2021-08-23T16:25:37-05:00 2020-12-31 273858252 DEAN DORTON ALLEN FORD PLLC 250 W MAIN STREET STE 1400 LEXINGTON KY 40507 990 2020-01-01 261779437 GRACE COMMUNITY HEALTH CENTER INC GRAC 6065269005 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 CHAD STEVENS CFO 6065269005 2021-08-12 1 CHAD STEVENS XXX-XX-XXXX ALLISON C CARTER P01242412 8592552341 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GRACE HEALTH MICHAEL STANLEY 1019 CUMBERLAND FALLS HWY NO B201 CORBIN KY 40701 35482465 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 11 365 11 0 0 5764605 8348731 25419708 26993266 14687 55527 -21576 -24683 31177424 35372841 15155 38236 0 0 18837871 20838202 0 0 0 9309856 10091092 28162882 30967530 3014542 4405311 24006674 32861616 4780917 9230548 19225757 23631068 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 25936973 38236 26993265 PROVIDED PRIMARY HEALTHCARE SERVICES TO 31,527 PATIENTS WITH 118,777 PATIENT VISITS. THE ORGANIZATION PROVIDED $961,108 IN CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2020 AND $1,064,659,000 IN CHARITY CARE AT COST FOR THE YEAR ENDED DECEMBER 31, 2019. 25936973 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 30 0 1 365 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 555127 0 17987 TRUMAN PERRY PHYSICIAN/FAMILY PHYSICIAN 40.00 X 415536 0 14345 KELVIN DALE PERRY PHYSICIAN/FAMILY PHYSICIAN 40.00 X 395759 0 13620 MISTY DANIELLE THOMPSON PHYSICIAN/OB-GYN 40.00 X 379974 0 18600 ENRICO ASCANI PHYSICIAN/OB-GYN 40.00 X 364662 0 16350 MICHAEL STANLEY CEO 40.00 X 324656 0 16350 KELLY EVANS CMO 40.00 X 297967 0 18600 CHAD STEVENS CFO 40.00 X 233249 0 14280 JEFFREY CAMPBELL COO 40.00 X 198792 0 12902 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 3165722 0 143034 45 0 1 0 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 MEDICAL BILLING 1067406 KERSEY & KERSEY ARCHITECTS 839 EAST GRAY STREET LOUISVILLE KY 40204 ARCHITECTS 876569 CUSTOM CLEANING AND MAINTENANCE SERVICES 96 HOWINGTON LANE CORBIN KY 40701 CLEANING & MAINTENANCE 610213 BAPTIST HEALTH MEDICAL GROUP INC PO BOX 950248 LOUISVILLE KY 402950248 RADIOLOGY READS 129844 FK PERKINS & COMPANY 1019 CUMBERLAND FALLS HWY STE B210 CORBIN KY 40701 CAPITAL PROJECT MANAGER FEES 118797 7 8320771 27960 8348731 PATIENT SERVICE REVENUE 621110 26121875 26121875 OTHER MEDICAL REVENUE 621110 477578 477578 QUALITY REVENUE 621110 371000 371000 PMPM REVENUE 621110 22813 22813 26993266 102907 102907 37561 62244 -24683 -24683 -24683 47380 -47380 -47380 -47380 35372841 26993266 0 30844 38236 38236 1116796 915079 201717 16572813 13579639 2993174 452060 355876 96184 1551389 1285708 265681 1145144 938079 207065 54865 54865 49780 49780 1986949 1677623 309326 35882 20587 15295 239761 209072 30689 142913 129901 13012 1434094 1336654 97440 47057 34047 13010 9612 9612 120461 112607 7854 1059731 1010795 48936 100673 80129 20544 SUPPLIES 2707265 2670612 36653 COVID EXPENSES 884095 633430 250665 TAXES AND LICENSES 297396 239428 57968 SMALL EQUIPMENT PURCHAS 221029 145349 75680 699529 524122 175407 30967530 25936973 5030557 0 4761763 3934162 2439194 12513255 3266807 2050504 58718 141281 245224 191586 15578568 3205360 12003371 12373208 948755 862072 282842 795548 24006674 32861616 2054539 1943896 2726378 4288152 0 2998500 4780917 9230548 X 19220514 23628760 5243 2308 19225757 23631068 24006674 32861616 4405311 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1176476 1176476 5399899 632664 4767235 3087730 385799 2701931 3947572 1640211 2307361 1966891 546686 1420205 12373208 FORGIVEABLE LOAN 2998500 2998500 35274980 62244 62244 35212736 160105 160105 35372841 30869669 62244 62244 30807425 160105 160105 30967530 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 62,244. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 160,105. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH INCOME ON FORM 990 62,244. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 160,105. 1 SCHOLARSHIPS 6 18000 COVID EMPLOYEE AND PATIENT ASSISTANCE 269 20236 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 555127 0 0 0 0 0 10787 0 7200 0 573114 0 0 0 TRUMAN PERRY PHYSICIAN/FAMILY PHYSICIAN 415536 0 0 0 0 0 9395 0 4950 0 429881 0 0 0 KELVIN DALE PERRY PHYSICIAN/FAMILY PHYSICIAN 395759 0 0 0 0 0 6420 0 7200 0 409379 0 0 0 MISTY DANIELLE THOMPSON PHYSICIAN/OB-GYN 379974 0 0 0 0 0 11400 0 7200 0 398574 0 0 0 ENRICO ASCANI PHYSICIAN/OB-GYN 364662 0 0 0 0 0 11400 0 4950 0 381012 0 0 0 MICHAEL STANLEY CEO 324656 0 0 0 0 0 11400 0 4950 0 341006 0 0 0 KELLY EVANS CMO 297967 0 0 0 0 0 11400 0 7200 0 316567 0 0 0 CHAD STEVENS CFO 233249 0 0 0 0 0 9330 0 4950 0 247529 0 0 0 JEFFREY CAMPBELL COO 198792 0 0 0 0 0 7952 0 4950 0 211694 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 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.