2024-11-13T12:14:10-06:00 2023-12-31 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2023-01-01 311703368 CareSource % JANET FERNANDES CARE 9372243300 PO Box 8738 Dayton OH 454018738 Lawrence Smart CFO 9372243300 2024-11-15 true true Karen O Crim P00368385 9372980201 2023 2024-10-15 13:58:12Z Erhardt Preitauer Same as C above Dayton OH 45401 2546965397 false X N/A X 1999 OH To make a lasting difference in members' lives by improving their health and well-being as a supporting organization to the nonprofit, tax-exempt affiliates of CareSource. 10 9 5303 0 18429099 33858 27530 156054 64334424 1274101037 296178447 1272038863 92743 436925 360633144 2546732879 4500000 15754915 0 0 483115 772072167 0 0 0 23907641 592634327 28890756 1380461409 331742388 1166271470 1013140667 3545839148 275955369 616515104 737185298 2929324044 X CARESOURCE ("THE COMPANY") IS A NONPROFIT ORGANIZATION OPERATING IN OHIO. THE COMPANY WAS FORMED AS A SUPPORTING ORGANIZATION, TO ACT FOR THE BENEFIT OF, AND TO CARRY OUT, THE EXEMPT PURPOSES OF ITS NONPROFIT, TAX-EXEMPT AFFILIATES. (CONTINUED ON SCHEDULE O) false false 1380461409 15754915 1274101037 CareSource, as a supporting organization under section 509(a)(3) of the Internal Revenue Code, provides strategic oversight to its supported organizations, CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Kentucky Co, CareSource Georgia Co., CareSource West Virginia Co., and CareSource Life Services Co. (The "CareSource Public Charities"). These supported organizations are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. (Continued on Schedule O) 1380461409 true true false true false false false false false false true false true false false true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 1904 0 true 5303 true true true false false false false false false false false false true false X 10 9 false false false false false false false true true false false true true true true true true true false true true OH X JANET FERNANDES 9372243300 PO BOX 8738 Dayton OH 454018738 X Erhardt Preitauer President & CEO, Director 15.0 45.0 X X 7982382 0 4047739 Richard Topping Secretary 15.0 45.0 X 2429434 0 942437 Sanjoy Musunuri EVP Strategy & Business Dev 15.0 45.0 X 2161186 0 862246 Lawrence Smart CFO, Treasurer 15.0 45.0 X 2282374 0 712492 Devon Valencia Chief Information Officer 45.0 15.0 X 2161779 0 807353 Scott Markovich EVP Markets & Products 15.0 45.0 X 2046512 0 861652 Jennifer Dougherty Chief Human Resources Officer 45.0 15.0 X 1846632 0 768728 David Williams EVP & Chief Medical Officer 15.0 45.0 X 1769714 0 818257 Stephen Ringel President Market 1.0 59.0 X 1696129 0 634140 Isaac Davidi SVP Operations 15.0 45.0 X 1453138 0 569748 Jai Pillai Chief Operating Ofr (To 4/23) 15.0 45.0 X 1975288 0 15770 Steve Smitherman President Market 1.0 59.0 X 1087503 0 550961 Jason Bearden President Market 1.0 59.0 X 1056350 0 554625 Robert Losier SVP IT Infra & Ops (To 3/23) 45.0 15.0 X 1075870 0 11242 Anthony Principi Chairman 10.0 0.0 X 280000 0 0 Edward Thomas Brodmerkel Vice Chairman 8.0 0.0 X 210000 0 0 Craig Brown Director 8.0 0.0 X 180000 0 0 Patricia Martin Director 8.0 0.0 X 165000 0 0 Thomas Kelly Director 8.0 0.0 X 160000 0 0 Anthony Winns Director 8.0 0.0 X 150000 0 0 David Miller Director 8.0 0.0 X 150000 0 0 Linda Willet Director 8.0 0.0 X 150000 0 0 Thomas Edwards Director 8.0 0.0 X 150000 0 0 Daniel McCabe Former Chief Admin Officer 0.0 0.0 X 140542 0 0 32759833 0 12157390 1754 true true false VACO LLC 5410 MARYLAND WAY STE 460 BRENTWOOD TN 37027 CONSULTING SERVICES 11832830 WESTERN RESERVE AREA AGENCY ON AGIN 1700 EAST 13TH STREET SUITE 114 CLEVELAND OH 44114 MEDICAL/CONTRACT SVC 11408870 O'NEIL DIGITAL SOLUTIONS LLC 12655 BEATRICE ST LOS ANGELES CA 90066 CONSULTING SERVICES 11304530 DIRECTION HOME AKRON CANTON 1550 CORPORATE WOODS PARKWAY UNIONTOWN OH 44685 MEDICAL SERVICES 10600501 PWC HOLDINGS NO 21 LLC 4040 W BOY SCOUT BLVD TAMPA FL 33607 CONSULTING SERVICES 8641135 157 156054 156054 MANAGEMENT FEES 561000 1136374644 1117941372 18433272 INSURANCE PREMIUMS; REINSURANCE 524298 137726393 137726393 1274101037 1271557124 -39031 1271596155 0 0 546797 39600 144730 4742 402067 34858 436925 34858 402067 564786 0 51565 31481 513221 -31481 481739 481739 0 0 0 0 0 0 0 0 0 0 2546732879 1255667765 18429099 1272479961 15754915 15754915 0 0 0 36086977 36086977 0 582986101 582986101 72899736 72899736 78959449 78959449 1139904 1139904 0 7016387 7016387 1047497 1047497 169704 169704 0 35615535 35615535 225011650 225011650 43634797 43634797 53290650 53290650 58344064 58344064 0 11202577 11202577 5526363 5526363 0 2955934 2955934 11221192 11221192 0 54657506 54657506 6635915 6635915 MEDICAL EXPENSE 64377397 64377397 EXCISE TAX 2698868 2698868 MEMBERSHIPS, DUES AND FEES 2545748 2545748 PARKING FEES 1821857 1821857 4860686 4860686 1380461409 1380461409 0 0 X 0 0 343905147 1065241539 0 0 46932718 173104521 0 0 0 0 173566 31200830 0 0 158500 40554467 463873883 280438983 101768183 183434900 120320200 680694176 0 0 263378712 1209498687 0 35330957 136503641 126779071 1013140667 3545839148 13404390 434331179 0 105630 0 0 0 0 0 0 0 0 262550979 182078295 0 0 0 0 275955369 616515104 X 737185298 2929324044 0 0 737185298 2929324044 1013140667 3545839148 X 1166271470 -881356616 1907223892 X false true X true false X X 6 CARESOURCE OHIO INC 311143265 10 false 8907415 0 CARESOURCE INDIANA INC 320121856 10 false 1417500 0 CARESOURCE KENTUCKY CO 464991603 10 false 0 0 CARESOURCE GEORGIA CO 472408339 10 false 1930000 0 CARESOURCE WEST VIRGINIA CO 473028244 10 false 0 0 CARESOURCE LIFE SERVICES CO 811602217 10 false 0 0 6 12254915 false false false false false true false false false false false false false false false false Form 990, Schedule A, Part I, Question 12g CareSource is a supporting organization to the IRC Section 501(c)(3) organizations classified as public charities that are members of the CareSource Public Charities. The Articles of Incorporation state the sole and specific purpose for which CareSource is formed is to act for the benefit of, and to carry out, as a supporting organization, the purposes of the nonprofit tax-exempt organizations which are exempt from taxation under Section 501(c)(3) of the Internal Revenue Code ("IRC") and classified as public charities under Section 509(a)(1) or 509(a)(2) of the IRC. Although not mentioned by name, the CareSource Public Charities include CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Kentucky Co., CareSource Georgia Co., CareSource West Virginia Co., and CareSource Life Services Co. CareSource provided capital contributions to these organizations as they became operational. Over the years, CareSource has provided additional support in the form of grants, surplus notes, and board oversight. CareSource reports any grants, surplus notes, or capital contributions on Schedule A in the year the funds are provided to the supported organization(s). Form 990, Schedule A, Part IV, Section A, Question 1 CareSource is a supporting organization to the IRC Section 501(c)(3) organizations classified as public charities. CareSource does not specifically name the supported organizations in its Articles of Incorporation; instead, the Articles of Incorporation refer to the public charities as the "CareSource Companies." The Articles of Incorporation state the sole and specific purpose for which CareSource is formed is to act for the benefit of, and to carry out, as a supporting organization, the purposes of the nonprofit tax-exempt organizations which are exempt from taxation under Section 501(c)(3) of the Internal Revenue Code ("IRC") and classified as public charities under Section 509(a)(1) or 509(a)(2) of the IRC. Although not mentioned by name, those organizations include CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Georgia Co., CareSource Kentucky Co., CareSource West Virginia Co., and CareSource Life Services Co. (collectively referred to as the "CareSource Public Charities"). Form 990, Schedule A, Part IV, Section A, Question 6 In furtherance of the charitable purposes of the CareSource Public Charities, which primarily operate to improve the health and overall well-being of low-income populations, CareSource improves the lives of the underserved by providing grants on behalf of, and pursuant to the instructions of, the CareSource Public Charities to other charitable organizations that deliver a broad array of health and human services and programs. Form 990, Schedule A, Part IV, Section C, Question 1 As noted above, CareSource is a supporting organization to the CareSource Public Charities that are classified as charitable organizations under section 501(c)(3) of the IRC and public charities under section 509(a) of the IRC. During 2023, CareSource's CEO and member of the Board of Directors, Erhardt Preitauer, served on the Board of Directors and as Chair of each of the CareSource Public Charities. Likewise, CareSource's Treasurer (Lawrence Smart) and Secretary (Richard Topping) served on the Public Charity Boards and also served as Treasurer and Secretary of each of the Public Charities. As the Boards of the CareSource Public Charities were almost exclusively comprised of the same CareSource management-level including the CareSource CEO, who reported to the CareSource board, CareSource was "supervised or controlled in connection with" the CareSource Public Charities, its supported organizations, because control and management of CareSource and the CareSource Public Charities were vested in the same individuals. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 1921149 true 169704 false false 2090853 false Form 990, Schedule C, Part II-B, Line 1b Staff attended functions and meetings with government officials and legislators to discuss government sponsored health care programs. Form 990, Schedule C, Part II-B, Line 1f The Company made a grant to a social welfare organization in support of lobbying activity at the federal, state, and local government levels regarding the benefits of managed care, the coordination and enhancement of quality and accessible health care services, and social determinants of health, principally benefiting low-income individuals and individuals eligible for participation under governmental health care programs. Form 990, Schedule C, Part II-B, Line 1g Lobbyists are retained to provide updates and represent the Organization's interests with federal and state legislators who deal with legislation related to government sponsored health care programs. 3512609 3512609 117825619 24772954 93052665 22264670 5366713 16897957 43701149 39322976 4378173 276569836 210976340 65593496 183434900 EQUITY IN CS WEST VIRGINIA CO 9500000 C EQUITY IN CS OHIO INC 17200000 C EQUITY IN CS KENTUCKY CO 0 C EQUITY IN CS INDIANA INC 19151342 C EQUITY IN CS GEORGIA CO 32000000 C EQUITY IN THE CS FOUNDATION 742377 C EQUITY IN CS ARKANSAS HP CO 760000 C EQUITY IN CS PASSE LLC 11000490 C EQUITY IN CSRE II LLC 2500000 C EQUITY IN CSMS HLDG LLC 0 C EQUITY IN CS BAYOU HOLDING LLC 1020000 C EQUITY IN CS OK HEALTH PLAN CO 1511000 C EQUITY IN CS KANSAS LLC 1500000 C EQUITY IN CS IOWA CO 1000000 C EQUITY IN CS TENNESSEE CO 2100000 C EQUITY IN CS NORTH CAROLINA CO 2300000 C EQUITY IN CS FLORIDA CO 7025000 C EQUITY IN THE COLUMBUS ORG 142611545 C INVESTMENT IN SUBSIDIARIES 957576933 F 1209498687 0 0 X FIN 48 (ASC 740) Footnote As outlined in CareSource's Audited Consolidated Financial Statements, the Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2020-2022 are open for audit by the Internal Revenue Service. true The Dayton Foundation 1401 S Main St Ste 100 Dayton OH 45409 316027287 501(c)(3) 2001000 General Support Ohio's Hospice Inc 7575 Paragon Rd Dayton OH 45459 463215586 501(c)(3) 1000000 General Support United Church Homes Inc PO Box 1806 Marion OH 43301 344429276 501(c)(3) 1000000 General Support Fostering Success Act Inc 2655 Northwinds Parkway Atlanta GA 30009 882457311 501(C)(3) 1000000 General Support St Vincent Hospital Foundation Inc 250 W 96th St Ste 470 Indianapolis IN 46260 356088862 501(C)(3) 874000 16th Annual Celebration of Caring Gala Sponsorship Boys & Girls Club of Dayton Inc 1828 Stewart St Dayton OH 45417 310536657 501(C)(3) 325000 Spark 2023 & General Support The Foodbank Inc 56 Armor Place Dayton OH 45417 861082880 501(C)(3) 314598 General Support American Heart Association 10 Glenlake Pkwy South Tower Ste 400 Atlanta GA 30328 135613797 501(C)(3) 300000 Health education focused on chronic conditions; Support for prescription program at a local health clinic; Replacement and installation of AED's and education about cardia arrest teams Ronald McDonald House Charities of Dayton 555 Valley St Dayton OH 45404 310964793 501(C)(3) 300000 General Support Lutheran Home Society Inc DBA Genacross 2021 N McCord Rd Toledo OH 43615 311565719 501(C)(3) 250000 General Support Healthy Beginnings Inc 3112 Yale Dr Middletown OH 45042 311380939 501(C)(3) 250000 General Support Marian University 3200 Cold Springs Rd Indianapolis IN 46222 350868175 501(C)(3) 250000 General Support Safe Families for Children 4300 W Irving Park Rd Chicago IL 60641 453194102 501(C)(3) 200000 COMMUNITY INVESTMENT Healthcare Georgia Foundation Inc 999 Peachtree St NE Ste 400 Atlanta GA 30309 582418091 501(C)(3) 200000 Research into Georgian's views on health equity & Development of a communication plan to educate the public Cincinnati Children's Hospital 3333 Burnet Ave Cincinnati OH 45229 310833936 501(C)(3) 200000 General Support The Villages of Indiana Inc 3833 N Meridian St Indianapolis IN 46208 351708240 501(C)(3) 150000 2023 Annual Sponsorship The Big Hoopla Inc 40 N Main St 1900 Kettering Tower Dayton OH 45423 454231032 501(C)(3) 145000 2023 Annual Sponsorship Healthy Mothers Healthy Babies Coalition of Georg 2200 Century Pwky NE Ste 460 Atlanta GA 30345 581440585 501(C)(3) 120000 Staffing for HEART Of Georgia Program; Family support for Pickles & Ice Cream Perinatal Education program; Funding for 10 individuals to complete the Building Perinatal Support Professional program; Funding for 24 pregnant women Dayton Area Chamber of Commerce Education & Public 8 N Main St Ste 100 Dayton OH 45402 311113395 501(C)(3) 111000 Air Service Restoration Program & Wright Patterson Air Force Base Community Celebration Easterseals Arkansas 3920 Woodland Hts Rd Little Rock AR 72212 710123680 501(C)(3) 100000 General Support Restore Hope Inc 1400 W Markahm St Ste 300 Little Rock AR 72203 811068852 501(C)(3) 100000 General Support Greater Dayton Area Health Information Network 124 E Third St Ste 400 Dayton OH 45402 311438763 501(C)(3) 90000 Community Investment Indiana Minority Health Coalition 3737 N Meridian St Ste 300 Indianapolis IN 46208 351924268 501(C)(3) 80500 Black Maternal Health ECHO National African American Male Wellness Agency 2780 Airport Dr Ste 333 Columbus OH 43219 454831268 501(C)(3) 80000 Annual Black Men's Wellness Day & 2024 Uplift Her Women's Initiative Blue Star Families Inc 441 Saxony Rd The Hive/Barn 2 Encinitas CA 92024 800369895 501(C)(3) 75000 Blue Star Family Events National Association of Councils on Developmental 1825 K St NW Washington DC 20006 161646154 501(C)(3) 75000 General Support National Federation of Families for Children's Men 15800 Crabbs Branch Way Rockville MD 20855 521671408 501(C)(3) 75000 General Support Food Bank of Eastern Michigan 2300 Lapeer Rd Flint MI 48503 382379678 501(C)(3) 75000 Food & Year-end Support Pulaski County Adoption Coalition 10 Kings Court Little Rock AR 72211 465366394 501(C)(3) 70000 Project Zero & Candyland Christmas Mental Health Association of South Central Kansas 555 N Woodlawn Blvd Ste 3105 Wichita KS 67208 480990763 501(C)(3) 67672 Peer support warm line & Reinstate CHAT line for mental health center in Sedgewick County Greater Lansing Food Bank 1414 E Maple Rd Troy MI 48083 382424756 501(C)(3) 65000 Mobile Food Pantry Program National Association of Medicaid Directors 601 New Jersey Ave NW Ste 740 Washington DC 20001 273258188 501(C)(3) 62500 Fall 2024 NAMD Conference Connexion West 625 Garfield Ave Lancaster OH 43130 821798777 501(C)(3) 59400 General Support Walkin' & Rollin' Costumes 26050 W 143rd Place Olathe KS 66061 475478453 501(C)(3) 55000 Funding for 2024 for a variety of projects including trade events & General Support Friends of Levitt Pavillion 2312 Far Hills Ave Ste 194 Dayton OH 45419 810743640 501(C)(3) 50000 2023 Annual Sponsorship Saint Francis Community Services in Arkansas 110 W Otis Ave Salina KS 67401 833032485 501(C)(3) 50000 General Support Chris 180 1030 Fayetteville Rd SE Atlanta GA 30316 581430183 501(C)(3) 50000 Trauma Informed Care Training in the Community Atlanta HBCU Alumni Alliance PO Box 880 Atlanta GA 30301 593817259 501(C)(3) 40000 Alanta HBCU Alumni Run/Walk Dayton Children's Hospital Foundation 1 Childrens Plaza Dayton OH 45404 311045247 501(C)(3) 43000 ChaCha 2024 Better Health Partnership 2500 Metrohealth Dr Rammelkamp Research Ed BLDG R243 Cleveland OH 44109 261725657 501(C)(3) 35000 Community Investment Synergies Work 7050 Wycombe Rd Atlanta GA 30328 812603676 501(C)(3) 35000 EDDIE Awards Health Care Access Now 2602 Victory Pkwy Cincinnati OH 45206 264042151 501(C)(3) 34000 Community Investment The Salvation Army 1000 N Keowee St Dayton OH 45404 135562351 501(C)(3) 32750 Dayton Krocc Soccer Club, Student Food Pantry & Holiday Spend Food Pantry Ohio Children's Alliance 2600 Corp Exch Dr Ste 180 Columbus OH 43231 341168205 501(C)(3) 30000 50th Anniversary Premier Sponsorship City of Refuge 1300 Joseph E Boone Blvd Atlanta GA 30314 582194642 501(C)(3) 30000 General Support The Call PO Box 25524 Little Rock AR 72221 208866268 501(C)(3) 27700 Support children and families in the foster care system & Corporate One Time Donation Health Impact OhioAccess Health Columbus 855 Grandview Ave Ste 210 Columbus OH 43215 510426050 501(C)(3) 25500 Community Investment Caring for Military FamiliesElizabeth Dole Fdn 600 New Hampshire Ave NW Washington DC 20037 454292692 501(C)(3) 25000 General Support USAging 1100 New Jersey Ave SE Ste 350 Washington DC 20003 521052345 501(C)(3) 25000 49th Annual Conference & Tradeshow Sponsorship Saint Josephs Mercy Care Services Inc 424 Decatur Street Atlanta GA 30312 581752700 501(C)(3) 25000 Support one full-time ambassador at Chamblee location The Gala of Hope Foundation 3500 Pentagon Blvd Ste 500 Beavercreek OH 45431 464277044 501(C)(3) 25000 General Support Volunteer Florida Foundation Inc 1545 Raymond Diehl Rd Ste 250 Tallahassee FL 32308 010973168 501(C)(3) 25000 Florida Disaster Fund Omega Community Development Corporation PO Box 61368 Dayton OH 45406 311561713 501(C)(3) 25000 Hope Lives Here Gala Hope for Grateful Hearts Group 14360 SW 19 Ter Miami FL 33175 920446428 501(C)(3) 25000 General Support 111 Project of Florida Inc 1121 Louisiana St Wauchula FL 33873 820683925 501(C)(3) 25000 Support foster and adoptive families in Florida Arkansas Support Network 6836 Isaacs Orchard Rd Springdale AR 72762 710665473 501(C)(3) 25000 General Support Independent Case Management Inc 1525 Merrill Drive Ste 100 Little Rock AR 72211 710666268 501(C)(3) 25000 General Support Access 2651 Saulino Court Dearborn MI 48120 237444497 501(C)(3) 25000 General Support Cass Community Social Services 11745 Rosa Parks Blvd Detroit MI 48206 383429921 501(C)(3) 25000 General Support Family Futures 878 Front St NW Ste 210 Grand Rapids MI 49504 382605028 501(C)(3) 25000 Food & Year-end Support Michigan Center for Rural Health 909 Wilson Rd B218 West Fee Hall East Lansing MI 48824 383180997 501(C)(3) 25000 General Support Access Tusc 1458 5th St NW Dover OH 44663 475674812 501(C)(3) 22000 General Support March of Dimes Inc 1550 Crystal Dr Ste 1300 Arlington VA 22202 131846366 501(C)(3) 20000 2024 Igniting Impact Together Event NAMI Indiana Inc 921 E 86th St Ste 130 Indianapolis IN 46240 351640701 501(C)(3) 20000 2024 Annual Sponsorship Societies of Actuaries Research Institute 475 N Martingale Rd 600 Schaumburg IL 60173 362136422 501(C)(3) 20000 General Support Grady Health Foundation 191 Peachtree St NE Ste 820 Atlanta GA 30303 582130437 501(C)(3) 20000 Grady's Food as Medicine Program Culture Works 31 S Main St Ste A210 Dayton OH 45402 237412338 501(C)(3) 20000 2023 Campaign for the Arts Georgia Department of Human Service 47 Trinity Ave SW Atlanta GA 30334 581130678 501(C)(3) 20000 General Support Health Policy Institute of Ohio 140 E Town St Ste 1000 Columbus OH 43215 300186863 501(C)(3) 20000 Funding to provide analysis of 2023 Health Value dashboard Communities in Schools of Michigan 721 N Capitol Ave Ste 1 Lansing MI 48905 453736821 501(C)(3) 17000 General Support Communities in Schools of Northwest Michigan 205 Grove St Mancelona MI 49659 270726563 501(C)(3) 17000 General Support Communities in Schools of Kalamazoo 180 E Water St Ste 2000 Kalamazoo MI 49007 382873188 501(C)(3) 17000 Support of in-school programming including mental health and basic needs for low-income students Georgia Appleseed Inc 1600 Parkwood Cir SE Ste 200 Atlanta GA 30339 204036923 501(C)(3) 15000 Year End Donation The Children's Museum of Atlanta 275 Centennial Olympic Park Dr Atlanta GA 30313 581785484 501(C)(3) 15000 Purchase of activity kits that will support virtual learning programs in Pulaski & Tatnull Counties Indy Pride Inc PO Box 44403 Indianapolis IN 46244 351951286 501(C)(3) 15000 IndyPride Festival The Joel Cornette Foundation Inc 4067 Retreat Dr Cincinnati OH 45241 821742872 501(C)(3) 15000 General Support PIPER'S ANGELS FOUNDATION 11438 US Hwy 1 Palm Beach Gardens FL 33408 812697278 501(C)(3) 15000 Event Sponsorship INDIANAPOLIS URBAN YOUTH BASEBALL & SOFTBALL INC PO Box 681372 Indianapolis IN 46268 311032580 501(C)(3) 15000 2023 Indy RBI Event Sponsorship DOWNTOWN DAYTON PARTNERSHIP 10 W Second St Ste 611 Dayton OH 45405 341722175 501(C)(3) 15000 2023 ArtWraps & Dayton Holiday Festival's Santa Float/Magic Glasses ARBOR CIRCLE CORPORATION 1115 Ball NE Grand Rapids MI 49505 383263853 501(C)(3) 15000 General Support MICHIGAN CENTER FOR YOUTH JUSTICE 3810 Packard St Ste 200A Ann Arbor MI 48108 382108273 501(C)(3) 15000 General Support COMMUNITY HEALTH ACCESS PROJECT 1 Marion Ave Ste 304 Mansfield OH 44903 341884022 501(C)(3) 14800 Community Investment FISH FAIRBORN INC 480 West Funderburg Rd Fairborn OH 45324 310951020 501(C)(3) 14000 Sponsorship to help feed families during the holiday season & funds for annual Thanksgiving distribution FRIENDS OF THE GOVERNOR'S MANSION PO Box 2447 Austin TX 78768 751678603 501(C)(3) 13000 Texas Picnic at the governor's mansion & General Support STARK COUNTY COMMUNITY ACTION AGENCY 1366 Market Ave N Canton OH 44714 341320658 501(C)(3) 13000 General Support MAHONING COUNTY DISTRICT BOARD OF HEALTH 50 Westchester Dr Youngstown OH 44515 346001777 MAHONING COUNTY 13000 General Support COMMUNITY HEALTH NETWORK FOUNDATION INC 7330 Shadeland Station Way Ste 150 Indianapolis IN 46256 510181688 501(C)(3) 13000 2024 The Giving Gig Event Sponsorship NCSL FOUNDATION FOR STATE LEGISLATURE 7700 E First Place Denver CO 80230 742232576 501(C)(3) 12500 General Support COMMUNITY CARE NETWORK OF KANSAS 700 SW Jackson St Ste 600 Topeka KS 66603 481110925 501(C)(3) 12000 General Support VICTORY MINISTRIES CENTER INC 3964 E Main St Whitehall OH 43213 311117522 501(C)(3) 12000 2023 Food Support & Holiday Initiative AKRON SUMMIT COMMUNITY ACTION INC 55 E Mill St Akron OH 44308 340965339 501(C)(3) 11000 Community Investment HOSPITAL COUNCIL OF NORTHWEST OHIO 3231 Central Park W Ste 200 Toledo OH 43617 341116795 501(C)(3) 11000 Community Investment PAINE COLLEGE NATIONAL ALUMNI ASSOCIATION INC PO Box 399 Augusta GA 30903 581764634 501(C)(3) 10000 Year End Donation THE CENTER FOR VIOLENCE PREVENTION INC PO Box 6279 Pearl MS 39208 581959108 501(C)(3) 10000 Year End Donation ST STEPHEN COMMUNITY SERVICES INC 1500 E 17th Ave Columbus OH 43219 314379568 501(C)(3) 10000 2023 Food Support & Holiday Initiative CHRIST'S TABLE LLC 28 S 6th St Zanesville OH 43701 311192885 501(C)(3) 10000 2023 Food Support & Holiday Initiative MOREHOUSE COLLEGE 830 Westview Dr SW Atlanta GA 30310 581438873 501(C)(3) 10000 Morehouse Advocacy Reaching Capitol Hill (M.A.R.C.H.) Initiative XENIA FISH PANTRY 774 Cincinnati Ave Xenia OH 45385 311613895 501(C)(3) 10000 Support to help feed families during the holiday season & Thanksgiving meal boxes FOREVER R CHILDREN 1951 Parkgate Ave Akron OH 44320 843487950 501(C)(3) 10000 General Support CHILDREN'S FORUM INC 1650 Summit Lake Dr Tallahassee FL 32317 650165007 501(C)(3) 10000 2024 Children's Week Florida Sponsorship GILDA'S CLUB GRAND RAPIDS 1806 Bridge St NW Grand Rapids MI 49504 383367525 501(C)(3) 10000 In-School Program Support WARREN FAMILY MISSION INC PO Box 311 Warren OH 44482 341919612 501(C)(3) 10000 2023 Food Support & Holiday Initiative SAMARITAS DBA LUTHERAN SOCIAL SERVICES 8131 E Jefferson Ave Detroit MI 48214 381360553 501(C)(3) 10000 Family Preservation HEART OF TEXAS FOUNDATION PO Box 110 Bellville TX 77418 204007150 501(C)(3) 10000 GENERAL SUPPORT BOYS & GIRLS CLUBS OF GREATER KANSAS 4001 Blue Parkway Ste 102 Kansas City MO 64130 436072065 501(C)(3) 10000 Contribution for Equipment CENTRAL ARKANSAS PRIDE PO Box 250096 Little Rock AR 72225 812127392 501(C)(3) 10000 General Support MISSISSIPPI COATS 4 KIDZ 443 Highway 6 E Batesville MS 38606 810945629 501(C)(3) 10000 General Support GEORGIA COURT APPOINTED SPECIAL ADVOCATES INC 75 Marietta St NW Ste 404 Atlanta GA 30303 581793382 501(C)(3) 10000 General Support GEORGIA LEGISLATVE BLACK CAUCUS 18 Capitol Square SW Ste 602 Atlanta GA 30334 581500919 501(C)(3) 10000 General Support MATRIX HUMAN SERVICES 1400 Woodbridge Detroit MI 48207 381358015 501(C)(3) 10000 General Support COLUMBUS NEIGHBORHOOD HEALTH CENTER 2780 Airport Dr Ste 100 Columbus OH 43219 311533908 501(C)(3) 9600 2023 Justice Awards KETTERING HOSPITAL FOUNDATION 3535 Southern Blvd Kettering OH 45429 237419897 501(C)(3) 8600 Ribbon of Hope Luncheon GRANTMAKERS IN HEALTH 1100 Connecticut Ave NW Ste 1100 Washington DC 20036 133206571 501(C)(3) 8000 2023 Annual Conference Sponsorship JOHNS HOPKINS ALL CHILDRENS HOSPITAL 501 Sixth Ave S St Petersburg FL 33701 590683252 501(C)(3) 8000 2023 Run For All Children NAMI KANSAS INC 1801 W Wanamaker Rd Box 164 Topeka KS 66604 481061361 501(C)(3) 8000 2024 I Am NAMI Kansas Annual Sponsorship DAYTON DREAM CENTER 2720 E 3rd St Dayton OH 45403 872420605 501(C)(3) 8000 General Support MARYSVILLE AREA MINISTERIAL ASSOCIATION 123 N Court St Marysville OH 43040 311370949 501(C)(3) 8000 2023 Holiday Funds SHARED HARVEST FOODBANK INC 5901 Dixie Highway Fairfield OH 45014 311096571 501(C)(3) 8000 General Support SOCIETY OF ST VINCENT DE PAUL 2867 E Livingston Ave Columbus OH 43209 270296648 501(C)(3) 8000 Holiday funding to support Christmas meal distribution NEW PROSPECT BAPTIST CHURCH 1580 Summit Rd Cincinnati OH 45237 310676519 501(C)(3) 8000 2023 Food Support & Holiday Initiative DUNAMIS MINISTRIES INC 34 W Pleasant St Springfield OH 45506 311764245 501(C)(3) 7000 2023 Food Support & Holiday Initiative OCCHA INC PO Box 3877 Youngstown OH 44513 237214182 501(C)(3) 6000 General Support CATHOLIC CHARITIES CORPORATION 7911 Detroit Ave Cleveland OH 44102 341318541 501(C)(3) 6000 General Support ARKANSAS WAIVER ASSOCIATION INC 6836 Isaacs Orchard Road Springdale AR 72762 710808674 501(C)(3) 6000 2023 AWA Conference COMMUNITY KITCHEN INC 640 S Ohio Ave Columbus OH 43205 311124774 501(C)(3) 5500 General Support MAHONING YOUNGSTOWN COMMUNITY 1325 5th Ave Youngstown OH 44504 340969202 501(C)(3) 5500 General Support OHIO GOVERNOR'S IMAGINATION LIBRARY PO Box 340734 Columbus OH 43234 841826095 501(C)(3) 5120 General Support The CareSource Foundation PO Box 8738 Dayton OH 45401 562582561 501(c)(3) 3500000 Funding for grants to be made on behalf of, pursuant to instructions from, and to further the charitable purposes of CareSource's supported organizations 126 1 Contribution Review Contributions are made on behalf of, pursuant to instructions from, and to further the purposes of the CareSource Public Charities, which are the supported organizations of CareSource. CareSource may provide assistance in the form of charitable contributions to other Internal Revenue Code 501(c)(3) qualified nonprofit organizations, community health organizations, or government agencies on behalf of, pursuant to instructions from, and to further the charitable purposes of CareSource and its supported entities. X X true true X X X X X true true false false false true true false false Erhardt Preitauer President & CEO, Director 1320200 0 6194161 0 468021 0 4027671 0 20068 0 12030121 0 3950998 0 Richard Topping Secretary 569753 0 1738540 0 121141 0 913781 0 28656 0 3371871 0 920889 0 Sanjoy Musunuri EVP Strategy & Business Dev 523846 0 1526283 0 111057 0 832510 0 29736 0 3023432 0 837172 0 Lawrence Smart CFO, Treasurer 587567 0 1571834 0 122973 0 692889 0 19603 0 2994866 0 887402 0 Devon Valencia Chief Information Officer 503148 0 1553082 0 105549 0 791874 0 15479 0 2969132 0 795313 0 Scott Markovich EVP Markets & Products 524810 0 1411293 0 110409 0 832617 0 29035 0 2908164 0 824021 0 Jennifer Dougherty Chief Human Resources Officer 483942 0 1261047 0 101643 0 752559 0 16169 0 2615360 0 621568 0 David Williams EVP & Chief Medical Officer 513187 0 1147750 0 108777 0 806954 0 11303 0 2587971 0 720219 0 Stephen Ringel President Market 440712 0 1158022 0 97395 0 614537 0 19603 0 2330269 0 627302 0 Isaac Davidi SVP Operations 411654 0 951776 0 89708 0 539874 0 29874 0 2022886 0 0 0 Jai Pillai Chief Operating Ofr (To 4/23) 201797 0 1311318 0 462173 0 12209 0 3561 0 1991058 0 1021349 0 Steve Smitherman President Market 385976 0 619906 0 81621 0 532198 0 18763 0 1638464 0 467350 0 Jason Bearden President Market 370044 0 607177 0 79129 0 524021 0 30604 0 1610975 0 496585 0 Robert Losier SVP IT Infra & Ops (To 3/23) 96563 0 688689 0 290618 0 5945 0 5297 0 1087112 0 543328 0 Anthony Principi Chairman 280000 0 0 0 0 0 0 0 0 0 280000 0 0 0 Edward Thomas Brodmerkel Vice Chairman 210000 0 0 0 0 0 0 0 0 0 210000 0 0 0 Craig Brown Director 180000 0 0 0 0 0 0 0 0 0 180000 0 0 0 Patricia Martin Director 165000 0 0 0 0 0 0 0 0 0 165000 0 0 0 Thomas Kelly Director 160000 0 0 0 0 0 0 0 0 0 160000 0 0 0 Daniel McCabe Former Chief Admin Officer 0 0 0 0 140542 0 0 0 0 0 140542 0 0 0 Form 990, Schedule J, Part I, Question 1A Nine of the board members listed on Schedule J, Part II were reimbursed for travel to and from board meetings utilizing first/business class travel. The amount reimbursed was not treated as compensation as it was business related. Form 990, Schedule J, Part I, Question 3 THE COMPANY UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, CEOWRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, REVIEW OF FORM 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE COMPRISED SOLELY OF INDEPENDENT DIRECTORS. Form 990, Schedule J, Part I, Question 4A Jai Pillai and Daniel McCabe received severance payments that are properly reported on Schedule J, Part II, Column B(iii). Form 990, Schedule J, Part I, Question 4b The following listed persons listed on Form 990, Part VII, Section A, participate in a supplemental nonqualified retirement plan of CSMS: Erhardt Preitauer, Richard Topping, Sanjoy Musunuri, Lawrence Smart, Devon Valencia, Scott Markovich, Jennifer Dougherty, David Williams, Stephen Ringel, Isaac Davidi, Steve Smitherman, and Jason Bearden. Amounts are accrued monthly for plan participants. The plan provides compensation to the participants after a vesting period, and the funds are available to the participants after they retire or resign from the organization. The plan provides for normal terms and conditions contained in a standard nonqualified retirement plan. The following listed persons listed on Form 990, Part VII, Section A, participate in a long-term incentive plan of CSMS: Erhardt Preitauer, Richard Topping, Sanjoy Musunuri, Lawrence Smart, Devon Valencia, Scott Markovich, Jennifer Dougherty, David Williams, Stephen Ringel, Isaac Davidi, Steve Smitherman, and Jason Bearden. The plan provides compensation to the participants based on annual and long-term goals. The long-term incentive plan will pay out if these goals, or a subset of these goals, are achieved over a three-year period. If a participant leaves their employment prior to this three-year performance period, they forfeit any amounts accrued under this plan. Employees must be employed on the date which the long-term incentive plan is paid, which in no event is later than March 15th. Exceptions to this general statement include death, disability, or a qualified retirement, which may result in prorated payment. Amounts paid or accrued in 2023 for both deferred compensation arrangements include the following: Erhardt Preitauer $1,820,312, Richard Topping $450,394, Sanjoy Musunuri $409,449, Lawrence Smart $450,852, Devon Valencia $388,977, Scott Markovich $409,557, Jennifer Dougherty $365,405, David Williams $397,531, Stephen Ringel $289,366, Isaac Davidi $246,270, Steve Smitherman $246,880, and Jason Bearden $244,816. Form 990, Schedule J, Part I, Question 6b The following persons listed on Form 990, Part VII, Section A, line 1a are or were employees of CSMS: Erhardt Preitauer, Richard Topping, Sanjoy Musunuri, Lawrence Smart, Devon Valencia, Scott Markovich, Jennifer Dougherty, David Williams, Stephen Ringel, Isaac Davidi, Jai Pillai, Steve Smitherman, Jason Bearden, and Robert Losier. All of these listed persons are or were eligible for a performance bonus as part of their compensation packages. The amount of this Annual Incentive Plan ("AIP") bonus is based on the degree of achievement of the Companies' goals and the Individual's goals, which is ultimately documented in the year end performance management process. The performance management process documents the company goals and individual goals, the corresponding potential performance bonus, and the progress/outcomes. The performance bonus is based on the employee's calendar year regular earnings. Form 990, Schedule J, Part II All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CSMS. Compensation paid to the CEO is pursuant to the terms of a written employment agreement between Mr. Preitauer and CSMS. Form 990, Part III, Question 1 (Continued) THE SUPPORTED ORGANIZATIONS OPERATE CONSISTENTLY WITHIN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND ARE CLASSIFIED AS PUBLIC CHARITIES. CARESOURCE, AS A SUPPORTING ORGANIZATION, PROVIDES STRATEGIC OVERSIGHT TO CARESOURCE OHIO, INC., CARESOURCE INDIANA, INC., CARESOURCE KENTUCKY CO., CARESOURCE GEORGIA CO., CARESOURCE WEST VIRGINIA CO., AND CARESOURCE LIFE SERVICES CO. THE COMPANY OPERATES AS A POLICY-MAKING SUPPORTING ORGANIZATION FOR THE SUPPORTED ORGANIZATIONS AND CONDUCTS ACTIVITIES CONSISTENT WITH SUCH PURPOSE. THE COMPANY'S SUPPORTED ORGANIZATIONS OFFER A VARIETY OF INSURANCE PRODUCTS IN MULTIPLE MARKETS ACROSS NUMEROUS GEOGRAPHICAL MARKETS. MOST OFFERINGS RELATE TO MEDICAID, MEDICARE, OR THE HEALTHCARE EXCHANGE. Form 990, Part III, Question 4a (Continued) CareSource has been headquartered in Dayton, Ohio since its founding more than 30 years ago. CareSource's supported organizations in various states offer health insurance, including Medicaid, Health Insurance Marketplace, and Medicare products, administering one of the largest Medicaid managed care plans in the U.S. As a mission-driven organization, CareSource is transforming health care with innovative programs, providing access to health care to more than 2,000,000 low-income individuals through its supported organizations. Programs: At CareSource, we know that social determinants of health are key drivers of health care access, utilization, and outcomes. As such, social determinants of health require full integration into the treatment of Members' physical health. What sets us apart from traditional managed care is our record of accomplishments and results in integrating these non-clinical aspects into every interaction we have with our Members. The CareSource mission is to make a lasting difference in Members' lives by improving their health and well-being. This has catalyzed our commitment to develop programs that target our Members' social needs - nutrition, transportation, housing, jobs, social connectedness, communication, access, and more. We shape our benefits to integrate social and economic solutions seamlessly into our Members' care to have maximum impact on their social support, stability, health, and wellness. CareSource Life Services is the umbrella framework through which we address social determinants of health including hunger, housing, social stability, workforce development, and health equity. The CareSource JobConnect program addresses the education and employment barriers that many of our Members face and that impede their path to self-sufficiency. CareSource JobConnect is widely recognized within the managed care industry for reducing dependence on governmental services by providing Members with life coaching, access to community-based resources, and support setting and reaching their professional and educational goals. The CareSource Family of Companies believes that it can improve the health of its Members through educational initiatives. Education empowers Members to take on greater personal responsibility for their own health and the health of their family by encouraging healthy decisions and preventative care. For example, the CareSource Family of Companies prepares a personalized wellness plan for each of its Members. Moreover, Members who are pregnant or have a child under the age of one can sign-up for a specifically designed program to receive three text messages per week that provide advice on proper preventative care. Other educational efforts include a childhood obesity management program for children between the ages of 5 and 17 years old. The CareSource Family of Companies provides enhanced benefits to Members that are above and beyond required benefits defined by state or federal agencies. In order to ensure Members are able to access the most appropriate medical care, the CareSource Family of Companies provides transportation services for office visits to their medical provider's office, ensuring that Members are keeping preventive, sick, or follow-up appointments. Further showing the CareSource Family of Companies' dedication to ensuring that our most vulnerable Members receive needed care, the CareSource Family of Companies does not charge Medicaid Members a copayment for pharmacy products, dental visits, vision examinations, vision hardware or non-emergent emergency department visits, even though regulations allow for such copays. The CareSource Family of Companies is dedicated to motivating its pregnant Members to seek prenatal and postpartum care by participating in the Babies First Member Incentive Program. Moms-to-be can receive reward cards for attending regular OB/GYN appointments while pregnant and for also attending appropriate follow-up visits after giving birth. The CareSource Family of Companies also provides its Members with free access to a hotline staffed by registered nurses, 24 hours a day, seven days a week. Over the phone, nurses review a Member's symptoms, offer guidance on when to seek medical care, explain any recently diagnosed conditions, provide education on over-the-counter medications, and help Members prepare a list of questions prior to meeting with a physician. All of these programs are provided to Members free of charge in furtherance of the CareSource Family of Companies' charitable purposes, which include providing relief of the poor and distressed, advancing education, promoting health for the benefit of the community, and lessening the burdens of government. Together, these enhanced benefits provide Members additional program benefits in order to make a lasting difference in Members' lives by improving their health and well-being. Form 990, Part VI, Section B, Question 11B The Form 990 was provided to the following individuals for review prior to the time of filing: The organization's Audit Committee and each voting member of the governing body; the CEO, CFO, and VP Treasury; the internal Tax Department and an outside CPA firm; and internal general counsel and outside legal counsel. Form 990, Part VI, Section B, Question 12C Annually, each director, principal officer, and member of a committee with board-delegated powers ("interested person") shall confirm that they have received a copy of the CareSource Conflicts of Interest policy and have read, understood, and agree to comply with the policy. Interested Persons have an obligation to immediately report any Conflicts of Interest (including any relationships, positions, or circumstances that could contribute to a Conflict of Interest). All relevant information reported through the Conflict-of-Interest Policy will be sent to the Chairman of the Board for review. If the Interested Person with the Conflict of Interest is the Chairman of the Board, then the required disclosure must be provided to the Chief Legal Officer of CareSource. If it is not entirely clear whether a Conflict of Interest exists, then the person with the potential conflict must disclose the circumstances to CareSource's Chief Legal Officer. The Chief Legal Officer will consult with the Corporation's Corporate Compliance Officer or the Chairman of the Board to determine whether there exists a Conflict of Interest that is subject to this policy. Before Board action or other action by CareSource on a Transaction that involves a Conflict of Interest, an Interested Person who knows he or she has a Conflict of Interest must have disclosed to the Board all facts material to the Conflict of Interest. The Chairman of the Board may postpone Board or other corporate action on a Transaction until the Interested Person provides written information relating to the Conflict of Interest. An Interested Person who knows he or she has a Conflict of Interest must not participate in the Board's discussion of the Transaction except to disclose material facts and respond to questions. The Interested Person must not attempt to influence the Board's action on the Transaction, either at or outside the meeting. Prior to voting, the Board must be given an opportunity to discuss the Transaction without the person who has the Conflict of Interest being present. A Transaction involving a Conflict of Interest may be approved by the Board of CareSource if the material facts as to the Transaction and the Conflict of Interest are fully disclosed or known to the Board and the Board in good faith determines after reasonable investigation that (a) the Board is aware of all material facts concerning the Transaction and the Interested person's interest in the Transaction; (b) CareSource is entering into the Transaction for its own benefit; (c) the Transaction is fair and reasonable as to CareSource; and (d) CareSource could not have obtained a more advantageous arrangement with reasonable effort under the circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken. Form 990, Part VI, Section B, Q 15a and 15b; Schedule J, Part I The compensation committee consists of board members who are independent. The compensation committee establishes the company's general compensation philosophy and oversees and approves the development, adoption, and implementation of compensation plans and programs for the company's officers and executives. The compensation committee receives a report of comparability data prepared by an independent compensation consultant 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. Additionally, the minutes of each meeting are prepared, distributed, and approved at the next regularly scheduled compensation committee meeting. The compensation consultant does no other business with the CareSource Family of Companies other than determining the reasonableness of compensation and consulting on the compensation plan design. At least annually, the compensation committee assesses the work of the compensation consultants. Form 990, Part VI, Section C, Question 17 A copy of Form 990 is not required to be filed with the state of Ohio. CareSource does, however, file the Ohio Annual Report with the Ohio Attorney General. Therefore, Ohio is listed on Form 990, Part VI, Section C, Question 17. Form 990, Part VI, Section C, Question 19 The Company's Form 1023 is available for public inspection upon request, and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). The company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. The Company does not make its audited financial statements available to the public. The Company's articles of incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us. Form 990, Part XI, Line 9 Change in Net Assets is inclusive of the following: A. Changes in Net Assets for Related Entities and Entities not previously included: $ (1,904,442,560) B. Other Comprehensive Income - Mark to Market Adjustment $718,668 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:XXX-XX-XXXX CareSource Reinsurance LLC PO Box 8738 Dayton OH 454018738 454937120 Captive Ins MT 141298378 182783476 CareSource CareSource Network Partners LLC PO Box 8738 Dayton OH 454018738 811017455 Contracting OH 0 0 CareSource CareSource At Home LLC PO Box 8738 Dayton OH 454018738 811025103 Home Health OH 0 0 CareSource CareSource Real Estate Holdings LLC PO Box 8738 Dayton OH 454018738 824834822 R/E Holding OH 13191440 93179143 CareSource CareSource Holding LLC PO Box 8738 Dayton OH 454018738 844431982 Holding Co OH 2029435 92402174 CareSource CareSource Oklahoma Holding LLC PO Box 8738 Dayton OH 454018738 853713133 Holding Co DE 0 0 CSMSH LLC CareSource Holding II LLC PO Box 8738 Dayton OH 454018738 871688130 Holding Co OH 0 0 CareSource Gem City Reinsurance LLC PO Box 8738 Dayton OH 454018738 871242052 Captive Ins MT 16002 2016823 CSMSH LLC Columbus Educational Services LLC PO Box 8738 Dayton OH 454018738 233052598 No Activity DE 0 0 COH LLC CareSource Rx Innovations LLC PO Box 8738 Dayton OH 454018738 852689588 Rx Services OH 0 0 CSMSH LLC Columbus Medical Services LLC PO Box 8738 Dayton OH 454018738 752690132 Healthcare DE 0 0 COH LLC CSMS Holding LLC PO Box 8738 Dayton OH 454018738 851588557 Holding Co DE 1218013 62268065 CSH LLC CareSource Management Services LLC PO Box 8738 Dayton OH 454018738 311703371 TPA OH 1144713737 30414017 CSMSH LLC CareSource Military & Veterans Holding PO Box 8738 Dayton OH 454018738 932512566 Holding Co DE 0 2506228 CSMSH LLC CareSource Holding III LLC PO Box 8738 Dayton OH 454018738 923355394 Holding Co OH 2408975 49212594 CareSource ImagineCare LLC PO BOX 8738 Dayton OH 454018738 932361419 PSN/TPA FL 0 0 ICH LLC CareSource Indiana Inc PO Box 8738 Dayton OH 454018738 320121856 HMO Ins Plan IN 501(c)(3) 509(a)(2) CareSource true CareSource Ohio Inc PO Box 8738 Dayton OH 454018738 311143265 HIC Ins Plan OH 501(c)(3) 509(a)(2) CareSource true The CareSource Foundation PO Box 8738 Dayton OH 454018738 562582561 Grantmaking OH 501(c)(3) 509(a)(3)II CareSource true CareSource Kentucky Co PO Box 8738 Dayton OH 454018738 464991603 HMO Ins Plan KY 501(c)(3) 509(a)(2) CareSource true CareSource Georgia Co PO Box 8738 Dayton OH 454018738 472408339 HMO Ins Plan GA 501(C)(3) 509(a)(2) CareSource true CareSource West Virginia Co PO Box 8738 Dayton OH 454018738 473028244 HMO Ins Plan WV 501(c)(3) 509(a)(2) CareSource true CareSource Life Services Co PO Box 8738 Dayton OH 454018738 811602217 No Activity OH 501(c)(3) 509(a)(2) CareSource true CareSource Diversity & Social Impact 50 East 91st Street Suite 213 Indianapolis IN 46240 871811106 Investing DE CareSource N/A 989593 3425645 false 0 false 0.93672 CareSource Midwest Fund LLC 415 12th Ave SE Cedar Rapids IA 52401 883585337 Investing DE CareSource N/A 46751 1969497 false 0 false 1.00000 HAP Empowered Holding LLC PO Box 8738 Dayton OH 454018738 923877012 Holding Co DE CSH III LLC N/A 0 52839878 false 0 false 0.40000 ImagineCare Holdings LLC PO Box 8738 Dayton OH 454018738 932340017 Holding Co DE CSMSH LLC N/A 5913 1505962 false 5913 true 0.49000 CareSource Bayou Holding LLC PO Box 8738 Dayton OH 454018738 883042610 Holding Co DE CSMSH LLC N/A 0 1020000 false 0 true 0.51000 CareSource Virginia Co PO Box 8738 Dayton OH 454018738 811727271 No Activity VA CareSource C Corp 1.00000 true CareSource Arkansas Health Plan Co PO Box 8738 Dayton OH 454018738 844476729 COA Insurance AR CS Holding LLC C Corp 1.00000 true Kids' CareAlliance Co PO Box 8738 Dayton OH 454018738 854022039 No Activity OH CSMSH LLC C Corp 1.00000 true CareSource Oklahoma Health Plan Co PO Box 8738 Dayton OH 454018738 854038326 HMO Ins Plan OK CSOKH LLC C Corp 1.00000 true CareSource Kansas LLC PO Box 8738 Dayton OH 454018738 873411276 HMO Ins Plan KS CSMSH LLC C Corp 1.00000 true CareSource North Carolina Co PO Box 8738 Dayton OH 454018738 873079479 HMO Ins Plan NC CSMSH LLC C Corp 1.00000 true CareSource PASSE LLC PO Box 8738 Dayton OH 454018738 863112470 RBPO Ins Plan AR CS Holding LLC C Corp 0.49000 true Columbus Organization Holdings LLC PO Box 8738 Dayton OH 454018738 814132952 Holding Co DE HCH LLC C Corp 1.00000 true Healthedge-Columbus Holdings LLC PO Box 8738 Dayton OH 454018738 814132842 Holding Co DE CSMSH LLC C Corp 1.00000 true CareSource Tennessee Co PO Box 8738 Dayton OH 454018738 874254502 COA Insurance TN CSMSH LLC C Corp 1.00000 true Columbus Medical Services Inc PO Box 8738 Dayton OH 454018738 300975112 No Activity MD COH LLC C Corp 1.00000 true CareSource Iowa Co PO Box 8738 Dayton OH 454018738 881429834 HMO Ins Plan IA CSMSH LLC C Corp 1.00000 true CareSource Florida Co PO Box 8738 Dayton OH 454018738 883601120 HMO Ins Plan FL CSMSH LLC C Corp 1.00000 true CareSource Reinsurance II LLC PO Box 8738 Dayton OH 454018738 872901879 Captive Ins MT CSH II LLC C Corp 1.00000 true GCRE Protected Cell No 3 - CS LLC PO Box 8738 Dayton OH 454018738 933077861 Captive Ins MT GCRE C Corp 1.00000 true HAP CareSource New Center One Ste 110 3031 W Grand Detroit MI 482023033 383123777 HMO Ins Plan MI HAP Emp Hold C Corp 1.00000 true CareSource Military & Veterans Co PO Box 8738 Dayton OH 454018738 932552094 Tricare CPD OH CSMVH LLC C Corp 1.00000 true CareSource Bayou Health LLC PO Box 8738 Dayton OH 454018738 883401520 HMO Ins Plan TX CS Bayou Hold C Corp 1.00000 true true true true true false false false false true true false true true true false true true true true CareSource Georgia Co a 28201359 Actual CareSource Georgia Co c 25123502 Actual CareSource Georgia Co l 171095018 Actual CareSource Georgia Co q 69029982 Actual CareSource Georgia Co s 97730952 Actual CareSource Indiana Inc a 10450694 Actual CareSource Indiana Inc c 18442056 Actual CareSource Indiana Inc l 134304756 Actual CareSource Indiana Inc q 170000 Actual CareSource Indiana Inc s 50000000 Actual CareSource Indiana Inc p 77057918 Actual CareSource Kentucky Co l 21480464 Actual CareSource Kentucky Co p 21379754 Actual CareSource Kentucky Co q 1287037 Actual CareSource North Carolina Co l 214469 Actual CareSource North Carolina Co q 110206 Actual CareSource North Carolina Co a 452500 Actual CareSource Ohio Inc c 1150000000 Actual CareSource Ohio Inc l 778901435 Actual CareSource Ohio Inc p 741690546 Actual CareSource Ohio Inc q 95664 Actual CareSource PASSE LLC l 8553597 Actual CareSource PASSE LLC a 113125 Actual CareSource Reinsurance II LLC q 122347 Actual CareSource Tennessee Co d 1000000 Actual CareSource Tennessee Co a 94200 Actual CareSource West Virginia Co a 3318746 Actual CareSource West Virginia Co l 12159699 Actual CareSource West Virginia Co p 2619062 Actual CareSource West Virginia Co s 6000000 Actual The CareSource Foundation b 3500000 Actual The CareSource Foundation q 231208 Actual CareSource Arkansas Health Plan Co b 760000 Actual CareSource Arkansas Health Plan Co a 84844 Actual CareSource Bayou Holding LLC b 1020000 Actual CareSource Military & Veterans Co b 2500000 Actual GCRE Protected Cell No 3 - CS LLC b 1500000 Actual HAP CareSource l 9599062 Actual ImagineCare Holdings LLC b 1500049 Actual Kids' CareAlliance Co c 400000 Actual Part I - Identification of Disregarded Entities - Additional Information 1) ImagineCare LLC (EIN: 93-2361419) was incorporated 07/12/2023 2) CareSource Military & Veterans Holding LLC (EIN: 93-2512566) was incorporated 07/20/2023 3) CareSource Holding III LLC (EIN: 92-3355394) was incorporated 04/05/2023 Part III - Related Orgs Taxable as a Partnership - Additional Information 1) ImagineCare Holdings LLC (EIN: 93-2340017) was incorporated 07/12/2023 2) HAP Empowered Holding LLC (EIN: 92-3877012) was incorporated 04/19/2023 Part IV - Related Organizations Taxable as a Corp - Additional Information 1) GCRE Protected Cell No. 3 - CS LLC (EIN: 93-3077861) was incorporated 08/22/2023 2) CareSource Military & Veterans Co (EIN: 93-2552094) was incorporated 07/21/2023