EX-21.1 3 a2218716zex-21_1.htm EX-21.1
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Exhibit 21.1

List of Subsidiaries

Name
  State of
Incorporation 		  Percentage
Owned 		 

Accountable Care Coalition of Alabama, LLC

   Pennsylvania     100 %

Accountable Care Coalition of Caldwell County, LLC

   North Carolina     51 %

Accountable Care Coalition of California, LLC

   California     100 %

Accountable Care Coalition of Cedar Rapids, LLC

   Iowa     100 %

Accountable Care Coalition of Central and Western Massachusetts, LLC

   Massachusetts     100 %

Accountable Care Coalition of Central Georgia, LLC

   Georgia     51 %

Accountable Care Coalition of Charlotte, LLC

   North Carolina     100 %

Accountable Care Coalition of Coastal Georgia, LLC

   Georgia     51 %

Accountable Care Coalition of Connecticut, LLC

   Connecticut     100 %

Accountable Care Coalition of Cumberland County, LLC

   Pennsylvania     100 %

Accountable Care Coalition of DeKalb, LLC

   Georgia     80 %

Accountable Care Coalition of East & South Central Texas, LLC

   Texas     100 %

Accountable Care Coalition of East Florida Panhandle, LLC

   Florida     100 %

Accountable Care Coalition of Eastern North Carolina, LLC

   North Carolina     51 %

Accountable Care Coalition of EscaRosa, LLC

   Florida     100 %

Accountable Care Coalition of Georgia, LLC

   Georgia     51 %

Accountable Care Coalition of Greater Athens Georgia II, LLC

   Georgia     51 %

Accountable Care Coalition of Greater Athens Georgia, LLC

   Georgia     51 %

Accountable Care Coalition of Greater Augusta & Statesboro, LLC

   Georgia     51 %

Accountable Care Coalition of Greater New York, LLC

   New York     51 %

Accountable Care Coalition of Hawaii, LLC

   Hawaii     100 %

Accountable Care Coalition of Kentucky, LLC

   Kentucky     100 %

Accountable Care Coalition of Maryland Primary Care, LLC

   Maryland     51 %

Accountable Care Coalition of Maryland, LLC

   Maryland     51 %

Accountable Care Coalition of Mississippi, LLC

   Mississippi     51 %

Accountable Care Coalition of Mount Kisco, LLC

   New York     51 %

Accountable Care Coalition of NE TN & SW VA, LLC

   Tennessee     100 %

Accountable Care Coalition of North Central Florida, LLC

   Florida     51 %

Accountable Care Coalition of Greater Houston, LLC

   Texas     51 %

Accountable Care Coalition of North Texas, LLC

   Texas     51 %

Accountable Care Coalition of Northwest Florida, LLC

   Florida     51 %

Accountable Care Coalition of Oklahoma, LLC

   Oklahoma     100 %

Accountable Care Coalition of Queens County, LLC

   New York     100 %

Accountable Care Coalition of New Mexico, LLC

   New Mexico     51 %

Accountable Care Coalition of Sheboygan, LLC

   Wisconsin     100 %

Accountable Care Coalition of South Georgia, LLC

   Georgia     51 %

Accountable Care Coalition of Southern Georgia, LLC

   Georgia     100 %

Accountable Care Coalition of Southeast Wisconsin

   Wisconsin     51 %


Name
  State of
Incorporation 		  Percentage
Owned 		 

Accountable Care Coalition of Syracuse, LLC

   New York     51 %

Accountable Care Coalition of Texas, Inc. 

   Texas     100 %

Accountable Care Coalition of the Green Mountains, LLC

   Vermont     51 %

Accountable Care Coalition of the JPS Physician Group, LLC

   Texas     100 %

Accountable Care Coalition of the Mississippi Gulf Coast, LLC

   Mississippi     51 %

Accountable Care Coalition of the North Country, LLC

   New York     51 %

Accountable Care Coalition of the Tri-Counties, LLC

   South Carolina     51 %

Accountable Care Coalition of Valdosta, Georgia, LLC

   Georgia     100 %

Accountable Care Coalition of West Florida Panhandle, LLC

   Florida     100 %

Accountable Care Coalition of West Michigan, LLC

   Michigan     100 %

Accountable Care Coalition of Western Georgia, LLC

   Georgia     51 %

American Pioneer Life Insurance Company

   Florida     100 %

American Progressive Life & Health Insurance Company of New York

   New York     100 %

Ameri-Plus Preferred Care, Inc. 

   Florida     100 %

APS Clinics of Puerto Rico, Inc. 

   Puerto Rico     100 %

APS Healthcare Bethesda, Inc. 

   Iowa     100 %

APS Healthcare Holdings, Inc. 

   Delaware     100 %

APS Healthcare Puerto Rico, Inc. 

   Puerto Rico     100 %

APS Healthcare, Inc. 

   Delaware     100 %

APS Parent, Inc. 

   Delaware     100 %

Aspirus Accountable Care Coalition, LLC

   Wisconsin     100 %

Capital Health ACO, LLC

   Texas     100 %

CNR Partners, Inc. 

   Texas     100 %

Collaborative Health Systems, LLC

   New York     100 %

Constitution Life Insurance Company

   Texas     100 %

Essential Care Partners II, LLC

   Texas     51 %

Essential Care Partners, LLC

   Texas     51 %

Golden Triangle Physician Alliance

   Texas     100 %

Harmony Health, Inc. 

   Oklahoma     100 %

Heritage Health Systems of Texas, Inc. 

   Texas     100 %

Heritage Health Systems, Inc. 

   Texas     100 %

Heritage Physician Networks

   Texas     100 %

HHS Texas Management, Inc. 

   Georgia     100 %

HHS Texas Management, LP

   Georgia     100 %

Innovative Resource Group, LLC

   Wisconsin     100 %

Jefferson Physician Organization Accountable Care Organization, LLC

   Texas     100 %

Maine Community Accountable Care Organization, LLC

   Maine     51 %

Maine Primary Care Holdings, LLC

   Maine     97 %

Marquette National Life Insurance Company

   Texas     100 %


Name
  State of
Incorporation 		  Percentage
Owned 		 

Maryland Collaborative Care, LLC

   Maryland     51 %

NaviHealth Group Holdings, LP

   Delaware     14 %

Northern Maryland Collaborative Care, LLC

   Maryland     51 %

Penn Marketing America, LLC

   Delaware     100 %

Premier Marketing Group, LLC

   Delaware     100 %

Pyramid Marketing Services, Inc. 

   Colorado     100 %

Quincy Coverage Corporation

   New York     100 %

SelectCare Health Plans, Inc. 

   Texas     100 %

SelectCare of Maine, Inc. 

   Maine     100 %

SelectCare of Oklahoma, Inc. 

   Oklahoma     100 %

SelectCare of Texas, Inc. 

   Texas     100 %

Senior Resource Services, LLC

   Florida     100 %

Southern Maryland Collaborative Care, LLC

   Maryland     51 %

TACHC ACO Holdings, LLC

   Texas     100 %

TexanPlus Health Centers, LLC

   Texas     100 %

The Pyramid Life Insurance Company

   Kansas     100 %

Today's Options Health Plans of Wisconsin, Inc. 

   Wisconsin     100 %

Today's Options of Arkansas, Inc. 

   Arkansas     100 %

Today's Options of Georgia, Inc. 

   Georgia     100 %

Today's Options of Kansas, Inc. 

   Kansas     100 %

Today's Options of Missouri, Inc. 

   Missouri     100 %

Today's Options of Nebraska, Inc. 

   Nebraska     100 %

Today's Options of New York, Inc. 

   New York     100 %

Today's Options of Oklahoma, Inc. 

   Oklahoma     100 %

Today's Options of Pennsylvania, Inc. 

   Pennsylvania     100 %

Today's Options of South Carolina, Inc. 

   South Carolina     100 %

Today's Options of Texas, Inc. 

   Texas     100 %

Today's Options of Virginia, Inc. 

   Virginia     100 %

Transitional Analytical Care, LLC

   Texas     100 %

UAM Agent Services Corp. 

   Iowa     100 %

UAM/APS Holding Corp. 

   Delaware     100 %

Universal American Financial Services, Inc. 

   Delaware     100 %

Universal American Holdings, LLC

   Delaware     100 %

Virginia Collaborative Care, LLC

   Virginia     51 %

Worlco Management Services, a Pennsylvania Corporation

   Pennsylvania     100 %

Worlco Management Services, Inc. a New York Corporation

   New York     100 %

Worldnet Services Corp. 

   Florida     100 %



QuickLinks

List of Subsidiaries