ST CLAIRE MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ST CLAIRE MEDICAL CENTER INC (EIN 61-0605336)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-18
IRS object ID: 202031399349300608
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-18T07:42:39-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	351178661	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 N MERIDIAN ST SUITE 200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610605336	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST CLAIRE MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STCL	BusinessNameControlTxt
Phone	6067836500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	222 MEDICAL CIRCLE	AddressLine1Txt
City	MOREHEAD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40351	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRIS MCCLURG	PersonNm
Person Title	VICE PRESIDENT FINANCE/ CFO	PersonTitleTxt
Phone	6067836500	PhoneNum
Signature	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CARRIE A MERRILL CPA	PreparerPersonNm
PTIN	P00832283	PTIN
Phone	3176334705	PhoneNum
Preparation	2020-05-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	96.28.64.110	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-05-15	IPDt
IP Tm	15:02:46	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DFFF94E40E6042B53F95D34511187C45F8C68B42	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST CLAIRE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MARK J NEFF	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	222 MEDICAL CIRCLE	AddressLine1Txt
City	MOREHEAD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40351	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$151,520,497	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ST-CLAIRE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	THE MISSION IS TO PROCLAIM GOD'S GOODNESS THROUGH A HEALING MINISTRY TO THE PEOPLE OF EASTERN KY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1766	TotalEmployeeCnt
Total Volunteers	90	TotalVolunteersCnt
Total Gross UBI	$14,121	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$49,145	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,401,356	PYContributionsGrantsAmt
CY Contributions Grants	$2,005,540	CYContributionsGrantsAmt
PY Program Service Revenue	$137,404,264	PYProgramServiceRevenueAmt
CY Program Service Revenue	$137,927,291	CYProgramServiceRevenueAmt
PY Investment Income	$1,715,571	PYInvestmentIncomeAmt
CY Investment Income	$1,765,882	CYInvestmentIncomeAmt
PY Other Revenue	$7,071,176	PYOtherRevenueAmt
CY Other Revenue	$9,393,167	CYOtherRevenueAmt
PY Total Revenue	$148,592,367	PYTotalRevenueAmt
CY Total Revenue	$151,091,880	CYTotalRevenueAmt
PY Grants And Similar Paid	$94,120	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$47,435	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$91,029,824	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$97,887,140	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$57,143,500	PYOtherExpensesAmt
CY Other Expenses	$60,024,162	CYOtherExpensesAmt
PY Total Expenses	$148,267,444	PYTotalExpensesAmt
CY Total Expenses	$157,958,737	CYTotalExpensesAmt
PY Revenues Less Expenses	$324,923	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,866,857	CYRevenuesLessExpensesAmt
Total Assets BOY	$125,648,258	TotalAssetsBOYAmt
Total Assets EOY	$123,102,117	TotalAssetsEOYAmt
Total Liabilities BOY	$67,572,699	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$72,676,424	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$58,075,559	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$50,425,693	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF ST. CLAIRE REGIONAL MEDICAL CENTER IS TO PROCLAIM GOD'S GOODNESS THROUGH A HEALING MINISTRY TO THE PEOPLE OF EASTERN KENTUCKY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$109,237,921	ExpenseAmt
Grant	$47,435	GrantAmt
Revenue	$113,160,230	RevenueAmt
Desc	ST. CLAIRE REGIONAL MEDICAL CENTER SERVES AS A 159-BED REGIONAL REFERRAL CENTER AND IS THE LARGEST RURAL HOSPITAL IN NORTHEASTERN KENTUCKY. SPONSORED BY THE SISTERS OF NOTRE DAME IN COVINGTON, KENTUCKY, ST. CLAIRE REGIONAL SERVES AS A NOT-FOR-PROFIT HOSPITAL. WITH NEARLY 1,500 EMPLOYEES, ST. CLAIRE REGIONAL IS THE SECOND-LARGEST EMPLOYER IN THE REGION. THE MEDICAL CENTER IS AN ESTABLISHED TRAINING SITE FOR THE UNIVERSITY OF KENTUCKY SCHOOL OF MEDICINES PHYSICIAN RESIDENCY PROGRAMS. ST. CLAIRE REGIONAL'S MEDICAL STAFF IS COMPRISED OF OVER 100 PHYSICIANS AND SURGEONS, REPRESENTING 31 MEDICAL AND SURGICAL SPECIALTIES.CONTINUE ON SCHEDULE O.IN ADDITION TO PROVIDING SERVICES AT THE MEDICAL CENTER'S MAIN CAMPUS IN MOREHEAD, ST. CLAIRE REGIONAL'S OPERATIONS CONSIST OF A ST. CLAIRE REGIONAL OUTPATIENT CENTER, CAVE RUN SURGICAL SPECIALISTS, MOREHEAD MEDICAL SPECIALISTS, FIVE COMPREHENSIVE FAMILY MEDICINE CLINICS AS WELL AS A FAMILY MEDICINE EXPRESS, A REGIONAL TELEMEDICINE SYSTEM, AND AN EIGHT-COUNTY HOME CARE SERVICE REGION COMPRISED OF HOME HEALTH, HOSPICE & PALLIATIVE CARE, AND HOME MEDICAL EQUIPMENT. ADDITIONALLY, ST. CLAIRE REGIONAL PARTNERS WITH THE UNIVERSITY OF KENTUCKY MEDICAL CENTER TO OFFER SERVICES THROUGH THE KENTUCKY CLINIC MOREHEAD CANCER TREATMENT CENTER.ST. CLAIRE REGIONAL MEDICAL CENTER'S SERVICE REGION SERVES A POPULATION OF OVER 160,000 IN BATH, CARTER, ELLIOTT, FLEMING, LEWIS, MAGOFFIN, MENIFEE, MONTGOMERY, MORGAN, ROWAN AND WOLFE COUNTIES. ST. CLAIRE REGIONAL'S FIVE FAMILY MEDICINE CLINICS ARE LOCATED IN FRENCHBURG, MOREHEAD, OLIVE HILL, OWINGSVILLE, AND SANDY HOOK.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$15,307,975	ExpenseAmt
Revenue	$15,857,625	RevenueAmt
Desc	HOME CAREST. CLAIRE HOMECARE IS A SERVICE PROVIDED BY ST. CLAIRE REGIONAL MEDICAL CENTER OFFERING A FULL RANGE OF HOME CARE SERVICES FOR PATIENTS TO RECOVER IN THEIR OWN HOMES. AS ONE OF THE LARGEST PROGRAMS IN THE STATE, ST. CLAIRE HOMECARE IS A COMPREHENSIVE IN-HOME SERVICE SYSTEM COMPRISED OF HOME HEALTH, HOSPICE, AND HOME MEDICAL EQUIPMENT. OUR COMMITTED STAFF INCLUDES NURSES, THERAPISTS AND AIDES WORKING AS A TEAM TO HELP MEET VIRTUALLY EVERY HOME CARE NEED. THE JOINT COMMISSION ON THE ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) ACCREDITS BOTH ST. CLAIRE REGIONAL MEDICAL CENTER AND ST. CLAIRE HOMECARE. ST. CLAIRE HOMECARE IS MEDICARE-CERTIFIED AND LICENSED IN THE STATE OF KENTUCKY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,600,621	ExpenseAmt
Revenue	$8,909,436	RevenueAmt
Desc	FAMILY MEDICINEST. CLAIRE REGIONAL FAMILY MEDICINE IS A SYSTEM OF FIVE FAMILY MEDICINE CLINICS THAT PROVIDE A FULL RANGE OF PREVENTIVE AND THERAPEUTIC HEALTHCARE SERVICES, FROM NEWBORN TO GERIATRICS, INCLUDING OBSTETRICAL SERVICES. THE ST. CLAIRE REGIONAL FAMILY MEDICINE MEDICAL STAFF INCLUDES BOARD CERTIFIED FAMILY AND INTERNAL MEDICINE PHYSICIANS AS WELL AS ADVANCED REGISTERED NURSE PRACTITIONERS, CERTIFIED PHYSICIAN ASSISTANTS, CERTIFIED NURSE MIDWIVES, AND FAMILY MEDICINE RESIDENTS AFFILIATED WITH THE UNIVERSITY OF KENTUCKY. ST. CLAIRE REGIONAL FAMILY MEDICINE EXPRESS PROVIDES FAST, CONVENIENT WALK-IN TREATMENT FOR A VARIETY OF ROUTINE NON-URGENT MEDICAL SERVICES INCLUDING TREATMENT OF COMMON ILLNESSES, PHYSICAL EXAMS, AND FLU SHOTS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$133,146,517	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	143	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1766	EmployeeCnt
Employment Tax Returns Filed	0	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRIS MCCLURG VP OF FINANCIAL SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6067836500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	222 MEDICAL CIRCLE	AddressLine1Txt
City	MOREHEAD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40351	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SISTER MARLA MONAHAN SND
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
DAN MARKWELL
VICE CHAIRMAN	2.00	0.00	Yes (X)	$0	$0	$0
ROBERT G STEVENS
PAST CHAIRMAN	2.00	0.00	Yes (X)	$0	$0	$0
SISTER MARY MARGARET DROEGE SND
MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
JEFFREY L ELLIS MD
MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
ANTHONY E HELTON
MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
NICHOLE SMITH
MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
GLEN TEAGER
MEMBER	2.00	0.50	Yes (X)	$0	$0	$0
WILLIAM REDWINE
MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
MARK STREETY
MEMBER	2.00	0.00	Yes (X)	$0	$0	$0
O THOMAS NEWCOMB III MD
UROLOGIST	40.00	0.00	Yes (X)	$315,188	$0	$27,417
JACOB PERRY
SURGEON	40.00	0.00	Yes (X)	$593,662	$0	$27,417
DONALD LLOYD II
MEMBER -CEO/PRESIDENT (5/1/19 - 6/30/19)	40.00	0.50	Yes (X)	$0	$0	$0	Yes (X)
SUE PERRY
SECRETARY -NON VOTING	40.00	0.00	Yes (X)	$45,627	$0	$14,387
CHRIS MCCLURG
CFO	50.00	0.50		$173,217	$0	$25,958	Yes (X)
MARK NEFF
CEO (TERM ENDED 4/30/2019)	40.00	0.50		$410,082	$0	$23,687	Yes (X)
TRAVIS BAILEY
VP ADMINISTRATION	50.00	0.50		$238,153	$0	$20,876		Yes (X)
GREG BAUSCH
INSTITUTIONAL DIRECTOR, MEDICAL EDUCATION	50.00	0.00		$181,781	$0	$13,882		Yes (X)
CRAIG BUTLER MD
RADIOLOGIST	40.00	0.00		$674,203	$0	$22,386			Yes (X)
CHARLES CROUSE MD
ORTHOPEDIC SURGEON	40.00	0.00		$1,460,866	$0	$21,719			Yes (X)
JAMES LYNCH MD
SURGEON	40.00	0.00		$777,499	$0	$29,198			Yes (X)
STEPHEN A WILLIAMS MD
RADIOLOGIST	40.00	0.00		$675,065	$0	$30,389			Yes (X)
MANSHA KAHLOON MD
CARDIOLOGIST	40.00	0.00		$1,042,046	$0	$30,389			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,587,389	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$287,705	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	117	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ARAMARK
ONE SERVICE MASTER WAY	DOWNERS GROVE	IL	60515	CONTRACT SERVICE	$1,947,772
APOGEE MEDICAL MANAGEMENT
2525 E CAMELBACK RD STE 1100	DOWNERS GROVE	IL	60515	PHYSICIAN SERVICES	$1,166,913
BRIDGE HOMECARE PARTNERS
5335 FAR HILLS AVE STE 224	DAYTON	OH	45429	HOME HEALTH AND BILLING SERVICES	$895,602
HORIZON HEALTH
PO BOX 840839	DALLAS	TX	75284	PHYSICIAN SERVICES	$826,346
BARTON ASSOCIATES
PO BOX 417844	BOSTON	MA	022417844	PHYSICIAN SERVICES	$324,948

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Fundraising	$55,607	FundraisingAmt
Government Grants	$1,647,162	GovernmentGrantsAmt
All Other Contributions	$302,771	AllOtherContributionsAmt
Total Contributions	$2,005,540	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$122,069,666	$122,069,666
HOME CARE REVENUE	621610	$15,857,625	$15,857,625

Field	Value	IRS element (for citing)
Total Program Service Revenue	$137,927,291	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$981,229	TotalRevenueColumnAmt
Exclusion	$981,229	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$297,538	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$46,678	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$250,860	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$250,860	TotalRevenueColumnAmt
Exclusion	$250,860	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$805,684	SecuritiesAmt
Other	$351	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$21,382	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$805,684	SecuritiesAmt
Other	-$21,031	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$784,653	TotalRevenueColumnAmt
Exclusion	$784,653	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$17,921	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$55,607	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$22,241	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,320	TotalRevenueColumnAmt
Exclusion	-$4,320	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$354,884	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$338,316	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,568	TotalRevenueColumnAmt
Unrelated Business Revenue	$14,121	UnrelatedBusinessRevenueAmt
Exclusion	$2,447	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
340B REVENUE	900099	$4,584,455	$4,584,455
CAFETERIA INCOME	900099	$852,675	$852,675
EHR INCENTIVE REVENUE	900099	$235,021	$235,021

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,457,908	TotalRevenueColumnAmt
Exclusion	$3,457,908	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,130,059	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,091,880	TotalRevenueColumnAmt
Related Or Exempt Func Income	$137,927,291	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,121	UnrelatedBusinessRevenueAmt
Exclusion	$11,144,928	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$47,435	TotalAmt
Program Services	$47,435	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,812,707	TotalAmt
Program Services	$2,503,309	ProgramServicesAmt
Management And General	$309,398	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$77,693,573	TotalAmt
Program Services	$69,147,280	ProgramServicesAmt
Management And General	$8,546,293	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,521,719	TotalAmt
Program Services	$1,354,330	ProgramServicesAmt
Management And General	$167,389	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,736,751	TotalAmt
Program Services	$9,555,708	ProgramServicesAmt
Management And General	$1,181,043	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,122,390	TotalAmt
Program Services	$4,763,084	ProgramServicesAmt
Management And General	$359,306	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$917,248	TotalAmt
Program Services	$532,004	ProgramServicesAmt
Management And General	$385,244	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$76,547	TotalAmt
Management And General	$76,547	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,197,054	TotalAmt
Program Services	$10,908,448	ProgramServicesAmt
Management And General	$5,288,606	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$151,767	TotalAmt
Program Services	$88,025	ProgramServicesAmt
Management And General	$63,742	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,466,892	TotalAmt
Program Services	$2,590,797	ProgramServicesAmt
Management And General	$1,876,095	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,057,680	TotalAmt
Program Services	$613,454	ProgramServicesAmt
Management And General	$444,226	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,269,399	TotalAmt
Program Services	$3,056,251	ProgramServicesAmt
Management And General	$2,213,148	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$289,424	TotalAmt
Program Services	$167,866	ProgramServicesAmt
Management And General	$121,558	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$526,262	TotalAmt
Program Services	$305,232	ProgramServicesAmt
Management And General	$221,030	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$800,264	TotalAmt
Program Services	$464,153	ProgramServicesAmt
Management And General	$336,111	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,032,515	TotalAmt
Program Services	$2,918,859	ProgramServicesAmt
Management And General	$2,113,656	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$545,737	TotalAmt
Program Services	$316,527	ProgramServicesAmt
Management And General	$229,210	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS AND MEDICAL SUPPL	$21,061,095	$21,061,095
PROVIDER TAX	$1,537,951	$1,537,951
RECRUITMENT	$824,295	$478,091	$346,204
TRANSPORTATION EXPENSES	$360,880	$209,310	$151,570

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$909,152	TotalAmt
Program Services	$527,308	ProgramServicesAmt
Management And General	$381,844	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$157,958,737	TotalAmt
Program Services	$133,146,517	ProgramServicesAmt
Management And General	$24,812,220	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,366,091	BOYAmt
EOY	$7,344,291	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$194,325	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,181,284	BOYAmt
EOY	$21,888,392	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,276,051	BOYAmt
EOY	$1,948,649	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,442,425	BOYAmt
EOY	$3,454,437	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,691,583	BOYAmt
EOY	$1,607,975	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$122,852,685	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$87,481,899	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,420,900	BOYAmt
EOY	$35,370,786	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$30,366,728	BOYAmt
EOY	$28,575,089	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,903,196	BOYAmt
EOY	$22,718,173	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,648,258	BOYAmt
EOY	$123,102,117	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,836,415	BOYAmt
EOY	$26,695,736	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$996,423	BOYAmt
EOY	$1,049,168	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$36,099,778	BOYAmt
EOY	$34,277,082	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,640,083	BOYAmt
EOY	$10,654,438	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$67,572,699	BOYAmt
EOY	$72,676,424	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$57,545,427	BOYAmt
EOY	$50,130,111	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$530,132	BOYAmt
EOY	$295,582	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$58,075,559	BOYAmt
EOY	$50,425,693	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$125,648,258	BOYAmt
EOY	$123,102,117	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,866,857	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$334,116	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$448,893	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$16,056	OtherActivitiesAmt
Total Lobbying Expenditures	$16,056	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MEMBERSHIP DUES TO KHA, AMA, AHA AND CHA OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBY EXPENSES BY THE TRADE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$530,132	BeginningYearBalanceAmt
Other Expenditures	$234,550	OtherExpendituresAmt
End Year Balance	$295,582	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$560,400	BeginningYearBalanceAmt
Other Expenditures	$30,268	OtherExpendituresAmt
End Year Balance	$530,132	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$579,226	BeginningYearBalanceAmt
Other Expenditures	$18,826	OtherExpendituresAmt
End Year Balance	$560,400	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$595,035	BeginningYearBalanceAmt
Other Expenditures	$15,809	OtherExpendituresAmt
End Year Balance	$579,226	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$613,249	BeginningYearBalanceAmt
Other Expenditures	$18,214	OtherExpendituresAmt
End Year Balance	$595,035	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,582,186	OtherCostOrOtherBasisAmt
Book Value	$3,582,186	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,441,304	OtherCostOrOtherBasisAmt
Depreciation	$36,328,138	DepreciationAmt
Book Value	$16,113,166	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,414,579	OtherCostOrOtherBasisAmt
Depreciation	$2,048,006	DepreciationAmt
Book Value	$1,366,573	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,112,745	OtherCostOrOtherBasisAmt
Depreciation	$49,105,755	DepreciationAmt
Book Value	$14,006,990	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$301,871	OtherCostOrOtherBasisAmt
Book Value	$301,871	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$35,370,786	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$1,601,410
INVESTMENT IN CLAIRE FRANCIS VENTURE	$448,331
PHYSICIAN RECEIVABLE	$46,355
NOTES RECEIVABLE	$19,996,495
INTERCOMPANY RECEIVABLE	$330,000
DONOR RESTRICTED FUNDS	$295,582

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$22,718,173	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED SETTLEMENTS PAYABLE	$1,439,888
PROFESSIONAL LIABILITY CLAIMS RESERVE	$3,592,283
DEFERRED COMPENSATION	$5,495,340
INTERCOMPANY PAYABLE	$126,927

Field	Value	IRS element (for citing)
Total Liability	$10,654,438	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$150,693,865	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$334,116	NetUnrealizedGainsInvstAmt
Other Revenue	-$402,215	OtherRevenueAmt
Revenue Not Reported	-$736,331	RevenueNotReportedAmt
Revenue Subtotal	$151,430,196	RevenueSubtotalAmt
Other Revenues Not Included	-$338,316	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$338,316	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$151,091,880	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$158,343,731	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$384,994	OtherExpensesIncludedAmt
Expenses Not Reported	$384,994	ExpensesNotReportedAmt
Expenses Subtotal	$157,958,737	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$157,958,737	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	TEMPORARILY RESTRICTED NET ASSETS ARE DONOR-RESTRICTED FOR A SPECIFIC USE OR BY THE PASSAGE OF TIME. INCOME EARNED FROM THE PRINCIPLE AMOUNT IS UNRESTRICTED. THE DONOR-RESTRICTED NET ASSETS ARE TO BE USED FOR CURATIVE TREATMENT AND REHABILITATIVE THERAPY OF PEDIATRIC ILLNESS, DISEASE, OR DEFORMITY.
PART X, LINE 2:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE MEDICAL CENTER AND RECOGNIZE A TAX LIABILITY IF THE MEDICAL CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE MEDICAL CENTER, AND HAS CONCLUDED THAT AS OF JUNE 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE MEDICAL CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 46,678. LOSS ON JOINT VENTURE -92,596. LOSS ON IMPAIRMENT -356,297.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	COST OF GOOD SOLD -338,316.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 338,316. RENTAL EXPENSES 46,678.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	CHARITY GOLF OUTING	Event1Nm
Gross Receipts Event1	$30,467	GrossReceiptsEvent1Amt
Charitable Contri Event1	$23,427	CharitableContriEvent1Amt
Gross Revenue Event1	$7,040	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$3,540	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$3,592	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$2,862	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$713	OtherDirectExpensesEvent1Amt
Event2	SIGNATURE EVENT	Event2Nm
Gross Receipts Event2	$43,061	GrossReceiptsEvent2Amt
Charitable Contri Event2	$32,180	CharitableContriEvent2Amt
Gross Revenue Event2	$10,881	GrossRevenueEvent2Amt
Food And Beverage Event2	$9,376	FoodAndBeverageEvent2Amt
Entertainment Event2	$500	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,658	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$73,528	GrossReceiptsTotalAmt
Charitable Contributions Tot	$55,607	CharitableContributionsTotAmt
Gross Revenue Total Events	$17,921	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,540	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$3,592	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$12,238	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$2,371	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$22,241	DirectExpenseSummaryEventsAmt
Net Income Summary	-$4,320	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	125.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,444,820	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,319,671	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,178,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,116,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,061,272	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,622,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,436,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,186,421	NetCommunityBenefitExpnsAmt
Total Expense	0.02020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$142,301	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$142,301	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,557,809	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,557,809	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,220,131	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,220,131	NetCommunityBenefitExpnsAmt
Total Expense	0.02040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,259	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,259	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,953,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,953,500	NetCommunityBenefitExpnsAmt
Total Expense	0.03770	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,576,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,436,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,139,921	NetCommunityBenefitExpnsAmt
Total Expense	0.05790	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,909,713	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,286,044	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$39,834,052	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,548,008	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST CLAIRE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	222 MEDICAL CIRCLE DRIVE	AddressLine1Txt
City	MOREHEAD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40351	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.ST-CLAIRE.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST CLAIRE REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	125.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/FINANCIAL-SERVICES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/FINANCIAL-SERVICES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/FINANCIAL-SERVICES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ST. CLAIRE REGIONAL MEDICAL CENTER

PART V, SECTION B, LINE 5: SCRMC PARTNERED WITH MOREHEAD STATE UNIVERSITY AND THE GATEWAY DISTRICT HEALTH DEPARTMENT (COLLECTIVELY AS THE GATEWAY WELLNESS COALITION) TO CONDUCT/COMPLETE THE UPDATED CHNA. THEY RELIED HEAVILY ON THE COUNTY-LEVEL STEERING COMMITTEES, WITH BROAD COMMUNITY REPRESENTATION, THAT HAD REMAINED ACTIVE SINCE THE ESTABLISHMENT OF THE COALITION IN 2012 TO GATHER THE NECESSARY INPUT AND DATA. SOURCES OF INPUT INCLUDED:ST. CLAIRE REGIONAL MEDICAL CENTER- CAVE RUN SURGICAL SPECIALISTS - MOREHEAD MEDICAL SPECIALISTS - ST. CLAIRE REGIONAL OUTPATIENT CENTER - ST. CLAIRE REGIONAL FAMILY MEDICINE - ST. CLAIRE REGIONAL HOMECARE, HOSPICE AND PALLIATIVE CARE - ST. CLAIRE REGIONAL FAMILY MEDICAL SUPPLY MOREHEAD STATE UNIVERSITYGATEWAY DISTRICT HEALTH DEPARTMENTMOREHEAD-ROWAN COUNTY CHAMBER OF COMMERCEELECTED OFFICIALS IN ROWAN, BATH AND MENIFEE COUNTIESSTUDENTS AND SCHOOL PERSONNEL IN ROWAN, BATH AND MENIFEE COUNTIESMAYSVILLE COMMUNITY AND TECHNICAL COLLEGEMOREHEAD/ROWAN COUNTY ECONOMIC DEVELOPMENT COUNCILPHYSICIANSPHARMACISTSOPTOMETRISTSDENTISTSUNIVERSITY OF KENTUCKYUK EXTENSION SERVICE IN ROWAN, BATH AND MENIFEE COUNTIESPATHWAYS COMMUNITY MENTAL HEALTH CENTERPEOPLE'S CLINIC (FREE CLINIC IN MOREHEAD)HOPE CLINIC (FREE CLINIC IN OWINGSVILLE)AREA LAW ENFORCEMENTAREA EMERGENCY MEDICAL SERVICESFAITH-BASED ORGANIZATIONSAREA EMPLOYERSURBAN PLANNERSPARKS AND RECREATION LEADERSKENTUCKY CANCER PROGRAMNORTHEAST KENTUCKY AREA HEALTH EDUCATION CENTERTHEY ALSO GATHERED INFORMATION AND INPUT THROUGH FOCUS GROUPS AND COMMUNITY SURVEYS.

ST. CLAIRE REGIONAL MEDICAL CENTER

PART V, SECTION B, LINE 11: BASED ON ONGOING DATA ANALYSES, COMMUNITY-LEVEL ASSESSMENTS (WITH SIGNIFICANT AND DIVERSE COMMUNITY REPRESENTATION ON VARIOUS COMMITTEES AND SUBCOMMITTEES), AVAILABLE RESOURCES AND THE EFFECTIVENESS OF GWC INITIATIVES ALREADY IN PLACE, THE GWC AND SCR HAVE IDENTIFIED THE FOLLOWING COMMUNITY HEALTH NEEDS AS CRITICAL FOCUS AREAS OVER THE NEXT THREE YEARS: COMMUNITY NUTRITION, RECREATION AND PHYSICAL ACTIVITY, WITH EMPHASIS ON CHILDHOOD OBESITY ACCESS TO QUALITY HEALTH/DENTAL CARE, PARTICULARLY FOR THOSE IN POVERTY AND THE UNINSURED TOBACCO USE AND SMOKING CESSATION DRUG ADDICTION/PRESCRIPTION DRUG ABUSEIMPROVED HEALTH LITERACY WILL ALSO BE A POINT OF EMPHASIS OVER THE NEXT THREE YEARS.COMMUNITY NUTRITION, RECREATION AND PHYSICAL ACTIVITY, WITH EMPHASIS ON OBESITY THE GWC'S ONGOING PEDIATRIC OBESITY INITIATIVE, WHICH WAS LAUNCHED IN APRIL 2016 WITH A CONFERENCE ON PEDIATRIC OBESITY INTENDED FOR MEDICAL PROVIDERS, SOCIAL WORKERS, DIETICIANS AND OTHERS WHO WORK WITH OBESE CHILDREN AND THEIR FAMILIES. THE INTENTION IS TO USE THE CONFERENCE AS A SPRINGBOARD TO CONTINUE WORKING WITH PROVIDERS TO IMPROVE CARE FOR PEDIATRIC OBESITY, WITH THE POSSIBILITY OF ESTABLISHING AN INTERDISCIPLINARY PEDIATRIC OBESITY CLINIC. SCHOOL-BASED OBESITY PREVENTION INTERVENTIONS THAT SEEK TO INCREASE PHYSICAL ACTIVITY AND IMPROVE NUTRITION BEFORE, DURING, AND AFTER SCHOOL. ONE EXAMPLE OF AN ONGOING GWC-INITIATED COLLABORATIVE INITIATIVE IS THE "GONOODLE PLUS" PROGRAM. GONOODLE HELPS TEACHERS CHANNEL CLASSROOM ENERGY WITH SHORT INTERACTIVE "BRAIN BREAKS", DESK-SIDE ACTIVITIES THAT HELP KIDS ACHIEVE MORE BY KEEPING THEM ENGAGED AND MOTIVATED THROUGHOUT THE DAY. THE GWC, SCR AND PASSPORT HEALTH PLAN HAVE PARTNERED TO PROVIDE GONOODLE PLUS IN EVERY SCHOOL IN THE SCR SERVICE REGION AT NO COST TO THE SCHOOLS. AS OF COMPLETION OF THIS ASSESSMENT, 43 PERCENT OF THE ELIGIBLE TEACHERS IN THE SCR SERVICE REGION WERE ACTIVE GONOODLE USERS, WITH MORE THAN 7,100 STUDENTS PARTICIPATING IN GONOODLE ACTIVITIES. ANOTHER ONGOING GWC STRATEGY IS THE "WALKING 4 WELLNESS" PROGRAM, WHICH ENCOURAGES FOURTH GRADE STUDENTS TO BE PHYSICALLY ACTIVE BY LOGGING HOW FAR THEY WALK. THE PROJECT HAS EXISTED FOR THREE YEARS AND HAS EVOLVED INTO A PARTNERSHIP WITH STUDENTS IN THE UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE RURAL PHYSICIAN LEADERSHIP PROGRAM, BASED IN MOREHEAD. FITNESS PROGRAMS IN COMMUNITY SETTINGS, WHICH COULD BE OFFERED IN A VARIETY OF COMMUNITY SETTINGS INCLUDING WELLNESS, FITNESS, COMMUNITY, AND SENIOR CENTERS. THE GWC IS EXPLORING THE CONCEPT OF A "FARMACY PROGRAM" IN WHICH MEDICAL PROVIDERS WOULD HAVE THE OPTION OF PRESCRIBING FRESH PRODUCE FOR PATIENTS WHO COULD THEN PURCHASE THE PRODUCE USING A TOKEN OR VOUCHER PROGRAM AT LOCAL FARMERS MARKETS. NUTRITION CLASSES HAVE BEEN PRESENTED BY THE BATH COUNTY EXTENSION SERVICE AND THE DISTRICT FOOD SERVICE DEPARTMENT TO STUDENTS IN BATH COUNTY SCHOOLS. GWC REPRESENTATIVES ARE PARTICIPATING ON THE BATH COUNTY SCHOOL DISTRICT WELLNESS COMMITTEE, WHICH SETS DISTRICT-WIDE WELLNESS POLICIES FOR STUDENTS AND FACULTY. THE GWC AIDED IN THE ESTABLISHMENT OF A WALKING CLUB FOR BATH COUNTY HIGH SCHOOL STUDENTS AND FACULTY. EXPLORE FUNDING FOR A WALKING PARK AT THE FITNESS CENTER TO CONNECT THE AREAS OF LOW INCOME HOUSING, AND THE LOCAL MEDICAL CENTER TO THE FITNESS CENTER. IMPROVE WALKING TRAILS AT BROKE LEG FALLS COUNTY PARK.ACCESS TO HEALTH/DENTAL CARE EXPAND THE UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE RURAL PHYSICIAN LEADERSHIP PROGRAM IN MOREHEAD RURAL TRAINING TRACKS AND PROGRAMS FOCUS MEDICAL SCHOOL TRAINING AND LEARNING EXPERIENCES ON THE SKILLS NECESSARY TO PRACTICE MEDICINE IN RURAL COMMUNITIES. THESE INITIATIVES OFTEN RECRUIT STUDENTS FROM RURAL BACKGROUNDS AND STUDENTS WHO HAVE EXPRESSED AN INTEREST IN PRACTICING MEDICINE IN SMALL TOWNS AND RURAL LOCATIONS UPON COMPLETION OF THEIR MEDICAL TRAINING. THE RPLP PROGRAM HAS BEEN HIGHLY SUCCESSFUL, AND PLANS HAVE BEEN ANNOUNCED TO EXPAND THAT PROGRAM, AS MUCH AS TRIPLING ENROLLMENT IN THE NEAR FUTURE. ST. CLAIRE REGIONAL OPENED A NEW DENTAL CLINIC IN MOREHEAD IN 2013 IN RESPONSE TO THE NEED FOR MORE DENTAL SERVICES IN THE COMMUNITY. THE GATEWAY DISTRICT HEALTH DEPARTMENT RECEIVED A GRANT TO PROVIDE DENTAL VARNISHING FOR STUDENTS IN GRADES 1-5. THE GDHD HOPES TO SECURE GRANT FUNDING TO CONTINUE THIS INITIATIVE. FINANCIAL INCENTIVES SUCH AS PAYMENTS, VOUCHERS, AND PRIZE DRAWINGS CAN BE USED TO ENCOURAGE PATIENTS TO UNDERGO PREVENTIVE CARE SUCH AS SCREENINGS, VACCINATIONS AND OTHER BRIEF INTERVENTIONS. STRENGTHEN TIES WITH AND SUPPORT OF THE NEW HOPE CLINIC, A RESPECTED PROVIDER OF FREE CARE FOR THE UNINSURED AND UNDERINSURED IN BATH COUNTY. THE GWC HAS PROMOTED A PROGRAM TO INCREASE THE NUMBER OF INDIVIDUALS WHO ARE SCREENED FOR COLON CANCER USING FIT (FECAL IMMUNOCHEMICAL TEST) KITS AND VIA A COMMUNITY EDUCATION PROGRAM ON COLON CANCER SYMPTOMS. PARTICIPANTS COULD TOUR A 33-FOOT INFLATABLE COLON WITH A HEALTHCARE PROFESSIONAL TO LEARN MORE ABOUT COLON HEALTH. ESTABLISH AND PROMOTE A GWC SOCIAL MEDIA PRESENCE FOR REGIONAL HEALTH EVENTS AND SCREENINGS. HAVE WORKED WITH MENIFEE COUNTY HIGH SCHOOL STUDENTS TO DEVELOP POSTERS AND OTHER MATERIALS REGARDING DENTAL HEALTH, WHICH WERE USED AT VARIOUS SCHOOL AND COMMUNITY EVENTS. THE GWC WILL CONTINUE THIS RELATIONSHIP WITH MCHS STUDENTS TO PROMOTE DENTAL HEALTH. CONTINUE TO PROVIDE EDUCATIONAL BOOTHS/MATERIALS AT COMMUNITY MEETINGS AND EVENTS ON TOPICS LIKE DENTAL HEALTH AND DIABETES. EXPLORE AND EXPAND AVAILABLE TRANSPORTATION SERVICES (PUBLIC OR OTHERWISE) TO SERVE RESIDENTS OF REMOTE AREAS TO INCREASE ACCESS TO MEDICAL SERVICES.TOBACCO USAGE OVER THE PAST YEAR, THE GWC TOBACCO SUBCOMMITTEE HAS CONSISTENTLY MET ON A MONTHLY BASIS TO DISCUSS WAYS TO ADDRESS TOBACCO ISSUES COALITION-WIDE. THE SUBCOMMITTEE HAS CONDUCTED A SURVEY ABOUT SMOKING CESSATION PROGRAMS OFFERED BY INSTITUTIONS IN THE REGION, AS WELL AS ABOUT OPINIONS REGARDING ELECTRONIC CIGARETTES AND THE EFFECTIVENESS OF SMOKE FREE POLICIES. DATA WERE COLLECTED FROM EACH HEALTH DEPARTMENT, ALL HIGH SCHOOLS AND MIDDLE SCHOOLS AND FROM TWO ACUTE-CARE HOSPITALS. THE SURVEY RESULTS ARE BEING ANALYZED. THE GWC IS EXPLORING A COLLABORATION WITH THE UNIVERSITY OF KENTUCKY COLLEGE OF NURSING TO DEVELOP AN ONLINE SMOKING CESSATION SPECIALIST TRAINING PROGRAM THAT WOULD, IN PART, BE CONDUCTED VIA ST. CLAIRE TELEMEDICINE RESOURCES. SCR AND THE GATEWAY DISTRICT HEALTH DEPARTMENT PARTNER TO PROVIDE SMOKING CESSATION CLASSES AT LITTLE OR NO COST (DEPENDING ON AVAILABLE GRANT FUNDS) TO INTERESTED RESIDENTS. THE TOBACCO SUBCOMMITTEE IS COMPILING RESOURCES TO MAKE AN EFFECTIVE APPEAL TO COUNTY AND CITY GOVERNMENT OFFICIALS ON THE ISSUE OF SMOKE-FREE ORDINANCES. THE CITY OF MOREHEAD HAS ALREADY ADOPTED SUCH AN ORDINANCE. HOWEVER, WE ANTICIPATE THIS BEING A PROLONGED ENDEAVOR WITH OTHER CITY COUNCILS AND FISCAL COURTS. BUT WE ARE COMMITTED TO ADDRESSING POSSIBLE CONCERNS THAT MIGHT BE RAISED. SCR'S DIRECTOR OF MARKETING/PR HAS BEEN APPOINTED TO THE KENTUCKY HEALTH COLLABORATIVE'S SMOKING CESSATION/TOBACCO-FREE WORK GROUP. CURTAILING TOBACCO USE HAS AND CONTINUES TO BE A MAJOR GWC FOCUS IN MENIFEE COUNTY. THE COALITION ASSISTED IN DEVELOPING A TOBACCO-FREE POLICY FOR MENIFEE COUNTY HIGH SCHOOL. THE POLICY HAS BEEN APPROVED BY THE MENIFEE COUNTY SCHOOL BOARD AND TAKES EFFECT ON JULY 1, 2016. GWC REPRESENTATIVES HAVE ALSO ATTENDED NUMEROUS FRENCHBURG CITY COUNCIL MEETINGS AND ORGANIZED A PUBLIC FORUM TO DISCUSS A POSSIBLE SMOKE-FREE CITY ORDINANCE. THE GWC HAS ALSO SECURED A SERIES OF MINI-GRANTS FROM THE UNIVERSITY OF KENTUCKY'S CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCES(CCTS) TO FUND ANTI-SMOKING INITIATIVES. WITH THE AID OF ONE MINI-GRANT, MOREHEAD STATE UNIVERSITY STUDENT NURSES WORKED WITH MENIFEE COUNTY HIGH SCHOOL STUDENTS TO DEVELOP A DISPLAY REGARDING THE EFFECTS OF SECONDHAND SMOKE. THE DISPLAY HAS BEEN USED AT NUMEROUS EVENTS. MCHS STUDENTS ALSO DEVELOPED ANTI-SMOKING COMMUNITY EDUCATIONAL MATERIALS, AS WELL AS PUBLIC SERVICE ANNOUNCEMENTS REGARDING SECONDHAND SMOKE THAT HAVE AIRED ON THE LOCAL TELEVISION STATION. THE GROUP ALSO WORKED WITH THE LOCAL NEWSPAPER ON MULTIPLE ARTICLES ABOUT THE EFFECTS OF SECONDHAND SMOKE IN MENIFEE COUNTY.DRUG ABUSE WITH THE LOSS OF FUNDING FOR THE ROWAN UNITE PROGRAM WHICH WAS THE COMMUNITY'S MOST HIGH-PROFILE DRUG PREVENTION ORGANIZATION AND A GWC ALLY-THE GWC WILL EXPLORE NEW STRATEGIES PERTAINING TO DRUG ABUSE AWARENESS, PREVENTION AND TREATMENT. PURSUE GREATER COLLABORATION WITH PATHWAYS AND THE MOREHEAD INSPIRATION CENTER, A KENTUCKY DEPARTMENT OF CORRECTIONS RESIDENTIAL SUBSTANCE ABUSE RECOVERY CENTER. EDUCATE PHYSICIANS AND OTHER PROVIDERS ABOUT WARNING SIGNS OF PRESCRIPTION DRUG USE AND APPROPRIATE WAYS TO ADDRESS IT.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ST CLAIRE FAMILY MEDICINE-MOREHEAD
316 WEST SECOND ST	MOREHEAD	KY	40351	OUTPATIENT FAMILY MEDICINE
2 - ST CLAIRE FAMILY MEDICINE-OLIVE HILL
155 BRICKLAYER ST	OLIVE HILL	KY	41164	OUTPATIENT FAMILY MEDICINE
3 - ST CLAIRE FAMILY MEDICINE-OWINGSVILLE
632 SLATE AVE	OWINGSVILLE	KY	40360	OUTPATIENT FAMILY MEDICINE
4 - ST CLAIRE FAMILY MEDICINE- SANDY HOOK
390 KY HWY 75	SANDY HOOK	KY	41171	OUTPATIENT FAMILY MEDICINE
5 - ST CLAIRE FAMILY MEDICINE- FRENCHBURG
732 HWY 36	FRENCHBURG	KY	40322	OUTPATIENT FAMILY MEDICINE
6 - ST CLAIRE MEDICAL PAVILION
245 FLEMINGSBURG RD	MOREHEAD	KY	40351	MULTI SPECIALTY GROUP
7 - ST CLAIRE OUTPATIENT CENTER
1028 EAST MAIN ST	MOREHEAD	KY	40351	OUTPATIENT LAB, PHYSICAL, OCCUPATIONAL THERAPY & SLEEP CENTER
8 - ST CLAIRE PEDIATRICS
716 W MAIN ST	MOREHEAD	KY	40351	PEDIATRIC CARE
9 - ST CLAIRE FAMILY MEDICAL SUPPLY
244 KROGER CENTER DR	MOREHEAD	KY	40351	HOME MEDICAL SUPPLY AND EQUIPMENT
10 - ST CLAIRE COUNSELING
445 CLINIC DR	MOREHEAD	KY	40351	OUTPATIENT COUNSELING
11 - ST CLAIRE MEDICINE EXPRESS
1028 EAST MAIN ST	MOREHEAD	KY	40351	OUTPATIENT CLINIC
12 - ST CLAIRE FAMILY MEDICINE-MOREHEAD NORT
255 OLD VIKING DR	MOREHEAD	KY	40351	OUTPATIENT FAMILY MEDICINE
13 - ST CLAIRE HOME HEALTH
135 N HARGIS AVE	MOREHEAD	KY	40351	HOME HEALTH
14 - ST CLAIRE HOSPICE
201 LYONS AVE	MOREHEAD	KY	40351	HOSPICE

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LN 7 COL(F):	TOTAL BAD DEBT EXPENSE HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTIONS.
PART II, COMMUNITY BUILDING ACTIVITIES:	OUR MISSION AND VALUES HAVE BEEN ENHANCED THROUGH COMMUNITY BENEFIT PROGRAMS, AND THOSE ACTIVITIES HAVE CENTERED ON EDUCATION, COLLABORATION AND IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES THAT WE SERVE. THE EDUCATION AND DEVELOPMENT OF HEALTH PROFESSIONALS HAS BEEN ONE OF OUR PRIMARY FOCUS AREAS FOR COMMUNITY BENEFIT, BECAUSE WE BELIEVE THAT THEIR TRAINING IS VITAL TO IMPROVING COMMUNITY HEALTH. ANOTHER TARGET AREA IS OUR ENGAGEMENT IN COMMUNITY SUPPORT AND PARTNERSHIPS. THIS ENGAGEMENT IS REALIZED THROUGH PARTICIPATION IN HEALTH FAIRS AND SCREENINGS, PROVIDING SUPPORT GROUPS, AS WELL AS COALITION BUILDING INITIATIVES.
PART III, LINE 2:	THE BAD DEBT AMOUNT IS FROM THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 4:	SECTION A. BAD DEBT EXPENSE. SEE PAGES 8 & 9 ON THE ATTACHED FINANCIAL STATEMENTS FOR AN EXPLANATION OF BAD DEBT EXPENSES. SECTION A. BAD DEBT EXPENSE. LINE 3 EXPLANATION FOR RATIONAL FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT: BAD DEBT EXPENSE IS RECORDED AS A GROSS AMOUNT ON THE FINANACIAL STATEMENTS. COSTS ASSOCIATED WITH THIS EXPENSE ARE CALCULATED BY USING THE COST TO CHARGE RATIO WITHIN EACH RESPECTIVE DIVISION OF THE MEDICAL CENTER. THE MEDICAL CENTER HAS A FINANCIAL ASSISTANCE POLICY THAT STATES PARTICIPATION IN CHARITY PROGRAM REQUIRES THAT CANDIDATES FULLY COOPERATE. THE MEDICAL CENTER EDUCATES PATIENTS WILL LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE AND PROVIDES ACCESS TO DEDICATED FINANCIAL COUNSELORS DAILY. FOR THIS REASON THE MEDICAL CENTER BELIEVES THAT IT IS ACCURATELY CAPTURING ALL CHARITY CARE DEDUCTIONS ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE UNDER THE ORGANIZATION CHARITY CARE POLICY IS NEGLIGIBLE.
PART III, LINE 8:	THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED JUNE 30, 2019 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST.
PART III, LINE 9B:	THE MEDICAL CENTER WILL ASSIST ALL PATIENTS AND THEIR RESPONSIBLE PARTY WITH METHODS OF PAYING ACCOUNTS GENERATED AS A RESULT OF NO THIRD PARTY COVERAGE OR BALANCES AFTER INSURANCE PAYMENTS. ACCEPTABLE PAYMENT ARRANGEMENTS ARE REQUESTED IF FULL PAYMENT CANNOT BE MADE. COMPUTER GENERATED STATEMENTS ARE MAILED TO THE RESPONSIBLE PARTY ON A REGULAR SCHEDULE. LETTERS ARE ALSO SENT AS SUPPLEMENT TO THE DATA STATEMENTS TO KEEP THE PATIENT/GUARANTOR INFORMED OF THE STATUS OF THE ACCOUNT. HEALTHCARE FINANCIAL ASSISTANCE WILL BE GRANTED IF THERE ARE NO OTHER RESOURCES AVAILABLE TO THE PATIENT AND THEY HAVE MET THE GUIDELINES AND FURNISHED REQUESTED VERIFICATION.
PART VI, LINE 2:	THE ORGANIZATION ASSESSES COMMUNITY NEEDS THROUGH VOLUNTEER BOARDS, COMMUNITY INVOLVEMENT, VOLUNTEERING, AND BOARD SERVICE.
PART VI, LINE 3:	PATIENT FINANCIAL SERVICES' PATIENT ACCESS/REGISTRATION STAFF AND CASHIER ASSIST PATIENTS WITH INFORMING AND EDUCATING PATIENTS ABOUT THEIR ACCOUNTS AND CHARGES.
PART VI, LINE 4:	ST. CLAIRE REGIONAL MEDICAL CENTER'S SERVICE REGION SERVES A POPULATION OF OVER 160,000 IN BATH, CARTER, ELLIOTT, FLEMING, LEWIS, MAGOFFIN, MENIFEE, MONTGOMERY, MORGAN, ROWAN AND WOLFE COUNTIES. ST. CLAIRE REGIONAL'S FIVE FAMILY MEDICINE CLINICS ARE LOCATED IN FRENCHBURG, MOREHEAD, OLIVE HILL, OWINGSVILLE, AND SANDY HOOK.
PART VI, LINE 5:	THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING HEALTH OF THE COMMUNITY THROUGH THE FOLLOWING: THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THESE VOLUNTEERS ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ANY SURPLUS FUNDS ARE APPLIED DIRECTLY OR INDIRECTLY TO IMPROVE SERVICES.
PART VI, LINE 6:	NOT APPLICABLE. THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	KY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	11	RecipientCnt
Cash Grant	$47,435	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	HOSPITAL MAKES SCHOLARSHIPS AVAILABLE TO ELIGIBLE PERSONS TO FURTHER HEALTHCARE IN THE COMMUNITY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
O THOMAS NEWCOMB III MD
UROLOGIST	$233,442	$0	$81,746	$0	$0	$0	$9,450	$0	$17,967	$0	$342,605	$0	$0	$0
JACOB PERRY
SURGEON	$381,001	$0	$212,661	$0	$0	$0	$9,450	$0	$17,967	$0	$621,079	$0	$0	$0
CHRIS MCCLURG
CFO	$173,217	$0	$0	$0	$0	$0	$6,172	$0	$19,786	$0	$199,175	$0	$0	$0
MARK NEFF
CEO (TERM ENDED 4/30/2019)	$410,082	$0	$0	$0	$0	$0	$9,450	$0	$14,237	$0	$433,769	$0	$0	$0
TRAVIS BAILEY
VP ADMINISTRATION	$238,153	$0	$0	$0	$0	$0	$7,541	$0	$13,335	$0	$259,029	$0	$0	$0
GREG BAUSCH
INSTITUTIONAL DIRECTOR, MEDICAL EDUC	$181,781	$0	$0	$0	$0	$0	$6,784	$0	$7,098	$0	$195,663	$0	$0	$0
CRAIG BUTLER MD
RADIOLOGIST	$674,203	$0	$0	$0	$0	$0	$9,450	$0	$12,936	$0	$696,589	$0	$0	$0
CHARLES CROUSE MD
ORTHOPEDIC SURGEON	$701,609	$0	$759,257	$0	$0	$0	$9,450	$0	$12,269	$0	$1,482,585	$0	$0	$0
JAMES LYNCH MD
SURGEON	$366,943	$0	$410,556	$0	$0	$0	$9,450	$0	$19,748	$0	$806,697	$0	$0	$0
STEPHEN A WILLIAMS MD
RADIOLOGIST	$675,065	$0	$0	$0	$0	$0	$9,450	$0	$20,939	$0	$705,454	$0	$0	$0
MANSHA KAHLOON MD
CARDIOLOGIST	$676,676	$0	$365,370	$0	$0	$0	$9,450	$0	$20,939	$0	$1,072,435	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT.
ADDITIONAL SCHEDULE J DISCLOSURES	BOARD MEMBERS JACOB PERRY, MD AND THOMAS NEWCOMB III, MD LISTED ABOVE ARE EMPLOYED PHYSICIANS OF THE HOSPITAL. THEY DO NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS BOARD MEMBERS. THE COMPENSATION LISTED ABOVE IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS EMPLOYED PHYSICIANS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd	TransactionTransactionAmt
DR THOMAS NEWCOMB
BOARD MEMBER	DR. THOMAS NEWCOMB IS AN INVESTOR IN KY MOBILE LITHOTRIPSY WHICH PROVIDES ESWL SERVICES USED IN SURGERY. ST. CLAIRE PAID KY MOBILE LITHOTRIPSY $169,700 DURING FY 2019. HE IS A PARTIAL OWNER OF CAVE RUN REAL ESTATE WHICH PROVIDES OFFICE SPACE TO ST. CLAIRE. DURING FY 2019, $59,490 WAS PAID FOR RENTAL INCOME.	0
DR JEFFREY ELLIS
BOARD MEMBER	DR. JEFFREY ELLIS IS EMPLOYED BY THE UNIVERSITY OF KENTUCKY, WHICH PROVIDES CONTRACTED PATHOLOGY FACULTY SERVICES TO ST. CLAIRE. DR. ELLIS IS A PATHOLOGIST IN THIS CONTRACT. DURING FY 2019, ST. CLAIRE PAID THE UNIVERSITY OF KENTUCKY $411,384 FOR THESE SERVICES.	0
ROBERT STEVENS
BOARD MEMBER	ROBERT STEVENS IS THE PRESIDENT OF BOTTOM LINE SYSTEMS, A COLLECTION COMPANY. DURING FY 2019, $23,744 WAS PAID FOR SERVICES.	0
DAN MARKWELL
BOARD MEMBER	DAN MARKWELL IS AN OWNER IN VERITY HOLDINGS AND ST. CLAIRE PAID VERITY HOLDINGS $42,078 IN RENTAL INCOME DURING FY 2019. MR MARKWELL IS A PRINCIPAL IN TRADEMARK INSURANCE AND INVESTMENTS. ST CLAIRE OFFERS THEIR EMPLOYEES INSURANCE BENEFITS THROUGH THIS COMPANY. ST. CLAIRE PAID $12,238,877 FOR HEALTHCARE BENEFITS DURING FY 2019. MR MARKWELL IS ALSO A BOARD MEMBER OF CITIZENS BANK. ST. CLAIRE HAD DEPOSITS AT THE BANK OF $7,230,587 AND INTEREST INCOME OF $38,693.	0
TRAVIS BAILEY
KEY EMPLOYEE	TRAVIS BAILEY IS AN OWNER OF VERITY HOLDINGS AND ST. CLAIRE PAID $42,078 IN RENTAL INCOME DURING FY 2019.	0
ED SCOTT
STRATEGIC COMMITTEE MEMBER	ED SCOTT SOLD MOREHEAD PROFESSIONAL BUILDING TO ST. CLAIRE. ST. CLAIRE PAID HIM $60,000 IN INSTALLMENT PAYMENTS IN FY 2019.	0	$60,000
JONATHAN NELSON
ETHICS COMMITTEE MEMBER	ST. CLAIRE PAID HIM $9,800 FOR CONSULTING SERVICES DURING FY 2019.	0	$9,800
PROC CAUDILL
FINANCE COMMITTEE MEMBER	MR CAUDILL IS A BOARD MEMBER OF KENTUCKY BANK. ST. CLAIRE HAD DEPOSITS AT THE BANK OF $202,600, INTEREST INCOME OF $5,065 AND PAID FEES OF $835.	0
EWELL SCOTT
STRATEGIC COMMITTEE MEMBER	EWELL SCOTT SOLD MOREHEAD PROFESSIONAL BUILDING TO ST. CLAIRE. ST. CLAIRE PAID HIM $60,000 IN INSTALLMENT PAYMENTS IN FY 2019.	0	$60,000

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7A	THE PRESIDENT OF THE SISTERS OF NOTRE DAME OF COVINGTON, KY IS THE PERSON WHO APPOINTS ALL THE DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO AND BY THE ACCOUNTING DEPARTMENT. THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AND THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	MEMBERS OF THE BOARD OF DIRECTORS, BOARD COMMITTEES, AND MEDICAL CENTER LEADERSHIP SIGN A CONFLICT OF INTEREST STATEMENT ON INITIAL APPOINTMENT OR EMPLOYMENT AND ANNUALLY THEREAFTER. THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE DEPARTMENT HEAD OF BOARD/ADMINISTRATION. THE SCOPE OF THIS POLICY INCLUDES BOARD OF DIRECTORS, BOARD COMMITTEES, ADMINISTRATIVE STAFF, EMPLOYEES, AND MEDICAL STAFF. THE POLICY IS IN PLACE TO AVOID CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS BETWEEN PERSONAL INTERESTS AND ONE'S OFFICIAL RESPONSIBILITIES AND PERFORMANCE OF DUTIES ON BEHALF OF THE MEDICAL CENTER. THE COVERED PERSONS ARE TO AVOID BEING PLACED IN A POSITION FOR PERSONAL PROFIT, EITHER THROUGH MONEY, GOODS, OR INFLUENCE FROM THE CONDUCTING OF MEDICAL CENTER RESPONSIBILITIES. A SELF DISCLOSURE FROM COVERED PERSONS TO THE INTEGRITY OFFICER IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFUSE FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE CEO'S COMPENSATION IS ESTABLISHED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND IS BASED ON PERFORMANCE CRITERIA AND ON PUBLISHED MARKET SURVEY COMPARISONS FOR HEALTHCARE INSTITUTIONS SIMILAR IN SIZE AND SCOPE OF OPERATIONS. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO, BASED ON PERFORMANCE CRITERIA, AND PUBLISHED MARKET SURVEY COMPARISONS, AND IS REVIEWED AND BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 10,908,448. MANAGEMENT AND GENERAL EXPENSES 5,288,606. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,197,054.
FORM 990, PART XI, LINE 9:	LOSS ON JOINT VENTURE -92,596. LOSS ON IMPAIRMENT OF INVESTMENT -356,297.
FORM 990, PART XI, LINE 2C	THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MOREHEAD PROFESSIONAL SERVICES BUILDING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	222 MEDICAL CIRCLE	AddressLine1Txt
City	MOREHEAD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	40351	ZIPCd

Field	Value	IRS element (for citing)
EIN	610890222	EIN
Primary Activities	MEDICAL OFFICE BUILDING	PrimaryActivitiesTxt
Legal Domicile State	KY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$2,606,250	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SCRMC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
SISTERS OF NOTRE DAME OF COVINGTON KENTUCKY INC
1601 DIXIE HIGHWAY	COVINGTON	KY	41011	610485643	RELIGIOUS ORDER	KY	501(C)(3)	LINE 1	N/A	0
ST CLAIRE REAL PROPERTIES
222 MEDICAL CIRCLE	MOREHEAD	KY	40351	474578938	SUPPORT ST. CLAIRE REGIONAL MEDICAL CENTER	KY	501(C)(3)	LINE 12A, I	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
CLAIRE-FRANCIS HEALTH SERVICES PLLC DBA INFUSION SOLUTIONS
200 MALL ROAD STE 3	ASHLAND	KY	41101	311517507	HOME INFUSION SERVICES	KY	N/A	RELATED	-$144,521	$432,192	0	0	0.25000
KENTUCKY HEALTH COLLABORATIVE LLC
651 PERIMETER DRIVE STE 650	LEXINGTON	KY	40517	811446226	HEALTHCARE SHARED SUPPORT SERVICES	KY	N/A	RELATED	-$142,771	$200,327	0	0	0.07690

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd