2022-11-14T09:22:38-06:00 2021-12-31 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2021-01-01 311143265 CareSource Ohio Inc % JANET FERNANDES CARE 9375313027 PO Box 8738 Dayton OH 454018738 LAWRENCE SMART CFO 9375313027 2022-11-15 true LAWRENCE SMART 999009999 Karen O Crim P00368385 9372980201 2022-11-15 3 2021 2022-09-23 18:48:47Z Erhardt Preitauer Same as C above Dayton OH 45401 9974447719 false X www.caresource.com X 1985 OH To make a lasting difference in our members' lives by improving their health and well-being. CareSource Ohio Inc. is a nonprofit HMO licensed by the state of Ohio. 3 0 0 0 0 0 170984 0 9247968012 9724963389 24740622 31234420 0 0 9272879618 9756197809 972723 0 0 0 0 0 0 0 0 9109445237 9704199278 9110417960 9704199278 162461658 51998531 2518378621 2609873144 1434502238 1460610679 1083876383 1149262465 X CARESOURCE OHIO INC.'S MISSION IS TO MAKE A LASTING DIFFERENCE IN MEMBERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. THE ORGANIZATION'S VISION IS TO TRANSFORM LIVES THROUGH INNOVATIVE HEALTH AND LIFE SERVICES. CARESOURCE OHIO INC. IS A HEALTH MAINTENANCE ORGANIZATION LICENSED BY THE STATE OF OHIO AND SERVES MEMBERS THROUGH DUAL ELIGIBLE SPECIAL NEEDS, MARKETPLACE, MEDICAID, MEDICARE ADVANTAGE, AND MYCARE OHIO PLANS. false false 9464421325 0 9724963389 CareSource Ohio Inc. ("CSOH"), a leading nonprofit managed care organization based in Dayton, Ohio, has been living its mission to make a lasting difference in members' lives by improving their health and well-being for more than thirty-one years. CSOH serves more than 1.5 million members in Ohio. CSOH'S membership includes: (1) Medicaid consumers, including families with low income, children, pregnant women, adoption and foster kids, those who are aged, blind or disabled, 2) Medicaid consumers who are eligible for Home and Community Based services through execution of an annual Provider Agreement with the Ohio Department of Medicaid ("ODM"), (3) Dually eligible consumers for Medicare and Medicaid through Ohio's Dual Demonstration program, MyCare, (4) Medicare Advantage consumers, and (5) a Qualified Health Plan offered through the Federal Health Insurance Marketplace, providing low-cost comprehensive coverage for individuals and families. CSOH Program Services: 1) CareSource Ohio Medicaid: CareSource Ohio Inc. pioneered Ohio's first mandatory Medicaid managed care program in 1989 and is now one of the largest Medicaid managed care plans in the country. CSOH's years of experience in managing Medicaid managed care programs and member-focused approach to care have allowed it the opportunity to forge strong, positive regulatory relationships with state agencies, including departments of insurance. CSOH has earned 50.7% of the statewide Medicaid managed care market share, with the highest voluntary enrollment rate and the lowest voluntary disenrollment rate of all Ohio participating Medicaid Managed care plans. CSOH focuses on prevention with a goal of improving member health, the quality of health care services received, and accessibility of health care services for Medicaid members. CSOH has made an organizational commitment to make evidence-based investments towards improving health outcomes for members. CSOH's approach is one that blends the recommendations of the Triple Aim framework and principles of population health management best practice, while leveraging emerging technological and analytic solutions to make measurable positive impacts in the health of the communities we serve. CSOH also has significant focus on creating social based partnerships with providers and community organizations to support a longitudinal health management effort for members. Providers have the most control and influence on members and thus provide the best opportunity to help capitalize on cost, quality, and experience. Partnering with providers allows us to collaborate on population health strategies such as emergency department diversion, patient-centered medical home implementation, and performance management. Engaging our high-risk members' primary care and specialty providers is particularly critical to achieving successful care management. CSOH has a broad, statewide network of more than 52,000 providers, including primary care and specialist physicians, hospitals, nursing facilities, home health care agencies and other medical providers who provide medical services as well as assist in the coordination of member care. To further drive quality and achieve health outcomes targets, CSOH incentivizes certain providers through a value-based incentive model. CSOH focuses efforts on creating incentives and reimbursement options to support models that recognize quality at the provider level. CSOH created a program that provides additional incentives to providers for delivering quality based services that impact Healthcare Effectiveness Data and Information Set ("HEDIS") measures. CSOH created a shared savings model that rewards providers for attaining quality targets while sharing savings. In this particular model, CSOH established "filters" such that providers have to meet or exceed quality metrics before being eligible to share in cost savings. Value-based incentive models ultimately result in improved member health outcomes as providers continue to deliver quality service with the member's health and safety at the forefront. Effective high-risk case management alone is not sufficient to improve the overall population's health or decrease costs. Therefore, CSOH has created a robust care management infrastructure that consists of three levels of member care to accelerate care transformation for each and every member. Members are assigned to self-management, rising risk, or high-risk based on their unique member risk stratification. CareSource can then tailor the care coordination program to meet those members' needs. Members receive enhanced care coordination services based on their complex physical, behavioral and social health needs. The fluidity of this design allows CSOH to focus on preventing lower-risk and rising risk members from escalating to high-risk over time, while still tending to the one-to-one care management needs of high-risk populations. CSOH collaborates with community partners and providers such as the Area Agencies on Aging ("AAA"), Community Mental Health Centers, local pharmacies, and Federally Qualified Health Centers ("FQHCs") to ensure members receive the services they need. Additionally, CSOH's Enterprise Quality team helps drive improved clinical outcomes for members through a number of HEDIS targeted interventions including member engagement, education and disease management programs. To further enhance our HEDIS metric initiatives, CSOH has an established dedicated Quality team which works hand-in-hand with our Enterprise team as well as across all departments that impact quality clinical outcomes for our members. CSOH's commitment to quality is demonstrated through the organization's National Committee for Quality Assurance ("NCQA") accreditation. CSOH is accredited by NCQA for its qualified Health Insurance Marketplace and Medicaid Health plans. Accreditation demonstrates CSOH's commitment to quality and enhances CSOH's ability to improve the health and well-being of those we serve. CSOH has implemented an integrated care model to empower members to become engaged and actively participate in their health and well-being. The CareSource Integrated Care Management program is both member-centric and resources-specific and supports a member's holistic physical and behavioral health needs. The Integrated Care Management program has integrated Disease Management, High Risk Obstetrics, and condition-management programs to address member physical and behavioral health needs. CSOH follows evidence-base protocols to identify members with both health needs and chronic conditions to conduct interventions at the appropriate level of care. Disease Management occurs at every programmatic level to ensure appropriate interventions and education of the member targeted to their unique needs. Through targeted programs like Disease Management, Behavioral Health, and transitions of care, we focus simultaneously on achieving health and maintaining wellness to the highest level possible for each member. Any given member may be identified with more than one program. The CareSource integrated care management program incorporates specialty programs such as Women and Children's Health, health management, and transitions of care. In conjunction with other groups within CSOH such as quality, network, and analytics, the integrated care management program utilizes a population-based approach to meet the clinical and social needs of our members. The program employs a multi-faceted, evidence-based approach to achieve the best possible health outcomes by utilizing predictive analytics, case management, member incentive and educational programs, and community and provider partnerships. An example of the population health approach is the Women and Children's Health program. Through collaboration between quality, clinical, network, and analytics, CSOH has established a program to target objectives including a reduction in the number of preterm births, reducing the risk of maternal and infant mortality and pregnancy-related complications, and reducing complications of health and development in infancy and early childhood. Elements of the program include: (1) Babies First, a program available to all pregnant members to provide financial incentives for the completion of timely and ongoing prenatal, postpartum, and well-baby care, allowing the mother the opportunity to earn money for completion of doctor visits for both her infant and herself. (2) High Risk Obstetrics, a program to support at risk pregnancy and ensure pregnant members receive high-touch case management support throughout their pregnancy. (3) Early and Periodic Screening, Diagnostic, and Treatment ("EPSDT"), to provide comprehensive and preventative health care services for children under age 21. All eligible members receive EPSDT reminder letters that coincide with the appropriate health care treatment based on their age. Members who are case managed and participate in our prenatal educati 9464421325 true false false true false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true X 306 0 true 0 false false false false false false false false false false true false X 3 0 false false false false true true false true true false false true true true true true true false false false OH X JANET FERNANDES 9375313027 PO BOX 8738 Dayton OH 454018738 X Erhardt Preitauer Chief Executive Officer 15.0 45.0 X 0 7853709 2969682 Jai Pillai Chief Operating Officer 23.0 37.0 X 0 2098405 787344 Daniel McCabe Chief Administrative Officer 16.0 44.0 X 0 1617731 608113 Stephen Ringel President, Market & Secretary 40.0 20.0 X X 0 1416953 493925 David Finkel EVP, Markets & Chair (To 4/21) 9.0 51.0 X 0 1703154 11601 David Goltz Chief Financial Ofr (To 1/21) 0.0 0.0 X 0 1556240 2783 Scott Markovich EVP Markets & Chair (Eff 4/21) 9.0 51.0 X 0 974373 532340 Lawrence Smart Chief Financial Ofr (Eff 1/21) 9.0 51.0 X 0 636903 708351 William Coffin Jr VP, Mkt Finance & Treasurer 15.0 45.0 X 0 640317 234075 Pamela Morris Former Chief Executive Officer 0.0 1.0 X 0 646015 0 0 19143800 6348214 0 true true false Express Scripts Inc 21653 Network Place CHICAGO IL 60673 Pharmacy Services 2340046485 Ohio Hospital Association 155 East Broad St Suite 301 COLUMBUS OH 43215 Medical Services 480857886 Childrens Hosp Phys Healthcare Ne 700 Childrens Drive COLUMBUS OH 43205 Medical Services 459689908 DentaQuest Group Inc 465 Medford Street CHARLESTOWN MA 02129 Medical Services 186470491 The MetroHealth System PO Box 931311 CLEVELAND OH 44193 Medical Services 46454614 49 0 MEDICAID 524114 9160467598 9160467598 PREMIUMS 524114 564495791 564495791 9724963389 29164910 29164910 0 0 0 0 0 220319420 218249910 2069510 2069510 2069510 0 0 0 0 0 0 0 0 0 0 9756197809 9724963389 31234420 0 0 0 0 0 0 0 0 0 0 0 7521630 43759 7477871 830019 830019 254177 4029 250148 0 0 238488183 168223569 70264614 8741792 9768 8732024 102221764 1342004 100879760 0 0 18918123 18918123 726654 74378 652276 0 0 1017041 1017041 0 0 4301285 4301285 MEDICAL EXPENSES 6511629267 6511629267 PHARMACY EXPENSES 2237605366 2237605366 MGMT FEES CARESOURCE MGMT SVCS 516065425 499609822 16455603 CLAIMS PROCESSING ADMIN EXP 47376211 45879363 1496848 8502341 8502341 9704199278 9464421325 239777953 0 X 0 0 1211528818 796922915 0 0 664247851 589512530 0 0 0 0 405027 0 0 0 24328600 9012006 0 0 617463298 1202558522 0 0 405027 11867171 0 0 0 0 2518378621 2609873144 1260671424 1183196605 0 0 155246639 262744244 0 0 0 0 0 0 0 0 0 0 18584175 14669830 1434502238 1460610679 X 1083876383 1149262465 0 0 1083876383 1149262465 2518378621 2609873144 X 51998531 12614599 772952 X false true X true false X 8170454 114330 5280285 170984 0 13736053 7182270383 7762642282 8090874825 9247968015 9724963389 42008718894 0 0 0 7190440837 7762756612 8096155110 9248138999 9724963389 42022454947 0 0 0 42022454947 29468385 40835548 32102562 22656125 26291303 151353923 0 29468385 40835548 32102562 22656125 26291303 151353923 0 0 7219909222 7803592160 8128257672 9270795124 9751254692 42173808870 0.99641 0.99595 0.00359 0.00405 X false false false false false false true 461426 false true 46929 508355 false 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. Form 990, Schedule C, Part II-B, Line 1i $46,929 is the allocable portion of the Organization's dues paid to Ohio Association of Health Plans, America's Health Insurance Plans, and other Trade Associations for lobbying and grassroots efforts conducted by the trade association on behalf of its members. 0 RELATED PARTY PAYABLE 14669830 14669830 X FIN 48 (ASC 740) Footnote As outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of CareSource Ohio Inc.: 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 2018-2020 are open for audit by the Internal Revenue Service. true true false false false false false false false Erhardt Preitauer Chief Executive Officer 0 1222613 0 1803995 0 4827101 0 2932424 0 37258 0 10823391 0 5190112 Jai Pillai Chief Operating Officer 0 598911 0 631709 0 867785 0 768558 0 18786 0 2885749 0 1187751 Daniel McCabe Chief Administrative Officer 0 445289 0 343956 0 828486 0 576681 0 31432 0 2225844 0 1028697 Stephen Ringel President, Market & Secretary 0 411483 0 286607 0 718863 0 460318 0 33607 0 1910878 0 913872 David Finkel EVP, Markets & Chair (To 4/21) 0 134121 0 415073 0 1153960 0 4670 0 6931 0 1714755 0 1216490 David Goltz Chief Financial Ofr (To 1/21) 0 13408 0 454618 0 1088214 0 812 0 1971 0 1559023 0 1121560 Scott Markovich EVP Markets & Chair (Eff 4/21) 0 442537 0 439501 0 92335 0 507408 0 24932 0 1506713 0 0 Lawrence Smart Chief Financial Ofr (Eff 1/21) 0 518017 0 0 0 118886 0 680309 0 28042 0 1345254 0 9615 William Coffin Jr VP, Mkt Finance & Treasurer 0 311732 0 193549 0 135036 0 211243 0 22832 0 874392 0 258152 Pamela Morris Former Chief Executive Officer 0 0 0 0 0 646015 0 0 0 0 0 646015 0 0 Form 990, Schedule J, Part I, Question 3 The process the Organization goes through to establish the reasonable executive compensation is the same for all the CareSource Family of companies. The organization utilizes a compensation committee, independent compensation consultant, CEO written employment contract, compensation survey or study, review of Form 990 of other organizations, and approval by the board or executive compensation committee comprised solely of independent directors. CareSource Management Services LLC ("CSMS"), a related organization, has in place Clawback provisions within its executive compensation plans that generally require executives to pay back compensation to CSMS in the event a subsequent legal, accounting, regulatory or compliance issue is discovered over which the executive had direct responsibility and control during the executive's employment. Form 990, Schedule J, Part I, Line 4a David Finkel received a severance payment that is 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, Jai Pillai, Daniel McCabe, Stephen Ringel, David Finkel, David Goltz, Scott Markovich, Lawrence Smart, and William Coffin Jr. Amounts are accrued monthly for plan participants. The plans provide 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 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 CSMS: Erhardt Preitauer, Jai Pillai, Daniel McCabe, Stephen Ringel, David Finkel, David Goltz, Scott Markovich, and Lawrence Smart. The plan provides compensation to the participants based on annual and long-term goals. The long-term incentive plan will pay out if these goals, or a subset of these goals, are achieved over a three year period. If a participant leaves their employment prior to this three year vesting period, they forfeit any amounts accrued under this plan. Amounts paid and accrued in 2021 for both deferred compensation arrangements include the following: Erhardt Preitauer $5,810,861, Jai Pillai $1,135,537, Daniel McCabe $1,027,006, Stephen Ringel $860,989, David Finkel $828,661, David Goltz $1,087,357, Scott Markovich $233,918, Lawrence Smart $354,435, and William Coffin Jr $129,325. Form 990, Schedule J, Part I, Question 6B The following listed persons listed on Form 990, Part VII, Section A, line 1a are employees of CSMS: Erhardt Preitauer, Jai Pillai, Daniel McCabe, Stephen Ringel, David Finkel, David Goltz, Scott Markovich, Lawrence Smart, and William Coffin Jr. All of these listed persons are or were eligible for a performance bonus as part of their compensation packages. The performance bonus is contingent on a combination of both company performance and individual performance against goals. The performance management process documents the company goals and individual goals, the corresponding potential performance bonus, and the progress/outcomes. The performance bonus is based on the employee's calendar year regular earnings. 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 V, Line 1a In early 2020, CSOH changed the payer of its provider claims payments, resulting in a reduction of the number of Forms 1099 that were reported on Form 990, Part V, Line 1A. Form 990, Part VI, Section A, Question 6 CareSource is the member of CareSource Ohio, Inc. CareSource is a nonprofit corporation that is exempt from federal income taxation under Internal Revenue Code ("IRC") Section 501(c)(3). Form 990, Part VI, Section A, Question 7a CARESOURCE, THE SOLE MEMBER OF CARESOURCE OHIO, INC., HAS THE AUTHORITY TO APPOINT CARESOURCE OHIO, INC.'S BOARD. 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 FORM 990: THE ORGANIZATION'S AUDIT COMMITTEE, EACH VOTING MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION, THE CEO, CFO, VP TREASURY, DIRECTOR TAX, MANAGER TAX, AN OUTSIDE CPA FIRM, OUTSIDE LEGAL COUNSEL, AND GENERAL 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 Interest 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 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). Statutory financial statements for the organization are available on the Ohio Department of Insurance's website at www.ins.ohio.gov. The company's Form 990 is 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. Form 990, Part XI, Line 9 Other changes in Net Assets is a write off of advances paid to behavioral health providers of $772,952. The CareSource Foundation PO Box 8738 Dayton OH 454018738 562582561 Grantmaking OH 501(c)(3) 509(a)(3) I CareSource false CareSource PO Box 8738 Dayton OH 454018738 311703368 Supporting OH 501(c)(3) 509(a)(3)II NA false CareSource Indiana Inc PO Box 8738 Dayton OH 454018738 320121856 Indiana HMO IN 501(c)(3) 509(A)(2) CareSource false CareSource Georgia Co PO Box 8738 Dayton OH 454018738 472408339 Georgia HMO GA 501(c)(3) 509(A)(2) CareSource false CareSource West Virginia Co PO Box 8738 Dayton OH 454018738 473028244 WV HMO WV 501(c)(3) 509(A)(2) CareSource false CareSource Kentucky Co PO Box 8738 Dayton OH 454018738 464991603 Kentucky HMO KY 501(c)(3) 509(A)(2) CareSource false CareSource Life Services Co PO Box 8738 Dayton OH 454018738 811602217 Inactive OH 501(c)(3) 509(A)(2) CareSource false CSMS Holding LLC (Eff 111521) PO Box 8738 Dayton OH 454018738 851588557 Holding Co DE NA CareSource Virginia Co PO Box 8738 Dayton OH 454018738 811727271 Inactive VA NA C Corp CareSource Arkansas Health Plan Co PO Box 8738 Dayton OH 454018738 844476729 Hlth & Med Ins AR NA C Corp Kids' CareAlliance Co PO Box 8738 Dayton OH 454018738 854038326 Hlth & Med Ins OH NA C Corp CareSource Oklahoma Health Plan Co PO Box 8738 Dayton OH 454018738 854038326 Hlth & Med Ins OK NA C Corp CareSource Kansas LLC PO Box 8738 Dayton OH 454018738 873411276 Inactive KS NA C Corp CareSource North Carolina Co PO Box 8738 Dayton OH 454018738 873079479 Inactive NC NA C Corp CareSource PASSE LLC PO Box 8738 Dayton OH 454018738 863112470 Hlth & Med Ins AR NA C Corp Columbus Organization Holdings LLC PO Box 8738 Dayton OH 454018738 814132952 Holding Co DE NA C Corp Healthedge-Columbus Holdings LLC PO Box 8738 Dayton OH 454018738 814132842 Holding Co PA NA C Corp CareSource Tennessee Co PO Box 8738 Dayton OH 454018738 874254502 Inactive TN NA C Corp Columbus Medical Services Inc PO Box 8738 Dayton OH 454018738 300975112 Inactive MD NA C Corp false true false false false false false false false false false false true true false true false false false Part III - Related Orgs Taxable as a Partnership - Additional Information - Effective 11/15/2021, CareSource Management Services Holding LLC (EIN 85-1588557) changed from a single member LLC, solely owned by Caresource Holding LLC (EIN 84-4431982), to a partnership. CareSource (EIN 31-1703368) is the sole owner of CareSource Holding LLC and owns an 86.8544% interest in the newly formed partnership. Part IV - Related Organizations Taxable as a Corp - Additional Information - CareSource Kansas LLC (EIN 87-3411276) was incorporated 11/03/2021. - CareSource North Carolina Co (EIN 87-3079479) was incorporated 10/01/2021. - Columbus Organization Holdings LLC (EIN 81-4132952) was acquired 11/17/2021. - Healthedge-Columbus Holdings LLC (EIN 81-4132842) was acquired 11/17/2021. - CareSource Tennessee Co (EIN 87-2454502) was incorporated 12/22/2021. - Columbus Medical Services Inc (EIN 30-0975112) was acquired 11/17/2021.