2020-05-18T07:42:39-05:00 2019-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2018-07-01 610605336 ST CLAIRE MEDICAL CENTER INC STCL 6067836500 222 MEDICAL CIRCLE MOREHEAD KY 40351 CHRIS MCCLURG VICE PRESIDENT FINANCE/ CFO 6067836500 2020-05-15 1 CARRIE A MERRILL CPA P00832283 3176334705 2020-05-15 96.28.64.110 2020-05-15 15:02:46 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DFFF94E40E6042B53F95D34511187C45F8C68B42 2018 2020-09-23 17:36:50Z ST CLAIRE REGIONAL MEDICAL CENTER MARK J NEFF 222 MEDICAL CIRCLE MOREHEAD KY 40351 151520497 0 X WWW.ST-CLAIRE.ORG X 1963 KY THE MISSION IS TO PROCLAIM GOD'S GOODNESS THROUGH A HEALING MINISTRY TO THE PEOPLE OF EASTERN KY. 13 10 1766 90 14121 49145 2401356 2005540 137404264 137927291 1715571 1765882 7071176 9393167 148592367 151091880 94120 47435 0 0 91029824 97887140 0 0 0 57143500 60024162 148267444 157958737 324923 -6866857 125648258 123102117 67572699 72676424 58075559 50425693 X THE MISSION OF ST. CLAIRE REGIONAL MEDICAL CENTER IS TO PROCLAIM GOD'S GOODNESS THROUGH A HEALING MINISTRY TO THE PEOPLE OF EASTERN KENTUCKY. 0 0 109237921 47435 113160230 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. 15307975 15857625 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. 8600621 8909436 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. 133146517 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 143 0 1 1766 0 1 1 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X CHRIS MCCLURG VP OF FINANCIAL SERVICES 6067836500 222 MEDICAL CIRCLE MOREHEAD KY 40351 SISTER MARLA MONAHAN SND CHAIR 2.00 0.00 X 0 0 0 DAN MARKWELL VICE CHAIRMAN 2.00 0.00 X 0 0 0 ROBERT G STEVENS PAST CHAIRMAN 2.00 0.00 X 0 0 0 SISTER MARY MARGARET DROEGE SND MEMBER 2.00 0.00 X 0 0 0 JEFFREY L ELLIS MD MEMBER 2.00 0.00 X 0 0 0 ANTHONY E HELTON MEMBER 2.00 0.00 X 0 0 0 NICHOLE SMITH MEMBER 2.00 0.00 X 0 0 0 GLEN TEAGER MEMBER 2.00 0.50 X 0 0 0 WILLIAM REDWINE MEMBER 2.00 0.00 X 0 0 0 MARK STREETY MEMBER 2.00 0.00 X 0 0 0 O THOMAS NEWCOMB III MD UROLOGIST 40.00 0.00 X 315188 0 27417 JACOB PERRY SURGEON 40.00 0.00 X 593662 0 27417 DONALD LLOYD II MEMBER -CEO/PRESIDENT (5/1/19 - 6/30/19) 40.00 0.50 X X 0 0 0 SUE PERRY SECRETARY -NON VOTING 40.00 0.00 X 45627 0 14387 CHRIS MCCLURG CFO 50.00 0.50 X 173217 0 25958 MARK NEFF CEO (TERM ENDED 4/30/2019) 40.00 0.50 X 410082 0 23687 TRAVIS BAILEY VP ADMINISTRATION 50.00 0.50 X 238153 0 20876 GREG BAUSCH INSTITUTIONAL DIRECTOR, MEDICAL EDUCATION 50.00 0.00 X 181781 0 13882 CRAIG BUTLER MD RADIOLOGIST 40.00 0.00 X 674203 0 22386 CHARLES CROUSE MD ORTHOPEDIC SURGEON 40.00 0.00 X 1460866 0 21719 JAMES LYNCH MD SURGEON 40.00 0.00 X 777499 0 29198 STEPHEN A WILLIAMS MD RADIOLOGIST 40.00 0.00 X 675065 0 30389 MANSHA KAHLOON MD CARDIOLOGIST 40.00 0.00 X 1042046 0 30389 6587389 0 287705 117 0 1 0 ARAMARK ONE SERVICE MASTER WAY DOWNERS GROVE IL 60515 CONTRACT SERVICE 1947772 APOGEE MEDICAL MANAGEMENT 2525 E CAMELBACK RD STE 1100 DOWNERS GROVE IL 60515 PHYSICIAN SERVICES 1166913 BRIDGE HOMECARE PARTNERS 5335 FAR HILLS AVE STE 224 DAYTON OH 45429 HOME HEALTH AND BILLING SERVICES 895602 HORIZON HEALTH PO BOX 840839 DALLAS TX 75284 PHYSICIAN SERVICES 826346 BARTON ASSOCIATES PO BOX 417844 BOSTON MA 022417844 PHYSICIAN SERVICES 324948 17 55607 1647162 302771 2005540 NET PATIENT SERVICE REVENUE 621110 122069666 122069666 HOME CARE REVENUE 621610 15857625 15857625 137927291 981229 981229 297538 46678 250860 250860 250860 805684 351 0 21382 805684 -21031 784653 784653 17921 55607 22241 -4320 -4320 354884 338316 16568 14121 2447 340B REVENUE 900099 4584455 4584455 CAFETERIA INCOME 900099 852675 852675 EHR INCENTIVE REVENUE 900099 235021 235021 3457908 3457908 9130059 151091880 137927291 14121 11144928 X 47435 47435 2812707 2503309 309398 77693573 69147280 8546293 1521719 1354330 167389 10736751 9555708 1181043 5122390 4763084 359306 917248 532004 385244 76547 76547 16197054 10908448 5288606 151767 88025 63742 4466892 2590797 1876095 1057680 613454 444226 5269399 3056251 2213148 289424 167866 121558 526262 305232 221030 800264 464153 336111 5032515 2918859 2113656 545737 316527 229210 DRUGS AND MEDICAL SUPPL 21061095 21061095 PROVIDER TAX 1537951 1537951 RECRUITMENT 824295 478091 346204 TRANSPORTATION EXPENSES 360880 209310 151570 909152 527308 381844 157958737 133146517 24812220 0 6366091 7344291 194325 17181284 21888392 5276051 1948649 3442425 3454437 1691583 1607975 122852685 87481899 37420900 35370786 30366728 28575089 23903196 22718173 125648258 123102117 19836415 26695736 996423 1049168 36099778 34277082 10640083 10654438 67572699 72676424 X 57545427 50130111 530132 295582 58075559 50425693 125648258 123102117 X -6866857 -334116 -448893 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16056 16056 0 PART II-B, LINE 1: MEMBERSHIP DUES TO KHA, AMA, AHA AND CHA OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBY EXPENSES BY THE TRADE ORGANIZATIONS. 530132 234550 295582 560400 30268 530132 579226 18826 560400 595035 15809 579226 613249 18214 595035 0.00000 0.00000 1.00000 0 0 3582186 3582186 52441304 36328138 16113166 3414579 2048006 1366573 63112745 49105755 14006990 301871 301871 35370786 OTHER ASSETS 1601410 INVESTMENT IN CLAIRE FRANCIS VENTURE 448331 PHYSICIAN RECEIVABLE 46355 NOTES RECEIVABLE 19996495 INTERCOMPANY RECEIVABLE 330000 DONOR RESTRICTED FUNDS 295582 22718173 ESTIMATED SETTLEMENTS PAYABLE 1439888 PROFESSIONAL LIABILITY CLAIMS RESERVE 3592283 DEFERRED COMPENSATION 5495340 INTERCOMPANY PAYABLE 126927 10654438 X 150693865 -334116 -402215 -736331 151430196 -338316 -338316 151091880 158343731 384994 384994 157958737 0 157958737 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. 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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. 14 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 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 1 SCHOLARSHIPS 11 47435 PART I, LINE 2: HOSPITAL MAKES SCHOLARSHIPS AVAILABLE TO ELIGIBLE PERSONS TO FURTHER HEALTHCARE IN THE COMMUNITY. X X X X X 0 0 0 0 0 0 0 1 0 O THOMAS NEWCOMB III MD UROLOGIST 233442 0 81746 0 0 0 9450 0 17967 0 342605 0 0 0 JACOB PERRY SURGEON 381001 0 212661 0 0 0 9450 0 17967 0 621079 0 0 0 CHRIS MCCLURG CFO 173217 0 0 0 0 0 6172 0 19786 0 199175 0 0 0 MARK NEFF CEO (TERM ENDED 4/30/2019) 410082 0 0 0 0 0 9450 0 14237 0 433769 0 0 0 TRAVIS BAILEY VP ADMINISTRATION 238153 0 0 0 0 0 7541 0 13335 0 259029 0 0 0 GREG BAUSCH INSTITUTIONAL DIRECTOR, MEDICAL EDUC 181781 0 0 0 0 0 6784 0 7098 0 195663 0 0 0 CRAIG BUTLER MD RADIOLOGIST 674203 0 0 0 0 0 9450 0 12936 0 696589 0 0 0 CHARLES CROUSE MD ORTHOPEDIC SURGEON 701609 0 759257 0 0 0 9450 0 12269 0 1482585 0 0 0 JAMES LYNCH MD SURGEON 366943 0 410556 0 0 0 9450 0 19748 0 806697 0 0 0 STEPHEN A WILLIAMS MD RADIOLOGIST 675065 0 0 0 0 0 9450 0 20939 0 705454 0 0 0 MANSHA KAHLOON MD CARDIOLOGIST 676676 0 365370 0 0 0 9450 0 20939 0 1072435 0 0 0 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. 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 60000 ED SCOTT SOLD MOREHEAD PROFESSIONAL BUILDING TO ST. CLAIRE. ST. CLAIRE PAID HIM $60,000 IN INSTALLMENT PAYMENTS IN FY 2019. 0 JONATHAN NELSON ETHICS COMMITTEE MEMBER 9800 ST. CLAIRE PAID HIM $9,800 FOR CONSULTING SERVICES DURING FY 2019. 0 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 60000 EWELL SCOTT SOLD MOREHEAD PROFESSIONAL BUILDING TO ST. CLAIRE. ST. CLAIRE PAID HIM $60,000 IN INSTALLMENT PAYMENTS IN FY 2019. 0 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. MOREHEAD PROFESSIONAL SERVICES BUILDING LLC 222 MEDICAL CIRCLE MOREHEAD KY 40351 610890222 MEDICAL OFFICE BUILDING KY 0 2606250 SCRMC 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 CLAIRE-FRANCIS HEALTH SERVICES PLLC DBA INFUSION SOLUTIONS 200 MALL ROAD STE 3 ASHLAND KY 41101 311517507 HOME INFUSION SERVICES KY N/A RELATED -144521 432192 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 -142771 200327 0 0 0.07690 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1