Civic Intelligence

Caresource Management Group Co

990 • Fiscal year 2015 • EIN 31-1703368

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 11, 2016

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

64th percentile

0.48x

Higher debt load relative to assets than 64% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Liabilities / Revenue

15th percentile

0.25x

Higher debt load relative to revenue than 15% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Net Margin

46th percentile

7.7%

Higher net margin than 46% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Top Officer Pay

98th percentile

$7,862,820

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Asset Growth

94th percentile

21%

Faster asset growth than 94% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Revenue Growth

97th percentile

74%

Faster revenue growth than 97% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Assets

Up

$562,649,367

Up $98,908,916 (+21%) from 2014

Net Assets

Up

$292,736,087

Up $81,646,156 (+39%) from 2014

Liabilities

Up

$269,913,280

Up $17,262,760 (+6.8%) from 2014

Revenue

Up

$1,096,573,413

Up $467,242,358 (+74%) from 2014

Expenses

Up

$1,012,555,597

Up $450,170,089 (+80%) from 2014

Net Income

Up

$84,017,816

Up $17,072,269 (+26%) from 2014

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

2015

Assets$562,649,367
Liabilities$269,913,280
Net Assets$292,736,087

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

2015

Revenue$1,096,573,413
Expenses$1,012,555,597
Net Income$84,017,816
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$1,109,356,697
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$150,065,632$172,801,299▲ $22,735,667
Savings and Temporary Cash Investments$73,654,249$104,381,206▲ $30,726,957
Land, Buildings, and Equipment, Net$79,529,467$93,698,335▲ $14,168,868
Investments Program Related$41,215,333$67,565,334▲ $26,350,001
Investments in Publicly Traded Securities$30,189,232$63,829,125▲ $33,639,893
Cash and Non-Interest-Bearing Accounts$61,388,861$10,439,435▼ $50,949,426
Prepaid Expenses and Deferred Charges$15,146,674$9,824,894▼ $5,321,780
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$463,740,451$562,649,367▲ $98,908,916
Other Assets Total$12,551,003$40,109,739▲ $27,558,736
Liabilities
Accounts Payable and Accrued Expenses$219,735,887$264,056,926▲ $44,321,039
Mortgage Notes Payable Secured by Investment Property$31,199,996$0▼ $31,199,996
Deferred Revenue$3,665,072$5,856,354▲ $2,191,282
Other Liabilities$78,820$0▼ $78,820
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$254,679,775$269,913,280▲ $15,233,505
Net Assets / Fund Balance
Unrestricted Net Assets$209,060,676$292,736,087▲ $83,675,411
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$209,060,676$292,736,087▲ $83,675,411
Total Liabilities and Net Assets / Fund Balance$463,740,451$562,649,367▲ $98,908,916

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$57,207,746$7,937,430$65,145,176
Equipment$23,620,830$30,012,014$53,632,844
Other Land Buildings$6,075,543$2,196,387$8,271,930
Leasehold Improvements$5,044,216$1,320,368$6,364,584
Land$1,750,000-$1,750,000
Investment Program Related Org$4,000,000--
Other Assets Org$23,458,451--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Pamela B MorrisPresident/CEO/TrusteePT$1,019,059$6,843,761$7,862,820
Bobby JonesChief Operating OfficerPT$486,827$1,726,441$2,213,268
Mark ChilsonEVP & Gen CounselPT$431,612$1,604,712$2,036,324
Craig Thiele MDChief Medical OfficerPT$373,480$1,527,231$1,900,711
Paul StoddardChief Information OfficerPT$327,214$1,516,135$1,843,349
L Tarlton Thomas IIIChief Financial OfficerPT$388,782$1,252,113$1,640,895
Daniel McCabeChief Administrative OfficerFT$346,350$925,366$1,271,716
Stephen RingelPresident Ohio MarketPT$307,703$796,282$1,103,985
Maureen Pero to 82215VP Federal AffairsFT$129,357$710,869$840,226
James GartnerVP Pharmacy Svcs & Med MgmtPT$256,580$551,657$808,237
Samuel T GeorgeSVP Business Partner GroupPT$254,288$418,036$672,324
Ellen S LeffakChair/Trustee-$77,500-$77,500
Michael E Ervin MDTrustee-$60,000-$60,000
Kevin BrownSecretary/Treas/Trustee-$43,750-$43,750
Craig J BrownTrustee-$40,000-$40,000
J Thomas MaultsbyVice Chair/Trustee-$36,250-$36,250
John P MonahanTrustee-$32,500-$32,500
Patricia A Martin from 315Trustee-$30,000-$30,000
Terry G RapochTrustee-$30,000-$30,000
Catherine Hess thru 315Trustee-$7,500-$7,500

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services221 N Charles Lindergh Dr, Salt Lake City, UT 84116$134,737,495
KentuckyOne Health Medical Gr CONSOMedical ServicesPO Box 2328, London, KY 40743$74,916,945
Norton Hospital IncMedical Services4001 Dutchmans Ln, Louisville, KY 40207$51,620,661
University of Kentucky HospitalMedical Services301 Peterson Service Blvd, Lexington, KY 40506$49,326,730
Baptist Healthcare System IncMedical Services4000 Kresge Way, Louisville, KY 40207$35,273,752
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,093,934,581
Investment Income
$2,638,832
Other Revenue
$0
Change in Net Assets
$84,017,816
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$785,995,916
Salaries, Compensation, and Employee Benefits$226,278,692
Grants and Similar Amounts Paid$280,989
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$166,114,003--$166,114,003
Fees for Services Other$75,865,826--$75,865,826
Office Expenses$25,225,752--$25,225,752
Other Employee Benefits$19,998,399--$19,998,399
Information Technology$18,234,967--$18,234,967
Depreciation Depletion$17,829,887--$17,829,887
Current Officers, Directors, Trustees, and Key Employees$17,666,030--$17,666,030
Payroll Taxes$14,409,476--$14,409,476
Pension Plan Contributions$8,090,784--$8,090,784
Occupancy$6,665,348--$6,665,348
Advertising$6,340,422--$6,340,422
Travel$3,737,831--$3,737,831
Fees for Services Legal$1,670,959--$1,670,959
Conferences and Meetings$1,459,825--$1,459,825
All Other Expenses$1,338,608--$1,338,608
Insurance$1,149,021--$1,149,021
Interest$713,183--$713,183
Other Expenses$599,220--$599,220
Fees for Services Accounting$486,241--$486,241
Grants to Domestic Orgs$280,989--$280,989
Fees for Services Lobbying$43,008--$43,008
Total Functional Expenses$1,012,555,597$0$0$1,012,555,597
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Downtown Dayton PartnershipDayton, OH509(a)(1)River Run & Holiday Festival$55,500
The Dayton Foundation IncDayton, OH501(c)(3)Bike Share Fund & more$25,000
Philanthropy OhioColumbus, OH501(c)(3)Healthcare Initiative$17,500
Dayton Area Chamber of CommerceDayton, OH501(c)(3)EPI Foundation$16,025
Young Womens Christian AssociationDayton, OH509(a)(1)Women of Influence & VTA$10,000
Beth Abraham SynagogueDayton, OH509(a)(1)Women of Valor & Board Credits$8,000
United Way of Greater Dayton AreaDayton, OH509(a)(1)General Support$7,700
Culture WorksDayton, OH509(a)(2)Campaign for the Arts$7,500
The Natl Conf for Comm and Justice of Gr DaytonDayton, OH509(a)(1)Friendship Dinner$5,500
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
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
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
No
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

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

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

Form 990, 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.

Form 990, Part VI, Section B, Q 15A and 15B; Schedule J, Part I

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.

Form 990, 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
EVP Operations & CFO
Phone
9375313027
Signed
2016-11-11

Organization Details

Principal Officer
Pamela B Morris
Formed
1999
Legal Domicile
Oh
Voting Board Members
9
Independent Board Members
8
Employees
2,948
Volunteers
0
Supplemental Narrative

Financial Statement Notes

ASC 740 Comment

The Organization annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the organization's financial statements. As of this filing, tax years 2012-2014 are open for audit by the Internal Revenue Service. CSMG has been recognized by the Internal Revenue Service as a tax-exempt nonprofit corporation and a public charity under Sections 501(c)(3) and 509(a)(2), respectively, of the Internal Revenue Code, and as such, is treated as exempt from federal income taxes.

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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/Desc0CareSource Management Group (CSMG), as a supporting organization, provides strategic oversight to CareSource, CareSource Indiana Inc., CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, CareSource Life Services Co, CareSource North Carolina Co, and The CareSource Foundation. See the attached organizational structure for the CareSource Family of Companies. In March 2012, CSMG signed a Dual Eligible Medicare/Medicaid Alliance Agreement (Alliance) with Humana, Inc., to jointly participate in state bid opportunities for Medicaid and provide coverage for people who qualify for Medicaid in the Commonwealth of Kentucky. In 2012, Humana CareSource was awarded a contract in the Commonwealth of Kentucky to serve Medicaid beneficiaries in Region 3 of the Commonwealths Medicaid program. Upon the initial contract execution date of January 1, 2013, populations served through the program included TANF, ABAD, and certain dual eligible Medicaid-Medicare members. Effective January 1, 2014, Humana and CSMG began taking enrollment in the Commonwealth of Kentucky Medicaid Expansion population, and effective July 1, 2014, expanded coverage statewide. As of December 31, 2015, there were 123,734 Medicaid members enrolled under these programs. CSMG now holds a Third Party Administrator (TPA) license in six states. CSMG provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. In 2015, CareSource Management Group Co paid approximately $4.7 Million to fund these enhanced benefits. 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 copays. 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. Together, these enhanced benefits provide CSMG members additional program benefits in order to make a lasting difference in our members' lives by improving their health and well-being. In support of CSMGs commitment to its charitable purposes, some of its appointed trustees and committee members may elect to earn charitable credits for board or committee meeting attendance. At year-end, trustees and committee members designate their credits to their Internal Revenue Code Section 501(c)(3) tax exempt charity of choice. Charitable donations in the amount of $15,000 were paid or accrued in 2015 under this policy by the organization.
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IRS990/MissionDesc0CARESOURCE 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.
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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2015 filings • 501(c)3 • $1B+ nonprofits