2024-05-14T10:12:51-05:00 2023-06-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2022-07-01 474578938 ST CLAIRE REAL PROPERTIES INC STCL 6067836500 222 MEDICAL CIRCLE MOREHEAD KY 40351 CHRIS MCCLURG VICE PRESIDENT FINANCE/CFO 6067836500 2024-04-29 1 CHRIS MCCLURG XXX-XX-XXXX 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2024-04-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DONALD LLOYD II 222 MEDICAL CIRCLE MOREHEAD KY 40351 28494950 0 X N/A X 2016 KY ST. CLAIRE REAL PROPERTIES IS ORGANIZED TO SUPPORT THE PURPOSES OF ST. CLAIRE MEDICAL CENTER, INC. 5 3 0 3 0 0 0 0 489096 489096 289 7754 0 27998100 489385 28494950 0 0 0 0 0 0 0 0 0 1151081 1158130 1151081 1158130 -661696 27336820 26855442 28165946 30200693 4174377 -3345251 23991569 ST. CLAIRE REAL PROPERTIES IS ORGANIZED TO SUPPORT THE PURPOSES OF ST. CLAIRE MEDICAL CENTER, INC. 0 0 1158130 28487196 ST. CLAIRE REAL PROPERTIES IS ORGANIZED TO SUPPORT THE PURPOSES OF ST. CLAIRE MEDICAL CENTER, INC. 1158130 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 KY X CHRIS MCCLURG VP OF FINANCIAL SERVICES 6067836500 222 MEDICAL CIRCLE MOREHEAD KY 40351 DONALD LLOYD II PRESIDENT/CEO SCRMC 0.50 40.00 X X 0 415726 43827 JOHN NORTHCUT MEMBER (END 07/22) 0.50 X 0 0 0 GLEN TEAGER MEMBER (END 07/22) 0.50 X 0 0 0 ROBERT ALBERT MEMBER (END 07/22) 0.50 2.00 X 0 0 0 AARON BANKS DO MEMBER (BEG 07/22) 0.50 40.00 X 0 341270 49847 GABE BROWN MEMBER (BEG 07/22) 0.50 X 0 0 0 WILLIAM H REDWINE MEMBER (BEG 07/22) 0.50 X 0 0 0 JASON SLONE MEMBER (BEG 07/22) 0.50 X 0 0 0 CHRIS MCCLURG CFO OF SCRMC 0.50 50.00 X 0 291829 44582 LESA P HOPSON SECRETARY 0.50 40.00 X 0 69146 12598 0 1117971 150854 0 0 1 0 SPRAY FOAM TECHNOLOGIES OF KY LLC 17 OLD BEECHTREE DR STANVILLE KY 41659 INSULATION SERVICES 537270 EAST KENTUCKY MASONRY LLC 168 MAIN STREET VANCEBURG KY 41179 PROFESSIONAL SERVICES 441697 LEWIS FLOOR COVERING 553 NICHOLS BRANCH CLEARFIELD KY 40313 FLOORING SERVICES 437150 TRACE CREEK CONSTRUCTION 127 MARKET ST 200 VANCEBURG KY 41179 CONSTRUCTION SERVICES 315927 MI-DI INC 1160 RUSSELL RD COLUMBIA KY 42728 PROFESSIONAL SERVICES 188853 5 PAVILION RENT 531120 489096 489096 489096 7754 7754 LOAN FORGIVENESS (NEW MARKET TAX 900099 27998100 27998100 27998100 28494950 28487196 0 7754 X 152979 152979 20 20 349420 349420 655711 655711 1158130 1158130 0 0 8434 2526814 488135 477145 28346818 3184831 23438982 25161987 2919891 26855442 28165946 361860 84908 27969236 0 1869597 4089469 30200693 4174377 X -3345251 23991569 -3345251 23991569 26855442 28165946 27336820 0 X 0 1 X 1 0 X X 1 ST CLAIRE REGIONAL MEDICAL CENTER 610605336 3 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 631800 631800 27694976 3184831 24510145 18492 18492 1550 1550 25161987 INTERCOMPANY PAYABLE 4089469 4089469 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL 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 HOSPITAL, AND HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 0 0 0 0 0 0 DONALD LLOYD II PRESIDENT/CEO SCRMC 0 303798 0 64928 0 47000 0 15250 0 28577 0 459553 0 0 AARON BANKS DO MEMBER (BEG 07/22) 0 177818 0 145967 0 17485 0 15250 0 34597 0 391117 0 0 CHRIS MCCLURG CFO OF SCRMC 0 242205 0 26244 0 23380 0 29684 0 14898 0 336411 0 0 PART I, LINE 3 RELATED ORGANIZATION, ST. CLAIRE MEDICAL CENTER, INC., USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION COMMITTEE - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS SHALL BE COMPOSED OF NOT LESS THAN THREE MEMBERS AND NOT MORE THAN 10 MEMBERS. THE BOARD OF DIRECTORS WITH THE CONSENT OF SCRMC SHALL SUBMIT NAMES OF NOMINEES FOR APPOINTMENT TO THE BOARD. THE BOARD WILL CONSIST OF (I) 75% OF THE MEMBERS WHO ARE CURRENT MEMBERS OF SCRMC BOARD OF DIRECTORS, AND, (II) 25% OF THE MEMBERS FROM THE COMMUNITY AT LARGE WHO HAVE NO DIRECT AFFILIATION WITH SCRMC. 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 C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 152,979. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,979. ST CLAIRE REGIONAL MEDICAL CENTER 222 MEDICAL CENTER MOREHEAD KY 40351 610605336 HOSPITAL KY 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1