Civic Intelligence

Caresource West Virginia Co

990 • Fiscal year 2019 • EIN 47-3028244

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 13, 2020

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

87th percentile

0.86x

Higher debt load relative to assets than 87% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Liabilities / Revenue

55th percentile

0.45x

Higher debt load relative to revenue than 55% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Net Margin

43rd percentile

1.6%

Higher net margin than 43% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Top Officer Pay

100th percentile

$4,961,164

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 9.5% of source-year revenue.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Asset Growth

65th percentile

9.3%

Faster asset growth than 65% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Revenue Growth

49th percentile

3.4%

Faster revenue growth than 49% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Assets

Up

$27,324,026

Up $2,314,257 (+9.3%) from 2018

Net Assets

Up

$3,891,642

Up $833,125 (+27%) from 2018

Liabilities

Up

$23,432,384

Up $1,481,132 (+6.7%) from 2018

Revenue

Up

$52,362,618

Up $1,699,022 (+3.4%) from 2018

Expenses

Down

$51,529,493

Down $4,969,081 (-8.8%) from 2018

Net Income

Up

$833,125

Up $6,668,103 (+114%) from 2018

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

2019

Assets$27,324,026
Liabilities$23,432,384
Net Assets$3,891,642

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

2019

Revenue$52,362,618
Expenses$51,529,493
Net Income$833,125
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.1
Gross Receipts
$52,362,618
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 HMO licensed by the State of West Virginia.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$22,931,230$23,938,785▲ $1,007,555
Accounts Receivable$1,978,539$3,285,241▲ $1,306,702
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$25,009,769$27,324,026▲ $2,314,257
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$12,848,379$9,422,779▼ $3,425,600
Accounts Payable and Accrued Expenses$8,139,979$7,992,366▼ $147,613
Other Liabilities$962,894$6,017,239▲ $5,054,345
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$21,951,252$23,432,384▲ $1,481,132
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,058,517$3,891,642▲ $833,125
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$3,058,517$3,891,642▲ $833,125
Total Liabilities and Net Assets / Fund Balance$25,009,769$27,324,026▲ $2,314,257
Compensation and Service Providers

Board Members and Trustees

NameTitle
David FinkelExecutive VP, Markets/Chair
Erhardt PreitauerPresident & CEO/Former Director
Michael TaylorPresident, Market/Sec/Treas
Ellen LeffakFormer Director
William CoffinVP, Market Finance/Director
Daniel McCabeChief Administrative Officer
David GoltzChief Financial Officer
Jai PillaiChief Operating Officer
L Tarlton Thomas IIIFormer Chief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
WV University Hospitals Related OMedical ServicesPO Box 8034, Morgantown, WV 26506-8034$15,772,301
United Hospital Center Inc AffiliMedical Services327 Medical Park Drive, Bridgeport, WV 26330$14,453,984
CVS CaremarkPharmacy Services9501 E Shea Blvd MC 019, Scottsdale, AZ 85260$8,450,107
St Marys Medical Center Inc AffilMedical Services2900 1st Ave Ste H-08, Huntington, WV 25702$8,001,200
Herbert J Thomas Memorial HospitalMedical Services4605 Maccorkle Ave SW, South Charleston, WV 25309$2,619,189
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$51,977,728
Investment Income
$384,890
Other Revenue
$0
Change in Net Assets
$833,125
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$51,529,493
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$292,138$2,594,634-$2,594,634
Fees for Services Other$306,502$964,286-$1,270,788
Office Expenses$4,181$617,264-$621,445
Interest-$543,657-$543,657
Advertising-$237,009-$237,009
Occupancy-$159,020-$159,020
Conferences and Meetings$2,386$49,662-$52,048
Fees for Services Accounting-$42,056-$42,056
Fees for Services Legal-$18,649-$18,649
Fees for Services Lobbying-$16,000-$16,000
All Other Expenses-$8,122-$8,122
Total Functional Expenses$43,645,109$7,884,384$0$51,529,493
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$6,017,239
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
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 4

CareSource West Virginia Co. filed amended ByLaws effective January 1, 2019. The amended ByLaws include the following changes: (1) The independence requirement for Directors was removed; (2) Term Limits for any Director who holds the Director position by virtue of his/her employment with CareSource were removed; (3) The difference between Board Officers and Corporate Officers was explained; (4) The term of Board officers was changed from 1 year to 2 years; (5) Corporate Officers titles, terms, and duties were identified; (6) It was established that the Corporation's Committees operate at the holding company level through CareSource Management Group Co., the sole member of the Corporation; and (7) The recipient of proceeds upon dissolution was changed from The CareSource Foundation to the CareSource Management Group Foundation, provided CareSource Management Group Foundation is exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code at the time of any such distribution.

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 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 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 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 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
2020-11-13

Organization Details

Principal Officer
Erhardt Preitauer
Formed
2015
Legal Domicile
Wv
Voting Board Members
3
Independent Board Members
0
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 2016-2019 are open for audit by the Internal Revenue Service.

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