CareSource Georgia Co

What it reported doing in 2024

CareSource Georgia Co. ("CSGA ") is a nonprofit corporation established under the state laws of Georgia. On July 18, 2017, CSGA received a determination letter from the Internal Revenue Service, recognizing CSGA as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, effective as of the date of CSGA's formation. CSGA is a member of the CareSource group of nonprofit tax-exempt organizations (the "CareSource Public Charities"). (Continued on Schedule O)The sole member of the CareSource Public Charities is CareSource, an Ohio nonprofit corporation that is tax-exempt under section 501(c)(3) of the Internal Revenue Code of 1986 (the "Code"). The CareSource Public Charities' primary activity for the last three decades has been to provide nonprofit Medicaid, Medicare, and Marketplace health maintenance organization ("HMO") services.As a mission-driven organization, CSGA follows the guidance of the CareSource Public Charities and is focused on transforming health care with innovative programs that address the social determinants of health, health equity, prevention and access to care.CSGA began providing care to participants in its Medicaid HMO plan on July 1, 2017. CSGA serves individuals meeting the low-income thresholds for Medicaid eligibility. CSGA participates in the State of Georgia's Planning 4 Healthy Babies program, or P4HB, which is a demonstration waiver program for women meeting Medicaid income thresholds designed to help reduce the number of low-birth-weight babies born each year. Through the P4HB program, CSGA offers family planning services, health care coverage for certain pregnancy-related chronic conditions, and case management services to women at risk for a low-birth-weight delivery. CSGA launched a Marketplace plan in 2020, offering affordable individual and family plans tailored for any budget, as well as a Dual Eligible Special Needs Plan in 2021.Over the past few years, CareSource Georgia has partnered with Learning to Serve, a Georgia student scholarship organization designed to help students earn a scholarship to attend an accredited K-12 private school. In 2024 alone, CSGA contributed $632,500 to give Georgia fostering and adoptive families the help they needed to make the best decisions and help remove barriers to education for their children. Student scholarships are awarded on merit, namely community service, which the applicants are required to document within the application process. CSGA is the first nonprofit health care plan chosen to serve Georgia Medicaid and PeachCare for Kids Members enrolled in Georgia Families. We believe in people over profits, and we are committed to providing even more enhanced benefits to help improve the health and well-being of our Members. Members enrolled in our Georgia Families plan have access to the following services:(1) Earning rewards each year for completing healthy activities,(2) Dental benefits for kids and adults,(3) Vision benefits,(4) A personal life coach for up to 24 months, help finding a job, and rides to job training and interviews. Job coaches help with interview practice and resumes and provide support after starting a new job,(5) Free memberships to youth organizations and sports physicals,(6) Free breast pumps, free pregnancy tests through a pharmacist, baby showers and help with childcare,(7) CareSource 24, the 24/7/365 Nurse Advice Line and Telehealth RelyMD to access a doctor 24/7/365 using a smartphone or computer, (8) A bank account from Fifth Third Bank with no monthly service charge, no balance requirement, no overdraft fees and a debit card for purchases, (9) Medication therapy management,(10) Help with asthma, ADHD, autism, behavioral health, high blood pressure, chronic kidney disease and more, and (11) Transportation to doctor visits, WIC office, food pantries, education and jobs, and CareSource events.

Financial Efficiency

• Mission deployment rate: 85.7%; rating input score 86
• Program expense ratio: 89.6%; rating input score 90
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 33.3%; rating input score 33; 10th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 3.8%; rating input score 51; 51st percentile among comparable filings
• Total-asset coverage ratio: 0.47; rating input score 17; 17th percentile among comparable filings
• Liabilities to assets ratio: 0.61; rating input score 28; 28th percentile among comparable filings
• Officer compensation ratio: 0.8%; rating input score 78; 78th percentile among comparable filings

Growth

• Program expense growth: 21.3% per year; rating input score 100; 93rd percentile among comparable filings
• Revenue growth: 22.2% per year; rating input score 100; 95th percentile among comparable filings
• Asset growth: 26.4% per year; rating input score 100; 96th percentile among comparable filings