CARESOURCE OHIO INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CARESOURCE OHIO INC (EIN 31-1143265)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202043219349302299
- Schema version
- 2019v5.1
- 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 B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T08:03:26-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JANET FERNANDES | InCareOfNm |
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 9375313027 | 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 | DAVID W GOLTZ | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9375313027 | PhoneNum |
| Signature | 2020-11-13 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.90.148.16 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 31250220203215000005 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-16 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E5D0B402C5057AD00F81B6842CF73C21495794A5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8206126091B024FA09C0B25049ACF7F162FD2A36 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $8,442,021,639 | 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 offers services for Medicaid, Medicare and Federal Exchange members. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $114,330 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,280,285 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,762,642,282 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,096,836,756 | CYProgramServiceRevenueAmt |
| PY Investment Income | $56,581,042 | PYInvestmentIncomeAmt |
| CY Investment Income | $48,092,928 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $7,819,337,654 | PYTotalRevenueAmt |
| CY Total Revenue | $8,150,209,969 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $30,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $89,493 | 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 | $7,743,250,827 | PYOtherExpensesAmt |
| CY Other Expenses | $8,094,956,860 | CYOtherExpensesAmt |
| PY Total Expenses | $7,743,280,827 | PYTotalExpensesAmt |
| CY Total Expenses | $8,095,046,353 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $76,056,827 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $55,163,616 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,807,957,209 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,989,749,142 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $953,260,405 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,071,661,337 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $854,696,804 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $918,087,805 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CARESOURCE'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. CARESOURCE IS A MISSION-DRIVEN MEDICAID HEALTH INSURING CORPORATION (COMMONLY REFERRED TO AS A HEALTH MAINTENANCE ORGANIZATION) LICENSED BY THE STATE OF OHIO. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,619,485,967 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,096,836,756 | RevenueAmt |
| Desc | CareSource, 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 30 years. CareSource serves 1.26 million members in Ohio. CareSource'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, (5) a Qualified Health Plan offered through the Federal Health Insurance Marketplace, providing low-cost comprehensive coverage for individuals and families, and (6) Community Transition Program consumers who are transitioning from the Ohio Department of Rehabilitation and Correction back to the community through a grant from the Ohio Department of Mental Health and Addiction Services. CareSource Program Services: 1) CareSource Ohio Medicaid: CareSource 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. CareSource'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. CareSource has earned 52.6% 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. CareSource 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. CareSource has made an organizational commitment to make evidence-based investments towards improving health outcomes for members. CareSource'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. CareSource 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. CareSource has a broad, statewide network of more than 45,000 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, CareSource incentivizes certain providers through a value-based incentive model. CareSource focuses efforts on creating incentives and reimbursement options to support models that recognize quality at the provider level. CareSource created a program that provides additional incentives to providers for delivering quality based services that impact Healthcare Effectiveness Data and Information Set ("HEDIS") measures. CareSource created a shared savings model that rewards providers for attaining quality targets while sharing savings. In this particular model, CareSource 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, CareSource 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. CareSource 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 CareSource 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. CareSource 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, CareSource'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, CareSource 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. CareSource offers a 24/7 Nurse Advice Line staffed by Registered Nurses to help members access appropriate care and divert unnecessary emergency department visits. CareSource's commitment to quality is demonstrated through the organization's National Committee for Quality Assurance ("NCQA") accreditation. CareSource is accredited by NCQA for its qualified Health Insurance Marketplace and Medicaid Health plans. Accreditation demonstrates CareSource's commitment to quality and enhances CareSource's ability to improve the health and well-being of those we serve. CareSource utilizes the NCQA disease management definition and ensures the policy of CareSource to conduct appropriate disease management member identification and risk stratification, offering the appropriate interventions and education to the member. Through these efforts, the disease management programs focus simultaneously on achieving health and maintaining wellness to the highest level possible for each member. Any given member may be eligible for more than one condition. CareSource will engage members with the conditions of interest, or the parents/guardians of children with conditions of interest, through disease-specific and preventive care population-based interventions. The Disease Management program contains the following: program resources, program integration, provider notification and involvement, curriculum and content, NCQA requirements, and annual evaluation. The CareSource Women and Children's Health program is part of the corporate Care4U model of care and utilizes a population-based approach to meet the clinical and social needs of the women and children CareSource serves. The goal of the Care4U Women and Children's Health program is to maximize the quality of life and health outcomes of women, infants, children, and their families. 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. The Women and Children's Health program objectives include reducing 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 - Babies First is available for all pregnant members. The program provides 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. Babies First requires that members must complete 5-7 prenatal visits, a post-partum visit within 21-56 days after delivery, the first 6-7 well baby visits prior to 15-18 months, and a lead screening by 15 months of age to receive incentives, and (2) Early and Periodic Screening, Diagnostic, and Treatment ("EPSDT"). The EPSDT benefit provides comprehensive and prevent | Desc |
| Total Program Service Expenses | $7,619,485,967 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | false | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 11997 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | false | 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 | 9375313027 | 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 (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Erhardt Preitauer | ||||||||
| CEO/Director | 18.0 | 42.0 | Yes (X) | Yes (X) | $0 | $3,061,457 | $1,899,707 | |
| David Goltz | ||||||||
| Chief Financial Officer | 9.0 | 51.0 | Yes (X) | $0 | $1,395,705 | $523,051 | ||
| Jai Pillai | ||||||||
| Chief Operating Officer | 23.0 | 37.0 | Yes (X) | $0 | $837,370 | $495,728 | ||
| Daniel McCabe | ||||||||
| Chief Administrative Officer | 10.0 | 58.0 | Yes (X) | $0 | $737,231 | $410,495 | ||
| L Tarlton Thomas III | ||||||||
| Former Chief Operating Officer | 0.0 | 0.0 | $0 | $1,107,296 | $3,517 | Yes (X) | ||
| Stephen Ringel | ||||||||
| President, Market | 59.0 | 1.0 | Yes (X) | $0 | $640,571 | $361,976 | ||
| Michael Ervin MD | ||||||||
| Chairperson/Director | 5.0 | 10.0 | Yes (X) | Yes (X) | $0 | $225,000 | $0 | |
| Ellen Leffak | ||||||||
| Director | 5.0 | 15.0 | Yes (X) | $0 | $210,000 | $0 | ||
| Craig Brown | ||||||||
| Vice Chairperson/Director | 5.0 | 10.0 | Yes (X) | Yes (X) | $0 | $180,000 | $0 | |
| David Miller | ||||||||
| Director | 5.0 | 10.0 | Yes (X) | $0 | $138,750 | $0 | ||
| William Marsteller DC | ||||||||
| Secretary/Treasurer/Director | 5.0 | 5.0 | Yes (X) | Yes (X) | $0 | $82,500 | $0 | |
| Douglas Fecher | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $0 | $75,000 | $0 | ||
| David Kaelber MD | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $0 | $67,500 | $0 | ||
| Gary LeRoy MD | ||||||||
| Director | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,758,380 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,694,474 | 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 |
|---|---|---|---|---|---|
| CVS Caremark | |||||
| 9501 E Shea Blvd MC 19 | SCOTTSDALE | AZ | 85260 | Pharmacy Services | $2,016,196,978 |
| Childrens Hospital Medical Center | |||||
| 3333 Burnet Avenue | CINCINNATI | OH | 45229 | Medical Services | $217,476,690 |
| Childrens Hospital Physicians Net | |||||
| 700 Childrens Drive | COLUMBUS | OH | 43205 | Medical Services | $216,867,534 |
| The MetroHealth System | |||||
| 2500 MetroHealth Drive | CLEVELAND | OH | 44109 | Medical Services | $211,378,910 |
| The Cleveland Clinic Fdn Related | |||||
| 9500 Euclid Avenue | CLEVELAND | OH | 44195 | Medical Services | $203,668,921 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3042 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,280,285 | GovernmentGrantsAmt |
| Total Contributions | $5,280,285 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 524114 | $7,688,021,808 | $7,688,021,808 |
| PREMIUMS | 524114 | $405,797,742 | $405,797,742 |
| VETERANS REVENUE | 524114 | $3,017,206 | $3,017,206 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,096,836,756 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,102,562 | TotalRevenueColumnAmt |
| Exclusion | $32,102,562 | 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 | $307,802,036 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $291,811,670 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,990,366 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,990,366 | TotalRevenueColumnAmt |
| Exclusion | $15,990,366 | 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 | $8,150,209,969 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,096,836,756 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $48,092,928 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,493 | TotalAmt |
| Program Services | $89,493 | 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 | $3,230,695 | TotalAmt |
| Program Services | $15 | ProgramServicesAmt |
| Management And General | $3,230,680 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,539 | TotalAmt |
| Management And General | $341,539 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,078 | TotalAmt |
| Program Services | $4,958 | ProgramServicesAmt |
| Management And General | $228,120 | ManagementAndGeneralAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,590,656 | TotalAmt |
| Program Services | $48,577,944 | ProgramServicesAmt |
| Management And General | $126,012,712 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,390,063 | TotalAmt |
| Program Services | $16,279 | ProgramServicesAmt |
| Management And General | $6,373,784 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,139,519 | TotalAmt |
| Program Services | $951,103 | ProgramServicesAmt |
| Management And General | $40,188,416 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,420,665 | TotalAmt |
| Management And General | $22,420,665 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,985,693 | TotalAmt |
| Program Services | $19,518 | ProgramServicesAmt |
| Management And General | $20,966,175 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,958,209 | TotalAmt |
| Program Services | $1,415,212 | ProgramServicesAmt |
| Management And General | $3,542,997 | ManagementAndGeneralAmt |
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 | $634,124 | TotalAmt |
| Management And General | $634,124 | ManagementAndGeneralAmt |
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 | $1,759,759 | TotalAmt |
| Management And General | $1,759,759 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EXPENSES | $5,702,154,799 | $5,702,154,799 | |
| PHARMACY EXPENSES | $1,764,973,864 | $1,764,973,864 | |
| MGMT FEES TO OTHER ENTITIES | $338,988,918 | $100,940,668 | $238,048,250 |
| PCORI & CMS/FFM USER FEES | $11,440,476 | $11,440,476 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $714,803 | TotalAmt |
| Program Services | $342,114 | ProgramServicesAmt |
| Management And General | $372,689 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,095,046,353 | TotalAmt |
| Program Services | $7,619,485,967 | ProgramServicesAmt |
| Management And General | $475,560,386 | 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 | $7,739,460 | BOYAmt |
| EOY | $19,591,932 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,744,753 | BOYAmt |
| EOY | $506,326,870 | 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 | $577,346,188 | BOYAmt |
| EOY | $695,286,837 | 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 | $4,168,201 | BOYAmt |
| EOY | $3,876,296 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $938,678,229 | BOYAmt |
| EOY | $764,274,266 | 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 | $280,378 | BOYAmt |
| EOY | $392,941 | 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 | $1,807,957,209 | BOYAmt |
| EOY | $1,989,749,142 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $916,911,802 | BOYAmt |
| EOY | $1,010,976,945 | 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 | $18,950,321 | BOYAmt |
| EOY | $13,806,569 | 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 | $17,398,282 | BOYAmt |
| EOY | $46,877,823 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,260,405 | BOYAmt |
| EOY | $1,071,661,337 | 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 | $854,696,804 | BOYAmt |
| EOY | $918,087,805 | 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 | $854,696,804 | BOYAmt |
| EOY | $918,087,805 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,807,957,209 | BOYAmt |
| EOY | $1,989,749,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $55,163,616 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $16,076,753 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$7,849,368 | 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 | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,170,454 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,280,285 | CurrentTaxYearAmt |
| Total | $13,565,069 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,170,508,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,408,383,841 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,182,270,383 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,762,642,282 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,090,874,825 | CurrentTaxYearAmt |
| Total | $35,614,680,105 | 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 | $6,170,508,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,408,383,841 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,190,440,837 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,762,756,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,096,155,110 | CurrentTaxYearAmt |
| Total | $35,628,245,174 | 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 | $35,628,245,174 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,163,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,170,503 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,468,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,835,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,102,562 | CurrentTaxYearAmt |
| Total | $162,740,833 | 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 | $28,163,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,170,503 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,468,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,835,548 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,102,562 | CurrentTaxYearAmt |
| Total | $162,740,833 | 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 | $6,198,672,609 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,440,554,344 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,219,909,222 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,803,592,160 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,128,257,672 | CurrentTaxYearAmt |
| Total | $35,790,986,007 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99545 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99504 | PublicSupportPY509Pct |
| Investment Income CY | 0.00455 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00496 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $389,157 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $76,999 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $466,156 | 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 | $76,999 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 | $46,877,823 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $46,877,823 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 (ASC 740) Footnote | FormAndLineReferenceDesc |
| Explanation | As outlined in the CareSource Management Group Co.'s Audited Consolidated Financial Statements, which include the activity of CareSource: The Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2016-2019 are open for audit by the Internal Revenue Service. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| The Dayton Foundation | |||||||
| 500 Kettering Tower | Dayton | OH | 45423 | 316027287 | 509(a)(1) | $25,000 | General Support |
| Greene County Community Foundation | |||||||
| 3560 Pentagon Blvd | Dayton | OH | 45431 | 311751001 | 501(c)(3) | $10,000 | WPCU Sunshine Fund |
| Dayton Contemporary Dance Company | |||||||
| 840 Germantown St | Dayton | OH | 45402 | 237220259 | 501(c)(3) | $10,000 | General Support |
| East End Community Services | |||||||
| 624 Xenia Avenue | Dayton | OH | 45410 | 311508554 | 501(c)(3) | $10,000 | General Support |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Contribution Review | The Organization may provide assistance to other Internal Revenue Code (IRC) 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. The Organization is a supported organization to The CareSource Foundation (Foundation), a related IRC 501(C)(3) tax exempt organization, and will distribute funds to the Foundation in furtherance of its tax exempt purpose. The Foundation monitors use of these grants as part of its annual review process. |
| Charitable Board Credit Contributions | In support of CareSource's commitment to its charitable purposes, some of its appointed directors elect to earn charitable credits for each board meeting attended. At year-end, the directors designate their credits to their internal revenue code section 501(c)(3) tax exempt charity of choice. Charitable donations in the amount of $70,000 were paid or accrued in 2019 under this policy by the organization and are represented on Schedule I in the form of general support contributions. |
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 | ||||||||||||||
| CEO/Director | $0 | $1,026,966 | $0 | $1,250,500 | $0 | $783,991 | $0 | $1,863,100 | $0 | $36,607 | $0 | $4,961,164 | $0 | $1,163,393 |
| David Goltz | ||||||||||||||
| Chief Financial Officer | $0 | $555,838 | $0 | $215,000 | $0 | $624,867 | $0 | $502,115 | $0 | $20,936 | $0 | $1,918,756 | $0 | $325,000 |
| Jai Pillai | ||||||||||||||
| Chief Operating Officer | $0 | $469,413 | $0 | $237,500 | $0 | $130,457 | $0 | $480,287 | $15,441 | $0 | $1,333,098 | $0 | $237,500 | |
| Daniel McCabe | ||||||||||||||
| Chief Administrative Officer | $0 | $419,863 | $0 | $164,136 | $0 | $153,232 | $0 | $383,840 | $0 | $26,655 | $0 | $1,147,726 | $0 | $164,136 |
| Stephen Ringel | ||||||||||||||
| President, Market | $0 | $379,585 | $0 | $143,460 | $0 | $117,526 | $0 | $334,760 | $0 | $27,216 | $0 | $1,002,547 | $0 | $143,460 |
| L Tarlton Thomas III | ||||||||||||||
| Former Chief Operating Officer | $0 | $20,184 | $0 | $0 | $0 | $1,087,112 | $0 | $1,305 | $0 | $2,212 | $0 | $1,110,813 | $0 | $481,103 |
| Michael Ervin MD | ||||||||||||||
| Chairperson/Director | $0 | $225,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $225,000 | $0 | $0 |
| Ellen Leffak | ||||||||||||||
| Director | $0 | $210,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $210,000 | $0 | $0 |
| Craig Brown | ||||||||||||||
| Vice Chairperson/Director | $0 | $180,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $180,000 | $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 executive compensation committee comprised solely of independent directors. CareSource Management Group Co. ("CSMG") has in place Clawback provisions within its executive compensation plans that generally require executives to pay back compensation to CSMG 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 | L Tarlton Thomas III 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 a related organization, CareSource Management Group Co. (CSMG): Erhardt Preitauer, David Goltz, Jai Pillai, Daniel McCabe, Stephen Ringel, and L Tarlton Thomas III. 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 a related organization, CareSource Management Group Co.: Erhardt Preitauer, David Goltz, Jai Pillai, Daniel McCabe, and Stephen Ringel. 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 and accrued in 2019 for both deferred compensation arrangements include the following: Erhardt Preitauer $1,381,150, David Goltz $501,682, Jai Pillai $263,728, Daniel McCabe $260,419, Stephen Ringel $196,045, and L Tarlton Thomas III $746,689. |
| Form 990, Schedule J, Part I, Question 6B | The following listed persons listed on Form 990, Part VII, Section A, line 1a are employees of CSMG, a related organization to CareSource: Erhardt Preitauer, David Goltz, Jai Pillai, Daniel McCabe, and Stephen Ringel. All of these listed persons 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, Schedule J, Part II | All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CSMG, a related organization to CareSource. Compensation paid to the CEO is pursuant to the terms of a written employment agreement between Mr. Preitauer and CSMG. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Question 6 | CareSource Management Group Co. ("CSMG") is the member of CareSource. CSMG 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 B, Question 11B | The Form 990 was provided to the organization's Finance Committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization for their review prior to the time of filing Form 990. The Form 990 was reviewed by the CEO, CFO, VP Treasury, Director Tax, an outside CPA Firm, outside legal counsel, and by general counsel prior to filing Form 990 with the IRS. |
| Form 990, Part VI, Section B, Question 12C | Annually, each director, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person has reviewed the Statement of Ethical Behavior and Conflict of Interest and Conflicts of Interest Corporate Governance Principles. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted director has no vote on the matter involved with the conflict of interest. |
| Form 990, Part VI, Section C, Question 19 | The company's Form 1023 is available for public inspection upon request and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). 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 | Change in net assets is inclusive of the following: (1) change in investment in subsidiary ($1,887,437) and (2) write off of advances paid to Behavioral Health providers ($5,961,931). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 | Supporting | OH | 501(c)(3) | 509(a)(3) I | NA | Yes (true) |
| CareSource Management Group Co | ||||||||||
| PO Box 8738 | Dayton | OH | 45401 | 311703368 | Supporting | OH | 501(c)(3) | 509(a)(3)II | NA | false |
| 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 | false | 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 | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The CareSource Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $2,000,000 | InvolvedAmt |
| Method Of Amount Determination | Actual | MethodOfAmountDeterminationTxt |