Civic Intelligence

Hmo Minnesota

990 • Fiscal year 2024 • EIN 41-6173747

Jan 01, 2024 to Dec 31, 2024 • Filed on Sep 30, 2025

PO Box 64560Saint Paul, MN 55164

(651) 662-9668

Siviq Scores

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

Liabilities / Assets

44th percentile

0.27x

Higher debt load relative to assets than 44% of similar nonprofits.

2024 filings • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

16th percentile

0.12x

Higher debt load relative to revenue than 16% of similar nonprofits.

2024 filings • $1B+ nonprofits • Source year 2024

Net Margin

19th percentile

-0.2%

Higher net margin than 19% of similar nonprofits.

2024 filings • $1B+ nonprofits • Source year 2024

Top Officer Pay

55th percentile

$1,628,403

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2024 filings • $1B+ nonprofits • Source year 2024

Asset Growth

4th percentile

-10%

Faster asset growth than 4% of similar nonprofits.

2024 filings • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

10th percentile

-4.9%

Faster revenue growth than 10% of similar nonprofits.

2024 filings • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Down

$1,432,430,455

Down $161,288,339 (-10%) from 2023

Net Assets

Up

$1,044,630,987

Up $815,171 (+0.1%) from 2023

Liabilities

Down

$387,799,468

Down $162,103,510 (-29%) from 2023

Revenue

Down

$3,123,827,747

Down $161,256,375 (-4.9%) from 2023

Expenses

Down

$3,131,621,083

Down $38,344,877 (-1.2%) from 2023

Net Income

Down

-$7,793,336

Down $122,911,498 (-107%) from 2023

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

2024

Assets$1,432,430,455
Liabilities$387,799,468
Net Assets$1,044,630,987

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

2024

Revenue$3,123,827,747
Expenses$3,131,621,083
Net Income-$7,793,336
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 30, 2025
Return Version
2024v5.2
Gross Receipts
$3,427,144,797
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
Rtn Earn Endowment Incm Other Fnds$1,043,815,816$1,044,630,987▲ $815,171
Investments in Publicly Traded Securities$884,340,461$920,811,308▲ $36,470,847
Accounts Receivable$211,187,992$269,510,707▲ $58,322,715
Savings and Temporary Cash Investments$301,410,341$69,012,079▼ $232,398,262
Total Assets$1,593,718,794$1,432,430,455▼ $161,288,339
Other Assets Total$196,780,000$173,096,361▼ $23,683,639
Liabilities
Other Liabilities$438,150,440$355,671,947▼ $82,478,493
Accounts Payable and Accrued Expenses$111,752,538$32,127,521▼ $79,625,017
Total Liabilities$549,902,978$387,799,468▼ $162,103,510
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,043,815,816$1,044,630,987▲ $815,171
Total Liabilities and Net Assets / Fund Balance$1,593,718,794$1,432,430,455▼ $161,288,339

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$173,096,361--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
John UribeTreasurerPT$675,000$953,403$1,628,403
Mark SteffenVice PresidentPT$562,693$691,550$1,254,243
Monica EngelPresident CEOPT$455,498$628,024$1,083,522
Amy ReweyDirectorFT$355,913$459,952$815,865
Kelly BengstonVice PresidentPT$383,305$383,595$766,900
May VangVice PresidentPT$383,421$351,064$734,485
Eric HoagVice PresidentPT$335,029$335,083$670,112
Christine ReitenVice PresidentFT$316,389$321,697$638,086
Sara HrehaVice PresidentPT$335,000$193,212$528,212
Jeff SnegoskyVice PresidentPT-$526,561$526,561
Amy CampisiVice PresidentPT$285,978$233,522$519,500
Paul SandSecretary-$216,534$105,815$322,349
Marc BaerVice President--$268,520$268,520
Andrea ChristophersonTreasurer--$132,593$132,593
Lisa AsperDirector-$11,000-$11,000
Aaron HurdDirector-$11,000-$11,000
Emily PiperDirector-$5,500-$5,500
Michael JonesDirector-$5,500-$5,500

Highest Paid Contractors

ContractorServicesLocationCompensation
BCBSM IncAdministrative services3400 Yankee Drive, Eagan, MN 55122$211,806,163
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,069,318,188
Investment Income
$62,555,997
Other Revenue
$-8,046,438
Change in Net Assets
$-7,793,336

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,123,827,747
Total Revenue per Audited Statements
$3,123,827,747
Total Revenue per Form 990
$3,123,827,747
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$175,858,859
Salaries, Compensation, and Employee Benefits$101,014,913
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$2,854,747,311--$2,854,747,311
Other Salaries and Wages$57,509,316$21,445,463-$78,954,778
Fees for Services Other$34,932,489$4,679,740-$39,612,229
All Other Expenses$10,980,437$7,413,650-$18,394,089
Information Technology$16,614,285$621,259-$17,235,543
Other Expenses$16,863,420--$16,863,420
Other Employee Benefits$10,278,395$2,058,816-$12,337,211
Interest-$7,424,098-$7,424,098
Depreciation Depletion$5,817,488$506,567-$6,324,055
Payroll Taxes$4,337,525$1,510,769-$5,848,294
Pension Plan Contributions$3,228,037$646,593-$3,874,630
Fees for Service Investment Mgmnt Fees-$3,236,339-$3,236,339
Occupancy$52,952$3,068,861-$3,121,812
Office Expenses$2,726,541$306,178-$3,032,719
Advertising$1,428,558$1,461,405-$2,889,963
Fees for Services Legal-$1,196,754-$1,196,754
Insurance-$878,242-$878,242
Travel$184,191$170,124-$354,315
Fees for Services Accounting-$277,479-$277,479
Fees for Services Management-$52,332-$52,332
Total Functional Expenses$3,074,666,413$56,954,669$0$3,131,621,083

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$3,133,161,587
Expenses per Audited Statements$3,131,621,083
Total Expenses per Form 990$3,131,621,083
Expenses Not Reported on Form 990$1,540,504
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$312,493,943
Aggregate health policy reserves$13,313,403
Derivatives$11,026,362
Claims unpaid$9,619,893
Premiums receivable in advance$5,345,000
Accrued medical incentive pool and bonus amounts$3,809,543
Unpaid claims adjustment$63,803
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 35% controlled entity
No
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 circumstances that could give rise to potential conflicts. Information is reviewed by the Board chair, legal counsel and 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 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.

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 mainained 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
6516629668
Address
PO Box 64560, Saint Paul, MN 55164
Doing Business As
Blue Plus

Signing Officer

Name
Darlene Long
Title
Vice President
Phone
6516629668
Signed
2025-09-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paul Sand
Formed
1974
Legal Domicile
Mn
Voting Board Members
8
Independent Board Members
4
Employees
0

Preparer

Firm
Aware Integrated Inc
Address
PO Box 64560, St Paul, MN 55164
Preparer
Aware Integrated Inc
Phone
6516629668
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

1,540,504 tax adjustment for stock impairments plus 4,206,806 increase in non-admitted assets equals 2,666,302.

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 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/PersonNm1Mark Steffen
IRS990/Form990PartVIISectionAGrp/PersonNm2Monica Engel
IRS990/Form990PartVIISectionAGrp/PersonNm3Amy Rewey
IRS990/Form990PartVIISectionAGrp/PersonNm4Kelly Bengston
IRS990/Form990PartVIISectionAGrp/PersonNm5May Vang
IRS990/Form990PartVIISectionAGrp/PersonNm6Eric Hoag
IRS990/Form990PartVIISectionAGrp/PersonNm7Christine Reiten
IRS990/Form990PartVIISectionAGrp/PersonNm8Sara Hreha
IRS990/Form990PartVIISectionAGrp/PersonNm9Jeff Snegosky
IRS990/Form990PartVIISectionAGrp/PersonNm10Amy Campisi
IRS990/Form990PartVIISectionAGrp/PersonNm11Paul Sand
IRS990/Form990PartVIISectionAGrp/PersonNm12Marc Baer
IRS990/Form990PartVIISectionAGrp/PersonNm13Andrea Christopherson
IRS990/Form990PartVIISectionAGrp/PersonNm14Lisa Asper
IRS990/Form990PartVIISectionAGrp/PersonNm15Aaron Hurd
IRS990/Form990PartVIISectionAGrp/PersonNm16Michael Jones
IRS990/Form990PartVIISectionAGrp/PersonNm17Emily Piper
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2President CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt4Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt5Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt6Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt7Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt8Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt9Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt10Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt11Secretary
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IRS990/Form990PartVIISectionAGrp/TitleTxt13Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt14Director
IRS990/Form990PartVIISectionAGrp/TitleTxt15Director
IRS990/Form990PartVIISectionAGrp/TitleTxt16Director
IRS990/Form990PartVIISectionAGrp/TitleTxt17Director
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IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
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IRS990/PrincipalOfficerNm0Paul Sand
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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 9,800 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/ExpenseAmt0456653647
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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 66,000 members at December 31, 2024.
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IRS990ScheduleD/DonatedServicesUseFcltsAmt01540504
IRS990ScheduleD/ExpensesNotReportedAmt01540504
IRS990ScheduleD/ExpensesSubtotalAmt03131621083
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IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0173096361
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0PMAP/MNCare withholds
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt213313403
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt463803
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt511026362
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt63809543
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal income taxes
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Claims unpaid
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2Aggregate health policy reserves
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3Premiums receivable in advance
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc4Unpaid claims adjustment
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc5Derivatives

Document Assets

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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
Peer Organizations

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