Civic Intelligence

Caresource West Virginia Co

990 • Fiscal year 2017 • EIN 47-3028244

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 12, 2018

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

79th percentile

0.64x

Higher debt load relative to assets than 79% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

63rd percentile

0.50x

Higher debt load relative to revenue than 63% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

40th percentile

0.9%

Higher net margin than 40% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

100th percentile

$4,698,579

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 14.6% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

99th percentile

227%

Faster asset growth than 99% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

99th percentile

496%

Faster revenue growth than 99% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Up

$24,942,499

Up $17,315,073 (+227%) from 2016

Net Assets

Up

$8,893,495

Up $5,280,291 (+146%) from 2016

Liabilities

Up

$16,049,004

Up $12,034,782 (+300%) from 2016

Revenue

Up

$32,204,956

Up $26,800,363 (+496%) from 2016

Expenses

Up

$31,924,665

Up $25,976,669 (+437%) from 2016

Net Income

Up

$280,291

Up $823,694 (+152%) from 2016

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2016: $7,627,426Liabilities 2016: $4,014,222Net Assets 2016: $3,613,2042016Assets 2017: $24,942,499Liabilities 2017: $16,049,004Net Assets 2017: $8,893,4952017Assets 2018: $25,009,769Liabilities 2018: $21,951,252Net Assets 2018: $3,058,5172018Assets 2019: $27,324,026Liabilities 2019: $23,432,384Net Assets 2019: $3,891,6422019Assets 2020: $26,367,795Liabilities 2020: $23,292,533Net Assets 2020: $3,075,2622020Assets 2021: $34,850,129Liabilities 2021: $31,995,473Net Assets 2021: $2,854,6562021Assets 2022: $47,704,956Liabilities 2022: $43,139,701Net Assets 2022: $4,565,2552022Assets 2023: $68,624,913Liabilities 2023: $57,127,379Net Assets 2023: $11,497,5342023Assets 2024: $139,591,982Liabilities 2024: $122,844,410Net Assets 2024: $16,747,5722024

Highlighted filing

2017

Assets$24,942,499
Liabilities$16,049,004
Net Assets$8,893,495

Operations Trend

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

$300M$200M$100M$0-$100MRevenue 2016: $5,404,593Expenses 2016: $5,947,996Net Income 2016: -$543,4032016Revenue 2017: $32,204,956Expenses 2017: $31,924,665Net Income 2017: $280,2912017Revenue 2018: $50,663,596Expenses 2018: $56,498,574Net Income 2018: -$5,834,9782018Revenue 2019: $52,362,618Expenses 2019: $51,529,493Net Income 2019: $833,1252019Revenue 2020: $53,733,424Expenses 2020: $54,549,804Net Income 2020: -$816,3802020Revenue 2021: $70,193,588Expenses 2021: $70,414,194Net Income 2021: -$220,6062021Revenue 2022: $82,246,044Expenses 2022: $80,534,117Net Income 2022: $1,711,9272022Revenue 2023: $103,332,039Expenses 2023: $96,431,596Net Income 2023: $6,900,4432023Revenue 2024: $214,719,988Expenses 2024: $209,483,593Net Income 2024: $5,236,3952024

Highlighted filing

2017

Revenue$32,204,956
Expenses$31,924,665
Net Income$280,291
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 12, 2018
Return Version
2017v2.3
Gross Receipts
$32,204,956
Mission and Program Overview

Mission

TO MAKE A LASTING DIFFERENCE IN OUR MEMBERS LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. THE CARESOURCE WEST Virginia Marketplace PLAN WAS SUCCESSFULLY IMPLEMENTED WITH ENROLLMENT BEGINNING ON NOVEMBER 1, 2015, AND AN EFFECTIVE DATE OF JANUARY 1, 2016.

To Make a Lasting Difference in our members' lives by improving their health and well-being. CareSource West Virginia Co is a nonprofit medicaid HMO licensed by State of WV.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$0$22,674,616▲ $22,674,616
Accounts Receivable$714,161$2,167,883▲ $1,453,722
Cash and Non-Interest-Bearing Accounts$6,913,265$100,000▼ $6,813,265
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
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$7,627,426$24,942,499▲ $17,315,073
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$2,597,290$9,236,029▲ $6,638,739
Accounts Payable and Accrued Expenses$1,295,979$6,668,154▲ $5,372,175
Other Liabilities$120,953$144,821▲ $23,868
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$4,014,222$16,049,004▲ $12,034,782
Net Assets / Fund Balance
Unrestricted Net Assets$3,613,204$8,893,495▲ $5,280,291
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$3,613,204$8,893,495▲ $5,280,291
Total Liabilities and Net Assets / Fund Balance$7,627,426$24,942,499▲ $17,315,073
Compensation and Service Providers

Employees

NameTitleOtherTotal
Ellen S LeffakTrustee$121,250$121,250
J Thomas MaultsbyTrustee$55,000$55,000

Board Members and Trustees

NameTitle
Pamela B MorrisPresident/CEO/Board Chair
Daniel McCabeChief Administrative Officer
David W GoltzChief Financial Ofr from 12/17
Craig Thiele MDChief Medical Officer to 6/17
L Tarlton Thomas IIIChief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 143, Scottsdale, AZ 85260$5,771,738
West Virginia University HospitalsMedical ServicesPO Box 8034, Morgantown, WV 26506$4,041,023
Charleston Area Medical Center IncMedical Services501 Morris St, Charleston, WV 25326$3,775,961
Cabell Huntington Hospital IncMedical Services1340 Hal Greer Blvd, Huntington, WV 25701$3,045,248
Camden Clark Memorial Hospital CorpMedical Services800 Garfield Ave, Parkersburg, WV 26102$2,367,519
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$32,166,127
Investment Income
$38,829
Other Revenue
$0
Change in Net Assets
$280,291
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$31,922,665
Grants and Similar Amounts Paid$2,000
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$267,758$1,620,806-$1,620,806
Fees for Services Other$126,985$729,409-$856,394
Office Expenses$558$514,326-$514,884
All Other Expenses$24,157$119,550-$143,707
Occupancy-$74,163-$74,163
Fees for Services Accounting$9,612$53,985-$63,597
Advertising$87$41,290-$41,377
Fees for Services Lobbying$707$28,213-$28,920
Conferences and Meetings$2,331$14,635-$16,966
Fees for Services Legal-$6,536-$6,536
Grants to Domestic Orgs$2,000--$2,000
Total Functional Expenses$27,193,601$4,731,064$0$31,924,665
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$144,821
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 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, 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 chair 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 West Virginia Secretary of State's website at www.sos.wv.gov/.

Filing and Contact Details

Filer

Filer Name
CareSource West Virginia Co
EIN
47-3028244
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
David W Goltz
Title
CFO
Phone
9375313027
Signed
2018-11-12

Organization Details

Principal Officer
Pamela B Morris
Formed
2015
Legal Domicile
Wv
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

(1) Change in Net Assets: Capital Contribution from parent Organization CareSource Management Group Co during 2017 in the amount of $5,000,000.

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 West Virginia 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 2014-2017 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource West Virginia Co. ("CSWV") is a nonprofit organization established under the state law of West Virginia. On August 30, 2017, CSWV received a determination letter from the Internal Revenue Service, recognizing CSWV as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, effective as of the date of CSWV's formation. CSWV 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. CSWV 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. CSWV began offering a Qualified Health Plan (QHP) on the West Virginia Health Insurance Marketplace beginning in January 2016, providing low-cost comprehensive coverage for uninsured individuals and families. CareSource West Virginia is accredited for its Health Insurance Marketplace Plan through National Committee for Quality Assurance (NCQA). CSWV 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. CSWV 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. CareSource West Virginia'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 a majority of members qualifying for subsidies to lower their monthly premiums, and free generic prescriptions for some members. Members have the choice of buying dental and vision plans in addition to their medical plan, plus the option to add fitness benefits. Members can also receive assistance through CSWV's many programs designed to remove barriers to health and well-being. CSWV can, therefore, further its mission as a means of improving the health and well-being of West Virginia's low-income populations. In support of CSWV's commitment to its charitable purposes, some of its appointed trustees and committee members elect to earn charitable credits for board or committee meetings attended. At year-end, trustees and committee members may designate their credits to their Internal Revenue Code Section 501(c)(3) tax exempt charity of choice. Charitable donations in the amount of $2,000 were paid or accrued for in 2017 under this policy by the Organization.
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt4239153
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt5285766
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt6775
IRS990/Form990PartVIISectionAGrp/PersonNm0J Thomas Maultsby
IRS990/Form990PartVIISectionAGrp/PersonNm1Ellen S Leffak
IRS990/Form990PartVIISectionAGrp/PersonNm2Pamela B Morris
IRS990/Form990PartVIISectionAGrp/PersonNm3Craig Thiele MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Daniel McCabe
IRS990/Form990PartVIISectionAGrp/PersonNm5L Tarlton Thomas III
IRS990/Form990PartVIISectionAGrp/PersonNm6David W Goltz
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IRS990/Form990PartVIISectionAGrp/TitleTxt4Chief Administrative Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt5Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt6Chief Financial Ofr from 12/17
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IRS990/OtherExpensesGrp/ProgramServicesAmt14833149
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IRS990ScheduleC/DirectContactLegislatorsAmt048200

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