2023-12-22T10:50:24-06:00 2022-12-31 271235638 MCM CPAS & ADVISORS LLP 101 S FIFTH STREET SUITE 2100 LOUISVILLE KY 40202 990 2022-01-01 611325905 UNIVERSITY HEALTH CARE INC UNIV 5025857324 400 W MARKET STREET 2000 LOUISVILLE KY 40202 WILLIAM B WAGNER CHAIR 5025857324 2023-12-21 1 WILLIAM WAGNER 999009999 0 ANNAMARIE REILLY CPA P00431897 5027491900 2023-12-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEVE TUTEWOHL 400 W MARKET STREET 2000 LOUISVILLE KY 40202 6633948 0 X N/A X 1997 KY TO PROMOTE THE HEALTH OF MEDICAID RECIPIENTS IN THE COMMONWEALTH OF KENTUCKY. X 4 4 0 7 0 0 0 406544 0 0 30316 -834019 0 0 30316 -427475 0 0 0 0 0 0 0 0 0 0 322811 0 322811 30316 -750286 8698302 2043342 666887 720207 8031415 1323135 X UNIVERSITY HEALTH CARE'S MISSION IS TO PROMOTE THE HEALTH OF MEDICAID RECIPIENTS IN THE COMMONWEALTH OF KENTUCKY. ITS CONTRACT WITH THE COMMONWEALTH WAS NOT RENEWED, ITS ASSETS WERE ACQUIRED BY ANOTHER MANAGED CARE ORGANIZATION, AND THE SALE'S PROCEEDS WERE DISTRIBUTED TO THE CHARITABLE ORGANIZATIONS THAT FORMERLY SPONSORED THE TAXPAYER. IT IS CURRENTLY IN WIND-DOWN. 0 0 43825 UNIVERSITY 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 2022 REPRESENTS THE WIND-DOWN OF UHC'S ACTIVITIES AFTER ITS ACQUISTION IN 2019 BY EVOLENT. 43825 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 KY X STEVE TUTEWOHL 5025857324 5100 COMMERCE CROSSINGS DRIVE LOUISVILLE KY 40229 X DR KIMBERLY A BOLAND DIRECTOR 1.00 X 0 0 0 KENNETH P MARSHALL SECRETARY/DIRECTOR 1.00 X X 0 0 0 WILLIAM B WAGNER PRESIDENT/DIRECTOR 1.00 X X 0 0 0 DAN DURBIN TREASURER 1.00 X X 0 0 0 0 0 0 0 0 0 0 0 406544 406544 940 940 6226464 35394 7026029 -35394 -799565 -834959 -834959 -427475 0 0 -834019 X 193024 193024 83986 83986 4911 4911 1976 1976 MISCELLANEOUS EXPENSES 38914 38914 322811 43825 278986 0 65171 1470071 26497 2029 606636 571242 7999998 0 8698302 2043342 666887 720207 666887 720207 X 8031415 1323135 8031415 1323135 8698302 2043342 X -750286 -5957994 X 0 0 0 X 406544 406544 1953210500 1950827910 4384624 3908423034 1953210500 1950827910 4384624 406544 3908829578 0 0 0 3908829578 6241150 3966003 83494 30316 940 10321903 6241150 3966003 83494 30316 940 10321903 87087 2905167 2992254 1959538737 1957699080 4468118 30316 407484 3922143735 0.99660 0.99680 0.00260 0.00270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 MARKETABLE SECURITIES 571242 C 571242 DUE TO JUSTIFY 720207 720207 INVESTMENT IN SUBSIDIARY (INCLUDING LAND & CIP) 2022-05-05 7026029 COST JUSTIFY HOLDINGS INC 800 N GLEBE ROAD SUITE 500 ARLINGTON VA 22203 CORPORATION CASH 2022-05-05 766198 COST 611028725 NORTON HEALTHCARE INC 200 E CHESTNUT ST LOUISVILLE KY 40202 501C3 CASH 2022-05-05 766198 COST 203805455 JEWISH HERITAGE FUND FOR EXCELLENCE INC 101 S 5TH ST SUITE 1600 LOUISVILLE KY 40202 501C3 CASH 2022-05-05 3805966 COST 611293786 UNIVERSITY MEDICAL CENTER INC 530 S JACKSON ST LOUISVILLE KY 40202 501C3 CASH 2022-05-05 154908 COST 610716483 FAMILY HEALTH CENTERS INC 2215 PORTLAND AVENUE LOUISVILLE KY 40212 501C CASH 2022-05-05 154908 COST 843178470 UOFL HEALTH 530 S JACKSON ST LOUISVILLE KY 40202 501C CASH 2022-05-05 154908 COST LOUISVILLE METRO HEALTH DEPARTMENT 400 E GRAY ST LOUISVILLE KY 40202 GOVERNMENT CASH 2022-05-05 154908 COST 610666209 PARK DUVALLE COMMUNITY HEALTH CENTER INC 3015 WILSON AVENUE LOUISVILLE KY 40211 501C 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS REVIEWED AND APPROVED BY THE COMPANY'S BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C PASSPORT 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 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES - OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 83,986. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,986. FORM 990, PART XI, LINE 9: RETURN OF FUNDS -5,957,994. PASSPORT HEALTH SOLUTIONS LLC 5100 COMMERCE CROSSING DRIVE LOUISVILLE KY 40229 822430292 REAL ESTATE KY 501(C)(3) LINE 12A, I UNIVERSITY HEALTHCARE INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 PASSPORT HEALTH SOLUTIONS LLC S 973969 FMV PASSPORT HEALTH SOLUTIONS LLC C 406544 FMV