Civic Intelligence

Caresource Kentucky Co

990 • Fiscal year 2016 • EIN 46-4991603

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 13, 2017

10200 Forest Green Blvd 400Louisville, KY 40223

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

82nd percentile

0.71x

Higher debt load relative to assets than 82% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

69th percentile

0.70x

Higher debt load relative to revenue than 69% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Net Margin

9th percentile

-27%

Higher net margin than 9% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

99th percentile

$2,805,764

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 8.8% of source-year revenue.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Asset Growth

98th percentile

148%

Faster asset growth than 98% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

98th percentile

218%

Faster revenue growth than 98% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Assets

Up

$31,378,367

Up $18,740,069 (+148%) from 2015

Net Assets

Up

$9,137,362

Up $3,313,641 (+57%) from 2015

Liabilities

Up

$22,241,005

Up $15,426,428 (+226%) from 2015

Revenue

Up

$31,761,516

Up $21,765,700 (+218%) from 2015

Expenses

Up

$40,447,875

Up $26,358,436 (+187%) from 2015

Net Income

Down

-$8,686,359

Down $4,592,736 (-112%) from 2015

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

2016

Assets$31,378,367
Liabilities$22,241,005
Net Assets$9,137,362

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

2016

Revenue$31,761,516
Expenses$40,447,875
Net Income-$8,686,359
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 13, 2017
Return Version
2016v3.1
Gross Receipts
$31,761,516
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$11,374,892$28,315,457▲ $16,940,565
Accounts Receivable$1,263,406$3,062,910▲ $1,799,504
Savings and Temporary Cash Investments$0$0→ $0
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$0→ $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$12,638,298$31,378,367▲ $18,740,069
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$2,760,479$21,706,116▲ $18,945,637
Deferred Revenue$3,744,859$0▼ $3,744,859
Other Liabilities$309,239$534,889▲ $225,650
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$6,814,577$22,241,005▲ $15,426,428
Net Assets / Fund Balance
Unrestricted Net Assets$5,823,721$9,137,362▲ $3,313,641
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$5,823,721$9,137,362▲ $3,313,641
Total Liabilities and Net Assets / Fund Balance$12,638,298$31,378,367▲ $18,740,069
Compensation and Service Providers

Employees

NameTitleOtherTotal
Kevin R BrownVice Chair/Trustee$55,625$55,625
J Thomas MaultsbyChairman; Trustee$45,625$45,625

Board Members and Trustees

NameTitle
Pamela B MorrisPresident & CEO; Sec/Treas
Bobby Jones to 62016President Georgia Market
Daniel McCabeChief Administration Officer
Craig Thiele MDChief Medical Officer
L Tarlton Thomas IIIEVP Operations & CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPHARMACY Services9501 E Shae Blvd MC 143, Scottsdale, AZ 85260$11,122,106
KentuckyOne Health Medical Group COMedical Services200 Abraham Flexner Way, Louisville, KY 40202$5,287,799
Norton Hospital IncMedical Services1930 Bishop Lane 1017, Louisville, KY 40218$4,471,315
ST Elizabeth Healthcare Center IncMedical Services1 Medical Village Dr, Edgewood, KY 41017$3,740,182
Community Medical AssociatesMedical ServicesPO Box 950202, Louisville, KY 40295$1,345,956
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$31,757,049
Investment Income
$4,467
Other Revenue
$0
Change in Net Assets
$-8,686,359
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$40,443,875
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
Other Expenses$188,539$1,126,192-$1,314,731
Fees for Services Other$92,122$705,274-$797,396
Office Expenses$22,754$612,040-$634,794
Advertising$52$405,203-$405,255
Fees for Services Accounting$3,211$164,971-$168,182
All Other Expenses-$82,458-$82,458
Conferences and Meetings$1,231$49,739-$50,970
Occupancy-$37,741-$37,741
Fees for Services Lobbying$191$31,834-$32,025
Fees for Services Legal-$5,002-$5,002
Grants to Domestic Orgs$4,000--$4,000
Interest-$207-$207
Total Functional Expenses$36,673,289$3,774,586$0$40,447,875
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
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$534,889
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
No
Other officer compensation reviewed
No
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 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, 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 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, and memorialized in meeting minutes, 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 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 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
In Care Of
% JANET FERNANDES
Phone
9375313027
Address
10200 Forest Green Blvd 400, Louisville, KY 40223

Signing Officer

Name
L Tarlton Thomas Iii
Title
EVP Operations & CFO
Phone
9375313027
Signed
2017-11-13

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 during 2016 in the amount of $12,000,000.

Financial Statement Notes

FIN 48 (ASC 740) Footnote

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 2014-2016 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource Kentucky Co. (CSKY or CareSource Kentucky) 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 Family of Companies non-profit organizations. The mission of CareSource is to make a lasting difference in its members lives by improving their health and overall well-being. CSKY firmly adheres to this mission, which it terms as the organizations "heartbeat," by providing services that go well beyond the delivery of medical benefits. CSKYs spectrum of those services include: (1) Medicare Advantage consumers (2) a Qualified Health Plan offered through the state-based Kynect Exchange, providing low-cost comprehensive coverage for individuals and families. Importantly, CareSource Kentucky received accreditation from the National Committee for Quality Assurance (NCQA) for its qualified Health Insurance Marketplace plan. 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. 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 (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. CSKYs 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 low monthly premiums, low copays, low annual deductibles, and free generic prescriptions for some members. Members have the choice of buying dental and vision plans in addition to their medical plan. CSKY offers a Medicare Advantage Plan in the State. CSKY primarily enrolls low-income individuals in this plan. Members can receive assistance through CSKYs many programs designed to remove barriers to health and well-being. CareSource Kentucky can, therefore, further its mission as a means of improving the health and well-being of Kentuckys low-income populations.
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