Civic Intelligence

Caresource Management Group Co

990 • Fiscal year 2019 • EIN 31-1703368

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 13, 2020

PO Box 8738Dayton, OH 45401-8738

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

85th percentile

0.68x

Higher debt load relative to assets than 85% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Liabilities / Revenue

22nd percentile

0.33x

Higher debt load relative to revenue than 22% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Net Margin

16th percentile

-0.7%

Higher net margin than 16% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Top Officer Pay

86th percentile

$4,961,164

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Asset Growth

4th percentile

-12%

Faster asset growth than 4% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Revenue Growth

51st percentile

6.2%

Faster revenue growth than 51% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Assets

Down

$818,501,167

Down $107,173,844 (-12%) from 2018

Net Assets

Down

$258,217,698

Down $13,164,399 (-4.9%) from 2018

Liabilities

Down

$560,283,469

Down $94,009,445 (-14%) from 2018

Revenue

Up

$1,705,551,132

Up $99,350,941 (+6.2%) from 2018

Expenses

Up

$1,718,096,033

Up $59,694,447 (+3.6%) from 2018

Net Income

Up

-$12,544,901

Up $39,656,494 (+76%) from 2018

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 2019: $818,501,167Liabilities 2019: $560,283,469Net Assets 2019: $258,217,6982019Assets 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

2019

Assets$818,501,167
Liabilities$560,283,469
Net Assets$258,217,698

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 2019: $1,705,551,132Expenses 2019: $1,718,096,033Net Income 2019: -$12,544,9012019Revenue 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

2019

Revenue$1,705,551,132
Expenses$1,718,096,033
Net Income-$12,544,901
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.1
Gross Receipts
$1,883,335,158
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 Companies' IRC 501(c)(3) not-for-profit orgs & holds a 3rd party admin license in 5 states.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$110,107,541$206,813,899▲ $96,706,358
Land, Buildings, and Equipment, Net$154,095,575$151,661,957▼ $2,433,618
Investments Program Related$176,167,834$149,726,574▼ $26,441,260
Savings and Temporary Cash Investments$109,089,554$133,267,138▲ $24,177,584
Prepaid Expenses and Deferred Charges$15,144,888$23,334,039▲ $8,189,151
Cash and Non-Interest-Bearing Accounts$157,141,429$19,360,848▼ $137,780,581
Investments in Publicly Traded Securities$156,497,544$3,538,037▼ $152,959,507
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$925,675,011$818,501,167▼ $107,173,844
Other Assets Total$47,430,646$130,798,675▲ $83,368,029
Liabilities
Accounts Payable and Accrued Expenses$292,918,597$340,962,254▲ $48,043,657
Mortgage Notes Payable Secured by Investment Property$342,718,438$196,160,692▼ $146,557,746
Deferred Revenue$18,655,879$23,160,523▲ $4,504,644
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$654,292,914$560,283,469▼ $94,009,445
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$271,382,097$258,217,698▼ $13,164,399
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$271,382,097$258,217,698▼ $13,164,399
Total Liabilities and Net Assets / Fund Balance$925,675,011$818,501,167▼ $107,173,844

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$22,722,484$130,424,195$153,146,679
Buildings$103,402,347$6,321,456$109,723,803
Other Land Buildings$16,729,558$3,151,934$19,881,492
Leasehold Improvements$5,294,959$4,038,359$9,333,318
Land$3,512,609-$3,512,609
Investment Program Related Org$381,074--
Other Assets Org$0--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Erhardt PreitauerPresident & CEO/DirectorPT$1,026,966$3,934,198$4,961,164
David GoltzCFO/Treasurer from 05/19PT$555,838$1,362,918$1,918,756
Jai PillaiChief Operating OfficerPT$469,413$863,685$1,333,098
David FinkelExecutive VP, MarketsPT$433,074$800,769$1,233,843
Daniel McCabeChief Administrative OfficerPT$419,863$727,863$1,147,726
L Tarlton Thomas IIIFormer Chief Operating Officer-$20,184$1,090,629$1,110,813
Christina TurnerEVP Strategy & Business DevPT$404,567$664,585$1,069,152
Bobby JonesPresident, Market-$386,960$681,453$1,068,413
Stephen RingelPresident, Market-$379,585$622,962$1,002,547
Devon ValenciaChief Information OfficerPT$227,197$687,985$915,182
James VoilandChief Clinical OfficerFT$249,960$642,104$892,064
Michael TaylorPresident, MarketFT$238,033$593,841$831,874
Deirdra YocumVP, Market OperationsPT$242,243$585,904$828,147
Paul StoddardChief Information Ofr To 06/19FT$89,631$573,651$663,282
Jefferson MyersEVP Strat & Ext Rel To 06/19PT$225,141$156,608$381,749
Mark ChilsonFormer EVP & Gen Counsel-$255,404$255,404$255,404
Michael Ervin MDVice Chairperson/DirectorPT$225,000-$225,000
Kevin BrownChairperson/DirectorPT$220,000-$220,000
Ellen LeffakSec/Treas to 05/19/DirectorPT$210,000-$210,000
Craig BrownDirectorPT$180,000-$180,000
David MillerDirector From 02/19PT$138,750-$138,750
Terence RapochDirectorPT$112,500-$112,500
Edward Thomas BrodmerkDirectorPT$107,500-$107,500
Patrice WolfeDirectorPT$105,000-$105,000
Patricia MartinDirectorPT$103,750-$103,750
Anthony PrincipiDirectorPT$102,500-$102,500
John MonahanDirectorPT$102,500-$102,500

Board Members and Trustees

NameTitle
Steve SmithermanPresident, Market
Richard ToppingSecretary from 05/19

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 19, Scottsdale, AZ 85260$206,291,165
Beacon Health Options IncMedical Services240 Corporate Blvd, Norfolk, VA 23502$107,922,734
University of Kentucky HospitalMedical ServicesPO Box 3107, Lexington, KY 40588$76,612,836
Norton Hospitals IncMedical Services224 E Broadway 5th Floor, Louisville, KY 40202$53,572,761
United Healthcare Services IncMedical Services9900 Bren Road East MN008-T390, Minnetonka, MN 55343$50,231,749
Revenue and Support

Revenue Composition

Contributions and Grants
$868,327
Program Service Revenue
$1,685,686,524
Investment Income
$18,925,281
Other Revenue
$71,000
Change in Net Assets
$-12,544,901
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,270,409,124
Salaries, Compensation, and Employee Benefits$447,139,356
Grants and Similar Amounts Paid$547,553
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$338,768,513--$338,768,513
Fees for Services Other$225,212,791--$225,212,791
Other Employee Benefits$46,977,046--$46,977,046
Depreciation Depletion$33,549,616--$33,549,616
Office Expenses$32,320,766--$32,320,766
Information Technology$31,655,992--$31,655,992
Payroll Taxes$28,740,586--$28,740,586
Interest$20,802,851--$20,802,851
Pension Plan Contributions$16,529,695--$16,529,695
Current Officers, Directors, Trustees, and Key Employees$16,123,516--$16,123,516
Advertising$13,421,834--$13,421,834
Occupancy$10,285,484--$10,285,484
Travel$5,086,368--$5,086,368
Fees for Services Legal$4,238,930--$4,238,930
Insurance$2,307,896--$2,307,896
Conferences and Meetings$2,092,685--$2,092,685
All Other Expenses$1,615,838--$1,615,838
Fees for Services Management$1,176,000--$1,176,000
Other Expenses$666,974--$666,974
Grants to Domestic Orgs$547,553--$547,553
Fees for Services Accounting$444,074--$444,074
Fees for Services Lobbying$65,400--$65,400
Total Functional Expenses$1,718,096,033$0$0$1,718,096,033
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
First Four Events Foundation IncDayton, OH501(c)(3)First Four Event & Military Appreciation Night$55,000
Dayton Contemporary Dance CompanyDayton, OH501(c)(3)50th Anniversary Support$50,000
United Way of Greater DaytonDayton, OH501(c)(3)Corporate Campaign Contribution$50,000
Think Tank IncDayton, OH501(c)(3)The Cost of Poverty Experience (COPE)$45,000
Preschool Promise IncDayton, OH501(c)(3)Star Attendance$40,000
Foodbank IncDayton, OH501(c)(3)Mass Food Distributions$25,000
Ohio Governor's Imagination LibraryDublin, OH501(c)(3)General Support$25,000
Dayton Boys ClubDayton, OH501(c)(3)Community Resiliency Grant Match$20,000
Health Policy Institute of OhioColumbus, OH501(c)(3)General Support$20,000
Brandon's House Counseling Center IncNew Albany, IN501(c)(3)General Support$10,000
Culture WorksDayton, OH501(c)(3)General Support$10,000
HVAF of Indiana IncIndianapolis, IN501(c)(3)General Support$10,000
Meals on Wheels of Northwest Indiana IncMerrillville, IN501(c)(3)General Support$10,000
Str8 Up Mentoring Foundation IncIndianapolis, IN501(c)(3)General Support$10,000
YWCA DaytonDayton, OH501(c)(3)YWCA Women of Influence$10,000
Philanthropy OhioColumbus, OH501(c)(3)Health Funders Initiative$8,500
Rebuilding Together DaytonDayton, OH501(c)(3)National Rebuilding Day$7,500
Downtown Dayton PartnershipDayton, OH501(c)(3)Holiday Parade$5,500
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
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
No
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 A, Question 4

CareSource Management Group Co filed an amended Code of Regulations effective May 20, 2019. The amended Code of Regulations includes the following changes: (1) A provision was added stating that the Corporation's corporate headquarters and principal place of business shall be maintained in the Dayton Area and require its Chief Executive Officer and his/her direct reports to maintain a principal residence in the Dayton Area; (2) The number of Directors changed from less than 7 nor more than 11" to "no more than 11added that the CEO must be a member; (3) A provision was added stating that the powers of the Corporation shall be managed under the direction of the Board; (4) The requirement that CareSource elect one of its officers or trustees to serve as a member of the Board was removed, and qualifications of directors was further defined; (5) The process for nomination and election of Directors was established; (6) Term limits were updated; (7) A provision was added stating that Board Compensation would be determined at the Board's discretion and upon recommendation by the Compensation Committee; (8) A section was added which defines presumed assent; (9) A section was added surrounding conduct of meetings; (9) A requirement that the Chairman be an independent Director was added; (10) The office of President was created and duties established, and the President shall be the Chief Executive Officer of the Corporation; (11) A provision was added stating that the Treasurer shall be the Chief Financial Officer and no bond shall be required, and the duties were further delineated; (12) A provision was added stating that the Secretary shall be the Chief Legal Officer, and the duties were further delineated; (13) It was established that only the Chairman and Vice Chairman terms shall be for one year while the President, Treasurer, and Secretary shall serve for as long as each remains in position commensurate with office; (14) The signing authority for the Officers was established; (15) The article entitled "Duty of Board," which set forth the number of CSMG Board members to be appointed to each of the Board Committees, was removed; (16) The article entitled "Powers of Trustees," which contained sections pertaining to Corporate Property, Gifts, Management, and Disbursements, was removed; (17) A requirement was added for the Risk Committee to annually review the Corporation's insurance policies to ensure they provide adequate amounts and types of coverage; (18) The previous wording for Conflicts of Interest was removed and replaced with wording stating that the Board will manage conflicts of interest and potential conflicts of interest in accordance with the Conflict of Interest Policy; (19) The Article on Committees was updated including committee appointments and committee voting; (20) An Article setting forth the recordkeeping requirements, along with inspection of records by Directors was added; (21) The Article which set forth the supported organizations of CareSource Management Group Co was removed; (22) A new article was added establishing certain provisions in the Code of Regulations as permanent principles that are subject to the terms and conditions of the Membership Agreement between CSOH and CSMG.

Form 990, Part VI, Section A, Question 7A

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

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, Director Tax, 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 director, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person has reviewed the Statement of Ethical Behavior and Conflict of Interest and Conflicts of Interest Corporate Governance Principles. 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 director has no vote on the matter involved with the conflict of interest. At the beginning of each regularly scheduled Board Meeting, the Board Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members are also asked to inform the Board if a Conflict of Interest arises during the course of the Board Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented.

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

The Compensation Committee consists of Board Members who are Independent. The Compensation Committee establishes the Company's general compensation philosophy and oversees and approves the development, adoption and implementation of compensation plans and programs for the company's officers and executives. The Compensation Committee receives a Report of comparability data prepared by an independent compensation consultant 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 approved at the next regularly scheduled Compensation Committee meeting. The Compensation Consultant does no other business with the CareSource Family of Companies other than determining the reasonableness of compensation. At least annually, the Compensation Committee assesses the work of the compensation consultants.

Form 990, Part VI, Section C, Question 19

The company's Form 1023 is available for public inspection upon request, and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). 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.

Filing and Contact Details

Filer

Filer Name
CareSource Management Group Co
EIN
31-1703368
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
David W Goltz
Title
CFO
Phone
9375313027
Signed
2020-11-13

Organization Details

Principal Officer
Erhardt Preitauer
Formed
1999
Legal Domicile
Oh
Voting Board Members
12
Independent Board Members
11
Employees
4,145
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Change in Net Assets is inclusive of the following: (1) Change in Investment in Subsidiary $873,082 and (2) partial refund of a past grant to Cuyahoga County $16,508.

Form 990 Part IX Line 11G

Description:consulting total fees:xxx-xx-xxxx

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in the CareSource Management Group Co.'s Audited Consolidated Financial Statements: 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 2016-2019 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, and CareSource Life Services Co (The "CareSource Group"). 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. CSMG's governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprise risk management functions. 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, 2019, there were 148,485 Medicaid Members in a Humana - CareSource Medicaid plan. CSMG has a commendable accreditation for this Medicaid plan. The current term of the Medicaid contract with the Commonwealth of Kentucky ended in June 2019, but contained one (1) additional six (6) month renewal period that was mutually agreed upon. CareSource Reinsurance LLC ("CSRE"), a single member LLC of CSMG, continued doing business with Humana in the same capacity through 2019. Under the terms of the Alliance, the risk associated with the Medicaid members in this population are 100% ceded to CSRE. Effective December 31, 2019, the Company ended its relationship with Humana and will not continue servicing members in the Kentucky Medicaid program. CSRE will continue to process claims runout for effective dates of service December 31, 2019 and prior through December 31, 2022 as agreed upon with Humana. The CareSource Group's primary activity for over 30 years has been providing nonprofit Medicaid health maintenance organization ("HMO") services. The CareSource Group started its first Medicaid HMO program in Ohio in 1989. This plan is now one of the largest Medicaid managed care plans in the country. The CareSource Group has expanded beyond Ohio to operate Medicaid plans in various other states, including Georgia and Indiana. CareSource Management Group holds a Third Party Administrator ("TPA") license in five states. In total, the CareSource Group plans facilitate access to health care to approximately 2,000,000 low income individuals. The CareSource Group refers to these individuals as "Members." Additionally, over the last several years, the CareSource Group's leadership began to recognize that despite health care reform, many low income individuals remained uninsured or underinsured. They also realized that the CareSource Group was uniquely positioned to address this problem due to its extensive experience providing managed care to low income individuals. The CareSource Group therefore concluded that it was imperative that it expand its operations to states with significant low income populations which would benefit from the organization's charitable approach to health care. As a result, the CareSource Group expanded to operate qualified plans on the health care exchange in Kentucky and West Virginia, as well as exclusively through several of its other CareSource-related entities, all of which are exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code ("IRC"). As with its Medicaid HMO plans, the CareSource Group refers to individuals participating in its health care exchange plans as "Members." Through all of its activities, the CareSource Group strives to make a lasting difference in its Members' lives by improving their health and overall well-being. It firmly adheres to this mission by providing services to Members (both of its Medicaid HMO plans and health care exchange plans) that go beyond the delivery of medical benefits and which remove poverty as a barrier to achieving good health and indepen
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IRS990/GrossSalesOfInventoryAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,782$488$2,294$1,515$1,273$242
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,013$276$737$361$28.9$332
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$897$546$351$1,127$1,016$111
2019Detailed filing. Detailed filing data is available for this year.$819$560$258$1,706$1,718$12.5
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$926$654$271$1,606$1,658$52.2
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$785$459$326$1,478$1,473$5.00
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$522$203$319$1,230$1,203$27.1
2015Detailed filing. Detailed filing data is available for this year.$563$270$293$1,097$1,013$84.0
2014Detailed filing. Detailed filing data is available for this year.$464$253$211$629$562$66.9
2013Detailed filing. Detailed filing data is available for this year.$270$125$144$382$307$75.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$177$104$72.3$188
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$76.5$40.6$35.9$158