Civic Intelligence

Medica Central Health Plan

990 • Fiscal year 2019 • EIN 83-1979548

Jan 01, 2019 to Dec 31, 2019 • Filed on Oct 15, 2020

10101 Woodfield LaneSt Louis, MO 63132

(314) 994-7800

Siviq Scores

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

Liabilities / Assets

69th percentile

0.33x

Higher debt load relative to assets than 69% of similar nonprofits.

2019 filings • 501(c)4 • $5M-$10M nonprofits • Source year 2019

Liabilities / Revenue

98th percentile

24.75x

Higher debt load relative to revenue than 98% of similar nonprofits.

2019 filings • 501(c)4 • $5M-$10M nonprofits • Source year 2019

Net Margin

1st percentile

-3860%

Higher net margin than 1% of similar nonprofits.

2019 filings • 501(c)4 • $5M-$10M nonprofits • Source year 2019

Top Officer Pay

100th percentile

$2,179,254

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 2610.8% of source-year revenue.

2019 filings • 501(c)4 • $5M-$10M nonprofits • Source year 2019

Asset Growth

13th percentile

-5.9%

Faster asset growth than 13% of similar nonprofits.

2019 filings • 501(c)4 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Revenue Growth

100th percentile

2748%

Faster revenue growth than 100% of similar nonprofits.

2019 filings • 501(c)4 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Assets

Down

$6,242,237

Down $394,332 (-5.9%) from 2018

Net Assets

Down

$4,176,003

Down $2,218,255 (-35%) from 2018

Liabilities

Up

$2,066,234

Up $1,823,923 (+753%) from 2018

Revenue

Up

$83,470

Up $80,539 (+2748%) from 2018

Expenses

Up

$3,305,497

Up $3,063,186 (+1264%) from 2018

Net Income

Down

-$3,222,027

Down $2,982,647 (-1246%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0Assets 2018: $6,636,569Liabilities 2018: $242,311Net Assets 2018: $6,394,2582018Assets 2019: $6,242,237Liabilities 2019: $2,066,234Net Assets 2019: $4,176,0032019Assets 2020: $6,906,016Liabilities 2020: $1,600,245Net Assets 2020: $5,305,7712020Assets 2021: $8,646,843Liabilities 2021: $2,507,890Net Assets 2021: $6,138,9532021Assets 2022: $9,724,325Liabilities 2022: $3,065,715Net Assets 2022: $6,658,6102022Assets 2023: $8,911,525Liabilities 2023: $1,991,490Net Assets 2023: $6,920,0352023Assets 2024: $13,356,537Liabilities 2024: $6,373,464Net Assets 2024: $6,983,0732024

Highlighted filing

2019

Assets$6,242,237
Liabilities$2,066,234
Net Assets$4,176,003

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$10M$0-$10M-$20MRevenue 2018: $2,931Expenses 2018: $242,311Net Income 2018: -$239,3802018Revenue 2019: $83,470Expenses 2019: $3,305,497Net Income 2019: -$3,222,0272019Revenue 2020: $14,964Expenses 2020: $11,679,155Net Income 2020: -$11,664,1912020Revenue 2021: $9,135,845Expenses 2021: $15,764,777Net Income 2021: -$6,628,9322021Revenue 2022: $13,270,557Expenses 2022: $17,588,276Net Income 2022: -$4,317,7192022Revenue 2023: $13,610,949Expenses 2023: $13,098,853Net Income 2023: $512,0962023Revenue 2024: $5,348,680Expenses 2024: $5,454,851Net Income 2024: -$106,1712024

Highlighted filing

2019

Revenue$83,470
Expenses$3,305,497
Net Income-$3,222,027
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Oct 15, 2020
Return Version
2019v5.0
Gross Receipts
$83,470
Mission and Program Overview

Mission

Through our exceptional health care services, we reveal the healing presence of god.

To operate a health maintenance organization (hmo) to serve primarily medicaid and medicare advantage beneficiaries.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$6,017,118$5,617,635▼ $399,483
Investments in Publicly Traded Securities$616,350$620,166▲ $3,816
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$6,636,569$6,242,237▼ $394,332
Other Assets Total$3,101$4,436▲ $1,335
Liabilities
Accounts Payable and Accrued Expenses-$2,036,387-
Other Liabilities$242,311$29,847▼ $212,464
Total Liabilities$242,311$2,066,234▲ $1,823,923
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$6,394,258$4,176,003▼ $2,218,255
Total Net Assets Fund Balance$6,394,258$4,176,003▼ $2,218,255
Total Liabilities and Net Assets / Fund Balance$6,636,569$6,242,237▼ $394,332
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Director and President, President-Dean Health Plan
-Director, Regional President-SSM Health Care St. Louis
-Director
-Director, Chief Clinical Officer at SSM Health
-Director, Chief Transformation Officer at SSM Health
-Director, General Counsel at SSM Health
-Director, Physician at SSM Health Dean Medical Group
-Assistant Treasurer, Chief Financial Officer at SSM Health
-Secretary, General Counsel-Dean Health Plan
-Treasurer, Chief Financial Officer-Dean Health Plan
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$83,470
Other Revenue
$0
Change in Net Assets
$-3,222,027
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,305,497
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$2,296,771$0$0$2,296,771
Information Technology$695,035--$695,035
Advertising-$213,756-$213,756
Fees for Services Legal-$79,711-$79,711
Office Expenses$9,193--$9,193
Other Expenses$7,349--$7,349
Fees for Services Accounting-$3,097-$3,097
Insurance$585--$585
Total Functional Expenses$3,008,933$296,564$0$3,305,497
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$29,847
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A Process for determining compensation

A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.

Form 990, Part VI, Line 15B Process for determining compensation

A related organization utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.

Form 990, Part VI, Line 4 Significant changes to organizational documents

The organization's bylaws were amended during the year for the following: a. increase the number of directors of the organization.

Form 990, Part VI, Line 6 Classes of members or stockholders

The sole member of the corporation is ssm health businesses. Ssm health businesses is a nonprofit 501(c)(3) organization. Both ssm health plan and ssm health businesses are part of the integrated health care system known as ssm health.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The member has the power to appoint additional, successor or replacement members and appoint and remove directors of the corporation.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The member has the following powers: a. to establish and change the mission, philosophy and values of the Corporation; b. to appoint additional, successor or replacement Members; c. to appoint and remove the Directors; d. to appoint and remove the President of the Corporation and the chief executive officer of any operating division of the Corporation; e. to approve amendments to the Articles of Incorporation of the Corporation as provided therein; f. to approve amendments to the Bylaws of the Corporation; g. to approve the merger, consolidation or dissolution of the Corporation; h. to approve the formation of a Controlled Subsidiary or a Remotely Controlled Subsidiary; i. to approve the sale of all or substantially all of the assets of the Corporation; j. to approve the acquisition or disposition by the Corporation of another legal entity or an interest in another legal entity; k. to authorize or approve the acquisition or disposition by the Corporation of real property or any interest in real property; l. to establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvement and other operational and support programs; to require the participation of the Corporation in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation in connection with such programs; m. to approve the strategic, financial and human resources plan of the Corporation; n. to appoint the auditor and corporate counsel for the Corporation; o. to authorize and approve borrowing money and entering into financial guaranties by the Corporation, including actions relating to the formation, joining, operation, withdrawal from and termination of a credit group or an obligated group and the granting of security interests in the property of the Corporation; p. to require the Corporation to transfer assets, including but not limited to cash, to the Member or to any other entity exempt from federal income tax as an organization described in §501(c)(3) of the Internal Revenue Code of 1986, as amended, or the corresponding provision of any future United States Internal Revenue Law, which is controlled by the Member, to the extent necessary to accomplish the mission, goals and objectives of the Member as determined by the Member; q. to approve the transfer of assets by the Corporation to any entity other than the Member, other than transfers made in the ordinary course of operations of the Corporation which will not require Member approval; and r. to determine the extent to which and the manner in which the powers described in this section which are reserved to the Member with respect to the Corporation are to be included in the governing documents of any Controlled Subsidiary, Remotely Controlled Subsidiary or Non-Controlled Subsidiary and exercised with respect to any Controlled Subsidiary, any Remotely Controlled Subsidiary or any Non-Controlled Subsidiary.

Form 990, Part VI, Line 8B Documentation of meetings held by committees of governing body

There are no committees with authority to act on behalf of the governing body.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The Form 990 is prepared by the Tax Department of the parent organization, SSM Health Care Corporation (SSM). The Form 990 is reviewed by certain members of Senior Management. Any questions are addressed to the Tax Director of SSM prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the Board of Directors at the next regularly scheduled board meeting.

Form 990, Part VI, Line 12C Conflict of interest policy

Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary of the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end.

Form 990, Part VI, Line 19 Required documents available to the public

The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statement for the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available on the Missouri Secretary of State's website. Copies of the Form 990 and the organization's conflict of interest policy are available upon request.

Filing and Contact Details

Filer

Filer Name
SSM Health Plan
EIN
83-1979548
Phone
3149947800
Address
10101 Woodfield Lane, St Louis, MO 63132
Doing Business As
WellFirst Health

Signing Officer

Name
Randy Ruplinger
Title
Treasurer
Signed
2020-10-15

Organization Details

Formed
2018
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
3
Employees
0
Volunteers
3
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Other Professional Fees - Total Expense: 2296771, Program Service Expense: 2296771, Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Fund balance transfers - 1000000;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Ssm health plan's financial information is included in the consolidated audited financial statements of a related organization, ssm health (ssmh). Ssmh evaluates its uncertain tax positions on an annual basis. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. There have been no uncertain tax positions recorded in 2019 or 2018.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0Director and President, President-Dean Health Plan
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director, Regional President-SSM Health Care St. Louis
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director, Chief Transformation Officer at SSM Health
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director, General Counsel at SSM Health
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director, Physician at SSM Health Dean Medical Group
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director, Chief Clinical Officer at SSM Health
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Secretary, General Counsel-Dean Health Plan
IRS990/Form990PartVIISectionAGrp/TitleTxt10Assistant Treasurer, Chief Financial Officer at SSM Health
IRS990/Form990PartVIISectionAGrp/TitleTxt11Treasurer, Chief Financial Officer-Dean Health Plan
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0SSM HEALTH PLAN'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF A RELATED ORGANIZATION, SSM HEALTH (SSMH). SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2019 OR 2018.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt1Candace Jennings
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt2Doug Long
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt3John Phelan
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt4Carter Dredge
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt5Matthew Hanley
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt6Kris Zimmer
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt7Randy Ruplinger
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BusinessName/BusinessNameLine1Txt8Dean Sutton
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