Civic Intelligence

Caresource Georgia Co

990 • Fiscal year 2018 • EIN 47-2408339

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 13, 2019

600 Galleria Pkwy 400Atlanta, GA 30339

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

85th percentile

0.81x

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

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

16th percentile

0.16x

Higher debt load relative to revenue than 16% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

16th percentile

-3.1%

Higher net margin than 16% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

96th percentile

$4,552,103

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Asset Growth

74th percentile

8.7%

Faster asset growth than 74% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

97th percentile

118%

Faster revenue growth than 97% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Up

$131,660,034

Up $10,530,400 (+8.7%) from 2017

Net Assets

Down

$25,455,971

Down $20,651,996 (-45%) from 2017

Liabilities

Up

$106,204,063

Up $31,182,396 (+42%) from 2017

Revenue

Up

$669,379,273

Up $361,783,213 (+118%) from 2017

Expenses

Up

$690,031,269

Up $397,890,982 (+136%) from 2017

Net Income

Down

-$20,651,996

Down $36,107,769 (-234%) from 2017

Historical Trend

Balance Sheet Trend

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

$800M$600M$400M$200M$0Assets 2016: $3,480,833Liabilities 2016: $828,639Net Assets 2016: $2,652,1942016Assets 2017: $121,129,634Liabilities 2017: $75,021,667Net Assets 2017: $46,107,9672017Assets 2018: $131,660,034Liabilities 2018: $106,204,063Net Assets 2018: $25,455,9712018Assets 2019: $171,704,099Liabilities 2019: $136,750,970Net Assets 2019: $34,953,1292019Assets 2020: $325,866,124Liabilities 2020: $280,584,469Net Assets 2020: $45,281,6552020Assets 2021: $449,914,093Liabilities 2021: $431,829,238Net Assets 2021: $18,084,8552021Assets 2022: $511,891,671Liabilities 2022: $413,892,043Net Assets 2022: $97,999,6282022Assets 2023: $549,096,937Liabilities 2023: $347,634,600Net Assets 2023: $201,462,3372023Assets 2024: $657,057,031Liabilities 2024: $399,877,552Net Assets 2024: $257,179,4792024

Highlighted filing

2018

Assets$131,660,034
Liabilities$106,204,063
Net Assets$25,455,971

Operations Trend

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

$2.0B$1.5B$1.0B$500M$0-$500MRevenue 2016: $2,076Expenses 2016: $1,347,864Net Income 2016: -$1,345,7882016Revenue 2017: $307,596,060Expenses 2017: $292,140,287Net Income 2017: $15,455,7732017Revenue 2018: $669,379,273Expenses 2018: $690,031,269Net Income 2018: -$20,651,9962018Revenue 2019: $694,010,496Expenses 2019: $684,513,338Net Income 2019: $9,497,1582019Revenue 2020: $883,059,517Expenses 2020: $872,730,991Net Income 2020: $10,328,5262020Revenue 2021: $1,262,865,202Expenses 2021: $1,290,062,002Net Income 2021: -$27,196,8002021Revenue 2022: $1,556,961,903Expenses 2022: $1,474,705,609Net Income 2022: $82,256,2942022Revenue 2023: $1,608,533,529Expenses 2023: $1,481,484,216Net Income 2023: $127,049,3132023Revenue 2024: $1,467,472,962Expenses 2024: $1,412,434,190Net Income 2024: $55,038,7722024

Highlighted filing

2018

Revenue$669,379,273
Expenses$690,031,269
Net Income-$20,651,996
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 13, 2019
Return Version
2018v3.1
Gross Receipts
$669,379,273
Mission and Program Overview

Mission

Caresource georgia co. Is a nonprofit medicaid health insuring organization licensed by the state of georgia.

To make a lasting difference in our members' lives by improving their health and well-being. CareSource Georgia Co. is a nonprofit Medicaid HMO licensed by the State of GA.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$41,372,870$87,994,968▲ $46,622,098
Savings and Temporary Cash Investments$79,612,459$42,712,611▼ $36,899,848
Prepaid Expenses and Deferred Charges$43,993$852,269▲ $808,276
Cash and Non-Interest-Bearing Accounts$100,312$100,186▼ $126
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
Investments in Publicly Traded 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$121,129,634$131,660,034▲ $10,530,400
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$67,398,088$101,092,012▲ $33,693,924
Other Liabilities$7,623,579$5,112,051▼ $2,511,528
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$75,021,667$106,204,063▲ $31,182,396
Net Assets / Fund Balance
Unrestricted Net Assets$46,107,967$25,455,971▼ $20,651,996
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$46,107,967$25,455,971▼ $20,651,996
Total Liabilities and Net Assets / Fund Balance$121,129,634$131,660,034▲ $10,530,400
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Kevin BrownChairperson/DirectorPT$122,500$122,500
Ellen LeffakDirectorPT$110,000$110,000
John P MonahanVice Chairperson/DirectorPT$60,000$60,000

Board Members and Trustees

NameTitle
Bobby JonesPresident, Market
Eve ByrdDirector From 05/18
Erhardt H PreitauerPres/CEO/Director From 05/18
Pamela B MorrisPres/CEO/Director To 05/18
Daniel J McCabeChief Administrative Officer
David W GoltzChief Financial Officer
Jai J PillaiChief Operating Ofr From 09/18
L Tarlton Thomas IIIChief Operating Ofr To 09/18

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 019, Scottsdale, AZ 85260$57,834,570
Childrens Healthcare of Atlanta - CMedical Services1587 Northeast Expressway, Atlanta, GA 30329$56,008,444
Northeast Georgia Medical Center InMedical Services743 Spring Street, Gainesville, GA 30501-3899$14,922,442
Northside Hospital Inc Related OrMedical Services1000 Johnson Ferry Rd NE, Atlanta, GA 30342-1611$12,022,582
Medical Ctr of Central GA RelatedMedical Services691 Cherry Street 400, Macon, GA 31201$11,078,876
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$663,180,751
Investment Income
$693,569
Other Revenue
$5,504,953
Change in Net Assets
$-20,651,996
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$690,027,269
Grants and Similar Amounts Paid$4,000
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$3,936,612$12,091,909-$16,028,521
Office Expenses$83,437$5,044,138-$5,127,575
Advertising$218,153$3,921,152-$4,139,305
Other Expenses$9,293,670$3,728,889-$3,728,889
Occupancy-$2,756,158-$2,756,158
Information Technology-$2,510,586-$2,510,586
All Other Expenses$231,674$694,317-$925,991
Travel$244,950$536,829-$781,779
Fees for Services Accounting$62,942$190,863-$253,805
Fees for Services Legal-$148,158-$148,158
Interest-$147,017-$147,017
Insurance-$144,942-$144,942
Fees for Services Lobbying$4,673$93,691-$98,364
Grants to Domestic Orgs$4,000--$4,000
Total Functional Expenses$630,567,592$59,463,677$0$690,031,269
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$5,112,051
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 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 Management Group Co ("CSMG") is the sole member of CareSource Georgia Co. CSMG is recognized as exempt from federal income taxation under Section 501(c)(3).

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 Treasury, an outside CPA firm, outside legal counsel, and by general counsel prior to filing Form 990 with the IRS.

Form 990, Part VI, Section B, Question 12C

Annually, each trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board if a Conflict of Interest arises during the course of the Board or Committee Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented. In addition, a Conflict of Interest Schedule is kept with respect to each declared Conflict of Interest during the course of a Board or Committee meeting. On an annual basis, the Nominating and Governance Committee reviews each Conflict of Interest raised by a Board or Committee Member. Also, the Nominating and Governance Committee conducts a bi-annual evaluation of the Board Members' performance during the course of the Board Meetings and Committee Meetings. The review includes but is not limited to the Board Member's engagement, participation, contributions to board business, attendance, and any absence from a meeting due to a conflict of interest. The Conflicts of Interest declared by the Board Members are reviewed on an annual basis by the Nominating and Governance Committee, and memorialized in meeting minutes, to make sure all policies on Conflict of Interest are adhered to by the Boards, the Committees and the Individual Board or Committee Member.

Form 990, Part VI, Section 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 Georgia Secretary of State's website at www.sos.ga.gov.

Filing and Contact Details

Filer

Filer Name
CareSource Georgia Co
EIN
47-2408339
In Care Of
% DANA DONALDSON
Phone
9375313027
Address
600 Galleria Pkwy 400, Atlanta, GA 30339

Signing Officer

Name
David W Goltz
Title
CFO
Phone
9375313027
Signed
2019-11-13

Organization Details

Principal Officer
Erhardt Preitauer
Formed
2014
Legal Domicile
Ga
Voting Board Members
5
Independent Board Members
4
Employees
0
Volunteers
0
Supplemental Narrative

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 Georgia Co.: 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 2015-2018 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource Georgia ("CSGA") is a nonprofit corporation established under the state laws of Georgia. On July 18, 2017, CSGA received a determination letter from the Internal Revenue Service, recognizing CSGA as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, effective as of the date of CSGA's formation. CSGA is a member of the CareSource group of nonprofit organizations (the "CareSource Group"). The parent of the CareSource Group is CareSource Management Group Co ("CSMG"), an Ohio nonprofit corporation that is tax-exempt under section 501(c)(3) of the Internal Revenue Code of 1986 (the "Code"). The CareSource Group's primary activity for the last thirty (30) years has been to provide nonprofit Medicaid health maintenance organization ("HMO") services. The mission of the CareSource group is to make a lasting difference in its members' lives by improving their health and well-being. The CareSource Group firmly adheres to this mission, which it terms as the organization's "heartbeat," by providing services that go beyond the delivery of medical benefits. CSGA began providing care to participants in its Medicaid HMO plan on July 1, 2017. As a Medicaid-only HMO, CSGA exclusively serves individuals meeting the low-income thresholds for Medicaid eligibility. CSGA participates in the State of Georgia's Planning 4 Healthy Babies program, or P4HB, which is a demonstration waiver program for women meeting Medicaid income thresholds designed to help reduce the number of low birth weight babies born each year. Through the P4HB program, CSGA offers family planning services, healthcare coverage for certain pregnancy related chronic conditions, and case management services to women at risk for a low birth weight delivery. In accordance with the CareSource Group's charitable mission, CSGA provides numerous programs and policies that encourage its members to obtain preventative and necessary medical care. Many of these programs are educational in nature and intended to make each member aware of their benefits. For example, upon enrollment, each member receives a handbook with an overall explanation of benefits. Members also receive periodic newsletters which include additional information on member benefits and reminders concerning preventative care. Additionally, CSGA contacts members throughout the year to further assist members in understanding their benefits. As part of the Year in the Life Project, CSGA will rely on data and analytical models assembled by the CareSource Group intended to maximize the effectiveness of communication by tailoring its timing and method to the individual member. Finally, upon enrollment, each member will be automatically assigned both a primary care physician ("PCP") and primary dental provider ("PDP"). Assigning a PCP represents the first step in encouraging members to utilize their benefits. Also, because each PCP will be required to contact members to schedule Early and Periodic Screening, Diagnostic, and Treatment ("EPSDT") appointments for children covered by CSGA, it increases the likelihood that CSGA's youngest members receive the preventative care they need. Ensuring members have access to quality dental care is also essential, as dental care is closely linked to the overall health and well-being of members. CSGA implements other programs and policies to improve its members' overall well-being. Wellness rewards are available for kids, adults, and pregnant moms and babies. CSGA provides dental and vision benefits to all members, including those over the age of twenty-one (21). Additionally, CSGA provides members with free access to a nursing hotline twenty-four (24) hours a day, seven (7) days a week. These nurses review a member's symptoms, offer guidance on when to seek medical care, explain any conditions with which a member has been recently diagnosed, provide education on over-the-counter medications, and help members prepare a list of questions pr
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