Civic Intelligence

Caresource Indiana Inc.

990 • Fiscal year 2019 • EIN 32-0121856

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

135 N Pennsylvania St 1300Indianapolis, IN 46204

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

78th percentile

0.64x

Higher debt load relative to assets than 78% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Liabilities / Revenue

24th percentile

0.24x

Higher debt load relative to revenue than 24% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Net Margin

61st percentile

7.3%

Higher net margin than 61% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Top Officer Pay

96th percentile

$4,961,164

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Asset Growth

50th percentile

4.4%

Faster asset growth than 50% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Revenue Growth

8th percentile

-19%

Faster revenue growth than 8% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Assets

Up

$241,392,526

Up $10,176,474 (+4.4%) from 2018

Net Assets

Up

$85,808,780

Up $37,062,846 (+76%) from 2018

Liabilities

Down

$155,583,746

Down $26,886,372 (-15%) from 2018

Revenue

Down

$641,719,004

Down $153,988,880 (-19%) from 2018

Expenses

Down

$594,936,324

Down $191,512,719 (-24%) from 2018

Net Income

Up

$46,782,680

Up $37,523,839 (+405%) from 2018

Historical Trend

Balance Sheet Trend

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

$600M$400M$200M$0Assets 2010: $1,922,516Liabilities 2010: $23,251Net Assets 2010: $1,899,2652010Assets 2011: $1,915,877Liabilities 2011: $6,114Net Assets 2011: $1,909,7632011Assets 2012: $1,912,737Liabilities 2012: $8,005Net Assets 2012: $1,904,7322012Assets 2013: $1,570,139Liabilities 2013: $8,311Net Assets 2013: $1,561,8282013Assets 2014: $2,974,336Liabilities 2014: $733,961Net Assets 2014: $2,240,3752014Assets 2015: $52,383,997Liabilities 2015: $44,288,463Net Assets 2015: $8,095,5342015Assets 2016: $68,699,557Liabilities 2016: $52,048,883Net Assets 2016: $16,650,6742016Assets 2017: $166,668,255Liabilities 2017: $127,181,162Net Assets 2017: $39,487,0932017Assets 2018: $231,216,052Liabilities 2018: $182,470,118Net Assets 2018: $48,745,9342018Assets 2019: $241,392,526Liabilities 2019: $155,583,746Net Assets 2019: $85,808,7802019Assets 2020: $327,554,719Liabilities 2020: $265,543,107Net Assets 2020: $62,011,6122020Assets 2021: $434,368,652Liabilities 2021: $346,116,450Net Assets 2021: $88,252,2022021Assets 2022: $478,256,817Liabilities 2022: $407,715,332Net Assets 2022: $70,541,4852022Assets 2023: $463,855,622Liabilities 2023: $303,059,245Net Assets 2023: $160,796,3772023Assets 2024: $437,371,962Liabilities 2024: $281,190,899Net Assets 2024: $156,181,0632024

Highlighted filing

2019

Assets$241,392,526
Liabilities$155,583,746
Net Assets$85,808,780

Operations Trend

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

$1.5B$1.0B$500M$0-$500MExpenses 2010: $26,0952010Expenses 2011: $17,5212011Expenses 2012: $15,8532012Revenue 2013: $3,225Expenses 2013: $46,129Net Income 2013: -$42,9042013Revenue 2014: $1,947Expenses 2014: $323,400Net Income 2014: -$321,4532014Revenue 2015: $57,072,388Expenses 2015: $62,817,229Net Income 2015: -$5,744,8412015Revenue 2016: $94,959,613Expenses 2016: $116,404,473Net Income 2016: -$21,444,8602016Revenue 2017: $358,614,607Expenses 2017: $350,778,188Net Income 2017: $7,836,4192017Revenue 2018: $795,707,884Expenses 2018: $786,449,043Net Income 2018: $9,258,8412018Revenue 2019: $641,719,004Expenses 2019: $594,936,324Net Income 2019: $46,782,6802019Revenue 2020: $751,111,177Expenses 2020: $744,908,345Net Income 2020: $6,202,8322020Revenue 2021: $990,208,142Expenses 2021: $963,967,552Net Income 2021: $26,240,5902021Revenue 2022: $1,036,113,607Expenses 2022: $1,049,992,612Net Income 2022: -$13,879,0052022Revenue 2023: $1,218,667,752Expenses 2023: $1,112,999,592Net Income 2023: $105,668,1602023Revenue 2024: $1,324,786,071Expenses 2024: $1,304,987,103Net Income 2024: $19,798,9682024

Highlighted filing

2019

Revenue$641,719,004
Expenses$594,936,324
Net Income$46,782,680
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.1
Gross Receipts
$641,719,004
Mission and Program Overview

Mission

CareSource Indiana Inc.'s mission is to make a lasting difference in members' lives by improving their health and well-being. The organization's vision is to transform lives through innovative health and life services. CareSource Indiana Inc. is a health maintenance organization licensed by the state of Indiana and serves members through Marketplace, Medicaid, Healthy Indiana, and Hoosier Healthwise plans.

To Make a Lasting Difference in our members' lives by improving their health and well-being. CareSource Indiana is a Nonprofit Medicaid HMO licensed by the State of Indiana.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$148,387,649$120,792,806▼ $27,594,843
Accounts Receivable$51,840,457$99,216,664▲ $47,376,207
Investments in Publicly Traded Securities$29,998,086$20,838,714▼ $9,159,372
Cash and Non-Interest-Bearing Accounts$891,700$483,400▼ $408,300
Prepaid Expenses and Deferred Charges$98,160$60,942▼ $37,218
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
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$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$231,216,052$241,392,526▲ $10,176,474
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$118,629,270$79,278,236▼ $39,351,034
Deferred Revenue$52,764,214$75,510,780▲ $22,746,566
Other Liabilities$11,076,634$794,730▼ $10,281,904
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$182,470,118$155,583,746▼ $26,886,372
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$48,745,934$85,808,780▲ $37,062,846
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$48,745,934$85,808,780▲ $37,062,846
Total Liabilities and Net Assets / Fund Balance$231,216,052$241,392,526▲ $10,176,474
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Steve SmithermanPresident, Market/Sec/TreasFT$284,431$729,503$1,013,934
Cameual WrightMedical Dir, MarketFT$231,025$153,332$384,357
Betsy JeromeVP, Care4UFT$155,504$181,063$336,567
Elizabeth McCartyDirector Pharmacy OpsFT$163,782$122,091$285,873
Caitlin FinneganpriestDirector Gov RelationsFT$132,856$85,896$218,752
David RoseDirector IN Pln ComplFT$116,553$98,929$215,482

Board Members and Trustees

NameTitle
David FinkelEVP, Markets/Chairperson
Erhardt PreitauerPresident & CEO
Patricia MartinFormer Vice Chair
Kevin BrownFormer Director
William CoffinVP, Market Finance/Director
Daniel McCabeChief Administrative Officer
David GoltzChief Financial Officer
Jai PillaiChief Operating Officer
L Tarlton Thomas IIIFormer Chief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 019, Scottsdale, AZ 85260$147,173,297
Indiana University Health RelatedMedical Services950 N Meridian Street Suite 300, Indianapolis, IN 46204$101,751,637
Community Health Network RelatedMedical Services7330 Shadeland Station Suite 200, Indianapolis, IN 46256$35,917,945
St Vincent Hospital Health Care CMedical Services2001 W 86th St, Indianapolis, IN 46260$34,847,576
Parkview Hospital Related OrgsMedical Services11109 Parkview Plaza Drive, Fort Wayne, IN 46845$24,736,215
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$640,981,578
Investment Income
$737,426
Other Revenue
$0
Change in Net Assets
$46,782,680
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$577,104,137
Salaries, Compensation, and Employee Benefits$17,832,187
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$93$16,255,065-$16,255,158
Fees for Services Other$2,713,358$11,890,034-$14,603,392
Other Salaries and Wages$2,467,407$10,917,370-$13,384,777
Office Expenses$61,560$4,466,781-$4,528,341
Occupancy-$4,406,054-$4,406,054
Payroll Taxes$526,359$2,200,928-$2,727,287
Interest-$1,910,280-$1,910,280
Current Officers, Directors, Trustees, and Key Employees$186,913$827,021-$1,013,934
Pension Plan Contributions$115,553$511,279-$626,832
Travel$55,103$356,389-$411,492
Advertising$129$380,995-$381,124
Conferences and Meetings$55,948$323,940-$379,888
Fees for Services Legal-$271,976-$271,976
All Other Expenses$111,316$5,485-$116,801
Fees for Services Accounting-$108,201-$108,201
Other Employee Benefits$14,629$64,728-$79,357
Fees for Services Lobbying-$49,488-$49,488
Total Functional Expenses$521,350,396$73,585,928$0$594,936,324
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Payable$794,730
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 Indiana Inc. filed amended Bylaws effective January 1, 2019. The amended ByLaws include the following changes: (1) The number of Directors on the Board was changed from 3 to a range of 3 to 5; (2) Term Limits for any Director who holds the Director position by virtue of his/her employment with CareSource were removed; (3) The progression of officers from one office to another one (i.e. Secretary/Treasurer moves to Chairman at end of term) was removed; (4) The term of office for Officers was changed from 1 year to 2 years; and (5) The recipient of proceeds upon dissolution was changed from The CareSource Foundation to the CareSource Management Group Foundation, provided CareSource Management Group Foundation is exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code at the time of any such distribution.

Form 990, Part VI, Section A, Questions 6

CareSource Management Group Co ("CSMG") is the sole member of CareSource Indiana, Inc. CSMG is recognized as exempt from Federal Income Taxation under Internal Revenue Code ("IRC") Section 501(c)(3).

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

CSMG, the sole member of CareSource Indiana, Inc., has the authority to appoint CareSource Indiana, Inc.'s board.

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.

Form 990, Part VI, Section B, Q15A & 15B; Schedule J, Part I, Q3

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's statutory financial statements are available on the SNL Financial LC website at www.snl.com for a nominal fee. The company's articles of incorporation are available on the Indiana Secretary of State's website at www.in.gov/SOS/ for a nominal fee.

Filing and Contact Details

Filer

Filer Name
CareSource Indiana Inc
EIN
32-0121856
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
135 N Pennsylvania St 1300, Indianapolis, IN 46204

Signing Officer

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

Organization Details

Principal Officer
Erhardt Preitauer
Formed
2004
Legal Domicile
In
Voting Board Members
3
Independent Board Members
0
Employees
235
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Change in Net Assets is Inclusive of the Following: (1) Return of Capital Contribution from CSMG ($ 9,719,834).

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in the CareSource Management Group Co.'s Audited Consolidated Financial Statements, which include the activity of CareSource Indiana Inc.: 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 Indiana Inc. ("CSIN"CareSource Indiana") is a nonprofit organization established under the state law of Indiana. CSIN is a member of the CareSource group of nonprofit organizations (the "CareSource Group"). The mission of the CareSource Group is to make a lasting difference in its members' lives by improving their health and well-being. CSIN firmly adheres to this mission, which it terms as the organization's "heartbeat," by providing services that go well beyond the delivery of medical benefits. CSIN's membership includes: (1) Hoosier Healthwise (Medicaid) and Healthy Indiana Plan ("HIP") Medicaid expansion consumers, (2) Medicare Advantage low-income consumers, and (3) a Qualified Health Plan offered through the Federal Health Insurance Exchange, providing low-cost comprehensive coverage for uninsured individuals and families. CSIN is accredited through the National Committee for Quality Assurance ("NCQA") for its qualified Health Insurance Marketplace and Medicaid plans. Accreditation is the most comprehensive evaluation in the industry and the only assessment that bases results on clinical performance and consumer experience. CSIN focuses on prevention with a goal of improving member health, the quality of health care services received, and accessibility of health care services for its members. This is done through an innovative health and wellness methodology. CSIN has built a high performing provider network to operate as a Health Maintenance Organization ("HMO"). This provider network relies heavily upon federally qualified health centers ("FQHCs"). FQHCs are generally health care providers that have been recognized by the federal government as providing care to populations that have limited access to medical treatment due to conditions such as poverty and geographic location. Recognized for a commitment to serving at-risk populations, beginning Jan. 1, 2017, CSIN began coordinating care for recipients of state supported programs that provide health services to recipients, through Hoosier Healthwise and HIP. Hoosier Healthwise is available to pregnant women and children and HIP covers adults 19 to 64 years of age whose incomes are less than 138% of the federal poverty level and do not meet certain eligibility requirements for other health coverage programs. CSIN offers two Medicare Advantage Plans in the State. CSIN primarily enrolls low-income individuals in these plans. CSIN's Qualified Health Plan on the Health Insurance Marketplace primarily serves low-income individuals and was designed for those low-income adults who are recently uninsured or have never been insured. The plan is affordable, with low monthly premiums, low copays, low annual deductibles, and free generic prescriptions for some members. Members have the choice of buying dental and vision plans in addition to their medical plan. Members can receive assistance through CSIN's many programs designed to remove barriers to health and well-being. CareSource Indiana can, therefore, further its mission as a means of improving the health and well-being of Indiana's low-income populations. In 2015, the CareSource Group created a pilot program called CareSource Life Services, which couples the largest low-income subsidy safety net, Medicaid, with a holistic approach to addressing economic well-being and social connectedness. Life Services coordinates a range of resources through community and employer partnerships. A key component of Life Services is JobConnect, an initiative that helps members to increase skills and attain connections to long-term employment. JobConnect is a program and member benefit designed to serve members that are seeking assistance with education and employment goals. JobConnect is a voluntary program that pairs interested members with a Life Coach that walks alongside them as they identify and address potential barriers to their goals. Once a member decides to participate in JobConnect, they work with a regionally-based Life C
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IRS990/Form990PartVIISectionAGrp/PersonNm12Caitlin Finneganpriest
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IRS990/MissionDesc0TO MAKE A LASTING DIFFERENCE IN OUR MEMBERS LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. CARESOURCE INDIANA, INC. IS A NONPROFIT MEDICAID HEALTH MAINTENANCE ORGANIZATION LICENSED BY THE STATE OF INDIANA.
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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.$437$281$156$1,325$1,305$19.8
2023Detailed filing. Detailed filing data is available for this year.$464$303$161$1,219$1,113$106
2022Detailed filing. Detailed filing data is available for this year.$478$408$70.5$1,036$1,050$13.9
2021Detailed filing. Detailed filing data is available for this year.$434$346$88.3$990$964$26.2
2020Detailed filing. Detailed filing data is available for this year.$328$266$62.0$751$745$6.20
2019Detailed filing. Detailed filing data is available for this year.$241$156$85.8$642$595$46.8
2018Detailed filing. Detailed filing data is available for this year.$231$182$48.7$796$786$9.26
2017Detailed filing. Detailed filing data is available for this year.$167$127$39.5$359$351$7.84
2016Detailed filing. Detailed filing data is available for this year.$68.7$52.0$16.7$95.0$116$21.4
2015Detailed filing. Detailed filing data is available for this year.$52.4$44.3$8.10$57.1$62.8$5.74
2014Detailed filing. Detailed filing data is available for this year.$2.97$0.73$2.24$0.00$0.32$0.32
2013Detailed filing. Detailed filing data is available for this year.$1.57$0.01$1.56$0.00$0.05$0.04
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.91$0.01$1.90$0.02
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.92$0.01$1.91$0.02
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.92$0.02$1.90$0.03