Civic Intelligence

Caresource West Virginia Co

990 • Fiscal year 2018 • EIN 47-3028244

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

400 Washington St Suite 401Charleston, WV 25301

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

88th percentile

0.88x

Higher debt load relative to assets than 88% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Liabilities / Revenue

54th percentile

0.43x

Higher debt load relative to revenue than 54% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Net Margin

11th percentile

-12%

Higher net margin than 11% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Top Officer Pay

99th percentile

$4,552,103

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 9.0% of source-year revenue.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2018

Asset Growth

37th percentile

0.3%

Faster asset growth than 37% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2017 to 2018

Revenue Growth

90th percentile

57%

Faster revenue growth than 90% of similar nonprofits.

2018 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2017 to 2018

Assets

Up

$25,009,769

Up $67,270 (+0.3%) from 2017

Net Assets

Down

$3,058,517

Down $5,834,978 (-66%) from 2017

Liabilities

Up

$21,951,252

Up $5,902,248 (+37%) from 2017

Revenue

Up

$50,663,596

Up $18,458,640 (+57%) from 2017

Expenses

Up

$56,498,574

Up $24,573,909 (+77%) from 2017

Net Income

Down

-$5,834,978

Down $6,115,269 (-2182%) from 2017

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

2018

Assets$25,009,769
Liabilities$21,951,252
Net Assets$3,058,517

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

2018

Revenue$50,663,596
Expenses$56,498,574
Net Income-$5,834,978
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 13, 2019
Return Version
2018v3.1
Gross Receipts
$50,663,596
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 mem- bers' lives by improving their health and well-being. CareSource West Virginia Co is a nonprofit medicaid HMO licensed by the State of WV.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$22,674,616$22,931,230▲ $256,614
Accounts Receivable$2,167,883$1,978,539▼ $189,344
Cash and Non-Interest-Bearing Accounts$100,000$100,000→ $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
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$24,942,499$25,009,769▲ $67,270
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$9,236,029$12,848,379▲ $3,612,350
Accounts Payable and Accrued Expenses$6,668,154$8,139,979▲ $1,471,825
Other Liabilities$144,821$962,894▲ $818,073
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$16,049,004$21,951,252▲ $5,902,248
Net Assets / Fund Balance
Unrestricted Net Assets$8,893,495$3,058,517▼ $5,834,978
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$8,893,495$3,058,517▼ $5,834,978
Total Liabilities and Net Assets / Fund Balance$24,942,499$25,009,769▲ $67,270
Compensation and Service Providers

Employees

NameTitleOtherTotal
Ellen S LeffakTrustee$110,000$110,000
J Thomas MaultsbyTrustee$55,000$55,000

Board Members and Trustees

NameTitle
Erhardt H PreitauerPres/CEO/Chairperson From 5/18
Pamela B MorrisPres/CEO/Chairperson To 5/18
Michael TaylorPresident, Market
Daniel J McCabeChief Administrative Officer
David W GoltzChief Financial Officer
Jai P PillaiChief Operating Ofr From 09/18
L Tarlton Thomas IIIChief Operating Ofr To 09/18

Highest Paid Contractors

ContractorServicesLocationCompensation
WV University Hospitals Related OMedical ServicesPO Box 8034, Morgantown, WV 26506-8034$11,506,229
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 019, Scottsdale, AZ 85260$8,263,003
Charleston Area Medical Center IncMedical Services501 Morris St PO Box 1547, Charleston, WV 25326-1547$7,421,159
Cabell Huntington Hospital IncMedical Services1340 Hal Greer Blvd, Huntington, WV 25701-3800$3,783,491
Camden Clark Memorial Hospital CorpMedical ServicesPO Box 11345, Charleston, WV 25339$3,391,370
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$50,427,213
Investment Income
$236,383
Other Revenue
$0
Change in Net Assets
$-5,834,978
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$56,498,574
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
Other Expenses$306,767$2,448,419-$2,448,419
Fees for Services Other$306,351$1,078,516-$1,384,867
Office Expenses$2,621$683,762-$686,383
Occupancy$327$291,280-$291,607
Advertising$140$163,099-$163,239
Fees for Services Accounting-$57,494-$57,494
Conferences and Meetings$3,231$39,839-$43,070
All Other Expenses$2,737$20,750-$23,487
Fees for Services Lobbying$305$21,695-$22,000
Fees for Services Legal-$9,170-$9,170
Interest-$5,111-$5,111
Total Functional Expenses$49,412,932$7,085,642$0$56,498,574
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$962,894
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 West Virginia 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 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
400 Washington St Suite 401, Charleston, WV 25301

Signing Officer

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

Organization Details

Principal Officer
Erhardt Preitauer
Formed
2015
Legal Domicile
Wv
Voting Board Members
3
Independent Board Members
2
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 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 2015-2018 are open for audit by the Internal Revenue Service.

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IRS990/Form990PartVIISectionAGrp/PersonNm4David W Goltz
IRS990/Form990PartVIISectionAGrp/PersonNm5Daniel J McCabe
IRS990/Form990PartVIISectionAGrp/PersonNm6L Tarlton Thomas III
IRS990/Form990PartVIISectionAGrp/PersonNm7Jai P Pillai
IRS990/Form990PartVIISectionAGrp/PersonNm8Michael Taylor
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IRS990/MissionDesc0TO MAKE A LASTING DIFFERENCE IN OUR MEMBERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. CareSource West Virginia Co provides low-cost comprehensive health insurance coverage for uninsured individuals through a qualified health plan on the West Virginia Health Insurance Marketplace.
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