Civic Intelligence

Caresource Management Group Co

990 • Fiscal year 2016 • EIN 31-1703368

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 13, 2017

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

48th percentile

0.39x

Higher debt load relative to assets than 48% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Liabilities / Revenue

11th percentile

0.17x

Higher debt load relative to revenue than 11% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Net Margin

31st percentile

2.2%

Higher net margin than 31% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Top Officer Pay

73rd percentile

$2,805,764

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Asset Growth

7th percentile

-7.1%

Faster asset growth than 7% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

Revenue Growth

84th percentile

12%

Faster revenue growth than 84% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

Assets

Down

$522,447,166

Down $40,202,201 (-7.1%) from 2015

Net Assets

Up

$319,012,086

Up $26,275,999 (+9.0%) from 2015

Liabilities

Down

$203,435,080

Down $66,478,200 (-25%) from 2015

Revenue

Up

$1,230,019,436

Up $133,446,023 (+12%) from 2015

Expenses

Up

$1,202,930,094

Up $190,374,497 (+19%) from 2015

Net Income

Down

$27,089,342

Down $56,928,474 (-68%) from 2015

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

2016

Assets$522,447,166
Liabilities$203,435,080
Net Assets$319,012,086

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

2016

Revenue$1,230,019,436
Expenses$1,202,930,094
Net Income$27,089,342
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 13, 2017
Return Version
2016v3.1
Gross Receipts
$1,269,018,651
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 6 states.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$172,801,299$123,281,303▼ $49,519,996
Land, Buildings, and Equipment, Net$93,698,335$117,331,049▲ $23,632,714
Investments Program Related$67,565,334$111,565,334▲ $44,000,000
Investments in Publicly Traded Securities$63,829,125$74,574,994▲ $10,745,869
Savings and Temporary Cash Investments$104,381,206$40,127,715▼ $64,253,491
Cash and Non-Interest-Bearing Accounts$10,439,435$13,245,692▲ $2,806,257
Prepaid Expenses and Deferred Charges$9,824,894$11,500,205▲ $1,675,311
Intangible Assets$0$346,000▲ $346,000
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
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$562,409,632$522,447,166▼ $39,962,466
Other Assets Total$39,870,004$30,474,874▼ $9,395,130
Liabilities
Accounts Payable and Accrued Expenses$264,056,926$198,739,634▼ $65,317,292
Deferred Revenue$5,856,354$4,493,171▼ $1,363,183
Other Liabilities$0$202,275▲ $202,275
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$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$269,913,280$203,435,080▼ $66,478,200
Net Assets / Fund Balance
Unrestricted Net Assets$292,496,352$319,012,086▲ $26,515,734
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$292,496,352$319,012,086▲ $26,515,734
Total Liabilities and Net Assets / Fund Balance$562,409,632$522,447,166▼ $39,962,466

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$33,868,226$46,333,434$80,201,660
Buildings$54,702,162$10,443,014$65,145,176
Other Land Buildings$18,594,608$2,275,236$20,869,844
Leasehold Improvements$7,206,809$2,510,753$9,717,562
Land$2,959,244-$2,959,244
Investment Program Related Org$2,000,000--
Other Assets Org$4,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Pamela B MorrisPresident/CEO/TrusteePT$1,111,003$1,694,761$2,805,764
Daniel McCabeChief Administrative OfficerPT$375,456$604,374$979,830
Bobby JonesPresident Georgia Market-$512,721$427,691$940,412
Mark ChilsonEVP & Gen CounselPT$455,287$373,897$829,184
L Tarlton Thomas IIIEVP Operations & CFOPT$441,888$381,855$823,743
Paul StoddardChief Information OfficerFT$340,988$306,479$647,467
Craig Thiele MDChief Medical OfficerPT$388,964$250,648$639,612
Samuel George to 1016SVP Business Partner GroupPT$215,355$411,912$627,267
Stephen RingelPresident Ohio MarketPT$322,887$300,813$623,700
Jonathan AllisonEVP External Affairs, MPGPT$386,497$216,698$603,195
Christina TurnerVP Strategic Market & Bus IntPT$273,258$247,756$521,014
Ellen S LeffakChair/TrusteePT$116,250-$116,250
Michael E Ervin MDTrusteePT$87,500-$87,500
Craig J BrownTrusteePT$66,250-$66,250
Kevin BrownSecretary/Treas/TrusteePT$55,625-$55,625
J Thomas MaultsbyVice Chair/TrusteePT$45,625-$45,625
John P MonahanTrusteePT$41,250-$41,250
Patricia A MartinTrusteePT$40,000-$40,000
Terry G RapochTrusteePT$37,500-$37,500

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 143, Scottsdale, AZ 85260$172,050,785
University of KentuckyMedical Services800 Rose Street, Lexington, KY 40536$59,330,466
Norton Hospital Inc Related OrgMedical Services224 E Broadway 5th FL, Louisville, KY 40202$51,221,111
KentuckyOne Health Med Grp RelateMedical Services100 E Liberty St 800, Louisville, KY 40202$47,317,344
Baptist Healthcare Sys Inc RelateMedical Services2701 Eastpoint Pkwy, Louisville, KY 40223$41,561,367
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,224,612,733
Investment Income
$5,406,703
Other Revenue
$0
Change in Net Assets
$27,089,342
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$951,921,838
Salaries, Compensation, and Employee Benefits$250,612,244
Grants and Similar Amounts Paid$396,012
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$192,711,758--$192,711,758
Fees for Services Other$152,849,286--$152,849,286
Other Employee Benefits$27,637,001--$27,637,001
Office Expenses$26,556,844--$26,556,844
Depreciation Depletion$24,773,105--$24,773,105
Information Technology$21,218,134--$21,218,134
Payroll Taxes$15,332,053--$15,332,053
Advertising$10,347,128--$10,347,128
Pension Plan Contributions$7,715,832--$7,715,832
Occupancy$7,346,225--$7,346,225
Current Officers, Directors, Trustees, and Key Employees$7,215,600--$7,215,600
Travel$5,040,246--$5,040,246
Fees for Services Legal$2,392,971--$2,392,971
Conferences and Meetings$1,772,354--$1,772,354
Insurance$1,658,209--$1,658,209
Fees for Services Management$1,176,000--$1,176,000
All Other Expenses$709,234--$709,234
Other Expenses$662,000--$662,000
Fees for Services Accounting$427,612--$427,612
Grants to Domestic Orgs$396,012--$396,012
Interest$365,959--$365,959
Fees for Services Lobbying$44,051--$44,051
Total Functional Expenses$1,202,930,094$0$0$1,202,930,094
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
United Way of Greater Dayton AreaDayton, OH509(a)(1)Corporate Contribution & General Support$103,200
The Metro Health FoundationCleveland, OH501(c)(3)Mission Furtherance$44,790
The Foodbank IncDayton, OH509(a)(1)Mass Distribution$25,000
Urban League of Greater SW OhioCincinnati, OH501(c)(3)Mission Furtherance$19,600
The Dayton Foundation IncDayton, OH501(c)(3)Dayton Bike Share; Mission Furtherance$15,500
Downtown Dayton PartnershipDayton, OH509(a)(1)Mission Furtherance$11,500
Local MattersColumbus, OH501(c)(3)Mission Furtherance$11,060
The United Negro College Fund IncColumbus, OH501(c)(3)Scholarship Program$9,600
Culture WorksDayton, OH509(a)(2)Fiscal Year Sponsor$7,500
The Council of State GovernmentsLexington, KY501(c)(3)Mission Furtherance$7,200
United RehabilitationDayton, OH509(a)(1)Mission Furtherance$6,700
The Linda Vista IncDayton, OH509(a)(1)Mission Furtherance$6,500
Wesley Community CenterDayton, OH501(c)(3)Mission Furtherance$6,500
Clothes That WorkDayton, OH509(a)(1)Mission Furtherance$6,100
Juvenile Diabetes Research FoundationDayton, OH501(c)(3)Mission Furtherance$6,100
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Payable$202,275
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 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 for their review prior to the time of filing 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 Form 990 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, and memorialized in meeting minutes, 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 does not make its audited financial statements available to the public. 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
2017-11-13

Organization Details

Principal Officer
Pamela B Morris
Formed
1999
Legal Domicile
Oh
Voting Board Members
9
Independent Board Members
8
Employees
3,631
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Capital lease asset conversion.

Form 990 Part IX Line 11G

Description:consulting/contracting total fees:xxx-xx-xxxx

Form 990 Part IX Line 11G

Description:recruitment/temporary svcs total fees:30606713

Form 990 Part IX Line 11G

Description:lobbying total fees:4895

Financial Statement Notes

FIN 48 (ASC 740) Footnote

The Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2013-2016 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource Management Group Co ("CSMG"), as a supporting organization, provides strategic oversight to CareSource, CareSource Indiana Inc., The CareSource Foundation, CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, CareSource Life Services Co, CareSource North Carolina Co, CareSource Virginia Co, and CareSource Management Group Foundation. See the attached organizational structure for the CareSource Family of Companies. In March 2012, CSMG signed an Alliance Agreement 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. As of December 31, 2016, there were 137,362 Medicaid members in a Humana CareSource Medicaid plan. CareSource Management Group holds a Third Party Administrator (TPA) license in six states. CSMG also funds supported organizations in the supported organizations exempt activities. In furtherance of supported organizations governance, CSMG provides committee oversight regarding quality of care measures, Healthcare Effectiveness Data and Information Set, National Committee for Quality Assurance, as well as State and Federal quality measures. The governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprises risk management functions. CSMG provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. In 2016, CSMG paid approximately $6.3 Million to provide 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 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 IRC 501(c)(3) tax exempt charity of choice. Charitable donations in the amount of $19,875 were paid or accrued in 2016 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 LIFE SERVICES CO, CARESOURCE WEST VIRGINIA CO, CARESOURCE NORTH CAROLINA CO, CARESOURCE VIRGINIA CO, CARESOURCE MANAGEMENT GROUP FOUNDATION 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 PROVIDES STRATEGIC OVERSIGHT TO THE SUPPORTED ORGANIZATIONS TO ENSURE THAT THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS ARE FURTHERED. THE CORPORATION OPERATES AS A POLICY-MAKING SUPPORT ORGANIZATION FOR THE SUPPORTING ORGANIZATIONS AND CONDUCTS ACTIVITIES CONSISTENT WITH SUCH PURPOSE.
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