TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ERHARDT PREITAUER...................................................................... PRESIDENT & CEO, DIRECTOR	15.0 ................. 45.0	X	X			2,239,483	3,719,592
(2) JAI PILLAI...................................................................... CHIEF OPERATING OFFICER	20.0 ................. 40.0		X			1,037,573	910,643
(3) JAMES VOILAND...................................................................... CHIEF CLINICAL OFFICER	45.0 ................. 15.0			X		863,357	683,330
(4) DAVID FINKEL...................................................................... EXECUTIVE VP, MARKETS	10.0 ................. 50.0			X		736,768	797,538
(5) DEVON VALENCIA...................................................................... CHIEF INFORMATION OFFICER	45.0 ................. 15.0			X		831,276	693,945
(6) DAVID GOLTZ...................................................................... CFO, TREASURER	30.0 ................. 30.0		X			949,833	574,541
(7) DANIEL MCCABE...................................................................... CHIEF ADMINISTRATIVE OFFICER	20.0 ................. 40.0		X			809,693	631,182
(8) CHRISTINA TURNER...................................................................... EVP STRAT & BUS DEV (TO 8/20)	30.0 ................. 30.0			X		1,230,599	36,084
(9) ROBERT LOSIER...................................................................... SVP, IT INFRASTRUCTURE & OPS	45.0 ................. 15.0				X	726,127	536,622
(10) STEPHEN RINGEL...................................................................... PRESIDENT, MARKET	20.0 ................. 40.0				X	684,262	564,544
(11) BOBBY JONES...................................................................... PRESIDENT, MARKET	1.0 ................. 59.0				X	688,292	540,491
(12) RICHARD TOPPING...................................................................... CHIEF LEGAL OFR & SECRETARY	45.0 ................. 15.0			X		363,368	758,947
(13) SCOT WARD...................................................................... SVP, ANALYTICS	45.0 ................. 15.0				X	622,608	417,575
(14) STEVE SMITHERMAN...................................................................... PRESIDENT, MARKET	1.0 ................. 59.0				X	510,600	369,355
(15) KEVIN BROWN...................................................................... CHAIRPERSON/DIRECTOR	15.0 ................. 0.0	X				212,500	0
(16) TERENCE RAPOCH...................................................................... DIRECTOR	5.0 ................. 5.0	X				122,500	0
(17) CRAIG BROWN...................................................................... DIRECTOR	5.0 ................. 5.0	X				120,000	0

(A) Name and business address	(B) Description of services	(C) Compensation
United Healthcare Services Inc, 9900 Bren Road East MN008-T390 MINNETONKA,MN55343	Medical Services	49,122,958
University of Kentucky Hospital, PO Box 3107 LEXINGTON,KY40588	Medical Services	17,395,284
Vaco Cincinnati LLC, 9987 Carver Road Ste 440 BLUE ASH,OH45242	Consulting Services	10,297,794
O'Neil Digital Solutions LLC, 12655 Beatrice St LOS ANGELES,CA90066	Communication Svcs	9,862,283
CVS Caremark, 9501 E Shea Blvd MC 19 SCOTTSDALE,AZ85260	Pharmacy Services	9,764,393
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 313

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

CareSource

Employer identification number

31-1703368

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................6

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) CARESOURCE OHIO INC	311143265	10		No	2,000,000	0
(B) CARESOURCE INDIANA INC	320121856	10		No	10,000,000	0
(C) CARESOURCE KENTUCKY CO	464991603	10		No	10,000,000	0
(D) CARESOURCE GEORGIA CO	472408339	10		No	0	0
(E) CARESOURCE LIFE SERVICES CO	811602217	10		No	0	0
(F) CARESOURCE WEST VIRGINIA CO	473028244	10		No	0	0
Total 6					22,000,000

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Yes

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Yes

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Yes

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Form 990, Schedule A, Part IV, Section A, Question 1	CareSource is a supporting organization to the IRC Section 501(c)(3) organizations classified as public charities that are members of the CareSource Family of Nonprofit organizations ("CS Public Charities"). CareSource does not specifically name the supported organizations in its Articles of Incorporation; instead, the Articles of Incorporation refer to the CS Public Charities as the "CareSource Companies." The Articles of Incorporation state the sole and specific purpose for which CareSource is formed is to act for the benefit of, and to carry out, as a supporting organization, the purposes of the not-for-profit tax exempt organizations which are exempt from taxation under Section 501(c)(3) of the Internal Revenue Code and classified as public charities under Section 509(a)(1) or 509(a)(2) of the IRC. Although not mentioned by name, those organizations include CareSource Ohio, Inc., CareSource Indiana, Inc., CareSource Georgia Co, CareSource Kentucky Co, CareSource Life Services Co, and CareSource West Virginia Co.
Form 990, Schedule A, Part IV, Section A, Question 5a	Effective July 1, 2020 CareSource Management Group Foundation merged into The CareSource Foundation, formerly a subsidiary of CareSource Ohio, Inc. ("CSOH"). Also at that time, CareSource became the sole member of The CareSource Foundation.
Form 990, Schedule A, Part IV, Section A, Question 6	In furtherance of the charitable purposes of the CS Public Charities, which primarily operate to improve the health and overall well-being of low-income populations, CareSource improves the lives of the underserved by providing grants on behalf of the CS Public Charities to other charitable organizations that deliver a broad array of health and human services and programs. The grants are targeted to reach the neediest populations in the communities where the CS Public Charities operate.
Form 990, Schedule A, Part IV, Section C, Question 1	As noted above, CareSource is a supporting organization to the members of the CareSource family of nonprofit entities that are classified as charitable organizations under section 501(c)(3) of the Internal Revenue Code (the "Code") and public charities under section 509(a) of the Code. During 2020, CareSource and each of the CS Public Charities had the same Chief Executive Officer (Erhardt Preitauer), Chief Administrative Officer (Daniel McCabe), Chief Financial Officer (David Goltz), and Chief Operating Officer (Jai Pillai). Further, boards of the CS Public Charities were almost exclusively comprised of CareSource management-level employees who reported to the CareSource board. Thus, CareSource was "supervised or controlled in connection with" the CS Public Charities, its supported organizations, because control and management of CareSource and the CS Public Charities were vested in the same individuals.

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

CareSource

Employer identification number

31-1703368

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization CareSource

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization CareSource		Employer identification number 31-1703368

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization CareSource			Employer identification number 31-1703368
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CareSource

Employer identification number

31-1703368

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

225,000

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

225,000

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Form 990, Schedule C, Part II-B, Line 1b	Staff attended functions and meetings with government officials and legislators to discuss government sponsored health care programs.
Form 990, Schedule C, Part II-B, Line 1g	Lobbyists are retained to provide updates and represent the Organization's interests with federal and state legislators who deal with legislation related to government sponsored health care programs.

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

CareSource

Employer identification number

31-1703368

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	3,512,609		3,512,609
b	Buildings ....	110,945,763	10,826,250	100,119,513
c	Leasehold improvements	9,629,988	5,312,309	4,317,679
d	Equipment ....	179,084,566	149,858,882	29,225,684
e	Other .....	19,165,633	3,674,605	15,491,028
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				152,666,513

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)INVEST CARESOURCE MGMT SVCS	0	C
(2)INVEST CARESOURCE WEST VIRGINI	9,500,000	C
(3)INVEST CARESOURCE OHIO INC	17,200,000	C
(4)INVEST CARESOURCE KENTUCKY CO	13,750,000	C
(5)INVEST CARESOURCE INDIANA INC	19,151,342	C
(6)INVEST CARESOURCE GEORGIA CO	32,000,000	C
(7)INV CARESOURCE MGMT FOUNDATION	0	C
(8)INV THE CARESOURCE FOUNDATION	2,258,423	C
(9)INVEST CARESOURCE ARKANSAS	360,000	C
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	94,219,765

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)CAPITAL LEASE ASSET - NET				4,934,478
(2)SERP PLAN				7,199,242
(3)INTERCOMPANY RECEIVABLES				114,011,104
(4)DEPOSITS				142,871
(5)OTHER TANGIBLE ASSETS				271,714
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				126,559,409

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	0
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
FIN 48 (ASC 740) Footnote	As outlined in CareSource's Audited Consolidated Financial Statements: 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 2017-2019 are open for audit by the Internal Revenue Service.

Schedule D (Form 990) 2020

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
CareSource

Employer identification number
31-1703368

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) CLT HOST 2020 INC 550 S CALDWELL ST CHARLOTTE,NC28202	83-1264583	501(C)(3)	250,000	GENERAL SUPPORT
(2) UNITED WAY OF GREATER DAYTON 33 W FIRST ST STE 500 DAYTON,OH45402	31-0536658	501(C)(3)	65,209	2020 CORPORATE GIFT CAMPAIGN
(3) THINK TANK INC 20 S LIMESTONE ST STE 330 SPRINGFIELD,OH45502	20-3742833	501(C)(3)	50,800	THE COST OF POVERTY EXPERIENCE (COPE)
(4) FOODBANK INC 56 ARMOR PLACE DAYTON,OH45417	86-1082880	501(C)(3)	25,000	MASS FOOD DISTRIBUTION
(5) OHIO GOVERNOR'S IMAGINATION LIBRARY 2037 BEAVER VALLEY RD BEAVERCREEK,OH45434	84-1826095	501(C)(3)	25,000	GENERAL SUPPORT
(6) PHOEBE FOUNDATION INC PO BOX 3770 ALBANY,GA31706	58-1847104	501(C)(3)	25,000	PHOEBE PUTNEY HLTH SYS COVID-19 RELIEF
(7) SISTERS OF CHARITY FOUNDATION OF CLEVELAND 2475 E 22ND ST 4TH FLOOR CLEVELAND,OH45402	34-1832698	501(C)(3)	25,000	INSURING OHIO'S CHILDREN
(8) BAYA CORPORATION 757 E LEWIS AND CLARK PKWY STE 806 CLARKSVILLE,IN47150	81-2853453	501(C)(3)	10,000	GENERAL SUPPORT
(9) CULTURE WORKS PO BOX 706 DAYTON,OH45409	23-7412338	501(C)(3)	10,000	CORPORATE CONTRIBUTION
(10) DOWNTOWN DAYTON PARTNERSHIP 10 W 2ND ST STE 611 DAYTON,OH45402	34-1722175	501(C)(3)	10,000	DAYTON HOLIDAY FESTIVAL
(11) FLYING HORSE FARMS 3 EASTON OVAL STE 330 COLUMBUS,OH43219	20-3499125	501(C)(3)	10,000	GENERAL SUPPORT
(12) OHIO COUNTY & IND AGRICULTURAL SOCIETIES 580 CALUMET LANE DAYTON,OH45417	31-0550829	501(C)(3)	10,000	2020 JR FAIR LIVESTOCK EXPO
(13) SOLOVED PO BOX 228 CLAYTON,OH45315	47-5571701	501(C)(3)	10,000	GENERAL SUPPORT
(14) SOPHIE KERRIGAN FOR THE LOVE OF ANIMALS FDN 2212 E ALEX BELL RD DAYTON,OH45459	46-6616193	501(C)(3)	10,000	GENERAL SUPPORT
(15) THE GALA OF HOPE FOUNDATION INC 3500 PENTAGON BLVD STE 500 BEAVERCREEK,OH45431	46-4277044	501(C)(3)	10,000	GENERAL SUPPORT
(16) UNITED REHABILITATION SVCS OF GREATER DAYTON 4710 OLD TROY PIKE DAYTON,OH45424	31-0592919	501(C)(3)	10,000	GENERAL SUPPORT
(17) URBAN LEAGUE OF GREATER SW OHIO INC 3458 READING RD CINCINNATI,OH45229	31-0565428	501(C)(3)	10,000	ANNUAL CORPORATE CONTRIBUTION
(18) YWCA DAYTON 141 W THIRD STREET DAYTON,OH45402	31-0537168	501(C)(3)	10,000	VOICES AGAINST VIOLENCE & WOMEN OF INFLUENCE
(19) PHILANTHROPY OHIO 500 SOUTH FRONT ST STE 900 COLUMBUS,OH43215	31-1111842	501(C)(3)	8,500	HEALTH INITIATIVE 2020
(20) DAYTON CONTEMPORARY DANCE COMPANY 840 GERMANTOWN ST DAYTON,OH45402	23-7220259	501(C)(3)	7,500	MAHOGONY NIGHTS EVENT
(21) REBUILDING TOGETHER DAYTON 30 S MAIN ST STE B DAYTON,OH45402	31-1457626	501(C)(3)	7,500	NATIONAL REBUILDING DAY

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Contribution Review	The company may provide assistance to other Internal Revenue Code Tax exempt charitable organizations in the form of charitable contributions. These contributions are unrestricted funds available for use by the charitable organization for the purpose the charitable organization deems necessary.

Schedule I (Form 990) 2020

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

CareSource

Employer identification number

31-1703368

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ERHARDT PREITAUER PRESIDENT & CEO, DIRECTOR	(i) (ii)	1,195,469 ------------- 0	1,041,550 ------------- 0	2,464 ------------- 0	3,687,463 ------------- 0	32,129 ------------- 0	5,959,075 ------------- 0	1,041,550 ------------- 0
2JAI PILLAI CHIEF OPERATING OFFICER	(i) (ii)	576,277 ------------- 0	300,000 ------------- 0	161,296 ------------- 0	886,239 ------------- 0	24,404 ------------- 0	1,948,216 ------------- 0	300,000 ------------- 0
3JAMES VOILAND CHIEF CLINICAL OFFICER	(i) (ii)	446,583 ------------- 0	214,285 ------------- 0	202,489 ------------- 0	669,006 ------------- 0	14,324 ------------- 0	1,546,687 ------------- 0	0 ------------- 0
4DAVID FINKEL EXECUTIVE VP, MARKETS	(i) (ii)	510,907 ------------- 0	221,045 ------------- 0	4,816 ------------- 0	776,964 ------------- 0	20,574 ------------- 0	1,534,306 ------------- 0	221,045 ------------- 0
5DEVON VALENCIA CHIEF INFORMATION OFFICER	(i) (ii)	441,337 ------------- 0	286,073 ------------- 0	103,866 ------------- 0	669,006 ------------- 0	24,939 ------------- 0	1,525,221 ------------- 0	0 ------------- 0
6DAVID GOLTZ CFO, TREASURER	(i) (ii)	603,324 ------------- 0	286,058 ------------- 0	60,451 ------------- 0	552,051 ------------- 0	22,490 ------------- 0	1,524,374 ------------- 0	286,058 ------------- 0
7DANIEL MCCABE CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	448,738 ------------- 0	216,350 ------------- 0	144,605 ------------- 0	602,044 ------------- 0	29,138 ------------- 0	1,440,875 ------------- 0	216,350 ------------- 0
8CHRISTINA TURNER EVP STRAT & BUS DEV (TO 8/20)	(i) (ii)	264,386 ------------- 0	776,410 ------------- 0	189,803 ------------- 0	16,314 ------------- 0	19,770 ------------- 0	1,266,683 ------------- 0	210,239 ------------- 0
9ROBERT LOSIER SVP, IT INFRASTRUCTURE & OPS	(i) (ii)	373,735 ------------- 0	216,349 ------------- 0	136,043 ------------- 0	505,632 ------------- 0	30,990 ------------- 0	1,262,749 ------------- 0	0 ------------- 0
10STEPHEN RINGEL PRESIDENT, MARKET	(i) (ii)	412,052 ------------- 0	182,494 ------------- 0	89,716 ------------- 0	525,454 ------------- 0	39,090 ------------- 0	1,248,806 ------------- 0	182,494 ------------- 0
11BOBBY JONES PRESIDENT, MARKET	(i) (ii)	415,611 ------------- 0	177,094 ------------- 0	95,587 ------------- 0	519,453 ------------- 0	21,038 ------------- 0	1,228,783 ------------- 0	177,094 ------------- 0
12RICHARD TOPPING CHIEF LEGAL OFR & SECRETARY	(i) (ii)	363,368 ------------- 0	0 ------------- 0	0 ------------- 0	748,990 ------------- 0	9,957 ------------- 0	1,122,315 ------------- 0	0 ------------- 0
13SCOT WARD SVP, ANALYTICS	(i) (ii)	318,750 ------------- 0	116,550 ------------- 0	187,308 ------------- 0	416,495 ------------- 0	1,080 ------------- 0	1,040,183 ------------- 0	0 ------------- 0
14STEVE SMITHERMAN PRESIDENT, MARKET	(i) (ii)	309,881 ------------- 0	136,192 ------------- 0	64,527 ------------- 0	334,214 ------------- 0	35,141 ------------- 0	879,955 ------------- 0	136,192 ------------- 0
15KEVIN BROWN CHAIRPERSON/DIRECTOR	(i) (ii)	212,500 -------------	-------------	-------------	-------------	-------------	212,500 -------------	-------------

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Form 990, Schedule J, Part I, Question 1a	Ten of the board members listed on Schedule J, Part II were reimbursed for travel to and from board meetings utilizing first/business class travel. The amount reimbursed was not treated as compensation as it was business related.
Form 990, Schedule J, Part I, Question 3	All compensation amounts reported on Schedule J, Part II for all listed persons are paid by CareSource Management Services LLC ("CSMS LLC"), a disregarded entity of the reporting organization. Compensation paid to the CEO is pursuant to the terms of a written employment agreement between Mr. Preitauer and CSMS LLC. CSMS LLC has in place Clawback provisions within its executive compensation plans that generally require executives to pay back compensation to CSMS LLC 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, Question 4A	Christina Turner received a severance payment that is 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 CareSource Management Services LLC ("CSMS LLC"), a disregarded entity of the reporting organization, CareSource: Erhardt Preitauer, Jai Pillai, James Voiland, David Finkel, Devon Valencia, David Goltz, Daniel McCabe, Christina Turner, Robert Losier, Stephen Ringel, Bobby Jones, Richard Topping, Scot Ward and Steve Smitherman. 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 persons listed on Form 990, Part VII, Section A, participate in a long-term incentive plan of CSMS LLC: Erhardt Preitauer, Jai Pillai, James Voiland, David Finkel, Devon Valencia, David Goltz, Daniel McCabe, Robert Losier, Stephen Ringel, Bobby Jones, Richard Topping, Scot Ward, and Steve Smitherman. 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 vesting period, they forfeit any amounts accrued under this plan. Amounts paid or accrued in 2020 for both deferred compensation arrangements include the following: Erhardt Preitauer $1,866,617, Jai Pillai $425,122, James Voiland $328,509, David Finkel $375,369, Devon Valencia $328,509, David Goltz $587,531, Daniel McCabe $359,195, Christina Turner $244,450, Robert Losier $220,601, Stephen Ringel $288,276, Bobby Jones $285,001, Richard Topping $362,500, Scot Ward $183,281, and Steve Smitherman $163,370.
Form 990, Schedule J, Part I, Question 6b	The following listed persons listed on Form on Form 990, Part VII, Section A, line 1a are employees of CSMS LLC: Erhardt Preitauer, Jai Pillai, James Voiland, Devon Valencia, David Finkel, David Goltz, Daniel McCabe, Christina Turner, Robert Losier, Stephen Ringel, Bobby Jones, Richard Topping, Scot Ward, and Steve Smitherman. All are or were eligible for a performance bonus as part of their compensation packages. The performance bonus is contingent on a combination of both company performance and individual performance against goals. 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.

Schedule J (Form 990) 2020

Additional Data

Software ID:
Software Version:

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

CareSource

Employer identification number

31-1703368

Return Reference	Explanation
Form 990, Part VI, Section A, Question 4	Effective July 1, 2020 CareSource Management Group Foundation merged into The CareSource Foundation, formerly a subsidiary of CSOH. CareSource is now the sole member of The CareSource Foundation. During 2020 the Company established CareSource Holdings, LLC ("CSH"), CareSource Arkansas Health Plan ("CSAR"), CareSource Management Services Holding, LLC ("CSMSH"), CareSource Rx Innovations ("CSRX"), CareSource Oklahoma Holding, LLC ("CSOKH"), CareSource Oklahoma Health Plan ("CSOK") and Kids CareAlliance ("KCA") to support business development. In addition, CareSource Management Services Co. is now known as CareSource Management Services, LLC ("CSMS"). CSMS is a single-member limited liability company disregarded for federal income tax purposes. THE AMENDED ARTICLES OF INCORPORATION INCLUDED THE FOLLOWING CHANGES: (1)CHANGED THE NAME OF THE ORGANIZATION TO "CARESOURCE" (2) CHANGED THE BUSINESS LOCATION TO THE "DAYTON AREA" (3) UPDATED THE PURPOSE TO INCLUDE A PROVISION OUTLINING TREATMENT OF NET PROCEEDS FROM A LIQUIDITY EVENT, (4) UPDATED THE SOLE MEMBER TO THE DIRECTORS OF THE CORPORATION (5) REMOVED PROVISION OUTLINING THE BOARD OF TRUSTEES (ADDITIONAL DETAIL PROVIDED IN BYLAWS) (6) ESTABLISHED THE LOCATION AND (3) ABOVE AS PERMANENT PRINCIPLES AND (7) ADDED AN AMENDMENT PROVISION TO ESTABLISH THAT ONLY WITH DIRECTORS APPROVAL CAN THE ARTICLES BE AMENDED.
Form 990, Part VI, Section B, Question 11B	The Form 990 was provided to the organization's Audit committee for their review of the return prior to the time of filing Form 990. The Form 990 was made available to each voting member of the governing body of the organization for their review prior to the time of filing Form 990. The Form 990 was reviewed by the CEO, CFO, VP Treasury, Director Tax, Manager Tax, an outside CPA firm, outside legal counsel, and by general counsel prior to filing Form 990 with the IRS.
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 sign a statement which affirms that such person has reviewed the Statement of Ethical Behavior and Conflict of Interest and Conflicts of Interest Corporate Governance Principles. In connection with any actual or possible conflicts of interest, an interested person must disclose the existence of his or her financial or conflict of interest and must be given the opportunity to disclose all material facts to the directors and members of committees with Board delegated powers considering the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or committee members shall decide if a conflict of interest exists. An interested person may make a presentation at the Board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in the conflict of interest. The conflicted director has no vote on the matter involved with the conflict of interest. At the beginning of each regularly scheduled Board Meeting, the Board Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members are also asked to inform the Board if a Conflict of Interest arises during the course of the Board Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented.
Form 990, Part VI, Section B, Q 15A and 15B; Schedule J, Part I	The Compensation Committee consists of Board Members who are Independent. The Compensation Committee establishes the Company's general compensation philosophy and oversees and approves the development, adoption and implementation of compensation plans and programs for the Company's officers and executives. The Compensation Committee receives a Report of comparability data prepared by an independent compensation consultant surveying data for comparable organizations' reasonable compensation. The comparability data is presented to the independent Board members in a written document in advance of the meeting, and the independent comparability study is presented by the author of the study during the course of the meeting. Additionally, the Minutes of each meeting are prepared, distributed, and approved at the next regularly scheduled Compensation Committee meeting. The Compensation Consultant does no other business with the CareSource Family of Companies other than determining the reasonableness of compensation. At least annually, the Compensation Committee assesses the work of the compensation consultants.
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.
Form 990, Part XI, Line 9	Change in Net Assets is inclusive of the following changes in investment of subsidiaries: (1) Transfer of sole membership of The CareSource Foundation from CareSource Ohio, Inc. to CareSource $552,349 and (2) Valuation of CareSource Management Services LLC $(17,744,158).
Form 990, Part III, Line 2	For a description of the organization changes that occurred during 2020, please refer to Attachment 2, which is the response to Form 990, Part III, Line 4a.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:XXX-XX-XXXX

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

CareSource

Employer identification number

31-1703368

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) CareSource Reinsurance LLC 800 N Last Chance Gulch 101 Helena,MT59601 45-4937120	Captive Ins	MT	17,107,598	134,180,561	CareSource
(2) CareSource Network Partners LLC PO Box 8738 Dayton,OH45401 81-1017455	Contracting	OH	0	0	CareSource
(3) CareSource At Home LLC PO Box 8738 Dayton,OH45401 81-1025103	Home Health	OH	-796,683	0	CareSource
(4) CareSource Real Estate Holdings LLC PO Box 8738 Dayton,OH45401 82-4834822	R/E Holding	OH	-1,310,191	105,804,591	CareSource
(5) CareSource Holding LLC PO Box 8738 Dayton,OH45401 84-4431982	Holding Co	OH	0	0	CareSource
(6) CareSource Mgmt Services Holding LLC PO Box 8738 Dayton,OH45401 85-1588557	Holding Co	DE	0	0	CSH
(7) CareSource Management Services LLC PO Box 8738 Dayton,OH45401 31-1703371	ADM MGMT SVCS	OH	92,983,323	206,269,376	CSMSH LLC
(8) CareSource Rx Innovations LLC PO Box 8738 Dayton,OH45401 85-2689588	Rx Services	OH	0	0	CSMSH LLC
(9) CareSource Oklahoma Holding LLC PO Box 8738 Dayton,OH45401 85-3713133	Holding Co	DE	0	0	CSMSH LLC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CareSource Indiana Inc 135 N Pennsylvania St 1300 Indianapolis,IN46204 32-0121856	Medicaid HMO	IN	501(c)(3)	509(a)(2)	CareSource	Yes
(2)CareSource Ohio Inc PO Box 8738 Dayton,OH45401 31-1143265	Medicaid HMO	OH	501(c)(3)	509(a)(2)	CareSource	Yes
(3)The CareSource Foundation PO Box 8738 Dayton,OH45401 56-2582561	Supporting	OH	501(c)(3)	509(a)(3) I	CareSource	Yes
(4)CareSource Kentucky Co 101 Enterprise Drive Frankfort,KY40601 46-4991603	Exchange HMO	KY	501(c)(3)	509(a)(2)	CareSource	Yes
(5)CareSource Georgia Co 600 Galleria Pkwy 400 Atlanta,GA30339 47-2408339	Medicaid HMO	GA	501(C)(3)	509(a)(2)	CareSource	Yes
(6)CareSource West Virginia Co 400 Washington St 401 Charleston,WV25301 47-3028244	Exchange HMO	WV	501(c)(3)	509(a)(2)	CareSource	Yes
(7)CareSource Life Services Co PO Box 8738 Dayton,OH45401 81-1602217	Inactive	OH	501(c)(3)	509(a)(2)	CareSource	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CareSource Mgmt Grp Fdn (Dissolved 720) PO Box 8738 Dayton,OH45401 81-4170497	Grantmaking	OH	CareSource	C Corp	0	0	100.000 %	Yes
(2) CareSource Virginia Co PO Box 8738 Dayton,OH45401 81-1727271	Inactive	VA	CareSource	C Corp	0	0	100.000 %	Yes
(3) CareSource Arkansas Health Plan Co 300 Spring Bldg Ste 900 Little Rock,AR72201 84-4476729	INACTIVE	AR	CSH	C Corp	0	0	100.000 %	Yes
(4) Kids' CareAlliance Co PO Box 8738 Dayton,OH45401 85-4022039	INACTIVE	OH	CSMSH LLC	C Corp	0	0	100.000 %	Yes
(5) CareSource Oklahoma Health Plan Co 14201 Wireless Way Suite D-100 Oklahoma City,OK73134 85-4038326	INACTIVE	OK	CSOKH LLC	C Corp	0	0	100.000 %	Yes

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) The CareSource Foundation	B	550,000	Actual
(2) CareSource Management Group Foundation	B	775,000	Actual
(3) CareSource Arkansas Health Plan Co	B	360,000	Actual
(4) CareSource Ohio Inc	L	792,312,194	Actual
(5) CareSource Indiana Inc	L	79,951,817	Actual
(6) CareSource Kentucky Co	L	29,689,746	Actual
(7) CareSource West Virginia Co	L	6,192,356	Actual
(8) CareSource Georgia Co	L	86,648,303	Actual
(9) CareSource Indiana Inc	D	20,000,000	Actual
(10) CareSource Indiana Inc	C	30,000,000	Actual
(11) CareSource Kentucky Co	C	10,000,000	Actual
(12) CareSource Ohio Inc	N	414,000	Actual

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CareSource's mission is to make a lasting difference in members' lives by improving their health and well-being by supporting the nonprofit entities in the CareSource Family of Co.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	5,345
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	868,327	335,694
9	Program service revenue (Part VIII, line 2g) .........	1,685,686,524	1,118,408,195
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	18,925,281	7,719,773
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	71,000	86,015
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,705,551,132	1,126,549,677
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	547,553	732,174
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	447,139,356	540,456,169
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,270,409,124	474,411,533
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,718,096,033	1,015,599,876
19	Revenue less expenses. Subtract line 18 from line 12.......	-12,544,901	110,949,801
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	818,501,167	897,034,476
21	Total liabilities (Part X, line 26).............	560,283,469	545,681,284
22	Net assets or fund balances. Subtract line 21 from line 20.....	258,217,698	351,353,192

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,015,599,876 including grants of $ 732,174 ) (Revenue $ 1,126,549,677 )
	CareSource, as a supporting organization, provides strategic oversight to CareSource Ohio Inc., CareSource Indiana Inc., The CareSource Foundation, CareSource Kentucky Co, CareSource Georgia Co, CareSource West Virginia Co, and CareSource Life Services Co (The "CareSource Group"). CareSource provides committee oversight regarding quality of care measures, Healthcare Effectiveness Data and Information Set, National Committee for Quality Assurance, as well as State and Federal quality measures. CareSource's governance oversight also includes financial review, compliance with all applicable healthcare laws, cybersecurity surveillance, and enterprise risk management functions. In March 2012, CareSource signed an Alliance Agreement with Humana, Inc., to jointly participate in state bid opportunities for Medicaid and provide coverage for people who qualify for Medicaid in the Commonwealth of Kentucky. As of December 31, 2019, there were 148,485 Medicaid Members in a Humana - CareSource Medicaid plan. CareSource has a commendable accreditation for this Medicaid plan. The current term of the Medicaid contract with the Commonwealth of Kentucky ended in June 2019 but contained one (1) additional six (6) month renewal period that was mutually agreed upon. CareSource Reinsurance LLC ("CSRE"), a single member LLC of CareSource, continued doing business with Humana in the same capacity through 2019. Effective December 31, 2019, the Company ended its relationship with Humana and will not continue servicing members in the Kentucky Medicaid program. CSRE will continue to process claims runout for effective dates of service December 31, 2019 and prior through December 31, 2022 as agreed upon with Humana. The CareSource Group's primary activity for over 30 years has been providing nonprofit Medicaid health maintenance organization ("HMO") services. The CareSource Group started its first Medicaid HMO program in Ohio in 1989. This plan is now one of the largest Medicaid managed care plans in the country. The CareSource Group has expanded beyond Ohio to operate Medicaid plans in various other states, including Georgia and Indiana. CareSource holds a Third-Party Administrator ("TPA") license in four states. In total, the CareSource Group plans facilitate access to health care to approximately 2,000,000 low income individuals. The CareSource Group refers to these individuals as "Members." Additionally, over the last several years, the CareSource Group's leadership began to recognize that despite health care reform, many low-income individuals remained uninsured or underinsured. They also realized that the CareSource Group was uniquely positioned to address this problem due to its extensive experience providing managed care to low income individuals. The CareSource Group therefore concluded that it was imperative that it expand its operations to states with significant low-income populations which would benefit from the organization's charitable approach to health care. As a result, the CareSource Group expanded to operate qualified plans on the health care exchange in Kentucky and West Virginia, as well as exclusively through several of its other CareSource-related entities, all of which are exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code ("IRC"). As with its Medicaid HMO plans, the CareSource Group refers to individuals participating in its health care exchange plans as "Members." Through all of its activities, the CareSource Group strives to make a lasting difference in its Members' lives by improving their health and overall well-being. It firmly adheres to this mission by providing services to Members (both of its Medicaid HMO plans and health care exchange plans) that go beyond the delivery of medical benefits and which remove poverty as a barrier to achieving good health and independence. The CareSource Group also 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 Group 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 Text4Babies. Members participating in Text4Babies 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 five and 17 years old. At CareSource, we know that social determinants of health are key drivers of healthcare 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. Within CareSource Life Services, our CareSource JobConnect program addresses the education and employment barriers that many of our Members face and that impede their path to self-sufficiency. CareSource JobConnectT 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. CareSource Life Services also participates in the Jobs-Plus Program ("Jobs-Plus"). The Jobs-Plus program was conceived in the mid-1990s by the Department of Housing and Urban Development ("HUD") in cooperation with various private charitable organizations. Jobs-Plus is based on the concept of saturating low-income housing developments with information, services, and incentives to encourage residents to obtain employment. Beginning in 2016, as part of the Life Services program, CareSource was party to five grants awarded at the federal and county levels: (1) The Dayton Metropolitan Housing Authority, dba Greater Dayton Premier Management ("GDPM"), was the recipient of a multi-million dollar grant from HUD. GDPM chose CareSource as the subcontractor to implement JobConnect in the DeSoto Bass and Hilltop low-income housing communities located in Dayton, Ohio. CareSource began offering JobConnect in these communities in 2017. As the subcontractor, CareSource was awarded $936,000 to implement JobConnect. The JobsPlus program began April 1, 2017 and continued through June 30, 2020; (2) On April 1, 2018, the Workforce Development Board of Central Ohio, in conjunction with the Westside Community Fund and CareSource, entered into another year long contract for $89,000 to serve the neighborhoods of West Columbus and is designed to facilitate a job readiness and retention program for the unemployed and underemployed. This contract ended on April 30, 2019; (3) In January, 2018, CareSource entered into a yearlong contract for $150,000 with the Montgomery County Alcohol, Drug Addiction and Mental Health Services Board to serve Montgomery County Ohio residents who are also receiving substance abuse and/or mental health services by opting them into the JobConnect program. This grant was renewed for calendar year 2019; and (4) In November 2018, CareSource entered into a yearlong contract for $20,000 with CityWide, a non-profit organization with a mission to strengthen Dayton through strategic economic and community development. CityWide will serve as a consultant for capacity building in affordable housing, strategic partnerships, and research and analysis. This contract ended on December 31, 2019. Additionally, in November 2017 CareSource entered into a grant agreement with JobsOhio in order to invest in redevelopment activities, fixed-assets, infrastructure, and workforce training associated with growth of the organization in downtown Dayton, Ohio. JobsOhio was formed under the laws of the state of Ohio and was established to encourage business development in the State. JobsOhio was incorporated on July 5, 2011, as a nonprofit corporation, to promote economic development, job creation, job retention, job training, and the recruitment of business to Ohio. JobsOhio is governe

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,015,599,876

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) PATRICE WOLFE........................................................................ DIRECTOR	10.0 .......................0.0	X	120,000	0	0
(19) PATRICIA MARTIN........................................................................ DIRECTOR	10.0 .......................0.0	X	117,500	0	0
(20) ANTHONY PRINCIPI........................................................................ DIRECTOR	10.0 .......................0.0	X	115,000	0	0
(21) EDWARD THOMAS BRODMERKEL........................................................................ DIRECTOR	10.0 .......................0.0	X	107,500	0	0
(22) JOHN MONAHAN........................................................................ DIRECTOR	10.0 .......................0.0	X	107,500	0	0
(23) DAVID MILLER........................................................................ DIRECTOR	5.0 .......................5.0	X	105,000	0	0
(24) MICHAEL ERVIN MD........................................................................ VICE CHAIRPERSON/DIRECTOR	10.0 .......................10.0	X	105,000	0	0
(25) THOMAS C EDWARDS........................................................................ DIRECTOR	10.0 .......................0.0	X	97,500	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	13,623,839	0	11,234,389

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	335,694

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		335,694

		Business Code
2a	MANAGEMENT FEES	561000	995,034,971	995,034,971
b	INSURANCE PREMIUMS; REINSURANCE	524298	123,373,224	123,373,224
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,118,408,195

3 Investment income (including dividends, interest, and othersimilar amounts) ......			7,769,173			7,769,173
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		86,015	6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	86,015	6c
d	Net rental income or (loss).......			86,015			86,015
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0		7a
b	Less: cost or other basis and sales expenses	49,400		7b
c	Gain or (loss)	-49,400		7c
d	Net gain or (loss).........			-49,400			-49,400
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			1,126,549,677	1,118,408,195		7,805,788

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	732,174	732,174
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	19,060,045	19,060,045
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	410,813,250	410,813,250
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	30,661,306	30,661,306
9	Other employee benefits .......	47,270,639	47,270,639
10	Payroll taxes ...........	32,650,929	32,650,929
11	Fees for services (non-employees):
a	Management ......	231,120	231,120
b	Legal .........	9,116,011	9,116,011
c	Accounting ...........	348,211	348,211
d	Lobbying ...........	112,500	112,500
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	8,660,647	8,660,647
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	206,753,676	206,753,676
12	Advertising and promotion ....	15,421,548	15,421,548
13	Office expenses .......	58,013,766	58,013,766
14	Information technology ......	15,977,468	15,977,468
15	Royalties ..	0
16	Occupancy ...........	12,566,672	12,566,672
17	Travel ............	1,666,937	1,666,937
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	815,742	815,742
20	Interest ...........	11,330,794	11,330,794
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	29,164,707	29,164,707
23	Insurance ...	2,586,024	2,586,024
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL EXPENSE	98,590,951	98,590,951
b	CORPORATE MEMBERSHIPS	1,195,578	1,195,578
c	CLAIMS PROCEESING ADMIN EXP	747,935	747,935
d	DUES AND FILING FEES	609,310	609,310
e	All other expenses	501,936	501,936
25	Total functional expenses. Add lines 1 through 24e	1,015,599,876	1,015,599,876	0	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			19,360,848	1	0
2	Savings and temporary cash investments .........			133,267,138	2	452,515,271
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			206,813,899	4	41,131,410
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			0	8	0
9	Prepaid expenses and deferred charges ......			23,334,039	9	26,558,608
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	322,338,559
b	Less: accumulated depreciation	10b	169,672,046	151,661,957	10c	152,666,513
11	Investments—publicly traded securities .			3,538,037	11	3,383,500
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			149,726,574	13	94,219,765
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			130,798,675	15	126,559,409
16	Total assets. Add lines 1 through 15 (must equal line 33)...			818,501,167	16	897,034,476

17	Accounts payable and accrued expenses .....	340,962,254	17	257,604,666
18	Grants payable ...	0	18	0
19	Deferred revenue .........	23,160,523	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	196,160,692	23	288,076,618
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	0	25	0
26	Total liabilities. Add lines 17 through 25..	560,283,469	26	545,681,284

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	258,217,698	27	351,353,192
28	Net assets with donor restrictions ...........	0	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	258,217,698	32	351,353,192
33	Total liabilities and net assets/fund balances ........	818,501,167	33	897,034,476