2024-05-14T10:06:40-05:00 2023-06-30 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2022-07-01 610605336 ST CLAIRE MEDICAL CENTER INC STCL 6067836500 222 MEDICAL CIRCLE MOREHEAD KY 40351 CHRIS MCCLURG CFO/VP FINANCIAL SERVICES 6067836500 2024-05-13 1 CHRIS MCCLURG 999009999 0 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ST CLAIRE REGIONAL MEDICAL CENTER DONALD LLOYD II 222 MEDICAL CIRCLE MOREHEAD KY 40351 232264202 0 X WWW.ST-CLAIRE.ORG X 1963 KY THE MISSION IS TO PROCLAIM GOD'S GOODNESS THROUGH A HEALING MINISTRY TO THE PEOPLE OF EASTERN KY. 15 11 1707 45 42310 2899 10454050 2662799 178842957 209480541 2074119 -19240258 15863450 17748022 207234576 210651104 83488 641190 0 0 105960501 122463297 0 0 0 86847669 98378379 192891658 221482866 14342918 -10831762 176220621 160413688 88317728 82193158 87902893 78220530 X THE MISSION OF ST. CLAIRE REGIONAL MEDICAL CENTER IS TO PROCLAIM GOD'S GOODNESS THROUGH A HEALING MINISTRY TO THE PEOPLE OF EASTERN KENTUCKY. 0 0 162195565 641190 188954764 ST. CLAIRE HEALTHCARE (SCH) IS THE LARGEST EMPLOYER IN THE REGION WITH OVER 1,000 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. SCH'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 SCH SERVICES ARE ACCREDITED BY THE JOINT COMMISSION. SCH IS A NOT-FOR-PROFIT HEALTH SYSTEM SPONSORED BY THE SISTERS OF NOTRE DAME - UNITED STATES. 17973229 17104657 HOME CARE:ST. CLAIRE HOMECARE IS A SERVICE PROVIDED BY SCH OFFERING A FULL RANGE OF HOME CARE SERVICES FOR PATIENTS TO RECOVER IN THEIR OWN HOMES. AS ONE OF THE LARGEST PROGRAMS IN THE STATE, ST. CLAIRE HOMECARE IS A COMPREHENSIVE IN-HOME SERVICE SYSTEM COMPRISED OF HOME HEALTH, HOSPICE, AND HOME MEDICAL EQUIPMENT. OUR COMMITTED STAFF INCLUDES NURSES, THERAPISTS AND AIDES WORKING AS A TEAM TO HELP MEET VIRTUALLY EVERY HOME CARE NEED. ST. CLAIRE HOMECARE IS MEDICARE-CERTIFIED AND LICENSED IN THE STATE OF KENTUCKY. 7755778 7380973 URGENT AND PRIMARY CARE: THE SCH 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.SCH OFFERS A SYSTEM OF SEVEN PRIMARY CARE CLINICS THAT PROVIDE A FULL RANGE OF PREVENTATIVE AND THERAPEUTIC HEALTHCARE SERVICES, FROM NEWBORNS TO GERIATRICS, INCLUDING OBSTETRICAL SERVICES. THE 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. 187924572 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 133 0 1 1707 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 11 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X CHRIS MCCLURG CFOVP FINANCIAL SERVICES 6067836500 222 MEDICAL CIRCLE MOREHEAD KY 40351 DONALD LLOYD II CEO/PRESIDENT, EX-OFFICIO 40.00 0.50 X X 415726 0 43827 MARIE A DENNISON MD MEMBER 2.00 X 359899 0 25155 SISTER MARLA MONAHAN SND CHAIR 2.00 X X 0 0 0 DAN MARKWELL VICE CHAIRMAN 2.00 X X 0 0 0 BOB ALBERT PHD MEMBER 2.00 0.50 X 0 0 0 SHELLEY IRVING PA-C MEMBER 2.00 X 0 0 0 ANGELA M GATES MEMBER 2.00 X 0 0 0 ANTHONY E HELTON MEMBER 2.00 X 0 0 0 WILLIAM REDWINE MEMBER 2.00 X 0 0 0 KAREN NICHOLE SMITH LNHA MEMBER 2.00 X 0 0 0 SR MARGE MOUCH MEMBER 2.00 X 0 0 0 O THOMAS NEWCOMB IV MEMBER 40.00 X 555446 0 39395 JOHN P NORTHCUTT MEMBER 2.00 X 0 0 0 RUSSELL C WARD MEMBER 2.00 X 0 0 0 AARON BANKS DO MEMBER 40.00 0.50 X 341270 0 49847 CHRIS MCCLURG CFO/TREASURER 50.00 0.50 X 291829 0 44582 LESA P HOPSON SECRETARY 40.00 0.50 X 69146 0 12598 WILLIAM L MELAHN MD CHIEF MEDICAL OFFICER 40.00 X 430273 0 42204 KATHLEEN WILSON VP NURSING 40.00 X 267547 0 33873 TRAVIS BAILEY SR. VP ADMINISTRATION/CSO 50.00 X 319639 0 32929 ANDY B PRICE VP INFO TECHNOLOGY/CIO 40.00 X 216842 0 39405 THADIS C COX MD GASTROENTEROLOGIST 40.00 X 1223206 0 49573 JAMES LYNCH GENERAL SURGEON 40.00 X 953603 0 43367 MANSHA KAHLOON MD CARDIOLOGIST 40.00 X 1024762 0 46196 STEVE M KOENIG PULMONOLOGIST 40.00 X 945946 0 34312 WILLIAM D LEWIS RADIOLOGIST 40.00 X 893364 0 43446 8308498 0 580709 176 0 1 0 BLUE & CO LLC 12800 N MERIDIAN CARMEL IN 606772007 PROFESSIONAL SERVICES 1471318 RADAR HEALTHCARE PROVIDERS PO BOX 1708 WATKINSVILLE GA 30677 PROFESSIONAL SERVICES 962616 REVECORE 541 BUTTERMILK PIKE CRESTVIEW HILLS KY 41017 PROFESSIONAL SERVICES 673090 SPRAY FOAM TECHNOLOGIES OF KY 17 OLD BEECHTREE DR STANVILLE KY 41659 INSULATION SERVICES 482420 BOTTOM LINE SYSTEMS 541 BUTTERMILK PIKE CRESCENT SPRINGS KY 41017 PROFESSIONAL SERVICES 467402 12 25950 2146758 490091 6875 2662799 NET PATIENT SERVICE REVENUE 621999 187393048 187393048 HOME CARE REVENUE 621610 17104657 17104657 340B PHARMACY SERVICES 621399 4982836 4982836 209480541 1432895 1432895 282994 8001 274993 274993 274993 461801 20658928 476026 -20658928 -14225 -20673153 -20673153 193907 25950 69970 123937 123937 385360 400173 -14813 -14813 PHARMACY REVENUE 456110 13399903 38161 13361742 CAFETERIA & CATERING INCOME 722310 742494 738345 4149 REBATE REVENUE 900099 348445 348445 2873063 2873063 17363905 210651104 213440394 42310 -5494399 X 641190 641190 3862092 3471883 390209 98306968 88374467 9932501 4058573 3648513 410060 9981959 8973426 1008533 6253705 5621858 631847 1568764 1169553 399211 355000 355000 26697012 19903290 6793722 220048 127502 92546 4734342 2743201 1991141 3263155 1890757 1372398 6496970 3764513 2732457 574035 332611 241424 993711 575782 417929 895500 89903 805597 5074030 1117602 3956428 1330982 771206 559776 DRUGS AND MEDICAL SUPPL 37480226 37480226 PROVIDER TAX 5205288 5205288 DUES AND SUBSCRIPTIONS 2087767 1209706 878061 RECRUITMENT 588243 340843 247400 813306 471252 342054 221482866 187924572 33558294 0 11146175 5597091 45979980 41844804 395441 323105 18313509 25027870 3257779 487346 3437699 4182594 3514433 3314188 103551081 71193089 34581862 32357992 5090860 6022797 50502883 41255901 176220621 160413688 35074780 35377626 698045 477145 32596131 27655294 19948772 18683093 88317728 82193158 X 87607311 77924948 295582 295582 87902893 78220530 176220621 160413688 X -10831762 2471577 -1322178 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 17882 17882 0 PART II-B, LINE 1: ST. CLAIRE PAID MEMBERSHIP DUES TO KHA, AHA AND CHA OF WHICH A PORTION OF THE DUES WERE USED FOR LOBBYING EXPENSES BY THE TRADE ORGANIZATIONS. 295582 295582 295582 295582 295582 295582 295582 295582 530132 234550 295582 0.00000 0.00000 1.00000 0 0 5133910 5133910 57965102 39990733 17974369 3702736 2351177 1351559 36289408 28851179 7438229 459925 459925 32357992 OTHER ASSETS 252856 RELATED PARTY RECEIVABLE 4089469 ASSETS WHOSE USE IS LIMITED (AWUIL) 30885168 ROU ASSET - FINANCING LEASE 3715634 ROU ASSET - OPERATING LEASE 2312774 41255901 ESTIMATED SETTLEMENTS PAYABLE 1048047 PROFESSIONAL LIABILITY CLAIMS RESERVE 4827657 DEFERRED COMPENSATION 7299084 ROU LIABILITY - OPERATING LEASE 2312774 ROU LIABILITY - FINANCING LEASE 3195531 18683093 X PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE DONOR-RESTRICTED FOR A SPECIFIC USE OR BY THE PASSAGE OF TIME. INCOME EARNED FROM THE PRINCIPLE AMOUNT IS UNRESTRICTED. THE DONOR-RESTRICTED NET ASSETS ARE TO BE USED FOR CURATIVE TREATMENT AND REHABILITATIVE THERAPY OF PEDIATRIC ILLNESS, DISEASE, OR DEFORMITY. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE 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. 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CLAIRE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: SCRMC PARTNERED WITH MOREHEAD STATE UNIVERSITY AND THE GATEWAY DISTRICT HEALTH DEPARTMENT (COLLECTIVELY AS THE GATEWAY WELLNESS COALITION) TO CONDUCT/COMPLETE THE UPDATED CHNA. THEY RELIED HEAVILY ON THE COUNTY-LEVEL STEERING COMMITTEES, WITH BROAD COMMUNITY REPRESENTATION, THAT HAD REMAINED ACTIVE SINCE THE ESTABLISHMENT OF THE COALITION IN 2012 TO GATHER THE NECESSARY INPUT AND DATA. SOURCES OF INPUT INCLUDED: ST. CLAIRE HEALTHCARE MOREHEAD STATE UNIVERSITY GATEWAY DISTRICT HEALTH DEPARTMENT NORTHEAST KENTUCKY AREA HEALTH EDUCATION CENTER (AHEC) GATEWAY AREA DEVELOPMENT DISTRICT ELECTED OFFICIALS LOCAL SCHOOL DISTRICT OFFICIALS, TEACHERS AND FAMILY RESOURCE CENTERS KENTUCKY DEPARTMENT OF EDUCATION UNIVERSITY OF KENTUCKY UK EXTENSION SERVICE MAYSVILLE COMMUNITY AND TECHNICAL COLLEGE MOREHEAD-ROWAN COUNTY CHAMBER OF COMMERCE MOREHEAD-ROWAN COUNTY ECONOMIC DEVELOPMENT COUNCIL PHYSICIANS PHARMACISTS OPTOMETRISTS DENTISTS KENTUCKY HEALTHCARE COLLABORATIVE KENTUCKY CANCER PROGRAM KENTUCKY HOMEPLACE LOCAL FARMERS MARKETS PATHWAYS COMMUNITY MENTAL HEALTH CENTER GATEWAY COMMUNITY ACTION SUSTAINABLE MOREHEAD VETERANS ADMINISTRATION CLINIC THE PEOPLE'S CLINIC - FREE CLINIC NEW HOPE FREE CLINIC MOREHEAD POLICE DEPARTMENT EMERGENCY MEDICAL SERVICES FAITH-BASED ORGANIZATIONS PARKS AND RECREATION U.S. FOREST SERVICE HABITAT FOR HUMANITY FRONTIER HOUSING CIVIC GROUPS AND CLUBS LOCAL BUSINESSES GROCERY STORESTHEY ALSO GATHERED INFORMATION AND INPUT THROUGH FOCUS GROUPS AND COMMUNITY SURVEYS. ST. CLAIRE REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: BASED ON ONGOING DATA ANALYSES, COMMUNITY INPUT, AVAILABLE RESOURCES AND THE EFFECTIVENESS OF GWC INITIATIVES ALREADY IN PLACE, THE GWC AND SCH HAVE IDENTIFIED THE FOLLOWING COMMUNITY HEALTH NEEDS AS CRITICAL FOCUS AREAS OVER THE NEXT THREE YEARS: COVID-19/PANDEMIC MANAGEMENT AND PREPAREDNESS MENTAL/BEHAVIORAL HEALTH AND DRUG ABUSE/ADDICTION HEALTH BEHAVIORS (COMMUNITY NUTRITION, RECREATION/PHYSICAL ACTIVITY, TOBACCO USE/SMOKING CESSATION, IMMUNIZATIONS AND RADON MITIGATION) ACCESS TO QUALITY MEDICAL/DENTAL CARE - BOTH GEOGRAPHIC AND FOR AT-RISK AND MARGINALIZED GROUPS (E.G. THOSE IN POVERTY, THE UNINSURED/UNDERINSURED, THE LGBTQ+ COMMUNITY, ETC.)OTHER AREAS OF CONCERN WERE IDENTIFIED IN GATEWAY WELLNESS COALITION ACTIVITIES. BUT IN AN EFFORT TO MAXIMIZE AVAILABLE RESOURCES FOR THE PRIORITY AREAS LISTED ABOVE, THE GWC PARTICIPANTS DETERMINED THAT THEY WOULD NOT BE EXPLICITLY INCLUDED IN THE COMPANION COMMUNITY HEALTH IMPROVEMENT STRATEGY. THOSE AREAS OF CONCERN INCLUDE: CHRONIC DISEASES (HEART, STROKE, HYPERTENSION, DIABETES, ASTHMA) AND CANCER HEALTH LITERACY VIOLENCE AND SAFETY INFANT/CHILD HEALTH SENIOR HEALTH AND WELL-BEING SEXUAL HEALTH EMERGENCY DEPARTMENT USAGE/PREVENTABLE HOSPITALIZATION SOCIO-ECONOMIC FACTORS (E.G. EMPLOYMENT, ADEQUATE AND AFFORDABLE HOUSING, AVAILABILITY OF NUTRITIOUS FOODS, FOOD INSECURITY, EDUCATION, ETC.)BELOW ARE THE TOP NEEDS AND HOW WE WILL ADDRESS THEM. COVID-19/PANDEMIC MANAGEMENT AND PREPAREDNESSBE A CATALYST AND CONDUIT FOR ACTIONS THAT CAN PREVENT OR MINIMIZE THE RISK OF THE SPREAD OF COVID-19.1. WORK IN CONJUNCTION WITH COMMUNITY PARTNERS TO PROMOTE EVIDENCE-BASED ACTIONS THAT CAN PREVENT/MINIMIZE THE SPREAD OF COVID-19 (E.G. MASK WEARING, SOCIAL DISTANCING, HANDWASHING, GETTING THE VACCINE, AVOIDING LARGE GATHERINGS, ETC.)2. WORK IN CONJUNCTION WITH THE GATEWAY DISTRICT HEALTH DEPARTMENT TO ADMINISTER AS MANY DOSES OFTHE COVID-19 VACCINE AS POSSIBLE.3. CONTINUE OPERATE OUR DRIVE-THROUGH COVID-19 TESTING PROGRAM AS LONG AS DEEMED APPROPRIATE BY STATE PUBLIC HEALTH LEADERS.ANTICIPATED OUTCOME: DOWNWARD TRENDS IN THE NUMBER OF NEW COVID- 19 CASES, AS WELL AS THE POSITIVITY RATE, HOSPITALIZATIONS AND DEATHSCAUSED BY COVID-19.PROVIDE THE BEST POSSIBLE CARE FOR PATIENTS WHO TEST POSITIVE FOR COVID-19, IN A MANNER THAT PROTECTS OTHER PATIENTS AND PROVIDERS FROM CONTRACTING THE VIRUS.1. MONITOR AND IMPLEMENT EVIDENCE-BASED TREATMENT METHODS AND PROTOCOLS FOR COVID-19 THAT ARE RECOMMENDED BY THE CDC AND STATE PUBLIC HEALTH LEADERS.2. UTILIZE VIRTUAL VISITS WHEN POSSIBLE TO MINIMIZE UNNECESSARY CLOSE PHYSICAL INTERACTION WITH PATIENTS WHO COULD BE COVID POSITIVE.ANTICIPATED OUTCOME: STATISTICALLY VERIFIABLE IMPROVED PATIENT OUTCOMES FOR INDIVIDUALS WHO ARE TREATED FOR COVID-19, AND A REDUCTION IN NEW COVID-19 CASES THAT COULD RESULT FROM CONTACT TRACING WITHIN SCH.TAKE STEPS TO BE AS OPTIMALLY PREPARED AS POSSIBLE TO ADDRESS FUTURE PANDEMICS.1. CLOSELY MONITOR AND IMPLEMENT RECOMMENDED STEPS/STRATEGIES FOR PANDEMIC PREPAREDNESS, INCLUDING THOSE STEPS/STRATEGIES IN APPROPRIATE SCH PLANS AND POLICIES.2. WORK IN CONJUNCTION WITH THE GATEWAY DISTRICT HEALTH DEPARTMENT AND OTHER APPROPRIATE LOCAL AND STATE AGENCIES AND PARTNERS TO EVALUATE AND IMPROVE PANDEMIC AND DISASTER PREPAREDNESS PLANS AND PROTOCOLS.ANTICIPATED OUTCOME: SCH WILL BE MUCH BETTER POSITIONED TO MOUNT A PROACTIVE, RATHER THAN REACTIVE, RESPONSE TO ANY FUTURE PANDEMICS THAT MAY ARISE, MINIMIZING THE NUMBER OF INDIVIDUALS IN OUR SERVICE REGIONWHO ARE ADVERSELY IMPACTED. MENTAL/BEHAVIORAL HEALTH AND DRUG ABUSE/ADDICTIONPROVIDE INTERDISCIPLINARY CARE FOR BOTH ADULTS AND CHILDREN WHO NEED MENTAL/BEHAVIORAL HEALTH TREATMENT.1. PROVIDE MEDICATION ASSISTED TREATMENT THROUGH SCH, PRIVATELY OWNED COMPANIES AND SOON-TO-BE THROUGH A COMMUNITY MENTAL HEALTH CENTER.2. PROVIDE INTENSIVE OUTPATIENT TREATMENT FOR MENTAL HEALTH AND SUBSTANCE ABUSE IN PARTNERSHIP WITH PRIVATELY OWNED COMPANIES AND SOON-TO-BE THROUGH A COMMUNITY MENTAL HEALTH CENTER.3. PROVIDE TRADITIONAL INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS THROUGH SCH, PRIVATELY OWNED COMPANIES AND SOON-TO-BE THROUGH A COMMUNITY MENTAL HEALTH CENTER.ANTICIPATED OUTCOME: APPROPRIATE INTERDISCIPLINARY MENTAL HEALTH CARE IS PROVIDED TO PATIENTS OF ALL AGES, REGARDLESS OF FINANCIAL, HOUSING AND TRANSPORTATION HURDLES.BE A LEADER IN A COORDINATED APPROACH TO DEALING WITH THE SERVICE REGION'S SUBSTANCE ABUSE/ADDICTION PROBLEM.1. CARRY OUT A $900,000 FEDERAL GRANT PROJECT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION, IN COORDINATION WITH THE NORTHEAST KENTUCKY SUBSTANCE USE RESPONSE COALITION, TO PROVIDE MEDICATION-ASSISTED TREATMENT SERVICES, WHICH ARE LACKING IN THE REGION.2. CONTINUE A THREE-YEAR, $1 MILLION RURAL COMMUNITIES OPIOID RESPONSE PROGRAM IMPLEMENTATION GRANT, IN CONJUNCTION WITH THE NORTHEAST KENTUCKY SUBSTANCE USE RESPONSE COALITION. THE FUNDING ESTABLISHES "FIRST DAY FORWARD", A JAIL RE-ENTRY PROGRAM TO CONNECT RECENTLY RELEASED INDIVIDUALS WHO STRUGGLE WITH SUBSTANCE ABUSE TO VITAL COMMUNITY RESOURCES; YOUTH PREVENTION EDUCATION PRESENTED IN SCHOOLS; TRAINING FOR MEDICAL PROFESSIONALS SURROUNDING MEDICATION ASSISTED TREATMENT AND HIV/HEPATITIS C TREATMENT; AND OTHER BROAD COMMUNITY EDUCATION INITIATIVES.ANTICIPATED OUTCOME: ACCORDING TO THE NATIONAL CENTER FOR HEALTH STATISTICS, 2018 SAW THE FIRST NATIONWIDE DECLINE IN DRUG OVERDOSE DEATHS SINCE 1990, AND KENTUCKY'S OVERDOSE FATALITIES FELL BY NEARLY 15%, THE LARGEST DROP IN MORE THAN A DECADE. IT IS ANTICIPATED THAT FACTORS RELATED TO THE MENTAL-HEALTH IMPACTS OF THE COVID-19 PANDEMIC COULD LEAD TO A SPIKE IN SUBSTANCE ABUSE AND DRUG OVERDOSE DEATHS. THE AIM IS THAT THESE STRATEGIES WILL HAVE A MEASURABLE POSITIVE EFFECT IN MINIMIZING THAT ANTICIPATED SPIKE IN THE SCH SERVICE REGION AND CONTINUE TO LEAD TO BETTER OUTCOMES MOVING FORWARD.IN COORDINATION WITH COMMUNITY PARTNERS, DEVELOP A PLAN TO ADDRESS THE LACK OF ACCESS TO MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT AND SERVICES.1. FORM A TEAM REPRESENTING SCH, GATEWAY DISTRICT HEALTH DEPARTMENT, PATHWAYS AND APPROPRIATE PRIVATELY OWNED COMPANIES AND OTHER AGENCIES TO DEVELOP THE PLAN.2. FACILITATE MEETINGS AS NEEDED TO IDENTIFY CURRENT RESOURCES AND TO EXPLORE AND IMPLEMENT STEPS/STRATEGIES TO ADDRESS WHERE TREATMENT AND SERVICES ARE LACKING.3. CONTINUE AN 18-MONTH, $200,000 PLANNING GRANT FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR A RURAL COMMUNITIES OPIOID RESPONSE PROGRAM PLANNING ILL PROJECT CONCERNING SUBSTANCE ABUSE DISORDER, COMMUNITY RESOURCES AND POSSIBLE JAIL RE-ENTRY PROGRAMMING IN A MULTI-COUNTY AREA.4. PLACE EMPHASIS ON HOUSING AND TRANSPORTATION HURDLES, SPECIFICALLY NOT ENOUGH TRANSITIONAL HOUSING SUPPORT FOR THOSE COMING OUT OF RECOVERY OR PRISON, A LACK OF TEMPORARY HOUSING OPPORTUNITIES FOR THE HOMELESS WITHOUT A MOREHEAD RESIDENCE OR PROOF FOR 30 DAYS IS DENIED BY THE GATEWAY HOMELESS SHELTER, AND A LACK OF AFFORDABLE PUBLIC TRANSPORTATION OUTSIDE OF THE MOREHEAD CITY LIMITS.ANTICIPATED OUTCOME: SCH WILL HAVE A BASELINE UNDERSTANDING OF THE EXISTING SERVICES IN THE SERVICE REGION, ALLOWING US TO REALISTICALLY PLAN WITH PARTNERS, LEVERAGE RESOURCES TO FILL GAPS, AND BETTER MEET THE GROWING NEED FOR MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT. HEALTH BEHAVIORSSEEK AND IMPLEMENT WAYS TO IMPROVE COMMUNITY NUTRITION AND PROMOTE RECREATION AND PHYSICAL ACTIVITY.1. EXPLORE THE CONCEPT AND FEASIBILITY OF A "FARMACY PROGRAM" IN WHICH MEDICAL PROVIDERS WOULD HAVE THE OPTION OF PRESCRIBING FRESH PRODUCE FOR PATIENTS WHO COULD THEN PURCHASE THE PRODUCE USING A TOKEN OR VOUCHER PROGRAM AT FARMERS MARKETS OR PARTICIPATING GROCERY STORES.2. PARTNER WITH THE UK EXTENSION SERVICE AND OTHER PARTNERS TO FACILITATE NUTRITION CLASSES AND OBESITY PREVENTION INITIATIVES IN AREA SCHOOLS.3. PARTNER WITH PARKS AND RECREATION DEPARTMENTS AND COMMUNITY GROUPS TO PROMOTE THE USE OF RECREATIONAL FACILITIES AND THE REGION'S EXTENSIVE HIKING AND BIKING TRAIL SYSTEM.ANTICIPATED OUTCOME: MEASURABLE REDUCTIONS IN THE REGION'S POPULATION IN OBESITY RATES AND DISEASES DIRECTLY CONNECTED TO RISKFACTORS REGARDING POOR NUTRITION AND LACK OF PROPER EXERCISE.WORK WITH COMMUNITY AND STATE PARTNERS TO REDUCE TOBACCO USE IN ALL AGE GROUPS.1. WORK WITH THE KENTUCKY HEALTHCARE COLLABORATIVE TOBACCO SUBCOMMITTEE TO SHAPE AND IMPLEMENT STRATEGIES TO REDUCE THE USE OF TOBACCO AND ELECTRONIC CIGARETTES IN ALL AGE GROUPS.2. ADVOCATE FOR SCHOOL DISTRICTS THROUGHOUT THE SERVICE REGION TO BECOME 100% SMOKE-FREE.CONTINUED ON SCH H - SUPPLEMENTAL INFO SCHEDULE H, PART V SECTION B, LINE 7 CHNA WEBSITE LINK: HTTPS://WWW.ST-CLAIRE.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS/ PART V, SETION B, LINE 11 - CONTINUED 3. WHEN APPROPRIATE, USE THE GATEWAY WELLNESS COALITION DISPLAY ON SMOKING/SECOND-HAND SMOKE DANGERS AT HEALTH FAIRS.4. WHEN POSSIBLE, SUPPORT COMMUNITY INITIATIVES TO PASS ORDINANCES THAT RESTRICT/PROHIBIT TOBACCO USE IN PUBLIC PLACES.ANTICIPATED OUTCOME: MEASURABLE REDUCTIONS IN THE REGION'S POPULATION IN OBESITY RATES AND DISEASES DIRECTLY CONNECTED TO RISKFACTORS REGARDING POOR NUTRITION AND LACK OF PROPER EXERCISE.WORK WITH COMMUNITY AND STATE PARTNERS TO REDUCE TOBACCO USE IN ALL AGE GROUPS.1. WORK WITH THE KENTUCKY HEALTHCARE COLLABORATIVE TOBACCO SUBCOMMITTEE TO SHAPE AND IMPLEMENT STRATEGIES TO REDUCE THE USE OF TOBACCO AND ELECTRONIC CIGARETTES IN ALL AGE GROUPS.2. ADVOCATE FOR SCHOOL DISTRICTS THROUGHOUT THE SERVICE REGION TO BECOME 100% SMOKE-FREE.3. WHEN APPROPRIATE, USE THE GATEWAY WELLNESS COALITION DISPLAY ON SMOKING/SECOND-HAND SMOKE DANGERS AT HEALTH FAIRS.4. WHEN POSSIBLE, SUPPORT COMMUNITY INITIATIVES TO PASS ORDINANCES THAT RESTRICT/PROHIBIT TOBACCO USE IN PUBLIC PLACES.ANTICIPATED OUTCOME: MEASURABLE REDUCTIONS IN SMOKING AND TOBACCO USE RATES IN THE REGION'S POPULATION, AS WELL AS REDUCTIONS IN THE RATES OF DISEASES CONNECTED TO RISK FACTORS REGARDING POOR NUTRITION AND LACK OF PROPER EXERCISE.WORK WITH COMMUNITY AND STATE PARTNERS TO EDUCATE RESIDENTS IN THE SERVICE REGION ABOUT STANDARD IMMUNIZATIONS AND RADON MITIGATION.1. WORK WITH THE GATEWAY DISTRICT HEALTH DEPARTMENT TO IMPLEMENT A SIGNIFICANT MEDIA INITIATIVE TO EDUCATE THE REGION'S RESIDENTS ABOUT MYTHS ASSOCIATED WITH STANDARD IMMUNIZATIONS, INCLUDING THE NEW COVID-19 VACCINE.2. PARTNER WITH THE GATEWAY DISTRICT HEALTH DEPARTMENT AND OTHER PARTNERS TO EDUCATE THE REGION'S RESIDENTS ABOUT RADON RISKS AND THE IMPORTANCE OF RADON MONITORS IN RESIDENCES.ANTICIPATED OUTCOME: INCREASES IN THE NUMBER OF RESIDENTS WHO OBTAIN RECOMMENDED IMMUNIZATIONS AND WHO ACQUIRE AND PROPERLY USE RADON MONITORS IN THEIR HOMES.ACCESS TO QUALITY MEDICAL/DENTAL CAREADDRESS GEOGRAPHIC BARRIERS TO ACCESS TO QUALITY CARE.1. EXPLORE - AND WHERE DEEMED FEASIBLE, IMPLEMENT - OPPORTUNITIES TO PROVIDE MORE SERVICES PHYSICALLY IN OTHER COUNTIES THROUGHOUT THE SERVICE REGION WHERE A DESIRE FOR A GREATER SCH PRESENCE HAS BEEN REQUESTED BY RESIDENTS, SUCH AS MORGAN AND FLEMING COUNTIES.2. PROMOTE AND INCREASE UTILIZATION OF SCH'S HOME HEALTH SERVICES.ANTICIPATED OUTCOME: A HIGHER PERCENTAGE OF THE REGION'S RESIDENTSWILL TAKE ADVANTAGE OF NEEDED MEDICAL/DENTAL CARE AS IT BECOMES MORE GEOGRAPHICALLY ACCESSIBLE.ADDRESS ECONOMIC BARRIERS TO ACCESS TO QUALITY CARE.1. ASSIST RESIDENTS WHO QUALIFY BUT ARE NOT ENROLLED IN TAKING THE NECESSARY STEPS TO OBTAIN MEDICAID AND MEDICARE BENEFITS.2. EXPLORE FINANCIAL INCENTIVES (E.G. PAYMENTS, VOUCHERS AND PRIZE DRAWINGS) THAT CAN BE USED TO ENCOURAGE PATIENTS TO UNDERGO PREVENTIVE CARE, SUCH AS SCREENINGS, VACCINATIONS AND OTHER BRIEF INTERVENTIONS.3. CONTINUE TO OFFER FREE SPORTS PHYSICALS TO PRIMARY AND SECONDARY STUDENTS IN THE SERVICE REGION.ANTICIPATED OUTCOME: A HIGHER PERCENTAGE OF THE REGION'S LOW-INCOME, UNINSURED AND UNDERINSURED RESIDENTS WILL RECEIVE NEEDED CARE.ADDRESS SOCIETAL BARRIERS TO ACCESS TO QUALITY CARE.1. IN COORDINATION WITH COMMUNITY PARTNERS, DEVELOP A PLAN TO ASSESS REASONS THAT AT-RISK AND MARGINALIZED GROUPS, SUCH AS THE LGBTQ+, ARE NOT ABLE OR DO NOT FEEL COMFORTABLE ACCESSING CARE.2. BASED ON THE FINDINGS OF THE ASSESSMENT, DEVELOP STRATEGIES TO ADDRESS THOSE REASONS, AND REACH OUT THOSE GROUPS TO ASSIST THEM IN ACCESSING CARE.ANTICIPATED OUTCOME: A HIGHER PERCENTAGE OF THE REGION'S SOCIETALLYMARGINALIZED GROUPS WILL RECEIVE NEEDED CARE AND FEEL COMFORTABLE IN DOING SO. 16 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 HEALTHCARE URGENT TREATMENT C 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 PART I, LN 7 COL(F): TOTAL BAD DEBT EXPENSE HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTIONS. PART II, COMMUNITY BUILDING ACTIVITIES: OUR MISSION AND VALUES HAVE BEEN ENHANCED THROUGH COMMUNITY BENEFIT PROGRAMS, AND THOSE ACTIVITIES HAVE CENTERED ON EDUCATION, COLLABORATION AND IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES THAT WE SERVE. THE EDUCATION AND DEVELOPMENT OF HEALTH PROFESSIONALS HAS BEEN ONE OF OUR PRIMARY FOCUS AREAS FOR COMMUNITY BENEFIT, BECAUSE WE BELIEVE THAT THEIR TRAINING IS VITAL TO IMPROVING COMMUNITY HEALTH. ANOTHER TARGET AREA IS OUR ENGAGEMENT IN COMMUNITY SUPPORT AND PARTNERSHIPS. THIS ENGAGEMENT IS REALIZED THROUGH PARTICIPATION IN HEALTH FAIRS AND SCREENINGS, PROVIDING SUPPORT GROUPS, AS WELL AS COALITION BUILDING INITIATIVES.WE HAVE STRIVED TO DELIVER THE HIGHEST QUALITY MEDICAL CARE TO OUR COMMUNITY DURING THE COVID 19 PANDEMIC. THE WORK OF ST. CLAIRE HEALTHCARE'S DOCTORS, NURSES, AND FRONTLINE STAFF WAS NOTHING SHORT OF HEROIC. THE COVID TASK FORCE BEGAN MAKING PLANS BEFORE THE FIRST CASE OF COVID WAS DETECTED IN THE STATE, AND WERE READY TO IMPLEMENT THEIR STRATEGICALLY CRAFTED PLANS WHEN THE FIRST PERSON UNDER INVESTIGATION (PUI) CAME TO US FOR CARE.REGIONAL COVID TESTING SITE - WHEN COVID TESTING BECAME ACCESSIBLE, ST. CLAIRE QUICKLY ESTABLISHED A SMALL DRIVE-THRU TESTING SITE FOR SYMPTOMATIC PATIENTS. AS COMMUNITY DEMAND QUICKLY GREW, SCH WAS SELECTED AS A REGIONAL TESTING SITE WHICH PROVIDED THE REGION WITH EXPANDED ACCESS TO TESTING. IN JUST OVER A YEAR, MORE THAN 30,000 TEST SPECIMENS WERE ADMINISTERED.COVID CARE AT HOME - THE NEED TO IMPROVE HOSPITAL CAPACITY LED MEMBERS OF THE ST. CLAIRE TEAM TO CREATE AN INNOVATIVE HOME CARE PROGRAM ALLOWING APPROPRIATE COVID PATIENTS TO RECOVER FROM THE VIRUS IN THE COMFORT OF THEIR OWN HOMES. THESE PATIENTS WERE PROVIDED THE SAME MEDICAL EQUIPMENT AND MEDICATIONS THEY WOULD HAVE RECEIVED IN THE HOSPITAL, AND WERE CLOSELY MONITORED BY A TEAM OF HEALTHCARE PROFESSIONALS.VACCINE ADMINISTRATION - THE ANXIOUSLY AWAITED COVID VACCINES WERE WITHOUT QUESTION OUR BEST WEAPON IN THE FIGHT AGAINST COVID-19. ST. CLAIRE WAS FORTUNATE TO BE NAMED A REGIONAL VACCINATION SITE AND ADMINISTER VACCINES TO MORE THAN 12,000 PATIENTS. 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 11 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, 2023 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. THE LARGEST RURAL HOSPITAL IN NORTHEASTERN KENTUCKY 159-BED REGIONAL REFERRAL CENTER SPONSORED BY THE SISTERS OF NOTRE DAME USA OVER 100 PHYSICIANS AND SURGEONS REPRESENTING 32 MEDICAL AND SURGICAL SPECIALTIES MORE THAN 1,000 EMPLOYEES ONE OF THE TWO LARGEST EMPLOYERS IN THE REGION 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 11-COUNTY SERVICE REGION SERVING A POPULATION OVER 160,000 IN BATH, CARTER, ELLIOTT, FLEMING, LEWIS, MAGOFFIN, MENIFEE, MONTGOMERY, MORGAN, ROWAN AND WOLFE COUNTIESIN 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. 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 6: NOT APPLICABLE. THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES KY 1 ACHIEVING RECOVERY TOGETHER PO BOX 4827 WINCHESTER KY 40392 824172445 501(C)(3) 29845 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/PEER SUPPORT SERVICES BOYD COUNTY DETENTION CENTER 209 28TH STREET CATTLETSBURG KY 41129 616000733 BOYD COUNTY 10000 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD CARTER COUNTY DETENTION CENTER 13 CROSSBAR ROAD GRAYSON KY 41143 616000783 CARTER COUNTY 10000 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD CHERAWEN 3870 TROY PIKE VERSAILLES KY 40383 843293218 FOR-PROFIT 6700 0 PROVIDED MAT MENTEESHIP FOR RURAL HEALTH NETWORK DEVELOPMENT PROGRAM CLARK COUNTY DETENTION CENTER 30 WALL STREET WINCHESTER KY 40391 616000993 CLARK COUNTY 10000 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD CLARK COUNTY HEALTH DEPARTMENT 400 PROFESSIONAL DRIVE WINCHESTER KY 40391 611021133 CLARK COUNTY 58326 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/PEER SUPPORT SERVICES COMPREHEND INC 611 FOREST AVENUE MAYSVILLE KY 41056 610680352 501(C)(3) 75186 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/PEER SUPPORT SERVICES GATEWAY DISTRICT HEALTH DEPARTMENT PO BOX 555 OWINGSVILLE KY 40360 610917850 BATH COUNTY 7500 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/RURAL HEALTH NETWORK DEVELOPMENT PROGRAM GREENUP COUNTY FISCAL COURT 301 MAIN STREET ROOM 102 GREENUP KY 41144 616000788 GREENUP COUNTY 10000 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD JUNIPER HEALTH PO BOX 690 BEATYVILLE KY 41311 043779582 501(C)(3) 23000 0 ACCSIS GRANT KY RURAL HEALTH INFORMATION ORGANIZATION 344 CHRISTY CREEK ROAD STE 3 MOREHEAD KY 40351 263803356 501(C)(3) 7500 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/RURAL HEALTH NETWORK DEVELOPMENT PROGRAM MASON COUNTY DETENTION CENTER 702 US HIGHWAY 68 MAYSVILLE KY 41056 616000876 MASON COUNTY 10000 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD MONTGOMERY REGIONAL JAIL 751 CHENAULT LANE MT STERLING KY 40353 616000891 MONTGOMERY COUNTY 10000 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/FIRST DAY FORWARD NORTHWEST AHEC 3015 N WILSON AVENUE LOUISVILLE KY 40211 610666209 501(C)(3) 5800 0 MCAT PROJECT PATHWAYS INC PO BOX 790 ASHLAND KY 41101 610661987 501(C)(3) 211428 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/PEER SUPPORT SERVICES PRIMARY PLUS VANCEBURG 211 KY 59 VANCEBURG KY 41179 611033691 501(C)(3) 23000 0 ACCSIS GRANT MURRAY STATE UNIVERSITY 200 SPARKS HALL MURRAY KY 420713312 611005783 MURRAY STATE 5800 0 MCAT PROJECT TRI STATE PRIMARY CARE 101 ASHLAND DRIVE ASHLAND KY 41101 611351718 FOR-PROFIT 69505 0 PARTNER OF NE KY SUBSTANCE USE RESPONSE COALITION/INTEGRATED CARE COORDINATOR SOUTH CENTRAL AHECWESTERN KENTUCKY UNIVERSITY 1906 COLLEGE HEIGHTS BLVD 41038 BOWLING GREEN KY 421011038 616055628 BOWLING GREEN 5800 0 MCAT PROJECT SOUTHERN AHEC PO BOX 1770 MOUNT VERNON KY 40456 610523304 501(C)(3) 5800 0 MCAT PROJECT ST CLAIRE FAMILY MEDICINE - OLIVE HILL 155 BRICKLAYER STREET OLIVE HILL KY 41164 610605336 501(C)(3) 23000 0 ACCSIS GRANT THREE RIVERS CLINIC PO BOX 769 LOUISA KY 412300769 611238190 FOR-PROFIT 23000 0 ACCSIS GRANT 19 3 PART I, LINE 2: THE HOSPITAL PROVIDES UNRESTRICTED GRANTS TO APPROVED 501(C)(3) ORGANIZATIONS BASED ON COMMUNITY NEED. X X X X X 1 0 0 0 0 0 0 1 0 THADIS C COX MD GASTROENTEROLOGIST 876694 0 302632 0 43880 0 15250 0 34323 0 1272779 0 0 0 MANSHA KAHLOON MD CARDIOLOGIST 648379 0 335383 0 41000 0 15250 0 30946 0 1070958 0 0 0 JAMES LYNCH GENERAL SURGEON 485927 0 459903 0 7773 0 15250 0 28117 0 996970 0 0 0 STEVE M KOENIG PULMONOLOGIST 523555 0 381391 0 41000 0 15250 0 19062 0 980258 0 0 0 WILLIAM D LEWIS RADIOLOGIST 701439 0 150925 0 41000 0 15250 0 28196 0 936810 0 0 0 O THOMAS NEWCOMB IV MEMBER 105584 0 408409 0 41453 0 15250 0 24145 0 594841 0 0 0 WILLIAM L MELAHN MD CHIEF MEDICAL OFFICER 348701 0 37691 0 43881 0 15250 0 26954 0 472477 0 0 0 DONALD LLOYD II CEO/PRESIDENT, EX-OFFICIO 303798 0 64928 0 47000 0 15250 0 28577 0 459553 0 0 0 AARON BANKS DO MEMBER 177818 0 145967 0 17485 0 15250 0 34597 0 391117 0 0 0 MARIE A DENNISON MD MEMBER 189688 0 162308 0 7903 0 15250 0 9905 0 385054 0 0 0 TRAVIS BAILEY SR. VP ADMINISTRATION/CSO 282308 0 24147 0 13184 0 15250 0 17679 0 352568 0 0 0 CHRIS MCCLURG CFO/TREASURER 242205 0 26244 0 23380 0 14898 0 29684 0 336411 0 0 0 KATHLEEN WILSON VP NURSING 230298 0 21925 0 15324 0 13518 0 20355 0 301420 0 0 0 ANDY B PRICE VP INFO TECHNOLOGY/CIO 173613 0 19849 0 23380 0 11102 0 28303 0 256247 0 0 0 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 BOARD MEMBER MARIE DENNISON, MD LISTED ABOVE 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 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. DAN MARKWELL BOARD MEMBER 43644 RENTAL INCOMEDAN MARKWELL IS AN OWNER IN VERITY HOLDINGS AND ST. CLAIRE PAID VERITY HOLDINGS $43,644 IN RENTAL INCOME DURING FY 2023. 0 TRAVIS BAILEY KEY EMPLOYEE 43644 RENTAL INCOME TRAVIS BAILEY IS AN OWNER OF VERITY HOLDINGS AND ST. CLAIRE PAID $43,644 IN RENTAL INCOME DURING FY 2023. 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1471318 INDEPENDENT CONTRACTOR 0 FORM 990, PART VI, SECTION A, LINE 1A PER BYLAWS ARTICLE VIII, SECTION 4: THERE SHALL BE A STANDING EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD, THE PRESIDENT/CEO, THE CHAIR OF THE FINANCE COMMITTEE, AND ONE (1) OTHER MEMBER OF THE BOARD TO BE ELECTED FOR A ONE (1) YEAR RENEWABLE TERM AT THE ANNUAL MEETING BY A MAJORITY VOTE OF THE BOARD. THIS COMMITTEE MAY ACT ON BEHALF OF THE BOARD IF NECESSARY BETWEEN MEETINGS OF THE BOARD. AMONG THE DUTIES OF THIS COMMITTEE SHALL BE TO DETERMINE THE COMPENSATION OF AND REVIEW AND EVALUATE THE PERFORMANCE OF THE CORPORATION'S PRESIDENT/CEO, TO SUBMIT RECOMMENDATIONS FOR BOARD APPOINTMENTS AND FOR NOMINEES FOR OFFICERS OF THE BOARD, AND TO FACILITATE THE BOARD'S SELF-ASSESSMENT AND PLANS FOR BOARD FORMATION AND PROFESSIONAL DEVELOPMENT. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT OF THE SISTERS OF NOTRE DAME OF COVINGTON, KY IS THE PERSON WHO APPOINTS ALL THE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE CFO AND BY THE ACCOUNTING DEPARTMENT. THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AND THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS, BOARD COMMITTEES, AND MEDICAL CENTER LEADERSHIP SIGN A CONFLICT OF INTEREST STATEMENT ON INITIAL APPOINTMENT OR EMPLOYMENT AND ANNUALLY THEREAFTER. THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE DEPARTMENT HEAD OF BOARD/ADMINISTRATION. THE SCOPE OF THIS POLICY INCLUDES BOARD OF DIRECTORS, BOARD COMMITTEES, ADMINISTRATIVE STAFF, EMPLOYEES, AND MEDICAL STAFF. THE POLICY IS IN PLACE TO AVOID CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS BETWEEN PERSONAL INTERESTS AND ONE'S OFFICIAL RESPONSIBILITIES AND PERFORMANCE OF DUTIES ON BEHALF OF THE MEDICAL CENTER. THE COVERED PERSONS ARE TO AVOID BEING PLACED IN A POSITION FOR PERSONAL PROFIT, EITHER THROUGH MONEY, GOODS, OR INFLUENCE FROM THE CONDUCTING OF MEDICAL CENTER RESPONSIBILITIES. A SELF DISCLOSURE FROM COVERED PERSONS TO THE INTEGRITY OFFICER IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFUSE FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS ESTABLISHED 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 DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,552,707. MANAGEMENT AND GENERAL EXPENSES 871,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,424,040. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,318,069. MANAGEMENT AND GENERAL EXPENSES 2,839,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,157,331. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,495,083. MANAGEMENT AND GENERAL EXPENSES 1,534,336. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,029,419. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 781,286. MANAGEMENT AND GENERAL EXPENSES 266,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,047,968. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,146,905. MANAGEMENT AND GENERAL EXPENSES 391,481. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,538,386. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,507,818. MANAGEMENT AND GENERAL EXPENSES 856,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,363,828. OTHER FEES AND SERVICES: PROGRAM SERVICE EXPENSES 101,422. MANAGEMENT AND GENERAL EXPENSES 34,618. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136,040. FORM 990, PART XI, LINE 9: LOSS ON IMPAIRMENT OF INVESTMENT -1,322,178. MOREHEAD PROFESSIONAL SERVICES BUILDING LLC 222 MEDICAL CIRCLE MOREHEAD KY 40351 610890222 MEDICAL OFFICE BUILDING KY 0 2156250 SCRMC SISTERS OF NOTRE DAME OF COVINGTON KENTUCKY INC 1601 DIXIE HIGHWAY COVINGTON KY 41011 610485643 RELIGIOUS ORDER KY 501(C)(3) LINE 1 N/A 0 ST CLAIRE REAL PROPERTIES 222 MEDICAL CIRCLE MOREHEAD KY 40351 474578938 SUPPORT ST. CLAIRE REGIONAL MEDICAL CENTER KY 501(C)(3) LINE 12A, I N/A 0 CLAIRE-FRANCES HEALTH SERVICES PLLC DBA INFUSION SOLUTIONS 1557 WINCHESTER AVENUE ASHLAND KY 41101 311517507 HOME INFUSION SERVICES KY N/A RELATED -474625 486713 0 0 0.33330 KENTUCKY HEALTH COLLABORATIVE LLC 651 PERIMETER DRIVE STE 650 LEXINGTON KY 40517 811446226 HEALTHCARE SHARED SUPPORT SERVICES KY N/A RELATED -208622 145399 0 0 0.07690 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0