2018-09-05T12:07:58-05:00 2017-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 106 W VINE STREET SUITE 600 LEXINGTON KY 40507 990 2017-01-01 261779437 GRACE COMMUNITY HEALTH CENTER INC GRAC 6065269005 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 CHAD STEVENS CFO 6065269005 2018-08-27 1 ALLISON C CARTER P01242412 8592552341 2017 2022-09-23 18:48:47Z GRACE HEALTH MICHAEL STANLEY 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 26440714 0 X WWW.GRACECHC.COM X 2008 KY PROVIDE PRIMARY HEALTHCARE TO UNDERSERVED AREAS OF SOUTHEASTERN KENTUCKY 9 9 301 9 0 0 4045942 3878067 13253585 22520857 2705 1371 6104 -6542 17308336 26393753 15130 16489 0 0 11446591 15805205 0 0 0 5350361 6963050 16812082 22784744 496254 3609009 6644488 11874696 3407112 5028311 3237376 6846385 PROVIDE PRIMARY HEALTHCARE TO UNDERSERVED AREAS OF SOUTHEASTERN KENTUCKY. 0 0 19476038 16489 22523770 PROVIDED PRIMARY HEALTHCARE SERVICES TO 30,288 PATIENTS WITH 113,010 PATIENT VISITS. THE ORGANIZATION PROVIDED $2,626,534 IN CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2017 AND $674,454 IN CHARITY CARE AT COST FOR THE YEAR ENDED DECEMBER 31, 2017. 19476038 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 31 0 1 301 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 KY X THE ORGANIZATION 6065269005 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 MELVIN SCARBERRY DIRECTOR 1.00 X 0 0 0 JEFF HAMLIN DIRECTOR 1.00 X 0 0 0 HIRAM CORNETT DIRECTOR 1.00 X 0 0 0 DAMON HUFF DIRECTOR 1.00 X 0 0 0 ANGIE SINGLEY DIRECTOR 1.00 X 0 0 0 KAREN HUBBS DIRECTOR 1.00 X 0 0 0 DENO GRAY DIRECTOR 1.00 X 0 0 0 LORETTA LYTTLE DIRECTOR 1.00 X 0 0 0 JAMES ED GARRISON DIRECTOR 1.00 X 0 0 0 MICHAEL STANLEY CEO 40.00 X 264707 0 14789 KELLY EVANS CMO 40.00 X 203859 0 12644 CHAD STEVENS CFO 40.00 X 157065 0 11750 JEFFREY CAMPBELL COO 40.00 X 136007 0 10253 TRAVIS GILBERT PHYSICIAN/OB-GYN 40.00 X 518388 0 16260 ROGER CASS PHYSICIAN/OB-GYN 40.00 X 495341 0 16260 JOHN MICHAEL WATTS PHYSICIAN-FAMILY PHYSICIAN 40.00 X 431231 0 16260 KELVIN PERRY PHYSICIAN-FAMILY PHYSICIAN 40.00 X 388665 0 5460 TRUMAN PERRY PHYSICIAN-FAMILY PHYSICIAN 40.00 X 386070 0 9564 2981333 0 113240 26 0 1 0 BRICK MOUNTAIN BILLING INC 2808 HILL CREEK DR STE A AUGUSTA GA 30909 BILLING 1053780 BEN HENSLEY PO BOX 1068 MANCHESTER KY 40962 DENTIST 429960 KERSEY & KERSEY ARCHITECTS 839 EAST GRAY STREET LOUISVILLE KY 40204 ARCHITECT 342762 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 INFORMATION SYSTEMS 238418 EASTERN KENTUCKY CARPET CLEANING & RESTO 1212 BEGLEY RD SOUTH MCKEE KY 40447 CLEANING SERVICES 213254 5 3755533 122534 120500 3878067 PATIENT SERVICE REVENUE 621110 21926119 21926119 OTHER MEDICAL REVENUE 621110 375136 375136 QUALITY REVENUE 621110 149050 149050 COMP CARE CONTRACT REVENUE 621110 41667 41667 PMPM REVENUE 621110 28885 28885 22520857 1371 1371 37506 46961 -9455 -9455 -9455 OTHER INCOME 900099 2913 2913 2913 26393753 22523770 0 -8084 X 1489 1489 15000 15000 811074 689413 121661 12944412 10964139 1980273 282795 233138 49657 881328 748505 132823 885596 738287 147309 112365 112365 32575 32575 2226446 2028482 197964 54440 39743 14697 238307 188651 49656 53412 46184 7228 1120767 962010 158757 73791 34671 39120 47066 47066 111755 103231 8524 333667 323663 10004 57127 37035 20092 SUPPLIES 999834 995475 4359 BAD DEBT EXPENSE 598804 598804 TAXES AND LICENSES 329679 288128 41551 SMALL EQUIPMENT PURCHAS 192349 154113 38236 380666 285877 94789 22784744 19476038 3308706 0 1453394 1352511 201397 201800 1347426 4484040 44700 271099 5218335 1029085 2511506 4189250 953953 1122123 132112 253873 6644488 11874696 1201372 1373666 189264 566726 2016476 3087919 3407112 5028311 X 3232045 6841074 5331 5311 3237376 6846385 6644488 11874696 3609009 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1176476 1176476 1507669 171188 1336481 191719 110103 81616 890835 388471 502364 1451636 359323 1092313 4189250 25841910 46961 46961 25794949 598804 598804 26393753 22232901 46961 46961 22185940 598804 598804 22784744 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 46,961. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 598,804. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 46,961. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 598,804. 1 SCHOLARSHIPS 5 15000 PART I, LINE 2: A LETTER OF ACCEPTANCE IS REQUIRED BEFORE THE SCHOLARSHIP CHECK IS AWARDED TO THE RECIPIENT. X 1 1 X X X 0 0 0 0 0 0 0 0 0 MICHAEL STANLEY CEO 264707 0 0 0 0 0 9329 0 5460 0 279496 0 0 0 KELLY EVANS CMO 203859 0 0 0 0 0 7184 0 5460 0 216503 0 0 0 CHAD STEVENS CFO 157065 0 0 0 0 0 6290 0 5460 0 168815 0 0 0 TRAVIS GILBERT PHYSICIAN/OB-GYN 518388 0 0 0 0 0 10800 0 5460 0 534648 0 0 0 ROGER CASS PHYSICIAN/OB-GYN 495341 0 0 0 0 0 10800 0 5460 0 511601 0 0 0 JOHN MICHAEL WATTS PHYSICIAN-FAMILY PHYSICIAN 431231 0 0 0 0 0 10800 0 5460 0 447491 0 0 0 KELVIN PERRY PHYSICIAN-FAMILY PHYSICIAN 388665 0 0 0 0 0 0 0 5460 0 394125 0 0 0 TRUMAN PERRY PHYSICIAN-FAMILY PHYSICIAN 386070 0 0 0 0 0 4104 0 5460 0 395634 0 0 0 PART I, LINE 1A CHARTER TRAVEL WAS PROVIDED FOR CONTINUING EDUCATION WITH PRE-APPROVED AMOUNTS INCLUDED IN EMPLOYEE CONTRACTS OR IN BUDGETED EMPLOYEE JOB DESCRIPTIONS. PART I, LINE 3 THE ORGANIZATION USES THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' HEALTH CENTER SALARY AND BENEFITS REPORT TO ESTABLISH THE CEO AND OFFICERS' COMPENSATION. X 1 120500 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE BY-LAWS WERE AMENDED TO UPDATE THE DUTIES AND RESPONSIBILITES OF THE BOARD OF DIRECTORS AND IMPROVED PROCEDURES FOR THE DOCUMENT RETENTION AND CUSTODY OF THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CEO AND CFO AND THEN PRESENTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REVIEWS THE CONFLICT OF INTERESTS BEFORE THE BOARD OF DIRECTORS VOTES ON MATTERS WHERE A CONFLICT IS ADDRESSED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE DISCRETION OF THE BOARD OF DIRECTORS AND MANAGEMENT. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,028,482. MANAGEMENT AND GENERAL EXPENSES 197,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,226,446. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 GRACE COMMUNITY HEALTH CENTER, INC. (GCHC), A SECTION 501(C)(3) ORGANIZATION, IS A LICENSED FEDERALLY QUALIFIED HEALTH CENTER THAT OFFERS PRIMARY HEALTHCARE TO THE UNDERSERVED AREAS OF SOUTHEASTERN KENTUCKY. GCHC IS NOT A LICENSED HOSPITAL IN THE STATE OF KENTUCKY.