2024-11-15T09:37:21+00:00 2023-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2023-01-01 611300608 Summit Medical Group Inc SUMM 8593443737 1360 Dolwick Drive 200 Erlanger KY 41018 Heidi Murley MD CEO and President 8596553305 2024-11-15 true true Kim Scifres P01316095 5023263996 2024-11-15 2023 2024-10-15 13:58:12Z St Elizabeth Physicians Heidi Murley MD 1360 Dolwick Drive 200 Erlanger KY 41018 488851431 false X www.stelizabethphysicians.com X 1995 KY SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS ("SEP") IS A MULTI-SPECIALTY PHYSICIAN ORGANIZATION, DEDICATED TO PHYSICIAN DIRECTED DELIVERY OF QUALITY MEDICAL CARE IN THE NORTHERN KENTUCKY, SOUTHWESTERN OHIO, AND SOUTHEASTERN INDIANA AREAS. SEP PROVIDES QUALITY HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 18 1 2782 0 0 0 521924 130175 458683758 488090274 182545 529436 178049 61314 459566276 488811199 0 0 354528557 396148907 0 0 106182756 118094418 460711313 514243325 -1145037 -25432126 194320329 208890607 188191380 209316324 6128949 -425717 SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS ("SEP") IS A MULTI-SPECIALTY PHYSICIAN ORGANIZATION DEDICATED TO PHYSICIAN DIRECTED DELIVERY OF QUALITY MEDICAL CARE IN THE NORTHERN KENTUCKY, SOUTHWESTERN OHIO, AND SOUTHEASTERN INDIANA AREAS. SEP PROVIDES QUALITY HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. false false 426124906 0 488090274 SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS ("SEP") IS A MULTI-SPECIALTY PHYSICIAN ORGANIZATION DEDICATED TO PHYSICIAN DIRECTED DELIVERY OF QUALITY MEDICAL CARE IN THE NORTHERN KENTUCKY, SOUTHWESTERN OHIO, AND SOUTHEASTERN INDIANA AREAS. ST. ELIZABETH PHYSICIANS AND ASSOCIATES ARE PATIENT ADVOCATES WHO WORK IN PARTNERSHIP WITH ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE ("SEH") AND THE COMMUNITY TO PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE THROUGH COST EFFECTIVE MEDICAL CARE. ST. ELIZABETH PHYSICIANS IS DEDICATED TO SERVING NORTHERN KENTUCKY, SOUTHWESTERN OHIO, AND SOUTHEASTERN INDIANA WITH 242 FULL-TIME EQUIVALENT PRIMARY CARE PHYSICIANS, 176 FULL-TIME EQUIVALENT SPECIALTY PHYSICIANS, AND 232 ADVANCED PRACTICE PROVIDERS SPECIALIZING IN CARDIOLOGY, ENDOCRINOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, GYNECOLOGY, INTERNAL MEDICINE, PEDIATRICS, PULMONOLOGY AND RHEUMATOLOGY. ST. ELIZABETH PHYSICIANS HAS 168 OFFICES THAT ARE STRATEGICALLY LOCATED THROUGHOUT BOONE, CAMPBELL, KENTON, GRANT, OWEN, PENDLETON AND MASON COUNTIES IN KENTUCKY AND HAMILTON COUNTY IN OHIO AND DEARBORN COUNTY IN INDIANA. ST. ELIZABETH PHYSICIANS IS A MULTI-SPECIALTY PHYSICIAN GROUP PROVIDING PROFESSIONAL MEDICAL SERVICES TO THE COMMUNITY. TOTAL SURGERIES S: 706,028 TOTAL VISITS: 2,114,835 TOTAL WORK RELATIVE VALUE UNITS: 4,328,013 426124906 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false true false false false false false false false false true true true false false false true 144 0 true 2782 true false false false false false false false false false false false false X 18 1 true false false false true true true true false false false true true true true true true true true true true IN X Bruce Henley 8593445494 1360 DOLWICK DRIVE SUITE 200 ERLANGER KY 41018 Chaitanya Mandapakala MD VICE CHAIR/PHYSICIAN/DIRECTOR 50.0 0 X X 809447 0 56024 Curtis Dorsch MD CHAIR/PHYSICIAN/DIRECTOR 50.0 4.0 X X 562363 0 54714 Heidi Murley MD PRESIDENT/CEO 25.0 25.0 X X 0 701763 60858 Alvin Garrison DIRECTOR 4.0 0 X 0 0 0 Amy Haney MD PHYSICIAN/DIRECTOR 50.0 0 X 301395 0 47823 Daniel Flora MD PHYSICIAN/DIRECTOR 50.0 0 X 659286 0 56110 Donald Price MD PHYSICIAN/DIRECTOR 50.0 0 X 428275 0 57261 Garren Colvin PRESIDENT/CEO ST. ELIZABETH HEALTHCARE 4.0 51.0 X 0 1378100 49046 LaRoy Kendall MD DIRECTOR 4.0 50.0 X 0 535469 43974 Linda Hermiller MD PHYSICIAN/DIRECTOR 50.0 0 X 338915 0 54214 Lisa Arehart APRN APRN 50.0 0 X 292352 0 42909 Lori Ritchey-Baldwin CFO St. Elizabeth Healthcare 4.0 51.0 X 0 849058 49646 Noreen Durrani MD PHYSICIAN/DIRECTOR 50.0 0 X 679439 0 57360 Robert Wagner MD PHYSICIAN/DIRECTOR 50.0 0 X 220143 0 34977 Sonia Chopra MD PHYSICIAN/DIRECTOR 50.0 0 X 565728 0 44062 Stacey Bishop-Yeatman MD PHYSICIAN/DIRECTOR 50.0 0 X 361295 0 55819 Thom Bunnell MD PHYSICIAN/DIRECTOR 50.0 0 X 408804 0 53150 Vickie Chan MD PHYSICIAN/DIRECTOR 50.0 0 X 403073 0 51295 Bruce Henley CFO/TREASURER 35.0 15.0 X 0 387763 47895 Jacob Bast COO/SECRETARY 35.0 15.0 X 0 559592 52759 Anthony Alvarez MD PHYSICIAN 50.0 0 X 1164096 0 60262 Colleen Darnell MD PHYSICIAN 50.0 0 X 1181991 0 46278 Neal Moser MD PHYSICIAN 50.0 0 X 1633417 0 52772 Pratish Shah MD PHYSICIAN 50.0 0 X 1192873 0 52862 William Willmott MD PHYSICIAN 50.0 0 X 1441904 0 54112 Douglas Flora MD PHYSICIAN/ Former Executive Medical Director 0.0 0 X 816622 0 56548 Susan Oakley Former Vice Chair 0.0 0 X 687440 0 46278 14148859 4411744 1339011 714 true true false DRESSMAN BENZINGER LAVELLE PSC 109 EAST FOURTH ST COVINGTON KY 41011 LEGAL SERVICES 1716075 DEGENHARDT ENTERPRISES LLC 2169 CHAMBER CENTER DR FT MITCHELL KY 41017 CLEANING SERVICES 691178 PRACTICING EXCELLENCECOM INC 11403 W BERNARDO CT SUITE 200 SAN DIEGO CA 92128 CONSULTING SERVICES 689956 TIMOTHY J KAPPES 731 TIMBER LANE INDEPENDENCE KY 41051 OUTSOURCING 545969 JACKSON & COKER LOCUMTENENS LLC 3000 OLD ALABAMA RD STE 119-608 ALPHARETTA GA 30022 PHYSICIAN SERVICES 544506 24 130175 130175 NET PATIENT REVENUE 621111 473723038 473723038 SALE OF FOOD PRODUCTS 621111 775450 775450 CAPITATION REVENUE 621111 8503606 8503606 LEASED SERVICE REVENUE 621111 4478966 4478966 REBATE REVENUE 621111 197901 197901 411313 411313 0 0 488090274 569668 569668 61314 0 0 0 61314 0 61314 61314 0 0 0 40232 0 -40232 -40232 -40232 0 0 0 0 0 488811199 488090274 0 590750 X 6696237 4471638 2224599 0 1606888 1606888 324183615 278899775 45283840 0 15469661 12277604 3192057 0 31563227 23231481 8331746 0 16629279 13688813 2940466 0 0 0 0 0 1781161 0 1781161 0 2750 0 2750 0 0 0 0 0 51960333 36789093 15171240 0 147709 15383 132326 1749844 1442800 307044 2220587 449241 1771346 19450460 16316803 3133657 585365 311229 274136 3891284 3367595 523689 4351 3786 565 4266393 3224031 1042362 4938929 4481111 457818 MEDICAL SUPPLIES 23464235 23445818 18417 GENERAL SUPPLIES 2019169 1721651 297518 RECRUITMENT EXPENSE 660482 19171 641311 EMPLOYEE RELATIONS 442819 60228 382591 508547 300767 207780 0 514243325 426124906 88118419 0 -5522494 -6277861 21299485 25401532 2121772 2908099 0 0 21891961 30896546 733454 53949 1486947 2089656 37515769 26187313 10728033 11328456 0 0 13161789 14653539 128419382 127836691 194320329 208890607 64842279 86734496 0 0 0 123349101 122581828 188191380 209316324 X 6128949 -425717 0 0 6128949 -425717 194320329 208890607 X -25432126 18877460 X false true X true true true X Schedule A, Part I, Line 3 170(B)(1)(A)(III) SUMMIT MEDICAL GROUP, INC., D/B/A ST. ELIZABETH PHYSICIANS, IS EXEMPT AS A HOSPITAL UNDER INTERNAL REVENUE CODE SECTION 170(b)(1)(A)(iii); HOWEVER, SUMMIT MEDICAL GROUP, INC. IS NOT A HOSPITAL AS DEFINED BY FORM 990, SCHEDULE H INSTRUCTIONS. 12197722 8481339 3716383 25318047 17705974 7612073 11328456 FIXED ASSET PROJECTS IN PROGRESS 2097044 PROFESSIONAL INSURANCE RECEIVABLE 4235009 INTERCOMPANY 6114866 DAVITA-HOOPER DIALYSIS JV RIGHT TO USE OPERATING LEASE ASSETS - NET 115417017 ASC842 DEF RENT -27245 127836691 TOTAL OTHER LIABILITIES 4235009 LEASE LIABILITIES CURRENT 12551333 LEASE LIABILITIES LONG TERM 105795486 122581828 X 487607832 0 0 487607832 1203367 1203367 488811199 513039958 0 0 513039958 1203367 1203367 514243325 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote NO PROVISION HAS BEEN MADE FOR INCOME TAXES SINCE ST. ELIZABETH HEALTHCARE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ST. ELIZABETH HEALTHCARE AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ST. ELIZABETH HEALTHCARE IS NOT CURRENTLY UNDER EXAMINATION BY THE INTERNAL REVENUE SERVICE OR ANY STATE OR LOCAL TAX AUTHORITIES. ST. ELIZABETH HEALTHCARE'S FEDERAL TAX RETURNS FOR THE YEAR ENDED PRIOR TO DECEMBER 31, 2020 AND PRIOR YEARS ARE NO LONGER SUBJECT TO EXAMINATION AS THE STATUTE OF LIMITATIONS HAS EXPIRED FOR THOSE YEARS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements OTHER PERIODIC PENSION COSTS - 1203367 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements OTHER PERIODIC PENSION COSTS - 1203367 X X X X X X false true false true false false false false false Susan Oakley Former Vice Chair 629661 0 55439 0 2340 0 18300 0 27978 0 733718 0 0 0 Curtis Dorsch MD CHAIR/PHYSICIAN/DIRECTOR 476923 0 57734 0 27706 0 18300 0 36414 0 617077 0 0 0 Heidi Murley MD PRESIDENT/CEO 0 524598 0 172125 0 5039 0 18300 0 42558 0 762621 0 0 Chaitanya Mandapakala MD VICE CHAIR/PHYSICIAN/DIRECTOR 716803 0 67458 0 25186 0 18300 0 37724 0 865471 0 0 0 Garren Colvin PRESIDENT/CEO ST. ELIZABETH HEALTHCARE 0 1221751 0 128297 0 28052 0 18300 0 30746 0 1427146 0 0 LaRoy Kendall MD DIRECTOR 0 419043 0 87042 0 29384 0 18300 0 25674 0 579443 0 0 Lori Ritchey-Baldwin CFO St. Elizabeth Healthcare 0 620758 0 195146 0 33154 0 18300 0 31346 0 898705 0 0 Lisa Arehart APRN APRN 243977 0 32923 0 15452 0 17749 0 25160 0 335261 0 0 0 Stacey Bishop-Yeatman MD PHYSICIAN/DIRECTOR 300553 0 34712 0 26030 0 18300 0 37519 0 417115 0 0 0 Thom Bunnell MD PHYSICIAN/DIRECTOR 351994 0 31595 0 25215 0 18300 0 34850 0 461954 0 0 0 Vickie Chan MD PHYSICIAN/DIRECTOR 359628 0 40923 0 2522 0 18300 0 32995 0 454368 0 0 0 Sonia Chopra MD PHYSICIAN/DIRECTOR 504720 0 36168 0 24840 0 18300 0 25762 0 609791 0 0 0 Noreen Durrani MD PHYSICIAN/DIRECTOR 595796 0 79497 0 4146 0 18300 0 39060 0 736799 0 0 0 Daniel Flora MD PHYSICIAN/DIRECTOR 597345 0 45674 0 16267 0 18300 0 37810 0 715396 0 0 0 Amy Haney MD PHYSICIAN/DIRECTOR 241433 0 30197 0 29764 0 18300 0 29523 0 349217 0 0 0 Linda Hermiller MD PHYSICIAN/DIRECTOR 305578 0 30963 0 2374 0 18300 0 35914 0 393130 0 0 0 Donald Price MD PHYSICIAN/DIRECTOR 347575 0 54378 0 26322 0 18300 0 38961 0 485536 0 0 0 Robert Wagner MD PHYSICIAN/DIRECTOR 175866 0 18795 0 25482 0 0 0 34977 0 255119 0 0 0 Jacob Bast COO/SECRETARY 0 436944 0 119757 0 2891 0 18300 0 34459 0 612351 0 0 Bruce Henley CFO/TREASURER 0 345913 0 8003 0 33847 0 17659 0 30235 0 435658 0 0 Douglas Flora MD PHYSICIAN/ Former Executive Medical Director 706802 0 82979 0 26841 0 18300 0 38248 0 873170 0 0 0 Anthony Alvarez MD PHYSICIAN 1032444 0 98598 0 33054 0 18300 0 41962 0 1224358 0 0 0 Colleen Darnell MD PHYSICIAN 1098798 0 80853 0 2340 0 18300 0 27978 0 1228269 0 0 0 Neal Moser MD PHYSICIAN 1424314 0 177879 0 31224 0 18300 0 34472 0 1686190 0 0 0 Pratish Shah MD PHYSICIAN 1074169 0 91729 0 26976 0 18300 0 34562 0 1245735 0 0 0 William Willmott MD PHYSICIAN 1217717 0 194495 0 29693 0 18300 0 35812 0 1496016 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Certain individuals listed in Part VII participated in a split dollar life insurance plan. Please refer to Schedule L for participants, premiums and outstanding loan amounts. The following individuals are reported on the parent company, St. Elizabeth Medical Center's Schedule L as follows which includes the outstanding balance. Garren Colvin - $6,597,225 Lori Ritchey-Baldwin - $1,129,383 Laroy Kendall - $671,696 Heidi Murley - $117,914 Jacob Bast - $668,027 Bruce Henley - $1,224,400 Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization THE PHYSICIANS ON THE BOARD ARE PRACTICING PHYSICIANS. THEY ARE PARTLY COMPENSATED BASED ON PRODUCTIVITY RELATED TO PATIENT CARE SERVICES. THESE AMOUNTS ARE BASED ON WORK RELATIVE VALUE UNIT (WRVU) BASED COMPENSATION. Schedule J, Part I, Line 3 COMPENSATION DETERMINATION DR. HEIDI MURLEY IS EMPLOYED BY AND COMPENSATED THROUGH ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE, A RELATED ORGANIZATION FOR WHICH SHE SERVES AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR SUMMIT MEDICAL GROUP, INC., DBA ST. ELIZABETH PHYSICIANS. ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE, A RELATED ORGANIZATION, ESTABLISHES COMPENSATION UTILIZING WRITTEN EMPLOYMENT CONTRACTS, INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEY OR STUDY, FORM 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY A COMPENSATION COMMITTEE COMPOSED OF MEMBERS OF THE BOARD OF TRUSTEES ALL OF WHOM SATISFY INDEPENDENCE REQUIREMENTS SUFFICIENT TO SHOW THAT THEY DO NOT HAVE A CONFLICT OF INTEREST WITH COMPENSTION ARRANGEMENTS OF EXECUTIVE OFFICERS. Curtis J Dorsch Chair/Physician/Director To fund split dollar life Insurance premiums for supplemental life insurance X 212000 220860 false true true Daniel B Flora Physician/Director To fund split dollar life Insurance premiums for supplemental life insurance X 315000 328546 false true true Donald Lehner Price Physician/Director To fund split dollar life Insurance premiums for supplemental life insurance X 719890 751807 false true true Douglas B Flora Physician/Former Exec Medical Director To fund split dollar life Insurance premiums for supplemental life insurance X 315000 328378 false true true William Willmott Physician To fund split dollar life Insurance premiums for supplemental life insurance X 1232500 1278508 false true true 2908099 Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS DOES NOT HAVE A SPECIFIC WHISTLEBLOWER POLICY. HOWEVER, THERE IS A SECTION OF ST. ELIZABETH PHYSICIANS CORPORATE RESPONSIBILITY PROGRAM THAT ADDRESSES COMPLIANCE WITH THE FEDERAL FALSE CLAIMS ACT AND, WITHIN THAT SECTION, PROTECTION FOR WHISTLEBLOWERS IS SPECIFICALLY ADDRESSED. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Douglas Flora and Daniel Flora - Family relationship Form 990, Part VI, Line 6 Classes of members or stockholders SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS HAS A SINGLE CORPORATE MEMBER, ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS HAS A SINGLE CORPORATE MEMBER, ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE THAT HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE, THE SOLE MEMBER OF SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS, HAS CERTAIN RESERVED POWERS OF WHICH INCLUDE APPROVING: (I) ANNUAL CAPITAL AND OPERATING BUDGETS, INCLUDING BUT NOT LIMITED TO EXPENDITURES FOR INFORMATION SYSTEMS; (II) PHYSICIAN COMPENSATION FORMULAS; (III) LOANS, CAPITAL LEASES OR CREDIT FACILITIES IN ANY FISCAL YEAR; (IV) ACQUISITION, SALE OR CONVEYANCE OF CAPITAL ASSETS, INCLUDING REAL PROPERTY; (V) ACQUISITIONS, ALLIANCES AND JOINT VENTURES WITH OTHER HEALTH CARE PROVIDERS; (VI) SELECTION, EMPLOYMENT, TERMINATION AND COMPENSATION OF A PRESIDENT/CHIEF EXECUTIVE OFFICER; (VII) AMENDMENTS TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION; (VIII) THE DISSOLUTION, MERGER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (IX) CONTRACTUAL RELATIONSHIPS WITH OTHER PHYSICIAN GROUPS AND HEALTH CARE PROVIDERS; (X) CONTRACTING FOR PHYSICIAN SERVICES WITH MANAGED CARE COMPANIES OR OTHER PAYERS; (XI) ESTABLISH ANY COMPENSATION FOR SERVICES AS A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; AND (XII) ADOPTING OR MATERIALLY MODIFYING A STRATEGIC PLAN FOR THE CORPORATION. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body SUMMIT MEDICAL GROUP, INC. DBA ST. ELIZABETH PHYSICIANS PROCESS TO REVIEW THE FORM 990 CONSISTS OF THE REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT AND THE ST. ELIZABETH PHYSICIANS BOARD OF DIRECTORS. THE FORM 990 IS REVIEWED WITH AND APPROVED BY THE FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S APPROVAL, BUT PRIOR TO FILING WITH THE IRS, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS. Form 990, Part VI, Line 12c Conflict of interest policy SUMMIT MEDICAL GROUP, INC. , D/B/A ST. ELIZABETH PHYSICIANS, REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR A MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWER ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (I) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (II) HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY; (III) HAS AGREED TO COMPLY WITH THE POLICY; AND (IV) UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. WHEN BUSINESS MATTERS COME BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST: (I) THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT; (II) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (III) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (IV) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (V) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING. Form 990, Part VI, Line 15a Process to establish compensation of top management official IN DETERMINING THE COMPENSATION OF SUMMIT MEDICAL GROUP, INC., D/B/A ST. ELIZABETH PHYSICIANS, CHIEF EXECUTIVE OFFICER, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA, AND THEN A COMPENSATION RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL. THIS PROCESS IS PERFORMED ANNUALLY. Form 990, Part VI, Line 15b Process to establish compensation of other employees FOR BOTH THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EXECUTIVES, THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXTERNAL REVIEW OF EXECUTIVE COMPENSATION IS PERFORMED ANNUALLY AND APPROVED BY THE BOARD. THIS WAS LAST PERFORMED IN 2023. OTHER KEY EXECUTIVES ARE REVIEWED AND THE CHIEF EXECUTIVE OFFICER MAKES RECOMMENDATIONS FOR THEIR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE THEN EVALUATES AND APPROVES THE COMPENSATION FOR THE OTHER KEY EXECUTIVES. Form 990, Part VI, Line 19 Required documents available to the public UPON REQUEST, SUMMIT MEDICAL GROUP, INC., D/B/A ST. ELIZABETH PHYSICIANS, WILL MAKE AVAILABLE THE FORM 990 AND THE RELATED APPLICABLE SCHEDULES WHICH ARE OPEN TO PUBLIC INSPECTION. SUMMIT MEDICAL GROUP, INC., D/B/A ST. ELIZABETH PHYSICIANS, WILL NOT MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS WHICH ARE NOT OPEN TO PUBLIC INSPECTION. Form 990, Part VIII, Line 2f Other Program Service Revenue OTHER REVENUE - Total Revenue: 411313, Related or Exempt Function Revenue: 411313, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Laundry Expense - Total Expense: 135140, Program Service Expense: 135140, Management and General Expenses: , Fundraising Expenses: ; Physicians Services - Total Expense: 1047323, Program Service Expense: 1040832, Management and General Expenses: 6491, Fundraising Expenses: ; Non-Physician Services - Total Expense: 1043795, Program Service Expense: 712922, Management and General Expenses: 330873, Fundraising Expenses: ; Laboratory Services - Total Expense: 7439, Program Service Expense: 7439, Management and General Expenses: , Fundraising Expenses: ; Radiology Services - Total Expense: 1710, Program Service Expense: 1710, Management and General Expenses: , Fundraising Expenses: ; Consulting Services - Total Expense: 944910, Program Service Expense: 1150, Management and General Expenses: 943760, Fundraising Expenses: ; Data Processing Services - Total Expense: 1377387, Program Service Expense: 52099, Management and General Expenses: 1325288, Fundraising Expenses: ; Collection Services - Total Expense: 148758, Program Service Expense: 68, Management and General Expenses: 148690, Fundraising Expenses: ; Other Fees - Total Expense: 40, Program Service Expense: , Management and General Expenses: 40, Fundraising Expenses: ; Purchased Services - Total Expense: 1149957, Program Service Expense: 569333, Management and General Expenses: 580624, Fundraising Expenses: ; Clerical Services - Total Expense: 180, Program Service Expense: 180, Management and General Expenses: , Fundraising Expenses: ; Outsourcing Services - Total Expense: 2039528, Program Service Expense: 545473, Management and General Expenses: 1494055, Fundraising Expenses: ; Corporate Services - Total Expense: 60, Program Service Expense: , Management and General Expenses: 60, Fundraising Expenses: ; Acquisitions Costs - Total Expense: 440, Program Service Expense: , Management and General Expenses: 440, Fundraising Expenses: ; Recruitment Advertising - Total Expense: 1485, Program Service Expense: , Management and General Expenses: 1485, Fundraising Expenses: ; Janitorial Services - Total Expense: 851510, Program Service Expense: 825987, Management and General Expenses: 25523, Fundraising Expenses: ; Fire/Life Safety/Security - Total Expense: 32705, Program Service Expense: 20634, Management and General Expenses: 12071, Fundraising Expenses: ; Maintenance - Total Expense: 3810407, Program Service Expense: 2964697, Management and General Expenses: 845710, Fundraising Expenses: 0; Pest Control - Total Expense: 25449, Program Service Expense: 24442, Management and General Expenses: 1007, Fundraising Expenses: ; Facilities-Small Equipment - Total Expense: 21665, Program Service Expense: 21610, Management and General Expenses: 55, Fundraising Expenses: ; Physician Fees - Total Expense: 39320445, Program Service Expense: 29865377, Management and General Expenses: 9455068, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER BETWEEN AFFILIATES - 18925917; INVESTMENT IN AMSURG - -48457; SEP NEPHROLOGY HOLDINGS LLC 1360 DOLWICK SUITE 200 ERLANGER KY 41018 821075027 HOLDING COMPANY KY 72762 0 SUMMIT MEDICAL GROUP INC ST ELIZABETH MEDICAL CENTER INC DBA ST ELIZABETH HEALTHCARE 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 610445850 HOSPITAL KY 501(c)(3) 3 NA false Healthcare Advocates of Northern Kentucky 1 Medical Village Drive Edgewood KY 41017 832875231 Advance Healthcare Quality and Availability in Northern KY KY 501(c)(4) St Elizabeth Medical Center false Healthcare Solutions Network LLC 619 Oak Street Cincinnati OH 45206 472103334 PHO OH HSN Related false false Preferred Lab Partners LLC 1 Medical Village Drive Suite B Edgewood KY 41707 824758763 Laboratory KY NA Related false false Bioskills Lab LLC 4123 Olympic Blvd Erlanger KY 41018 320571870 Bioskills Lab KY SEMC Related false false St Elizabeth Provider Network Inc 1 Medical Village Dr Edgewood KY 41017 472862438 Physician-Hospital Org. KY St Elizabeth Medical Center Inc C Corporation true false false false true false false false false false true true true true false true true true true true