Civic Intelligence

Kentucky Medical Services Foundation

EIN 61-0945743 • 501(c)3 • Lexington, KY

Profile

Supporting the university of ky so it may achieve its goals in healthcare

2317 Alumni Park Plaza 300Lexington, KY 40517

kmsf.com

Siviq Scores

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

Liabilities / Assets

87th percentile

0.91x

Higher debt load relative to assets than 87% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Liabilities / Revenue

55th percentile

0.55x

Higher debt load relative to revenue than 55% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Net Margin

31st percentile

-0.0%

Higher net margin than 31% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Top Officer Pay

69th percentile

$1,397,527

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Asset Growth

67th percentile

9.6%

Faster asset growth than 67% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Revenue Growth

41st percentile

6.4%

Faster revenue growth than 41% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Assets

Up

$246,296,407

Up $21,599,749 (+9.6%) from 2024

Liabilities

Up

$224,118,719

Up $21,718,190 (+11%) from 2024

Net Assets

Down

$22,177,688

Down $118,441 (-0.5%) from 2024

Revenue

Up

$410,772,197

Up $24,610,222 (+6.4%) from 2024

Expenses

Up

$410,890,638

Up $23,345,431 (+6.0%) from 2024

Net Income

Up

-$118,441

Up $1,264,791 (+91%) from 2024

Trend Graphs

Balance Sheet Trend

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

$300M$200M$100M$0Assets 2010: $110,252,347Liabilities 2010: $90,862,317Net Assets 2010: $19,390,0302010Assets 2011: $113,994,488Liabilities 2011: $97,167,297Net Assets 2011: $16,827,1912011Assets 2012: $124,213,754Liabilities 2012: $107,696,838Net Assets 2012: $16,516,9162012Assets 2013: $118,087,176Liabilities 2013: $102,123,726Net Assets 2013: $15,963,4502013Assets 2014: $133,758,639Liabilities 2014: $116,062,817Net Assets 2014: $17,695,8222014Assets 2015: $193,661,260Liabilities 2015: $160,151,814Net Assets 2015: $33,509,4462015Assets 2016: $194,926,266Liabilities 2016: $158,830,003Net Assets 2016: $36,096,2632016Assets 2017: $194,624,198Liabilities 2017: $160,442,705Net Assets 2017: $34,181,4932017Assets 2018: $233,895,764Liabilities 2018: $197,505,157Net Assets 2018: $36,390,6072018Assets 2019: $212,550,231Liabilities 2019: $184,491,084Net Assets 2019: $28,059,1472019Assets 2020: $235,449,897Liabilities 2020: $209,281,844Net Assets 2020: $26,168,0532020Assets 2021: $270,966,937Liabilities 2021: $244,337,830Net Assets 2021: $26,629,1072021Assets 2022: $292,318,711Liabilities 2022: $266,538,070Net Assets 2022: $25,780,6412022Assets 2023: $225,412,640Liabilities 2023: $201,733,279Net Assets 2023: $23,679,3612023Assets 2024: $224,696,658Liabilities 2024: $202,400,529Net Assets 2024: $22,296,1292024Assets 2025: $246,296,407Liabilities 2025: $224,118,719Net Assets 2025: $22,177,6882025

Highlighted filing

2025

Assets$246,296,407
Liabilities$224,118,719
Net Assets$22,177,688

Operations Trend

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

$600M$400M$200M$0-$200MExpenses 2010: $201,152,0402010Expenses 2011: $206,206,0602011Expenses 2012: $223,243,4452012Expenses 2013: $225,507,1322013Revenue 2014: $236,236,778Expenses 2014: $234,504,406Net Income 2014: $1,732,3722014Revenue 2015: $306,658,795Expenses 2015: $295,668,294Net Income 2015: $10,990,5012015Revenue 2016: $326,438,269Expenses 2016: $323,851,452Net Income 2016: $2,586,8172016Revenue 2017: $358,200,113Expenses 2017: $360,114,883Net Income 2017: -$1,914,7702017Revenue 2018: $359,167,901Expenses 2018: $356,958,787Net Income 2018: $2,209,1142018Revenue 2019: $381,964,398Expenses 2019: $390,295,858Net Income 2019: -$8,331,4602019Revenue 2020: $411,887,062Expenses 2020: $413,778,156Net Income 2020: -$1,891,0942020Revenue 2021: $425,440,367Expenses 2021: $424,979,313Net Income 2021: $461,0542021Revenue 2022: $344,312,240Expenses 2022: $345,160,706Net Income 2022: -$848,4662022Revenue 2023: $373,736,278Expenses 2023: $375,837,558Net Income 2023: -$2,101,2802023Revenue 2024: $386,161,975Expenses 2024: $387,545,207Net Income 2024: -$1,383,2322024Revenue 2025: $410,772,197Expenses 2025: $410,890,638Net Income 2025: -$118,4412025

Highlighted filing

2025

Revenue$410,772,197
Expenses$410,890,638
Net Income-$118,441

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$246$224$22.2$411$411$0.12
2024Detailed filing. Detailed filing data is available for this year.$225$202$22.3$386$388$1.38
2023Detailed filing. Detailed filing data is available for this year.$225$202$23.7$374$376$2.10
2022Detailed filing. Detailed filing data is available for this year.$292$267$25.8$344$345$0.85
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$271$244$26.6$425$425$0.46
2020Detailed filing. Detailed filing data is available for this year.$235$209$26.2$412$414$1.89
2019Detailed filing. Detailed filing data is available for this year.$213$184$28.1$382$390$8.33
2018Detailed filing. Detailed filing data is available for this year.$234$198$36.4$359$357$2.21
2017Detailed filing. Detailed filing data is available for this year.$195$160$34.2$358$360$1.91
2016Detailed filing. Detailed filing data is available for this year.$195$159$36.1$326$324$2.59
2015Detailed filing. Detailed filing data is available for this year.$194$160$33.5$307$296$11.0
2014Detailed filing. Detailed filing data is available for this year.$134$116$17.7$236$235$1.73
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$118$102$16.0$226
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$124$108$16.5$223
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$114$97.2$16.8$206
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$110$90.9$19.4$201
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Mar 9, 2026
Return Version
2024v5.5
Gross Receipts
$410,796,204
Mission and Program Overview

Mission

Supporting the university of ky so it may achieve its goals in healthcare

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$82,990,654$87,853,362▲ $4,862,708
Savings and Temporary Cash Investments$71,815,230$79,048,874▲ $7,233,644
Accounts Receivable$37,041,479$39,960,675▲ $2,919,196
Investments in Publicly Traded Securities$28,571,847$34,749,077▲ $6,177,230
Other Notes and Loans Receivable, Net$1,331,333$2,145,000▲ $813,667
Prepaid Expenses and Deferred Charges$258,193$322,499▲ $64,306
Total Assets$224,696,658$246,296,407▲ $21,599,749
Other Assets Total$2,687,922$2,216,920▼ $471,002
Liabilities
Other Liabilities$128,894,447$146,852,750▲ $17,958,303
Mortgage Notes Payable Secured by Investment Property$47,102,713$54,069,139▲ $6,966,426
Tax Exempt Bond Liabilities$14,479,112$13,823,458▼ $655,654
Accounts Payable and Accrued Expenses$10,123,636$7,603,365▼ $2,520,271
Deferred Revenue$1,800,621$1,770,007▼ $30,614
Total Liabilities$202,400,529$224,118,719▲ $21,718,190
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$22,296,129$22,177,688▼ $118,441
Total Net Assets Fund Balance$22,296,129$22,177,688▼ $118,441
Total Liabilities and Net Assets / Fund Balance$224,696,658$246,296,407▲ $21,599,749

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$83,334,957$66,072,769$149,407,726
Equipment$265,222$6,226,318$6,491,540
Other Land Buildings$2,210,378$591,675$2,802,053
Land$2,042,805-$2,042,805
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jay GriderPresident & CEO
Amy GewirtzDirector
Charles GriffithDirector
Craig Van HorneDirector
Darwin ConwellDirector
Driss RaissiDirector
Eddy YangDirector
Emily DefrancoDirector
Ginny GottschalkDirector
John StewartDirector
Larry GoldsteinDirector
Mary Elizabeth OatesDirector
Matthew BushDirector
Padmaja SudhakarDirector
Paul PearsonDirector
Raymond WrightDirector
Roger HumphriesDirector
Ryan CassidyDirector
Samuel MardiniDirector
Scottie DayDirector
Stephen StrupDirector
Sumit DangDirector
Susan McdowellDirector
Teresa GevedonDirector
William InabnetDirector
Zaki HassanDirector
Jeffrey SelbyFormer Director
Jonathan WebbFormer Director
Seth HimelhochFormer Director

Highest Paid Contractors

ContractorServicesLocationCompensation
DrwantedcomContractor Services6880 JACKS CREEK PIKE, Lexington, KY 40515$1,317,730
Harrodsburg AnesthesiaProfessional ServicesPO BOX 386, Worcester, MA 01615$1,063,824
Chartspan Medical Technologies INCProfessional Services425 SHAWNEE RUN ROAD, Harrodsburg, KY 40330$310,190
Ivey Mechanical Company LLCProfessional ServicesPO BOX 3417, Greenville, SC 29602$267,650
-Professional ServicesPO BOX 610, Kosciusko, MS 39090$224,178
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$376,832,809
Investment Income
$2,320,070
Other Revenue
$31,619,318
Change in Net Assets
$-118,441

Audited Revenue Reconciliation

Revenue per Audited Statements
$393,636,101
Revenue Not Reported on Financial Statements
$17,136,096
Revenue Not Reported on Form 990
$8,810,116
Other Revenue Adjustments
$17,136,096
Total Revenue per Audited Statements
$402,446,217
Total Revenue per Form 990
$410,772,197
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$409,444,597
Grants and Similar Amounts Paid$1,446,041
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion-$7,450,643-$7,450,643
Other Expenses$6,960,516$17,136,096-$6,960,516
All Other Expenses$6,070,060--$6,070,060
Interest-$2,844,486-$2,844,486
Occupancy-$2,713,161-$2,713,161
Grants to Domestic Individuals$1,445,891--$1,445,891
Fees for Services Legal-$304,469-$304,469
Insurance-$190,400-$190,400
Information Technology-$111,136-$111,136
Fees for Services Accounting-$79,721-$79,721
Office Expenses-$2,614-$2,614
Grants to Domestic Orgs$150--$150
Total Functional Expenses$380,057,912$30,832,726$0$410,890,638

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$410,890,638
Total Expenses per Audited Statements$402,564,658
Expenses per Audited Statements$393,754,542
Expenses Not Reported on Financial Statements$17,136,096
Other Expense Adjustments$17,136,096
Expenses Not Reported on Form 990$8,810,116
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to University of Kentucky$61,605,300
Due to College of Medicine Departments$47,542,618
Due to University of Kentucky Malpractice Fund$37,135,358
Due to Third Party Payers$569,474

Bond Issues

BondIssuerIssuedIssue PricePurpose
AClark County Kentucky2017-04-04$10,000,000DEBT REFINANCE
BScott County Kentucky2017-04-21$9,750,000DEBT REFINANCE

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$10,000,000-$3,052,241$203,524
B$9,750,000-$2,803,472$1,005,074

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The 990 tax return is prepared by an independent cpa firm based on the information obtained from the audit and inquiries from management. Before the return is filed, a draft of the informational return is reviewed by management. The board will review the 990 at a meeting shortly after filing and any necessary changes will be made at that time.

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

Executive leadership has implemented a policy that officers, directors, and key employees should annually disclose conflicts and the conflict of interest policy is consistently monitored and enforced.

Form 990, Part VI, Section B, Line 15

Compensation is deliberated by the board in a closed door meeting. As part of their review they use aamc group on faculty practice benchmarks for comparison.

Form 990, Part VI, Section C, Line 19

Forms 990 and 990t are posted on the kmsf.com website and are also available upon request. Form 1023 is provided upon request.

Filing and Contact Details

Filer

Filer Name
Kentucky Medical Services Foundation
EIN
61-0945743
Phone
8592577910
Address
2317 ALUMNI PARK PLAZA 300, LEXINGTON, KY 40517

Signing Officer

Name
Dr Jay Grider
Title
Do, CEO, and President
Phone
8592577910
Signed
2026-03-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jay S Grider
Formed
1978
Legal Domicile
Ky
Voting Board Members
25
Independent Board Members
0
Employees
0
Volunteers
25

Preparer

Firm
Dean Dorton Allen Ford Pllc
Address
250 W MAIN STREET STE 1400, LEXINGTON, KY 40507
Preparer
Allison C Carter
Phone
8592552341
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The audit committee assumes responsibility for the oversight of the audit and selection of the independent accountant. This process has not changed since the prior year.

Form 990, Part III, Line 1

To coordinate and develop superior patient care in a group practice setting within the academic environment of the medical center of the university of kentucky in lexington, including the provision of financial support for the medical center's teaching, research and service programs and for the personnel and equipment necessary for such programs, and in furtherance of this general purpose to execute and perform a public trust in supporting, aiding, and advancing the study and investigation of human illnesses and injuries, and the causes, preventions, relief and cure thereof, and the study and investigation of problems of hygiene and health; to encourage, promote and perform medical, surgical and scientific learning, skill, education and investigation; to promote medical, surgical, and scientific services; to attract and retain high quality faculty to teach, conduct research and provide patient care; to provide support to enable the college of medicine to accomplish its educational, research and service goals; to assist programs of medical, surgical and scientific education and research; to carry on such programs of public charity as may be related to the carrying out of the other stated purposes of the corporation, and, specifically the charitable programs utilizing the knowledge and skills acquired by the corporation through its above-described operations for the benefit of all persons who may be in need thereof, regardless of his or her ability to pay.

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses netted with rental income 24,007. Pass through income 8,786,109.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

BAD DEBTS 17,136,096.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses netted with rental income 24,007. Pass through income 8,786,109.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

BAD DEBTS 17,136,096.

Raw XML AppendixShowing 400 of 1,277 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/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt26FORMER DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt27FORMER DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt28FORMER DIRECTOR
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