Civic Intelligence

Healthfirst Bluegrass Inc.

990 • Fiscal year 2019 • EIN 45-2710251

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 15, 2020

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.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

46th percentile

0.25x

Higher debt load relative to revenue than 46% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Net Margin

40th percentile

0.8%

Higher net margin than 40% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Top Officer Pay

44th percentile

$227,553

Higher top officer pay than 44% of similar nonprofits.

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

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Asset Growth

43rd percentile

2.5%

Faster asset growth than 43% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

36th percentile

-0.2%

Faster revenue growth than 36% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets43rd percentile

Assets

Up

$31,364,050

Up $762,359 (+2.5%) from 2018

Net Assets

Up

$25,670,633

Up $642,377 (+2.6%) from 2018

Liabilities

Up

$5,693,417

Up $119,982 (+2.2%) from 2018

Revenue And Expenses
Liabilities / Revenue46th percentileNet Margin40th percentile

Revenue

Down

$22,976,543

Down $36,108 (-0.2%) from 2018

Expenses

Up

$22,787,488

Up $2,002,128 (+9.6%) from 2018

Net Income

Down

$189,055

Down $2,038,236 (-92%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth43rd 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

2019

Assets$31,364,050
Liabilities$5,693,417
Net Assets$25,670,633
Open 2019 Filing

Operations Trend

Revenue Growth36th 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

2019

Revenue$22,976,543
Expenses$22,787,488
Net Income$189,055
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 15, 2020
Return Version
2019v5.1
Gross Receipts
$25,095,130
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$16,193,118$15,504,593▼ $688,525
Cash and Non-Interest-Bearing Accounts$8,749,993$9,271,849▲ $521,856
Savings and Temporary Cash Investments$3,920,952$4,479,933▲ $558,981
Accounts Receivable$1,585,830$1,933,071▲ $347,241
Inventories for Sale or Use$114,782$121,760▲ $6,978
Prepaid Expenses and Deferred Charges$37,016$52,844▲ $15,828
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$30,601,691$31,364,050▲ $762,359
Other Assets Total$0$0→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,349,942$2,310,087▼ $39,855
Unsecured Notes Loans Payable$2,044,172$2,029,503▼ $14,669
Accounts Payable and Accrued Expenses$1,179,321$1,353,827▲ $174,506
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$5,573,435$5,693,417▲ $119,982
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$25,028,256$25,670,633▲ $642,377
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$25,028,256$25,670,633▲ $642,377
Total Liabilities and Net Assets / Fund Balance$30,601,691$31,364,050▲ $762,359

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$12,085,102-$12,085,102
Equipment$0$4,032,791$4,032,791
Land$3,128,176-$3,128,176
Leasehold Improvements$291,315$1,234,654$1,525,969
Compensation and Service Providers
Top Officer Pay44th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Deborah Stanley MdMedical DirectorFT$207,599$19,954$227,553
William Dake MdAssistant Medical DirectorFT$195,688$18,049$213,737
Carol Mitchell MdPhysicianFT$176,222$17,270$193,492
Wayne LinscottCEOFT$169,410$22,037$191,447
Caralee Blair MdPhysicianFT$166,843$23,238$190,081
Ashley Bowen MdPhysicianFT$165,573$23,187$188,760
Justin Adams MdPhysicianFT$165,831$17,197$183,028
Samuel J Watson MdPhysicianFT$167,290$13,788$181,078
James CoyleCFOFT$142,836$22,196$165,032
Bhavini Mody-highCOOFT$131,818$15,368$147,186

Board Members and Trustees

NameTitle
Caroline FordChairman of the Board
Anthony D ArnoldVice Chairman
Guy ColsonBoard Member
Jan GuyBoard Member
Melisa JonesBoard Member
Polly RuddickBoard Member
Rhonda JonesBoard Member
Sadie Pena MathewBoard Member
Stanford LevyBoard Member
Annette CastleSecretary
Felicia ChismTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
VisualutionsBilling And Coding7440 MINTWOOD LANE, Spring, TX 77379$976,381
Scribe America LLCMed Transcriptions1200 EAST LAS OLAS BLVD STE 201, Fort Lauderdale, FL 33301$205,921
Revenue and Support

Revenue Composition

Contributions and Grants
$3,758,322
Program Service Revenue
$16,993,239
Investment Income
$265,772
Other Revenue
$1,959,210
Change in Net Assets
$189,055

Audited Revenue Reconciliation

Revenue per Audited Statements
$23,760,620
Revenue Not Reported on Financial Statements
$-784,077
Revenue Not Reported on Form 990
$453,322
Other Revenue Adjustments
$-784,077
Total Revenue per Audited Statements
$24,213,942
Total Revenue per Form 990
$22,976,543
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$16,869,352
Other Expenses$5,918,136
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,203,552$1,622,675-$12,826,227
Other Employee Benefits$2,486,020$585,813-$3,071,833
Fees for Services Other$336,098$1,198,205-$1,534,303
Current Officers, Directors, Trustees, and Key Employees$441,289$530,003-$971,292
Depreciation Depletion$766,651$148,573-$915,224
Information Technology$186,700$418,538-$605,238
Other Expenses$154,511$408,841-$563,352
Office Expenses$116,304$224,027-$340,331
Occupancy$145,637$94,226-$239,863
Interest-$207,032-$207,032
Travel$48,208$75,440-$123,648
Advertising$1,898$84,287-$86,185
Insurance-$74,234-$74,234
Fees for Services Accounting-$67,561-$67,561
Fees for Services Legal-$62,431-$62,431
Total Functional Expenses$16,828,390$5,959,098$0$22,787,488

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$23,571,565
Expenses per Audited Statements$22,787,488
Total Expenses per Form 990$22,787,488
Expenses Not Reported on Form 990$784,077
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 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, 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 apparent 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 2019 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
2020-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Wayne Linscott
Formed
2011
Legal Domicile
Ky
Voting Board Members
11
Independent Board Members
11
Employees
282
Volunteers
11

Preparer

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

Financial Statement Notes

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.”

Part XI, Line 4B

“Reconciliation of revenue ------------------------------ pharmacy cost of goods sold $(784,077)”

Part XII, Line 2D

“Reconciliation of expenses ------------------------------ pharmacy cost of goods sold $ 784,077”

Raw XML AppendixShowing 400 of 766 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/ActivityOrMissionDesc0PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE SERVICES TO RESIDENTS OF CENTRAL KENTUCKY, AND SPECIFICALLY MEDICALLY UNDER-SERVED AREAS WITHIN LEXINGTON-FAYETTE COUNTY.
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IRS990/Desc0HEALTHFIRST 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. A SIGNIFICANT NUMBER OF PATIENTS ARE LOW-INCOME FAMILIES THAT CANNOT AFFORD HEALTH CARE ASSISTANCE PROGRAM. THE HEALTH CENTER PROVIDED THE FOLLOWING DURING 2019: - CLINIC SERVICES FOR 79,043 VISITS TO 19,563 PATIENTS - DENTAL SERVICES FOR 16,450 VISITS TO 8,092 PATIENTS - PHARMACY AND PRESCRIPTION SERVICES TO FILL 84,042 PRESCRIPTIONS FOR 6,256 PATIENTS UTILIZING THE 340B INVENTORY AND MANUFACTURERS ASSISTANCE PROGRAM.
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/TitleTxt0MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1ASSISTANT MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt3CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt4PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt5PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt6PHYSICIAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt8CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt9COO
IRS990/Form990PartVIISectionAGrp/TitleTxt10CHAIRMAN OF THE BOARD
IRS990/Form990PartVIISectionAGrp/TitleTxt11VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt12TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt13SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt15BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt16BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt17BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt18BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt19BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt20BOARD MEMBER
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IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
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IRS990/InformationTechnologyGrp/ProgramServicesAmt0186700
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IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
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IRS990/OtherExpensesGrp/Desc2DUES & SUBSCRIPTIONS
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt136589
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2111286
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt3408841
IRS990/OtherExpensesGrp/ProgramServicesAmt0898810
IRS990/OtherExpensesGrp/ProgramServicesAmt115134
IRS990/OtherExpensesGrp/ProgramServicesAmt227578

Document Assets

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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$31,364,050
Liabilities
$5,693,417
Net assets
$25,670,633
Revenue
$22,976,543
Expenses
$22,787,488
Net income
$189,055
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
2019Detailed filing. Detailed filing data is available for this year.$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