2023-11-15T08:30:23-06:00 2022-12-31 FORVIS LLP 1222 Demonbreun Street Suite 950 Nashville TN 372033357 990 2022-01-01 261779437 GRACE COMMUNITY HEALTH CENTER INC % THE ORGANIZATION GRAC 6066588900 1019 CUMBERLAND FALLS HWY Ste B201 CORBIN KY 40701 CHAD STEVENS CFO 6066588900 2023-11-15 true CHAD STEVENS 999009999 JEFF SMITH P00289876 6159883600 2 2022 2023-04-26 12:10:37Z GRACE HEALTH CHAD STEVENS 1019 CUMBERLAND FALLS HWYB201 CORBIN KY 40701 50920211 false X WWW.GRACEHEALTHKY.ORG X 2008 KY SHOW THE LOVE AND SHARE THE TRUTH OF JESUS CHRIST TO SOUTHEASTERN KY THROUGH ACCESS TO PRIMARY HEALTHCARE. 11 11 419 11 0 0 11353894 7910603 35312048 42698635 116776 279017 -29598 -38936 46753120 50849319 28435 29935 0 0 22166214 28829963 0 0 0 12235720 16021105 34430369 44881003 12322751 5968316 56663037 70283162 20709218 26786872 35953819 43496290 X TO SHOW THE LOVE AND SHARE THE TRUTH OF JESUS CHRIST TO SOUTHEASTERN KENTUCKY THROUGH ACCESS TO COMPASSIONATE, HIGH QUALITY, PRIMARY HEALTHCARE FOR THE WHOLE PERSON. true false 38191066 29935 42698635 PROVIDED PRIMARY HEALTHCARE SERVICES TO 32,792 PATIENTS WITH 139,281 PATIENT VISITS. THE ORGANIZATION PROVIDED $1,934,558 IN CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2022 AND $1,611,674 IN CHARITY CARE AT COST FOR THE YEAR ENDED DECEMBER 31, 2021. 38191066 true true false false false false false false false false true false true true true false false true false false false false false false false false false false true true false false false false false false false false false false false false false true true false false false true 42 0 true 419 true false false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false KY X THE ORGANIZATION 6066588900 1019 CUMBERLAND FALLS HWY B201 CORBIN KY 40701 TRAVIS GILBERT PHYSICIAN / OB-GYN 40.0 0.0 X 543823 0 23367 MISTY DANIELLE THOMPSON PHYSICIAN / OB-GYN 40.0 0.0 X 506515 0 23367 KELVIN DALE PERRY PHYSICIAN / FAMILY PHYSICIAN 40.0 0.0 X 465565 0 23367 OTTO UMANA PHYSICIAN - OB-GYN 40.0 0.0 X 375423 0 23367 STEVEN MORTON PHYSICIAN - INTERNIST 40.0 0.0 X 356429 0 22018 MICHAEL STANLEY CEO 40.0 0.0 X 352786 0 17421 KELLY EVANS CMO/PHYSICIAN-INTERNIST 40.0 0.0 X 340887 0 19488 CHAD STEVENS CFO 40.0 0.0 X 270061 0 16919 JEFFREY CAMPBELL COO 40.0 0.0 X 266199 0 16423 MELVIN SCARBERRY CHAIRMAN 1.0 0.0 X X 0 0 0 JEFF HAMBLIN TREASURER 1.0 0.0 X X 0 0 0 HIRAM CORNETT VICE-CHAIRMAN 1.0 0.0 X X 0 0 0 DAMON HUFF DIRECTOR 1.0 0.0 X 0 0 0 ANGIE SINGLEY DIRECTOR 1.0 0.0 X 0 0 0 KAREN HUBBS SECRETARY 1.0 0.0 X X 0 0 0 DENO GRAY DIRECTOR 1.0 0.0 X 0 0 0 LORETTA LYTTLE DIRECTOR 1.0 0.0 X 0 0 0 JAMES ED GARRISON DIRECTOR 1.0 0.0 X 0 0 0 ROGER WEST DIRECTOR 1.0 0.0 X 0 0 0 AMY RUSSELL DIRECTOR 1.0 0.0 X 0 0 0 3477688 0 185737 63 false true false QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 MEDICAL BILLING 1151494 CUSTOM CLEANING AND MAINTENANCE SER 1019 CUMBERLAND FALLS HWY STE E152 CORBIN KY 40701 CLEANING/MAINTENANCE 966076 KEVIN L FLORA THE HOLLER CREATIVE 107 E FIRST STREET CORBIN KY 40701 MARKETING 168450 PHYLLIS PLATT DEV GROWTH STRATEG 887 ABINGDON LANE SHELBYVILLE KY 40065 GRANTS DEVELOPMENT 141750 DEAN DORTON ALLEN FORD 250 W MAIN STREET STE 1400 LEXINGTON KY 40507 AUDIT/CONSULTING 102773 5 7874913 35690 7910603 PATIENT SERVICE REVENUE 621110 41784828 41784828 QUALITY REVENUE 621110 643504 643504 OTHER MEDICAL REVENUE 621110 157672 157672 PMPM REVENUE 621110 112631 112631 42698635 279017 279017 0 0 31956 70892 -38936 0 -38936 -38936 0 0 0 0 0 0 0 0 0 0 0 50849319 42698635 240081 0 29935 29935 0 0 2698272 345117 2353155 0 21411571 19315535 2096036 749959 602831 147128 2349502 1930698 418804 1620659 1334323 286336 0 23257 23257 85932 10869 75063 0 0 0 1870563 1524218 346345 72842 33576 39266 36829 35056 1773 409242 307117 102125 0 1117410 1026780 90630 111473 61148 50325 0 16486 16486 802073 792825 9248 0 995648 933961 61687 168237 138823 29414 SUPPLIES 6915329 6882865 32464 CLEANING 569758 523894 45864 BAD DEBT EXPENSE 470909 470909 SMALL EQUIPMENT PURCHASES 482409 462583 19826 1872708 1428003 444705 44881003 38191066 6689937 0 7099740 9407876 13390375 13470705 0 0 1821043 3822000 0 0 0 0 0 14815060 232670 344513 99802 135395 18036883 4977979 10419398 13058904 0 0 0 0 7264520 8325922 775387 688704 15560102 6214083 56663037 70283162 1764279 3007466 0 0 0 0 0 0 0 0 0 0 18944939 18545328 0 0 0 5234078 20709218 26786872 X 35941429 43477362 12390 18928 35953819 43496290 56663037 70283162 5968316 -225845 1800000 X X false true X true true true X SCHEDULE A, PART I, LINE 3 CLASSIFICATION ---------------- 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1176476 1176476 5981357 1075802 4905555 3158075 720695 2437380 5518880 2974733 2544147 2202095 206749 1995346 13058904 INVESTMENT - GRACE HEALTH PROP 8306994 C INVESTMENTS - LIMITED USE 18928 F 8325922 RIGHT-OF-USE ASSETS 5202636 OTHER RECEIVABLES 1011447 6214083 0 OPERATING LEASE LIABILITIES 5234078 5234078 true SCHOLARSHIPS 7 19000 COVID EMPLOYEE & PATIENT ASSISTANCE 33 10935 SCHEDULE I, PART 1, LINE 2 PROCEDURES FOR MONITORING USE OF FUNDS --------------------------------------- A LETTER OF ACCEPTANCE IS REQUIRED BEFORE THE SCHOLARSHIP CHECK IS AWARDED TO THE RECIPIENT. EMPLOYEE/PATIENT ASSISTANCE REQUESTS ARE REVIEWED BY A COMMITTEE BEFORE THE CHECK IS ISSUED TO THE EMPLOYEE OR ON BEHALF OF A PATIENT. X true true X X X X false false false false false false false false false TRAVIS GILBERT PHYSICIAN / OB-GYN 396917 146906 12200 11167 567190 0 KELVIN DALE PERRY PHYSICIAN / FAMILY PHYSICIAN 344595 120970 12200 11167 488932 0 MISTY DANIELLE THOMPSON PHYSICIAN / OB-GYN 376419 130096 12200 11167 529882 0 MICHAEL STANLEY CEO 296424 56362 11304 6117 370207 0 KELLY EVANS CMO/PHYSICIAN-INTERNIST 285261 55626 8321 11167 360375 0 CHAD STEVENS CFO 225993 44068 10802 6117 286980 0 JEFFREY CAMPBELL COO 222559 43640 10306 6117 282622 0 OTTO UMANA PHYSICIAN - OB-GYN 375423 0 0 12200 11167 398790 0 STEVEN MORTON PHYSICIAN - INTERNIST 285000 71429 10851 11167 378447 0 SCHEDULE J, PART I, LINE 1A CHARTER TRAVEL PROVIDED ------------------------- CHARTER TRAVEL WAS PROVIDED FOR CONTINUING EDUCATION WITH PRE-APPROVED AMOUNTS INCLUDED IN EMPLOYEE CONTRACTS OR IN BUDGETED EMPLOYEE JOB DESCRIPTIONS. SCHEDULE J, PART I, LINE 3 DETERMININATION OF COMPENSATION -------------------------------- 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 1A DELEGATION OF AUTHORITY ----------------------- 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 REVIEW OF FORM 990 ------------------- 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 CONFLICT OF INTEREST POLICY ---------------------------- 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 DETERMININATION OF COMPENSATION -------------------------------- THE ORGANIZATION USES THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) HEALTH CENTER SALARY AND BENEFITS REPORT TO ESTABLISH THE CEO AND OFFICERS' COMPENSATION. THE ANNUAL DELIBERATIONS ARE DOCUMENTED AND APPROVED BY INDEPENDENT PERSONS PRIOR TO ESTABLISHING THE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS -------------------- 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 AUDIT COMMITTEE RESPONSIBILITIES --------------------------------- 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, PART III, LINE 2 NEW PROGRAM SERVICES ---------------------- THE ORGANIZATION EXPANDED DENTAL SERVICES INTO THE MEDICAL CLINICS; PREVIOUSLY DENTAL SERVICES WERE ONLY OFFERED AT THE SCHOOL-BASED HEALTH SITES. GRACE HEALTH PROPERTIES INC 1019 CUMBERLAND FALLS HWY CORBIN KY 40701 863557868 COMM DEVELOP KY 501(C)(2) N/A GCHC INC true false true false false false false false false false false false false false false false false false false false GRACE HEALTH PROPERTIES INC B 1268319