Civic Intelligence

Healthfirst Bluegrass Inc

EIN 45-2710251 • 501(c)3 • Lexington, KY

Profile

To provide quality healthcare for all who need us. Healthfirst provides outpatient primary healthcare services to the underserved and uninsured residents of fayette county and surrounding counties in kentucky.

453 Southland DriveLexington, KY 40503

none

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

48th percentile

0.20x

Higher debt load relative to assets than 48% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

45th percentile

0.24x

Higher debt load relative to revenue than 45% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

23rd percentile

-5.4%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

13th percentile

-5.8%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

13th percentile

-16%

Faster revenue growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$35,533,278

Down $2,185,177 (-5.8%) from 2023

Liabilities

Down

$7,011,197

Down $945,599 (-12%) from 2023

Net Assets

Down

$28,522,081

Down $1,239,578 (-4.2%) from 2023

Revenue

Down

$29,283,306

Down $5,658,469 (-16%) from 2023

Expenses

Down

$30,863,827

Down $1,554,047 (-4.8%) from 2023

Net Income

Down

-$1,580,521

Down $4,104,422 (-163%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2011: $2,423,789Liabilities 2011: $1,093,277Net Assets 2011: $1,330,5122011Assets 2012: $3,518,633Liabilities 2012: $2,703,938Net Assets 2012: $814,6952012Assets 2013: $4,719,133Liabilities 2013: $3,815,415Net Assets 2013: $903,7182013Assets 2014: $12,690,163Liabilities 2014: $7,312,098Net Assets 2014: $5,378,0652014Assets 2015: $22,916,687Liabilities 2015: $6,354,052Net Assets 2015: $16,562,6352015Assets 2016: $26,281,587Liabilities 2016: $6,477,949Net Assets 2016: $19,803,6382016Assets 2017: $29,552,556Liabilities 2017: $6,662,945Net Assets 2017: $22,889,6112017Assets 2018: $30,601,691Liabilities 2018: $5,573,435Net Assets 2018: $25,028,2562018Assets 2019: $31,364,050Liabilities 2019: $5,693,417Net Assets 2019: $25,670,6332019Assets 2020: $31,582,424Liabilities 2020: $8,999,853Net Assets 2020: $22,582,5712020Assets 2021: $30,947,747Liabilities 2021: $6,428,204Net Assets 2021: $24,519,5432021Assets 2022: $34,904,396Liabilities 2022: $8,286,216Net Assets 2022: $26,618,1802022Assets 2023: $37,718,455Liabilities 2023: $7,956,796Net Assets 2023: $29,761,6592023Assets 2024: $35,533,278Liabilities 2024: $7,011,197Net Assets 2024: $28,522,0812024

Highlighted filing

2024

Assets$35,533,278
Liabilities$7,011,197
Net Assets$28,522,081

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MRevenue 2011: $6,961,950Expenses 2011: $5,631,438Net Income 2011: $1,330,5122011Expenses 2012: $12,167,8362012Revenue 2013: $12,664,256Expenses 2013: $12,673,908Net Income 2013: -$9,6522013Revenue 2014: $17,230,740Expenses 2014: $12,756,393Net Income 2014: $4,474,3472014Revenue 2015: $25,761,242Expenses 2015: $14,396,549Net Income 2015: $11,364,6932015Revenue 2016: $19,309,315Expenses 2016: $16,068,312Net Income 2016: $3,241,0032016Revenue 2017: $21,928,012Expenses 2017: $18,842,039Net Income 2017: $3,085,9732017Revenue 2018: $23,012,651Expenses 2018: $20,785,360Net Income 2018: $2,227,2912018Revenue 2019: $22,976,543Expenses 2019: $22,787,488Net Income 2019: $189,0552019Revenue 2020: $21,029,533Expenses 2020: $24,530,549Net Income 2020: -$3,501,0162020Revenue 2021: $27,385,897Expenses 2021: $25,778,145Net Income 2021: $1,607,7522021Revenue 2022: $30,622,215Expenses 2022: $27,761,438Net Income 2022: $2,860,7772022Revenue 2023: $34,941,775Expenses 2023: $32,417,874Net Income 2023: $2,523,9012023Revenue 2024: $29,283,306Expenses 2024: $30,863,827Net Income 2024: -$1,580,5212024

Highlighted filing

2024

Revenue$29,283,306
Expenses$30,863,827
Net Income-$1,580,521

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.5$7.01$28.5$29.3$30.9$1.58
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$37.7$7.96$29.8$34.9$32.4$2.52
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.9$8.29$26.6$30.6$27.8$2.86
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.9$6.43$24.5$27.4$25.8$1.61
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.6$9.00$22.6$21.0$24.5$3.50
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$31.4$5.69$25.7$23.0$22.8$0.19
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.6$5.57$25.0$23.0$20.8$2.23
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$29.6$6.66$22.9$21.9$18.8$3.09
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.3$6.48$19.8$19.3$16.1$3.24
2015Detailed filing. Detailed filing data is available for this year.$22.9$6.35$16.6$25.8$14.4$11.4
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.7$7.31$5.38$17.2$12.8$4.47
2013Detailed filing. Detailed filing data is available for this year.$4.72$3.82$0.90$12.7$12.7$0.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.52$2.70$0.81$12.2
2011Summary only. Only limited summary data is available for this year.$2.42$1.09$1.33$6.96$5.63$1.33
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.1
Gross Receipts
$31,091,257
Mission and Program Overview

Mission

To provide quality healthcare for all who need us. Healthfirst provides outpatient primary healthcare services to the underserved and uninsured residents of fayette county and surrounding counties in kentucky.

Provide comprehensive primary healthcare services to residents of central kentucky, and specifically medically under-served areas within lexington-fayette county.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$17,083,594$15,966,487▼ $1,117,107
Savings and Temporary Cash Investments$8,400,086$9,624,249▲ $1,224,163
Cash and Non-Interest-Bearing Accounts$7,681,693$6,174,041▼ $1,507,652
Accounts Receivable$2,045,589$1,492,680▼ $552,909
Prepaid Expenses and Deferred Charges$408,227$416,471▲ $8,244
Inventories for Sale or Use$292,104$393,970▲ $101,866
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--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$37,718,455$35,533,278▼ $2,185,177
Other Assets Total$1,807,162$1,465,380▼ $341,782
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,156,798$2,127,989▼ $28,809
Unsecured Notes Loans Payable$1,882,624$1,821,032▼ $61,592
Accounts Payable and Accrued Expenses$2,094,286$1,584,905▼ $509,381
Other Liabilities$1,823,088$1,477,271▼ $345,817
Grants Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$7,956,796$7,011,197▼ $945,599
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$29,761,659$28,522,081▼ $1,239,578
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$29,761,659$28,522,081▼ $1,239,578
Total Liabilities and Net Assets / Fund Balance$37,718,455$35,533,278▼ $2,185,177

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,956,703$3,383,078$12,339,781
Equipment$77,772$5,904,969$5,982,741
Leasehold Improvements$3,803,836$1,027,593$4,831,429
Land$3,128,176-$3,128,176
Other Land Buildings$0$0$0
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Gentry Larue JrPsychiatristFT$323,337$3,391$326,728
Paul DepriestChief Medical OfficerFT$261,148$11,524$272,672
Wayne LinscottChief Executive OfficerFT$198,173$15,754$213,927
Sarah Riley-Burnett MDPhysicianPT$189,585$14,205$203,790
Samuel Watson MDPhysicianFT$189,204$9,032$198,236
Bhavini Mody-HighChief Operations OfficerFT$168,966$12,509$181,475
Neelakshi Upreti MDPhysicianPT$172,128$7,685$179,813
Nancy BishofPhysicianPT$166,781$8,881$175,662
Jeremy AlltopChief Financial OfficerFT$160,507$8,488$168,995

Board Members and Trustees

NameTitle
Rhonda JacksonChair
Hartley FeldVice Chair
Marie BradshawVice Chair
Annette CastleBoard Member
Beth NelsonBoard Member
Elisha PerkinsBoard Member
John LoventhalBoard Member
Jordan BieryBoard Member
Danielle MelloBoard Member - Term Ended
Karen FallonBoard Member - Term Ended
Kristy StambaughBoard Member - Term Ended
Mary Alice DanielsBoard Member - Term Ended
Miranda BrownSecretary
Heather WilliamsTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
VisualutionsIT/Billing Services7440 Mintwood LN, Spring, TX 77379$1,106,960
SNJ Data Center LLCIT Services and Consulting4620 Wesley Ave, Cincinnati, OH 45212$301,857
Alliance Of Chicago Community Health ServicesEMR Support and Maintenance225 W Illinois ST, Chicago, IL 60654$261,275
Sage MarketingMarketing110 W Vine St, Lexington, KY 40507$188,510
Ray of Hope Consulting LLCDental Billing Services4324 Tarragon Dr, Johnstown, CO 80534$164,472
Revenue and Support

Revenue Composition

Contributions and Grants
$3,831,461
Program Service Revenue
$21,120,051
Investment Income
$339,189
Other Revenue
$3,992,605
All Other Contributions
$0
Change in Net Assets
$-1,580,521

Audited Revenue Reconciliation

Revenue per Audited Statements
$31,091,257
Revenue Not Reported on Financial Statements
$-1,807,951
Revenue Not Reported on Form 990
$440,943
Other Revenue Adjustments
$-1,807,951
Total Revenue per Audited Statements
$31,532,200
Total Revenue per Form 990
$29,283,306
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$21,774,081
Other Expenses$9,089,746
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,824,428$4,251,279$0$17,075,707
Pension Plan Contributions$2,865,831$972,365$0$3,838,196
Fees for Services Other$1,005,328$993,719$0$1,999,047
Information Technology$784,371$775,314$0$1,559,685
Depreciation Depletion$1,022,855$143,881$0$1,166,736
Current Officers, Directors, Trustees, and Key Employees$625,007$212,062$0$837,069
Office Expenses$413,497$408,722$0$822,219
Occupancy$408,525$403,808$0$812,333
Advertising$150,326$148,590$0$298,916
Interest$0$283,807$0$283,807
Travel$98,795$97,655$0$196,450
Insurance$93,671$92,589$0$186,260
Fees for Services Accounting$40,282$39,816$0$80,098
Fees for Services Legal$14,359$14,193$0$28,552
Other Employee Benefits$17,255$5,854$0$23,109
Other Expenses$3,058$3,022$0$6,080
Total Functional Expenses$21,197,157$9,666,670$0$30,863,827

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$32,771,778
Expenses per Audited Statements$30,963,827
Total Expenses per Form 990$30,963,827
Expenses Not Reported on Form 990$1,807,951
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
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
No
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
Federal Income Taxes$1,477,271
Operating Lease Liabilities-
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B Review of form 990 by governing body

A copy of the 990 is provided to the board for review and approval before filing.

Form 990, Part VI, Line 12C Conflict of interest policy

Board members are provided with and required to sign upon induction and annually the standards of conduct for board members which outlines the healthfirst conflict of interest policy. If there is an apparent conflict, the board members will sit out of that vote.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

Compensation is determined by the board for the ceo. A compensation review was conducted in 2024 by the human resource director.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

Compensation is determined by the board for the ceo. A compensation review was conducted in 2024 by the human resource director.

Form 990, Part VI, Line 19 Required documents available to the public

The governing documents are available to the public upon request at healthfirst bluegrass inc's offices.

Filing and Contact Details

Filer

Filer Name
HealthFirst Bluegrass Inc
EIN
45-2710251
Phone
8592882425
Address
453 Southland Drive, Lexington, KY 40503

Signing Officer

Name
Wayne Linscott
Title
CEO
Phone
8592882425
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Formed
2011
Legal Domicile
Ky
Voting Board Members
10
Independent Board Members
10
Employees
376
Volunteers
10

Preparer

Firm
Forvis Mazars LLP
Address
312 Walnut Street Suite 3000, Cincinnati, OH 45202
Preparer
Aaron Hershberger
Phone
5136218300
Supplemental Narrative

Financial Statement Notes

Schedule D, Part X, Line 2 INCOME TAXES

The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under fin48 (asc 740). Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

Cost of Goods Sold - -1807951

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

Cost of Goods Sold - 1807951

Raw XML AppendixShowing 400 of 944 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0HEALTHFIRST BLUEGRASS, INC, (HEALTH CENTER) IS A FEDERALLY QUALIFIED HEALTH CENTER THAT WORKS TO IMPROVE, PROMOTE AND MAINTAIN THE PHYSICAL AND EMOTIONAL AND DENTAL HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES. THE HEALTH CENTER PRIMARILY EARNS REVENUES BY PROVIDING PHYSICIAN AND RELATED HEALTH CARE AND MENTAL CARE SERVICES AND DENTAL CARE SERVICES THROUGH CLINICS LOCATED IN LEXINGTON, KENTUCKY. A SIGNIFICANT NUMBER OF PATIENTS ARE LOW-INCOME FAMILIES THAT CANNOT AFFORD HEALTH CARE ASSISTANCE PROGRAMS. HEALTHFIRST BLUEGRASS, INC. SERVED 25,466 LIVES WITH 108,437 VISITS IN MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES. HEALTHFIRST BLUEGRASS ALSO SERVED 5,363 VISITS TO THE HOMELESS COMMUNITY IN LEXINGTON, KENTUCKY.
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