Civic Intelligence

Caresource Ohio Inc.

990 • Fiscal year 2012 • EIN 31-1143265

Jan 01, 2012 to Dec 31, 2012 • Filed on Nov 12, 2013

Organization Profilewww.caresource.com

View Organization Page

PO Box 8738Suite45401-8738
Siviq Scores

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

Liabilities / Assets

54th percentile

0.46x

Higher debt load relative to assets than 54% of similar nonprofits.

2012 filings • 501(c)3 • $1B+ nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

29th percentile

0.7%

Faster asset growth than 29% of similar nonprofits.

2012 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets54th percentile

Assets

Up

$1,002,260,430

Up $6,713,476 (+0.7%) from 2011

Net Assets

Up

$537,038,395

Up $126,511,053 (+31%) from 2011

Liabilities

Down

$465,222,035

Down $119,797,577 (-20%) from 2011

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$3,246,741,381

Up $654,001,106 (+25%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth29th percentile

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

$3.0B$2.0B$1.0B$0Assets 2010: $727,319,843Liabilities 2010: $437,242,213Net Assets 2010: $290,077,6302010Assets 2011: $995,546,954Liabilities 2011: $585,019,612Net Assets 2011: $410,527,3422011Assets 2012: $1,002,260,430Liabilities 2012: $465,222,035Net Assets 2012: $537,038,3952012Assets 2013: $1,207,421,554Liabilities 2013: $592,703,556Net Assets 2013: $614,717,9982013Assets 2014: $1,779,366,531Liabilities 2014: $1,011,579,022Net Assets 2014: $767,787,5092014Assets 2015: $1,831,803,361Liabilities 2015: $882,673,507Net Assets 2015: $949,129,8542015Assets 2017: $1,850,810,189Liabilities 2017: $1,031,891,724Net Assets 2017: $818,918,4652017Assets 2018: $1,807,957,209Liabilities 2018: $953,260,405Net Assets 2018: $854,696,8042018Assets 2020: $2,518,378,621Liabilities 2020: $1,434,502,238Net Assets 2020: $1,083,876,3832020Assets 2021: $2,609,873,144Liabilities 2021: $1,460,610,679Net Assets 2021: $1,149,262,4652021Assets 2022: $2,667,085,761Liabilities 2022: $1,267,345,373Net Assets 2022: $1,399,740,3882022Assets 2024: $2,248,954,422Liabilities 2024: $1,402,066,398Net Assets 2024: $846,888,0242024

Highlighted filing

2012

Assets$1,002,260,430
Liabilities$465,222,035
Net Assets$537,038,395
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$15B$10B$5.0B$0Expenses 2010: $2,266,629,8192010Expenses 2011: $2,592,740,2752011Expenses 2012: $3,246,741,3812012Revenue 2013: $3,643,754,539Expenses 2013: $3,509,005,034Net Income 2013: $134,749,5052013Revenue 2014: $5,003,075,985Expenses 2014: $4,843,658,409Net Income 2014: $159,417,5762014Revenue 2015: $6,202,791,309Expenses 2015: $6,013,922,970Net Income 2015: $188,868,3392015Revenue 2017: $7,220,866,266Expenses 2017: $7,190,510,823Net Income 2017: $30,355,4432017Revenue 2018: $7,819,337,654Expenses 2018: $7,743,280,827Net Income 2018: $76,056,8272018Revenue 2020: $9,272,879,618Expenses 2020: $9,110,417,960Net Income 2020: $162,461,6582020Revenue 2021: $9,756,197,809Expenses 2021: $9,704,199,278Net Income 2021: $51,998,5312021Revenue 2022: $10,064,129,024Expenses 2022: $9,417,228,730Net Income 2022: $646,900,2942022Revenue 2024: $8,559,845,484Expenses 2024: $8,462,329,539Net Income 2024: $97,515,9452024

Highlighted filing

2012

Revenue-
Expenses$3,246,741,381
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2012 to Dec 31, 2012
Signed
Nov 12, 2013
Return Version
2012v2.1
Gross Receipts
$3,459,621,242
Mission and Program Overview

Mission

Caresource's vision is to transform lives through innovative health and life services. The organization's mission is to make a lasting difference in our members' lives by improving their health and well-being. Caresource is a mission-driven medicaid health insuring corporation (commonly referred to as a health maintenance organization) licensed by the state of ohio.

Filing and Contact Details

Filer

EIN
31-1143265
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IRS990/Description0CareSource is a nonprofit Medicaid health insuring corporation with over 23 years' experience providing services to over 887,000 Medicaid members in Ohio. The organization provides services to Ohios Medicaid members through execution of an annual Provider Agreement with the Office of Medical Assistance ("OMA"), formerly known as the Ohio Department of Job and Family Services. CareSource has been accredited by two national organizations, NCQA and URAC. CareSource was awarded Medicaid HMO Commendable Health Plan Accreditation by the National Committee for Quality Assurance ("NCQA"). NCQA is a private, non-profit organization dedicated to transforming health care quality through measurement, transparency and accountability. They consistently raise the bar in health care demanding quality and improvement. Ohio, like other states, has put an increased focus on NCQA accreditation to ensure all Medicaid plans are ranked on a standard of quality and health outcomes. CareSource pursued NCQA accreditation in addition to maintaining its URAC accreditation for health plans and health call centers. Both entities demonstrate CareSource's commitment to providing quality to our membership and serve the health care needs of the underserved. In 1989, CareSource pioneered the state's first mandatory Medicaid managed care program in Ohio. The organization has experienced significant growth in the 23 years that it has operated and is now the second largest Medicaid managed care plan in the country. Over that time CareSource has garnered over 54% of the state wide managed care market share. CareSource spends over 96% of capitation revenue on program related expenses serving its Medicaid members. CareSource has the highest voluntary enrollment rate and the lowest voluntary disenrollment rate of all participating Medicaid Managed care plans in Ohio. Currently, the programs serve Covered Families and Children Medicaid, including Healthy Start and Healthy Families, and Aged, Blind or Disabled Medicaid members. In addition, CareSource has a contract with The Centers for Medicare and Medicaid Services ("CMS") to operate a Dual Eligible Medicare Advantage/Special Needs Plan called CareSource Advantage, available to those who are eligible for Medicare Part A and Part B, as well as Medicaid. At the core of its mission, CareSource focuses on prevention with a goal of improving member health, the quality of health care services received, and accessibility of health care services for Medicaid consumers via an innovative health and wellness methodology. CareSource has a broad, state-wide provider network including many primary care and specialist physicians, hospitals, nursing facilities, home health care agencies, and other medical providers who provide medical care as well as assist in the coordination of member care. In addition, CareSource offers 24 hour call center coverage to provide around the clock medical advice to help members access appropriate care when they need it. CareSource reaches out to members, in their homes and communities, through case management and outreach services, to assess needs and to help coordinate their care with the healthcare system. From high risk pregnancy to member education and advocacy, personal interaction proves crucial in coordinating the needed medical and community support services. Member and provider communication provides additional health information. In 2012, CareSource successfully responded to a request for proposal to serve Ohioans who are eligible for both Medicare and Medicaid under a dual eligible demonstration program named the MyCare Ohio program. CareSource will enter into a three way contract with Ohio and The Centers for Medicare and Medicaid Services and begin serving these new members in March 2014. In July 2012, CareSource launched a Medication Therapy Management program with Outcomes MTM. The Medication Therapy Management program engages community pharmacists to assist our members with their pharma
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IRS990/MissionDescription0CARESOURCE'S VISION IS TO BE AN INNOVATIVE LEADER IN THE MANAGEMENT OF QUALITY PUBLIC SECTOR HEALTH CARE PROGRAMS. THE ORGANIZATION'S MISSION IS TO MAKE A DIFFERENCE IN THE LIVES OF UNDERSERVED PEOPLE BY IMPROVING THEIR HEALTH CARE. CARESOURCE CONSIDERS THE ORGANIZATION'S MISSION ITS "HEARTBEAT" AND IT IS PASSIONATELY EMBRACED BY ALL EMPLOYEES OF THE CARESOURCE FAMILY OF COMPANIES. CARESOURCE IS A NONPROFIT INDEPENDENT MISSION-DRIVEN MEDICAID HEALTH INSURING CORPORATION (COMMONLY REFERRED TO AS A HEALTH MAINTENANCE ORGANIZATION OR HMO) LICENSED BY THE STATE OF OHIO.
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IRS990/OtherExpenses/Description1PHARMACY EXPENSE
IRS990/OtherExpenses/Description2MGMT FEES TO CSMG/CSMS
IRS990/OtherExpenses/Description3AMORTIZATION BONDS
IRS990/OtherExpenses/ManagementAndGeneral062653530
IRS990/OtherExpenses/ManagementAndGeneral15652251
IRS990/OtherExpenses/ProgramServices02432153472
IRS990/OtherExpenses/ProgramServices1624566432
IRS990/OtherExpenses/ProgramServices255265146
IRS990/OtherExpenses/Total02432153472
IRS990/OtherExpenses/Total1624566432
IRS990/OtherExpenses/Total2117918676
IRS990/OtherExpenses/Total35652251
IRS990/OtherLiabilities/BOY05329091
IRS990/OtherLiabilities/EOY013060333
IRS990/OtherNotesLoansReceivableNet/BOY00
IRS990/OtherNotesLoansReceivableNet/EOY00
IRS990/OtherRevenueCurrentYear00
IRS990/OtherRevenuePriorYear00
IRS990/OtherSalariesAndWages/Total00
IRS990/PartialLiquidation0false
IRS990/PaymentsToAffiliates/Total00
IRS990/PayrollTaxes/Total00
IRS990/PensionPlanContributions/Total00
IRS990/PermanentlyRestrictedNetAssets/BOY00
IRS990/PermanentlyRestrictedNetAssets/EOY00
IRS990/PledgesAndGrantsReceivable/BOY00
IRS990/PledgesAndGrantsReceivable/EOY00
IRS990/PoliticalActivities0false
IRS990/PremiumsPaid0false
IRS990/PrepaidExpensesDeferredCharges/BOY063250
IRS990/PrepaidExpensesDeferredCharges/EOY069527
IRS990/PriorExcessBenefitTransaction0false
IRS990/ProfessionalFundraising0false
IRS990/ProgramServiceRevenue/BusinessCode0524114
IRS990/ProgramServiceRevenueCY03345474404
IRS990/ProgramServiceRevenue/Description0MEDICAID & MEDICARE
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IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome03345474404
IRS990/ProgramServiceRevenue/TotalRevenueColumn03345474404
IRS990/ProhibitedTaxShelterTrans0false
IRS990/QuidProQuoContributions0false
IRS990/ReceivablesFromDisqualPersons/BOY00
IRS990/ReceivablesFromDisqualPersons/EOY00
IRS990/ReceivablesFromOfficersEtc/BOY00
IRS990/ReceivablesFromOfficersEtc/EOY00
IRS990/ReconcilationDonatedServices00
IRS990/ReconcilationInvestExpenses00
IRS990/ReconcilationOtherChanges0826193
IRS990/ReconcilationPriorAdjustment00
IRS990/ReconcilationRevenueExpenses0120617974
IRS990/ReconciliationUnrealizedInvest05066886
IRS990/RegularMonitoringEnforcement0true
IRS990/RelatedEntity0true
IRS990/RelatedOrgControlledEntity0true
IRS990/RentalIncomeOrLoss/Personal00
IRS990/RentalIncomeOrLoss/Real00
IRS990/ReportFin48Footnote0true
IRS990/ReportInvestOthSecurities0false
IRS990/ReportLandBldgEquip0false
IRS990/ReportOtherAssets0false
IRS990/ReportOtherLiabilities0true
IRS990/ReportProgRelInvest0false
IRS990/Revenue03345474404
IRS990/RevenuesLessExpensesCY0120617974
IRS990/RevenuesLessExpensesPriorYear0130022044
IRS990/RoyaltiesRevenue/TotalRevenueColumn00
IRS990/Royalties/Total00
IRS990/SalariesEtcCurrentYear00
IRS990/SalariesEtcPriorYear00
IRS990/SavingsAndTempCashInvestments/BOY0410480260
IRS990/SavingsAndTempCashInvestments/EOY0257207688
IRS990ScheduleA/AmtsFromSubstContributors/Total00
IRS990ScheduleA/AmtsRecdFromDisqualPersons/Total00
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYear00
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus1Year00
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus2Years00
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus3Years00
IRS990ScheduleA/GiftsGrantsContribReceived509/CurrentTaxYearMinus4Years00

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Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,002,260,430
Liabilities
$465,222,035
Net assets
$537,038,395
Revenue
-
Expenses
$3,246,741,381
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,249$1,402$847$8,560$8,462$97.5
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,667$1,267$1,400$10,064$9,417$647
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,610$1,461$1,149$9,756$9,704$52.0
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,518$1,435$1,084$9,273$9,110$162
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,808$953$855$7,819$7,743$76.1
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,851$1,032$819$7,221$7,191$30.4
2015Detailed filing. Detailed filing data is available for this year.$1,832$883$949$6,203$6,014$189
2014Detailed filing. Detailed filing data is available for this year.$1,779$1,012$768$5,003$4,844$159
2013Detailed filing. Detailed filing data is available for this year.$1,207$593$615$3,644$3,509$135
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,002$465$537$3,247
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$996$585$411$2,593
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$727$437$290$2,267