2020-09-09T09:51:36-05:00 2019-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 250 W MAIN STR STE 1400 LEXINGTON KY 40507 990 2019-01-01 261779437 GRACE COMMUNITY HEALTH CENTER INC GRAC 6065269005 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 CHAD STEVENS CEO 6065269005 2020-09-09 1 ALLISON C CARTER P01242412 8592552341 192.243.74.13 2020-09-09 09:49:23 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2019 2021-01-29 14:40:06Z GRACE HEALTH MICHAEL STANLEY 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 31235708 0 X WWW.GRACEHEALTHKY.ORG X 2008 KY SHOW LOVE AND SHARE THE TRUTH OF JESUS CHRIST TO SOUTHEASTERN KY THROUGH ACCESS TO PRIMARY HEALTHCARE 11 11 362 11 0 0 3521460 5764605 26245075 25419708 -78313 14687 -22428 -21576 29665794 31177424 15543 15155 0 0 16205721 18837871 0 0 0 8158800 9309856 24380064 28162882 5285730 3014542 21669961 24006674 9537846 4780917 12132115 19225757 TO SHOW LOVE AND SHARE THE TRUTH OF JESUS CHRIST TO SOUTHEASTERN KENTUCKY THROUGH ACCESS TO COMPASSIONATE, HIGH QUALITY, PRIMARY HEALTHCARE FOR THE WHOLE PERSON 0 0 23856077 15155 25419708 PROVIDED PRIMARY HEALTHCARE SERVICES TO 31,684 PATIENTS WITH 122,479 PATIENT VISITS. THE ORGANIZATION PROVIDED $1,064,659 IN CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2019 AND $337,000 IN CHARITY CARE AT COST FOR THE YEAR ENDED DECEMBER 31, 2019. 23856077 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 43 0 1 362 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 1 1 1 1 1 1 1 1 0 KY X THE ORGANIZATION 6065269005 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 TRAVIS GILBERT PHYSICIAN/OB-GYN 40.00 X 523742 0 17200 RACHEL BEVINS PHYSICIAN/OB-GYN 40.00 X 396690 0 16769 TRUMAN PERRY PHYSICIAN/FAMILY PHYSICIAN 40.00 X 388044 0 10745 ROGER CASS PARTIAL YEAR PHYSICIAN/OB-GYN 40.00 X 374811 0 17238 MISTY DANIELLE THOMPSON PHYSICIAN/OB-GYN 40.00 X 361231 0 16769 MICHAEL STANLEY CEO 40.00 X 305377 0 17200 KELLY EVANS CMO 40.00 X 245978 0 17200 CHAD STEVENS CFO 40.00 X 189332 0 13573 JEFFREY CAMPBELL COO 40.00 X 163941 0 12558 MELVIN SCARBERRY CHAIRMAN 1.00 X 0 0 0 JEFF HAMLIN TREASURER 1.00 X 0 0 0 HIRAM CORNETT VICE-CHAIRMAN 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 SECRETARY 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 2949146 0 139252 34 0 1 0 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 MEDICAL BILLING 1106257 ALLIANCE CORPORATION 2014 KY RT 321 PRESTONSBURG KY 41653 CONTRACTOR 460623 CUSTOM CLEANING AND MAINTENANCE SERVICES 96 HOWINGTON LANE CORBIN KY 40701 CLEANING & MAINTENANCE 389928 BEN HENSLEY DMD PO BOX 1268 MANCHESTER KY 40962 DENTIST 297119 BARNHILL PEDIATRIC DENTISTRY 129 SOUTH HWY 1223 CORBIN KY 40701 DENTIST 161450 5 5763657 948 5764605 PATIENT SERVICE REVENUE 621110 24576089 24576089 OTHER MEDICAL REVENUE 621110 450033 450033 QUALITY REVENUE 621110 369531 369531 PMPM REVENUE 621110 24055 24055 25419708 14687 14687 36708 58284 -21576 -21576 -21576 31177424 25419708 0 -6889 155 155 15000 15000 965159 805558 159601 15239494 12731085 2508409 381048 303908 77140 1173378 969042 204336 1078792 888764 190028 113818 113818 58433 58433 2575553 2299836 275717 44227 27700 16527 264924 210132 54792 93720 82521 11199 1404252 1214794 189458 90736 43351 47385 27601 27601 97590 89628 7962 954941 922724 32217 93478 75069 18409 SUPPLIES 2156799 2115214 41585 BAD DEBT EXPENSE 312189 312189 TAXES AND LICENSES 268718 238992 29726 SMALL EQUIPMENT PURCHAS 241858 207347 34511 511019 303068 207951 28162882 23856077 4306805 0 4595622 4761763 424750 2439194 3944314 3266807 20104 58718 235806 245224 14199795 2196424 11195185 12003371 1035439 948755 218741 282842 21669961 24006674 2318791 2054539 4079101 0 3139954 2726378 9537846 4780917 X 12126839 19220514 5276 5243 12132115 19225757 21669961 24006674 X 3014542 4079100 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1176476 1176476 5399899 419807 4980092 2869074 213826 2655248 3866372 1052987 2813385 887974 509804 378170 12003371 30923519 58284 58284 30865235 312189 312189 31177424 27908977 58284 58284 27850693 312189 312189 28162882 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 58,284. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 312,189. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 58,284. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 312,189. 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 TRAVIS GILBERT PHYSICIAN/OB-GYN 523742 0 0 0 0 0 11200 0 6000 0 540942 0 0 0 RACHEL BEVINS PHYSICIAN/OB-GYN 396690 0 0 0 0 0 10769 0 6000 0 413459 0 0 0 TRUMAN PERRY PHYSICIAN/FAMILY PHYSICIAN 388044 0 0 0 0 0 4745 0 6000 0 398789 0 0 0 ROGER CASS PARTIAL YEAR PHYSICIAN/OB-GYN 374811 0 0 0 0 0 11738 0 5500 0 392049 0 0 0 MISTY DANIELLE THOMPSON PHYSICIAN/OB-GYN 361231 0 0 0 0 0 10769 0 6000 0 378000 0 0 0 MICHAEL STANLEY CEO 305377 0 0 0 0 0 11200 0 6000 0 322577 0 0 0 KELLY EVANS CMO 245978 0 0 0 0 0 11200 0 6000 0 263178 0 0 0 CHAD STEVENS CFO 189332 0 0 0 0 0 7573 0 6000 0 202905 0 0 0 JEFFREY CAMPBELL COO 163941 0 0 0 0 0 6558 0 6000 0 176499 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 A, LINE 1 THE GOVERNING BODY DELEGATES AUTHORITY TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS TO MAKE DECISIONS. 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. THE INTERESTED PERSON IS RECUSED FROM VOTING ON THE MATTER INVOLVING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 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. THE DELIBERATIONS ARE DOCUMENTED AND APPROVED BY INDEPENDENT PERSONS PRIOR TO ESTABLISHING THE 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 XI, LINE 9: RESTATEMENT OF DEFERRED GRANT REVENUE LIABILITY 4,079,100. 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.