Totals
- Total revenue
- $5,348,680
- Total expenses
- $5,454,851
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $5,154,003
- Investment income
- $194,677
- Other revenue
- $0
- Total assets, end of year
- $13,356,537
- Total liabilities, end of year
- $6,373,464
- Net assets or fund balances, end of year
- $6,983,073
- Program services expenses (Part IX)
- $4,921,583
- Management and general expenses
- $533,268
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,921,583
Program services were 90.2% 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 $5,154,003 · related or exempt $5,154,003
-
3 · Investment income
total $194,677 · excluded $194,677
Functional expenses
Part IX, the statement of functional expenses.
-
11a · Fees: management
total $46,045 · management and general $46,045
-
11b · Fees: legal
total $3,864 · management and general $3,864
-
11c · Fees: accounting
total $1,131 · management and general $1,131
-
11d · Fees: lobbying
total $219 · management and general $219
-
11g · Fees: other
total $4,606,532 · program services $4,602,178 · management and general $4,354
-
12 · Advertising and promotion
total $19,763 · management and general $19,763
-
13 · Office expenses
total $13,584 · program services $13,584
-
14 · Information technology
total $56,968 · program services $56,968
-
16 · Occupancy
total $64,140 · program services $64,140
-
17 · Travel
total $1,394 · program services $1,394
-
19 · Conferences, conventions and meetings
total $595 · program services $338 · management and general $257
-
22 · Depreciation, depletion and amortization
total $45,571 · program services $45,571
-
23 · Insurance
total $28,028 · program services $28,028
-
24a · Other expenses: LEASED EMPLOYEES
total $376,515 · management and general $376,515
-
24b · Other expenses: OTHER EXPENSES
total $117,314 · program services $109,382 · management and general $7,932
-
24c · Other expenses: BOOKS/SUBSCRIPTIONS
total $70,068 · management and general $70,068
-
24d · Other expenses: LICENSES & TAXES
total $3,120 · management and general $3,120
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $7,484,210 · end of year $7,456,013
-
4 · Accounts receivable
beginning of year $134,380 · end of year $180,171
-
11 · Investments: publicly traded securities
beginning of year $928,017 · end of year $931,495
-
15 · Other assets
beginning of year $364,918 · end of year $4,788,858
-
17 · Accounts payable and accrued expenses
beginning of year $1,802,965 · end of year $1,243,057
-
19 · Deferred revenue
beginning of year $13,793 · end of year $1,672
-
25 · Other liabilities
beginning of year $174,732 · end of year $5,128,735
-
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 $6,920,035 · end of year $6,983,073
Mission and programs · 2024
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 $4,921,583 · Revenue $5,154,003
As filed on the 2024 return.
Listed in Part VII
-
David S DochertyDAVID S DOCHERTY
DHP PRESIDENT & MARKET LEADER
- Total calculated
- $891,507
- From this org
- $0
- From related orgs
- $828,467
- Other
- $63,040
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $401,253 related
- Bonus
- $0 + $333,927 related
- Other
- $0 + $93,287 related
- Deferred
- $0 + $26,738 related
- Nontaxable benefits
- $0 + $36,302 related
- Filer's total
- $0 + $891,507 related
-
Krista DusilKRISTA DUSIL
SVP, CFO, & TREASURER
- Total calculated
- $920,238
- From this org
- $0
- From related orgs
- $804,123
- Other
- $116,115
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $428,011 related
- Bonus
- $0 + $300,026 related
- Other
- $0 + $76,086 related
- Deferred
- $0 + $91,882 related
- Nontaxable benefits
- $0 + $24,233 related
- Filer's total
- $0 + $920,238 related
-
Elizabeth F EricksonELIZABETH F ERICKSON
BOARD CHAIR, PRESIDENT & CEO
- Total calculated
- $1,870,851
- From this org
- $0
- From related orgs
- $1,669,649
- Other
- $201,202
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $985,480 related
- Bonus
- $0 + $522,989 related
- Other
- $0 + $161,180 related
- Deferred
- $0 + $160,811 related
- Nontaxable benefits
- $0 + $40,391 related
- Filer's total
- $0 + $1,870,851 related
-
David S WebsterDAVID S WEBSTER
CHIEF CLINICAL OFFICER
- Total calculated
- $1,064,622
- From this org
- $0
- From related orgs
- $931,831
- Other
- $132,791
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $506,983 related
- Bonus
- $0 + $341,032 related
- Other
- $0 + $83,816 related
- Deferred
- $0 + $88,640 related
- Nontaxable benefits
- $0 + $44,151 related
- Filer's total
- $0 + $1,064,622 related
-
Jeffrey S BrunkowJEFFREY S BRUNKOW
SENIOR DIRECTOR, MARKETS FINANCE
- Total calculated
- $205,007
- From this org
- $0
- From related orgs
- $167,411
- Other
- $37,596
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $165,874 related
- Bonus
- $0
- Other
- $0 + $1,537 related
- Deferred
- $0 + $9,208 related
- Nontaxable benefits
- $0 + $28,388 related
- Filer's total
- $0 + $205,007 related
-
Randy CombsRANDY COMBS
FORMER CFO AT SSM HEALTH
- Total calculated
- $1,483,527
- From this org
- $0
- From related orgs
- $1,454,021
- Other
- $29,506
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $323,766 related
- Bonus
- $0 + $923,306 related
- Other
- $0 + $206,949 related
- Deferred
- $0 + $13,881 related
- Nontaxable benefits
- $0 + $15,625 related
- Filer's total
- $0 + $1,483,527 related
-
Karen RewertsKAREN REWERTS
VP FINANCIAL OPERATIONS
- Total calculated
- $1,080,323
- From this org
- $0
- From related orgs
- $845,480
- Other
- $234,843
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $601,026 related
- Bonus
- $0 + $176,014 related
- Other
- $0 + $68,440 related
- Deferred
- $0 + $198,391 related
- Nontaxable benefits
- $0 + $36,452 related
- Filer's total
- $0 + $1,080,323 related
-
Matthew KinsellaMATTHEW KINSELLA
REGIONAL CP FINANCE - WISCONSIN
- Total calculated
- $736,407
- From this org
- $0
- From related orgs
- $561,330
- Other
- $175,077
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $417,285 related
- Bonus
- $0 + $101,437 related
- Other
- $0 + $42,608 related
- Deferred
- $0 + $132,986 related
- Nontaxable benefits
- $0 + $42,091 related
- Filer's total
- $0 + $736,407 related
-
Timothy JohnsonTIMOTHY JOHNSON
VP MEDICAL GROUP OPERATIONS
- Total calculated
- $1,060,306
- From this org
- $0
- From related orgs
- $820,503
- Other
- $239,803
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $567,495 related
- Bonus
- $0 + $192,243 related
- Other
- $0 + $60,765 related
- Deferred
- $0 + $204,984 related
- Nontaxable benefits
- $0 + $34,819 related
- Filer's total
- $0 + $1,060,306 related
-
Dean SuttonDEAN SUTTON
VP & DEPUTY GEN COUNSEL, SECRETARY
- Total calculated
- $432,143
- From this org
- $0
- From related orgs
- $373,399
- Other
- $58,744
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $253,133 related
- Bonus
- $0 + $83,544 related
- Other
- $0 + $36,722 related
- Deferred
- $0 + $26,580 related
- Nontaxable benefits
- $0 + $32,164 related
- Filer's total
- $0 + $432,143 related
-
Mary P QuistMARY P QUIST
SR. VP, FINANCE THRU 6/2024
- Total calculated
- $639,953
- From this org
- $0
- From related orgs
- $604,708
- Other
- $35,245
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $185,247 related
- Bonus
- $0 + $355,809 related
- Other
- $0 + $63,652 related
- Deferred
- $0 + $13,800 related
- Nontaxable benefits
- $0 + $21,445 related
- Filer's total
- $0 + $639,953 related
-
Mark L BairdMARK L BAIRD
FORMER SVP & CFO
- Total calculated
- $370,125
- From this org
- $0
- From related orgs
- $370,125
- Other
- $0
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $124,000 related
- Other
- $0 + $246,125 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $370,125 related
-
David H EllenbogenDAVID H ELLENBOGEN
FORMER SVP SEC & GEN COUNSEL
- Total calculated
- $226,230
- From this org
- $0
- From related orgs
- $224,611
- Other
- $1,619
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $11,188 related
- Bonus
- $0
- Other
- $0 + $213,423 related
- Deferred
- $0 + $453 related
- Nontaxable benefits
- $0 + $1,166 related
- Filer's total
- $0 + $226,230 related
-
James P JacobsonJAMES P JACOBSON
FORMER SVP & GENERAL COUNSEL
- Total calculated
- $403,815
- From this org
- $0
- From related orgs
- $403,815
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $403,815 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $403,815 related
-
John W NaylorJOHN W NAYLOR
FORMER PRESIDENT & CEO
- Total calculated
- $565,230
- From this org
- $0
- From related orgs
- $565,230
- Other
- $0
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $565,230 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $565,230 related
-
Randy J RuplingerRANDY J RUPLINGER
FORMER SVP FP&A & DHP CFO
- Total calculated
- $394,741
- From this org
- $0
- From related orgs
- $394,741
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $38,500 related
- Other
- $0 + $356,241 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $394,741 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, LINE 4A
- RANDY RUPLINGER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $343,000.
- PART I, LINE 4B
- THE FOLLOWING RECEIVED A SUPPLEMENT NONQUALIFIED RETIREMENT PLAN PAYMENT FROM MEDICA SERVICES COMPANY, A RELATED ORGANIZATION: MARK L. BAIRD - $43,667 DAVID S. DOCHERTY - $88,086 KRISTA DUSIL - $73,769 DAVID H. ELLENBOGEN - $213,151 ELIZABETH F. ERICKSON - $152,285 JAMES P. JACOBSON - $126,993 JOHN W. NAYLOR - $208,756 RANDY J. RUPLINGER - $13,241 DAVID S. WEBSTER - $67,911 MARY P. QUIST - $58,545 DEAN SUTTON - $32,176
- PART I, LINE 6
- MANAGEMENT INCENTIVE COMPENSATION INCLUDES COMPONENTS RELATED TO THE ORGANIZATION'S OPERATING EARNINGS.
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.
-
501(C)(3) · FOUNDATION · MN
Directly controlled by MHC
-
501(C)(4) · HEALTH COVERAGE · MN
Directly controlled by MHC
-
501(C)(4) · HOLDING COMPANY · MN
-
501(C)(4) · HEALTH COVERAGE · MN
Directly controlled by MHC
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
-
MEDICA CENTRAL 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
- 2024
- Filed
- 12 November 2025
- IRS schema version
- 2024v5.2
- Source object
- 202513189349308751
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