2023-11-13T13:46:02-06:00 2022-12-31 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2022-01-01 562582561 The CareSource Foundation % JANET FERNANDES CARE 9372243300 PO Box 8738 Dayton OH 454018738 Lawrence Smart CFO 9372243300 2023-11-15 true Lawrence Smart 999009999 Karen O Crim P00368385 9372980201 2 2022 2023-04-26 12:10:37Z Erhardt Preitauer Same as C above Dayton OH 45401 3532442 false X www.caresource.com X 2006 OH To invest in initiatives and organizations that make a lasting difference in CareSource's members' lives & in their communities by improving their health & well-being. 8 6 0 0 0 3500000 3500000 0 0 3916 32442 0 0 3503916 3532442 3799170 4281617 0 0 0 0 0 0 0 244390 367140 4043560 4648757 -539644 -1116315 2454689 1633400 736110 1031136 1718579 602264 X THE CARESOURCE FOUNDATION IS ORGANIZED AND OPERATED EXCLUSIVELY TO FURTHER THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATION, CARESOURCE OHIO INC. ("CSOH"), AND ITS RELATED ENTITIES. (Continued on Schedule O) false false 4281617 4281617 0 The CareSource Foundation furthers the charitable purposes of CareSource Ohio Inc. by providing advanced, innovative solutions and addressing health care needs of the underserved through grants, outreach, medical expertise, strategic community partnerships, and volunteerism. The CareSource Foundation funds community grants to nonprofit organizations that impact children, adults, and families in areas that improve health equity, health outcomes and health literacy. (Continued on Schedule O) 4281617 true true false false false false false false false false false false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 8 6 false false false false true true false true true false false true true true true true true false false false OH X JANET FERNANDES 9372243300 PO BOX 8738 Dayton OH 454018738 Erhardt Preitauer President & CEO, Trustee 1.0 59.0 X X 0 3656889 4253649 Jai Pillai Chief Operating Officer 1.0 59.0 X 0 1235514 871311 Lawrence Smart Chief Financial Officer 1.0 59.0 X 0 1072888 998867 Scott Markovich EVP Markets, Trustee 1.0 59.0 X 0 966866 950975 Daniel McCabe CAO, Trustee (To 4/22) 25.0 35.0 X X 0 1505969 14895 David Finkel Former EVP Markets, Trustee 0.0 0.0 X 0 194579 0 Ronita Hawes-Saunders Chair, Trustee 1.0 0.0 X 0 4000 0 Kenneth Herr Vice Chair, Trustee 1.0 0.0 X 0 4000 0 James Gross Secretary/Treasurer, Trustee 1.0 0.0 X 0 4000 0 Ellen Leffak Trustee 1.0 0.0 X 0 4000 0 J Thomas Maultsby Trustee 1.0 0.0 X 0 4000 0 William F Marsteller Trustee (Emeritus) 1.0 0.0 X 0 4000 0 0 8656705 7089697 0 true true false 0 3500000 3500000 0 32442 32442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3532442 32442 4281617 4281617 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194038 0 194038 0 22 0 22 0 0 0 0 MGMT FEE CARESOURCE 165180 0 165180 0 MEMBERSHIP DUES 7500 0 7500 0 FILING FEES 400 0 400 4648757 4281617 367140 0 0 0 2454689 1633400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2454689 1633400 0 0 723610 1017371 0 0 0 0 0 0 0 0 0 0 0 0 12500 13765 736110 1031136 X 1718579 602264 0 0 1718579 602264 2454689 1633400 -1116315 X false true X true false X X X 1 CARESOURCE OHIO INC 311143265 10 true 2148627 0 1 2148627 0 false false false false false true false false false false false false false false false true false Form 990, Schedule A, Part IV, Section A, Question 1 The CareSource Foundation makes contributions to other Internal Revenue Code Section 501(c)(3) organizations in furtherance of the exempt charitable purposes of CareSource Ohio, Inc., The CareSource Foundation's supported organization. The CareSource Foundation also makes contributions in furtherance of the exempt charitable purposes of the other Internal Revenue Code Section 501(c)(3) organizations within the CareSource Family of Companies, which are related organizations and share the exempt purposes of CareSource Ohio, Inc. Form 990, Schedule A, Part IV, Section A, Question 6 The CareSource Foundation makes contributions to other Internal Revenue Code Section 501(c)(3) organizations. Grantee organizations are listed on Form 990, Schedule I, Part II. Such grants and contributions are made by The CareSource Foundation in furtherance of the exempt charitable purposes of CareSource Ohio, Inc., The CareSource Foundation's supported organization. Although CareSource Ohio, Inc. is the only supported organization specifically named in The CareSource Foundation's articles of incorporation, the contributions of The CareSource Foundation further the exempt purposes of all the entities within The CareSource Family of Companies. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 RELATED PARTY PAYABLE 13765 13765 X FIN 48 (ASC 740) Footnote As outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of The CareSource Foundation: The Company annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. Currently, tax years 2019-2021 are open for audit by the Internal Revenue Service. true NURSE-FAMILY PARTNERSHIP 1900 N GRANT ST STE 400 DENVER CO 80203 200234163 501(C)(3) 332940 CULTURAL CONSCIOUSNESS PATHWAY Ronald McDonald House Charities Dayton 555 Valley St Dayton OH 45404 310964793 501(C)(3) 255000 2022 Doors of Compassion Dinner & RMHC Keeping More Families Close Capital Campaign Merchants Affordable House Corp 410 Monon Blvd Unit 350 Carmel IN 460322345 311013632 501(C)(3) 250000 Healthy Beginnings at Home Replication, Indiana Overdose Lifeline Inc 7331 Lakeside Dr Indianapolis IN 462781618 471333720 501(C)(3) 192425 Additional Funding for Overdose Emergency Response Program due to extended efforts of program & Overdose Emergency Response Program for IN Schools and School Nurses EVSC Foundation 951 Walnut St Evansville IN 47713 262863843 501(C)(3) 162000 GAIN: GROWTH IN ACADEMICS THROUGH INNOVATION AND NEUROEDUCATION Girl Scouts of Western Ohio 4930 Cornell Rd Blue Ash OH 452421804 310679091 501(C)(3) 150000 Empower Her: The Campaign to Transform our Camps and our Girls Ball State University Foundation 2800 W Bethel Ave Muncie IN 473042619 356024566 501(C)(3) 100000 Healthy Lives for Indiana Youth: A Peer-Led Health Promotion Program to Reduce Obesity and Promote Overall Health among Adolescents East End Community Services 624 Xenia Ave Dayton OH 454101826 311508554 501(C)(3) 100000 WestCare Ohio/East End Community Service Facility Expansion Project YMCA of Greater Dayton 118 W Frist Street STE 300 Dayton OH 454021111 310537517 501(C)(3) 100000 Northwest Health & Wellness Center The Dayton Foundation 1401 S Main St Suite 100 Dayton OH 45409 316027287 501(C)(3) 95000 Northwest Dayton Partners Proximate Grantmaking Healthier Moms & Babies Inc 1025 W Rudisill Blvd Fort Wayne IN 46807 834507606 501(C)(3) 95000 Mobile Outreach Unit Victoria Theatre Association 138 North Main Street Dayton OH 45402 310897638 501(C)(3) 90000 The Dayton Live Discovery Series and Sensory Friendly Programming University of Indianapolis 1400 E Hanna Avenue Indianapolis IN 462273630 350868107 501(C)(3) 82000 MICI-AHEC Health Programs Expansion Good Neighbor House 627 E First Street Dayton OH 454021367 311374154 501(C)(3) 75000 Growing to Meet the Challenge Capital Campaign Friends of Levitt Pavilion 2312 Far Hills Ave Suite 194 Dayton OH 45419 810743640 501(C)(3) 72000 2022 Levitt Pavillion Sponsorship United Way of Greater Dayton 33 West First Street STE 500 Dayton OH 45402 310536658 501(C)(3) 65000 Big Thanks Sponsorship & 2022 Annual Corporate Gift Benjamin Rose Institute on Aging 11890 Farhill Rd Cleveland OH 441201053 340714482 501(C)(3) 63000 WeCare...Because You Do Harris County School District 132 Barnes Mill Road Midland GA 318203452 586000260 Harris Cnty 60000 Harris County School District Telehealth Initiative Healthy Mothers Healthy Babies Coalition of GA Inc 2300 Henderson Mill Rd NE Atlanta GA 303452745 581440585 501(c)(3) 53025 DOULA MEDICAID REIMBURSEMENT GEORGIA PILOT Advocates for Bartows Children Inc PO Box 446 Cartersville GA 30120 581505825 501(C)(3) 50000 Together For Families Chris 180 1030 Fayetteville Rd SE Atlanta GA 30316 581430183 501(C)(3) 50000 Adoption and Wraparound Services to Support Permanent Placement and Ensure Stability Families First Inc 80 Joseph E Lowery Boulevard NW Atlanta GA 30314 581054331 501(C)(3) 50000 Functional Family Therapy (FFT) Site Certification Georgia Advocacy Office Inc 1 W Court Sq STE 625 Decatur GA 300302539 581299961 501(C)(3) 50000 Youth DECIDE ProKids 2605 Burnet Ave Cincinnati OH 452192502 311020021 501(C)(3) 50000 Building Blocks Reaching Our Sisters Everywhere Inc 3614 Columbia Parkway Decatur GA 300344314 452803568 501(C)(3) 50000 Community Men Engagement in the perinatal period Rescuing Hope Inc 1750 Powder Springs Road STE 190 Box 112 Marietta GA 30064 473356764 501(C)(3) 50000 Rescuing Hope Empowerment Samaritan Counseling Center of Southeast Texas 7980 Anchor Dr Bldg 500 Port Arthur TX 77642 760068922 501(C)(3) 50000 The Wellness Program The Center for Black Womens Wellness Cbww Inc 477 Windsor St SW Rm 309 Atlanta GA 30312 582212203 501(C)(3) 50000 H.E.A.R.T. for Georgia (Health Education Advocacy Resources Training) Family Health Advocacy System University of Dayton 300 College Park Ave Dayton OH 454691665 310536715 501(C)(3) 50000 Health Equity Activation Think Tank (HEATT) Veterans Affairs History Center Foundation 40 N Main St STE 500 Dayton OH 454231038 832031141 501(C)(3) 50000 Veterans Administration History Center West Virginia University Foundation Inc One Waterfront Place 7th Floor PO Box 1650 Morgantown WV 26507 556017181 501(C)(3) 50000 WVU Medicine Children's Child Life Program Atlanta HBCU Alumni Alliance PO Box 880 Atlanta GA 303010880 593817259 501(C)(3) 50000 HBCU Run/Walk & Health Awareness Fair Norton Children's Hospital Foundation 4965 US Hwy 42 STE 1000 Louisville KY 40222 616027530 501(C)(3) 45000 Norton Children's Prescriptive Food Pantry Expansion in Clarksville and Jeffersonville, Indiana Tri-County EMC Foundation Inc 310 W Clinton Street Gray GA 310325358 582615095 501(C)(3) 40000 Jones County Digital Equity Initiative for K-12 Students Georgia Health Family Alliance 3760 Lavista Rd STE 100 Tucker GA 30084 586212478 501(C)(3) 37500 TAR WARS 2022-2023 PREVENTION PROGRAM SOUTHEAST STRIKE FORCE Urban League of Greater Southwestern Ohio 907 West Fifth Street Dayton OH 45402 310565428 501(C)(3) 35000 EMERGE: Educate, Motivate, Elevate, Relate, Gain, & Entertain Hope Center for Crisis Pregnancy 3740 Laurel Ave Beaumont TX 77707 760548301 501(C)(3) 30000 Changing Lives Through Hope Prevent Child Abuse America 33 N Dearborn St STE 2300 Chicago IL 60602 237235671 501(C)(3) 30000 Healthy Families America Pregnant and Parenting Teen Planning Grant Think Tank Inc 20 S Limestone St Suite 330 Springfield OH 455021232 203742833 501(C)(3) 30000 Beyond COPE (Cost of Poverty Experience): Overcoming Roadblocks to Lasting Change Dayton Contemporary Dance Company 840 Germantown Street Dayton OH 45402 237220259 501(C)(3) 28750 Support development of the expanded program to be launched in early 2023. Funds will be used to: 1) create enhanced activities for aerobic movement, nutrition, yoga, cognitive stimulation, skill development, and interpersonal skills; 2) create short dance performances for offerings that match school curriculum or a specific need (e.g., mental acuity, stress release, etc.); and 3) expand programming with a robust emphasis on mental and spiritual considerations, especially post-COVID & Soulstice Annual Fundraiser Boonshoft Museum of Discovery 2600 Deweese Parkway Dayton OH 45414 310585917 501(C)(3) 26500 Boonshoft Ecobash American Red Cross - Miami Valley Chapter 370 W First Street Dayton OH 45402 530196605 501(C)(3) 25000 Kentucky Flood Relief Program Omega Community Development Corporation 1800 Harvard Blvd Dayton OH 45406 311561713 501(C)(3) 25000 Hope Rising Gala ARCHI co Georgia State University Research Founda 58 Edgewood Ave 3rd Floor Atlanta GA 30303 581845423 501(C)(3) 25000 Community Resource Hubs for Health Equity Dayton Metro Library 215 E 3rd Street Dayton OH 454022103 316000100 Dayton Metro Li 25000 Paul Laurence Dunbar Statue Disability Action Center of Georgia 1901 Montreal Road Suite 102 Tucker GA 30084 582400240 501(C)(3) 25000 disABILITY LINK's Locating Employment Avenues through Peer Support: Pathways to Success Georgia Food Bank Association Inc 3400 N Desert Drive East Point GA 30344 582374577 501(C)(3) 25000 Increasing Access to Health Food - Farm to Food Bank Sewn Arts PO Box 5529 Atlanta GA 311070529 851549406 501(C)(3) 25000 The Art Pharmacy Sowega Council on Aging Inc PO Box 88 Albany GA 31702 580965104 501(C)(3) 25000 Senior Wellness Programming Together for Hope 8 Nathchez CV Clinton MS 390569629 870835491 501(C)(3) 25000 Together for Hope Black Belt Agape for Youth 2300 Edwin C Moses Blvd Dayton OH 454174699 311265401 501(C)(3) 22000 Bridging Hope and Futures The Gala of Hope Foundation 3500 Pentagon Blvd STE 500 Beavercreek OH 45431 464277044 501(C)(3) 20000 2022 Gala of Hope Atlanta Volunteer Lawyers Foundation Inc 235 Peachtree St N Tower Suite 1750 Atlanta GA 30303 581364400 501(C)(3) 20000 Standing with our Neighbors (SWON) Children First Inc 693 N Pope St Athens GA 306012331 582100852 501(C)(3) 20000 SafeCare Home Visiting Coastal Georgia Area Community Action Authority One Community Action Dr Brunswick GA 315203789 580973468 501(C)(3) 20000 Homeless Prevention/Rapid Rehousing Communities in Schools of Houston 1111 North Loop West Suite 300 Houston TX 77008 760031827 501(C)(3) 20000 Communities In Schools Mental Health Support for Students Indiana Youth Group Inc 3733 N Meridian Street Indianapolis IN 462084362 351760451 501(C)(3) 20000 Indiana Youth Group LGBTQ+ Competency Curriculum for Medical Providers March of Dimes 12620 FM 1960 W STE A-4 309 Houston TX 77065 131846366 501(C)(3) 20000 Enhancing Doula Workforce Capacity My Connect Community 6700 Bellaire Boulevard Houston TX 77074 811424233 501(C)(3) 20000 Together, We Thrive Boys & Girls Club of Dayton Inc 1828 West Stewart St Dayton OH 45417 310536657 501(C)(3) 20000 Spark Event Sponsorship Wright State University Foundation 3640 Colonel Glenn Highway Dayton OH 454350001 237019799 501(C)(3) 20000 HAPI, Neuro, & Cardio Labs YWCA Dayton 141 W Third Street Dayton OH 45402 310537168 501(C)(3) 17500 2023 Women of Influence & Voices Against Violence Sponsorships TeamSmile Inc 2021 Burlington St N Kansas City MO 641163409 753250075 501(C)(3) 16000 TeamSmile hosts a one day program where 300 selected children will receive free professional oral health care services and evaluations. SOCHE Strategic Ohio Council for Higher Education 2750-B Indian Ripple Road 225 Beavercreek OH 45440 237109141 501(C)(3) 15000 Experiential STEM Outreach Mural Project & TEDxDayton Sponsorship Beech Acres dba Beech Acres Parenting Center 615 Elsinore Place Suite 500 Cincinnati OH 45202 310536663 501(C)(3) 15000 Parent Connext program and expansion into Clermont County, 2022-2023 Indiana Philanthropy Alliance 32 E Washington St Suite 1100 Indianapolis IN 46204 351868240 501(C)(3) 14500 2022 Health Funders Collaborative & Philanthropy Leads Dinner Philanthropy Ohio 500 South Front Street Suite 900 Columbus OH 43215 311111842 501(C)(3) 14000 Annual Conference Sponsorhip, Health Initiative Support & Nonprofit Summer Learning Series Sponsorship Clothes That Work 1133 S Edwin C Moses Blvd Suite 392 Dayton OH 45417 311575093 501(C)(3) 10000 Fashioning Futures Luncheon & Workforce Development Initiative Grantmakers in Health 1100 Connecticut Ave NW STE 1100 Washington DC 200364107 133206571 501(C)(3) 10000 Annual Conference Dayton Children's Hospital Foundation One Childrens Plaza Dayton OH 45404 311045247 501(C)(3) 10000 Cha|Cha 2022 Sponsorship The Villages of Indiana 2405 N Snith Pike Bloomington IN 47404 351708240 501(C)(3) 10000 2022 Child Abuse Prevention Month Kick-off Sponsorship & 2022 Prevent Child Abuse Indiana Training The Big Hoopla 40 N Main St 1900 Kettering Tower Dayton OH 45423 454231032 501(C)(3) 10000 Military Appreciation Night at the Fraze Pavilion Heritage Ohio Inc 800 East 17th Avenue Columbus OH 43211 341845898 501(C)(3) 10000 2023 Annual Conference Sponsorship Care Beyond the Boulevard Inc PO Box 860580 Shawnee KS 66286 831122028 501(C)(3) 10000 Care Beyond the Boulevard will utilize these funds for general operating expenses. Dove Recovery House for Women 3551 N Meridian Street Suite 110 Indianapolis IN 46208 352120680 501(C)(3) 10000 Increasing Equitable Access to Substance Use Disorder ("SUD") Treatment and Recovery Kansas Children's Service League 1365 N Custer St Wichita KS 672036634 480543749 501(C)(3) 10000 Stronger Families Start Here Keep Indianapolis Beautiful 1029 Fletcher Ave Indianapolis IN 462031042 311005792 501(C)(3) 10000 Pilot Test of Lead Reduction through Keep Indianapolis Beautiful GreenSpace Implementation Kids In New Directions Inc 2338 East Fifth Street Dayton OH 45403 853496804 501(C)(3) 10000 FANS Accelerator LifeCare Alliance 1699 W Mound Street Columbus OH 432231809 314379494 501(C)(3) 10000 Diabetes Dayton - Food as Medicine Education Classes Lydia's House Inc PO Box 128808 Cincinnati OH 452123026 800832277 501(C)(3) 10000 Maternal Health for Single Mothers and Infants experiencing homelessness Miami County Dental Clinic 70 Troy Town Dr Troy OH 453732328 204901192 501(C)(3) 10000 Traveling Smiles Prevent Blindness Ohio 1500 W Third Ave Suite 200 Columbus OH 43212 363667121 501(C)(3) 10000 Vision Care Outreach TMP Enterprise dba Joy's House 2028 East Broad Ripple Avenue Indianapolis IN 46220 352083290 501(C)(3) 10000 End-of-Life Doula Program Welcome Home Sis 10485 Washington Street Byesville OH 43723 842726100 501(C)(3) 10000 Get Fresh Garden & Safe House Expansion Youth Core Ministries 211 E Garfield Greensburg KS 67054 821252813 501(C)(3) 10000 Core Community SER-Jobs For Progress of the Texas Gulf Coast Inc 1710 Telephone Rd Houston TX 77073 741590387 501(C)(3) 8500 SERJobs-Where Opportunity Works! & Champions of Hope Luncheon Autism Society of Greater Akron 580 Grant Street Akron OH 44311 471129984 501(C)(3) 7999 Autism Society of Greater Akron Inclusive Recreation Project Air Force Museum Foundation Inc PO Box 1903 1100 Spaatz Street Wright Patterson AFB OH 45433 310668800 501(C)(3) 7500 Sponsorhip of Plane Talk Series at the National Museum of the U.S. Air Force Boys Hope Girls Hope 2400 Reading Road Suite 139 Cincinnati OH 45202 311054816 501(C)(3) 7500 Scholar and Collegian Academic Success Program Calumet Center for Healing and Attachment Inc 508 Greenville Street LaGrange GA 30240 352572597 501(C)(3) 7000 Trauma-Responsive Counseling 89 1 Form 990, Schedule I, Part I, Question 2 Grant Review The CareSource Foundation provides numerous grants furthering the charitable purposes of its supported organization, CareSource Ohio, Inc., and its related entities. The CareSource Foundation funds responsive grants to nonprofit organizations that impact children, adults, and families in areas that mirror the social determinants of health. Those areas include the following: economic stability; safety and healthy homes and neighborhoods; job skills and employment; access to healthcare, including physical, mental and behavioral health; early childhood education and child development; healthy behaviors and lifestyle concerns; public policy surrounding critical need health issues; and strategic public/private partnerships designed to increase health communities. The CareSource Foundation also funds signature grants with numerous regional, state and/or national partners. Proposing organizations must be Internal Revenue Code Section 501(c)(3) qualified nonprofit organizations, Community Health Agencies, or government agencies that further the charitable purposes of its supported organization, CareSource Ohio, Inc., and its related entities. All funded grantees are requested to provide a formal report with information on how the funds were utilized and the success of their program. true true false false false false false false false Erhardt Preitauer President & CEO, Trustee 0 1271556 0 1935465 0 449868 0 4232490 0 21159 0 7910538 0 1935465 Jai Pillai Chief Operating Officer 0 623475 0 478850 0 133189 0 856649 0 14662 0 2106825 0 478850 Lawrence Smart Chief Financial Officer 0 535956 0 424371 0 112561 0 975380 0 23487 0 2071755 0 424371 Scott Markovich EVP Markets, Trustee 0 505787 0 354760 0 106319 0 911682 0 39293 0 1917841 0 354760 Daniel McCabe CAO, Trustee (To 4/22) 0 120152 0 1044619 0 341198 0 7379 0 7516 0 1520864 0 710581 David Finkel Former EVP Markets, Trustee 0 0 0 0 0 194579 0 0 0 0 0 194579 0 0 Form 990, Schedule J, Part I, Question 3 The process the Organization goes through to establish the reasonable executive compensation is the same for all the CareSource Family of companies. The organization utilizes a compensation committee, independent compensation consultant, CEO written employment contract, compensation survey or study, review of Form 990 of other organizations, and approval by the board or compensation committee comprised solely of independent directors. CareSource Management Services LLC ("CSMS"), a related organization, has in place Claw back provisions within its executive compensation plans that generally require executives to pay back compensation to CSMS in the event a subsequent legal, accounting, regulatory or compliance issue is discovered over which the executive had direct responsibility and control during the executive's employment. Form 990, Schedule J, Part I, Line 4a David Finkel and Daniel McCabe received severance payments that are properly reported on Schedule J, Part II, Column B(iii). Form 990, Schedule J, Part I, Question 4b The following listed persons listed on Form 990, Part VII, Section A, participate in a supplemental nonqualified retirement plan of CSMS: Erhardt Preitauer, Jai Pillai, Lawrence Smart, and Scott Markovich. Amounts are accrued monthly for plan participants. The plans provide 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 plans provide for normal terms and conditions contained in a standard nonqualified retirement plan. The following listed persons listed on Form 990, Part VII, Section A, participate in a long-term incentive plan of CSMS: Erhardt Preitauer, Jai Pillai, Lawrence Smart, and Scott Markovich. The plan provides compensation to the participants based on annual and long-term goals. The long-term incentive plan will pay out if these goals, or a subset of these goals, are achieved over a three-year period. If a participant leaves their employment prior to this three-year performance period, they forfeit any amounts accrued under this plan. Employees must be employed on the date which the long-term incentive plan is paid, which in no event is later than March 15th. Exceptions to this general statement include death, disability, or a qualified retirement, which may result in prorated payment. Amounts paid or accrued in 2022 for both deferred compensation arrangements include the following: Erhardt Preitauer $2,272,354, Jai Pillai $375,388, Lawrence Smart $554,835, and Scott Markovich $517,955. Form 990, Schedule J, Part I, Question 6b The following persons listed on Form 990, Part VII, Section A, Line 1a are or were employees of CSMS: Erhardt Preitauer, Jai Pillai, Lawrence Smart, Scott Markovich, and Daniel McCabe. All of these listed persons are or were eligible for a performance bonus as part of their compensation packages. The amount of this Annual Incentive Plan ("AIP") bonus is based on the degree of achievement of the Companies' goals and the Individual's goals, which is ultimately documented in the year end performance management process. The performance management process documents the company goals and individual goals, the corresponding potential performance bonus, and the progress/outcomes. The performance bonus is based on the employee's calendar year regular earnings. Form 990, Schedule J, Part II All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CSMS. Compensation paid to the CEO is pursuant to the terms of a written employment agreement between Mr. Preitauer and CSMS. Form 990, Part III, Question 1 (Continued) THE CARESOURCE FOUNDATION FURTHERS THE CHARITABLE PURPOSES OF CSOH AND ITS RELATED ENTITIES BY IMPROVING OVERALL COMMUNITY HEALTH AND ADDRESSING HEALTH-RELATED ISSUES IN THE COUNTIES IN WHICH THE CARESOURCE FAMILY OF COMPANIES OPERATES. THE CARESOURCE FOUNDATION IMPROVES THE LIVES OF THE UNDERSERVED BY PROVIDING GRANTS TO NON-PROFIT ORGANIZATIONS THAT CAN SIGNIFICANTLY IMPACT INDIVIDUALS AND FAMILIES THROUGH A BROAD ARRAY OF HEALTH AND HUMAN SERVICES AND PROGRAMS. THIS CHARITABLE ASSISTANCE TARGETS THE NEEDIEST POPULATIONS AND PROVIDES INNOVATIVE SOLUTIONS TO CRITICAL HEALTH CARE NEEDS AND CREATES MEANINGFUL COLLABORATION. THE CARESOURCE FOUNDATION'S MISSION IS TO INVEST IN INITIATIVES AND ORGANIZATIONS THAT MAKE A LASTING DIFFERENCE IN OUR MEMBERS' LIVES AND COMMUNITIES BY IMPROVING THEIR HEALTH AND WELL-BEING. Form 990, Part III, Question 4a (Continued) Specifically, the CareSource Foundation targets the following: (i) Supporting health education and promoting healthy habits, (ii) improving maternal, infant and child health, ensuring families have safe, stable, and healthy homes and neighborhoods and (iii) strengthening the capacity of a diverse health and 21st century workforce. In 2022, The CareSource Foundation provided grants to 102 nonprofit organizations across 7 states totaling $4.2M. Since 2006, the CareSource Foundation has awarded more than $28.5M in charitable assistance to strengthen the network of health and human service nonprofit organizations throughout the states CareSource does business. The CareSource Foundation provides funding to nonprofits who are working to eliminate poverty, providing much-needed services to low-and moderate-income families, building healthier communities, and developing innovative approaches to address critical issues of children, adults, and families. The CareSource Foundation is a leader in cultivating partnerships that enhance and improve the health care and life services for consumers. All the grants have been selected through a rigorous review process that evaluates innovation, impact, and sustainability. Over the last decade, the Organization has seen great challenges in the areas of well-being and health care. What is most exciting, however, is the impact The CareSource Foundation has had as the result of partnerships with some of the most impressive nonprofits in the country. The CareSource Foundation signature grants are focused on innovative, high-impact approaches to solving critical social issues. The CareSource Foundation awarded a total of more than $1.3M in signature grants to the following organizations in 2022: 1) Nurse Family Partnership National Office - $529,034 (Granted over Three Years) (Denver, CO) Cultural Consciousness Pathway: Develop, pilot, implement and evaluate a cultural consciousness pathway for nurses in our national network of local partners. 2) Ronald McDonald House Charities of Dayton - $500,000 (Granted over Three Years) (Dayton, OH) RMHC Keeping More Families Close Capital Campaign: Constructing a new 50,000 sq. ft. building consisting of two finished floors and a shelled third floor which will accommodate future growth. 3) Phoebe Foundation Inc. - $256,226 (Granted over Three Years) (Albany, GA) Nurse Family Partnership Expansion: Establish a Nurse Family Partnership Affiliate in Dougherty County in partnership with the Phoebe-Putney Health System. 4) Indiana University - $250,000 (Granted over Three Years) (Bloomington, IN) Healthy Beginnings at Home Replication: 24 months of rental assistance, housing navigation, and housing case management to pregnant women in Marion County, Indiana. 5) OneFifteen Recovery - $220,000 (Granted over Two Years) (Dayton, OH) Tech-Enabled Care for Rural Ohio: Build and establish a Rural TeleHub Program that will connect rural patients to SUD clinicians virtually and deliver virtual addiction medicinal care. 6) Overdose Lifeline, Inc. - $178,425 (Granted over Three Years) (Indianapolis, IN) Overdose Emergency Response Program for Indiana Schools and School Nurses: Provides partners to schools for naloxone and naloxboxes, training staff, and youth opioid/substance prevention education. 7) Girl Scouts of Western Ohio - $150,000 (Blue Ash, OH) Empower Her: The Campaign to Transform our Camps and our Girls: Modernizing and diversifying the capital and outdoor curriculum for girls attending any of the four local camps. 8) Ohio State University Foundation - $125,000 (Granted over Two Years) (Dayton, OH) Moms2B and Dads2B: Weekly, neighborhood-based group program helps to connect women to medical care, and to learn skills that improve pregnancy and birth outcomes. 9) Ball State University Foundation - $100,000 (Granted over Two years) (Muncie, IN) Healthy Lives for Indiana Youth: A peer-led health promotion program to reduce obesity and promote overall health among adolescents residing in low-income communities in Muncie, IN. 10) EVSC Foundation Inc. - $296,900 (Granted over Two Years) (Evansville, IN) GAIN: Growth in Academics through Innovation and Neuroeducation: Promotes healthy behaviors, implements Mind-Body Medicine and improves mental health for educators and students K-8 over the next three years. 11) American Heart Association, Inc. - $375,000 (Granted over Three Years) (Montgomery Co., OH) Historically Black Colleges & Universities ("HBCU") Scholars: Implement American Heart Association's HBCU Scholars program in Ohio to help underrepresented students attain professional degrees in biomedical and health careers. 12) YMCA of Greater Dayton - $100,000 (Dayton, OH) Northwest Health & Wellness Center: Building of a new facility to improve the access to better health and wellness programming in the blighted area of Northwest Dayton. 13) East End Community Services - $100,000 (Dayton, OH) West Care Ohio/East End Community Service Facility Expansion Project: Capital grant for a new facility which will have enough space to add a Dayton/Montgomery County Public Health women, infants and children ("WIC") clinic, health outreach service and a new workforce training center through Sinclair Community College. Form 990, Part VI, Section A, Question 6 CareSource is the member of The CareSource Foundation. CareSource is recognized as exempt from federal income taxation under Internal Revenue Code ("IRC") Section 501(c)(3). Form 990, Part VI, Section A, Question 7 CareSource, the member of The CareSource Foundation, has the authority to appoint The CareSource Foundation's board. Form 990, Part VI, Section B, Question 11B The Form 990 was provided to the following individuals for review prior to the time of filing: The organization's Audit Committee and each voting member of the governing body; the CEO, CFO, and VP Treasury; the internal Tax Department and an outside CPA firm; and internal general counsel and outside legal counsel. Form 990, Part VI, Section B, Question 12C Annually, each director, principal officer, and member of a committee with board-delegated powers ("interested person") shall confirm that they have received a copy of the CareSource Conflicts of Interest policy and have read, understood, and agree to comply with the policy. Interested Persons have an obligation to immediately report any Conflicts of Interest (including any relationships, positions, or circumstances that could contribute to a Conflict of Interest). All relevant information reported through the Conflict of Interest Policy will be sent to the Chairman of the Board for review. If the Interested Person with the Conflict of Interest is the Chairman of the Board, then the required disclosure must be provided to the Chief Legal Officer of CareSource. If it is not entirely clear whether a Conflict of Interest exists, then the person with the potential conflict must disclose the circumstances to CareSource's Chief Legal Officer. The Chief Legal Officer will consult with the Corporation's Corporate Compliance Officer or the Chairman of the Board to determine whether there exists a Conflict of Interest that is subject to this policy. Before Board action or other action by the organization on a Transaction that involves a Conflict of Interest, an Interested Person who knows he or she has a Conflict of Interest must have disclosed to the Board all facts material to the Conflict of Interest. The Chairman of the Board may postpone Board or other corporate action on a Transaction until the Interested Person provides written information relating to the Conflict of Interest. An Interested Person who knows he or she has a Conflict of Interest must not participate in the Board's discussion of the Transaction except to disclose material facts and respond to questions. The Interested Person must not attempt to influence the Board's action on the Transaction, either at or outside the meeting. Prior to voting, the Board must be given an opportunity to discuss the Transaction without the person who has the Conflict of Interest being present. A Transaction involving a Conflict of Interest may be approved by the Board if the material facts as to the Transaction and the Conflict of Interest are fully disclosed or known to the Board and the Board in good faith determines after reasonable investigation that (a) the Board is aware of all material facts concerning the Transaction and the Interested person's interest in the Transaction; (b) the organization is entering into the Transaction for its own benefit; (c) the Transaction is fair and reasonable as to the organization; and (d) the organization could not have obtained a more advantageous arrangement with reasonable effort under the circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken. Form 990, Part VI, Section C, Question 17 A copy of Form 990 is not required to be filed with the state of Ohio. The CareSource Foundation does, however, file the Ohio Annual Report with the Ohio Attorney General. Therefore, Ohio is listed on Form 990, Part VI, Section C, Question 17. Form 990, Part VI, Section C, Question 19 The company's Form 1023 is available for public inspection upon request, and Form 990 is available for public inspection upon request in accordance with IRC Section 6104(d). The company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. The Company does not make its audited financial statements available to the public. The company's articles of incorporation are available on the Ohio Secretary of State's website at www.sos.state.oh.us. CareSource Ohio Inc PO Box 8738 Dayton OH 45401 311143265 HIC Ins Plan OH 501(c)(3) 509(a)(2) CareSource false CareSource PO Box 8738 Dayton OH 45401 311703368 Supporting OH 501(C)(3) 509(A)(3)II NA false CareSource Indiana Inc PO Box 8738 Dayton OH 45401 320121856 HMO Ins Plan IN 501(c)(3) 509(A)(2) CareSource false CareSource Georgia Co PO Box 8738 Dayton OH 45401 472408339 HMO Ins Plan GA 501(c)(3) 509(A)(2) CareSource false CareSource West Virginia Co PO Box 8738 Dayton OH 45401 473028244 HMO Ins Plan WV 501(c)(3) 509(A)(2) CareSource false CareSource Kentucky Co PO Box 8738 Dayton OH 45401 464991603 HMO Ins Plan KY 501(c)(3) 509(A)(2) CareSource false CareSource Life Services Co PO Box 8738 Dayton OH 45401 811602217 No Activity OH 501(c)(3) 509(A)(2) CareSource false CSMS HOLDING LLC (To 122822) PO BOX 8738 DAYTON OH 454018738 851588557 HOLDING CO DE NA N/A CareSource Diversity & Social Impact Inv 50 East 91st Street Suite 213 Indianapolis IN 46240 871811106 Investing IN NA N/A CareSource Iowa Opportunity Investment 415 12th Ave SE Cedar Rapids ID 52401 883585337 Investing IA NA N/A CareSource Virginia Co PO Box 8738 Dayton OH 454018738 811727271 No Activity VA NA C Corp CareSource Arkansas Health Plan Co PO Box 8738 Dayton OH 454018738 844476729 COA Insurance AR NA C Corp Kids' CareAlliance Co PO Box 8738 Dayton OH 454018738 854022039 No Activity OH NA C Corp CareSource Oklahoma Health Plan Co PO Box 8738 Dayton OH 454018738 854038326 HMO Ins Plan OK NA C Corp CareSource Kansas LLC PO Box 8738 Dayton OH 454018738 873411276 HMO Ins Plan KS NA C Corp CareSource North Carolina Co PO Box 8738 Dayton OH 454018738 873079479 HMO Ins Plan NC NA C Corp CareSource PASSE LLC PO Box 8738 Dayton OH 454018738 863112470 RBPO Ins Plan AR NA C Corp CareSource Tennessee Co PO Box 8738 Dayton OH 454018738 874254502 COA Insurance TN NA C Corp Columbus Organization Holdings LLC PO Box 8738 Dayton OH 454018738 814132952 Holding Co DE NA C Corp Healthedge-Columbus Holdings LLC PO Box 8738 Dayton OH 454018738 814132842 Holding Co DE NA C Corp Columbus Medical Services Inc PO Box 8738 Dayton OH 454018738 300975112 No Activity MD NA C Corp CareSource Iowa Co (Inc 31822) PO Box 8738 Dayton OH 45401 881429834 HMO Ins Plan IA NA C Corp CareSource Florida Co (Inc 8422) PO Box 8738 Dayton OH 45401 883601120 HMO Ins Plan FL NA C Corp CareSource Bayou Health LLC(Inc 72222) PO Box 8738 Dayton OH 45401 883401520 HMO Ins Plan TX NA C Corp false false true false false false false false false false false false true false true false false false Part III - Related Orgs Taxable as a Partnership - Additional Information 1) Effective 12/28/2022, CareSource Management Services Holding LLC (EIN 85-1588557) changed from a partnership to a single member LLC, whose sole member is another single member LLC, Caresource Holding LLC (EIN 84-4431982). Caresource Holding LLC's sole member is CareSource (EIN 31-1703368). Part IV - Related Organizations Taxable as a Corp - Additional Information 1) CareSource Iowa Co (EIN 88-1429834) was incorporated 03/18/2022. 2) CareSource Florida Co (EIN 88-3601120) was incorporated 08/04/2022. 3) CareSource Bayou Health LLC (EIN 88-3401520) was incorporated 07/22/2022.