CARESOURCE OHIO INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CARESOURCE OHIO INC (EIN 31-1143265)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-13
IRS object ID: 202323179349306742
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-13T13:46:01-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	6 S PATTERSON BLVD	AddressLine1Txt
City	DAYTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311143265	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CareSource Ohio Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JANET FERNANDES	InCareOfNm
Business Name Control	CARE	BusinessNameControlTxt
Phone	9372243300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 8738	AddressLine1Txt
City	Dayton	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	454018738	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LAWRENCE SMART	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9372243300	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	LAWRENCE	PersonFirstNm
Person Last	SMART	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Karen O Crim	PreparerPersonNm
PTIN	P00368385	PTIN
Phone	9372980201	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Erhardt Preitauer	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Same as C above	AddressLine1Txt
City	Dayton	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$13,158,732,350	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.caresource.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	To make a lasting difference in our members' lives by improving their health and well-being. CareSource Ohio Inc. is a nonprofit HIC licensed by the state of Ohio.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$9,724,963,389	PYProgramServiceRevenueAmt
CY Program Service Revenue	$10,010,802,585	CYProgramServiceRevenueAmt
PY Investment Income	$31,234,420	PYInvestmentIncomeAmt
CY Investment Income	$53,326,439	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$9,756,197,809	PYTotalRevenueAmt
CY Total Revenue	$10,064,129,024	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$55,339,483	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$9,704,199,278	PYOtherExpensesAmt
CY Other Expenses	$9,361,889,247	CYOtherExpensesAmt
PY Total Expenses	$9,704,199,278	PYTotalExpensesAmt
CY Total Expenses	$9,417,228,730	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,998,531	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$646,900,294	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,609,873,144	TotalAssetsBOYAmt
Total Assets EOY	$2,667,085,761	TotalAssetsEOYAmt
Total Liabilities BOY	$1,460,610,679	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,267,345,373	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,149,262,465	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,399,740,388	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CARESOURCE OHIO, INC.'S MISSION IS TO MAKE A LASTING DIFFERENCE IN MEMBERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. THE ORGANIZATION'S VISION IS TO TRANSFORM LIVES THROUGH INNOVATIVE HEALTH AND LIFE SERVICES. (Continued on Schedule O)	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$8,543,954,801	ExpenseAmt
Revenue	$10,010,802,585	RevenueAmt
Desc	CareSource Ohio, Inc. ("CSOH"), a leading nonprofit managed care organization based in Dayton, Ohio, has been living its mission to make a lasting difference in members' lives by improving their health and well-being for more than thirty-three years. CSOH serves more than 1.5 million members in Ohio. CSOH'S membership includes: (1) Medicaid consumers, including families with low income, children, pregnant women, adoption and foster kids, those who are aged, blind or disabled, (2) Medicaid consumers who are eligible for Home and Community Based services through execution of an annual Provider Agreement with the Ohio Department of Medicaid ("ODM"), (3) Dually eligible consumers for Medicare and Medicaid through Ohio's Dual Demonstration program, MyCare, (4) Medicare Advantage consumers, and (5) a Qualified Health Plan offered through the Federal Health Insurance Marketplace, providing low-cost comprehensive coverage for individuals and families. CSOH Program Services: 1) CareSource Ohio Medicaid: CareSource Ohio, Inc. pioneered Ohio's first mandatory Medicaid managed care program in 1989 and is now one of the largest Medicaid managed care plans in the country. CSOH's years of experience in managing Medicaid managed care programs and member-focused approach to care have allowed it the opportunity to forge strong, positive regulatory relationships with state agencies, including departments of insurance. CSOH has earned 51.2% of the statewide Medicaid managed care market share, with the highest voluntary enrollment rate and the lowest voluntary disenrollment rate of all Ohio participating Medicaid Managed care plans. CSOH focuses on prevention with a goal of improving member health, the quality of health care services received, and accessibility of health care services for Medicaid members. CSOH has made an organizational commitment to make evidence-based investments towards improving health outcomes for members. CSOH's approach is one that blends the recommendations of the Triple Aim framework and principles of population health management best practice, while leveraging emerging technological and analytic solutions to make measurable positive impacts in the health of the communities we serve. CSOH also has significant focus on creating social based partnerships with providers and community organizations to support a longitudinal health management effort for members. Providers have the most control and influence on members and thus provide the best opportunity to help capitalize on cost, quality, and experience. Partnering with providers allows us to collaborate on population health strategies such as emergency department diversion, patient-centered medical home implementation, and performance management. Engaging our high-risk members' primary care and specialty providers is particularly critical to achieving successful care management. CSOH has a broad, statewide network of more than 52,000 providers, including primary care and specialist physicians, hospitals, nursing facilities, home health care agencies and other medical providers who provide medical services as well as assist in the coordination of member care. To further drive quality and achieve health outcomes targets, CSOH incentivizes certain providers through a value-based incentive model. CSOH focuses efforts on creating incentives and reimbursement options to support models that recognize quality at the provider level. CSOH created a program that provides additional incentives to providers for delivering quality based services that impact Healthcare Effectiveness Data and Information Set ("HEDIS") measures. CSOH created a shared savings model that rewards providers for attaining quality targets while sharing savings. In this particular model, CSOH established "filters" such that providers have to meet or exceed quality metrics before being eligible to share in cost savings. Value-based incentive models ultimately result in improved member health outcomes as providers continue to deliver quality service with the member's health and safety at the forefront. Effective high-risk case management alone is not sufficient to improve the overall population's health or decrease costs. Therefore, CSOH has created a robust care management infrastructure that consists of three levels of member care to accelerate care transformation for each and every member. Members are assigned to self-management, rising risk, or high-risk based on their unique member risk stratification. CSOH can then tailor the care coordination program to meet those members' needs. Members receive enhanced care coordination services based on their complex physical, behavioral and social health needs. The fluidity of this design allows CSOH to focus on preventing lower-risk and rising risk members from escalating to high-risk over time, while still tending to the one-to-one care management needs of high-risk populations. CSOH collaborates with community partners and providers such as the Area Agencies on Aging ("AAA"), Community Mental Health Centers, local pharmacies, and Federally Qualified Health Centers ("FQHCs") to ensure members receive the services they need. Additionally, CSOH's Enterprise Quality team helps drive improved clinical outcomes for members through a number of HEDIS targeted interventions including member engagement, education and disease management programs. To further enhance our HEDIS metric initiatives, CSOH has an established dedicated Quality team which works hand-in-hand with our Enterprise team as well as across all departments that impact quality clinical outcomes for our members. CSOH's commitment to quality is demonstrated through the organization's National Committee for Quality Assurance ("NCQA") accreditation. CSOH is accredited by NCQA for its qualified Health Insurance Marketplace and Medicaid Health plans. Accreditation demonstrates CSOH's commitment to quality and enhances CSOH's ability to improve the health and well-being of those we serve. CSOH has implemented an integrated care model to empower members to become engaged and actively participate in their health and well-being. The CareSource Integrated Care Management program is both member-centric and resources-specific and supports a member's holistic physical and behavioral health needs. The Integrated Care Management program has integrated Disease Management, High Risk Obstetrics, and condition-management programs to address member physical and behavioral health needs. CSOH follows evidence-base protocols to identify members with both health needs and chronic conditions to conduct interventions at the appropriate level of care. Disease Management occurs at every programmatic level to ensure appropriate interventions and education of the member targeted to their unique needs. Through targeted programs like Disease Management, Behavioral Health, and transitions of care, we focus simultaneously on achieving health and maintaining wellness to the highest level possible for each member. Any given member may be identified with more than one program. The CareSource integrated care management program incorporates specialty programs such as Women and Children's Health, health management, and transitions of care. In conjunction with other groups within CSOH such as quality, network, and analytics, the integrated care management program utilizes a population-based approach to meet the clinical and social needs of our members. The program employs a multi-faceted, evidence-based approach to achieve the best possible health outcomes by utilizing predictive analytics, case management, member incentive and educational programs, and community and provider partnerships. An example of the population health approach is the Women and Children's Health program. Through collaboration between quality, clinical, network, and analytics, CSOH has established a program to target objectives including a reduction in the number of preterm births, reducing the risk of maternal and infant mortality and pregnancy-related complications, and reducing complications of health and development in infancy and early childhood. Elements of the program include: (1) Babies First, a program available to all pregnant members to provide financial incentives for the completion of timely and ongoing prenatal, postpartum, and well-baby care, allowing the mother the opportunity to earn money for completion of doctor visits for both her infant and herself. (2) High Risk Obstetrics, a program to support at risk pregnancy and ensure pregnant members receive high-touch case management support throughout their pregnancy. (3) Early and Periodic Screening, Diagnostic, and Treatment ("EPSDT"), to provide comprehensive and preventative health care services for children under age 21. All eligible members receive EPSDT reminder letters that coincide with the appropriate health care treatment based on their age. Members who are case managed and participate in our prenatal educatio	Desc
Total Program Service Expenses	$8,543,954,801	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1122	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JANET FERNANDES	PersonNm
Phone	9372243300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8738	AddressLine1Txt
City	Dayton	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	454018738	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Erhardt Preitauer
Chief Executive Officer	8.0	52.0	Yes (X)	$0	$3,656,889	$4,253,649
Jai Pillai
Chief Operating Officer	8.0	52.0	Yes (X)	$0	$1,235,514	$871,311
Lawrence Smart
Chief Financial Officer	8.0	52.0	Yes (X)	$0	$1,072,888	$998,867
Scott Markovich
EVP Markets & Products, Dir	8.0	52.0		$0	$966,866	$950,975	Yes (X)
Stephen Ringel
President Market, Director	59.0	1.0		$0	$820,988	$716,902	Yes (X)
Daniel McCabe
Chief Admin Officer (To 4/22)	1.0	59.0	Yes (X)	$0	$1,505,969	$14,895
Stephanie Williams
SVP Ch Acty, Dir (Eff 4/22)	10.0	50.0		$0	$524,391	$577,351	Yes (X)
William Coffin Jr
VP Mkt Finance, Dir (To 4/22)	10.0	50.0		$0	$524,895	$22,301	Yes (X)
David Finkel
Former EVP Markets, Director	0.0	0.0		$0	$194,579	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,502,979	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,406,251	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Express Scripts Inc
21653 Network Place	CHICAGO	IL	60673	Pharmacy Services	$2,225,846,692
Ohio Hospital Association
155 East Broad St Suite 301	COLUMBUS	OH	43215	Medical Services	$598,713,692
Childrens Hosp Phys Healthcare Ne
700 Childrens Drive	COLUMBUS	OH	43205	Medical Services	$469,559,910
DentaQuest Group Inc
465 Medford Street	CHARLESTOWN	MA	02129	Medical Services	$187,170,924
The MetroHealth System
PO Box 931311	CLEVELAND	OH	44193	Medical Services	$61,430,887

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	131	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID	524114	$9,237,051,917	$9,237,051,917
PREMIUMS	524114	$724,988,560	$724,988,560
MEDICARE ADVANTAGE	524114	$48,762,108	$48,762,108

Field	Value	IRS element (for citing)
Total Program Service Revenue	$10,010,802,585	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,568,269	TotalRevenueColumnAmt
Exclusion	$47,568,269	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,100,361,496	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,094,603,326	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,758,170	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,758,170	TotalRevenueColumnAmt
Exclusion	$5,758,170	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,064,129,024	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,010,802,585	RelatedOrExemptFuncIncomeAmt
Exclusion	$53,326,439	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$55,339,483	TotalAmt
Program Services	$55,339,483	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$6,423,666	TotalAmt
Program Services	$115,667	ProgramServicesAmt
Management And General	$6,307,999	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$230,992	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$230,992	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$384,983	TotalAmt
Program Services	$3,846	ProgramServicesAmt
Management And General	$381,137	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,014,710	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,014,710	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$271,958,806	TotalAmt
Program Services	$21,815,502	ProgramServicesAmt
Management And General	$250,143,304	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,476,230	TotalAmt
Program Services	$24,686	ProgramServicesAmt
Management And General	$9,451,544	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$107,089,888	TotalAmt
Program Services	$1,546,393	ProgramServicesAmt
Management And General	$105,543,495	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,035,830	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$16,035,830	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,686,102	TotalAmt
Program Services	$364,208	ProgramServicesAmt
Management And General	$2,321,894	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$256,405	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$256,405	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,276,339	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,276,339	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL EXPENSES	$6,463,114,713	$6,463,114,713	$0	$0
PHARMACY EXPENSES	$1,895,033,275	$1,895,033,275	$0
MGMT FEES CARESOURCE MGMT SVCS	$527,125,683	$95,509,789	$431,615,894	$0
CLAIMS PROCESSING ADMIN EXP	$44,562,010	$8,122,623	$36,439,387	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,219,615	TotalAmt
Program Services	$2,964,616	ProgramServicesAmt
Management And General	$7,254,999	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,417,228,730	TotalAmt
Program Services	$8,543,954,801	ProgramServicesAmt
Management And General	$873,273,929	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$796,922,915	BOYAmt
EOY	$519,235,273	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$589,512,530	BOYAmt
EOY	$442,355,993	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,012,006	BOYAmt
EOY	$6,099,158	EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,202,558,522	BOYAmt
EOY	$1,678,795,866	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$11,867,171	BOYAmt
EOY	$20,599,471	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,609,873,144	BOYAmt
EOY	$2,667,085,761	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,183,196,605	BOYAmt
EOY	$1,188,727,467	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$262,744,244	BOYAmt
EOY	$58,035,903	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,669,830	BOYAmt
EOY	$20,582,003	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,460,610,679	BOYAmt
EOY	$1,267,345,373	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,149,262,465	BOYAmt
EOY	$1,399,740,388	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,149,262,465	BOYAmt
EOY	$1,399,740,388	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,609,873,144	BOYAmt
EOY	$2,667,085,761	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$646,900,294	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$121,303,843	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$275,118,528	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$114,330	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,280,285	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$170,984	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$5,565,599	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,762,642,282	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,090,874,825	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,247,968,015	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,724,963,389	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,010,802,585	CurrentTaxYearAmt
Total	$44,837,251,096	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,762,756,612	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,096,155,110	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,248,138,999	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,724,963,389	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,010,802,585	CurrentTaxYearAmt
Total	$44,842,816,695	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$44,842,816,695	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$40,835,548	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$32,102,562	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,656,125	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,291,303	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,326,439	CurrentTaxYearAmt
Total	$175,211,977	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$40,835,548	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$32,102,562	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,656,125	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,291,303	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,326,439	CurrentTaxYearAmt
Total	$175,211,977	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,803,592,160	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,128,257,672	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,270,795,124	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,751,254,692	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,064,129,024	CurrentTaxYearAmt
Total	$45,018,028,672	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99611	PublicSupportCY509Pct
Public Support PY509	0.99641	PublicSupportPY509Pct
Investment Income CY	0.00389	InvestmentIncomeCYPct
Investment Income PY	0.00359	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$728,270	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$41,697	OtherActivitiesAmt
Total Lobbying Expenditures	$769,967	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Schedule C, Part II-B, Line 1g	Lobbyists are retained to provide updates and represent the Organization's interests with federal and state legislators who deal with legislation related to Government sponsored health care programs.
Form 990, Schedule C, Part II-B, Line 1i	$41,697 is the allocable portion of the Organization's dues paid to Ohio Association of Health Plans, America's Health Insurance Plans, and other Trade Associations for lobbying and grassroots efforts conducted by the trade association on behalf of its members.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp
Other Land Buildings		OtherLandBuildingsGrp
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	RELATED PARTY PAYABLE	Desc
Amt	$20,582,003	Amt

Field	Value	IRS element (for citing)
Total Liability	$20,582,003	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$10,830,556,557	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$121,303,843	NetUnrealizedGainsInvstAmt
Other Revenue	$887,731,376	OtherRevenueAmt
Revenue Not Reported	$766,427,533	RevenueNotReportedAmt
Revenue Subtotal	$10,064,129,024	RevenueSubtotalAmt
Total Revenue Per Form990	$10,064,129,024	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$10,182,592,003	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$765,363,273	OtherExpensesIncludedAmt
Expenses Not Reported	$765,363,273	ExpensesNotReportedAmt
Expenses Subtotal	$9,417,228,730	ExpensesSubtotalAmt
Total Expenses Per Form990	$9,417,228,730	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FIN 48 (ASC 740) Footnote

As outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of CareSource Ohio Inc.: 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.

Form 990, Schedule D, Parts XI and XII

The entity has separate audited financial statements prepared on a statutory ("STAT") basis in compliance with The National Association of Insurance Commissioners ("NAIC") requirements. The entity is also included in the consolidated audited financial statements of the parent entity, CareSource, which are prepared on a GAAP basis. The 990 has been prepared consistent with the GAAP-basis financial statements. The amounts included on Schedule D, Part XI and XII, Lines 2d, are comprised of the GAAP-to-STAT adjustments.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (62 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Rocking Horse Children's Health Center
651 South Limestone Street	Springfield	OH	45505	311593544	501(C)(3)	$6,200	Cost of Poverty Experience ("COPE") training for staff
Planned Parenthood of Southwest Ohio Region
2314 Auburn Ave	Cincinnati	OH	452192882	310536688	501(C)(3)	$7,500	Camp Movement, Enrichment, Empowerment ("MEE")
The Christ College of Nursing & Health Sciences
2319 Auburn Ave	Cincinnati	OH	45219	203823825	501(C)(3)	$10,000	Purchase new and updated equipment
Ohio Newsboys Association Inc
4300 Indianola Ave	Columbus	OH	43214	316401150	501(C)(3)	$10,000	Provide new school clothing for children in need
LEAD Training
1225 Double Eagle Ct	Lebanon	OH	45036	830909806	501(C)(3)	$10,000	Supplement academic training with the vital tools necessary for low-income students to create a better pathway out of poverty for themselves and their families
Fostering Further
PO Box 365	Pataskala	OH	43062	474412979	501(C)(3)	$10,000	Support the Starting Strong programs
Mental Health & Addiction Advocacy Coalition
4500 Euclid Ave	Cleveland	OH	44103	463402346	501(C)(3)	$10,000	Develop and distribute a research project that will identify areas of racial and ethnic inequity in Ohio's community Behavioral Health system, examine solutions, and make recommendations
Research America
241 18th Street South	Arlington	VA	22202	521609875	501(C)(3)	$14,200	Adolescent Well-Visit Focus Groups	STE 501
Best Buddies International Inc
100 SE 2nd Street	Miami	FL	33131	521614576	501(C)(3)	$15,000	Expand Best Buddies Friendship Chapters	STE 2200
Women Just Like Me
501 Forestwood Dr	Gahanna	OH	43230	311763296	501(C)(3)	$16,000	Assist marginalized communities facing barriers to receive parent support services inclusive of prenatal education, early childhood education for families with children ages 0-5 years, and mental health education for mothers
Dress Right Dress Inc
89 N Main St	Kingston	OH	45644	841988934	501(C)(3)	$25,000	Assist with expanding and providing services in Seneca County, Ohio and surrounding areas by placing a Resource Center, Staff, and a larger Volunteer and Community Partnership base
Franklinton Development Assoc dba FUEL FRANKLINTON
1091 West Broad Street	Columbus	OH	43222	311380384	501(C)(3)	$30,000	Support the Financial Life-skills Program
The Breathing Association
788 Mt Vernon Ave	Columbus	OH	43203	314387540	501(C)(3)	$34,500	Support an 8-Month Course for expectant Moms
FutureReady Columbus
1907 Leonard Ave	Columbus	OH	43219	453819208	501(C)(3)	$50,000	Support Prenatal to age-5 children.	No 150
CelebrateOne
1111 East Broad Street	Columbus	OH	43205	831868006	501(C)(3)	$50,000	Enroll 90 pregnant women meeting the target population over the next year in the following counties that are all part of the Ohio Equity Institute (counties which have the greatest racial disparities in infant mortality): Summit County, Franklin County, Montgomery County, and Hamilton County
Habitat for Humanity of SE Ohio
14440 State Route 13	Millfield	OH	45761	311286856	501(C)(3)	$55,000	Equipment purchase & Food as Medicine Program
Project Milk Mission
1257 Romayne Dr	Akron	OH	44313	851400742	501(C)(3)	$56,430	Provide evidence-based, culturally competent prenatal and postpartum clinical and counseled lactation care via telehealth technology
Community Shelter Board
355 East Campus View Blvd	Columbus	OH	432355616	311181284	501(C)(3)	$65,000	Provide flexible funds to support the provision of homeless and housing programs for families and individuals experiencing homelessness, including outreach to people living on the street, emergency shelter when needed, temporary utility and rent assistance, and referrals to rapid re-housing programs, connecting them to shelter and housing	No 250
Homeless Hookup
4411 Lucille Ave	Cleveland	OH	44121	830924756	501(C)(3)	$69,200	Support the Mobile Hygiene Bus that can go anywhere to give out free food, clothes, haircuts, showers, Narcan and other resources needed during all phases of a person's journey in life
Ohio Access to Justice Foundation
88 E Broad Street	Columbus	OH	43215	464044686	501(C)(3)	$75,000	Provide direct civil legal services to low-income Ohioans	No 720
Harm Reduction Ohio
935 River Road	Granville	OH	43023	825110907	501(C)(3)	$100,000	Install 'naloxboxesor harm reduction vending machines in six counties in Ohio and supplies for the boxes	Suite G
Shoes 4 The Shoeless Inc
3918 Lenox Drive	Kettering	OH	45429	273371811	501(C)(3)	$100,000	Provide funding for socks & shoes for children in need and a delivery truck for these activities
Catholic Social Services of the Miami Valley
922 West Riverview Ave	Dayton	OH	454026424	310536645	501(C)(3)	$100,000	Support the food pantry and the construction of new pantry space that will provide loading doors, refrigeration, and an open shopping space as well as meeting space for programs and classes that are handicap accessible
Ohio Optometric Foundation
250 East Wilson Bridge Road	Worthington	OH	43085	030504175	501(C)(3)	$125,000	Support the In-School Eye Exam Program and the organization's ability to serve as many children as possible in need of optometric services	Rm 240
United Way of Greater Cleveland
1331 Euclid Avenue	Cleveland	OH	441151854	346516654	501(C)(3)	$150,000	Pilot project entitled Nutrition Solution, an expanded home-delivered meal service that combines medically tailored meals ("MTMs"), nutrition education, and weekly wellness calls
Habitat for Humanity of Ohio Inc
88 E Broad Street	Columbus	OH	43215	201182119	501(C)(3)	$150,000	Provide critical home repairs/handicapped accessibility modifications for homeowners who are at or below 50% of the area median income	No 1800
Health Care Access Now
2600 Victory Parkway	Cincinnati	OH	45206	264042151	501(C)(3)	$180,000	Establish new and build upon existing partnerships with coalitions within communities of color (especially the African American, Asian, Latinx, and Indigenous) and recruit students from these communities for the training program
La Soupe Inc
119 Cleveland Avenue	Milford	OH	451501007	474452384	501(C)(3)	$200,000	Address and combat food insecurity in the Greater Cincinnati area
Greater Dayton Area Hospital Association
241 Taylor Street	Dayton	OH	45402	311221836	501(C)(6)	$200,000	Startup funds needed to become the lead agency supporting Healthy Beginnings at Home in Montgomery County, which provides housing assistance to pregnant people and improves health outcomes	No 130
El Centro de Servicios Sociales Inc
2800 Pearl Avenue	Lorain	OH	44055	341165756	501(C)(3)	$200,000	Support the new facility which will provide space for additional services related to physical and mental health and bilingual services to the Latino community
Edwins Leadership & Restaurant Institute
13101 Shaker Square	Cleveland	OH	44120	260656263	501(C)(3)	$200,000	Cover some of the cost of the tuition-free education program offered to formerly incarcerated adults to establish a foundation in the culinary and hospitality industries and provide a support network necessary for long-term success
Project Ujima Inc
1015 So Hawkins Ave	Akron	OH	44320	813065852	501(C)(3)	$205,000	Serve pregnant and new mothers and their children up to the age of 1 in the Greater Akron area with a focus on decreasing infant mortality by (1) providing space and a structured process to enable pregnant and new mothers to receive the educational, social, and emotional support needed to ensure healthy moms and babies; and (2) coordinating and providing racial equity programming, including race dialogues, to increase cultural responsiveness of providers and decrease racial inequities that contribute to the high infant mortality rates of African American babies
National Center for Urban Solutions Tech
2780 Airport Drive Apt	Columbus	OH	43219	852989509	501(C)(3)	$250,000	Workforce Development	Suite 333
American Academy of Pediatrics Ohio Chapter
95-A Northwoods Blvd	Columbus	OH	43235	311700823	501(C)(3)	$250,000	Support the Store-It-Safe Youth Suicide Prevention Program, which aims to prevent suicide by reducing access to in-home lethal means and increasing discussions on youth mental health concerns by providers in multidisciplinary settings
Connect Our Kids
1069 West Broad Street	Falls Church	VA	22046	474505539	501(C)(3)	$250,000	Fund the Connect Our Kids technology platform ("Connections Toolkit"), which contains a suite of tools to reduce the complexities of family search and engagement	No 778
Birthing Beautiful Communities
1464 E 105 Street	Cleveland	OH	44106	474453278	501(C)(3)	$250,000	Provide comprehensive maternal care to 100 high risk black women	STE 202
The Hope Center for Families
1800 Harvard Blvd	Dayton	OH	45406	843623559	501(C)(2)	$250,000	Help the organization deliver educational and wraparound social services to children and families living in poverty
Greater Cleveland Food Bank Inc
15500 South Waterloo Road	Cleveland	OH	44110	341292848	501(C)(3)	$295,000	Support continuation of a community-academic collaboration between Case Western Reserve University, Greater Cleveland Food Bank, & Better Health Partnerships Pathway HUB
Boys & Girls Club of Dayton Inc
1828 West Stewart Street	Dayton	OH	45408	310536657	501(C)(3)	$300,000	Support programming to youth grades K-12 through quality, structured, and developmentally appropriate programs to promote academic success, healthy lifestyles, good character, & citizenship
Cleveland VA Medical Research & Education Foundati
10701 East Boulevard	Cleveland	OH	44106	341710663	501(C)(3)	$320,000	Support a multi-disciplinary approach to delineate why military veteran patients experience Parkinson falls and what can be done to mitigate falls
Behavioral Healthcare Partners of Central Ohio Inc
65 Messimer Dr	Newark	OH	43055	316402630	501(C)(3)	$333,333	Assist in expanding behavioral healthcare by use of a Mobile Urgent Care vehicle and engage populations traditionally underserved in these regions
Girls Health Period
PO Box 12740	Cincinnati	OH	45212	833218683	501(C)(3)	$350,000	Enrich the lives of students in education, sports, and career by providing menstrual products, underwear, sports bras, and period education
The Foodbank Inc
56 Armor Place	Dayton	OH	45417	861082880	501(C)(3)	$371,675	Address and combat food insecurity
Kettering Medical Center
1 Prestige Place	Miamisburg	OH	45342	310621866	501(C)(3)	$380,000	Tuition costs for students enrolled in medical programs	No 910
Children's Hunger Alliance
1105 Schrock Avenue	Columbus	OH	43229	237303509	501(C)(3)	$400,000	Secure childcare center partner participation in the meal expansion program, additional warehouse space for food storage, expand healthy meals to children on weekends, and increase access to nutritious food to mitigate inequities in health outcomes	No 505
Westcare Ohio Inc
PO Box 94738	Las Vegas	NV	891934738	311508554	501(C)(3)	$400,000	Support the expansion project for the East End Community Service Facility, which will have space to add a new health clinic, workforce training center, and Family Services
B Riley Sober House
3719 Denison Ave	Cleveland	OH	441092691	814500441	501(C)(3)	$441,585	Support the effort to address health disparities in Behavioral Health and substance use by the acquisition of a new recovery house for LGBTQIA, 55+ adults with a substance use diagnosis participating in an outpatient drug and alcohol treatment program
Homefull
829 S Gettysburg Ave	Dayton	OH	45417	311236989	501(C)(3)	$500,000	Support the Health, Food, and Jobs facility, which provides locally and minority-operated essential services including the Regional Food Hub, Farmers Market, and Community Education Center
Five Rivers Health Centers
2261 Philadelphia Drive	Dayton	OH	45406	450914398	501(C)(3)	$500,000	Support initiatives to promote optimal health outcomes for pregnant women, infants, and members with a diagnosis of Diabetes	Suite 200
The United Way of Greater Dayton Area
33 West First Street	Dayton	OH	45402	310536658	501(C)(3)	$500,000	Increase in service provision in the areas of youth education (childcare), adult education, system navigation and mental health support	No 500
Premier Health Partners
110 N Main St	Dayton	OH	45402	311446699	501(C)(3)	$518,100	Support The Promise to Hope Program, which will provide expecting and new mothers with access to vital resources and care necessary to recover from opiate addiction and SUD by connecting women to treatment, housing options, and community resources	500
Hocking Athens Perry Community Action
PO Box 220	Glouster	OH	45732	310718322	501(C)(3)	$700,000	Food purchases to bolster food sourcing efforts
Children's Hospital Medical Center
3333 Burnet Avenue	Cincinnati	OH	452293039	310833936	501(C)(3)	$800,000	Eliminate systemic inequities in health outcomes for children and adolescents within the 8-County region of Southwest Ohio
The Cleveland Clinic Foundation
6801 Brecksville Rd RK1-85	Independence	OH	44131	340714585	501(C)(3)	$1,000,000	Continued expansion of a virtual emergency medicine initiative at the Cleveland Clinic Foundation
Ohio District 5 Area Agency on Aging Foundation
2131 Park Avenue West	Ontario	OH	44906	453199263	501(C)(3)	$1,000,000	Support expansion of the HEMEN (Helping Elderly Meet Essential Needs) and Community Health Worker programs to reach vulnerable individuals of all ages, demographics, and communities within the nine-county region	No 100
People Working Cooperatively
4612 Paddock Road	Cincinnati	OH	45229	310859104	501(C)(3)	$1,250,000	Support the Healthy at Home program to improve health for low income individuals & families through home repairs that have health implications and fall prevention curriculum
Ohio Association of Health Plans Inc
230 East Town St	Columbus	OH	43215	311001446	501(C)(6)	$1,362,240	Collaborative investment among the MCOs to invest in The Ronald McDonald House
Corporation for Supportive Housing
61 Broadway	New York	NY	10006	133600232	501(C)(3)	$1,500,000	Continued support of the Fresh Start housing program to house and support members in the community of Franklin County, Ohio that are homeless and have challenges with mental health issues or substance use	No 2300
Dayton Children's Hospital
One Childrens Plaza	Dayton	OH	454041815	310672132	501(C)(3)	$2,000,000	Support a new Behavioral Health Building in Dayton, Ohio to increase the number of behavioral health inpatient beds currently available and allow for expansion of specialized program development
Children's Hospital Medical Center of Akron
One Perkins Square	Akron	OH	44308	340714357	501(C)(3)	$2,300,000	Support the implementation of a closed loop referral system that will enable the organization to track and monitor patient impact and improve efficiency of patient treatment plans
One Fifteen Recovery
6636 Longshore Street	Dublin	OH	43017	833504845	501(C)(3)	$2,496,603	Provide services including the research, planning, strategy, innovation, development and implementation of an integrated substance use disorder hybrid care model with associated technology to identified geographies; deploy care advocate services in connection with CareSource and partner resources; ingest and analyze key data sets to identify care gaps and improve quality; and recommend and scope novel technology and/or care advancement for members	No 200
Ronald McDonald House Charities Dayton
555 Valley Street	Dayton	OH	45404	310964793	501(C)(3)	$13,833,684	Support construction of new housing facility and donation to Ronald McDonald Care Mobile

Field	Value	IRS element (for citing)
Total501c3 Org	59	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Contribution Review	FormAndLineReferenceDesc
Explanation	The Organization may provide assistance to other Internal Revenue Code (IRC) Tax exempt organizations in the form of charitable contributions. These contributions are unrestricted funds available for use by the organization for the purpose the organization deems necessary.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Erhardt Preitauer
Chief Executive Officer	$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 & Products, Dir	$0	$505,787	$0	$354,760	$0	$106,319	$0	$911,682	$0	$39,293	$0	$1,917,841	$0	$354,760
Stephen Ringel
President Market, Director	$0	$424,040	$0	$302,731	$0	$94,217	$0	$682,459	$0	$34,443	$0	$1,537,890	$0	$299,731
Daniel McCabe
Chief Admin Officer (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
Stephanie Williams
SVP Ch Acty, Dir (Eff 4/22)	$0	$339,884	$0	$19,972	$0	$164,535	$0	$555,141	$0	$22,210	$0	$1,101,742	$0	$0
William Coffin Jr
VP Mkt Finance, Dir (To 4/22)	$0	$44,311	$0	$203,209	$0	$277,375	$0	$15,188	$0	$7,113	$0	$547,196	$0	$242,999
David Finkel
Former EVP Markets, Director	$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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Schedule J, Part I, Question 3	The 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 4a	Daniel McCabe, David Finkel, and William Coffin, Jr. received severance payments that are properly reported on Schedule J, Part II, Column B(iii).
Form 990, Schedule J, Part I, Question 4B	The 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, Scott Markovich, Stephen Ringel, and Stephanie Williams. 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, Scott Markovich, Stephen Ringel, and Stephanie Williams. 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, Scott Markovich $517,955, Stephen Ringel $360,347, and Stephanie Williams $288,979.
Form 990, Schedule J, Part I, Question 6B	The 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, Daniel McCabe, Stephen Ringel, Stephanie Williams, and William Coffin, Jr. 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 II	All 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Question 1 (Continued)	CARESOURCE OHIO, INC. IS A HEALTH INSURANCE COMPANY LICENSED BY THE STATE OF OHIO AND SERVES MEMBERS THROUGH DUAL ELIGIBLE SPECIAL NEEDS, MARKETPLACE, MEDICAID, MEDICARE ADVANTAGE, AND MYCARE OHIO PLANS.
Form 990, Part VI, Section A, Question 6	CareSource is the member of CareSource Ohio, Inc. CareSource is a nonprofit corporation that is exempt from federal income taxation under Internal Revenue Code ("IRC") Section 501(c)(3).
Form 990, Part VI, Section A, Question 7a	CARESOURCE, THE SOLE MEMBER OF CARESOURCE OHIO, INC., HAS THE AUTHORITY TO APPOINT CARESOURCE OHIO, INC.'S BOARD AND OFFICERS.
Form 990, Part VI, Section B, Question 11B	The 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 12C	Annually, 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 17	A copy of Form 990 is not required to be filed with the state of Ohio. CareSource Ohio, Inc. 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 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). Statutory financial statements for the organization are available on the Ohio Department of Insurance's website at www.ins.ohio.gov. The company's Form 990 is available on the U.S. nonprofit database website at www.guidestar.org. The company's Articles of Incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us.
Form 990, Part XI, Line 9	Other changes in Net Assets is (A) a write off of advances paid to behavioral health providers of $118,524 and (B) dividend to CareSource of $275,000,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
The CareSource Foundation
PO Box 8738	Dayton	OH	45401	562582561	Grantmaking	OH	501(c)(3)	509(a)(3) I	CareSource	false
CareSource
PO Box 8738	Dayton	OH	45401	311703368	Supporting	OH	501(c)(3)	509(a)(3)II	NA	false
CareSource Indiana Inc
PO Box 8738	Dayton	OH	45401	320121856	HMO Ins Plan	IN	501(c)(3)	509(A)(2)	CareSource	false
CareSource Georgia Co
PO Box 8738	Dayton	OH	45401	472408339	HMO Ins Plan	GA	501(c)(3)	509(A)(2)	CareSource	false
CareSource West Virginia Co
PO Box 8738	Dayton	OH	45401	473028244	HMO Ins Plan	WV	501(c)(3)	509(A)(2)	CareSource	false
CareSource Kentucky Co
PO Box 8738	Dayton	OH	45401	464991603	HMO Ins Plan	KY	501(c)(3)	509(A)(2)	CareSource	false
CareSource Life Services Co
PO Box 8738	Dayton	OH	45401	811602217	No Activity	OH	501(c)(3)	509(A)(2)	CareSource	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
CSMS Holding LLC (To 122822)
PO Box 8738	Dayton	OH	454018738	851588557	Holding Co	DE	NA	N/A
CareSource Diversity & Social Impact Inv
50 East 91st Street Suite 213	Indianapolis	IN	46240	871811106	Investing	IN	NA	N/A
CareSource Iowa Opportunity Investment
415 12th Ave SE	Cedar Rapids	IA	52401	883585337	Investing	IA	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt
CareSource Virginia Co
PO Box 8738	Dayton	OH	454018738	811727271	No Activity	VA	NA	C Corp
CareSource Arkansas Health Plan Co
PO Box 8738	Dayton	OH	454018738	844476729	COA Insurance	AR	NA	C Corp
Kids' CareAlliance Co
PO Box 8738	Dayton	OH	454018738	854022039	No Activity	OH	NA	C Corp
CareSource Oklahoma Health Plan Co
PO Box 8738	Dayton	OH	454018738	854038326	HMO Ins Plan	OK	NA	C Corp
CareSource Kansas LLC
PO Box 8738	Dayton	OH	454018738	873411276	HMO Ins Plan	KS	NA	C Corp
CareSource North Carolina Co
PO Box 8738	Dayton	OH	454018738	873079479	HMO Ins Plan	NC	NA	C Corp
CareSource PASSE LLC
PO Box 8738	Dayton	OH	454018738	863112470	RBPO Ins Plan	AR	NA	C Corp
Columbus Organization Holdings LLC
PO Box 8738	Dayton	OH	454018738	814132952	Holding Co	DE	NA	C Corp
Healthedge-Columbus Holdings LLC
PO Box 8738	Dayton	OH	454018738	814132842	Holding Co	DE	NA	C Corp
CareSource Tennessee Co
PO Box 8738	Dayton	OH	454018738	874254502	COA Insurance	TN	NA	C Corp
Columbus Medical Services Inc
PO Box 8738	Dayton	OH	454018738	300975112	No Activity	MD	NA	C Corp
CareSource Iowa Co (Inc 31822)
PO Box 8738	Dayton	OH	45401	881429834	HMO Ins Plan	IA	NA	C Corp
CareSource Florida Co (Inc 8422)
PO Box 8738	Dayton	OH	45401	883601120	HMO Ins Plan	FL	NA	C Corp
CareSource Bayou Health LLC(Inc 72222)
PO Box 8738	Dayton	OH	45401	883401520	HMO Ins Plan	TX	NA	C Corp

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III - Related Orgs Taxable as a Partnership - Additional Information	1) 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 Information	1) 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.