Civic Intelligence

Caresource Kentucky Co

EIN 46-4991603 • 501(c)3 • Dayton, OH

Profile

CareSource Kentucky Co.'s mission is to make a lasting difference in our members' lives by improving their health and well-being. The organization's vision is to transform lives through innovative health and life services. (Continued on Schedule O)CareSource Kentucky Co. is a health maintenance organization licensed by the state of Kentucky and serves members through marketplace plans.

PO Box 8738Dayton, OH 45401-8738

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

94th percentile

1.07x

Higher debt load relative to assets than 94% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

39th percentile

0.35x

Higher debt load relative to revenue than 39% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

9th percentile

-19%

Higher net margin than 9% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

6th percentile

-11%

Faster asset growth than 6% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

15th percentile

-8.2%

Faster revenue growth than 15% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Down

$56,338,207

Down $6,714,784 (-11%) from 2023

Liabilities

Up

$60,522,926

Up $26,178,227 (+76%) from 2023

Net Assets

Down

-$4,184,719

Down $32,893,011 (-115%) from 2023

Revenue

Down

$172,763,439

Down $15,533,663 (-8.2%) from 2023

Expenses

Up

$205,650,930

Up $20,883,536 (+11%) from 2023

Net Income

Down

-$32,887,491

Down $36,417,199 (-1032%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0-$50MAssets 2014: $3,793,709Liabilities 2014: $126,365Net Assets 2014: $3,667,3442014Assets 2015: $12,638,298Liabilities 2015: $6,814,577Net Assets 2015: $5,823,7212015Assets 2016: $31,378,367Liabilities 2016: $22,241,005Net Assets 2016: $9,137,3622016Assets 2017: $59,799,747Liabilities 2017: $40,631,841Net Assets 2017: $19,167,9062017Assets 2018: $78,641,159Liabilities 2018: $59,091,782Net Assets 2018: $19,549,3772018Assets 2019: $70,198,631Liabilities 2019: $40,429,451Net Assets 2019: $29,769,1802019Assets 2020: $77,405,583Liabilities 2020: $47,149,515Net Assets 2020: $30,256,0682020Assets 2021: $82,427,236Liabilities 2021: $52,811,739Net Assets 2021: $29,615,4972021Assets 2022: $65,144,241Liabilities 2022: $39,986,643Net Assets 2022: $25,157,5982022Assets 2023: $63,052,991Liabilities 2023: $34,344,699Net Assets 2023: $28,708,2922023Assets 2024: $56,338,207Liabilities 2024: $60,522,926Net Assets 2024: -$4,184,7192024

Highlighted filing

2024

Assets$56,338,207
Liabilities$60,522,926
Net Assets-$4,184,719

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$300M$200M$100M$0-$100MRevenue 2014: $0Expenses 2014: $332,656Net Income 2014: -$332,6562014Revenue 2015: $9,995,816Expenses 2015: $14,089,439Net Income 2015: -$4,093,6232015Revenue 2016: $31,761,516Expenses 2016: $40,447,875Net Income 2016: -$8,686,3592016Revenue 2017: $102,086,373Expenses 2017: $108,555,829Net Income 2017: -$6,469,4562017Revenue 2018: $278,110,590Expenses 2018: $277,729,119Net Income 2018: $381,4712018Revenue 2019: $237,068,323Expenses 2019: $211,848,520Net Income 2019: $25,219,8032019Revenue 2020: $254,549,061Expenses 2020: $244,062,173Net Income 2020: $10,486,8882020Revenue 2021: $313,174,321Expenses 2021: $295,814,892Net Income 2021: $17,359,4292021Revenue 2022: $233,440,176Expenses 2022: $237,898,173Net Income 2022: -$4,457,9972022Revenue 2023: $188,297,102Expenses 2023: $184,767,394Net Income 2023: $3,529,7082023Revenue 2024: $172,763,439Expenses 2024: $205,650,930Net Income 2024: -$32,887,4912024

Highlighted filing

2024

Revenue$172,763,439
Expenses$205,650,930
Net Income-$32,887,491

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 14, 2025
Return Version
2024v5.2
Gross Receipts
$389,995,179
Mission and Program Overview

Mission

To make a lasting difference in our members lives by improving their health and well-being.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$30,770,500$31,351,223▲ $580,723
Investments in Publicly Traded Securities$25,282,827$16,030,122▼ $9,252,705
Accounts Receivable$6,999,664$8,956,862▲ $1,957,198
Total Assets$63,052,991$56,338,207▼ $6,714,784
Liabilities
Accounts Payable and Accrued Expenses$23,870,557$27,971,977▲ $4,101,420
Other Liabilities$1,036,345$22,484,146▲ $21,447,801
Deferred Revenue$9,437,797$10,066,803▲ $629,006
Total Liabilities$34,344,699$60,522,926▲ $26,178,227
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$28,708,292$-4,184,719▼ $32,893,011
Total Net Assets Fund Balance$28,708,292$-4,184,719▼ $32,893,011
Total Liabilities and Net Assets / Fund Balance$63,052,991$56,338,207▼ $6,714,784
Compensation and Service Providers

Board Members and Trustees

NameTitle
Erhardt PreitauerChair/Director
Michael TaylorPresident
Lawrence SmartCFO, Treasurer/Director
Edward StubbersSecretary/Director (Eff 6/1)
Richard ToppingSecretary/Director (To 5/31)
Stephanie WilliamsAsst Treasurer
Jai PillaiFormer Chief Operating Ofr

Highest Paid Contractors

ContractorServicesLocationCompensation
Express Scripts IncPharmacy ServicesOne Express Way, St Louis, MO 63121$80,430,439
DentaQuest Group IncMedical Services465 Medford Street, Charlestown, MA 02129$323,358
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$170,969,765
Investment Income
$1,793,674
Other Revenue
$0
Change in Net Assets
$-32,887,491

Audited Revenue Reconciliation

Revenue per Audited Statements
$172,636,716
Revenue Not Reported on Financial Statements
$126,723
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$115,689
Total Revenue per Audited Statements
$172,636,716
Total Revenue per Form 990
$172,763,439
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$205,650,930
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses$6,773,463$0-$6,773,463
Fees for Services Other$193,732$5,913,271-$6,107,003
Office Expenses$508$3,073,734-$3,074,242
All Other Expenses$85,322$2,511,243-$2,596,565
Advertising$56$750,360-$750,416
Occupancy-$199,905-$199,905
Travel$5,837$77,323-$83,160
Fees for Services Accounting$5,093$75,108-$80,201
Insurance-$77,379-$77,379
Fees for Services Legal$1,261$55,795-$57,056
Fees for Service Investment Mgmnt Fees-$11,036-$11,036
Interest-$9,464-$9,464
Fees for Services Lobbying$38$2,583-$2,621
Total Functional Expenses$183,854,450$21,796,480$0$205,650,930

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$205,650,930
Expenses per Audited Statements$205,633,327
Total Expenses per Audited Statements$205,633,327
Expenses Not Reported on Financial Statements$17,603
Other Expense Adjustments$6,569
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Payable$22,484,146
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

CareSource is the sole member of CareSource Kentucky Co. CareSource is recognized as exempt from federal income taxation under Internal Revenue Code ("IRC") Section 501(c)(3).

Form 990, Part VI, Section A, line 7A

CareSource, the sole member of CareSource Kentucky Co., has the authority to appoint CareSource Kentucky Co.'s board.

Form 990, Part VI, Section A, line 7B

The Audit Committee, Risk Committee, and Compensation Committee of CareSource, the sole member of CareSource Kentucky Co., have full authority as committees to act on behalf of CareSource Kentucky Co. to the extent permitted by applicable law. Each Committee's duties, responsibilities, and membership shall be defined by the respective Committee's charter.

Form 990, Part VI, Section B, line 11B

The Form 990 was provided to each voting member of the filing organization's governing body for review prior to filing. Additionally, the Form 990 was reviewed by CareSource's Audit Committee, VP Treasury, Internal Tax Department, and Internal General Counsel as well as an external CPA firm and legal counsel.

Form 990, Part VI, Section B, line 12C

Annually, each director, principal officer, and member of a committee with board-delegated powers ("interested person") shall confirm that they have received a copy of the CareSource Conflicts of Interest policy and have read, understood, and agree to comply with the policy. Interested Persons have an obligation to immediately report any Conflicts of Interest (including any relationships, positions, or circumstances that could contribute to a Conflict of Interest). All relevant information reported through the Conflict-of-Interest Policy will be sent to the Chairman of the Board for review. If the Interested Person with the Conflict of Interest is the Chairman of the Board, then the required disclosure must be provided to the Chief Legal Officer of CareSource. If it is not entirely clear whether a Conflict of Interest exists, then the person with the potential conflict must disclose the circumstances to CareSource's Chief Legal Officer. The Chief Legal Officer will consult with the Corporation's Corporate Compliance Officer or the Chairman of the Board to determine whether there exists a Conflict of Interest that is subject to this policy. Before Board action or other action by the organization on a Transaction that involves a Conflict of Interest, an Interested Person who knows he or she has a Conflict of Interest must have disclosed to the Board all facts material to the Conflict of Interest. The Chairman of the Board may postpone Board or other corporate action on a Transaction until the Interested Person provides written information relating to the Conflict of Interest. An Interested Person who knows he or she has a Conflict of Interest must not participate in the Board's discussion of the Transaction except to disclose material facts and respond to questions. The Interested Person must not attempt to influence the Board's action on the Transaction, either at or outside the meeting. Prior to voting, the Board must be given an opportunity to discuss the Transaction without the person who has the Conflict of Interest being present. A Transaction involving a Conflict of Interest may be approved by the Board if the material facts as to the Transaction and the Conflict of Interest are fully disclosed or known to the Board and the Board in good faith determines after reasonable investigation that (a) the Board is aware of all material facts concerning the Transaction and the Interested person's interest in the Transaction; (b) the organization is entering into the Transaction for its own benefit; (c) the Transaction is fair and reasonable as to the organization; and (d) the organization could not have obtained a more advantageous arrangement with reasonable effort under the circumstances. The Person with the Conflict of Interest must not vote on the Transaction and must not be present in the room when the vote is taken.

Form 990, Part VI, Section C, line 19

CareSource Kentucky Co.'s ("the Company") 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's statutory financial statements are available on the SNL Financial LC website at www.snl.com for a nominal fee. The Company's articles of incorporation are available on the Kentucky Secretary of State's website at www.sos.ky.gov.

Filing and Contact Details

Filer

Filer Name
CareSource Kentucky Co
EIN
46-4991603
Phone
9372243300
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
Lawrence Smart
Title
CFO
Phone
9372243300
Signed
2025-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael Taylor
Formed
2014
Legal Domicile
Ky
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
6 S Patterson Blvd, Dayton, OH 45402
Preparer
Karen O Crim
Phone
9372980201
Supplemental Narrative

Financial Statement Notes

Part X, Line 2:

As outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of CareSource Kentucky Co.: 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 2021-2023 are open for audit by the Internal Revenue Service.

Part XI, Line 4B - Other Adjustments:

STAT-to-GAAP Adj

Part XII, Line 4B - Other Adjustments:

STAT-to-GAAP Adj

Form 990, Schedule D, Parts XI and XII:

The entity has separate audited financial statements prepared on a statutory ("STAT") basis in compliance with The National Association of Insurance Commissioners ("NAIC") requirements. The entity is also included in the consolidated audited financial statements of the member entity, CareSource, which are prepared on a GAAP basis. The 990 has been prepared consistent with the GAAP-basis financial statements. The amounts included on Schedule D, Part XI, Lines 4b and Part XII, Line 4b, are comprised of the STAT-to-GAAP adjustments.

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IRS990/Desc0CareSource Kentucky Co. ("CSKY") is a nonprofit organization established under the Commonwealth of Kentucky. CSKY was granted a Certificate of Authority by the Kentucky Department of Insurance ("KDOI"), allowing it to operate as a Health Maintenance Organization ("HMO"). On July 7, 2016, CSKY received a determination letter from the Internal Revenue Service, recognizing CSKY as an organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code, effective as of the date of CSKY's formation. CSKY is a member of the CareSource group of nonprofit tax-exempt organizations (the "CareSource Public Charities"). (Continued on Schedule O)The sole member of the CareSource Public Charities is CareSource, an Ohio nonprofit corporation that is tax-exempt under section 501(c)(3) of the Internal Revenue Code of 1986 (the "Code"). The CareSource Public Charities' primary activity for the last three decades has been to provide nonprofit Medicaid, Medicare, and Marketplace health maintenance organization ("HMO") services. As a mission-driven organization, CSKY follows the guidance of the CareSource Public Charities and is focused on transforming health care with innovative programs that address the social determinants of health, health equity, prevention and access to care. CSKY is accredited through the National Committee for Quality Assurance ("NCQA") for its Qualified Health Plan ("QHP"). Accreditation is the most comprehensive evaluation in the industry and the only assessment that bases results on clinical performance and consumer experience. CSKY Marketplace plans are available in 73 counties in Kentucky. There are no lifetime maximums for most benefits, no medical review for enrollment, and CSKY covers an extensive list of prescription drugs. Members enrolled in our Kentucky Marketplace plans have access to the following services: (1) $0 copay telehealth office visits via Teladoc with 24/7 access to U.S.-licensed physicians, (2) Ambulatory patient services (outpatient care), (3) Hospitalization, (4) Pregnancy, maternity and newborn care (both before and after birth), (5) Breastfeeding coverage, (6) Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy), (7) Prescription drugs, (8) Rehabilitative and habilitative services and devices, (9) Laboratory services, (10) Preventive and wellness services and chronic disease management, (11) Pediatric services, and(12) Birth control coverage. CSKY focuses on prevention with a goal of improving Member health, the quality of health care services received, and accessibility of health care services for its Members. This is done through an innovative health and wellness methodology. CSKY has built a high-performing provider network to operate as an HMO. This provider network relies heavily upon Federally Qualified Health Centers ("FQHCs"). FQHCs are generally health care providers that have been recognized by the federal government as providing care to populations that have limited access to medical treatment due to conditions such as poverty and geographic location. CSKY's Qualified Health Plan on the Health Insurance Marketplace primarily serves low-income individuals and was designed for those low-income adults who are recently uninsured or have never been insured. The plan is affordable, with a majority of Members qualifying for subsidies to lower their monthly premiums or out-of-pocket costs. Members have the choice of buying plans with only the essential health benefits, or ones that also include adult dental, vision, and fitness supplemental benefits. Members can receive assistance through CSKY's many programs designed to remove barriers to health and well-being, and in addition, case management services are available to all Members who are at risk for substance use disorder. CSKY can, therefore, further its mission as a means of improving the health and well-being of Kentucky's low-inc
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt6244761
IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair/Director
IRS990/Form990PartVIISectionAGrp/TitleTxt1Secretary/Director (To 5/31)
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary/Director (Eff 6/1)
IRS990/Form990PartVIISectionAGrp/TitleTxt3CFO, Treasurer/Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Asst Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt5President
IRS990/Form990PartVIISectionAGrp/TitleTxt6Former Chief Operating Ofr
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IRS990/MembersOrStockholdersInd01
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0CareSource Kentucky Co.'s mission is to make a lasting difference in our members' lives by improving their health and well-being. The organization's vision is to transform lives through innovative health and life services. (Continued on Schedule O)CareSource Kentucky Co. is a health maintenance organization licensed by the state of Kentucky and serves members through marketplace plans.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/OtherExpensesGrp/Desc1Pharmacy Expenses
IRS990/OtherExpensesGrp/Desc2Mgmt Fees CareSource Mg
IRS990/OtherExpensesGrp/Desc3Premium Deficiency Rese
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt10
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IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Michael Taylor
IRS990/ProfessionalFundraisingInd00
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IRS990ScheduleA/InvestmentIncomePYPct00.00310
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IRS990/ScheduleBRequiredInd00
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IRS990ScheduleC/OtherActivitiesInd01
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IRS990ScheduleC/PublicationsOrBroadcastInd00
IRS990ScheduleC/RalliesDemonstrationsInd00
IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0Form 990, Schedule C, Part II-B, Line 1i $5,243 is the allocable portion of the Organization's dues paid to America's Health Insurance Plans for lobbying and grassroots efforts conducted by the trade association on behalf of its members.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0Part II-B, Line 1:
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0As outlined in CareSource's Audited Consolidated Financial Statements, which include the activity of CareSource Kentucky Co.: 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 2021-2023 are open for audit by the Internal Revenue Service.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1STAT-to-GAAP Adj
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2STAT-to-GAAP Adj
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt3The entity has separate audited financial statements prepared on a statutory ("STAT") basis in compliance with The National Association of Insurance Commissioners ("NAIC") requirements. The entity is also included in the consolidated audited financial statements of the member entity, CareSource, which are prepared on a GAAP basis. The 990 has been prepared consistent with the GAAP-basis financial statements. The amounts included on Schedule D, Part XI, Lines 4b and Part XII, Line 4b, are comprised of the STAT-to-GAAP adjustments.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 4b - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Schedule D, Parts XI and XII:
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