2022-05-13T13:11:22-05:00 2021-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2020-07-01 611334601 SAINT JOSEPH HEALTH SYSTEM INC SAIN 8593131000 ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 CHRISTY SPITSER VP OF FINANCE 8593131000 2022-05-13 1 CHRISTY SPITSER 999009999 MARK STOCKI P00642127 3032989100 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANTHONY HOUSTON ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 864457776 0 0928 X WWW.CHISAINTJOSEPHHEALTH.ORG X 1998 KY SAINT JOSEPH HEALTH SYSTEM, INC.'S VISION IS TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMUNITY PROVIDING HIGH QUALITY CARE CLOSE TO HOME, REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING THE INEQUITIES IN ACCESS TO HEALTHCARE. 16 12 4522 161 285851 262188 25939537 17768899 745765525 781562947 1754399 -269009 71378261 65052667 844837722 864115504 528733 394485 0 0 269596176 262360007 0 0 0 482230239 583181038 752355148 845935530 92482574 18179974 972577044 961743109 554050551 512844293 418526493 448898816 WE BRING HOPE, IMPROVE HEALTH AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION, TRANSFORM HEALTH CARE DELIVERY, PARTNER TO CREATE HEALTHY COMMUNITIES AND ADVOCATE FOR A JUST HEALTH SYSTEM. 0 0 623104030 394485 781401699 SEE SCHEDULE H 623104030 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 0 0 4522 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 0 KY X CHRISTY SPITSER 5025874710 ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 LARRY SCHUMACHER BOARD MEMBER 1.00 50.00 X 0 1962777 220294 BRUCE TASSIN PRESIDENT/MARKET CEO (PARTIAL YEAR) 50.00 5.00 X X 1109892 0 99710 JASON ADAMS PRESIDENT-ST JOSEPH EAST-BEREA (PARTIAL YEAR) 55.00 5.00 X 942166 0 8299 STEVE LIN CARDIOLOGIST NON INVASIVE 0.00 55.00 X 0 874264 41675 SCOTT PIERCE ONCOLOGIST 0.00 55.00 X 0 809533 43679 STEVEN FRANTZ MARKET SVP CFO (PARTIAL YEAR) 55.00 2.00 X 808042 0 31940 ANTHONY HOUSTON MARKET CEO 5.00 50.00 X X 0 693213 50615 DON LOVASZ PRESIDENT CLIN INT NETWORK 55.00 2.00 X 716688 0 12773 COLLEEN HOLTON FORMER TREASURER/CFO 0.00 55.00 X 0 679640 19114 TRAVIS SEWALLS VP-MEDICAL AFFAIRS 55.00 2.00 X 682399 0 12957 VIREN BAVISHI PRESIDENT PHYSICIAN ENTERPRISE 55.00 2.00 X 556589 0 48479 DANIEL GOULSON MKT SVP CMO 55.00 2.00 X 552619 0 45318 JENNIFER NOLAN PRESIDENT OF FLAGET AND OUR LADY OF PEACE 55.00 5.00 X 523657 0 44779 JUAN YANES PRESIDENT ST JOSEPH LONDON, ST JOSEPH BEREA 55.00 5.00 X 503455 0 50101 SHARON HAGER FORMER SECRETARY/DIV VP SR COUNSEL 5.00 50.00 X 0 521533 28400 MICHAEL ZHANG PHYSICIAN - INTERNAL MEDICINCE 55.00 0.00 X 452652 0 6214 SHELLEY STANKO MD BOARD MEMBER 1.00 45.00 X 0 344168 42905 CHRISTY SPITSER TREASURER/MKT VP OPERATIONAL FINANCE 50.00 5.00 X 340834 0 45048 LESLIE SMART PRESIDENT SAINT JOSEPH FOUNDATION 5.00 55.00 X 366132 0 17745 CHARLES POWELL FORMER PRESIDENT 0.00 0.00 X 0 241128 0 WILLIAM GEORGE SECRETARY 5.00 45.00 X 0 210739 18026 MELINDA EVANS MKT DIRECTOR OPERATIONAL FINANCE 0.00 55.00 X 0 196137 19923 AVICHAI ERES MD BOARD MEMBER 2.00 4.00 X 36348 0 0 MICHAEL ADES BOARD MEMBER 2.00 4.00 X 0 0 0 JANE BURKS BOARD MEMBER 2.00 4.00 X 0 0 0 JANE CHILES DIRECTOR 2.00 4.00 X 0 0 0 FR NORMAN FISCHER BOARD MEMBER 2.00 4.00 X 0 0 0 DIANA HAN MD BOARD MEMBER 2.00 4.00 X 0 0 0 ROBERT HEWETT VICE CHAIR 5.00 4.00 X X 0 0 0 MARTHA JONES CHAIR 5.00 4.00 X X 0 0 0 JOHN STEWART II MD BOARD MEMBER 2.00 4.00 X 0 0 0 SR ELIZABETH WENDELN BOARD MEMBER 2.00 4.00 X 0 0 0 DANIEL RODRIQUE MD BOARD MEMBER 2.00 4.00 X 0 0 0 MARY-ALICHA WELDON BOARD MEMBER 2.00 4.00 X 0 0 0 WINSTON GRIFFIN BOARD MEMBER 2.00 4.00 X 0 0 0 7591473 6533132 907994 266 1 1 1 BARNETT BENVENUTI & BUTLER 489 E MAIN ST UNIT 300 LEXINGTON KY 40507 LEGAL SERVICES 7356461 NISC NATL INFO SOLUTIONS COOP 3201 NYGREN DRIVE NW MANDAN ND 58554 IT DEVELOPING AND SUPPORT 6464002 AMN HEALTHCARE 12400 HIGH BLUFF DR SAN DIEGO CA 92180 MEDICAL STAFFING 5966619 SOUND PHYSICIANS 1498 PACIFIC AVE STE 400 TACOMA WA 98402 PHYSICIANS 4586517 COMMONWEALTH ANESTHESIA PC 10800 MIDLOTHIAN TURNPIKE RICHMOND VA 23235 MEDICAL SERVICES 4443764 112 1081808 16687091 17768899 NET PATIENT SERVICES 900099 781401699 781401699 0 0 EQUITY CHANGES OF UNCO 900099 161248 0 161248 0 781562947 44474 44474 3159759 0 3159759 3159759 3159759 28789 0 342272 28789 -342272 -313483 -313483 INTERCOMPANY TRANSACTI 900099 45994036 0 0 45994036 PHARMACY SERVICES 446110 11762129 0 0 11762129 LABORATORY SERVICES 621500 2660086 0 124603 2535483 1476657 1476657 61892908 864115504 781401699 285851 64659055 X 83922 83922 310563 310563 5266954 5266954 200548240 156431363 44116877 9009005 6821513 2187492 31313687 23537973 7775714 16222121 12166590 4055531 1234953 1234953 41752 41752 181242161 106769757 74472404 4658514 4658514 8267636 7688901 578735 28831540 28831540 14670521 12469943 2200578 390885 214987 175898 41189 10297 30892 9715791 9715791 21361452 21361452 46763508 21043579 25719929 8201856 8037819 164037 MEDICAL SUPPLIES 189776262 189776262 0 0 MISCELLANEOUS EXPENSES 36911161 36911161 0 0 OTHER TAXES 11159496 11159496 0 0 STATE PROVIDER TAX 11015148 11015148 0 0 8897213 8897213 845935530 623104030 222831500 0 0 398617460 386677959 0 92102973 104469027 0 0 0 16959161 22291055 3030261 2119403 908360780 565127276 361356991 343233504 3077604 3502632 0 0 0 97432594 99449529 972577044 961743109 179085317 168947665 0 18284526 4481008 0 0 0 0 0 356680708 339415620 554050551 512844293 X 418526493 448898816 418526493 448898816 972577044 961743109 X 18179974 351642 947863 10892844 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 41752 0 0 0 41752 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $8,950 CATHOLIC HEALTH ASSOCIATION - $4,760 KENTUCKY HOSPITAL ASSOCIATION - $28,042 16914890 16914890 468516142 226981861 241534281 12276893 7334557 4942336 382571309 329437480 53133829 28081546 1373378 26708168 343233504 EXECUFLEX 155308 INTERCOMPANY RECEIVABLES 39846541 INVESTMENTS IN UNCONSOLIDATED ORGANIZATIONS 815479 DEPOSITS 97108 RIGHT OF USE ASSETS 58535093 99449529 INTERCOMPANY DEBT 262336968 MISCELLANEOUS LIABILITY 12098 PROFESSIONAL STAFF FUND 204311 ENVIRONMENTAL REMEDIATION 149656 UNAPPLIED PATIENT DEPOSITS 1383529 UNCLAIMED PROPERTY 6925 LEASE LIABILITY 72327647 PAYABLE TO PHYSICIAN 493445 ACCRUED CONTINGENT LIABILITIES 2501041 339415620 X PART X, LINE 2: SAINT JOSEPH HEALTH SYSTEM, INC'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 GRANTMAKING 310563 0 0 0 0 0 0 310563 0 310563 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, PROGRAM SUPPORT N/A 310563 HOSPITAL EQUIPMENT & SUPPLIES BOOK 1 0 0 0 0 0 0 0 PART I, LINE 2: SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) ENSURES THAT GRANTS TO RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC 501(C)(3) ORGANIZATIONS. SJHS DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES. PART I, LINE 3: ACCRUAL PART III ACCOUNTING METHOD: 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 14895560 -274160 15169720 0.01790 172688075 194197845 0 0.00000 187583635 193923685 15169720 0.01790 22 14659 2431352 2431352 0.00290 12 681 1223882 1223882 0.00140 16 720 388884 388884 0.00050 50 16060 4044118 4044118 0.00480 50 16060 191627753 193923685 19213838 0.02270 1 1500 5 130455 130455 0.00020 6 1500 130455 130455 0.00020 1 20103513 0 149477786 181671374 -32193588 X 1 1 5 1 SAINT JOSEPH HOSPITAL ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/ 100117 X X X A 2 SAINT JOSEPH - MOUNT STERLING 225 FALCON DRIVE MOUNT STERLING KY 40353 HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG 100339 X X X A 3 SAINT JOSEPH EAST 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/ 100538 X X X A 4 SAINT JOSEPH - LONDON 1001 ST JOSEPH LANE LONDON KY 40741 HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG 100281 X X X A 5 SAINT JOSEPH - BEREA 305 ESTILL STREET BEREA KY 40403 HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG 600079 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X 18 1 1 0 1 X SEE PART V, PAGE 8 X 1 19 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/FINANCIAL-ASSISTANCE X HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/FINANCIAL-ASSISTANCE X HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020-2022 PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020-2022 PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: CHI SAINT JOSEPH HEALTHSAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, SAINT JOSEPH BEREA, SAINT JOSEPH LONDON AND SAINT JOSEPH MOUNT STERLINGCHI SAINT JOSEPH HEALTH CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) TO CONDUCT A CHNA IN ACCORDANCE WITH THE AFFORDABLE CARE ACT AND SECTION 501(R) OF THE INTERNAL REVENUE CODE FOR NONPROFIT TAX-EXEMPT HOSPITALS. CEDIK FACILITATED THE PROCESS OF PRIMARY DATA COLLECTION THROUGH COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS TO CREATE AN IMPLEMENTATION PLAN TO ADDRESS IDENTIFIED HEALTH NEEDS. IN ADDITION, COUNTY SPECIFIC SECONDARY DATA WAS GATHERED TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THROUGHOUT THE PROCESS, CEDIK AND THE COMMUNITY STEERING COMMITTEE, WHICH INCLUDED A PUBLIC HEALTH REPRESENTATIVE ON EACH COMMUNITY'S COMMITTEE, MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE. CEDIK CONDUCTED KEY INFORMANT INTERVIEWS TO PROBE MORE DEEPLY INTO HEALTH AND QUALITY OF LIFE THEMES WITHIN THE COUNTY. CURRENT COMMUNITY RESOURCES AND POTENTIAL BARRIERS TO ACCESSING RESOURCES WERE ALSO IDENTIFIED IN THESE INTERVIEWS. THIS CHNA REPORT SYNTHESIZES COMMUNITY HEALTH NEEDS SURVEY DATA, FOCUS GROUPS WITH VULNERABLE POPULATIONS, AND KEY INFORMANT INTERVIEW DATA WITH SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY. SAINT JOSEPH HOSPITAL & SAINT JOSEPH EASTCOMMUNITY REPRESENTATION FAYETTE COUNTY HEALTH DEPARTMENT, FAYETTE COUNTY EXTENSION SERVICE, LEXINGTON PUBLIC LIBRARY, PARTNERS FOR YOUTH, YOUTH NEIGHBORHOOD COUNCILS, ONE LEXINGTON, LEXINGTON HABITAT FOR HUMANITY, COMMON GOOD, DOMESTIC VIOLENCE, JUBILEE JOBS AND AMERICAN HEART ASSOCIATIONSAINT JOSEPH BEREACOMMUNITY REPRESENTATION MADISON COUNTY HEALTH DEPARTMENT, WHITE HOUSE CLINIC, PARKS AND RECREATION AND MADISON COUNTY SCHOOLSSAINT JOSEPH LONDONCOMMUNITY REPRESENTATION EASTERN KENTUCKY UNIVERSITY, LAUREL COUNTY HEALTH DEPARTMENT, AMBULANCE INC. LAUREL COUNTY, LAUREL COUNTY AGENCY FOR SUBSTANCE ABUSE PREVENTION, UK TARGETED ASSESSMENT PROGRAM, DEPARTMENT FOR COMMUNITY BASED SERVICES, LAUREL COUNTY CHAMBER OF COMMERCE, OPERATION UNITE, WELLCARE, CUMBERLAND RIVER BEHAVIORAL HEALTH AND SOUTH LAUREL MIDDLE SCHOOLSAINT JOSEPH MOUNT STERLINGCOMMUNITY REPRESENTATION STERLING HEALTH SOLUTIONS (FQHC), MONTGOMERY COUNTY HEALTH DEPARTMENT, MONTGOMERY COUNTY FIRE/EMS, COMMUNITY "HCC", HEALTHY COMMUNITIES COALITION, TRADITIONAL BANK AND MOUNT STERLING CLINIC/HEALTH DEPARTMENT PART V, SECTION B, LINE 11: SAINT JOSEPH HOSPITAL & SAINT JOSEPH EAST STRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS*ALL STRATEGIES WERE IMPLEMENTED, BUT WERE SEVERELY CURTAILED WITH THE NOVEL CORONAVIRUS BEGINNING MARCH 1ST.SAINT JOSEPH HOSPITAL'S & SAINT JOSEPH EAST'S IDENTIFIED NEEDS GOALS, OBJECTIVES AND STRATEGIES ARE BELOW AND LACK OF RESOURCE KNOWLEDGE WILL BE WOVEN INTO EACH NEED:SUBSTANCE ABUSE - INCLUDING TOBACCO AND VAPINGGOAL: ADDRESS SUBSTANCE ABUSE, INCLUDING TOBACCO AND VAPING, FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE.OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE, INCLUDING TOBACCO AND VAPING RATES AS MEASURED BY CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. (KY IS #2 IN THE NATION FOR TOBACCO USE AT 24.6%; AND #1 IN CANCERS TIED TO SMOKING.) ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - SUBSTANCE ABUSE * PARTICIPATE AND SUPPORT THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. PARTICIPATE AND SUPPORT THE LEXINGTON FAYETTE COUNTY HEALTH DEPARTMENT LEXBESAFE COMMITTEE. * PARTICIPATE AND SUPPORT THE LEXINGTON MAYOR'S OPIOID TASK FORCE. * ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. * PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. * PROMOTE AND SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). * COLLABORATE AND SUPPORT DRUG-FREE LEX AGENCY FOR KY SUBSTANCE ABUSE POLICY (ASAP). * IDENTIFY OPPORTUNITIES TO ADDRESS ALCOHOL AND SUBSTANCE USE. * SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE. * EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING.STRATEGIES - TOBACCO AND VAPING * ADVOCATE FOR SMOKE-FREE SCHOOLS, WORKPLACES AND PUBLIC PLACES. * ADVOCATE FOR INCREASING THE CIGARETTE TAX. * ADVOCATE TO INCREASE THE AGE TO 21 FOR PURCHASE OF TOBACCO PRODUCTS. * PROMOTE AND ENCOURAGE LUNG SCREENINGS FOR CANCERS ASSOCIATED WITH TOBACCO USE. (LUNG CANCER IS THE MOST COMMON CANCER IN MEN AND WOMEN IN THE UNITED STATES.) * ENFORCE TOBACCO-FREE CAMPUS POLICY. * PROVIDE INFORMATION ABOUT SMOKING CESSATION CLASSES AND 1-800-QUIT-NOW. * CONTINUE REPRESENTATION ON THE AMERICAN CANCER SOCIETY'S KENTUCKY ADVISORY BOARD. * COLLABORATE AND SUPPORT KENTUCKY CANCER PROGRAM PLAN TO BE TOBACCO FREE. * COLLABORATE AND SUPPORT FOUNDATION FOR A HEALTHY KENTUCKY TOBACCO-FREE EFFORTS. * CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO USE AND NEGATIVE HEALTH CONSEQUENCES IN THE COMMUNITY.OBESITY AND DIABETES - INCLUDING WELLNESS & EXERCISEGOAL: ADDRESS OBESITY AND DIABETES, INCLUDING WELLNESS AND EXERCISE THROUGH EDUCATION AND PREVENTION.OUTCOME OBJECTIVE: TO DECREASE OBESITY AND DIABETES AS MEASURED BY KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND TO INCREASE WELLNESS AND EXERCISE AS MEASURED BY COUNTY HEALTH RANKINGS AND ROADMAPS. (KY RANKS 7TH FOR DIABETES AND, 8TH FOR OBESITY.)STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - OBESITY AND DIABETES - INCLUDING WELLNESS & EXERCISE * ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY AND CHRONIC DISEASE IN CHILDREN. * PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE. * PROVIDE COMMUNITY-SUPPORTED AGRICULTURE PROGRAM AND/OR FARMERS MARKETS. * PROMOTE HEALTHY FOOD INITIATIVE AND "MINDFUL" PROGRAM. * OFFER ITEMS AND EDUCATIONAL MATERIALS FROM "HARVEST OF THE MONTH" PROGRAM. * PROVIDE NUTRITION LABELING IN CAFETERIA. * PARTICIPATE AND SUPPORT THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT LEXBEWELL COMMITTEE. * CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING, ALONG WITH MEDICAL NUTRITION THERAPY. * PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE HEALTHY DIET AND EXERCISE TO PREVENT NEGATIVE HEALTH OUTCOMES. * PROMOTE AND SUPPORT THE AMERICAN DIABETES ASSOCIATION.MENTAL HEALTH SUPPORTGOAL: ADDRESS MENTAL HEALTH FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH.OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES, INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - MENTAL HEALTH SUPPORT * SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. * PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS. * PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. * LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. * COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. * UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENT.SIGNIFICANT HEALTH NEED(S) NOT ADDRESSED ALL TOP PRIORITIES IDENTIFIED AS NEEDS WILL BE ADDRESSED.SAINT JOSEPH BEREA STRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS*ALL STRATEGIES WERE IMPLEMENTED, BUT WERE SEVERELY CURTAILED WITH THE NOVEL CORONAVIRUS BEGINNING MARCH 1ST.SAINT JOSEPH BEREA'S IDENTIFIED NEEDS GOALS, OBJECTIVES AND STRATEGIES ARE BELOW:SUBSTANCE ABUSEGOAL: ADDRESS SUBSTANCE ABUSE FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE.OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE AS MEASURED BY CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - SUBSTANCE ABUSE * PARTICIPATE AND SUPPORT THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. * ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. * PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. * PROMOTE AND SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). * PROMOTE EXISTING COMMUNITY PROGRAMS TO MITIGATE, TREAT AND CARE FOR THOSE AFFECTED BY SUBSTANCE ABUSE. * PROMOTE AND SUPPORT EXISTING COMMUNITY RESOURCES NEEDED FOR PATIENTS TO ADDRESS ALCOHOL AND DRUG USE. * EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING. * CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO USE AND NEGATIVE HEALTH CONSEQUENCES IN THE COMMUNITY.OBESITYGOAL: ADDRESS OBESITY THROUGH EDUCATION AND PREVENTION.OUTCOME OBJECTIVE: TO DECREASE OBESITY AS MEASURED BY KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY. (KY RANKS 8TH FOR OBESITY; 36% OF MADISON COUNTY RESIDENTS ARE CONSIDERED OBESE COMPARED TO 32% OF KENTUCKY AND 31% ACROSS THE U.S.)STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES - OBESITY * ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY IN CHILDREN. * PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE. * PROMOTE HEALTHY FOOD INITIATIVE AND "MINDFUL" PROGRAM. * OFFER ITEMS AND EDUCATIONAL MATERIALS FROM "HARVEST OF THE MONTH" PROGRAM. * PROVIDE NUTRITION LABELING IN CAFETERIA. (CONTINUED BELOW) PART V, SECTION B, LINE 11 (CONTINUED): * CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING, ALONG WITH MEDICAL NUTRITION THERAPY. * PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE HEALTHY DIET AND EXERCISE TO PREVENT NEGATIVE HEALTH OUTCOMES. * PROMOTE AND SUPPORT THE AMERICAN DIABETES ASSOCIATION. * ESTABLISH OPPORTUNITIES FOR IMPROVED DIET AND EXERCISE TO ADDRESS BARRIERS TO ACCESS.MENTAL HEALTH SUPPORTGOAL: ADDRESS MENTAL HEALTH FROM A CHI SAINT JOSEPH HEALTH SYSTEM-WIDE APPROACH.OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES, INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - MENTAL HEALTH * SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. * PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS. * PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. * LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. * RESEARCH AND/OR DEVELOP A RESOURCE GUIDE THAT IDENTIFIES CREDIBLE MENTAL HEALTH FACILITIES IN CLOSE PROXIMITY TO BEREA.* COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. * UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENT.SIGNIFICANT HEALTH NEED(S) NOT ADDRESSED ALL TOP PRIORITIES IDENTIFIED AS NEEDS WILL BE ADDRESSED.SAINT JOSEPH LONDON STRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS *ALL STRATEGIES WERE IMPLEMENTED, BUT WERE SEVERELY CURTAILED WITH THE NOVEL CORONAVIRUS BEGINNING MARCH 1ST.SAINT JOSEPH LONDON'S IDENTIFIED NEEDS GOALS, OBJECTIVES AND STRATEGIES ARE BELOW:SUBSTANCE ABUSEGOAL: ADDRESS SUBSTANCE ABUSE, INCLUDING TOBACCO USE AND VAPING, FROM A CHI SAINT JOSEPH HEALTH APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE.OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE, INCLUDING TOBACCO USE AND VAPING RATES AS MEASURED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. (KY IS #2 IN THE NATION FOR TOBACCO USE - 24.6%; AND #1 IN CANCERS TIED TO SMOKING.) ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - SUBSTANCE ABUSE * PARTICIPATE AND SUPPORT KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. * ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. * PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. * COLLABORATE AND SUPPORT WITH LAUREL COUNTY HEALTH DEPARTMENT TO ADDRESS ISSUES SURROUNDING ALCOHOL AND DRUG USE. * COLLABORATE AND SUPPORT LAUREL COUNTY HEALTH DEPARTMENT'S HARM REDUCTION PROGRAM TO SPREAD AWARENESS OF HIV AND HEP C THROUGH USE OF CONTAMINATED NEEDLES. * DEVELOP PROTOCOLS TO ADDRESS ADDICTION ISSUES. * SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). * IDENTIFY OPPORTUNITIES TO ADDRESS ALCOHOL AND SUBSTANCE USE. * PURSUE OPPORTUNITIES TO DEVELOP AND/OR EXPAND SERVICES TO ADDRESS ALCOHOL AND DRUG USE. * COLLABORATE WITH THE LOCAL JAIL TO PROVIDE PARENTING EDUCATION BIMONTHLY FOR INMATES SELECTED FOR THE PROGRAM. * SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE. * EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING.STRATEGIES - TOBACCO AND VAPING * ADVOCATE FOR SMOKE-FREE (INCLUDING VAPOR AND JUULS) SCHOOLS, WORKPLACES AND PUBLIC PLACES, INCLUDING RESTAURANTS, BARS AND HOTELS. * ADVOCATE FOR INCREASING THE CIGARETTE TAX. * ADVOCATE TO INCREASE THE AGE TO 21 FOR PURCHASE OF TOBACCO PRODUCTS. * PROMOTE AND ENCOURAGE LUNG SCREENINGS FOR CANCERS ASSOCIATED WITH TOBACCO USE. (LUNG CANCER IS THE MOST COMMON CANCER IN MEN AND WOMEN IN THE UNITED STATES.) * DEVELOP AND IMPLEMENT AN AUTOMATED PROCESS FOR LUNG SCREENING TO EASE THE ORDERING AND PATIENT FOLLOW-UP. * DEVELOP AND IMPLEMENT A LUNG ACCREDITATION PROGRAM TO ADDRESS GAPS IN CARE AND STRENGTHEN ACCESS TO SCREENING, PREVENTION AND TREATMENT. * ENFORCE TOBACCO-FREE CAMPUS POLICY. * PROVIDE INFORMATION ABOUT SMOKING CESSATION CLASSES AND 1-800-QUIT-NOW. * CONTINUE REPRESENTATION ON THE AMERICAN CANCER SOCIETY'S KENTUCKY ADVISORY BOARD. * COLLABORATE AND SUPPORT KENTUCKY CANCER PROGRAM PLAN TO BE TOBACCO FREE. * COLLABORATE AND SUPPORT FOUNDATION FOR A HEALTHY KENTUCKY'S TOBACCO-FREE EFFORTS. * COLLABORATE AND SUPPORT THE LAUREL COUNTY HEALTH DEPARTMENT'S EFFORTS TO ADDRESS TOBACCO PREVENTION IN LAUREL COUNTY. * CONTINUE COLLABORATION WITH THE TRI-COUNTY CANCER COALITION TO ADDRESS TOBACCO PREVENTION IN LAUREL COUNTY. * SUPPORT CLEAN AIR ORDINANCE EXPANSION FOR LAUREL COUNTY TO INCLUDE E-CIGARETTES. * EXPAND BEHAVIORAL AND PHARMACOLOGICAL COUNSELING FOR CANCER PATIENTS WHO CONTINUE TO SMOKE. * CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO USE AND NEGATIVE HEALTH CONSEQUENCES.CHRONIC DISEASE - OBESITY AND CARDIOVASCULAR DISEASEGOAL: ADDRESS OBESITY AND CARDIOVASCULAR DISEASE AS CHRONIC DISEASES, INCLUDING WELLNESS AND EXERCISE THROUGH EDUCATION AND PREVENTION.OUTCOME OBJECTIVE: TO DECREASE OBESITY AND CARDIOVASCULAR DISEASE AS MEASURED BY KENTUCKY BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND TO INCREASE WELLNESS AND EXERCISE AS MEASURED BY COUNTY HEALTH RANKINGS AND ROADMAPS TO REDUCE THE INCIDENCE OF HEART DISEASE AND STROKE.(KY RANKS 8TH FOR OBESITY AND 6TH FOR CARDIOVASCULAR DEATHS.)STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - CHRONIC DISEASE - OBESITY AND CARDIOVASCULAR DISEASE * ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY AND CHRONIC DISEASE IN CHILDREN. * SUPPORT LEGISLATION TO PROVIDE TAX BREAKS AND OTHER INCENTIVES FOR THE CREATION OF WELLNESS PROGRAMS AND ENABLING BUSINESSES TO HAVE A HEALTHIER WORKFORCE. * PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE. * CONTINUE COMMUNITY GARDEN THAT BEGAN AS A RESULT OF THE 2017-2019 CHNA AND: *UTILIZE PORTABLE PRODUCE STAND TO PROVIDE EDUCATION AND AVAILABLE PRODUCE FROM THE COMMUNITY GARDEN AT COMMUNITY AND SCHOOL EVENTS IN UNDERSERVED AREAS. *PARTNER WITH LOCAL SCHOOL SYSTEM TO CREATE GARDEN CLUB TO ENCOURAGE STUDENTS TO PARTICIPATE IN COMMUNITY GARDEN. *HOST A HEALTHY FOODS COOKING EVENT USING PRODUCE FROM GARDEN. *CONSTRUCT PRODUCE STAND AT COMMUNITY GARDEN TO ALLOW EASIER ACCESS TO AVAILABLE PRODUCE FROM GARDEN. * PROMOTE EXISTING SAFE WALKING PATHS WITHIN LAUREL COUNTY. * CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING * PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE AND/OR ADDRESS HEALTHY DIET, EXERCISE, OBESITY AND CARDIOVASCULAR DISEASE TO PREVENT NEGATIVE HEALTH OUTCOMES. * PROMOTE SAINT JOSEPH LONDON STROKE PROGRAM. * CONTINUE TO SUPPORT LAUREL COUNTY HEALTH IN MOTION COALITION. * ORGANIZE COMMUNITY EVENT IN RECOGNITION OF LONGEST DAY OF PLAY. * CREATE AND IMPLEMENT A WALKING PROGRAM FOR EXPECTANT MOTHERS TO REDUCE INCIDENCE OF PREGNANCY-INDUCED MEDICAL CONDITIONS. * CONTINUE TO GROW COMMUNITY OUTREACH PROGRAM TO PROVIDE DISEASE-SPECIFIC EDUCATION AND RESOURCES TO PATIENTS. * PURSUE VARIOUS PRIVATE, STATE AND FEDERAL FUNDING FOR PROGRAMS TO ADDRESS HEALTHY EATING.MENTAL HEALTH SUPPORTGOAL: ADDRESS LACK OF MENTAL HEALTH SUPPORT IN THE COMMUNITY.OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - MENTAL HEALTH SUPPORT * SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. (CONTINUED BELOW) PART V, SECTION B, LINE 11 (CONTINUED): * PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS.* DEVELOP OR IDENTIFY A MENTAL HEALTH COALITION TO COLLABORATE AND ALIGN SUBSTANCE ABUSE PREVENTION EFFORTS WITH STATEWIDE EFFORTS. * COLLABORATE WITH RAE OF SUNSHINE FOUNDATION TO PROVIDE MENTAL HEALTH AWARENESS EDUCATION. * COLLABORATE WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO PROVIDE A LOCAL PEER AND MENTAL HEALTH SUPPORT GROUP. * COLLABORATE WITH LOCAL SCHOOLS TO PROVIDE ANTI-BULLYING EDUCATION. * PROMOTE ANTI-BULLYING MONTH AND PROVIDE RESOURCES TO BUILD AWARENESS IN THE COMMUNITY. * PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. * LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. * COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. * UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENTSIGNIFICANT HEALTH NEED(S) NOT ADDRESSEDALL TOP PRIORITIES IDENTIFIED AS NEEDS WILL BE ADDRESSED.SAINT JOSEPH MOUNT STERLINGSTRATEGIES TO ADDRESS SIGNIFICANT HEALTH NEEDS*ALL STRATEGIES WERE IMPLEMENTED, BUT WERE SEVERELY CURTAILED WITH THE NOVEL CORONAVIRUS BEGINNING MARCH 1ST.SAINT JOSEPH MOUNT STERLING'S IDENTIFIED NEEDS GOALS, OBJECTIVES AND STRATEGIES ARE BELOW:SUBSTANCE ABUSEGOAL: ADDRESS SUBSTANCE ABUSE, INCLUDING TOBACCO, FROM A CHI SAINT JOSEPH HEALTH SYSTEM WIDE APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE.OUTCOME OBJECTIVE: TO DECREASE SUBSTANCE ABUSE, INCLUDING TOBACCO RATE AS MEASURED BY CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. (KY IS #2 IN THE NATION FOR TOBACCO USE AT 24.6%; AND #1 IN CANCERS TIED TO SMOKING.) ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - SUBSTANCE ABUSE* PARTICIPATE AND SUPPORT KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM. * ADVANCE CHI SAINT JOSEPH HEALTH'S RECENT NEW POSITION OF OPIOID STEWARDSHIP PHARMACIST AND FORTHCOMING DRUG TASK FORCE. * PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE. * PROMOTE AND SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). * IDENTIFY OPPORTUNITIES TO ADDRESS ALCOHOL AND SUBSTANCE USE AND THE NEGATIVE HEALTH OUTCOMES. * SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE. * CREATE AND/OR UPDATE AND MAINTAIN A RESOURCE BOOK THAT IDENTIFIES AGENCIES AND THE RESOURCES THEY PROVIDE FOR THOSE SUFFERING FROM ADDICTION (I.E., SERVICES OFFERED, HOURS OF OPERATION, LOCATION FEES, ETC.) * EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING.STRATEGIES - TOBACCO* ADVOCATE FOR SMOKE-FREE SCHOOLS, WORKPLACES AND PUBLIC PLACES. * ADVOCATE FOR INCREASING THE CIGARETTE TAX. * ADVOCATE TO INCREASE THE AGE TO 21 FOR PURCHASE OF TOBACCO PRODUCTS. PROMOTE AND ENCOURAGE LUNG SCREENINGS FOR CANCERS ASSOCIATED WITH TOBACCO USE. (LUNG CANCER IS THE MOST COMMON CANCER IN MEN AND WOMEN IN THE UNITED STATES.) * ENFORCE TOBACCO-FREE CAMPUS POLICY. * PROVIDE INFORMATION ABOUT SMOKING CESSATION CLASSES AND 1-800-QUIT-NOW. * CONTINUE REPRESENTATION ON THE AMERICAN CANCER SOCIETY'S KENTUCKY ADVISORY BOARD. * ALIGN EFFORTS WITH COMMISSION ON CANCER TRIENNIAL COMMUNITY HEALTH ASSESSMENT. * COLLABORATE AND SUPPORT KENTUCKY CANCER PROGRAM PLAN TO BE TOBACCO FREE. * COLLABORATE AND SUPPORT FOUNDATION FOR A HEALTHY KENTUCKY TOBACCO-FREE EFFORTS. * SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT TOBACCO USE. * CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO TO ADDRESS USE AND NEGATIVE HEALTH CONSEQUENCES IN THE COMMUNITY.MENTAL HEALTHGOAL: ADDRESS LACK OF MENTAL HEALTH SUPPORT IN THE COMMUNITY.OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES, INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY. STRATEGIES - MENTAL HEALTH * SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDING TELEHEALTH. * PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANT TO ADDRESS MENTAL HEALTH NEEDS. * PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE MENTAL WELL-BEING. * LEVERAGE EXPERTISE IN MENTAL HEALTH TO INCREASE ACCESS TO MENTAL HEALTH SERVICES INCLUDING TELEHEALTH. * COLLABORATE WITH OUR LADY OF PEACE TO PROVIDE PEACE FOR PARENTS SEMINARS ON TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE. * UTILIZE TELEHEALTH FOR CONSULTATIONS THROUGH THE EMERGENCY DEPARTMENTPROVIDER OF ADDITIONAL INFORMATION AND SERVICES/NAVIGATING THE HEALTH CARE SYSTEMGOAL: TO CONNECT FAMILIES TO HEALTH CARE EDUCATION, SERVICES AND NAVIGATING THE SYSTEM.OUTCOME OBJECTIVE: BY JUNE 2022, ASSIST ALL PATIENTS WHO REQUEST EDUCATION MATERIALS, LIST OF AVAILABLE SERVICES AND/OR HELP NAVIGATING THE SYSTEM.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - PROVIDER OF ADDITIONAL INFORMATION AND SERVICES/NAVIGATING THE HEALTH CARE SYSTEM* CREATE AND/OR UPDATE AND MAINTAIN A RESOURCE BOOK THAT IDENTIFIES AGENCIES AND THE RESOURCES THEY PROVIDE FOR THOSE SUFFERING FROM ADDICTION (I.E., SERVICES OFFERED, HOURS OF OPERATION, LOCATION FEES, ETC.) * PROVIDE EDUCATION/INFORMATION ABOUT A VARIETY OF HEALTH TOPICS INCLUDING TOBACCO, SUBSTANCE ABUSE, MENTAL HEALTH, ETC. * CONTINUE COLLABORATIVE EFFORTS WITH COMMUNITY ORGANIZATIONS, INCLUDING MONTGOMERY COUNTY HEALTH DEPARTMENT, TO PROMOTE PROGRAMS AND INITIATIVES AND SHARE INFORMATION ABOUT SERVICES TO DECREASE BARRIERS TO HEALTH CARE ACCESS. * PROMOTE AND SUPPORT COMMUNITY RESOURCES AND SUPPORT GROUPS FOR PATIENTS.SIGNIFICANT HEALTH NEED(S) NOT ADDRESSEDALL TOP PRIORITIES IDENTIFIED AS NEEDS WILL BE ADDRESSED. PART V, SECTION B, LINE 6A: SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST AND CONTINUING CARE HOSPITAL WITH EACH OTHER.NO FOR: BEREA, LONDON AND MOUNT STERLING. 7 1 - SAINT JOSEPH OUTPATIENT CARE CENTER - TA 1099 DUVAL STREET LEXINGTON KY 40515 OUTPATIENT IMAGING CENTER 2 - ST JOSEPH RADIATIONMEDICAL ONCOLOGY 701 BOB-O-LINK DRIVE LEXINGTON KY 40504 OUTPATIENT CANCER CARE CENTER 3 - ST JOSEPH RADIATIONMEDICAL ONCOLOGY 3470 BLAZER PARKWAY LEXINGTON KY 40509 OUTPATIENT CANCER CARE CENTER 4 - SAINT JOSEPH OUTPATIENT CARE CENTER RICH 103 ALYCIA DRIVE RICHMOND KY 40475 OUTPATIENT IMAGING CENTER 5 - COMMONWEALTH CANCER CENTER - LONDON 165 LONDON MOUNTAIN VIEW DRIVE LONDON KY 40741 OUTPATIENT CANCER CARE CENTER 6 - COMMONWEALTH CANCER CENTER - CORBIN 1 TRILLIUM WAY CORBIN KY 40701 OUTPATIENT CANCER CARE CENTER 7 - SAINT JOSEPH JESSAMINE 1250 KEENE ROAD NICHOLASVILLE KY 40356 AMBULATORY CARE CENTER PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: *THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. *THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. *THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. *THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: *RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; *HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; *PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); *FOOD STAMP ELIGIBILITY; *SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; *ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); *LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR *PATIENT IS DECEASED WITH NO KNOWN ESTATE. PART III, LINE 2: THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WAS DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 3: SAINT JOSEPH HEALTH SYSTEM DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: SAINT JOSEPH HEALTH SYSTEM DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS ARE PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF THE CHANGE.SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. BAD DEBT EXPENSE FOR 2021 AND 2020 WAS NOT SIGNIFICANT. PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS.COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. SAINT JOSEPH HEALTH SYSTEM, INC.'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF ($32,193,588) REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY. PART VI, LINE 2: CHI SAINT JOSEPH HEALTH IS INVOLVED WITH EACH COMMUNITY THROUGH SERVING ON COMMITTEES, BOARDS, ETC. WE ARE ASTUTELY AWARE THAT CONCERNS/CHALLENGES ARISE OUTSIDE THE CHNA AND WE OFTEN ASSIST IN ADDRESSING THESE CHALLENGES SUCH AS COVID EDUCATION FOR THE COMMUNITY. PART VI, LINE 3: NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: *CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; *NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND *PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: SAINT JOSEPH HOSPITAL & SAINT JOSEPH EAST KENTUCKY COUNTY: FAYETTE (URBAN) POPULATION: 322,570* AVERAGE MEDIAN HOUSEHOLD INCOME: $57,291* % OF FAMILIES LIVING BELOW POVERTY: 14.6% OR 47,095* % UNINSURED <65 YEARS OLD: 8.8%* % OF MEDICAID RECIPIENTS: 27.30% OR 88,067** # OF HOSPITALS SERVING THE COMMUNITY: 2+ FQHC: YES (26) HTTPS://DATA.HRSA.GOV/DATA/REPORTS/DATAGRID?GRIDNAME=FQHCS****HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FAYETTECOUNTYKENTUCKY**HTTPS://CHFS.KY.GOV/AGENCIES/DMS/STATS/KYDWMMCC122021.PDF***HTTPS://DATA.HRSA.GOV/DATA/REPORTS/DATAGRID?GRIDNAME=FQHCSSAINT JOSEPH BEREAKENTUCKY COUNTY: MADISON (RURAL)* POPULATION: 92,701** AVERAGE MEDIAN HOUSEHOLD INCOME: $50,060** % OF FAMILIES LIVING BELOW POVERTY: 15.5% OR 14,368** % UNINSURED <65 YEARS OLD: 7% **% OF MEDICAID RECIPIENTS: 32.35% OR 29,988***# OF HOSPITALS SERVING THE COMMUNITY: 2+ FQHC: YES (6)*****HTTPS://WWW.HRSA.GOV/SITES/DEFAULT/FILES/HRSA/RURALHEALTH/RESOURCES/FORHPELIGIBLEAREAS.PDF**HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/MADISONCOUNTYKENTUCKY,NELSONCOUNTYKENTUCKY,LEXINGTONFAYETTEURBANCOUNTYKENTUCKY/PST045221***HTTPS://CHFS.KY.GOV/AGENCIES/DMS/STATS/KYDWMMCC122021.PDF****HTTPS://DATA.HRSA.GOV/DATA/REPORTS/DATAGRID?GRIDNAME=FQHCSSAINT JOSEPH LONDONKENTUCKY COUNTY: LAUREL (RURAL)* POPULATION: 62,613** AVERAGE MEDIAN HOUSEHOLD INCOME: $41,526** % OF FAMILIES LIVING BELOW POVERTY: 17.9% OR 11,207** % UNINSURED <65 YEARS OLD: 8.3%**% OF MEDICAID RECIPIENTS: 45.88% OR 28,730***# OF HOSPITALS SERVING THE COMMUNITY: 1+ FQHC: YES (3)*****HTTPS://WWW.HRSA.GOV/SITES/DEFAULT/FILES/HRSA/RURALHEALTH/RESOURCES/FORHPELIGIBLEAREAS.PDF**HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/LAURELCOUNTYKENTUCKY,MADISONCOUNTYKENTUCKY,NELSONCOUNTYKENTUCKY,LEXINGTONFAYETTEURBANCOUNTYKENTUCKY/PST045221***HTTPS://CHFS.KY.GOV/AGENCIES/DMS/STATS/KYDWMMCC122021.PDF****HTTPS://DATA.HRSA.GOV/DATA/REPORTS/DATAGRID?GRIDNAME=FQHCSSAINT JOSEPH MOUNT STERLINGKENTUCKY COUNTY: MONTGOMERY (RURAL)* POPULATION: 28,114** AVERAGE MEDIAN HOUSEHOLD INCOME: $45,516** % OF FAMILIES LIVING BELOW POVERTY: 15.7% OR 4,413** % UNINSURED <65 YEARS OLD: 7.5%**% OF MEDICAID RECIPIENTS: 41% OR 11,559***# OF HOSPITALS SERVING THE COMMUNITY: 1+ FQHC: YES (13)**** *HTTPS://WWW.HRSA.GOV/SITES/DEFAULT/FILES/HRSA/RURALHEALTH/RESOURCES/FORHPELIGIBLEAREAS.PDF**HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/MONTGOMERYCOUNTYKENTUCKY,LAURELCOUNTYKENTUCKY,MADISONCOUNTYKENTUCKY,NELSONCOUNTYKENTUCKY,LEXINGTONFAYETTEURBANCOUNTYKENTUCKY/PST045221***HTTPS://CHFS.KY.GOV/AGENCIES/DMS/STATS/KYDWMMCC122021.PDF****HTTPS://DATA.HRSA.GOV/DATA/REPORTS/DATAGRID?GRIDNAME=FQHCS PART VI, LINE 5: CHI SAINT JOSEPH HEALTH ENCOURAGES ALL EMPLOYEES, PARTICULARLY LEADERS, TO BE INVOLVED IN THEIR COMMUNITIES. THE MAJORITY OF SENIOR LEADERSHIP SERVE ON A COMMITTEE OR BOARD THAT ADVANCES HEALTH AND IN ACCORD WITH OUR MISSION AND CORE VALUES.CHI SAINT JOSEPH HEALTH PARTNERS WITH SUPPLIES OVER SEAS AND GIFTS SLIGHTLY USED MEDICAL EQUIPMENT AND OTHER SUPPLIES THAT ARE NOT EXPIRED, BUT NO LONGER IN CIRCULATION AT A FACILITY.CHI SAINT JOSEPH HEALTH FACILITIES ARE OPEN TO ACCEPTING STUDENTS IN ROTATIONS IN ALL AREAS, WITH A MAJORITY BEING IN THE NURSING FIELD.CHI SAINT JOSEPH HEALTH HAS A COMMUNITY RELATIONS COMMITTEE THAT MEETS ONCE A MONTH TO REVIEW AND DECIDE ON REQUESTED DONATIONS THAT AGAIN, REFLECTS OUR MISSION, CORE VALUES AND ADDRESS SOME ASPECT OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF MORE THAN 1,500 CARE SITES, CONSISTING OF 140 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2021, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.5 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $5.1 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $33.25 BILLION IN FISCAL YEAR 2021, HAS TOTAL ASSETS OF APPROXIMATELY $54.87 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7: NA KENTUCKY DOES NOT REQUIRE FILING OF A COMMUNITY BENEFIT REPORT, BUT IT IS AVAILABLE ONLINE AT HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/HEALTHYCOMMUNITIES 1 COMMERCE LEXINGTON 330 EAST MAIN STREET STE 100 LEXINGTON KY 40507 610258800 501(C)(6) 25000 GENERAL SUPPORT SAINT JOSEPH HOSPITAL FOUNDATION 1451 HARRODSBURG ROAD STE D-308 LEXINGTON KY 40504 611159649 501(C)(3) 22274 GENERAL SUPPORT SAINT JOSEPH LONDON FOUNDATION 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 501(C)(3) 20000 GENERAL SUPPORT 2 1 PART I, LINE 2: GRANTS AND REQUESTS FOR CONTRIBUTIONS ARE ADMINISTERED BY THE CEO AND VP OF MISSION INTEGRATION. ALL GRANT EXPENDITURES REQUIRE THE SAME APPROVAL AS NON-GRANT EXPENDITURES THROUGH THE ACCOUNTS PAYABLE MATRIX. X X X X X 1 1 0 1 0 0 0 0 0 LARRY SCHUMACHER BOARD MEMBER 0 1053841 0 748629 0 160307 0 197895 0 22399 0 2183071 0 140400 BRUCE TASSIN PRESIDENT/MARKET CEO (PARTIAL YEAR) 651174 0 383221 0 75497 0 79143 0 20567 0 1209602 0 59148 0 JASON ADAMS PRESIDENT-ST JOSEPH EAST-BEREA (PART 286617 0 123709 0 531840 0 2921 0 5378 0 950465 0 0 0 STEVE LIN CARDIOLOGIST NON INVASIVE 0 872258 0 0 0 2006 0 17172 0 24503 0 915939 0 0 SCOTT PIERCE ONCOLOGIST 0 797430 0 0 0 12103 0 17611 0 26068 0 853212 0 0 STEVEN FRANTZ MARKET SVP CFO (PARTIAL YEAR) 254730 0 110753 0 442559 0 14486 0 17454 0 839982 0 0 0 ANTHONY HOUSTON MARKET CEO 0 445570 0 167960 0 79683 0 15531 18336 16748 18336 725492 0 20344 DON LOVASZ PRESIDENT CLIN INT NETWORK 67861 0 0 0 648827 0 9423 0 3350 0 729461 0 0 0 COLLEEN HOLTON FORMER TREASURER/CFO 0 93516 0 71081 0 515043 0 10593 0 8521 0 698754 0 0 TRAVIS SEWALLS VP-MEDICAL AFFAIRS 238066 0 43306 0 401027 0 5046 0 7911 0 695356 0 0 0 VIREN BAVISHI PRESIDENT PHYSICIAN ENTERPRISE 428368 0 124138 0 4083 0 16975 0 31504 0 605068 0 0 0 DANIEL GOULSON MKT SVP CMO 423914 0 122877 0 5828 0 16287 0 29031 0 597937 0 0 0 JENNIFER NOLAN PRESIDENT OF FLAGET AND OUR LADY OF 377675 0 118277 0 27705 0 19093 0 25686 0 568436 0 0 0 JUAN YANES PRESIDENT ST JOSEPH LONDON, ST JOSEP 335664 0 89736 0 78055 0 22793 0 27308 0 553556 0 0 0 SHARON HAGER FORMER SECRETARY/DIV VP SR COUNSEL 0 380020 0 137905 0 3608 0 18514 0 9886 0 549933 0 0 MICHAEL ZHANG PHYSICIAN - INTERNAL MEDICINCE 442630 0 0 0 10022 0 4632 0 1582 0 458866 0 0 0 SHELLEY STANKO MD BOARD MEMBER 0 343028 0 0 0 1140 0 16837 0 26068 0 387073 0 0 CHRISTY SPITSER TREASURER/MKT VP OPERATIONAL FINANCE 285137 0 54775 0 922 0 16908 0 28140 0 385882 0 0 0 LESLIE SMART PRESIDENT SAINT JOSEPH FOUNDATION 304892 0 58396 0 2844 0 14555 0 3190 0 383877 0 0 0 CHARLES POWELL FORMER PRESIDENT 0 0 0 0 0 241128 0 0 0 0 0 241128 0 0 WILLIAM GEORGE SECRETARY 0 176177 0 34233 0 329 0 9377 0 8649 0 228765 0 0 MELINDA EVANS MKT DIRECTOR OPERATIONAL FINANCE 0 176067 0 19503 0 567 0 9189 0 10734 0 216060 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2020, COMPENSATION FOR ANTHONY HOUSTON WAS ESTABLISHED AND PAID BY MEMORIAL HEALTH CARE SYSTEM INC, A RELATED ORGANIZATION. MEMORIAL HEALTH CARE SYSTEM INC USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE (2) INDEPENDENT COMPENSATION CONSULTANT (4) WRITTEN EMPLOYMENT CONTRACT (5) COMPENSATION SURVEY OR STUDY AND (6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A: FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY THE COMMONSPIRIT HEALTH EXECUTIVE SEVERANCE POLICY. THIS POLICY PROVIDES FOR SEVERANCE PAY WHICH VARIES BASED UPON THE EXECUTIVE'S POSITION LEVEL, IN THE EVENT OF A POSITION ELIMINATION OR OTHER QUALIFYING EVENT, IN ACCORDANCE WITH THE GUIDELINES OF THE EXECUTIVE SEVERANCE POLICY. AN EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT SHALL CONTROL WHERE THE SEVERANCE PAY AMOUNTS IN THE POLICY CONFLICT WITH THE EXECUTIVE'S WRITTEN EMPLOYMENT OR SEVERANCE AGREEMENT. IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT OF CLAIMS. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM COMMONSPIRIT HEALTH (A RELATED ORGANIZATION) DURING THE 2020 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): DON LOVASZ, $647,186; COLLEEN HOLTON, $510,876; CHARLES POWELL, $241,128; STEVEN FRANTZ, $438,115; TRAVIS SEWALLS, $400,216; JASON ADAMS, $477,135. PART I, LINE 4B: DURING THE 2020 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2020 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: ANTHONY HOUSTON, $24,187; BRUCE TASSIN, $71,414; LAWRENCE SCHUMACHER, $142,712; JASON ADAMS, $5,589. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2020 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2020, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: JENNIFER NOLAN, $22,894; ANTHONY HOUSTON, $51,727; JASON ADAMS, $13,638. PART I, LINE 5A: REPORTABLE PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON "GROSS PROFESSIONAL REVENUE." "GROSS PROFESSIONAL REVENUE" WAS NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL GROSS REVENUE OR ORGANIZATIONAL "GROSS INCOME." RATHER, AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S INDIVIDUAL CONTRIBUTION COMPUTED AS: PHYSICIANS PERSONALLY PERFORMED PROFESSIONAL SERVICES (FOR SERVICES RENDERED BY THE PHYSICIAN TO PATIENTS PERSONALLY) LESS SOME SPECIFICALLY STATED PHYSICIAN REVENUE AND REFUNDS. PAYMENT FROM UNRELATED ORG: AVICHAI ERES, MD - DIRECTORSHIP FEES FROM KENTUCKY CARDIOLOGY PLLC $36,348 ANN JONES FAMILY MEMBER OF TRUSTEE 133913 EMPLOYEE COMPENSATION 0 REBECCA HOUSTON FAMILY MEMBER OF TRUSTEE 11275 EMPLOYEE COMPENSATION 0 AVICHAI ERES MD BUSINESS RELATIONSHIP 813000 KENTUCKY CARDIOLOGY PLLC 0 FORM 990, PART VI, SECTION A, LINE 1 PURSUANT TO SECTION 7.1 OF THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, INC., THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM INC., THE ENTITY'S SOLE MEMBER IS KENTUCKYONE HEALTH, INC., A KENTUCKY NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B SAINT JOSEPH HEALTH SYSTEM, INC.'S (SJHS) CORPORATE MEMBER IS KENTUCKYONE HEALTH, INC. PURSUANT TO SECTION 4.4.1 OF THE ORGANIZATION'S BYLAWS, NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF THE CORPORATION NOR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION SHALL TAKE ANY ACTION EITHER IN CONTRADICTION OF ANY OF THE FOREGOING POWERS, OR WITHOUT FIRST HAVING SECURED THE NECESSARY APPROVALS OR GIVEN THE APPROPRIATE NOTIFICATIONS AS MAY BE REQUIRED BY THESE BYLAWS. IN ADDITION, PURSUANT TO SECTION 4.4.2 OF THE ORGANIZATION'S BYLAWS, IN EXERCISE OF ITS APPROVAL POWERS, THE CORPORATE MEMBER MAY GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT OF THE CORPORATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE PRESIDENT AND VICE PRESIDENT OF FINANCE. AFTER THE REVIEW, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY THAT EFFECT E-FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. THE POLICY WAS LAST UPDATED DURING THE TAX YEAR ENDED 6/30/2021. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15 ST. JOSEPH HEALTH SYSTEM, INC.'S EXECUTIVE LEADERSHIP COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE TO THE BOARD. AN OUTSIDE CONSULTANT PROVIDED COMPARATIVE DATA BASED ON BASE COMPENSATION, TOTAL COMPENSATION, AND EXECUTIVE BENEFITS. PHYSICIAN COMPENSATION IS REVIEWED AND APPROVED BY PLC, MANAGEMENT PTRC, BOARD PTRC, AND ULTIMATELY THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART VI, LINE 14: THE DOCUMENT RETENTION AND DESTRUCTION POLICY IS MORE OF AN OPERATIONAL POLICY. THESE TYPES OF POLICIES USUALLY DO NOT GO TO THE BOARD OF DIRECTORS. THIS HAS NOT BEEN ADOPTED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 16B: ST. JOSEPH HEALTH SYSTEM INC. HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER COMMONSPIRIT HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; AND (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. FORM 990. PART VI, LINE 15A: ANTHONY HOUSTON WAS PAID BY MEMORIAL HEALTH CARE SYSTEM INC, A RELATED ORGANIZATION. ON AN ANNUAL BASIS MHCS ENGAGES AN EXTERNAL CONSULTANT TO REVIEW THE COMPENSATION OF ITS EXECUTIVES. THE REVIEW IS PERFORMED TO ENSURE THATEXECUTIVE SALARIES ARE WITHIN COMPARABLE MARKET RANGES FOR THAT POSITION. THE RESULTS OF THE REVIEW ARE PRESENTED TO THE EXECUTIVE COMPENSATION HUMAN RESOURCES COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 542,714. MANAGEMENT AND GENERAL EXPENSES 378,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 921,260. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 9,843,820. MANAGEMENT AND GENERAL EXPENSES 6,866,110. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,709,930. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 42,117,674. MANAGEMENT AND GENERAL EXPENSES 29,377,274. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,494,948. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 26,753,822. MANAGEMENT AND GENERAL EXPENSES 18,660,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,414,738. OTHER FEES: PROGRAM SERVICE EXPENSES 27,511,727. MANAGEMENT AND GENERAL EXPENSES 19,189,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,701,285. FORM 990, PART XI, LINE 9: CAPITAL TRANSFER TO ST JOSEPH HEALTH ASC, LLC -4,694,166. AFFILIATE TRANSFERS 4,308,512. REALLOCATION OF CARES ACT REVENUE 11,278,498. FORM 990, PART XI, LINE 8 PRIOR PERIOD ADJUSTMENT: CENTRALIZED TRANSACTIONS: TRANSFERS FOR JOURNAL ENTRIES RECORDED CENTRALLY AT COMMONSPIRIT TO STANDARDIZE CONTRACTUAL ALLOWANCE METHODOLOGY ACROSS ALL COMMONSPIRIT AFFILIATES AND SUBSIDIARIES. RECORDED CENTRALLY AT YEAR END AND TRANSFERRED TO FACILITIES IN THE FOLLOWING YEAR. IMAGING CENTER OF MOUNT STERLING LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 MEDICAL IMAGING KY SJHS ONCOLOGY SERVICES OF CENTRAL KENTUCKY ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 270900852 ONCOLOGY KY SJHS JESSAMINE HEALTH SERVICES LLC DBA SAINT JOSEPH HEART INSTITUTE 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY SJHS ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSP OF MO VALLEYIA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST 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760458535 PHYSICIANS TX 501(C)(3) LINE 3 BSLHV 0 BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 INACTIVE PA 501(C)(3) LINE 12A, I CSH 0 BRAZOSPORT HEALTH FOUNDATION INC 1 WEST WAY CT LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(C)(3) LINE 12A, I TCHB 0 BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(C)(3) LINE 3 TCHB 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(C)(3) LINE 3 SJSC 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 REHABILITATION TX 501(C)(3) LINE 10 SJSC 0 CALIFORNIA HOSPITAL MEDICAL CENTER FOUNDATION 1401 SOUTH GRAND AVENUE LOS ANGELES CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(C)(3) LINE 12A, I DCC 0 CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(C)(3) LINE 3 CSH 0 CATHOLIC HEALTH INITIATIVES - COLORADO 9100 EAST MINERAL CIRCLE CENTENNIAL 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