Sistemas Medicos Nacionales

Chula Vista, CA

Rating Date

September 2023

NAIC
Classification

Health

Risk Adjusted
Capital Ratio #1

4.51

Risk Adjusted
Capital Ratio #2

2.94

Total
Assets

139.23M

Capital

78.62M

Health
Premiums

85.58M

Net
Income

21.11M

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Report

Major Rating Factors: Excellent profitability (9.5 on a scale of 0 to 10) despite a decline in earnings during 2021. Excellent overall capitalization (9.7) based on good current risk-adjusted capital (severe loss scenario). Moreover, capital levels have been consistent in recent years. Excellent overall results on stability tests (7.0) based on consistent premium and capital growth in the last five years.

Other Rating Factors: Excellent liquidity (7.4) with ample operational cash flow and liquid investments.

Principal Lines of Business: --

Licensed in: CA

Principal Enrollment Breakdown: --

Other Highlights

Medical Loss Ratio

73.09%

Medical Expense

Per Member Per Month ($)

257

Provider Compensation ($000)

Capitation Pay

Fee For Service

Contractual Pay

Salary

Bonus

Other

Member Physicians

Enrollment

50,333

Total Patient Encounters

Physician

Non-Physician

Corporate Info

Group Affiliation

Sistemas Medicos Nacionales SA de CV

Investment Rating

Company Address

2088 Otay Lakes Road
Chula Vista, CA 91913

Phone Number

(619) 407-4082

NAIC Number

Website

http://www.simnsa.com

Largest Affiliates

No affiliate information available.