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        <BusinessNameLine1Txt>MINNESOTA ASSOCIATION OF COUNTY HEALTH PLANS</BusinessNameLine1Txt>
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        <CityNm>Saint Cloud</CityNm>
        <StateAbbreviationCd>MN</StateAbbreviationCd>
        <ZIPCd>56303</ZIPCd>
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      <PersonNm>Steve Gottwalt</PersonNm>
      <PersonTitleTxt>Executive Director</PersonTitleTxt>
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      <SignatureDt>2025-10-13</SignatureDt>
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      <PrincipalOfficerNm>Steve Gottwalt</PrincipalOfficerNm>
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      <ActivityOrMissionDesc>MACHP is an association of three County-Based Purchasing (CBP) health plans serving about 80,000 Minnesota Health Care Programs (MHCP) enrollees in 32 Minnesota counties. These plans are non-profit, and are owned and operated by the counties they serve. MACHP is organized to advocate for maintaining and strengthening the CBP model in Minnesota.</ActivityOrMissionDesc>
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      <MissionDesc>MACHP is an association of County Based Purchasing (CBP) health plans serving about 80,000 Minnesota Health Care Programs (MHCP) enrollees in 32 rural Minnesota counties. These plans are owned and operated by the counties they serve. MACHP is organized to advocate for maintaining and strengthening the CBP model in Minnesota.</MissionDesc>
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      <Desc>Minnesota government affairs pertaining to CBP: Worked with independent government affairs consultants The Lehman Group and Ewald Consulting to educate Minnesota legislators, Governor, State Administration and other stake holders concerning the importance and benefits of CBP. Worked closely with Minnesota's Department of Human Services (DHS) to reach better understanding concerning public health care programs procurement under state law, and to advance County Administered Rural Medical Assistance (CARMA). We succeeded in maintaining a broad coalition of support among like-minded organizations and stake holder groups, including the Association of Minnesota Counties (AMC), Minnesota Association of County Social Services Agencies (MACSSA), the Minnesota Rural Health Association (MRHA), AFSCME Union, Hennepin Health, MN Rural Counties, and other rural health care advocates. We closely tracked and responded to legislative proposals, regulatory and administrative actions impacting CBP and CBP plans.</Desc>
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        <Desc>Sponsorships of annual stake holder conferences and annual memberships with stake holder organizations: Paid memberships, sponsorships and on-site exhibits promoting and sharing information about the benefits and importance of CBP, and demonstrating our solidarity and support for those organizations' complimentary missions and efforts.</Desc>
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        <Desc>Educational materials about our association, the CBP model, association members and their scope, including an organizational one-page handout, letters specific to various issues impacting CBP, and other miscellaneous correspondences. The materials were highly effective in helping inform and obtain support from key stake holders throughout the year in a variety of settings.</Desc>
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        <Desc>CEO management of the association, including all administrative duties, collaborative efforts with partner, like-minded organizations and stake holders, advocacy and education efforts, communications and public relations, and more.</Desc>
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        <Desc>Developing County Administered Rural Medical Assistance (CARMA): Our association met almost monthly throughout 2024 with representatives from the Association of Minnesota Counties (AMC) and the Minnesota Department of Human Services (DHS) to reach agreement on elements of this new and improved county-based program for delivering Medicaid benefits to enrollees. This effort does not represent additional budgeted expenses for our association. Any related expenses are included under other program services and budgeted expense line items.</Desc>
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      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>2751</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>14295</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>0</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>0</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Annual membership dues to partnering organizations</Desc>
        <TotalAmt>35000</TotalAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>276918</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>21031</BOYAmt>
        <EOYAmt>28430</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4388</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>25419</BOYAmt>
        <EOYAmt>28430</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <CapStkTrPrinCurrentFundsGrp>
        <BOYAmt>25419</BOYAmt>
        <EOYAmt>28430</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>25419</BOYAmt>
        <EOYAmt>28430</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25419</BOYAmt>
        <EOYAmt>28430</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3011</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>0</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>0</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>0</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="R000002" softwareId="24021167" softwareVersionNum="v1.00">
      <SubstantiallyAllDuesNondedInd>1</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
    </IRS990ScheduleC>
    <IRS990ScheduleO documentId="R000003" softwareId="24021167" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the Minnesota Association of County Health Plans are the state's three county-based purchasing CBP plans: PrimeWest Health, South Country Health Alliance, and Itasca Medical Care. Each of these organizations' CEOs is an officer of our association (3).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>The three officers who comprise our association's board of directors are the three CEOs of the association's member organizations, and can be reached at those organizations: PrimeWest Health (Jim Przybilla): 3905 Dakota St., Alexandria, MN 56308; South Country Health Alliance (Leota Lind): 6380 West Frontage Rd, Medford, MN 55049; and Itasca Medical Care (Sarah Anderson): 1209 SE 2nd Ave, Grand Rapids, MN 55744</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Our Form 990 is reviewed by the CFO of our largest member, PrimeWest Health, prior to finalization and submission. Copies of the finalized Form 990 filing are shared with our board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request, at its location of business.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>The association's two government affairs consultants primarily provided education, information and legislative tracking services not defined as "lobbying". These services constituted 90% of their work for our association.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000004" softwareId="24021167" softwareVersionNum="v1.00">
      <ExplanationTxt>Requested and received approval of a delay in filing for more finalized 2024 expenditures data.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>