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CARESOURCE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CARESOURCE (EIN 31-1703368)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201403189349306885
Schema version
2013v3.1
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)
Return2014-11-14T14:45:28-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311703368EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CareSource Management Group CoBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JANET FERNANDESInCareOfNm
Business Name ControlCAREBusinessNameControlTxt
Phone9372243300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8738AddressLine1
Address Line2SuiteAddressLine2
CityDaytonCity
StateOHState
ZIP Code454018738ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPamela B MorrisPersonNm
Person TitleCEOPersonTitleTxt
Signature2014-11-13SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPamela B MorrisPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1
CityDaytonCity
StateOHState
ZIP Code45401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$387,634,367GrossReceiptsAmt
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 organization to CareSource and CareSource Indiana, both medicaid health maintenance & 501(c)(3) not-for-profit organizations.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2134TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$14,501,000PYContributionsGrantsAmt
CY Contributions Grants$64,885,823CYContributionsGrantsAmt
PY Program Service Revenue$188,932,312PYProgramServiceRevenueAmt
CY Program Service Revenue$314,155,131CYProgramServiceRevenueAmt
PY Investment Income$8,750,368PYInvestmentIncomeAmt
CY Investment Income$3,205,401CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$212,183,680PYTotalRevenueAmt
CY Total Revenue$382,246,355CYTotalRevenueAmt
PY Grants And Similar Paid$388,009PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$479,957CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$106,337,649PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$136,323,243CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$81,112,338PYOtherExpensesAmt
CY Other Expenses$170,425,605CYOtherExpensesAmt
PY Total Expenses$187,837,996PYTotalExpensesAmt
CY Total Expenses$307,228,805CYTotalExpensesAmt
PY Revenues Less Expenses$24,345,684PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$75,017,550CYRevenuesLessExpensesAmt
Total Assets BOY$176,729,068TotalAssetsBOYAmt
Total Assets EOY$269,738,483TotalAssetsEOYAmt
Total Liabilities BOY$104,459,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$125,459,393TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$72,269,233NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$144,279,090NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCARESOURCE MANAGEMENT GROUP CO IS A SUPPORTING ORGANIZATION TO CARESOURCE, CARESOURCE INDIANA, 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 PLANNING AND OVERSIGHT TO THE ACTIVITIES OF 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.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$307,228,805ExpenseAmt
Grant$479,957GrantAmt
Revenue$382,246,355RevenueAmt
DescCareSource Management Group (CSMG), as a supporting organization, provides strategic planning for CareSource, CareSource Indiana and The CareSource Foundation. In 2012, CSMG successfully implemented a Medicaid Managed Care program for the Assistance for Needy Families (TANF) and Aged, Blind and Disabled (ABD) populations in Kentucky's Region 3 through a strategic Alliance with Humana Health Plans, Inc. Implementation was successfully completed within an unprecedented three-month timeline for a go-live date of January 1, 2013. 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 nearly 70,000 Medicaid members. CareSource Management Group lessens the burden on State and Federal government by serving and managing the care of the underserved and fragile populations in Medicaid Programs, including applicable TANF and ABD individuals and children with special health care needs. CSMG, which holds a Third Party Administrator 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 Bridge to Home, Medication Therapy Management (MTM) and High Risk Case Management (HRCM), demonstrate this focus. Bridge to Home focuses on providing a smooth transition for members between an inpatient setting and home. Often, members fail to have their health care or social needs met after discharge, complicating the transition home. Making sure members receive needed services or making sure members attend follow-up doctor visits are just two ways CareSource eases the transition home. Outcomes MTM is a company that specializes in the design, delivery and administration of Medication Therapy Management (MTM) programs. This program engages community pharmacists to assist members with their pharmacy and overall health care needs. Pharmacists provide complete medication reviews to help members with their medications. By providing this service, the Organization has decreased unnecessary hospitalizations and emergency department visits. The HRCM program utilizes a team of case managers, social workers and Navigators to engage members in their health care. CareSource Management Group understands our members' needs and challenges, going the extra mile to meet them where they need care, at home or at their doctor's office. CareSource Management Group strives to help our members overcome any and all barriers to receiving health care. In doing so, CareSource Management Group helps meet basic needs such as accessing transportation to a health care provider or securing safe housing. CareSource Management Group engages at all levels to make a difference in our members' lives. In support OF CSMG'S COMMITMENT TO its charitable purposes, ITS APPOINTED TRUSTEES AND COMMITTEE MEMBERS 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 $88,500 WERE PAID OR ACCRUED IN 2013 UNDER THIS POLICY BY THE ORGANIZATION.Desc
Total Program Service Expenses$307,228,805TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 AssetsfalseReportOtherAssetsInd
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 Document1006IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2134EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 8738AddressLine1
CityDaytonCity
StateOHState
ZIP Code454018738ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ellen S Leffak
Chair/Trustee1.04.0Yes (X)$0$0$0
Kevin Brown
Secretary/Treas/Trustee1.01.0Yes (X)$30,500$0$0
J Thomas Maultsby
Trustee1.02.0Yes (X)$0$0$0
Terry G Rapoch
Trustee1.00.0Yes (X)$0$0$0
Michael E Ervin MD
Vice Chair/Trustee1.02.0Yes (X)$0$0$0
Catherine Hess from 1213
Trustee1.00.0Yes (X)$0$0$0
John P Monahan
Trustee1.00.0Yes (X)$0$0$0
Pamela B Morris
President/CEO/Trustee20.040.0Yes (X)$0$1,664,314$1,040,994Yes (X)
Jocelyn Guyer to 513
Trustee1.00.0Yes (X)$0$0$0
Craig Thiele MD
Chief Medical Officer14.046.0$0$673,263$237,793Yes (X)
Bobby Jones
Chief Operating Officer20.040.0$1,146,255$0$253,693Yes (X)
L Tarlton Thomas III
Chief Financial Officer25.035.0$0$425,661$219,710Yes (X)
Mark Chilson
EVP & Gen Counsel14.046.0$686,331$0$241,939Yes (X)
Paul Stoddard
Chief Information Officer14.046.0$428,193$0$272,549Yes (X)
Stephen Ringel
President Ohio Market5.055.0$296,439$0$174,887Yes (X)
Dan McCabe
Chief Administrative Officer40.020.0$400,750$0$301,605Yes (X)
James Gartner
VP Pharmacy Svcs & Med Mgmt14.046.0$307,103$0$144,985Yes (X)
David Mezzanotte
VP Sales & Marketing40.020.0$460,540$0$31,351Yes (X)
Samuel T George
SVP Business Partner Group30.030.0$281,909$0$151,679Yes (X)
Christina Turner
VP Business Integration30.030.0$262,512$0$137,641Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,300,532TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,763,238TotReportableCompRltdOrgAmt
Total Other Compensation$3,208,826TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K152IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Norton Cancer Institute
PO Box 36370 Dept 86100LOUISVILLEKY402336370Medical Services$12,414,730
CVS Caremark
221 N Charles Lindergh DrSALT LAKE CITYUT84116Pharmacy Services$9,195,570
University Medical Center Inc
PO Box 70115LOUISVILLEKY40270Medical Services$6,851,655
University of Louisville
571 S Floyd StLOUISVILLEKY40202Medical Services$4,579,075
Jewish Hospital St Marys Health C
PO Box 950135LOUISVILLEKY40295Medical Services$4,545,034
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K86CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$64,885,823RelatedOrganizationsAmt
Total Contributions$64,885,823TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSURANCE PREMIUMS; REINSURANCE524298$95,011,818$95,011,818
MANAGEMENT FEES561000$219,143,313$219,143,313
FieldValueIRS element (for citing)
Total Program Service Revenue$314,155,131TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$463,455TotalRevenueColumnAmt
Exclusion$463,455ExclusionAmt

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$8,129,958SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,385,000SecuritiesAmt
Other$3,012OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,744,958SecuritiesAmt
Other-$3,012OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,741,946TotalRevenueColumnAmt
Exclusion$2,741,946ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$382,246,355TotalRevenueColumnAmt
Related Or Exempt Func Income$314,155,131RelatedOrExemptFuncIncomeAmt
Exclusion$3,205,401ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$479,957TotalAmt
Program Services$479,957ProgramServicesAmt

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$3,453,331TotalAmt
Program Services$3,453,331ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$107,342,770TotalAmt
Program Services$107,342,770ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,551,563TotalAmt
Program Services$4,551,563ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,424,003TotalAmt
Program Services$12,424,003ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,551,576TotalAmt
Program Services$8,551,576ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$574,844TotalAmt
Program Services$574,844ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$223,182TotalAmt
Program Services$223,182ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,678,132TotalAmt
Program Services$1,678,132ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$38,886,309TotalAmt
Program Services$38,886,309ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,826,549TotalAmt
Program Services$3,826,549ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,034,316TotalAmt
Program Services$12,034,316ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,369,066TotalAmt
Program Services$12,369,066ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,126,731TotalAmt
Program Services$4,126,731ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,783,732TotalAmt
Program Services$2,783,732ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,158,795TotalAmt
Program Services$1,158,795ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,813,677TotalAmt
Program Services$2,813,677ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,732,849TotalAmt
Program Services$9,732,849ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,415,650TotalAmt
Program Services$1,415,650ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
COMPANY DUES/FILING FEES$764,720$764,720
CAPTIVE - CLAIMS$77,659,711$77,659,711
ADMIN PROGRAM EXPENSES$32,076$32,076
AMORTIZATION EXPENSE$330,181$330,181

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,085TotalAmt
Program Services$15,085ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$307,228,805TotalAmt
Program Services$307,228,805ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,576,538BOYAmt
EOY$17,497,174EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,307,670BOYAmt
EOY$68,406,246EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,749,786BOYAmt
EOY$28,542,445EOYAmt

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$5,998,642BOYAmt
EOY$10,018,462EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$88,152,450LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,021,881LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$72,551,095BOYAmt
EOY$75,130,569EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,339,815BOYAmt
EOY$22,299,556EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$33,315,333BOYAmt
EOY$36,215,333EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,890,189BOYAmt
EOY$11,628,698EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$176,729,068BOYAmt
EOY$269,738,483EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$50,018,929BOYAmt
EOY$78,059,530EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,000,000BOYAmt
EOY$4,125,000EOYAmt

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$36,000,001BOYAmt
EOY$33,600,004EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,440,905BOYAmt
EOY$9,674,859EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,459,835BOYAmt
EOY$125,459,393EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$65,110,084BOYAmt
EOY$144,279,090EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,159,149BOYAmt
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$72,269,233BOYAmt
EOY$144,279,090EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$176,729,068BOYAmt
EOY$269,738,483EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$75,017,550ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$3,007,693OtherChangesInNetAssetsAmt
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
CertificationYes (X)CertificationInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupportSupportAmt
CARESOURCE
31114326509Yes (true)$0
CARESOURCE INDIANA INC
32012185609Yes (true)$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$1,750,000OtherCostOrOtherBasisAmt
Book Value$1,750,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,145,176OtherCostOrOtherBasisAmt
Depreciation$2,926,263DepreciationAmt
Book Value$62,218,913BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,205,000OtherCostOrOtherBasisAmt
Depreciation$372,281DepreciationAmt
Book Value$832,719BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,748,506OtherCostOrOtherBasisAmt
Depreciation$9,052,636DepreciationAmt
Book Value$5,695,870BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,303,768OtherCostOrOtherBasisAmt
Depreciation$670,701DepreciationAmt
Book Value$4,633,067BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$75,130,569TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CARESOURCE INDIANA$1,271,176C
CARESOURCE MANAGEMENT SERVICES$17,744,157C
CARESOURCE$17,200,000C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$36,215,333TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CAPITAL LEASE - CURRENT$4,030,623
DUE TO RELATED ENTITIES$0
CAPITAL LEASE - LONG TERM$5,644,236
FieldValueIRS element (for citing)
Total Liability$9,674,859TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationThe 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 2011-2013 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 (25 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Beth Abraham Synagogue
305 Sugar Camp CirDaytonOH45409310550821509(a)(1)$26,000Women of Valor
Downtown Dayton Partnership
10 W 2nd St 611DaytonOH45402341722175509(a)(1)$5,500Holiday Festival
Rebuilding Together Dayton Inc
30 S Main St Ste BDaytonOH45402311457626509(a)(1)$7,482Rebuild Dayton
The Dayton Foundation
40 N Main St 2300DaytonOH45423316027287509(a)(1)$12,500Up Dayton
United Way of Greater Dayton Area
184 Salem AveDaytonOH45406310536658509(a)(1)$77,500Corporate Campaign; general support
4 Paws For Ability
253 Dayton AveXeniaOH45385311625484509(a)(2)$26,000Animal Counseling
Culture Works
126 N Main St Ste 210DaytonOH45402237412338509(a)(2)$7,500Campaign for the Arts
Daybreak
605 S Patterson BlvdDaytonOH45402310864474509(a)(1)$6,500Teen Shelter
Dayton Ohio Habitat for Humanity
3534 Linden AveDaytonOH45410310537124501(c)(3)$50,000Home Begins Here
The Linda Vista Inc
1101 Linda Vista 5DaytonOH45405371552725509(a)(1)$7,000General Support
Dayton Contemporary Dance Guild
840 Germantown StDaytonOH45402237220259509(a)(2)$14,000Spring soulstice
Homefull
1133 S Edwin C Moses 306DaytonOH45417311236989509(a)(1)$6,323HOLE; general support
Health Policy Institute of Ohio
37 W Broad St 350ColumbusOH43215300186863509(a)(1)$21,000General Support
March of Dimes Ohio Valley Chapter
3131 S Dixie Dr 313DaytonOH45409131846366509(a)(1)$9,095Chefs Auction/Saving OH Babies
America Red Cross - Dayton Area
PO Box 517DaytonOH45401310537493509(a)(1)$15,000General Support
Hospice of Dayton
324 Wilmington AveDaytonOH45420310933339509(a)(1)$5,100Styles Show
Ohio Assn of County Behavioral Health
33 N High St 500ColumbusOH43215010762655501(c)(3)$10,000Opiate Conference
United Rehabilitation
4710 Old Troy PikeDaytonOH45404310592919509(a)(1)$7,395Ducks on the Square
Young Womens Christian Association
141 W Third StDaytonOH45402310537168509(a)(1)$15,000Women of Influence
Young Mens Christian Assoc
111 W 1st StDaytonOH45402310537517509(a)(2)$10,000Reno Daycare Playground
Ohio Association of Health Plans
230 E Town St 200ColumbusOH43215311001446501(c)(3)$7,722General Support
Philanthropy Ohio
37 W Broad St 800ColumbusOH43215311111842501(c)(3)$15,000Healthcare Initiative
The Foodbank Inc
427 Washington StDaytonOH45402861082880509(a)(1)$7,500Big Give Backpack
Epiphany Lutheran Church
6430 Far Hills AveDaytonOH45459310709145501(c)(3)$6,500General Support
Jewish Federation of Greater Dayton
525 Versailles DrDaytonOH45459310537488509(a)(1)$5,500General Support
FieldValueIRS element (for citing)
Total501c3 Org25Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Question 2The 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.
Schedule I, Part IIIn support OF CARESOURCE Management Group CO'S COMMITMENT TO its charitable purposes, ITS APPOINTED TRUSTEES AND COMMITTEE MEMBERS 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 $88,500 WERE PAID OR ACCRUED IN 2013 UNDER THIS POLICY BY THE ORGANIZATION AND ARE REPRESENTED ON SCHEDULE I IN THE FORM OF GENERAL SUPPORT CONTRIBUTIONS.
Schedule I, Part IITo celebrate employees who volunteer within the community and to expand their impact, we have created the "star volunteer" program. For each employee who volunteers 50+ hours for an eligible nonprofit organization, the organization contributes $200 in that person's name to the nonprofit organization. The Organization made contributions in the amount of $200 under this program in 2013.

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 PaymentfalseSeverancePaymentInd
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 OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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$0$801,737$0$573,000$0$289,577$0$1,015,894$0$25,100$0$2,705,308$0$573,000
Mark Chilson
EVP & Gen Counsel$396,453$0$160,105$0$129,773$0$235,942$0$5,997$0$928,270$0$160,105$0
Craig Thiele MD
Chief Medical Officer$0$380,816$0$163,394$0$129,053$0$209,465$0$28,328$0$911,056$0$163,394
Bobby Jones
Chief Operating Officer$384,592$0$152,385$0$609,278$0$228,810$0$24,883$0$1,399,948$0$549,127$0
L Tarlton Thomas III
Chief Financial Officer$0$266,860$0$104,756$0$54,045$0$193,128$0$26,582$0$645,371$0$104,756
Paul Stoddard
Chief Information Officer$301,716$0$126,477$0$0$0$244,493$0$28,056$0$700,742$0$126,477$0
Dan McCabe
Chief Administrative Officer$287,708$0$113,042$0$0$0$275,352$0$26,253$0$702,355$0$113,042$0
James Gartner
VP Pharmacy Svcs & Med Mgmt$229,193$0$71,215$0$6,695$0$140,987$0$3,998$0$452,088$0$71,215
Stephen Ringel
President Ohio Market$225,029$0$63,477$0$7,933$0$156,369$0$18,518$0$471,326$0$0$0
David Mezzanotte
VP Sales & Marketing$174,352$0$46,238$0$239,950$0$10,763$0$20,588$0$491,891$0$190,485$0
Samuel T George
SVP Business Partner Group$219,963$0$60,857$0$1,089$0$149,077$0$2,602$0$433,588$0$0$0
Christina Turner
VP Business Integration$222,521$0$39,991$0$0$0$135,004$0$2,637$0$400,153$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part IIThe following Corporate officer, Bobby Jones; and other listed persons including Mark Chilson, Paul Stoddard, Dan McCabe, David Mezzanotte, Samuel George, Stephen Ringel, James Gartner and Christina Turner are employees of CareSource Management Group Co. All compensation amounts reported on Schedule J, Part II for these individuals are paid by CareSource Management Group Co. The compensation amounts for the remaining listed persons listed on Schedule J, Part II are paid by CareSource Management Services Co, a related organization to CareSource Management Group Co.
Schedule J, Part I, Question 4bThe following listed persons listed on Form 990, Part VII, Section A, participate in a supplemental nonqualified retirement plan of a related entity, CareSource Management Services Co.: Pamela B Morris, Craig Thiele MD and L Tarlton Thomas III. Corporate Officer Bobby Jones and individuals Mark Chilson, Paul Stoddard, Dan McCabe, David Mezzanotte, Samuel George, Stephen Ringel, James Gartner, and Christina Turner are employees of CareSource Management Group Co., and participate in a supplemental nonqualified retirement plan through CareSource Management Group Co. Amounts are accrued monthly for plan participants for both plans. The plans provide compensation to the participants after a vesting period, and 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 entity, CareSource Management Services Co.: Pamela B Morris, Craig Thiele MD and L Tarlton Thomas III. Corporate Officer Bobby Jones and individuals Mark Chilson, Paul Stoddard and Dan McCabe are employees of CareSource Management Group Co and participate in a long-term incentive plan through that organization. Amounts accrued in 2013 related to both deferred compensation arrangements include the following: Pamela Morris $648,801; Craig Thiele MD $152,759; L Tarlton Thomas III $107,817; Bobby Jones $166,647; Mark Chilson $163,498; Paul Stoddard $92,033; Dan McCabe $123,192; David Mezzanotte $35,876; Samuel George $44,044; Stephen Ringel $47,448; James Gartner $46,611 and Christina Turner $44,294.
Schedule J, Part I, Question 6bThe following corporate officers listed in Form 990, Part VII, Section A, line 1a are employees of CareSource Management Services Co, a related organization to CareSource Management Group Co.: Craig Thiele MD, and L Tarlton Thomas III. Corporate Officer Bobby Jones and individuals Mark Chilson, Paul Stoddard, Dan McCabe, David Mezzanotte, Samuel George, Stephen Ringel, James Gartner and Christina Turner are employees of CareSource Management Group Co. All of these individuals 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 Morris is an employee of CareSource Management Services Co, a related organization to CareSource Management Group Co., and Ms. Morris is eligible for a performance bonus as part of her compensation package.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI, Section B, Question 11aThe 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 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 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 3The 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 Independent Board members' decision and rationale are captured in minutes that are prepared and signed in a contemporaneous substantiation of the deliberation and decisional process of the Independent Board. 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.
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'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 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.
Part VII, Section A, Avg Hours per Week Devoted to Related OrganizationsThe following listed persons split their time between all the entities of the CareSource family of companies: Pamela Morris, Craig Thiele MD, L Tarlton Thomas III, Bobby Jones, Mark Chilson, Paul Stoddard, Dan McCabe, Dave Mezzanotte, Samuel George, James Gartner, and Christina Turner. The total hours worked by each listed person exceeds 60 hours per week for the combined CareSource family of companies, and as a general practice is allocated among the following entities: CareSource, 75%; CareSource Management Group Co, CareSource Reinsurance LLC and CareSource Insurance LLC, 23%; The CareSource Foundation, CareSource Indiana, Inc., and CareSource Management Services Co, 2%. Listed person Stephen Ringel is devoted primarily to related entity, CareSource.
Part XI, Line 5(1) Capital contribution to subsidiary CareSource Management Services Co in the amount of ($3,200,000); other intercompany transfers of 107,693, for a total adjustment of ($3,007,693).
Part VI, Section A, Line 4The Articles of Incorporation were Amended to provide that the Corporation is formed to act for the benefit of, and to carry out, as a supporting organization, the purposes of CareSource, CareSource Indiana and any other affiliated not for profit tax exempt organization which operates consistently with section 501 (c) (3) of the Code and which are not a private foundation pursuant to either section 509 (a)(1) or section 509 (a) (2) of the Code. Also the Articles of Incorporation were Amended to provide that the Corporation has the power to receive and administer funds for charitable purposes in any manner not prohibited by section 501 (c)(3) of the Internal Revenue Code of 1986. Also the Articles of Incorporation were amended to provide that the Corporation will be operated in a manner not inconsistent with Section 509 (a) of the Code. Copies of the Amendments were sent to the Internal Revenue Service at the time the Articles were amended in 2013.
FORM 990 PART IX LINE 11GDESCRIPTION:RECRUITING & TEMPORARY SVCS TOTAL FEES:3217692
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING & CONTRACTING SVCS TOTAL FEES:35668617

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CareSource Insurance LLC
100 Bank Street Suite 610BurlingtonVT05401271368371Captive InsVT$12,090,471CSMG Co
CareSource Reinsurance LLC
800 N Last Chance Gulch 101HelenaMT59601454937120Captive InsMT$2,465,666CSMG Co

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
CareSource Indiana Inc
PO Box 8738DaytonOH45401320121856Medicaid HMOIN501(c)(3)509(a)(2)NAYes (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 Illinois (Dissolved 8913)
PO Box 8738DaytonOH45401272202797DissolvedILNOTDeterminedNAYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CareSource Management Services CoBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8738AddressLine1
CityDaytonCity
StateOHState
ZIP Code454018738ZIPCode
FieldValueIRS element (for citing)
EIN311703371EIN
Primary ActivitiesAdm Mgmt SvcsPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CareSource Management Services Co
N, O,$5,841,224Actual
CareSource Management Services Co
B$3,200,000Actual