Civic Intelligence

Caresource Kentucky Co

990 • Fiscal year 2019 • EIN 46-4991603

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 13, 2020

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

72nd percentile

0.58x

Higher debt load relative to assets than 72% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Liabilities / Revenue

23rd percentile

0.17x

Higher debt load relative to revenue than 23% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Net Margin

69th percentile

11%

Higher net margin than 69% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Top Officer Pay

99th percentile

$4,961,164

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 2.1% of source-year revenue.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2019

Asset Growth

4th percentile

-11%

Faster asset growth than 4% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Revenue Growth

14th percentile

-15%

Faster revenue growth than 14% of similar nonprofits.

2019 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2018 to 2019

Assets

Down

$70,198,631

Down $8,442,528 (-11%) from 2018

Net Assets

Up

$29,769,180

Up $10,219,803 (+52%) from 2018

Liabilities

Down

$40,429,451

Down $18,662,331 (-32%) from 2018

Revenue

Down

$237,068,323

Down $41,042,267 (-15%) from 2018

Expenses

Down

$211,848,520

Down $65,880,599 (-24%) from 2018

Net Income

Up

$25,219,803

Up $24,838,332 (+6511%) from 2018

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

2019

Assets$70,198,631
Liabilities$40,429,451
Net Assets$29,769,180

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

2019

Revenue$237,068,323
Expenses$211,848,520
Net Income$25,219,803
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.1
Gross Receipts
$237,068,323
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
Accounts Receivable$10,737,331$39,087,517▲ $28,350,186
Savings and Temporary Cash Investments$67,403,828$30,611,114▼ $36,792,714
Cash and Non-Interest-Bearing Accounts$500,000$500,000→ $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$78,641,159$70,198,631▼ $8,442,528
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$45,844,381$31,895,168▼ $13,949,213
Deferred Revenue$7,488,267$7,588,721▲ $100,454
Other Liabilities$5,759,134$945,562▼ $4,813,572
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$59,091,782$40,429,451▼ $18,662,331
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$19,549,377$29,769,180▲ $10,219,803
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$19,549,377$29,769,180▲ $10,219,803
Total Liabilities and Net Assets / Fund Balance$78,641,159$70,198,631▼ $8,442,528
Compensation and Service Providers

Board Members and Trustees

NameTitle
David FinkelExec VP, Markets/Chair/Director
Erhardt PreitauerPresident & CEO/Former Director
Michael TaylorPresident, Mkt/Sec/Treas/Director
Terence RapochFormer Vice Chairperson
Kevin BrownFormer Director
William CoffinVP Market Finance/Director
Daniel McCabeChief Administrative Officer
David GoltzChief Financial Officer
Jai PillaiChief Operating Officer
L Tarlton Thomas IIIFormer Chief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
CVS CaremarkPHARMACY Services9501 E Shea Blvd MC 019, Scottsdale, AZ 85260$65,994,794
Baptist Healthcare Sys Inc AffiliMedical Services2701 Eastpoint Parkway, Louisville, KY 40223$16,658,842
St Elizabeth Medical Ctr Inc AffiMedical ServicesOne Medical Village Drive, Edgewood, KY 41017$15,564,705
Norton Hospitals Inc Related OrgsMedical Services224 E Broadway 5th Floor, Louisville, KY 40202$15,119,995
University of Kentucky HospitalMedical ServicesPO Box 3107, Lexington, KY 40588$14,601,007
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$236,599,250
Investment Income
$469,073
Other Revenue
$0
Change in Net Assets
$25,219,803
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$211,848,520
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$1,764,257$10,461,341-$12,225,598
Fees for Services Other$1,265,864$4,538,994-$5,804,858
Office Expenses$22,760$3,574,927-$3,597,687
Advertising-$922,412-$922,412
Occupancy-$814,113-$814,113
Information Technology-$756,758-$756,758
Interest-$480,700-$480,700
Conferences and Meetings$14,711$154,553-$169,264
Fees for Services Legal-$107,199-$107,199
Fees for Services Accounting-$57,507-$57,507
All Other Expenses-$53,585-$53,585
Fees for Services Lobbying-$43,710-$43,710
Total Functional Expenses$179,724,852$32,123,668$0$211,848,520
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$945,562
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
Yes
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 A, Question 4

CareSource Kentucky Co. filed amended bylaws effective January 1, 2019. The amended bylaws include the following changes: (1) The independence requirement for Directors was removed; (2) Term Limits for any Director who holds the Director position by virtue of his/her employment with CareSource were removed; and (3) The recipient of proceeds upon dissolution was changed from The CareSource Foundation to the CareSource Management Group Foundation, provided CareSource Management Group Foundation is exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code at the time of any such distribution.

Form 990, Part VI, Section A, Question 6

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

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, Director 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.

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'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
David W Goltz
Title
CFO
Phone
9375313027
Signed
2020-11-13

Organization Details

Principal Officer
Erhardt Preitauer
Formed
2014
Legal Domicile
Ky
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Change in Net Assets is Inclusive of the Following: (1) Return of Capital Contribution from CSMG ($15,000,000).

Financial Statement Notes

FIN 48 (ASC 740) Footnote

As outlined in the CareSource Management Group Co.'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 2016-2019 are open for audit by the Internal Revenue Service.

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IRS990/Desc0CareSource Kentucky Co. ("CSKY"CareSource Kentucky") 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 organizations (the "CareSource Group"). The mission of the CareSource Group is to make a lasting difference in its members' lives by improving their health and well-being. CSKY firmly adheres to this mission, which it terms as the organization's "heartbeat," by providing services that go well beyond the delivery of medical benefits. CSKY began offering a Qualified Health Plan ("QHP") on the Kentucky Health Insurance Marketplace beginning in January 2015, providing low-cost comprehensive coverage for uninsured individuals and families. CareSource Kentucky is accredited through the National Committee for Quality Assurance ("NCQA") for its qualified Health Insurance Marketplace plan. 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. CareSource Kentucky can, therefore, further its mission as a means of improving the health and well-being of Kentucky's low-income populations.
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IRS990/Form990PartVIISectionAGrp/PersonNm2Jai Pillai
IRS990/Form990PartVIISectionAGrp/PersonNm3David Finkel
IRS990/Form990PartVIISectionAGrp/PersonNm4Daniel McCabe
IRS990/Form990PartVIISectionAGrp/PersonNm5L Tarlton Thomas III
IRS990/Form990PartVIISectionAGrp/PersonNm6Michael Taylor
IRS990/Form990PartVIISectionAGrp/PersonNm7William Coffin
IRS990/Form990PartVIISectionAGrp/PersonNm8Kevin Brown
IRS990/Form990PartVIISectionAGrp/PersonNm9Terence Rapoch
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IRS990/Form990PartVIISectionAGrp/TitleTxt6President, Mkt/Sec/Treas/Dir
IRS990/Form990PartVIISectionAGrp/TitleTxt7VP Market Finance/Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt9Former Vice Chairperson
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