UK St. Claire

UK St. Claire, located at 222 Medical Circle in Morehead, KY, is the largest rural hospital in Eastern Kentucky and an integrated healthcare system dedicated to serving an 11-county region. As part of UK HealthCare, we provide top-quality medical care close to home, with over 30 medical specialties represented by our team of more than 125 physicians and 70 advanced practice professionals. Our services include a multi-specialty medical pavilion, primary and urgent care locations, pediatrics, home health, hospice, and more. We are committed to improving the health and well-being of our community by providing compassionate care and offering access to medications through programs like our Chronic Care Program.

Identifiers

Hospital Name UK St. Claire
Facility ID 180018

Location

Address 222 MEDICAL CIRCLE
City/Town Morehead
State KY
ZIP Code 40351
County/Parish ROWAN

Health System

Health System Independent
Health System Website Domain st-claire.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 149
Health System Hospital Locations Kentucky

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Federal
Ownership Details University of Kentucky
Emergency Services Yes

Donald H. Lloyd, II

President/CEO

Selected as the new President and Chief Executive Officer starting May 1, 2019. [13] Has over 18 years of healthcare administration experience as a CEO and COO. [13] Previously President and CEO at CHRISTUS Health Southwest Louisiana. [13] Holds a Bachelor of Science degree in Business Administration and Economics from Lander University and a Master’s in Business Administration from Francis Marion University. [13] His leadership, insight, and passion for healthcare were highlighted upon new board leadership appointments. [8]

Travis Bailey

Sr. VP, Operations & Chief Strategy Officer

NA

William Melahn, MD

Sr. VP, Quality & Clinical Affairs

NA

Gary Bunch, MD

VP, Medical Affairs/Chief Medical Officer

NA

Sr. Judine Lambert, SND, BCC

VP, Mission Integration

NA

Chris McClurg

VP, Finance/Chief Financial Officer and Treasurer

Also listed on the St. Claire Foundation Board of Directors. [4]

Andy Price, CHCIO, CISSP, PMP

VP, Information Technology/Chief Information Officer

NA

Lisa Ray

VP, Regulatory Affairs & Compliance

NA

Mark Rhodes

VP, St. Claire Medical Group

NA

Christa Murphy

VP, Chief Human Resources Officer

NA

Lerae Wilson, DNP, RN, NEA-BC

VP, Patient Services/Chief Nursing Officer

NA

Thadis Cox, MD

Medical Director, Specialty Services and Medical Staff President-elect

Board-certified gastroenterologist. [11] Earned medical degree from University of Kentucky College of Medicine and completed residency in gastrointestinal diseases at UK. [11] Board-certified by the American Board of Internal Medicine. [11] Joined SCH medical staff in 2008. [11]

Philip Overall, MD

Medical Director, Emergency Services

NA

Amanda Ramey, DO

Medical Director, Primary Care

NA

Lesa P. Hopson

Secretary

NA

William Redwine

Board of Directors Chair

Appointed Chair of the Board in 2023. [8] Sandy Hook native and Morehead resident. [8] Served the SCH Board for seven years. [8] Recently retired as Assistant Vice President, Auxiliary Services at Morehead State University after nearly 40 years of service. [8] Holds a bachelor's degree in government and public affairs from Morehead State. [8] Graduate studies in higher education, business, and sociology. [8] Active in community organizations. [8] Also listed as Chair for the UK St. Claire Foundation. [4, 8]

Anthony E. Helton

Board of Directors Vice Chair

Appointed Vice Chair in 2023. [8] Served the Board for eight years. [8] Most recently served as Chair of the Finance Committee. [8] Has many community service associations. [8] Received a Bachelor of Science with concentrations in Finance and Human Resources from Northern Kentucky University. [8] Received an Executive Integral Leadership Certification from the University of Notre Dame. [8]

Sr. Marla Monahan, SND

Board of Directors Past Chair

Completed her second term as Board Chair and continues to serve as Past Chair. [8] Served as Board of Directors' Chair when Donald H. Lloyd, II was selected as President and CEO. [13]

Bob Albert, Ph.D.

Board of Directors Member

NA

Aaron "Parker" Banks, DO

Board of Directors Member

NA

Brad Baker, DO (Phillip B. Baker, DO)

Board of Directors Member and Medical Staff President and Chief of Staff

Joined the SCH medical staff in 2016 as a family medicine physician. [8, 11] Cares for patients as a hospitalist. [8, 11] Serves as President/Chief of Staff for the SCH medical staff. [8] Previously served as chair and vice-chair of the Department of Medicine. [11] Graduate of the Pikeville College School of Osteopathic Medicine. [8, 11] Completed residency through the University of Kentucky Family Community Medicine Residency Program. [8, 11]

Angela Gates

Board of Directors Member

NA

Shelley Irving, PA-C

Board of Directors Member

Joined the Board in 2021. [12] Assistant professor and site director for the University of Kentucky College of Health Sciences Physician Assistant Studies Department's Morehead Campus. [12] Serves as lead charge for the People's Clinic. [12] Serves as a Fellow of the UK Center for Interprofessional Health Education and a member of the CME Committee for the Kentucky Academy of Physician Assistants (KAPA). [12]

Dan Markwell

Board of Directors Member

Served as vice-chair of the Board of Directors. [12] Also listed on the St. Claire Foundation Board of Directors. [4]

Sr. Marge Mouch, SND

Board of Directors Member

Joined the Board in 2021. [12]

Oliver Thomas Newcomb, IV, MD

Board of Directors Member

Joined UK St. Claire's medical staff in 2017. [12] Specialist in urology. [12] Received bachelor's from the University of Kentucky. [12] Earned medical degree from the University of Louisville School of Medicine where he also completed his residency. [12] Previously served as the chair of the Department of Surgery in SCH's medical staff leadership. [12] Joined the Board in 2021. [12]

John Northcutt

Board of Directors Member

Joined the Board in 2021. [12] Director at Northcutt and Son Home for Funerals. [12] Serving as assistant chief of the Morehead Fire Department. [12] Re-elected to serve his sixth term as Rowan County coroner. [12]

Nichole Smith, LNHA

Board of Directors Member

NA

Russ Ward

Board of Directors Member

Joined the Board in 2021. [12]

Amber D. Sexton, DO

Medical Staff Secretary-treasurer

Joined the SCH medical staff as a family medicine physician in 2021. [11] Native of Morehead. [11] Earned medical degree from the University of Pikeville College - Kentucky College of Osteopathic Medicine. [11] Completed residency at SCH through the University of Kentucky's Rural Family Medicine Residency program. [11] Cares for patients at St. Claire's Sandy Hook clinic. [11]

Michael E. Vega, MD

Medical Staff Department of Surgery Chair

Anesthesiologist. [11] Joined the SCH medical staff in 2021 as the Medical Director, Anesthesia. [11] Earned medical degree at Autonoma University of Guadalajara in Mexico. [11] Completed anesthesiology residency at Vanderbilt University Medical Center. [11]

Eric Dennis, MD

Medical Staff Department of Surgery Vice-chair

Orthopaedic surgeon and sports medicine specialist. [11] Joined the SCH medical staff in 2021. [11] Attended the Virginia Commonwealth University School of Medicine. [11] Earned medical degree in 2015. [11]

Ahmad H. Abuarquob, MD

Medical Staff Department of Medicine Chair

Cardiologist. [11] Joined the SCH medical staff in 2020. [11] Earned medical degree from Jordan University of Science and Technology. [11] Completed internal medicine residency at Jordan Hospital of Internal Medicine. [11] Completed a second internal medicine residency at Saint Michael's Medical Center. [11] Completed fellowships in cardiovascular disease and interventional cardiology at St. Vincent Hospital in Worcester, MA. [11]

Davin Barnett, DO

Medical Staff Department of Medicine Vice-chair

NA

Megan Dillon, MD

Medical Staff Member-at-large

Joined the SCH medical staff as an emergency medicine physician in 2021. [11] Earned medical degree from the University of Kentucky College of Medicine. [11] Part of the Rural Physician Leadership Program. [11]

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 149

Staffing & Personnel

FTE Employees on Payroll 974.28
FTE Interns & Residents 15.8

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 4364
Inpatient Days (Title XIX) 629
Total Inpatient Days 18496
Bed Count 100
Available Bed Days 36500
Discharges (Title V) NA
Discharges (Title XVIII) 964
Discharges (Title XIX) 125
Total Discharges 4033

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 3364
Inpatient Days (Title XIX; Adults & Peds) 451
Total Inpatient Days (Adults & Peds) 14180
Bed Count (Adults & Peds) 86
Available Bed Days (Adults & Peds) 31390
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 964
Discharges (Title XIX; Adults & Peds) 125
Total Discharges (Adults & Peds) 4033

Quality Summary

Care Quality Stengths High overall patient satisfaction. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns Hospital does not do a good job of treating conditions like heart attacks so that patients don't have to come back to the hospital.

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 67%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 177

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 42.8
Readmission Score Hospital Return Days for Heart Failure Patients -8.8
Readmission Score Hospital Return Days for Pneumonia Patients -6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.9
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.5
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.4
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.1
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 20.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 21.2
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 18.2
Readmission Group Hospital Return Days for Heart Attack Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.000
CAUTI SIR (Standardized Infection Ratio) 0.306
SSI SIR (Standardized Infection Ratio) 1.587
CDI SIR (Standardized Infection Ratio) 0.568
MRSA SIR (Standardized Infection Ratio) 0.000

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $380
Bad Debt Expense $6,870
Uncompensated Care Cost $2,488
Total Uncompensated Care $2,488

Operating Expenses ($ thousands)

Total Salaries $102,171
Overhead Expenses (Non-Salary) $119,780
Depreciation Expense $4,460
Total Operating Costs $162,125

Charges ($ thousands)

Inpatient Charges $173,296
Outpatient Charges $362,175
Total Patient Charges $535,472

Wage-Related Details ($ thousands)

Core Wage Costs $13,551
Wage Costs (RHC/FQHC) $138
Adjusted Salaries $102,171
Contract Labor (Patient Care) $5,237
Wage Costs (Part A Teaching) $82
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $47,442
Short-Term Investments $2,696
Notes Receivable
Accounts Receivable $102,648
Allowance for Doubtful Accounts $-80,476
Inventory $3,739
Prepaid Expenses $3,314
Other Current Assets $7,806
Total Current Assets $87,169

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5,134
Land Improvements Value $2,896
Building Value $59,228
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $48,599
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $38,386

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $34,212
Other Assets $646
Total Other Assets $34,858
Total Assets $160,414

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $19,012
Salaries & Wages Payable $751
Payroll Taxes Payable $15,615
Short-Term Debt
Deferred Revenue $477
Other Current Liabilities $2,453
Total Current Liabilities $39,356

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $28,698
Unsecured Loans
Other Long-Term Liabilities $14,139
Total Long-Term Liabilities $42,837
Total Liabilities $82,193

Balance Sheet – Equity ($ thousands)

General Fund Balance $78,221
Total Fund Balances $78,221
Total Liabilities & Equity $160,414

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $2,520
DRG (Post-Oct 1) $6,932
Outlier Payments
DSH Adjustment $601
Eligible DSH % $0
Simulated MC Payments $14,595
Total IME Payments $532

Revenue & Income Statement ($ thousands)

Inpatient Revenue $179,449
Outpatient Revenue $430,399
Total Patient Revenue $609,848
Contractual Allowances & Discounts $405,362
Net Patient Revenue $204,486
Total Operating Expenses $221,951
Net Service Income $-17,464
Other Income $7,782
Total Income $-9,682
Other Expenses
Net Income $-9,682

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $36,897
Medicaid Charges $155,417
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing Yes--In Process of Replacing