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Nonprofiteer
← COMMUNITYCARE GOVERNMENT PROGRAMS INC

Form 990 for tax year 2024

Filed by COMMUNITYCARE GOVERNMENT PROGRAMS INC.

Totals

Total revenue
$475,406,528
Total expenses
$487,573,356
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$473,612,259
Investment income
$1,794,269
Other revenue
$0
Total assets, end of year
$73,158,256
Total liabilities, end of year
$35,308,778
Net assets or fund balances, end of year
$37,849,478
Program services expenses (Part IX)
$462,927,329
Management and general expenses
$24,646,027
Fundraising expenses
$0
Program service expenses (Part III)
$462,927,329

Program services were 94.9% 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 $472,972,007 · related or exempt $472,972,007

  • 2b · Program service revenue: REINSURANCE RECOVERIES

    total $640,252 · related or exempt $640,252

  • 3 · Investment income

    total $1,756,155 · excluded $1,756,155

  • 7a · Gross sales of assets other than inventory

    securities $2,750,221

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

    securities $2,712,107

  • 7c · Gain or loss

    securities $38,114

  • 7d · Net gain or loss

    total $38,114 · excluded $38,114

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $422,702,660 · program services $422,702,660

  • 11a · Fees: management

    total $10,473,041 · management and general $10,473,041

  • 11b · Fees: legal

    total $86,978 · management and general $86,978

  • 11c · Fees: accounting

    total $4,089,286 · management and general $4,089,286

  • 11f · Fees: investment management

    total $158,928 · management and general $158,928

  • 12 · Advertising and promotion

    total $2,387,920 · management and general $2,387,920

  • 13 · Office expenses

    total $249,077 · management and general $249,077

  • 16 · Occupancy

    total $448,217 · management and general $448,217

  • 17 · Travel

    total $226,398 · management and general $226,398

  • 20 · Interest

    total $744,000 · management and general $744,000

  • 22 · Depreciation, depletion and amortization

    total $1,213,205 · management and general $1,213,205

  • 23 · Insurance

    total $528,784 · management and general $528,784

  • 24a · Other expenses: CLAIMS ADJUSTMENTS

    total $34,287,669 · program services $34,287,669

  • 24b · Other expenses: CHANGE IN RESERVES

    total $5,937,000 · program services $5,937,000

  • 24c · Other expenses: COMMISSIONS

    total $3,582,341 · management and general $3,582,341

  • 24d · Other expenses: OTHER EXPENSE

    total $248,335 · management and general $248,335

  • 24e · All other expenses

    total $209,517 · management and general $209,517

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $13,997,731 · end of year -$2,893,762

  • 4 · Accounts receivable

    beginning of year $43,210,010 · end of year $65,500,574

  • 12 · Investments: other securities

    beginning of year $10,819,396 · end of year $10,551,444

  • 25 · Other liabilities

    beginning of year $19,850,336 · end of year $35,308,778

  • 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 $2,176,801 · end of year -$8,150,522

Mission and programs · 2024

Mission

TO SERVE OKLAHOMANS WITH LOCAL, PERSONALIZED AND COMPASSIONATE SERVICES IN PURSUIT OF EVERY MEMBER'S OPTIMAL HEALTH AND WELLBEING.

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 2024, THE COMPANY HAD 33,420 MEMBERS ENROLLED, WITH AN AVERAGE NUMBER OF WEEKLY CALLS OF 1,876 TO ASSIST AND COORDINATE MEMBER'S NEEDS. THE COMPANY PAID 1,055,651 MEDICAL CLAIMS WHICH TOTALED 135,064,870. SUPPLEMENTAL BENEFITS THAT INCLUDE DENTAL, HEARING AND SOME OVER THE COUNTER ITEMS TOTALED 11,863,946 AND PHARMACY CLAIMS TOTALED 128,461,685. THE COMPANY'S MEDICARE ADVANTAGE PRESCRIPTION DRUG PLAN HAS RECEIVED THE HIGHEST CUSTOMER SATISFACTION RATINGS FOR MEDICARE ADVANTAGE PLANS IN THE STATE OF OKLAHOMA. COMMUNITYCARE PARTICIPATES IN THE STARS PROGRAM WHICH TRACKS THE TYPES OF SERVICES OUR MEMBERS RECEIVE AND IDENTIFIES AREAS WHERE OUTREACH TO MEMBERS ENSURES THEY ARE RECEIVING THE CARE THEY NEED. SOME OF THESE PROGRAMS INCLUDE THE FOLLOWING:1) COMMUNITYCARE OFFERS AN ONLINE HEALTH RISK ASSESSMENT DESIGNED TO GIVE MEMBERS A BETTER IDEA OF THEIR OVERALL PHYSICAL, MENTAL, AND EMOTIONAL HEALTH. THERE ARE ALSO FREE ONLINE WELLNESS TOOLS SUCH AS HOW-TO GUIDES, ARTICLES AND HEALTHY RECIPES.2) COMMUNITYCARE CONDUCTS OUTREACH VIA TEXT AND PHONE TO MEMBERS TO EDUCATE ON VARIOUS CANCER SCREENINGS, DIABETIC CARE MANAGEMENT AND MEDICATION ADHERENCE TOPICS.3) COMMUNITYCARE ALSO PERFORMS HOME ASSESSMENTS, PROVIDES EDUCATION AT ITS SENIOR CENTER, AND OPERATES A MEDICATION THERAPY MANAGEMENT PROGRAM

    Expenses $462,927,329 · Revenue $473,612,259

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Carl B Beaudry

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Raymond R Brouillette

    DIRECTOR (FROM 5/9/2024)

    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
    $0
    Hours/week
    0.1

  • Frank Xavier Henke IV

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Theodore Raymond Mundt

    DIRECTOR

    Total calculated
    $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

  • Heather B Schneider

    DIRECTOR (FROM 6/28/2024)

    Total calculated
    $0
    Hours/week
    0.1

  • Cliff A Robertson MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.1

  • Rebecca A Tucker

    DIRECTOR (UNTIL 2/2/2024)

    Total calculated
    $0
    Hours/week
    0.1

  • Jonathan W Sohn

    DIRECTOR (UNTIL 6/28/2024)

    Total calculated
    $0
    Hours/week
    0.1

  • Robert L Bush

    PRESIDENT & CEO (UNTIL 9/20/2024)

    Total calculated
    $1,812,650
    From this org
    $0
    From related orgs
    $1,617,297
    Other
    $195,353
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $622,816 related
    Bonus
    $0 + $111,780 related
    Other
    $0 + $882,701 related
    Deferred
    $0 + $169,550 related
    Nontaxable benefits
    $0 + $25,803 related
    Filer's total
    $0 + $1,812,650 related

  • Josiah Sutton

    PRESIDENT & CEO (FROM 9/20/2024)

    Total calculated
    $520,042
    From this org
    $0
    From related orgs
    $470,842
    Other
    $49,200
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $410,789 related
    Bonus
    $0 + $59,513 related
    Other
    $0 + $540 related
    Deferred
    $0 + $23,190 related
    Nontaxable benefits
    $0 + $26,010 related
    Filer's total
    $0 + $520,042 related

  • Andrew G Hill

    SVP GENERAL COUNSEL

    Total calculated
    $337,273
    From this org
    $0
    From related orgs
    $287,894
    Other
    $49,379
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $252,199 related
    Bonus
    $0 + $35,209 related
    Other
    $0 + $486 related
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $26,379 related
    Filer's total
    $0 + $337,273 related

  • Nancy Horstman

    SR. VP & CFO

    Total calculated
    $490,897
    From this org
    $0
    From related orgs
    $433,906
    Other
    $56,991
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $409,761 related
    Bonus
    $0 + $20,921 related
    Other
    $0 + $3,224 related
    Deferred
    $0 + $33,284 related
    Nontaxable benefits
    $0 + $23,707 related
    Filer's total
    $0 + $490,897 related

  • Terry L Mills MD

    SR. VP & CHIEF MEDICAL OFF

    Total calculated
    $736,921
    From this org
    $0
    From related orgs
    $540,604
    Other
    $196,317
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $131,459 related
    Bonus
    $0
    Other
    $0 + $409,145 related
    Deferred
    $0 + $176,753 related
    Nontaxable benefits
    $0 + $19,564 related
    Filer's total
    $0 + $736,921 related

  • Rusty D Wyrick

    SR. VP & CHIEF INFOMRATION

    Total calculated
    $392,735
    From this org
    $0
    From related orgs
    $343,932
    Other
    $48,803
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $295,141 related
    Bonus
    $0 + $47,981 related
    Other
    $0 + $810 related
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $25,803 related
    Filer's total
    $0 + $392,735 related

  • Michelle Lang

    VP OPERATIONS

    Total calculated
    $254,162
    From this org
    $0
    From related orgs
    $226,055
    Other
    $28,107
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $178,021 related
    Bonus
    $0 + $47,121 related
    Other
    $0 + $913 related
    Deferred
    $0 + $18,016 related
    Nontaxable benefits
    $0 + $10,091 related
    Filer's total
    $0 + $254,162 related

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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, LINES 4A-B
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 FOLLOWING OFFICER RECEIVED A PAYMENT UNDER THE PLAN IN THE CURRENT YEAR: ROBERT L. BUSH 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
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202503219349315360

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