2015-11-16T13:32:27-06:00 2014-12-31 990 2014-01-01 311703368 CareSource Management Group Co % JANET FERNANDES CARE 9735313027 PO Box 8738 Dayton OH 454018738 L Tarlton Thomas III CFO 2015-11-16 2014 2016-03-07 17:11:31Z Pamela B Morris Same as C above Dayton OH 45401 634956895 false X N/A X 1999 OH CareSource 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 3 states. 8 7 2292 0 0 0 64885823 0 314155131 626778675 3205401 2552380 0 0 382246355 629331055 479957 80155 0 0 136323243 84654320 0 0 0 170425605 477651033 307228805 562385508 75017550 66945547 269738483 463740451 125459393 252650520 144279090 211089931 X CARESOURCE MANAGEMENT GROUP CO IS A SUPPORTING ORGANIZATION TO CARESOURCE, CARESOURCE INDIANA Inc, CareSource Kentucky Co, CareSource Georgia Co 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 WILL PROVIDE STRATEGIC OVERSIGHT TO THE SUPPORTED ORGANIZATIONS TO ENSURE THAT THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS ARE FURTHERED. THE CORPORATION SHALL OPERATE AS A POLICY-MAKING SUPPORT ORGANIZATION FOR THE SUPPORTING ORGANIZATIONS AND CONDUCT ACTIVITIES CONSISTENT WITH SUCH PURPOSE. false false 562385508 80155 626778675 CareSource Management Group (CSMG), as a supporting organization, provides strategic oversight to CareSource, CareSource Indiana Inc., CareSource Kentucky Co., CareSource Georgia Co., and The CareSource Foundation. See attached organizational structure for the CareSource Family of Companies. CSMG successfully implemented a Medicaid Managed Care program for the Temporary Assistance for Needy Families (TANF) and Aged, Blind and Disabled (ABD) populations in Kentucky through a strategic Alliance with Humana Health Plans, Inc. In 2013, Humana/CareSource was awarded traditional and Medicaid expansion in Kentucky with statewide membership and an effective go-live date of January 1, 2014. This Kentucky statewide program now has more than 120,000 Medicaid members. CSMG lessens the burden on State and Federal government by serving and managing the care of the underserved and fragile populations in Medicaid and Medicare Programs, including applicable TANF and ABD individuals, children with special health care needs. CSMG, which holds a Third Party Administrator (TPA) License in three states, provides services and support to CareSource in order to manage special innovative programs that focus on the needs of individuals. Several innovative CareSource programs, such as Care Transitions and Medication Therapy Management (MTM) , and the services provided to members by our Community Health Workers and Navigators, demonstrate this focus. CareSource Community Health Workers take the extra time to hear our members and meet them where they are. They are fully engrained in all aspects of the local community. We hire our Community Health Workers from the community and require that they interact frequently with different local resources that can assist members. Our Community Health Workers connect members with transportation, help schedule appointments, accompany members to their appointments, and in general, help educate members about their benefits and assist them to navigate the overwhelming and sometimes intimidating health care system so that they don't have to do it alone. CSMG provides enhanced benefits to members that are above and beyond required benefits defined by state or federal agencies. 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 the regulations allow for such co-pays. 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. This incentive platform will provide a single card to a member that is reloadable as incentives are earned. Through a contract with a vendor that fills and manages incentive cards, CSMG will provide members with a card that responds like a credit card at several retailers throughout Kentucky. The card restricts purchases to health-related items, and the card is available for use at selected retail stores throughout CSMG's service area. The model works through a claims-based program, eliminating the need for members and their physicians to sign and return multiple coupons. Once a member enrolls in the program, incentive loads will be automatic and based on when a claim is paid. Visiting the doctor for regular check-ups is one of the building blocks of good health for mom and baby. Together, these enhanced benefits provide CareSource Management Group members additional program benefits in order to make a lasting difference in our members' lives by improving their health and well-being. In 2014, CareSource Management Group Co paid approximately Two Million Five-Hundred Dollars ($2,500,000) to fund these enhanced benefits. In support OF CSMG'S COMMITMENT TO its charitable purposes, some of ITS APPOINTED TRUSTEES AND COMMITTEE MEMBERS elect to earn charitable credits for board or committee meetings attended. At year-end, the trustees and committee members designate their credits to THEIR Internal Revenue Code Section 501(c)(3) Tax Exempt CHARITY OF CHOICE. CHARITABLE DONATIONS IN THE AMOUNT OF $59,500 WERE PAID OR ACCRUED IN 2014 UNDER THIS POLICY BY THE ORGANIZATION. 562385508 true false false true false false false false false false true false true false true true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true false false false true 2859 0 2292 true false false false false false false false false false false X 8 7 false false true false true true false true true false false true true true true true true true true false OH X JANET FERNANDES 9375313027 PO BOX 8738 Dayton OH 454018738 X Ellen S Leffak Chair/Trustee 1.0 4.0 X 55000 0 0 Kevin Brown Secretary/Treas/Trustee 1.0 1.0 X 43750 0 0 J Thomas Maultsby Vice Chair/Trustee 1.0 4.0 X 6250 0 0 Terry G Rapoch Trustee 1.0 0.0 X 30000 0 0 Michael E Ervin MD Trustee 1.0 1.0 X 0 0 0 Catherine Hess Trustee 1.0 0.0 X 0 0 0 John P Monahan Trustee 1.0 0.0 X 32500 0 0 Pamela B Morris President/CEO/Trustee 20.0 40.0 X X 1844762 0 1298775 Craig Thiele MD Chief Medical Officer 14.0 46.0 X 674507 0 307473 Bobby Jones Chief Operating Officer 14.0 46.0 X 752934 0 358224 L Tarlton Thomas III Chief Financial Officer 25.0 35.0 X 534616 0 292101 Mark Chilson EVP & Gen Counsel 14.0 46.0 X 726056 0 307298 Paul Stoddard Chief Information Officer 14.0 46.0 X 441045 0 258740 Dan McCabe Chief Administrative Officer 40.0 20.0 X 456790 0 347751 Stephen Ringel President Ohio Market 5.0 55.0 X 386644 0 290045 Samuel T George SVP Business Partner Group 30.0 30.0 X 330051 0 215149 Maureen Pero VP Federal Affairs 20.0 40.0 X 394562 0 127499 James Gartner VP Parmacy Svcs & Med Mgmt 14.0 46.0 X 332478 0 147862 7041945 0 3950917 220 false true false CVS Caremark 221 N Charles Lindergh Dr SALT LAKE CITY UT 84116 Pharmacy Services 67097503 Norton Cancer Institute PO Box 36370 Dpet 86100 LOUISVILLE KY 402336370 Medical Services 29377472 University of Kentucky Hospital PO Box 951326 CLEVELAND OH 44193 Medical Services 21902378 University Medical Center Inc PO Box 70115 LOUISVILLE KY 40270 Medical Services 19017806 Baptist Healthcare System Inc 4000 Kresge Way LOUISVILLE KY 40207 Medical Services 10955308 246 0 INSURANCE PREMIUMS; REINSURANCE 524298 482264492 482264492 MANAGEMENT FEES 561000 144514183 144514183 626778675 2549308 2549308 0 0 0 0 0 5628912 5625527 313 3385 -313 3072 3072 0 0 0 0 629331055 626778675 0 2552380 80155 80155 0 0 0 7835266 7835266 0 44300027 44300027 4659561 4659561 17732447 17732447 10127019 10127019 1118125 1118125 1726766 1726766 524521 524521 32756 32756 0 0 420196202 420196202 2725568 2725568 20542019 20542019 14910470 14910470 0 1447973 1447973 1311223 1311223 0 1303753 1303753 731898 731898 0 7711141 7711141 486309 486309 COMPANY DUES/FILING FEES 568706 568706 AMORTIZATION EXPENSE 505159 505159 CLAIM ADMIN EXPENSE 1776396 1776396 BOARD EXPENSES 32048 32048 562385508 562385508 0 0 17497174 61388861 68406246 73654249 0 0 28542445 150065632 0 0 0 0 0 0 0 0 10018462 15146674 109514544 29985077 75130569 79529467 22299556 30189232 0 0 36215333 41215333 0 0 11628698 12551003 269738483 463740451 78059530 217706632 0 0 4125000 3665072 0 0 0 0 0 0 33600004 31199996 0 0 9674859 78820 125459393 252650520 X 144279090 211089931 0 0 0 0 144279090 211089931 269738483 463740451 X 66945547 365292 -499998 X false true X true false X X 4 CARESOURCE 311143265 09 true 0 0 CARESOURCE INDIANA INC 320121856 09 true 1000000 0 CARESOURCE KENTUCKY CO 464991603 09 true 4000000 0 CARESOURCE GEORGIA CO 472408339 09 true 0 0 4 5000000 false true false false true false false false false false false false false false false false true false Form 990, Schedule A, Part I_VI - Organizational Chart CareSource Family of Companies Organizational Chart false true false false false false true 32756 false false 32756 false false Form 990, Schedule C, Part II-B, Line 1b Staff attended functions and meetings with government officials and legislators to discuss government sponsored health care programs. Form 990, Schedule C, Part II-B, Line 1g Lobbyists are retained to provide updates and represent the Organization's interests with federal and state legislators who deal with legislation related to government sponsored health care programs. 1750000 1750000 65145176 5431847 59713329 3677073 652697 3024376 34117352 21801935 12315417 4824943 2098598 2726345 79529467 0 0 CAPITAL LEASE - CURRENT 0 CAPITAL LEASE - LONG TERM 78820 78820 FIN 48 (ASC 740) Footnote The audited consolidated GAAP financial statements summarize ASC 740 as follows: The Organization annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. As of this filing, tax years 2011-2014 are open for audit by the Internal Revenue Service. true Beth Abraham Synagogue 305 Sugar Camp Cir Dayton OH 45409 310550821 509(a)(1) 20000 Women of Valor United Way of Greater Dayton Area 33 W 1st St Dayton OH 45402 310536658 509(a)(1) 11500 General Support The Natl Conf for Comm and Justice of Gr Dayton 14 W 1st St 401 Dayton OH 45402 342056247 509(a)(1) 6500 Social Justice Champion; Friendship Dinner 3 0 Contribution Review The company may provide assistance to other Internal Revenue Code Tax exempt charitable organizations in the form of charitable contributions. These contributions are unrestricted funds available for use by the charitable organization for the purpose the charitable organization deems necessary. Contributions on Behalf of Board Members In 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 meeting attended. At year-end, the trustees and committee members designate their credits TO THEIR Internal Revenue Code Section 501(c)(3) tax exempt CHARITY OF CHOICE. CHARITABLE DONATIONS IN THE AMOUNT OF $59,500 WERE PAID OR ACCRUED IN 2014 UNDER THIS POLICY BY THE ORGANIZATION. X X X X X X false true false false false false true false false Pamela B Morris President/CEO/Trustee 889936 0 630300 0 324526 0 1276851 0 21924 0 3143537 0 925059 0 Mark Chilson EVP & Gen Counsel 409723 0 178802 0 137531 0 304521 0 2777 0 1033354 0 178802 0 Craig Thiele MD Chief Medical Officer 384233 0 162759 0 127515 0 279028 0 28445 0 981980 0 162759 0 Bobby Jones Chief Operating Officer 435731 0 165814 0 151389 0 333072 0 25152 0 1111158 0 165814 0 L Tarlton Thomas III Chief Financial Officer 331728 0 124338 0 78550 0 265974 0 26127 0 826717 0 124338 0 Paul Stoddard Chief Information Officer 303388 0 137657 0 0 0 234401 0 24339 0 699785 0 137657 0 Dan McCabe Chief Administrative Officer 305678 0 147500 0 3612 0 303492 0 44259 0 804541 0 147500 0 Stephen Ringel President Ohio Market 280825 0 95163 0 10656 0 266149 0 23896 0 676689 0 95163 0 Samuel T George SVP Business Partner Group 234590 0 94500 0 961 0 212785 0 2364 0 545200 0 94500 0 Maureen Pero VP Federal Affairs 242882 0 93469 0 58211 0 107432 0 20067 0 522061 0 0 0 James Gartner VP Parmacy Svcs & Med Mgmt 238654 0 84037 0 9787 0 145298 0 2564 0 480340 0 84037 0 Form 990, Sch J, Part II Compensation amounts reported on Schedule J, Part II for all listed persons are paid by the reporting organization, CareSource Management Group Co. Form 990, Sch 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 the reporting organization: Pamela B Morris, Craig Thiele MD, Bobby Jones, L Tarlton Thomas, Paul Stoddard, Mark Chilson, Dan McCabe, Stephen Ringel, Samuel George, Maureen Pero and James Gartner. 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, Paul Stoddard, Mark Chilson, Dan McCabe, Stephen Ringel, Samuel George, Maureen Pero and James Gartner. Amounts accrued in 2014 for both deferred compensation arrangements include the following: Pamela B Morris $842,344; Craig Thiele MD $204,536; Bobby Jones $253,377; L Tarlton Thomas $164,602; Paul Stoddard $139,474; Mark Chilson $223,804; Dan McCabe $147,092, Stephen Ringel $138,691; Samuel George $111,593; Maureen Pero $49,256 and James Gartner $47,219. Form 990, Sch J, Part I, Question 6B The following listed persons listed on Form on Form 990, Part VII, Section A, line 1a are employees of the reporting organization: Craig Thiele MD, Bobby Jones, L Tarlton Thomas, Paul Stoddard, Mark Chilson, Dan McCabe, Stephen Ringel, Samuel George, Maureen Pero, and James Gartner. 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. Corporate Officer Pamela B Morris is an employee of the reporting organization, and Ms. Morris is eligible for a performance bonus as part of her compensation package. Part VI, Section B, Question 11A 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 and was reviewed during the course of a special board meeting prior to the time of filing the Form 990. The Form 990 was reviewed by the CEO, CFO, an outside CPA firm, outside legal counsel, and by general counsel prior to filing with the IRS. 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 to make sure all policies on Conflict of Interest are adhered to by the Boards, the Committees and the Individual Board or Committee Member. Part VI, Section B, questions 15A and 15B; Schedule J, Part I, Question 3 The 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 19 The 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's articles of incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us. Part VI, Section A, Question 7a All 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. Part XI, Line 9 Intercompany eliminations of $499,998. FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING/CONTRACT/PROF SVCS TOTAL FEES:35460228 FORM 990 PART IX LINE 11G DESCRIPTION:CLAIMS TOTAL FEES:XXX-XX-XXXX CareSource Insurance LLC 100 Bank Street Suite 610 Burlington VT 05401 271368371 Captive Ins VT 5431663 26586536 CSMG Co CareSource Reinsurance LLC 800 N Last Chance Gulch 101 Helena MT 59601 454937120 Captive Ins MT 58768540 179193232 CSMG Co CareSource Indiana Inc PO Box 8738 Dayton OH 45401 320121856 Medicaid HMO IN 501(c)(3) 509(a)(2) NA true CareSource PO Box 8738 Dayton OH 45401 311143265 Medicaid HMO OH 501(c)(3) 509(a)(2) NA false The CareSource Foundation PO Box 8738 Dayton OH 45401 562582561 Grant Giving OH 501(c)(3) 509(a)(3) I CareSource false CareSource Kentucky Co (3414) PO Box 8738 Dayton OH 45401 464991603 Exchange HMO KY 501(c)(3) 509(a)(2) CSMG true CareSource Georgia Co (112414) PO Box 8738 Dayton OH 45401 472408339 Medicaid HMO GA 501(C)(3) 509(a)(2) CSMG true CareSource Management Services Co PO Box 8738 Dayton OH 454018738 311703371 Adm Mgmt Svcs OH NA C Corp -3065 8230971 1.00000 true false false false false false false false false true false false false true false true true true true CareSource Management Services Co N, P 1256317 Actual