2019-09-30T12:44:11-05:00 2018-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 106 W VINE STREET SUITE 600 LEXINGTON KY 40507 990 2018-01-01 261779437 GRACE COMMUNITY HEALTH CENTER INC GRAC 6065269005 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 CHAD STEVENS CFO 6065269005 2019-09-26 1 ALLISON C CARTER P01242412 8592552341 192.243.74.13 2019-09-26 10:37:25 ED P F6AB8AE3F08F4AF1164E223E0046F1F2ED5B5E8A 8D0CA289866F7A271FB0C288862ECE769D750E0E 2018 2020-01-14 16:20:31Z GRACE HEALTH MICHAEL STANLEY 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 29799189 0 X WWW.GRACECHC.COM X 2008 KY PROVIDE PRIMARY HEALTHCARE TO UNDERSERVED AREAS OF SOUTHEASTERN KENTUCKY 11 11 306 11 0 0 3878067 3521460 22520857 26245075 1371 -78313 -6542 -22428 26393753 29665794 16489 15543 0 0 15805205 16205721 0 0 0 6963050 8158800 22784744 24380064 3609009 5285730 11874696 21669961 5028311 9537846 6846385 12132115 PROVIDE PRIMARY HEALTHCARE TO UNDERSERVED AREAS OF SOUTHEASTERN KENTUCKY 0 0 20398485 15543 26245075 PROVIDED PRIMARY HEALTHCARE SERVICES TO 31,309 PATIENTS WITH 116,778 PATIENT VISITS. THE ORGANIZATION PROVIDED $744,347 IN CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2018 AND $426,450 IN CHARITY CARE AT COST FOR THE YEAR ENDED DECEMBER 31, 2018. 20398485 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 39 0 1 306 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 KY X THE ORGANIZATION 6065269005 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 MELVIN SCARBERRY DIRECTOR 1.00 X 0 0 0 JEFF HAMLIN DIRECTOR 1.00 X 0 0 0 HIRAM CORNETT DIRECTOR 1.00 X 0 0 0 DAMON HUFF DIRECTOR 1.00 X 0 0 0 ANGIE SINGLEY DIRECTOR 1.00 X 0 0 0 KAREN HUBBS DIRECTOR 1.00 X 0 0 0 DENO GRAY DIRECTOR 1.00 X 0 0 0 LORETTA LYTTLE DIRECTOR 1.00 X 0 0 0 JAMES ED GARRISON DIRECTOR 1.00 X 0 0 0 ROGER WEST DIRECTOR 1.00 X 0 0 0 AMY RUSSELL DIRECTOR 1.00 X 0 0 0 MICHAEL STANLEY CEO 40.00 X 284023 0 16820 KELLY EVANS CMO 40.00 X 219685 0 14607 CHAD STEVENS CFO 40.00 X 169266 0 12590 JEFFREY CAMPBELL COO 40.00 X 146566 0 11006 TRAVIS GILBERT PHYSICIAN/OB-GYN 40.00 X 548154 0 16820 ROGER CASS PHYSICIAN/OB-GYN 40.00 X 487150 0 16820 MISTY DANIELLE THOMPSON PHYSICIAN/OB-GYN 40.00 X 375451 0 16311 TRUMAN PERRY PHYSICIAN/FAMILY PHYSICIAN 40.00 X 366072 0 16820 STEVEN EDWARD MORTON PHYSICIAN/INTERNIST 40.00 X 359253 0 16820 2955620 0 138614 12 0 1 0 CONGLETON-HACKER COMPANY 872 FLOYD DRIVE LEXINGTON KY 40505 CONSTRUCTION 1672586 ALLIANCE CORPORATION 2014 KY RT 321 PRESTONSBURG KY 41653 CONSTRUCTION 1484105 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 INFORMATION SYSTEMS 1009831 BEN HENSLEY DMD PO BOX 1268 MANCHESTER KY 40962 DENTIST 313769 CUSTOM CLEANING AND MAINTENANCE SERVICES 96 HOWINGTON LANE CORBIN KY 40701 CLEANING SERVICES 155902 8 3520646 814 3521460 PATIENT SERVICE REVENUE 621110 25610600 25610600 OTHER MEDICAL REVENUE 621110 345197 345197 QUALITY REVENUE 621110 226650 226650 COMP CARE CONTRACT REVENUE 621110 37500 37500 PMPM REVENUE 621110 25128 25128 26245075 371 371 32283 54711 -22428 -22428 -22428 78684 -78684 -78684 -78684 29665794 26245075 0 -100741 543 543 15000 15000 874562 743378 131184 13124295 10723278 2401017 303050 241516 61534 1013673 784795 228878 890141 711120 179021 155746 155746 24338 24338 2129064 1975770 153294 69322 36754 32568 251612 195870 55742 56329 47929 8400 1441773 1251784 189989 96253 41774 54479 56090 56090 97797 89566 8231 398974 382737 16237 93081 66195 26886 SUPPLIES 1519368 1515691 3677 BAD DEBT EXPENSE 886325 886325 TAXES AND LICENSES 289535 248738 40797 SMALL EQUIPMENT PURCHAS 181340 149164 32176 411853 290558 121295 24380064 20398485 3981579 0 1352511 4595622 201800 424750 4484040 3944314 20104 271099 235806 12500251 1305066 4189250 11195185 1122123 1035439 253873 218741 11874696 21669961 1373666 2318791 566726 4079101 3087919 3139954 5028311 9537846 X 6841074 12126839 5311 5276 6846385 12132115 11874696 21669961 5285730 0 X X 0 1 X 1 0 X 1176476 1176476 4478136 218972 4259164 3068032 104913 2963119 2249284 537288 1711996 1528323 443893 1084430 11195185 28830581 54711 54711 28775870 889924 889924 29665794 23544851 54711 54711 23490140 889924 889924 24380064 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 54,711. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 886,325. EXPENSES NETTED WITH REVENUE ON FINANCIALS 3,599. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 54,711. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 886,325. EXPENSES NETTED WITH REVENUE ON FINANCIALS 3,599. 1 SCHOLARSHIPS 5 15000 PART I, LINE 2: A LETTER OF ACCEPTANCE IS REQUIRED BEFORE THE SCHOLARSHIP CHECK IS AWARDED TO THE RECIPIENT. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 MICHAEL STANLEY CEO 284023 0 0 0 0 0 11000 0 5820 0 300843 0 0 0 KELLY EVANS CMO 219685 0 0 0 0 0 8787 0 5820 0 234292 0 0 0 CHAD STEVENS CFO 169266 0 0 0 0 0 6770 0 5820 0 181856 0 0 0 JEFFREY CAMPBELL COO 146566 0 0 0 0 0 5186 0 5820 0 157572 0 0 0 TRAVIS GILBERT PHYSICIAN/OB-GYN 548154 0 0 0 0 0 11000 0 5820 0 564974 0 0 0 ROGER CASS PHYSICIAN/OB-GYN 487150 0 0 0 0 0 11000 0 5820 0 503970 0 0 0 MISTY DANIELLE THOMPSON PHYSICIAN/OB-GYN 375451 0 0 0 0 0 10491 0 5820 0 391762 0 0 0 TRUMAN PERRY PHYSICIAN/FAMILY PHYSICIAN 366072 0 0 0 0 0 11000 0 5820 0 382892 0 0 0 STEVEN EDWARD MORTON PHYSICIAN/INTERNIST 359253 0 0 0 0 0 11000 0 5820 0 376073 0 0 0 PART I, LINE 1A CHARTER TRAVEL WAS PROVIDED FOR CONTINUING EDUCATION WITH PRE-APPROVED AMOUNTS INCLUDED IN EMPLOYEE CONTRACTS OR IN BUDGETED EMPLOYEE JOB DESCRIPTIONS. PART I, LINE 3 THE ORGANIZATION USES THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' HEALTH CENTER SALARY AND BENEFITS REPORT TO ESTABLISH THE CEO AND OFFICERS' COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CEO AND CFO AND THEN PRESENTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REVIEWS THE CONFLICT OF INTERESTS BEFORE THE BOARD OF DIRECTORS VOTES ON MATTERS WHERE A CONFLICT IS ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION USES THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' HEALTH CENTER SALARY AND BENEFITS REPORT TO ESTABLISH THE CEO AND OFFICERS' COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE DISCRETION OF THE BOARD OF DIRECTORS AND MANAGEMENT. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 GRACE COMMUNITY HEALTH CENTER, INC. (GCHC), A SECTION 501(C)(3) ORGANIZATION, IS A LICENSED FEDERALLY QUALIFIED HEALTH CENTER THAT OFFERS PRIMARY HEALTHCARE TO THE UNDERSERVED AREAS OF SOUTHEASTERN KENTUCKY. GCHC IS NOT A LICENSED HOSPITAL IN THE STATE OF KENTUCKY.