ST ELIZABETH MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ST ELIZABETH MEDICAL CENTER INC (EIN 61-0445850)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-09
IRS object ID: 202343139349301219
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-09T08:56:23+00:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402413902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610445850	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Elizabeth Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STEL	BusinessNameControlTxt
Phone	8596551642	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Medical Village Drive	AddressLine1Txt
City	Edgewood	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Lori Ritchey-Baldwin	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2023-11-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	LORI	PersonFirstNm
Person Last	RITCHEY-BALDWIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Scifres	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Garren Colvin	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Medical Village Drive	AddressLine1Txt
City	Edgewood	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,333,222,694	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.stelizabeth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1861	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	9475	TotalEmployeeCnt
Total Volunteers	936	TotalVolunteersCnt
Total Gross UBI	$4,950,481	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$636,917	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$33,852,804	PYContributionsGrantsAmt
CY Contributions Grants	$9,922,809	CYContributionsGrantsAmt
PY Program Service Revenue	$1,641,905,598	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,698,292,880	CYProgramServiceRevenueAmt
PY Investment Income	$134,415,617	PYInvestmentIncomeAmt
CY Investment Income	$54,295,224	CYInvestmentIncomeAmt
PY Other Revenue	$5,650,954	PYOtherRevenueAmt
CY Other Revenue	$6,130,967	CYOtherRevenueAmt
PY Total Revenue	$1,815,824,973	PYTotalRevenueAmt
CY Total Revenue	$1,768,641,880	CYTotalRevenueAmt
PY Grants And Similar Paid	$11,634,176	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,876,618	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$703,308,903	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$739,536,625	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$60,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$60,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,271,809	CYTotalFundraisingExpenseAmt
PY Other Expenses	$835,143,631	PYOtherExpensesAmt
CY Other Expenses	$936,364,793	CYOtherExpensesAmt
PY Total Expenses	$1,550,146,710	PYTotalExpensesAmt
CY Total Expenses	$1,679,838,036	CYTotalExpensesAmt
PY Revenues Less Expenses	$265,678,263	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$88,803,844	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,058,964,415	TotalAssetsBOYAmt
Total Assets EOY	$2,859,763,977	TotalAssetsEOYAmt
Total Liabilities BOY	$953,899,215	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$857,555,416	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,105,065,200	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,002,208,561	NetAssetsOrFundBalancesEOYAmt
Mission	AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,043,845,785	ExpenseAmt
Grant	$3,876,618	GrantAmt
Revenue	$1,682,098,154	RevenueAmt
Desc	St. Elizabeth Healthcare is one of the oldest, largest and most respected medical providers in the Northern Kentucky, Southern Ohio and Southern Indiana Areas. For more than 150 years, St. Elizabeth has been the heart and soul of healthcare in Northern Kentucky. Founded with one small hospital in 1861, St. Elizabeth Healthcare now operates six facilities throughout Northern Kentucky and Southeast Indiana - St. Elizabeth Covington, St. Elizabeth Edgewood, St. Elizabeth Florence, St. Elizabeth Ft. Thomas, St. Elizabeth Grant and St. Elizabeth Dearborn. St. Elizabeth Healthcare is sponsored by the Diocese of Covington and provided approximately $77 million in uncompensated care and benefit to the community in 2022. Within our thriving, multi-faceted organization, some of the nation's top medical professionals are working together to deliver the best care available to these areas. Our mission is to provide comprehensive and compassionate care that improves the health of the people we serve. We accomplish this through state of the art technology and our dedicated associates, led by a well-respected board and executive leadership team who love this organization and our community. St. Elizabeth Healthcare's state of the art technology includes a secure internal electronic medical records system that not only gives providers access to their patients medical records at any St. Elizabeth Healthcare or St. Elizabeth Physicians facility, but also gives the patient faster, more convenient access to their personal medical records, test results, and healthcare providers through a web portal called "MyChart." St. Elizabeth Healthcare has invested in our community for generations. St. Elizabeth Healthcare believes that reaching out to help the underprivileged and improving the overall health of the community is the foundation of its mission to provide comprehensive and compassionate care to our neighborhood and our families. It is because of this belief that the St. Elizabeth Healthcare community benefit program helps others have access to St. Elizabeth Healthcare resources and services. It is St. Elizabeth Healthcare's intention to always balance financial viability with compassionate care and to stay true to its non-profit roots. During 2022 St. Elizabeth Healthcare had total admissions of 115,153, total patient visits of 228,471, and total emergency room visits of 194,262.	Desc
Total Program Service Expenses	$1,043,845,785	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	627	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9475	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LORI RITCHEY-BALDWIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8596551642	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 MEDICAL VILLAGE DRIVE	AddressLine1Txt
City	EDGEWOOD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Garren Colvin
PRESIDENT/CEO	50.0	5.0	Yes (X)	Yes (X)	$1,434,117	$0	$70,263
AJ Schaeffer
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Bob Stevens
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Brian Robinson
VICE CHAIRMAN	4.0	0	Yes (X)		$27,535	$0	$0
Curtis Dorsch MD
TRUSTEE/PHYSICIAN/SEP CHAIR	4.0	50.0	Yes (X)		$0	$553,473	$72,598
Debbie Simpson
CHAIR OF BOARD	4.0	0	Yes (X)		$0	$0	$0
Jackie Sweeney
TRUSTEE	4.0	0	Yes (X)		$2,739	$0	$0
Jason Jackman
TRUSTEE	4.0	0	Yes (X)		$2,048	$0	$0
Joe Koester
TRUSTEE	4.0	0	Yes (X)		$3,326	$0	$0
Kris Knochelmann
TRUSTEE	4.0	0	Yes (X)		$1,833	$0	$0
Kristi Nelson
TRUSTEE	4.0	0	Yes (X)		$26,836	$0	$0
Latonya Brown-Puryear MD
PHYSICIAN/TRUSTEE	4.0	50.0	Yes (X)		$0	$629,312	$77,143
Marsha Croxton
TRUSTEE	4.0	0	Yes (X)		$3,349	$0	$0
Marsha Ladenburger
TRUSTEE	4.0	0	Yes (X)		$1,214	$0	$0
Meredith Donnelly MD
TRUSTEE	4.0	0	Yes (X)		$29,520	$0	$0
Robert Moorhead
TRUSTEE	4.0	0	Yes (X)		$1,726	$0	$0
Roger Peterman
TRUSTEE	4.0	0	Yes (X)		$19,502	$0	$0
Gary Blank
EXECUTIVE VP & COO	50.0	1.0		Yes (X)	$908,753	$0	$55,112
Lisa Frey
SENIOR VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	50.0	1.0		Yes (X)	$641,081	$0	$54,058
Lori Ritchey-Baldwin
Senior Vice President/CFO/Treasurer	50.0	5.0		Yes (X)	$927,786	$0	$73,560
Bruno Giacomuzzi
COO Flo FT Cov & SVP Prof Svcs	50.0	0			$555,375	$0	$73,822	Yes (X)
Christopher G Carle
PRESIDENT/CEO SEPN, COO - DEARBORN	50.0	0			$718,800	$0	$74,236	Yes (X)
Harry Watson
Sr. VP Facilities	50.0	0			$402,408	$0	$37,861	Yes (X)
John Mitchell
SVP - COO FT. THOMAS	50.0	0			$380,630	$0	$53,391	Yes (X)
Julie McGregor
SVP HUMAN RESOURCES	50.0	0			$399,915	$0	$34,329	Yes (X)
Kathy Lynn Jennings
SVP PATIENT CARE/ONCOLOGY	50.0	0			$354,685	$0	$60,362	Yes (X)
LaRoy Kendall MD
SVP MEDICAL SERVICES, CMO	50.0	4.0			$593,479	$0	$66,994	Yes (X)
Robert Prichard MD
Chief Integration Officer	25.0	0.0			$1,093,113	$0	$65,642	Yes (X)
Sarah Giolando
SVP/CHIEF STRATEGY OFFICER	50.0	0			$486,888	$0	$60,289	Yes (X)
Vera Hall
SVP System CNE	50.0	0			$464,909	$0	$44,847	Yes (X)
Abiodun Ishola MD
PHYSICIAN	50.0	0			$981,622	$0	$73,943		Yes (X)
Jon Hays MD
PHYSICIAN	50.0	0			$1,053,869	$0	$73,293		Yes (X)
Mario Castillo-Sang MD
PHYSICIAN	50.0	0			$1,185,409	$0	$42,108		Yes (X)
Saeb Khoury MD
PHYSICIAN	50.0	0			$983,469	$0	$74,493		Yes (X)
Stephen Schutzman MD
PHYSICIAN	50.0	0			$1,072,983	$0	$74,689		Yes (X)
James Parsons
Former SVP HUMAN RESOURCES	0.0	0			$577,104	$0	$40,162			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,336,020	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,182,786	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,353,196	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1295	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
QUALIVIS LLC
1000 CENTER POINT RD	COLUMBIA	SC	29210	MEDICAL SERVICES	$32,969,630
MESSER CONSTRUCTION
88718 EXPEDITE WAY	CHICAGO	IL	60695	CONSTRUCTION SERVICES	$32,935,126
SEVEN HILLS ANESTHESIA LLC
4030 SMITH RD	CINCINNATI	OH	45209	MEDICAL SERVICES	$11,876,579	STE 325
PEPPER CONSTRUCTION COMPANY OF OHIO LLC
5185 BLAZER PKWY STE 101	DUBLIN	OH	43017	CONSTRUCTION SERVICES	$11,156,211
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	523880314	COMPUTER SERVICES	$9,289,093

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	221	CntrctRcvdGreaterThan100KCnt
Fundraising	$7,683	FundraisingAmt
Government Grants	$9,527,183	GovernmentGrantsAmt
All Other Contributions	$387,943	AllOtherContributionsAmt
Noncash Contributions	$317,064	NoncashContributionsAmt
Total Contributions	$9,922,809	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$1,428,214,411	$1,428,214,411
OTHER RELATED REVENUE	900099	$88,796,785	$88,796,785
PATIENT/EMPLOYEE DRUGS	456110	$86,895,750	$70,989,220	$4,663,180	$11,243,350
LABORATORY	621511	$94,385,934	$94,097,738	$288,196

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,698,292,880	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,676,333	TotalRevenueColumnAmt
Unrelated Business Revenue	-$895	UnrelatedBusinessRevenueAmt
Exclusion	$37,677,228	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$188,573	TotalRevenueColumnAmt
Exclusion	$188,573	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,897,391	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,456,711	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$440,680	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$440,680	TotalRevenueColumnAmt
Exclusion	$440,680	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$574,038,308	SecuritiesAmt
Other	$3,188,321	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$556,476,080	SecuritiesAmt
Other	$4,320,231	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$17,562,228	SecuritiesAmt
Other	-$1,131,910	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,430,318	TotalRevenueColumnAmt
Exclusion	$16,430,318	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$425,315	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$7,683	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$327,653	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$97,662	TotalRevenueColumnAmt
Exclusion	$97,662	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$5,827	GamingGrossIncomeAmt
Gaming Direct Expenses	$139	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,688	TotalRevenueColumnAmt
Exclusion	$5,688	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722310	$3,889,805	$3,889,805
GIFT SHOP	900099	$1,628,957	$1,628,957
VENDING	445123	$68,175	$68,175

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,586,937	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,768,641,880	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,682,098,154	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,950,481	UnrelatedBusinessRevenueAmt
Exclusion	$71,670,436	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,876,618	TotalAmt
Program Services	$3,876,618	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,750,739	TotalAmt
Program Services	$8,100,627	ProgramServicesAmt
Management And General	$2,629,172	ManagementAndGeneralAmt
Fundraising	$20,940	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$799,242	TotalAmt
Program Services	$602,225	ProgramServicesAmt
Management And General	$195,460	ManagementAndGeneralAmt
Fundraising	$1,557	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$568,604,434	TotalAmt
Program Services	$428,440,547	ProgramServicesAmt
Management And General	$139,056,367	ManagementAndGeneralAmt
Fundraising	$1,107,520	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$30,955,372	TotalAmt
Program Services	$22,392,845	ProgramServicesAmt
Management And General	$8,504,780	ManagementAndGeneralAmt
Fundraising	$57,747	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$89,147,978	TotalAmt
Program Services	$64,619,782	ProgramServicesAmt
Management And General	$24,351,456	ManagementAndGeneralAmt
Fundraising	$176,740	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$39,278,860	TotalAmt
Program Services	$29,943,871	ProgramServicesAmt
Management And General	$9,252,783	ManagementAndGeneralAmt
Fundraising	$82,206	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,267,320	TotalAmt
Program Services	$7,500	ProgramServicesAmt
Management And General	$1,259,820	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$543,966	TotalAmt
Program Services	$14,529	ProgramServicesAmt
Management And General	$529,437	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$60,000	TotalAmt
Fundraising	$60,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$6,729,534	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,729,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$334,588,314	TotalAmt
Program Services	$125,469,541	ProgramServicesAmt
Management And General	$209,056,340	ManagementAndGeneralAmt
Fundraising	$62,433	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,255,774	TotalAmt
Program Services	$489,752	ProgramServicesAmt
Management And General	$5,758,287	ManagementAndGeneralAmt
Fundraising	$7,735	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,186,397	TotalAmt
Program Services	$3,251,319	ProgramServicesAmt
Management And General	$2,794,212	ManagementAndGeneralAmt
Fundraising	$140,866	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,259,995	TotalAmt
Program Services	$1,726,495	ProgramServicesAmt
Management And General	$22,490,435	ManagementAndGeneralAmt
Fundraising	$43,065	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,181,461	TotalAmt
Program Services	$1,257,547	ProgramServicesAmt
Management And General	$19,923,914	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$592,886	TotalAmt
Program Services	$321,234	ProgramServicesAmt
Management And General	$235,676	ManagementAndGeneralAmt
Fundraising	$35,976	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,718,564	TotalAmt
Program Services	$474,274	ProgramServicesAmt
Management And General	$2,005,898	ManagementAndGeneralAmt
Fundraising	$238,392	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,510,262	TotalAmt
Program Services	$71,793	ProgramServicesAmt
Management And General	$10,438,469	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$84,422,965	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$84,422,965	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,735,164	TotalAmt
Program Services	$1,482	ProgramServicesAmt
Management And General	$12,733,682	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$339,805,676	$331,206,757	$8,559,472	$39,447
GENERAL SUPPLIES	$30,098,324	$19,623,080	$10,332,851	$142,393
PROVIDER TAX	$36,348,197	$0	$36,348,197	$0
DUES AND MEMBERSHIPS	$2,171,462	$920,840	$1,244,486	$6,136

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,948,532	TotalAmt
Program Services	$1,033,127	ProgramServicesAmt
Management And General	$14,866,749	ManagementAndGeneralAmt
Fundraising	$48,656	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,679,838,036	TotalAmt
Program Services	$1,043,845,785	ProgramServicesAmt
Management And General	$633,720,442	ManagementAndGeneralAmt
Fundraising	$2,271,809	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,558,922	BOYAmt
EOY	$3,558,922	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$173,146,109	BOYAmt
EOY	$137,243,732	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,021,462	BOYAmt
EOY	$11,036,694	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$162,082,256	BOYAmt
EOY	$144,221,253	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$13,189,310	BOYAmt
EOY	$17,039,890	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$30,591,343	BOYAmt
EOY	$38,407,016	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$44,379,367	BOYAmt
EOY	$47,798,927	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,579,318	BOYAmt
EOY	$13,815,573	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,446,645,742	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$706,199,860	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$721,341,329	BOYAmt
EOY	$740,445,882	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$636,893,695	BOYAmt
EOY	$562,264,722	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,020,515,061	BOYAmt
EOY	$908,555,557	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$25,689,302	BOYAmt
EOY	$38,587,780	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,449,499	BOYAmt
EOY	$8,939,499	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$187,527,442	BOYAmt
EOY	$187,848,530	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,058,964,415	BOYAmt
EOY	$2,859,763,977	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$260,992,862	BOYAmt
EOY	$255,967,537	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$62,111,250	BOYAmt
EOY	$1,823,608	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$363,723,085	BOYAmt
EOY	$353,405,493	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$267,072,018	BOYAmt
EOY	$246,358,778	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$953,899,215	BOYAmt
EOY	$857,555,416	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,068,370,226	BOYAmt
EOY	$1,965,425,313	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$36,694,974	BOYAmt
EOY	$36,783,248	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,105,065,200	BOYAmt
EOY	$2,002,208,561	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,058,964,415	BOYAmt
EOY	$2,859,763,977	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$88,803,844	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$198,518,119	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,857,636	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$48,804	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,063	OtherActivitiesAmt
Total Lobbying Expenditures	$88,867	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1j OTHER ACTIVIITIES	THE PORTION OF THE KENTUCKY HOSPITAL ASSOCIATION DUES AND SPONSORSHIP THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES IS $40,063.
Schedule C, Part II-B, Line 1g Direct contact with legislators	A PORTION OF TWO ST. ELIZABETH HEALTHCARE EMPLOYEES' SALARIES IS RELATED TO DIRECT CONTACT WITH LEGISLATORS AS IT RELATES TO LEGISLATION FOR THE TAX YEAR 2022. THE AMOUNT IS $6,250. ST. ELIZABETH HEALTHCARE ALSO ENLISTED THE ASSISTANCE OF LOBBYING CONSULTANTS IN 2022. THE AMOUNT PAID TO THESE CONSULTANTS IS $39,200. ST. ELIZABETH HEALTHCARE ALSO PAID $3,354 IN SPONSORSHIP DOLLARS.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	ST. ELIZABETH HEALTHCARE hired lobbying consultants to provide lobbying support at the state and local levels on legislative issues being considered by the Kentucky General Assembly or by cities and counties in our community. Primarily, the consulting work includes monitoring bills, notifying St. Elizabeth if there are issues of concern or bills introduced that are of concern, assistance in talking with legislators or other government officials about these concerns, sharing positions on bills or issues with our legislators, and summarizing actions that have taken place on a weekly basis during the session. We hired the consulting firm because they are based in Frankfort, Kentucky and can be at the meetings and hearings every day during the session so that we can be more timely in responding if issues arise.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,873,405	OtherCostOrOtherBasisAmt
Book Value	$20,873,405	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$850,597,262	OtherCostOrOtherBasisAmt
Depreciation	$352,112,407	DepreciationAmt
Book Value	$498,484,855	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,948,177	OtherCostOrOtherBasisAmt
Depreciation	$11,275,018	DepreciationAmt
Book Value	$7,673,159	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$496,067,157	OtherCostOrOtherBasisAmt
Depreciation	$342,677,496	DepreciationAmt
Book Value	$153,389,661	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,159,741	OtherCostOrOtherBasisAmt
Depreciation	$134,939	DepreciationAmt
Book Value	$60,024,802	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$740,445,882	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (9 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
UNRESTRICTED
Hedge Fund of Funds	$74,269,755	F
Emerging Market Fund	$46,456,004	F
Commingled Funds	$317,561,146	F
Infrastructure Funds	$122,162,656	F
Private Debt	$43,434,715	F
Putwrite Fund/Defensive Equity Fund	$81,518,227	F
Venture Capital	$3,123,796	F
Real Estate Funds	$220,029,258	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$908,555,557	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (18 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS - INDIGENT RECEIVABLES	$16,625,000
OTHER ASSETS - NET RIGHT OF USE OPERATING LEASE ASSETS	$92,604,319
457(b) Participants Accounts	$45,893,827
INVESTMENT - CCRC	$822,975
INVESTMENT - B/FMP LAND CO	$4,300,000
OTHER ASSETS - BENEFICIAL INTEREST IN CHARITABLE TRUST	$130,692
OTHER ASSETS - PROFESSIONAL INSURANCE RECEIVABLE	$5,165,857
OTHER ASSETS - WORKERS' COMP. INSURANCE RECEIVABLE	$2,107,005
OTHER ASSETS - REC RETENTION BONUSES	$655,977
Notes Rec - Catalytic Fund	$1,000,000
REAL ESTATE SALES - NOTES RECEIVABLE
PREMIER TAX RECEIVABLE LT	$690,962
ASC842 DEF RENT REC IC LEASE	$1,611,921
BPDC LEASE OPTION
BEN INT ASSETS HELD HOR	$3,000,000
GAIN OR LOSS ON IHCF	$477,461
ACCRUED PENSION LIABILITY	$6,401,652
INTEREST RATE SWAP RECEIVABLE	$6,360,882

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$187,848,530	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDesc	AmtAmt
OTHER CURRENT LIABILITIES HOSPITAL
MEDICARE PAYABLE	$7,100,866
MEDICAID PAYABLE	$52,714
OTHER CURRENT LIABILITIES	$21,244,856
LEASE LIABILITIES CURRENT	$9,459,919
LEASE LIABILITIES LONG TERM	$87,202,067
RESERVE FOR SELF-INSURANCE	$63,027,531
ACCRUED PENSION LIABILITY
ANNUITY PAYMENT LIABILITY	$63,369
ASSET RETIREMENT OBLIGATION	$459,462
INTEREST RATE SWAP	$483,093
OTHER LONG TERM LIABILITIES	$57,264,901

Field	Value	IRS element (for citing)
Total Liability	$246,358,778	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,593,338,653	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$198,518,119	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$37,000	DonatedServicesAndUseFcltsAmt
Other Revenue	$32,956,477	OtherRevenueAmt
Revenue Not Reported	-$165,524,642	RevenueNotReportedAmt
Revenue Subtotal	$1,758,863,295	RevenueSubtotalAmt
Investment Expenses Not Incld	$6,729,534	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,049,051	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$9,778,585	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,768,641,880	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,680,515,602	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$37,000	DonatedServicesUseFcltsAmt
Other Expenses Included	$10,412,970	OtherExpensesIncludedAmt
Expenses Not Reported	$10,449,970	ExpensesNotReportedAmt
Expenses Subtotal	$1,670,065,632	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$6,729,534	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$3,042,870	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$9,772,404	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,679,838,036	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN 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 YEARS ENDED PRIOR TO DECEMBER 31, 2019 AND PRIOR YEARS ARE NO LONGER SUBJECT TO EXAMINATION AS THE STATUTE OF LIMITATIONS HAS EXPIRED FOR THOSE YEARS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	FUNDRAISING EXPENSES - 327653 GAMING EXPENSES - 139 SEPN - 5726650 RENTAL EXPENSES - 3456711 CHANGE IN FVM IN INT RATE SWAP - 23445324
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	LOSS/GAIN ON FIXED ASSETS DISPOSALS - -1131910 UNCOLLECTIBLE PLEDGES - 6181 PENSION EXP BOOKED TO REVENUE - 1307748 SEPN - 2426180 5 LABS - 440852
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	SEPN - 6628467 RENTAL EXPENSES - 3456711 FUNDRAISING EXPENSES - 327653 GAMING EXPENSES - 139
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	PENSION EXPENSE BOOKED TO REVENUE - 1307748 5 LABS - 440852 SEPN - 2426180 LOSS/GAIN ON FIXED ASSET DISPOSALS - -1131910

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Investments	N/A	$75,386,337
Europe (Including Iceland and Greenland)	0	0	Investments	N/A	$9,172,529

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$84,558,866	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$84,558,866	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HILLARY LYONS ASSOCIATESBOUTS VENTURE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	139 Bridge Street	AddressLine1Txt
City	Dimondale	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48821	ZIPCd

Field	Value	IRS element (for citing)
Activity	Consulting Fee	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$60,000	RetainedByContractorAmt
Net To Organization	-$60,000	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$60,000	TotalRetainedByContractorsAmt
Total Net To Organization	-$60,000	TotalNetToOrganizationAmt
Licensed States	IN	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Partee	Event1Nm
Gross Receipts Event1	$297,170	GrossReceiptsEvent1Amt
Charitable Contri Event1	$5,551	CharitableContriEvent1Amt
Gross Revenue Event1	$291,619	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$26,090	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$98,600	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$8,120	OtherDirectExpensesEvent1Amt
Event2	The Golf Classic	Event2Nm
Gross Receipts Event2	$64,885	GrossReceiptsEvent2Amt
Charitable Contri Event2	$300	CharitableContriEvent2Amt
Gross Revenue Event2	$64,585	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$5,528	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$14,522	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$2,404	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$70,943	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,832	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$69,111	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$7,076	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$101,517	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$24,015	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$5,500	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$34,281	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$432,998	GrossReceiptsTotalAmt
Charitable Contributions Tot	$7,683	CharitableContributionsTotAmt
Gross Revenue Total Events	$425,315	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$38,694	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$101,517	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$137,137	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$44,805	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$327,653	DirectExpenseSummaryEventsAmt
Net Income Summary	$97,662	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule G, Part I, Line 2b(i) Hillary Lyons Associates/Bouts Ventures LLC	FormAndLineReferenceDesc
Explanation	Hillary Lyons Associates/Bouts Ventures LLC is a consulting firm working in the field of ongoing fund development and community relations exclusively for non-profit health care institutions. Hillary Lyons Associates/Bouts Ventures LLC do not participate in the solicitation of contributions.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,913,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,355,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,558,207	NetCommunityBenefitExpnsAmt
Total Expense	0.0063	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$264,012,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$248,507,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,504,945	NetCommunityBenefitExpnsAmt
Total Expense	0.0092	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$284,925,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$258,862,302	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,063,152	NetCommunityBenefitExpnsAmt
Total Expense	0.0155	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,200,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,199,333	NetCommunityBenefitExpnsAmt
Total Expense	0.0025	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,054,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$133,914	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,920,236	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,616,371	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$922,001	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$694,370	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,103	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,103	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,798,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,798,260	NetCommunityBenefitExpnsAmt
Total Expense	0.0136	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$32,704,597	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,057,295	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,647,302	NetCommunityBenefitExpnsAmt
Total Expense	0.0188	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$317,630,051	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$259,919,597	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,710,454	NetCommunityBenefitExpnsAmt
Total Expense	0.0344	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$914,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$914,777	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$813	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,975	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,975	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,526	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,018,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,018,091	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$43,568,403	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,356,840	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$256,073,017	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$288,427,851	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$32,354,834	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
BLUEGRASS DIALYSIS LLC
RENAL DIALYSIS	0.32	0.0	0.17
Heritage Development Partners LLC
Ambulatory Surgery Center	0.5		0.5

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
ST ELIZABETH EDGEWOOD - Covington
1	1 MEDICAL VILLAGE DRIVE	EDGEWOOD	KY	41017	www.stelizabeth.com	100500	Yes (X)	Yes (X)	Yes (X)	A
ST ELIZABETH FLORENCE
2	4900 HOUSTON ROAD	FLORENCE	KY	41042	www.stelizabeth.com	100273	Yes (X)	Yes (X)	Yes (X)	A
ST ELIZABETH FORT THOMAS
3	85 NORTH GRAND AVENUE	FORT THOMAS	KY	41075	www.stelizabeth.com	100059	Yes (X)	Yes (X)	Yes (X)	A
ST ELIZABETH GRANT
4	238 BARNES ROAD	WILLIAMSTOWN	KY	41097	www.stelizabeth.com	600062	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
ST ELIZABETH DEARBORN
5	600 WILSON CREEK ROAD	LAWRENCEBURG	IN	47025	www.stelizabeth.com	005077	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.stelizabeth.com	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.stelizabeth.com/care/community-outreach-menu/community-health-needs-assessment-implement	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.stelizabeth.com/care/pay-my-bill/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.stelizabeth.com/care/pay-my-bill/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.stelizabeth.com/care/pay-my-bill/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - St. Elizabeth Healthcare - Florence, Edgewood, Grant, Ft. Thomas & Dearborn. DURING 2021, ST. ELIZABETH HEALTHCARE CONDUCTED ITS NEXT REQUIRED CHNA FOR YEARS 2022 -2024. In preparation for the 2021 CHNA, primary data was collected from persons who represent the broad interests of the community, including those with expertise in public health. Representation included area health departments, local governmental/civic agencies, other healthcare providers, community-based social service agencies and area school districts. The methodology used to collect the data included presentations to groups, phone calls and an online survey. The process included an explanation of the CHNA requirements and how the data garnered would be used to develop the CBIP. Participants were then asked to list in order from most important to least important what they believed were the top five community health needs that should be addressed and/or considered in the assessment. Concentrating on social service agencies, school districts and civic services ensured that the CHNA identified and received data on the most pressing health needs within the community served. The following is a listing of the community participants: Social Service Agencies: Batesville Food Pantry Brighton Center Butler Foundation (Corporex) Catholic Charities Center for Great Neighborhoods Children's Home of NKY Clearinghouse Community Foundation of Switzerland County Community Mental Health Center Dearborn Community Foundation Faith Community Pharmacy Franklin County Community Foundation Henry Hosea House Hispanic Community Advisory Committee Ida Spence Mission Life Learning Center LifeTime Resources New Horizons Rehabilitation, Inc. NKU NACU NKY Community Action Commission Pregnancy Care Center Rosedale Green Transitions United Way Greater Cincinnati Southeast Indiana Businesses: Absolute Web Design African American Chamber of Commerce Covington Business Council Maxwell Construction Company NKY Chamber of Commerce Northern Kentucky Area Development District Schools: Batesville Community Schools Bishop Brossart Campbell County Schools Community Christian Academy Covington Schools Erlanger-Elsmere Schools Franklin County Schools Grant County Schools Jac-Cen-Del Community Schools Kenton County Schools Ludlow Schools Milan Community Schools Rising Sun - Ohio County Schools South Dearborn Community Schools South Ripley Community Schools St. Lawrence Catholic School St. Nicholas School Sunman Dearborn Schools Switzerland County Schools Walton Verona Schools Health Depts: Dearborn County Health Dept NKY Health Dept Ripley County Health Dept Switzerland County Health Dept Three Rivers District Health Dept Civic Services: Boone County Detention Center Campbell County Detention Center Campbell County Fiscal Court Dearborn Circuit Clerk Dearborn County Commissioner Kenton County Detention Center NKY Area Development District Pendleton County Fiscal Court Cities: Batesville Bellevue Covington Crestview Hills Dillsboro Edgewood Fort Wright Greendale Southgate Union Williamstown First Responders: Alexandria Batesville Fire Bellevue/Dayton Fire Brookville Fire Covington Fire Dillsboro Police Dry Ridge Fire Edgewood Erlanger Fire/EMS Florence Florence Fire Franklin County Sheriff Gallatin Fire Grant County Sheriff Greendale Police Independence Kentucky State Police Kentucky State Police Kentucky State Police Lawrenceburg Police Ludlow Fire Pendleton County Fire Switzerland County Sheriff Villa Hills Walton Fire Wilder
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - ST. ELIZABETH HEALTHCARE. ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMAS ST. ELIZABETH - GRANT COUNTY ST. ELIZABETH - DEARBORN
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - St. Elizabeth Healthcare - Florence, Edgewood, Grant, Ft. Thomas & Dearborn. 2022 ACCOMPLISHMENTS TOWARDS THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN: Addressing Social Determinants of Health - Followed up with 60 (100%) of St. Elizabeth Physician patients who identified a food security need - Partnered with Welcome House in providing 46 participants with medical respite services - Explored 3 new partnerships to fill transportation gaps for patients and others to get to healthcare resources - Increased support for Covington Partners program, as well as completed Cincinnati Reds ballfield project for Ludlow city and schools - Funded new scholarships with community partners in outlying areas of Southeast Indiana, also funded health scholarships at Gateway over and above previously committed HRIP spending - Achieved Lift-Up reentry goal of 350 clients, bringing total served to date to 647 Providing Equitable Access to Care - Hosted 6 flu vaccine drive thru clinics; vaccinated 1,329 patients - Hosted 2 diabetes wellness days - Created Community Health patient-facing website - Converted 57.3% self-pay patients to Federal/State coverage - Provided community over 450 screenings (e.g., mammogram, cardiovascular, glucose, etc.) at various health events focused on vulnerable/minority populations - Launched campaign to educate the public on dangers of 2nd hand smoke Enhancing/Educating for Healthy Behaviors - Hosted 16 My Heart Rocks events at various schools throughout Kenton, Campbell and Boone counties - Hosted 25 community education events in various schools on the dangers of vaping - Offered 9 Freedom From Smoking education sessions - Provided 39 Preventative Health education events Managing/Reducing Chronic Diseases - Hosted 34 heart-related education events in the community - Performed 8,219 lung screenings - Performed 26,486 breast screenings - Performed 20,960 colon screenings - Expanded telehealth offerings for behavioral health to 1,390 patients living in rural counties - Increased percentage of Journey Recovery Center (JRC) patients from 21% to 98% who are sober/abstinent at 6 and 12 months

Field	Value	IRS element (for citing)
Facility	26	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST ELIZABETH HEALTHCARE HEART & VASCULAR INSTITUTE
711 Medical Village Drive	Edgewood	KY	41017	CARDIOLOGY DIAGNOSTIC TESTS
ST ELIZABETH HEALTHCARE NKU MEDICAL OFFICE
2626 Alexandria Pike	Highland Heights	KY	41076	ORTHOPEDIC
ST ELIZABETH HEALTHCARE ENDOSCOPY BUILDING
7370 Turfway Road	Florence	KY	41042	MEDICAL OFFICE
ST ELIZABETH HEALTHCARE - COVINGTON
1500 James Simpson Jr Way	Covington	KY	41011	AMBULATORY CARE CENTER
ST ELIZABETH HEALTHCARE ORTHOPEDIC BUILDING
560 South Loop Road	Edgewood	KY	41017	MEDICAL OFFICE
ST ELIZABETH HEALTHCARE OUTPATIENT SURGERY CENTER
580 South Loop Road	Edgewood	KY	41017	AMBULATORY SURGERY CENTER
ST ELIZABETH HEALTHCARE FLORENCE SPORTS MEDICINE
10095 Investment Way	Florence	KY	41042	SPORTS MEDICINE
ST ELIZABETH HEALTHCARE HEBRON IMAGING CENTER
2200 Connor Road	Hebron	KY	41005	MEDICAL OFFICE / IMAGING
ST ELIZABETH HEALTHCARE HOSPICE
483 South Loop Road	Edgewood	KY	41017	INPATIENT HOSPICE
ST ELIZABETH HEALTHCARE CHANCELLOR SURGERY CENTER
2845 Chancellor Drive	Crestview Hills	KY	41017	MEDICAL OFFICE
ST ELIZABETH HEALTHCARE WOMEN'S CENTER
610 Medical Village Drive	Edgewood	KY	41017	HEALTH SCREENING
ST ELIZABETH HEALTHCARE BUSINESS HEALTH
4123 Olympic Blvd	Erlanger	KY	41018	BUSINESS HEALTH SERVICES
ST ELIZABETH HEALTHCARE FAMILY PRACTICE CENTER
413 South Loop Road	Edgewood	KY	41017	FAMILY MEDICINE
ST ELIZABETH HEALTHCARE OWENTON MOB
120 Progress Way	Owenton	KY	40359	AMBULATORY CARE CENTER
ST ELIZABETH HEALTHCARE PHYSICAL THERAPY
741 Centre View Blvd	Crestview Hills	KY	41017	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE ALEXANDRIA PHYSICAL THERAPY AND IMAGING CENTER
7200 Alexandria Pike	Alexandria	KY	41001	PHYSICAL THERAPY AND IMAGING CENTER
ST ELIZABETH HEALTHCARE SPECIALTY PHARMACY
850 Thomas More Parkway	Edgewood	KY	41017	PHARMACY
ST ELIZABETH HEALTHCARE WILDER PHYSICAL THERAPY
106 Crossing Drive	Wilder	KY	41076	PHYSICAL THERAPY
BLUEGRASS DIALYSIS LLC
1500 James Simpson Jr Way Suite	Covington	KY	41011	RENAL DIALYSIS
ST ELIZABETH HEALTHCARE GRANT COUNTY PHYSICAL THERAPY
300 Barnes Road	Williamstown	KY	41097	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE BRIGHT PHYSICAL THERAPY
1940 Jamison Drive	Bright	IN	47025	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE VERSAILLES PHYSICAL THERAPY
476 W US 50	Versailles	IN	47042	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE INDEPENDENCE DIAGNOSTICS
135 Courthouse Crossing	Independence	KY	41051	XRAY/LAB
ST ELIZABETH HEALTHCARE FLORENCE PHLEBOTOMY LAB
8724 US 42	Florence	KY	41042	DIAGNOSTICS
ST ELIZABETH HEALTHCARE CRESTVIEW HILLS PHLEBOTOMY LAB
334 Thomas More Parkway	Crestview Hills	KY	41017	DIAGNOSTICS
ST ELIZABETH HEALTHCARE FT MITCHELL PHLEBOTOMY LAB
2300 Chamber Center	Ft Mitchell	KY	41017	DIAGNOSTICS

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	ST. ELIZABETH HEALTHCARE RECOGNIZES PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED FOR, EVEN THOUGH ST. ELIZABETH HEALTHCARE DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS AND CHARITY CARE ARE PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). ST. ELIZABETH HEALTHCARE RECOGNIZES REVENUE WHEN SERVICES ARE RENDERED FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF ST. ELIZABETH HEALTHCARE'S UNINSURED AND UNDERINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES RENDERED. AS A RESULT, ST. ELIZABETH HEALTHCARE RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED AND UNDERINSURED PATIENTS IN THE PERIOD THE SERVICES ARE RENDERED. FOR FINANCIAL STATEMENT PURPOSES, ST. ELIZABETH HEALTHCARE HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ST. ELIZABETH HEALTHCARE'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ESTIMATED AMOUNT OF ST. ELIZABETH HEALTHCARE'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ST. ELIZABETH HEALTHCARE'S FINANCIAL ASSISTANCE POLICY IS $4,356,840. THE PERCENTAGE OF BAD DEBTS THAT LIKELY COULD BE CHARITY CARE, IF ENOUGH INFORMATION WAS OBTAINED UP FRONT, WAS DEVELOPED WITH THE HELP OF OUR LARGEST COLLECTION AGENCY WHO HAS DETERMINED, BASED ON ACCOUNTS REVIEWED, WHO MAY NOT HAVE HAD THE FINANCIAL ABILITY TO PAY. ST. ELIZABETH HEALTHCARE ALSO BELIEVES THAT MANY PATIENTS FALL INTO THE CATEGORY WHERE THEY DO NOT MEET THE FEDERAL POVERTY GUIDELINES BUT YET CANNOT AFFORD THE COST OF THE SERVICES RENDERED, OR HAVE INSURANCE THAT MAY NOT COVER THE COST OF SERVICES. THEREFORE, ST. ELIZABETH HEALTHCARE BELIEVES THESE NON REIMBURSED COSTS SHOULD BE COUNTED AS A BENEFIT TO THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS THAT BAD DEBTS SHOULD BE COUNTED AS A COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Patient accounts are reported at the net consideration in which St. Elizabeth Healthcare expects to be entitled to in exchange for providing patient care. The portfolio approach is used to determine the reduction to accounts receivables based upon the historical collection experience of St. Elizabeth Healthcare adjusted for current environmental risks and trends for each major payor source. Amounts recognized are subject to adjustment upon review by third-party payors. Significant price concessions are made for self-pay patient accounts in the period of service based on past collection experience and are reported at the net amount St. Elizabeth Healthcare expects to collect. St. Elizabeth Healthcare recognizes patient service revenue at the time in which performance obligations are satisfied. These amounts are due from patient, third-party payers, (including managed care and governmental programs), and others are subject to contractual adjustments, discounts and implicit price concessions. Patient service revenue is reported at the net consideration in which St. Elizabeth Healthcare expects to be entitled to in exchange for providing patient care. Settlements are recorded on an estimated basis in the period the related services are rendered and adjusted in future periods based upon additional information, filed cost reports, interim settlements, and final settlements. St. Elizabeth Healthcare recognizes patient service revenue at the time services are rendered even though they do not assess the patient's ability to pay. As a result, implicit price concessions are presented as a deduction from patient service revenue (net of contractual provisions and discounts). Amounts determined to qualify as charity care are not reported as patient service revenue. For uninsured and underinsured patients that do not qualify for charity care, St. Elizabeth Healthcare recognizes revenue when services are provided. Based on historical experience, a significant portion of St. Elizabeth Healthcare's uninsured and underinsured patients will be unable or unwilling to pay for the services provided. Thus, St. Elizabeth Healthcare records significant implicit price concessions related to uninsured and underinsured patients in the period the services are provided.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	ST. ELIZABETH HEALTHCARE USES THE STEP DOWN METHODOLOGY TO DETERMINE COSTS FOR MEDICARE. THE REPORTS WERE THEN COMPLETED BY FOLLOWING THE GUIDANCE PROVIDED IN THE INSTRUCTIONS FOR PART III. ST. ELIZABETH HEALTHCARE BELIEVES MEDICARE LOSSES SHOULD BE AN ALLOWABLE COMMUNITY BENEFIT. ST. ELIZABETH HEALTHCARE PROVIDES NEEDED SERVICES TO THE ELDERLY AND DISABLED MEDICARE POPULATION AT A FINANCIAL LOSS TO ST. ELIZABETH HEALTHCARE TO HELP THOSE INDIVIDUALS GET THE CARE THEY NEED IN THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT MEDICARE LOSSES SHOULD BE COUNTED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ST. ELIZABETH HEALTHCARE HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, CERTAIN COLLECTION PRACTICES DO NOT APPLY.
Schedule H, Part V, Section B, Line 16a FAP website	A - ST. ELIZABETH FLORENCE: Line 16a URL: https://www.stelizabeth.com/care/pay-my-bill/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - ST. ELIZABETH FLORENCE: Line 16b URL: https://www.stelizabeth.com/care/pay-my-bill/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - ST. ELIZABETH FLORENCE: Line 16c URL: https://www.stelizabeth.com/care/pay-my-bill/;
Schedule H, Part VI, Line 2 Needs assessment	In 2022, St. Elizabeth Healthcare continued to work with the Northern Kentucky Office of Drug Control Policy and other community partners to address the issue of behavioral health (mental health and substance use) including the provision of financial support to the Northern Kentucky Addiction Helpline, providing data and support to community partners and local/state legislators to advocate for policies and funding that support treatment and recovery of substance use disorders, working with community partners to provide recovery support focused on employment/financial stability for people with substance use disorder, working with Safety Net Alliance and other partners to address the social determinants of health, and working with community mental health agencies in the promotion of mental health among youth and suicide prevention for all ages. In 2022, St. Elizabeth continued its support of Faith Community Pharmacy's Prescription Medication Programs. These programs provide life-sustaining prescriptions medications, free of charge, to those unable to pay, ensuring our Northern Kentucky community does not go without needed medications due to affordability. IN 2022, ST. ELIZABETH HEALTHCARE CONTINUED TO PROVIDE THE PATIENT AND FAMILY ADVISORY COUNCIL (PAFAC), WHICH MEETS EVERY TWO (2) MONTHS TO IDENTIFY NEEDS OF THE COMMUNITY BASED ON THE FEEDBACK OBTAINED FROM OUR PATIENTS AND FAMILY MEMBERS. CONTINUOUSLY, ST. ELIZABETH EVALUATES DATA FROM SOURCES SUCH AS OUR PATIENT SATISFACTION AND COMMUNITY HEALTH SURVEYS TO IDENTIFY THE NEEDS OF OUR COMMUNITY FOR THE PEOPLE WE SERVE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT FINANCIAL ASSISTANCE PROGRAM INFORMATION IS POSTED AT EACH SITE (THERE IS A FRAMED SIGN POSTED IN SPANISH AND ENGLISH). IN ADDITION, THERE IS A 1-PAGE DESCRIPTION OF OUR FINANCIAL ASSISTANCE PROGRAM THAT IS ATTACHED TO THE "PATIENT RIGHTS AND RESPONSIBILITIES" DOCUMENT, AND ALL PATIENTS ARE GIVEN THESE DOCUMENTS UPON REGISTRATION. IF A PATIENT DOES NOT HAVE INSURANCE, THEY ARE ALSO OFFERED AN APPLICATION PACKET FOR FINANCIAL ASSISTANCE. PATIENTS ARE NOTIFIED OF THEIR FINANCIAL RESPONSIBILITY, THE PATIENT RIGHTS AND RESPONSIBILITIES DOCUMENT GIVEN TO ALL PATIENTS STATES THEY HAVE A RESPONSIBILITY TO "PROVIDE NECESSARY FINANCIAL INFORMATION TO ASSURE ACCURATE BILLING AND MEET FINANCIAL COMMITMENTS." THE FINANCIAL ASSISTANCE PLAN DOCUMENT THEY ARE GIVEN PROVIDES DETAILED INFORMATION ON ELIGIBLE FINANCIAL AID SERVICES, AND ALSO STATES THAT "FINANCIAL ASSISTANCE IS NOT CONSIDERED AN ALTERNATIVE OPTION TO PAYMENT, AND PATIENTS MAY BE ASSISTED IN FINDING OTHER MEANS OF PAYMENT FOR FINANCIAL ASSISTANCE BEFORE APPROVAL FOR ST. ELIZABETH FINANCIAL ASSISTANCE PROGRAM." THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON ST. ELIZABETH HEALTHCARE'S WEB SITE. A WRITTEN COPY IS ALSO INCLUDED IN THE PATIENT HANDBOOK PROVIDED TO INPATIENT ADMISSIONS. A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING INDIVIDUALS ON THE PATIENT BILLS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS TO DETERMINE QUALIFICATION AND A COPY OF THE POLICY IS AVAILABLE TO PATIENTS UPON REQUEST.
Schedule H, Part VI, Line 4 Community information	ST. ELIZABETH HEALTHCARE SERVES THE NORTHERN KENTUCKY COUNTIES, WHICH INCLUDE: BOONE, BRACKEN, CAMPBELL, CARROLL, GALLATIN, GRANT, HARRISON, KENTON, MASON, OWEN, PENDLETON, ROBERTSON, AND SOUTHEASTERN INDIANA COUNTIES: DEARBORN, FRANKLIN, RIPLEY, OHIO, AND SWITZERLAND. THESE SERVICE AREAS INCLUDE URBAN, SUBURBAN, AND RURAL AREAS. THE TOTAL POPULATION OF THE SERVICE AREAS IS OVER 639,000. ST. ELIZABETH HEALTHCARE'S PRIMARY SERVICE AREAS DURING 2022 WAS DETERMINED BY IDENTIFYING WHERE 90% OF ITS PATIENT POPULATION ORIGINATES. THIS APPROACH ENSURES THAT THE ASSESSMENT WAS NOT LIMITED TO CERTAIN GEOGRAPHIC AREAS BUT INCLUDED THE MAJORITY OF THE POPULATION SERVED. THE DATA REVEALED THAT 94% OF THE PATIENT POPULATION RESIDES IN THE COUNTIES THAT MAKE UP THE NORTHERN KENTUCKY AREA DEVELOPMENT DISTRICT (NKADD). THE NKADD ENCOMPASSES THE COUNTIES OF BOONE, CAMPBELL, CARROLL, GALLATIN, GRANT, KENTON, OWEN AND PENDLETON, AND REPRESENTS OVER 473,000 RESIDENTS. WITH THE EXCEPTION OF ST. ELIZABETH DEARBORN, ALL OTHER HOSPITALS IN THE ST. ELIZABETH HEALTHCARE SYSTEM ARE LOCATED IN THIS REGION. THE PRIMARY SERVICE AREAS ARE PREDOMINANTLY NORTHERN KENTUCKY AND SOUTHEAST INDIANA. POPULATION BY ORIGIN: 89.98% WHITE, 3.44% BLACK, 3.33% HISPANIC, 1.31% ASIAN, 0.14% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, 0.28% AMERICAN INDIAN AND ALASKA NATIVE, 1.51 % OTHER. POPULATION BY AGE: UNDER 5; 6.03%; UNDER 18; 23.07%; 19-64; 53.98 %; 65+; 16.92%. PERSONS BELOW POVERTY LEVEL IN NKY, ALL AGES: 11.21% DUE TO THE ENACTMENT OF THE AFFORDABLE CARE ACT, IT IS ESTIMATED THAT APPROXIMATELY 6% OF THE NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA POPULATION UNDER AGE 65 REMAINS UNINSURED. THE POVERTY LEVEL OF THE REGION IS AS FOLLOWS: CARROLL COUNTY - 17.9%, OWEN COUNTY - 15.20%, GRANT COUNTY - 12.7%, CAMPBELL COUNTY - 11.1%, KENTON COUNTY - 12.6%, BOONE COUNTY - 6.4%, GALLATIN COUNTY - 14.7%, PENDLETON COUNTY - 14.8%, DEARBORN COUNTY - 7.6%, FRANKLIN COUNTY - 8.6%, RIPLEY COUNTY - 8.9%, SWITZERLAND COUNTY - 13.9%, OHIO COUNTY - 9.1%. THERE ARE SIX (6) OTHER HOSPITALS THAT SERVE THE NORTHERN KENTUCKY COMMUNITY. 1. GATEWAY REHABILITATION HOSPITAL IN BOONE COUNTY, 2. CARROLL COUNTY MEMORIAL HOSPITAL IN CARROLL COUNTY, 3. HARRISON MEMORIAL HOSPITAL IN HARRISON COUNTY, 4. ENCOMPASS REHABILITATION HOSPITAL IN KENTON COUNTY, 5. MEADOWVIEW REGIONAL MEDICAL CENTER IN MASON COUNTY, AND 6. SUN BEHAVORIAL HEALTH IN KENTON COUNTY. THERE IS ONE (1) OTHER HOSPITAL THAT SERVES THE SOUTHERN INDIANA COMMUNITY - MARGARET MARY HEALTH HOSPITAL IN RIPLEY COUNTY. THERE ARE A NUMBER OF HOSPITALS THAT SERVE THE SOUTHERN OHIO COMMUNITY, INCLUDING: THE CHRIST HOSPITAL, TRIHEALTH, MERCY HEALTH, AND THE UNIVERSITY OF CINCINNATI MEDICAL CENTER. THERE ARE A FEW FEDERALLY DESIGNATED - MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN THE COMMUNITIES.
Schedule H, Part VI, Line 5 Promotion of community health	ST. ELIZABETH HEALTHCARE FURTHERS ITS EXEMPT PURPOSES IN IMPROVING COMMUNITY HEALTH STATUS BY: 1) ENCOURAGING AND SUPPORTING STAFF TO PARTICIPATE ON VARIOUS COMMUNITY BOARDS/ACTIVITIES THAT SUPPORT AND/OR DEVELOP PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS AND WORKFORCE DEVELOPMENT. 2) ST. ELIZABETH HEALTHCARE'S BOARD OF TRUSTEES IS MADE UP OF COMMUNITY REPRESENTATIVES TO ENSURE THAT ST. ELIZABETH HEALTHCARE ADHERES TO ITS MISSION TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE. THE MAJORITY OF THE GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE WITHIN ST. ELIZABETH'S PRIMARY SERVICE AREA. ST. ELIZABETH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. 3) Through its PrimeWise network, St. Elizabeth Healthcare connects adults 50+ to programs including low impact exercise, health education and screenings, community events, wellness programs, and driver's safety. 4) Each year, St. Elizabeth Healthcare produces and distributes more than 600,000 different pieces of health-related information or invitations to health-related educational events throughout the community - which is an average of nearly 4 pieces of information per Northern Kentucky household. 5) PERIODICALLY, ST. ELIZABETH HEALTHCARE WILL PARTNER WITH COMMUNITY ORGANIZATIONS AND BUSINESS AGENCIES TO PRESENT HEALTH RELATED PROGRAMS AND HEALTH SCREENINGS. 6) ST. ELIZABETH APPLIES SURPLUS FUNDS TO IMPROVE PATIENT CARE BY IMPROVING FACILITIES, ACCESS TO CARE, TECHNOLOGY, RECRUITING AND RETAINING TOP TALENT, AND CONTINUING EDUCATION OF OUR STAFF THROUGH EITHER RESIDENCY OR COLLEGE EDUCATIONAL PROGRAMS. EXAMPLES OF HOW SURPLUS FUNDS WERE APPLIED IN 2022 ARE AS FOLLOWS: a. ST. ELIZABETH HEALTHCARE PROVIDED OUTREACH TO THE COMMUNITIES THROUGH THE MOBILE MAMMOGRAPHY AND MOBILE HEART PROGRAMS. b. ST. ELIZABETH HEALTHCARE PROVIDED COHORT EDUCATIONAL PROGRAMS WITH THE NORTHERN KENTUCKY UNIVERSITY (NKU), THOMAS MORE UNIVERSITY (TMU), AND MT. SAINT JOSEPH UNIVERSITY (MSJU) TO PROVIDE FOR CONTINUING AND/OR ADDITIONAL EDUCATION FOR OUR STAFF. c. THE CONTINUED FINANCIAL ASSISTANCE AND SUPPORT FOR THE FAMILY PRACTICE RESIDENCY PROGRAM WHICH IS COMPRISED OF THIRTY (30) FAMILY PRACTICE RESIDENTS WHO LIVE AND STAY IN THE COMMUNITY TO IMPROVE AND ENHANCE THE ACCESS TO PRIMARY CARE FOR THE PEOPLE WE SERVE. d. ST. ELIZABETH HEALTHCARE CONTINUES FINANCIAL SUPPORT FOR OUR PARISH NURSING PROGRAM WHICH PROVIDES OUTREACH, EDUCATION, AND PREVENTION INFORMATION TO OVER EIGHTY-ONE (81) CHURCHES AND NINE (9) COMMUNITY SITES. e. ST. ELIZABETH HEALTHCARE CONTINUES FINANCIAL SUPPORT FOR PREVENTION AND INJURY TREATMENT FOR ATHLETES ATTENDING SCHOOLS IN OUR COMMUNITIES. f. ST. ELIZABETH HEALTHCARE SPONSORS COMMUNITY BENEFITS TO ADDRESS THE HEALTHCARE NEEDS FOR DISEASES SUCH AS OBESITY, DIABETES, AND HEART DISEASE FOR THE PEOPLE WE SERVE. g. ST. ELIZABETH PHYSICIANS PRIMARY CARE PROVIDED ENHANCED SERVICES FOR EDUCATION AND RESOURCES TO THOSE IN THE COMMUNITY WE SERVE WHO STRUGGLE WITH OBESITY AND ENSUING CO-MORBIDITIES.
Schedule H, Part VI, Line 6 Affiliated health care system	ST. ELIZABETH HEALTHCARE IS A SYSTEM THAT FEATURES FIVE (5) FACILITIES THROUGHOUT NORTHERN KENTUCKY WHICH ARE: (I) ST. ELIZABETH - EDGEWOOD; (II) ST. ELIZABETH - FLORENCE; (III) ST. ELIZABETH - FORT THOMAS; (IV) ST. ELIZABETH - GRANT (V) ST. ELIZABETH - COVINGTON; PLUS ST. ELIZABETH - DEARBORN IN SOUTHEAST INDIANA. EACH OF THESE FACILITIES ADDRESSES THE SPECIFIC NEEDS OF ITS LOCALE AS IDENTIFIED BY THE PATIENTS IN THE COMMUNITY. THE SERVICE AREAS VARY FROM RURAL AREAS TO SUBURBAN AREAS TO URBAN AREAS. ST. ELIZABETH HEALTHCARE OFFERS OVER 1,190 LICENSED BEDS, OVER 10,100 EMPLOYEES, 815 PHYSICIAN PROVIDERS WITH FULL ADMITTING PRIVILEGES AND A WHOLLY OWNED PHYSICIAN ORGANIZATION (SEP) WHICH INCLUDES OVER 241 PRIMARY CARE AND SPECIALTY OFFICE LOCATIONS. ST. ELIZABETH HEALTHCARE IS SPONSORED BY THE DIOCESE OF COVINGTON.
Schedule H, Part VI, Line 7 State filing of community benefit report	KY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (88 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
A-L TIER II LLC
2692 MADISON RD	STE N1-414	CINCINNATI	OH	45208	474230979	501(c)(3)	$45,000	Program Support
ALZHEIMERS DISEASE AND RELATED DISORDERS
225 NORTH MICHIGAN AVENUE	SUITE 1700	CHICAGO	IL	60601	133039601	501(c)(3)	$7,000	Program Support
AMAZON CAPITAL SERVICES INC
410 TERRY AVE N		SEATTLE	WA	981095210	453328644	For-Profit	$7,504	3rd Party Payment - Car Seat Donations
AMERICAN CANCER SOCIETY INC
402 COOMER ST		SOMERSET	KY	42503	131788491	501(c)(3)	$17,000	Program Support
AMERICAN HEART ASSOCIATION INC
5211 MADISON AVE		CINCINNATI	OH	45227	135613797	501(c)(3)	$225,992	Program Support
AMERICAN LUNG ASSOCIATION
55 W WACKER DR	SUITE 1150	CHICAGO	IL	60601	131632524	501(c)(3)	$15,000	Program Support
ARH FOUNDATION FOR HEALTHIER COMMUNITIES
100 AIRPORT GARDENS RD		HAZARD	KY	41701	204840007	501(c)(3)	$50,000	Program Support
ARTHRITIS FOUNDATION INC
2209 HEATHER LANE		LOUISVILLE	KY	40218	581341679	501(c)(3)	$40,000	Program Support
BEECHWOOD BOARD OF EDUCATION
50 BEECHWOOD RD		FORT MITCHELL	KY	41017	616001268	Beechwood	$25,000	Program Support
BLUE NORTH KY INC
112 W PIKE ST		COVINGTON	KY	41011	870822775	501(c)(3)	$25,000	Program Support
BOONE COUNTY BOARD OF EDUCATION
99 CENTER STREET		FLORENCE	KY	41042	616001252	Boone County	$41,000	Program Support
BOY SCOUTS OF AMERICA-COUNCIL 438
10078 READING ROAD		CINCINNATI	OH	45241	310536651	501(c)(3)	$7,300	Program Support
BRIGHTON CENTER INC
PO BOX 325		NEWPORT	KY	41072	610673886	501(c)(3)	$10,250	Program Support
CANCER FAMILY CARE INC
4790 RED BANK EXPRESSWAY	SUITE 128	CINCINNATI	OH	45227	310805286	501(c)(3)	$12,500	Program Support
CANCER SUPPORT COMMUNITY
4918 COOPER ROAD		CINCINNATI	OH	45242	311287785	501(c)(3)	$5,000	Program Support
CATALYTIC DEVELOPMENT FUNDING CORP OF
50 E RIVERCENTER BLVD	STE 260	COVINGTON	KY	41011	263389252	501(c)(3)	$6,000	Program Support
CATHOLIC CHARITIES DIOCESE OF COVINGTON
3629 CHURCH ST		COVINGTON	KY	41015	610461728	501(c)(3)	$15,300	Program Support
CINCINNATI INSTITUTE OF FINE ARTS
PO BOX 630561		CINCINNATI	OH	452630561	310537138	501(c)(3)	$7,500	Program Support
CITY OF FORT THOMAS
130 N FT THOMAS AVE		FORT THOMAS	KY	41075	616001825	Ft. Thomas	$10,000	Program Support
CITY OF WILLIAMSTOWN
400 N MAIN ST		WILLIAMSTOWN	KY	41097	616001931	Williamstown	$10,000	Program Support
COMMONWEALTH FUND FOR KET INC
2355 DIXIE HWY		FORT MITCHELL	KY	41017	616001915	Ft. Mitchell	$10,000	Program Support
COVINGTON BUSINESS COUNCIL
50 E RIVERCENTER BLVD SUITE 160		COVINGTON	KY	41011	310963057	501(c)(6)	$16,500	Program Support
COVINGTON PARTNER INC
PO BOX 426		COVINGTON	KY	41012	201515753	501(c)(3)	$65,000	Program Support
DIOCESAN CATHOLIC CHILDRENS HOME INC
75 ORPHANAGE RD		FORT MITCHELL	KY	41017	610463943	501(c)(3)	$25,000	Program Support
DISTRIBUTED WEBSITE CORPORATION
355 W 4TH ST		WINONA	MN	559872805	411945047	For-Profit	$5,720	3rd Party Payment - Local School Software
FAITH COMMUNITY PHARMACY INC
601 WASHINGTON AVENUE		NEWPORT	KY	41071	611378914	501(c)(3)	$100,000	Program Support
FAMILY NURTURING CENTER OF KENTUCKY INC
5 S SPIRAL DRIVE	SUITE 100	FLORENCE	KY	41042	311011326	501(c)(3)	$6,500	Program Support
FORT THOMAS EDUCATION FOUNDATION
PO BOX 75090		FORT THOMAS	KY	41075	611393646	Ft. Thomas	$16,500	Program Support
FREESTORE FOODBANK INC
112 E LIBERTY ST		CINCINNATI	OH	45202	237122205	501(c)(3)	$25,000	Program Support
GAMBLE SPORTS PROPERTIES LLC
8549 MONTGOMERY RD		CINCINNATI	OH	452362366	272508231	For-Profit	$37,803	3rd Party Payment to support NKY High School sports programs
GATEWAY COMMUNITY & TECHNICAL COLLEGE FOUNDATION INC
500 TECHNOLOGY WAY		FLORENCE	KY	41042	611239550	501(c)(3)	$15,000	Program Support
GO PANTRY CORPORATION
7960 KENTUCKY DRIVE	SUITE 1	FLORENCE	KY	41042	465637704	501(c)(3)	$30,000	Program Support
HISPANIC CHAMBER CINCINNATI USA
2637 ERIE AVE STE 206		CINCINNATI	OH	45208	311458839	501(c)(6)	$10,000	Program Support
HOLY CROSS HIGH SCHOOL
3617 CHURCH ST		COVINGTON	KY	41015	621577563	501(c)(3)	$10,000	Program Support
HORIZON COMMUNITY FUNDS OF NORTHERN KENTUCKY INC
50 E RIVERCENTER BLVD STE 434		COVINGTON	KY	41011	821388190	501(c)(3)	$157,500	Program Support
KENTON COUNTY BOARD OF EDUCATION
1055 EATON DR		FORT WRIGHT	KY	41017	616001301	Kenton County	$69,950	Program Support
KENTUCKY ASSOCIATION OF CHIEFS OF POLICE
13388 WOLF RD		ALEXANDRIA	KY	41001	611030549	501(c)(6)	$10,000	Program Support
KENTUCKY CENTER FOR PUBLIC SERVICE
644 BRADDOCK CT		EDGEWOOD	KY	41017	463464828	501(c)(3)	$15,000	Program Support
KENTUCKY CHAMBER OF COMMERCE
464 CHENAULT RD		FRANKFORT	KY	40601	610405718	501(c)(6)	$7,750	Program Support
LAST MILE FOOD RESCUE INC
1775 MENTOR AVE	403	CINCINNATI	OH	45212	834495745	501(c)(3)	$25,000	Program Support
LAWRENCEBURG MAIN STREET
105b WALNUT ST		LAWRENCEBURG	IN	470251837	200456048	501(c)(3)	$10,000	Program Support
LEADERSHIP KENTUCKY FOUNDATION
464 CHENAULT RD		FRANKFORT	KY	40601	311096215	501(c)(3)	$5,000	Program Support
LIFE LEARNING CENTER
20 W 18TH ST		COVINGTON	KY	41011	203454261	501(c)(3)	$20,000	Program Support
LUDLOW BOARD OF EDUCATION
525 ELM ST		LUDLOW	KY	41016	616001318	Ludlow	$12,000	Program Support
MARCH OF DIMES INC
10806 KENWOOD RD		CINCINNATI	OH	45242	131846366	501(c)(3)	$7,500	Program Support
MASTER PROVISIONS INC
7725 FOUNDATION DRIVE		FLORENCE	KY	41042	611262540	501(c)(3)	$28,000	Program Support
MATTHEW 25 MINISTRIES
11060 KENWOOD RD		CINCINNATI	OH	45242	311348100	501(c)(3)	$10,000	Program Support
MILAN COMMUNITY SCHOOL CORPORATION
412 EAST CARR STREET		MILAN	IN	47031	356002642	Milan	$10,000	Program Support
NATIONAL FOOTBALL LEAGUE ALUMNI ASSOCIATION
3000 MIDATLANTIC DR		MOUNT LAUREL	NJ	08054	271288873	501(c)(5)	$30,000	Program Support
NEVCO SPORTS LLC
301 E HARRIS AVE		GREENVILLE	IL	622462193	822233879	For-Profit	$37,500	3rd Party Payment to provide sports equipment to local schools
NEWPORT INDEPENDENT SCHOOLS
30 W 8TH ST		NEWPORT	KY	41071	613001336	Newport	$10,000	Program Support
NORTHERN KENTUCKY AREA DEVELOPMENT
22 SPIRAL DR		FLORENCE	KY	41042	610719369	501(c)(3)	$146,328	Program Support
NORTHERN KENTUCKY BRANCH NAACP
PO BOX 1295		COVINGTON	KY	41012	912157483	501(c)(3)	$10,350	Program Support
NORTHERN KENTUCKY CHAMBER OF COMMERCE
PO BOX 17416		FORT MITCHELL	KY	41017	610679408	501(c)(6)	$44,080	Program Support
NORTHERN KENTUCKY COMMUNITY ACTION COMMISSION INC
717 MADISON AVE		COVINGTON	KY	41012	610667805	501(c)(3)	$8,000	Program Support
NORTHERN KENTUCKY EDUCATION COUNCIL
7310 TURFWAY RD STE 115		FLORENCE	KY	41042	203105862	501(c)(3)	$22,500	Program Support
NORTHERN KENTUCKY REGIONAL ALLIANCE INC
50 E RIVERCENTER BLVD	STE 250	COVINGTON	KY	41011	311489316	501(c)(3)	$15,000	Program Support
NORTHERN KENTUCKY SYMPHONY INC
PO BOX 72810		NEWPORT	KY	41072	311190635	501(c)(3)	$10,000	Program Support
NORTHERN KENTUCKY UNIVERSITY
NUNN DR HC206	COLLEGE OF HEALTH PROFESSIONS	HIGHLAND HEIGHTS	KY	41099	611010545	Kentucky	$662,782	Program Support
NOTRE DAME ACADEMY
1699 HILTON DR		PARK HILLS	KY	41011	610476695	501(c)(3)	$15,500	Program Support
OVARIAN CANCER ALLIANCE OF GREATER
PO BOX 42277		CINCINNATI	OH	45242	823862604	501(c)(3)	$8,000	Program Support
PADDLING FOR CANCER AWARENESS INC
PO BOX 76213		HIGHLAND HEIGHTS	KY	41076	263552805	501(c)(3)	$5,000	Program Support
PALOOZANOIRE LLC
1311 VINE ST		CINCINNATI	OH	45202	851562850	For-Profit	$5,000	3rd Party Payment - DEI program support
PARTNERS FOR MEDICAL RELIEF
PO BOX 43254	STE 230	CINCINNATI	OH	45243	821748297	501(c)(3)	$6,900	Program Support
PINK RIBBON GIRLS INC
32 E MAIN ST		TIPP CITY	OH	45371	320020270	501(c)(3)	$5,000	Program Support
PREGNANCY CENTER OF NORTHERN KENTUCKY
PO BOX 17688		COVINGTON	KY	41017	611351706	501(c)(3)	$5,000	Program Support
PRICHARD COMMITTEE FOR ACADEMIC EXCELLENCE
271 W SHORT ST		LEXINGTON	KY	40507	611026214	501(c)(3)	$10,000	Program Support
RENAISSANCE COVINGTON INC
2 W PIKE STREET		COVINGTON	KY	41011	900126762	501(c)(3)	$5,000	Program Support
ROMAN CATHOLIC DIOCESE OF COVINGTON
1125 MADISON AVE		COVINGTON	KY	41011	610458380	501(c)(3)	$217,475	Program Support
STRYKER SALES LLC
2825 AIRVIEW BOULEVARD		KALAMAZOO	MI	49002	382902424	For-Profit	$8,556	3rd Party Payment - Equipment donated to Gateway for Paramedic training
SUPT OF SCHOOLS OF BELLEVUE
219 CENTER ST		BELLEVUE	KY	41073	616001387	Bellevue	$22,940	Program Support
SWITZERLAND COUNTY SCHOOL CORPORATION
12085 LAKE GENEVA RD		VEVAY	IN	47043	352116640	501(c)(3)	$10,100	Program Support
THE ABERCRUMBIE GROUP
10301 GIVERNY BLVD		CINCINNATI	OH	45241	300520187	For-Profit	$17,000	3rd Party Payment - DEI program support
THE CARNEGIE VISUAL & PERFORMING ARTS CENTER
1028 SCOTT BLVD		COVINGTON	KY	41011	610897319	501(c)(3)	$10,000	Program Support
THE KAREN WELLINGTON MEMORIAL FOUNDATION
3825 EDWARDS RD	STE 103	CINCINNATI	OH	45209	263768567	501(c)(3)	$5,500	Program Support
THE LEUKEMIA & LYMPHOMA SOCIETY
3 INTERNATIONAL DRIVE	SUITE 200	RYE BROOK	NY	10573	135644916	501(c)(3)	$5,000	Program Support
THE NORTHERN KENTUCKY ATHLETICS
1055 EATON DR		FORT WRIGHT	KY	41011	611038755	For-Profit	$20,000	3rd Party Payment - Local High School sports support
THOMAS MORE UNIVERSITY INC
333 THOMAS MORE PARKWAY		CRESTVIEW HILLS	KY	41017	610448560	501(c)(3)	$60,000	Program Support
TRANSITIONS INC
1650 RUSSELL ST		COVINGTON	KY	41011	610707125	501(c)(3)	$30,000	Program Support
TRI-COUNTY ECONOMIC DEVELOPMENT
300 BUTTERMILK PIKE	SUITE 332	LAKESIDE PARK	KY	41017	832547630	501(c)(3)	$200,000	Program Support
UNITED WAY OF GREATER CINCINNATI
PO BOX 632711		CINCINNATI	OH	452632711	310537502	501(c)(3)	$12,000	Program Support
UNIVERSITY OF CINCINNATI FOUNDATION
100 UNIVERSITY HALL	51 GOODMAN DRIVE	CINCINNATI	OH	45219	310896555	501(c)(3)	$5,000	Program Support
VILLA MADONNA ACADEMY INC
2500 AMSTERDAM RD		VILLA HILLS	KY	41017	610541637	501(c)(3)	$25,700	Program Support
VOLUNTEERS IN MEDICINE OF DEARBORN
PO BOX 3429		LAWRENCEBURG	IN	47025	822231722	501(c)(3)	$5,000	Program Support
VOLUNTEERS OF AMERICA MID-STATES INC
570 SOUTH FOURTH STREET	SUITE 100	LOUISVILLE	KY	40202	610480950	501(c)(3)	$200,000	Program Support
WOMEN'S CRISIS CENTER INC
3580 HARGRAVE DR		HEBRON	KY	41048	610908752	501(c)(3)	$10,000	Program Support
WOODY WILLIAMS FOUNDATION INC
12123 SHELBYVILLE ROAD	SUITE 100	LOUISVILLE	KY	40243	061840409	501(c)(3)	$5,000	Program Support
ZOOLOGICAL SOCIETY OF CINCINNATI
3400 VINE ST		CINCINNATI	OH	45220	310537171	501(c)(3)	$7,000	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	82	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	St. Elizabeth has an established and standardized review and approval process used to monitor grant requests. First, all requests for sponsorship must be submitted on a completed Sponsorship Request Form, including a letter of request on the organization's letterhead and a breakdown of all sponsorship levels that include benefits. St. Elizabeth asks that all organizations submit requests a minimum of 60 days prior to the publication of any marketing materials for the event and/or their sponsorship deadline. All requests that are received less than 60 days in advance risk being excluded from consideration. All sponsorships are subject to an annual review and evaluation. The St. Elizabeth Sponsorship Committee meets monthly to evaluate and make sponsorship recommendations. All decisions are based on consistency with the criteria mentioned above. However, due to the overwhelming number of requests and limited availability of funds, a request may be denied, even if it fits the criteria. An official notification of approval or denial comes in the form of a letter or email.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Garren Colvin
PRESIDENT/CEO	$1,123,813	$0	$299,601	$0	$10,703	$0	$32,353	$0	$37,910	$0	$1,504,380	$0	$0	$0
Latonya Brown-Puryear MD
PHYSICIAN/TRUSTEE	$0	$558,508	$0	$66,839	$0	$3,966	$0	$37,900	$0	$39,243	$0	$706,455	$0	$0
Curtis Dorsch MD
TRUSTEE/PHYSICIAN/SEP CHAIR	$0	$495,501	$0	$53,790	$0	$4,182	$0	$37,900	$0	$34,698	$0	$626,071	$0	$0
Gary Blank
EXECUTIVE VP & COO	$687,286	$0	$211,441	$0	$10,025	$0	$37,900	$0	$17,212	$0	$963,865	$0	$0	$0
Lisa Frey
SENIOR VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	$494,163	$0	$142,002	$0	$4,917	$0	$37,900	$0	$16,158	$0	$695,140	$0	$0	$0
Lori Ritchey-Baldwin
Senior Vice President/CFO/Treasurer	$596,097	$0	$323,886	$0	$7,804	$0	$37,900	$0	$35,660	$0	$1,001,346	$0	$0	$0
James Parsons
Former SVP HUMAN RESOURCES	$395,129	$0	$178,904	$0	$3,071	$0	$15,316	$0	$24,846	$0	$617,267	$0	$0	$0
Christopher G Carle
PRESIDENT/CEO SEPN, COO - DEARBORN	$496,414	$0	$214,735	$0	$7,651	$0	$37,900	$0	$36,336	$0	$793,036	$0	$0	$0
Bruno Giacomuzzi
COO Flo FT Cov & SVP Prof Svcs	$359,515	$0	$188,932	$0	$6,928	$0	$37,016	$0	$36,806	$0	$629,197	$0	$0	$0
Sarah Giolando
SVP/CHIEF STRATEGY OFFICER	$416,291	$0	$65,728	$0	$4,868	$0	$27,229	$0	$33,060	$0	$547,177	$0	$0	$0
Vera Hall
SVP System CNE	$396,424	$0	$65,606	$0	$2,878	$0	$37,900	$0	$6,947	$0	$509,756	$0	$0	$0
Kathy Lynn Jennings
SVP PATIENT CARE/ONCOLOGY	$249,306	$0	$102,748	$0	$2,631	$0	$37,900	$0	$22,462	$0	$415,047	$0	$0	$0
LaRoy Kendall MD
SVP MEDICAL SERVICES, CMO	$431,702	$0	$157,392	$0	$4,386	$0	$37,900	$0	$29,094	$0	$660,473	$0	$0	$0
Julie McGregor
SVP HUMAN RESOURCES	$393,396	$0	$5,025	$0	$1,494	$0	$0	$0	$34,329	$0	$434,244	$0	$0	$0
John Mitchell
SVP - COO FT. THOMAS	$263,916	$0	$113,591	$0	$3,123	$0	$37,900	$0	$15,491	$0	$434,021	$0	$0	$0
Robert Prichard MD
Chief Integration Officer	$788,450	$0	$294,715	$0	$9,948	$0	$37,900	$0	$27,742	$0	$1,158,756	$0	$0	$0
Harry Watson
Sr. VP Facilities	$283,090	$0	$110,454	$0	$8,863	$0	$34,057	$0	$3,804	$0	$440,269	$0	$0	$0
Mario Castillo-Sang MD
PHYSICIAN	$1,051,646	$0	$130,853	$0	$2,910	$0	$37,900	$0	$4,208	$0	$1,227,517	$0	$0	$0
Jon Hays MD
PHYSICIAN	$942,724	$0	$107,166	$0	$3,978	$0	$37,900	$0	$35,393	$0	$1,127,161	$0	$0	$0
Abiodun Ishola MD
PHYSICIAN	$873,705	$0	$103,979	$0	$3,938	$0	$37,900	$0	$36,043	$0	$1,055,564	$0	$0	$0
Saeb Khoury MD
PHYSICIAN	$858,128	$0	$111,291	$0	$14,050	$0	$37,900	$0	$36,593	$0	$1,057,961	$0	$0	$0
Stephen Schutzman MD
PHYSICIAN	$966,778	$0	$103,979	$0	$2,226	$0	$37,900	$0	$36,789	$0	$1,147,672	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY
A	521643102	2009-12-09	$38,150,000	PARTIAL REFUNDING OF BONDS ISSUED 6/11/03	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION
B	472650498	2015-12-30	$50,000,000	RENOVATIONS TO HOSPITAL	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION
C	472650498	2015-12-30	$50,000,000	RENOVATIONS TO HOSPITAL	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION
D	472650498	2016-05-12	$98,494,028	ADVANCE REFUNDING OF SERIES 2009A BONDS	false	false	false	491210AW0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$16,925,000	$0	$38,150,000	$0	$0	$0	$360,000	$0	$0	$0	$37,790,000	$0	2003	Yes (true)	false	Yes (true)	Yes (true)
B	$8,850,000	$0	$50,716,101	$0	$0	$0	$245,000	$0	$0	$50,471,101	$0	$0	2018	false	false	Yes (true)	Yes (true)
C	$6,700,000	$0	$50,015,016	$0	$0	$0	$222,000	$0	$0	$49,793,016	$0	$0	2018	false	false	Yes (true)	Yes (true)
D	$16,270,000	$0	$101,059,194	$0	$0	$0	$1,123,044	$0	$0	$0	$99,936,150	$0	2009	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	false	false	Yes (true)	Yes (true)	false	0.0	0.0	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.0002	0.0002	false	false	Yes (true)	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	0.0002	0.0002	false	false	Yes (true)	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
(no name)
B	false	false	false	Yes (true)	false	false	false	false	Yes (true)
See Statement below
C	false	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	Yes (true)	30.0	false	false
(no name)
D	false	false	Yes (true)	false	false	false	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part V Procedures to Undertake Corrective Action	St. Elizabeth Medical Center, Inc. d/b/a St. Elizabeth Healthcare has written procedures to ensure that any potential violations of federal tax requirements are timely identified. If self-remediation is not available under applicable regulations, St. Elizabeth Healthcare would contact its bond counsel regarding the IRS's Voluntary Closing Agreement Program.
Schedule K, Part III, Line 4 Research Agreement Revenue	The amount of revenue from the Research Agreements is de minimis representing less than 0.0495% of the Total Operating Revenue.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	SERIES 2015A - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART I, LINE B, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN B, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2015B - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART I, LINE C, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN C, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2016 - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 5/12/2016) IN PART I, LINE D, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN D, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2019A - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 06/26/2019) IN PART I, LINE A, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN A, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2021A - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 10/20/2021) IN PART I, LINE A, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN A, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part IV, Line 2c DATE REBATE COMPUTATION PERFORMED	COLUMN A - SERIES 2009 (ISSUE DATE 12/09/2009) - JUNE 4, 2014 COLUMN B - SERIES 2015A (ISSUE DATE 12/30/2015) - FEBRUARY 11, 2021 COLUMN C - SERIES 2015B (ISSUE DATE 12/30/2015) - FEBRUARY 11, 2021 COLUMN D - SERIES 2016 (ISSUE DATE 05/12/2016) - THE SERIES 2016 BONDS WERE AN ADVANCE REFUNDING WITH AN ESCROW YIELD THAT WAS BELOW THE SERIES 2016 BOND YIELD. THEREFORE, A REBATE COMPUTATION WAS NOT REQUIRED.
Schedule K, Part IV, Line 4b SCHEDULE K, PART IV, COLUMN A, LINE 4B	FIFTH THIRD FINANCIAL RISK SOLUTIONS
Schedule K, Part IV, Line 4b SCHEDULE K, PART IV, COLUMN C, LINE 4B	PNC BANK, NATIONAL ASSOCIATION
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY The calculation for computing no rebate due was performed on 06/04/2014
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: KENTUCKY BOND DEVELOPMENT CORPORATION The calculation for computing no rebate due was performed on 02/11/2021
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: KENTUCKY BOND DEVELOPMENT CORPORATION The calculation for computing no rebate due was performed on 02/11/2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
KENTUCKY BOND DEVELOPMENT CORPORATION
A	472650498	2019-06-26	$75,000,000	RENOVATIONS TO HOSPITAL	false	false	false
NATIONAL FINANCE AUTHORITY
B	521304598	2021-10-20	$57,508,798	RENOVATIONS TO HOSPITAL	false	false	false	63609WAP7

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,692,000	$0	$75,414,456	$0	$0	$0	$560,800	$0	$0	$74,853,656	$0	$0	2020	false	false	Yes (true)	Yes (true)
B	$0	$0	$57,699,626	$0	$0	$0	$507,418	$0	$0	$16,136,866	$0	$41,055,342	2023	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0003	0.0	0.0003	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0	0.0	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
See Statement
A	false	Yes (true)	false	false	Yes (true)	Yes (true)	30.0	false	false	false	false	Yes (true)
(no name)
B	false	Yes (true)	false	false	false	false				false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (16 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
BRUNO GIACOMUZZI
SVP COO FLO GRANT & PROF SVCS	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$728,424	$763,421	false	Yes (true)	Yes (true)
CHRIS CARLE
PRESIDENT & CEO SEPN; DEARBORN	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,030,206	$1,090,973	false	Yes (true)	Yes (true)
GARREN COLVIN
PRESIDENT & CEO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$5,206,205	$5,472,652	false	Yes (true)	Yes (true)
GARY BLANK
EXEC VP COO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,801,201	$1,886,704	false	Yes (true)	Yes (true)
HARRY WATSON
SVP FACILITIES	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$432,971	$451,050	false	Yes (true)	Yes (true)
JAMES PARSONS
FORMER SVP, HUMAN RESOURCES	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$177,153	$181,582	false	Yes (true)	Yes (true)
JOHN MITCHELL
SVP COO FT. THOMAS/COVINGTON	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$525,866	$544,960	false	Yes (true)	Yes (true)
KATHY JENNINGS
SVP PATIENT CARE SVCS/CANCER CARE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$290,264	$301,731	false	Yes (true)	Yes (true)
LAROY KENDALL
SVP CHIEF MEDICAL OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$493,379	$514,965	false	Yes (true)	Yes (true)
LISA FREY
SVP LEGAL SVCS/GENERAL COUNSEL	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$560,031	$582,514	false	Yes (true)	Yes (true)
LORI RITCHEY-BALDWIN
SVP FINANCE/CFO/TREASURER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$842,582	$886,590	false	Yes (true)	Yes (true)
MOHAN BRAR
PHYSICIAN	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$386,250	$400,240	false	Yes (true)	Yes (true)
ROBERT PRICHARD
EVP/CEO - SEP/CCIO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,856,708	$1,964,487	false	Yes (true)	Yes (true)
SAEB KHOURY
PHYSICIAN	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$247,200	$256,065	false	Yes (true)	Yes (true)
SARAH GIOLANDO
SVP CHIEF STRATEGY OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,052,350	$1,102,443	false	Yes (true)	Yes (true)
VERA HALL
SVP SYSTEM CNE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$614,915	$639,513	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$17,039,890	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CULTURE INDEX LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Board Member A.J. Schaeffer	RelationshipDescriptionTxt
Transaction	$48,000	TransactionAmt
Transaction	RECRUITING SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS

BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS WERE AT ARM'S LENGTH (FMV) AND APPROVED BY DISINTERESTED MEMBERS OF THE BOARD.

Schedule L, Part II To fund split dollar life Insurance premiums for supplemental life insurance

The Organization has entered into a split-dollar life insurance with a number of its executive and key employees in order to provide supplemental life insurance benefits. Premiums under the arrangement, as opposed to contributions to a standard non-qualified plan, are not an expense for accounting purposes. In addition, all of the premiums treated as split-dollar loans in accordance with IRS rules will be recovered by the Organization with interest at the death of the individual(s), which will help further the Organization's charitable mission (see the associated receivable in Part X).

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$2,157	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$4,751	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	FOOD/PRIZES	236	$285,088	Cost
Yes (X)	Baby Grand Piano	1	$25,068	Cost

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - FOOD/PRIZES ST. ELIZABETH HEALTHCARE IS REPORTING THE 236 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Other - Baby Grand Piano ST. ELIZABETH HEALTHCARE IS REPORTING 1 ITEM BASED ON CONTRIBUTIONS RECEIVED. Securities - Publicly traded - ST. ELIZABETH HEALTHCARE IS REPORTING THE 2 ITEMS BASED ON CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY	ST. ELIZABETH HEALTHCARE DOES NOT HAVE A SPECIFIC WHISTLEBLOWER POLICY; HOWEVER, THERE IS A SECTION OF ST. ELIZABETH HEALTHCARE'S 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 1a Delegate broad authority to a committee	The members of the following committees act in an advisory capacity to the Board of Trustees and make recommendations to the Board: Investment, Strategic Planning, Audit, Finance, Governance, and Quality/Patient Care. In addition, the Compensation Committee members have actual voting and decision power such that they are an "authorized body" of the Board of Trustees.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE WILL BE APPOINTED ACCORDING TO THE FOLLOWING SUMMARIZED PROCEDURE: (I) THE BOARD SHALL SUBMIT TO THE BISHOP UP TO THREE NAMES OF CANDIDATES FOR EACH VACANCY; (II) ORDINARILY THE BISHOP WILL CHOOSE TRUSTEES TO FILL THE VACANCIES OR OPENINGS FROM THE RECOMMENDED CANDIDATES AFTER PERSONAL CONSULTATION WITH THE PRESIDENT. IF THE BISHOP DOES NOT CHOOSE ANYONE FROM THE LIST, THE BOARD WILL SUBMIT NEW NAMES AS SOON AS PRACTICAL; (III) THE BISHOP RESERVES THE RIGHT TO SUBMIT OTHER NAMES TO THE BOARD FOR REVIEW AND COMMENT; (IV) IN CONSULTATION WITH THE PRESIDENT OF THE MEDICAL CENTER OR THE BOARD CHAIR, THE BISHOP MAY REMOVE ANY MEMBER OF THE BOARD IF CERTAIN ACTIONS ARE COMMITTED; (V) IF THE BISHOP DECLINES A CANDIDATE OR THE CANDIDATE DECLINES, THE LIST OF CANDIDATES WILL BE REVISITED ACCORDING TO PROCEDURES (I) THROUGH (III) ABOVE.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE BISHOP: (I) THE AMENDMENT OR REPEAL OF SECTIONS 2(B) OR 2(C) OF THE BYLAWS OR ANY PROVISIONS OF THE GOVERNING DOCUMENTS RELATING TO THE AUTHORITY OF THE BISHOP OR BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE; (II) ANY ACTION THAT RESULTS IN A SUBSTANTIAL CHANGE, AS DETERMINED BY THE BISHOP OR THE BOARD, IN THE PHILOSOPHY OR MISSION OF ST. ELIZABETH HEALTHCARE, OR IN THE USE OF A ST. ELIZABETH HEALTHCARE HOSPITAL FACILITY; (III) THE DISSOLUTION, CONSOLIDATION, MERGER, OR TERMINATION OF EXISTENCE OF ST. ELIZABETH HEALTHCARE; AND (IV) A BORROWING, LEASE, TRANSFER, OR ENCUMBRANCE OF ANY REAL ESTATE OF ST. ELIZABETH HEALTHCARE EXCEEDING $5,000,000.
Form 990, Part VI, Line 11b Review of form 990 by governing body	ST. ELIZABETH HEALTHCARE'S PROCESS TO REVIEW THE FORM 990 CONSISTS OF REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT AND ST. ELIZABETH HEALTHCARE'S BOARD OF TRUSTEES. 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 TRUSTEES FOR REVIEW. MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS.
Form 990, Part VI, Line 12c Conflict of interest policy	ST. ELIZABETH HEALTHCARE REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS 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 THE GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXISTS. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS 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 POLICY; (III) HAS AGREED TO COMPLY WITH THE POLICY; AND (IV) UNDERSTANDS THAT ST. ELIZABETH HEALTHCARE IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION 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 ST. ELIZABETH HEALTHCARE'S CHIEF EXECUTIVE OFFICER, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA. A COMPENSATION RECOMMENDATION IS THEN PRESENTED TO THE BOARD FOR APPROVAL.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	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. 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 2022.
Form 990, Part VI, Line 19 Required documents available to the public	UPON REQUEST, ST. ELIZABETH HEALTHCARE WILL MAKE AVAILABLE THE FORM 990 AND THE RELATED APPLICABLE SCHEDULES OF WHICH ARE SUBJECT TO AND OPEN TO PUBLIC INSPECTION.
Form 990, Part VII, Section A Compensation of Key Employees	All key employees have been evaluated and only those meeting the definition of key employees were included on Part VII for calendar year 2022.
Form 990, Part IX, Line 11g Other Fees	CONTRACT LABOR - CLINICAL - Total Expense: 40273015, Program Service Expense: 38430297, Management and General Expenses: 1842718, Fundraising Expenses: 0; AMBULANCE SERVICE - Total Expense: 1178468, Program Service Expense: 1178468, Management and General Expenses: 0, Fundraising Expenses: 0; ANESTHESIOLOGY SERVICE - Total Expense: 11516961, Program Service Expense: 11516961, Management and General Expenses: 0, Fundraising Expenses: 0; LABORATORY SERVICES - Total Expense: 1815401, Program Service Expense: 1808643, Management and General Expenses: 6758, Fundraising Expenses: 0; LAUNDRY EXPENSE - Total Expense: 3378545, Program Service Expense: 236280, Management and General Expenses: 3142265, Fundraising Expenses: 0; PERFUSION SERVICE - Total Expense: 1508669, Program Service Expense: 1508669, Management and General Expenses: 0, Fundraising Expenses: 0; RADIATION SERVICE - Total Expense: 1216579, Program Service Expense: 1216579, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 11413259, Program Service Expense: 10748054, Management and General Expenses: 665205, Fundraising Expenses: 0; CONSULTING SERVICE - Total Expense: 7201596, Program Service Expense: 1283645, Management and General Expenses: 5869911, Fundraising Expenses: 48040; COLLECTION SERVICE - Total Expense: 1231103, Program Service Expense: 0, Management and General Expenses: 1231103, Fundraising Expenses: 0; OTHER FEES - Total Expense: 48743, Program Service Expense: 3284, Management and General Expenses: 45459, Fundraising Expenses: 0; PURCHASED SERVICE - PATIENT ACCT - Total Expense: 3895158, Program Service Expense: 0, Management and General Expenses: 3895158, Fundraising Expenses: 0; ORGANIZED DEVELOP SERVICES - Total Expense: 194770, Program Service Expense: 0, Management and General Expenses: 194633, Fundraising Expenses: 137; PURCHASED SERVICES - Total Expense: 28706787, Program Service Expense: 12033217, Management and General Expenses: 16673570, Fundraising Expenses: 0; RESEARCH PARTICIPATION - Total Expense: 29907, Program Service Expense: 29907, Management and General Expenses: 0, Fundraising Expenses: 0; RECRUITMENT ADVERTISING - Total Expense: 27109, Program Service Expense: 11755, Management and General Expenses: 15354, Fundraising Expenses: 0; VEHICLE OPERATION MAINT - Total Expense: 30885, Program Service Expense: 22622, Management and General Expenses: 8263, Fundraising Expenses: 0; CONSUMABLES - HARDWARE - Total Expense: 33217, Program Service Expense: 25132, Management and General Expenses: 6113, Fundraising Expenses: 1972; HRIP-UPL KHREF FEES - Total Expense: 736102, Program Service Expense: 0, Management and General Expenses: 736102, Fundraising Expenses: 0; JANITORIAL SERVICES - Total Expense: 1011525, Program Service Expense: 261126, Management and General Expenses: 750399, Fundraising Expenses: 0; BUILDING MAINTENANCE - INTERIOR - Total Expense: 751152, Program Service Expense: 211632, Management and General Expenses: 539520, Fundraising Expenses: 0; GROUNDS MAINTENANCE - Total Expense: 572465, Program Service Expense: 37459, Management and General Expenses: 535006, Fundraising Expenses: 0; VEHICLE MAINTENANCE - Total Expense: 293770, Program Service Expense: 138468, Management and General Expenses: 155302, Fundraising Expenses: 0; MAINTENANCE & REPAIRS - Total Expense: 15993517, Program Service Expense: 1838344, Management and General Expenses: 14154327, Fundraising Expenses: 846; MAINT & REPAIR - HVAC - Total Expense: 331005, Program Service Expense: 35355, Management and General Expenses: 295650, Fundraising Expenses: 0; EPIC RESEARCH CHARGES - Total Expense: 8892, Program Service Expense: 8892, Management and General Expenses: 0, Fundraising Expenses: 0; HARDWARE MAINTENANCE - Total Expense: 7574, Program Service Expense: 0, Management and General Expenses: 7574, Fundraising Expenses: 0; PEST CONTROL - Total Expense: 28958, Program Service Expense: 7928, Management and General Expenses: 21030, Fundraising Expenses: 0; FACILITIES - SMALL EQUIP - Total Expense: 3605, Program Service Expense: 3405, Management and General Expenses: 200, Fundraising Expenses: 0; OUTSOURCING SERVICES - Total Expense: 11340, Program Service Expense: 11340, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN FEES-CMA - Total Expense: 4684413, Program Service Expense: 27487, Management and General Expenses: 4656926, Fundraising Expenses: 0; PHYSICIAN SERVICES - Total Expense: 101939, Program Service Expense: -275, Management and General Expenses: 102214, Fundraising Expenses: 0; NETWORK /DATA CONNECTION - Total Expense: 529, Program Service Expense: 387, Management and General Expenses: 142, Fundraising Expenses: 0; MAINT AND REPAIR HARDWARE - Total Expense: 165, Program Service Expense: 165, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACT LABOR - NON CLINICAL - Total Expense: 2606818, Program Service Expense: 111177, Management and General Expenses: 2495641, Fundraising Expenses: 0; PLP LABORATORY SERVICES - Total Expense: 14658160, Program Service Expense: 21264691, Management and General Expenses: -6606531, Fundraising Expenses: 0; LATE PAYMENT FEES - Total Expense: 11338, Program Service Expense: 0, Management and General Expenses: 11338, Fundraising Expenses: 0; FIRE LIFE SAFETY SECURITY - Total Expense: 44798, Program Service Expense: 9148, Management and General Expenses: 35650, Fundraising Expenses: 0; BUILDING MAINTENANCE - EXTERIOR - Total Expense: 8504, Program Service Expense: 899, Management and General Expenses: 7605, Fundraising Expenses: 0; CAM - COMMON AREA MAINTENANCE - Total Expense: 2134903, Program Service Expense: 314208, Management and General Expenses: 1820695, Fundraising Expenses: 0; IC MARKET ADJ EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: 0, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: 0; IC PHYSICIANS FEES - Total Expense: 20101333, Program Service Expense: 19481893, Management and General Expenses: 619440, Fundraising Expenses: 0; IC PHYSICIANS FEES - MEDICAL DIR - Total Expense: 479192, Program Service Expense: 340606, Management and General Expenses: 138586, Fundraising Expenses: 0; IC STAFF LEASING EXPENSE - Total Expense: 809350, Program Service Expense: 797912, Management and General Expenses: 0, Fundraising Expenses: 11438; IC ADMIN SERVICES EXPENSE - Total Expense: 528635, Program Service Expense: 508633, Management and General Expenses: 20002, Fundraising Expenses: 0; MERGER EXPENSE - Total Expense: 1400, Program Service Expense: 0, Management and General Expenses: 1400, Fundraising Expenses: 0; MAINT AND REPAIR SOFTWARE - Total Expense: 5148, Program Service Expense: 5148, Management and General Expenses: 0, Fundraising Expenses: 0; CORPORATE SERVICES - Total Expense: 1371, Program Service Expense: 0, Management and General Expenses: 1371, Fundraising Expenses: 0; BUSINESS TRANSPORTATION - Total Expense: 6, Program Service Expense: 0, Management and General Expenses: 6, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FMV OF INTEREST RATE SWAP - 23375674; CONTRIBUTION - WRITE OFF/ADJUST - -6181; NET ASSET RELEASED FROM RESTRICTIONS - PPE - 147780; MINIMUM PENSION LIABILITY ADJ - -6665666; TRANSFERS DUE TO/FROM AFFILIATES - -9898289; PAID IN CAPITAL BY EQUITY OWNER - FIVE LABS - 75381; CHANGE TO INVESTMENT IN AMSURG - -171063;
Form 990, Part VIII, Line 1h & Schedule B, Part I Contribution Revenue	The total amount of contributions reported on Schedule B exceeds the total on Part VIII Line 1h due to a difference in reporting. Contributions are recorded at fair value in the period received or pledged. Donor-restricted contributions are reported as net assets with donor restrictions if they are received with donor stipulations that limit the use of the donated assets. When a donor restriction expires, that is, when the purpose or time restriction is accomplished, net assets with donor restrictions are reclassified as net assets without donor restrictions and reported in the consolidated statements of operations and changes in net assets. Donor-restricted contributions whose restrictions are met within the same year as recognized are accounted for as net assets without donor restrictions.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST ELIZABETH PHYSICIAN SERVICES
334 THOMAS MORE PARKWAY STE 200	CRESTVIEW HILLS	KY	41017	611339639	PHYSICIAN MANAGEMENT SERVICES	KY	$0	$3,715,371	ST ELIZABETH MEDICAL CENTER INC
SEH Holdings Inc
1 Medical Village Dr	Edgewood	KY	41017	830817636	Holding Company	KY	-$805,819	-$2,045,138	St Elizabeth Medical Center Inc
Next Daybreak Inc
1 Medical Village Dr	Edgewood	KY	41017	832843631	Physician Management Services	KY	$0	-$869,168	St Elizabeth Medical Center Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SUMMIT MEDICAL GROUP INC
1360 Dolwick Drive Suite 200	Erlanger	KY	41018	611300608	PHYSICIAN PRACTICE	KY	501(c)(3)	3	ST ELIZABETH MEDICAL CENTER INC	Yes (true)
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 Inc	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Health Care Solutions Network LLC
619 Oak Street	Cincinnati	OH	45206	472103334	PHO	OH	HSN	Related	$384,840	$4,804,050	false	Yes (true)	0.463
Preferred Lab Partners LLC
1 Medical Village Drive Suite B	Edgewood	KY	41707	824758763	Laboratory	KY	NA	Related	$148,739	$7,317,345	false	Yes (true)	0.5
Bioskills Lab LLC
4123 Olympic Blvd	Erlanger	KY	41018	320571870	Bioskills Lab	KY	SEMC	Related	-$199,167	$271,510	false	Yes (true)	0.65

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
St Elizabeth Provider Network Inc
1 Medical Village Dr	Edgewood	KY	41017	472862438	Physician-Hospital Org.	KY	St Elizabeth Medical Center Inc	C Corporation	$5,726,649	-$6,422,669	1	Yes (true)
Charitable Remainder Trust (3)
1 Medical Village Drive	Edgewood	KY	41017		Trust	KY		Trust					N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST ELIZABETH PROVIDER NETWORK
L	$6,422,669	CASH
SUMMIT MEDICAL GROUP INC
R	$154,960,235	CASH
SUMMIT MEDICAL GROUP INC
O	$23,733,060	CASH
SUMMIT MEDICAL GROUP INC
J	$187,202	CASH
SUMMIT MEDICAL GROUP INC
M	$528,635	CASH
HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY INC
B	$294,546	CASH