CareSource Indiana Inc

Nonprofit profile at a glance

EIN
320121856
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Dayton, OH, USA
Phone
9372243300
Rating
62
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health, General and Financing

Reported finances

Revenue
$1,324,786,071
Expenses
$1,304,987,103
Assets
$437,371,962
Liabilities
$281,190,899

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

7 people listed

Executive titles in this filing

  • Steve Smitherman (President/Director)

Highest reported compensation

  • Erhardt Preitauer (Chair/Director): $12,201,162 total reported compensation
  • Richard Topping (Secretary (To 5/31)): $3,490,556 total reported compensation
  • Lawrence Smart (CFO, Treasurer/Director): $3,471,086 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

CareSource Indiana, Inc.'s mission is to make a lasting difference in members' lives by improving their health and well-being. The organization's vision is to transform lives through innovative health and life services. (continued on Schedule O)CareSource Indiana, Inc. is a health maintenance organization licensed by the state of Indiana and serves members through Marketplace, Medicaid, Healthy Indiana, and Hoosier Healthwise Plans.

What it reported doing in 2024

CareSource Indiana, Inc. ("CSIN") is a nonprofit organization established under the state law of Indiana. On February 2, 2007, CSIN received a determination letter from the Internal Revenue Service, recognizing CSIN as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, effective as of the date of CSIN's formation. CSIN 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, CSIN 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. CSIN has served Hoosiers since 2016 with CareSource Marketplace plans. In 2017, CSIN was selected to serve Healthy Indiana Plan ("HIP") and Hoosier Healthwise ("HHW") Members. Since then, the health plan has launched a number of innovative programs including the CareSource Re-entry Program to ensure the successful transition of justice-involved individuals back into communities, as well as initiatives to remove barriers to health care, housing, employment, and maternal and infant health and to improve health equity.The State of Indiana requires all Medicaid plans to offer certain benefits, however, we offer so much more. Members enrolled in our CSIN plans have access to the following services:(1) Life Coaches who work with Members to connect them to community resources, provide support with educational & employment goals, and help coordinate rides to non-medical appointments in the community,(2) CareSource24, nurse advice line, (3) Care managers who can assist with housing, medical equipment, utilities and other urgent basic needs,(4) Rewards programs for all Members,(5) A free message three times per week, timed to the due date or baby's birth date, through pregnancy and up until the baby's first birthday,(6) One-on-one medication review and consultation with the pharmacist to ensure medications are appropriate and safe,(7) Telemedicine access to a doctor using a phone or computer, (8) CareSource mobile app for access to Member ID card, "how-to" videos and a quick search for doctors, and (9) Programs for asthma, ADHD, addiction, autism, behavioral health, chronic kidney disease and more.2024 Highlights:(1) CSIN supported the Bowen Health Clinic's Empowerment Art Competition, which awarded scholarship money to students at Fort Wayne's Northrop High School who created artwork which will be displayed at Bowen Clinic locations.(2) CSIN expanded our Bumps and Babies Fair to 8 locations across the state, connecting pregnant women and new families to critical resources to help them and their families live better lives.(3) CSIN worked with The City League and John Boner Centers in Indianapolis to launch a Health, Job, and Resource Fair connecting the community to resources just in time for Back To School.(4) CSIN supported Back To School events all across the state, including at La Casa De Amistad, Westminster Neighborhood Services, John Boner Center, Shalom Healthcare Center, Shepherd Community Center, Covering Kids and Families and more.(5) CSIN worked with partners at Indiana Pacers, Indianapolis Colts, Indiana University, Gary Railcats, South Bend Cubs, Fort Wayne Komets, Fort Wayne Tin Caps, and Indy Eleven to sponsor various programming that supports underserved populations. These included youth camps, reading programs, school field trips, and more.(6) CSIN hosted several vaccination events across the st

Operating model

Revenue model
Earned-program. 99% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 60
  • Accountability: 32
  • Sustainability: 34
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 85.6%; rating input score 86
  • Program expense ratio: 87.9%; rating input score 88
  • 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: 0%; rating input score 0; 4th 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: 1.5%; rating input score 40; 40th percentile among comparable filings
  • Total-asset coverage ratio: 0.34; rating input score 11; 11th percentile among comparable filings
  • Liabilities to assets ratio: 0.64; rating input score 25; 25th percentile among comparable filings
  • Officer compensation ratio: 0.9%; rating input score 77; 77th percentile among comparable filings

Growth

  • Program expense growth: 22.7% per year; rating input score 100; 94th percentile among comparable filings
  • Revenue growth: 23.5% per year; rating input score 100; 95th percentile among comparable filings
  • Asset growth: 22.4% per year; rating input score 100; 95th percentile among comparable filings

Details

  • Where the money goes: 85.6% of revenue deployed · 87.9% of spending went to programs
  • Governance: 0 of 3 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $1.1B in reported program spending
  • Leadership: top reported pay $12.2M · 7 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $358.4M reported
  • Consistency: 25 of 25 current checks pass
  • Schedules: 6 filed schedules · includes executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 30 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 40/100.
  • High — Sustainability: Total-asset coverage ratio scored 11/100.
  • High — Sustainability: Liabilities to assets ratio scored 25/100.