2012-05-14T14:08:11-05:00 2011-06-30 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2010-07-01 610605336 ST CLAIRE MEDICAL CENTER INC STCL 6067836508 222 MEDICAL CIRCLE MOREHEAD KY 40351 MARK J NEFF 6067836508 2012-05-11 1 CARRIE A MERRILL CPA 3176334705 2010 2016-02-24 21:20:13Z STCLAIRE REGIONAL MEDICAL CENTER MARK J NEFF 222 MEDICAL CIRCLE MOREHEAD KY 40351 141463940 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. 14 13 1514 15 0 0 1283111 1387266 125750000 133822171 874981 682002 1856630 2655892 129764722 138547331 66734 27376 0 0 65133147 72769139 0 0 0 62603772 64322255 127803653 137118770 1961069 1428561 83119490 87852726 41165225 43628149 41954265 44224577 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 91236456 40415 101556991 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 1,400 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 CENTERST. 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. 11443230 13097836 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. CONTINUE ON SCHEDULE O.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. 6991353 6869350 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. 13785435 12635191 PHYSICIAN SERVICESST. CLAIRE REGIONAL OFFERS A COMPREHENSIVE ARRAY OF PHYSICIAN SERVICES. SPECIALTIES EMPLOYED BY ST. CLAIRE INCLUDE RADIOLOGY, EMERGENCY MEDICINE, ONCOLOGY, NEPHROLOGY, GENERAL SURGERY, AND ORTHOPEDIC SURGERY. 13785435 12635191 123456474 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 78 0 1 1514 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X WILLIAM BARTON DIRECTOR OF FINANCIAL SERVICES 6067836587 222 MEDICAL CIRCLE MOREHEAD KY 40351 ROBERT G STEVENS 2.00 X 0 0 0 SISTER MARY LUANN BENDER 2.00 X 0 0 0 GARREN COLVIN 2.00 X 0 0 0 BOB ALBERT 2.00 X 0 0 0 SISTER MARY KAY KRAMER 2.00 X 0 0 0 DAN MARKWELL 2.00 X 0 0 0 SAMUEL MATHENY MD 2.00 X 0 0 0 SISTER MARLA MONAHAN 2.00 X 0 0 0 JOHN NORTHCUT 2.00 X 0 0 0 SISTER MARY JOELL OVERMAN 2.00 X 0 0 0 BETH PATRICK 2.00 X 0 0 0 SISTER MARY EVELYNN REINKE 2.00 X 0 0 0 EWELL SCOTT MD 2.00 X 0 0 0 STEPHEN DAMRON MD 2.00 X 0 0 0 MARK NEFF 50.00 X X 329986 0 63682 SONNY JONES 50.00 X 161530 0 30743 TRAVIS BAILEY 50.00 X 134955 0 36880 RANDY MCCLEESE 50.00 X 110152 0 38665 JOAN WELLS 50.00 X 146007 0 36517 GREG BAUSCH 50.00 X 138015 0 16300 LINDA FULTZ 50.00 X 93361 0 24211 DR KIM WILLIAMS 50.00 X 227727 0 56751 DR WILL MELAHN 50.00 X 194935 0 40233 LERAE WILSON 50.00 X 102617 0 20753 KAREN HOLIFIELD 50.00 X 91665 0 23420 DR WILLIAM LEWIS 40.00 X 668941 0 60584 DR CRAIG BUTLER 40.00 X 636604 0 67593 DR STEPHEN WILLIAMS 40.00 X 595124 0 55238 DR CHARLES CROUSE 40.00 X 655964 0 65432 DR MOHAMMAD ANWAR 40.00 X 383230 0 57577 3854041 0 497833 83 0 1 0 ARAMARK ONE SERVICE MASTER WAY DOWNERS GROVE IL 60515 CONTRACT SERVICE 1612299 PRECYSE SOLUTIONS PO BOX 11407 BIRMINGHAM AL 352461736 TRANSCRIPTION SERVICE 550825 PROFESSIONAL MEDICAL BILLING 7619 W JEFFERSON BLVD FORT WAYNE IN 46804 BILLING SERVICE 534125 KMSF-PATH FAC SERVICES 138 LEADER AVENUE LEXINGTON KY 40506 PHYSICIAN SERVICES 335554 NOLEN'S CONSTRUCTION 50 FAIRVIEW DRIVE MOREHEAD KY 40351 CONSTRUCTION SERVICES 334380 14 132495 873296 381475 91523 1387266 NET PATIENT SERVICE RE 621110 119413860 119413860 HOME CARE REVENUE 621610 14408311 14408311 133822171 557507 557507 337197 337197 337197 337197 2581484 207097 2505828 158258 75656 48839 124495 124495 6240 132495 9629 -3389 -3389 137282 242894 -105612 -105612 OTHER OPERATING REV 900099 1511948 1511948 CAFETERIA INCOME 900099 699443 699443 CATERING 900099 203174 203174 13131 13131 2427696 138547331 134159368 0 3000697 27376 27376 1778727 1629612 149115 56796296 52184028 4612268 2354329 1710022 644307 8027180 7839311 187869 3812607 3439456 373151 245211 18877 226334 43542 43542 9228798 7942426 1286372 271740 270250 1490 18762296 18123659 638637 5504733 4020693 1484040 191069 154133 36936 299422 278078 21344 958403 3507 954896 5681355 5681355 967501 260581 706920 BAD DEBT EXPENSE 19057268 19057268 PROVIDER TAX 1535187 156340 1378847 RECRUITMENT 581882 90461 491421 LICENSES & FEES 261192 56278 204914 DUES & SUBSCRIPTIONS 222485 50269 172216 510171 462494 47677 137118770 123456474 13662296 0 5476343 7913154 37158 0 14693078 19587397 49100 6667 607709 603264 2524292 2540791 574077 624710 86435147 50717063 33670169 35718084 22209522 18119390 3278042 2739269 83119490 87852726 12318106 16216339 20601161 18678290 1042794 717145 7203164 8016375 41165225 43628149 X 41954265 44224577 41954265 44224577 83119490 87852726 X 1428561 841751 X X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4031 4031 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: PAY MEMBERSHIP DUES TO TRADE ORGANIZATIONS OF WHICH A PORTION OF THE DUES ARE USED FOR LOBBY EXPENSES BY THE TRADE ORGANIZATIONS. 977373 977373 45593728 26570451 19023277 544581 544581 0 37704449 23602031 14102418 1615016 1615016 35718084 ESTIMATED SETTLEMENTS PAYABLE 3500000 PROF. LIAB CLAIMS RESERVE 2851330 DEFERRED COMPENSATION 1410512 SWAP AGREEMENT 254533 8016375 138547331 137118770 1428561 1295450 -453699 841751 2270312 140095304 1295450 1295450 138799854 -252523 -252523 138547331 137371293 252523 252523 137118770 0 137118770 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011 AND 2010, 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 8 - OTHER ADJUSTMENTS: PRIOR PERIOD ADJUSTMENTS - FINANCIAL STATEMENT CORRECTION -453,699. PART XII, LINE 4B - OTHER ADJUSTMENTS: COST OF GOOD SOLD -242,894. SPECIAL EVENT EXPENSE -9,629. PART XIII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 242,894. SPECIAL EVENT EXPENSES 9,629. CHARITY GOLF OUTING 138735 132495 6240 2368 4000 2489 772 138735 132495 6240 2368 4000 2489 772 9629 -3389 1 1 1 X 125.000000000000 1 X 1 1 0 1 1 6696370 1230685 5465685 0.04630 18206575 12187714 6018861 0.05100 24902945 13418399 11484546 0.09730 29499 29499 0.00020 3180305 3180305 0.02690 14195220 12994539 1200681 0.01020 17405024 12994539 4410485 0.03730 42307969 26412938 15895031 0.13460 1 6374081 573667 34697358 35384704 -687346 X 1 0 1 1 ST CLAIRE REGIONAL MEDICAL CENTER

222 MEDICAL CIRCLE DRIVE MOREHEAD KY 40391

X X ST CLAIRE - NOT REQUIRED FOR 2010 1 PART I, L7 COL(F): TOTAL BAD DEBT EXPENSE OF $19,057,268 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTIONS. PART II: THE ORGANIZATION DOES NOT PROVIDE ANY COMMUNITY BUILDING ACTIVITIES. PART III, LINE 4: SECTION A. BAD DEBT EXPENSE. LINE 2 FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE: 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.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. 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, 2011 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART VI, LINE 2: THE ORGANIZATION ASSESS 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 6: 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 7: NOT APPLICABLE. THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. REPORTS FILED WITH STATES PART VI, LINE 7 KY 1 SCHOLARSHIPS 3 21000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 0 0 MARK NEFF 329986 0 0 0 0 0 50750 0 12932 0 393668 0 0 0 SONNY JONES 161530 0 0 0 0 0 24087 0 6656 0 192273 0 0 0 DR KIM WILLIAMS 227727 0 0 0 0 0 49877 0 6874 0 284478 0 0 0 DR WILL MELAHN 194935 0 0 0 0 0 24467 0 15766 0 235168 0 0 0 DR WILLIAM LEWIS 668941 0 0 0 0 0 45250 0 15334 0 729525 0 0 0 DR CRAIG BUTLER 636604 0 0 0 0 0 45250 0 22343 0 704197 0 0 0 DR STEPHEN WILLIAMS 595124 0 0 0 0 0 45250 0 9988 0 650362 0 0 0 DR CHARLES CROUSE 655964 0 0 0 0 0 45250 0 20182 0 721396 0 0 0 DR MOHAMMAD ANWAR 383230 0 0 0 0 0 43923 0 13654 0 440807 0 0 0 ROWAN COUNTY KENTUCKY 616000882 2010-03-22 6000000 PURCHASE AND INSTALL MEDICAL EQUIPMENT 0 0 0 ROWAN COUNTY KENTUCKY 616000882 2010-12-22 14000000 AQUIRE, CONSTRUCT, EQUIP FACILITIES/ RETIRE 1994 ISSUANCE 0 0 0 6000000 6000000 2010 0 0 1 1 11550615 14000000 115000 1 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 PART I, LINE A, COLUMN (F) DESCRIPTION OF PURPOSE ISSUANCE USED TO ACQUIRE AND INSTALL EQUIPMENT FOR HEALTH CARE AND HEALTH RELATED FACILITIES LOCATED AT 222 MEDICAL CIRCLE, MOREHEAD, KENTUCKY 40351 AND TO PAY ISSUANCE COSTS. PART I, LINE B, COLUMN (F) DESCRIPTION OF PURPOSE ISSUANCE USED TO FINANCE ACQUITION, CONSTRUCTION AND EQUIPPING OF HEALTH CARE AND HEALTH RELATED FACILITIES LOCATED AT 222 MEDICAL CIRCLE, MOREHEAD, KENTUCKY AND PAY DEBT SERVICE OF/REDEEM ALL THE OUTSTANDING KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY HOSPITAL FACILITIES REVENUE REFUNDING BONDS, SERIES 1994. DR CHARLES CROUSE SIGNING/EDUCATIONAL LOAN BONUS X 40000 6667 0 1 1 6667 X 8 91523 FMV 0 1 0 THIRD PARTY USE: PART I, LINE 32B: THE ST. CLAIRE FOUNDATION SHALL RESERVE THE RIGHT TO ACCEPT OR REJECT ALL GIFT OFFERS. THE FINAL DECISION SHALL BE MADE BY THE VICE PRESIDENT FOR DEVELOPMENT IN CONSULTATION WITH THE PRESIDENT OF THE ST. CLAIRE REGIONAL MEDICAL CENTER, WHEN APPROPRIATE. HE MAY ALSO REFER A PROPOSED GIFT TO THE FOUNDATION'S EXECUTIVE COMMITTEE FOR THEIR RECOMMENDATION. 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 11 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,295,450. PRIOR PERIOD ADJUSTMENTS - FINANCIAL STATEMENT CORRECTION -453,699. TOTAL TO FORM 990, PART XI, LINE 5: 841,751. OVERSIGHT OF AUDIT 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. SISTERS OF NOTRE DAME OF COVINGTON KENTUCKY INC 1601 DIXIE HIGHWAY COVINGTON KY 41011 RELIGIOUS ORDER KY 501(C)(3) LINE 1 N/A 0 CLAIRE-FRANCIS HEALTH SERVICES PLLC DBA INFUSION SOLUTIONS 200 MALL ROAD STE 3 ASHLAND KY 41101 311517507 HOME INFUSION SERVICES KY 96145 470926 0 0 0.33000 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0