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Nonprofiteer
← MEDICA CENTRAL HEALTH PLAN

Form 990 for tax year 2023

Filed by MEDICA CENTRAL HEALTH PLAN.

This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.

What the amendment changed

Compared with the latest return for 2023 , filed 5 March 2025. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Those are the same on the two returns, so the amendment changed something else.

Totals

Total revenue
$13,610,949
Total expenses
$13,098,853
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$13,360,669
Investment income
$250,280
Other revenue
$0
Total assets, end of year
$8,911,525
Total liabilities, end of year
$1,991,490
Net assets or fund balances, end of year
$6,920,035
Program services expenses (Part IX)
$12,062,402
Management and general expenses
$1,036,451
Fundraising expenses
$0
Program service expenses (Part III)
$12,062,402

Program services were 92.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUM REVENUE

    total $13,360,669 · related or exempt $13,360,669

  • 3 · Investment income

    total $250,280 · excluded $250,280

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $668,242 · management and general $668,242

  • 8 · Pension plan contributions

    total $30,159 · management and general $30,159

  • 9 · Other employee benefits

    total $77,335 · management and general $77,335

  • 10 · Payroll taxes

    total $38,291 · management and general $38,291

  • 11b · Fees: legal

    total $6,660 · management and general $6,660

  • 11c · Fees: accounting

    total $1,800 · management and general $1,800

  • 11d · Fees: lobbying

    total $1,625 · management and general $1,625

  • 11g · Fees: other

    total $11,417,098 · program services $11,408,430 · management and general $8,668

  • 12 · Advertising and promotion

    total $24,643 · management and general $24,643

  • 13 · Office expenses

    total $26,109 · program services $26,109

  • 14 · Information technology

    total $172,121 · program services $172,121

  • 16 · Occupancy

    total $101,355 · program services $101,355

  • 17 · Travel

    total $2,071 · program services $2,071

  • 19 · Conferences, conventions and meetings

    total $1,148 · program services $1,148

  • 22 · Depreciation, depletion and amortization

    total $72,018 · program services $72,018

  • 23 · Insurance

    total $7,215 · program services $7,215

  • 24a · Other expenses: OTHER EXPENSES

    total $281,796 · program services $271,935 · management and general $9,861

  • 24b · Other expenses: TAXES

    total $163,895 · management and general $163,895

  • 24c · Other expenses: LICENSES

    total $3,579 · management and general $3,579

  • 24d · Other expenses: BOOKS/SUBSCRIPTIONS

    total $1,693 · management and general $1,693

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $8,367,836 · end of year $7,484,210

  • 2 · Savings and temporary cash investments

    beginning of year $71,136 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $224,188 · end of year $134,380

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $924,804 · end of year $928,017

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $136,361 · end of year $364,918

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,229,194 · end of year $1,802,965

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $98,405 · end of year $13,793

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $738,116 · end of year $174,732

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $6,658,610 · end of year $6,920,035

Mission and programs · 2023

Mission

TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES

  • MEDICA CENTRAL HEALTH PLAN IS A NONPROFIT HEALTH MAINTENANCE ORGANIZATION (HMO) DOMICILED IN THE STATE OF MISSOURI. THE HMO OFFERS MEDICARE ADVANTAGE PRODUCT IN MISSOURI AND ILLINOIS AND INDIVIDUAL PRODUCT IN ILLINOIS.

    Expenses $12,062,402 · Revenue $13,360,669

As filed on the 2023 return.

Listed in Part VII

  • Mary P Quist

    TREASURER/INTERIM CFO(THRU 4/23)

    Total calculated
    $857,958
    From this org
    $0
    From related orgs
    $808,429
    Other
    $49,529
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $342,386 related
    Bonus
    $0 + $349,158 related
    Other
    $0 + $116,885 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $36,329 related
    Filer's total
    $0 + $857,958 related

  • David H Ellenbogen

    SVP SEC & GEN COUNSEL (THRU 12/23)

    Total calculated
    $818,602
    From this org
    $0
    From related orgs
    $773,584
    Other
    $45,018
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $407,024 related
    Bonus
    $0 + $249,087 related
    Other
    $0 + $117,473 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $31,818 related
    Filer's total
    $0 + $818,602 related

  • Elizabeth F Erickson

    PRESIDENT & CEO & CFO

    Total calculated
    $1,242,128
    From this org
    $0
    From related orgs
    $1,203,089
    Other
    $39,039
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $487,530 related
    Bonus
    $0 + $600,051 related
    Other
    $0 + $115,508 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $25,839 related
    Filer's total
    $0 + $1,242,128 related

  • David S Docherty

    DHP PRESIDENT & MARKET LEADER

    Total calculated
    $950,754
    From this org
    $0
    From related orgs
    $903,100
    Other
    $47,654
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $388,015 related
    Bonus
    $0 + $439,531 related
    Other
    $0 + $75,554 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $34,454 related
    Filer's total
    $0 + $950,754 related

  • Randy Combs

    CFO AT SSM HEALTH (THRU 11/23)

    Total calculated
    $3,420,428
    From this org
    $0
    From related orgs
    $2,182,354
    Other
    $1,238,074
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,242,308 related
    Bonus
    $0 + $669,269 related
    Other
    $0 + $270,777 related
    Deferred
    $0 + $1,203,989 related
    Nontaxable benefits
    $0 + $34,085 related
    Filer's total
    $0 + $3,420,428 related

  • Karen Rewerts

    VP-FINANCIAL OPERATIONS

    Total calculated
    $1,088,846
    From this org
    $0
    From related orgs
    $801,332
    Other
    $287,514
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $589,021 related
    Bonus
    $0 + $154,022 related
    Other
    $0 + $58,289 related
    Deferred
    $0 + $253,200 related
    Nontaxable benefits
    $0 + $34,314 related
    Filer's total
    $0 + $1,088,846 related

  • Matthew Kinsella

    REGIONAL CP FINANCE - WISCONSIN

    Total calculated
    $733,947
    From this org
    $0
    From related orgs
    $532,042
    Other
    $201,905
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $405,421 related
    Bonus
    $0 + $105,716 related
    Other
    $0 + $20,905 related
    Deferred
    $0 + $160,100 related
    Nontaxable benefits
    $0 + $41,805 related
    Filer's total
    $0 + $733,947 related

  • Timothy Johnson

    VP - MEDICAL GROUP OPERATIONS

    Total calculated
    $1,050,690
    From this org
    $0
    From related orgs
    $749,701
    Other
    $300,989
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $546,303 related
    Bonus
    $0 + $162,711 related
    Other
    $0 + $40,687 related
    Deferred
    $0 + $266,170 related
    Nontaxable benefits
    $0 + $34,819 related
    Filer's total
    $0 + $1,050,690 related

  • David Webster

    CHIEF CLINICAL OFFICER

    Total calculated
    $1,124,005
    From this org
    $0
    From related orgs
    $1,070,048
    Other
    $53,957
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $492,632 related
    Bonus
    $0 + $428,833 related
    Other
    $0 + $148,583 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $40,757 related
    Filer's total
    $0 + $1,124,005 related

  • John Naylor

    PRESIDENT & CEO (THRU 9/23)

    Total calculated
    $2,605,686
    From this org
    $0
    From related orgs
    $2,577,014
    Other
    $28,672
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $745,040 related
    Bonus
    $0 + $1,498,719 related
    Other
    $0 + $333,255 related
    Deferred
    $0 + $10,532 related
    Nontaxable benefits
    $0 + $18,140 related
    Filer's total
    $0 + $2,605,686 related

  • Randy J Ruplinger

    SVP FP&A & DHP CFO

    Total calculated
    $917,870
    From this org
    $0
    From related orgs
    $874,375
    Other
    $43,495
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $309,908 related
    Bonus
    $0 + $488,920 related
    Other
    $0 + $75,547 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $30,295 related
    Filer's total
    $0 + $917,870 related

  • Dean Sutton

    VP & DEPUTY GEN COUNSEL

    Total calculated
    $476,801
    From this org
    $0
    From related orgs
    $433,187
    Other
    $43,614
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $235,787 related
    Bonus
    $0 + $131,926 related
    Other
    $0 + $65,474 related
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $30,414 related
    Filer's total
    $0 + $476,801 related

  • Mark L Baird

    FORMER SVP & CFO

    Total calculated
    $552,044
    From this org
    $0
    From related orgs
    $552,044
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $329,888 related
    Other
    $0 + $222,156 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $552,044 related

  • James P Jacobson

    FORMER SVP SEC & GEN COUNSEL

    Total calculated
    $448,077
    From this org
    $0
    From related orgs
    $448,077
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $129,138 related
    Other
    $0 + $318,939 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $448,077 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CEO IS COMPENSATED 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, LINES 4A-B
RANDY RUPLINGER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $13,720.
PART I, LINE 6
MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATION'S OPERATING EARNINGS.
PART-I LINE-4B
THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA SERVICES COMPANY, A RELATED ORGANIZATION: MARY P. QUIST - $65,748 MARK L. BAIRD - $32,279 JOHN W. NAYLOR - $212,534 DAVID H. ELLENBOGEN - $62,813 KAREN DENISE REWERTS - $205,965 TIMOTHY ALLEN JOHNSON - $162,711 RANDALL J. COMBS - $669,269 MATTHEW NAMMACK KINSELLA - $114,535 ELIZABETH ERICKSON - 109,692 DAVID DOUCHERTY - $70,469 RANDY RUPLINGER - $57,642 DEAN SUTTON - $37,352 JAMES P. JACOBSON - $91,442 DAVID WEBSTER - $101,612

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MS COMMUNITY NFP JV (MFCJVN) LLC

    0 · MN

    Directly controlled by MHC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MEDICA INSURANCE COMPANY

    C · HEALTH INSURANCE · MN

    Directly controlled by MAS

  • MEDICA SELF-INSURED

    C · THIRD PARTY ADMIN · MN

    Directly controlled by MAS

  • MEDICA AFFILIATED SERVICES (MAS)

    C · HOLDING COMPANY · MN

    Directly controlled by MHC

  • MEDICA HEALTH MANAGEMENT

    C · HEALTH MANAGEMENT · MN

    Directly controlled by MAS

  • MMSI INC

    C · HEALTH INSURANCE · MN

    Directly controlled by MAS

  • MEDICA SERVICES COMPANY LLC

    C · ADMIN SERVICES · MN

    Directly controlled by MAS

  • DEAN HEALTH PLAN INC

    C · HEALTH INSURANCE · WI

    Directly controlled by DHI

  • DEAN HEALTH INSURANCE INC (DHI)

    C · HEALTH INSURANCE · WI

    Directly controlled by MSCJV

  • SSM HEALTH INSURANCE COMPANY

    C · HEALTH INSURANCE · MO

    Directly controlled by MSCJV

  • DEAN HEALTH SERVICES COMPANY LLC

    C · ADMIN SERVICES · WI

    Directly controlled by MSCJV

  • MS COMMUNITY JV LLC (MSCJV)

    C · HOLDING COMPANY · MN

    Directly controlled by MHC

  • MEDICA REGIONAL INSURANCE COMPANY

    C · HEALTH INSURANCE · MN

    Directly controlled by MAS

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202443209349303769

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