ST CLAIRE MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ST CLAIRE MEDICAL CENTER INC (EIN 61-0605336)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202621349349301817
Schema version: 2024v5.5
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 H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T07:48:14-05:00	ReturnTs
Tax Period End	2025-06-30	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	2024-07-01	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	CFO/VP FINANCIAL SERVICES	PersonTitleTxt
Phone	6067836500	PhoneNum
Signature	2026-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	EMILIE M KNIERIEM CPA	PreparerPersonNm
PTIN	P01330194	PTIN
Phone	3176334705	PhoneNum
Preparation	2026-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST CLAIRE HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DONALD LLOYD II	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	$321,404,726	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	TO ADVANCE THE HEALTH AND WELL-BEING OF THE PEOPLE OF NORTHEASTERN KENTUCKY THROUGH ACCESSIBLE, HIGH-QUALITY, PATIENT-CENTERED CARE, INNOVATION, EDUCATION, AND RESEARCH THAT MEET THE EVOLVING NEEDS OF OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1808	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$44,716	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,623	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,527,066	PYContributionsGrantsAmt
CY Contributions Grants	$1,880,048	CYContributionsGrantsAmt
PY Program Service Revenue	$241,662,546	PYProgramServiceRevenueAmt
CY Program Service Revenue	$309,304,125	CYProgramServiceRevenueAmt
PY Investment Income	$420,145	PYInvestmentIncomeAmt
CY Investment Income	$1,269,646	CYInvestmentIncomeAmt
PY Other Revenue	$19,390,654	PYOtherRevenueAmt
CY Other Revenue	$6,199,637	CYOtherRevenueAmt
PY Total Revenue	$264,000,411	PYTotalRevenueAmt
CY Total Revenue	$318,653,456	CYTotalRevenueAmt
PY Grants And Similar Paid	$30,539,308	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$860,371	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$139,802,840	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$162,618,087	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$117,243,833	PYOtherExpensesAmt
CY Other Expenses	$136,726,293	CYOtherExpensesAmt
PY Total Expenses	$287,585,981	PYTotalExpensesAmt
CY Total Expenses	$300,204,751	CYTotalExpensesAmt
PY Revenues Less Expenses	-$23,585,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,448,705	CYRevenuesLessExpensesAmt
Total Assets BOY	$150,354,911	TotalAssetsBOYAmt
Total Assets EOY	$198,443,394	TotalAssetsEOYAmt
Total Liabilities BOY	$91,650,432	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$83,588,699	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$58,704,479	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$114,854,695	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ADVANCE THE HEALTH AND WELL-BEING OF THE PEOPLE OF NORTHEASTERN KENTUCKY THROUGH ACCESSIBLE, HIGH-QUALITY, PATIENT-CENTERED CARE, INNOVATION, EDUCATION, AND RESEARCH THAT MEET THE EVOLVING NEEDS OF OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$235,971,305	ExpenseAmt
Grant	$860,370	GrantAmt
Revenue	$289,060,423	RevenueAmt
Desc	UK ST. CLAIRE (UKSC) IS THE LARGEST EMPLOYER IN THE REGION WITH OVER 1,300 STAFF MEMBERS INCLUDING MORE THAN 100 MEDICAL PROVIDERS REPRESENTING 32 MEDICAL SPECIALTIES. IT INCLUDES THE LARGEST RURAL HOSPITAL IN NORTHEASTERN KENTUCKY WITH 159 BEDS, 7 PRIMARY CARE LOCATIONS LOCATED WITHIN 5 COUNTIES, A MULTI-SPECIALTY MEDICAL PAVILION, AN OUTPATIENT CENTER, FEATURING URGENT CARE AND THERAPY SERVICES, HOMECARE SERVICES, AND OPERATES 3 RETAIL SERVICES INCLUDING FAMILY MEDICAL SUPPLY, PHARMACY, AND AESTHETICS. THE HOSPITAL IS AN ESTABLISHED TRAINING SITE FOR THE UNIVERSITY OF KENTUCKY SCHOOL OF MEDICINE'S PHYSICIAN RESIDENCY PROGRAMS. UKSC'S SERVICE REGION SERVES A POPULATION OF OVER 160,000 IN BATH, CARTER, ELLIOTT, FLEMING, LEWIS, MAGOFFIN, MENIFEE, MONTGOMERY, MORGAN, ROWAN, AND WOLFE COUNTIES WITH SIX PRIMARY CARE CLINICS LOCATED IN FRENCHBURG, MOREHEAD, OLIVE HILL, OWINGSVILLE, AND SANDY HOOK. ALL UKSC SERVICES ARE ACCREDITED BY THE JOINT COMMISSION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$14,087,444	ExpenseAmt
Revenue	$17,256,853	RevenueAmt
Desc	HOME CARE:UK ST. CLAIRE HOMECARE IS A SERVICE PROVIDED BY UKSC 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, UK 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. UK 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	$7,178,607	ExpenseAmt
Revenue	$8,793,659	RevenueAmt
Desc	URGENT AND PRIMARY CARE: THE UKSC URGENT CARE CENTER OFFERS WALK-IN CARE, SEVEN DAYS A WEEK. THE SERVICE OFFERS ON-SITE LAB AND RADIOLOGY SERVICES TO DIAGNOSE, TREAT, AND MANAGE URGENT MEDICAL CONDITIONS AND MINOR INJURIES. UKSC OFFERS A SYSTEM OF SEVEN PRIMARY CARE CLINICS THAT PROVIDE A FULL RANGE OF PREVENTIVE AND THERAPEUTIC HEALTHCARE SERVICES, FROM NEWBORNS TO GERIATRICS, INCLUDING OBSTETRICAL SERVICES. THE UK ST. CLAIRE PRIMARY CARE MEDICAL STAFF INCLUDES BOARD-CERTIFIED FAMILY MEDICINE PHYSICIANS AS WELL AS ADVANCED REGISTERED NURSE PRACTITIONERS, CERTIFIED PHYSICIAN ASSISTANTS, AND FAMILY MEDICINE RESIDENTS AFFILIATED WITH THE UNIVERSITY OF KENTUCKY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$257,237,356	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
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
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	162	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1808	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
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 CFOVP 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 (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DONALD LLOYD II
CEO/PRESIDENT, EX-OFFICIO	40.00	0.50	Yes (X)	Yes (X)	$998,317	$0	$50,009
AARON PARKER BANKS DO
VICE PRESIDENT	40.00	0.50	Yes (X)	Yes (X)	$365,141	$0	$53,059
WILLIAM H REDWINE
CHAIR	2.00	0.50	Yes (X)	Yes (X)	$0	$0	$0
ANTHONY E HELTON
VICE CHAIRMAN (END 06/24)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
SISTER MARLA MONAHAN SND
PAST CHAIR (END 06/24)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAN MARKWELL
MEMBER (END 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
BOB ALBERT PHD
MEMBER (END 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
SHELLEY IRVING PA-C
MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
ANGELA M GATES
MEMBER (END 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
KAREN NICHOLE SMITH LNHA
MEMBER (END 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
SR MARGE MOUCH SND
MEMBER (END 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
JOHN P NORTHCUTT
MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
RUSSELL C WARD
MEMBER (END 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
ROBERT DIPAOLA
MEMBER (BEG 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
CRAIG COLLINS
MEMBER (BEG 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
ERIC MONDAY
MEMBER (BEG 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
GINA DUGAS
MEMBER (BEG 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
MARK BIRDWHISTELL
MEMBER (BEG 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
PENNY COX
MEMBER (BEG 06/24)	2.00	0.00	Yes (X)		$0	$0	$0
CHRIS MCCLURG
CFO/TREASURER	50.00	0.50		Yes (X)	$622,007	$0	$53,009
LESA P HOPSON
SECRETARY	40.00	0.50		Yes (X)	$80,568	$0	$15,208
WILLIAM L MELAHN MD
SR. VP OF QUALITY AND CLINICAL AFFAIRS	40.00	0.00			$443,065	$0	$50,009	Yes (X)
GARY BUNCH MD
VP MEDICAL AFFAIRS/CMO	40.00	0.00			$409,710	$0	$28,355	Yes (X)
TRAVIS BAILEY
SR. VP ADMINISTRATION/CSO	50.00	0.00			$367,390	$0	$37,374	Yes (X)
KATHLEEN WILSON
VP NURSING	40.00	0.00			$256,079	$0	$34,859	Yes (X)
ANDY B PRICE
VP INFO TECHNOLOGY/CIO	40.00	0.00			$271,240	$0	$22,405	Yes (X)
CHRISTA MURPHY
CHIEF HUMAN RESOURCES OFFICER	40.00	0.00			$200,504	$0	$29,507	Yes (X)
MARK RHODES
VP UKSC MEDICAL GROUP	40.00	0.00			$172,620	$0	$16,616	Yes (X)
PHILLIP OVERALL MD
MEDICAL DIRECTOR - EMERGENCY SERVICES	40.00	0.00			$610,626	$0	$50,009	Yes (X)
AMANDA RAMEY DO
MEDICAL DIRECTOR - PRIMARY CARE	40.00	0.00			$716,594	$0	$39,097	Yes (X)
THADIS C COX MD
GASTROENTEROLOGIST	40.00	0.00			$1,388,593	$0	$53,059		Yes (X)
MANSHA U KAHLOON MD
CARDIOLOGIST	40.00	0.00			$1,375,934	$0	$53,059		Yes (X)
AHMAD ABUARQOUB
PHYSICIAN	40.00	0.00			$1,143,842	$0	$28,355		Yes (X)
WILLIAM D LEWIS MD
RADIOLOGIST	40.00	0.00			$1,132,095	$0	$50,009		Yes (X)
STEPHEN A WILLIAMS
RADIOLOGIST	40.00	0.00			$1,200,147	$0	$53,059		Yes (X)
O THOMAS NEWCOMB IV
FORMER MEMBER/UROLOGIST (END 06/24)	40.00	0.00			$585,628	$0	$50,009			Yes (X)
MARIE A DENNISON MD
PHYSICIAN/FORMER MEMBER	40.00	0.00			$301,277	$0	$28,355			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,641,377	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$795,421	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	254	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
RADAR HEALTHCARE PROVIDERS
PO BOX 1708	WATKINSVILLE	GA	30677	PROFESSIONAL SERVICES	$1,204,800
DOCSTAR MEDICAL PARTNERS
560 VILLAGE BLVD STE 260	WEST PALM BEACH	FL	33409	PROFESSIONAL SERVICES	$1,179,680
CLOUD WAVE HEALTHCARE IT SOLUTIONS
PO BOX 773070	DETROIT	MI	482773070	IT SERVICES	$873,629
BLUE & CO LLC
2650 EASTPOINT PKWY SUITE 300	LOUISVILLE	KY	40223	PROFESSIONAL SERVICES	$816,577
LOCUM TENENSCOM
PO BOX 405547	ATLANTA	GA	303845547	PROFESSIONAL SERVICES	$669,867

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,692,983	GovernmentGrantsAmt
All Other Contributions	$187,065	AllOtherContributionsAmt
Total Contributions	$1,880,048	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621999	$287,880,047	$287,880,047
PHARMACY REVENUE	456110	$21,424,078	$21,379,922	$44,156

Field	Value	IRS element (for citing)
Total Program Service Revenue	$309,304,125	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,154,142	TotalRevenueColumnAmt
Exclusion	$1,154,142	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$297,558	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,992	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$289,566	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$289,566	TotalRevenueColumnAmt
Exclusion	$289,566	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,617,040	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,501,536	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$115,504	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$115,504	TotalRevenueColumnAmt
Exclusion	$115,504	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$300,287	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$241,742	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,545	TotalRevenueColumnAmt
Exclusion	$58,545	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
GME PAYMENTS	900099	$1,078,339	$1,078,339
CAFETERIA & CATERING INCOME	722310	$1,024,455	$1,023,895	$560
REBATE REVENUE	900099	$288,555	$288,555

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,460,177	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,460,177	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,851,526	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$318,653,456	TotalRevenueColumnAmt
Related Or Exempt Func Income	$315,110,935	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$44,716	UnrelatedBusinessRevenueAmt
Exclusion	$1,617,757	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$840,371	TotalAmt
Program Services	$840,371	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$20,000	TotalAmt
Program Services	$20,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,453,729	TotalAmt
Program Services	$4,902,708	ProgramServicesAmt
Management And General	$551,021	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$949,944	TotalAmt
Program Services	$853,966	ProgramServicesAmt
Management And General	$95,978	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$126,706,422	TotalAmt
Program Services	$113,904,566	ProgramServicesAmt
Management And General	$12,801,856	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,321,211	TotalAmt
Program Services	$4,877,753	ProgramServicesAmt
Management And General	$443,458	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,975,873	TotalAmt
Program Services	$14,361,742	ProgramServicesAmt
Management And General	$1,614,131	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,210,908	TotalAmt
Program Services	$7,381,314	ProgramServicesAmt
Management And General	$829,594	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$270,271	TotalAmt
Management And General	$270,271	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$481,545	TotalAmt
Management And General	$481,545	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$11,647	TotalAmt
Management And General	$11,647	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,341,253	TotalAmt
Program Services	$20,383,588	ProgramServicesAmt
Management And General	$6,957,665	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$533,781	TotalAmt
Program Services	$309,286	ProgramServicesAmt
Management And General	$224,495	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,412,407	TotalAmt
Program Services	$3,715,515	ProgramServicesAmt
Management And General	$2,696,892	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,446,720	TotalAmt
Program Services	$1,997,119	ProgramServicesAmt
Management And General	$1,449,601	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,916,978	TotalAmt
Program Services	$2,269,599	ProgramServicesAmt
Management And General	$1,647,379	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,801,493	TotalAmt
Program Services	$1,043,832	ProgramServicesAmt
Management And General	$757,661	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$702,501	TotalAmt
Program Services	$407,047	ProgramServicesAmt
Management And General	$295,454	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,108,033	TotalAmt
Program Services	$111,241	ProgramServicesAmt
Management And General	$996,792	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,489,151	TotalAmt
Program Services	$1,429,295	ProgramServicesAmt
Management And General	$5,059,856	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,364,177	TotalAmt
Program Services	$2,528,718	ProgramServicesAmt
Management And General	$1,835,459	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS AND MEDICAL SUPPL	$63,337,047	$63,337,047
PROVIDER TAX	$7,125,351	$7,125,351
REPAIRS AND MAINTENANCE	$5,064,524	$2,934,517	$2,130,007
DUES AND SUBSCRIPTIONS	$3,215,241	$1,862,994	$1,352,247

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,104,173	TotalAmt
Program Services	$639,787	ProgramServicesAmt
Management And General	$464,386	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$300,204,751	TotalAmt
Program Services	$257,237,356	ProgramServicesAmt
Management And General	$42,967,395	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,987,956	BOYAmt
EOY	$8,407,948	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,199,471	BOYAmt
EOY	$40,625,348	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$521,494	BOYAmt
EOY	$409,014	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,275,578	BOYAmt
EOY	$30,657,913	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$749,226	BOYAmt
EOY	$838,957	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,127,137	BOYAmt
EOY	$5,932,905	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,917,449	BOYAmt
EOY	$4,716,751	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$84,431,769	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,636,554	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,022,183	BOYAmt
EOY	$79,795,215	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,182,818	BOYAmt
EOY	$371,765	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$32,371,599	BOYAmt
EOY	$26,687,578	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$150,354,911	BOYAmt
EOY	$198,443,394	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$40,745,539	BOYAmt
EOY	$46,783,004	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$695,273	BOYAmt
EOY	$581,980	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$29,374,029	BOYAmt
EOY	$27,844,714	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,835,591	BOYAmt
EOY	$8,379,001	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,650,432	BOYAmt
EOY	$83,588,699	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$58,704,479	BOYAmt
EOY	$114,854,695	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$58,704,479	BOYAmt
EOY	$114,854,695	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$150,354,911	BOYAmt
EOY	$198,443,394	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$18,448,705	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$132,847	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$37,568,664	OtherChangesInNetAssetsAmt
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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$11,647	OtherActivitiesAmt
Total Lobbying Expenditures	$11,647	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	ST. CLAIRE PAID MEMBERSHIP DUES TO KHA, OF WHICH A PORTION OF THE DUES WERE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,069,000	OtherCostOrOtherBasisAmt
Book Value	$16,069,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,180,170	OtherCostOrOtherBasisAmt
Depreciation	$2,439,402	DepreciationAmt
Book Value	$41,740,768	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,338,250	OtherCostOrOtherBasisAmt
Depreciation	$164,097	DepreciationAmt
Book Value	$1,174,153	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,604,912	OtherCostOrOtherBasisAmt
Depreciation	$2,025,149	DepreciationAmt
Book Value	$15,579,763	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,239,437	OtherCostOrOtherBasisAmt
Depreciation	$7,906	DepreciationAmt
Book Value	$5,231,531	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$79,795,215	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
RELATED PARTY RECEIVABLE	$1,974,695
ASSETS WHOSE USE IS LIMITED (AWUL)	$2,572,770
ROU ASSET - OPERATING LEASE	$5,094,421
INVESTMENT IN KENTUCKY HEALTH COLLABORATIVE	$100,183
ESTIMATED THIRD PARTY SETTLEMENTS	$51,475
UNIVERSITY OF KY - DIRECTED PAYMENTS RECEIVABLE	$16,894,034

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$26,687,578	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY CLAIMS RESERVE	$3,108,931
ROU LIABILITY - OPERATING LEASE	$5,166,766
SUBSCRIPTION LIABILITIES - SBITA	$103,304

Field	Value	IRS element (for citing)
Total Liability	$8,379,001	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL ENTITIES HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAX UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. ALL ENTITIES FILE TAX RETURNS UN THE U.S. FEDERAL JURISDICTION.	ExplanationTxt

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	$586,654	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$586,654	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,945,801	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,606,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,532,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,606,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$586,654	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,646,347	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,646,347	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,570,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,570,153	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,188,475	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,188,475	NetCommunityBenefitExpnsAmt
Total Expense	0.02060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$270,450	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$270,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$13,675,425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,675,425	NetCommunityBenefitExpnsAmt
Total Expense	0.04550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$71,207,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,606,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,262,079	NetCommunityBenefitExpnsAmt
Total Expense	0.04750	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,450	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,450	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$18,407,206	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$30,932,165	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$35,210,755	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,278,590	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	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	125.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.ST-CLAIRE.ORG/PATIENTS-VISITORS/BILLING-INFORMATION/	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
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. CLAIRE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: ST. CLAIRE HEALTHCARE ("SCH") ENLISTED THE SERVICES OF BLUE & CO., LLC (BLUE), A CERTIFIED PUBLIC ACCOUNTING FIRM SPECIALIZING IN ACCOUNTING, TAX, AND COMPLIANCE FOR THE HEALTHCARE INDUSTRY, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ANALYZE THE DATA IN ACCORDANCE WITH THE REQUIREMENTS OUTLINED IN SECTION 9007 OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) OF 2010. ST. CLAIRE HEALTHCARE FULLY FUNDED THE ASSESSMENT PROCESS.THE PRIMARY DATE WAS COLLECTED, ANALYZED, AND PRESENTED WITH THE ASSISTANCE OF BLUE. TWO PRIMARY DATA COLLECTION METHODS WERE USED: 1) SURVEYS AND 2) PERSONAL INTERVIEWS. BLUE AND SCH DEVELOPED A SURVEY TO GATHER OPINIONS, PERSPECTIVES, AND OVERALL COMPREHENSION FROM COMMUNITY MEMBERS WHO ENCOMPASS A WIDE RANGE OF INTERESTS, INCLUDING THOSE WITH SPECIFIC EXPERTISE IN PUBLIC HEALTH. THESE INDIVIDUALS ALSO ADVOCATED FOR THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WITHIN THE COMMUNITY.
ST. CLAIRE REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: THE PURPOSE OF THE ASSESSMENT WAS TO IDENTIFY SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY AND IDENTIFY ANY GAPS IN THE SERVICES PROVIDED. IT ALSO AIMED TO PROVIDE THE COMMUNITY WITH INFORMATION TO EVALUATE ESSENTIAL HEALTHCARE, PREVENTIVE CARE, HEALTH EDUCATION, AND TREATMENT SERVICES. THIS INITIATIVE DEMONSTRATES ST. CLAIRE HEALTHCARE'S COMMITMENT TO SHARING INFORMATION THAT CAN CONTRIBUTE TO IMPROVED HEALTHCARE AND QUALITY OF CARE FOR THE COMMUNITY, WHILE STRENGTHENING AND EXPANDING THE EXISTING NETWORK OF SERVICES AND PROVIDERS.COMMUNITY HEALTH NEEDS ASSESSMENT GOALS:THE ASSESSMENT HAD SEVERAL GOALS WHICH INCLUDED IDENTIFICATION AND DOCUMENTATION OF: COMMUNITY HEALTH NEEDS QUANTITATIVE ANALYSIS OF NEEDED PHYSICIANS BY SPECIALTY IN THE SERVICE AREA HEALTH SERVICES OFFERED IN THE HOSPITAL'S SERVICE AREA SIGNIFICANT GAPS IN HEALTH NEEDS AND SERVICES OFFERED BARRIERS TO MEETING ANY NEEDS THAT MAY EXISTOTHER GOALS OF THE ASSESSMENT WERE: STRENGTHEN RELATIONSHIPS WITH LOCAL COMMUNITY LEADERS, HEALTH CARE LEADERS AND PROVIDERS, OTHER HEALTH SERVICE ORGANIZATIONS, AND THE COMMUNITY AT LARGE PROVIDE QUANTITATIVE AND QUALITATIVE DATA TO HELP GUIDE FUTURE STRATEGIC POLICY, BUSINESS, AND CLINICAL PROGRAMMING DECISIONSIN 2023, THE AMERICA'S HEALTH RANKINGS REPORT HIGHLIGHTED A RECORD HIGH IN THE PREMATURE DEATH RATE ACROSS THE NATION, WITNESSING A CONCERNING 9% SURGE FROM THE PRECEDING YEAR. THIS INCREASE HAS PREDOMINANTLY BEEN ATTRIBUTED TO A RISE IN CHRONIC DISEASES, CONTRIBUTING TO SIX OF THE TEN LEADING CAUSES OF DEATH AMONG INDIVIDUALS UNDER 75 YEARS OLD. ADDITIONALLY, FACTORS SUCH AS DRUG-RELATED DEATHS, FIREARM FATALITIES, AND HOMICIDES HAVE ALSO SHOWN NOTABLE INCREASES.WHEN ASSESSING KENTUCKY'S PREMATURE DEATH RATE IN COMPARISON TO NATIONAL STATISTICS, KENTUCKY'S RATE WAS 39% HIGHER THAN THE NATIONAL AVERAGE, INCREASING 11% FROM 2023 TO 2024. A DETAILED ASSESSMENT AT THE COUNTY LEVEL WITHIN THE GATEWAY DISTRICT, COMPRISING ROWAN, MORGAN, BATH, MENIFEE, CARTER, ELLIOTT, MONTGOMERY, AND FLEMING COUNTIES, KEY DRIVERS OF THE INCREASE IN THE PREMATURE DEATH RATE. ROWAN COUNTY, WHERE ST. CLAIRE IS LOCATED, EXHIBITED A 44% INCREASE ABOVE THE NATIONAL AVERAGE, ESCALATING BY 30% FROM 2023 TO 2024. BATH COUNTY DEMONSTRATED THE HIGHEST RATE AMONG THE EIGHT COUNTIES, REGISTERING 80% ABOVE THE NATIONAL AVERAGE AND 30% HIGHER THAN KENTUCKY'S AVERAGE.ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), RISK FACTORS CONTRIBUTING TO CHRONIC DISEASES AND, SUBSEQUENTLY, PREMATURE DEATHS INCLUDE SMOKING, POOR NUTRITION, PHYSICAL INACTIVITY, EXCESSIVE ALCOHOL CONSUMPTION, AND OBESITY. GIVEN THE SUBSTANTIAL RISE IN PREMATURE DEATHS AT BOTH NATIONAL AND LOCAL LEVELS, A THOROUGH ANALYSIS OF QUANTITATIVE DATA FROM COUNTY HEALTH RANKINGS WAS CONDUCTED TO IDENTIFY KEY DRIVERS. THE EXAMINATION OF HEALTH FACTORS ACROSS THE STATE AND ITS COUNTIES REVEALED SEVERAL DECLINING TRENDS, AS DELINEATED BELOW.1. OBESITY RATE: NATIONALLY, THE RATE STANDS AT 34%, WHILE KENTUCKY AND ROWAN COUNTY SHARE A RATE OF 41%. TWO OUT OF THE EIGHT COUNTIES LISTED EXHIBIT THE HIGHEST RATE AT 44%, SURPASSING THE NATIONAL AVERAGE BY A 29% INCREASE AND THE STATE AVERAGE BY 7%.2. PHYSICAL INACTIVITY: THE NATIONAL AVERAGE IS 23%, WITH KENTUCKY REPORTING AN AVERAGE OF 30%, WHICH IS A 30% HIGHER RATE THAN THE NATIONAL AVERAGE. ROWAN COUNTY'S INACTIVITY RATE SLIGHTLY IMPROVED FROM 32% IN 2023 TO 31% IN 2024, WHILE ELLIOT AND MENIFEE COUNTIES RECORDED THE HIGHEST RATE OF THE EIGHT COUNTIES AT 36%, 57% INCREASE ABOVE THE NATIONAL AVERAGE AND 20% HIGHER THAN THE STATE AVERAGE.3. POOR OR FAIR HEALTH: NATIONALLY, THE AVERAGE IS 14%, WHILE THE STATE AVERAGE IS 21%, INDICATING A 50% INCREASE ABOVE THE NATIONAL AVERAGE. ROWAN COUNTY OBSERVED A SLIGHT RISE FROM 22% TO 23% FROM 2023 TO 2024, MARKING A 64% INCREASE ABOVE THE NATIONAL AVERAGE. ELLIOT COUNTY HAS THE HIGHEST RATE AT 28%.4. POOR PHYSICAL HEALTH DAYS: NATIONALLY, THE RATE IS 3.3, KENTUCKY IS 4.5 AND ROWAN COUNTY IS 4.9. THE HIGHEST COUNTY IS ELLIOT COUNTY AT 5.5.5. ADULT SMOKING: THE NATIONAL AVERAGE IS 15%, WHILE KENTUCKY REPORTS A RATE OF 20%. ROWAN COUNTY EXPERIENCED A SLIGHT DECREASE FROM 25% IN 2023 TO 24% IN 2024, ALTHOUGH REMAINING ABOVE NATIONAL AND STATE LEVELS. MENIFEE AND ELLIOT COUNTY RECORDED THE HIGHEST RATE AT 28%, WITH OTHER COUNTIES RANGING FROM 24% TO 27%.6. DIABETES PREVALENCE: NATIONALLY, THE AVERAGE IS 10%, WHILE KENTUCKY REPORTS A RATE OF 12%. ROWAN COUNTY IMPROVED FROM 12% IN 2023 TO 11% IN 2024. AMONG THE EIGHT COUNTIES, RATES RANGED FROM 11% TO 15%, WITH ELLIOT AND CARTER COUNTY RECORDING THE HIGHEST RATE AT 13%.7. FOOD INSECURITY: FOOD INSECURITY CAN LEAD TO POOR NUTRITION, WHICH CAN DRIVE THE OBESITY RATE AND INCREASE IN CHRONIC DISEASES. NATIONALLY, FOOD INSECURITY IS AT A 10% AVERAGE AND THE STATEWIDE AVERAGE IS 13%. AT A COUNTY LEVEL, FLEMING COUNTY IS THE ONLY COUNTY THAT IS THE SAME AS THE STATE AND THE REST OF THE EIGHT COUNTIES ARE HIGHER. ROWAN AND BATH COUNTY IS AT 16%, MORGAN COUNTY IS 17%, MONTGOMERY IS AT 15%, MENIFEE AND CARTER AT 19%, AND ELLIOT IS AT 20%. QUALITATIVE DATA WAS ALSO COLLECTED FROM THE COMMUNITY THROUGH A SURVEY THAT ALSO HAD OPEN-ENDED COMMENTS AS WELL AS INTERVIEWS WITH COMMUNITY LEADERS. THERE WERE SIMILAR THEMES THAT WERE FOUND IN BOTH THE QUALITATIVE AND QUANTITATIVE DATA REVIEW. THE MAIN THEMES THAT WERE FOUND WERE DRUG ABUSE, OBESITY, DIABETES, AND ACCESS. OTHER FACTORS THAT WERE NOTED AS LEADING TO PREMATURE DEATH WERE DRUG-RELATED DEATHS. DRUG OVERDOSE DEATHS NATIONALLY ARE 27 DEATHS PER 100,000 PEOPLE. KENTUCKY HAD A RATE OF 43, WHICH IS 59% HIGHER THAN THE NATIONAL AVERAGE. ROWAN COUNTY NEARLY DOUBLED FROM THE 2023 STATISTICS TO THE 2024, GOING FROM 34 TO 62 IN 2024. MONTGOMERY AND CARTER COUNTY ARE THE HIGHEST AT 65 DEATHS PER 100,000 FOR DRUG-RELATED DEATHS. IN THE COMMUNITY, 35% LEFT COMMENTS ABOUT DRUG AND ALCOHOL BEING THE CAUSE OF THE COMMUNITY NOT GETTING THE CARE THEY NEED. INTERVIEWEES STATED THAT THEIR NEED MORE LONG-TERM SOLUTIONS AND GUIDANCE IN THE GROUP HOMES. "DRUG USE HAS GOTTEN WORSE IN THE LAST 3 YEARS.""OPIOID CRISIS HAS NOT IMPROVED."8. ACCESS TO CARE IMPACTS THE WELL-BEING OF INDIVIDUALS IN A COMMUNITY BECAUSE THEY ARE LESS LIKELY TO GET CARE THEY NEED TO TREAT CHRONIC CONDITIONS. ACCESS TO CARE HAD THE MOST COMMENTS FROM THE COMMUNITY SURVEY AS A BARRIER TO HEALTHCARE. THE TOP CONCERN WAS ACCESS TO SPECIALISTS AND A LONG WAIT TIME IF THEY COULD ACCESS ONE. ANOTHER COMMON THEME SEEN IN BOTH THE SURVEY RESPONDENTS AND THE SURVEY, WAS DENTAL CARE ACCESS AND COST OF CARE AND PROVIDER ACCESS BEING THE BARRIER. THE QUALITATIVE DATA ALSO HIGHLIGHTED THE NEED FOR MORE DENTAL PROVIDERS, SHOWING THE NATIONAL AVERAGE AT 1,330:1 RATIO AND 1,600:1 RATIO FOR THE STATE, BUT IN ALL EIGHT COUNTIES, WITH THE EXCEPTION OF ROWAN, WERE ALL HIGHER THAN THE STATE RATIO, WITH BATH COUNTY HAVING THE HIGHEST RATIO OF 12,830:1 RATIO FOR DENTAL PROVIDERS IN THE COUNTY. PRIMARY CARE RATIOS OF PROVIDERS TO PEOPLE LIVING IN THE COUNTY HAVE ALSO BEEN ON THE DECLINE. THE NATIONAL AVERAGE 1,330 PEOPLE TO 1 PROVIDER, AND KENTUCKY IS 1,600 TO 1 PROVIDER. ALTHOUGH ROWAN IS SLIGHTLY BETTER THAN THE STATE AT 1,550:1, IT HAS GOTTEN WORSE FROM 23 TO 24 AND THE OTHER EIGHT COUNTIES ARE SIGNIFICANTLY HIGHER RATIOS (LOWER IS BETTER). MORGAN COUNTY HAS THE HIGHEST RATIO AT 13,820:1 AND THE NEXT HIGHEST IS ELLIOT AT 7,380:1. SURVEY RESPONDENTS DID NOT CALL OUT SPECIFICALLY PRIMARY CARE AS BEING AN ISSUE BUT DID SAY THAT THEY COULD NOT GET AN APPOINTMENT WHEN THEY NEEDED ONE, POINTING TO AN ISSUE WITH GETTING INTO THE PRIMARY CARE DOCTOR. THIS WAS DUE TO NO APPOINTMENTS, ACCESS AFTER WORK HOURS, OR AFFORDABILITY.ACCORDING TO AMERICA'S HEALTH RANKINGS, "THE HIGH COST OF HEALTH CARE IN THE U.S. IS A MAJOR REASON WHY INDIVIDUALS AVOID SEEKING NEEDED CARE. PEOPLE WHO DON'T GET NEEDED CARE ARE AT RISK OF PREVENTABLE HOSPITALIZATIONS AND MISSED OPPORTUNITIES TO PREVENT DISEASE AND MANAGE CHRONIC CONDITIONS ALL OF WHICH CAN LEAD TO WORSE AND MORE EXPENSIVE HEALTH OUTCOMES." IN KENTUCKY AND THE 9 COUNTIES, ALL WERE ABOVE THE NATIONAL AVERAGE WITH PREVENTABLE HOSPITAL STAYS. THE NATIONAL AVERAGE IS 2,681 PER 100,000. KENTUCKY IS 3,457 AND ROWAN COUNTY IS, 4,716, WITH CARTER COUNTY AT THE HIGHEST AT 4,915. THIS SHOWS THAT A POTENTIAL UNDERLYING CAUSE COULD BE RELATED TO COST, BUT HOURS THAT PEOPLE CAN RECEIVE CARE COULD ALSO BE AN UNDERLYING CAUSE. BASED ON THE INFORMATION, THE AREAS OF FOCUS ARE AS FOLLOWS.1. PREMATURE DEATH RATE- OBESITY & CHRONIC CONDITIONS CONTRIBUTING TO PREMATURE DEATH- FOOD INSECURITY2. DRUG, ALCOHOL, AND TOBACCO USE AND ABUSE3. ACCESS TO CARE- SPECIALTY CARE- PRIMARY CARE- MENTAL HEALTH- DENTAL
SCHEDULE H, PART V SECTION B, LINE 7	CHNA WEBSITE LINK: HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 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
707 E MAIN STREET	MOREHEAD	KY	40351	HOME MEDICAL SUPPLY AND EQUIPMENT
10 - ST CLAIRE COUNSELING
555 W SUN ST	MOREHEAD	KY	40351	OUTPATIENT COUNSELING
11 - ST CLAIRE URGENT TREATMENT CENTER
1028 EAST MAIN ST	MOREHEAD	KY	40351	OUTPATIENT CLINIC
12 - ST CLAIRE FAMILY MEDICINE-MOREHEAD NORT
255 OLD VIKING DR	MOREHEAD	KY	40351	OUTPATIENT FAMILY MEDICINE
13 - ST CLAIRE HOME HEALTH
135 N HARGIS AVE	MOREHEAD	KY	40351	HOME HEALTH
14 - ST CLAIRE HOSPICE
201 LYONS AVE	MOREHEAD	KY	40351	HOSPICE
15 - ST CLAIRE HEALTHCARE URGENT TREATMENT C
431 HAMPTON WAY	MOREHEAD	KY	40351	OUTPATIENT CLINIC
16 - ST CLAIRE HEALTHCARE MSU
112 ALLIE YOUNG HALL	MOREHEAD	KY	40351	OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED VARY ACCORDING TO THE INFORMATION REQUESTED AND THE MOST ACCURATE MEANS OF GATHERING THE REQUIRED INFORMATION. THE COST-TO-CHARGE RATIO FROM THE FILED COST REPORT FOR 6/30/2025 WAS USED. THAT RATIO WAS THEN USED IN CONJUNCTION WITH IRS WORKSHEET NUMBER 1 TO CALCULATE THE COST OF FINANCIAL ASSISTANCE PROVIDED AND WORKSHEET NUMBER 3 WAS USED TO CALCULATE UNREIMBURSED MEDICAID AMOUNTS. THE ORGANIZATION'S COST ACCOUNTING PROGRAM WAS UTILIZED FOR CALCULATING PORTIONS OF THE SUBSIDIZED HEALTH SERVICES. THE ORGANIZATION'S COST ACCOUNTING PROGRAM ENCOMPASSES ALL PATIENT TYPES, SERVICES AND PAYORS. THE COST ASSOCIATED WITH A SERVICE ARE REVIEWED AND UPDATED ANNUALLY TO PROVIDE THE MOST ACCURATE COST POSSIBLE. BOTH DIRECT AND INDIRECT COSTS ARE UTILIZED IN CALCULATING COST. ACTUAL COST OF HEALTH IMPROVEMENT AND COMMUNITY BENEFIT PROGRAMS, HEALTH EDUCATION, RESEARCH PROGRAM, SOME SUBSIDIZED SERVICES AND DONATIONS ARE STATED AT ACTUAL COST. THE COST OF THESE ITEMS ARE TRACKED THROUGHOUT THE GENERAL LEDGER PROCESS.
PART I, LINE 7G:	A FAMILY PRACTICE CENTER IS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
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:	ST. CLAIRE HEALTHCARE ("SCH") ENHANCES ITS MISSION AND VALUES THROUGH COMMUNITY EVENTS AND PROGRAMS TO BENEFIT THOSE IN THE AREA WE SERVE. WE ARE ALSO DEVOTED TO THE EDUCATION AND DEVELOPMENT OF HEALTH PROFESSIONALS, AS THEIR TRAINING IS VITAL TO IMPROVING COMMUNITY HEALTH, BOTH NOW AND IN THE FUTURE.WE HAVE A STRONG EMPHASIS ON BEING INVOLVED IN OUR COMMUNITY THROUGH HEALTH FAIRS, SCREENING EVENTS, SUPPORT GROUPS, AND DEVELOPING STRONG RELATIONSHIPS WITH OTHER COMMUNITY ORGANIZATIONS TO BETTER HELP THE PEOPLE OF NORTHEASTERN KENTUCKY. WE HOST MULTIPLE EVENTS THROUGHOUT THE YEAR FOCUSED ON GENERAL HEALTH AND SCREENINGS, AS WELL AS MORE SPECIFIC EVENTS FOR CHRONIC ILLNESSES SUCH AS BREAST AND LUNG CANCER, KIDNEY DISEASE, AND MORE. WE ALSO PARTICIPATE IN COMMUNITY EVENTS HOSTED BY OUTSIDE GROUPS, PROVIDING A FIRST AID TENTS AND EDUCATIONAL RESOURCES. TO TEACH THE IMPORTANCE OF HEALTH TO THE NEXT GENERATION, WE COLLABORATE WITH OUR LOCAL SCHOOL DISTRICT TO PROVIDE SPORTS PHYSICALS ON NUMEROUS OCCASIONS THROUGHOUT THE SCHOOL YEAR. WE ALSO CO-HOST AN ANNUAL BACK-TO-SCHOOL CELEBRATION WITH NUMEROUS HEALTH AND SCHOOL RESOURCES FOR THE CHILDREN IN OUR COMMUNITY.WE HAVE INCREASED THE AMOUNT OF SUPPORT GROUPS WE HOST TO BETTER SERVE THE NEEDS OF THE AREA. THESE GROUPS ARE HOSTED BY A VARIETY OF TRAINED SCH EMPLOYEES, INCLUDING PASTORAL CARE, SOCIAL SERVICES, COUNSELING, AS WELL AS OTHER DEPARTMENTS.
PART III, LINE 2:	THE HOSPITAL DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HOSPITAL'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. THE HOSPITAL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. THE HOSPITAL DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.
PART III, LINE 3:	SECTION A. BAD DEBT EXPENSE. LINE 3 THE MEDICAL CENTER HAS A FINANCIAL ASSISTANCE POLICY THAT STATES PARTICIPATION IN CHARITY PROGRAM REQUIRES THAT CANDIDATES FULLY COOPERATE. THE MEDICAL CENTER EDUCATES PATIENTS WITH 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 4:	SEE PAGES 8 AND 10 ON THE ATTACHED FINANCIAL STATEMENTS FOR AN EXPLANATION OF BAD DEBT EXPENSES.
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, 2025 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 HEALTHCARE IS A MEDICAL HUB SERVING 11 COUNTIES LOCATED IN THE NORTHEASTERN KENTUCKY CITY OF MOREHEAD. FOUNDED ON JULY 1, 1963, ST. CLAIRE MEDICAL CENTER WAS CREATED THROUGH THE EFFORTS OF MANY PEOPLE IN THE COMMUNITY, LED BY DR. LOUISE CAUDILL. ST. CLAIRE HEALTHCARE IS THE LARGEST EMPLOYER IN THE REGION; WITH OVER 1,300 STAFF MEMBERS, INCLUDING A GROWING MEDICAL STAFF OF MORE THAN 125 PHYSICIANS, AND NEARLY 70 ADVANCED PRACTICE PROFESSIONALS REPRESENTING MORE THAN 30 MEDICAL SPECIALTIES. IT INCLUDES THE LARGEST RURAL HOSPITAL IN EASTERN KENTUCKY, SEVEN PRIMARY CARE LOCATIONS LOCATED WITHIN FIVE COUNTIES, A MULTI-SPECIALTY MEDICAL PAVILION, TWO URGENT CARE CENTERS, PEDIATRICS CLINIC, RETAIL PHARMACY, COUNSELING CENTER, MEDICAL EQUIPMENT AND SUPPLY STORE, AND AN OUTPATIENT CENTER. ADDITIONALLY, SCH PROVIDES HOME HEALTH AND HOSPICE SERVICES IN EIGHT COUNTIES WITHIN ITS EIGHT (8) COUNTY SERVICE REGION. THERE IS AN ESTABLISHED TRAINING SITE FOR COLLEGE AND UNIVERSITY STUDENTS IN HEALTHCARE/MEDICAL PROGRAMS AT THE UNIVERSITY OF KENTUCKY, MOREHEAD STATE UNIVERSITY, THE UNIVERSITY OF PIKEVILLE COLLEGE OF OSTEOPATHIC MEDICINE, MAYSVILLE COMMUNITY AND TECHNICAL COLLEGE AND OTHER INSTITUTIONS. IN ADDITION TO PROVIDING SERVICES AT THE MEDICAL CENTER'S MAIN CAMPUS IN MOREHEAD, SCH'S OPERATIONS CONSIST OF A ST. CLAIRE REGIONAL OUTPATIENT CENTER, SIX COMPREHENSIVE FAMILY MEDICINE CLINICS IN FIVE COUNTIES, A REGIONAL TELEMEDICINE SYSTEM, AND AN EIGHT-COUNTY HOME CARE SERVICE REGION COMPRISED OF HOME HEALTH, HOSPICE AND PALLIATIVE CARE, AND HOME MEDICAL EQUIPMENT. ADDITIONALLY, ST. CLAIRE HEALTHCARE PARTNERS WITH THE UNIVERSITY OF KENTUCKY HEALTHCARE TO OFFER SERVICES THROUGH THE UK MARKEY CANCER TREATMENT CENTER IN MOREHEAD AND THE UK WOMEN'S CENTER. SCH ALSO SERVES AS A HOME FOR THE UNIVERSITY OF KENTUCKY'S RURAL PHYSICIAN LEADERSHIP PROGRAM, A SATELLITE MEDICAL SCHOOL DESIGNED TO TRAIN THE NEXT GENERATION OF RURAL PHYSICIANS FOR THE REGION.SERVICE AREA & COMMUNITY OF THE HOSPITAL: BATH COUNTY CARTER COUNTY ELLIOTT COUNTY FLEMING COUNTY MENIFEE COUNTY MONTGOMERY COUNTY MORGAN COUNTY ROWAN COUNTYST. CLAIRE HEALTHCARE (SCH) CONDUCTED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2024 FOR THE BENEFIT OF THE APPROXIMATELY 24,409 RESIDENTS OF ROWAN COUNTY, AS PER THE 2023 US CENSUS DATA, AND FOR THE PATIENTS COMING FROM NEARBY COMMUNITIES. MOREOVER, THE HOSPITAL EXTENDS ITS SERVICES TO INDIVIDUALS RESIDING IN THE ADJACENT COUNTIES OF BATH, CARTER, ELLIOTT, FLEMING, MENIFEE, MONTGOMERY, MORGAN, AND ROWAN.SCH'S MAIN SERVICE AREA ENCOMPASSES ROWAN COUNTY, WHICH SPANS AROUND 286 SQUARE MILES. THE LOCAL ECONOMY AND SURROUNDING REGIONS PRIMARILY FOCUS ON HEALTHCARE & SOCIAL ASSISTANCE (2,101 INDIVIDUALS), EDUCATIONAL SERVICES (1,810 INDIVIDUALS), AND RETAIL TRADE (1,243 INDIVIDUALS). THE HIGHEST PAYING INDUSTRY IN THE COUNTY IS UTILITIES, WITH AN AVERAGE INCOME OF $59,345.ACCORDING TO THE 2023 CENSUS DATA, THE MEDIAN AGE IN ROWAN COUNTY IS 30.6, WHEREAS THE NATIONAL MEDIAN AGE IS 39 YEARS. THE AVERAGE NUMBER OF INDIVIDUALS PER HOUSEHOLD IN ROWAN COUNTY IS 2.43, SLIGHTLY LOWER THAN THE U.S. AVERAGE OF 2.6. IN TERMS OF RACIAL DEMOGRAPHICS, ROWAN COUNTY COMPRISES 95.5% WHITE, 1.9% BLACK OR AFRICAN AMERICAN, 0.2% NATIVE AMERICAN, 0.8% ASIAN, 0% PACIFIC ISLANDER, 0% FROM OTHER RACES, AND 1.5% FROM TWO OR MORE RACES. ADDITIONALLY, 2.2% OF THE POPULATION IDENTIFIES AS HISPANIC OR LATINO. INDIVIDUALS AGED 65 YEARS AND OLDER MAKE UP 15% OF THE COUNTY'S POPULATION, WHILE THOSE UNDER 18 YEARS OLD REPRESENT 20% OF THE TOTAL POPULATION.THE DEFINED COMMUNITIES SERVED WITHIN THIS REPORT DID NOT EXCLUDE THE MEDICALLY UNDERSERVED, LOWINCOME, OR MINORITY POPULATIONS WHO LIVE IN THE BELOW GEOGRAPHIC AREAS. IN ADDITION, THE INFORMATION DID NOT EXCLUDE PATIENTS BASED ON WHETHER (OR HOW MUCH) THEY OR THEIR INSURERS PAY FOR THE CARE RECEIVED OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER ST. CLAIRE HEALTHCARE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 5:	THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE 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, REPORTS FILED WITH STATES	KY

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
LIFE LEARNING CENTER
20 WEST 18TH STREET	COVINGTON	KY	41011	203454261	501(C)(3)	$51,815	$0	SUBAWARD FOR EDA PLANNING GRANT
CLARK COUNTY HEALTH DEPARTMENT
400 PROFESSIONAL DRIVE	WINCHESTER	KY	40391	611021133	CLARK COUNTY	$29,346	$0	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
COMPREHEND INC
611 FOREST AVENUE	MAYSVILLE	KY	41056	610680352	501(C)(3)	$19,085	$0	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
POWELL COUNTY FISCAL COURT
PO BOX 506	STANTON	KY	40380	616016937	POWELL COUNTY	$10,000	$0	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
RECOVERY ROWAN COUNTY INCORPORATED
212 BARKER PLACE	MOREHEAD	KY	40351	880584019	501(C)(3)	$127,966	$0	SUBAWARD FOR OVERDOSE RESPONSE GRANT
PATHWAYS INC
PO BOX 790	ASHLAND	KY	41101	610661987	501(C)(3)	$541,797	$0	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD
TRI STATE PRIMARY CARE
101 ASHLAND DRIVE	ASHLAND	KY	41101	611351718	FOR-PROFIT	$60,361	$0	PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/INTEGRATED CARE COORDINATOR

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SPONSORSHIPS	GrantTypeTxt
Recipient	3	RecipientCnt
Cash Grant	$20,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PROVIDES UNRESTRICTED GRANTS TO APPROVED 501(C)(3) ORGANIZATIONS BASED ON COMMUNITY NEED.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
THADIS C COX MD
GASTROENTEROLOGIST	$913,487	$0	$443,692	$0	$31,414	$0	$17,250	$0	$35,809	$0	$1,441,652	$0	$0	$0
MANSHA U KAHLOON MD
CARDIOLOGIST	$686,079	$0	$666,081	$0	$23,774	$0	$17,250	$0	$35,809	$0	$1,428,993	$0	$25,096	$0
STEPHEN A WILLIAMS
RADIOLOGIST	$711,173	$0	$457,704	$0	$31,270	$0	$17,250	$0	$35,809	$0	$1,253,206	$0	$0	$0
WILLIAM D LEWIS MD
RADIOLOGIST	$713,175	$0	$387,506	$0	$31,414	$0	$17,250	$0	$32,759	$0	$1,182,104	$0	$0	$0
AHMAD ABUARQOUB
PHYSICIAN	$642,460	$0	$476,304	$0	$25,078	$0	$17,250	$0	$11,105	$0	$1,172,197	$0	$0	$0
DONALD LLOYD II
CEO/PRESIDENT, EX-OFFICIO	$495,936	$0	$468,213	$0	$34,168	$0	$17,250	$0	$32,759	$0	$1,048,326	$0	$0	$0
AMANDA RAMEY DO
MEDICAL DIRECTOR - PRIMARY CARE	$255,497	$0	$460,917	$0	$180	$0	$17,250	$0	$21,847	$0	$755,691	$0	$0	$0
CHRIS MCCLURG
CFO/TREASURER	$351,798	$0	$238,105	$0	$32,104	$0	$17,250	$0	$35,759	$0	$675,016	$0	$0	$0
PHILLIP OVERALL MD
MEDICAL DIRECTOR - EMERGENCY SERVICE	$600,446	$0	$10,000	$0	$180	$0	$17,250	$0	$32,759	$0	$660,635	$0	$0	$0
O THOMAS NEWCOMB IV
FORMER MEMBER/UROLOGIST (END 06/24)	$316,571	$0	$246,935	$0	$22,122	$0	$17,250	$0	$32,759	$0	$635,637	$0	$0	$0
WILLIAM L MELAHN MD
SR. VP OF QUALITY AND CLINICAL AFFAI	$418,770	$0	$1,000	$0	$23,295	$0	$17,250	$0	$32,759	$0	$493,074	$0	$0	$0
GARY BUNCH MD
VP MEDICAL AFFAIRS/CMO	$375,542	$0	$0	$0	$34,168	$0	$17,250	$0	$11,105	$0	$438,065	$0	$0	$0
AARON PARKER BANKS DO
VICE PRESIDENT	$303,813	$0	$61,166	$0	$162	$0	$17,250	$0	$35,809	$0	$418,200	$0	$0	$0
TRAVIS BAILEY
SR. VP ADMINISTRATION/CSO	$284,897	$0	$25,000	$0	$57,493	$0	$17,250	$0	$20,124	$0	$404,764	$0	$0	$0
MARIE A DENNISON MD
PHYSICIAN/FORMER MEMBER	$159,539	$0	$120,597	$0	$21,141	$0	$17,250	$0	$11,105	$0	$329,632	$0	$0	$0
ANDY B PRICE
VP INFO TECHNOLOGY/CIO	$229,238	$0	$0	$0	$42,002	$0	$17,250	$0	$5,155	$0	$293,645	$0	$0	$0
KATHLEEN WILSON
VP NURSING	$252,911	$0	$0	$0	$3,168	$0	$12,997	$0	$21,862	$0	$290,938	$0	$0	$0
CHRISTA MURPHY
CHIEF HUMAN RESOURCES OFFICER	$198,257	$0	$500	$0	$1,747	$0	$10,133	$0	$19,374	$0	$230,011	$0	$0	$0
MARK RHODES
VP UKSC MEDICAL GROUP	$172,315	$0	$0	$0	$305	$0	$8,641	$0	$7,975	$0	$189,236	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT.
ADDITIONAL SCHEDULE J DISCLOSURES	FORMER BOARD MEMBER MARIE DENNISON, MD LISTED ON 990, PART VII IS AN EMPLOYED PHYSICIAN OF THE HOSPITAL. SHE DOES NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS A BOARD MEMBER. THE COMPENSATION LISTED ABOVE IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS AN EMPLOYED PHYSICIAN.
ADDITIONAL SCHEDULE J DISCLOSURES	BOARD MEMBER DR. AARON PARKER BANKS, DO LISTED IN 990, PART VII IS AN EMPLOYED PHYSICIAN OF THE HOSPITAL. HE DOES NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS A BOARD MEMBER. THE COMPENSATION LISTED IN PART VII IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS AN EMPLOYED PHYSICIAN.
ADDITIONAL SCHEDULE J DISCLOSURES	FORMER BOARD MEMBER O. THOMAS NEWCOMB LISTED ON 990, PART VII IS AN EMPLOYED PHYSICIAN OF THE HOSPITAL. HE DOES NOT RECEIVE COMPENSATION FOR SERVICES PROVIDED AS A BOARD MEMBER. THE COMPENSATION LISTED ABOVE IS COMPENSATION RECEIVED FOR SERVICES PROVIDED AS AN EMPLOYED PHYSICIAN.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
EMILY REDWINE
DAUGHTER-IN-LAW OF BOARD MEMBER	$84,915	COMPENSATION	0
BETH REYNOLDS
DAUGHTER OF BOARD MEMBER	$99,630	COMPENSATION	0
DEBBIE NEFF
SISTER-IN-LAW OF BOARD MEMBER	$137,636	COMPENSATION	0
DR NEWCOMB III
FATHER OF BOARD MEMBER	$609,911	COMPENSATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1A	THE GOVERNING BOARD SHALL FORM AN EXECUTIVE COMMITTEE TO ASSIST IN THE ORDERLY AND FAIR GOVERNANCE OF THE BUSINESS BY ACTING ON BEHALF OF THE GOVERNING BOARD (THE "EXECUTIVE COMMITTEE"). THE EXECUTIVE COMMITTEE SHALL CONSIST OF THREE (3) UK GOVERNORS AND TWO (2) SND GOVERNORS. THE EXECUTIVE COMMITTEE SHALL MEET AS NECESSARY AND SHALL BE RESPONSIBLE TO (I) ACT ON BEHALF OF THE GOVERNING BOARD BETWEEN GOVERNING BOARD MEETINGS, SUBJECT TO POLICIES ESTABLISHED BY THE GOVERNING BOARD; (II) ACT ON BEHALF OF THE GOVERNING BOARD FOR THE PURPOSE OF RESPONDING TO URGENT SITUATIONS, SUBJECT TO POLICIES ESTABLISHED BY THE GOVERNING BOARD; (III) MEET PRIOR TO EACH GOVERNING BOARD MEETING TO DISCUSS THE AGENDA FOR SUCH GOVERNING BOARD MEETING AND ANY OTHER RELATED MATTERS AS THE EXECUTIVE COMMITTEE DEEMS NECESSARY OR APPROPRIATE; (IV) PROVIDE GUIDANCE TO AND OVERSIGHT OF THE OTHER COMMITTEES OF THE GOVERNING BOARD WITH RESPECT TO SUCH COMMITTEES' RESPECTIVE PURPOSES, GOALS, FUNCTIONS, DUTIES AND RESPONSIBILITIES; AND (V) PROVIDE OVERSIGHT OF AND ACCOUNTABILITY TO GOVERNING BOARD RELATED BUDGET ITEMS AND EXPENSES.
FORM 990, PART VI, SECTION A, LINE 4	EFFECTIVE JULY 1, 2024, ST. CLAIRE MEDICAL CENTER, INC. (SCMC) AND ST. CLAIRE REAL PROPERTIES, INC. (SCRP) ENTERED INTO A MEMBERSHIP SUBSTITUTION AGREEMENT WHEREBY CLAIRE BLUE HEALTH LLC BECAME THE SOLE MEMBER. THE PRIMARY REASON FOR THE COMBINATION IS TO INCREASE THE AVAILABILITY AND QUALITY OF HEALTHCARE SERVICES PROVIDED BY SCMC AND SCRP, WHILE PROVIDING HIGH QUALITY, EFFICIENT, AND COST-EFFECTIVE HEALTHCARE SERVICES FOR THE BENEFIT OF THE COMMUNITIES IN WHICH SCMC AND SCRP OPERATE. BEYOND BLUE CORPORATION IS THE SOLE MEMBER OF CLAIRE BLUE HEALTH LLC. UNDER THE OPERATING AGREEMENT OF CLAIRE BLUE HEALTH LLC, CLAIRE BLUE HEALTH LLC BECAME THE SOLE MEMBER OF ST. CLAIRE MEDICAL CENTER, INC. D/B/A ST. CLAIRE HEALTHCARE AT CLOSING. THE OPERATING AGREEMENT ALSO PROVIDES THAT CLAIRE BLUE HEALTH LLC IS TREATED AS A SINGLE-MEMBER LLC DISREGARDED AS SEPARATE FROM BEYOND BLUE CORPORATION FOR FEDERAL TAX PURPOSES. ACCORDINGLY, BEYOND BLUE CORPORATION IS REPORTED AS A RELATED TAX-EXEMPT ORGANIZATION THROUGH ITS OWNERSHIP OF CLAIRE BLUE HEALTH LLC.
FORM 990, PART VI, SECTION A, LINE 7A	BEYOND BLUE CORPORATION IS THE SOLE MEMBER OF CLAIRE BLUE HEALTH LLC. UNDER THE OPERATING AGREEMENT OF CLAIRE BLUE HEALTH LLC, CLAIRE BLUE HEALTH LLC BECAME THE SOLE MEMBER OF ST. CLAIRE MEDICAL CENTER, INC. D/B/A ST. CLAIRE HEALTHCARE AT CLOSING. THE OPERATING AGREEMENT ALSO PROVIDES THAT CLAIRE BLUE HEALTH LLC IS TREATED AS A SINGLE-MEMBER LLC DISREGARDED AS SEPARATE FROM BEYOND BLUE CORPORATION FOR FEDERAL TAX PURPOSES. ACCORDINGLY, BEYOND BLUE CORPORATION IS REPORTED AS A RELATED TAX-EXEMPT ORGANIZATION THROUGH ITS OWNERSHIP OF CLAIRE BLUE HEALTH LLC. CLAIRE BLUE HEALTH, LLC APPOINTS ALL OF 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 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. THIS PROCESS IS REVIEWED ANNUALLY. 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. THIS PROCESS IS REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART X, LINE 28	DURING THE YEAR, THE ORGANIZATION ADOPTED GOVERNMENTAL ACCOUNTING PRESENTATION STANDARDS UNDER GASB, RESULTING IN CHANGES TO FINANCIAL STATEMENT TERMINOLOGY AND CLASSIFICATION PRESENTATION.
FORM 990, PART XI, LINE 9:	LOSS ON IMPAIRMENT OF INVESTMENT -252,592. ADJUSTMENT FROM MEDICAL CENTER AFFILIATION TRANSACTION 37,821,256.

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	$1,931,250	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST CLAIRE MEDICAL CENTER INC	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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ST CLAIRE REAL PROPERTIES
222 MEDICAL CIRCLE	MOREHEAD	KY	40351	474578938	SUPPORT ST. CLAIRE REGIONAL MEDICAL CENTER	KY	501(C)(3)	LINE 12A, I	CLAIRE BLUE HEALTH LLC	Yes (1)
BEYOND BLUE CORPORATION
301 MAIN BUILDING	LEXINGTON	KY	40506	371730253	HEALTH SERVICES	KY	501(C)(3)	LINE 5		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
CLAIRE-FRANCES HEALTH SERVICES PLLC DBA INFUSION SOLUTIONS
1557 WINCHESTER AVENUE	ASHLAND	KY	41101	311517507	HOME INFUSION SERVICES	KY	N/A	RELATED	-$99,996	0	0
KENTUCKY HEALTH COLLABORATIVE LLC
651 PERIMETER DRIVE STE 650	LEXINGTON	KY	40517	811446226	HEALTHCARE SHARED SUPPORT SERVICES	KY	N/A	RELATED	-$55,949	0	0	$158,375	0.07690

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