Civic Intelligence

Communitycare Government Programs Inc

990 • Fiscal year 2022 • EIN 47-2532880

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 14, 2023

Two West Second Street Suite 100Tulsa, OK 74103

(918) 594-5295

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

60th percentile

0.42x

Higher debt load relative to assets than 60% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Source year 2022

Liabilities / Revenue

17th percentile

0.09x

Higher debt load relative to revenue than 17% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Source year 2022

Net Margin

37th percentile

1.0%

Higher net margin than 37% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Source year 2022

Top Officer Pay

62nd percentile

$773,310

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2022 filings • $250M-$1B nonprofits • Source year 2022

Asset Growth

37th percentile

-5.1%

Faster asset growth than 37% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Annualized from 2021 to 2022

Revenue Growth

67th percentile

11%

Faster revenue growth than 67% of similar nonprofits.

2022 filings • $250M-$1B nonprofits • Annualized from 2021 to 2022

Assets

Down

$84,707,844

Down $4,576,464 (-5.1%) from 2021

Net Assets

Up

$49,029,169

Up $4,015,209 (+8.9%) from 2021

Liabilities

Down

$35,678,675

Down $8,591,673 (-19%) from 2021

Revenue

Up

$397,062,844

Up $38,386,278 (+11%) from 2021

Expenses

Up

$393,262,168

Up $36,777,999 (+10%) from 2021

Net Income

Up

$3,800,676

Up $1,608,279 (+73%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0Assets 2020: $70,613,071Liabilities 2020: $37,363,593Net Assets 2020: $33,249,4782020Assets 2021: $89,284,308Liabilities 2021: $44,270,348Net Assets 2021: $45,013,9602021Assets 2022: $84,707,844Liabilities 2022: $35,678,675Net Assets 2022: $49,029,1692022Assets 2023: $68,027,137Liabilities 2023: $19,850,336Net Assets 2023: $48,176,8012023Assets 2024: $73,158,256Liabilities 2024: $35,308,778Net Assets 2024: $37,849,4782024

Highlighted filing

2022

Assets$84,707,844
Liabilities$35,678,675
Net Assets$49,029,169

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200MRevenue 2020: $349,105,000Expenses 2020: $346,145,888Net Income 2020: $2,959,1122020Revenue 2021: $358,676,566Expenses 2021: $356,484,169Net Income 2021: $2,192,3972021Revenue 2022: $397,062,844Expenses 2022: $393,262,168Net Income 2022: $3,800,6762022Revenue 2023: $440,175,680Expenses 2023: $440,489,911Net Income 2023: -$314,2312023Revenue 2024: $475,406,528Expenses 2024: $487,573,356Net Income 2024: -$12,166,8282024

Highlighted filing

2022

Revenue$397,062,844
Expenses$393,262,168
Net Income$3,800,676
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 14, 2023
Return Version
2022v5.0
Gross Receipts
$397,961,202
Mission and Program Overview

Mission

Communitycare is dedicated to providing high quality, cost effective health care management servicse in the communities it serves. In accomplishing its mission communitycare adheres to these principles in all that does: respect, integrity, confidentiality, & ethics.

Communitycare is a health maintenance organization dedicated to medicare advantage and with the goal of improving the health of its members.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$36,355,957$47,657,894▲ $11,301,937
Pd in Cap Srpls Land Bldg Eqp Fund$46,000,000$46,000,000→ $0
Accounts Receivable$42,430,649$26,395,895▼ $16,034,754
Investments Other Securities$10,497,702$10,654,055▲ $156,353
Rtn Earn Endowment Incm Other Fnds$-986,040$3,029,169▲ $4,015,209
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$89,284,308$84,707,844▼ $4,576,464
Liabilities
Other Liabilities$44,270,348$35,678,675▼ $8,591,673
Total Liabilities$44,270,348$35,678,675▼ $8,591,673
Net Assets / Fund Balance
Total Net Assets Fund Balance$45,013,960$49,029,169▲ $4,015,209
Total Liabilities and Net Assets / Fund Balance$89,284,308$84,707,844▼ $4,576,464

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$10,654,055--
Compensation and Service Providers

Employees

NameTitleOtherTotal
Thomas Edward RitchieDirector$24,000$24,000
Frank Xavier Henke IvDirector$16,000$16,000
Theodore Raymond MundtDirector$11,000$11,000

Board Members and Trustees

NameTitle
Robert L BushPresident & CEO
Barry Lee SteichenDirector
Eric Edward SchickDirector
Jake Jerome Henry JrDirector
Jeff NowlinDirector
Timothy MoorheadDirector
Timothy Young MdDirector
Andrew G HillCorporate Secretary
Jeffrety a ButcherTreasurer, CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Communitycare Hmo INCManagement FeeTWO WEST SECOND STREET SUITE 100, Tulsa, OK 74103$29,861,189
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$395,955,351
Investment Income
$1,107,493
Other Revenue
$0
Change in Net Assets
$3,800,676

Audited Revenue Reconciliation

Revenue per Audited Statements
$395,131,866
Revenue Not Reported on Financial Statements
$1,930,978
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$1,792,758
Total Revenue per Audited Statements
$395,131,866
Total Revenue per Form 990
$397,062,844
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$41,131,341
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$352,130,827--$352,130,827
Fees for Services Management-$20,634,410-$20,634,410
Fees for Services Other-$2,363,225-$2,363,225
Fees for Services Accounting-$1,453,177-$1,453,177
Office Expenses-$1,448,765-$1,448,765
Interest-$1,430,500-$1,430,500
Occupancy-$1,397,939-$1,397,939
Depreciation Depletion-$1,196,112-$1,196,112
Advertising-$477,298-$477,298
Insurance-$460,692-$460,692
Other Expenses$7,005,550$158,526-$158,526
Fees for Services Legal-$139,383-$139,383
Fees for Service Investment Mgmnt Fees-$138,220-$138,220
Travel-$125,913-$125,913
All Other Expenses-$118,080-$118,080
Total Functional Expenses$359,136,377$34,125,791$0$393,262,168

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$393,262,168
Expenses per Audited Statements$391,331,190
Total Expenses per Audited Statements$391,331,190
Expenses Not Reported on Financial Statements$1,930,978
Other Expense Adjustments$1,792,758
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Claims Unpaid$29,963,500
General Expenses Due or Accrued$4,679,909
Unpaid Claim Adjustment$805,308
Premiums Received in Advance$229,050
Federal Income Tax Payable$908
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

The directors of communitycare hmo, inc., a related taxable corporation, are also the directors of communitycare government program, inc. Due to this overlapping board, there is a business relationship between and among the directors.

Form 990, Part VI, Section A, Line 6

Saint francis hospital, inc. And st. John health system, inc. Are the members of the organization.

Form 990, Part VI, Section A, Line 7A

As members, saint francis hospital, inc. And st. John health system may appoint and remove any or all of its directors.

Form 990, Part VI, Section A, Line 7B

The members determine the number of directors. Any proposed liquidation of the corporation must be approved in writing by the members. The bylaws may be amended or repealed only by unanimous consent of the members.

Form 990, Part VI, Section B, Line 11B

The company's tax advisors, kpmg, prepared the 990 filing, the company cfo reviewed the filing and the cfo will provide an update to the board at the next board meeting and will make available the filing to any member.

Form 990, Part VI, Section B, Line 12C

All communitycare workforce members attest annually that they have read and understand the code of excellence, including the written conflict of interest policy. A separate annual attestation is completed by every communitycare workforce member confirming they do not have any conflicts of interest. Any actual or perceived conflicts of interest must be disclosed on this attestation and are reviewed by the chief compliance & risk officer. Appropriate action, including implementation of a management plan to eliminate the disclosed conflict of interest are put into place by the chief compliance & risk officer.

Form 990, Part VI, Section C, Line 19

The organization's financial statements are available to the public through the naic website. The organization does not make its governing documents or conflict of interest policy available to the public.

Filing and Contact Details

Filer

Filer Name
Communitycare Government Programs Inc
EIN
47-2532880
Phone
9185945295
Address
TWO WEST SECOND STREET SUITE 100, TULSA, OK 74103

Signing Officer

Name
Jeffrey Butcher
Title
CFO
Phone
9185945295
Signed
2023-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert L Bush
Formed
2015
Legal Domicile
Ok
Voting Board Members
10
Independent Board Members
9
Employees
0
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
301 MAIN STREET SUITE 2150, BATON ROUGE, LA 70801
Preparer
Shannon Kirkpatrick
Phone
2253444000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in nonadmitted assets 272,692.

Financial Statement Notes

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Reinsurance recoveries reclass 362,265. Interest on surplus note 1,430,493.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Reinsurance recoveries reclass 362,265. Interest on surplus note 1,430,493.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0898358
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0COMMUNITYCARE 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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt045013960
IRS990/NetAssetsOrFundBalancesEOYAmt049029169
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0-18648
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-18648
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-58159
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt01397939
IRS990/OccupancyGrp/TotalAmt01397939
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt01448765
IRS990/OfficeExpensesGrp/TotalAmt01448765
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0272692
IRS990/OtherExpensesGrp/Desc0CLAIMS ADJUSTMENTS
IRS990/OtherExpensesGrp/Desc1COMMISSIONS
IRS990/OtherExpensesGrp/Desc2OTHER EXPENSE
IRS990/OtherExpensesGrp/Desc3BOARDS, BUREAUS AND ASS
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt02184194
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1399357
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2158526
IRS990/OtherExpensesGrp/ProgramServicesAmt07005550
IRS990/OtherExpensesGrp/TotalAmt07005550
IRS990/OtherExpensesGrp/TotalAmt12184194
IRS990/OtherExpensesGrp/TotalAmt2399357
IRS990/OtherExpensesGrp/TotalAmt3158526
IRS990/OtherLiabilitiesGrp/BOYAmt044270348
IRS990/OtherLiabilitiesGrp/EOYAmt035678675
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt046000000
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt046000000
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0ROBERT L BUSH
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0524298
IRS990/ProgramServiceRevenueGrp/BusinessCd1524298
IRS990/ProgramServiceRevenueGrp/Desc0PREMIUM INCOME
IRS990/ProgramServiceRevenueGrp/Desc1REINSURANCE RECOVERIES
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0395593086
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1362265
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0395593086
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1362265
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt0320215038
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0114887
IRS990/PYOtherExpensesAmt036269131
IRS990/PYOtherRevenueAmt0430461
IRS990/PYProgramServiceRevenueAmt0358131218
IRS990/PYRevenuesLessExpensesAmt02192397
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0356484169
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0358676566
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt03800676
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd01
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0395955351
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0-986040
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt03029169
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt01930978
IRS990ScheduleD/ExpensesSubtotalAmt0391331190
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt0138220
IRS990ScheduleD/InvestmentExpensesNotIncldAmt0138220
IRS990ScheduleD/OtherExpensesNotIncludedAmt01792758
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt029963500
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1805308
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt24679909
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt3229050
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt4908
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0CLAIMS UNPAID
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1UNPAID CLAIM ADJUSTMENT
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2GENERAL EXPENSES DUE OR ACCRUED
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc3PREMIUMS RECEIVED IN ADVANCE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc4FEDERAL INCOME TAX PAYABLE
IRS990ScheduleD/OtherRevenuesNotIncludedAmt01792758
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt010654055
IRS990ScheduleD/OtherSecuritiesGrp/Desc0BONDS
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0C
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt01930978
IRS990ScheduleD/RevenueSubtotalAmt0395131866
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0REINSURANCE RECOVERIES RECLASS 362,265. INTEREST ON SURPLUS NOTE 1,430,493.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1REINSURANCE RECOVERIES RECLASS 362,265. INTEREST ON SURPLUS NOTE 1,430,493.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XII, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueSecuritiesAmt010654055
IRS990ScheduleD/TotalExpensesPerForm990Amt0393262168
IRS990ScheduleD/TotalLiabilityAmt035678675
IRS990ScheduleD/TotalRevenuePerForm990Amt0397062844
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0395131866
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0391331190
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt0181125
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt186288
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt250500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0481676
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1296269
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2203893
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt073336
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt154084
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt235065
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt036449
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt128647
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt225278
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0724
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt11599
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt2434
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0ROBERT L BUSH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JEFFRETY A BUTCHER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2ANDREW G HILL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT & CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER, CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2CORPORATE SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0773310
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1466887
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2315170
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0THE 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.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE DIRECTORS OF COMMUNITYCARE HMO, INC., A RELATED TAXABLE CORPORATION, ARE ALSO THE DIRECTORS OF COMMUNITYCARE GOVERNMENT PROGRAM, INC. DUE TO THIS OVERLAPPING BOARD, THERE IS A BUSINESS RELATIONSHIP BETWEEN AND AMONG THE DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SAINT FRANCIS HOSPITAL, INC. AND ST. JOHN HEALTH SYSTEM, INC. ARE THE MEMBERS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AS MEMBERS, SAINT FRANCIS HOSPITAL, INC. AND ST. JOHN HEALTH SYSTEM MAY APPOINT AND REMOVE ANY OR ALL OF ITS DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE MEMBERS DETERMINE THE NUMBER OF DIRECTORS. ANY PROPOSED LIQUIDATION OF THE CORPORATION MUST BE APPROVED IN WRITING BY THE MEMBERS. THE BYLAWS MAY BE AMENDED OR REPEALED ONLY BY UNANIMOUS CONSENT OF THE MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE COMPANY'S TAX ADVISORS, KPMG, PREPARED THE 990 FILING, THE COMPANY CFO REVIEWED THE FILING AND THE CFO WILL PROVIDE AN UPDATE TO THE BOARD AT THE NEXT BOARD MEETING AND WILL MAKE AVAILABLE THE FILING TO ANY MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ALL COMMUNITYCARE WORKFORCE MEMBERS ATTEST ANNUALLY THAT THEY HAVE READ AND UNDERSTAND THE CODE OF EXCELLENCE, INCLUDING THE WRITTEN CONFLICT OF INTEREST POLICY. A SEPARATE ANNUAL ATTESTATION IS COMPLETED BY EVERY COMMUNITYCARE WORKFORCE MEMBER CONFIRMING THEY DO NOT HAVE ANY CONFLICTS OF INTEREST. ANY ACTUAL OR PERCEIVED CONFLICTS OF INTEREST MUST BE DISCLOSED ON THIS ATTESTATION AND ARE REVIEWED BY THE CHIEF COMPLIANCE & RISK OFFICER. APPROPRIATE ACTION, INCLUDING IMPLEMENTATION OF A MANAGEMENT PLAN TO ELIMINATE THE DISCLOSED CONFLICT OF INTEREST ARE PUT INTO PLACE BY THE CHIEF COMPLIANCE & RISK OFFICER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH THE NAIC WEBSITE. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7CHANGE IN NONADMITTED ASSETS 272,692.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 12C

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