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UNIVERSITY HEALTH CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY HEALTH CARE INC (EIN 61-1325905)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202143199349303104
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T08:31:08-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271235638PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCM CPAS & ADVISORS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1462 S FOURTH ST SUITE 2600AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP402023445ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611325905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone5025857324PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15100 COMMERCE CROSSINGS DRIVEAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40229ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM B WAGNERPersonNm
Person TitleVICE CHAIRPersonTitleTxt
Phone5025857324PhoneNum
Signature2021-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWILLIAMPersonFirstNm
Person LastWAGNERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonELEANOR A LIVINGSTON CPA MSTPreparerPersonNm
PTINP00226461PTIN
Phone5027491900PhoneNum
Preparation2021-11-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE TUTEWOHLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15100 COMMERCE CROSSINGS DRIVEAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40229ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,468,118GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionPROVIDING/ ARRANGING HEALTH CARE SERVICES TO ELIGIBLE MEDICAID AND MEDICARE SPECIAL NEEDS RECIPIENTS IN KENTUCKY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,950,827,910PYProgramServiceRevenueAmt
CY Program Service Revenue$4,384,624CYProgramServiceRevenueAmt
PY Investment Income$45,128,673PYInvestmentIncomeAmt
CY Investment Income$83,494CYInvestmentIncomeAmt
PY Other Revenue$2,905,167PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,998,861,750PYTotalRevenueAmt
CY Total Revenue$4,468,118CYTotalRevenueAmt
PY Grants And Similar Paid$50,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,803,459,863PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,715,634PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$165,626,000PYOtherExpensesAmt
CY Other Expenses$3,044,418CYOtherExpensesAmt
PY Total Expenses$1,985,851,497PYTotalExpensesAmt
CY Total Expenses$3,044,418CYTotalExpensesAmt
PY Revenues Less Expenses$13,010,253PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,423,700CYRevenuesLessExpensesAmt
Total Assets BOY$54,115,565TotalAssetsBOYAmt
Total Assets EOY$8,730,554TotalAssetsEOYAmt
Total Liabilities BOY$33,210,272TotalLiabilitiesBOYAmt
Total Liabilities EOY$666,887TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,905,293NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,063,667NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDING OR ARRANGING FOR THE PROVISION OF HEALTH CARE SERVICES TO ELIGIBLE MEDICAID RECIPIENTS PURSUANT TO A MANAGED CARE INITIATIVE WITH THE DEPARTMENT FOR MEDICAID SERVICES OF THE COMMONWEALTH OF KENTUCKY AND TO ELIGIBLE MEDICARE SPECIAL NEEDS RECIPIENTS THROUGH A CONTRACT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$0ExpenseAmt
Revenue$4,384,624RevenueAmt
DescUNIVERSITY HEALTH CARE, INC. (UHC) IS A NONPROFIT, COMMUNITY-BASED, PROVIDER-SPONSORED HEALTH PLAN WITH TWENTY-ONE YEARS OF EXPERIENCE ADMINISTERING KENTUCKY MEDICAID BENEFITS.UHC'S PARTNERSHIP WITH THE COMMONWEALTH OF KENTUCKY WAS FIRST ESTABLISHED IN 1997 BY SEVERAL PRIVATE PROVIDER SPONSORS TO HELP THE COMMONWEALTH CONTROL THE RISING COSTS OF THE MEDICAID PROGRAM AND TO IMPROVE HEALTH OUTCOMES FOR MEDICAID MEMBERS IN ADDITION TO PROVIDING SERVICES TO MEDICARE SPECIAL NEEDS PATIENTS.THE ACTIVITY DURING 2020 REPRESENTS THE WIND-DOWN OF UHC'S ACTIVITIES AFTER ITS ACQUISTION IN 2019 BY EVOLENT.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document605IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVE TUTEWOHLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5025857324PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15100 COMMERCE CROSSINGS DRIVEAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40229ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DR KIMBERLY A BOLAND
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER E DAVIS
DIRECTOR1.00Yes (X)$0$0$0
KENNETH P MARSHALL
DIRECTOR1.00Yes (X)$0$0$0
SETH B BLACKLEY
DIRECTOR1.00Yes (X)$0$0$0
FRANK JOHN WILLIAMS
CHAIR1.00Yes (X)$0$0$0Yes (X)
WILLIAM B WAGNER
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
JONATHAN D WEINBERG
SECRETARY1.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CVS PHARMACY
ONCE CVS DRIVEWOONSOCKETRI02895PHARMACY CLAIM PAYMENTS$18,760,303
NORTON HOSPITAL INC
210 E GRAY ST 154LOUISVILLEKY40202CLAIM PAYMENTS$6,519,199
UNIVERSITY OF LOUISVILLE HOSPITAL
530 S JACKSON STLOUISVILLEKY40202CLAIM PAYMENTS$4,349,916
UOFL HEALTH LOUISVILLE INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202CLAIM PAYMENTS$4,225,423
EVOLENT HEALTH
800 N GLEBE ROADARLINGTONVA22203THIRD PARTY ADMINISTRATION$3,723,773
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RETURN OF BENEFITS PAI900099$3,755,254$3,755,254
PATIENT SERVICE624100$629,370$629,370
FieldValueIRS element (for citing)
Total Program Service Revenue$4,384,624TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$83,494TotalRevenueColumnAmt
Exclusion$83,494ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,468,118TotalRevenueColumnAmt
Related Or Exempt Func Income$4,384,624RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$83,494ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$380,222TotalAmt
Management And General$380,222ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$36,208TotalAmt
Management And General$36,208ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,395TotalAmt
Management And General$11,395ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,371,230TotalAmt
Management And General$2,371,230ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,566TotalAmt
Management And General$16,566ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$110,105TotalAmt
Management And General$110,105ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$55,739TotalAmt
Management And General$55,739ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$44,147TotalAmt
Management And General$44,147ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,238TotalAmt
Management And General$17,238ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & MAIN$704$704
LICENSE & FEES$564$564
DUES & SUBSCRIPTIONS$300$300

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,044,418TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,044,418ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,937,038BOYAmt
EOY$57,353EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,577,225BOYAmt
EOY$2,029EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$236,706BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,000,000LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,200,000BOYAmt
EOY$8,000,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$164,596BOYAmt
EOY$671,172EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,115,565BOYAmt
EOY$8,730,554EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,158,837BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,051,435BOYAmt
EOY$666,887EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,210,272BOYAmt
EOY$666,887EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,905,293BOYAmt
EOY$8,063,667EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,905,293BOYAmt
EOY$8,063,667EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,115,565BOYAmt
EOY$8,730,554EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,423,700ReconcilationRevenueExpnssAmt
Prior Period Adjustments$95,926PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$14,361,252OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,752,410,968CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,932,183,073CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,953,210,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,950,827,910CurrentTaxYearMinus1YearAmt
Current Tax Year$4,384,624CurrentTaxYearAmt
Total$7,593,017,075TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,752,410,968CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,932,183,073CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,953,210,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,950,827,910CurrentTaxYearMinus1YearAmt
Current Tax Year$4,384,624CurrentTaxYearAmt
Total$7,593,017,075TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$7,593,017,075PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,906,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,277,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,241,150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,966,003CurrentTaxYearMinus1YearAmt
Current Tax Year$83,494CurrentTaxYearAmt
Total$20,474,366TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,906,657CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,277,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,241,150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,966,003CurrentTaxYearMinus1YearAmt
Current Tax Year$83,494CurrentTaxYearAmt
Total$20,474,366TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,000,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$87,087CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,905,167CurrentTaxYearMinus1YearAmt
Total$17,992,254TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,772,317,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,937,460,135CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,959,538,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,957,699,080CurrentTaxYearMinus1YearAmt
Current Tax Year$4,468,118CurrentTaxYearAmt
Total$7,631,483,695TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99500PublicSupportCY509Pct
Public Support PY5090.99540PublicSupportPY509Pct
Investment Income CY0.00270InvestmentIncomeCYPct
Investment Income PY0.00270InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,347,720OtherCostOrOtherBasisAmt
Book Value$2,347,720BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,652,280OtherCostOrOtherBasisAmt
Book Value$5,652,280BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,000,000TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMARKETABLE SECURITIESDesc
Book Value$671,172BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$671,172TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM UHCDesc
Amt$666,887Amt
FieldValueIRS element (for citing)
Total Liability$666,887TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS FIVE (5) INITIAL MEMBERS (ALSO KNOWN AS SPONSORS). IN ADDITION, UPON AN AFFIRMATIVE VOTE OF SEVENTY-FIVE (75%) OF THE VOTES HELD BY THE MEMBERS ENTITLED TO VOTE, THE MEMBERS MAY PROVIDE THAT THERE SHALL BE OTHER MEMBERS OF THE ORGANIZATION. THE OTHER MEMBERS MUST BE EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE OR ARE DESCRIBED IN SECTION 170(C)(1) OF THE CODE; PROVIDED, THE BOARD OF DIRECTORS MAY PROVIDE IN THE BYLAWS FOR A SEPARATE CLASS OF MEMBERS THAT ARE NOT EXEMPT UNDER SECTION 501(C)(3) OR ARE NOT DESCRIBED IN SECTION 170(C)(1), BUT THE CREATION OR EXISTENCE OF ANY SUCH SEPARATE CLASS OF MEMBERS MUST NOT CAUSE THE CORPORATION TO CEASE TO BE AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3). EACH INITIAL MEMBER SHALL BE ENTITLED TO APPOINT A CERTAIN NUMBER OF DIRECTORS. ONE MEMBER MAY APPOINT 5 DIRECTORS AND 4 MEMBERS MAY APPOINT 1 DIRECTOR. OTHER MEMBERS (OTHER THAN THE INITIAL MEMBERS) MAY HAVE THE RIGHT TO APPOINT DIRECTORS. CURRENTLY THERE ARE NO OTHER MEMBERS. MEMBERS, THROUGH THEIR BOARD OF DIRECTOR APPOINTMENTS, APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY. UPON DISSOLUTION OF THE ORGANIZATION, ASSETS THAT HAVE BEEN RECEIVED AND ARE HELD BY THE ORGANIZATION SUBJECT TO LIMITATIONS PERMITTING THEIR USE ONLY FOR CHARITABLE, SCIENTIFIC, LITERARY, RELIGIOUS, EDUCATIONAL OR SIMILAR PURPOSES, AND THAT ARE NOT HELD UPON A CONDITION REQUIRING RETURN, TRANSFER, OR CONVEYANCE BY REASON OF DISSOLUTION, SHALL BE TRANSFERRED OR CONVEYED TO EACH MEMBER PURSUANT TO CERTAIN PROVISIONS OF THEIR MEMBER AGREEMENT. IN ADDITION, OTHER ASSETS, IF ANY, SHALL BE TRANSFERRED OR CONVEYED TO THE MEMBERS FOR A PUBLIC PURPOSE, PURSUANT TO A PLAN OF DISTRIBUTION ADOPTED AS PROVIDED BY LAW. IN ADDITION, THE ORGANIZATION HAS AN AFFILIATION AGREEMENT WITH THE PARTNERSHIP COUNCIL, INC. (PARTNERSHIP COUNCIL) UNDER WHICH THE PARTNERSHIP COUNCIL PROVIDES SUPPORT AND ASSISTANCE TO THE ORGANIZATION TO AID THE ORGANIZATION IN ITS ROLE AS THE PROVIDER OF MEDICAID SERVICES IN DESIGNATED REGIONS OF KENTUCKY UNDER A PROGRAM ESTABLISHED BY THE COMMONWEALTH OF KENTUCKY. THE PARTNERSHIP COUNCIL HAS THE RIGHT TO APPOINT THREE MEMBERS TO THE GOVERNING BODY OF PASSPORT.
FORM 990, PART VI, SECTION A, LINE 7AONE INITIAL MEMBER MAY APPOINT 5 DIRECTORS. THE OTHER FOUR INITIAL MEMBERS MAY EACH APPOINT ONE DIRECTOR. THE PARTNERSHIP COUNCIL SHALL HAVE THE RIGHT TO APPOINT 3 DIRECTORS. SUCH APPOINTED DIRECTORS HAVE THE RIGHT TO APPOINT 3 COMMUNITY AT-LARGE DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE TAX RETURN IS REVIEWED AND APPROVED BY THE COMPANY'S CHIEF FINANCIAL OFFICER. PERTINENT DATA IS COMPARED TO AUDITED FINANCIAL STATEMENTS TO ENSURE ACCURACY.
FORM 990, PART VI, SECTION B, LINE 12CPASSPORT HAS TWO CONFLICT OF INTEREST POLICIES -- ONE FOR ITS BOARD MEMBERS AND EXECUTIVES; AND ONE FOR ALL OTHER ASSOCIATES. WE HAVE TWO CONFLICT OF INTEREST POLICIES TO ACCOUNT FOR THE HEIGHTENED SCRUTINY WE BELIEVE WE SHOULD GIVE TO THE ACTIVITIES AND FINANCIAL INTERESTS OF OUR BOARD MEMBERS AND EXECUTIVES. WE HAVE DEVELOPED A PROCESS FOR CONFLICT OF INTEREST TRAINING AND FOR MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. WE REQUIRE BOARD MEMBERS, EXECUTIVES AND ALL OTHER ASSOCIATES TO DISCLOSE POTENTIAL CONFLICT OF INTEREST SITUATIONS ON AN ANNUAL BASIS. ASSOCIATES INCLUDING EXECUTIVES PARTICIPATE IN CONFLICT OF INTEREST TRAINING ON AN ANNUAL BASIS. THE ANNUAL TRAINING INCLUDES HAVING ASSOCIATES AND EXECUTIVES DISCLOSE ANY POSSIBLE CONFLICT-OF-INTEREST SITUATIONS. THE KEY TO OUR PLAN IS TO IDENTIFY ANY POSSIBLE CONFLICT-OF-INTEREST SITUATIONS AND THEN HAVE THE VP, HUMAN RESOURCES AND VP, CHIEF COMPLIANCE OFFICER REVIEW THE DISCLOSURES TO DETERMINE WHETHER ANY ACTION SHOULD BE TAKEN. THE PASSPORT BOARD HAS DEVELOPED ITS PROCESS FOR REVIEW OF CONFLICT OF INTEREST DISCLOSURES. THE BOARD HAS FORMED A COMPLIANCE COMMITTEE TO OVERSEE AND DIRECT THAT PASSPORT CONDUCTS A THOROUGH AND PROMPT INVESTIGATION OF ANY CONFLICT OF INTEREST AND THAT EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. BOARD MEMBERS ARE ASKED TO ABSTAIN FROM VOTING IN CONNECTION WITH THE CONFLICT OF INTEREST WHILE THE COMPLIANCE COMMITTEE DECIDES IF A CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GOTHER CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,371,230. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,371,230.
FORM 990, PART XI, LINE 9:IMPAIRMENT OF REAL PROPERTY -14,361,252.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PASSPORT HEALTH SOLUTIONS LLC
5100 COMMERCE CROSSINGS DRIVELOUISVILLEKY40229822430292REAL ESTATEKY$2,024$6,637,853UNIVERSITY HEALTH CARE INC
PASSPORT HEALTH SOLUTIONS TWO LLC
5100 COMMERCE CROSSINGS DRIVELOUISVILLEKY40229REAL ESTATEKY$0$1,362,147UNIVERSITY HEALTH CARE INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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