Civic Intelligence

Healthfirst Bluegrass Inc.

990 • Fiscal year 2018 • EIN 45-2710251

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 07, 2019

Organization ProfileWWW.HEALTHFIRSTLEX.COM

View Organization Page

450 Southland Dr Suite ELexington, KY 40503

(859) 288-2334

Siviq Scores

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

Liabilities / Assets

43rd percentile

0.18x

Higher debt load relative to assets than 43% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Liabilities / Revenue

45th percentile

0.24x

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

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Net Margin

65th percentile

9.7%

Higher net margin than 65% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Top Officer Pay

43rd percentile

$225,604

Higher top officer pay than 43% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Asset Growth

55th percentile

3.6%

Faster asset growth than 55% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Revenue Growth

50th percentile

4.9%

Faster revenue growth than 50% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets43rd percentile

Assets

Up

$30,601,691

Up $1,049,135 (+3.6%) from 2017

Net Assets

Up

$25,028,256

Up $2,138,645 (+9.3%) from 2017

Liabilities

Down

$5,573,435

Down $1,089,510 (-16%) from 2017

Revenue And Expenses
Liabilities / Revenue45th percentileNet Margin65th percentile

Revenue

Up

$23,012,651

Up $1,084,639 (+4.9%) from 2017

Expenses

Up

$20,785,360

Up $1,943,321 (+10%) from 2017

Net Income

Down

$2,227,291

Down $858,682 (-28%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth55th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2018

Assets$30,601,691
Liabilities$5,573,435
Net Assets$25,028,256
Open 2018 Filing

Operations Trend

Revenue Growth50th percentile

Revenue, expenses, and net income across loaded years, with this 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

2018

Revenue$23,012,651
Expenses$20,785,360
Net Income$2,227,291
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 7, 2019
Return Version
2018v3.1
Gross Receipts
$25,765,026
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$16,451,243$16,193,118▼ $258,125
Cash and Non-Interest-Bearing Accounts$11,109,086$8,749,993▼ $2,359,093
Savings and Temporary Cash Investments$0$3,920,952▲ $3,920,952
Accounts Receivable$1,725,729$1,585,830▼ $139,899
Inventories for Sale or Use$117,391$114,782▼ $2,609
Prepaid Expenses and Deferred Charges$149,107$37,016▼ $112,091
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
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$29,552,556$30,601,691▲ $1,049,135
Other Assets Total$0$0→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$3,460,815$2,349,942▼ $1,110,873
Unsecured Notes Loans Payable$2,060,913$2,044,172▼ $16,741
Accounts Payable and Accrued Expenses$1,141,217$1,179,321▲ $38,104
Grants Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$6,662,945$5,573,435▼ $1,089,510
Net Assets / Fund Balance
Unrestricted Net Assets$22,889,611$25,028,256▲ $2,138,645
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$22,889,611$25,028,256▲ $2,138,645
Total Liabilities and Net Assets / Fund Balance$29,552,556$30,601,691▲ $1,049,135

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$12,085,102-$12,085,102
Equipment$0$3,842,564$3,842,564
Land$3,128,176-$3,128,176
Leasehold Improvements$979,840$509,657$1,489,497
Compensation and Service Providers
Top Officer Pay43rd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Deborah Stanley MdMedical DirectorFT$206,710$18,894$225,604
Robert FrankoCEOFT$198,414$17,266$215,680
William Dake MdAssistant Medical DirectorFT$194,942$17,127$212,069
Carol Mitchell MdPhysicianFT$182,351$16,623$198,974
Justin Adams MdPhysicianFT$175,834$13,666$189,500
Caralee Blair MdPhysicianFT$163,815$21,176$184,991
Sarah Riley-burnett MdPhysicianFT$163,956$17,102$181,058
John Landis DmdDental DirectorFT$161,431$19,536$180,967
James CoyleCFOFT$121,088$19,663$140,751
Wayne LinscottCOOFT$112,230$17,439$129,669

Board Members and Trustees

NameTitle
Caroline FordChairman of the Board
John P Loventhal MdVice Chairman
Stanford LevyVice Chairman
Anthony D ArnoldBoard Member
Delia VirtoBoard Member
Guy ColsonBoard Member
Jerry W HensleyBoard Member
Linnie M Toney AprnBoard Member
Polly RuddickBoard Member
Sadie PenaBoard Member
Susana Verni-altamiranoBoard Member
William RasinenBoard Member
Annette CastleSecretary
Felicia ChismTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
VisualutionsBilling And Coding7440 MINTWOOD LANE, Spring, TX 77379$1,105,807
Revenue and Support

Revenue Composition

Contributions and Grants
$3,608,350
Program Service Revenue
$17,464,780
Investment Income
$24,326
Other Revenue
$1,915,195
Change in Net Assets
$2,227,291

Audited Revenue Reconciliation

Revenue per Audited Statements
$23,431,220
Revenue Not Reported on Financial Statements
$-418,569
Revenue Not Reported on Form 990
$-88,646
Other Revenue Adjustments
$-418,569
Total Revenue per Audited Statements
$23,342,574
Total Revenue per Form 990
$23,012,651
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$15,199,034
Other Expenses$5,586,326
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,009,314$1,580,542-$11,589,856
Other Employee Benefits$2,159,747$525,660-$2,685,407
Fees for Services Other$219,936$1,203,998-$1,423,934
Current Officers, Directors, Trustees, and Key Employees$437,673$486,098-$923,771
Depreciation Depletion$714,780$147,308-$862,088
Information Technology$128,073$393,649-$521,722
All Other Expenses$105,689$315,504-$421,193
Office Expenses$83,133$204,525-$287,658
Interest-$231,223-$231,223
Occupancy$122,936$102,215-$225,151
Other Expenses$36,443$89,469-$125,912
Travel$25,289$92,148-$117,437
Advertising$9,668$105,831-$115,499
Insurance$233$79,164-$79,397
Fees for Services Accounting-$48,025-$48,025
Fees for Services Legal-$44,339-$44,339
Total Functional Expenses$15,098,526$5,686,834$0$20,785,360

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$21,203,929
Total Expenses per Form 990$20,785,360
Expenses per Audited Statements$20,531,671
Expenses Not Reported on Form 990$672,258
Expenses Not Reported on Financial Statements$253,689
Other Expense Adjustments$253,689
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
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 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, Section B, Line 11B

“Reviewing of form 990 ------------------------- a copy of the 990 is provided to the board for review and approval before filing.”

Form 990, Part VI, Section B, Line 12C

“Monitoring compliance ----------------------- 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 apprent conflict, the board members will sit out of that vote.”

Form 990, Part VI, Section B, Line 15A & 15B

“Determining compensation ------------------------------- compensation is determined by the board for the ceo. A compensation review was conducted in 2018 by the human resource director.”

Form 990, Part VI, Section C, Line 19

“Making 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
In Care Of
% WAYNE LINSCOTT
Phone
8592882334
Address
450 SOUTHLAND DR SUITE E, LEXINGTON, KY 40503

Signing Officer

Name
Wayne Linscott
Title
CEO
Phone
8592882334
Signed
2019-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Wayne Linscott
Formed
2011
Legal Domicile
Ky
Voting Board Members
14
Independent Board Members
14
Employees
248
Volunteers
14

Preparer

Firm
Bkd Llp
Address
3102 WEST END AVENUE SUITE 1050, NASHVILLE, TN 37203-1301
Preparer
Jessica Freeman
Phone
6159883600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A

“Program service accomplishments -------------------------------- healthfirst bluegrass, inc, (health center) is a federally qualified health center (fqhc) that works to improve, promote and maintain the physical and emotional 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 through clinics located in lexington, kentucky. The health center provided the following during 2018: - clinic services for 70,466 visits to 20,365 patients. - dental services for 17,411 visits to 8,349 patients. - pharmacy and prescription services to fill 79,616 prescriptions for 5,867 patients utilizing the 340 b inventory and manufacturers assistance program. A significant number of patients are low-income families that cannot afford health care assistance program.”

Financial Statement Notes

Part X, Line 2

“Uncertain tax positions ------------------------- 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.”

Part XI, Line 4B

“RECONCILIATION OF REVENUE ------------------------------ Other: PHARMACY COST OF GOODS SOLD $(672,258) BAD DEBT EXPENSE NETTED AGAINST REVENUE PER AUDIT $ 253,689 --------------- $(418,569)”

Part XII, Line 2D and 4B

“RECONCILIATION OF EXPENSES ------------------------------ Other LINE 2D: PHARMACY COST OF GOODS SOLD $ 672,258 Other LINE 4B: BAD DEBT NETTED AGAINST REVENUE PER AUDIT $ 253,689”

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Document Assets

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$30,601,691
Liabilities
$5,573,435
Net assets
$25,028,256
Revenue
$23,012,651
Expenses
$20,785,360
Net income
$2,227,291
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
2018Detailed filing. Detailed filing data is available for this year.$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