Civic Intelligence

Caresource Kentucky Co

990 • Fiscal year 2020 • EIN 46-4991603

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 11, 2021

101 Enterprise DriveFrankfort, KY 40601

(937) 531-3027

Siviq Scores

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

Liabilities / Assets

74th percentile

0.61x

Higher debt load relative to assets than 74% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Liabilities / Revenue

16th percentile

0.19x

Higher debt load relative to revenue than 16% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Net Margin

51st percentile

4.1%

Higher net margin than 51% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Top Officer Pay

97th percentile

$5,959,075

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 2.3% of source-year revenue.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Asset Growth

63rd percentile

10%

Faster asset growth than 63% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Revenue Growth

70th percentile

7.4%

Faster revenue growth than 70% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Assets

Up

$77,405,583

Up $7,206,952 (+10%) from 2019

Net Assets

Up

$30,256,068

Up $486,888 (+1.6%) from 2019

Liabilities

Up

$47,149,515

Up $6,720,064 (+17%) from 2019

Revenue

Up

$254,549,061

Up $17,480,738 (+7.4%) from 2019

Expenses

Up

$244,062,173

Up $32,213,653 (+15%) from 2019

Net Income

Down

$10,486,888

Down $14,732,915 (-58%) from 2019

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

2020

Assets$77,405,583
Liabilities$47,149,515
Net Assets$30,256,068

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

2020

Revenue$254,549,061
Expenses$244,062,173
Net Income$10,486,888
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 11, 2021
Return Version
2020v4.1
Gross Receipts
$254,549,061
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$30,611,114$59,893,526▲ $29,282,412
Accounts Receivable$39,087,517$12,569,127▼ $26,518,390
Investments in Publicly Traded Securities$0$4,811,380▲ $4,811,380
Cash and Non-Interest-Bearing Accounts$500,000$0▼ $500,000
Prepaid Expenses and Deferred Charges$0$131,550▲ $131,550
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
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
Total Assets$70,198,631$77,405,583▲ $7,206,952
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$31,895,168$37,474,909▲ $5,579,741
Deferred Revenue$7,588,721$8,236,923▲ $648,202
Other Liabilities$945,562$1,437,683▲ $492,121
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$40,429,451$47,149,515▲ $6,720,064
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$29,769,180$30,256,068▲ $486,888
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$29,769,180$30,256,068▲ $486,888
Total Liabilities and Net Assets / Fund Balance$70,198,631$77,405,583▲ $7,206,952
Compensation and Service Providers

Board Members and Trustees

NameTitle
David FinkelExec VP, Markets & Chair/Director
Erhardt PreitauerPresident & CEO
Terence RapochFormer Vice Chair
Kevin BrownFormer Director
Michael TaylorPres, Market & Sec/Director
William Coffin JrVP Mkt Finance & Treas/Director
Daniel McCabeChief Administrative Officer
David GoltzChief Financial Officer
Jai PillaiChief Operating Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Express Scripts IncPHARMACY Services21653 Network Place, Chicago, IL 60673-0673$79,938,708
Baptist Healthcare Sys Inc AffiliMedical Services2701 Eastpoint Parkway, Louisville, KY 40223$37,291,815
University of Kentucky HospitalMedical ServicesPO Box 3107, Lexington, KY 40588$19,796,610
Norton Hospitals Inc Related OrgsMedical Services224 E Broadway 5th Floor, Louisville, KY 40202$17,492,243
St Elizabeth Medical Ctr Inc AffiMedical ServicesOne Medical Village Drive, Edgewood, KY 41017$15,198,582
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$254,461,958
Investment Income
$87,103
Other Revenue
$0
Change in Net Assets
$10,486,888
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$244,062,173
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$1,916,663$7,858,473-$7,858,473
Fees for Services Other$871,806$6,659,411-$7,531,217
Office Expenses$1,814$2,906,717-$2,908,531
All Other Expenses$195,708$1,571,753-$1,767,461
Advertising$40$1,564,601-$1,564,641
Information Technology$2,344$1,541,350-$1,543,694
Occupancy-$815,972-$815,972
Fees for Services Legal-$206,737-$206,737
Fees for Services Accounting$20,193$167,995-$188,188
Insurance$4$72,158-$72,162
Fees for Services Lobbying$506$30,176-$30,682
Travel$2,408$21,918-$24,326
Interest-$5,503-$5,503
Total Functional Expenses$206,205,677$37,856,496$0$244,062,173
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$1,437,683
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
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Question 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 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.

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
101 Enterprise Drive, Frankfort, KY 40601

Signing Officer

Name
Lawrence Smart
Title
CFO
Phone
9375313027
Signed
2021-11-11

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 V, Line 1A

In early 2020, CSKY changed the payer of its provider claims payments, resulting in a reduction of the number of Forms 1099 that were reported on Form 990, Part V, Line 1A.

Form 990, Part XI, Line 9

Change in Net Assets is Inclusive of the Following: (1) Return of Capital Contribution from CareSource ($10,000,000).

Financial Statement Notes

FIN 48 (ASC 740) Footnote

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 2017-2019 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. CareSource Kentucky 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 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/PersonNm8Terence Rapoch
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President & CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Exec VP, Markets & Chair/Dir
IRS990/Form990PartVIISectionAGrp/TitleTxt3Chief Financial Officer
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Pres, Market & Sec/Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6VP Mkt Finance & Treas/Dir
IRS990/Form990PartVIISectionAGrp/TitleTxt7Former Director
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IRS990/MissionDesc0CareSource Kentucky Co.'s mission is to make a lasting difference in members' lives by improving their health and well-being. The organization's vision is to transform lives through innovative health and life services. CareSource Kentucky Co. is a health maintenance organization licensed by the state of Kentucky and serves members through Marketplace plans.
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