ST ELIZABETH MEDICAL CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ST ELIZABETH MEDICAL CENTER INC (EIN 61-0445850)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202033219349316728
Schema version: 2019v5.0
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	2020-11-16T15:30:53-06:00	ReturnTs
Tax Period End	2019-12-31	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	402411122	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	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	One 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	2020-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

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	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	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	One Medical Village Drive	AddressLine1Txt
City	Edgewood	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,808,717,983	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	8189	TotalEmployeeCnt
Total Volunteers	1453	TotalVolunteersCnt
Total Gross UBI	$1,732,675	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,067,640	PYContributionsGrantsAmt
CY Contributions Grants	$9,475,982	CYContributionsGrantsAmt
PY Program Service Revenue	$1,182,872,415	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,207,741,060	CYProgramServiceRevenueAmt
PY Investment Income	$28,190,465	PYInvestmentIncomeAmt
CY Investment Income	$70,078,529	CYInvestmentIncomeAmt
PY Other Revenue	$5,654,041	PYOtherRevenueAmt
CY Other Revenue	$6,279,258	CYOtherRevenueAmt
PY Total Revenue	$1,224,784,561	PYTotalRevenueAmt
CY Total Revenue	$1,293,574,829	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,485,576	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,171,294	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$531,545,385	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$559,111,950	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$60,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$60,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,040,360	CYTotalFundraisingExpenseAmt
PY Other Expenses	$599,920,005	PYOtherExpensesAmt
CY Other Expenses	$600,196,355	CYOtherExpensesAmt
PY Total Expenses	$1,136,010,966	PYTotalExpensesAmt
CY Total Expenses	$1,163,539,599	CYTotalExpensesAmt
PY Revenues Less Expenses	$88,773,595	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$130,035,230	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,837,486,904	TotalAssetsBOYAmt
Total Assets EOY	$2,162,310,495	TotalAssetsEOYAmt
Total Liabilities BOY	$503,171,056	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$646,749,497	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,334,315,848	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,515,560,998	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	$702,396,230	ExpenseAmt
Grant	$4,171,294	GrantAmt
Revenue	$1,207,741,060	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 five facilities throughout Northern Kentucky - St. Elizabeth Covington, St. Elizabeth Edgewood, St. Elizabeth Florence, St. Elizabeth Ft. Thomas and St. Elizabeth Grant. St. Elizabeth Healthcare is sponsored by the Diocese of Covington and provided approximately $120 million in uncompensated care and benefit to the community in 2019. 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 you, the patient, faster, more convenient access to your personal medical records, test results and healthcare providers through a web portal called "MyChart." St. Elizabeth Healthcare also became the first and only healthcare system in Kentucky, Ohio or Indiana to pass Mayo Clinic's rigorous review process and become a member of the Mayo Clinic Care Network, a collaboration that allows physicians from St. Elizabeth Healthcare to consult with Mayo Clinic physicians, providing even better care to our patients. 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 2019 St. Elizabeth Healthcare had total admissions of 91,057; total patient visits of 196,502 and total emergency room visits of 189,555.	Desc
Total Program Service Expenses	$702,396,230	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	false	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	Yes (true)	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	576	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8189	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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	ONE MEDICAL VILLAGE DRIVE	AddressLine1Txt
City	EDGEWOOD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 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)	$1,595,787	$0	$80,295
AJ SCHAEFFER
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
BRIAN ROBINSON
TRUSTEE	4.0	0	Yes (X)		$21,979	$0	$0
DEBBIE SIMPSON
Trustee	4.0	0	Yes (X)		$1,757	$0	$0
GARY W MOORE
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
JACKIE SWEENEY MD
TRUSTEE	4.0	0	Yes (X)		$1,624	$0	$0
JAMES ROEBKER MD
TRUSTEE	4.0	0	Yes (X)		$5,438	$0	$0
JAMES VOTRUBA
Chairman	4.0	0	Yes (X)		$2,119	$0	$0
JASON JACKMAN
TRUSTEE	4.0	0	Yes (X)		$1,252	$0	$0
MARSHA CROXTON
TRUSTEE	4.0	0	Yes (X)		$1,600	$0	$0
MEREDITH DONNELLY MD
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
MICHAEL E JONES
TRUSTEE	4.0	0	Yes (X)		$1,559	$0	$0
ROBERT BAKER MD
PHYSICIAN / DIRECTOR	4.0	50.0	Yes (X)		$0	$177,309	$54,751
ROGER PETERMAN
TRUSTEE	4.0	0	Yes (X)		$15,790	$0	$0
THOMAS R DIETZ
TRUSTEE	4.0	0	Yes (X)		$16,940	$0	$0
TILLIE HIDALGO LIMA
Trustee	4.0	0	Yes (X)		$16,348	$0	$0
TODD KIRCHHOFF MD
TRUSTEE/PRESIDENT	4.0	0	Yes (X)		$31,499	$0	$0
GARY BLANK
EXECUTIVE VP & COO, CNE	50.0	1.0		Yes (X)	$801,171	$0	$64,264
LAROY KENDALL
VP Medical Services, CMO	50.0	4.0		Yes (X)	$563,037	$0	$60,856
LISA FREY
VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	50.0	1.0		Yes (X)	$482,251	$0	$60,851
LORI RITCHEY-BALDWIN
Senior Vice President/CFO/Treasurer	50.0	5.0		Yes (X)	$842,296	$0	$67,944
ROBERT PRICHARD MD
Chief Clinical Integration Officer, SEP President & CEO	25.0	25.0		Yes (X)	$1,022,929	$0	$74,820
ALEXANDER RODRIGUEZ
VP CIO	50.0	0			$529,952	$0	$55,899	Yes (X)
ANTHONY HELTON
VP Revenue Cycle	50.0	0			$350,156	$0	$47,783	Yes (X)
BENITA ANDERSON
VP Nursing - Florence/Ft. Thomas	50.0	0			$338,571	$0	$62,810	Yes (X)
BRUCE HENLEY
SEP CFO / TREASURER	35.0	15.0			$332,203	$0	$60,648	Yes (X)
BRUNO GIACOMUZZI
COO Flo FT Cov & SVP Prof Svcs	50.0	0			$499,108	$0	$65,646	Yes (X)
CARRI CHANDLER
VP - FOUNDATION	50.0	0			$300,291	$0	$39,660	Yes (X)
CHRISTOPER CARLE
PRESIDENT & CEO SEPN	50.0	0			$543,689	$0	$64,060	Yes (X)
HARRY WATSON
Sr. VP Facilities	50.0	0			$395,112	$0	$35,621	Yes (X)
JACOB BAST
SEP COO / SECRETARY	35.0	15.0			$505,301	$0	$43,767	Yes (X)
JAMES HORN
VP/CHIEF QUALITY OFFICER/ PHYSICIAN	50.0	0			$435,457	$0	$46,761	Yes (X)
JAMES McCARVILLE
VP - QUALITY	50.0	0			$310,664	$0	$62,965	Yes (X)
JAMES PARSONS
SVP HUMAN RESOURCES	50.0	0			$387,585	$0	$25,780	Yes (X)
JASON WESSEL
VP OF PROFESSIONAL SERVICES	50.0	0			$261,342	$0	$43,395	Yes (X)
JOHN MITCHELL
SVP - COO FT. THOMAS	50.0	0			$328,061	$0	$58,360	Yes (X)
JOSEPH BOZZELLI
VP MISSION SVCS & PASTORAL CARE	50.0	0			$241,468	$0	$57,223	Yes (X)
KATHY LYNN JENNINGS
VP PATIENT CARE/ONCOLOGY	50.0	0			$301,090	$0	$65,076	Yes (X)
MATTHEW HOLLENKAMP
VP MARKETING AND CONSUMER RELATIONS	50.0	0			$300,241	$0	$45,311	Yes (X)
PAMELA DEETER
VP FINANCE	50.0	0			$352,508	$0	$48,724	Yes (X)
ROSANNA NIELDS
VP PLANNING & GOVT RELATIONS	50.0	0			$307,379	$0	$50,094	Yes (X)
SARAH GIOLANDO
SVP/CHIEF STRATEGY OFFICER	50.0	0			$526,832	$0	$42,224	Yes (X)
SUSAN MCDONALD
VP Nursing - Edgewood	50.0	0			$371,120	$0	$48,481	Yes (X)
VERA HALL
SVP System CNE	50.0	0			$405,566	$0	$68,198	Yes (X)
WILLIAM BANKS
VP MANAGED CARE	50.0	0			$462,730	$0	$76,175	Yes (X)
DARRYL DIAS MD
PHYSICIAN	50.0	0			$1,062,515	$0	$67,837		Yes (X)
JEROME SCHUTZMAN MD
PHYSICIAN	50.0	0			$1,303,554	$0	$66,286		Yes (X)
JON HAYS MD
PHYSICIAN	50.0	0			$1,184,655	$0	$67,539		Yes (X)
MOHAMAD SINNO MD
PHYSICIAN	50.0	0			$1,101,338	$0	$68,295		Yes (X)
SAEB KHOURY MD
PHYSICIAN	50.0	0			$971,183	$0	$68,739		Yes (X)
HEIDI MURLEY MD
TRUSTEE	4.0	50.0			$0	$540,188	$49,112			Yes (X)
MARTIN OSCADAL
FORMER SVP HUMAN RESOURCES	50.0	0			$117,821	$0	$2,038			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$19,952,872	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$717,496	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,068,286	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	578	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Turner Construction Company
250 West Court St	Suite 300	Cincinnati	OH	45202	Construction	$61,085,256
Messer Construction
88718 Expedite Way		Chicago	IL	60695	Construction Services	$8,705,823
Epic Systems Corporation
PO Box 88314		Milwaukee	WI	523880314	Technical Services	$7,273,651
Danis Building Construction Company
50 E Business Way		Cincinnati	OH	45241	Construction	$6,785,782
Intuitive Surgical Inc
PO Box 39000	Dept 33629	San Francisco	CA	94139	Technical Services	$5,289,510

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	230	CntrctRcvdGreaterThan100KCnt
Fundraising	$54,264	FundraisingAmt
Government Grants	$2,095,642	GovernmentGrantsAmt
All Other Contributions	$7,326,076	AllOtherContributionsAmt
Noncash Contributions	$396,739	NoncashContributionsAmt
Total Contributions	$9,475,982	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	$1,055,594,065	$1,055,594,065
OTHER RELATED REVENUE	900099	$63,316,523	$63,316,523
PATIENT/EMPLOYEE DRUGS	446110	$17,866,988	$13,972,134	$1,417,938	$2,476,916
LABORATORY	621500	$70,963,484	$70,684,487	$278,997

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	$1,207,741,060	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,506,897	TotalRevenueColumnAmt
Unrelated Business Revenue	$35,740	UnrelatedBusinessRevenueAmt
Exclusion	$23,471,157	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$374,451	TotalRevenueColumnAmt
Exclusion	$374,451	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,765,841	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,543,104	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$222,737	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$222,737	TotalRevenueColumnAmt
Exclusion	$222,737	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$558,231,772	SecuritiesAmt
Other	$277,841	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$509,369,287	SecuritiesAmt
Other	$2,943,145	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$48,862,485	SecuritiesAmt
Other	-$2,665,304	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,197,181	TotalRevenueColumnAmt
Exclusion	$46,197,181	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$374,568	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$54,264	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$283,676	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,892	TotalRevenueColumnAmt
Exclusion	$90,892	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$19,769	GamingGrossIncomeAmt
Gaming Direct Expenses	$3,942	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,827	TotalRevenueColumnAmt
Exclusion	$15,827	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722210	$4,146,531	$4,146,531
GIFT SHOP	900099	$1,630,769	$1,630,769
VENDING	453220	$172,502	$172,502

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	$5,949,802	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,293,574,829	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,203,567,209	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,732,675	UnrelatedBusinessRevenueAmt
Exclusion	$78,798,963	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	$4,171,294	TotalAmt
Program Services	$4,171,294	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$15,955,354	TotalAmt
Program Services	$11,840,535	ProgramServicesAmt
Management And General	$4,080,421	ManagementAndGeneralAmt
Fundraising	$34,398	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$419,594,323	TotalAmt
Program Services	$311,382,703	ProgramServicesAmt
Management And General	$107,307,020	ManagementAndGeneralAmt
Fundraising	$904,600	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,460,055	TotalAmt
Program Services	$20,081,593	ProgramServicesAmt
Management And General	$8,319,869	ManagementAndGeneralAmt
Fundraising	$58,593	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$65,823,948	TotalAmt
Program Services	$46,301,734	ProgramServicesAmt
Management And General	$19,424,378	ManagementAndGeneralAmt
Fundraising	$97,836	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,278,270	TotalAmt
Program Services	$22,215,494	ProgramServicesAmt
Management And General	$6,991,651	ManagementAndGeneralAmt
Fundraising	$71,125	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,525,735	TotalAmt
Management And General	$1,525,735	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$558,544	TotalAmt
Program Services	-$9,731	ProgramServicesAmt
Management And General	$568,275	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$39,250	TotalAmt
Program Services	$39,250	ProgramServicesAmt

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	$1,900,562	TotalAmt
Management And General	$1,900,062	ManagementAndGeneralAmt
Fundraising	$500	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$86,323,622	TotalAmt
Program Services	$39,977,203	ProgramServicesAmt
Management And General	$46,206,408	ManagementAndGeneralAmt
Fundraising	$140,011	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,043,739	TotalAmt
Program Services	$472,442	ProgramServicesAmt
Management And General	$7,397,419	ManagementAndGeneralAmt
Fundraising	$173,878	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,442,933	TotalAmt
Program Services	$2,229,368	ProgramServicesAmt
Management And General	$2,114,287	ManagementAndGeneralAmt
Fundraising	$99,278	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,729,061	TotalAmt
Program Services	$1,104,685	ProgramServicesAmt
Management And General	$16,590,083	ManagementAndGeneralAmt
Fundraising	$34,293	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,046,727	TotalAmt
Program Services	$945,539	ProgramServicesAmt
Management And General	$12,101,188	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$828,764	TotalAmt
Program Services	$494,178	ProgramServicesAmt
Management And General	$323,554	ManagementAndGeneralAmt
Fundraising	$11,032	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,596,796	TotalAmt
Program Services	$587,170	ProgramServicesAmt
Management And General	$1,837,809	ManagementAndGeneralAmt
Fundraising	$171,817	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,862,145	TotalAmt
Program Services	$130,487	ProgramServicesAmt
Management And General	$6,731,658	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$67,002,178	TotalAmt
Management And General	$67,002,178	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,720,917	TotalAmt
Management And General	$7,720,917	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$213,252,636	$209,396,814	$3,855,822
GENERAL SUPPLIES	$21,342,985	$11,497,836	$9,685,294	$159,855
PROVIDER TAX	$12,549,260		$12,549,260
DUES & MEMBERSHIPS	$1,487,344	$770,602	$710,163	$6,579

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$132,943,157	TotalAmt
Program Services	$18,767,034	ProgramServicesAmt
Management And General	$114,159,558	ManagementAndGeneralAmt
Fundraising	$16,565	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,163,539,599	TotalAmt
Program Services	$702,396,230	ProgramServicesAmt
Management And General	$459,103,009	ManagementAndGeneralAmt
Fundraising	$2,040,360	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	$76,027,737	BOYAmt
EOY	$66,108,429	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,102,637	BOYAmt
EOY	$9,430,638	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$121,911,389	BOYAmt
EOY	$134,459,344	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$9,368,104	BOYAmt
EOY	$11,337,621	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	$8,388,469	BOYAmt
EOY	$12,989,291	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$30,391,581	BOYAmt
EOY	$30,744,149	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,683,313	BOYAmt
EOY	$12,241,745	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,125,210,945	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$590,061,656	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$442,797,588	BOYAmt
EOY	$535,149,289	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$689,095,772	BOYAmt
EOY	$540,776,600	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$376,682,604	BOYAmt
EOY	$675,191,039	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$14,751,767	BOYAmt
EOY	$12,024,412	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,454,499	BOYAmt
EOY	$12,647,499	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,272,522	BOYAmt
EOY	$105,651,517	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,837,486,904	BOYAmt
EOY	$2,162,310,495	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$167,566,556	BOYAmt
EOY	$181,131,028	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,177,903	BOYAmt
EOY	$4,132,944	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$210,006,462	BOYAmt
EOY	$275,881,716	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	$121,420,135	BOYAmt
EOY	$185,603,809	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$503,171,056	BOYAmt
EOY	$646,749,497	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	$1,311,553,091	BOYAmt
EOY	$1,285,769,354	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,002,103	BOYAmt
EOY	$19,973,528	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$9,760,654	BOYAmt
EOY	$209,818,116	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,334,315,848	BOYAmt
EOY	$1,515,560,998	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,837,486,904	BOYAmt
EOY	$2,162,310,495	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$130,035,230	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$96,737,840	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$45,527,920	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	false	FederalGrantAuditRequiredInd

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	$47,971	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$50,396	OtherActivitiesAmt
Total Lobbying Expenditures	$98,367	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 $50,396.
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 2019. THE AMOUNT IS $7,800. ST. ELIZABETH HEALTHCARE ALSO ENLISTED THE ASSISTANCE OF LOBBYING CONSULTANTS IN 2019. THE AMOUNT PAID TO THESE CONSULTANTS IS $39,250. ST. ELIZABETH HEALTHCARE ALSO PAID $921 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 have 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	$23,214,173	OtherCostOrOtherBasisAmt
Book Value	$23,214,173	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$532,993,696	OtherCostOrOtherBasisAmt
Depreciation	$279,243,481	DepreciationAmt
Book Value	$253,750,215	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,696,500	OtherCostOrOtherBasisAmt
Depreciation	$7,651,921	DepreciationAmt
Book Value	$10,044,579	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$416,254,103	OtherCostOrOtherBasisAmt
Depreciation	$303,033,023	DepreciationAmt
Book Value	$113,221,080	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$135,052,473	OtherCostOrOtherBasisAmt
Depreciation	$133,231	DepreciationAmt
Book Value	$134,919,242	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$535,149,289	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	UNRESTRICTED	Desc
Book Value	$675,191,039	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$675,191,039	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
ANNUITY PAYMENT LIABILITY	$88,834
ACCRUED PENSION LIABILITY	$7,173,263
OTHER LONG TERM LIABILITIES	$34,243,220
SELF-INSURANCE	$55,909,967
OTHER CURRENT LIABILITIES HOSPITAL	$6,055,143
INTEREST RATE SWAP	$15,114,038
ASSET RETIREMENT OBLIGATION	$424,391
LEASE LIABILITIES LONG TERM	$57,429,035
MEDICARE PAYABLE	$4,390,888
MEDICAID PAYABLE	$1,022,339
OTHER CURRENT LIABILITIES	$3,752,691

Field	Value	IRS element (for citing)
Total Liability	$185,603,809	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,384,289,326	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$96,737,840	NetUnrealizedGainsInvstAmt
Other Revenue	$7,080,982	OtherRevenueAmt
Revenue Not Reported	$103,818,822	RevenueNotReportedAmt
Revenue Subtotal	$1,280,470,504	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,900,562	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$11,203,763	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$13,104,325	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,293,574,829	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,168,310,602	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$8,010,912	OtherExpensesIncludedAmt
Expenses Not Reported	$8,010,912	ExpensesNotReportedAmt
Expenses Subtotal	$1,160,299,690	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,900,562	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$1,339,347	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,239,909	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,163,539,599	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, 2019, 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, 2016 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 - 283676 GAMING EXPENSES - 3942 LOSS/GAIN ON FIXED ASSET DISPOSAL - 2665305 SEPN - 718429 RENTAL EXPENSES - 2543104 PENSION EXPENSE BOOKED TO REVENUE - 866526
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	UNCOLLECTIBLE PLEDGES - 15484 SEPN - 898206 FIVE LABS - 440852 CHANGE IN FMV IN INTEREST RATE SWAP - 9849221
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	SEPN - 1648359 GAIN/LOSS ON FIXED ASSET DISPOSALS - 2665305 RENTAL EXPENSES - 2543104 FUNDRAISING EXPENSES - 283676 GAMING EXPENSES - 3942 PENSION EXPENSE BOOKED TO REVENUE - 866526
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	SEPS - 289 FIVE LABS - 440852 SEPN - 898206

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Specific Services Provided	N/A	SpecificServicesProvidedTxt
Region Total Expenditures	$184,174,248	RegionTotalExpendituresAmt

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	$184,174,248	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$184,174,248	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 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	ST. ELIZABETH HEALTHCARE MAINTAINS RECORDS TO SUBSTANTIATE AMOUNTS AND ELIGIBILITY TO BE USED FOR THE CRITERIA FOR SELECTING PROGRAM RELATED INVESTMENTS. ST. ELIZABETH HEALTHCARE'S PROGRAM RELATED INVESTMENTS ARE CONSIDERED TO BE LOW RISK AND HAVE LOW VOLATILITY TO THE MARKETPLACE. ST. ELIZABETH HEALTHCARE MONITORS THEIR PROGRAM RELATED INVESTMENTS BY HAVING AN INDEPENDENT INVESTMENT CONSULTANT RECEIVE, ON A QUARTERLY BASIS, SEPARATE FINANCIAL REPORTS FOR EACH INVESTMENT AND ON AN ANNUAL BASIS, AUDITED FINANCIAL STATEMENTS PERFORMED BY THIRD PARTY INDEPENDENT AUDITORS FOR EACH INVESTMENT. THESE REPORTS AND FINANCIAL STATEMENTS ARE REVIEWED BY THE INDEPENDENT INVESTMENT CONSULTANT AND PERFORMANCE IS CALCULATED BASED ON ACTUAL AND PROJECTED CASH FLOWS FOR EACH INVESTMENT. THIS PERFORMANCE IS COMPARED TO BENCHMARKED INDUSTRY STANDARDS. IN ADDITION, RATES OF RETURN ARE COMPARED TO WHAT IS ACTUALLY REPORTED AND WHAT THE INDUSTRY STANDARDS PROVIDE. ANY SIGNIFICANT DISPARITIES ARE DISCUSSED WITH ST. ELIZABETH HEALTHCARE'S INVESTMENT COMMITTEE. FURTHERMORE, IF NECESSARY, AN INVESTMENT TEAM WILL REVIEW THE STRATEGY, PERFORMANCE, AND GOALS OF THE PROGRAM RELATED INVESTMENT(S) TO ENSURE THAT THE FUNDS ARE BEING USED FOR THEIR PROPER PURPOSE AND ARE NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE.	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 ASSOCIATES	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	KY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Partee	Event1Nm
Gross Receipts Event1	$307,908	GrossReceiptsEvent1Amt
Charitable Contri Event1	$41,508	CharitableContriEvent1Amt
Gross Revenue Event1	$266,400	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$1,085	NonCashPrizesEvent1Amt
Food And Beverage Event1	$97,464	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$31,845	OtherDirectExpensesEvent1Amt
Event2	Style Show	Event2Nm
Gross Receipts Event2	$66,416	GrossReceiptsEvent2Amt
Charitable Contri Event2	$9,618	CharitableContriEvent2Amt
Gross Revenue Event2	$56,798	GrossRevenueEvent2Amt
Food And Beverage Event2	$24,292	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$16,019	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$54,508	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$3,138	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$51,370	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$254	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$10,336	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$74,176	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$8,674	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$19,531	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$428,832	GrossReceiptsTotalAmt
Charitable Contributions Tot	$54,264	CharitableContributionsTotAmt
Gross Revenue Total Events	$374,568	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$1,339	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$10,336	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$195,932	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$8,674	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$67,395	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$283,676	DirectExpenseSummaryEventsAmt
Net Income Summary	$90,892	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$19,769	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$3,942	CashPrizesOtherGamingAmt
Volunteer Labor Other Gaming	Yes (true)	VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming	1.0	VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming	$19,769	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$3,942	CashPrizesTotalGamingAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	KY	StatesWhereGamingConductedCd
Licensed	Yes (true)	LicensedInd
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (true)	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Own Facility	0.0	GamingOwnFacilityPct
Gaming Other Facility	1.0	GamingOtherFacilityPct
Individual With Books	Lisa Speier	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

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

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$3,398	GamingManagerCompensationAmt
Gaming Manager Services Prov	Supervision and management of the gaming operations.	GamingManagerServicesProvTxt
Gaming Manager Is Employee	Yes (X)	GamingManagerIsEmployeeInd
Charitable Distribution Rqr	Yes (true)	CharitableDistributionRqrInd
Distributed	$15,827	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule G, Part I, Line 2b(i) Hillary Lyons Associates	Hillary Lyons Associates 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 does not participate in the solicitation of contributions.
Schedule G, Part III, Line 17 Distributions required under state law	STATE=KENTUCKY,MANDATORY DISTRIBUTION AMOUNT=15827;

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$36,921,408	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,344,060	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,577,348	NetCommunityBenefitExpnsAmt
Total Expense	0.0125	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$175,972,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$137,777,642	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,194,561	NetCommunityBenefitExpnsAmt
Total Expense	0.0328	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$107,618	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	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	$213,001,229	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$160,121,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,879,527	NetCommunityBenefitExpnsAmt
Total Expense	0.0454	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,867,306	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$785,161	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,082,145	NetCommunityBenefitExpnsAmt
Total Expense	0.0018	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,518,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,931,563	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,586,960	NetCommunityBenefitExpnsAmt
Total Expense	0.0039	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,080,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$443,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,637,161	NetCommunityBenefitExpnsAmt
Total Expense	0.0040	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,622,003	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,051,985	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$570,018	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,447,515	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,447,515	NetCommunityBenefitExpnsAmt
Total Expense	0.0184	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$37,535,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,212,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,323,799	NetCommunityBenefitExpnsAmt
Total Expense	0.0286	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$250,537,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$164,333,860	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,203,326	NetCommunityBenefitExpnsAmt
Total Expense	0.0741	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,041	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,212	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,212	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,396,239	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,396,239	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,189	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,015	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$156,015	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$150,233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$150,233	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317,849	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$317,849	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	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	$3,130,778	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,130,778	NetCommunityBenefitExpnsAmt
Total Expense	0.0027	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$45,891,062	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,589,106	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$226,247,779	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$244,184,408	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,936,629	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

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	BLUEGRASS DIALYSIS LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	RENAL DIALYSIS	PrimaryActivitiesTxt
Org Profit Or Ownership	0.32	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.17	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 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
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)

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	18	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/community-outreach/community-benefits	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.stelizabeth.com/community-outreach/community-benefits	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/patients-visitors/financial-assistance-programs	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.stelizabeth.com/patients-visitors/financial-assistance-programs	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.stelizabeth.com/patients-visitors/financial-assistance-programs	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 (6 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. For the 2013 - 2015 CHNA, ST. ELIZABETH HEALTHCARE INVITED 349 COMMUNITY LEADERS, BUSINESS PERSONS, AND RESIDENTS TO PARTICIPATE IN EITHER A FOCUS GROUP OR SURVEY. PARTICIPANTS IN THE ASSESSMENT INCLUDED REPRESENTATION FROM ST. ELIZABETH HEALTHCARE, STATE LEGISLATURE, FISCAL COURTS, LAW ENFORCEMENT, HEALTH DEPARTMENTS, CITY OFFICIALS, AREA SCHOOL SYSTEMS, AND OTHER HEALTHCARE & SOCIAL SERVICE PROVIDERS. ORGANIZATIONS AND OTHER GROUPS CONSULTED INCLUDE: -TRACY MANN, EXECUTIVE DIRECTOR OF ACADEMIC & STUDENT SUPPORT SERVICES KENTON COUNTY SCHOOLS -JOHN SCHICKEL, SENATOR OF THE STATE OF KENTUCKY -SHAWN CARROLL, EXECUTIVE DIRECTOR OF NEW PERCEPTIONS -DR. KATHY BURKHARDT, SUPERINTENDENT OF ERLANGER ELSMERE SCHOOLS -MARY BURCH, RN, HEALTH COORDINATOR OF ERLANGER ELSMERE SCHOOLS -CRAIG RICE, PRESIDENT OF BOYS & GIRLS CLUBS OF GREATER CINCINNATI -RICK SKINNER, MAYOR OF THE CITY OF WILLIAMSTOWN -NANCY ATKINSON, COUNCIL MEMBER OF THE CITY OF EDGEWOOD -SR. JEAN HOFFMAN, DIOCESAN CATHOLIC CHILDREN'S HOME -MARK KREIMBORG, KENTON COUNTY FISCAL COURT -ED HUGHES, PRESIDENT OF GATEWAY COMMUNITY COLLEGE -ROSANA AYDT, EXECUTIVE DIRECTOR/DIRECTOR OF PHARMACY OF FAITH COMMUNITY PHARMACY -KEN RECHTIN, SENIOR SERVICES OF NORTHERN KENTUCKY -CHARLES KORZENBORN, SHERIFF OF KENTON COUNTY -STEVE STEVENS, PRESIDENT AND CEO OF NORTHERN KENTUCKY CHAMBER OF COMMERCE -TOM SZURLNSKI, CHIEF OF POLICE OF FLORENCE KENTUCKY -CATHY VOETER, CITY OF DAYTON -LINDA YOUNG, EXECUTIVE DIRECTOR OF WELCOME HOUSE OF NORTHERN KENTUCKY -DENISE BINGHAM, DIRECTOR OF NURSING OF THREE RIVERS DISTRICT HEALTH -DEBBIE JONES, THREE RIVERS DISTRICT HEALTH -TONY KRAMER, CHIEF OF POLICE OF EDGEWOOD KENTUCKY -DR. LYNNE SADDLER, NORTHERN KENTUCKY HEALTH DEPARTMENT -Transitions, Inc. DURING 2015, ST. ELIZABETH HEALTHCARE CONDUCTED ITS NEXT REQUIRED CHNA FOR YEARS 2016 -2018. -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, HEALTHCARE PROVIDERS, COMMUNITY BASED SOCIAL SERVICE AGENCIES AND AREA SCHOOL DISTRICTS. - THE METHODOLOGY USED TO COLLECT THE DATA INCLUDED ONE-ON-ONE MEETINGS, PRESENTATIONS TO GROUPS, PHONE CALLS, AND AN ON-LINE SURVEY. THE PROCESS INCLUDED AN EXPLANATION OF THE CHNA REQUIREMENTS AND HOW THE DATA GARNERED WILL BE USED TO DEVELOP THE CHNA PLAN. PARTICIPANTS WERE THEN ASKED TO LIST IN ORDER FROM MOST IMPORTANT TO LEAST IMPORTANT WHAT THEY BELIEVE ARE THE TOP FIVE COMMUNITY HEALTH NEEDS THAT NEED TO BE ADDRESSED AND/OR CONSIDERED IN THIS ASSESSMENT. THIS PRIMARY DATA WAS SUMMARIZED AND TABULATED. -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. TWO LOCAL COMMUNITY ORGANIZATIONS THAT WORK IN COLLABORATION WITH LIKE COMMUNITY PROVIDERS ARE THE SAFETY NET ALLIANCE AND THE NORTHERN KENTUCKY EDUCATION COUNCIL. THEY PERMITTED ST. ELIZABETH TO USE THEIR MEMBERSHIP EMAIL LISTING TO SEND INFORMATION ABOUT THE CHNA AND THE REQUEST FOR INPUT. THE FOLLOWING IS A LISTING OF THE COMMUNITY PARTICIPANTS: SOCIAL SERVICE AGENCIES: -AHEC HISPANIC HEALTH EDU SURVEY -APPRISEN -BE CONCERNED -BRIGHTON CENTER, INC. -CAMPBELL CTY FISCAL COURT - ASSISTANCE PROGRAM -CATHOLIC CHARITIES -CHILDREN HOME OF NKY -CHILDREN INC. -CHILDREN'S LAW CENTER -CINCINNATI VA -CITY HEIGHTS HEALTH CENTER -FAITH COMMUNITY PHARMACY -HOSEA HOUSE -INTERACT FOR HEALTH -ITN GREATER CINCINNATI -JACC, INC. -KY Office for the Blind -Life Learning Center -Life Point Solutions -NKU NACU Ctr City Heights -Rosedale Green -The Butler Foundation -Transitions, Inc. -Welcomed House of NKY Inc. BUSINESSES: -ANTHEM MEDICAID -CARESOURCE & HUMANA -NKY CHAMBER OF COMMERCE -BUSINESS BENEFITS SCHOOLS: -BELLEVUE INDEPENDENT SCHOOLS -BOONE CTY SCHOOLS- NORTH POINTE -CAMPBELL COUNTY SCHOOLS -CAYWOOD ELEMENTARY -COLLINS ELEMENTARY SCHOOL -COVINGTON INDEPENDENT PUBLIC SCHOOLS -DAYTON HIGH SCHOOL -ERLANGER-ELSMERE INDEPENDENT SCHOOLS -GRANT COUNTY MIDDLE SCHOOL -GRANT COUNTY SCHOOLS -KENTON COUNTY SCHOOL DISTRICT -LARRY A. RYLE HIGH SCHOOL -LAWRENCEBURG COMMUNITY SCHOOL -LLOYD MEMORIAL HIGH SCHOOL -NORTHERN KENTUCKY UNIVERSITY -OCKERMAN MIDDLE SCHOOL -PENDLETON COUNTY HIGH SCHOOL -PINER ELEMENTARY -REILEY ELEMENTARY HEALTH DEPARTMENTS: -NKY INDEPENDENT HEALTH DEPARTMENT -THREE RIVERS DISTRICT HEALTH DEPT. -DEARBORN COUNTY HEALTH DEPARTMENT CIVIC SERVICES: -KENTON COUNTY DETENTION CENTER -BOONE COUNTY DETENTION CENTER -CAMPBELL COUNTY DETENTION CENTER -NKY AREA DEVELOPMENT DISTRICT -KENTON COUNTY FISCAL COURT -CAMPBELL COUNTY FISCAL COURT CITIES: -EDGEWOOD -FORT WRIGHT -INDEPENDENCE HEALTHCARE: -HEALTHPOINT FAMILY CARE (FQHC) -ST. ELIZABETH HEALTHCARE (SEH) -SEH CARE COORDINATION -SEH COVINGTON EMERGENCY DEPARTMENT -SEH EDGEWOOD EMERGENCY DEPARTMENT -SEH FAMILY MEDICAL RESIDENCY PROGRAM -SEH GRANT EMERGENCY DEPARTMENT -SEH HEALTH MINISTRIES PROGRAM -ST. ELIZABETH PHYSICIANS (73 RESPONDENTS MULTIPLE OFFICE LOCATIONS) DURING 2018, ST. ELIZABETH HEALTHCARE CONDUCTED ITS NEXT REQUIRED CHNA FOR YEARS 2019 -2021. From the 2018 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: Brighton Center Catholic Charities Children's Home of NKY Children's Law Center Covington Partners Faith Community Pharmacy Henry Hosea House Interact for Health Life Learning Center NKU NACU Butler Foundation (Corporex) NKY Community Action Commission Schools: Kenton County Schools Notre Dame Academy Beechwood Schools Erlanger-Elsmere Schools Covington Schools Fort Thomas Schools Newport Schools Southgate Schools Health Departments: NKY Health Department Three Rivers District Health Department Civic Services: Grant County Fiscal Court Pendleton County Fiscal Court Gallatin County Fiscal Court Cities: Alexandria Butler Crittenden First Responders: Campbell Co Fire District #1 Dry Ridge Fire/EMS Petersburg Fire District Ludlow Fire Department Newport Fire/EMS Pendleton County EMS Owen County EMS Union Fire District Burlington Fire/EMS Central Campbell Co Fire District Southgate/Wilder EMS Erlanger Fire/EMS St. Elizabeth: St. Elizabeth Healthcare (81 respondents) St. Elizabeth Physicians (63 respondents) Prioritization of Identified Health Needs Like many communities in Kentucky, heart disease, cancer, stroke, obesity, diabetes, mental health and substance abuse are prevalent in all of the NKADD counties. After the assessment data was gathered, it was summarized into categories and tabulated. The findings were presented to the System's Community Benefits Steering Committee for review and thoroughly discussed. The committee was tasked with ranking the community's most important health needs and providing suggestions for hospital priorities. Many of the needs listed are currently being addressed by St. Elizabeth Healthcare or community providers. A vote was taken to determine which of the needs identified should be addressed in the new Plan. The three top needs identified to be addressed were Mental Health, Drug Addiction/Treatment and Heart Disease. The prioritized list along with the assessment findings were presented to the Strategic Planning Committee of the Board for review, discussion and a combination of the identified priorities. This step in the CHNA process is significant because the priorities identified drive the development of an implementation strategy and the related goals. The top three significant health needs were: Mental Health, Drug Addiction/Treatment, and Heart Disease
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
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas. From the 2018 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: Brighton Center Catholic Charities Children's Home of NKY Children's Law Center Covington Partners Faith Community Pharmacy Henry Hosea House Interact for Health Life Learning Center NKU NACU Butler Foundation (Corporex) NKY Community Action Commission Schools: Kenton County Schools Notre Dame Academy Beechwood Schools Erlanger-Elsmere Schools Covington Schools Fort Thomas Schools Newport Schools Southgate Schools Health Departments: NKY Health Department Three Rivers District Health Department Civic Services: Grant County Fiscal Court Pendleton County Fiscal Court Gallatin County Fiscal Court Cities: Alexandria Butler Crittenden FIRST RESPONDERS: Campbell Co Fire District #1 Dry Ridge Fire/EMS Petersburg Fire District Ludlow Fire Department Newport Fire/EMS Pendleton County EMS Owen County EMS Union Fire District Burlington Fire/EMS Central Campbell Co Fire District Southgate/Wilder EMS Erlanger Fire/EMS St. Elizabeth: St. Elizabeth Healthcare (81 respondents) St. Elizabeth Physicians (63 respondents)
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas. Prioritization of Identified Health Needs: Like many communities in Kentucky, heart disease, cancer, stroke, obesity, diabetes, mental health and substance abuse are prevalent in all of the NKADD counties. After the assessment data was gathered, it was summarized into categories and tabulated. The findings were presented to the System's Community Benefits Steering Committee for review and thoroughly discussed. The committee was tasked with ranking the community's most important health needs and providing suggestions for hospital priorities. Many of the needs listed are currently being addressed by St. Elizabeth Healthcare or community providers. A vote was taken to determine which of the needs identified should be addressed in the new Plan. The three top needs identified to be addressed were Mental Health, Drug Addiction/Treatment and Heart Disease. The prioritized list along with the assessment findings were presented to the Strategic Planning Committee of the Board for review, discussion and a combination of the identified priorities. This step in the CHNA process is significant because the priorities identified drive the development of an implementation strategy and the related goals. The top three significant health needs were: Mental Health, Drug Addiction/Treatment, and Heart Disease St. Elizabeth plan to address these needs is as follows: Mental Health: Goal * Collaborate with community partners to develop programs/services to educate, treat, prevent and assist residents of Northern Kentucky, with mental health issues. * Develop comprehensive behavioral health care services based on proven best practice models. Measure: * Increase treatment capacity both inpatient and outpatient services. Strategies/Tactics: * Add 5-7 new providers. * Develop a child\teen program. * Integrate behavioral health services within primary care physician offices. * Improve coordination with community partners such as social services, schools, and county officials to extend the continuum of care. * Improve access to education in the community. Drug Addiction/Treatment: Goal: * Reduce substance abuse to protect the health, safety and quality of life for all. * Take a leadership role in education and data distribution. Measure: * Increase treatment capacity for inpatient and outpatient services. * Reduce overdoses in Northern Kentucky. * Reduce drug induced deaths. Strategies/Tactics: * Work with community partners to educate residents on the dangers of the use/addiction of heroin and prescription opioid painkillers. * Increase access to substance abuse treatment services, including Medication-Assisted Treatment (MAT), for opioid addiction. * Expand access to and training for administering naloxone to reduce opioid overdose deaths. * Help local jurisdictions to put these effective practices to work in communities where drug addiction is common, e.g., local detention centers. * Work collaboratively with community partners in the continuity of care and wraparound services. * Recruit additional addictionologists. * Develop support services for addicted mother and babies born with neonatal abstinence syndrome. Heart Disease: Goal: * To develop a Heart & Vascular Institute which encompasses a comprehensive integrated approach to the prevention, diagnosis and treatment of heart disease with a focus on research. Measure * Reduce heart-related deaths in Northern Kentucky by 25 percent by the end of 2025. * Work collaboratively with physicians, community stakeholders and industry to identify new treatments and technology through initiation of research activities. Strategies/Tactics: * Provide prevention and wellness services to the community with the goal of catching heart and vascular disease early or preventing it all together. * Support ongoing research for the community. * Implement strategies identified by St. Elizabeth Physicians. * Improve information received from EMS prior to arrival at the hospital. * Increase community education on heart attack symptoms, the importance of timely response to symptoms and the importance of calling 911. * Promote development of walkable and active communities. Community Healthcare Resources St. Elizabeth Healthcare has and will continue to work collaboratively with the various healthcare resources that are accessible to the residents of Northern Kentucky when applicable. 2017 Accomplishments towards the 2016-2018 Community Health Needs Assessment Plan Mental Health * Provided four community talks addressing separate mental illness topics. * Expanded the number or Medicine Assisted Therapy (MAT) providers to 6, including 3 MDs and 3 APPs. * Developed a telemedicine therapy project to service outlying St. Elizabeth Physician (SEP) medical practices. * With the coordination of the Behavioral Health providers and staff, redesigned the entire intake process to provide a seamless entry point for our patients and referral sources. * Partnered with SUN Behavioral Health and started building a new comprehensive behavioral health center for Northern Kentucky. Drug Addiction/Treatment * Expanded current services offered at SEP Addiction Medicine and Recovery Center to provide increased access to current services and expand new services. * Recruited 1.2 FTE more prescribers. * Developed a system of inpatient rounding providers at all three SEH hospitals. These providers will be able to provide services to addicted patients with existing medical conditions. * Developed an educational program providing guidance to physicians on new prescription guidelines. * Added a program to address the needs of pregnant women with SUD and their newborns called Baby Steps. * Distributed Narcan to first responders, including training on use. * Distributed Narcan to families of patients with overdoses. * Partnered with Northern Kentucky Counties to establish a Helpline. Heart Disease * Increased cardiovascular screening provided to 230 dates through the Cardiovascular Mobile Health Unit (CVMHU). * Increased individuals reached through prevention education by the CVMHU department to 1,563. * Increased participation in smoking cessation programs to 76 individuals. * Increased My Heart Rocks (MHR) programs for local elementary schools reaching 21 schools and 1,867 students. * Increased participation in the Take Time for your Heart (TTFYH) prevention and wellness class to 70 individuals. * Increase participation in the Women Take Heart program to 1,038 women. * Increased the number of active research studies to 18. * Decreased inpatient heart attack mortality to 3.8% by improving information received from EMS prior to arrival and increasing community education on heart attack symptoms/911. * Increased community education on hands only CPR reaching 3,636 individuals. 2018 ACCOMPLISHMENTS TOWARDS THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN: HEART * Completed 226 screenings with the CardioVascular Mobile Health Unit (CVMHU) * Reached 4,219 individuals through education efforts from the CVMHU * Held 20 My Heart Rocks events in local schools * Reached 169 individuals through Take Time for Your Heart prevention & wellness classes * Evaluated 5 new Heart and Vascular research studies * Instructed 1,536 individuals in hands-only CPR * Maintained heart attack mortality rate of 2.0% which is below national avg of 5.96% SUD * Provided educational opportunities to interested parties on how they can develop, improve and implement a SUD service line by speaking at Beckers National Convention, Kentucky MGMA, Catholic Conference, and National Opioid Legation Summit * Implemented policy governing the prescribing and management of controlled substances * Added physicians, therapists, and a case manager to focus on patients with addiction * Implemented an Intensive Outpatient Program MENTAL HEALTH * Provided physician coverage for SUN Behavioral Health * Added Behavioral Health providers to PCP offices in Walton, Greendale, and Fort Thomas * Developed telemedicine therapy project to support Crestview Hills PCP office
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas. Heart Disease * Deployed CardioVascular Mobile Health Unit (CVMHU) to 235 screening locations * Reached 6,529 individuals with prevention education through the CVMHU * Held 21 "My Heart Rocks" events at local elementary schools * Reached 175 individuals through "Take Time for Your Heart" wellness classes * 131 individuals attended Fresh Start smoking cessation classes Cancer * Provided 10 community education events focused on cancer awareness, screening and/or prevention * Continued construction of Cancer Center * Implemented 3 disease management teams * Completed 4,188 lung screenings
Schedule H, Part V, Section B, Line 11 Facility A, 4	Facility A, 4 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas (continued). 2019 ACCOMPLISHMENTS TOWARDS THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN: Mental Health * Developed a comprehensive telemedicine system for therapy * Assisted Brighton Center with getting access to Vivitrol to treat patients * Added Behavioral Health specialists to 3 primary care offices * Convened and/or sponsored 9 community education events focused on depression and suicide awareness Substance Abuse * Implemented comprehensive opioid prescribing guidelines, tracking system, education and surveillance for all SEP prescribers * Developed a plan for a set of meaningful outcomes measures for the treatment of substance use disorder * Assisted NKY Regional Steering Committee with development of NKY Strategic Plan to address Substance Use Disorder (SUD) * Collaborated with state and local agencies and community partners to develop a continuum of care model for pregnant women with SUD

Field	Value	IRS element (for citing)
Facility	27	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 - ORTHOPEDIC - EDGEWOOD
560 SOUTH LOOP DRIVE 2ND FLOOR	EDGEWOOD	KY	41017	ORTHOPEDIC
ST ELIZABETH HEALTHCARE - HOSPICE CENTER - EDGEWOOD
483 SOUTH LOOP DRIVE	EDGEWOOD	KY	41017	INPATIENT HOSPICE
ST ELIZABETH HEALTHCARE - SURGERY CENTER - EDGEWOOD
580 SOUTH LOOP ROAD	EDGEWOOD	KY	41017	AMBULATORY SURGERY CENTER
ST ELIZABETH HEALTHCARE - SURGERY CENTER - CRESTVIEW HILLS
2845 CHANCELLOR DRIVE	CRESTVIEW HILLS	KY	41017	AMBULATORY SURGERY CENTER
ST ELIZABETH HEALTHCARE - COVINGTON
1500 JAMES SIMPSON JR WAY	COVINGTON	KY	41011	AMBULATORY CARE CENTER
ST ELIZABETH HEALTHCARE - WOMEN'S CENTER
610 MEDICAL VILLAGE DR	EDGEWOOD	KY	41017	HEALTH SCREENING
ST ELIZABETH HEALTHCARE - BUSINESS HEALTH
4123 OLYMPIC BLVD	ERLANGER	KY	41018	BUSINESS HEALTH SERVICES
ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY AND IMAGING - HEBRON
2200 CONNER ROAD	HEBRON	KY	41048	PHYSICAL THERAPY AND IMAGING CENTER
ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - EDGEWOOD
830 THOMAS MORE PARKWAY SUITE 101	EDGEWOOD	KY	41017	SPORTS MEDICINE
ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY AND IMAGING - ALEXANDRIA
7200 ALEXANDRIA PIKE	ALEXANDRIA	KY	41001	PHYSICAL THERAPY AND IMAGING CENTER
ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - FLORENCE
10095 INVESTMENT WAY	FLORENCE	KY	41042	SPORTS MEDICINE
ST ELIZABETH HEALTHCARE - CARDIAC REHAB - EDGEWOOD
830 THOMAS MORE PARKWAY SUITE 102	EDGEWOOD	KY	41017	CARDIAC REHAB CENTER
BLUEGRASS DIALYSIS LLC
1500 JAMES SIMPSON JR WAY SUITE 302	COVINGTON	KY	41011	RENAL DIALYSIS
ST ELIZABETH HEALTHCARE - HIGHPOINT MED CANCER SUITE
606 Wilson Creek Rd	Lawrenceburg	IN	47025	INFUSION
ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY AND SPORTS MEDICINE - WILDER
106 CROSSING DRIVE	WILDER	KY	41076	PHYSICAL THERAPY AND SPORTS MEDICINE
ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - GRANT COUNTY
300 BARNES ROAD	WILLIAMSTOWN	KY	41097	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE - OWENTON
120 PROGRESS WAY	Owenton	KY	40359	AMBULATORY CARE CENTER
ST ELIZABETH HEALTHCARE - HEART & VASCULAR - EDGEWOOD
900 MEDICAL VILLAGE DRIVE	EDGEWOOD	KY	41017	CARDIOLOGY DIAGNOSTIC TESTS
ST ELIZABETH HEALTHCARE - CARDIAC & THORACIC SURGERY - EDGEWOOD
20 MEDICAL VILLAGE DRIVE SUITE 105	EDGEWOOD	KY	41017	CARDIAC DIAGNOSTICS AND CATHETERIZATION
ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS
380 CENTRE VIEW BLVD	CRESTVIEW HILLS	KY	41017	CARDIOLOGY DIAGNOSTIC TESTS
ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS
350 THOMAS MORE PARKWAY SUITE 280	CRESTVIEW HILLS	KY	41017	CARDIOLOGY DIAGNOSTIC TESTS
ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - WALTON
1 SERVICE ROAD	WALTON	KY	41094	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE - INDEPENDENCE DIAGNOSTIC
135 COURTHOUSE CROSSING	INDEPENDENCE	KY	41051	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE - LABORATORY - FLORENCE
8726 US 42	FLORENCE	KY	41042	DIAGNOSTICS
ST ELIZABETH HEALTHCARE - HEART & VASCULAR - FLORENCE
7370 TURFWAY ROAD SUITE 109	FLORENCE	KY	41042	CARDIOLOGY DIAGNOSTIC TESTS
ST ELIZABETH HEALTHCARE - FAMILY PRACTICE CENTER - EDGEWOOD
413 SOUTH LOOP ROAD	EDGEWOOD	KY	41017	FAMILY MEDICINE

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 $4,589,106. 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/patients-visitors/financial-assistance-programs;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - ST. ELIZABETH FLORENCE: Line 16b URL: https://www.stelizabeth.com/patients-visitors/financial-assistance-programs;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - ST. ELIZABETH FLORENCE: Line 16c URL: https://www.stelizabeth.com/patients-visitors/financial-assistance-programs;
Schedule H, Part VI, Line 2 Needs assessment	IN 2019, ST. ELIZABETH HEALTHCARE CONTINUED TO WORK WITH THE NORTHERN KENTUCKY HEROIN IMPACT TASK FORCE TO ADDRESS THE HEROIN EPIDEMIC, ALSO PROVIDING FINANCIAL SUPPORT FOR THE HEROIN HOTLINE. THIS INCLUDED PROVIDING DATA AND SUPPORT TO THE STATE OF KENTUCKY LEGISLATURE TO ENACT NEW LEGISLATION DIRECTED TOWARDS EXPANDING TREATMENT. IN ADDITION, ST. ELIZABETH HEALTHCARE DEVELOPED AN INTERNAL WORKGROUP FOCUSED ON ENHANCING PREVENTION AND PROVIDING TREATMENT FOR THE COMMUNITIES IT SERVES. IN 2019, ST. ELIZABETH HEALTHCARE CONTINUED TO COLLABORATE WITH PHYSICIANS AND THE NORTHERN KENTUCKY HEALTH DEPARTMENT TO ENSURE EMERGENCY PREPAREDNESS MEASURES WERE IN PLACE SHOULD ANY MEMBER OF THE COMMUNITY (PATIENT, RESIDENT, AND/OR VISITOR) EXHIBIT SYMPTOMS OF EBOLA. PREPAREDNESS MEASURES INCLUDED (I) FOLLOWING PROTOCOLS FOR REVIEWING ST. ELIZABETH HEALTHCARE'S INFECTION CONTROL POLICIES AND PROCEDURES, (II) PROVIDING PERSONAL PROTECTIVE EQUIPMENT, AND (III) PROVIDING TRAINING AND EDUCATION TO STAFF MEMBERS, WHICH INCLUDED CONSTRUCTING A SIMULATION ROOM FOR TRAINING EXERCISES AND A SPECIALIZED EBOLA RESPONSE TEAM WAS ORGANIZED. IN 2019, ST. ELIZABETH HEALTHCARE CONTINUED TO SUPPORT A PERTUSSIS COCOONING PROJECT TO HELP PREVENT THE DEADLY EFFECTS OF INFANT PERTUSSIS BY SURROUNDING INFANTS WITH A PROTECTIVE "COCOON" AND IMMUNIZED MOTHERS, FAMILY MEMBERS, AND CAREGIVERS. PERTUSSIS, ALSO KNOWN AS WHOOPING COUGH, IS A HIGHLY CONTAGIOUS RESPIRATORY DISEASE CAUSED BY THE BORDETELLA PERTUSSIS BACTERIUM. WHOOPING COUGH IS KNOWN FOR CONTROLLABLE, VIOLENT COUGHING WHICH OFTEN MAKES IT HARD FOR INFANTS TO BREATHE. IN 2019, 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	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. 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."
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, AND ROBERTSON, ALSO HAMILTON COUNTY IN SOUTHERN OHIO; AND DEARBORN COUNTY IN SOUTHERN INDIANA. THESE SERVICE AREAS INCLUDE URBAN, SUBURBAN, AND RURAL AREAS. THE TOTAL POPULATION OF THE SERVICE AREAS IS OVER 500,000. ST. ELIZABETH HEALTHCARE'S PRIMARY SERVICE AREAS DURING 2019 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 92.8% 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 454,782 RESIDENTS. ALL HOSPITALS IN THE ST. ELIZABETH HEALTHCARE SYSTEM ARE LOCATED IN THIS REGION. THE PRIMARY SERVICE AREAS ARE PREDOMINANTLY WHITE WITH AN INCREASE IN AFRICAN-AMERICAN AND HISPANIC ORIGINS MOVING INTO THE AREA. POPULATION BY ORIGIN: 89.8% WHITE, 3.41% BLACK, 3.31% HISPANIC, 1.46% ASIAN, 2.02% OTHER. POPULATION BY AGE: 0-19; 27.05%; 20 - 64; 59.87%; 65+; 13.08% (SOURCE: ANNUAL COUNTY RESIDENT POPULATION ESTIMATES BY AGE, SEX, RACE, AND HISPANIC ORIGIN: APRIL 1, 2010 TO JULY 1, 2015. POPULATION DIVISION, U.S. CENSUS BUREAU. UPDATED: JUNE 23. 2016). PERSONS BELOW POVERTY LEVEL IN NKY, PERCENT 2009-2013 ALL AGES: 17.01% DUE TO THE ENACTMENT OF THE AFFORDABLE CARE ACT, IT IS ESTIMATED THAT APPROXIMATELY 26.0% OF THE NORTHERN KENTUCKY POPULATION REMAINS UNINSURED . THE POVERTY LEVEL OF THE REGION IS AS FOLLOWS: CARROLL COUNTY - 15.6%, OWEN COUNTY - 15.8%, GRANT COUNTY - 13.9%, CAMPBELL COUNTY - 13.1%, KENTON COUNTY - 10.4%, BOONE COUNTY - 6.4%, GALLATIN COUNTY - 15.1%, PENDLETON COUNTY - 15.5%, DEARBORN COUNTY - 9.4%, HAMILTON COUNTY - 15.4% AND GREATER CINCINNATI - 27.2%. 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. HEALTHSOUTH REHABILITATION HOSPITAL IN KENTON COUNTY, 5. MEADOWVIEW REGIONAL MEDICAL CENTER IN MASON COUNTY, AND 6. SUN BEHAVORIAL HEALTH IN ERLANGER. THERE IS ONE (1) HOSPITAL THAT SERVES THE SOUTHERN INDIANA COMMUNITY - DEARBORN COUNTY HOSPITAL IN DEARBORN 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 IS 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 SENIOR SERVICES FOR AGE 50+ PERSONS, ST. ELIZABETH HEALTHCARE SUBSIDIZES COURSE OFFERINGS TO SENIOR CITIZENS INCLUDING DRIVER'S SAFETY, LOW IMPACT EXERCISE, COMPUTER SKILLS, MEDICATION REVIEW AND HEALTH SCREENINGS, ALONG WITH PROVIDING LITERATURE PERTINENT TO THIS AGE GROUP. 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 2019 ARE AS FOLLOWS: A) ST. ELIZABETH HEALTHCARE CONTINUES TO PARTNER WITH THE MAYO CLINIC CARE NETWORK TO ENHANCE THE QUALITY OF CARE AND IMPROVE THE ACCESS FOR THE PEOPLE WE SERVE TO THE MAYO CLINIC'S SPECIALISTS AND PROTOCOLS. B) ST. ELIZABETH HEALTHCARE PROVIDED OUTREACH TO THE COMMUNITIES THROUGH THE MOBILE MAMMOGRAPHY AND MOBILE HEART PROGRAMS. C) ST. ELIZABETH HEALTHCARE PROVIDED COHORT EDUCATIONAL PROGRAMS WITH THE NORTHERN KENTUCKY UNIVERSITY (NKU), THOMAS MORE COLLEGE (TMC), AND MT. SAINT JOSEPH UNIVERSITY (MSJU) TO PROVIDE FOR CONTINUING AND/OR ADDITIONAL EDUCATION FOR OUR STAFF. D) THE CONTINUED FINANCIAL ASSISTANCE AND SUPPORT FOR THE FAMILY PRACTICE RESIDENCY PROGRAM WHICH IS COMPRISED OF TWENTY-FOUR (24) FAMILY PRACTICE RESIDENTS WHO LIVE AND STAY IN THE COMMUNITY TO IMPROVE AND ENHANCE THE ACCESS TO PRIMARY CARE FOR THE PEOPLE WE SERVE. E) 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. F) ST. ELIZABETH HEALTHCARE CONTINUES FINANCIAL SUPPORT FOR PREVENTION AND INJURY TREATMENT FOR ATHLETES ATTENDING SCHOOLS IN OUR COMMUNITIES. G) 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. H) 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 FOUR (4) FACILITIES THROUGHOUT NORTHERN KENTUCKY WHICH ARE: (I) ST. ELIZABETH - EDGEWOOD; (II) ST. ELIZABETH - FLORENCE; (III) ST. ELIZABETH - FORT THOMAS; AND; (IV) ST. ELIZABETH - GRANT 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 ALMOST 1,100 LICENSED BEDS, JUST OVER 9,000 EMPLOYEES , 1,645 PHYSICIAN PROVIDERS AND A WHOLLY OWNED PHYSICIAN ORGANIZATION (SEP) WHICH INCLUDES OVER 109 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 (87 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ADVENTURE CREW
2692 MADISON RD	STE N1-414	CINCINNATI	OH	45208	474230979	501(c)(3)	$24,000	Program Support
AMERICAN CANCER SOCIETY INC
402 COOMER ST		SOMERSET	KY	42503	131788491	501(c)(3)	$30,000	Program Support
AMERICAN HEART ASSOCIATION INC
5211 MADSION AVE		CINCINNATI	OH	45227	135613797	501(c)(3)	$225,000	Program Support
ANDY & JORDAN DALTON FOUNDATION INC
59 CAVALIER BOULEVARD STE 310		FLORENCE	KY	41042	454066146	501(c)(3)	$5,500	Program Support
BB&T ARENA AT NORTHERN KY UNIVERSITY
500 NUNN DR		HIGHLAND HEIGHTS	KY	41099	232511871	Kentucky	$7,600	Program Support
BEECHWOOD BOARD OF EDUCATION
50 Beechwood Rd		Ft Mitchell	KY	41017	616001268	Beechwood	$100,000	Program Support
BOONE COUNTY BOARD OF EDUCATION
99 CENTER STREET		FLORENCE	KY	41042	616001252	Boone County	$21,200	Program Support
BOONE COUNTY EDUCATION FOUNDATION
8330 US Hwy 42		Florence	KY	41042	611288796	Boone County	$6,650	Program Support
BOY SCOUTS OF AMERICA-COUNCIL 438
DAN BEARD 10078 READING RD		CINCINNATI	OH	452414833	310536651	501(c)(3)	$15,000	Program Support
BRIGHTON CENTER INC
PO BOX 325		NEWPORT	KY	41072	610673886	501(c)(3)	$24,294	Program Support
CAMPBELL COUNTY BOARD OF EDUCATION
101 Orchard Lane		Alexandria	KY	41001		Campbell County	$30,000	Program Support
CANCER FAMILY CARE INC
4790 REDBANK EXPRESSWAY STE 12		CINCINNATI	OH	45227	310805286	501(c)(3)	$7,500	Program Support
CANCER SUPPORT COMMUNITY
PO BOX 4061		LOUISVILLE	KY	40204	311287785	501(c)(3)	$5,000	Program Support
CATALYTIC DEVELOPMENT FUNDING CORP OF
NORTHERN KENTUCKY 50 E	RIVERCENTER BLVD	COVINGTON	KY	41011	263389252	501(c)(3)	$25,000	Program Support
CATHOLIC CHARITIES DIOCESE OF COVINGTON
3629 CHURCH ST		COVINGTON	KY	41015	610461728	501(c)(3)	$17,800	Program Support
CINCINNATI INSTITUTE OF FINE ARTS
PO BOX 630561		CINCINNATI	OH	452630561	310537138	501(c)(3)	$10,000	Program Support
CITY OF CRESTVIEW HILLS
50 TOWN CENTER BLVD		CRESTVIEW HILLS	KY	41017	611018215	Crestview Hills	$15,000	Program Support
CITY OF FORT THOMAS
130 N FT THOMAS AVE		FT THOMAS	KY	41075	616001825	Ft. Thomas	$12,623	Program Support
CITY OF FT MITCHELL
2355 DIXIE HWY		FT MITCHELL	KY	41017	616001915	Ft. Mitchell	$5,000	Program Support
CONNER HIGH SCHOOL
8330 US HWY 42		FLORENCE	KY	41042	616001252	Boone County	$10,000	Program Support
COOPER HIGH SCHOOL
2855 LONGBRANCH RD		UNION	KY	41091	616001252	Boone County	$10,000	Program Support
COVE FEDERAL CREDIT UNION
577 DUDLEY RD		EDGEWOOD	KY	410173248	611169581	501(c)(3)	$30,000	Program Support
COVINGTON BUSINESS COUNCIL
50 E RIVERCENTER BLVD SUITE 160		COVINGTON	KY	41011	310963057	501(c)(6)	$7,250	Program Support
COVINGTON PARTNER INC
PO BOX 426		COVINGTON	KY	41012	201515753	501(c)(3)	$50,000	Program Support
CYSTIC FIBROSIS FOUNDATION
GREATER CINCINNATI 4420	CARVER WOODS DR	CINCINNATI	OH	45242	131930701	501(c)(3)	$5,000	Program Support
DIOCESAN CATHOLIC CHILDRENS HOME INC
75 ORPHANAGE RD		FT MITCHELL	KY	41017	610463943	501(c)(3)	$25,000	Program Support
EDCHOICE KENTUCKY INC
1042 BURLINGTON LN		FRANKFORT	KY	40601	473944426	501(c)(3)	$15,000	Program Support
EMERGENCY SHELTER OF NORTHERN KENTUCKY
PO BOX 332		COVINGTON	KY	41012	260851019	501(c)(3)	$10,000	Program Support
FAMILY NURTURING CENTER OF KENTUCKY INC
8275 EWING BLVD		FLORENCE	KY	41042	311011326	501(c)(3)	$6,500	Program Support
FINITURA INC
1801 AIRPORT RD STE A		WAUKESHA	WI	53188	471878675		$8,922	Program Support
FORT THOMAS EDUCATION FOUNDATION
PO BOX 75090		FT THOMAS	KY	41075	611393646	Ft. Thomas	$11,250	Program Support
GATEWAY COMMUNITY AND TECHNICAL
500 TECHNOLOGY WAY		FLORENCE	KY	41042	611239550	Kentucky	$20,000	Program Support
GRANT COUNTY BOARD OF EDUCATION
820 ARNIE RISEN BLVD		WILLIAMSTOWN	KY	41097	616001380	Grant County	$6,000	Program Support
GRANT COUNTY TOURIST & CONVENTION
COMMISSION 1350 N MAIN ST		WILLIAMSTOWN	KY	41097	611223799	Grant County	$10,000	Program Support
HABITAT FOR HUMANITY OF GREATER
CINCINNATI 4910 PARA DR		CINCINNATI	OH	45237	311185975	501(c)(3)	$100,000	Program Support
HEALTHPOINT FAMILY CARE INC
1401 MADISON AVE		COVINGTON	KY	41011	610729915	501(c)(3)	$5,000	Program Support
HISPANIC CHAMBER CINCINNATI USA
2637 ERIE AVE STE 206		CINCINNATI	OH	45208	311458839	501(c)(6)	$5,000	Program Support
HISPANICS AVANZANDO HISPANICS
2637 Erie Ave Suite 204		CIncinnati	OH	45208	542159187	501(c)(3)	$5,000	Program Support
HOLY CROSS HIGH SCHOOL
3617 CHURCH ST		COVINGTON	KY	41015	621577563	501(c)(3)	$10,560	Program Support
HONOR RUN FOUNDATION
6297 REMINGTON COVE		BURLINGTON	KY	41005	465547770	501(c)(3)	$45,000	Program Support
HORIZON COMMUNITY FUNDS OF NORTHERN
KENTUCKY INC 50 E	RIVERCENTER BLVD STE 434	COVINGTON	KY	41011	821388190	501(c)(3)	$85,000	Program Support
KENTON COUNTY BOARD OF EDUCATION
1055 EATON DR		FT WRIGHT	KY	41017	616001301	Kenton County	$64,550	Program Support
KENTUCKY CENTER FOR PUBLIC SERVICE
644 BRADDOCK CT		EDGEWOOD	KY	41017	463464828	501(c)(3)	$10,000	Program Support
KENTUCKY CHAMBER OF COMMERCE
464 CHENAULT RD		FRANKFORT	KY	40601	610405718	501(c)(6)	$8,713	Program Support
KENTUCKY HOSPITAL ASSOCIATION
PO BOX 24163		LOUISVILLE	KY	402240163	610574577	501(c)(4)	$25,844	Program Support
KENTUCKY SCIENCE AND TECHNOLOGY
PO BOX 1049		LEXINGTON	KY	405881049	611135362	501(c)(3)	$5,000	Program Support
LARRY A RYLE HIGH SCHOOL
10379 US 42		UNION	KY	41091		Boone County	$10,000	Program Support
LEADERSHIP KENTUCKY FOUNDATION
464 CHENAULT RD		FRANKFORT	KY	40601	311096215	501(c)(3)	$5,000	Program Support
LEARNING GROVE
333 Madison Ave		Covington	KY	41011	310910787	501(c)(3)	$106,000	Program Support
LIFE LEARNING CENTER
20 W 18TH ST		COVINGTON	KY	41011	203454261	501(c)(3)	$10,000	Program Support
LUDLOW BOARD OF EDUCATION
525 ELM ST		LUDLOW	KY	41016	616001318	Ludlow	$10,500	Program Support
MARCH OF DIMES INC
10806 KENWOOD RD		CINCINNATI	OH	45242	131846366	501(c)(3)	$15,000	Program Support
NATIONAL FOOTBALL LEAGUE ALUMNI INC
5725 WHITE BIRCH LN		LIBERTY TOWNSHIP	OH	45044	591782262	501(c)(3)	$30,000	Program Support
NEW PERCEPTIONS INC
ONE SPERTI DR		EDGEWOOD	KY	41017	610705047	501(c)(3)	$11,000	Program Support
NEWPORT INDEPENDENT SCHOOLS
30 W 8TH ST		NEWPORT	KY	41071	613001336	Newport	$10,000	Program Support
NKYHATESHEROINCOMINC
PO BOX 75273		FT THOMAS	KY	41075	464779369	501(c)(3)	$5,000	Program Support
NORTHERN KENTUCKY AREA DEVELOPMENT
22 SPIRAL DR		FLORENCE	KY	41042	610719369	501(c)(3)	$175,875	Program Support
N KY ATHLETIC DIRECTORS ASSOC BISHOP BROSSART HS
4 Grove St		ALEXANDRIA	KY	41001	610447243	501(c)(3)	$22,200	Program Support
NORTHERN KENTUCKY BRANCH NAACP
PO BOX 1295		COVINGTON	KY	410121295	912157483	501(c)(4)	$5,000	Program Support
NORTHERN KENTUCKY CHAMBER OF COMMERCE
PO BOX 17416		FT MITCHELL	KY	41017	610679408	501(c)(3)	$23,460	Program Support
NORTHERN KENTUCKY EDUCATION COUNCIL
7310 TURFWAY RD STE 115		FLORENCE	KY	41042	203105862	501(c)(3)	$22,500	Program Support
NORTHERN KENTUCKY UNIVERSITY
NUNN DR HC206	COLLEGE OF HEALTH PROFESSIONS	HIGHLAND HEIGHTS	KY	41099	611010545	Kentucky	$38,362	Program Support
NORTHERN KENTUCKY YOUTH ATHLETICS
600 BACK COUNTRY DR		HEBRON	KY	41048	464119935	501(c)(3)	$10,000	Program Support
NORTHERN KY FOOTBALL COACHES ASSOCIATION
458 GENERAL DR		FT WRIGHT	KY	41011	611106788	501(c)(3)	$15,000	Program Support
NOTRE DAME ACADEMY
1699 HILTON DR		PARK HILLS	KY	41011	610476695	501(c)(3)	$10,000	Program Support
OVARIAN CANCER ALLIANCE OF GREATER
PO Box 42277		CIncinnati	OH	45242	823862604	501(c)(3)	$5,000	Program Support
PADDLING FOR CANCER AWARENESS INC
PO BOX 76213		HIGHLAND HEIGHTS	KY	41076	263552805	501(c)(3)	$10,075	Program Support
PARTNERS FOR MEDICAL RELIEF
PO BOX 43254		CINCINNATI	OH	45243	821748297	501(c)(3)	$6,900	Program Support
PEOPLE WORKING COOPERATIVELY INC
4612 PADDOCK RD		CINCINNATI	OH	45229	310859104	501(c)(3)	$7,000	Program Support
PRICHARD COMMITTEE FOR ACADEMIC
EXCELLENCE 271 W SHORT ST		LEXINGTON	KY	40507	611026214	501(c)(3)	$10,000	Program Support
REDWOOD SCHOOL & REHABILITATION CTR INC
71 ORPHANAGE RD		FT MITCHELL	KY	41017			$6,500	Program Support
ROMAN CATHOLIC DIOCESE OF COVINGTON
1125 MADISON AVE		COVINGTON	KY	41011	610458380	501(c)(3)	$993,090	Program Support
SOCIETY OF ST VINCENT DE PAUL COUNCIL OF
2655 CRESCENT SPRINGS RD		COVINGTON	KY	41017	320350542	501(c)(3)	$6,000	Program Support
SOUTHBANK PARTNERS INC
425 YORK ST		NEWPORT	KY	41071	311495560	501(c)(3)	$750,000	Program Support
SUPT OF SCHOOLS
219 CENTER ST		BELLEVUE	KY	41073	616001387	Bellevue	$10,500	Program Support
SUPT OF SCHOOLS OF BELLEVUE
219 CENTER ST		BELLEVUE	KY	41073	616001387	Bellevue	$10,000	Program Support
SUSAN G KOMEN BREAST CANCER FOUNDATION
6120 S Gilmore Rd Suite 206		CIncinnati	OH	45014	752855038	501(c)(3)	$10,000	Program Support
THE CARNEGIE VISUAL AND PERFORMING
1028 SCOTT BLVD		COVINGTON	KY	41011	610897319	501(c)(3)	$5,000	Program Support
THE COUNCIL OF STATE GOVERNMENTS LTD
1776 AVENUE OF THE STATES		LEXINGTON	KY	40511	366000818	501(c)(3)	$30,000	Program Support
THE HEALTH COLLABORATIVE
615 ELSINORE PL STE 500		CINCINNATI	OH	45202	311449807	501(c)(3)	$5,000	Program Support
THE KAREN WELLINGTON MEMORIAL FOUNDATION
PO BOX 6464		CINCINNATI	OH	45201	263768567	501(c)(3)	$5,000	Program Support
THOMAS MORE UNIVERSITY INC
333 THOMAS MORE PARKWAY		CRESTVIEW HILLS	KY	41017	610448560	501(c)(3)	$71,060	Program Support
TRANSITIONS INCORPORATED
1650 RUSSELL ST		COVINGTON	KY	41011	610707125	501(c)(3)	$5,000	Program Support
UNITED WAY OF GREATER CINCINNATI
PO BOX 632711		CINCINNATI	OH	452632711	310537502	501(c)(3)	$91,132	Program Support
WOMEN'S CRISIS CENTER INC
3580 HARGRAVE DR		HEBRON	KY	41048	610908752	501(c)(3)	$10,500	Program Support
ZOOLOGICAL SOCIETY OF CINCINNATI
3400 VINE ST		CINCINNATI	OH	45220	310537171	501(c)(3)	$7,000	Program Support
HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY INC
1 MEDICAL VILLAGE DRIVE		EDGEWOOD	KY	41017	832875231	501(c)(4)	$189,218	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	79	Total501c3OrgCnt
Total Other Org	7	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)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
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 (37 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	$1,003,844	$0	$580,183	$0	$11,759	$0	$46,500	$0	$33,795	$0	$1,676,081	$0	$0	$0
HEIDI MURLEY MD
TRUSTEE	$0	$483,849	$0	$50,237	$0	$6,102	$0	$16,800	$0	$32,312	$0	$589,300	$0	$0
ROBERT BAKER MD
PHYSICIAN / DIRECTOR	$0	$131,327	$0	$38,727	$0	$7,255	$0	$29,651	$0	$25,100	$0	$232,059	$0	$0
GARY BLANK
EXECUTIVE VP & COO, CNE	$621,478	$0	$171,954	$0	$7,740	$0	$49,250	$0	$15,014	$0	$865,435	$0	$0	$0
LISA FREY
VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	$410,304	$0	$66,764	$0	$5,183	$0	$46,500	$0	$14,351	$0	$543,102	$0	$0	$0
LAROY KENDALL
VP Medical Services, CMO	$405,434	$0	$152,486	$0	$5,117	$0	$35,500	$0	$25,356	$0	$623,894	$0	$0	$0
ROBERT PRICHARD MD
Chief Clinical Integration Officer, SEP President & CEO	$697,868	$0	$314,713	$0	$10,348	$0	$49,250	$0	$25,570	$0	$1,097,749	$0	$0	$0
LORI RITCHEY-BALDWIN
Senior Vice President/CFO/Treasurer	$577,012	$0	$256,332	$0	$8,952	$0	$35,500	$0	$32,444	$0	$910,240	$0	$0	$0
MARTIN OSCADAL
FORMER SVP HUMAN RESOURCES	$16,125	$0	$101,689	$0	$7	$0	$1,474	$0	$564	$0	$119,859	$0	$0	$0
BENITA ANDERSON
VP Nursing - Florence/Ft. Thomas	$265,787	$0	$67,144	$0	$5,640	$0	$52,000	$0	$10,810	$0	$401,381	$0	$0	$0
WILLIAM BANKS
VP MANAGED CARE	$327,647	$0	$103,370	$0	$31,713	$0	$46,500	$0	$29,675	$0	$538,905	$0	$0	$0
JACOB BAST
SEP COO / SECRETARY	$401,099	$0	$101,048	$0	$3,154	$0	$16,500	$0	$27,267	$0	$549,067	$0	$0	$0
JOSEPH BOZZELLI
VP MISSION SVCS & PASTORAL CARE	$188,438	$0	$46,151	$0	$6,879	$0	$44,253	$0	$12,970	$0	$298,691	$0	$0	$0
CHRISTOPER CARLE
PRESIDENT & CEO SEPN	$389,583	$0	$148,974	$0	$5,132	$0	$49,250	$0	$14,810	$0	$607,749	$0	$0	$0
CARRI CHANDLER
VP - FOUNDATION	$244,108	$0	$54,187	$0	$1,997	$0	$16,020	$0	$23,640	$0	$339,951	$0	$0	$0
PAMELA DEETER
VP FINANCE	$261,043	$0	$88,004	$0	$3,461	$0	$35,500	$0	$13,224	$0	$401,232	$0	$0	$0
BRUNO GIACOMUZZI
COO Flo FT Cov & SVP Prof Svcs	$337,130	$0	$154,202	$0	$7,777	$0	$35,500	$0	$30,146	$0	$564,754	$0	$0	$0
SARAH GIOLANDO
SVP/CHIEF STRATEGY OFFICER	$365,837	$0	$157,454	$0	$3,541	$0	$16,500	$0	$25,724	$0	$569,057	$0	$0	$0
VERA HALL
SVP System CNE	$325,896	$0	$75,701	$0	$3,969	$0	$38,250	$0	$29,948	$0	$473,764	$0	$0	$0
ANTHONY HELTON
VP Revenue Cycle	$270,189	$0	$73,807	$0	$6,159	$0	$16,500	$0	$31,283	$0	$397,939	$0	$0	$0
BRUCE HENLEY
SEP CFO / TREASURER	$260,205	$0	$63,898	$0	$8,101	$0	$35,500	$0	$25,148	$0	$392,851	$0	$0	$0
MATTHEW HOLLENKAMP
VP MARKETING AND CONSUMER RELATIONS	$236,599	$0	$61,933	$0	$1,709	$0	$14,337	$0	$30,974	$0	$345,552	$0	$0	$0
JAMES HORN
VP/CHIEF QUALITY OFFICER/ PHYSICIAN	$363,125	$0	$68,707	$0	$3,625	$0	$16,500	$0	$30,261	$0	$482,218	$0	$0	$0
KATHY LYNN JENNINGS
VP PATIENT CARE/ONCOLOGY	$214,282	$0	$83,192	$0	$3,616	$0	$35,595	$0	$29,480	$0	$366,166	$0	$0	$0
JAMES McCARVILLE
VP - QUALITY	$254,702	$0	$52,392	$0	$3,570	$0	$33,878	$0	$29,087	$0	$373,628	$0	$0	$0
SUSAN MCDONALD
VP Nursing - Edgewood	$291,063	$0	$70,499	$0	$9,558	$0	$35,500	$0	$12,981	$0	$419,601	$0	$0	$0
JOHN MITCHELL
SVP - COO FT. THOMAS	$226,252	$0	$99,216	$0	$2,593	$0	$45,892	$0	$12,469	$0	$386,422	$0	$0	$0
ROSANNA NIELDS
VP PLANNING & GOVT RELATIONS	$241,949	$0	$62,027	$0	$3,403	$0	$23,420	$0	$26,674	$0	$357,473	$0	$0	$0
JAMES PARSONS
SVP HUMAN RESOURCES	$343,283	$0	$40,698	$0	$3,605	$0	$3,451	$0	$22,329	$0	$413,366	$0	$0	$0
ALEXANDER RODRIGUEZ
VP CIO	$400,364	$0	$124,444	$0	$5,144	$0	$30,250	$0	$25,649	$0	$585,851	$0	$0	$0
HARRY WATSON
Sr. VP Facilities	$279,771	$0	$108,691	$0	$6,650	$0	$31,996	$0	$3,625	$0	$430,733	$0	$0	$0
JASON WESSEL
VP OF PROFESSIONAL SERVICES	$206,950	$0	$52,509	$0	$1,884	$0	$13,634	$0	$29,761	$0	$304,738	$0	$0	$0
DARRYL DIAS MD
PHYSICIAN	$976,937	$0	$81,607	$0	$3,972	$0	$35,500	$0	$32,337	$0	$1,130,353	$0	$0	$0
JON HAYS MD
PHYSICIAN	$1,084,076	$0	$96,607	$0	$3,972	$0	$35,500	$0	$32,039	$0	$1,252,193	$0	$0	$0
SAEB KHOURY MD
PHYSICIAN	$855,742	$0	$104,107	$0	$11,334	$0	$35,500	$0	$33,239	$0	$1,039,922	$0	$0	$0
JEROME SCHUTZMAN MD
PHYSICIAN	$1,210,845	$0	$86,607	$0	$6,102	$0	$35,500	$0	$30,786	$0	$1,369,840	$0	$0	$0
MOHAMAD SINNO MD
PHYSICIAN	$993,514	$0	$104,107	$0	$3,717	$0	$35,500	$0	$32,795	$0	$1,169,633	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	THIS IS PROVIDED TO BOARD MEMBERS AND OFFICERS. BOARD RETREAT COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	WILLIAM BANKS IS PROVIDED A HOUSING ALLOWANCE THAT IS TREATED AS TAXABLE COMPENSATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Certain individuals listed in Part VII participated in a split dollar life insurance plan. Please refer to Schedule L for participants, premiums and outstanding loan amounts.

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 - SERIES 2009B
A	521643102	2009-12-09	$38,150,000	PARTIAL REFUNDING OF BONDS ISSUED 6/11/03	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION - 2015A
B	472650498	2015-12-30	$50,000,000	RENOVATIONS TO HOSPITAL	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION - 2015B
C	472650498	2015-12-30	$50,000,000	RENOVATIONS TO HOSPITAL	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION - SERIES 2016
D	472650498	2016-05-12	$98,494,028	ADVANCE REFUNDING OF SERIES 2009A BONDS ISSUED ON 12/09/09	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	$12,350,000	$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	$4,850,000	$0	$50,483,846	$0	$0	$0	$245,000	$0	$0	$50,238,846	$0	$0	2018	false	false	Yes (true)	Yes (true)
C	$2,575,000	$0	$50,011,339	$0	$0	$0	$222,000	$0	$0	$49,789,339	$0	$0	2018	false	false	Yes (true)	Yes (true)
D	$7,715,000	$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	false		false	0.0	0.0	false	false	Yes (true)	Yes (true)
C	false	false	false		Yes (true)	0.0005	0.0005	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	Yes (true)	false	false	false	false	false	false	Yes (true)
PNC BANK NATIONAL ASSOCIATION
C	false	Yes (true)	false	false	Yes (true)	Yes (true)	false	false	Yes (true)	30.0	false	false
(no name)
D	false	Yes (true)	false	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 (4 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 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' 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 0.0433% of the Total Operating Revenue.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	DIFFERENCE BETWEEN SERIES 2015A ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART i, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2015B ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART i, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2016 ISSUE PRICE (ISSUE DATE 05/12/2016) IN PART i, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009B The calculation for computing no rebate due was performed on 06/04/2014

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	KENTUCKY BOND DEVELOPMENT CORPORATION - 2019A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	472650498	BondIssuerEIN
Bond Issued	2019-06-26	BondIssuedDt
Issue Price	$75,000,000	IssuePriceAmt
Purpose	RENOVATIONS TO HOSPITAL	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$777,061	RetiredAmt
Total Proceeds	$75,748,903	TotalProceedsAmt
Capitalized Interest	$374,451	CapitalizedInterestAmt
Issuance Costs From Proceeds	$560,800	IssuanceCostsFromProceedsAmt
Capital Expenditures	$68,771,012	CapitalExpendituresAmt
Unspent	$6,042,640	UnspentAmt
Substantial Completion	2019	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	Fifth Third Financial Risk Solutions	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	30.0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (28 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
BILL BANKS
VP CYCLE/MANAGE CYCLE/MANAGED CARE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$441,193	$459,148	false	Yes (true)	Yes (true)
JACOB BAST
SVP & COO - SEP	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$358,174	$372,247	false	Yes (true)	Yes (true)
GARY BLANK
EXEC VP 7 COO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$829,655	$864,067	false	Yes (true)	Yes (true)
JOSEPH BOZZELLI
VP MISSION SVCS & PASTORAL CARE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$92,230	$95,347	false	Yes (true)	Yes (true)
CHRIS CARLE
PRESIDENT & CEO SEPN	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$616,052	$644,129	false	Yes (true)	Yes (true)
CARRI CHANDLER
VP, FOUNDATION	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$83,695	$86,067	false	Yes (true)	Yes (true)
GARREN COLVIN
PRESIDENT & CEO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$2,605,918	$2,720,688	false	Yes (true)	Yes (true)
PAM DEETER
VP FINANCE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$135,937	$141,014	false	Yes (true)	Yes (true)
LISA FREY
VP LEGAL SVCS/GENERAL COUNSEL	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$212,558	$220,490	false	Yes (true)	Yes (true)
SARAH GIOLANDO
VP COO FLO GRANT & PROF SVCS	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$519,197	$540,812	false	Yes (true)	Yes (true)
BRUNO GIACOMUZZI
VP COO FLO GRANT & PROF SVCS	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$343,347	$357,479	false	Yes (true)	Yes (true)
VERA HALL
SVP SYSTEM CNE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$222,586	$230,314	false	Yes (true)	Yes (true)
ANTHONY HELTON
VP REVENUE CYCLE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$139,049	$145,822	false	Yes (true)	Yes (true)
BRUCE HENLEY
CFO - SEP	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$395,957	$410,651	false	Yes (true)	Yes (true)
MATT HOLLENKAMP
VP MARKETING & PUBLIC RELATION	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$66,734	$69,397	false	Yes (true)	Yes (true)
JAMES HORN
VP, CHIEF QUALITY OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$174,559	$181,746	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)	$91,634	$95,368	false	Yes (true)	Yes (true)
LAROY KENDALL
SVP CHIEF MEDICAL OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$183,259	$191,382	false	Yes (true)	Yes (true)
JIM MCCARVILLE
VP QUALITY	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$67,924	$70,609	false	Yes (true)	Yes (true)
SUSAN MCDONALD
VP CNO EDGEWOOD/COV/GRANT	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$190,056	$198,870	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)	$163,490	$168,767	false	Yes (true)	Yes (true)
ROSANNE NIELDS
VP PLANNING & GOVT RELATIONS	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$175,586	$183,516	false	Yes (true)	Yes (true)
MARTY OSCADAL
SVP HUMNA RESOURCES	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$551,134	$574,919	false	Yes (true)	Yes (true)
ROBERT PRICHARD
EVP/CEO - SEP/CCIO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,102,739	$1,153,452	false	Yes (true)	Yes (true)
LORI RITCHEY-BALDWIN
SR VP FINANCE/CFO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$410,825	$430,309	false	Yes (true)	Yes (true)
ALEX RODRIGUEZ
VP/CHIEF INFORMATION OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$519,591	$543,429	false	Yes (true)	Yes (true)
HARRY WATSON
SVP FACILITIES	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$153,112	$159,919	false	Yes (true)	Yes (true)
JASON WESSEL
VP PROFESSIONAL SERVICE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$27,124	$27,663	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$11,337,621	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEST UPON REQUEST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER TILLIE HIDALGO LIMA OWNS BEST UPON REQUEST	RelationshipDescriptionTxt
Transaction	$507,841	TransactionAmt
Transaction	CONCIERGE 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

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$37,127	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$24,471	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	10	ContributionCnt
Noncash Contributions Rpt F990	$314,101	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	FOOD/PRIZES	Desc
Contribution	72	ContributionCnt
Noncash Contributions Rpt F990	$21,040	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

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 72 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Books and publications - BOOKS - ST. ELIZABETH HEALTHCARE IS REPORTING 4 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Clothing and household goods - BABY APPAREL AND CLOTHING - ST. ELIZABETH IS REPORTING THE 35 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Securities - Publicly traded - ST. ELIZABETH HEALTHCARE IS REPORTING THE 10 ITEMS BASED ON CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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, they are: 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 THE 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 THEIR REVIEW AND 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, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. WHEN BUSINESS MATTERS COME BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST: (I) THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT. (II) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (III) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (IV) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (V) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	IN DETERMINING THE COMPENSATION OF ST. ELIZABETH HEALTHCARE'S CHIEF EXECUTIVE OFFICER, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA, AND THEN A COMPENSATION RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL.
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 INCLUDED 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 2019.
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 IX, Line 11g Other Expenses	MOVING EXPENSE - Total Expense: 33496, Program Service Expense: 26996, Management and General Expenses: 6500, Fundraising Expenses: ; BANK FEES - Total Expense: 644155, Program Service Expense: 24869, Management and General Expenses: 612028, Fundraising Expenses: 7258; GRANT EXPENSE - Total Expense: 111027, Program Service Expense: 110110, Management and General Expenses: 917, Fundraising Expenses: ; PATIENT EXPENSE - Total Expense: 100333, Program Service Expense: 3744, Management and General Expenses: 96589, Fundraising Expenses: ; BOOKS & SUBSCRIPTIONS - Total Expense: 271895, Program Service Expense: 202164, Management and General Expenses: 65268, Fundraising Expenses: 4463; PROPERTY TAXES & LICENSES - Total Expense: 114342, Program Service Expense: 67816, Management and General Expenses: 46526, Fundraising Expenses: ; INCOME TAX EXPENSE - Total Expense: -514396, Program Service Expense: , Management and General Expenses: -514396, Fundraising Expenses: ; SALES & USE TAX EXPENSE - Total Expense: 359512, Program Service Expense: 1450, Management and General Expenses: 355445, Fundraising Expenses: 2617; EMPLOYEE RELATIONS - Total Expense: 132647, Program Service Expense: 3420, Management and General Expenses: 129227, Fundraising Expenses: ; SOFTWARE SUBSCRIPTIONS - Total Expense: 2003488, Program Service Expense: 89263, Management and General Expenses: 1914225, Fundraising Expenses: ; OTHER DIRECT EXPENSES - Total Expense: 51657, Program Service Expense: 18696, Management and General Expenses: 32961, Fundraising Expenses: ; OCCUPATIONAL LICENSE - Total Expense: 290, Program Service Expense: 275, Management and General Expenses: 15, Fundraising Expenses: ; DONATIONS - Total Expense: 7930, Program Service Expense: 2500, Management and General Expenses: 5130, Fundraising Expenses: 300; MISCELLANEOUS - Total Expense: 621667, Program Service Expense: 13929, Management and General Expenses: 607738, Fundraising Expenses: ; ADMINISTRATIVE OVERHEAD - Total Expense: 6634, Program Service Expense: 5304, Management and General Expenses: 1243, Fundraising Expenses: 87; APP MISCELLANEOUS EXPENSE - Total Expense: 326, Program Service Expense: , Management and General Expenses: 326, Fundraising Expenses: ; DEPARTMENT RELOCATION - Total Expense: 75298, Program Service Expense: 73468, Management and General Expenses: 1830, Fundraising Expenses: ; RECRUITMENT EXPENSE - Total Expense: 286476, Program Service Expense: 6025, Management and General Expenses: 280451, Fundraising Expenses: ; RECERTIFICATION CLINICAL LADDER - Total Expense: 295, Program Service Expense: 295, Management and General Expenses: , Fundraising Expenses: ; CLINICAL LADDER IV - Total Expense: 198, Program Service Expense: 198, Management and General Expenses: , Fundraising Expenses: ; PATIENT EDUCATION - Total Expense: 116469, Program Service Expense: 46, Management and General Expenses: 116423, Fundraising Expenses: ; GAIN/LOSS ASSET DISP - Total Expense: 0, Program Service Expense: 0, Management and General Expenses: 0, Fundraising Expenses: 0; IC MARKET ADJ EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: , Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; IC PHYSICIAN FEES - Total Expense: 17277467, Program Service Expense: 16937449, Management and General Expenses: 340018, Fundraising Expenses: ; IC STAFF LEASING EXPENSE - Total Expense: 266780, Program Service Expense: 266780, Management and General Expenses: , Fundraising Expenses: ; IC ADMIN SERVICES - Total Expense: 440521, Program Service Expense: 434345, Management and General Expenses: 4336, Fundraising Expenses: 1840; IC PHYSICIAN FEES - MEDICAL DR - Total Expense: 640348, Program Service Expense: 477892, Management and General Expenses: 162456, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FMV OF INTEREST RATE SWAP - -9918871; MINIMUM PENSION LIABILITY ADJUSTMENT - -47400338; CHANGE IN FMV OF SPLIT LIFE INSURANCE INTEREST - -9759; TRANSFERS DUE TO/FROM AFFILIATES - 11315722; NET ASSETS RELEASED FROM RESTRICTIONS - PPE - 143510; WRITE OFF OF UNCOLLECTIBLE PLEDGES - -15484; CHANGE TO INVESTMENT IN AMSURG - 3079; INVESTMENT IN HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY, INC. - 354221;
Schedule H, Part V, Section B, Line 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA	(Continued:) ST. ELIZABETH FLORENCE NEXT, THE LIST WAS ADVANCED TO THE STRATEGIC PLANNING COMMITTEE OF THE BOARD OF TRUSTEES TO REVIEW, IN WHICH THEY NARROWED THE LIST DOWN TO THE TOP THREE ISSUES TO FOCUS ON THAT WILL HAVE THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE TOP THREE PRIORITIES ARE OBESITY, HEART DISEASE, AND DIABETES. THE FOLLOWING IS A LIST OF HEALTH NEEDS INDENTIFIED BY THE ASSESSMENT, BUT NOT INCLUDED AS ONE OF THE TOP THREE: - ACCESS TO PRIMARY CARE - AVOIDABLE ED VISITS - CANCER - INFANT MORTALITY - LACK OF HEALTH INSURANCE - MEDICATION COSTS - MENTAL HEALTH - SMOKING - SUBSTANCE ABUSE - WELLNESS ST. ELIZABETH HEALTHCARE WILL CONTINUE PROVIDING SERVICES TO SUPPORT THESE IMPORTANT COMMUNITY HEALTH NEEDS. THE FOLLOWING IS A SUMMARY OF MANY OF THE PROGRAMS THAT ARE ALREADY PROVIDED FOR EACH OF THE ISSUES IDENTIFIED: AVOIDABLE ED VISITS/ACCESS TO PRIMARY CARE - ESTABLISHING 100% OF ST. ELIZABETH PHYSICIAN PRACTICES AS CERTIFIED MEDICAL HOMES - DEVELOPING WALK-IN CLINICS AND URGENT CARE OPTIONS THROUGH ST. ELIZABETH PHYSICIANS - PROVIDING TRAINING AND CARE THROUGH THE FAMILY PRACTICE RESIDENCY PROGRAM - CONTINUING TO OFFER THE PARISH NURSING/HEALTH MINISTRY PROGRAM - RECRUITING ST. ELIZABETH HEALTHCARE MEDICAL SPECIALISTS AS IDENTIFIED - TREATING DENTAL PATIENTS NEEDING EMERGENT CARE IN THE EMERGENCY DEPARTMENT - PROVIDING CAB AND BUS VOUCHERS FOR PATIENTS CANCER - PROVIDING CANCER SCREENINGS, SUPPORT GROUPS AND BREAST CANCER NAVIGATORS - PROVIDING DRUG REPLACEMENT SERVICES CHEMOTHERAPY PROVIDED TO THOSE WHO ARE UNINSURED - PROVIDING MOBILE MAMMOGRAPHY VAN NO COST MAMMOGRAMS - OFFERING THE COOPER CLAYTON SMOKING CESSATION PROGRAM - DONATING FINANCIAL / OPERATIONAL SUPPORT TO SEVERAL COMMUNITY HEALTH IMPROVEMENT ORGANIZATIONS INFANT MORTALITY - OFFERING MATERNAL CHILD PROGRAMS: FIRST STEPS POINT OF ENTRY AND NURSE-FAMILY PARTNERSHIPS - PROVIDING OBSTETRICIANS TO HEALTHPOINT FOR PRENATAL CARE - ADMINISTERING IMMUNIZATIONS COCOONING PROJECT - OFFERING PRE-ADMISSION EDUCATION LACK OF HEALTH INSURANCE - SPONSORING A FINANCIAL ASSISTANCE PROGRAM - ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATE MEDICATION COSTS/ACCESS - PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACY MENTAL HEALTH - PROVIDING INPATIENT TREATMENT TO UNINSURED - PROVIDING MULTIPLE SUPPORT GROUPS FOR PATIENTS AND FAMILIES - WORKING WITH MENTAL HEALTH COURTS AND JAILS TO COORDINATE CARE - IMPLEMENTING TELEPSYCHIATRY IN THE EMERGENCY DEPARTMENT TO ASSESS MENTAL HEALTH PATIENTS WELLNESS - PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGS SUBSTANCE ABUSE - PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS - OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONS SMOKING CESSATIONS - ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE - OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES

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	-$289	$3,822,719	ST ELIZABETH MEDICAL CENTER INC
SEH Holdings Inc
1 Medical Village Dr	Edgewood	KY	41017	830817636	Holding Company	KY	-$356,498	-$735,703	St Elizabeth Medical Center Inc
Next Daybreak Inc
1 Medical Village Dr	Edgewood	KY	41017	832843631	Physician Management Services	KY	-$906,703	$2,884,563	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	-$330,378	$1,067,721	false	Yes (true)	0.409
Preferred Lab Partners LLC
One Medical Village Drive Suite B	Edgewood	KY	41707	824758763	Laboratory	KY	NA	Related	$0	$7,674,490	false	Yes (true)	0.5
Bioskills Lab LLC
4123 Olympic Blvd	Erlanger	KY	41018	320571870	Bioskills Lab	KY	NA	Related	-$481,775	$557,950	false	Yes (true)	0.75

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
One Medical Village Dr	Edgewood	KY	41017	472862438	Physician-Hospital Org.	KY	St Elizabeth Medical Center Inc	C Corporation	-$1,066,876	$1,258,792	1	Yes (true)
Charitable Remainder Trust (3)
One 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	$3,803,625	CASH
SUMMIT MEDICAL GROUP INC
R	$109,894,302	CASH
SUMMIT MEDICAL GROUP INC
O	$18,639,858	CASH
SUMMIT MEDICAL GROUP INC
J	$244,291	CASH
SUMMIT MEDICAL GROUP INC
M	$440,521	CASH
HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY INC
B	$189,218	CASH