Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with 19.9 million in losses in the last five years. Average return on equity has been poor at -37.6%. Weak capitalization index (1.8) based on weak current risk-adjusted capital (severe loss scenario). Weak liquidity (0.0) as a spike in claims may stretch capacity.
Other Rating Factors:
Fair overall results on stability tests (4.0) in spite of steady enrollment growth, averaging 6% over the past five years but fair risk diversification due to the company's size and a decline in the number of member physicians during 2023. Potential support from affiliation with Memorial Hermann Healthcare System Inc. Excellent quality investment portfolio (9.9) containing no exposure to mortgages, junk bonds, or unaffiliated stocks.
Principal Lines of Business:
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Licensed in:
TX
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Memorial Hermann Healthcare System Inc
Investment Rating
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Company Address
929 Gessner Road
Houston, TX 77024
Houston, TX 77024
Phone Number
(713) 338-5252
NAIC Number
15489
Largest Affiliates