Mount Carmel Health Plan Of Idaho Inc

Organization Overview

Mount Carmel Health Plan Of Idaho Inc, operating under the name Medigold, is located in Columbus, OH. Medigold is a 501(c)(4) and as such, is described as a "Civic League, Social Welfare Organization, and Local Association of Employees" by the IRS.

For the year ending 12/2022, Medigold generated $13.4m in total revenue. This organization has experienced exceptional growth, as over the past 3 years, it has increased revenue by an average of 25.6% each year . All expenses for the organization totaled $13.3m during the year ending 12/2022. While expenses have increased by 25.6% per year over the past 3 years. They've been increasing with an increasing level of total revenue. You can explore the organizations financials more deeply in the financial statements section below.

Mission & Program ActivityExcerpts From the 990 Filing

TAX YEAR

2022

Describe the Organization's Mission:

Part 3 - Line 1

TO OPERATE A MEDICARE HMO FOR SENIORS

Describe the Organization's Program Activity:

Part 3 - Line 4a

MOUNT CARMEL HEALTH PLAN OF IDAHO WAS FORMED IN 2018 FOR THE PURPOSE OF PROVIDING COMPREHENSIVE HEALTH CARE COVERAGE TO SENIORS IN GREATER BOISE, IDAHO AS A WHOLLY OWNED SUBSIDIARY OF MOUNT CARMEL HEALTH PLAN. IT IS A MEMBER OF THE MOUNT CARMEL HEALTH SYSTEM, A TAX-EXEMPT HEALTH CARE SYSTEM UNDER IRC SECTION 501(C)(3). MOUNT CARMEL HEALTH PLAN OF IDAHO IS A NONPROFIT ORGANIZATION THAT OFFERS BENEFITS THROUGH A MEDICARE ADVANTAGE PLAN (MEDIGOLD) APPROVED BY THE CENTERS OF MEDICARE AND MEDICAID SERVICES (CMS) THAT REPLACES TRADITIONAL MEDICARE COVERAGE. MEDIGOLD SERVES SENIORS AND OTHER MEDICARE BENEFICIARIES IN NINE IDAHO COUNTIES.MEDIGOLD MEMBERS ELECT TO HAVE MOUNT CARMEL HEALTH PLAN OF IDAHO (INSTEAD OF THE FEDERAL GOVERNMENT) ADMINISTER THE BENEFITS OF MEDICARE PART A AND PART B, AND MEDIGOLD ALSO OFFERS PHARMACEUTICAL COVERAGE UNDER MEDICARE PART D. MOUNT CARMEL HEALTH PLAN OF IDAHO IS REQUIRED TO PROVIDE COVERAGE FOR EVERYTHING THAT THE FEDERAL MEDICARE PROGRAM COVERS, PLUS MEDIGOLD ALSO OFFERS ADDITIONAL ITEMS SUCH AS: UNLIMITED INPATIENT HOSPITAL DAYS COVERED AT 100% WITH NO DEDUCTIBLE; OUTPATIENT SURGERY FOR A SMALL CO-PAYMENT; DIAGNOSTIC AND TESTING SERVICES FOR A SMALL CO-PAYMENT; HOME HEALTH CARE AND SKILLED NURSING CARE COVERAGE WHEN NECESSARY; PRESCRIPTION DRUG BENEFITS; PHYSICIAN OFFICE VISITS WITH FIXED COPAYMENTS; AND UNLIMITED GENERIC DRUG COVERAGE.AS AN INTEGRAL PART OF MOUNT CARMEL HEALTH SYSTEM, MOUNT CARMEL HEALTH PLAN OF IDAHO IS A COMMUNITY-BASED MANAGED HEALTH CARE ORGANIZATION THAT WORKS IN COLLABORATION WITH EMPLOYERS, INDIVIDUAL MEMBERS, PHYSICIANS, HEALTH CARE PROVIDERS, AND COMMUNITY AND GOVERNMENTAL AGENCIES TO CONTINUALLY IMPROVE THE HEALTH OF ITS MEMBERS BY PROVIDING EXCEPTIONAL COVERAGE AND ACCESS TO HIGH QUALITY AND COST-EFFECTIVE CARE.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION:WWW.MEDIGOLD.COM


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Board, Officers & Key Employees

Name (title)Compensation
Jack Randolph
Director; Chair; President & CEO
$0
Andy Priday
Mount Carmel CFO As Of 7/22
$0
Greg Wise MD
Medical Director Mchp
$0
Kimberly Hodgkinson
Mount Carmel CFO Through 6/22
$0
David Vis
Secretary; Treas; Mchp VP Finance
$0
Carlos Alvarado
Mchp Chief Administrative Officer
$0

Outside Vendors & Contractors

Vendor Name (Service)Compensation
Dst Health Solutions Llc
Claims Processing Services
$473,144
West Valley Medical Center
Health Care Services
$349,300
St Luke's Regional Medical Center
Health Care Services
$349,267
Valor Health Hospital
Health Care Services
$161,689
Milliman Inc
Actuarial Services
$152,119
View All Vendors

Financial Statements

Statement of Revenue
Federated campaigns$0
Membership dues$0
Fundraising events$0
Related organizations$0
Government grants $0
All other contributions, gifts, grants, and similar amounts not included above$0
Noncash contributions included in lines 1a–1f $0
Total Revenue from Contributions, Gifts, Grants & Similar$0
Total Program Service Revenue$13,276,475
Investment income $69,404
Tax Exempt Bond Proceeds $0
Royalties $0
Net Rental Income $0
Net Gain/Loss on Asset Sales $6,009
Net Income from Fundraising Events $0
Net Income from Gaming Activities $0
Net Income from Sales of Inventory $0
Miscellaneous Revenue$0
Total Revenue $13,351,888

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