ST CLAIRE MEDICAL CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ST CLAIRE MEDICAL CENTER INC (EIN 61-0605336)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-15
- IRS object ID
- 201921359349310012
- Schema version
- 2017v2.3
- 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 | 2019-05-15T14:57:09-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 2017-07-01 | 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 | 2019-05-15 | 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 | 2019-05-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 165.225.0.63 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-15 | IPDt |
| IP Tm | 14:57:06 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 695A88C1AC8205601D3FA4E9E904369603D6739A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $149,162,359 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1733 | TotalEmployeeCnt |
| Total Volunteers | 89 | TotalVolunteersCnt |
| Total Gross UBI | $26,271 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $29,858 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,388,875 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,401,356 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $135,552,785 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $137,404,264 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,196,194 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,715,571 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,735,096 | PYOtherRevenueAmt |
| CY Other Revenue | $7,071,176 | CYOtherRevenueAmt |
| PY Total Revenue | $145,872,950 | PYTotalRevenueAmt |
| CY Total Revenue | $148,592,367 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $48,767 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $94,120 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $86,316,286 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $91,029,824 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $57,104,921 | PYOtherExpensesAmt |
| CY Other Expenses | $57,143,500 | CYOtherExpensesAmt |
| PY Total Expenses | $143,469,974 | PYTotalExpensesAmt |
| CY Total Expenses | $148,267,444 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,402,976 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $324,923 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $123,568,615 | TotalAssetsBOYAmt |
| Total Assets EOY | $125,648,258 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $66,139,056 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $67,572,699 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $57,429,559 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $58,075,559 | 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 | $104,306,310 | ExpenseAmt |
| Revenue | $111,553,034 | 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 | $13,755,737 | ExpenseAmt |
| Grant | $94,120 | GrantAmt |
| Revenue | $14,711,423 | 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 | $10,509,004 | ExpenseAmt |
| Revenue | $11,239,122 | 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 | $128,571,051 | 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 | 0 | 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 | 72 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1733 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 (25 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 CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT G STEVENS | |||||||||
| PAST CHAIRMAN | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN NORTHCUTT | |||||||||
| MEMBER | 2.00 | 0.50 | 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 | |||
| GARY J ERMERS | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| O THOMAS NEWCOMB III MD | |||||||||
| UROLOGIST | 40.00 | 0.00 | Yes (X) | $349,999 | $0 | $25,250 | |||
| WILLIAM REDWINE | |||||||||
| 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 | |||
| MANSHA KAHLOON MD | |||||||||
| MEMBER | 40.00 | 0.00 | Yes (X) | $946,999 | $0 | $28,261 | |||
| MARK NEFF | |||||||||
| CEO | 40.00 | 0.50 | Yes (X) | $322,228 | $0 | $22,304 | Yes (X) | ||
| CHRIS MCCLURG | |||||||||
| CFO | 50.00 | 0.50 | $169,650 | $0 | $23,867 | Yes (X) | |||
| S SUE PERRY | |||||||||
| SECRETARY -NON VOTING | 40.00 | 0.00 | $44,143 | $0 | $13,293 | Yes (X) | |||
| TRAVIS BAILEY | |||||||||
| VP ADMINISTRATION | 50.00 | 0.50 | $212,011 | $0 | $18,486 | Yes (X) | |||
| KATHLEEN WILSON VP | |||||||||
| VP NURSING SERVICES | 50.00 | 0.00 | $161,778 | $0 | $18,120 | Yes (X) | |||
| GREG BAUSCH | |||||||||
| VP REGIONAL SERVICES | 50.00 | 0.00 | $194,978 | $0 | $14,548 | Yes (X) | |||
| WILL MELAHN MD | |||||||||
| VP MEDICAL STAFF | 50.00 | 0.00 | $311,389 | $0 | $27,576 | Yes (X) | |||
| CHARLES CROUSE MD | |||||||||
| ORTHOPEDIC SURGEON | 40.00 | 0.00 | $1,551,216 | $0 | $20,503 | Yes (X) | |||
| CRAIG BUTLER MD | |||||||||
| RADIOLOGIST | 40.00 | 0.00 | $669,525 | $0 | $21,110 | Yes (X) | |||
| STEPHEN A WILLIAMS MD | |||||||||
| RADIOLOGIST | 40.00 | 0.00 | $671,701 | $0 | $17,501 | Yes (X) | |||
| MOHAMMAD M MARASHDEH MD | |||||||||
| CARDIOLOGY | 40.00 | 0.00 | $688,315 | $0 | $28,261 | Yes (X) | |||
| WILLIAM D LEWIS | |||||||||
| RADIOLOGIST | 40.00 | 0.00 | $666,831 | $0 | $28,261 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,960,763 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $307,341 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 100 | 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 | $2,137,142 |
| APOGEE MEDICAL MANAGEMENT | |||||
| 2525 E CAMELBACK RD STE 1100 | DOWNERS GROVE | IL | 60515 | PHYSICIAN SERVICES | $1,594,387 |
| TRUSTAFF TRAVEL NURSES | |||||
| 4675 CORNELL RD SUITE 100 | CINCINNATI | OH | 45241 | CONTRACT NURSING SERVICE | $924,112 |
| HORIZON HEALTH | |||||
| PO BOX 840839 | DALLAS | TX | 75284 | PHYSICIAN SERVICES | $893,326 |
| JACOBUS CONSULTING | |||||
| 15375 BARRANCA PARKWAY SUITE B-202 | IRVINE | CA | 92618 | CONSULTING | $622,669 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $62,436 | FundraisingAmt |
| Government Grants | $2,034,413 | GovernmentGrantsAmt |
| All Other Contributions | $304,507 | AllOtherContributionsAmt |
| Total Contributions | $2,401,356 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $122,692,841 | $122,692,841 |
| HOME CARE REVENUE | 621610 | $14,711,423 | $14,711,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $137,404,264 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $814,277 | TotalRevenueColumnAmt |
| Exclusion | $814,277 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $329,307 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $229,992 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $99,315 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,315 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $99,315 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $878,885 | SecuritiesAmt |
| Other | $22,409 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $878,885 | SecuritiesAmt |
| Other | $22,409 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $901,294 | TotalRevenueColumnAmt |
| Exclusion | $901,294 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $17,070 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $62,436 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $26,081 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,011 | TotalRevenueColumnAmt |
| Exclusion | -$9,011 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $349,903 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $313,919 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,984 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $22,095 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,889 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| 340B REVENUE | 900099 | $2,672,554 | $2,672,554 |
| CAFETERIA INCOME | 900099 | $878,260 | $878,260 |
| EHR INCENTIVE REVENUE | 900099 | $34,000 | $34,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,360,074 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,176 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,355,898 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,944,888 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,592,367 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $137,503,579 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $26,271 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,661,161 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,120 | TotalAmt |
| Program Services | $94,120 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,904,880 | TotalAmt |
| Program Services | $2,675,841 | ProgramServicesAmt |
| Management And General | $229,039 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,153,879 | TotalAmt |
| Program Services | $66,691,069 | ProgramServicesAmt |
| Management And General | $5,462,810 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,137,475 | TotalAmt |
| Program Services | $918,395 | ProgramServicesAmt |
| Management And General | $219,080 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,993,541 | TotalAmt |
| Program Services | $9,063,344 | ProgramServicesAmt |
| Management And General | $930,197 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,840,049 | TotalAmt |
| Program Services | $4,480,743 | ProgramServicesAmt |
| Management And General | $359,306 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,250 | TotalAmt |
| Management And General | $619,250 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,300 | TotalAmt |
| Management And General | $75,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,479,167 | TotalAmt |
| Program Services | $9,296,778 | ProgramServicesAmt |
| Management And General | $2,182,389 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,583 | TotalAmt |
| Program Services | $215,630 | ProgramServicesAmt |
| Management And General | $953 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,328,276 | TotalAmt |
| Program Services | $3,372,767 | ProgramServicesAmt |
| Management And General | $955,509 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,900,823 | TotalAmt |
| Program Services | $5,710,793 | ProgramServicesAmt |
| Management And General | $190,030 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,391 | TotalAmt |
| Program Services | $232,560 | ProgramServicesAmt |
| Management And General | $97,831 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,877 | TotalAmt |
| Program Services | $394,775 | ProgramServicesAmt |
| Management And General | $36,102 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $753,798 | TotalAmt |
| Program Services | $63,670 | ProgramServicesAmt |
| Management And General | $690,128 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,356,043 | TotalAmt |
| Program Services | $5,136,888 | ProgramServicesAmt |
| Management And General | $4,219,155 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,137 | TotalAmt |
| Program Services | $250,891 | ProgramServicesAmt |
| Management And General | $563,246 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $18,589,079 | $18,589,079 | |
| PROVIDER TAX | $1,531,205 | $153,459 | $1,377,746 |
| RECRUITMENT | $806,150 | $144,579 | $661,571 |
| LICENSES & FEES | $636,609 | $191,753 | $444,856 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,275,812 | TotalAmt |
| Program Services | $893,917 | ProgramServicesAmt |
| Management And General | $381,895 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,267,444 | TotalAmt |
| Program Services | $128,571,051 | ProgramServicesAmt |
| Management And General | $19,696,393 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,620,537 | BOYAmt |
| EOY | $6,366,091 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,078,518 | BOYAmt |
| EOY | $17,181,284 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,421,489 | BOYAmt |
| EOY | $5,276,051 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,022,241 | BOYAmt |
| EOY | $3,442,425 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,426,920 | BOYAmt |
| EOY | $1,691,583 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $120,913,368 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $83,492,468 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,541,077 | BOYAmt |
| EOY | $37,420,900 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,010,116 | BOYAmt |
| EOY | $30,366,728 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,447,717 | BOYAmt |
| EOY | $23,903,196 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,568,615 | BOYAmt |
| EOY | $125,648,258 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,463,820 | BOYAmt |
| EOY | $19,836,415 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $996,423 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,414,730 | BOYAmt |
| EOY | $36,099,778 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,260,506 | BOYAmt |
| EOY | $10,640,083 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,139,056 | BOYAmt |
| EOY | $67,572,699 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,869,159 | BOYAmt |
| EOY | $57,545,427 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,400 | BOYAmt |
| EOY | $530,132 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,429,559 | BOYAmt |
| EOY | $58,075,559 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,568,615 | BOYAmt |
| EOY | $125,648,258 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $324,923 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $321,077 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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
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 | $14,700 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,700 | 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 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 | $560,400 | BeginningYearBalanceAmt |
| Other Expenditures | $30,268 | OtherExpendituresAmt |
| End Year Balance | $530,132 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $579,226 | BeginningYearBalanceAmt |
| Other Expenditures | $18,826 | OtherExpendituresAmt |
| End Year Balance | $560,400 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $595,035 | BeginningYearBalanceAmt |
| Other Expenditures | $15,809 | OtherExpendituresAmt |
| End Year Balance | $579,226 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $613,249 | BeginningYearBalanceAmt |
| Other Expenditures | $18,214 | OtherExpendituresAmt |
| End Year Balance | $595,035 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $625,780 | BeginningYearBalanceAmt |
| Other Expenditures | $12,531 | OtherExpendituresAmt |
| End Year Balance | $613,249 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $52,010,694 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,029,385 | DepreciationAmt |
| Book Value | $16,981,309 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,186,203 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,889,458 | DepreciationAmt |
| Book Value | $1,296,745 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,850,759 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,573,625 | DepreciationAmt |
| Book Value | $11,277,134 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,283,526 | OtherCostOrOtherBasisAmt |
| Book Value | $4,283,526 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,420,900 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS | $2,762,517 |
| INVESTMENT IN CLAIRE FRANCIS VENTURE | $390,927 |
| PHYSICIAN RECEIVABLE | $95,606 |
| INCOME TAX CREDIT NOTES RECEIVABLE | $19,996,495 |
| INTERCOMPANY RECEIVABLE | $127,519 |
| DONOR RESTRICTED FUNDS | $530,132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $23,903,196 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED SETTLEMENTS PAYABLE | $1,659,846 |
| PROF. LIAB CLAIMS RESERVE | $3,937,984 |
| DEFERRED COMPENSATION | $5,042,253 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,640,083 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $149,457,601 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $321,077 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $229,992 | OtherRevenueAmt |
| Revenue Not Reported | $551,069 | RevenueNotReportedAmt |
| Revenue Subtotal | $148,906,532 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$314,165 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$314,165 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $148,592,367 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $148,811,601 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $544,157 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $544,157 | ExpensesNotReportedAmt |
| Expenses Subtotal | $148,267,444 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $148,267,444 | 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, 2018 AND 2017, 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 229,992. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | COST OF GOOD SOLD -313,919. INVENTORY ADJUSTMENT -246. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 313,919. RENTAL EXPENSES 229,992. INVENTORY ADJUSTMENT 246. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHARITY GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $46,681 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $38,881 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $7,800 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $7,075 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,405 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $673 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,596 | OtherDirectExpensesEvent1Amt |
| Event2 | SIGNATURE EVENT | Event2Nm |
| Gross Receipts Event2 | $32,825 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $23,555 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $9,270 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $1,216 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $8,366 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $750 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $79,506 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $62,436 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $17,070 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $7,075 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $6,621 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $9,039 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,346 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $26,081 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$9,011 | 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 | $1,919,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,269,256 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,116,075 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,230,828 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,885,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,036,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,500,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,885,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01950 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,874 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $133,874 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,331,123 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,331,123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,178,832 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,178,832 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02140 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,625 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,625 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,669,454 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,669,454 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03820 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,705,519 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,500,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,554,701 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05770 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,602,970 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $38,442,625 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $38,641,073 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$198,448 | 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 | 15 | 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/GATEWAY-WELLNESS-COALITION/GWC-DATA | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.ST-CLAIRE.ORG/GATEWAY-WELLNESS-COALITION/GWC-DATA | 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: THROUGHOUT THIS COMPREHENSIVE PROCESS, MANY HEALTH NEEDS WERE IDENTIFIED, BUT SOME HAVE NOT BEEN ADDRESSED IN THIS SPECIFIC PLAN. SOME GATEWAY WELLNESS COALITION EXECUTIVE COMMITTEE MEETINGS FOCUSED ON NEEDS THAT WERE ALREADY BEING ADDRESSED IN VARIOUS WAYS. ONE OF THE MOST CRITICAL AREAS OF NEED IS CARE FOR THE UNINSURED/UNDERINSURED, AS ST. CLAIRE REGIONAL PROVIDES CARE AND SERVICES FOR A SIGNIFICANT NUMBER OF UNINSURED AND MEDICAID PATIENTS. WHILE GOVERNMENT REIMBURSEMENT FOR MEDICAID SERVICES PROVIDED BY SCRMC IN FISCAL 2016 COVERED COSTS, SCRMC DID PROVIDE $220,908 IN CHARITY CARE (AT COST) IN FISCAL 2016. UNCOMPENSATED CARE, WHICH TOTALED NEARLY $3.3 MILLION IN FISCAL 2016, WAS THE COST OF SCRMC SERVICES TO INDIVIDUALS WHO WERE UNABLE OR UNWILLING TO PAY AND DID NOT OFFICIALLY MEET GUIDELINES FOR TRADITIONAL CHARITY CARE. THUS, MORE FUNDING, EXPERTISE AND ACCESS ARE NECESSARY TO ENSURE THAT THE SUBSTANTIAL IMPACT THAT ST. CLAIRE REGIONAL HAS ON THE UNINSURED/UNDERINSURED POPULATION IN ITS PRIMARY SERVICE AREA IS SUSTAINABLE FOR YEARS TO COME, PARTICULARLY GIVEN THE REQUIREMENTS AND IMPACT OF THE AFFORDABLE CARE ACT.SINCE OUR FOUNDING IN 1963, ST. CLAIRE REGIONAL MEDICAL CENTER HAS CONTINUALLY SOUGHT TO EXPAND OUR REACH AND POSITIVE IMPACT IN THE REGION. SCRMC OPERATES SEVERAL FAMILY MEDICINE CLINICS IN FIVE SERVICE REGION COUNTIES. THE FIRST OPENED IN 1973 IN MENIFEE COUNTY, WHILE THE SECOND OPENED THREE YEARS LATER IN BATH COUNTY. OTHERS FOLLOWED IN ROWAN, CARTER AND ELLIOTT COUNTIES. SCRMC'S HOMECARE, HOSPICE AND PALLIATIVE CARE PROGRAMS SERVE AN EIGHT-COUNTY AREA.SCRMC ALSO FORGES STRATEGIC PARTNERSHIPS TO OFFER MORE EXTENSIVE AND EFFICIENT SERVICES IN THE SERVICE AREA, INCLUDING RELATIONSHIPS WITH THE UNIVERSITY OF KENTUCKY FOR WOMEN'S HEALTH, STROKE AND CANCER CARE SERVICES. SCRMC IS ALSO A FOUNDING MEMBER OF THE KENTUCKY HEALTH COLLABORATIVE, A GROUP OF 10 HOSPITALS AND HEALTH SYSTEMS SEEKING TO DEVELOP MORE EFFICIENT WAYS TO ADDRESS THE HEALTHCARE NEEDS OF KENTUCKIANS.EVIDENCE OF OUR EFFORTS TO ADDRESS AN ANTICIPATED NEED FOR MORE PRIMARY CARE PHYSICIANS AND SPECIALISTS IN THE REGION IS A UNIQUE JOINT INITIATIVE FEATURING A REGIONAL UNIVERSITY (MOREHEAD STATE UNIVERSITY), A LAND GRANT UNIVERSITY (THE UNIVERSITY OF KENTUCKY), AND A PRIVATE NON-PROFIT HOSPITAL (ST. CLAIRE REGIONAL MEDICAL CENTER) THAT LED TO THE CONSTRUCTION OF THE CENTER FOR HEALTH, EDUCATION AND RESEARCH IN MOREHEAD. IN THIS FACILITY, THE NEXT GENERATION OF MEDICAL STUDENTS AND OTHER HEALTHCARE PROFESSIONALS FOR THE REGION ARE BEING TRAINED. THIS FACILITY PROVIDES TRAINING OPPORTUNITIES FOR THE STATE'S TOP-RANKED NURSING PROGRAM AT MOREHEAD STATE UNIVERSITY. ADDITIONALLY, IT HOUSES A REGIONAL SATELLITE CAMPUS FOR THE UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE'S RURAL PHYSICIAN LEADERSHIP PROGRAM.ANOTHER EFFORT TO IMPROVE ACCESS AND EFFICIENCY IN SERVICES IS THE ONGOING CONSTRUCTION OF A NEW MEDICAL SERVICES PAVILION ADJACENT TO ST. CLAIRE REGIONAL MEDICAL CENTER. THIS NEW STATE-OF-THE-ART FACILITY WILL BRING CAVE RUN SURGICAL SPECIALISTS, MOREHEAD MEDICAL SPECIALISTS, THE UNIVERSITY OF KENTUCKY WOMEN'S CENTER AND ST. CLARE REGIONAL'S ONCOLOGY SERVICES UNDER ONE ROOF, WITH EASY ACCESS TO SCRMC'S ACUTE-CARE SERVICES. THIS NEW PAVILION IS SLATED TO OPEN IN EARLY 2018. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 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 |
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, 2018 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 | $50,437 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 | $349,999 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $15,975 | $0 | $375,249 | $0 | $0 | $0 |
| MANSHA KAHLOON MD | ||||||||||||||
| MEMBER | $946,999 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $18,986 | $0 | $975,260 | $0 | $0 | $0 |
| MARK NEFF | ||||||||||||||
| CEO | $322,228 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $13,029 | $0 | $344,532 | $0 | $0 | $0 |
| CHRIS MCCLURG | ||||||||||||||
| CFO | $169,650 | $0 | $0 | $0 | $0 | $0 | $5,923 | $0 | $17,944 | $0 | $193,517 | $0 | $0 | $0 |
| TRAVIS BAILEY | ||||||||||||||
| VP ADMINISTRATION | $212,011 | $0 | $0 | $0 | $0 | $0 | $6,897 | $0 | $11,589 | $0 | $230,497 | $0 | $0 | $0 |
| KATHLEEN WILSON VP | ||||||||||||||
| VP NURSING SERVICES | $161,778 | $0 | $0 | $0 | $0 | $0 | $5,597 | $0 | $12,523 | $0 | $179,898 | $0 | $0 | $0 |
| GREG BAUSCH | ||||||||||||||
| VP REGIONAL SERVICES | $194,978 | $0 | $0 | $0 | $0 | $0 | $6,460 | $0 | $8,088 | $0 | $209,526 | $0 | $0 | $0 |
| WILL MELAHN MD | ||||||||||||||
| VP MEDICAL STAFF | $311,389 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $18,301 | $0 | $338,965 | $0 | $0 | $0 |
| CHARLES CROUSE MD | ||||||||||||||
| ORTHOPEDIC SURGEON | $1,551,216 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $11,228 | $0 | $1,571,719 | $0 | $0 | $0 |
| CRAIG BUTLER MD | ||||||||||||||
| RADIOLOGIST | $669,525 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $11,835 | $0 | $690,635 | $0 | $0 | $0 |
| STEPHEN A WILLIAMS MD | ||||||||||||||
| RADIOLOGIST | $671,701 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $8,226 | $0 | $689,202 | $0 | $0 | $0 |
| MOHAMMAD M MARASHDEH MD | ||||||||||||||
| CARDIOLOGY | $688,315 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $18,986 | $0 | $716,576 | $0 | $0 | $0 |
| WILLIAM D LEWIS | ||||||||||||||
| RADIOLOGIST | $666,831 | $0 | $0 | $0 | $0 | $0 | $9,275 | $0 | $18,986 | $0 | $695,092 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DR THOMAS NEWCOMB | |||
| BOARD MEMBER | $424,538 | DR. THOMAS NEWCOMB IS AN INVESTOR IN KY MOBILE LITHOTRIPSY WHICH PROVIDES ESWL SERVICES USED IN SURGERY. ST. CLAIRE PAID KY MOBILE LITHOTRIPSY $193,400 DURING FY 2018. HE IS ALSO A PARTIAL OWNER OF CAVE RUN REAL ESTATE WHICH PROVIDES OFFICE SPACE TO ST. CLAIRE. DURING FY 2018, $231,138 WAS PAID FOR RENTAL. | 0 |
| DR JEFFREY ELLIS | |||
| BOARD MEMBER | $411,385 | 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 2018, ST. CLAIRE PAID THE UNIVERSITY OF KENTUCKY $411,385 FOR THESE SERVICES. | 0 |
| ROBERT STEVENS | |||
| BOARD MEMBER | $156,468 | ROBERT STEVENS IS THE PRESIDENT OF BOTTOM LINE SYSTEMS, A COLLECTION COMPANY. DURING FY 2018, $156,468 WAS PAID FOR SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 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 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 | $2,831,250 | 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
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLAIRE-FRANCIS HEALTH SERVICES PLLC DBA INFUSION SOLUTIONS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 MALL ROAD STE 3 | AddressLine1Txt |
| City | ASHLAND | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 41101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311517507 | EIN |
| Primary Activities | HOME INFUSION SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | KY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $100,399 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $576,713 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.25000 | OwnershipPct |
| 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 |
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