2019-11-13T12:27:03-06:00 2018-12-31 990 2018-01-01 472408339 CareSource Georgia Co % DANA DONALDSON CARE 9375313027 600 Galleria Pkwy 400 Atlanta GA 30339 DAVID W GOLTZ CFO 9375313027 2019-11-13 128.136.202.167 31250220193175000003 2019-11-13 P B0A5CF5E28A31C297C2016A15E6E6F999D53BBDF 5FA75A7885C23E9F1F1069C98F4AEC31140AFED9 2018 2020-01-14 16:20:31Z Erhardt Preitauer PO Box 8738 Dayton OH 45401 669379273 false X N/A X 2014 GA To make a lasting difference in our members' lives by improving their health and well-being. CareSource Georgia Co. is a nonprofit Medicaid HMO licensed by the State of GA. 5 4 0 0 0 0 0 307490934 663180751 105126 693569 0 5504953 307596060 669379273 4000 4000 0 0 0 0 0 0 0 292136287 690027269 292140287 690031269 15455773 -20651996 121129634 131660034 75021667 106204063 46107967 25455971 X CARESOURCE GEORGIA CO. IS A NONPROFIT MEDICAID HEALTH INSURING ORGANIZATION LICENSED BY THE STATE OF GEORGIA. false false 630567592 4000 663180751 CareSource Georgia ("CSGA") is a nonprofit corporation established under the state laws of Georgia. On July 18, 2017, CSGA received a determination letter from the Internal Revenue Service, recognizing CSGA as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, effective as of the date of CSGA's formation. CSGA is a member of the CareSource group of nonprofit organizations (the "CareSource Group"). The parent of the CareSource Group is CareSource Management Group Co ("CSMG"), an Ohio nonprofit corporation that is tax-exempt under section 501(c)(3) of the Internal Revenue Code of 1986 (the "Code"). The CareSource Group's primary activity for the last thirty (30) years has been to provide nonprofit Medicaid health maintenance organization ("HMO") services. The mission of the CareSource group is to make a lasting difference in its members' lives by improving their health and well-being. The CareSource Group firmly adheres to this mission, which it terms as the organization's "heartbeat," by providing services that go beyond the delivery of medical benefits. CSGA began providing care to participants in its Medicaid HMO plan on July 1, 2017. As a Medicaid-only HMO, CSGA exclusively serves individuals meeting the low-income thresholds for Medicaid eligibility. CSGA participates in the State of Georgia's Planning 4 Healthy Babies program, or P4HB, which is a demonstration waiver program for women meeting Medicaid income thresholds designed to help reduce the number of low birth weight babies born each year. Through the P4HB program, CSGA offers family planning services, healthcare coverage for certain pregnancy related chronic conditions, and case management services to women at risk for a low birth weight delivery. In accordance with the CareSource Group's charitable mission, CSGA provides numerous programs and policies that encourage its members to obtain preventative and necessary medical care. Many of these programs are educational in nature and intended to make each member aware of their benefits. For example, upon enrollment, each member receives a handbook with an overall explanation of benefits. Members also receive periodic newsletters which include additional information on member benefits and reminders concerning preventative care. Additionally, CSGA contacts members throughout the year to further assist members in understanding their benefits. As part of the Year in the Life Project, CSGA will rely on data and analytical models assembled by the CareSource Group intended to maximize the effectiveness of communication by tailoring its timing and method to the individual member. Finally, upon enrollment, each member will be automatically assigned both a primary care physician ("PCP") and primary dental provider ("PDP"). Assigning a PCP represents the first step in encouraging members to utilize their benefits. Also, because each PCP will be required to contact members to schedule Early and Periodic Screening, Diagnostic, and Treatment ("EPSDT") appointments for children covered by CSGA, it increases the likelihood that CSGA's youngest members receive the preventative care they need. Ensuring members have access to quality dental care is also essential, as dental care is closely linked to the overall health and well-being of members. CSGA implements other programs and policies to improve its members' overall well-being. Wellness rewards are available for kids, adults, and pregnant moms and babies. CSGA provides dental and vision benefits to all members, including those over the age of twenty-one (21). Additionally, CSGA provides members with free access to a nursing hotline twenty-four (24) hours a day, seven (7) days a week. These nurses review a member's symptoms, offer guidance on when to seek medical care, explain any conditions with which a member has been recently diagnosed, provide education on over-the-counter medications, and help members prepare a list of questions prior to a visit with their doctor. This triaging of care both improves the efficiency of the Medicaid program and reduces unnecessary hospitalizations and emergency department visits. CSGA aims to remove poverty as a barrier to achieving good health, and CSGA provides a number of programs designed to meet challenges that are specific to individuals with low-incomes. One program is Transportation. Because low-income individuals frequently have difficulty keeping medical appointments due to a lack of transportation, CSGA will augment their transportation benefit. CSGA provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. Together, these enhanced benefits provide CSGA members additional program benefits in order to make a lasting difference in members' lives by improving their health and well-being. In 2018, CSGA paid over $2 Million to fund these enhanced member benefits. In 2016, the CareSource Group implemented CareSource Life Services, a program focused on helping members get and keep jobs they need to improve their lives. Life Services offers services and support that can pave the way from where members are to where they want to be. Life Services offers tools to help members balance work and life and to remove barriers that stand in the way of reaching their dreams. The first program under the Life Services umbrella is JobConnect. Through the JobConnect program, CSGA can help with employment assistance, access to free GED testing, interview skills, dependable transportation, budgeting and personal finance, job training, and stress management. In addition, CSGA initiated arrangements with Fifth Third Bank for free or reduced banking services for members. Each participant is assigned a life coach, who helps them build a personal plan for success, and the pilot program has already worked with nearly 500 members successfully employing more than 30 individuals. CSGA has built a network of nearly 100 potential employers and community resources to partner in job placement for members. CSGA partnered with educational institutions to support members on their path to education. Since 2017, CSGA has partnered with Atlanta Public Schools Adult Education Center to assist members who need GED support and testing. This partnership provided onsite coaching to members, an annual job fair, onsite marketing opportunities, and career development services to students who attend the center. CSGA serves as a member of the center's Advisory Council. CSGA also partnered with Chattahoochee Technical College to provide financial support and JobConnect services to students enrolled in the school's Special Population Services. Students in Special Populations Services may be classified as economically disadvantaged because they receive assistance from safety net programs, pregnant students or young mothers, or nontraditional students. This partnership provided scholarship opportunities and financial resources to students in the high demand education programs. This partnership includes an annual job fair, onsite marketing, onsite coaching for CareSource members and students, and career development services. Over 80% of the Georgia Medicaid population is children. As a result, it was imperative that CSGA develop arrangements that address the health status and social needs of this population. Therefore, CSGA offers membership to local Girls & Boys Clubs and Girl Scouts of America to encourage additional civic and community engagement in Georgia's youth members. CSGA partnered with the Metro Atlanta YMCA to offer a free family membership that provided families with access to health and wellness resources. CSGA is also implementing a childhood obesity management program, designed to help children between the ages of five (5) and seventeen (17) lose weight. CSGA launched the "Adopt a School" program in 2018. This program provided telehealth equipment to a school where a majority of the students were eligible for free or reduced lunch and had an active school nurse program. CSGA partnered with Atlanta Public Schools and adopted an elementary school in southwest Atlanta, Georgia. This partnership included telehealth equipment, onsite marketing, a sponsorship to support PTA meetings and a sponsorship to support the annual honors program and fifth grade graduation. CSGA partnered with the Children's Museum of Atlanta and served as a contributing sponsor for the museum's Family Free Days. The Family Free Day program provided free admission to low income families in the Atlanta metropolitan area. Importantly, CSGA operates under the CareSource Group's unique care coordination models. The primary model is Care4U. Care4U represents an innovative and patient-centered approach to health care, as it focuses resources on improving and maintaining overall population health. Care4U does this through a new digital platform to assist in the management of chronic conditions. As part of Care4U, 630567592 true false false true false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 4796 0 true 0 false false false false false false false false false false false false X 5 4 false false false false true false false true true false false true true true true true true false false false GA X DANA DONALDSON 6782147516 600 GALLERIA PKWY 400 Atlanta GA 30339 X Ellen Leffak Director 5.0 17.0 X 0 110000 0 Eve Byrd Director From 05/18 5.0 0.0 X 0 0 0 John P Monahan Vice Chairperson/Director 5.0 5.0 X X 0 60000 0 Kevin Brown Chairperson/Director 5.0 20.0 X X 0 122500 0 Pamela B Morris Pres/CEO/Director To 05/18 8.0 52.0 X X 0 4530802 21301 Erhardt H Preitauer Pres/CEO/Director From 05/18 8.0 52.0 X X 0 941905 1887975 David W Goltz Chief Financial Officer 5.0 55.0 X 0 687051 560101 Daniel J McCabe Chief Administrative Officer 3.0 57.0 X 0 740019 350808 L Tarlton Thomas III Chief Operating Ofr To 09/18 3.0 57.0 X 0 904830 44012 Jai J Pillai Chief Operating Ofr From 09/18 3.0 57.0 X 0 212672 406560 Bobby Jones President, Market 59.0 1.0 X 0 1029294 349901 0 9339073 3620658 0 false true false CVS Caremark 9501 E Shea Blvd MC 019 SCOTTSDALE AZ 85260 Pharmacy Services 57834570 Childrens Healthcare of Atlanta - C 1587 Northeast Expressway ATLANTA GA 30329 Medical Services 56008444 Northeast Georgia Medical Center In 743 Spring Street GAINESVILLE GA 305013899 Medical Services 14922442 Northside Hospital Inc Related Or 1000 Johnson Ferry Rd NE ATLANTA GA 303421611 Medical Services 12022582 Medical Ctr of Central GA Related 691 Cherry Street 400 MACON GA 31201 Medical Services 11078876 642 0 MEDICAID 524114 663180751 663180751 663180751 693569 693569 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 STATE PREMIUM TAX REFUND 900099 5504953 5504953 5504953 669379273 668685704 693569 4000 4000 0 0 0 0 0 0 0 0 0 0 148158 148158 253805 62942 190863 98364 4673 93691 0 0 16028521 3936612 12091909 4139305 218153 3921152 5127575 83437 5044138 2510586 2510586 0 2756158 2756158 781779 244950 536829 0 0 147017 147017 0 0 144942 144942 MEDICAL EXPENSES 563158144 563158144 PHARMACY EXPENSES 53329337 53329337 MGMT FEES TO CARESOURCE MGMT G 36748698 9293670 27455028 FILING FEES & ASSESSMENTS 3728889 3728889 925991 231674 694317 690031269 630567592 59463677 0 X 100312 100186 79612459 42712611 0 0 41372870 87994968 0 0 0 0 0 0 0 0 43993 852269 0 0 0 0 0 0 0 0 0 0 0 0 121129634 131660034 67398088 101092012 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7623579 5112051 75021667 106204063 X 46107967 25455971 0 0 0 0 46107967 25455971 121129634 131660034 -20651996 X false true X true false X 0 0 0 0 0 0 307490934 663180751 970671685 0 0 0 0 0 0 307490934 663180751 970671685 0 0 0 970671685 2076 105126 693569 800771 0 2076 105126 693569 800771 0 0 0 0 2076 307596060 663874320 971472456 X 0.00000 false false false false false false true 161395 false true 35333 196728 false 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 $35,333 is the allocable portion of the Organization's dues paid to the Georgia Association of Health Plans for lobbying and grassroots efforts conducted by the trade association on behalf of its members. 0 RELATED PARTY PAYABLE 5112051 5112051 X FIN 48 (ASC 740) Footnote As outlined in the CareSource Management Group Co.'s Audited Consolidated Financial Statements, which include the activity of CareSource Georgia Co.: The Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2015-2018 are open for audit by the Internal Revenue Service. true true false false false false false false false Pamela B Morris Pres/CEO/Director To 05/18 0 512102 0 1044200 0 2974500 0 16383 0 4918 0 4552103 0 2478940 Erhardt H Preitauer Pres/CEO/Director From 05/18 0 598321 0 297500 0 46084 0 1878143 0 9832 0 2829880 0 0 David W Goltz Chief Financial Officer 0 538694 0 107681 0 40676 0 534000 0 26101 0 1247152 0 0 Daniel J McCabe Chief Administrative Officer 0 407277 0 200508 0 132234 0 326794 0 24014 0 1090827 0 200508 L Tarlton Thomas III Chief Operating Ofr To 09/18 0 494657 0 244246 0 165927 0 16500 0 27512 0 948842 0 244246 Jai J Pillai Chief Operating Ofr From 09/18 0 117946 0 46620 0 48106 0 403750 0 2810 0 619232 0 0 Bobby Jones President, Market 0 484802 0 260102 0 284390 0 333787 0 16114 0 1379195 0 260102 Form 990, Schedule J, Part II All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CareSource Management Group Co. ("CSMG"), a Related Organization to CareSource Georgia Co. Compensation paid to the CEO is pursuant to the terms of written employment agreements between Ms. Morris and CSMG and between Mr. Preitauer and CSMG. 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.: Pamela B Morris, Erhardt Preitauer, Daniel McCabe, L Tarlton Thomas III, David Goltz, and Bobby Jones. 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, Daniel McCabe, Jai Pillai, David Goltz, and Bobby Jones. Amounts paid or accrued in 2018 related to both deferred compensation plans include: Pamela Morris $2,094,613; Erhardt Preitauer $925,143; Daniel McCabe $252,645; L Tarlton Thomas $134,877; Jai Pillai $166,250; David Goltz $302,500; and Bobby Jones $237,120. Form 990, Schedule J, Part I, Question 6b The following listed persons listed in Form 990, Part VII, Section A, line 1a are employees of CareSource Management Group Co., a related organization to CareSource Georgia Co.: Pamela B Morris, Erhardt Preitauer, Daniel McCabe, L Tarlton Thomas III, Jai Pillai, David Goltz, and Bobby Jones. 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 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 trustees. Form 990, Schedule J, Part I, Question 4a Pamela B Morris received a severance payment that is properly reported on Schedule J, Part II, Column B(III). Form 990, Part VI, Section A, Question 6 CareSource Management Group Co ("CSMG") is the sole member of CareSource Georgia Co. CSMG is recognized as exempt from federal income taxation under 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 Treasury, 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 trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. 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 trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board if a Conflict of Interest arises during the course of the Board or Committee Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented. In addition, a Conflict of Interest Schedule is kept with respect to each declared Conflict of Interest during the course of a Board or Committee meeting. On an annual basis, the Nominating and Governance Committee reviews each Conflict of Interest raised by a Board or Committee Member. Also, the Nominating and Governance Committee conducts a bi-annual evaluation of the Board Members' performance during the course of the Board Meetings and Committee Meetings. The review includes but is not limited to the Board Member's engagement, participation, contributions to board business, attendance, and any absence from a meeting due to a conflict of interest. The Conflicts of Interest declared by the Board Members are reviewed on an annual basis by the Nominating and Governance Committee, and memorialized in meeting minutes, to make sure all policies on Conflict of Interest are adhered to by the Boards, the Committees and the Individual Board or Committee Member. Form 990, Part VI, Section C, Question 19 The company's Form 1023 is available for public inspection upon request and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). The company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. The Company's statutory financial statements are available on the SNL Financial LC website at www.snl.com for a nominal fee. The company's articles of incorporation are available on the Georgia Secretary of State's website at www.sos.ga.gov. CareSource Management Group Co PO Box 8738 Dayton OH 45401 311703368 Supporting OH 501(c)(3) 509(a)(3)II NA false CareSource Indiana Inc PO Box 8738 Dayton OH 45401 320121856 Medicaid HMO IN 501(c)(3) 509(a)(2) CSMG false CareSource Kentucky Co PO Box 8738 Dayton OH 45401 464991603 Exchange HMO KY 501(c)(3) 509(a)(2) CSMG false CareSource West Virginia Co 400 Washington St 401 Charleston WV 25301 473028244 Exchange HMO WV 501(c)(3) 509(a)(2) CSMG false CareSource Life Services Co PO Box 8738 Dayton OH 45401 811602217 Inactive OH 501(c)(3) 509(a)(2) CSMG false CareSource Management Services Co PO Box 8738 Dayton OH 45401 311703371 Adm Mgmt Svcs OH NA C Corp 0 0 false CareSource Mgmt Grp Foundation PO Box 8738 Dayton OH 45401 814170497 Grantmaking OH NA C Corp 0 0 0.00000 false CS North Carolina (Dissolved 0418) PO Box 8738 Dayton OH 45401 811593512 Inactive NC NA C Corp 0 0 0.00000 false CareSource Virginia Co PO Box 8738 Dayton OH 45401 811727271 Inactive VA NA C Corp 0 0 0.00000 false false false false false true false false false false false false false true false true true true true