Civic Intelligence

Caresource Indiana Inc.

990 • Fiscal year 2022 • EIN 32-0121856

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 15, 2023

PO Box 8738Dayton, OH 45401-8738

(937) 224-3300

Siviq Scores

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

Liabilities / Assets

91st percentile

0.85x

Higher debt load relative to assets than 91% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Liabilities / Revenue

31st percentile

0.39x

Higher debt load relative to revenue than 31% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Net Margin

18th percentile

-1.3%

Higher net margin than 18% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Top Officer Pay

93rd percentile

$7,910,538

Higher top officer pay than 93% of similar nonprofits.

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

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Asset Growth

87th percentile

10%

Faster asset growth than 87% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Revenue Growth

48th percentile

4.6%

Faster revenue growth than 48% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Assets

Up

$478,256,817

Up $43,888,165 (+10%) from 2021

Net Assets

Down

$70,541,485

Down $17,710,717 (-20%) from 2021

Liabilities

Up

$407,715,332

Up $61,598,882 (+18%) from 2021

Revenue

Up

$1,036,113,607

Up $45,905,465 (+4.6%) from 2021

Expenses

Up

$1,049,992,612

Up $86,025,060 (+8.9%) from 2021

Net Income

Down

-$13,879,005

Down $40,119,595 (-153%) from 2021

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

2022

Assets$478,256,817
Liabilities$407,715,332
Net Assets$70,541,485

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

2022

Revenue$1,036,113,607
Expenses$1,049,992,612
Net Income-$13,879,005
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$1,127,871,043
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, Inc. is a Nonprofit HMO licensed by the State of Indiana.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$6,935,959$305,287,448▲ $298,351,489
Savings and Temporary Cash Investments$365,662,007$168,650,926▼ $197,011,081
Accounts Receivable$61,242,990$2,540,700▼ $58,702,290
Investments Program Related$0$1,015,000▲ $1,015,000
Prepaid Expenses and Deferred Charges$527,696$762,743▲ $235,047
Cash and Non-Interest-Bearing Accounts$0$0→ $0
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
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$434,368,652$478,256,817▲ $43,888,165
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$200,408,454$242,263,771▲ $41,855,317
Accounts Payable and Accrued Expenses$120,951,119$137,116,539▲ $16,165,420
Other Liabilities$24,756,877$28,335,022▲ $3,578,145
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$346,116,450$407,715,332▲ $61,598,882
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$88,252,202$70,541,485▼ $17,710,717
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$88,252,202$70,541,485▼ $17,710,717
Total Liabilities and Net Assets / Fund Balance$434,368,652$478,256,817▲ $43,888,165
Compensation and Service Providers

Board Members and Trustees

NameTitle
Erhardt PreitauerPresident & CEO
Steve SmithermanPresident Market, Director
Scott MarkovichEVP Markets & Products, Director
David FinkelFormer EVP Markets, Director
Stephanie WilliamsSVP Ch Acty, Director (Eff 4/22)
William Coffin JrVP Mkt Finance, Director (To 4/22)
Daniel McCabeChief Admin Officer (To 4/22)
Lawrence SmartChief Financial Officer
Jai PillaiChief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Express Scripts IncPharmacy Services21653 Network Place, Chicago, IL 60673$244,202,507
Skygen USA LLCMedical ServicesW 140 N 8981 Lilly Rd, Menomonee Falls, WI 53051$21,877,659
LCP Transportation LLCTransportation Svcs4308 Guion Rd, Indianapolis, IN 46254$3,094,405
Axial Healthcare Management IncMedical Services209 10th Avenue South Suite 350, Nashville, TN 37203$2,780,182
Dentaquest Group IncMedical Services465 Medford Street, Charlestown, ME 02129$1,646,988
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,029,880,554
Investment Income
$6,233,053
Other Revenue
$0
Change in Net Assets
$-13,879,005

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,036,113,607
Revenue Not Reported on Form 990
$105,679
Total Revenue per Audited Statements
$1,036,219,286
Total Revenue per Form 990
$1,036,113,607
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,049,992,612
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$2,256,917$30,833,999$0$33,090,916
Office Expenses$211,478$15,700,127$0$15,911,605
Other Expenses$77,422$15,065,182$0$15,142,604
All Other Expenses$1,120,857$6,431,443-$7,552,300
Advertising$11,367$3,377,312$0$3,388,679
Occupancy$0$2,525,375$0$2,525,375
Interest$0$1,193,472$0$1,193,472
Fees for Services Legal$31,039$454,680$0$485,719
Insurance$0$421,792$0$421,792
Travel$52,319$340,226$0$392,545
Fees for Services Accounting$0$159,591$0$159,591
Fees for Service Investment Mgmnt Fees$0$111,549-$111,549
Fees for Services Lobbying$503$44,621$0$45,124
Total Functional Expenses$918,677,750$131,314,862$0$1,049,992,612

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,049,992,612
Expenses per Audited Statements$1,048,687,592
Total Expenses per Audited Statements$1,048,687,592
Expenses Not Reported on Financial Statements$1,305,020
Other Expense Adjustments$1,305,020
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$28,335,022
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
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
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 6

CareSource is the sole member of CareSource Indiana, Inc. CareSource 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

CareSource, 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 following individuals for review prior to the time of filing: The organization's Audit Committee and each voting member of the governing body; the CEO, CFO, and VP Treasury; the internal Tax Department and an outside CPA firm; and internal general counsel and outside legal counsel.

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 confirm that they have received a copy of the CareSource Conflicts of Interest policy and have read, understood, and agree to comply with the policy. Interested Persons have an obligation to immediately report any Conflicts of Interest (including any relationships, positions, or circumstances that could contribute to a Conflict of Interest). All relevant information reported through the Conflict of Interest Policy will be sent to the Chairman of the Board for review. If the Interested Person with the Conflict of Interest is the Chairman of the Board, then the required disclosure must be provided to the Chief Legal Officer of CareSource. If it is not entirely clear whether a Conflict of Interest exists, then the person with the potential conflict must disclose the circumstances to CareSource's Chief Legal Officer. The Chief Legal Officer will consult with the Corporation's Corporate Compliance Officer or the Chairman of the Board to determine whether there exists a Conflict of Interest that is subject to this policy. Before Board action or other action by the organization on a Transaction that involves a Conflict of Interest, an Interested Person who knows he or she has a Conflict of Interest must have disclosed to the Board all facts material to the Conflict of Interest. The Chairman of the Board may postpone Board or other corporate action on a Transaction until the Interested Person provides written information relating to the Conflict of Interest. An Interested Person who knows he or she has a Conflict of Interest must not participate in the Board's discussion of the Transaction except to disclose material facts and respond to questions. The Interested Person must not attempt to influence the Board's action on the Transaction, either at or outside the meeting. Prior to voting, the Board must be given an opportunity to discuss the Transaction without the person who has the Conflict of Interest being present. A Transaction involving a Conflict of Interest may be approved by the Board if the material facts as to the Transaction and the Conflict of Interest are fully disclosed or known to the Board and the Board in good faith determines after reasonable investigation that (a) the Board is aware of all material facts concerning the Transaction and the Interested person's interest in the Transaction; (b) the organization is entering into the Transaction for its own benefit; (c) the Transaction is fair and reasonable as to the organization; and (d) the organization could not have obtained a more advantageous arrangement with reasonable effort under the circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken.

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
9372243300
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
Lawrence Smart
Title
CFO
Phone
9372243300
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

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

Preparer

Firm
Rsm US Llp
Address
6 S PATTERSON BLVD, DAYTON, OH 45402
Preparer
Karen O Crim
Phone
9372980201
Supplemental Narrative

Additional Explanations

Form 990, Part III, Question 1 (Continued)

Caresource indiana, inc. Is a health maintenance organization licensed by the state of indiana and serves members through marketplace, medicaid, dual eligible special needs, healthy indiana, and hoosier healthwise plans.

Form 990, Part III, Question 4A (Continued)

CSIN serves members through the following: (1) a Qualified Health Plan offered through the Federal Health Insurance Marketplace, providing low-cost comprehensive coverage for individuals and families (2) Dual Eligible Special Needs Plans (D-SNPs), enrolling individuals who are entitled to both Medicare (title XVIII) and medical assistance from a state plan under Medicaid (title XIX); and (3) Hoosier Healthwise and Healthy Indiana Plan ("HIP") Medicaid expansion plans. 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 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. CareSource Life Services coordinates a range of resources through community and employer partnerships. A key component of CareSource Life Services is CareSource JobConnect, an initiative that helps members to increase skills and attain connections to long-term employment. CareSource JobConnect is a program and member benefit designed to serve members that are seeking assistance with education and employment goals. CareSource 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 CareSource JobConnect, they work with a regionally based Life Coach that helps the member identify resource strengths, educational and training goals, and employment opportunities. Prior to employment placement, assessments are completed that may indicate a need surrounding the social determinants of health such as: food stability, housing, childcare, transportation, etc. Together with the member, Life Coaches are able to coor

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in CareSource'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 2019-2021 are open for audit by the Internal Revenue Service.

Form 990, Schedule D, Parts XI and XII

The entity has separate audited financial statements prepared on a statutory ("STAT") basis in compliance with The National Association of Insurance Commissioners ("NAIC") requirements. The entity is also included in the consolidated audited financial statements of the parent entity, CareSource, which are prepared on a GAAP basis. The 990 has been prepared consistent with the GAAP-basis financial statements. The amounts included on Schedule D, Part XI, Line 2d and Part XII, Line 4b, are comprised of the GAAP-to-STAT adjustments.

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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. (Continued on Schedule O)
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IRS990/MissionDesc0CARESOURCE 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. (Continued on Schedule O)
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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