Civic Intelligence

Caresource Management Group Co

990 • Fiscal year 2020 • EIN 31-1703368

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 11, 2021

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

77th percentile

0.61x

Higher debt load relative to assets than 77% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Liabilities / Revenue

28th percentile

0.48x

Higher debt load relative to revenue than 28% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Net Margin

65th percentile

9.8%

Higher net margin than 65% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Top Officer Pay

90th percentile

$5,959,075

Higher top officer pay than 90% of similar nonprofits.

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

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Asset Growth

49th percentile

9.6%

Faster asset growth than 49% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Revenue Growth

5th percentile

-34%

Faster revenue growth than 5% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Assets

Down

$897,034,476

Down $28,640,535 (-3.1%) from 2018

Net Assets

Up

$351,353,192

Up $79,971,095 (+29%) from 2018

Liabilities

Down

$545,681,284

Down $108,611,630 (-17%) from 2018

Revenue

Down

$1,126,549,677

Down $479,650,514 (-30%) from 2018

Expenses

Down

$1,015,599,876

Down $642,801,710 (-39%) from 2018

Net Income

Up

$110,949,801

Up $163,151,196 (+313%) 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 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

2020

Assets$897,034,476
Liabilities$545,681,284
Net Assets$351,353,192

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

2020

Revenue$1,126,549,677
Expenses$1,015,599,876
Net Income$110,949,801
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 11, 2021
Return Version
2020v4.1
Gross Receipts
$1,126,599,077
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's mission is to make a lasting difference in members' lives by improving their health and well-being by supporting the nonprofit entities in the CareSource Family of Co.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$133,267,138$452,515,271▲ $319,248,133
Land, Buildings, and Equipment, Net$151,661,957$152,666,513▲ $1,004,556
Investments Program Related$149,726,574$94,219,765▼ $55,506,809
Accounts Receivable$206,813,899$41,131,410▼ $165,682,489
Prepaid Expenses and Deferred Charges$23,334,039$26,558,608▲ $3,224,569
Cash and Non-Interest-Bearing Accounts$19,360,848$0▼ $19,360,848
Investments in Publicly Traded Securities$3,538,037$3,383,500▼ $154,537
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$818,501,167$897,034,476▲ $78,533,309
Other Assets Total$130,798,675$126,559,409▼ $4,239,266
Liabilities
Mortgage Notes Payable Secured by Investment Property$196,160,692$288,076,618▲ $91,915,926
Accounts Payable and Accrued Expenses$340,962,254$257,604,666▼ $83,357,588
Deferred Revenue$23,160,523$0▼ $23,160,523
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$560,283,469$545,681,284▼ $14,602,185
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$258,217,698$351,353,192▲ $93,135,494
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$258,217,698$351,353,192▲ $93,135,494
Total Liabilities and Net Assets / Fund Balance$818,501,167$897,034,476▲ $78,533,309

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$29,225,684$149,858,882$179,084,566
Buildings$100,119,513$10,826,250$110,945,763
Other Land Buildings$15,491,028$3,674,605$19,165,633
Leasehold Improvements$4,317,679$5,312,309$9,629,988
Land$3,512,609-$3,512,609
Investment Program Related Org$360,000--
Other Assets Org$271,714--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Erhardt PreitauerPresident & CEO, DirectorPT$1,195,469$4,763,606$5,959,075
Jai PillaiChief Operating OfficerPT$576,277$1,371,939$1,948,216
James VoilandChief Clinical OfficerFT$446,583$1,100,104$1,546,687
David FinkelExecutive VP, MarketsPT$510,907$1,023,399$1,534,306
Devon ValenciaChief Information OfficerFT$441,337$1,083,884$1,525,221
David GoltzCFO, TreasurerPT$603,324$921,050$1,524,374
Daniel MccabeChief Administrative OfficerPT$448,738$992,137$1,440,875
Christina TurnerEvp Strat & Bus Dev (to 8/20)PT$264,386$1,002,297$1,266,683
Robert LosierSVP, It Infrastructure & OpsFT$373,735$889,014$1,262,749
Stephen RingelPresident, MarketPT$412,052$836,754$1,248,806
Bobby JonesPresident, Market-$415,611$813,172$1,228,783
Richard ToppingChief Legal Ofr & SecretaryFT$363,368$758,947$1,122,315
Scot WardSVP, AnalyticsFT$318,750$721,433$1,040,183
Steve SmithermanPresident, Market-$309,881$570,074$879,955
Kevin BrownChairperson/directorPT$212,500-$212,500
Terence RapochDirectorPT$122,500-$122,500
Patrice WolfeDirectorPT$120,000-$120,000
Craig BrownDirectorPT$120,000-$120,000
Patricia MartinDirectorPT$117,500-$117,500
Anthony PrincipiDirectorPT$115,000-$115,000
Edward Thomas BrodmerkelDirectorPT$107,500-$107,500
John MonahanDirectorPT$107,500-$107,500
Michael Ervin MdVice Chairperson/directorPT$105,000-$105,000
David MillerDirectorPT$105,000-$105,000
Thomas C EdwardsDirectorPT$97,500-$97,500

Highest Paid Contractors

ContractorServicesLocationCompensation
United Healthcare Services IncMedical Services9900 Bren Road East MN008-T390, Minnetonka, MN 55343$49,122,958
University of Kentucky HospitalMedical ServicesPO Box 3107, Lexington, KY 40588$17,395,284
Vaco Cincinnati LLCConsulting Services9987 Carver Road Ste 440, Blue Ash, OH 45242$10,297,794
O'Neil Digital Solutions LLCCommunication Svcs12655 Beatrice St, Los Angeles, CA 90066$9,862,283
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 19, Scottsdale, AZ 85260$9,764,393
Revenue and Support

Revenue Composition

Contributions and Grants
$335,694
Program Service Revenue
$1,118,408,195
Investment Income
$7,719,773
Other Revenue
$86,015
Change in Net Assets
$110,949,801
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$540,456,169
Other Expenses$474,411,533
Grants and Similar Amounts Paid$732,174
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$410,813,250--$410,813,250
Fees for Services Other$206,753,676--$206,753,676
Office Expenses$58,013,766--$58,013,766
Other Employee Benefits$47,270,639--$47,270,639
Payroll Taxes$32,650,929--$32,650,929
Pension Plan Contributions$30,661,306--$30,661,306
Depreciation Depletion$29,164,707--$29,164,707
Current Officers, Directors, Trustees, and Key Employees$19,060,045--$19,060,045
Information Technology$15,977,468--$15,977,468
Advertising$15,421,548--$15,421,548
Occupancy$12,566,672--$12,566,672
Interest$11,330,794--$11,330,794
Fees for Services Legal$9,116,011--$9,116,011
Fees for Service Investment Mgmnt Fees$8,660,647--$8,660,647
Insurance$2,586,024--$2,586,024
Travel$1,666,937--$1,666,937
Conferences and Meetings$815,742--$815,742
Grants to Domestic Orgs$732,174--$732,174
Other Expenses$609,310--$609,310
All Other Expenses$501,936--$501,936
Fees for Services Accounting$348,211--$348,211
Fees for Services Management$231,120--$231,120
Fees for Services Lobbying$112,500--$112,500
Total Functional Expenses$1,015,599,876$0$0$1,015,599,876
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Clt Host 2020 IncCharlotte, NC501(c)(3)General Support$250,000
United Way of Greater DaytonDayton, OH501(c)(3)2020 Corporate Gift Campaign$65,209
Think Tank IncSpringfield, OH501(c)(3)The Cost of Poverty Experience (cope)$50,800
Foodbank IncDayton, OH501(c)(3)Mass Food Distribution$25,000
OHIO GOVERNOR'S IMAGINATION LIBRARYBeavercreek, OH501(c)(3)General Support$25,000
Phoebe Foundation IncAlbany, GA501(c)(3)Phoebe Putney Hlth Sys Covid-19 Relief$25,000
Sisters of Charity Foundation of ClevelandCleveland, OH501(c)(3)INSURING OHIO'S CHILDREN$25,000
Baya CorporationClarksville, IN501(c)(3)General Support$10,000
Culture WorksDayton, OH501(c)(3)Corporate Contribution$10,000
Downtown Dayton PartnershipDayton, OH501(c)(3)Dayton Holiday Festival$10,000
Flying Horse FarmsColumbus, OH501(c)(3)General Support$10,000
Ohio County & Ind Agricultural SocietiesDayton, OH501(c)(3)2020 Jr Fair Livestock Expo$10,000
SolovedClayton, OH501(c)(3)General Support$10,000
Sophie Kerrigan for the Love of Animals FdnDayton, OH501(c)(3)General Support$10,000
The Gala of Hope Foundation IncBeavercreek, OH501(c)(3)General Support$10,000
United Rehabilitation Svcs of Greater DaytonDayton, OH501(c)(3)General Support$10,000
Urban League of Greater Sw Ohio IncCincinnati, OH501(c)(3)Annual Corporate Contribution$10,000
Ywca DaytonDayton, OH501(c)(3)Voices Against Violence & Women of Influence$10,000
Philanthropy OhioColumbus, OH501(c)(3)Health Initiative 2020$8,500
Dayton Contemporary Dance CompanyDayton, OH501(c)(3)Mahogony Nights Event$7,500
Rebuilding Together DaytonDayton, OH501(c)(3)National Rebuilding Day$7,500
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

Effective July 1, 2020 CareSource Management Group Foundation merged into The CareSource Foundation, formerly a subsidiary of CSOH. CareSource is now the sole member of The CareSource Foundation. During 2020 the Company established CareSource Holdings, LLC ("CSH"), CareSource Arkansas Health Plan ("CSAR"), CareSource Management Services Holding, LLC ("CSMSH"), CareSource Rx Innovations ("CSRX"), CareSource Oklahoma Holding, LLC ("CSOKH"), CareSource Oklahoma Health Plan ("CSOK") and Kids CareAlliance ("KCA") to support business development. In addition, CareSource Management Services Co. is now known as CareSource Management Services, LLC ("CSMS"). CSMS is a single-member limited liability company disregarded for federal income tax purposes. THE AMENDED ARTICLES OF INCORPORATION INCLUDED THE FOLLOWING CHANGES: (1)CHANGED THE NAME OF THE ORGANIZATION TO "CARESOURCE" (2) CHANGED THE BUSINESS LOCATION TO THE "DAYTON AREA" (3) UPDATED THE PURPOSE TO INCLUDE A PROVISION OUTLINING TREATMENT OF NET PROCEEDS FROM A LIQUIDITY EVENT, (4) UPDATED THE SOLE MEMBER TO THE DIRECTORS OF THE CORPORATION (5) REMOVED PROVISION OUTLINING THE BOARD OF TRUSTEES (ADDITIONAL DETAIL PROVIDED IN BYLAWS) (6) ESTABLISHED THE LOCATION AND (3) ABOVE AS PERMANENT PRINCIPLES AND (7) ADDED AN AMENDMENT PROVISION TO ESTABLISH THAT ONLY WITH DIRECTORS APPROVAL CAN THE ARTICLES BE AMENDED.

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

The Form 990 was provided to the organization's Audit 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, Manager 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. Additionally, 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
EIN
31-1703368
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
Lawrence Smart
Title
CFO
Phone
9375313027
Signed
2021-11-11

Organization Details

Principal Officer
Erhardt Preitauer
Formed
1999
Legal Domicile
Oh
Voting Board Members
12
Independent Board Members
11
Employees
5,345
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Change in Net Assets is inclusive of the following changes in investment of subsidiaries: (1) Transfer of sole membership of The CareSource Foundation from CareSource Ohio, Inc. to CareSource $552,349 and (2) Valuation of CareSource Management Services LLC $(17,744,158).

Form 990, Part III, Line 2

For a description of the organization changes that occurred during 2020, please refer to Attachment 2, which is the response to Form 990, Part III, Line 4a.

Form 990 Part IX Line 11G

Description:consulting total fees:xxx-xx-xxxx

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in CareSource'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 2017-2019 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource, as a supporting organization, provides strategic oversight to CareSource Ohio Inc., CareSource Indiana Inc., The CareSource Foundation, CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, and CareSource Life Services Co (The "CareSource Group"). CareSource 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. CareSource's governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprise risk management functions. In March 2012, CareSource 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. CareSource 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 CareSource, continued doing business with Humana in the same capacity through 2019. 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 holds a Third-Party Administrator ("TPA") license in four 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 independence. The CareSource Group also believes that it can improve the health of its Members through educational initiatives. Educatio
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