Totals
- Total revenue
- $13,270,557
- Total expenses
- $17,588,276
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $13,178,845
- Investment income
- $91,712
- Other revenue
- $0
- Total assets, end of year
- $9,724,325
- Total liabilities, end of year
- $3,065,715
- Net assets or fund balances, end of year
- $6,658,610
- Program services expenses (Part IX)
- $11,708,234
- Management and general expenses
- $5,880,042
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $11,708,234
Program services were 66.6% 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 $13,178,845 · related or exempt $13,178,845
-
3 · Investment income
total $91,712 · excluded $91,712
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $3,616,307 · management and general $3,616,307
-
8 · Pension plan contributions
total $80,346 · management and general $80,346
-
9 · Other employee benefits
total $514,343 · management and general $514,343
-
10 · Payroll taxes
total $251,917 · management and general $251,917
-
11a · Fees: management
total $2,370 · management and general $2,370
-
11b · Fees: legal
total $4,789 · management and general $4,789
-
11c · Fees: accounting
total $50,248 · management and general $50,248
-
11d · Fees: lobbying
total $7,113 · management and general $7,113
-
11f · Fees: investment management
total $38,268 · management and general $38,268
-
11g · Fees: other
total $11,103,559 · program services $10,626,003 · management and general $477,556
-
12 · Advertising and promotion
total $540,856 · management and general $540,856
-
13 · Office expenses
total $247,884 · program services $247,884
-
14 · Information technology
total $225,494 · program services $225,494
-
16 · Occupancy
total $94,315 · program services $94,315
-
17 · Travel
total $33,332 · program services $33,332
-
19 · Conferences, conventions and meetings
total $5,862 · program services $5,862
-
20 · Interest
total $807 · program services $807
-
22 · Depreciation, depletion and amortization
total $43,300 · program services $43,300
-
23 · Insurance
total $20,422 · program services $20,422
-
24a · Other expenses: OTHER EXPENSES
total $434,178 · program services $406,190 · management and general $27,988
-
24b · Other expenses: TAXES
total $164,234 · program services $4,625 · management and general $159,609
-
24c · Other expenses: LICENSES
total $73,079 · management and general $73,079
-
24d · Other expenses: BOOKS/SUBSCRIPTIONS
total $35,253 · management and general $35,253
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $5,801,789 · end of year $8,367,836
-
2 · Savings and temporary cash investments
beginning of year $0 · end of year $71,136
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $0 · end of year $224,188
-
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 $939,909 · end of year $924,804
-
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 $1,905,145 · end of year $136,361
-
17 · Accounts payable and accrued expenses
beginning of year $1,828,422 · end of year $2,229,194
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $92,132 · end of year $98,405
-
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 $587,336 · end of year $738,116
-
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 $6,138,953 · end of year $6,658,610
Mission and programs · 2022
Mission
TO BE THE TRUSTED HEALTH PLAN OF CHOICE FOR CUSTOMERS, MEMBERS, PARTNERS AND OUR EMPLOYEES.
-
SSM HEALTH PLAN WILL OPERATE A HEALTH MAINTENANCE ORGANIZATION(HMO). THE HMO OFFERS MEDICARE ADVANTAGE PRODUCT IN MO AND IL AND INDIVIDUAL PRODUCT IN IL.
Expenses $11,708,234 · Revenue $13,178,845
As filed on the 2022 return.
Listed in Part VII
-
David DochertyDAVID DOCHERTY
DHP PRESIDENT & MKT LEADER
- Total calculated
- $774,705
- From this org
- $0
- From related orgs
- $756,855
- Other
- $17,850
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $748,120 related
- Bonus
- $0
- Other
- $0 + $8,735 related
- Deferred
- $0 + $17,850 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $774,705 related
-
Mary P QuistMARY P QUIST
SVP FIN & CORP CONTROLLER
- Total calculated
- $718,936
- From this org
- $0
- From related orgs
- $663,642
- Other
- $55,294
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $329,723 related
- Bonus
- $0 + $268,265 related
- Other
- $0 + $65,654 related
- Deferred
- $0 + $23,638 related
- Nontaxable benefits
- $0 + $31,656 related
- Filer's total
- $0 + $718,936 related
-
John W NaylorJOHN W NAYLOR
PRESIDENT & CEO
- Total calculated
- $2,880,062
- From this org
- $0
- From related orgs
- $2,835,957
- Other
- $44,105
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $1,064,714 related
- Bonus
- $0 + $1,511,877 related
- Other
- $0 + $259,366 related
- Deferred
- $0 + $19,605 related
- Nontaxable benefits
- $0 + $24,500 related
- Filer's total
- $0 + $2,880,062 related
-
David H EllenbogenDAVID H ELLENBOGEN
SVP SEC & GENERAL COUNSEL
- Total calculated
- $835,374
- From this org
- $0
- From related orgs
- $735,741
- Other
- $99,633
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $395,550 related
- Bonus
- $0 + $261,312 related
- Other
- $0 + $78,879 related
- Deferred
- $0 + $74,554 related
- Nontaxable benefits
- $0 + $25,079 related
- Filer's total
- $0 + $835,374 related
-
David WebsterDAVID WEBSTER
CHIEF CLINIC & PROV STRAT OFF
- Total calculated
- $1,342,557
- From this org
- $0
- From related orgs
- $1,201,328
- Other
- $141,229
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $448,209 related
- Bonus
- $0 + $475,026 related
- Other
- $0 + $278,093 related
- Deferred
- $0 + $109,666 related
- Nontaxable benefits
- $0 + $31,563 related
- Filer's total
- $0 + $1,342,557 related
-
Karen Denise RewertsKAREN DENISE REWERTS
VP OF FINANCIAL OPERATIONS
- Total calculated
- $1,067,699
- From this org
- $0
- From related orgs
- $805,590
- Other
- $262,109
- Hours/week
- 1 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $589,253 related
- Bonus
- $0 + $159,192 related
- Other
- $0 + $57,145 related
- Deferred
- $0 + $231,797 related
- Nontaxable benefits
- $0 + $30,312 related
- Filer's total
- $0 + $1,067,699 related
-
Timothy Allen JohnsonTIMOTHY ALLEN JOHNSON
VP - MEDICAL GROUP OPERATIONS
- Total calculated
- $955,311
- From this org
- $0
- From related orgs
- $686,907
- Other
- $268,404
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $524,379 related
- Bonus
- $0 + $160,818 related
- Other
- $0 + $1,710 related
- Deferred
- $0 + $234,817 related
- Nontaxable benefits
- $0 + $33,587 related
- Filer's total
- $0 + $955,311 related
-
Randall J CombsRANDALL J COMBS
CFO
- Total calculated
- $2,850,792
- From this org
- $0
- From related orgs
- $1,879,739
- Other
- $971,053
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $1,144,254 related
- Bonus
- $0 + $475,226 related
- Other
- $0 + $260,259 related
- Deferred
- $0 + $938,234 related
- Nontaxable benefits
- $0 + $32,819 related
- Filer's total
- $0 + $2,850,792 related
-
Matthew Nammack KinsellaMATTHEW NAMMACK KINSELLA
REGIONAL CP FINANCE - WI
- Total calculated
- $770,807
- From this org
- $0
- From related orgs
- $571,367
- Other
- $199,440
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $395,809 related
- Bonus
- $0 + $165,836 related
- Other
- $0 + $9,722 related
- Deferred
- $0 + $163,175 related
- Nontaxable benefits
- $0 + $36,265 related
- Filer's total
- $0 + $770,807 related
-
Mark L BairdMARK L BAIRD
SVP & CFO
- Total calculated
- $1,067,504
- From this org
- $0
- From related orgs
- $1,039,962
- Other
- $27,542
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $336,343 related
- Bonus
- $0 + $548,698 related
- Other
- $0 + $154,921 related
- Deferred
- $0 + $12,200 related
- Nontaxable benefits
- $0 + $15,342 related
- Filer's total
- $0 + $1,067,504 related
-
Randy RuplingerRANDY RUPLINGER
SVP FP&A & DHP CFO
- Total calculated
- $608,433
- From this org
- $0
- From related orgs
- $563,326
- Other
- $45,107
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $554,440 related
- Bonus
- $0
- Other
- $0 + $8,886 related
- Deferred
- $0 + $17,842 related
- Nontaxable benefits
- $0 + $27,265 related
- Filer's total
- $0 + $608,433 related
-
Dean SuttonDEAN SUTTON
VP & DEPUTY GEN COUNSEL
- Total calculated
- $348,203
- From this org
- $0
- From related orgs
- $334,274
- Other
- $13,929
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $325,178 related
- Bonus
- $0 + $406 related
- Other
- $0 + $8,690 related
- Deferred
- $0 + $8,502 related
- Nontaxable benefits
- $0 + $5,427 related
- Filer's total
- $0 + $348,203 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
- 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
- 4a · Severance or change-of-control payment
- 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 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 - $58,551 MARK L. BAIRD - $84,354 JOHN W. NAYLOR - $250,332 DAVID H. ELLENBOGEN - $75,880 DAVID WEBSTER - $272,815 KAREN DENISE REWERTS - $211,135 TIMOTHY ALLEN JOHNSON - $160,818 RANDALL J. COMBS - $475,226 MATTHEW NAMMACK KINSELLA - $108,201
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 · HOLDING COMPANY · 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
- 2022
- Filed
- 23 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333129349304503
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