MCLAREN HEALTH PLAN INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MCLAREN HEALTH PLAN INC (EIN 38-3252216)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-11
IRS object ID: 201133159349301238
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-11T09:56:16-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	383252216	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CareSource Michigan	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CARE	NameControl
Phone	9372243300	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 West Road	AddressLine1
City	East Lansing	City
State	MI	State
ZIP Code	48823	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	L Tarlton Thomas III	Name
Title	CFO	Title
Date Signed	2011-11-04	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Pamela B Morris	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 8738	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	93495581	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.caresource-michigan.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	To make a difference in the lives of underserved people by improving their health care. CareSource Michigan offers a full spectrum of services for Medicaid Managed Care Members.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	116986915	ProgramServiceRevenuePriorYear
Program Service Revenue CY	92574132	ProgramServiceRevenueCY
Investment Income Prior Year	1127468	InvestmentIncomePriorYear
Investment Income Current Year	918059	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	118114383	TotalRevenuePriorYear
Total Revenue Current Year	93492191	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	111621	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	142611	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	0	SalariesEtcPriorYear
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	97718182	OtherExpensePriorYear
Other Expenses Current Year	83046972	OtherExpensesCurrentYear
Total Expenses Prior Year	97829803	TotalExpensesPriorYear
Total Expenses Current Year	83189583	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	20284580	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	10302608	RevenuesLessExpensesCY
Total Assets BOY	44481173	TotalAssetsBOY
Total Assets EOY	39362035	TotalAssetsEOY
Total Liabilities BOY	22872002	TotalLiabilitiesBOY
Total Liabilities EOY	17450256	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	21609171	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	21911779	NetAssetsOrFundBalancesEOY
Mission Description	CARESOURCE MICHIGAN'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 MICHIGAN CONSIDERS THE ORGANIZATION'S MISSION ITS "HEARTBEAT" AND IS PASSIONATELY EMBRACED BY ALL EMPLOYEES OF THE CARESOURCE FAMILY OF COMPANIES. CARESOURCE MICHIGAN IS A NONPROFIT INDEPENDENT MISSION-DRIVEN MEDICAID MANAGED CARE ORGANIZATION LICENSED BY THE STATE OF MICHIGAN.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	78111381	Expense
Grants	142611	Grants
Revenue	92574132	Revenue
Description	CareSource Michigan ("CSM") is a nonprofit Medicaid health maintenance organization (HMO) which received a Certificate of Authority from the State of Michigan. The organization provides services through a contract with the Michigan Department of Community Health. CareSource Michigan is URAC accredited as a health plan and health call center. The mission of CareSource Michigan is to make a difference in the lives of underserved people by improving their health care. CareSource Michigan combines the financing and delivery of health-care services to about 38,000 Medicaid beneficiaries in 31 Michigan counties. CareSource Michigan was originally founded as Community Choice Michigan by 16 of the state's Federally Qualified Health Centers ("FQHCs"). The FQHCs remain the primary providers of CareSource Michigan healthcare services that have historically provided care to medically underserved populations and to people in areas designated as medically underserved. Currently, the Medicaid populations served by the program include Temporary Assistance for Needy Families, and Aged, Blind and Disabled. In addition, CareSource Michigan has a contract with the Center for Medicare and Medicaid Services 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 Michigan 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 Michigan's network also includes many other 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 Michigan offers 24 hour call center coverage to provide around the clock medical advice to help members access appropriate care when they need it. Transportation services for medical appointments are also provided. CareSource Michigan 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 Michigan has provided benefits to its members above the Michigan Medicaid Managed Care covered services. CareSource Michigan does not charge co-pays for any covered services to our members. CareSource Michigan also provides full services coverage for members who are 21+ with no cost to the member and no reimbursement for costs for services reduced/eliminated by the Michigan Department of Community Health, including some chiropractic visits, podiatric visits, hearing aids and vision. Collectively, the aforementioned activities and initiatives enhance access to comprehensive quality health care for everyone, especially those who are medically underserved. All told, in 2010, CareSource Michigan paid nine hundred sixty-eight thousand two hundred ninety-two dollars ($968,292) above the required Michigan Medicaid Managed Care program benefits in order make a difference in the lives of underserved people by improving their health care. In the spirit of CareSource Michigan's commitment to good corporate citizenship, 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 IRC section 501(C)(3) charity of choice. Charitable Donations in the amount of $29,200 were paid or accrued in 2010 under this policy by the organization. Moreover, consistent with the Office of Financial and Insurance Regulation statutes, CareSource Michigan includes elected members from our enrolled population on the health plan board. These board members are not included in the aforementioned charitable contribution donations.	Description
Total Program Service Expense	78111381	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1241	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JANET FERNANDES	NamePerson
Telephone Number	9372243300	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8738	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	454018738	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	FormerFormer
John M Rockwood Jr
Chairperson/Trustee	1.0	X	0	0	0
J Thomas Maultsby
Vice Chairperson/Trustee	1.0	X	0	0	0
R Daniel Sadlier 110 - 910
Vice Chairperson/Trustee	1.0	X	0	0	0
Karen Hamilton
Trustee - Enrollee	1.0	X	0	0	0
Evonne Williams
Trustee - Enrollee	1.0	X	0	0	0
Margaret Marchak
Trustee	1.0	X	0	0	0
Pamela B Morris
Sec/Treas/CEO/Pres/Trustee	60.0	X	0	1761437	477210	X
Craig Thiele MD
Chief Medical Officer	60.0		0	429628	225643	X
Bobby Jones
Chief Operating Officer	60.0		0	422023	229173	X
Sharon Williams
Plan President Michigan	60.0		0	271951	133552	X
L Tarlton Thomas III
Chief Financial Officer	60.0			220368	120706	X
Janet Grant
EVP Ext Affairs Corp Comp Ofc	60.0		0	379402	99714		X
Pamela S Sedmak
Former CFO	0.0		0	215993	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3700802	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1285998	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Rx America
3011 W Grand Blvd 414	DETROIT	MI	48202	Prescription Svcs	16257753
Lakeland Regional Health System
1234 Napier Ave	SAINT JOSEPH	MI	490852112	Medical Services	6317965
Spectrum Health Hospitals
100 Michigan St NE	GRAND RAPIDS	MI	495032560	Medical Services	6045176
Munson Medical Center
1105 6th St	TRAVERSE CITY	MI	49684	Medical Services	5481536
Bronson Methodist Hospital
PO Box 77000 Dept 7792B	DETROIT	MI	48277	Medical Services	5344123

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	89	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	MEDICAID & MEDICARE	Description
Business Code	524114	BusinessCode
Total Revenue Column	92574132	TotalRevenueColumn
Related Or Exempt Function Income	92574132	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	92574132	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	921449	TotalRevenueColumn
Exclusion	$921,449	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	3390	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-3390	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-3390	TotalRevenueColumn
Exclusion	-$3,390	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	93492191	TotalRevenueColumn
Related Or Exempt Function Income	92574132	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$918,059	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	142611	Total
Program Services	142611	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	0	Total
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	67456	Total
Program Services	0	ProgramServices
Management And General	67456	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	271439	Total
Program Services	16463	ProgramServices
Management And General	254976	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	30098	Total
Program Services	1025	ProgramServices
Management And General	29073	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1161156	Total
Program Services	620657	ProgramServices
Management And General	540499	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	207789	Total
Program Services	15854	ProgramServices
Management And General	191935	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	725030	Total
Program Services	60706	ProgramServices
Management And General	664324	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	259712	Total
Program Services	0	ProgramServices
Management And General	259712	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	492870	Total
Program Services	199	ProgramServices
Management And General	492671	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	202814	Total
Program Services	178431	ProgramServices
Management And General	24383	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	45692	Total
Program Services	30683	ProgramServices
Management And General	15009	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	29655	Total
Program Services	0	ProgramServices
Management And General	29655	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	561675	Total
Program Services	0	ProgramServices
Management And General	561675	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	51908	Total
Program Services	0	ProgramServices
Management And General	51908	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
FILING/BANK/MEMBERSHIPS	115949	4730	111219
MGMT FEES PAID TO CSMG/CSMS	5051951	3283222	1768729
MEDICAL EXPENSES	59795266	59795266
PHARMACY EXPENSES	13961534	13961534
BOARD EXPENSES	14978	0	14978

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	83189583	Total
Program Services	78111381	ProgramServices
Management And General	5078202	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2402504	BOY
EOY	4951348	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	20658463	BOY
EOY	17021498	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2833551	BOY
EOY	1743475	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	18586655	BOY
EOY	15645714	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	44481173	BOY
EOY	39362035	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	14640569	BOY
EOY	16714947	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	8231433	BOY
EOY	735309	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	22872002	BOY
EOY	17450256	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21609171	BOY
EOY	21911779	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	21609171	BOY
EOY	21911779	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	44481173	BOY
EOY	39362035	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	10302608	ReconcilationRevenueExpenses
Reconcilation Other Changes	-10000000	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	94707103	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	106165552	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	116343892	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	116986915	CurrentTaxYearMinus1Year
Current Tax Year	92574132	CurrentTaxYear
Total	526777594	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	94707103	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	106165552	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	116343892	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	116986915	CurrentTaxYearMinus1Year
Current Tax Year	92574132	CurrentTaxYear
Total	526777594	Total

Field	Value	IRS element (for citing)
Public Support Total509	526777594	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1095619	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1346678	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1139707	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1138728	CurrentTaxYearMinus1Year
Current Tax Year	921449	CurrentTaxYear
Total	5642181	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1095619	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1346678	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1139707	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1138728	CurrentTaxYearMinus1Year
Current Tax Year	921449	CurrentTaxYear
Total	5642181	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	95802722	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	107512230	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	117483599	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	118125643	CurrentTaxYearMinus1Year
Current Tax Year	93495581	CurrentTaxYear
Total	532419775	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98940	PublicSupportPercentage509
Prior Year Support Percentage	0.98952	PriorYearSupportPercentage
Investment Income Percentage	0.01060	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01048	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$50,694	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	50694	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Land		Land
Buildings		Buildings
Leasehold Improvements		LeaseholdImprovements
Equipment		Equipment
Other Land Buildings		OtherLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	RELATED PARTY PAYABLE	Description
Amount	$735,309	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	735309	TotalOfAmounts

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	The CareSource Foundation	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 8738	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	45401	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	562582561	EINOfRecipient
IRC Section	509(a)(3)	IRCSection
Amount Of Cash Grant	113411	AmountOfCashGrant
Purpose Of Grant	Grant Funding	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	13	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Contribution Review	Schedule I, Part I, Question 2	The company may provide assistance to other Internal Revenue Code tax exempt charitable organizations in the form of charitable contributions. These contributions are unrestricted funds available for use by the charitable organization for the purpose the charitable organization deems necessary. In 2010, the company made distributions to The CareSource Foundation, a 501(c)(3) organization in furtherance of its tax exempt purpose, by providing grants to Michigan based tax exempt charitable organizations. The CareSource Foundation monitors use of the grants awarded 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 Michigan'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 $29,200 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

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Pamela B Morris
0	574739	0	988634	0	198064	0	460939	0	16271	0	2238647	0	698767
Craig Thiele MD
0	310800	0	118000	0	828	0	204634	0	21009	0	655271	0	118000
Bobby Jones
0	307109	0	101250	0	13664	0	215278	0	13895	0	651196	0	101250
Janet Grant
0	207893	0	83825	0	87684	0	86899	0	12815	0	479116	0	83825
Sharon Williams
0	193055	0	63806	0	15090	0	118371	0	15181	0	405503	0	63806
L Tarlton Thomas III
	169882		46256		4230		101844		18862		341074		46256
Pamela S Sedmak
0	0	0	0	0	215993	0	0	0	0	0	215993	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Officer Compensation	Schedule J, Part II	The following corporate officers are employees of CareSource Management Group, Co., a related organization to CareSource Michigan: Bobby Jones and Sharon Williams. All compensation amounts reported on Schedule J, Part II, for these individuals are paid by CareSource Management Group Co. The compensation amounts for the remaining listed persons listed on Schedule J, Part II are paid by CareSource Management Services Co, also a related organization to CareSource Michigan.
Deferred Compensation	Schedule J, Part I, Question 4b	The following listed persons listed in Form 990, Part VII, Section A, participate in a supplemental nonqualified retirement plan of a related entity, CareSource Management Services Co.: Craig Thiele MD, L Tarlton Thomas III, and Janet Grant. The following listed persons listed on Form 990, Part VII, Section A, participate in a supplemental nonqualified retirement plan of a related entity, CareSource Management Group Co.: Bobby Jones and Sharon Williams. 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 corporate officer , Pamela Morris, participated in a separate supplemental retirement plan and received payment from the plan in 2010. Payment in the amount of $579,734 is included in Part VII and Schedule J, Part II.
Payments contingent on net earnings	Schedule J, Part I, Question 6b	The following listed persons listed in Form 990, Part VII, Section A, line 1a are employees of CareSource Management Services Co, a related organization to CareSource Michigan: Craig Thiele MD, L Tarlton Thomas III and Janet Grant. Corporate Officers Bobby Jones and Sharon Williams are employees of CareSource Management Group Co, also a related organization to CareSource Michigan. All of these listed persons are eligible for a performance bonus as part of their compensation packages. The performance bonus is contingent on a combination of both company performance and individual performance against goals. The performance management process documents the company goals and individual goals, the corresponding potential performance bonus, and the progress/outcomes. The performance bonus is based on the individual's calendar year regular earnings. Corporate Officer Pamela B Morris is eligible for a performance bonus as part of her compensation package.
Severance Payment	Schedule J, Part I, question 4a	During 2010, a severance payment in the amount of $215,993 was paid to the former CFO, Pamela S Sedmak.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Review	Part VI, Section B, Question 11a	The Form 990 was provided to the organization's Finance committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization and was reviewed during the course of a special board meeting prior to the time of filing the Form 990. The Form 990 was reviewed by the CFO, an outside CPA firm, outside counsel, and by general counsel prior to filing with the IRS.
Conflict of Interest Policy	Part VI, Section B, Question 12c	Annually, each trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board 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. The company's Form 990 is also also available on the U.S. nonprofit database website at www.guidestar.org. Financial Statements for the organization are available at the Office of Financial and Insurance Regulation website at www.michigan.gov/dleg. The company's articles of incorporation are available on the Michigan Department of Energy, Labor and Economic Growth website at www.dleg.state.mi.us/bcs_corp/sr_corp.asp.
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 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%. Corporate Officer Sharon Williams devotes 100% of her time to CareSource Michigan.
Governing Body Members	Part VI, Section A, Questions 7a and 7b	In accordance with Michigan Law, MCL Law 500.3511, one-third (1/3) of the Board of Directors of CareSource Michigan shall consist of adult enrollees (Michigan Medicaid Members) of CareSource Michigan who are not compensated officers, employees, stockholders or who own more than five percent (5%) of the organization's shares or other individuals responsible for the conduct of, or financially interested in, the organization's affairs. The enrollee Board Members shall be elected by simple plurality of voting subscribers. Each subscriber shall have one (1) vote. In addition, the non-enrollee board members are elected by the Member, CareSource Management Group Co., a related federally tax exempt supporting organization.
Change in Net Assets	Part XI, Line 5	CareSource Michigan made a $10,000,000 dividend distribution to CareSource Management Group, its controlling member, on October 1, 2010.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:John M Rockwood Jr TITLE:Chairperson/Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:J Thomas Maultsby TITLE:Vice Chairperson/Trustee HOURS:3
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:R Daniel Sadlier (1/10 - 9/10) TITLE:Vice Chairperson/Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Karen Hamilton TITLE:Trustee - Enrollee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Evonne Williams TITLE:Trustee - Enrollee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Margaret Marchak TITLE:Trustee HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Craig Thiele MD TITLE:Chief Medical Officer HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CareSource Management Group Co
PO Box 8738	Dayton	OH	45401	311703368	Support Org	OH	501(C)(3)	509(a)(3) I	NA
CareSource Indiana Inc
PO Box 8738	Dayton	OH	45401	320121856	Medicaid HMO	IN	501(c)(3)	509(a)(2)	NA
The CareSource Foundation
PO Box 8738	Dayton	OH	45401	562582561	Grant Giving	OH	501(C)(3)	509(A)(3) I	CareSource
CareSource Illinois
PO Box 8738	Dayton	OH	45401	272202797	Inactive	IL	Not	Determined	NA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	CareSource Management Services Co	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 8738	AddressLine1
City	Dayton	City
State	OH	State
ZIP Code	454018738	ZIPCode

Field	Value	IRS element (for citing)
EIN	311703371	EIN
Primary Activity	Adm Mgmt Svcs	PrimaryActivity
Legal Domicile State	OH	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C Corp	TypeOfEntity
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Percentage Ownership	0.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg