0B$3.0B$2.0B$1.0B$0-$1.0BExpenses 2010: $986,710,1412010Expenses 2011: $1,066,636,4172011Expenses 2012: $1,002,910,6772012Revenue 2013: $1,041,962,872Expenses 2013: $970,384,142Net Income 2013: $71,578,7302013Revenue 2014: $850,950,122Expenses 2014: $765,219,395Net Income 2014: $85,730,7272014Revenue 2015: $918,852,421Expenses 2015: $866,792,617Net Income 2015: $52,059,8042015Revenue 2016: $1,839,796,599Expenses 2016: $1,996,128,912Net Income 2016: -$156,332,3132016Revenue 2017: $2,434,343,438Expenses 2017: $2,401,610,978Net Income 2017: $32,732,4602017Revenue 2018: $2,468,965,890Expenses 2018: $2,327,821,185Net Income 2018: $141,144,7052018Revenue 2019: $2,343,368,054Expenses 2019: $2,335,544,134Net Income 2019: $7,823,9202019Revenue 2020: $2,553,100,078Expenses 2020: $2,519,879,146Net Income 2020: $33,220,9322020Revenue 2021: $3,017,513,062Expenses 2021: $2,905,896,289Net Income 2021: $111,616,7732021Revenue 2022: $3,006,142,678Expenses 2022: $2,835,052,905Net Income 2022: $171,089,7732022Revenue 2023: $3,285,084,122Expenses 2023: $3,169,965,960Net Income 2023: $115,118,1622023Revenue 2024: $3,123,827,747Expenses 2024: $3,131,621,083Net Income 2024: -$7,793,3362024

Highlighted filing

2016

Revenue$1,839,796,599
Expenses$1,996,128,912
Net Income-$156,332,313
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Oct 23, 2017
Return Version
2016v3.0
Gross Receipts
$2,182,761,717
Mission and Program Overview

Mission

None formally approved by governing body, but see Part I Line 1, which is based on Articles of Incorporation.

To provide comprehensive health maintenance services for the people of Minnesota and to advance public health and the art and science of hospital, medical and health care services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$554,277,467$548,923,157▼ $5,354,310
Rtn Earn Endowment Incm Other Fnds$570,166,890$426,800,293▼ $143,366,597
Savings and Temporary Cash Investments$93,032,826$108,160,738▲ $15,127,912
Accounts Receivable$130,446,443$82,751,873▼ $47,694,570
Total Assets$825,092,736$858,294,768▲ $33,202,032
Other Assets Total$47,336,000$118,459,000▲ $71,123,000
Liabilities
Other Liabilities$233,351,972$408,955,473▲ $175,603,501
Accounts Payable and Accrued Expenses$21,573,874$22,539,002▲ $965,128
Total Liabilities$254,925,846$431,494,475▲ $176,568,629
Net Assets / Fund Balance
Total Net Assets Fund Balance$570,166,890$426,800,293▼ $143,366,597
Total Liabilities and Net Assets / Fund Balance$825,092,736$858,294,768▲ $33,202,032

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$396,400$396,400
Other Assets Org$118,459,000--
Compensation and Service Providers

Employees

NameTitleBaseTotal
Ben FieldDirector$13,000$13,000
Judy VoightDirector$11,500$11,500
Mark AndersonDirector$11,500$11,500
Michael RobinsonDirector$11,500$11,500
Jon KillmerDirector$7,250$7,250
Mary Anne CummingsDirector$1,170$1,170

Board Members and Trustees

NameTitle
Patricia RileySenior Vice President
Denise BergevinVice President
Eric HoagVice President
Jane McMahonVice President
John OrnerVice President
Marc BaerVice President
Mary RobbVice President
Nancy NelsonVice President
Garrett BlackDirector
Paul KarazijaDirector
Frank FernandezPres. CEO
Elizabeth MoranSecretary
Robert J MilisSecretary
Jamison RiceTreasurer
Jay MatushakTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
BCBSM IncAdministrative services3535 Blue Cross Road, Eagan, MN 55122$154,571,330
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,816,154,983
Investment Income
$23,641,616
Other Revenue
$0
Change in Net Assets
$-156,332,313

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,839,796,599
Total Revenue per Audited Statements
$1,839,796,599
Total Revenue per Form 990
$1,839,796,599
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$125,695,606
Salaries, Compensation, and Employee Benefits$68,235,372
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$1,802,197,934--$1,802,197,934
Other Salaries and Wages$42,074,520$9,145,846-$51,220,366
Fees for Services Other$34,282,268$4,613,201-$38,895,469
Other Employee Benefits$7,130,834$1,086,986-$8,217,820
Information Technology$9,172,535$-1,050,816-$8,121,719
Depreciation Depletion$5,739,143$448,019-$6,187,162
Other Expenses$5,940,930--$5,940,930
Office Expenses$2,583,301$2,747,868-$5,331,169
Interest-$5,282,887-$5,282,887
All Other Expenses$2,523,680$2,428,484-$4,952,164
Pension Plan Contributions$3,041,540$463,636-$3,505,176
Payroll Taxes$2,882,993$558,448-$3,441,441
Occupancy$2,531,440$743,568-$3,275,008
Current Officers, Directors, Trustees, and Key Employees-$1,850,569-$1,850,569
Fees for Services Accounting-$830,752-$830,752
Fees for Services Legal-$534,725-$534,725
Travel$223,093$202,523-$425,616
Advertising$250,087$127,636-$377,723
Insurance-$251,479-$251,479
Total Functional Expenses$1,965,863,101$30,265,811$0$1,996,128,912

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,996,460,382
Expenses per Audited Statements$1,996,128,912
Total Expenses per Form 990$1,996,128,912
Expenses Not Reported on Form 990$331,470
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal income taxes$238,560,664
Aggregate health policy reserves$141,610,495
Investment fee accrual$9,865,065
Premiums receivable in advance$8,617,670
Claims unpaid$7,691,478
Accrued medical incentive pool and bonus amounts$2,249,481
Unpaid claims adjustment expense$360,620
Remittance not allocated-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

A regular member and enrollee members.

Form 990, Part VI, Section A, Line 7A

The sole regular member BCBSM, Inc. elects regular directors. Enrollee members elect enrollee directors which comprise at least 40 of the board of directors.

Form 990, Part VI, Section B, Line 11B

Copies of the Form 990 were distributed in advance to members of the Blue Plus Board of Directors for review and discussion at their meeting prior to filing with the IRS.

Form 990, Part VI, Section B, Line 12C

Annually directors and officers of HMO Minnesota and others who provide services pursuant to the administrative services agreement between HMO Minnesota and BCBSM, Inc. are required to complete a detailed questionnaire asking for information that could give rise to potential conflicts. All those persons are advised to provide updates with respect to cicumstances 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. If conflicts were to be found, the person would recue 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.

Form 990, Part VI, Section B, Line 15A 15B

HMO Minnesota does not pay any direct compensation to its officers except for outside directors whose compensation is established by the HMO Minnesota Board of Directors for their service as directors.

Form 990, Part VI, Section C, Line 19

The following documents and information about the organization are available to the general public through the website maintained by the Minnesota Department of Health Form 990 and executive compensation financial examinations by state regulators annual statement of revenue, expenses, and net income quality and performance measurements. The general conflict of interest policy within the Code of Conduct is available on the BCBSM, Inc. website. Articles of Incorporation are available through the Minnesota Secretary of States office. Other governing documents, such as corporate bylaws, are not available to the public.

Form 990, Part VII, Section A, Line 1A

The remaining balance of all current officers average hours per week worked are allocated to the related organization.

Filing and Contact Details

Filer

Filer Name
HMO Minnesota
EIN
41-6173747
Phone
6516621106
Address
PO Box 64560, Saint Paul, MN 55164
Doing Business As
Blue Plus

Signing Officer

Name
Denise Bergevin
Title
Vice President Finance Corp Control
Phone
6516621106
Signed
2017-10-23
Discuss with paid preparer
No

Organization Details

Principal Officer
Frank Fernandez
Formed
1974
Legal Domicile
Mn
Voting Board Members
7
Independent Board Members
5
Employees
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

331,470 tax adjustment for stock impairments 3,537,310 decrease in non-admitted assets 3,205,840.

Financial Statement Notes

X 2

FIN 48 Footnote - The financial statements of Blue Plus are prepared in conformity with accounting practices prescribed or permitted by the Minnesota Department of Health, of which the NAIC Accounting and Practices and Procedures Manual NAIC SAP has been adopted as a component. These accounting practices differ from GAAP and do not include FIN 48.

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IRS990/Form990PartVIISectionAGrp/PersonNm4Frank Fernandez
IRS990/Form990PartVIISectionAGrp/PersonNm5Michael Robinson
IRS990/Form990PartVIISectionAGrp/PersonNm6Eric Hoag
IRS990/Form990PartVIISectionAGrp/PersonNm7Paul Karazija
IRS990/Form990PartVIISectionAGrp/PersonNm8Ben Field
IRS990/Form990PartVIISectionAGrp/PersonNm9Elizabeth Moran
IRS990/Form990PartVIISectionAGrp/PersonNm10Nancy Nelson
IRS990/Form990PartVIISectionAGrp/PersonNm11John Orner
IRS990/Form990PartVIISectionAGrp/PersonNm12Patricia Riley
IRS990/Form990PartVIISectionAGrp/PersonNm13Denise Bergevin
IRS990/Form990PartVIISectionAGrp/PersonNm14Jane McMahon
IRS990/Form990PartVIISectionAGrp/PersonNm15Jay Matushak
IRS990/Form990PartVIISectionAGrp/PersonNm16Marc Baer
IRS990/Form990PartVIISectionAGrp/PersonNm17Jamison Rice
IRS990/Form990PartVIISectionAGrp/PersonNm18Robert J Milis
IRS990/Form990PartVIISectionAGrp/PersonNm19Mary Robb
IRS990/Form990PartVIISectionAGrp/PersonNm20Garrett Black
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt011500
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Director
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Pres. CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt10Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt11Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt12Senior Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt13Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt14Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt15Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt16Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt17Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt18Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt19Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt20Director
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IRS990/MinutesOfGoverningBodyInd0true
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IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
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IRS990/OtherAssetsTotalGrp/BOYAmt047336000
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IRS990/OtherExpensesGrp/Desc0Drug Processing
IRS990/OtherExpensesGrp/Desc1Gross Premium Tax
IRS990/OtherExpensesGrp/Desc2Medical Care Surcharge
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IRS990/ProgSrvcAccomActy2Grp/Desc0Blue Plus contracts with the Centers for Medicare Medicaid Services CMS and the Minnesota Department of Human Services DHS to offer a program that combines Medicare Advantage Special Needs Plans and state Medical Assistance coverage. Minnesota Senior Health Options MSHO provides coverage to beneficiaries age 65 and older who are eligible for DHS Medical Assistance and Medicare Parts A and B. This program serves 8,000 members. Our MSHO product, SecureBlue, has broad geographic reach, covering members in 62 counties. A hallmark of MSHO is the care coordination provided to members regardless of whether they reside in the community or in an institution. Special attention is paid to helping members remain in the community with appropriate services and support.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0248171230
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0264647286
IRS990/ProgSrvcAccomActy3Grp/Desc0Blue Plus provides benefit payments for healthcare coverage based on contractual agreements with groups and individual subscribers, including Medicare Advantage. There were approximately 13,700 members at December 31, 2016.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt097300379
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt084373163
IRS990/ProhibitedTaxShelterTransInd0false
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IRS990/PYExcessBenefitTransInd0false
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IRS990/PYProgramServiceRevenueAmt0895024041
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IRS990/PYSalariesCompEmpBnftPaidAmt036991849
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IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0true
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IRS990/ReportOtherAssetsInd0true
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IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0426800293
IRS990/SavingsAndTempCashInvstGrp/BOYAmt093032826

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,432$388$1,045$3,124$3,132$7.79
2023Detailed filing. Detailed filing data is available for this year.$1,594$550$1,044$3,285$3,170$115
2022Detailed filing. Detailed filing data is available for this year.$1,448$554$894$3,006$2,835$171
2021Detailed filing. Detailed filing data is available for this year.$1,323$552$771$3,018$2,906$112
2020Detailed filing. Detailed filing data is available for this year.$1,339$675$664$2,553$2,520$33.2
2019Detailed filing. Detailed filing data is available for this year.$1,138$517$621$2,343$2,336$7.82
2018Detailed filing. Detailed filing data is available for this year.$1,103$516$587$2,469$2,328$141
2017Detailed filing. Detailed filing data is available for this year.$1,011$538$473$2,434$2,402$32.7
2016Detailed filing. Detailed filing data is available for this year.$858$431$427$1,840$1,996$156
2015Detailed filing. Detailed filing data is available for this year.$825$255$570$919$867$52.1
2014Detailed filing. Detailed filing data is available for this year.$725$195$531$851$765$85.7
2013Detailed filing. Detailed filing data is available for this year.$630$181$449$1,042$970$71.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$573$213$360$1,003
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$564$206$357$1,067
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$501$184$318$987