Ace Care Services Inc

What it reported doing in 2018

The Illinois accountable care entity (ace) program was started by the state of Illinois in conjunction with the legislative mandate that 50 percent of all medicaid-covered enrollees be enrolled in a form of a risk-based care coordination system by jan. 1, 2015. Aces were intended to be provider-based organizations that would take responsibility for the provision of covered services to Illinois medicaid beneficiaries. Aces provide services exclusively to medicaid beneficiaries, and this activity furthers the exempt purpose of ace care services, inc. (acs). Acs was formed on dec. 16, 2013 to become an ace. Acs entered into a contract with the state of Illinois on july 27, 2014 and provided care coordination services under its contract with the state. Acs provided the services required in the state ace contract through delegation agreements with ace care partners, llc (acp) and innovative care partners (icp). This structure was designed to ensure that certain religious-based provider organizations can remain compliant with the ethical and religious directives for catholic healthcare services (erd) and would not ever become responsible for provision of services that violate erd. Accordingly, the obligations of the state ace contract that were not erd-compliant were intended to be delegated by acs to icp. As reported in the 2016 form 990 filing, as a result of the state of Illinois announcing that it no longer would provide care-management fees to acs and all other aces, acs began transferring its covered lives to family health network (fhn), a managed-care organization (mco). As of sept. 1, 2016, all covered lives were transferred to fhn and the acs' contract with the state of Illinois was terminated. Because the contract has been terminated, acs is no longer legally required to provide care-management services, and all acs activity has ceased. The corporation was dissolved on april 4, 2019.

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: 0%; rating input score 0
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 3 of 7 controls in place; rating input score 43
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Fail
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: Limited
• Total-asset coverage ratio: 0; rating input score 2; 2nd percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 0%; rating input score 61; 61st percentile among comparable filings

Growth

• Program expense growth: -150% per year; rating input score 0; 1st percentile among comparable filings
• Revenue growth: Limited
• Asset growth: -96.3% per year; rating input score 0; 1st percentile among comparable filings