CARESOURCE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CARESOURCE (EIN 31-1703368)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201213199349304761
- Schema version
- 2011v1.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T14:01:25-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311703368 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CareSource Management Group Co | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JANET FERNANDES | InCareOfName |
| Name Control | CARE | NameControl |
| Phone | 9372243300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8738 | AddressLine1 |
| City | Dayton | City |
| State | OH | State |
| ZIP Code | 454018738 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | L Tarlton Thomas III | Name |
| Title | Chief Financial Officer | Title |
| Date Signed | 2012-11-07 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Pamela B Morris | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Same as C above | AddressLine1 |
| City | Dayton | City |
| State | OH | State |
| ZIP Code | 45401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 166767777 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | CareSource Management Group Co is a supporting organization to CareSource, CareSource Michigan, and CareSource Indiana, all Medicaid health maintenance organizations & 501(c)(3) not-for-profit companies. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1256 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10000000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10001335 | InvestmentIncomePriorYear |
| Investment Income Current Year | 579 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 126436679 | OtherRevenuePriorYear |
| Other Revenue Current Year | 156767198 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 136438014 | TotalRevenuePriorYear |
| Total Revenue Current Year | 166767777 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 202720 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 231865 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 70307791 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 84373066 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 57591371 | OtherExpensePriorYear |
| Other Expenses Current Year | 73469827 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 128101882 | TotalExpensesPriorYear |
| Total Expenses Current Year | 158074758 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8336132 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8693019 | RevenuesLessExpensesCY |
| Total Assets BOY | 72831747 | TotalAssetsBOY |
| Total Assets EOY | 76488161 | TotalAssetsEOY |
| Total Liabilities BOY | 47176373 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 40589785 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 25655374 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 35898376 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO MAKE A DIFFERENCE IN THE LIVES OF UNDERSERVED PEOPLE BY IMPROVING THEIR HEALTH CARE. THE SOLE AND SPECIFIC PURPOSE FOR WHICH THE CORPORATION IS FORMED IS TO ACT FOR THE BENEFIT OF, AND TO CARRY OUT, AS A SUPPORTING ORGANIZATION, THE PURPOSES OF CARESOURCE (MEDICAID HEALTH MAINTENANCE ORGANIZATION), CARESOURCE MICHIGAN (MEDICAID HEALTH MAINTENANCE ORGANIZATION), CARESOURCE INDIANA (MEDICAID HEALTH MAINTENANCE ORGANIZATION), AND ANY OTHER CARESOURCE NOT-FOR-PROFIT, TAX-EXEMPT COMPANY WHICH OPERATES CONSISTENTLY WITH THE ABOVE NAMED NOT-FOR-PROFIT, TAX EXEMPT COMPANIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 231865 | Expense |
| Grants | 231865 | Grants |
| Revenue | 0 | Revenue |
| Description | The sole and specific purpose for which the Corporation is formed is to act for the benefit of, and to carry out, as a supporting organization, the purposes of CareSource, CareSource Michigan, CareSource Indiana, and any other CareSource not-for-profit, tax-exempt Company (collectively referred to as "CareSource") which operates consistently with the above named not-for-profit tax exempt companies. This corporation shall operate as a policy-making support organization for CareSource and conduct activities consistent with such purpose, including making distributions to CareSource, in accordance with the nonprofit corporation laws of the States of Ohio, Michigan and Indiana, and Section 501(C)(3) of the Internal Revenue Code, all in furtherance and support of CareSource. The Corporation will provide oversight to the activities of CareSource and ensure that the exempt purposes of CareSource are furthered. The company's mission is to make a difference in the lives of underserved people by improving their health care. In THE SPIRIT 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 $54,500 WERE PAID OR Accrued IN 2011 UNDER THIS POLICY BY THE ORGANIZATION. | Description |
| Total Program Service Expense | 231865 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 152 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1256 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JANET FERNANDES | NamePerson |
| Telephone Number | 9372243300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8738 | AddressLine1 |
| City | Dayton | City |
| State | OH | State |
| ZIP Code | 454018738 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Ellen S Leffak | ||||||||
| Chair/Trustee | 3.0 | X | 0 | 0 | 0 | |||
| Thomas G Breitenbach | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| J Thomas Maultsby | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Karey L Witty | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Terry G Rapoch | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Michael E Ervin MD | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Kevin Brown | ||||||||
| Secretary/Treas/Trustee | 3.0 | X | 19500 | 0 | ||||
| Jocelyn Guyer | ||||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | |||
| Pamela B Morris | ||||||||
| Chief Executive Officer | 60.0 | X | 0 | 1314264 | 2003018 | X | ||
| Craig Thiele MD | ||||||||
| Chief Medical Officer | 60.0 | 0 | 470831 | 610038 | X | |||
| Bobby Jones | ||||||||
| Chief Operating Officer | 60.0 | 444105 | 0 | 565684 | X | |||
| L Tarlton Thomas III | ||||||||
| Chief Financial Officer | 60.0 | 0 | 270309 | 398184 | X | |||
| Mark Chilson | ||||||||
| EVP and General Counsel | 60.0 | 402834 | 0 | 645761 | X | |||
| Paul Stoddard | ||||||||
| Chief Information Officer | 60.0 | 286271 | 0 | 496913 | X | |||
| Janet Grant | ||||||||
| EVP Ext Affairs Corp Comp Ofc | 60.0 | 0 | 373106 | 379276 | X | |||
| Gail Croall | ||||||||
| Senior Medical Director | 60.0 | 355676 | 0 | 199189 | X | |||
| Sharon Williams | ||||||||
| Plan President Michigan | 60.0 | 283240 | 0 | 131105 | X | |||
| David Mezzanotte | ||||||||
| VP Sales & Marketing | 60.0 | 248944 | 0 | 122549 | X | |||
| Stanley Keith Tarter MD | ||||||||
| Medical Director | 60.0 | 288686 | 0 | 82047 | X | |||
| James Gartner | ||||||||
| Vice President Pharmacy | 60.0 | 228702 | 0 | 112685 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2557958 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2428510 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 5746449 | TotalOtherCompensation |
| Number Individuals GT100 K | 74 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Level 3 Communications LLC | |||||
| Dept 182 | DENVER | CO | 80291 | Professional | 1399224 |
| CBS Personnel Services LLC | |||||
| 435 Elm St Suite 300 | CINCINNATI | OH | 45202 | Professional | 848529 |
| The Specta Group LLC | |||||
| 20878 East Eastman Ave | AURORA | CO | 800138494 | Professional | 664847 |
| Ernst Young LLP | |||||
| 312 Walnut St 1900 | CINCINNATI | OH | 45202 | Professional | 650208 |
| Outcomes Health Info Solutions LLC | |||||
| 13010 Morris Rd Bldg 2 | ALPHARETTA | GA | 30004 | Professional | 577667 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 38 | NumberOfContractorsGT100K |
| Related Organizations | 10000000 | RelatedOrganizations |
| Total Contributions | 10000000 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 579 | TotalRevenueColumn |
| Exclusion | $579 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MANAGEMENT FEE REVENUE | 561000 | 152964613 | 152964613 |
| INSURANCE PREMIUMS | 524298 | 3802585 | 3802585 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 156767198 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 166767777 | TotalRevenueColumn |
| Related Or Exempt Function Income | 156767198 | RelatedOrExemptFunctionIncome |
| Exclusion | $579 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231865 | Total |
| Program Services | 231865 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4913891 | Total |
| Management And General | 4913891 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61461553 | Total |
| Management And General | 61461553 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2679252 | Total |
| Management And General | 2679252 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10072716 | Total |
| Management And General | 10072716 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5245654 | Total |
| Management And General | 5245654 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42612 | Total |
| Management And General | 42612 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 670643 | Total |
| Management And General | 670643 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192656 | Total |
| Management And General | 192656 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27577025 | Total |
| Management And General | 27577025 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1347721 | Total |
| Management And General | 1347721 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10185703 | Total |
| Management And General | 10185703 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8834355 | Total |
| Management And General | 8834355 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8687455 | Total |
| Management And General | 8687455 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1161209 | Total |
| Management And General | 1161209 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 794378 | Total |
| Management And General | 794378 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1036930 | Total |
| Management And General | 1036930 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7497867 | Total |
| Management And General | 7497867 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1152578 | Total |
| Management And General | 1152578 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral |
|---|---|---|
| MEMBERSHIP/DUES/FILING FEES | 379707 | 379707 |
| CAPTIVE - CLAIMS | 3116446 | 3116446 |
| ADMIN PROGRAM EXPENSES | 429267 | 429267 |
| MISCELLANEOUS EXPENSE | 223271 | 223271 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140004 | Total |
| Management And General | 140004 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158074758 | Total |
| Program Services | 231865 | ProgramServices |
| Management And General | 157842893 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1184829 | BOY |
| EOY | 5247443 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 368280 | BOY |
| EOY | 1029669 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9548013 | BOY |
| EOY | 4197641 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6446344 | BOY |
| EOY | 4092083 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8284162 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4189469 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4429403 | BOY |
| EOY | 4094693 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19181176 | BOY |
| EOY | 26948255 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20255042 | BOY |
| EOY | 19695930 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11418660 | BOY |
| EOY | 11182447 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72831747 | BOY |
| EOY | 76488161 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23096318 | BOY |
| EOY | 31038748 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13000000 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11080055 | BOY |
| EOY | 9551037 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47176373 | BOY |
| EOY | 40589785 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25655374 | BOY |
| EOY | 35898376 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25655374 | BOY |
| EOY | 35898376 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72831747 | BOY |
| EOY | 76488161 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8693019 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1549983 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| CARESOURCE | |||
| 311143265 | 04 | true | $0 |
| CARESOURCE INDIANA INC | |||
| 320121856 | 04 | true | $0 |
| CARESOURCE MICHIGAN | |||
| 383252216 | 04 | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 513262 | OtherCostOrOtherBasis |
| Depreciation | 198813 | Depreciation |
| Book Value | 314449 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6827502 | OtherCostOrOtherBasis |
| Depreciation | 3558197 | Depreciation |
| Book Value | 3269305 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 943398 | OtherCostOrOtherBasis |
| Depreciation | 432459 | Depreciation |
| Book Value | 510939 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4094693 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CARESOURCE INDIANA | 1571176 | C |
| CARESOURCE MANAGEMENT SERVICES | 7777079 | C |
| CARESOURCE | 17200000 | C |
| CARESOURCE INSURANCE LLC | 400000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 26948255 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CAPITAL LEASE ASSET | 10138587 |
| DEPOSITS | 0 |
| AMORTIZATION OF INTEREST | 541874 |
| COLI LIFE INSURANCE | 501986 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 11182447 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE - LONG TERM | $6,265,896 |
| DUE TO RELATED ENTITIES | $3,720 |
| CAPITAL LEASE - CURRENT | $3,281,421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9551037 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) Footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | The Organization follows the provisions of FASB Accounting Standards Codification (ASC) 740-10. 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 2009-2011 are open for audit by the Internal Revenue Service. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Beth Abraham Synagogue | |||||||
| 305 Sugar Camp Cir | Dayton | OH | 45409 | 310550821 | 509(a)(1) | 17000 | Women of Valor |
| Downtown Dayton Partnership | |||||||
| 10 W 2nd St 611 | Dayton | OH | 45402 | 341722175 | 509(a)(1) | 5500 | Holiday Festival |
| Greater Dayton Public Television (Think TV) | |||||||
| 110 S Jefferson St | Dayton | OH | 45402 | 310858459 | 509(a)(1) | 10000 | Womens Health Conf |
| Rebuilding Together Dayton Inc | |||||||
| 1056 Brown Street | Dayton | OH | 45409 | 311457626 | 509(a)(1) | 6000 | Rebuild Dayton |
| Dayton Area Chamber of Comm Educ & Public Improve | |||||||
| 1 Chamber Plaza | Dayton | OH | 45402 | 311113395 | 509(a)(1) | 10000 | Workforce Development |
| United Way of Greater Dayton Area | |||||||
| 184 Salem Ave | Dayton | OH | 45406 | 310536658 | 509(a)(1) | 62000 | Corporate Campaign; general support |
| Epiphany Luthern Church | |||||||
| 6430 Far Hills Ave | Dayton | OH | 45459 | 310709145 | 501(c)(3) | 7500 | General Support |
| Juvenile Diabetes Research Foundation | |||||||
| 105 Westpark Dr 415 | Brentwood | TN | 37027 | 231907729 | 509(a)(1) | 11000 | General Support |
| Mary Scott Nursing Center | |||||||
| 3109 Campus Dr | Dayton | OH | 45406 | 316010222 | 509(a)(2) | 22340 | Fundraising Challenge |
| Health Policy Institute of Ohio | |||||||
| 37 W Broad St 350 | Columbus | OH | 43215 | 300186863 | 509(a)(1) | 20000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Contribution Review | Schedule I, Part I, Question 2 | 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 | Schedule I, Part II | In THE SPIRIT 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 $54,500 WERE PAID OR ACCRUED IN 2011 UNDER THIS POLICY BY THE ORGANIZATION AND ARE REPRESENTED ON SCHEDULE I IN THE FORM OF GENERAL SUPPORT CONTRIBUTIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pamela B Morris | |||||||||||||
| 0 | 629451 | 0 | 448050 | 0 | 236763 | 0 | 1985668 | 0 | 17350 | 0 | 3317282 | 0 | 448050 |
| Craig Thiele MD | |||||||||||||
| 0 | 335312 | 0 | 127536 | 0 | 7983 | 0 | 590710 | 0 | 19328 | 0 | 1080869 | 0 | 127536 |
| Mark Chilson | |||||||||||||
| 355817 | 0 | 35000 | 0 | 12017 | 0 | 644488 | 0 | 1273 | 0 | 1048595 | 0 | 35000 | 0 |
| Bobby Jones | |||||||||||||
| 324060 | 0 | 107286 | 0 | 12759 | 0 | 548937 | 0 | 16747 | 0 | 1009789 | 0 | 107286 | 0 |
| Paul Stoddard | |||||||||||||
| 285443 | 0 | 0 | 0 | 828 | 0 | 481605 | 0 | 15308 | 0 | 783184 | 0 | 0 | 0 |
| Janet Grant | |||||||||||||
| 0 | 241319 | 0 | 74018 | 0 | 57769 | 0 | 377477 | 0 | 1799 | 0 | 752382 | 0 | 74018 |
| L Tarlton Thomas III | |||||||||||||
| 0 | 209957 | 0 | 57298 | 0 | 3054 | 0 | 378115 | 0 | 20069 | 0 | 668493 | 0 | 57298 |
| Gail Croall | |||||||||||||
| 298116 | 0 | 56190 | 0 | 1370 | 0 | 181993 | 0 | 17196 | 0 | 554865 | 0 | 0 | 0 |
| Sharon Williams | |||||||||||||
| 197025 | 0 | 70748 | 0 | 15467 | 0 | 108909 | 0 | 22196 | 0 | 414345 | 0 | 70748 | 0 |
| David Mezzanotte | |||||||||||||
| 173118 | 0 | 71641 | 0 | 4185 | 0 | 101404 | 0 | 21145 | 0 | 371493 | 0 | 71641 | 0 |
| Stanley Keith Tarter MD | |||||||||||||
| 225489 | 0 | 57069 | 0 | 6128 | 0 | 62329 | 0 | 19718 | 0 | 370733 | 0 | 57069 | 0 |
| James Gartner | |||||||||||||
| 196586 | 0 | 31447 | 0 | 669 | 0 | 111716 | 0 | 969 | 0 | 341387 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Officer Compensation | Schedule J, Part II | The following Corporate officer, Bobby Jones; and other listed persons including Mark Chilson, Paul Stoddard, Gail Croall, Sharon Williams, David Mezzanotte, Stanley Keith Tarter MD, and James Gartner are current 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. |
| Deferred Compensation | Schedule J, Part I, Question 4b | The following listed persons listed on Form 990, Part VII, Section A, participate in a supplemental nonqualified retirement plan of a related entity, CareSource Management Services Co.: Pamela B Morris, Craig Thiele MD, L Tarlton Thomas III and Janet Grant. Corporate Officer Bobby Jones and individuals Mark Chilson, Paul Stoddard, Gail Croall, Sharon Williams, David Mezzanotte, and James Gartner 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, L Tarlton Thomas III and Janet Grant. Corporate Officer Bobby Jones and individuals Mark Chilson and Paul Stoddard are employees of CareSource Management Group Co and participate in a long-term incentive plan through that organization. |
| Payments contingent on Net Earnings | Schedule J, Part I, Question 6b | The following listed persons listed in Form 990, Part VII, Section A, line 1a are employees of CareSource Management Services Co, a related organization to CareSource Management Group Co.: Craig Thiele MD, L Tarlton Thomas III and Janet Grant. Corporate Officer Bobby Jones and individuals Mark Chilson, Paul Stoddard, Gail Croall, Sharon Williams, David Mezzanotte, Stanley Keith Tarter MD, and James Gartner 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 individual's calendar year regular earnings. Corporate Officer Pamela Morris is also eligible for a performance bonus as part of her compensation package. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990 Review | 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 CFO, an outside CPA firm, outside counsel, and by general counsel prior to filing with the IRS. |
| Conflict of Interest Policy | 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 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. |
| Compensation Review | Part VI, Section B, Questions 15a and 15b | 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 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. |
| Governing Documents | 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. |
| Governing Body Members | 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. |
| Reconciliation of Net Assets | Part XI, Line 5 | (1) Additional Paid in Capital of $400,000 and Cumulative change in net Assets of $544,345 of 501(c)(3), Tax Exempt, Disregarded Entity, CareSource Insurance LLC, and (2) Prior year Goodwill Adjustment of $605,638, for a total adjustment of $1,549,983. |
| Avg Hours Per Week devoted to Related Organizations | Part VII, Section A, Avg Hours per Week Devoted to Related Organizations | The 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, Janet Grant and Mark Chilson. 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, 70%; CareSource Michigan, 10%; CareSource Management Group Co, 10%; The CareSource Foundation, 4%; CareSource Indiana, Inc and CareSource Illinois, 2%; CareSource Insurance LLC, 2%; and CareSource Management Services Co, 2%. The following listed persons split their time between all the entities of the CareSource family of companies: Gail Croall, Paul Stoddard, David Mezzanotte, and James Gartner. 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, 80%; CareSource Michigan, 8%; CareSource Management Group Co, 5%; The CareSource Foundation, 4%; CareSource Illinois and Indiana, Inc, 1%; CareSource Insurance LLC, 1%; and CareSource Management Services Co, 1%. Listed persons Sharon Williams and Stanley Keith Tarter MD devote primarily 100% of their time to related entity, CareSource Michigan. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Ellen S Leffak TITLE:Chair/Trustee HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas G Breitenbach TITLE:Trustee HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:J Thomas Maultsby TITLE:Trustee HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Karey L Witty TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael E Ervin MD TITLE:Trustee HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Kevin Brown TITLE:Secretary/Treas/Trustee HOURS:1 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CareSource Insurance LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Bank Street Suite 610 | AddressLine1 |
| City | Burlington | City |
| State | VT | State |
| ZIP Code | 05401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271368371 | EIN |
| Primary Activities | Captive Ins | PrimaryActivities |
| Legal Domicile State | VT | LegalDomicileState |
| Total Income | 563134 | TotalIncome |
| EOY Assets | 5128769 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CSMG Co | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CareSource Indiana Inc | ||||||||||
| PO Box 8738 | Dayton | OH | 45401 | 320121856 | Medicaid HMO | IN | 501(c)(3) | 509(a)(2) | NA | true |
| CareSource Michigan | ||||||||||
| 2900 West Road Suite 201 | Lansing | MI | 48823 | 383252216 | Medicaid HMO | MI | 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 Illinois | ||||||||||
| PO Box 8738 | Dayton | OH | 45401 | 272202797 | Inactive | IL | Not | Determined | NA | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CareSource Management Services Co | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8738 | AddressLine1 |
| City | Dayton | City |
| State | OH | State |
| ZIP Code | 454018738 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311703371 | EIN |
| Primary Activity | Adm Mgmt Svcs | PrimaryActivity |
| Legal Domicile State | OH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C Corp | TypeOfEntity |
| Share Of Total Income | -1154332 | ShareOfTotalIncome |
| Share Of EOY Assets | 4969910 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CareSource Management Services co | ||
| R, M, | 223407 | Actual |
| CareSource Michigan | ||
| c | 6000000 | Actual |
| CareSource Michigan | ||
| R, M, | 754411 | Actual |
| CareSource Management Services Co | ||
| B | 7767079 | Actual |