ST ELIZABETH MEDICAL CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ST ELIZABETH MEDICAL CENTER INC (EIN 61-0445850)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-12
IRS object ID: 201923169349305627
Schema version: 2018v3.1
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	2019-11-12T16:00:17-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	2019-11-12	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	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	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	$1,570,768,874	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	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	8059	TotalEmployeeCnt
Total Volunteers	1571	TotalVolunteersCnt
Total Gross UBI	$3,534,465	TotalGrossUBIAmt
PY Contributions Grants	$3,590,400	PYContributionsGrantsAmt
CY Contributions Grants	$8,067,640	CYContributionsGrantsAmt
PY Program Service Revenue	$1,142,301,509	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,182,872,415	CYProgramServiceRevenueAmt
PY Investment Income	$36,796,855	PYInvestmentIncomeAmt
CY Investment Income	$28,190,465	CYInvestmentIncomeAmt
PY Other Revenue	$5,285,430	PYOtherRevenueAmt
CY Other Revenue	$5,654,041	CYOtherRevenueAmt
PY Total Revenue	$1,187,974,194	PYTotalRevenueAmt
CY Total Revenue	$1,224,784,561	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,763,415	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,485,576	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$505,761,860	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$531,545,385	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$34,600	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$60,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,861,361	CYTotalFundraisingExpenseAmt
PY Other Expenses	$563,200,526	PYOtherExpensesAmt
CY Other Expenses	$599,920,005	CYOtherExpensesAmt
PY Total Expenses	$1,077,760,401	PYTotalExpensesAmt
CY Total Expenses	$1,136,010,966	CYTotalExpensesAmt
PY Revenues Less Expenses	$110,213,793	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$88,773,595	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,768,297,483	TotalAssetsBOYAmt
Total Assets EOY	$1,837,486,904	TotalAssetsEOYAmt
Total Liabilities BOY	$465,018,278	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$503,171,056	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,303,279,205	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,334,315,848	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	$691,044,211	ExpenseAmt
Grant	$4,485,576	GrantAmt
Revenue	$1,177,386,147	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 more than $117 million in uncompensated care and benefit to the community in 2017. 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 2018 St. Elizabeth Healthcare had total admissions of 90,010; total patient visits of 200,163 and total emergency room visits of 191,794.	Desc
Total Program Service Expenses	$691,044,211	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	601	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8059	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	Yes (true)	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	18	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 (53 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)	$1,215,287	$0	$51,735
ROBERT BAKER MD
PHYSICIAN / DIRECTOR	4.0	50.0	Yes (X)		$0	$174,600	$48,950
MICHAEL A CONNER
TRUSTEE	4.0	0	Yes (X)		$4,310	$0	$0
MARSHA CROXTON
TRUSTEE	4.0	0	Yes (X)		$3,034	$0	$0
THOMAS R DIETZ
TRUSTEE	4.0	0	Yes (X)		$17,694	$0	$0
CHRISTOPER FISTER
TRUSTEE	4.0	0	Yes (X)		$4,009	$0	$0
DOUG FLORA MD
TRUSTEE	4.0	50.0	Yes (X)		$0	$784,185	$56,563
GEORGE S HALL MD
Former VP Medical Affairs/TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
MICHAEL E JONES
TRUSTEE	4.0	0	Yes (X)		$1,776	$0	$0
TILLIE HIDALGO LIMA
Trustee	4.0	0	Yes (X)		$0	$0	$0
GARY W MOORE
TRUSTEE	4.0	0	Yes (X)		$4,025	$0	$0
HEIDI MURLEY MD
TRUSTEE	4.0	50.0	Yes (X)		$0	$523,950	$37,181
ROGER PETERMAN
TRUSTEE	4.0	0	Yes (X)		$16,396	$0	$0
JAMES ROEBKER
TRUSTEE	4.0	0	Yes (X)		$9,533	$0	$0
DEBBIE SIMPSON
Trustee	4.0	0	Yes (X)		$0	$0	$0
ROBERT HOFFER
TRUSTEE/FOUNDATION CHAIRMAN	4.0	0	Yes (X)		$1,694	$0	$0
JAMES VOTRUBA
Chairman	4.0	0	Yes (X)		$2,261	$0	$0
FRED A MACKE JR
VICE CHAIRMAN	4.0	0	Yes (X)		$20,741	$0	$0
GARY BLANK
EXECUTIVE VP & COO, CNE	50.0	1.0		Yes (X)	$653,639	$0	$24,563
LISA FREY
VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	50.0	1.0		Yes (X)	$363,267	$0	$31,384
LAROY KENDALL
VP Medical Services, CMO	50.0	4.0		Yes (X)	$472,000	$0	$49,283
BARBARA KROHMAN
CORPORATE SECRETARY THRU 1/5/2018	50.0	0		Yes (X)	$29,486	$0	$2,251
ROBERT PRICHARD MD
Chief Clinical Integration Officer, SEP President & CEO	25.0	25.0		Yes (X)	$865,244	$0	$45,337
LORI RITCHEY-BALDWIN
Senior Vice President/CFO/Treasurer	50.0	5.0		Yes (X)	$704,036	$0	$57,685
BENITA ANDERSON
VP Nursing - Florence/Ft. Thomas	50.0	0			$306,047	$0	$35,592	Yes (X)
WILLIAM BANKS
VP MANAGED CARE	50.0	0			$411,702	$0	$48,699	Yes (X)
JACOB BAST
SEP COO / SECRETARY	35.0	15.0			$450,758	$0	$33,216	Yes (X)
JOSEPH BOZZELLI
VP MISSION SVCS & PASTORAL CARE	50.0	0			$208,104	$0	$26,110	Yes (X)
CHRISTOPER CARLE
PRESIDENT & CEO SEPN	50.0	0			$458,524	$0	$33,140	Yes (X)
CARRI CHANDLER
VP - FOUNDATION	50.0	0			$263,385	$0	$28,447	Yes (X)
PAMELA DEETER
VP FINANCE	50.0	0			$329,985	$0	$37,021	Yes (X)
BRUNO GIACOMUZZI
COO Flo FT Cov & SVP Prof Svcs	50.0	0			$422,239	$0	$47,943	Yes (X)
SARAH GIOLANDO
SVP/CHIEF STRATEGY OFFICER	50.0	0			$484,667	$0	$34,509	Yes (X)
VERA HALL
SVP System CNE	50.0	0			$332,770	$0	$48,184	Yes (X)
ANTHONY HELTON
VP Revenue Cycle	50.0	0			$270,748	$0	$38,423	Yes (X)
BRUCE HENLEY
SEP CFO / TREASURER	35.0	15.0			$317,030	$0	$50,358	Yes (X)
MATTHEW HOLLENKAMP
VP MARKETING AND CONSUMER RELATIONS	50.0	0			$232,234	$0	$32,864	Yes (X)
JAMES HORN
VP/CHIEF QUALITY OFFICER/ PHYSICIAN	50.0	0			$376,165	$0	$36,940	Yes (X)
KATHY LYNN JENNINGS
VP PATIENT CARE/ONCOLOGY	50.0	0			$243,849	$0	$35,205	Yes (X)
JAMES McCARVILLE
VP - QUALITY	50.0	0			$242,052	$0	$33,462	Yes (X)
SUSAN MCDONALD
VP Nursing - Edgewood	50.0	0			$319,799	$0	$36,980	Yes (X)
JOHN MITCHELL
SVP - COO FT. THOMAS	50.0	0			$266,326	$0	$30,766	Yes (X)
ROSANNA NIELDS
VP PLANNING & GOVT RELATIONS	50.0	0			$231,978	$0	$24,916	Yes (X)
JAMES PARSONS
SVP HUMAN RESOURCES	50.0	0			$196,652	$0	$7,275	Yes (X)
ALEXANDER RODRIGUEZ
VP CIO	50.0	0			$463,414	$0	$31,769	Yes (X)
HARRY WATSON
Sr. VP Facilities	50.0	0			$339,210	$0	$13,897	Yes (X)
JASON WESSEL
VP OF PROFESSIONAL SERVICES	50.0	0			$218,902	$0	$34,154	Yes (X)
DARRYL DIAS MD
PHYSICIAN	50.0	0			$1,168,359	$0	$57,219		Yes (X)
JEROME SCHUTZMAN MD
PHYSICIAN	50.0	0			$1,384,147	$0	$58,192		Yes (X)
MOHAMAD SINNO MD
PHYSICIAN	50.0	0			$987,025	$0	$57,005		Yes (X)
JON HAYS MD
PHYSICIAN	50.0	0			$1,053,570	$0	$56,267		Yes (X)
JEFFREY REICHARD MD
PHYSICIAN	50.0	0			$1,015,673	$0	$59,443		Yes (X)
MARTIN OSCADAL
FORMER SVP HUMAN RESOURCES	50.0	0			$390,970	$0	$42,832			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$17,774,717	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,482,735	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,515,759	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	523	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Danis Building Construction Company
50 E Business Way	Cincinnati	OH	45241	Construction	$13,759,754
Intuitive Surgical Inc
PO Box 39000	San Francisco	CA	94139	Technical Services	$10,932,692	Dept 33629
Turner Construction Company
250 West Court St	Cincinnati	OH	45202	Construction	$9,999,735	Suite 300
Epic Systems Corporation
PO Box 88314	Milwaukee	WI	523880314	Technical Services	$8,127,155
Hammel Green and Abrahamson Inc
SDS 12-1861	Minneapolis	MN	554861861	Architectural Services	$5,098,229	PO Box 86

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	202	CntrctRcvdGreaterThan100KCnt
Fundraising	$61,423	FundraisingAmt
Government Grants	$2,086,567	GovernmentGrantsAmt
All Other Contributions	$5,919,650	AllOtherContributionsAmt
Noncash Contributions	$156,803	NoncashContributionsAmt
Total Contributions	$8,067,640	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	621400	$1,046,290,511	$1,046,290,511
OTHER RELATED REVENUE	900099	$63,122,956	$63,122,956
PATIENT/EMPLOYEE DRUGS	446110	$4,843,835		$2,859,038	$1,984,797
LABORATORY	621500	$68,615,113	$67,972,680	$642,433

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	$1,182,872,415	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,195,958	TotalRevenueColumnAmt
Unrelated Business Revenue	$32,994	UnrelatedBusinessRevenueAmt
Exclusion	$22,162,964	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$189,392	TotalRevenueColumnAmt
Exclusion	$189,392	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,249,149	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,480,586	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$231,437	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$231,437	TotalRevenueColumnAmt
Exclusion	-$231,437	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$347,495,747	SecuritiesAmt
Other	$1,539,788	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$341,570,026	SecuritiesAmt
Other	$1,660,394	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,925,721	SecuritiesAmt
Other	-$120,606	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,805,115	TotalRevenueColumnAmt
Exclusion	$5,805,115	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$384,346	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$61,423	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$272,821	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,525	TotalRevenueColumnAmt
Exclusion	$111,525	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$7,204	GamingGrossIncomeAmt
Gaming Direct Expenses	$486	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,718	TotalRevenueColumnAmt
Exclusion	$6,718	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722210	$3,979,007	$3,979,007
GIFT SHOP	900099	$1,666,961	$1,666,961
VENDING	453220	$121,267	$121,267

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	$5,767,235	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,224,784,561	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,177,386,147	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,534,465	UnrelatedBusinessRevenueAmt
Exclusion	$35,796,309	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	$4,485,576	TotalAmt
Program Services	$4,485,576	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,361,840	TotalAmt
Program Services	$9,412,953	ProgramServicesAmt
Management And General	$3,923,930	ManagementAndGeneralAmt
Fundraising	$24,957	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$406,690,957	TotalAmt
Program Services	$301,462,625	ProgramServicesAmt
Management And General	$104,434,217	ManagementAndGeneralAmt
Fundraising	$794,115	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,558,594	TotalAmt
Program Services	$15,891,748	ProgramServicesAmt
Management And General	$6,624,713	ManagementAndGeneralAmt
Fundraising	$42,133	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,810,224	TotalAmt
Program Services	$44,832,934	ProgramServicesAmt
Management And General	$15,874,056	ManagementAndGeneralAmt
Fundraising	$103,234	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$28,123,770	TotalAmt
Program Services	$21,256,637	ProgramServicesAmt
Management And General	$6,805,770	ManagementAndGeneralAmt
Fundraising	$61,363	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,413,591	TotalAmt
Program Services	$16,160	ProgramServicesAmt
Management And General	$3,397,431	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$687,663	TotalAmt
Program Services	$9,997	ProgramServicesAmt
Management And General	$677,666	ManagementAndGeneralAmt

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	$1,867,872	TotalAmt
Management And General	$1,867,372	ManagementAndGeneralAmt
Fundraising	$500	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$198,166,888	TotalAmt
Program Services	$53,412,998	ProgramServicesAmt
Management And General	$144,735,990	ManagementAndGeneralAmt
Fundraising	$17,900	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,608,806	TotalAmt
Program Services	$567,177	ProgramServicesAmt
Management And General	$10,822,142	ManagementAndGeneralAmt
Fundraising	$219,487	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,378,327	TotalAmt
Program Services	$2,165,184	ProgramServicesAmt
Management And General	$2,024,303	ManagementAndGeneralAmt
Fundraising	$188,840	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,988,882	TotalAmt
Program Services	$874,645	ProgramServicesAmt
Management And General	$16,057,494	ManagementAndGeneralAmt
Fundraising	$56,743	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,359,741	TotalAmt
Program Services	$904,042	ProgramServicesAmt
Management And General	$11,455,699	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$914,437	TotalAmt
Program Services	$427,523	ProgramServicesAmt
Management And General	$482,231	ManagementAndGeneralAmt
Fundraising	$4,683	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,730,384	TotalAmt
Program Services	$492,873	ProgramServicesAmt
Management And General	$2,073,743	ManagementAndGeneralAmt
Fundraising	$163,768	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,963,458	TotalAmt
Management And General	$5,963,458	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$67,973,397	TotalAmt
Program Services	$12,806	ProgramServicesAmt
Management And General	$67,960,591	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,407,527	TotalAmt
Management And General	$2,407,527	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$184,401,011	$180,422,031	$3,978,330	$650
BAD DEBT	$39,007,910	$39,007,910
GENERAL SUPPLIES	$24,998,198	$13,941,585	$10,984,411	$72,202
PROVIDER TAX	$12,549,589		$12,549,589

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,502,324	TotalAmt
Program Services	$1,446,807	ProgramServicesAmt
Management And General	$8,004,731	ManagementAndGeneralAmt
Fundraising	$50,786	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,136,010,966	TotalAmt
Program Services	$691,044,211	ProgramServicesAmt
Management And General	$443,105,394	ManagementAndGeneralAmt
Fundraising	$1,861,361	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	$87,130,693	BOYAmt
EOY	$76,027,737	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,601,682	BOYAmt
EOY	$6,102,637	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$121,240,249	BOYAmt
EOY	$121,911,389	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$3,448,615	BOYAmt
EOY	$9,368,104	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	$5,573,148	BOYAmt
EOY	$8,388,469	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$27,521,732	BOYAmt
EOY	$30,391,581	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,929,897	BOYAmt
EOY	$8,683,313	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,038,455,258	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$595,657,670	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$441,650,693	BOYAmt
EOY	$442,797,588	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$726,973,696	BOYAmt
EOY	$689,095,772	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$308,973,520	BOYAmt
EOY	$376,682,604	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,014,340	BOYAmt
EOY	$14,751,767	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,396,082	BOYAmt
EOY	$13,454,499	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,284,214	BOYAmt
EOY	$36,272,522	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,768,297,483	BOYAmt
EOY	$1,837,486,904	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$135,246,798	BOYAmt
EOY	$167,566,556	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$5,191,317	BOYAmt
EOY	$4,177,903	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$190,721,239	BOYAmt
EOY	$210,006,462	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	$133,858,924	BOYAmt
EOY	$121,420,135	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$465,018,278	BOYAmt
EOY	$503,171,056	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,105,217,011	BOYAmt
EOY	$1,311,553,091	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,450,380	BOYAmt
EOY	$13,002,103	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$190,611,814	BOYAmt
EOY	$9,760,654	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,303,279,205	BOYAmt
EOY	$1,334,315,848	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,768,297,483	BOYAmt
EOY	$1,837,486,904	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$88,773,595	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$71,592,006	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$13,855,054	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	$46,732	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$53,963	OtherActivitiesAmt
Total Lobbying Expenditures	$100,695	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (4 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 $53,653.
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 2018. THE AMOUNT IS $10,750. ST. ELIZABETH HEALTHCARE ALSO ENLISTED THE ASSISTANCE OF LOBBYING CONSULTANTS IN 2018. THE AMOUNT PAID TO THESE CONSULTANTS IS $35,050. ST. ELIZABETH HEALTHCARE ALSO PAID $932 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 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	$21,248,291	OtherCostOrOtherBasisAmt
Book Value	$21,248,291	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$518,367,322	OtherCostOrOtherBasisAmt
Depreciation	$268,942,522	DepreciationAmt
Book Value	$249,424,800	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,611,899	OtherCostOrOtherBasisAmt
Depreciation	$7,405,940	DepreciationAmt
Book Value	$11,205,959	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$445,772,848	OtherCostOrOtherBasisAmt
Depreciation	$319,176,833	DepreciationAmt
Book Value	$126,596,015	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,454,898	OtherCostOrOtherBasisAmt
Depreciation	$132,375	DepreciationAmt
Book Value	$34,322,523	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$442,797,588	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	UNRESTRICTED	Desc
Book Value	$376,682,604	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$376,682,604	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
ANNUITY PAYMENT LIABILITY	$96,336
ACCRUED PENSION LIABILITY	$20,635,209
OTHER LONG TERM LIABILITIES	$29,423,474
SELF-INSURANCE	$52,687,891
OTHER CURRENT LIABILITIES HOSPITAL	$6,531,040
INTEREST RATE SWAP	$5,264,817
ASSET RETIREMENT OBLIGATION	$408,055
LT DEBT TO ST REMRKTG ARRANGEMENT
MEDICARE PAYABLE	$5,249,943
MEDICAID PAYABLE	$1,123,370

Field	Value	IRS element (for citing)
Total Liability	$121,420,135	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,118,794,482	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$71,592,006	NetUnrealizedGainsInvstAmt
Other Revenue	$9,392,422	OtherRevenueAmt
Revenue Not Reported	-$62,199,584	RevenueNotReportedAmt
Revenue Subtotal	$1,180,994,066	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,867,872	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$41,922,623	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$43,790,495	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,224,784,561	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,103,937,209	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$10,252,893	OtherExpensesIncludedAmt
Expenses Not Reported	$10,252,893	ExpensesNotReportedAmt
Expenses Subtotal	$1,093,684,316	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,867,872	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$40,458,778	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$42,326,650	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,136,010,966	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, 2018, 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, 2015 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 - 272821 GAMING EXPENSES - 486 LOSS/GAIN ON FIXED ASSET DISPOSAL - 120606 SEPN - 720442 RENTAL EXPENSES - 2480586 PENSION EXPENSE BOOKED TO REVENUE - 5797481
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	UNCOLLECTIBLE PLEDGES - 29667 SEPN - 703408 FIVE LABS - 367874 PROVISION FOR BAD DEBT - 39007910 CHANGE IN FMV IN INTEREST RATE SWAP - 1813764
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	SEPN - 1580913 GAIN/LOSS ON FIXED ASSET DISPOSALS - 120606 RENTAL EXPENSES - 2480586 FUNDRAISING EXPENSES - 272821 GAMING EXPENSES - 486 PENSION EXPENSES BOOKED TO REVENUE - 5797481
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	SEPS - 25365 PROVISION FOR BAD DEBT - 39007910 FIVE LABS - 367874 SEPN - 703408 Reclass of Grant to HANKY reported on balance sheet - 354221

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	$114,463,460	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	$114,463,460	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$114,463,460	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	BOUTS VENTURE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 99	AddressLine1Txt
City	Dimondal	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	488210099	ZIPCd

Field	Value	IRS element (for citing)
Activity	CONSULTANT 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	$321,021	GrossReceiptsEvent1Amt
Charitable Contri Event1	$32,121	CharitableContriEvent1Amt
Gross Revenue Event1	$288,900	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$18,348	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$88,450	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$40,396	OtherDirectExpensesEvent1Amt
Event2	Style Show	Event2Nm
Gross Receipts Event2	$80,128	GrossReceiptsEvent2Amt
Charitable Contri Event2	$25,838	CharitableContriEvent2Amt
Gross Revenue Event2	$54,290	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$20,893	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$27,949	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$44,620	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$3,464	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$41,156	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$488	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$0	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$11,289	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$18,845	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$445,769	GrossReceiptsTotalAmt
Charitable Contributions Tot	$61,423	CharitableContributionsTotAmt
Gross Revenue Total Events	$384,346	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$18,836	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$0	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$120,632	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$0	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$87,190	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$226,658	DirectExpenseSummaryEventsAmt
Net Income Summary	$157,688	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule G, Part I, Line 2b(i) BOUTS VENTURES LLC	FormAndLineReferenceDesc
Explanation	BOUTS VENTURES PROVIDE CONSULTING SERVICES ON FUNDRAISING AND RETREATS RELATED TO DEVELOPMENT TO ST. ELIZABETH HEALTHCARE. BOUTS VENTURES LLC DOES NOT PARTICIPATE IN THE SOLICITATION OF CONTRIBUTIONS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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	$36,182,518	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,369,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,812,531	NetCommunityBenefitExpnsAmt
Total Expense	0.0104	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$184,879,707	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$140,511,854	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,367,853	NetCommunityBenefitExpnsAmt
Total Expense	0.0391	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$221,062,225	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$164,881,841	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,180,384	NetCommunityBenefitExpnsAmt
Total Expense	0.0495	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,931,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$533,817	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,397,981	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,706,673	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,948,005	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,758,668	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,702,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,156,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,545,292	NetCommunityBenefitExpnsAmt
Total Expense	0.0040	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,437,536	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$676,592	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$760,944	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,172,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,125,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,047,948	NetCommunityBenefitExpnsAmt
Total Expense	0.0124	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$31,951,013	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,440,180	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,510,833	NetCommunityBenefitExpnsAmt
Total Expense	0.0216	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$253,013,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$172,322,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$80,691,217	NetCommunityBenefitExpnsAmt
Total Expense	0.0711	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$71,522	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,990	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,990	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$403,437	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$403,437	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	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	$5,878	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,878	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$432,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$432,190	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	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	$587,558	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$587,558	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$310,074	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$310,074	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	$1,857,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,857,649	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$39,007,910	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,900,791	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$219,760,852	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$233,070,052	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,309,200	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 (4 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)
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 School 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: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

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 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 - FALMOUTH (DONATED ON 5-1-18)
512 SOUTH MAPLE AVENUE	FALMOUTH	KY	41040	ALCOHOL AND DRUG TREATMENT CENTER
ST ELIZABETH HEALTHCARE - FAMILY PRACTICE CENTER - EDGEWOOD
413 SOUTH LOOP ROAD	EDGEWOOD	KY	41017	FAMILY MEDICINE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7g Subsidized Health Services	ST. ELIZABETH HEALTHCARE'S COSTS, REFLECTED AS SUBSIDIZED HEALTH SERVICES, ARE BASED ON ACTUAL COSTS OR DIRECT AND INDIRECT COSTS. ST. ELIZABETH HEALTHCARE REPORTED THE FOLLOWING AS SUBSIDIZED HEALTH SERVICES: (I)FAMILY PRACTICE CENTER; (II)PARISH NURSING-HEALTH MINISTRIES; (III)ATHLETIC TRAINERS AT THE AREA HIGH SCHOOLS AND JUNIOR HIGH SCHOOLS; (IV)WOMEN'S AND CHILDREN'S SERVICES; AND (V)BEHAVIOR HEALTH SERVICES. NO PHYSICIAN OFFICES HAVE BEEN REPORTED ON LINE 7G.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	ST. ELIZABETH HEALTHCARE USED COST TO CHARGE RATIOS FOR DETERMINING COSTS RELATED TO FINANCIAL ASSISTANCE. ST. ELIZABETH HEALTHCARE USED THEIR COST ACCOUNTING SYSTEM TO DETERMINE COSTS RELATED TO UNREIMBURSED MEDICAID. ST. ELIZABETH USED THE ACTUAL COST, OR DIRECT AND INDIRECT COSTS, TO DETERMINE OTHER COSTS IN SECTION 7(G-I).
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. THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 24B.
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 $3,900,791. 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 2018, 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 2018, ST. ELIZABETH HEALTHCARE COLLABORATED 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 2018, 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 2018, 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 2018 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 . 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 2018 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, APPROXIMATELY 8,900 EMPLOYEES , 1,300 PHYSICIAN PROVIDERS AND A WHOLLY OWNED PHYSICIAN ORGANIZATION (SEP) WHICH INCLUDES OVER 108 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 (86 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CINCINNATI REDS COMMUNITY FUND
100 JOE NUXHALL WAY	GREAT AMERICAN BALL PARK	CINCINNATI	OH	452024109	311002055	501(c)(3)	$250,000	Program Support
THE CINCINNATI REDS LLC
100 JOE NUXHALL WAY	GREAT AMERICAN BALL PARK	CINCINNATI	OH	452024109	311002055		$60,342	Program Support
SLAM DUNK SPORTS MARKETING
1012 N UNIVERSITY BLVD		MIDDLETOWN	OH	45042	861101514		$155,217	Program Support
POINTARC OF NORTHERN KENTUCKY INC
104 W PIKE ST		COVINGTON	KY	41011	237259409	501(c)(3)	$25,000	Program Support
SPECIAL OLYMPICS KY INC
105 LAKEVIEW CT		FRANKFORT	KY	40601	610954571	501(c)(3)	$5,500	Program Support
KENTON COUNTY BOARD OF EDUCATION
1055 EATON DR		FT WRIGHT	KY	41017	616001301	Kenton County	$61,500	Program Support
MARCH OF DIMES INC
10806 KENWOOD RD		CINCINNATI	OH	45242	131846366	501(c)(3)	$20,000	Program Support
NEW DAY RANCH INC
10830 BIG BONE CHURCH RD		UNION	KY	41091	274722366	501(c)(3)	$5,417	Program Support
ROMAN CATHOLIC DIOCESE OF COVINGTON
1125 MADISON AVE		COVINGTON	KY	41011	610458380	501(c)(3)	$414,558	Program Support
NEWPORT CENTRAL CATHOLIC HIGH SCHOOL
13 CAROTHERS RD		NEWPORT	KY	41071	610447243	501(c)(3)	$10,250	Program Support
HEALTHPOINT FAMILY CARE INC
1401 MADISON AVE		COVINGTON	KY	41011	610729915	501(c)(3)	$5,000	Program Support
NATIONAL COMPASSION FUND
1450 DUKE ST		ALEXANDRIA	VA	22314	830924922	501(c)(3)	$53,000	Program Support
KENTUCKY CENTER FOR PUBLIC SERVICE
644 BRADDOCK CT		EDGEWOOD	KY	41017	463464828	501(c)(3)	$15,000	Program Support
NOTRE DAME ACADEMY
1699 HILTON DR		PARK HILLS	KY	41011	610476695	501(c)(3)	$5,250	Program Support
BLUEGRASS BUCKEYE CHARITY CLASSIC INC
1727 TUXWORTH AVE		CINCINNATI	OH	452384014	454194109	501(c)(3)	$20,000	Program Support
FINITURA INC
1801 AIRPORT RD STE A		WAUKESHA	WI	53188	471878675	501(c)(3)	$7,646	Program Support
CHILDREN'S HOME OF NORTHERN KENTUCKY INC
200 HOME RD		COVINGTON	KY	41011	237068704	501(c)(3)	$401,750	Program Support
WELCOME HOUSE OF NORTHERN KENTUCKY INC
205 PIKE ST		COVINGTON	KY	41011	611020382	501(c)(3)	$53,000	Program Support
SUPT OF SCHOOLS OF BELLEVUE
219 CENTER ST		BELLEVUE	KY	41073	616001387	Bellevue	$12,600	Program Support
SUPT OF SCHOOLS
219 CENTER ST		BELLEVUE	KY	41073	616001387	Bellevue	$10,100	Program Support
NORTHERN KENTUCKY AREA DEVELOPMENT
22 SPIRAL DR		FLORENCE	KY	41042	610719369	Florence	$35,000	Program Support
STEPHEN SILLER TUNNEL TO TOWERS FDN
2361 HYLAN BLVD		STATEN ISLAND	NY	10306	200554654	501(c)(3)	$5,000	Program Support
HISPANIC CHAMBER CINCINNATI USA
2637 ERIE AVE STE 206		CINTI	OH	45208	311458839	501(c)(3)	$5,000	Program Support
ADVENTURE CREW
2692 MADISON RD	STE N1-414	CINCINNATI	OH	45208	474230979	501(c)(3)	$10,000	Program Support
COOPER HIGH SCHOOL
2855 LONGBRANCH RD		UNION	KY	41091	616001252	Union	$10,500	Program Support
REDI CINCINNATI LLC
3 E 4TH ST		CINCINNATI	OH	45202	472090230		$10,000	Program Support
CINCINNATI USA REGIONAL CHAMBER
3 E 4TH ST STE 200		CINTI	OH	45202	310239310	501(c)(3)	$25,000	Program Support
NEWPORT INDEPENDENT SCHOOLS
30 W 8TH ST		NEWPORT	KY	41071	613001336	Newport	$10,000	Program Support
THOMAS MORE UNIVERSITY INC
333 THOMAS MORE PARKWAY		CRESTVIEW HILLS	KY	41017	610448560	501(c)(3)	$560,310	Program Support
ZOOLOGICAL SOCIETY OF CINCINNATI
3400 VINE ST		CINCINNATI	OH	45220	310537171	501(c)(3)	$7,000	Program Support
WOMEN'S CRISIS CENTER INC
3580 HARGRAVE DR		HEBRON	KY	41048	610908752	501(c)(3)	$10,500	Program Support
HOLY CROSS HIGH SCHOOL
3617 CHURCH ST		COVINGTON	KY	41015	621577563	501(c)(3)	$10,460	Program Support
CATHOLIC CHARITIES DIOCESE OF COVINGTON
3629 CHURCH ST		COVINGTON	KY	41015	610461728	501(c)(3)	$10,300	Program Support
ST HENRY DISTRICT HIGH SCHOOL
3755 SCHEBEN DR		ERLANGER	KY	41018	610458380	501(c)(3)	$10,000	Program Support
AMERICAN CANCER SOCIETY INC
402 COOMER ST		SOMERSET	KY	42503	131788491	501(c)(3)	$30,200	Program Support
THE LEUKEMIA & LYMPHOMA SOCIETY INC
4370 GLENDALE-MILFORD RD		CINCINNATI	OH	45242	135644916	501(c)(3)	$5,000	Program Support
NORTHERN KY FOOTBALL COACHES ASSOCIATION
458 GENERAL DR		FT WRIGHT	KY	41011	611106788	501(c)(3)	$15,000	Program Support
ARTHRITIS FOUNDATION INC
4665 CORNELL RD STE 109		CINCINNATI	OH	45241	581341679	501(c)(3)	$35,000	Program Support
NORTHERN KENTUCKY REGIONAL ALLIANCE INC
50 E RIVERCENTER BLVD		COVINGTON	KY	41011	311489316	501(c)(3)	$75,000	Program Support
CATALYTIC DEVELOPMENT FUNDING CORP OF NKY
50 E RIVERCENTER BLVD	SUITE 429	COVINGTON	KY	41011	263389252	501(c)(3)	$25,000	Program Support
COVINGTON BUSINESS COUNCIL
50 E RIVERCENTER BLVD SUITE 160		COVINGTON	KY	41011	310963057	501(c)(3)	$24,500	Program Support
BB&T ARENA AT NORTHERN KY UNIVERSITY
500 NUNN DR		HIGHLAND HEIGHTS	KY	41099	232511871	Northern Kentucky	$75,000	Program Support
GATEWAY COMMUNITY AND TECHNICAL
500 TECHNOLOGY WAY		FLORENCE	KY	41042	611239550	Florence	$15,000	Program Support
AMERICAN HEART ASSOCIATION INC
5211 MADSION AVE		CINCINNATI	OH	45227	135613797	501(c)(3)	$410,000	Program Support
LUDLOW BOARD OF EDUCATION
525 ELM ST		LUDLOW	KY	41016	616001318	Ludlow	$10,500	Program Support
NATIONAL FOOTBALL LEAGUE ALUMNI INC
5725 WHITE BIRCH LN		LIBERTY TOWNSHIP	OH	45044	591782262	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
HONOR RUN FOUNDATION
6297 REMINGTON COVE		BURLINGTON	KY	41005	465547770	501(c)(3)	$20,000	Program Support
COVINGTON LADIES HOME
702 GARRARD ST		COVINGTON	KY	41011	610461759	501(c)(3)	$13,000	Program Support
NORTHERN KENTUCKY EDUCATION COUNCIL
7310 TURFWAY RD STE 115		FLORENCE	KY	41042	203105862	501(c)(3)	$21,000	Program Support
BRAIN INJURY ALLIANCE OF KENTUCKY
7321 NEW LAGRANGE RD	STE 100	LOUISVILLE	KY	402224871	611128496	501(c)(3)	$100,000	Program Support
FAMILY NURTURING CENTER OF KENTUCKY
8275 EWING BLVD		FLORENCE	KY	41042	311011326	501(c)(3)	$11,500	Program Support
CONNER HIGH SCHOOL
8330 US HWY 42		FLORENCE	KY	41042	616001252	Florence	$10,420	Program Support
BOONE COUNTY BOARD OF EDUCATION
99 CENTER STREET		FLORENCE	KY	41042	616001252	Boone County	$22,419	Program Support
PRICHARD COMMITTEE FOR ACADEMIC
EXCELLENCE 271 W SHORT ST		LEXINGTON	KY	40507	611026214	501(c)(3)	$10,000	Program Support
HORIZON COMMUNITY FUNDS OF NORTHERN
KENTUCKY INC 50 E RIVERCENTER BLVD	STE 434	COVINGTON	KY	41011	821388190	501(c)(3)	$10,500	Program Support
NORTHERN KENTUCKY UNIVERSITY
NUNN DR HC206	COLLEGE OF HEALTH PROFESSIONS	HIGHLAND HEIGHTS	KY	41099	611010545	Northern Kentucky	$229,437	Program Support
NEW PERCEPTIONS INC
ONE SPERTI DR		EDGEWOOD	KY	41017	610705047	501(c)(3)	$6,000	Program Support
NORTHERN KENTUCKY CHAMBER OF COMMERCE
PO BOX 17416		FT MITCHELL	KY	41017	610679408	501(c)(3)	$148,539	Program Support
NORTHERN KY CHAMBER OF COMMERCE FDN INC
PO BOX 17416		FT MITCHELL	KY	41017	610679408	501(c)(3)	$50,000	Program Support
NORTHERN KENTUCKY OHIO VOLLEYBALL CLUB
PO BOX 188071		ERLANGER	KY	41018	141858651	501(c)(3)	$10,000	Program Support
KENTUCKY HOSPITAL ASSOCIATION
PO BOX 24163		LOUISVILLE	KY	402240163	610574577	501(c)(4)	$25,844	Program Support
BRIGHTON CENTER INC
PO BOX 325		NEWPORT	KY	41072	610673886	501(c)(3)	$11,406	Program Support
EMERGENCY SHELTER OF NORTHERN KENTUCKY
PO BOX 332		COVINGTON	KY	41012	260851019	501(c)(3)	$20,300	Program Support
BOY SCOUTS OF AMERICA-COUNCIL 438
PO BOX 36273		LOUISVILLE	KY	40233	616034017	501(c)(3)	$110,000	Program Support
CANCER SUPPORT COMMUNITY
PO BOX 4061		LOUISVILLE	KY	40204	311287785	501(c)(3)	$15,000	Program Support
PARTNERS FOR MEDICAL RELIEF
PO BOX 43254		CINCINNATI	OH	45243	821748297	501(c)(3)	$12,300	Program Support
FITNESS FOR LIFE AROUND GRANT COUNTY
PO BOX 518		WILLIAMSTON	KY	41097	202576615	501(c)(3)	$10,250	Program Support
HEALTH MINISTRIES ASSOCIATION INC
PO BOX 60042		DAYTON	OH	45406	421351520	501(c)(3)	$6,298	Program Support
CINCINNATI INSTITUTE OF FINE ARTS
PO BOX 630561		CINCINNATI	OH	452630561	310537138	501(c)(3)	$10,000	Program Support
RENEWPORT INC
PO BOX 72366		NEWPORT	KY	41072	812051757	501(c)(3)	$60,000	Program Support
FORT THOMAS EDUCATION FOUNDATION
PO BOX 75090		FT THOMAS	KY	41075	611393646	Fort Thomas	$35,000	Program Support
NKYHATESHEROINCOMINC
PO BOX 75273		FT THOMAS	KY	41075	464779369	501(c)(3)	$5,000	Program Support
PADDLING FOR CANCER AWARENESS
PO BOX 76213		HIGHLAND HEIGHTS	KY	41076	263552805	501(c)(3)	$10,000	Program Support
KENTUCKY SCIENCE AND TECHNOLOGY
PO BOX 1049		LEXINGTON	KY	405881049	611135362	501(c)(3)	$10,000	Program Support
LIFE LEARNING CENTER
20 W 18TH ST		COVINGTON	KY	41011	203454261	501(c)(3)	$10,000	Program Support
NORTHERN KENTUCKY INDEPENDENT
HEALTH DEPARTMENT	610 MEDICAL VILLAGE DR	EDGEWOOD	KY	41017	611008505	Northern Kentucky	$8,300	Program Support
NORTHERN KENTUCKY INDEPENDENT DISTRICT
HEALTH DEPARTMENT	610 MEDICAL VILLAGE DR	EDGEWOOD	KY	41017	611008505	Northern Kentucky	$6,700	Program Support
GRANT COUNTY BOARD OF EDUCATION
820 ARNIE RISEN BLVD		WILLIAMSTOWN	KY	41097	616001380	Grant County	$6,250	Program Support
CARMEL MANOR INC
100 CARMEL MANOR RD		FT THOMAS	KY	41075	610523290	501(c)(3)	$5,494	Program Support
CITY OF FORT THOMAS
130 N FT THOMAS AVE		FT THOMAS	KY	41075	616001825	Fort Thomas	$5,000	Program Support
GREATER CINCINNATI FOUNDATION
200 W 4TH ST		CINCINNATI	OH	45202	310669700	501(c)(3)	$5,000	Program Support
HIGHLANDS SOCCER CLUB INC
PO BOX 75311		FT THOMAS	KY	41075	454110460	501(c)(3)	$5,000	Program Support
KAREN WELLINGTON MEMORIAL FOUNDATION
FOR LIVING WITH BREAST CANCER	PO BOX 6464	CINTI	OH	45201	263768567	501(c)(3)	$5,000	Program Support
THE CARNEGIE VISUAL AND PERFORMING
1028 SCOTT BLVD		COVINGTON	KY	41011	610897319	501(c)(3)	$5,000	Program Support
HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY INC
1 MEDICAL VILLAGE DRIVE		EDGEWOOD	KY	41017	832875231	501(C)(4)	$354,221	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	81	Total501c3OrgCnt
Total Other Org	5	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 (38 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	$949,135	$0	$263,530	$0	$2,622	$0	$18,500	$0	$33,235	$0	$1,267,022	$0	$0	$0
ROBERT BAKER MD
PHYSICIAN / DIRECTOR	$0	$139,466	$0	$29,550	$0	$5,584	$0	$23,900	$0	$25,050	$0	$223,550	$0	$0
DOUG FLORA MD
TRUSTEE	$0	$737,233	$0	$45,242	$0	$1,710	$0	$23,900	$0	$32,663	$0	$840,748	$0	$0
HEIDI MURLEY MD
TRUSTEE	$0	$476,653	$0	$44,942	$0	$2,355	$0	$5,400	$0	$31,781	$0	$561,131	$0	$0
GARY BLANK
EXECUTIVE VP & COO, CNE	$595,012	$0	$53,725	$0	$4,902	$0	$8,661	$0	$15,902	$0	$678,202	$0	$0	$0
LISA FREY
VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	$343,563	$0	$17,960	$0	$1,745	$0	$18,500	$0	$12,884	$0	$394,651	$0	$0	$0
LAROY KENDALL
VP Medical Services, CMO	$383,669	$0	$84,635	$0	$3,696	$0	$23,900	$0	$25,383	$0	$521,282	$0	$0	$0
ROBERT PRICHARD MD
Chief Clinical Integration Officer, SEP President & CEO	$681,397	$0	$178,945	$0	$4,902	$0	$18,500	$0	$26,837	$0	$910,581	$0	$0	$0
LORI RITCHEY-BALDWIN
Senior Vice President/CFO/Treasurer	$553,925	$0	$145,209	$0	$4,902	$0	$23,900	$0	$33,785	$0	$761,721	$0	$0	$0
MARTIN OSCADAL
FORMER SVP HUMAN RESOURCES	$346,200	$0	$34,110	$0	$10,660	$0	$18,500	$0	$24,332	$0	$433,802	$0	$0	$0
BENITA ANDERSON
VP Nursing - Florence/Ft. Thomas	$266,533	$0	$35,679	$0	$3,834	$0	$18,500	$0	$17,092	$0	$341,639	$0	$0	$0
WILLIAM BANKS
VP MANAGED CARE	$322,758	$0	$58,471	$0	$30,473	$0	$18,500	$0	$30,199	$0	$460,401	$0	$0	$0
JACOB BAST
SEP COO / SECRETARY	$401,508	$0	$47,889	$0	$1,362	$0	$5,400	$0	$27,816	$0	$483,974	$0	$0	$0
JOSEPH BOZZELLI
VP MISSION SVCS & PASTORAL CARE	$181,248	$0	$24,343	$0	$2,513	$0	$12,985	$0	$13,125	$0	$234,214	$0	$0	$0
CHRISTOPER CARLE
PRESIDENT & CEO SEPN	$372,435	$0	$82,490	$0	$3,599	$0	$18,500	$0	$14,640	$0	$491,664	$0	$0	$0
CARRI CHANDLER
VP - FOUNDATION	$233,130	$0	$29,502	$0	$753	$0	$4,338	$0	$24,109	$0	$291,832	$0	$0	$0
PAMELA DEETER
VP FINANCE	$278,742	$0	$49,836	$0	$1,407	$0	$23,900	$0	$13,121	$0	$367,006	$0	$0	$0
BRUNO GIACOMUZZI
COO Flo FT Cov & SVP Prof Svcs	$333,074	$0	$85,433	$0	$3,732	$0	$23,828	$0	$24,115	$0	$470,182	$0	$0	$0
SARAH GIOLANDO
SVP/CHIEF STRATEGY OFFICER	$395,436	$0	$87,190	$0	$2,040	$0	$5,400	$0	$29,109	$0	$519,175	$0	$0	$0
VERA HALL
SVP System CNE	$314,251	$0	$17,475	$0	$1,044	$0	$17,567	$0	$30,617	$0	$380,955	$0	$0	$0
ANTHONY HELTON
VP Revenue Cycle	$226,817	$0	$41,767	$0	$2,164	$0	$5,400	$0	$33,023	$0	$309,171	$0	$0	$0
BRUCE HENLEY
SEP CFO / TREASURER	$281,922	$0	$30,276	$0	$4,832	$0	$23,475	$0	$26,883	$0	$367,388	$0	$0	$0
MATTHEW HOLLENKAMP
VP MARKETING AND CONSUMER RELATIONS	$197,968	$0	$33,845	$0	$421	$0	$4,181	$0	$28,683	$0	$265,098	$0	$0	$0
JAMES HORN
VP/CHIEF QUALITY OFFICER/ PHYSICIAN	$348,362	$0	$27,016	$0	$788	$0	$5,400	$0	$31,540	$0	$413,105	$0	$0	$0
KATHY LYNN JENNINGS
VP PATIENT CARE/ONCOLOGY	$213,732	$0	$28,149	$0	$1,968	$0	$7,880	$0	$27,325	$0	$279,054	$0	$0	$0
JAMES McCARVILLE
VP - QUALITY	$212,311	$0	$27,766	$0	$1,974	$0	$4,514	$0	$28,948	$0	$275,514	$0	$0	$0
SUSAN MCDONALD
VP Nursing - Edgewood	$278,322	$0	$37,432	$0	$4,045	$0	$23,900	$0	$13,080	$0	$356,779	$0	$0	$0
JOHN MITCHELL
SVP - COO FT. THOMAS	$231,743	$0	$33,319	$0	$1,265	$0	$18,500	$0	$12,266	$0	$297,092	$0	$0	$0
ROSANNA NIELDS
VP PLANNING & GOVT RELATIONS	$195,408	$0	$34,794	$0	$1,776	$0	$0	$0	$24,916	$0	$256,894	$0	$0	$0
JAMES PARSONS
SVP HUMAN RESOURCES	$196,222	$0	$0	$0	$430	$0	$0	$0	$7,275	$0	$203,927	$0	$0	$0
ALEXANDER RODRIGUEZ
VP CIO	$389,165	$0	$70,428	$0	$3,821	$0	$0	$0	$31,769	$0	$495,183	$0	$0	$0
HARRY WATSON
Sr. VP Facilities	$275,342	$0	$59,945	$0	$3,924	$0	$10,179	$0	$3,718	$0	$353,107	$0	$0	$0
JASON WESSEL
VP OF PROFESSIONAL SERVICES	$198,471	$0	$19,777	$0	$653	$0	$4,274	$0	$29,881	$0	$253,056	$0	$0	$0
DARRYL DIAS MD
PHYSICIAN	$1,079,380	$0	$86,356	$0	$2,622	$0	$23,900	$0	$33,319	$0	$1,225,578	$0	$0	$0
JEROME SCHUTZMAN MD
PHYSICIAN	$1,297,073	$0	$82,172	$0	$4,902	$0	$23,900	$0	$34,292	$0	$1,442,339	$0	$0	$0
MOHAMAD SINNO MD
PHYSICIAN	$883,095	$0	$102,790	$0	$1,140	$0	$23,900	$0	$33,105	$0	$1,044,030	$0	$0	$0
JON HAYS MD
PHYSICIAN	$959,069	$0	$92,790	$0	$1,710	$0	$23,900	$0	$32,367	$0	$1,109,837	$0	$0	$0
JEFFREY REICHARD MD
PHYSICIAN	$871,511	$0	$141,540	$0	$2,622	$0	$23,900	$0	$35,543	$0	$1,075,116	$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 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	$10,925,000	$0	$38,150,000	$0	$0	$0	$360,000	$0	$0	$0	$37,790,000	$0	2003	Yes (true)	false	Yes (true)	Yes (true)
B	$3,575,000	$0	$50,483,846	$0	$0	$0	$245,000	$0	$0	$26,825,710	$0	$1,265	2018	false	false	false	Yes (true)
C	$1,275,000	$0	$50,011,339	$0	$0	$0	$222,000	$0	$0	$49,793,015	$0	$0	2018	false	false	false	Yes (true)
D	$5,050,000	$0	$98,494,028	$0	$0	$94,985,984	$0	$0	$0	$0	$2,475,000	$0	2009	false	Yes (true)	false	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)	0.0004	0.0004	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	false	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 (5 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 I, Column (f) KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009A	CONSTRUCTION OF HOSPITAL FACILITY/PARTIAL REFUNDING OF BOND ISSUED 6/11/03
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, Part IV, Line 2c COLUMN A	Issuer name: KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009A 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 ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521643102	BondIssuerEIN
CUSIP	49126KGH8	CUSIPNum
Bond Issued	2009-12-09	BondIssuedDt
Issue Price	$101,960,448	IssuePriceAmt
Purpose	SEE STATEMENT	PurposeDesc
Defeased	Yes (true)	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	$20,250,000	RetiredAmt
Bond Defeased	$81,600,000	BondDefeasedAmt
Total Proceeds	$101,960,448	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,430,179	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$29,195,269	CapitalExpendituresAmt
Other Spent Proceeds	$71,335,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2009	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	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	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
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	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
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 (39 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Bill Banks
VP Revenue Cycle/Managed Care	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$319,023	$327,548	false	Yes (true)	Yes (true)
Jacob Bast
SVP & COO - SEP	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$235,336	$242,064	false	Yes (true)	Yes (true)
Gary Blank
Exec VP 7 COO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$537,543	$554,140	false	Yes (true)	Yes (true)
Tom Boggs
President & CEO - HSN	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$130,062	$134,516	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)	$79,372	$80,900	false	Yes (true)	Yes (true)
Chris Carle
President & CEO - SEPN	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$407,048	$420,930	false	Yes (true)	Yes (true)
Garren Colvin
President & CEO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,711,252	$1,766,748	false	Yes (true)	Yes (true)
Pam Deeter
VP Finance	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$70,213	$72,457	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)	$124,070	$127,496	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)	$224,889	$231,694	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)	$317,774	$328,257	false	Yes (true)	Yes (true)
Vera Hall
SVP System CNE	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$126,161	$129,285	false	Yes (true)	Yes (true)
Anthony Helton
VP Revenue Cycle	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$101,922	$105,443	false	Yes (true)	Yes (true)
Bruce Henley
CFO - SEP	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$203,497	$209,960	false	Yes (true)	Yes (true)
Matt Hollenkamp
VP Marketing & Public Relation	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$38,204	$39,352	false	Yes (true)	Yes (true)
James Horn
VP, Chief Quality Officer	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$106,269	$109,509	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)	$52,108	$53,850	false	Yes (true)	Yes (true)
LaRoy Kendall
SVP Chief Medical Officer	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$126,818	$130,986	false	Yes (true)	Yes (true)
Jim McCarville
VP Quality	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$38,312	$39,455	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)	$127,124	$131,551	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)	$77,763	$79,810	false	Yes (true)	Yes (true)
Rosanne Nields
VP Planning & Govt Relations	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$118,430	$122,446	false	Yes (true)	Yes (true)
Marty Oscadal
SVP Human Resources	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$334,523	$345,922	false	Yes (true)	Yes (true)
Robert Prichard
EVP/CEO - SEP/CCIO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$734,880	$760,153	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)	$288,403	$298,336	false	Yes (true)	Yes (true)
Alex Rodriguez
VP/Chief Information Officer	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$344,766	$356,620	false	Yes (true)	Yes (true)
Benita Anderson
VP, CNO Florence/Ft. Thomas/Falmouth	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$158,614	$162,747	false	Yes (true)	Yes (true)
Harry Watson
SVP Facilities	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$108,450	$111,911	false	Yes (true)	Yes (true)
Mohan Brar
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$67,500	$68,311	false	Yes (true)	Yes (true)
Carri Chandler
VP, Foundation	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$35,691	$36,478	false	Yes (true)	Yes (true)
Darryl Dias
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$200,000	$202,217	false	Yes (true)	Yes (true)
Saadeddine Dughman
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$50,000	$50,493	false	Yes (true)	Yes (true)
Kevin Fitzgerald
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$300,000	$304,014	false	Yes (true)	Yes (true)
Kevin Miller
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$120,000	$121,470	false	Yes (true)	Yes (true)
Mohamad Sinno
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$150,000	$151,480	false	Yes (true)	Yes (true)
Robert Strickmeyer
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$300,000	$303,325	false	Yes (true)	Yes (true)
Damodhar Suresh
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$400,000	$405,190	false	Yes (true)	Yes (true)
Saeb Khoury
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$48,000	$48,588	false	Yes (true)	Yes (true)
Paul Houlihan
Physician	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$200,000	$202,452	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$9,368,104	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BEST UPON REQUEST
BOARD MEMBER TILLIE HIDALGO LIMA OWNS BEST UPON REQUEST	$321,944	CONCIERGE SERVICES	false
Substantial Contributor
Substantial Contributor	$8,127,155	Independent Contractor Arrangement	false

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

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$6,300	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	13	ContributionCnt
Noncash Contributions Rpt F990	$109,073	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	158	ContributionCnt
Noncash Contributions Rpt F990	$41,430	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	Securities - Publicly traded - ST. ELIZABETH HEALTHCARE IS REPORTING THE 13 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Other - FOOD/PRIZES ST. ELIZABETH HEALTHCARE IS REPORTING THE 158 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Art - Works of art - ST. ELIZABETH HEALTHCARE IS REPORTING THE 1 ITEM 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 2018.
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 Fees	CONTRACT LABOR - Total Expense: 1796919, Program Service Expense: 203705, Management and General Expenses: 1593214, Fundraising Expenses: 0; AMBULANCE SERVICE - Total Expense: 347743, Program Service Expense: 347743, Management and General Expenses: 0, Fundraising Expenses: 0; ANESTHESIOLOGY SERVICE - Total Expense: 2622498, Program Service Expense: 2622498, Management and General Expenses: 0, Fundraising Expenses: 0; LABORATORY SERVICES - Total Expense: 12961563, Program Service Expense: 12961563, Management and General Expenses: 0, Fundraising Expenses: 0; LAUNDRY EXPENSE - Total Expense: 2971748, Program Service Expense: 314875, Management and General Expenses: 2656873, Fundraising Expenses: 0; PERFUSION SERVICE - Total Expense: 913301, Program Service Expense: 913301, Management and General Expenses: 0, Fundraising Expenses: 0; RADIATION SERVICE - Total Expense: 875094, Program Service Expense: 875094, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 8274650, Program Service Expense: 8322143, Management and General Expenses: -47493, Fundraising Expenses: 0; CONSULTING SERVICE - Total Expense: 6625084, Program Service Expense: 697901, Management and General Expenses: 5921620, Fundraising Expenses: 5563; COLLECTION SERVICE - Total Expense: 1019444, Program Service Expense: 1943, Management and General Expenses: 1017501, Fundraising Expenses: 0; OTHER FEES - Total Expense: 284998, Program Service Expense: 1506, Management and General Expenses: 283492, Fundraising Expenses: 0; PURCHASED SERVICE - PATIENT ACCT - Total Expense: 3245167, Program Service Expense: 0, Management and General Expenses: 3245167, Fundraising Expenses: 0; ORGANIZED DEVELOP SERVICES - Total Expense: 67262, Program Service Expense: 0, Management and General Expenses: 67262, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 24519695, Program Service Expense: 8594676, Management and General Expenses: 15934480, Fundraising Expenses: -9461; HARDWARE MAINTENANCE - Total Expense: 2324, Program Service Expense: 0, Management and General Expenses: 2324, Fundraising Expenses: 0; RESEARCH PARTICIPATION - Total Expense: 10324, Program Service Expense: 9593, Management and General Expenses: 731, Fundraising Expenses: 0; RECRUITMENT ADVERTISING - Total Expense: 78258, Program Service Expense: 19676, Management and General Expenses: 58582, Fundraising Expenses: 0; VEHICLE OPERATION MAINT - Total Expense: 9725, Program Service Expense: 7200, Management and General Expenses: 2525, Fundraising Expenses: 0; CONSUMABLES - HARDWARE - Total Expense: 36365, Program Service Expense: 5753, Management and General Expenses: 30612, Fundraising Expenses: 0; BUSINESS TRANSPORTATION - Total Expense: 405, Program Service Expense: 100, Management and General Expenses: 305, Fundraising Expenses: 0; JANITORIAL SERVICES - Total Expense: 391779, Program Service Expense: 119817, Management and General Expenses: 271962, Fundraising Expenses: 0; BUILDING MAINTENANCE - INTERIOR - Total Expense: 411331, Program Service Expense: 107570, Management and General Expenses: 303761, Fundraising Expenses: 0; GROUNDS MAINTENANCE - Total Expense: 253244, Program Service Expense: 12258, Management and General Expenses: 238918, Fundraising Expenses: 2068; VEHICLE MAINTENANCE - Total Expense: 226452, Program Service Expense: 102684, Management and General Expenses: 123768, Fundraising Expenses: 0; MAINTENANCE & REPAIRS - Total Expense: 12806409, Program Service Expense: 2107112, Management and General Expenses: 10679567, Fundraising Expenses: 19730; MAINT & REPAIR - HVAC - Total Expense: 61834, Program Service Expense: 22124, Management and General Expenses: 39710, Fundraising Expenses: 0; MAINT & REPAIR - MEDICAL EQUIP - Total Expense: 2595, Program Service Expense: 2595, Management and General Expenses: 0, Fundraising Expenses: 0; MAINT & REPAIR - OFFICE EQUIP - Total Expense: 425, Program Service Expense: 350, Management and General Expenses: 75, Fundraising Expenses: 0; LATE PAYMENT FEES - Total Expense: 29919, Program Service Expense: 0, Management and General Expenses: 29919, Fundraising Expenses: 0; MAINT & REPAIR HARDWARE - Total Expense: 935, Program Service Expense: 130, Management and General Expenses: 805, Fundraising Expenses: 0; PEST CONTROL - Total Expense: 11627, Program Service Expense: 2053, Management and General Expenses: 9574, Fundraising Expenses: 0; FACILITIES - SMALL EQUIP - Total Expense: 685, Program Service Expense: 0, Management and General Expenses: 685, Fundraising Expenses: 0; IC MARKET ADJ EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: 0, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: 0; IC PHYSICIAN FEES - Total Expense: 14200653, Program Service Expense: 13925590, Management and General Expenses: 275063, Fundraising Expenses: 0; IC STAFF LEASING EXPENSE - Total Expense: 62061, Program Service Expense: 62061, Management and General Expenses: 0, Fundraising Expenses: 0; IC ADMIN SERVICES EXPENSE - Total Expense: 478288, Program Service Expense: 491292, Management and General Expenses: -13004, Fundraising Expenses: 0; IC PHYSICIAN FEES - MEDICAL DIR - Total Expense: 513755, Program Service Expense: 438691, Management and General Expenses: 75064, Fundraising Expenses: 0; PHYSICIAN INCOME GUARANTEES - Total Expense: 75000, Program Service Expense: 0, Management and General Expenses: 75000, Fundraising Expenses: 0; PHYSICIAN FEES-CMA - Total Expense: 2852262, Program Service Expense: 81419, Management and General Expenses: 2770843, Fundraising Expenses: 0; PHYSICIAN SERVICES - Total Expense: 54194, Program Service Expense: 0, Management and General Expenses: 54194, Fundraising Expenses: 0; RADIOLOGY SERVICES - Total Expense: 457, Program Service Expense: 457, Management and General Expenses: 0, Fundraising Expenses: 0; PLP ELIMINATION - Total Expense: -3986296, Program Service Expense: 0, Management and General Expenses: -3986296, Fundraising Expenses: 0; NETWORK /DATA CONNECTION - Total Expense: 247, Program Service Expense: 0, Management and General Expenses: 247, Fundraising Expenses: 0; MAINT AND REPAIR TELECOM - Total Expense: 37525, Program Service Expense: 37525, Management and General Expenses: 0, Fundraising Expenses: 0; HOS PURCHASES SERVICES - Total Expense: -62113, Program Service Expense: 0, Management and General Expenses: -62113, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FMV OF INTEREST RATE SWAP - -1883414; MINIMUM PENSION LIABILITY ADJUSTMENT - -7581421; CHANGE IN FMV OF SPLIT LIFE INSURANCE INTEREST - -9759; TRANSFERS DUE TO/FROM AFFILIATES - 22745352; NET ASSETS RELEASED FROM RESTRICTIONS - PPE - 388043; WRITE OFF OF UNCOLLECTIBLE PLEDGES - -29667; CHANGE TO INVESTMENT IN AMSURG - 6809; PAID IN CAPITAL/DISTRIBUTIONS TO EQUITY - FIVE LABS - 219111;
ST. ELIZABETH FLORENCE	(Continued:) 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	-$995,872	$10,941	ST ELIZABETH MEDICAL CENTER INC
SEH Holdings Inc
1 Medical Village Dr	Edgewood	KY	41017	830817636	Holding Company	KY	$448,062	$43,272	St Elizabeth Medical Center Inc
Next Daybreak Inc
1 Medical Village Dr	Edgewood	KY	41017	832843631	Physician Management Services	KY	$0	$0	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	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	$1,508,573	$1,886,317	false	Yes (true)	0.47
Preferred Lab Partners LLC
One Medical Village Drive Suite B	Edgewood	KY	41707	824758763	Laboratory	KY	NA	Related	$9,336,069	$9,033,815	false	Yes (true)	0.5
Bioskills Lab LLC
4123 Olympic Blvd	Erlanger	KY	41018	320571870	Bioskills Lab	KY	NA	Related	$40,094	$395,437	false	Yes (true)	0.5

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	-$995,872	$10,941	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST ELIZABETH PROVIDER NETWORK
L	$2,873,695	CASH
SUMMIT MEDICAL GROUP INC
R	$103,081,053	CASH
SUMMIT MEDICAL GROUP INC
O	$14,783,911	CASH
SUMMIT MEDICAL GROUP INC
J	$301,414	CASH
SUMMIT MEDICAL GROUP INC
M	$987,842	CASH