Civic Intelligence

Caresource Kentucky Co

990 • Fiscal year 2015 • EIN 46-4991603

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 11, 2016

PO Box 8738Dayton, OH 45401-8738

(937) 531-3027

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

73rd percentile

0.54x

Higher debt load relative to assets than 73% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

73rd percentile

0.68x

Higher debt load relative to revenue than 73% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

6th percentile

-41%

Higher net margin than 6% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

100th percentile

$7,862,820

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 78.7% of source-year revenue.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

99th percentile

233%

Faster asset growth than 99% of similar nonprofits.

2015 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2014 to 2015

Assets

Up

$12,638,298

Up $8,844,589 (+233%) from 2014

Net Assets

Up

$5,823,721

Up $2,156,377 (+59%) from 2014

Liabilities

Up

$6,814,577

Up $6,688,212 (+5293%) from 2014

Revenue

Up

$9,995,816

Up $9,995,816 from 2014

Expenses

Up

$14,089,439

Up $13,756,783 (+4135%) from 2014

Net Income

Down

-$4,093,623

Down $3,760,967 (-1131%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2015

Assets$12,638,298
Liabilities$6,814,577
Net Assets$5,823,721

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2015

Revenue$9,995,816
Expenses$14,089,439
Net Income-$4,093,623
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 11, 2016
Return Version
2015v2.1
Gross Receipts
$9,995,816
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 medicaid HMO licensed by the State of KY.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$2,722,414$11,374,892▲ $8,652,478
Accounts Receivable$1,000,074$1,263,406▲ $263,332
Savings and Temporary Cash Investments$71,221$0▼ $71,221
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$3,793,709$12,638,298▲ $8,844,589
Other Assets Total$0$0→ $0
Liabilities
Deferred Revenue$0$3,744,859▲ $3,744,859
Accounts Payable and Accrued Expenses$73,988$2,760,479▲ $2,686,491
Other Liabilities$52,377$309,239▲ $256,862
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$126,365$6,814,577▲ $6,688,212
Net Assets / Fund Balance
Unrestricted Net Assets$3,667,344$5,823,721▲ $2,156,377
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$3,667,344$5,823,721▲ $2,156,377
Total Liabilities and Net Assets / Fund Balance$3,793,709$12,638,298▲ $8,844,589
Compensation and Service Providers

Employees

NameTitleOtherTotal
Kevin R BrownVice Chair/Trustee$43,750$43,750
J Thomas MaultsbyChairman; Trustee$36,250$36,250

Board Members and Trustees

NameTitle
Pamela B MorrisPresident & CEO; Trustee
L Tarlton Thomas IIIChief Financial Officer
Craig Thiele MDChief Medical Officer
Bobby JonesChief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPHARMACY Services221 N Charles Lindergh Dr, Salt Lake City, UT 84116$2,422,757
Norton Hospital IncMedical Services4001 Dutchmans Ln, Louisville, KY 40207$2,131,129
KentuckyOne Health Medical Group COMedical ServicesPO Box 2328, London, KY 40743$1,562,421
Community Medical AssociatesMedical ServicesPO Box 950202, Louisville, KY 40295$635,996
St Elizabeth Healthcare Center IncMedical ServicesPO Box 636324, Cincinnati, OH 45263$530,355
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,995,816
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-4,093,623
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$14,085,439
Grants and Similar Amounts Paid$4,000
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Office Expenses$2,017$967,246-$969,263
Other Expenses$442,708$441,813-$884,521
Advertising$39,235$818,221-$857,456
Fees for Services Other$45,578$287,274-$332,852
Fees for Services Accounting$37,234$59,288-$96,522
All Other Expenses-$52,450-$52,450
Travel$29,865$9,466-$39,331
Information Technology$1$30,760-$30,761
Fees for Services Lobbying$9,724$12,801-$22,525
Occupancy-$9,043-$9,043
Conferences and Meetings$3,025$2,758-$5,783
Grants to Domestic Orgs$4,000--$4,000
Fees for Services Legal-$2,791-$2,791
Insurance-$2,108-$2,108
Total Functional Expenses$10,850,003$3,239,436$0$14,089,439
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Payable$309,239
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

The Form 990 was provided to the organization's Finance committee, and was reviewed during the course of a special board meeting 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 the Form 990. The Form 990 was reviewed by the CEO, CFO, VP, Treasury, an outside CPA firm, outside legal counsel, and by general counsel prior to filing with the IRS.

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

Annually, each trustee, principal officer and member of a committee with Board-delegated powers ("interested person") shall sign a statement which affirms that such person a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy, and d) understands that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. 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 trustee has no vote on the matter involved with the conflict of interest. At the beginning of each Board Meeting and Committee Meeting, the Board Members and Committee Members are asked to disclose if they have a Conflict of Interest on any item contained in the agenda. In addition, the Board Members and Committee Members are also asked to inform the board chair if a Conflict of Interest arises during the course of the Board or Committee Meeting. When such a conflict is disclosed, then the procedure outlined above is implemented. In addition, a Conflict of Interest Schedule is kept with respect to each declared Conflict of Interest during the course of a Board or Committee meeting. On an annual basis, the Nominating and Governance Committee reviews each Conflict of Interest raised by a Board or Committee Member. Also, the Nominating and Governance Committee conducts a bi-annual evaluation of the Board Members' performance during the course of the Board Meetings and Committee Meetings. The review includes but is not limited to the Board Member's engagement, participation, contributions to board business, attendance, and any absence from a meeting due to a conflict of interest. The Conflicts of Interest declared by the Board Members are reviewed on an annual basis by the Nominating and Governance Committee to make sure all policies on Conflict of Interest are adhered to by the Boards, the Committees and the Individual Board or Committee Member.

Form 990, Part VI, Section B, Q 15A and 15B; Schedule J, Part 1, Q 3

The Executive Compensation Committee consists of Board Members who are Independent. The process used to determine compensation for the individuals listed on Part VII and Schedule J, Part II include a review by the Independent Board Members after they have received a report of comparability data prepared by an independent company 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. In addition, the minutes of each meeting are prepared, distributed and signed within 30 days of the Executive Compensation Committee Meeting. The Executive Compensation Consultant does no other business with the CareSource Family of Companies other than determining the reasonableness of compensation. This compensation consultant's independence is reviewed on an annual basis. This process is followed with respect to all employed corporate officers and the top executives of the CareSource Family of Companies, in order to establish reasonable executive compensation.

Form 990, Part VI, Section C, Question 19

The company's Form 990 is available for public inspection upon request. The company's Form 990 is also available on the U.S. nonprofit database website at www.guidestar.org. 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
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
PO Box 8738, Dayton, OH 45401-8738

Signing Officer

Name
L Tarlton Thomas Iii
Title
EVP Operations & CFO
Phone
9375313027
Signed
2016-11-11

Organization Details

Principal Officer
Pamela B Morris
Formed
2014
Legal Domicile
Ky
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

(1) Change in Net Assets: Capital Contribution from parent Organization CareSource Management Group Co in December, 2015 in the amount of $6,250,000.

Financial Statement Notes

FIN 48 (ASC 740) Footnote

The separate company financial statements summarize ASC 740 as follows: The Organization annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the financial statements. Currently, tax years 2014-2015 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource Kentucky Co. (CSKY) is a non-profit organization established under the state law 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. CSKY is a member of the CareSource group of non-profit organizations (the "CareSource Family of Companies"). The CareSource Family of Companies primary activity for the last twenty-five years has been to provide non-profit Medicaid health maintenance organization services. The mission of CSKY is to make a lasting difference in its members lives by improving their health and overall well-being. The Organization firmly adheres to this mission, which it terms as the organizations "heartbeat," by providing services that go well beyond the delivery of medical benefits. In an effort to help improve the health and overall well-being of a new segment of the low-income population, the CareSource Family of Companies established CSKY. Despite health care reform, the CareSource Family of Companies were concerned that many low-income individuals remained uninsured or underinsured. Furthermore, the CareSource Family of Companies realized that it was uniquely positioned to address this problem due to its extensive experience in providing managed care to low-income individuals. Effective January 1, 2015, CSKY started offering insurance policies to individuals signing up for coverage on the state based Kynect exchange (Kynect). CareSource Kentucky has approval to operate a Qualified Health Plan (QHP) in the Commonwealth of Kentucky, which allows CSKY to offer individual health insurance policies on Kynect. CSKYs Just4Me plan is an affordable plan offered through Kynect. It targets the vulnerable segment of the low-income population not eligible for Medicaid benefits. Through its subsidy program, the Just4Me Plan will ensure that all individuals experiencing economic hardship will be able to afford access to health care, even if not meeting the strict requirements for Medicaid eligibility. Importantly, CSKYs Just4Me Plan has already achieved interim accreditation from the National Committee on Quality Assurance (the "NCQA"). NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accreditation is the most comprehensive evaluation in the industry and the only assessment that bases results on clinical performance and consumer experience. Pursuing NCQA Accreditation demonstrates CSKYs commitment to quality and improving the health and well-being of our members. Furthermore, CSKY has built a high-performing provider network to operate the Just4Me Plan as an HMO. This provider network relies heavily upon federally qualified health centers (FQHC). 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. Under federal law, the Just4Me Plan must be made available to all who qualify. True to CSKYs charitable purpose, the plan primarily serves low-income individuals. Just4Me Plan members have free access to a nursing hotline twenty-four (24) hours a day, seven (7) days a week. These nurses review a members symptoms, offer guidance on when to seek medical care, explain any conditions a member has been recently diagnosed with, provide education on over-the-counter medications, and help members prepare a list of questions prior to a visit with their doctor. These services are designed to significantly improve the overall well-being of CSKYs low-income members. Ultimately, CSKYs Just4Me Plan has allowed the CareSource Family of Companies to further its mission by reaching a vulnerable se
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IRS990/Form990PartVIISectionAGrp/PersonNm0J Thomas Maultsby
IRS990/Form990PartVIISectionAGrp/PersonNm1Kevin R Brown
IRS990/Form990PartVIISectionAGrp/PersonNm2Pamela B Morris
IRS990/Form990PartVIISectionAGrp/PersonNm3Craig Thiele MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Bobby Jones
IRS990/Form990PartVIISectionAGrp/PersonNm5L Tarlton Thomas III
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chairman; Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice Chair/Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt2President & CEO; Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt3Chief Medical Officer
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IRS990/MissionDesc0TO MAKE A LASTING DIFFERENCE IN OUR MEMBERS LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. CARESOURCE KENTUCKY CO WAS INCORPORATED ON 3/4/2014 AND ENTERED THE KENTUCKY HEALTH BENEFIT EXCHANGE IN 2014 WITH ITS QUALIFIED HEALTH PLAN, CARESOURCE JUST4ME.
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0Lobbyists 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.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Schedule C, Part II-B, Line 1g
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The separate company financial statements summarize ASC 740 as follows: The Organization annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the financial statements. Currently, tax years 2014-2015 are open for audit by the Internal Revenue Service.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0FIN 48 (ASC 740) Footnote
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