2011-11-15T16:36:14-05:00 2010-12-31 990 2010-01-01 311143265 CareSource CARE 9372243300 PO Box 8738 Dayton OH 454018738 L Tarlton Thomas III 2011-11-15 2010 2016-02-24 21:20:13Z X Pamela B Morris Same as C above Dayton OH 45401 2379227120 false X www.caresource-ohio.com X 1985 OH To 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. 6 3 0 0 0 0 0 0 2295286751 2364449472 10948806 13127648 0 0 2306235557 2377577120 65500 86400 0 0 0 0 0 0 0 2271988877 2266543419 2272054377 2266629819 34181180 110947301 772477972 727319843 596211200 437242213 176266772 290077630 CARESOURCE'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. false false 2174110557 86400 2364449472 CareSource 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. 2174110557 true false false true false false false false false true false false true true false false true false false false false false false false false false true false true true false false false false false false false false false true false false false false false true true false false false true 9768 0 0 false false false false false false false false false false X 6 3 false false false false true false false true true false false true true true true true true true true false OH X JANET FERNANDES 9372243300 PO BOX 8738 Dayton OH 454018738 X Ellen S Leffak 1.0 X 0 0 0 Michael E Ervin MD 1.0 X 0 0 0 William F Marsteller DC 1.0 X 0 0 0 Morris L Brown MD 1.0 X 0 0 0 David T Miller 1.0 X 0 0 0 Miriam J Paramore 110 - 910 1.0 X 0 0 0 R Daniel Sadlier 110 - 910 1.0 X 0 0 0 Pamela Morris 60.0 X X 1761437 0 477210 Craig Thiele MD 60.0 X 429628 0 225643 Bobby Jones 60.0 X 0 422023 229173 L Tarlton Thomas III 60.0 X 220368 0 120706 Janet Grant 60.0 X 379402 0 99714 Pamela S Sedmak 0.0 X 215993 0 0 3006828 422023 1152446 5 true true true Cleveland Clinic Found Consol enti 9500 Euclid Ave CLEVELAND OH 44195 Medical Services 138237573 The Metrohealth System 2500 Metrohealth Dr CLEVELAND OH 44109 Medical Services 105279158 Nationwide Childrens Hosp Prtnrs 4 700 Childrens Dr COLUMBUS OH 43205 Capitation/Medical 95430623 Childrens Hospital Medical Center 3333 Burnet Ave CINCINNATI OH 45229 Medical Services 82335857 Ohio State Univ Medical Center 450 W 10th Ave COLUMBUS OH 43210 Medical Services 76141335 1544 0 MEDICAID & MEDICARE 524114 2364449472 2364449472 2364449472 13462665 13462665 0 0 1314983 1650000 -335017 -335017 -335017 0 0 0 0 2377577120 2364449472 0 13127648 86400 86400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1416619 0 1416619 0 981355 117854 863501 0 218141 16262 201879 0 0 0 259308 259308 0 16716897 7679342 9037555 0 653401 118877 534524 0 8917700 445352 8472348 0 6292374 0 6292374 0 0 0 0 0 5659382 636 5658746 0 1013109 360972 652137 0 0 0 0 0 605719 301714 304005 0 851932 0 851932 0 0 0 4203908 0 4203908 1316002 0 1316002 FILING/BANK/MEMBERSHIPS 205191 13133 192058 AMORTIZATION BONDS 1447468 1447468 MEDICAL EXPENSE 2092595098 2092595098 PHARMACY EXPENSE 37990317 37990317 MGMT FEES PAID TO CSMG/CSMS 77473456 34061695 43411761 7726042 322905 7403137 2266629819 2174110557 92519262 0 950672 925624 399765460 290566411 0 0 86374472 79451620 0 0 0 0 0 0 0 0 14500 63250 11309741 9208808 2111522 2100933 226425773 299289818 25296 65272 0 0 56810277 54856915 772477972 727319843 530982785 370301912 0 0 1995000 1890000 58543729 57364035 0 0 0 0 0 0 4689686 7686266 596211200 437242213 X 176266772 290077630 176266772 290077630 772477972 727319843 X 110947301 2863557 X false true true X false X 1060009234 1434542910 1777551102 2295286751 2364449472 8931839469 1060009234 1434542910 1777551102 2295286751 2364449472 8931839469 8931839469 10507235 15882907 15118278 11648372 13462665 66619457 10507235 15882907 15118278 11648372 13462665 66619457 1070516469 1450425817 1792669380 2306935123 2377912137 8998458926 0.99260 0.99187 0.00740 0.00813 X false false false false false false true 368066 false false 368066 false false 2100000 2100000 82983 0 933 8915215 0 211543 0 0 2100933 CAPITAL LEASE ASSET 54856915 54856915 0 RELATED PARTY PAYABLE 7686266 7686266 true House of Bread 9 Orth Ave Dayton OH 45406 311076425 509(a)(1) 5200 General Support Juvenile Diabetes Research Foundation 105 Westpark Dr 415 Brentwood TN 37027 231907729 509(a)(1) 7000 General Support The Air Force Museum Foundation Inc PO Box 1903 WPAFB OH 45433 310668800 509(a)(1) 6000 General Support United Way of Greater Dayton Area 33 W 1st Street Dayton OH 45402 310536658 509(a)(1) 7000 General Support Culture Works 126 N Main St 210 Dayton OH 45402 237412338 509(a)(2) 43200 Parking Spaces 14 0 Contribution Review Schedule I, Part I, Question 2 The company may provide assistance to other Internal Revenue Code tax exempt charitable organizations in the form of charitable contributions. These contributions are unrestricted funds available for use by the charitable organization for the purpose the charitable organization deems necessary. 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 Members Schedule I, Part II 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 and are represented on Schedule I in the form of general support contributions. X X X X X X false true false false false false true false false Pamela Morris 574739 0 988634 0 198064 0 460939 0 16271 0 2238647 0 698767 0 Craig Thiele MD 310800 0 118000 0 828 0 204634 0 21009 0 655271 0 118000 0 Bobby Jones 0 307109 0 101250 0 13664 0 215278 0 13895 0 651196 0 101250 Janet Grant 207893 0 83825 0 87684 0 86899 0 12815 0 479116 0 83825 0 L Tarlton Thomas III 169882 0 46256 0 4230 0 101844 0 18862 0 341074 0 46256 0 Pamela S Sedmak 0 0 0 0 215993 0 0 0 0 0 215993 0 0 0 Officer Compensation Schedule J, Parts I and II The 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 Compensation Schedule J, Part I, Question 4b The 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 Earnings Schedule J, Part I, Question 6b The 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. Dayton-Montgomery Co Port Authority 341718326 23981MACO 2007-05-18 60600000 Acquire & Construct an office false false 3965000 0 63525666 0 3748964 0 1212000 0 0 54599702 0 0 2009 false false true true false false false false true 0.00000 0.00000 0.00000 true false true true Fifth Third Bank 15. false false false false false Tax Exempt Bond Schedule K, Part I, Line A There are two CUSIP numbers which total the issue price of $60,600,000; 23981MAC0 and 23981MAD8. Total Proceeds Schedule K, Part II, Lines 1 and 5 Actual 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. CareSource Management Services Co Employer of Officers 3193705 Admin Mgmt Svcs to Org false Providence Medical Group Trustee M Brown -provider 158742 Provides Healthcare Svc to org false Fifth Third Bank Trustee R Sadlier - Chair 59549 Fifth Third Banking Svc to org false Form 990 Review Part VI, Section B, Question 11a The Form 990 was provided to the organization's Finance committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization and was reviewed during the course of a special board meeting prior to the time of filing the Form 990. The Form 990 was reviewed by the CFO, an outside CPA firm, outside counsel, and by General Counsel prior to filing with the IRS. Conflict of Interest Policy Part VI, Section B, Question 12c Annually, each trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board 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 Review Part VI, Section B, Questions 15a and 15b The Executive Compensation Committee consists of Board Members who are Independent. The process used to determine compensation for the individuals listed on Part VII and Schedule J, Part II include a review by the Independent Board Members after they have received a report of comparability data prepared by an independent company surveying data for comparable organizations' reasonable compensation. The comparability data is presented to the Independent Board members in a written document in advance of the meeting and the independent comparability study is presented by the author of the study during the course of the meeting. In addition, the Independent Board members' decision and rationale are captured in minutes that are prepared and signed in a contemporaneous substantiation of the deliberation and decisional process of the Independent Board. This process is followed with respect to all employed corporate officers and the top executives of the CareSource Family of Companies in order to establish reasonable executive compensation. Governing Documents Part VI, Section C, Question 19 The company's Form 1023 and Form 990 are available for public inspection upon request. 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 Assets Part XI, Line 5 Change 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 Organizations Part VII, Section A, Avg Hours per Week Devoted to Related Organizations The following listed persons split their time between all the entities of the CareSource family of companies: Pamela Morris, Craig Thiele MD, L Tarlton Thomas III, 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 Return Part VII and Schedule J An 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 ORGANIZATION FORM 990 PART VII NAME:Ellen S Leffak TITLE:Chair 1/10-3/10; Trustee HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael E Ervin MD TITLE:Chairman 4/10-12/10; Trustee HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William F Marsteller DC TITLE:Secretary/Treasurer/Trustee HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Morris L Brown MD TITLE:Trustee HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David T Miller TITLE:Trustee HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Miriam J Paramore (1/10 - 9/10) TITLE:Trustee HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:R Daniel Sadlier (1/10 - 9/10) TITLE:Trustee HOURS: The CareSource Foundation PO Box 8738 Dayton OH 45401 562582561 Grant Giving OH 501(c)(3) 509(a)(3) I NA CareSource Management Group Co PO Box 8738 Dayton OH 45401 311703368 Support Org OH 501(c)(3) 509(a)(3) I NA false true false false false false false false true false false false true false true false true false