CommunityCare
Legal name: Communitycare Government Programs Inc
Nonprofit profile at a glance
- EIN
- 472532880
- IRS 990 coverage
- 2020–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Tulsa, OK, USA
- Phone
- (918) 594-5294
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
Reported finances
- Revenue
- $475,406,528
- Expenses
- $487,573,356
- Assets
- $73,158,256
- Liabilities
- $35,308,778
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
20 people listed
Executive titles in this filing
- ROBERT L BUSH (PRESIDENT & CEO (UNTIL 9/20/2024))
- JOSIAH SUTTON (PRESIDENT & CEO (FROM 9/20/2024))
Highest reported compensation
- ROBERT L BUSH (PRESIDENT & CEO (UNTIL 9/20/2024)): $1,812,650 total reported compensation
- TERRY L MILLS MD (SR. VP & CHIEF MEDICAL OFF): $736,921 total reported compensation
- JOSIAH SUTTON (PRESIDENT & CEO (FROM 9/20/2024)): $520,042 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Login Mission Statement To serve Oklahomans with local, personalized, and compassionate services in pursuit of every member's optimal health and wellbeing. Statement To serve Oklahomans with local, personalized, and compassionate services in pursuit of every member's optimal health and wellbeing. Vision Statement. At CommunityCare, we demonstrate God’s love to our members and the communities we serve in partnership with our health system sponsors, Saint Francis and Ascension St. John, in fostering trust and exceptional service which empowers us to care for our members like no other health plan can or does. Values Do the right thing, always.
What it reported doing in 2024
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
Operating model
- Revenue model
- Earned-program. 100% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Member-benefit provider. The nonprofit used 91% of its reported program spending for member benefits.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 86
- Transparency & Controls: 60
- Accountability: 82
- Sustainability: 25
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 97%; rating input score 97
- Program expense ratio: 94.9%; rating input score 95
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 91.7%; rating input score 92; 40th percentile among comparable filings
- Governance controls: 6 of 9 controls in place; rating input score 67
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -2.6%; rating input score 18; 18th percentile among comparable filings
- Total-asset coverage ratio: 0.15; rating input score 4; 4th percentile among comparable filings
- Liabilities to assets ratio: 0.48; rating input score 37; 37th percentile among comparable filings
- Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings
Growth
- Program expense growth: 9% per year; rating input score 100; 70th percentile among comparable filings
- Revenue growth: 7.6% per year; rating input score 100; 64th percentile among comparable filings
- Asset growth: -0.2% per year; rating input score 0; 7th percentile among comparable filings
Details
- What they do: 1 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 97% of revenue deployed · 94.9% of spending went to programs
- Governance: 11 of 12 board members independent · 6 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $462.9M in reported program spending
- Leadership: top reported pay $1.8M · 20 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 1 contractor listed · $43.8M reported
- Consistency: 27 of 27 current checks pass
- Schedules: 4 filed schedules · includes executive pay
- Filing history: 4 filing years from 2020 to 2024
- Contacts: How to reach this organization
- Related organizations: 8 filed related-organization links
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: 3 of 9 not reported.
- High — Sustainability: Operating margin scored 18/100.
- High — Sustainability: Total-asset coverage ratio scored 4/100.
- High — Growth: Asset growth scored 0/100.
- Moderate — Sustainability: Liabilities to assets ratio scored 37/100.