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CARESOURCE FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CARESOURCE FOUNDATION (EIN 56-2582561)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202313179349307286
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T13:46:02-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 S PATTERSON BLVDAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562582561EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The CareSource FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JANET FERNANDESInCareOfNm
Business Name ControlCAREBusinessNameControlTxt
Phone9372243300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8738AddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP454018738ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLawrence SmartPersonNm
Person TitleCFOPersonTitleTxt
Phone9372243300PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLawrencePersonFirstNm
Person LastSmartPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKaren O CrimPreparerPersonNm
PTINP00368385PTIN
Phone9372980201PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerErhardt PreitauerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,532,442GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.caresource.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTo invest in initiatives and organizations that make a lasting difference in CareSource's members' lives & in their communities by improving their health & well-being.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,500,000PYContributionsGrantsAmt
CY Contributions Grants$3,500,000CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,916PYInvestmentIncomeAmt
CY Investment Income$32,442CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,503,916PYTotalRevenueAmt
CY Total Revenue$3,532,442CYTotalRevenueAmt
PY Grants And Similar Paid$3,799,170PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,281,617CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$244,390PYOtherExpensesAmt
CY Other Expenses$367,140CYOtherExpensesAmt
PY Total Expenses$4,043,560PYTotalExpensesAmt
CY Total Expenses$4,648,757CYTotalExpensesAmt
PY Revenues Less Expenses-$539,644PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,116,315CYRevenuesLessExpensesAmt
Total Assets BOY$2,454,689TotalAssetsBOYAmt
Total Assets EOY$1,633,400TotalAssetsEOYAmt
Total Liabilities BOY$736,110TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,031,136TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,718,579NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$602,264NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE CARESOURCE FOUNDATION IS ORGANIZED AND OPERATED EXCLUSIVELY TO FURTHER THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATION, CARESOURCE OHIO INC. ("CSOH"), AND ITS RELATED ENTITIES. (Continued on Schedule O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,281,617ExpenseAmt
Grant$4,281,617GrantAmt
Revenue$0RevenueAmt
DescThe CareSource Foundation furthers the charitable purposes of CareSource Ohio Inc. by providing advanced, innovative solutions and addressing health care needs of the underserved through grants, outreach, medical expertise, strategic community partnerships, and volunteerism. The CareSource Foundation funds community grants to nonprofit organizations that impact children, adults, and families in areas that improve health equity, health outcomes and health literacy. (Continued on Schedule O)Desc
Total Program Service Expenses$4,281,617TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANET FERNANDESPersonNm
Phone9372243300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8738AddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP454018738ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Erhardt Preitauer
President & CEO, Trustee1.059.0Yes (X)Yes (X)$0$3,656,889$4,253,649
Jai Pillai
Chief Operating Officer1.059.0Yes (X)$0$1,235,514$871,311
Lawrence Smart
Chief Financial Officer1.059.0Yes (X)$0$1,072,888$998,867
Scott Markovich
EVP Markets, Trustee1.059.0Yes (X)$0$966,866$950,975
Daniel McCabe
CAO, Trustee (To 4/22)25.035.0Yes (X)Yes (X)$0$1,505,969$14,895
David Finkel
Former EVP Markets, Trustee0.00.0$0$194,579$0Yes (X)
Ronita Hawes-Saunders
Chair, Trustee1.00.0Yes (X)$0$4,000$0
Kenneth Herr
Vice Chair, Trustee1.00.0Yes (X)$0$4,000$0
James Gross
Secretary/Treasurer, Trustee1.00.0Yes (X)$0$4,000$0
Ellen Leffak
Trustee1.00.0Yes (X)$0$4,000$0
J Thomas Maultsby
Trustee1.00.0Yes (X)$0$4,000$0
William F Marsteller
Trustee (Emeritus)1.00.0Yes (X)$0$4,000$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,656,705TotReportableCompRltdOrgAmt
Total Other Compensation$7,089,697TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$3,500,000RelatedOrganizationsAmt
Total Contributions$3,500,000TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,442TotalRevenueColumnAmt
Exclusion$32,442ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,532,442TotalRevenueColumnAmt
Exclusion$32,442ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,281,617TotalAmt
Program Services$4,281,617ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$194,038TotalAmt
Program Services$0ProgramServicesAmt
Management And General$194,038ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22TotalAmt
Program Services$0ProgramServicesAmt
Management And General$22ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MGMT FEE CARESOURCE$165,180$0$165,180$0
MEMBERSHIP DUES$7,500$0$7,500$0
FILING FEES$400$0$400

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,648,757TotalAmt
Program Services$4,281,617ProgramServicesAmt
Management And General$367,140ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,454,689BOYAmt
EOY$1,633,400EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,454,689BOYAmt
EOY$1,633,400EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$723,610BOYAmt
EOY$1,017,371EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,500BOYAmt
EOY$13,765EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$736,110BOYAmt
EOY$1,031,136EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,718,579BOYAmt
EOY$602,264EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,718,579BOYAmt
EOY$602,264EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,454,689BOYAmt
EOY$1,633,400EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,116,315ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CARESOURCE OHIO INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN311143265EIN
Organization Type10OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$2,148,627SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$2,148,627SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (true)SupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule A, Part IV, Section A, Question 1The CareSource Foundation makes contributions to other Internal Revenue Code Section 501(c)(3) organizations in furtherance of the exempt charitable purposes of CareSource Ohio, Inc., The CareSource Foundation's supported organization. The CareSource Foundation also makes contributions in furtherance of the exempt charitable purposes of the other Internal Revenue Code Section 501(c)(3) organizations within the CareSource Family of Companies, which are related organizations and share the exempt purposes of CareSource Ohio, Inc.
Form 990, Schedule A, Part IV, Section A, Question 6The CareSource Foundation makes contributions to other Internal Revenue Code Section 501(c)(3) organizations. Grantee organizations are listed on Form 990, Schedule I, Part II. Such grants and contributions are made by The CareSource Foundation in furtherance of the exempt charitable purposes of CareSource Ohio, Inc., The CareSource Foundation's supported organization. Although CareSource Ohio, Inc. is the only supported organization specifically named in The CareSource Foundation's articles of incorporation, the contributions of The CareSource Foundation further the exempt purposes of all the entities within The CareSource Family of Companies.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLEDesc
Amt$13,765Amt
FieldValueIRS element (for citing)
Total Liability$13,765TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 (ASC 740) FootnoteFormAndLineReferenceDesc
ExplanationAs outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of The CareSource Foundation: 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 2019-2021 are open for audit by the Internal Revenue Service.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (90 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
NURSE-FAMILY PARTNERSHIP
1900 N GRANT STSTE 400DENVERCO80203200234163501(C)(3)$332,940CULTURAL CONSCIOUSNESS PATHWAY
Ronald McDonald House Charities Dayton
555 Valley StDaytonOH45404310964793501(C)(3)$255,0002022 Doors of Compassion Dinner & RMHC Keeping More Families Close Capital Campaign
Merchants Affordable House Corp
410 Monon BlvdUnit 350CarmelIN460322345311013632501(C)(3)$250,000Healthy Beginnings at Home Replication, Indiana
Overdose Lifeline Inc
7331 Lakeside DrIndianapolisIN462781618471333720501(C)(3)$192,425Additional Funding for Overdose Emergency Response Program due to extended efforts of program & Overdose Emergency Response Program for IN Schools and School Nurses
EVSC Foundation
951 Walnut StEvansvilleIN47713262863843501(C)(3)$162,000GAIN: GROWTH IN ACADEMICS THROUGH INNOVATION AND NEUROEDUCATION
Girl Scouts of Western Ohio
4930 Cornell RdBlue AshOH452421804310679091501(C)(3)$150,000Empower Her: The Campaign to Transform our Camps and our Girls
Ball State University Foundation
2800 W Bethel AveMuncieIN473042619356024566501(C)(3)$100,000Healthy Lives for Indiana Youth: A Peer-Led Health Promotion Program to Reduce Obesity and Promote Overall Health among Adolescents
East End Community Services
624 Xenia AveDaytonOH454101826311508554501(C)(3)$100,000WestCare Ohio/East End Community Service Facility Expansion Project
YMCA of Greater Dayton
118 W Frist StreetSTE 300DaytonOH454021111310537517501(C)(3)$100,000Northwest Health & Wellness Center
The Dayton Foundation
1401 S Main StSuite 100DaytonOH45409316027287501(C)(3)$95,000Northwest Dayton Partners Proximate Grantmaking
Healthier Moms & Babies Inc
1025 W Rudisill BlvdFort WayneIN46807834507606501(C)(3)$95,000Mobile Outreach Unit
Victoria Theatre Association
138 North Main StreetDaytonOH45402310897638501(C)(3)$90,000The Dayton Live Discovery Series and Sensory Friendly Programming
University of Indianapolis
1400 E Hanna AvenueIndianapolisIN462273630350868107501(C)(3)$82,000MICI-AHEC Health Programs Expansion
Good Neighbor House
627 E First StreetDaytonOH454021367311374154501(C)(3)$75,000Growing to Meet the Challenge Capital Campaign
Friends of Levitt Pavilion
2312 Far Hills AveSuite 194DaytonOH45419810743640501(C)(3)$72,0002022 Levitt Pavillion Sponsorship
United Way of Greater Dayton
33 West First StreetSTE 500DaytonOH45402310536658501(C)(3)$65,000Big Thanks Sponsorship & 2022 Annual Corporate Gift
Benjamin Rose Institute on Aging
11890 Farhill RdClevelandOH441201053340714482501(C)(3)$63,000WeCare...Because You Do
Harris County School District
132 Barnes Mill RoadMidlandGA318203452586000260Harris Cnty$60,000Harris County School District Telehealth Initiative
Healthy Mothers Healthy Babies Coalition of GA Inc
2300 Henderson Mill Rd NEAtlantaGA303452745581440585501(c)(3)$53,025DOULA MEDICAID REIMBURSEMENT GEORGIA PILOT
Advocates for Bartows Children Inc
PO Box 446CartersvilleGA30120581505825501(C)(3)$50,000Together For Families
Chris 180
1030 Fayetteville Rd SEAtlantaGA30316581430183501(C)(3)$50,000Adoption and Wraparound Services to Support Permanent Placement and Ensure Stability
Families First Inc
80 Joseph E Lowery Boulevard NWAtlantaGA30314581054331501(C)(3)$50,000Functional Family Therapy (FFT) Site Certification
Georgia Advocacy Office Inc
1 W Court SqSTE 625DecaturGA300302539581299961501(C)(3)$50,000Youth DECIDE
ProKids
2605 Burnet AveCincinnatiOH452192502311020021501(C)(3)$50,000Building Blocks
Reaching Our Sisters Everywhere Inc
3614 Columbia ParkwayDecaturGA300344314452803568501(C)(3)$50,000Community Men Engagement in the perinatal period
Rescuing Hope Inc
1750 Powder Springs RoadSTE 190 Box 112MariettaGA30064473356764501(C)(3)$50,000Rescuing Hope Empowerment
Samaritan Counseling Center of Southeast Texas
7980 Anchor DrBldg 500Port ArthurTX77642760068922501(C)(3)$50,000The Wellness Program
The Center for Black Womens Wellness Cbww Inc
477 Windsor St SWRm 309AtlantaGA30312582212203501(C)(3)$50,000H.E.A.R.T. for Georgia (Health Education Advocacy Resources Training) Family Health Advocacy System
University of Dayton
300 College Park AveDaytonOH454691665310536715501(C)(3)$50,000Health Equity Activation Think Tank (HEATT)
Veterans Affairs History Center Foundation
40 N Main StSTE 500DaytonOH454231038832031141501(C)(3)$50,000Veterans Administration History Center
West Virginia University Foundation Inc
One Waterfront Place 7th FloorPO Box 1650MorgantownWV26507556017181501(C)(3)$50,000WVU Medicine Children's Child Life Program
Atlanta HBCU Alumni Alliance
PO Box 880AtlantaGA303010880593817259501(C)(3)$50,000HBCU Run/Walk & Health Awareness Fair
Norton Children's Hospital Foundation
4965 US Hwy 42STE 1000LouisvilleKY40222616027530501(C)(3)$45,000Norton Children's Prescriptive Food Pantry Expansion in Clarksville and Jeffersonville, Indiana
Tri-County EMC Foundation Inc
310 W Clinton StreetGrayGA310325358582615095501(C)(3)$40,000Jones County Digital Equity Initiative for K-12 Students
Georgia Health Family Alliance
3760 Lavista RdSTE 100TuckerGA30084586212478501(C)(3)$37,500TAR WARS 2022-2023 PREVENTION PROGRAM SOUTHEAST STRIKE FORCE
Urban League of Greater Southwestern Ohio
907 West Fifth StreetDaytonOH45402310565428501(C)(3)$35,000EMERGE: Educate, Motivate, Elevate, Relate, Gain, & Entertain
Hope Center for Crisis Pregnancy
3740 Laurel AveBeaumontTX77707760548301501(C)(3)$30,000Changing Lives Through Hope
Prevent Child Abuse America
33 N Dearborn StSTE 2300ChicagoIL60602237235671501(C)(3)$30,000Healthy Families America Pregnant and Parenting Teen Planning Grant
Think Tank Inc
20 S Limestone StSuite 330SpringfieldOH455021232203742833501(C)(3)$30,000Beyond COPE (Cost of Poverty Experience): Overcoming Roadblocks to Lasting Change
Dayton Contemporary Dance Company
840 Germantown StreetDaytonOH45402237220259501(C)(3)$28,750Support development of the expanded program to be launched in early 2023. Funds will be used to: 1) create enhanced activities for aerobic movement, nutrition, yoga, cognitive stimulation, skill development, and interpersonal skills; 2) create short dance performances for offerings that match school curriculum or a specific need (e.g., mental acuity, stress release, etc.); and 3) expand programming with a robust emphasis on mental and spiritual considerations, especially post-COVID & Soulstice Annual Fundraiser
Boonshoft Museum of Discovery
2600 Deweese ParkwayDaytonOH45414310585917501(C)(3)$26,500Boonshoft Ecobash
American Red Cross - Miami Valley Chapter
370 W First StreetDaytonOH45402530196605501(C)(3)$25,000Kentucky Flood Relief Program
Omega Community Development Corporation
1800 Harvard BlvdDaytonOH45406311561713501(C)(3)$25,000Hope Rising Gala
ARCHI co Georgia State University Research Founda
58 Edgewood Ave 3rd FloorAtlantaGA30303581845423501(C)(3)$25,000Community Resource Hubs for Health Equity
Dayton Metro Library
215 E 3rd StreetDaytonOH454022103316000100Dayton Metro Li$25,000Paul Laurence Dunbar Statue
Disability Action Center of Georgia
1901 Montreal RoadSuite 102TuckerGA30084582400240501(C)(3)$25,000disABILITY LINK's Locating Employment Avenues through Peer Support: Pathways to Success
Georgia Food Bank Association Inc
3400 N Desert DriveEast PointGA30344582374577501(C)(3)$25,000Increasing Access to Health Food - Farm to Food Bank
Sewn Arts
PO Box 5529AtlantaGA311070529851549406501(C)(3)$25,000The Art Pharmacy
Sowega Council on Aging Inc
PO Box 88AlbanyGA31702580965104501(C)(3)$25,000Senior Wellness Programming
Together for Hope
8 Nathchez CVClintonMS390569629870835491501(C)(3)$25,000Together for Hope Black Belt
Agape for Youth
2300 Edwin C Moses BlvdDaytonOH454174699311265401501(C)(3)$22,000Bridging Hope and Futures
The Gala of Hope Foundation
3500 Pentagon BlvdSTE 500BeavercreekOH45431464277044501(C)(3)$20,0002022 Gala of Hope
Atlanta Volunteer Lawyers Foundation Inc
235 Peachtree St N TowerSuite 1750AtlantaGA30303581364400501(C)(3)$20,000Standing with our Neighbors (SWON)
Children First Inc
693 N Pope StAthensGA306012331582100852501(C)(3)$20,000SafeCare Home Visiting
Coastal Georgia Area Community Action Authority
One Community Action DrBrunswickGA315203789580973468501(C)(3)$20,000Homeless Prevention/Rapid Rehousing
Communities in Schools of Houston
1111 North Loop WestSuite 300HoustonTX77008760031827501(C)(3)$20,000Communities In Schools Mental Health Support for Students
Indiana Youth Group Inc
3733 N Meridian StreetIndianapolisIN462084362351760451501(C)(3)$20,000Indiana Youth Group LGBTQ+ Competency Curriculum for Medical Providers
March of Dimes
12620 FM 1960 WSTE A-4 309HoustonTX77065131846366501(C)(3)$20,000Enhancing Doula Workforce Capacity
My Connect Community
6700 Bellaire BoulevardHoustonTX77074811424233501(C)(3)$20,000Together, We Thrive
Boys & Girls Club of Dayton Inc
1828 West Stewart StDaytonOH45417310536657501(C)(3)$20,000Spark Event Sponsorship
Wright State University Foundation
3640 Colonel Glenn HighwayDaytonOH454350001237019799501(C)(3)$20,000HAPI, Neuro, & Cardio Labs
YWCA Dayton
141 W Third StreetDaytonOH45402310537168501(C)(3)$17,5002023 Women of Influence & Voices Against Violence Sponsorships
TeamSmile Inc
2021 Burlington StN Kansas CityMO641163409753250075501(C)(3)$16,000TeamSmile hosts a one day program where 300 selected children will receive free professional oral health care services and evaluations.
SOCHE Strategic Ohio Council for Higher Education
2750-B Indian Ripple Road225BeavercreekOH45440237109141501(C)(3)$15,000Experiential STEM Outreach Mural Project & TEDxDayton Sponsorship
Beech Acres dba Beech Acres Parenting Center
615 Elsinore PlaceSuite 500CincinnatiOH45202310536663501(C)(3)$15,000Parent Connext program and expansion into Clermont County, 2022-2023
Indiana Philanthropy Alliance
32 E Washington StSuite 1100IndianapolisIN46204351868240501(C)(3)$14,5002022 Health Funders Collaborative & Philanthropy Leads Dinner
Philanthropy Ohio
500 South Front StreetSuite 900ColumbusOH43215311111842501(C)(3)$14,000Annual Conference Sponsorhip, Health Initiative Support & Nonprofit Summer Learning Series Sponsorship
Clothes That Work
1133 S Edwin C Moses BlvdSuite 392DaytonOH45417311575093501(C)(3)$10,000Fashioning Futures Luncheon & Workforce Development Initiative
Grantmakers in Health
1100 Connecticut Ave NWSTE 1100WashingtonDC200364107133206571501(C)(3)$10,000Annual Conference
Dayton Children's Hospital Foundation
One Childrens PlazaDaytonOH45404311045247501(C)(3)$10,000Cha|Cha 2022 Sponsorship
The Villages of Indiana
2405 N Snith PikeBloomingtonIN47404351708240501(C)(3)$10,0002022 Child Abuse Prevention Month Kick-off Sponsorship & 2022 Prevent Child Abuse Indiana Training
The Big Hoopla
40 N Main St1900 Kettering TowerDaytonOH45423454231032501(C)(3)$10,000Military Appreciation Night at the Fraze Pavilion
Heritage Ohio Inc
800 East 17th AvenueColumbusOH43211341845898501(C)(3)$10,0002023 Annual Conference Sponsorship
Care Beyond the Boulevard Inc
PO Box 860580ShawneeKS66286831122028501(C)(3)$10,000Care Beyond the Boulevard will utilize these funds for general operating expenses.
Dove Recovery House for Women
3551 N Meridian StreetSuite 110IndianapolisIN46208352120680501(C)(3)$10,000Increasing Equitable Access to Substance Use Disorder ("SUD") Treatment and Recovery
Kansas Children's Service League
1365 N Custer StWichitaKS672036634480543749501(C)(3)$10,000Stronger Families Start Here
Keep Indianapolis Beautiful
1029 Fletcher AveIndianapolisIN462031042311005792501(C)(3)$10,000Pilot Test of Lead Reduction through Keep Indianapolis Beautiful GreenSpace Implementation
Kids In New Directions Inc
2338 East Fifth StreetDaytonOH45403853496804501(C)(3)$10,000FANS Accelerator
LifeCare Alliance
1699 W Mound StreetColumbusOH432231809314379494501(C)(3)$10,000Diabetes Dayton - Food as Medicine Education Classes
Lydia's House Inc
PO Box 128808CincinnatiOH452123026800832277501(C)(3)$10,000Maternal Health for Single Mothers and Infants experiencing homelessness
Miami County Dental Clinic
70 Troy Town DrTroyOH453732328204901192501(C)(3)$10,000Traveling Smiles
Prevent Blindness Ohio
1500 W Third AveSuite 200ColumbusOH43212363667121501(C)(3)$10,000Vision Care Outreach
TMP Enterprise dba Joy's House
2028 East Broad Ripple AvenueIndianapolisIN46220352083290501(C)(3)$10,000End-of-Life Doula Program
Welcome Home Sis
10485 Washington StreetByesvilleOH43723842726100501(C)(3)$10,000Get Fresh Garden & Safe House Expansion
Youth Core Ministries
211 E GarfieldGreensburgKS67054821252813501(C)(3)$10,000Core Community
SER-Jobs For Progress of the Texas Gulf Coast Inc
1710 Telephone RdHoustonTX77073741590387501(C)(3)$8,500SERJobs-Where Opportunity Works! & Champions of Hope Luncheon
Autism Society of Greater Akron
580 Grant StreetAkronOH44311471129984501(C)(3)$7,999Autism Society of Greater Akron Inclusive Recreation Project
Air Force Museum Foundation Inc
PO Box 19031100 Spaatz StreetWright Patterson AFBOH45433310668800501(C)(3)$7,500Sponsorhip of Plane Talk Series at the National Museum of the U.S. Air Force
Boys Hope Girls Hope
2400 Reading RoadSuite 139CincinnatiOH45202311054816501(C)(3)$7,500Scholar and Collegian Academic Success Program
Calumet Center for Healing and Attachment Inc
508 Greenville StreetLaGrangeGA30240352572597501(C)(3)$7,000Trauma-Responsive Counseling
FieldValueIRS element (for citing)
Total501c3 Org89Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule I, Part I, Question 2 Grant ReviewFormAndLineReferenceDesc
ExplanationThe CareSource Foundation provides numerous grants furthering the charitable purposes of its supported organization, CareSource Ohio, Inc., and its related entities. The CareSource Foundation funds responsive grants to nonprofit organizations that impact children, adults, and families in areas that mirror the social determinants of health. Those areas include the following: economic stability; safety and healthy homes and neighborhoods; job skills and employment; access to healthcare, including physical, mental and behavioral health; early childhood education and child development; healthy behaviors and lifestyle concerns; public policy surrounding critical need health issues; and strategic public/private partnerships designed to increase health communities. The CareSource Foundation also funds signature grants with numerous regional, state and/or national partners. Proposing organizations must be Internal Revenue Code Section 501(c)(3) qualified nonprofit organizations, Community Health Agencies, or government agencies that further the charitable purposes of its supported organization, CareSource Ohio, Inc., and its related entities. All funded grantees are requested to provide a formal report with information on how the funds were utilized and the success of their program.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Erhardt Preitauer
President & CEO, Trustee$0$1,271,556$0$1,935,465$0$449,868$0$4,232,490$0$21,159$0$7,910,538$0$1,935,465
Jai Pillai
Chief Operating Officer$0$623,475$0$478,850$0$133,189$0$856,649$0$14,662$0$2,106,825$0$478,850
Lawrence Smart
Chief Financial Officer$0$535,956$0$424,371$0$112,561$0$975,380$0$23,487$0$2,071,755$0$424,371
Scott Markovich
EVP Markets, Trustee$0$505,787$0$354,760$0$106,319$0$911,682$0$39,293$0$1,917,841$0$354,760
Daniel McCabe
CAO, Trustee (To 4/22)$0$120,152$0$1,044,619$0$341,198$0$7,379$0$7,516$0$1,520,864$0$710,581
David Finkel
Former EVP Markets, Trustee$0$0$0$0$0$194,579$0$0$0$0$0$194,579$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule J, Part I, Question 3The process the Organization goes through to establish the reasonable executive compensation is the same for all the CareSource Family of companies. The organization utilizes a compensation committee, independent compensation consultant, CEO written employment contract, compensation survey or study, review of Form 990 of other organizations, and approval by the board or compensation committee comprised solely of independent directors. CareSource Management Services LLC ("CSMS"), a related organization, has in place Claw back provisions within its executive compensation plans that generally require executives to pay back compensation to CSMS in the event a subsequent legal, accounting, regulatory or compliance issue is discovered over which the executive had direct responsibility and control during the executive's employment.
Form 990, Schedule J, Part I, Line 4aDavid Finkel and Daniel McCabe received severance payments that are properly reported on Schedule J, Part II, Column B(iii).
Form 990, Schedule J, Part I, Question 4bThe following listed persons listed on Form 990, Part VII, Section A, participate in a supplemental nonqualified retirement plan of CSMS: Erhardt Preitauer, Jai Pillai, Lawrence Smart, and Scott Markovich. Amounts are accrued monthly for plan participants. The plans provide compensation to the participants after a vesting period, and the funds are available to the participants after they retire or resign from the organization. The plans provide for normal terms and conditions contained in a standard nonqualified retirement plan. The following listed persons listed on Form 990, Part VII, Section A, participate in a long-term incentive plan of CSMS: Erhardt Preitauer, Jai Pillai, Lawrence Smart, and Scott Markovich. The plan provides compensation to the participants based on annual and long-term goals. The long-term incentive plan will pay out if these goals, or a subset of these goals, are achieved over a three-year period. If a participant leaves their employment prior to this three-year performance period, they forfeit any amounts accrued under this plan. Employees must be employed on the date which the long-term incentive plan is paid, which in no event is later than March 15th. Exceptions to this general statement include death, disability, or a qualified retirement, which may result in prorated payment. Amounts paid or accrued in 2022 for both deferred compensation arrangements include the following: Erhardt Preitauer $2,272,354, Jai Pillai $375,388, Lawrence Smart $554,835, and Scott Markovich $517,955.
Form 990, Schedule J, Part I, Question 6bThe following persons listed on Form 990, Part VII, Section A, Line 1a are or were employees of CSMS: Erhardt Preitauer, Jai Pillai, Lawrence Smart, Scott Markovich, and Daniel McCabe. All of these listed persons are or were eligible for a performance bonus as part of their compensation packages. The amount of this Annual Incentive Plan ("AIP") bonus is based on the degree of achievement of the Companies' goals and the Individual's goals, which is ultimately documented in the year end performance management process. The performance management process documents the company goals and individual goals, the corresponding potential performance bonus, and the progress/outcomes. The performance bonus is based on the employee's calendar year regular earnings.
Form 990, Schedule J, Part IIAll compensation amounts reported on Schedule J, Part II for all listed persons are paid by CSMS. Compensation paid to the CEO is pursuant to the terms of a written employment agreement between Mr. Preitauer and CSMS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Question 1 (Continued)THE CARESOURCE FOUNDATION FURTHERS THE CHARITABLE PURPOSES OF CSOH AND ITS RELATED ENTITIES BY IMPROVING OVERALL COMMUNITY HEALTH AND ADDRESSING HEALTH-RELATED ISSUES IN THE COUNTIES IN WHICH THE CARESOURCE FAMILY OF COMPANIES OPERATES. THE CARESOURCE FOUNDATION IMPROVES THE LIVES OF THE UNDERSERVED BY PROVIDING GRANTS TO NON-PROFIT ORGANIZATIONS THAT CAN SIGNIFICANTLY IMPACT INDIVIDUALS AND FAMILIES THROUGH A BROAD ARRAY OF HEALTH AND HUMAN SERVICES AND PROGRAMS. THIS CHARITABLE ASSISTANCE TARGETS THE NEEDIEST POPULATIONS AND PROVIDES INNOVATIVE SOLUTIONS TO CRITICAL HEALTH CARE NEEDS AND CREATES MEANINGFUL COLLABORATION. THE CARESOURCE FOUNDATION'S MISSION IS TO INVEST IN INITIATIVES AND ORGANIZATIONS THAT MAKE A LASTING DIFFERENCE IN OUR MEMBERS' LIVES AND COMMUNITIES BY IMPROVING THEIR HEALTH AND WELL-BEING.
Form 990, Part III, Question 4a (Continued)Specifically, the CareSource Foundation targets the following: (i) Supporting health education and promoting healthy habits, (ii) improving maternal, infant and child health, ensuring families have safe, stable, and healthy homes and neighborhoods and (iii) strengthening the capacity of a diverse health and 21st century workforce. In 2022, The CareSource Foundation provided grants to 102 nonprofit organizations across 7 states totaling $4.2M. Since 2006, the CareSource Foundation has awarded more than $28.5M in charitable assistance to strengthen the network of health and human service nonprofit organizations throughout the states CareSource does business. The CareSource Foundation provides funding to nonprofits who are working to eliminate poverty, providing much-needed services to low-and moderate-income families, building healthier communities, and developing innovative approaches to address critical issues of children, adults, and families. The CareSource Foundation is a leader in cultivating partnerships that enhance and improve the health care and life services for consumers. All the grants have been selected through a rigorous review process that evaluates innovation, impact, and sustainability. Over the last decade, the Organization has seen great challenges in the areas of well-being and health care. What is most exciting, however, is the impact The CareSource Foundation has had as the result of partnerships with some of the most impressive nonprofits in the country. The CareSource Foundation signature grants are focused on innovative, high-impact approaches to solving critical social issues. The CareSource Foundation awarded a total of more than $1.3M in signature grants to the following organizations in 2022: 1) Nurse Family Partnership National Office - $529,034 (Granted over Three Years) (Denver, CO) Cultural Consciousness Pathway: Develop, pilot, implement and evaluate a cultural consciousness pathway for nurses in our national network of local partners. 2) Ronald McDonald House Charities of Dayton - $500,000 (Granted over Three Years) (Dayton, OH) RMHC Keeping More Families Close Capital Campaign: Constructing a new 50,000 sq. ft. building consisting of two finished floors and a shelled third floor which will accommodate future growth. 3) Phoebe Foundation Inc. - $256,226 (Granted over Three Years) (Albany, GA) Nurse Family Partnership Expansion: Establish a Nurse Family Partnership Affiliate in Dougherty County in partnership with the Phoebe-Putney Health System. 4) Indiana University - $250,000 (Granted over Three Years) (Bloomington, IN) Healthy Beginnings at Home Replication: 24 months of rental assistance, housing navigation, and housing case management to pregnant women in Marion County, Indiana. 5) OneFifteen Recovery - $220,000 (Granted over Two Years) (Dayton, OH) Tech-Enabled Care for Rural Ohio: Build and establish a Rural TeleHub Program that will connect rural patients to SUD clinicians virtually and deliver virtual addiction medicinal care. 6) Overdose Lifeline, Inc. - $178,425 (Granted over Three Years) (Indianapolis, IN) Overdose Emergency Response Program for Indiana Schools and School Nurses: Provides partners to schools for naloxone and naloxboxes, training staff, and youth opioid/substance prevention education. 7) Girl Scouts of Western Ohio - $150,000 (Blue Ash, OH) Empower Her: The Campaign to Transform our Camps and our Girls: Modernizing and diversifying the capital and outdoor curriculum for girls attending any of the four local camps. 8) Ohio State University Foundation - $125,000 (Granted over Two Years) (Dayton, OH) Moms2B and Dads2B: Weekly, neighborhood-based group program helps to connect women to medical care, and to learn skills that improve pregnancy and birth outcomes. 9) Ball State University Foundation - $100,000 (Granted over Two years) (Muncie, IN) Healthy Lives for Indiana Youth: A peer-led health promotion program to reduce obesity and promote overall health among adolescents residing in low-income communities in Muncie, IN. 10) EVSC Foundation Inc. - $296,900 (Granted over Two Years) (Evansville, IN) GAIN: Growth in Academics through Innovation and Neuroeducation: Promotes healthy behaviors, implements Mind-Body Medicine and improves mental health for educators and students K-8 over the next three years. 11) American Heart Association, Inc. - $375,000 (Granted over Three Years) (Montgomery Co., OH) Historically Black Colleges & Universities ("HBCU") Scholars: Implement American Heart Association's HBCU Scholars program in Ohio to help underrepresented students attain professional degrees in biomedical and health careers. 12) YMCA of Greater Dayton - $100,000 (Dayton, OH) Northwest Health & Wellness Center: Building of a new facility to improve the access to better health and wellness programming in the blighted area of Northwest Dayton. 13) East End Community Services - $100,000 (Dayton, OH) West Care Ohio/East End Community Service Facility Expansion Project: Capital grant for a new facility which will have enough space to add a Dayton/Montgomery County Public Health women, infants and children ("WIC") clinic, health outreach service and a new workforce training center through Sinclair Community College.
Form 990, Part VI, Section A, Question 6CareSource is the member of The CareSource Foundation. CareSource is recognized as exempt from federal income taxation under Internal Revenue Code ("IRC") Section 501(c)(3).
Form 990, Part VI, Section A, Question 7CareSource, the member of The CareSource Foundation, has the authority to appoint The CareSource Foundation's board.
Form 990, Part VI, Section B, Question 11BThe Form 990 was provided to the following individuals for review prior to the time of filing: The organization's Audit Committee and each voting member of the governing body; the CEO, CFO, and VP Treasury; the internal Tax Department and an outside CPA firm; and internal general counsel and outside legal counsel.
Form 990, Part VI, Section B, Question 12CAnnually, each director, principal officer, and member of a committee with board-delegated powers ("interested person") shall confirm that they have received a copy of the CareSource Conflicts of Interest policy and have read, understood, and agree to comply with the policy. Interested Persons have an obligation to immediately report any Conflicts of Interest (including any relationships, positions, or circumstances that could contribute to a Conflict of Interest). All relevant information reported through the Conflict of Interest Policy will be sent to the Chairman of the Board for review. If the Interested Person with the Conflict of Interest is the Chairman of the Board, then the required disclosure must be provided to the Chief Legal Officer of CareSource. If it is not entirely clear whether a Conflict of Interest exists, then the person with the potential conflict must disclose the circumstances to CareSource's Chief Legal Officer. The Chief Legal Officer will consult with the Corporation's Corporate Compliance Officer or the Chairman of the Board to determine whether there exists a Conflict of Interest that is subject to this policy. Before Board action or other action by the organization on a Transaction that involves a Conflict of Interest, an Interested Person who knows he or she has a Conflict of Interest must have disclosed to the Board all facts material to the Conflict of Interest. The Chairman of the Board may postpone Board or other corporate action on a Transaction until the Interested Person provides written information relating to the Conflict of Interest. An Interested Person who knows he or she has a Conflict of Interest must not participate in the Board's discussion of the Transaction except to disclose material facts and respond to questions. The Interested Person must not attempt to influence the Board's action on the Transaction, either at or outside the meeting. Prior to voting, the Board must be given an opportunity to discuss the Transaction without the person who has the Conflict of Interest being present. A Transaction involving a Conflict of Interest may be approved by the Board if the material facts as to the Transaction and the Conflict of Interest are fully disclosed or known to the Board and the Board in good faith determines after reasonable investigation that (a) the Board is aware of all material facts concerning the Transaction and the Interested person's interest in the Transaction; (b) the organization is entering into the Transaction for its own benefit; (c) the Transaction is fair and reasonable as to the organization; and (d) the organization could not have obtained a more advantageous arrangement with reasonable effort under the circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken.
Form 990, Part VI, Section C, Question 17A copy of Form 990 is not required to be filed with the state of Ohio. The CareSource Foundation does, however, file the Ohio Annual Report with the Ohio Attorney General. Therefore, Ohio is listed on Form 990, Part VI, Section C, Question 17.
Form 990, Part VI, Section C, Question 19The 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 does not make its audited financial statements available to the public. The company's articles of incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CareSource Ohio Inc
PO Box 8738DaytonOH45401311143265HIC Ins PlanOH501(c)(3)509(a)(2)CareSourcefalse
CareSource
PO Box 8738DaytonOH45401311703368SupportingOH501(C)(3)509(A)(3)IINAfalse
CareSource Indiana Inc
PO Box 8738DaytonOH45401320121856HMO Ins PlanIN501(c)(3)509(A)(2)CareSourcefalse
CareSource Georgia Co
PO Box 8738DaytonOH45401472408339HMO Ins PlanGA501(c)(3)509(A)(2)CareSourcefalse
CareSource West Virginia Co
PO Box 8738DaytonOH45401473028244HMO Ins PlanWV501(c)(3)509(A)(2)CareSourcefalse
CareSource Kentucky Co
PO Box 8738DaytonOH45401464991603HMO Ins PlanKY501(c)(3)509(A)(2)CareSourcefalse
CareSource Life Services Co
PO Box 8738DaytonOH45401811602217No ActivityOH501(c)(3)509(A)(2)CareSourcefalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
CSMS HOLDING LLC (To 122822)
PO BOX 8738DAYTONOH454018738851588557HOLDING CODENAN/A
CareSource Diversity & Social Impact Inv
50 East 91st Street Suite 213IndianapolisIN46240871811106InvestingINNAN/A
CareSource Iowa Opportunity Investment
415 12th Ave SECedar RapidsID52401883585337InvestingIANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
CareSource Virginia Co
PO Box 8738DaytonOH454018738811727271No ActivityVANAC Corp
CareSource Arkansas Health Plan Co
PO Box 8738DaytonOH454018738844476729COA InsuranceARNAC Corp
Kids' CareAlliance Co
PO Box 8738DaytonOH454018738854022039No ActivityOHNAC Corp
CareSource Oklahoma Health Plan Co
PO Box 8738DaytonOH454018738854038326HMO Ins PlanOKNAC Corp
CareSource Kansas LLC
PO Box 8738DaytonOH454018738873411276HMO Ins PlanKSNAC Corp
CareSource North Carolina Co
PO Box 8738DaytonOH454018738873079479HMO Ins PlanNCNAC Corp
CareSource PASSE LLC
PO Box 8738DaytonOH454018738863112470RBPO Ins PlanARNAC Corp
CareSource Tennessee Co
PO Box 8738DaytonOH454018738874254502COA InsuranceTNNAC Corp
Columbus Organization Holdings LLC
PO Box 8738DaytonOH454018738814132952Holding CoDENAC Corp
Healthedge-Columbus Holdings LLC
PO Box 8738DaytonOH454018738814132842Holding CoDENAC Corp
Columbus Medical Services Inc
PO Box 8738DaytonOH454018738300975112No ActivityMDNAC Corp
CareSource Iowa Co (Inc 31822)
PO Box 8738DaytonOH45401881429834HMO Ins PlanIANAC Corp
CareSource Florida Co (Inc 8422)
PO Box 8738DaytonOH45401883601120HMO Ins PlanFLNAC Corp
CareSource Bayou Health LLC(Inc 72222)
PO Box 8738DaytonOH45401883401520HMO Ins PlanTXNAC Corp
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III - Related Orgs Taxable as a Partnership - Additional Information1) Effective 12/28/2022, CareSource Management Services Holding LLC (EIN 85-1588557) changed from a partnership to a single member LLC, whose sole member is another single member LLC, Caresource Holding LLC (EIN 84-4431982). Caresource Holding LLC's sole member is CareSource (EIN 31-1703368).
Part IV - Related Organizations Taxable as a Corp - Additional Information1) CareSource Iowa Co (EIN 88-1429834) was incorporated 03/18/2022. 2) CareSource Florida Co (EIN 88-3601120) was incorporated 08/04/2022. 3) CareSource Bayou Health LLC (EIN 88-3401520) was incorporated 07/22/2022.