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CARESOURCE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CARESOURCE (EIN 31-1703368)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349303040
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-14T11:24:59-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311703368EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CareSource Management Group CoBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JANET FERNANDESInCareOfNm
Business Name ControlCAREBusinessNameControlTxt
Phone9735313027PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonL TARLTON THOMAS IIIPersonNm
Person TitleEVP Operations & CFOPersonTitleTxt
Phone9375313027PhoneNum
Signature2017-11-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.90.150.16IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id31410320173185000000FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2F1F6CC55A425429A1F7A24D1299F942B9A41484AtSubmissionCreationDeviceId
At Submission Filing Device Id2F1F6CC55A425429A1F7A24D1299F942B9A41484AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPamela B MorrisPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,269,018,651GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionCareSource Management Group Co is a supporting org to the CareSource Family of Company 501(c)(3) not-for- profit organizations, and holds a 3rd party admin license in 6 states.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee3631TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,093,934,581PYProgramServiceRevenueAmt
CY Program Service Revenue$1,224,612,733CYProgramServiceRevenueAmt
PY Investment Income$2,638,832PYInvestmentIncomeAmt
CY Investment Income$5,406,703CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,096,573,413PYTotalRevenueAmt
CY Total Revenue$1,230,019,436CYTotalRevenueAmt
PY Grants And Similar Paid$280,989PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$396,012CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$226,278,692PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$250,612,244CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$785,995,916PYOtherExpensesAmt
CY Other Expenses$951,921,838CYOtherExpensesAmt
PY Total Expenses$1,012,555,597PYTotalExpensesAmt
CY Total Expenses$1,202,930,094CYTotalExpensesAmt
PY Revenues Less Expenses$84,017,816PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,089,342CYRevenuesLessExpensesAmt
Total Assets BOY$562,409,632TotalAssetsBOYAmt
Total Assets EOY$522,447,166TotalAssetsEOYAmt
Total Liabilities BOY$269,913,280TotalLiabilitiesBOYAmt
Total Liabilities EOY$203,435,080TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$292,496,352NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$319,012,086NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCARESOURCE MANAGEMENT GROUP CO IS A SUPPORTING ORGANIZATION TO CARESOURCE, CARESOURCE INDIANA INC, CARESOURCE KENTUCKY CO, CARESOURCE GEORGIA CO, CARESOURCE LIFE SERVICES CO, CARESOURCE WEST VIRGINIA CO, CARESOURCE NORTH CAROLINA CO, CARESOURCE VIRGINIA CO, CARESOURCE MANAGEMENT GROUP FOUNDATION AND ANY OTHER CARESOURCE NOT-FOR-PROFIT TAX-EXEMPT ORGANIZATION WHICH OPERATES CONSISTENTLY WITH THE ABOVE NAMED NOT-FOR-PROFIT, TAX EXEMPT ORGANIZATIONS. THE CORPORATION PROVIDES STRATEGIC OVERSIGHT TO THE SUPPORTED ORGANIZATIONS TO ENSURE THAT THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS ARE FURTHERED. THE CORPORATION OPERATES AS A POLICY-MAKING SUPPORT ORGANIZATION FOR THE SUPPORTING ORGANIZATIONS AND CONDUCTS ACTIVITIES CONSISTENT WITH SUCH PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,202,930,094ExpenseAmt
Grant$396,012GrantAmt
Revenue$1,224,612,733RevenueAmt
DescCareSource Management Group Co ("CSMG"), as a supporting organization, provides strategic oversight to CareSource, CareSource Indiana Inc., The CareSource Foundation, CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, CareSource Life Services Co, CareSource North Carolina Co, CareSource Virginia Co, and CareSource Management Group Foundation. See the attached organizational structure for the CareSource Family of Companies. In March 2012, CSMG 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, 2016, there were 137,362 Medicaid members in a Humana CareSource Medicaid plan. CareSource Management Group holds a Third Party Administrator (TPA) license in six states. CSMG also funds supported organizations in the supported organizations exempt activities. In furtherance of supported organizations governance, CSMG 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. The governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprises risk management functions. CSMG provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. In 2016, CSMG paid approximately $6.3 Million to provide these enhanced benefits. In order to ensure members are able to access the most appropriate medical care, CSMG provides transportation services for office visits to their medical provider's office, ensuring that members are keeping preventive, sick, or follow-up appointments. Further showing CSMG's dedication to ensuring that our most vulnerable members receive needed care, CSMG does not charge Medicaid members a copayment for pharmacy products, dental visits, vision examinations, vision hardware or non-emergent emergency department visits, even though regulations allow for such copays. CSMG is dedicated to motivating our pregnant members to seek prenatal and postpartum care, by participating in the Organization's Babies First Member Incentive Program. Moms-to-be can receive reward cards for attending regular OB/GYN appointments while pregnant and for also attending appropriate follow-up visits after giving birth. Together, these enhanced benefits provide CSMG members additional program benefits in order to make a lasting difference in our members' lives by improving their health and well-being. In support of CSMGs commitment to its charitable purposes, some of its appointed trustees and committee members may elect to earn charitable credits for board or committee meeting attendance. At year-end, trustees and committee members designate their credits to their IRC 501(c)(3) tax exempt charity of choice. Charitable donations in the amount of $19,875 were paid or accrued in 2016 under this policy by the organization.Desc
Total Program Service Expenses$1,202,930,094TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3681IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3631EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANET FERNANDESPersonNm
Phone9375313027PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8738AddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP454018738ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ellen S Leffak
Chair/Trustee10.010.0Yes (X)Yes (X)$116,250$0$0
Kevin Brown
Secretary/Treas/Trustee10.010.0Yes (X)Yes (X)$55,625$0$0
J Thomas Maultsby
Vice Chair/Trustee5.015.0Yes (X)Yes (X)$45,625$0$0
Terry G Rapoch
Trustee5.05.0Yes (X)$37,500$0$0
Michael E Ervin MD
Trustee5.010.0Yes (X)$87,500$0$0
John P Monahan
Trustee5.05.0Yes (X)$41,250$0$0
Patricia A Martin
Trustee5.05.0Yes (X)$40,000$0$0
Craig J Brown
Trustee15.05.0Yes (X)$66,250$0$0
Pamela B Morris
President/CEO/Trustee15.045.0Yes (X)Yes (X)$2,217,770$0$587,994
Craig Thiele MD
Chief Medical Officer12.048.0Yes (X)$594,165$0$45,447
L Tarlton Thomas III
EVP Operations & CFO12.048.0Yes (X)$670,319$0$153,424
Daniel McCabe
Chief Administrative Officer33.027.0Yes (X)$849,388$0$130,442
Mark Chilson
EVP & Gen Counsel14.046.0$703,917$0$125,267Yes (X)
Paul Stoddard
Chief Information Officer44.016.0$524,631$0$122,836Yes (X)
Bobby Jones
President Georgia Market0.259.8$788,788$0$151,624Yes (X)
Stephen Ringel
President Ohio Market5.055.0$501,627$0$122,073Yes (X)
Christina Turner
VP Strategic Market & Bus Int30.030.0$429,377$0$91,637Yes (X)
Jonathan Allison
EVP External Affairs, MPG20.040.0$587,661$0$15,534Yes (X)
Samuel George to 1016
SVP Business Partner Group30.030.0$616,280$0$10,987Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,973,923TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,557,265TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K436IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CVS Caremark
9501 E Shea Blvd MC 143SCOTTSDALEAZ85260Pharmacy Services$172,050,785
University of Kentucky
800 Rose StreetLEXINGTONKY40536Medical Services$59,330,466
Norton Hospital Inc Related Org
224 E Broadway 5th FLLOUISVILLEKY40202Medical Services$51,221,111
KentuckyOne Health Med Grp Relate
100 E Liberty St 800LOUISVILLEKY40202Medical Services$47,317,344
Baptist Healthcare Sys Inc Relate
2701 Eastpoint PkwyLOUISVILLEKY40223Medical Services$41,561,367
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K433CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSURANCE PREMIUMS; REINSURANCE524298$777,115,397$777,115,397
MANAGEMENT FEES561000$447,497,336$447,497,336
FieldValueIRS element (for citing)
Total Program Service Revenue$1,224,612,733TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,189,692TotalRevenueColumnAmt
Exclusion$5,189,692ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$39,216,226SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$38,903,231SecuritiesAmt
Other$95,984OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$312,995SecuritiesAmt
Other-$95,984OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$217,011TotalRevenueColumnAmt
Exclusion$217,011ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,230,019,436TotalRevenueColumnAmt
Related Or Exempt Func Income$1,224,612,733RelatedOrExemptFuncIncomeAmt
Exclusion$5,406,703ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$396,012TotalAmt
Program Services$396,012ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,215,600TotalAmt
Program Services$7,215,600ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$192,711,758TotalAmt
Program Services$192,711,758ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,715,832TotalAmt
Program Services$7,715,832ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,637,001TotalAmt
Program Services$27,637,001ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,332,053TotalAmt
Program Services$15,332,053ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,176,000TotalAmt
Program Services$1,176,000ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,392,971TotalAmt
Program Services$2,392,971ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$427,612TotalAmt
Program Services$427,612ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$44,051TotalAmt
Program Services$44,051ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$152,849,286TotalAmt
Program Services$152,849,286ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,347,128TotalAmt
Program Services$10,347,128ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$26,556,844TotalAmt
Program Services$26,556,844ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,218,134TotalAmt
Program Services$21,218,134ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,346,225TotalAmt
Program Services$7,346,225ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,040,246TotalAmt
Program Services$5,040,246ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,772,354TotalAmt
Program Services$1,772,354ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$365,959TotalAmt
Program Services$365,959ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,773,105TotalAmt
Program Services$24,773,105ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,658,209TotalAmt
Program Services$1,658,209ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL EXPENSE$521,240,403$521,240,403
PHARMACY EXPENSE$171,308,476$171,308,476
DUES & FILING FEES$2,033,601$2,033,601
AMORTIZATION$662,000$662,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$709,234TotalAmt
Program Services$709,234ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,202,930,094TotalAmt
Program Services$1,202,930,094ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,439,435BOYAmt
EOY$13,245,692EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$104,381,206BOYAmt
EOY$40,127,715EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$172,801,299BOYAmt
EOY$123,281,303EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,824,894BOYAmt
EOY$11,500,205EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$178,893,486LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,562,437LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$93,698,335BOYAmt
EOY$117,331,049EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$63,829,125BOYAmt
EOY$74,574,994EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$67,565,334BOYAmt
EOY$111,565,334EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$346,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$39,870,004BOYAmt
EOY$30,474,874EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$562,409,632BOYAmt
EOY$522,447,166EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$264,056,926BOYAmt
EOY$198,739,634EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,856,354BOYAmt
EOY$4,493,171EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$202,275EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$269,913,280BOYAmt
EOY$203,435,080EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$292,496,352BOYAmt
EOY$319,012,086EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$292,496,352BOYAmt
EOY$319,012,086EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$562,409,632BOYAmt
EOY$522,447,166EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$27,089,342ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$573,608OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations9SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (9 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
CARESOURCE
31114326510Yes (true)$0$0
CARESOURCE INDIANA INC
32012185610Yes (true)$30,000,000$0
CARESOURCE KENTUCKY CO
46499160310false$12,000,000$0
CARESOURCE GEORGIA CO
47240833910false$0$0
CARESOURCE LIFE SERVICES CO
81160221710false$0$0
CARESOURCE WEST VIRGINIA CO
47302824410false$0$0
CARESOURCE NORTH CAROLINA CO
81159351210false$0$0
CARESOURCE MANAGEMENT GROUP FOUNDATION
81417049710false$0$0
CARESOURCE VIRGINIA CO
81172727110false$2,000,000$0
FieldValueIRS element (for citing)
Supported Organizations Total9SupportedOrganizationsTotalCnt
Support Sum$44,000,000SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule A, Part IV, Section A, Questions 1 and 5a - Org ChartCareSource Family of Companies Organizational Chart CareSource Management Group Co (CSMG) is a supporting organization to CareSource organizations, and specifically names CareSource and CareSource Indiana Inc. in its Articles of Incorporation. The Articles of Incorporation further state the sole and specific purpose for which CSMG is formed, is to act for the benefit of, and to carry out, as a supporting organization, the purposes of CareSource, CareSource Indiana Inc, and any other not-for-profit tax exempt organization which operates consistently with the above named tax exempt organizations exempt from taxation under Section 501(c)(3) of the Internal Revenue Code. Although not mentioned by name, those organizations include CareSource Georgia Co and CareSource Kentucky Co, both of which were incorporated in 2014; CareSource Life Services Co, CareSource West Virginia Co, and CareSource North Carolina Co, all of which were incorporated during 2015; and CareSource Virginia Co and CareSource Management Group Foundation, both of which were incorporated in 2016.
Form 990, Schedule A, Part IV, Section A, Question 2The following organizations were incorporated during 2015 and 2016, respectively, as nonprofit companies, and were incorporated to support The CareSource Group's exempt purpose of serving the underserved and lessening the burden on state and federal government by serving and managing the care of the underserved and fragile populations in Medicaid and Medicare: In 2015: CareSource Life Services Co, CareSource West Virginia Co, and CareSource North Carolina Co, and In 2016: CareSource Virginia Co, and CareSource Management Group Foundation. Determination letters by the IRS have not yet been issued for these organization. All of these organizations further the exempt purpose of CSMG.
Form 990, Schedule A, Part IV, Section A, Question 6CSMG makes contributions to other Internal Revenue Code Section 501(c)(3) organizations. All organizations listed on Form 990, Schedule I, Part II further the exempt purpose of CSMG.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$48,946DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$48,946TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule C, Part II-B, Line 1bStaff attended functions and meetings with government officials and legislators to discuss government sponsored health care programs.
Form 990, Schedule C, Part II-B, Line 1gLobbyists 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.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,959,244OtherCostOrOtherBasisAmt
Book Value$2,959,244BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,145,176OtherCostOrOtherBasisAmt
Depreciation$10,443,014DepreciationAmt
Book Value$54,702,162BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,717,562OtherCostOrOtherBasisAmt
Depreciation$2,510,753DepreciationAmt
Book Value$7,206,809BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,201,660OtherCostOrOtherBasisAmt
Depreciation$46,333,434DepreciationAmt
Book Value$33,868,226BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,869,844OtherCostOrOtherBasisAmt
Depreciation$2,275,236DepreciationAmt
Book Value$18,594,608BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$117,331,049TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVEST CARESOURCE MGMT SVCS$17,744,158C
INVEST CARESOURCE WEST VIRGINI$4,500,000C
INVEST CARESOURCE$17,200,000C
INVEST CARESOURCE KENTUCKY CO$22,250,000C
INVEST CARESOURCE INDIANA INC$43,871,176C
INVEST CARESOURCE GEORGIA CO$4,000,000C
INVEST CARESOURCE VIRGINIA CO$2,000,000C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$111,565,334TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
CAPITAL LEASE ASSET$5,161,127
SERP PLAN$3,709,477
AMORTIZATION OF INTEREST$3,954,713
INTERCOMPANY RECEIVABLES$17,287,804
DEPOSITS$357,753
OTHER TANGIBLE ASSETS$4,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$30,474,874TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLEDesc
Amt$202,275Amt
FieldValueIRS element (for citing)
Total Liability$202,275TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 (ASC 740) FootnoteFormAndLineReferenceDesc
ExplanationThe 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 2013-2016 are open for audit by the Internal Revenue Service.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Downtown Dayton Partnership
10 W 2nd St 611DaytonOH45402341722175509(a)(1)$11,500Mission Furtherance
United Way of Greater Dayton Area
33 W 1st St 500DaytonOH45402310536658509(a)(1)$103,200Corporate Contribution & General Support
Culture Works
110 N Main St 165DaytonOH45402237412338509(a)(2)$7,500Fiscal Year Sponsor
The Linda Vista Inc
1101 Linda Vista Ave 5DaytonOH45405371552725509(a)(1)$6,500Mission Furtherance
Local Matters
633 Parsons AveColumbusOH43206061819644501(c)(3)$11,060Mission Furtherance
Clothes That Work
1133 S Edwin C Moses Blvd 392DaytonOH45408311575093509(a)(1)$6,100Mission Furtherance
United Rehabilitation
4710 Old Troy PikeDaytonOH45404310592919509(a)(1)$6,700Mission Furtherance
The United Negro College Fund Inc
341 S 3rd St 203ColumbusOH43215131624241501(c)(3)$9,600Scholarship Program
The Foodbank Inc
427 Washington StDaytonOH45402861082880509(a)(1)$25,000Mass Distribution
The Dayton Foundation Inc
40 N Main St 500DaytonOH45423316027287501(c)(3)$15,500Dayton Bike Share; Mission Furtherance
Wesley Community Center
3730 Delphos AveDaytonOH45417300203259501(c)(3)$6,500Mission Furtherance
Juvenile Diabetes Research Foundation
70 Birch Alley 240 PMB 24108DaytonOH45440231907729501(c)(3)$6,100Mission Furtherance
The Metro Health Foundation
2500 Metro Health Dr Towers 135AClevelandOH44109346607695501(c)(3)$44,790Mission Furtherance
Urban League of Greater SW Ohio
3458 Reading RdCincinnatiOH45229310565428501(c)(3)$19,600Mission Furtherance
The Council of State Governments
1776 Avenue of the StatesLexingtonKY40511366000818501(c)(3)$7,200Mission Furtherance
FieldValueIRS element (for citing)
Total501c3 Org15Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Contribution ReviewThe 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.
Charitable Board Credit ContributionsIn support of CareSource Management Group Co's commitment to its charitable purposes, some of its appointed trustees and committee members elect to earn charitable credits for each board meeting attended. At year-end, the trustees and committee members designate their credits to their internal revenue code (IRC) section 501(c)(3) tax exempt charity of choice. Charitable donations in the amount of $19,875 were paid or accrued in 2016 under this policy by the organization.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Pamela B Morris
President/CEO/Trustee$1,111,003$0$1,100,000$0$6,767$0$583,885$0$4,109$0$2,805,764$0$1,100,000$0
Bobby Jones
President Georgia Market$512,721$0$248,392$0$27,675$0$136,978$0$14,646$0$940,412$0$248,392$0
Craig Thiele MD
Chief Medical Officer$388,964$0$201,534$0$3,667$0$16,282$0$29,165$0$639,612$0$201,534$0
L Tarlton Thomas III
EVP Operations & CFO$441,888$0$213,325$0$15,106$0$127,900$0$25,524$0$823,743$0$213,325$0
Mark Chilson
EVP & Gen Counsel$455,287$0$229,614$0$19,016$0$125,255$0$12$0$829,184$0$229,614$0
Paul Stoddard
Chief Information Officer$340,988$0$179,861$0$3,782$0$98,007$0$24,829$0$647,467$0$179,861$0
Daniel McCabe
Chief Administrative Officer$375,456$0$188,793$0$285,139$0$108,106$0$22,336$0$979,830$0$433,225$0
Stephen Ringel
President Ohio Market$322,887$0$168,447$0$10,293$0$93,711$0$28,362$0$623,700$0$168,447$0
Christina Turner
VP Strategic Market & Bus Int$273,258$0$146,602$0$9,517$0$66,856$0$24,781$0$521,014$0$0$0
Jonathan Allison
EVP External Affairs, MPG$386,497$0$192,096$0$9,068$0$15,522$0$12$0$603,195$0$0$0
Samuel George to 1016
SVP Business Partner Group$215,355$0$118,316$0$282,609$0$10,975$0$12$0$627,267$0$118,316$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Sch J, Part IICompensation amounts reported on Schedule J, Part II for all listed persons are paid by the reporting organization, CareSource Management Group Co. (CSMG). 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, Sch J, Part I, Question 4AThe following listed person listed on Form 990, Part VII, Section A, received a severance payment in 2016 in the amount of $253,108: Samuel George.
Form 990, Sch J, Part I, Question 4BThe following listed persons listed on Form 990, Part Vii, Section A, participate in a supplemental nonqualified retirement plan of the reporting organization: Pamela B Morris, Craig Thiele MD, Bobby Jones, L Tarlton Thomas III, Paul Stoddard, Mark Chilson, Daniel McCabe, Stephen Ringel, and Christina Turner. 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 the reporting organization: Pamela B Morris, Craig Thiele MD, Bobby Jones, L Tarlton Thomas III, Paul Stoddard, Mark Chilson, Daniel McCabe, Stephen Ringel, and Christina Turner. 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 accrued in 2016 for both deferred compensation arrangements include the following: Pamela B Morris $567,500; Bobby Jones $121,381; L Tarlton Thomas III $112,000; Paul Stoddard $81,920; Mark Chilson $108,971; Daniel McCabe $91,944; Stephen Ringel $79,240; and Christina Turner $50,000.
Form 990, Sch J, Part I, Question 6BThe following listed persons listed on Form on Form 990, Part VII, Section A, line 1a are employees of the reporting organization: Pamela B Morris, Craig Thiele MD, Bobby Jones, L Tarlton Thomas III, Paul Stoddard, Mark Chilson, Daniel McCabe, Stephen Ringel, Shaun Smith and Jonathan Allison. All are 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Question 11BThe 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, 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 12CAnnually, 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 B, Q 15A and 15B; Schedule J, Part IThe Executive Compensation Committee consists of Board Members who are Independent. The process used to determine compensation for the individuals listed on Part VII and Schedule J, Part II include a review by the Independent Board Members after they have received a report of comparability data prepared by an independent company 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. In addition, the minutes of each meeting are prepared, distributed and signed within 30 days of the Executive Compensation Committee Meeting. The Executive Compensation Consultant does no other business with the CareSource Family of Companies other than determining the reasonableness of compensation. This compensation consultant's independence is reviewed on an annual basis. This process is followed with respect to all employed corporate officers and the top executives of the CareSource Family of Companies in order to establish reasonable executive compensation.
Form 990, Part VI, Section C, Question 19The company's Form 1023 and Form 990 are available for public inspection upon request. 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 VI, Section A, Question 7aAll Trustees of the Board of Trustees of CareSource Management Group Co are elected by the Board of Trustees of CareSource Management Group Co EXCEPT one (1) Trustee is not elected by the Board of Trustees of CareSource Management Group Co. This Trustee is elected by CareSource, a supported organization of CareSource Management Group Co.
Form 990, Part XI, Line 9Capital lease asset conversion.
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING/CONTRACTING TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11GDESCRIPTION:RECRUITMENT/TEMPORARY SVCS TOTAL FEES:30606713
FORM 990 PART IX LINE 11GDESCRIPTION:LOBBYING TOTAL FEES:4895

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CareSource Reinsurance LLC
800 N Last Chance Gulch 101HelenaMT59601454937120Captive InsMT$7,482,651$35,654,997CSMG Co
CareSource Network Partners LLC
PO Box 8738DaytonOH45401811017455ContractingOH$0$0CSMG Co
CareSource At Home LLC
PO Box 8738DaytonOH45401811025103Home HealthOH-$355,757$762,732CSMG Co

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CareSource Indiana Inc
PO Box 8738DaytonOH45401320121856Medicaid HMOIN501(c)(3)509(a)(2)CSMGYes (true)
CareSource
PO Box 8738DaytonOH45401311143265Medicaid HMOOH501(c)(3)509(a)(2)NAfalse
The CareSource Foundation
PO Box 8738DaytonOH45401562582561Grant GivingOH501(c)(3)509(a)(3) ICareSourcefalse
CareSource Kentucky Co
PO Box 8738DaytonOH45401464991603Exchange HMOKY501(c)(3)509(a)(2)CSMGYes (true)
CareSource Georgia Co
PO Box 8738DaytonOH45401472408339Medicaid HMOGA501(C)(3)509(a)(2)CSMGYes (true)
CareSource West Virginia Co
PO Box 8738DaytonOH45401473028244Exchange HMOWV501(c)(3)509(a)(2)CSMGYes (true)
CareSource Life Services Co
PO Box 8738DaytonOH45401811602217Life ServicesOH501(c)(3)509(a)(2)CSMGYes (true)
CareSource North Carolina Co
PO Box 8738DaytonOH45401811593512InactiveNC501(c)(3)509(a)(2)CSMGYes (true)
CareSource Mgmt Grp Foundation (816)
PO Box 8738DaytonOH45401814170497InactiveOH501(c)(3)509(a)(2)CSMGYes (true)
CareSource Virginia Co (12016)
PO Box 8738DaytonOH45402811727271Medicaid HMOVA501(c)(3)509(a)(2)CSMGYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CareSource Management Services CoBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8738AddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP454018738ZIPCd
FieldValueIRS element (for citing)
EIN311703371EIN
Primary ActivitiesAdm Mgmt SvcsPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Share Of Total Income-$52,947ShareOfTotalIncomeAmt
Share Of EOY Assets$1,969,064ShareOfEOYAssetsAmt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CareSource Indiana Inc
B, N,$28,011,635Actual
CareSource Kentucky Co
B, N,$11,644,573Actual
CareSource Virginia Co
B$2,000,000Actual
CareSource West Virginia Co
N, P,$61,162Actual
CareSource Georgia Co
N, P,$327,689Actual