Civic Intelligence

Caresource Georgia Co

990 • Fiscal year 2020 • EIN 47-2408339

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

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

86th percentile

0.86x

Higher debt load relative to assets than 86% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Liabilities / Revenue

28th percentile

0.32x

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

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Net Margin

38th percentile

1.2%

Higher net margin than 38% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Top Officer Pay

97th percentile

$5,959,075

Higher top officer pay than 97% of similar nonprofits.

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

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Asset Growth

98th percentile

90%

Faster asset growth than 98% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Revenue Growth

90th percentile

27%

Faster revenue growth than 90% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Assets

Up

$325,866,124

Up $154,162,025 (+90%) from 2019

Net Assets

Up

$45,281,655

Up $10,328,526 (+30%) from 2019

Liabilities

Up

$280,584,469

Up $143,833,499 (+105%) from 2019

Revenue

Up

$883,059,517

Up $189,049,021 (+27%) from 2019

Expenses

Up

$872,730,991

Up $188,217,653 (+27%) from 2019

Net Income

Up

$10,328,526

Up $831,368 (+8.8%) from 2019

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

2020

Assets$325,866,124
Liabilities$280,584,469
Net Assets$45,281,655

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

2020

Revenue$883,059,517
Expenses$872,730,991
Net Income$10,328,526
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 11, 2021
Return Version
2020v4.1
Gross Receipts
$883,059,517
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 HMO licensed by the State of Georgia.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$59,863,238$167,344,775▲ $107,481,537
Accounts Receivable$104,226,896$153,402,555▲ $49,175,659
Investments in Publicly Traded Securities$7,103,716$4,055,705▼ $3,048,011
Prepaid Expenses and Deferred Charges$410,120$1,063,089▲ $652,969
Cash and Non-Interest-Bearing Accounts$100,129$0▼ $100,129
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$171,704,099$325,866,124▲ $154,162,025
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$64,905,953$114,438,574▲ $49,532,621
Deferred Revenue$14,573,452$101,282,878▲ $86,709,426
Other Liabilities$57,271,565$64,863,017▲ $7,591,452
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$136,750,970$280,584,469▲ $143,833,499
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$34,953,129$45,281,655▲ $10,328,526
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$34,953,129$45,281,655▲ $10,328,526
Total Liabilities and Net Assets / Fund Balance$171,704,099$325,866,124▲ $154,162,025
Compensation and Service Providers

Board Members and Trustees

NameTitle
David FinkelExec VP, Markets & Chair/Director
Kevin BrownFormer Chairperson
Erhardt PreitauerPresident & CEO
John MonahanFormer Vice Chair
Eve ByrdDirector
Bobby JonesPres, Market & Sec/Treas/Director
Daniel McCabeChief Administrative Officer
David GoltzChief Financial Officer
Jai PillaiChief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Express Scripts IncPharmacy Services21653 Network Place, Chicago, IL 60673-0673$83,653,196
Childrens Healthcare of Atlanta - CMedical Services1584 Tullie Circle, Atlanta, GA 30329$70,841,945
Northside Hospital Inc Related OMedical Services1000 Johnson Ferry Rd NE, Atlanta, GA 30342$32,566,675
Savanna Health Services LLCMedical ServicesPO Box 744467, Atlanta, GA 30374$15,118,626
Northeast Georgia Medical Center Co-743 Spring Street, Gainesville, GA 30501$13,729,125
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$882,554,030
Investment Income
$505,487
Other Revenue
$0
Change in Net Assets
$10,328,526
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$872,730,991
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$5,946,747$15,748,648-$21,695,395
Office Expenses$164,086$8,002,540-$8,166,626
Other Expenses$1,680,180$4,815,001-$6,495,181
Interest-$4,717,961-$4,717,961
All Other Expenses-$3,437,806-$3,437,806
Advertising-$2,456,799-$2,456,799
Occupancy-$2,335,508-$2,335,508
Fees for Services Legal-$591,605-$591,605
Information Technology-$365,481-$365,481
Fees for Services Accounting$56,055$199,071-$255,126
Insurance-$213,288-$213,288
Travel$61,479$86,600-$148,079
Fees for Services Lobbying-$144,689-$144,689
Total Functional Expenses$790,714,141$82,016,850$0$872,730,991
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$64,863,017
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 Georgia Co. CareSource is recognized as exempt from federal income taxation under Internal Revenue Code ("IRC") Section 501(c)(3).

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.

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
% JANET FERNANDES
Phone
9375313027
Address
600 Galleria Pkwy 400, Atlanta, GA 30339

Signing Officer

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

Organization Details

Principal Officer
Erhardt Preitauer
Formed
2014
Legal Domicile
Ga
Voting Board Members
3
Independent Board Members
1
Employees
0
Volunteers
1
Supplemental Narrative

Additional Explanations

Form 990, Part III, Question 2

See Attachment 1 for a description of CareSource Georgia Co.'s new Marketplace plan offered through the Federal Health Insurance Exchange, which began in 2020.

Form 990, Part V, Line 1A

In early 2020, CSGA changed the payer of its provider claims payments, resulting in a reduction of the number of Forms 1099 that were reported on Form 990, Part V, Line 1A.

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in CareSource'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 2017-2019 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, 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-one (31) 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. CSGA 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. CSGA launched a Marketplace plan in 2020, offering affordable individual and family plans tailored for any budget. 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. 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. CareSource seeks input from members about the services they receive and the impact of the enhanced benefits we offer through a Member Advisory Committee. The Member Advisory Committee is convened for in-person and virtual meetings. The Committee meets quarterly and is comprised of members from across the state. They represent special populations that are served by the health plan. Their feedback supports the continuous improvement of benefits and services. CSGA leverages this committee to seek feedback about medical and enhanced benefits, programs like CareSource JobConnect or other social determinant initiatives, understanding the consumer experience, and how to improve marketing and communication. Importantly, CSGA operates under the CareSource Group's unique care coordination models. The primary model is Care4U. Care4U repre
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IRS990/Form990PartVIISectionAGrp/PersonNm2David Finkel
IRS990/Form990PartVIISectionAGrp/PersonNm3David Goltz
IRS990/Form990PartVIISectionAGrp/PersonNm4Daniel McCabe
IRS990/Form990PartVIISectionAGrp/PersonNm5Bobby Jones
IRS990/Form990PartVIISectionAGrp/PersonNm6Kevin Brown
IRS990/Form990PartVIISectionAGrp/PersonNm7John Monahan
IRS990/Form990PartVIISectionAGrp/PersonNm8Eve Byrd
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President & CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Exec VP, Markets & Chair/Dir
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Pres, Market & Sec/Treas/Dir
IRS990/Form990PartVIISectionAGrp/TitleTxt6Former Chairperson
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IRS990/MissionDesc0CareSource Georgia Co.'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 Georgia Co. is a health maintenance organization licensed by the state of Georgia and serves members through Marketplace, Medicaid plans and the PeachCare for Kids and Planning for Healthy Babies programs.
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