2021-11-12T11:39:54-06:00 2020-12-31 990 2020-01-01 311703368 CareSource % JANET FERNANDES CARE 9375313027 PO Box 8738 Dayton OH 454018738 Lawrence Smart CFO 9375313027 2021-11-11 Lawrence Smart 999009999 2 2020 2022-09-23 18:48:47Z X Erhardt Preitauer Same as C above Dayton OH 45401 1126599077 false X N/A X 1999 OH CareSource's mission is to make a lasting difference in members' lives by improving their health and well-being by supporting the nonprofit entities in the CareSource Family of Co. 12 11 5345 0 0 868327 335694 1685686524 1118408195 18925281 7719773 71000 86015 1705551132 1126549677 547553 732174 0 0 447139356 540456169 0 0 0 1270409124 474411533 1718096033 1015599876 -12544901 110949801 818501167 897034476 560283469 545681284 258217698 351353192 X CareSource ("the Company"CS"), formerly known as CareSource Management Group Co, is a not-for-profit organization, operating in Ohio. The Company was formed to act for the benefit of, and to carry out, as a supporting organization for all not-for-profit, tax exempt affiliates. The Company is a licensed third-party administrator ("TPA") in the states of Ohio, Illinois, Michigan and Kentucky. The Company is the sole member of CareSource Ohio Inc. ("CSOH"), CareSource Indiana Inc. ("CSIN"), CareSource Kentucky Co ("CSKY"), CareSource Georgia Co ("CSGA"), CareSource West Virginia Co ("CSWV"), CareSource Life Services Co ("CSLS"), CareSource Network Partners LLC ("CSNP"), CareSource at Home LLC ("CSAH"), CareSource Reinsurance LLC ("CSRE"), CareSource Virginia Co ("CSVA"), CareSource Real Estate Holdings LLC ("CSRH"), The CareSource Foundation ("CSF") and CareSource Holding LLC ("CSH"). CSH is the sole member of CareSource Management Services Holding LLC ("CSMSH") and CareSource Arkans true false 1015599876 732174 1126549677 CareSource, as a supporting organization, provides strategic oversight to CareSource Ohio Inc., CareSource Indiana Inc., The CareSource Foundation, CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, and CareSource Life Services Co (The "CareSource Group"). CareSource provides committee oversight regarding quality of care measures, Healthcare Effectiveness Data and Information Set, National Committee for Quality Assurance, as well as State and Federal quality measures. CareSource's governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprise risk management functions. In March 2012, CareSource signed an Alliance Agreement with Humana, Inc., to jointly participate in state bid opportunities for Medicaid and provide coverage for people who qualify for Medicaid in the Commonwealth of Kentucky. As of December 31, 2019, there were 148,485 Medicaid Members in a Humana - CareSource Medicaid plan. CareSource has a commendable accreditation for this Medicaid plan. The current term of the Medicaid contract with the Commonwealth of Kentucky ended in June 2019 but contained one (1) additional six (6) month renewal period that was mutually agreed upon. CareSource Reinsurance LLC ("CSRE"), a single member LLC of CareSource, continued doing business with Humana in the same capacity through 2019. Effective December 31, 2019, the Company ended its relationship with Humana and will not continue servicing members in the Kentucky Medicaid program. CSRE will continue to process claims runout for effective dates of service December 31, 2019 and prior through December 31, 2022 as agreed upon with Humana. The CareSource Group's primary activity for over 30 years has been providing nonprofit Medicaid health maintenance organization ("HMO") services. The CareSource Group started its first Medicaid HMO program in Ohio in 1989. This plan is now one of the largest Medicaid managed care plans in the country. The CareSource Group has expanded beyond Ohio to operate Medicaid plans in various other states, including Georgia and Indiana. CareSource holds a Third-Party Administrator ("TPA") license in four states. In total, the CareSource Group plans facilitate access to health care to approximately 2,000,000 low income individuals. The CareSource Group refers to these individuals as "Members." Additionally, over the last several years, the CareSource Group's leadership began to recognize that despite health care reform, many low-income individuals remained uninsured or underinsured. They also realized that the CareSource Group was uniquely positioned to address this problem due to its extensive experience providing managed care to low income individuals. The CareSource Group therefore concluded that it was imperative that it expand its operations to states with significant low-income populations which would benefit from the organization's charitable approach to health care. As a result, the CareSource Group expanded to operate qualified plans on the health care exchange in Kentucky and West Virginia, as well as exclusively through several of its other CareSource-related entities, all of which are exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code ("IRC"). As with its Medicaid HMO plans, the CareSource Group refers to individuals participating in its health care exchange plans as "Members." Through all of its activities, the CareSource Group strives to make a lasting difference in its Members' lives by improving their health and overall well-being. It firmly adheres to this mission by providing services to Members (both of its Medicaid HMO plans and health care exchange plans) that go beyond the delivery of medical benefits and which remove poverty as a barrier to achieving good health and independence. The CareSource Group also believes that it can improve the health of its Members through educational initiatives. Education empowers Members to take on greater personal responsibility for their own health and the health of their family by encouraging healthy decisions and preventative care. For example, the CareSource Group prepares a personalized wellness plan for each of its Members. Moreover, Members who are pregnant or have a child under the age of one can sign-up for Text4Babies. Members participating in Text4Babies receive three text messages per week that provide advice on proper preventative care. Other educational efforts include a childhood obesity management program for children between the ages of five and 17 years old. At CareSource, we know that social determinants of health are key drivers of healthcare access, utilization, and outcomes. As such, social determinants of health require full integration into the treatment of Members' physical health. What sets us apart from traditional managed care is our record of accomplishments and results in integrating these non-clinical aspects into every interaction we have with our Members. The CareSource mission is to make a lasting difference in Members' lives by improving their health and well-being. This has catalyzed our commitment to develop programs that target our Members' social needs - nutrition, transportation, housing, jobs, social connectedness, communication, access, and more. We shape our benefits to integrate social and economic solutions seamlessly into our Members' care to have maximum impact on their social support, stability, health, and wellness. CareSource Life Services is the umbrella framework through which we address social determinants of health including hunger, housing, social stability, workforce development, and health equity. Within CareSource Life Services, our CareSource JobConnect program addresses the education and employment barriers that many of our Members face and that impede their path to self-sufficiency. CareSource JobConnectT is widely recognized within the managed care industry for reducing dependence on governmental services by providing Members with life coaching, access to community-based resources, and support setting and reaching their professional and educational goals. CareSource Life Services also participates in the Jobs-Plus Program ("Jobs-Plus"). The Jobs-Plus program was conceived in the mid-1990s by the Department of Housing and Urban Development ("HUD") in cooperation with various private charitable organizations. Jobs-Plus is based on the concept of saturating low-income housing developments with information, services, and incentives to encourage residents to obtain employment. Beginning in 2016, as part of the Life Services program, CareSource was party to five grants awarded at the federal and county levels: (1) The Dayton Metropolitan Housing Authority, dba Greater Dayton Premier Management ("GDPM"), was the recipient of a multi-million dollar grant from HUD. GDPM chose CareSource as the subcontractor to implement JobConnect in the DeSoto Bass and Hilltop low-income housing communities located in Dayton, Ohio. CareSource began offering JobConnect in these communities in 2017. As the subcontractor, CareSource was awarded $936,000 to implement JobConnect. The JobsPlus program began April 1, 2017 and continued through June 30, 2020; (2) On April 1, 2018, the Workforce Development Board of Central Ohio, in conjunction with the Westside Community Fund and CareSource, entered into another year long contract for $89,000 to serve the neighborhoods of West Columbus and is designed to facilitate a job readiness and retention program for the unemployed and underemployed. This contract ended on April 30, 2019; (3) In January, 2018, CareSource entered into a yearlong contract for $150,000 with the Montgomery County Alcohol, Drug Addiction and Mental Health Services Board to serve Montgomery County Ohio residents who are also receiving substance abuse and/or mental health services by opting them into the JobConnect program. This grant was renewed for calendar year 2019; and (4) In November 2018, CareSource entered into a yearlong contract for $20,000 with CityWide, a non-profit organization with a mission to strengthen Dayton through strategic economic and community development. CityWide will serve as a consultant for capacity building in affordable housing, strategic partnerships, and research and analysis. This contract ended on December 31, 2019. Additionally, in November 2017 CareSource entered into a grant agreement with JobsOhio in order to invest in redevelopment activities, fixed-assets, infrastructure, and workforce training associated with growth of the organization in downtown Dayton, Ohio. JobsOhio was formed under the laws of the state of Ohio and was established to encourage business development in the State. JobsOhio was incorporated on July 5, 2011, as a nonprofit corporation, to promote economic development, job creation, job retention, job training, and the recruitment of business to Ohio. JobsOhio is governe 1015599876 true true false true false false false false false false true false true true false true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 4826 0 true 5345 true false false false false false false false false false false true false X 12 11 false false true false false false false true true false false true true true true true true true false true true OH X JANET FERNANDES 9375313027 PO BOX 8738 Dayton OH 454018738 X ERHARDT PREITAUER PRESIDENT & CEO, DIRECTOR 15.0 45.0 X X 2239483 0 3719592 JAI PILLAI CHIEF OPERATING OFFICER 20.0 40.0 X 1037573 0 910643 JAMES VOILAND CHIEF CLINICAL OFFICER 45.0 15.0 X 863357 0 683330 DAVID FINKEL EXECUTIVE VP, MARKETS 10.0 50.0 X 736768 0 797538 DEVON VALENCIA CHIEF INFORMATION OFFICER 45.0 15.0 X 831276 0 693945 DAVID GOLTZ CFO, TREASURER 30.0 30.0 X 949833 0 574541 DANIEL MCCABE CHIEF ADMINISTRATIVE OFFICER 20.0 40.0 X 809693 0 631182 CHRISTINA TURNER EVP STRAT & BUS DEV (TO 8/20) 30.0 30.0 X 1230599 0 36084 ROBERT LOSIER SVP, IT INFRASTRUCTURE & OPS 45.0 15.0 X 726127 0 536622 STEPHEN RINGEL PRESIDENT, MARKET 20.0 40.0 X 684262 0 564544 BOBBY JONES PRESIDENT, MARKET 1.0 59.0 X 688292 0 540491 RICHARD TOPPING CHIEF LEGAL OFR & SECRETARY 45.0 15.0 X 363368 0 758947 SCOT WARD SVP, ANALYTICS 45.0 15.0 X 622608 0 417575 STEVE SMITHERMAN PRESIDENT, MARKET 1.0 59.0 X 510600 0 369355 KEVIN BROWN CHAIRPERSON/DIRECTOR 15.0 0.0 X 212500 0 0 TERENCE RAPOCH DIRECTOR 5.0 5.0 X 122500 0 0 CRAIG BROWN DIRECTOR 5.0 5.0 X 120000 0 0 PATRICE WOLFE DIRECTOR 10.0 0.0 X 120000 0 0 PATRICIA MARTIN DIRECTOR 10.0 0.0 X 117500 0 0 ANTHONY PRINCIPI DIRECTOR 10.0 0.0 X 115000 0 0 EDWARD THOMAS BRODMERKEL DIRECTOR 10.0 0.0 X 107500 0 0 JOHN MONAHAN DIRECTOR 10.0 0.0 X 107500 0 0 DAVID MILLER DIRECTOR 5.0 5.0 X 105000 0 0 MICHAEL ERVIN MD VICE CHAIRPERSON/DIRECTOR 10.0 10.0 X 105000 0 0 THOMAS C EDWARDS DIRECTOR 10.0 0.0 X 97500 0 0 13623839 0 11234389 1139 false true false United Healthcare Services Inc 9900 Bren Road East MN008-T390 MINNETONKA MN 55343 Medical Services 49122958 University of Kentucky Hospital PO Box 3107 LEXINGTON KY 40588 Medical Services 17395284 Vaco Cincinnati LLC 9987 Carver Road Ste 440 BLUE ASH OH 45242 Consulting Services 10297794 O'Neil Digital Solutions LLC 12655 Beatrice St LOS ANGELES CA 90066 Communication Svcs 9862283 CVS Caremark 9501 E Shea Blvd MC 19 SCOTTSDALE AZ 85260 Pharmacy Services 9764393 313 335694 335694 MANAGEMENT FEES 561000 995034971 995034971 INSURANCE PREMIUMS; REINSURANCE 524298 123373224 123373224 1118408195 7769173 7769173 0 0 86015 86015 0 86015 86015 0 49400 -49400 -49400 -49400 0 0 0 0 0 0 0 0 0 0 1126549677 1118408195 7805788 X 732174 732174 0 0 0 19060045 19060045 0 410813250 410813250 30661306 30661306 47270639 47270639 32650929 32650929 231120 231120 9116011 9116011 348211 348211 112500 112500 0 8660647 8660647 206753676 206753676 15421548 15421548 58013766 58013766 15977468 15977468 0 12566672 12566672 1666937 1666937 0 815742 815742 11330794 11330794 0 29164707 29164707 2586024 2586024 MEDICAL EXPENSE 98590951 98590951 CORPORATE MEMBERSHIPS 1195578 1195578 CLAIMS PROCEESING ADMIN EXP 747935 747935 DUES AND FILING FEES 609310 609310 501936 501936 1015599876 1015599876 0 0 X 19360848 0 133267138 452515271 0 0 206813899 41131410 0 0 0 0 0 0 0 0 23334039 26558608 322338559 169672046 151661957 152666513 3538037 3383500 0 0 149726574 94219765 0 0 130798675 126559409 818501167 897034476 340962254 257604666 0 0 23160523 0 0 0 0 0 0 0 196160692 288076618 0 0 0 0 560283469 545681284 X 258217698 351353192 0 0 258217698 351353192 818501167 897034476 X 110949801 -622498 -17191809 X false true X true false X X 6 CARESOURCE OHIO INC 311143265 10 false 2000000 0 CARESOURCE INDIANA INC 320121856 10 false 10000000 0 CARESOURCE KENTUCKY CO 464991603 10 false 10000000 0 CARESOURCE GEORGIA CO 472408339 10 false 0 0 CARESOURCE LIFE SERVICES CO 811602217 10 false 0 0 CARESOURCE WEST VIRGINIA CO 473028244 10 false 0 0 6 22000000 false false false false true true true false false false false false false false false false false Form 990, Schedule A, Part IV, Section A, Question 1 CareSource is a supporting organization to the IRC Section 501(c)(3) organizations classified as public charities that are members of the CareSource Family of Nonprofit organizations ("CS Public Charities"). CareSource does not specifically name the supported organizations in its Articles of Incorporation; instead, the Articles of Incorporation refer to the CS Public Charities as the "CareSource Companies." The Articles of Incorporation state the sole and specific purpose for which CareSource is formed is to act for the benefit of, and to carry out, as a supporting organization, the purposes of the not-for-profit tax exempt organizations which are exempt from taxation under Section 501(c)(3) of the Internal Revenue Code and classified as public charities under Section 509(a)(1) or 509(a)(2) of the IRC. Although not mentioned by name, those organizations include CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Georgia Co, CareSource Kentucky Co, CareSource Life Services Co, and CareSource West Virginia Co. Form 990, Schedule A, Part IV, Section A, Question 5a Effective July 1, 2020 CareSource Management Group Foundation merged into The CareSource Foundation, formerly a subsidiary of CareSource Ohio, Inc. ("CSOH"). Also at that time, CareSource became the sole member of The CareSource Foundation. Form 990, Schedule A, Part IV, Section A, Question 6 In furtherance of the charitable purposes of the CS Public Charities, which primarily operate to improve the health and overall well-being of low-income populations, CareSource improves the lives of the underserved by providing grants on behalf of the CS Public Charities to other charitable organizations that deliver a broad array of health and human services and programs. The grants are targeted to reach the neediest populations in the communities where the CS Public Charities operate. Form 990, Schedule A, Part IV, Section C, Question 1 As noted above, CareSource is a supporting organization to the members of the CareSource family of nonprofit entities that are classified as charitable organizations under section 501(c)(3) of the Internal Revenue Code (the "Code") and public charities under section 509(a) of the Code. During 2020, CareSource and each of the CS Public Charities had the same Chief Executive Officer (Erhardt Preitauer), Chief Administrative Officer (Daniel McCabe), Chief Financial Officer (David Goltz), and Chief Operating Officer (Jai Pillai). Further, boards of the CS Public Charities were almost exclusively comprised of CareSource management-level employees who reported to the CareSource board. Thus, CareSource was "supervised or controlled in connection with" the CS Public Charities, its supported organizations, because control and management of CareSource and the CS Public Charities were vested in the same individuals. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 225000 false false 225000 false Form 990, Schedule C, Part II-B, Line 1b Staff attended functions and meetings with government officials and legislators to discuss government sponsored health care programs. 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. 3512609 3512609 110945763 10826250 100119513 9629988 5312309 4317679 179084566 149858882 29225684 19165633 3674605 15491028 152666513 INVEST CARESOURCE MGMT SVCS 0 C INVEST CARESOURCE WEST VIRGINI 9500000 C INVEST CARESOURCE OHIO INC 17200000 C INVEST CARESOURCE KENTUCKY CO 13750000 C INVEST CARESOURCE INDIANA INC 19151342 C INVEST CARESOURCE GEORGIA CO 32000000 C INV CARESOURCE MGMT FOUNDATION 0 C INV THE CARESOURCE FOUNDATION 2258423 C INVEST CARESOURCE ARKANSAS 360000 C 94219765 CAPITAL LEASE ASSET - NET 4934478 SERP PLAN 7199242 INTERCOMPANY RECEIVABLES 114011104 DEPOSITS 142871 OTHER TANGIBLE ASSETS 271714 126559409 0 0 X FIN 48 (ASC 740) Footnote As outlined in CareSource's Audited Consolidated Financial Statements: 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 2017-2019 are open for audit by the Internal Revenue Service. true CLT HOST 2020 INC 550 S CALDWELL ST CHARLOTTE NC 28202 831264583 501(C)(3) 250000 GENERAL SUPPORT UNITED WAY OF GREATER DAYTON 33 W FIRST ST STE 500 DAYTON OH 45402 310536658 501(C)(3) 65209 2020 CORPORATE GIFT CAMPAIGN THINK TANK INC 20 S LIMESTONE ST STE 330 SPRINGFIELD OH 45502 203742833 501(C)(3) 50800 THE COST OF POVERTY EXPERIENCE (COPE) FOODBANK INC 56 ARMOR PLACE DAYTON OH 45417 861082880 501(C)(3) 25000 MASS FOOD DISTRIBUTION OHIO GOVERNOR'S IMAGINATION LIBRARY 2037 BEAVER VALLEY RD BEAVERCREEK OH 45434 841826095 501(C)(3) 25000 GENERAL SUPPORT PHOEBE FOUNDATION INC PO BOX 3770 ALBANY GA 31706 581847104 501(C)(3) 25000 PHOEBE PUTNEY HLTH SYS COVID-19 RELIEF SISTERS OF CHARITY FOUNDATION OF CLEVELAND 2475 E 22ND ST 4TH FLOOR CLEVELAND OH 45402 341832698 501(C)(3) 25000 INSURING OHIO'S CHILDREN BAYA CORPORATION 757 E LEWIS AND CLARK PKWY STE 806 CLARKSVILLE IN 47150 812853453 501(C)(3) 10000 GENERAL SUPPORT CULTURE WORKS PO BOX 706 DAYTON OH 45409 237412338 501(C)(3) 10000 CORPORATE CONTRIBUTION DOWNTOWN DAYTON PARTNERSHIP 10 W 2ND ST STE 611 DAYTON OH 45402 341722175 501(C)(3) 10000 DAYTON HOLIDAY FESTIVAL FLYING HORSE FARMS 3 EASTON OVAL STE 330 COLUMBUS OH 43219 203499125 501(C)(3) 10000 GENERAL SUPPORT OHIO COUNTY & IND AGRICULTURAL SOCIETIES 580 CALUMET LANE DAYTON OH 45417 310550829 501(C)(3) 10000 2020 JR FAIR LIVESTOCK EXPO SOLOVED PO BOX 228 CLAYTON OH 45315 475571701 501(C)(3) 10000 GENERAL SUPPORT SOPHIE KERRIGAN FOR THE LOVE OF ANIMALS FDN 2212 E ALEX BELL RD DAYTON OH 45459 466616193 501(C)(3) 10000 GENERAL SUPPORT THE GALA OF HOPE FOUNDATION INC 3500 PENTAGON BLVD STE 500 BEAVERCREEK OH 45431 464277044 501(C)(3) 10000 GENERAL SUPPORT UNITED REHABILITATION SVCS OF GREATER DAYTON 4710 OLD TROY PIKE DAYTON OH 45424 310592919 501(C)(3) 10000 GENERAL SUPPORT URBAN LEAGUE OF GREATER SW OHIO INC 3458 READING RD CINCINNATI OH 45229 310565428 501(C)(3) 10000 ANNUAL CORPORATE CONTRIBUTION YWCA DAYTON 141 W THIRD STREET DAYTON OH 45402 310537168 501(C)(3) 10000 VOICES AGAINST VIOLENCE & WOMEN OF INFLUENCE PHILANTHROPY OHIO 500 SOUTH FRONT ST STE 900 COLUMBUS OH 43215 311111842 501(C)(3) 8500 HEALTH INITIATIVE 2020 DAYTON CONTEMPORARY DANCE COMPANY 840 GERMANTOWN ST DAYTON OH 45402 237220259 501(C)(3) 7500 MAHOGONY NIGHTS EVENT REBUILDING TOGETHER DAYTON 30 S MAIN ST STE B DAYTON OH 45402 311457626 501(C)(3) 7500 NATIONAL REBUILDING DAY 21 0 Contribution Review The company may provide assistance to other Internal Revenue Code Tax exempt charitable organizations in the form of charitable contributions. These contributions are unrestricted funds available for use by the charitable organization for the purpose the charitable organization deems necessary. X X true true X X X X X true true false false false true false false false ERHARDT PREITAUER PRESIDENT & CEO, DIRECTOR 1195469 0 1041550 0 2464 0 3687463 0 32129 0 5959075 0 1041550 0 JAI PILLAI CHIEF OPERATING OFFICER 576277 0 300000 0 161296 0 886239 0 24404 0 1948216 0 300000 0 JAMES VOILAND CHIEF CLINICAL OFFICER 446583 0 214285 0 202489 0 669006 0 14324 0 1546687 0 0 0 DAVID FINKEL EXECUTIVE VP, MARKETS 510907 0 221045 0 4816 0 776964 0 20574 0 1534306 0 221045 0 DEVON VALENCIA CHIEF INFORMATION OFFICER 441337 0 286073 0 103866 0 669006 0 24939 0 1525221 0 0 0 DAVID GOLTZ CFO, TREASURER 603324 0 286058 0 60451 0 552051 0 22490 0 1524374 0 286058 0 DANIEL MCCABE CHIEF ADMINISTRATIVE OFFICER 448738 0 216350 0 144605 0 602044 0 29138 0 1440875 0 216350 0 CHRISTINA TURNER EVP STRAT & BUS DEV (TO 8/20) 264386 0 776410 0 189803 0 16314 0 19770 0 1266683 0 210239 0 ROBERT LOSIER SVP, IT INFRASTRUCTURE & OPS 373735 0 216349 0 136043 0 505632 0 30990 0 1262749 0 0 0 STEPHEN RINGEL PRESIDENT, MARKET 412052 0 182494 0 89716 0 525454 0 39090 0 1248806 0 182494 0 BOBBY JONES PRESIDENT, MARKET 415611 0 177094 0 95587 0 519453 0 21038 0 1228783 0 177094 0 RICHARD TOPPING CHIEF LEGAL OFR & SECRETARY 363368 0 0 0 0 0 748990 0 9957 0 1122315 0 0 0 SCOT WARD SVP, ANALYTICS 318750 0 116550 0 187308 0 416495 0 1080 0 1040183 0 0 0 STEVE SMITHERMAN PRESIDENT, MARKET 309881 0 136192 0 64527 0 334214 0 35141 0 879955 0 136192 0 KEVIN BROWN CHAIRPERSON/DIRECTOR 212500 212500 Form 990, Schedule J, Part I, Question 1a Ten of the board members listed on Schedule J, Part II were reimbursed for travel to and from board meetings utilizing first/business class travel. The amount reimbursed was not treated as compensation as it was business related. Form 990, Schedule J, Part I, Question 3 All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CareSource Management Services LLC ("CSMS LLC"), a disregarded entity of the reporting organization. Compensation paid to the CEO is pursuant to the terms of a written employment agreement between Mr. Preitauer and CSMS LLC. CSMS LLC has in place Clawback provisions within its executive compensation plans that generally require executives to pay back compensation to CSMS LLC 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, Question 4A Christina Turner received a severance payment that is 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 CareSource Management Services LLC ("CSMS LLC"), a disregarded entity of the reporting organization, CareSource: Erhardt Preitauer, Jai Pillai, James Voiland, David Finkel, Devon Valencia, David Goltz, Daniel McCabe, Christina Turner, Robert Losier, Stephen Ringel, Bobby Jones, Richard Topping, Scot Ward and Steve Smitherman. Amounts are accrued monthly for plan participants. The plan provides 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 plan provides 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 LLC: Erhardt Preitauer, Jai Pillai, James Voiland, David Finkel, Devon Valencia, David Goltz, Daniel McCabe, Robert Losier, Stephen Ringel, Bobby Jones, Richard Topping, Scot Ward, and Steve Smitherman. 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 vesting period, they forfeit any amounts accrued under this plan. Amounts paid or accrued in 2020 for both deferred compensation arrangements include the following: Erhardt Preitauer $1,866,617, Jai Pillai $425,122, James Voiland $328,509, David Finkel $375,369, Devon Valencia $328,509, David Goltz $587,531, Daniel McCabe $359,195, Christina Turner $244,450, Robert Losier $220,601, Stephen Ringel $288,276, Bobby Jones $285,001, Richard Topping $362,500, Scot Ward $183,281, and Steve Smitherman $163,370. Form 990, Schedule J, Part I, Question 6b The following listed persons listed on Form on Form 990, Part VII, Section A, line 1a are employees of CSMS LLC: Erhardt Preitauer, Jai Pillai, James Voiland, Devon Valencia, David Finkel, David Goltz, Daniel McCabe, Christina Turner, Robert Losier, Stephen Ringel, Bobby Jones, Richard Topping, Scot Ward, and Steve Smitherman. All are or were eligible for a performance bonus as part of their compensation packages. The performance bonus is contingent on a combination of both company performance and individual performance against goals. 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, Part VI, Section A, Question 4 Effective July 1, 2020 CareSource Management Group Foundation merged into The CareSource Foundation, formerly a subsidiary of CSOH. CareSource is now the sole member of The CareSource Foundation. During 2020 the Company established CareSource Holdings, LLC ("CSH"), CareSource Arkansas Health Plan ("CSAR"), CareSource Management Services Holding, LLC ("CSMSH"), CareSource Rx Innovations ("CSRX"), CareSource Oklahoma Holding, LLC ("CSOKH"), CareSource Oklahoma Health Plan ("CSOK") and Kids CareAlliance ("KCA") to support business development. In addition, CareSource Management Services Co. is now known as CareSource Management Services, LLC ("CSMS"). CSMS is a single-member limited liability company disregarded for federal income tax purposes. THE AMENDED ARTICLES OF INCORPORATION INCLUDED THE FOLLOWING CHANGES: (1)CHANGED THE NAME OF THE ORGANIZATION TO "CARESOURCE" (2) CHANGED THE BUSINESS LOCATION TO THE "DAYTON AREA" (3) UPDATED THE PURPOSE TO INCLUDE A PROVISION OUTLINING TREATMENT OF NET PROCEEDS FROM A LIQUIDITY EVENT, (4) UPDATED THE SOLE MEMBER TO THE DIRECTORS OF THE CORPORATION (5) REMOVED PROVISION OUTLINING THE BOARD OF TRUSTEES (ADDITIONAL DETAIL PROVIDED IN BYLAWS) (6) ESTABLISHED THE LOCATION AND (3) ABOVE AS PERMANENT PRINCIPLES AND (7) ADDED AN AMENDMENT PROVISION TO ESTABLISH THAT ONLY WITH DIRECTORS APPROVAL CAN THE ARTICLES BE AMENDED. Form 990, Part VI, Section B, Question 11B The Form 990 was provided to the organization's Audit committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization for their review prior to the time of filing Form 990. The Form 990 was reviewed by the CEO, CFO, VP Treasury, Director Tax, Manager Tax, an outside CPA firm, outside legal counsel, and by general counsel prior to filing Form 990 with the IRS. Form 990, Part VI, Section B, Question 12C Annually, each director, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person has reviewed the Statement of Ethical Behavior and Conflict of Interest and Conflicts of Interest Corporate Governance Principles. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted director has no vote on the matter involved with the conflict of interest. At the beginning of each regularly scheduled Board Meeting, the Board Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members are also asked to inform the Board if a Conflict of Interest arises during the course of the Board Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented. Form 990, Part VI, Section B, Q 15A and 15B; Schedule J, Part I The Compensation Committee consists of Board Members who are Independent. The Compensation Committee establishes the Company's general compensation philosophy and oversees and approves the development, adoption and implementation of compensation plans and programs for the Company's officers and executives. The Compensation Committee receives a Report of comparability data prepared by an independent compensation consultant surveying data for comparable organizations' reasonable compensation. The comparability data is presented to the independent Board members in a written document in advance of the meeting, and the independent comparability study is presented by the author of the study during the course of the meeting. Additionally, the Minutes of each meeting are prepared, distributed, and approved at the next regularly scheduled Compensation Committee meeting. The Compensation Consultant does no other business with the CareSource Family of Companies other than determining the reasonableness of compensation. At least annually, the Compensation Committee assesses the work of the compensation consultants. Form 990, Part VI, Section C, Question 19 The Company's Form 1023 is available for public inspection upon request, and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). The company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. The Company 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. Form 990, Part XI, Line 9 Change in Net Assets is inclusive of the following changes in investment of subsidiaries: (1) Transfer of sole membership of The CareSource Foundation from CareSource Ohio, Inc. to CareSource $552,349 and (2) Valuation of CareSource Management Services LLC $(17,744,158). Form 990, Part III, Line 2 For a description of the organization changes that occurred during 2020, please refer to Attachment 2, which is the response to Form 990, Part III, Line 4a. FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:XXX-XX-XXXX CareSource Reinsurance LLC 800 N Last Chance Gulch 101 Helena MT 59601 454937120 Captive Ins MT 17107598 134180561 CareSource CareSource Network Partners LLC PO Box 8738 Dayton OH 45401 811017455 Contracting OH 0 0 CareSource CareSource At Home LLC PO Box 8738 Dayton OH 45401 811025103 Home Health OH -796683 0 CareSource CareSource Real Estate Holdings LLC PO Box 8738 Dayton OH 45401 824834822 R/E Holding OH -1310191 105804591 CareSource CareSource Holding LLC PO Box 8738 Dayton OH 45401 844431982 Holding Co OH 0 0 CareSource CareSource Mgmt Services Holding LLC PO Box 8738 Dayton OH 45401 851588557 Holding Co DE 0 0 CSH CareSource Management Services LLC PO Box 8738 Dayton OH 45401 311703371 ADM MGMT SVCS OH 92983323 206269376 CSMSH LLC CareSource Rx Innovations LLC PO Box 8738 Dayton OH 45401 852689588 Rx Services OH 0 0 CSMSH LLC CareSource Oklahoma Holding LLC PO Box 8738 Dayton OH 45401 853713133 Holding Co DE 0 0 CSMSH LLC CareSource Indiana Inc 135 N Pennsylvania St 1300 Indianapolis IN 46204 320121856 Medicaid HMO IN 501(c)(3) 509(a)(2) CareSource true CareSource Ohio Inc PO Box 8738 Dayton OH 45401 311143265 Medicaid HMO OH 501(c)(3) 509(a)(2) CareSource true The CareSource Foundation PO Box 8738 Dayton OH 45401 562582561 Supporting OH 501(c)(3) 509(a)(3) I CareSource true CareSource Kentucky Co 101 Enterprise Drive Frankfort KY 40601 464991603 Exchange HMO KY 501(c)(3) 509(a)(2) CareSource true CareSource Georgia Co 600 Galleria Pkwy 400 Atlanta GA 30339 472408339 Medicaid HMO GA 501(C)(3) 509(a)(2) CareSource true CareSource West Virginia Co 400 Washington St 401 Charleston WV 25301 473028244 Exchange HMO WV 501(c)(3) 509(a)(2) CareSource true CareSource Life Services Co PO Box 8738 Dayton OH 45401 811602217 Inactive OH 501(c)(3) 509(a)(2) CareSource true CareSource Mgmt Grp Fdn (Dissolved 720) PO Box 8738 Dayton OH 45401 814170497 Grantmaking OH CareSource C Corp 0 0 1.00000 true CareSource Virginia Co PO Box 8738 Dayton OH 45401 811727271 Inactive VA CareSource C Corp 0 0 1.00000 true CareSource Arkansas Health Plan Co 300 Spring Bldg Ste 900 Little Rock AR 72201 844476729 INACTIVE AR CSH C Corp 0 0 1.00000 true Kids' CareAlliance Co PO Box 8738 Dayton OH 45401 854022039 INACTIVE OH CSMSH LLC C Corp 0 0 1.00000 true CareSource Oklahoma Health Plan Co 14201 Wireless Way Suite D-100 Oklahoma City OK 73134 854038326 INACTIVE OK CSOKH LLC C Corp 0 0 1.00000 true false true true true true false false false true false true false true false true true true true The CareSource Foundation B 550000 Actual CareSource Management Group Foundation B 775000 Actual CareSource Arkansas Health Plan Co B 360000 Actual CareSource Ohio Inc L 792312194 Actual CareSource Indiana Inc L 79951817 Actual CareSource Kentucky Co L 29689746 Actual CareSource West Virginia Co L 6192356 Actual CareSource Georgia Co L 86648303 Actual CareSource Indiana Inc D 20000000 Actual CareSource Indiana Inc C 30000000 Actual CareSource Kentucky Co C 10000000 Actual CareSource Ohio Inc N 414000 Actual