Melita Christian Fellowship Hospital Aid Plan

What it reported doing in 2024

The organization's revenue does not include the $17,006,251 deposited in members individual sharing accounts.the organization is a healthcare sharing ministry that engages in religious and educational activities, promotes health, and advances social welfare. The healthcare sharing ministry was initially founded by the melita christian fellowship and later expanded to include persons who follow catholic social teachings. Members are joined together by a shared religious faith and common goal of mutual aid and financial sharing. Because jesus christ commissioned his disciples not only to preach the gospel but to heal the sick (matthew 10:8), concern for the body is of utmost importance for christians, particularly for catholics. Informed by catholic social teaching, the organization assists its members in accessing medical care, even after a member develops a medical condition. The organization's hybrid repricing strategy that includes reference-based discounts on medical bills, medical bill review, single case agreements, and preferred provider relationships helps to reduce the total cost of medical expenses on behalf of our members. Members submitted $67,685,206 in eligible medical bills for sharing to the organization. The organization's discounting efforts reduced the bills by 65% to $23,554,371. Since its inception, the organization has helped facilitate the sharing among members of more than $168 million, in satisfaction of over $451 million of medical expenses, while also working to protect the conscience rights of its members and promote the common good of all by advocating for more transparent pricing in the healthcare marketplace.members of the organization submit a monthly contribution consisting of a monthly share amount, administrative fee and program services fee. Previously, the monthly share amount was reported on the 990 as income to the organization since the money for sharing was deposited into a custodial account on behalf of the members. Starting in september 2020, the monthly share amount received from members was deposited into separate member established accounts at held by a third-party bank. The accounts are owned by the member and the bank acts as a fiduciary for the member. Since these new accounts are held as a for benefit of (fbo) account on behalf of the member by the credit union and the sharing dollars can only be used for sharing medical expenses among all of the members, it will no longer be reported as income to the organization but will still be reported on the 990 and the yearly audits as supplemental information.the organization provides services to our members to assist them in accessing medical care to include a hybrid repricing strategy that includes reference-based discounts on medical bills, medical bill review, single case agreements, and preferred provider relationships to reduce the total cost of medical expenses on behalf of our members. We also provide services for care navigation, care coordination, nurse medical review, balance bill defense, pastoral care support, and member education.

Financial Efficiency

• Mission deployment rate: 91.7%; rating input score 92
• Program expense ratio: 78.5%; rating input score 78
• Fundraising efficiency: $2.19 raised per $1 spent on fundraising; rating input score 7; 7th percentile among comparable filings

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 6th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 57.1%; rating input score 57; 9th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -16.9%; rating input score 6; 6th percentile among comparable filings
• Total-asset coverage ratio: 0.16; rating input score 3; 3rd percentile among comparable filings
• Liabilities to assets ratio: 1.15; rating input score 4; 4th percentile among comparable filings
• Officer compensation ratio: 9.5%; rating input score 22; 22nd percentile among comparable filings

Growth

• Program expense growth: 2.4% per year; rating input score 100; 22nd percentile among comparable filings
• Revenue growth: 11.9% per year; rating input score 100; 80th percentile among comparable filings
• Asset growth: 15.4% per year; rating input score 100; 82nd percentile among comparable filings