KENTUCKY MEDICAL SERVICES FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KENTUCKY MEDICAL SERVICES FOUNDATION INC (EIN 61-0945743)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201231369349306633
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T15:42:53-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DEAN DORTON ALLEN FORD PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1106 W VINE STREET SUITE 600AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40507ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610945743EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KENTUCKY MEDICAL SERVICES FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKENTNameControl
Phone8592577910Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12333 ALUMNI PARK PLAZA NO 200AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDARRELL A GRIFFITHName
TitleEXECUTIVE DIRECTORTitle
Phone8592577910Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLEIGH MCKEEName
Phone8592552341Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEMERY WILSON MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12333 ALUMNI PARK PLAZA NO 200AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode
FieldValueIRS element (for citing)
Gross Receipts206261976GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionSUPPORTING THE UNIVERSITY OF KY SO IT MAY ACHIEVE ITS GOALS IN HEALTHCAREActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees199TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-14453TotalGrossUBI
Net Unrelated Business Txbl Income-14453NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year193855535ProgramServiceRevenuePriorYear
Program Service Revenue CY203252236ProgramServiceRevenueCY
Investment Income Prior Year164504InvestmentIncomePriorYear
Investment Income Current Year-31545InvestmentIncomeCurrentYear
Other Revenue Prior Year2564025OtherRevenuePriorYear
Other Revenue Current Year592816OtherRevenueCurrentYear
Total Revenue Prior Year196584064TotalRevenuePriorYear
Total Revenue Current Year203813507TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year687697GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY741046GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10407070SalariesEtcPriorYear
Salaries Etc Current Year10596036SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year190057273OtherExpensePriorYear
Other Expenses Current Year194868978OtherExpensesCurrentYear
Total Expenses Prior Year201152040TotalExpensesPriorYear
Total Expenses Current Year206206060TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4567976RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2392553RevenuesLessExpensesCY
Total Assets BOY110252347TotalAssetsBOY
Total Assets EOY113994488TotalAssetsEOY
Total Liabilities BOY90862317TotalLiabilitiesBOY
Total Liabilities EOY97167297TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19390030NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16827191NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense185842211Expense
Grants741046Grants
Revenue203252236Revenue
DescriptionKMSF COLLECTS FEES FROM PROVISION OF PATIENT SERVICES PROVIDED BY THE UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE. BY PERFORMING THESE DUTIES KMSF SUPPORTS THE HOSPITAL AND HELPS THEM TO FULFILL THEIR EXEMPT PURPOSE. COLLECTIONS, AFTER PAYMENT OF DIRECT EXPENSES, ARE REMITTED TO THE COLLEGE WHICH USES THE FUNDS IN THE AREAS OF TEACHING, RESEARCH AND SERVICE.Description
Total Program Service Expense185842211TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person1GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096217NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees199NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DARRELL A GRIFFITHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8592577910TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12333 ALUMNI PARK PLAZA SUITE 200AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40517ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
WENDY HANSEN
DIRECTOR1.00X0460698174
RALEIGH O JONES
DIRECTOR1.00X03693164227
ROBERT T MEANS
DIRECTOR1.00X0268392110
EDWIN A BOWE
DIRECTOR1.00X0498525110
PHILLIP A TIBBS
DIRECTOR1.00X0103953074
MICHAEL L CIBULL
DIRECTOR1.00X030068787
WILLEM DE VILLIERS
DIRECTOR1.00X02858904235
FREDERICK C DE BEER
DIRECTOR1.00X047228287
PAUL BACHNER
DIRECTOR1.00X0373644258
CAROL STELTENKAMP
DIRECTOR1.00X02210758403
REGINA FRAGNETO
DIRECTOR1.00X036366164
LON R HAYS
DIRECTOR1.00X031005013079
ROGER L HUMPHRIES
DIRECTOR1.00X02015160
DARREN L JOHNSON
DIRECTOR1.00X04344164465
MARCUS RANDALL
DIRECTOR1.00X063302512946
MARY ELIZABETH OATES
DIRECTOR1.00X05662504372
JOSEPH ZWISCHENBERGER
DIRECTOR1.00X0737178243
GERALD V KLIM
DIRECTOR1.00X028090448
PAUL A PEARSON
DIRECTOR1.00X036463140
KEVIN PEARCE
DIRECTOR1.00X019019412830
EMERY A WILSON
PRESIDENT1.00X0356039131
CARMEL WALLACE
DIRECTOR1.00X01786960
J TIMOTHY BRICKER
DIRECTOR1.00X0341500174
DARRELL A GRIFFITH
EXECUTIVE DIRECTOR45.00264809026409X
PEGGY S HALCOMB
ASSOC. DIR.45.00216679021668X
JAMES M TILLETT
IT MGR.45.00104506010451X
JUDY B BENSON
ASST. DIR.45.00106985010699X
JOSEPH R BERGER
DIRECTOR1.0004305504259X
SAMUEL C MATHENY
DIRECTOR1.0002577670X
FieldValueIRS element (for citing)
Total Reportable Comp From Org692979TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9936416TotalReportableCompFrmRltdOrgs
Total Other Compensation139643TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PERFUSION CONCEPTS INC
2089 BAHAMA ROADLEXINGTONKY40509MEDICAL SERVICES627599
HARRODSBURG ANESTHESIA
425 SHAWNEE RUN ROADHARRODSBURGKY40330MEDICAL SERVICES345559
RIVER CITY ANESTHESIA
20 WEST OWL CREEK ROADCAMPBELLSVILLEKY42718MEDICAL SERVICES232677
JULIA M GOODMAN BRADLEYCOMMONWEALTH
709 EVEREST CTLEXINGTONKY40515TRANSCRIPTION202486
BAKER & HOSTETLER LLP
1900 E 9TH ST SUITE 3200CLEVELANDOH441143482LEGAL SERVICES158725
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLINIC SERVICE FEES561000199902286199902286
RENT FROM SUPPORTED OR53112032870743287074
RENTAL REIMBURSEMENT P5311206287662876
FieldValueIRS element (for citing)
Total Program Service Revenue203252236TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column102562TotalRevenueColumn
Exclusion$102,562ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real225544Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real256562Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-31018Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-31018TotalRevenueColumn
Unrelated Business Revenue-14453UnrelatedBusinessRevenue
Exclusion-$16,565ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2057800Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2191907Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-134107Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-134107TotalRevenueColumn
Exclusion-$134,107ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionHONORARIUM & OTHER MISDescription
Business Code900099BusinessCode
Total Revenue Column623834TotalRevenueColumn
Exclusion$623,834ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue623834TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column203813507TotalRevenueColumn
Related Or Exempt Function Income203252236RelatedOrExemptFunctionIncome
Unrelated Business Revenue-14453UnrelatedBusinessRevenue
Exclusion$575,724ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total741046Total
Program Services741046ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total291217Total
Management And General291217ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7471597Total
Management And General7471597ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total739805Total
Management And General739805ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total738027Total
Management And General738027ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1355390Total
Management And General1355390ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total117097Total
Management And General117097ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total148981Total
Management And General148981ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total173125Total
Management And General173125ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1532410Total
Management And General1532410ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total676364Total
Management And General676364ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1434953Total
Management And General1434953ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2353941Total
Management And General2353941ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total39714Total
Management And General39714ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UK STAFF SALARIES & FRI5563595855635958
UK PHYSICIANS' SALARIES3920175939201759
CAPITAL & CURRENT OPERA2675722026757220
PROFESSIONAL DEVELOPMEN250157782494976166017
BAD DEBTS1738561917385619

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24396059Total
Program Services21170848ProgramServices
Management And General3225211ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total206206060Total
Program Services185842211ProgramServices
Management And General20363849ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY27618902BOY
EOY38580797EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25555358BOY
EOY19830994EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1042867BOY
EOY1643003EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50666373LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12812795LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40522491BOY
EOY37853578EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14445227BOY
EOY15370419EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY510857BOY
EOY340571EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY556645BOY
EOY375126EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY110252347BOY
EOY113994488EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4867306BOY
EOY3537231EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY27013060BOY
EOY24313117EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY58981951BOY
EOY69316949EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90862317BOY
EOY97167297EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19390030BOY
EOY16827191EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19390030BOY
EOY16827191EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY110252347BOY
EOY113994488EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2392553ReconcilationRevenueExpenses
Reconcilation Other Changes-170286ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF KENTUCKYBusinessNameLine1
FieldValueIRS element (for citing)
EIN616001218EIN
Type Of Organization2TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$206,206,060Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts206206060SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: KMSF HAS BEEN ASSIGNED THE RESPONSIBILITY TO BILL, COLLECT AND ADMINISTER ALL CLINICAL INCOME GENERATED BY THE PHYSICIANS OF THE UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE, THUS PROVIDING A SERVICE TO UK.GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2066767OtherCostOrOtherBasis
Book Value2066767BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38777834OtherCostOrOtherBasis
Depreciation6996737Depreciation
Book Value31781097BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9579587OtherCostOrOtherBasis
Depreciation5798904Depreciation
Book Value3780683BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis242185OtherCostOrOtherBasis
Depreciation17154Depreciation
Book Value225031BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37853578TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO UNIV. OF KENTUCKY$1,719,996
DUE TO UNIV. OF KENTUCKY MALPRACTICE FUND$15,910,277
DUE TO COLL. OF MEDICINE DEPARTMENTS$51,300,306
REFUNDS PAYABLE$386,370
FieldValueIRS element (for citing)
Total Of Amounts69316949TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationKMSF IS A NON-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME. KMSF HAS EVALUATED THE TAX POSITIONS TAKEN ON ALL INCOME TAX RETURNS THAT REMAIN OPEN TO EXAMINATION BY THE RESPECTIVE TAXING AUTHORITIES. KMSF DOES NOT BELIEVE THAT THERE ARE ANY UNCERTAIN POSITIONS ON THOSE RETURNS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantUNDERGRADUATE SCHOLARSHIPS FOR DEPENDENTS OF UK FACULTY MEMBERSTypeOfGrant
Number Of Recipients97NumberOfRecipients
Amount Of Cash Grant741046AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: KMSF REQUIRES TRANSCRIPTS AND PROOF OF ENROLLMENT EVERY SEMESTER TO MONITOR APPROPRIATE USE OF SCHOLARSHIP FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WENDY HANSEN
04606980000000174046087200
RALEIGH O JONES
036931600000004227037354300
ROBERT T MEANS
02683920000000110026850200
EDWIN A BOWE
04985250000000110049863500
PHILLIP A TIBBS
010395300000000740103960400
MICHAEL L CIBULL
0300687000000087030077400
WILLEM DE VILLIERS
028589000000004235029012500
FREDERICK C DE BEER
0472282000000087047236900
PAUL BACHNER
03736440000000258037390200
CAROL STELTENKAMP
022107500000008403022947800
REGINA FRAGNETO
0363661000000064036372500
LON R HAYS
0310050000000013079032312900
ROGER L HUMPHRIES
020151600000000020151600
DARREN L JOHNSON
043441600000004465043888100
MARCUS RANDALL
0633025000000012946064597100
MARY ELIZABETH OATES
056625000000004372057062200
JOSEPH ZWISCHENBERGER
07371780000000243073742100
GERALD V KLIM
0280904000000048028095200
PAUL A PEARSON
0364631000000040036467100
KEVIN PEARCE
0190194000000012830020302400
EMERY A WILSON
03560390000000131035617000
CARMEL WALLACE
017869600000000017869600
J TIMOTHY BRICKER
03415000000000174034167400
DARRELL A GRIFFITH
2648090000000264090291218000
PEGGY S HALCOMB
2166790000000216680238347000
JOSEPH R BERGER
043055000000004259043480900
SAMUEL C MATHENY
025776700000000025776700

Schedule L IRS990ScheduleL

Form990 Schedule L Part III Form990ScheduleLPartIII (11 entries)

Name Of Interested PersonNameOfInterestedPersonRelationship With OrganizationRelationshipWithOrganizationAmount Of GrantAmountOfGrantType Of AssistanceTypeOfAssistance
(no name)
BRANDON SJOHNSONSON OF BOARD MEMBER4430SCHOLARSHIP
(no name)
ERICA GRIFFITHDAUGHTER OF KEY EMPLOYEE6365SCHOLARSHIP
(no name)
CHRISTINA PEARCEDAUGHTER OF BOARD MEMBER8860SCHOLARSHIP
(no name)
JOHN M JANSENSON OF BOARD MEMBER4430SCHOLARSHIP
(no name)
JORDAN WAGERSSON OF KEY EMPLOYEE10795SCHOLARSHIP
(no name)
KAROLYN ELAINE HAYSDAUGHTER OF BOARD MEMBER8860SCHOLARSHIP
(no name)
MARYCOBB B RANDALLDAUGHTER OF BOARD MEMBER8860SCHOLARSHIP
(no name)
AMELIA BISCOMB HANSENDAUGHTER OF BOARD MEMBER4430SCHOLARSHIP
(no name)
RACHEL BERGERDAUGHTER OF BOARD MEMBER8860SCHOLARSHIP
(no name)
LUCAS ROY HANSENSON OF BOARD MEMBER4430SCHOLARSHIP
KATHRYN ANN HAYS
DAUGHTER OF BOARD MEMBER13555SCHOLARSHIP

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IIIIdentifier
ExplanationGRANTS LISTED ON SCHEDULE L ARE SCHOLARSHIPS PROVIDED TO CHILDREN OF BOARD MEMBERS WHO ARE FACULTY MEMBERS AT THE UNIVERSITY OF KENTUCKY. THE DEPENDENTS OF ALL FULL-TIME FACULTY ARE ELIGIBLE FOR THESE SCHOLARSHIPS AND ELIGIBILITY AND DISTRIBUTION ARE SUBJECT TO THE REQUIREMENTS OF THE PROGRAM. BOARD MEMBERS DO NOT SPECIFICALLY SELECT RECIPIENTS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE 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 THE FINANCE COMMITTEE OF KENTUCKY MEDICAL SERVICES FOUNDATION. THE FINANCE COMMITTEE APPROVES THE FORM 990 AND REPORTS THEIR APPROVAL TO THE BOARD OF DIRECTORS. THE RETURN IS THEN FILED.
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 12C
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 B, LINE 15
AVAILABLE UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
ALL OTHER FUNCTIONAL EXPENSESMALPRACTICE INSURANCE: PROGRAM SERVICE EXPENSES 6,238,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,238,799. UKHMO CAPITATION EXPENSE: PROGRAM SERVICE EXPENSES 5,592,109. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,592,109. ACADEMIC ENRICHMENT: PROGRAM SERVICE EXPENSES 4,023,280. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,023,280. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,221,451. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,221,451. UK PHYSICIANS' FRINGE BENEFITS: PROGRAM SERVICE EXPENSES 2,404,765. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,404,765. KY CLINIC CENTRAL: PROGRAM SERVICE EXPENSES 2,201,654. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,201,654. HOUSESTAFF: PROGRAM SERVICE EXPENSES 421,011. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 421,011. KY CLINIC SOUTH EXPENSES: PROGRAM SERVICE EXPENSES 289,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 289,230. CASH COLLECTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,760.FORM 990, PART X, LINE 24F
CHANGES IN NET ASSETS OR FUND BALANCES:IMPARIMENT LOSS -170,286. TOTAL TO FORM 990, PART XI, LINE 5: -170,286.FORM 990, PART XI, LINE 5:
FORM 990, PART XI, 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.
DESCRIPTION OF ORGANIZATION MISSIONTO 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.FORM 990, PART III, LINE 1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF KENTUCKYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 ROSE STREETAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code40536ZIPCode
FieldValueIRS element (for citing)
EIN616001218EIN
Primary ActivitiesEDUCATIONAL DEVELOPMENT, HEALTHCAREPrimaryActivities
Legal Domicile StateKYLegalDomicileState
Exempt Code Section115ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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