CARESOURCE OHIO INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CARESOURCE OHIO INC (EIN 31-1143265)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349309762
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T16:36:14-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311143265EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CareSourceBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARENameControl
Phone9372243300Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameL Tarlton Thomas IIIName
TitleCFOTitle
Date Signed2011-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonPamela B MorrisNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1Same as C aboveAddressLine1
CityDaytonCity
StateOHState
ZIP Code45401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2379227120GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.caresource-ohio.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTo make a difference in the lives of underserved people by improving their health care. CareSource offers a full spectrum of services for Medicaid managed care members.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2295286751ProgramServiceRevenuePriorYear
Program Service Revenue CY2364449472ProgramServiceRevenueCY
Investment Income Prior Year10948806InvestmentIncomePriorYear
Investment Income Current Year13127648InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2306235557TotalRevenuePriorYear
Total Revenue Current Year2377577120TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year65500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY86400GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2271988877OtherExpensePriorYear
Other Expenses Current Year2266543419OtherExpensesCurrentYear
Total Expenses Prior Year2272054377TotalExpensesPriorYear
Total Expenses Current Year2266629819TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34181180RevenuesLessExpensesPriorYear
Revenues Less Expenses CY110947301RevenuesLessExpensesCY
Total Assets BOY772477972TotalAssetsBOY
Total Assets EOY727319843TotalAssetsEOY
Total Liabilities BOY596211200TotalLiabilitiesBOY
Total Liabilities EOY437242213TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY176266772NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY290077630NetAssetsOrFundBalancesEOY
Mission DescriptionCARESOURCE'S VISION IS TO BE AN INNOVATIVE LEADER IN THE MANAGEMENT OF QUALITY PUBLIC SECTOR HEALTH CARE PROGRAMS. THE ORGANIZATION'S MISSION IS TO MAKE A DIFFERENCE IN THE LIVES OF UNDERSERVED PEOPLE BY IMPROVING THEIR HEALTH CARE. CARESOURCE CONSIDERS THE ORGANIZATION'S MISSION ITS "HEARTBEAT" AND IS PASSIONATELY EMBRACED BY ALL EMPLOYEES OF THE CARESOURCE FAMILY OF COMPANIES. CARESOURCE IS A NONPROFIT INDEPENDENT MISSION-DRIVEN MEDICAID HEALTH INSURING CORPORATION (COMMONLY REFERRED TO AS A HEALTH MAINTENANCE ORGANIZATION OR HMO) LICENSED BY THE STATE OF OHIO.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2174110557Expense
Grants86400Grants
Revenue2364449472Revenue
DescriptionCareSource is a nonprofit Medicaid health insuring corporation (commonly referred to as a Health Maintenance Organization or HMO) with over 20 years experience providing services to 830,000 members in Ohio. The organization provides services through a contract with the Ohio Department of Job and Family Services ("ODJFS"). CareSource is URAC accredited as a health plan and health call center. In 1989, CareSource pioneered the state's first mandatory Medicaid managed care program in Ohio. The organization has experienced significant growth in the 20 years that it has operated and is now the second largest Medicaid managed care plan in the country. Over that time CareSource has garnered 52% of the state wide managed care market share. CareSource has the highest voluntary enrollment rate and the lowest voluntary disenrollment rate of all participating Medicaid Managed care plans in Ohio. Currently, the programs serve Covered Families and Children Medicaid, including Healthy Start and Healthy Families, and Aged, Blind or Disabled Medicaid members. In addition, CareSource has a contract with the Center for Medicare and Medicaid Services ("CMS") to operate a Dual Eligible Medicare Advantage/Special Needs Plan called CareSource Advantage, available to those who are eligible for Medicare Part A and Part B, as well as Medicaid. At the core of its mission, CareSource focuses on prevention with a goal of improving member health, the quality of the health care, and accessibility of health care services for Medicaid consumers via an innovative health and wellness methodology. CareSource has a broad, state-wide network including many primary care and specialist physicians, hospitals, nursing facilities, home health care agencies, and other medical providers who assist in the coordination of member care. In addition, CareSource offers 24 hour call center coverage to provide around the clock medical advice to help members access appropriate care when they need it. CareSource reaches out to members, in their homes and communities, through case management and outreach services, to assess needs and to initiate service plans. From high risk pregnancy to member education and advocacy, personal interaction proves crucial in coordinating the needed medical and community support services. Member and provider newsletters provide additional health information. In order to make a difference in the lives of underserved people by improving their health care, CareSource has provided enhanced benefits to its Members which are in addition to required benefits by ODJFS for Ohio Medicaid Managed Care Plans. In order to ensure the Member is able to access the most appropriate medical care, CareSource provides transportation services to a medical provider's office. In addition, CareSource does not charge any Member a co-pay for any pharmacy product, dental visit, vision examination, vision hardware or non-emergent emergency room visits. Member and provider newsletters provide additional health information. Finally, pregnant Members can participate in the "Babies First" Member Incentive Program to make sure that moms-to-be receive early and on-going prenatal care. All told, in 2010, CareSource paid approximately Eight Million Dollars ($8,000,000) above the required Ohio Medicaid Managed Care Program Benefits in order to make a difference in the lives of underserved people by improving their health care. In the spirit of CareSource'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 $43,200 were paid or accrued in 2010 under this Policy by the organization. CareSource is a supported organization to The CareSource Foundation, a related Internal Revenue Code Section 501(c)(3) tax exempt organization. The CareSource Foundation provides opportunities to advance innovative solutions and address healthcare needs of the underserved through grants, outreach, medical expertise, strategic community partnerships and volunteerism. The Foundation funds responsive grants for targeted areas of need, which are given to individual non-profit organizations or a collaboration of non-profits through a single year grant. The CareSource Foundation also funds signature grants with numerous regional, state and/or national partners all focused on creating sustainable, high-impact change in one of two key areas: childhood obesity and/or the uninsured.Description
Total Program Service Expense2174110557TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10969768NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANET FERNANDESNamePerson
Telephone Number9372243300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 8738AddressLine1
CityDaytonCity
StateOHState
ZIP Code454018738ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormer
Ellen S Leffak
Chair 1/10-3/10; Trustee1.0X000
Michael E Ervin MD
Chairman 4/10-12/10; Trustee1.0X000
William F Marsteller DC
Secretary/Treasurer/Trustee1.0X000
Morris L Brown MD
Trustee1.0X000
David T Miller
Trustee1.0X000
Miriam J Paramore 110 - 910
Trustee1.0X000
R Daniel Sadlier 110 - 910
Trustee1.0X000
Pamela Morris
President & CEO; Trustee60.0X17614370477210X
Craig Thiele MD
Chief Medical Officer60.04296280225643X
Bobby Jones
Chief Operating Officer60.00422023229173X
L Tarlton Thomas III
Chief Financial Officer60.02203680120706X
Janet Grant
EVP Ext Affairs Corp Comp Ofc60.0379402099714X
Pamela S Sedmak
Former CFO0.021599300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3006828TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs422023TotalReportableCompFrmRltdOrgs
Total Other Compensation1152446TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cleveland Clinic Found Consol enti
9500 Euclid AveCLEVELANDOH44195Medical Services138237573
The Metrohealth System
2500 Metrohealth DrCLEVELANDOH44109Medical Services105279158
Nationwide Childrens Hosp Prtnrs 4
700 Childrens DrCOLUMBUSOH43205Capitation/Medical95430623
Childrens Hospital Medical Center
3333 Burnet AveCINCINNATIOH45229Medical Services82335857
Ohio State Univ Medical Center
450 W 10th AveCOLUMBUSOH43210Medical Services76141335
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1544NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICAID & MEDICAREDescription
Business Code524114BusinessCode
Total Revenue Column2364449472TotalRevenueColumn
Related Or Exempt Function Income2364449472RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2364449472TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13462665TotalRevenueColumn
Exclusion$13,462,665ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1314983Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1650000Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-335017Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-335017TotalRevenueColumn
Exclusion-$335,017ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2377577120TotalRevenueColumn
Related Or Exempt Function Income2364449472RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$13,127,648ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total86400Total
Program Services86400ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1416619Total
Program Services0ProgramServices
Management And General1416619ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total981355Total
Program Services117854ProgramServices
Management And General863501ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total218141Total
Program Services16262ProgramServices
Management And General201879ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total259308Total
Management And General259308ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16716897Total
Program Services7679342ProgramServices
Management And General9037555ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total653401Total
Program Services118877ProgramServices
Management And General534524ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8917700Total
Program Services445352ProgramServices
Management And General8472348ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6292374Total
Program Services0ProgramServices
Management And General6292374ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5659382Total
Program Services636ProgramServices
Management And General5658746ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1013109Total
Program Services360972ProgramServices
Management And General652137ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total605719Total
Program Services301714ProgramServices
Management And General304005ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total851932Total
Program Services0ProgramServices
Management And General851932ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4203908Total
Program Services0ProgramServices
Management And General4203908ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1316002Total
Program Services0ProgramServices
Management And General1316002ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FILING/BANK/MEMBERSHIPS20519113133192058
AMORTIZATION BONDS14474681447468
MEDICAL EXPENSE20925950982092595098
PHARMACY EXPENSE3799031737990317
MGMT FEES PAID TO CSMG/CSMS774734563406169543411761

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7726042Total
Program Services322905ProgramServices
Management And General7403137ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2266629819Total
Program Services2174110557ProgramServices
Management And General92519262ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY950672BOY
EOY925624EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY399765460BOY
EOY290566411EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY86374472BOY
EOY79451620EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14500BOY
EOY63250EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11309741LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9208808LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2111522BOY
EOY2100933EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY226425773BOY
EOY299289818EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY25296BOY
EOY65272EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY56810277BOY
EOY54856915EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY772477972BOY
EOY727319843EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY530982785BOY
EOY370301912EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1995000BOY
EOY1890000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY58543729BOY
EOY57364035EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4689686BOY
EOY7686266EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY596211200BOY
EOY437242213EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY176266772BOY
EOY290077630EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY176266772BOY
EOY290077630EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY772477972BOY
EOY727319843EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses110947301ReconcilationRevenueExpenses
Reconcilation Other Changes2863557ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1060009234CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1434542910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1777551102CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2295286751CurrentTaxYearMinus1Year
Current Tax Year2364449472CurrentTaxYear
Total8931839469Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1060009234CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1434542910CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1777551102CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2295286751CurrentTaxYearMinus1Year
Current Tax Year2364449472CurrentTaxYear
Total8931839469Total
FieldValueIRS element (for citing)
Public Support Total5098931839469PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10507235CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15882907CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15118278CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11648372CurrentTaxYearMinus1Year
Current Tax Year13462665CurrentTaxYear
Total66619457Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10507235CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15882907CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15118278CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11648372CurrentTaxYearMinus1Year
Current Tax Year13462665CurrentTaxYear
Total66619457Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1070516469CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1450425817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1792669380CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2306935123CurrentTaxYearMinus1Year
Current Tax Year2377912137CurrentTaxYear
Total8998458926Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99260PublicSupportPercentage509
Prior Year Support Percentage0.99187PriorYearSupportPercentage
Investment Income Percentage0.00740InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00813PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$368,066DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB368066TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2100000OtherCostOrOtherBasis
Book Value2100000BookValue
FieldValueIRS element (for citing)
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis82983OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value933BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8915215OtherCostOrOtherBasis
Depreciation0Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis211543OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2100933TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASE ASSETDescription
Book Value54856915BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets54856915TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRELATED PARTY PAYABLEDescription
Amount$7,686,266Amount
FieldValueIRS element (for citing)
Total Of Amounts7686266TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
House of Bread
9 Orth AveDaytonOH45406311076425509(a)(1)5200General Support
Juvenile Diabetes Research Foundation
105 Westpark Dr 415BrentwoodTN37027231907729509(a)(1)7000General Support
The Air Force Museum Foundation Inc
PO Box 1903WPAFBOH45433310668800509(a)(1)6000General Support
United Way of Greater Dayton Area
33 W 1st StreetDaytonOH45402310536658509(a)(1)7000General Support
Culture Works
126 N Main St 210DaytonOH45402237412338509(a)(2)43200Parking Spaces
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants14TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Contribution ReviewSchedule I, Part I, Question 2The company may provide assistance to other Internal Revenue Code tax exempt charitable organizations in the form of charitable contributions. These contributions are unrestricted funds available for use by the charitable organization for the purpose the charitable organization deems necessary. The company is a supported organization to The CareSource Foundation, a related 501(C)(3) tax exempt organization, and will distribute funds to The CareSource Foundation in furtherance of its tax exempt purpose. The CareSource Foundation monitors use of these grants as part of its annual review process once grants have been approved.
Contributions on Behalf of Board MembersSchedule I, Part IIIn the spirit of CareSource'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 $43,200 were paid or accrued in 2010 under this Policy by the organization and are represented on Schedule I in the form of general support contributions.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Pamela Morris
5747390988634019806404609390162710223864706987670
Craig Thiele MD
310800011800008280204634021009065527101180000
Bobby Jones
03071090101250013664021527801389506511960101250
Janet Grant
20789308382508768408689901281504791160838250
L Tarlton Thomas III
16988204625604230010184401886203410740462560
Pamela S Sedmak
000021599300000215993000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Officer CompensationSchedule J, Parts I and IIThe following corporate officer is an employee of CareSource Management Group Co., a related organization to CareSource: Bobby Jones. All compensation amounts reports on Schedule J, Part II for Mr. Jones 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., an unrelated organization to CareSource. The process the organization goes through to establish the reasonable executive compensation is the same as other CareSource entities. The company utilizes a compensation committee, an independent compensation consultant, CEO written employment contract, compensation survey or study, and approval by the board or compensation committee comprised solely of independent trustees.
Deferred CompensationSchedule J, Part I, Question 4bThe following corporate officer listed in Form 990, Part VII, Section A, participates in a supplemental nonqualified retirement plan of a related entity, CareSource Management Group Co.: Bobby Jones. 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.
Payments contingent on Net EarningsSchedule J, Part I, Question 6bThe following corporate officer listed in Form 990, Part VII, Section A, line 1a is an employee of CareSource Management Group Co, a related organization to CareSource: Bobby Jones. Mr. Jones is eligible for a performance bonus as part of his compensation package. 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dayton-Montgomery Co Port AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN341718326IssuerEIN
CUSIP Number23981MACOCUSIPNumber
Date Issued2007-05-18DateIssued
Issue Price60600000IssuePrice
Description Of PurposeAcquire & Construct an officeDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired3965000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds63525666TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest3748964CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1212000IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures54599702CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1Fifth Third BankBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge15.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Tax Exempt BondSchedule K, Part I, Line AThere are two CUSIP numbers which total the issue price of $60,600,000; 23981MAC0 and 23981MAD8.
Total ProceedsSchedule K, Part II, Lines 1 and 5Actual project costs were less than the total proceeds of the tax-exempt bonds. As a result, excess proceeds were used to retire principal and interest on the tax-exempt bonds. Excess proceeds used to retire principal and interest in 2009 totaled $6,106,719, and in 2010 totaled $1,547,788, for a cumulative total of $7,654,507. Cumulative interest earned on the proceeds through year-ending 2010 totaled $2,925,666.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CareSource Management Services Co
Employer of Officers3193705Admin Mgmt Svcs to Orgfalse
Providence Medical Group
Trustee M Brown -provider158742Provides Healthcare Svc to orgfalse
Fifth Third Bank
Trustee R Sadlier - Chair59549Fifth Third Banking Svc to orgfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 ReviewPart VI, Section B, Question 11aThe Form 990 was provided to the organization's Finance committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization and was reviewed during the course of a special board meeting prior to the time of filing the Form 990. The Form 990 was reviewed by the CFO, an outside CPA firm, outside counsel, and by General Counsel prior to filing with the IRS.
Conflict of Interest PolicyPart VI, Section B, Question 12cAnnually, each trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board chair 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 ReviewPart VI, Section B, Questions 15a and 15bThe 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 DocumentsPart VI, Section C, Question 19The company's Form 1023 and Form 990 are available for public inspection upon request. 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.
Reconciliation of Net AssetsPart XI, Line 5Change is net assets is inclusive of the following: (1) unrealized gains on investments of $3,705,171, (2) recognition of land of $105,000, (3) change in investment in subsidiary of ($989,814), and (4) In-kind contributions of $43,200, for a total change in net assets of $2,863,557.
Avg Hours per Week Devoted to Related OrganizationsPart VII, Section A, Avg Hours per Week Devoted to Related OrganizationsThe following listed persons split their time between all the entities of the CareSource family of companies: Pamela Morris, Craig Thiele MD, L Tarlton Thomas III, Janet Grant, and Bobby Jones. 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%.
Amended ReturnPart VII and Schedule JAn individual trustee was inadvertently listed as an officer on both Form 990, Part VII and Schedule J. The amended return correctly reflects the position as individual trustee and removes the individual trustee from Schedule J.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Ellen S Leffak TITLE:Chair 1/10-3/10; Trustee HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Michael E Ervin MD TITLE:Chairman 4/10-12/10; Trustee HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:William F Marsteller DC TITLE:Secretary/Treasurer/Trustee HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Morris L Brown MD TITLE:Trustee HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:David T Miller TITLE:Trustee HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Miriam J Paramore (1/10 - 9/10) TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:R Daniel Sadlier (1/10 - 9/10) TITLE:Trustee HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
The CareSource Foundation
PO Box 8738DaytonOH45401562582561Grant GivingOH501(c)(3)509(a)(3) INA
CareSource Management Group Co
PO Box 8738DaytonOH45401311703368Support OrgOH501(c)(3)509(a)(3) INA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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