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KENTUCKY MEDICAL SERVICES FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
KENTUCKY MEDICAL SERVICES FOUNDATION INC (EIN 61-0945743)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121369349306002
Schema version
2009v1.7
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)
Timestamp2011-05-16T15:41:19-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLEIGH MCKEEName
Phone8592552341Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 PlazaAddressLine1
CityLexingtonCity
StateKYState
ZIP Code40517ZIPCode
FieldValueIRS element (for citing)
Gross Receipts196905976GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees210TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI16024TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year186914635ProgramServiceRevenuePriorYear
Program Service Revenue CY193855535ProgramServiceRevenueCY
Investment Income Prior Year480262InvestmentIncomePriorYear
Investment Income Current Year164504InvestmentIncomeCurrentYear
Other Revenue Prior Year1138351OtherRevenuePriorYear
Other Revenue Current Year2564025OtherRevenueCurrentYear
Total Revenue Prior Year188533248TotalRevenuePriorYear
Total Revenue Current Year196584064TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year659208GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY687697GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10635920SalariesEtcPriorYear
Salaries Etc Current Year10407070SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year173217379OtherExpensePriorYear
Other Expenses Current Year190057273OtherExpensesCurrentYear
Total Expenses Prior Year184512507TotalExpensesPriorYear
Total Expenses Current Year201152040TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4020741RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4567976RevenuesLessExpensesCY
Total Assets BOY104166675TotalAssetsBOY
Total Assets EOY110252347TotalAssetsEOY
Total Liabilities BOY80123327TotalLiabilitiesBOY
Total Liabilities EOY90862317TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24043348NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19390030NetAssetsOrFundBalancesEOY
Mission DescriptionSee Schedule OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense182207581Expense
Grants687697Grants
Revenue193855535Revenue
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 Expense182207581TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096236NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees210NumberOfEmployees
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
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
Other WebsiteXOtherWebsite
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 (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Wendy Hansen
Director1.00X04218822088
RALEIGH JONES MD
Director1.00X02873958735
Robert Means MD
Director1.00X02610191320
Edwin Bowe MD
Director1.00X04974021320
J Timothy Bricker MD
Director1.00X03473902088
Phillip Tibbs MD
Director1.00X01066855888
Jay Perman MD
Director1.00X05856645428
Joseph Berger MD
Director1.00X04330659119
Michael Cibull MD
Director1.00X02993761044
SAMUEL MATHENY MD
Director1.00X02577670
Willem de Villiers MD
Director1.00X02579358831
FREDerick DE BEER MD
Director1.00X04750001044
Paul Bachner MD
Director1.00X03650813096
carol steltenkamp md
Director1.00X0228050540
Regina Fragneto MD
Director1.00X0362297768
Lon Hays MD
Director1.00X03091218440
Roger Humphries MD
Director1.00X0440738504
Darren Johnson MD
Director1.00X04946941259
Marcus Randall MD
Director1.00X066130310254
Elizabeth Oates MD
Director1.00X056575011776
Joseph Zwischenberger MD
Director1.00X06695002916
Gerald Klim
Director1.00X0210946576
Paul Pearson
Director1.00X0370923480
Darrell A Griffith
Executive Director45.00268885027181X
PEGGY HALCOMB
ASSOC. DIR.45.00217426022167X
james tillett
IT Mgr.45.00101515010274X
JUDY BENSON
ASST. DIR.45.00123573012714X
FieldValueIRS element (for citing)
Total Reportable Comp From Org711399TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9869153TotalReportableCompFrmRltdOrgs
Total Other Compensation154850TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
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 Services646737
medical doctor associates llc
PO Box 277185atlantaGA30384medical Services586958
Harrodsburg Anesthesia
425 Shawnee Run RoadHarrodsburgKY40330Medical Services317328
River City Anesthesia
20 West OWl Creek RoadCampbellsvilleKY42718Medical Services211253
STITES & HARBISON PLLC
250 W MAIN ST SUITE 2300lexingtonKY40507legal services187055
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CLINIC SERVICE FEES561000190216357190216357
Rent from Supported or53112036391783639178
FieldValueIRS element (for citing)
Total Program Service Revenue193855535TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column164504TotalRevenueColumn
Exclusion$164,504ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real349978Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real321912Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real28066Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column28066TotalRevenueColumn
Unrelated Business Revenue16024UnrelatedBusinessRevenue
Exclusion$12,042ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionHonorarium & other misDescription
Business Code900099BusinessCode
Total Revenue Column2535959TotalRevenueColumn
Exclusion$2,535,959ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2535959TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column196584064TotalRevenueColumn
Related Or Exempt Function Income193855535RelatedOrExemptFunctionIncome
Unrelated Business Revenue16024UnrelatedBusinessRevenue
Exclusion$2,712,505ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total687697Total
Program Services687697ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total296065Total
Management And General296065ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7286019Total
Management And General7286019ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total705499Total
Management And General705499ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total845601Total
Management And General845601ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1273886Total
Management And General1273886ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total257795Total
Management And General257795ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total161509Total
Management And General161509ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total162931Total
Management And General162931ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1506227Total
Management And General1506227ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total594744Total
Management And General594744ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1218133Total
Management And General1218133ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2122075Total
Management And General2122075ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
uk staff salaries & fri5209734752097347
uk physicians' salaries5133991951339919
PROFESSIONAL DEVELOPMEN215875302155930028230
BAD DEBTS1793775817937758
capital & current opera1701623417016234

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24055071Total
Program Services21569326ProgramServices
Management And General2485745ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total201152040Total
Program Services182207581ProgramServices
Management And General18944459ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25062500BOY
EOY27618902EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18672378BOY
EOY25555358EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY944714BOY
EOY1042867EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis50946380LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10423889LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY44269541BOY
EOY40522491EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12799952BOY
EOY14445227EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY596000BOY
EOY510857EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1821590BOY
EOY556645EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY104166675BOY
EOY110252347EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4440660BOY
EOY4867306EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY28251653BOY
EOY27013060EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY47431014BOY
EOY58981951EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80123327BOY
EOY90862317EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24043348BOY
EOY19390030EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24043348BOY
EOY19390030EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY104166675BOY
EOY110252347EOY
FieldValueIRS element (for citing)
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$201,152,040Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts201152040SumOfAmounts
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 Basis4215808OtherCostOrOtherBasis
Book Value4215808BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis38086017OtherCostOrOtherBasis
Depreciation5951162Depreciation
Book Value32134855BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8481325OtherCostOrOtherBasis
Depreciation4464063Depreciation
Book Value4017262BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis163230OtherCostOrOtherBasis
Depreciation8664Depreciation
Book Value154566BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings40522491TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO UNIV. OF KENTUCKY$7,147,633
DUE TO UNIV. OF KENTUCKY MALPRACtice Fund$15,081,650
DUE TO COLL. OF MEDICINE DEPARTMENTS$36,195,310
REFUNDS PAYABLE$557,358
FieldValueIRS element (for citing)
Total Of Amounts58981951TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationKMSF adopted the provisions of FASB ASC 740-10 relating to uncertainty in income taxes on July 1, 2009. The implementation included evaluating 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 tax positions on those returns that meet the requirements of FASB ASC 740-10 and therefore should be reflected 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 GrantMEDICAL STUDENT SCHOLARSHIPSTypeOfGrant
Number Of Recipients99NumberOfRecipients
Amount Of Cash Grant712572AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Procedure for Monitoring Grants in the U.S.:Part I, Line 2:Schedule I, Part I, Line 2: KMSF requires transcripts and proof of enrollment every semester to monitor appropriate use of scholarship funds.
Other Information:Part IV:DIFFERENCE BETWEEN GRANTS LISTED IN SCHEDULE I AND THOSE EXPENSED IN PART IX OF FORM 990 IS $24,875, WHICH REPRESENTs SCHOLARSHIPS ACCRUED AND EXPENSED IN THE PRIOR YEAR FOR FINANCIAL STATEMENT PURPOSES BUT NOT AWARDED TO SPECIFIC INDIVIDUALS UNTIL THE CURRENT YEAR.

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 (25 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
042188200000002088042397000
RALEIGH JONES MD
028739500000008735029613000
Robert Means MD
026101900000001320026233900
Edwin Bowe MD
049740200000001320049872200
J Timothy Bricker MD
034739000000002088034947800
Phillip Tibbs MD
0106685500000008880106774300
Jay Perman MD
058566400000005428059109200
Joseph Berger MD
043306500000009119044218400
Michael Cibull MD
029937600000001044030042000
SAMUEL MATHENY MD
025776700000000025776700
Willem de Villiers MD
025793500000008831026676600
FREDerick DE BEER MD
047500000000001044047604400
Paul Bachner MD
036508100000003096036817700
carol steltenkamp md
02280500000000540022859000
Regina Fragneto MD
03622970000000768036306500
Lon Hays MD
030912100000008440031756100
Roger Humphries MD
04407380000000504044124200
Darren Johnson MD
049469400000001259049595300
Marcus Randall MD
0661303000000010254067155700
Elizabeth Oates MD
0565750000000011776057752600
Joseph Zwischenberger MD
066950000000002916067241600
Gerald Klim
02109460000000576021152200
Paul Pearson
03709230000000480037140300
Darrell A Griffith
2688850000000271810296066000
PEGGY HALCOMB
2174260000000221670239593000

Schedule L IRS990ScheduleL

Form990 Schedule L Part III Form990ScheduleLPartIII (10 entries)

Name Of Interested PersonNameOfInterestedPersonRelationship With OrganizationRelationshipWithOrganizationType Of AssistanceTypeOfAssistance
ANDREW JONESSON OF BOARD MEMBERSCHOLARSHIP
ERICA GRIFFITHDAUGHTER OF key employeeSCHOLARSHIP
GERA M DE VILLIERSDAUGHTER OF BOARD MEMBERSCHOLARSHIP
JOHN M JANSENSON OF BOARD MEMBERSCHOLARSHIP
JORDAN WAGERSSTEPSON OF key employeeSCHOLARSHIP
KAROLYN ELAINE HAYSDAUGHTER OF BOARD MEMBERSCHOLARSHIP
MARYCOBB B RANDALLDAUGHTER OF BOARD MEMBERSCHOLARSHIP
MORGAN H RANDALLSON OF BOARD MEMBERSCHOLARSHIP
RACHEL BERGERDAUGHTER OF BOARD MEMBERSCHOLARSHIP
VICTORIA J WINFREYDAUGHTER OF BOARD MEMBERSCHOLARSHIP

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 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 12cexecutive 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 15Compensation 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 19Available upon request
FORM 990, PART XI, LINE 2C: The audit Committee assumes responsibility for the oversight of the audit and selection of the independent accountant. In the prior year, this was done by the finance committee, which has now been split into two groups: the finance committee and the audit committee.
schedule l, part iii grants 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.
form 990, prior year revenues, expenses, and balance sheet itemsThe beginning balance sheet and prior year revenues and expenses have been restated to reflect corrections in the accounting for an entity included in the consolidated financial statements, but that files a separate 990.
Form 990, Part III, Line 1TO 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.Description of Organization Mission

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
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 Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg