Civic Intelligence

Caresource Management Group Co

990 • Fiscal year 2014 • EIN 31-1703368

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 16, 2015

PO Box 8738Dayton, OH 45401-8738

(973) 531-3027

Siviq Scores

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

Liabilities / Assets

72nd percentile

0.54x

Higher debt load relative to assets than 72% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

33rd percentile

0.40x

Higher debt load relative to revenue than 33% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

66th percentile

11%

Higher net margin than 66% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

94th percentile

$3,143,537

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Asset Growth

98th percentile

72%

Faster asset growth than 98% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

95th percentile

65%

Faster revenue growth than 95% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Assets

Up

$463,740,451

Up $194,001,968 (+72%) from 2013

Net Assets

Up

$211,089,931

Up $66,810,841 (+46%) from 2013

Liabilities

Up

$252,650,520

Up $127,191,127 (+101%) from 2013

Revenue

Up

$629,331,055

Up $247,084,700 (+65%) from 2013

Expenses

Up

$562,385,508

Up $255,156,703 (+83%) from 2013

Net Income

Down

$66,945,547

Down $8,072,003 (-11%) from 2013

Historical Trend

Balance Sheet Trend

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

$3.0B$2.0B$1.0B$0Assets 2011: $76,488,161Liabilities 2011: $40,589,785Net Assets 2011: $35,898,3762011Assets 2012: $176,729,068Liabilities 2012: $104,459,835Net Assets 2012: $72,269,2332012Assets 2013: $269,738,483Liabilities 2013: $125,459,393Net Assets 2013: $144,279,0902013Assets 2014: $463,740,451Liabilities 2014: $252,650,520Net Assets 2014: $211,089,9312014Assets 2015: $562,649,367Liabilities 2015: $269,913,280Net Assets 2015: $292,736,0872015Assets 2016: $522,447,166Liabilities 2016: $203,435,080Net Assets 2016: $319,012,0862016Assets 2017: $784,887,549Liabilities 2017: $459,040,634Net Assets 2017: $325,846,9152017Assets 2018: $925,675,011Liabilities 2018: $654,292,914Net Assets 2018: $271,382,0972018Assets 2020: $897,034,476Liabilities 2020: $545,681,284Net Assets 2020: $351,353,1922020Assets 2022: $1,013,140,667Liabilities 2022: $275,955,369Net Assets 2022: $737,185,2982022Assets 2024: $2,781,857,674Liabilities 2024: $488,225,775Net Assets 2024: $2,293,631,8992024

Highlighted filing

2014

Assets$463,740,451
Liabilities$252,650,520
Net Assets$211,089,931

Operations Trend

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

$2.0B$1.5B$1.0B$500M$0-$500MExpenses 2011: $158,074,7582011Expenses 2012: $187,837,9962012Revenue 2013: $382,246,355Expenses 2013: $307,228,805Net Income 2013: $75,017,5502013Revenue 2014: $629,331,055Expenses 2014: $562,385,508Net Income 2014: $66,945,5472014Revenue 2015: $1,096,573,413Expenses 2015: $1,012,555,597Net Income 2015: $84,017,8162015Revenue 2016: $1,230,019,436Expenses 2016: $1,202,930,094Net Income 2016: $27,089,3422016Revenue 2017: $1,477,572,293Expenses 2017: $1,472,575,757Net Income 2017: $4,996,5362017Revenue 2018: $1,606,200,191Expenses 2018: $1,658,401,586Net Income 2018: -$52,201,3952018Revenue 2020: $1,126,549,677Expenses 2020: $1,015,599,876Net Income 2020: $110,949,8012020Revenue 2022: $360,633,144Expenses 2022: $28,890,756Net Income 2022: $331,742,3882022Revenue 2024: $1,514,731,827Expenses 2024: $1,272,933,992Net Income 2024: $241,797,8352024

Highlighted filing

2014

Revenue$629,331,055
Expenses$562,385,508
Net Income$66,945,547
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 16, 2015
Return Version
2014v5.0
Gross Receipts
$634,956,895
Mission and Program Overview

Mission

CARESOURCE MANAGEMENT GROUP CO IS A SUPPORTING ORGANIZATION TO CARESOURCE, CARESOURCE INDIANA INC, CARESOURCE KENTUCKY CO, CARESOURCE GEORGIA CO, Caresource West Virginia Co, CareSource Life Services Co, CareSource North Carolina Co, AND ANY OTHER CARESOURCE NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATION WHICH OPERATES CONSISTENTLY WITH THE ABOVE NAMED NOT-FOR-PROFIT, TAX EXEMPT ORGANIZATIONS. THE CORPORATION WILL PROVIDE STRATEGIC OVERSIGHT TO THE SUPPORTED ORGANIZATIONS TO ENSURE THAT THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS ARE FURTHERED. THE CORPORATION SHALL OPERATE AS A POLICY-MAKING SUPPORT ORGANIZATION FOR THE SUPPORTING ORGANIZATIONS AND CONDUCT ACTIVITIES CONSISTENT WITH SUCH PURPOSE.

CareSource Management Group Co is a supporting org to the CareSource Family of Company 501(c)(3) not-for- profit organizations, and holds a 3rd party admin license in 3 states.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$28,542,445$150,065,632▲ $121,523,187
Land, Buildings, and Equipment, Net$75,130,569$79,529,467▲ $4,398,898
Savings and Temporary Cash Investments$68,406,246$73,654,249▲ $5,248,003
Cash and Non-Interest-Bearing Accounts$17,497,174$61,388,861▲ $43,891,687
Investments Program Related$36,215,333$41,215,333▲ $5,000,000
Investments in Publicly Traded Securities$22,299,556$30,189,232▲ $7,889,676
Prepaid Expenses and Deferred Charges$10,018,462$15,146,674▲ $5,128,212
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$269,738,483$463,740,451▲ $194,001,968
Other Assets Total$11,628,698$12,551,003▲ $922,305
Liabilities
Accounts Payable and Accrued Expenses$78,059,530$217,706,632▲ $139,647,102
Mortgage Notes Payable Secured by Investment Property$33,600,004$31,199,996▼ $2,400,008
Deferred Revenue$4,125,000$3,665,072▼ $459,928
Other Liabilities$9,674,859$78,820▼ $9,596,039
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$125,459,393$252,650,520▲ $127,191,127
Net Assets / Fund Balance
Unrestricted Net Assets$144,279,090$211,089,931▲ $66,810,841
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$144,279,090$211,089,931▲ $66,810,841
Total Liabilities and Net Assets / Fund Balance$269,738,483$463,740,451▲ $194,001,968

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$59,713,329$5,431,847$65,145,176
Equipment$12,315,417$21,801,935$34,117,352
Other Land Buildings$2,726,345$2,098,598$4,824,943
Leasehold Improvements$3,024,376$652,697$3,677,073
Land$1,750,000-$1,750,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Pamela B MorrisPresident/CEO/TrusteePT$889,936$2,253,601$3,143,537
Bobby JonesChief Operating OfficerPT$435,731$675,427$1,111,158
Mark ChilsonEVP & Gen CounselPT$409,723$623,631$1,033,354
Craig Thiele MDChief Medical OfficerPT$384,233$597,747$981,980
L Tarlton Thomas IIIChief Financial OfficerPT$331,728$494,989$826,717
Dan McCabeChief Administrative OfficerFT$305,678$498,863$804,541
Paul StoddardChief Information OfficerPT$303,388$396,397$699,785
Stephen RingelPresident Ohio MarketPT$280,825$395,864$676,689
Samuel T GeorgeSVP Business Partner GroupPT$234,590$310,610$545,200
Maureen PeroVP Federal AffairsPT$242,882$279,179$522,061
James GartnerVP Parmacy Svcs & Med MgmtPT$238,654$241,686$480,340
Ellen S LeffakChair/Trustee-$55,000-$55,000
Kevin BrownSecretary/Treas/Trustee-$43,750-$43,750
John P MonahanTrustee-$32,500-$32,500
Terry G RapochTrustee-$30,000-$30,000
J Thomas MaultsbyVice Chair/Trustee-$6,250-$6,250

Board Members and Trustees

NameTitle
Catherine HessTrustee
Michael E Ervin MDTrustee

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services221 N Charles Lindergh Dr, Salt Lake City, UT 84116$67,097,503
Norton Cancer InstituteMedical ServicesPO Box 36370 Dpet 86100, Louisville, KY 40233-6370$29,377,472
University of Kentucky HospitalMedical ServicesPO Box 951326, Cleveland, OH 44193$21,902,378
University Medical Center IncMedical ServicesPO Box 70115, Louisville, KY 40270$19,017,806
Baptist Healthcare System IncMedical Services4000 Kresge Way, Louisville, KY 40207$10,955,308
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$626,778,675
Investment Income
$2,552,380
Other Revenue
$0
Change in Net Assets
$66,945,547
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$477,651,033
Salaries, Compensation, and Employee Benefits$84,654,320
Grants and Similar Amounts Paid$80,155
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$420,196,202--$420,196,202
Other Salaries and Wages$44,300,027--$44,300,027
Office Expenses$20,542,019--$20,542,019
Other Employee Benefits$17,732,447--$17,732,447
Information Technology$14,910,470--$14,910,470
Payroll Taxes$10,127,019--$10,127,019
Current Officers, Directors, Trustees, and Key Employees$7,835,266--$7,835,266
Depreciation Depletion$7,711,141--$7,711,141
Pension Plan Contributions$4,659,561--$4,659,561
Advertising$2,725,568--$2,725,568
Fees for Services Legal$1,726,766--$1,726,766
Occupancy$1,447,973--$1,447,973
Travel$1,311,223--$1,311,223
Conferences and Meetings$1,303,753--$1,303,753
Fees for Services Management$1,118,125--$1,118,125
Interest$731,898--$731,898
Fees for Services Accounting$524,521--$524,521
Insurance$486,309--$486,309
Grants to Domestic Orgs$80,155--$80,155
Fees for Services Lobbying$32,756--$32,756
Other Expenses$32,048--$32,048
Total Functional Expenses$562,385,508$0$0$562,385,508
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Beth Abraham SynagogueDayton, OH509(a)(1)Women of Valor$20,000
United Way of Greater Dayton AreaDayton, OH509(a)(1)General Support$11,500
The Natl Conf for Comm and Justice of Gr DaytonDayton, OH509(a)(1)Social Justice Champion; Friendship Dinner$6,500
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
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease - Long Term$78,820
Capital Lease - Current$0
Governance and Compliance

Governance Checklist

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

Governance Explanations

Part VI, Section B, Question 11A

The Form 990 was provided to the organization's Finance committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization and was reviewed during the course of a special board meeting prior to the time of filing the Form 990. The Form 990 was reviewed by the CEO, CFO, an outside CPA firm, outside legal counsel, and by general counsel prior to filing with the IRS.

Part VI, Section B, Question 12C

Annually, each trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board if a Conflict of Interest arises during the course of the Board or Committee Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented. In addition, a Conflict of Interest Schedule is kept with respect to each declared Conflict of Interest during the course of a Board or Committee meeting. On an annual basis, the Nominating and Governance Committee reviews each Conflict of Interest raised by a Board or Committee Member. Also, the Nominating and Governance Committee conducts a bi-annual evaluation of the Board Members' performance during the course of the Board Meetings and Committee Meetings. The review includes but is not limited to the Board Member's engagement, participation, contributions to board business, attendance, and any absence from a meeting due to a conflict of interest. The Conflicts of Interest declared by the Board Members are reviewed on an annual basis by the Nominating and Governance Committee to make sure all policies on Conflict of Interest are adhered to by the Boards, the Committees and the Individual Board or Committee Member.

Part VI, Section B, questions 15A and 15B; Schedule J, Part I, Question 3

The Executive Compensation Committee consists of Board Members who are Independent. The process used to determine compensation for the individuals listed on Part VII and Schedule J, Part II include a review by the Independent Board Members after they have received a report of comparability data prepared by an independent company surveying data for comparable organizations' reasonable compensation. The comparability data is presented to the Independent Board members in a written document in advance of the meeting and the independent comparability study is presented by the author of the study during the course of the meeting. In addition, the minutes of each meeting are prepared, distributed and signed within 30 days of the Executive Compensation Committee Meeting. The Executive Compensation Consultant does no other business with the CareSource Family of Companies other than determining the reasonableness of compensation. This compensation consultant's independence is reviewed on an annual basis. This process is followed with respect to all employed corporate officers and the top executives of the CareSource Family of Companies, in order to establish reasonable executive compensation.

Form 990, Part VI, Section C, Question 19

The company's Form 1023 and Form 990 are available for public inspection upon request. The company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. The company's articles of incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us.

Part VI, Section A, Question 7A

All Trustees of the Board of Trustees of CareSource Management Group Co are elected by the Board of Trustees of CareSource Management Group Co EXCEPT one (1) Trustee is not elected by the Board of Trustees of CareSource Management Group Co. This Trustee is elected by CareSource, a supported organization of CareSource Management Group Co.

Filing and Contact Details

Filer

Filer Name
CareSource Management Group Co
EIN
31-1703368
In Care Of
% JANET FERNANDES
Phone
9735313027
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
L Tarlton Thomas III
Title
CFO
Signed
2015-11-16

Organization Details

Principal Officer
Pamela B Morris
Formed
1999
Legal Domicile
Oh
Voting Board Members
8
Independent Board Members
7
Employees
2,292
Volunteers
0
Supplemental Narrative

Additional Explanations

Part XI, Line 9

Intercompany eliminations of $499,998.

Form 990 Part IX Line 11G

Description:consulting/contract/prof svcs total fees:35460228

Form 990 Part IX Line 11G

Description:claims total fees:xxx-xx-xxxx

Financial Statement Notes

FIN 48 (ASC 740) Footnote

The audited consolidated GAAP financial statements summarize ASC 740 as follows: The Organization annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. As of this filing, tax years 2011-2014 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource Management Group (CSMG), as a supporting organization, provides strategic oversight to CareSource, CareSource Indiana Inc., CareSource Kentucky Co., CareSource Georgia Co., and The CareSource Foundation. See attached organizational structure for the CareSource Family of Companies. CSMG successfully implemented a Medicaid Managed Care program for the Temporary Assistance for Needy Families (TANF) and Aged, Blind and Disabled (ABD) populations in Kentucky through a strategic Alliance with Humana Health Plans, Inc. In 2013, Humana/CareSource was awarded traditional and Medicaid expansion in Kentucky with statewide membership and an effective go-live date of January 1, 2014. This Kentucky statewide program now has more than 120,000 Medicaid members. CSMG lessens the burden on State and Federal government by serving and managing the care of the underserved and fragile populations in Medicaid and Medicare Programs, including applicable TANF and ABD individuals, children with special health care needs. CSMG, which holds a Third Party Administrator (TPA) License in three states, provides services and support to CareSource in order to manage special innovative programs that focus on the needs of individuals. Several innovative CareSource programs, such as Care Transitions and Medication Therapy Management (MTM) , and the services provided to members by our Community Health Workers and Navigators, demonstrate this focus. CareSource Community Health Workers take the extra time to hear our members and meet them where they are. They are fully engrained in all aspects of the local community. We hire our Community Health Workers from the community and require that they interact frequently with different local resources that can assist members. Our Community Health Workers connect members with transportation, help schedule appointments, accompany members to their appointments, and in general, help educate members about their benefits and assist them to navigate the overwhelming and sometimes intimidating health care system so that they don't have to do it alone. CSMG provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. In order to ensure members are able to access the most appropriate medical care, CSMG provides transportation services for office visits to their medical provider's office, ensuring that members are keeping preventive, sick or follow up appointments. Further showing CSMG's dedication to ensuring that our most vulnerable members receive needed care, CSMG does not charge Medicaid members a copayment for pharmacy products, dental visits, vision examinations, vision hardware or non-emergent emergency department visits, even though the regulations allow for such co-pays. CSMG is dedicated to motivating our pregnant members to seek prenatal and postpartum care, by participating in the Organization's Babies First Member Incentive Program. Moms-to-be can receive reward cards for attending regular OB/GYN appointments while pregnant and for also attending appropriate follow-up visits after giving birth. This incentive platform will provide a single card to a member that is reloadable as incentives are earned. Through a contract with a vendor that fills and manages incentive cards, CSMG will provide members with a card that responds like a credit card at several retailers throughout Kentucky. The card restricts purchases to health-related items, and the card is available for use at selected retail stores throughout CSMG's service area. The model works through a claims-based program, eliminating the need for members and their physicians to sign and return multiple coupons. Once a member enrolls in the program, incentive loads will be automatic and based on when a claim is paid. Visiting the doctor for regular check-ups is one of the building blocks of good health for mom and baby. Together, these enhanced benefits provide CareSource Management Group members addit
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IRS990/MissionDesc0CARESOURCE MANAGEMENT GROUP CO IS A SUPPORTING ORGANIZATION TO CARESOURCE, CARESOURCE INDIANA Inc, CareSource Kentucky Co, CareSource Georgia Co AND ANY OTHER CARESOURCE NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATION WHICH OPERATES CONSISTENTLY WITH THE ABOVE NAMED NOT-FOR-PROFIT, TAX EXEMPT ORGANIZATIONS. THE CORPORATION WILL PROVIDE STRATEGIC OVERSIGHT TO THE SUPPORTED ORGANIZATIONS TO ENSURE THAT THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS ARE FURTHERED. THE CORPORATION SHALL OPERATE AS A POLICY-MAKING SUPPORT ORGANIZATION FOR THE SUPPORTING ORGANIZATIONS AND CONDUCT ACTIVITIES CONSISTENT WITH SUCH PURPOSE.
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