CareSource

What it reported doing in 2024

CareSource, as a supporting organization under Section 509(a)(3) of the Internal Revenue Code, provides strategic oversight to its supported organizations, CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, and CareSource Life Services Co (The "CareSource Public Charities"). These supported organizations are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CareSource has been headquartered in Dayton, Ohio since its founding. (Continued on Schedule O)CareSource's supported organizations in various states offer health insurance, including Medicaid, Health Insurance Marketplace, and Medicare products, administering one of the largest Medicaid managed care plans in the U.S. As a mission-driven organization, CareSource is transforming health care with innovative programs, providing access to health care to nearly 2,000,000 individuals with complex medical needs, through its supported organizations.Programs: At CareSource, we know that social determinants of health are key drivers of health care access, utilization, and outcomes. As such, social determinants of health require full integration into the treatment of Members' physical health. What sets us apart from traditional managed care is our record of accomplishments and results in integrating these non-clinical aspects into every interaction we have with our Members. The CareSource mission is to make a lasting difference in Members' lives by improving their health and well-being. This has catalyzed our commitment to develop programs that target our Members' social needs - nutrition, transportation, housing, jobs, social connectedness, communication, access, and more.We shape our benefits to integrate social and economic solutions seamlessly into our Members' care to have maximum impact on their social support, stability, health, and wellness. CareSource Life Services is the umbrella framework through which we address social determinants of health including hunger, housing, social stability, workforce development, and health equity. The CareSource JobConnect program addresses the education and employment barriers that many of our Members face and that impede their path to self-sufficiency. CareSource JobConnect is widely recognized within the managed care industry for reducing dependence on governmental services by providing Members with life coaching, access to community-based resources, and support setting and reaching their professional and educational goals.The CareSource Family of Companies believes that it can improve the health of its Members through educational initiatives. Education empowers Members to take on greater personal responsibility for their own health and the health of their family by encouraging healthy decisions and preventative care. For example, The CareSource Life Services program prepares a personalized wellness plan for each of its Members. Moreover, Members who are pregnant or have a child under the age of one can sign-up for a specifically designed program to receive three text messages per week that provide advice on proper preventative care. Other educational efforts include a childhood obesity management program for children between the ages of 5 and 17 years old.The CareSource Family of Companies provides enhanced benefits to Members that are above and beyond required benefits defined by state or federal agencies. In order to ensure Members are able to access the most appropriate medical care, The CareSource Family of Companies provides transportation services for office visits to their medical provider's office, ensuring that Members are keeping preventive, sick, or follow-up appointments. Further showing The CareSource Family of Companies' dedication to ensuring that our most vulnerable Members receive needed care, The CareSource Family of Comapnies does not charge Medicaid Members a copayment for pharmacy products, dental visits, vision

Financial Efficiency

• Mission deployment rate: 81.2%; rating input score 81
• Program expense ratio: 100%; rating input score 100
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 97.4%; rating input score 97; 32nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 88.9%; rating input score 89; 36th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 16%; rating input score 83; 83rd percentile among comparable filings
• Total-asset coverage ratio: 2.19; rating input score 66; 66th percentile among comparable filings
• Liabilities to assets ratio: 0.18; rating input score 72; 72nd percentile among comparable filings
• Officer compensation ratio: 3.8%; rating input score 28; 28th percentile among comparable filings

Growth

• Program expense growth: 3.1% per year; rating input score 100; 23rd percentile among comparable filings
• Revenue growth: 11.4% per year; rating input score 100; 81st percentile among comparable filings
• Asset growth: 20.1% per year; rating input score 100; 93rd percentile among comparable filings