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Nonprofiteer
← CARESOURCE OHIO INC

Form 990 for tax year 2024

Filed by CARESOURCE OHIO INC.

Totals

Total revenue
$8,559,845,484
Total expenses
$8,462,329,539
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$8,501,413,223
Investment income
$58,432,261
Other revenue
$0
Total assets, end of year
$2,248,954,422
Total liabilities, end of year
$1,402,066,398
Net assets or fund balances, end of year
$846,888,024
Program services expenses (Part IX)
$7,299,118,538
Management and general expenses
$1,163,211,001
Fundraising expenses
$0
Program service expenses (Part III)
$7,299,118,538

Program services were 86.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Medicaid

    total $7,733,441,018 · related or exempt $7,733,441,018

  • 2b · Program service revenue: Premiums

    total $699,224,842 · related or exempt $699,224,842

  • 2c · Program service revenue: Medicare Advantage

    total $68,511,960 · related or exempt $68,511,960

  • 2d · Program service revenue: Capitation Write-Off

    total $235,403 · related or exempt $235,403

  • 3 · Investment income

    total $58,517,472 · excluded $58,517,472

  • 7a · Gross sales of assets other than inventory

    securities $6,836,444,734

  • 7b · Less cost or other basis and sales expenses

    securities $6,836,529,945

  • 7c · Gain or loss

    securities -$85,211

  • 7d · Net gain or loss

    total -$85,211 · excluded -$85,211

Functional expenses

Part IX, the statement of functional expenses.

  • 11b · Fees: legal

    total $2,080,681 · management and general $2,080,681

  • 11c · Fees: accounting

    total $1,127,789 · management and general $1,127,789

  • 11d · Fees: lobbying

    total $153,375 · management and general $153,375

  • 11f · Fees: investment management

    total $922,345 · management and general $922,345

  • 11g · Fees: other

    total $238,117,336 · program services $14,637,738 · management and general $223,479,598

  • 12 · Advertising and promotion

    total $7,774,474 · management and general $7,774,474

  • 13 · Office expenses

    total $108,957,802 · management and general $108,957,802

  • 16 · Occupancy

    total $11,519,056 · management and general $11,519,056

  • 17 · Travel

    total $3,606,593 · management and general $3,606,593

  • 20 · Interest

    total $205,086 · management and general $205,086

  • 23 · Insurance

    total $5,059,589 · management and general $5,059,589

  • 24a · Other expenses: Medical Expenses

    total $6,986,707,321 · program services $6,986,707,321

  • 24b · Other expenses: Mgmt Fees CareSource Mg

    total $486,579,530 · program services $99,828,878 · management and general $386,750,652

  • 24c · Other expenses: ODM Franchise Fee Passt

    total $433,039,417 · program services $55,077,752 · management and general $377,961,665

  • 24d · Other expenses: Pharmacy Expenses

    total $139,297,563 · program services $139,297,563

  • 24e · All other expenses

    total $37,181,582 · program services $3,569,286 · management and general $33,612,296

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $283,152,770 · end of year $675,689,600

  • 4 · Accounts receivable

    beginning of year $960,659,348 · end of year $521,847,490

  • 9 · Prepaid expenses and deferred charges

    beginning of year $8,178,241 · end of year $14,382,261

  • 11 · Investments: publicly traded securities

    beginning of year $974,969,489 · end of year $1,037,035,071

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,113,661,248 · end of year $1,214,583,070

  • 19 · Deferred revenue

    beginning of year $260,844,266 · end of year $182,768,131

  • 25 · Other liabilities

    beginning of year $32,701,822 · end of year $4,715,197

  • 27 · Net assets without donor restrictions

    beginning of year $819,752,512 · end of year $846,888,024

Mission and programs · 2024

Mission

CareSource Ohio, Inc.'s mission is to make a lasting difference in our 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 Ohio, Inc. is a health insuring corporation licensed by the state of Ohio and serves members through Dual Eligible Special Needs, Marketplace, Medicaid, Medicare Advantage, and MyCare Ohio plans.

Activities or mission (Part I)

To make a lasting difference in our members' lives by improving their health and well-being. CareSource Ohio Inc. is a nonprofit HIC licensed by the state of Ohio.

  • CareSource Ohio, Inc. ("CSOH"), is a nonprofit organization established under the state law of Ohio. CSOH 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, CSOH 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. CSOH serves nearly 1.2 million Members in Ohio. CSOH'S membership includes: (1) Medicaid consumers, including families with low income, children, pregnant women, adoption and children in foster care, those who are aged, blind or disabled, (2) Medicaid consumers who are eligible for Home and Community Based services through execution of an annual Provider Agreement with the Ohio Department of Medicaid ("ODM"), (3) Dually eligible consumers for Medicare and Medicaid through Ohio's Dual Demonstration program, MyCare, (4) Medicare Advantage consumers, and (5) a Qualified Health Plan offered through the Federal Health Insurance Marketplace, providing low-cost comprehensive coverage for individuals and families. Medicaid: Our Members get all medically-necessary, Medicaid-covered services at no cost. Examples include preventive check-ups, inpatient and outpatient hospital services, and dental care. Members enrolled in our Ohio Medicaid plans have access to the following services: (1) Rewards programs, (2) One-on-one coaching for up to 24 months with a certified Life Coach, (3) Telehealth to talk to a doctor 24/7/365 using a smartphone or computer,(4) Large provider network for easy access to care,(5) Transportation to and from appointments, food pantries, pharmacies, WIC offices and County Department of Job and Family Services (CDJFS) appointments, (6) Vision and dental care, including checkups and teeth cleanings. Members can also get an allowance for a large selection of eyeglasses and an allowance for contact lenses and fitting, (7) Behavioral health resources that support the health of mind, body and spirit,(8) A team of nurses who can answer health questions 24/7/365, (9) Disease management programs, (10) Local care managers to coordinate health care needs and help connect members to community resources such as utility assistance, housing and food banks, and(11) CareSource mobile app for access to member ID card, "how-to" videos and a quick search for doctors. MyCare Ohio: Plans contract with both Medicare and Ohio Medicaid to provide benefits of both programs to its Members in 12 Ohio counties. To improve the way Medicare and Ohio Medicaid benefits work together, Members must enroll in a MyCare Ohio plan. The plan is for people with disabilities, older adults and individuals who need behavioral health services. CareSource Marketplace: Marketplace plans are available in 86 counties in Ohio. CSOH's Marketplace-qualified Vision and Fitness plans cover more than the essential health benefits. They offer adult vision through EyeMed, and a fitness program. There are no lifetime maximums for most benefits, no medical review for enrollment, and we cover an extensive list of prescription drugs. Members enrolled in our Ohio Marketplace plans have access to the following services: (1) $0 copay telehealth office visits via Teladoc with 24/7 access to U.S.-licensed physicians, (2) Ambulatory patient services (outpatient care), (3) Emergency services,(4) Hospitalization, (5) Pregnancy, maternity and newborn care (both before and after birth), (6) Breastfeeding coverage,(7) Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy), (8) Prescription drugs,(9) Rehabilitative and habilitative services and devices, (10) Laboratory services,(11) Preventive and wellness services and chronic disease management, (12) Pediatric services, including dental and vision care, and (13) Birth control coverage. CareSource Dual Advantage: This is a $0 premium plan that combines the benefits of Medicare and Medicaid into one convenient plan and offers more benefits not covered by either Medicare or Medicaid alone. Members enrolled in our Ohio Dual Advantage plans have access to the following services: (1) $6,000 annual limit for preventive and comprehensive dental care through DentaQuest, (2) $1,000 Flex annual allowance to use toward dental, hearing, and vision, (3) Unlimited transportation to health-related appointments including gym, pharmacy, and grocery, (4) $150 monthly allowances for over-the-counter (OTC) items and healthy food at participating retailers, (5) Two meals per day for 14 days after observation or inpatient stay, (6) TruHearing Advanced Level hearing aids, one per ear every three years, (7) Silver&Fit gym membership, home fitness kit, digital workouts, and online resources, (8) Routine vision exam, $450 annual allowance for glasses and/or contacts through EyeMed, (9) BrainHQ online brain health improvement tool, (10) Personal Emergency Response System (PERS) that connects the member to 24-hour help with the push of a button, and (11) 60 hours per year for companion care services. 2024 Highlights We are committed to working every day alongside providers and community partners to make a difference in the lives of our Members as well as communities across the state. One of the handful of ways CSOH supported the whole health of Ohioans in 2024 was through the Outcomes Acceleration for Kids ("OAK") Initiative.OAK is a new program, used as an illustration that Medicaid-managed care is shifting its focus to positive health outcomes instead of the business of care. It was introduced as an innovative program, a partnership among children's hospitals, Medicaid-managed care plans, and the Ohio Department of Medicaid. OAK is a rapid-cycle improvement project, which improves coordination of communication between evolvements in the clinical setting and Medicaid-managed care. It focuses on well care instead of sick care, follow-up care for families after leaving the emergency department, and access to life-saving care for children with sickle cell disease. CSOH invested over $1,125,000 in 2024 under this program.

    Expenses $7,299,118,538 · Revenue $8,501,413,223

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Erhardt Preitauer

    Chair/Director

    Total calculated
    $12,201,162
    From this org
    $0
    From related orgs
    $6,076,721
    Other
    $6,124,441
    Hours/week
    8 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,407,328 related
    Bonus
    $0 + $2,654,031 related
    Other
    $0 + $2,015,362 related
    Deferred
    $0 + $6,101,217 related
    Nontaxable benefits
    $0 + $23,224 related
    Filer's total
    $0 + $12,201,162 related

  • Richard Topping

    Secretary/Director (To 5/31)

    Total calculated
    $3,490,556
    From this org
    $0
    From related orgs
    $2,659,280
    Other
    $831,276
    Hours/week
    8 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $279,104 related
    Bonus
    $0 + $561,640 related
    Other
    $0 + $1,818,536 related
    Deferred
    $0 + $815,252 related
    Nontaxable benefits
    $0 + $16,024 related
    Filer's total
    $0 + $3,490,556 related

  • Edward Stubbers

    Secretary/Director (Eff 6/1)

    Total calculated
    $2,198,075
    From this org
    $0
    From related orgs
    $1,060,829
    Other
    $1,137,246
    Hours/week
    8 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $452,231 related
    Bonus
    $0 + $322,470 related
    Other
    $0 + $286,128 related
    Deferred
    $0 + $1,117,562 related
    Nontaxable benefits
    $0 + $19,684 related
    Filer's total
    $0 + $2,198,075 related

  • Lawrence Smart

    CFO, Treasurer/Director

    Total calculated
    $3,471,086
    From this org
    $0
    From related orgs
    $1,657,234
    Other
    $1,813,852
    Hours/week
    8 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $589,886 related
    Bonus
    $0 + $570,124 related
    Other
    $0 + $497,224 related
    Deferred
    $0 + $1,794,168 related
    Nontaxable benefits
    $0 + $19,684 related
    Filer's total
    $0 + $3,471,086 related

  • Stephen Ringel

    President

    Total calculated
    $1,604,196
    From this org
    $0
    From related orgs
    $1,163,559
    Other
    $440,637
    Hours/week
    59 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $441,077 related
    Bonus
    $0 + $397,715 related
    Other
    $0 + $324,767 related
    Deferred
    $0 + $420,953 related
    Nontaxable benefits
    $0 + $19,684 related
    Filer's total
    $0 + $1,604,196 related

  • Stephanie Williams

    Assistant Treasurer

    Total calculated
    $1,957,115
    From this org
    $0
    From related orgs
    $936,707
    Other
    $1,020,408
    Hours/week
    10 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $368,179 related
    Bonus
    $0 + $362,976 related
    Other
    $0 + $205,552 related
    Deferred
    $0 + $1,003,011 related
    Nontaxable benefits
    $0 + $17,397 related
    Filer's total
    $0 + $1,957,115 related

  • Jai Pillai

    Former Chief Operating Ofr

    Total calculated
    $244,761
    From this org
    $0
    From related orgs
    $244,761
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $244,761 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $244,761 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Form 990, Schedule J, Part I, Line 3:
CareSource Management Services LLC ("CSMS"), a related entity, utilizes a compensation committee, independent compensation consultant, compensation survey or study, and review of Form 990 of other organizations.
Form 990, Schedule J, Part I, Line 4a:
CSMS made severance payments to Richard Topping and Jai Pillai during the calendar year. The payments are included in Part VII, Column E and it is reported on Schedule J, Part II, Column B(iii). The terms and conditions of the confidential severance agreements are available to the Internal Revenue Service upon request.
Form 990, Schedule J, Part I, Line 4b:
CSMS provides certain corporate officers, directors, key employees, and highly compensated executives with a supplemental nonqualified retirement plan. Amounts are accrued monthly for plan participants. The plan provides 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 plan provides for normal terms and conditions contained in a standard nonqualified retirement plan. The following listed person was paid under the plan in 2024: Richard Topping $39,893. The payment is included in Part VII, Column E and it is reported on Schedule J, Part II, Column B(iii). CSMS provides certain corporate officers, directors, key employees, and highly compensated executives with a long-term incentive plan. The plan provides compensation to the participants based on annual and long-term goals. The plan will pay out if these goals, or a subset of these goals, are achieved over a three-year period. The amounts are subject to forfeiture if certain employment conditions and vesting periods are not met. Amounts are included in Part VII, Column F and reported on Schedule J, Part II, Column C when accrued and included in Part VII, Column E and reported on Schedule J, Part II, Column B(iii) in the year paid. The following listed persons participated in and were paid under the plan in 2024: Erhardt Preitauer $1,516,425; Lawrence Smart $371,773; Richard Topping $774,290; Edward Stubbers $188,273; Stephen Ringel $227,166; and Stephanie Williams $128,076. CSMS provides certain corporate officers, directors, key employees, and highly compensated executives with a management incentive plan. The plan provides compensation to the participants based on certain financial measurements of the Company, which are calculated annually. The plan will pay out if the targets are achieved over a three-year period. If a participant leaves their employment prior to this three-year performance period, they may be entitled to a pro-rated payment if the targets are achieved over the three-year period. Amounts are included in Part VII, Column F and reported on Schedule J, Part II, Column C when accrued and included in Part VII, Column E and reported on Schedule J, Part II, Column B(iii) in the year paid. No amounts were paid in 2024 under the plan.
Form 990, Schedule J, Part II:
All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CSMS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • CareSource Diversity & Social Impact Investment

    Investing · DE

  • CareSource Midwest Fund LLC

    Investing · DE

  • ImagineCare Holdings LLC

    Holding Co · DE

  • HAP Empowered Holding LLC

    Holding Co · DE

  • CareSource Bayou Holding LLC

    Holding Co · DE

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CareSource Virginia Co (Dissolved 101724)

    C · No activity · VA

  • CareSource Arkansas Health Plan Co

    C · HMO Ins Plan · AR

  • Kids' CareAlliance Co (Dissolved 111324)

    C · No activity · OH

  • CareSource Oklahoma Health Plan Co

    C · HMO Ins Plan · OK

  • CareSource Kansas LLC

    C · HMO Ins Plan · KS

  • CareSource Passe LLC

    C · RBPO Ins Plan · AR

  • Columbus Organization Holdings LLC

    C · Holding Co · DE

  • CareSource Tennessee Co

    C · Accident and Health; Life Ins · TN

  • Columbus Medical Services Inc

    C · No activity · MD

  • CareSource North Carolina Co

    C · HMO Ins Plan · NC

  • CareSource Iowa Co (Dissolved 112624)

    C · HMO Ins Plan · IA

  • CareSource Florida Co

    C · HMO Ins Plan · FL

  • CareSource Bayou Health LLC

    C · HMO Ins Plan · TX

  • CareSource Military & Veterans Co

    C · Tricare CPD · OH

  • GCRE Protected Cell No 3 - CS LLC

    C · Captive Ins · MT

  • HAP CareSource

    C · HMO Ins Plan · MI

  • CareSource Reinsurance II LLC

    C · Captive Ins · MT

  • GCRE Protected Cell No 2 - MS LLC (Incorporated 42524)

    C · Captive Ins · MT

Provenance

Return type
form_990
Tax year
2024
Filed
14 November 2025
IRS schema version
2024v5.2
Source object
202513189349315286

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