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Nonprofiteer
← COMMUNITYCARE GOVERNMENT PROGRAMS INC

Form 990 for tax year 2023

Filed by COMMUNITYCARE GOVERNMENT PROGRAMS INC.

Totals

Total revenue
$440,175,680
Total expenses
$440,489,911
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$436,860,115
Investment income
$3,315,565
Other revenue
$0
Total assets, end of year
$68,027,137
Total liabilities, end of year
$19,850,336
Net assets or fund balances, end of year
$48,176,801
Program services expenses (Part IX)
$409,576,257
Management and general expenses
$30,913,654
Fundraising expenses
$0
Program service expenses (Part III)
$409,576,257

Program services were 93.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUM INCOME

    total $436,689,492 · related or exempt $436,689,492

  • 2b · Program service revenue: REINSURANCE RECOVERIES

    total $170,623 · related or exempt $170,623

  • 3 · Investment income

    total $3,313,188 · excluded $3,313,188

  • 7a · Gross sales of assets other than inventory

    securities $1,442,845

  • 7b · Less cost or other basis and sales expenses

    securities $1,440,468

  • 7c · Gain or loss

    securities $2,377

  • 7d · Net gain or loss

    total $2,377 · excluded $2,377

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $390,981,232 · program services $390,981,232

  • 11a · Fees: management

    total $11,710,086 · management and general $11,710,086

  • 11b · Fees: legal

    total $139,170 · management and general $139,170

  • 11c · Fees: accounting

    total $7,467,524 · management and general $7,467,524

  • 11f · Fees: investment management

    total $72,068 · management and general $72,068

  • 12 · Advertising and promotion

    total $1,746,063 · management and general $1,746,063

  • 13 · Office expenses

    total $2,294,706 · management and general $2,294,706

  • 16 · Occupancy

    total $992,810 · management and general $992,810

  • 17 · Travel

    total $165,133 · management and general $165,133

  • 20 · Interest

    total $1,116,000 · management and general $1,116,000

  • 22 · Depreciation, depletion and amortization

    total $1,446,105 · management and general $1,446,105

  • 23 · Insurance

    total $10,079 · management and general $10,079

  • 24a · Other expenses: CLAIMS ADJUSTMENTS

    total $18,595,025 · program services $18,595,025

  • 24b · Other expenses: COMMISSIONS

    total $2,916,393 · management and general $2,916,393

  • 24c · Other expenses: OTHER EXPENSE

    total $410,394 · management and general $410,394

  • 24d · Other expenses: BOARDS, BUREAUS AND ASS

    total $218,634 · management and general $218,634

  • 24e · All other expenses

    total $208,489 · management and general $208,489

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $47,657,894 · end of year $13,997,731

  • 4 · Accounts receivable

    beginning of year $26,395,895 · end of year $43,210,010

  • 12 · Investments: other securities

    beginning of year $10,654,055 · end of year $10,819,396

  • 25 · Other liabilities

    beginning of year $35,678,675 · end of year $19,850,336

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $46,000,000 · end of year $46,000,000

  • 31 · Retained earnings, endowment or other funds

    beginning of year $3,029,169 · end of year $2,176,801

Mission and programs · 2023

Mission

COMMUNITYCARE IS DEDICATED TO PROVIDING HIGH QUALITY, COST EFFECTIVE HEALTH CARE MANAGEMENT SERVICES IN THE COMMUNITIES IT SERVES. IN ACCOMPLISHING ITS MISSION COMMUNITYCARE ADHERES TO THESE PRINCIPLES IN ALL THAT WE DO: RESPECT, INTEGRITY, CONFIDENTIALITY, & ETHICS.

Activities or mission (Part I)

COMMUNITYCARE IS A HEALTH MAINTENANCE ORGANIZATION DEDICATED TO MEDICARE ADVANTAGE AND WITH THE GOAL OF IMPROVING THE HEALTH OF ITS MEMBERS.

  • COMMUNITYCARE IS A HEALTH MAINTENANCE ORGANIZATION DEDICATED TO MEDICARE ADVANTAGE AND WITH THE GOAL OF IMPROVING THE HEALTH OF ITS MEMBERS. IN 2023, THE COMPANY HAD ENROLLED 32,915 MEMBERS AND HAD AN AVERAGE WEEKLY NUMBER OF CUSTOMER SERVICE CALLS OF 1,966 TO ASSIST AND COORDINATE MEMBERS' NEEDS. THE COMPANY PAID 1,027,030 MEDICAL CLAIMS WHICH TOTALED OVER $367 MILLION IN CLAIMS ON BEHALF OF THE MEMBERS. OUR MEDICARE ADVANTAGE PRESCRIPTION DRUG PROGRAM (MAPD) HAS RECEIVED THE HIGHEST CUSTOMER SATISFACTION RATING FOR MEDICARE ADVANTAGE PLANS IN THE STATE. COMMUNITYCARE PARTICIPATES IN THE STARS PROGRAM WHERE WE TRACK THE TYPES OF SERVICES OUR MEMBERS RECEIVE AND IDENTIFY AREAS THAT WE CAN DO OUTREACH TO MEMBERS TO ENSURE THEY ARE RECEIVING THE CARE THEY NEED. SOME OF THESE PROGRAMS INCLUDE THE FOLLOWING: 1) HEALTHY REWARDS IS A PROGRAM WHERE MEDICARE MEMBERS CAN EARN REWARDS FOR TAKING CARE OF THEIR HEALTH. COMMUNITYCARE MEMBERS EARN THESE REWARDS FOR COMPLETING HEALTH ACTIVITIES SUCH AS BREAST CANCER SCREENING, ANNUAL WELLNESS VISITS, COLON CANCER SCREENING, AND DIABETES SCREENINGS THAT ARE RECOMMENDED FOR THE MEMBER. 2) COMMUNITYCARE ALSO PERFORMS HOME ASSESSMENTS, PROVIDES EDUCATION AT ITS SENIOR CENTER, AND OPERATES A MEDICATION THERAPY MANAGEMENT PROGRAM.

    Expenses $409,576,257 · Revenue $436,860,115

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Bo Beaudry

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Collin R Henry JD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Barry Lee Steichen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Thomas Edward Ritchie

    DIRECTOR

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $24,000
    Other
    $0
    Hours/week
    0.1

  • Frank Xavier Henke IV

    DIRECTOR

    Total calculated
    $16,000
    From this org
    $0
    From related orgs
    $16,000
    Other
    $0
    Hours/week
    0.1

  • Theodore Raymond Mundt

    DIRECTOR

    Total calculated
    $11,000
    From this org
    $0
    From related orgs
    $11,000
    Other
    $0
    Hours/week
    0.1

  • Kevin J Joseph MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Scott V Ptacnik

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Cliff A Robertson MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Jonathan W Sohn

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Rebecca A Tucker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Robert L Bush

    PRESIDENT & CEO

    Total calculated
    $783,391
    From this org
    $0
    From related orgs
    $728,865
    Other
    $54,526
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $538,160 related
    Bonus
    $0 + $189,463 related
    Other
    $0 + $1,242 related
    Deferred
    $0 + $31,082 related
    Nontaxable benefits
    $0 + $23,444 related
    Filer's total
    $0 + $783,391 related

  • Jeffrey A Butcher

    TREASURER, CFO UNTIL 1/6/2023

    Total calculated
    $119,993
    From this org
    $0
    From related orgs
    $114,903
    Other
    $5,090
    Hours/week
    40

  • Andrew G Hill

    CORPORATE SECRETARY

    Total calculated
    $326,697
    From this org
    $0
    From related orgs
    $280,546
    Other
    $46,151
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $222,770 related
    Bonus
    $0 + $57,290 related
    Other
    $0 + $486 related
    Deferred
    $0 + $22,500 related
    Nontaxable benefits
    $0 + $23,651 related
    Filer's total
    $0 + $326,697 related

  • Nancy Horstman

    SR. VP & CFO FROM 10/3/2023

    Total calculated
    $185,059
    From this org
    $0
    From related orgs
    $170,987
    Other
    $14,072
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $90,987 related
    Bonus
    $0 + $80,000 related
    Other
    $0
    Deferred
    $0 + $8,923 related
    Nontaxable benefits
    $0 + $5,149 related
    Filer's total
    $0 + $185,059 related

  • Josiah Sutton

    SR. VP & COO FROM 3/6/2023

    Total calculated
    $461,328
    From this org
    $0
    From related orgs
    $412,510
    Other
    $48,818
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $341,385 related
    Bonus
    $0 + $71,125 related
    Other
    $0
    Deferred
    $0 + $25,167 related
    Nontaxable benefits
    $0 + $23,651 related
    Filer's total
    $0 + $461,328 related

  • Cyd Scott

    VP ACCOUNTING & TREASURY

    Total calculated
    $442,524
    From this org
    $0
    From related orgs
    $418,756
    Other
    $23,768
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $284,745 related
    Bonus
    $0 + $48,973 related
    Other
    $0 + $85,038 related
    Deferred
    $0 + $18,459 related
    Nontaxable benefits
    $0 + $5,309 related
    Filer's total
    $0 + $442,524 related

  • Terry L Mills MD

    SR. VP & CHIEF MEDICAL OFFICER

    Total calculated
    $0
    Hours/week
    40

  • Rusty D Wyrick

    SR. VP & CHIEF INFOMRATION OFFICER

    Total calculated
    $0
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
THE OFFICERS ARE ENTITLED TO A SEVERANCE BENEFIT FROM A RELATED ORGANIZATION. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON, OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY FOR A PERIOD OF 6 MONTHS NOT TO INCLUDE ANY INCENTIVE COMPENSATION, OR ANY OTHER PAID BENEFITS OUTSIDE OF COBRA. THE OFFICERS PARTICIPATE IN A RELATED ORGANIZATION'S SUPPLEMENTAL RETIREMENT PLAN WHICH MEETS THE REQUIREMENTS OF IRC SECTION 457 AND IRC SECTION 409A. THE PLAN PROVIDES FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION, DISABILITY, OR DEATH. PARTICIPATION IN THE PLAN IS LIMITED TO AND IS SUBJECT TO THE APPROVAL OF THE RELATED ORGANIZATION'S BOARD OF DIRECTORS. THE PLAN ALLOWS THE OFFICERS BOTH ELECTIVE AND NON-ELECTIVE DEFERRALS. THE RELATED ORGANIZATION MAKES ANNUAL NON-ELECTIVE CONTRIBUTIONS BETWEEN 5% AND 10% OF BASE SALARY DEPENDING ON THE EXECUTIVE'S LEVEL OF POSITION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • COMMUNITYCARE HMO INC

    C · INSURANCE · OK

  • COMMUNITYCARE MANAGED HEALTHCARE PLANS OF OKLAHOMA

    C · INSURANCE · OK

  • COMMUNITYCARE LIFE & HEALTH INSURANCE CO

    C · INSURANCE · OK

  • HOSPITAL CLAIMS INC

    C · INSURANCE · DE

  • WORKNET INC

    C · INSURANCE · OK

  • PREFERRED COMMUNITY CHOICE PPO INC

    C · INSURANCE · OK

  • EXCELCARE INC

    C · INSURANCE · DE

  • COMMUNITYCARE INSURANCE AGENCY

    C · INSURANCE · OK

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202403199349318310

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