2018-11-12T17:12:00-06:00 2017-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2017-01-01 610445850 St Elizabeth Medical Center Inc STEL 8596551642 One Medical Village Drive Edgewood KY 41017 LORI RITCHEY-BALDWIN CFO 2018-11-12 true Kim Scifres P01316095 5023263996 2017 2019-02-21 02:37:17Z Garren Colvin One Medical Village Drive Edgewood KY 41017 1545843522 false X www.stelizabeth.com X 1861 KY AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. 18 14 7853 1363 3622153 -265130 2457346 3590400 1045784441 1142301509 19261238 36796855 6143242 5285430 1073646267 1187974194 2125651 8763415 0 485505671 505761860 34600 1439136 507908835 563200526 995540157 1077760401 78106110 110213793 1598486877 1768297483 579890471 465018278 1018596406 1303279205 AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. false false 727105204 8763415 1136908617 ST. ELIZABETH HEALTHCARE IS ONE OF THE OLDEST, LARGEST AND MOST RESPECTED MEDICAL PROVIDERS IN THE NORTHERN KENTUCKY, SOUTHERN OHIO, AND SOUTHERN INDIANA AREAS. 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. 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. TOTAL ADMISSIONS: 94,005 TOTAL PATIENT DAYS: 210,030 TOTAL EMERGENCY ROOM VISITS: 200,250 727105204 true true false true false false false false false false true true false false true true false true false false true false false true true false true true true false true true true false false false false true false true false false true false false false true true true true false false true 558 0 true 7853 true true true false false false false true true true false false false X 18 14 false false false false false true true true true false false true true true true true true true true true true KY IN X LORI RITCHEY-BALDWIN 8596551642 ONE MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 GARREN COLVIN PRESIDENT/CEO 50.0 4.0 X X 1307475 0 66705 ROBERT BAKER MD PHYSICIAN / DIRECTOR 4.0 50.0 X 0 398910 62415 MICHAEL A CONNER TRUSTEE 4.0 0 X 1415 0 0 MARSHA CROXTON TRUSTEE 4.0 0 X 3674 0 0 THOMAS R DIETZ TRUSTEE 4.0 0 X 15768 0 0 CHRISTOPER FISTER TRUSTEE 4.0 0 X 0 0 0 DOUG FLORA MD TRUSTEE 50.0 4.0 X 0 590349 65397 GEORGE S HALL MD Former VP Medical Affairs/TRUSTEE 4.0 0 X 0 0 0 ROBERT HOFFER TRUSTEE/CHAIRMAN 4.0 0 X 788 0 0 MICHAEL E JONES TRUSTEE 4.0 0 X 2117 0 0 TILLIE HIDALGO LIMA Trustee 4.0 0 X 1283 0 0 FRED A MACKE JR VICE CHAIRMAN 4.0 0 X 18178 0 0 GARY W MOORE TRUSTEE 4.0 0 X 1236 0 0 HEIDI MURLEY MD TRUSTEE 4.0 50.0 X 0 523679 76007 ROGER PETERMAN TRUSTEE 4.0 0 X 15853 0 0 JAMES ROEBKER TRUSTEE 4.0 0 X 1078 0 0 DEBBIE SIMPSON Trustee 4.0 0 X 1403 0 0 JAMES VOTRUBA Chairman 4.0 0 X 1061 0 0 GARY BLANK EXECUTIVE VP & COO, CNE 50.0 0 X 668647 0 47275 LAROY KENDALL VP Medical Services, CMO 50.0 4.0 X 458276 0 56018 BARBARA KROHMAN CORPORATE SECRETARY 50.0 0 X 118360 0 43609 ROBERT PRICHARD MD Chief Clinical Integration Officer, SEP President & CEO 25.0 25.0 X 841532 0 55376 LORI RITCHEY-BALDWIN Senior Vice President/CFO/Treasurer 50.0 4.0 X 677057 0 57520 WILLIAM BANKS VP MANAGED CARE 50.0 0 X 406236 0 58028 JACOB BAST COO / SECRETARY 35.0 15.0 X 446997 0 38360 JOSEPH BOZZELLI VP MISSION SVCS & PASTORAL CARE 50.0 0 X 203147 0 23403 CHRISTOPER CARLE PRESIDENT & CEO SEPN 50.0 0 X 450924 0 47188 CARRI CHANDLER VP - FOUNDATION 50.0 0 X 214305 0 20403 PAMELA DEETER VP FINANCE 50.0 0 X 323910 0 42993 LISA FREY VP LEGAL SERVICES/GENERAL COUNSEL 50.0 0 X 369962 0 46392 BRUNO GIACOMUZZI COO Flo FT Cov & SVP Prof Svcs 50.0 0 X 421994 0 47469 SARAH GIOLANDO SVP/CHIEF STRATEGY OFFICER 50.0 0 X 471547 0 51066 VERA HALL SVP System CNE 50.0 0 X 359893 0 46015 ANTHONY HELTON VP Revenue Cycle 50.0 0 X 269294 0 43168 BRUCE HENLEY CFO / TREASURER 35.0 15.0 X 376343 0 49280 JAMES HORN VP/CHIEF QUALITY OFFICER/ PHYSICIAN 50.0 0 X 390273 0 35905 MATTHEW HOLLENKAMP VP MARKETING AND CONSUMER RELATIONS 50.0 0 X 203299 0 33715 KATHY LYNN JENNINGS VP PATIENT CARE/ONCOLOGY 50.0 0 X 231977 0 39630 JAMES McCARVILLE VP - QUALITY 50.0 0 X 219703 0 28583 SUSAN MCDONALD VP Nursing - Edgewood 50.0 0 X 314597 0 44498 JOHN MITCHELL SVP - COO FT. THOMAS 50.0 0 X 230982 0 42173 ROSANNA NIELDS VP PLANNING & GOVT RELATIONS 50.0 0 X 226124 0 37865 MARTIN OSCADAL SVP HUMAN RESOURCES 50.0 0 X 453636 0 51150 ALEXANDER RODRIGUEZ VP CIO 50.0 0 X 461772 0 40379 BENITA UTZ VP Nursing - Florence/Ft. Thomas 50.0 0 X 300198 0 52700 HARRY WATSON Sr. VP Facilities 50.0 0 X 330246 0 18768 DARRYL DIAS MD PHYSICIAN 50.0 0 X 1338887 0 59666 JEROME SCHUTZMAN MD PHYSICIAN 50.0 0 X 1419231 0 56070 MOHAMAD SINNO MD PHYSICIAN 50.0 0 X 1074022 0 58642 ROBERT STRICKMEYER MD PHYSICIAN 50.0 0 X 1192342 0 49632 DAMODHAR SURESH MD PHYSICIAN 50.0 0 X 1164471 0 61295 18001513 1512938 1754757 442 true true false Danis Building Construction Company 50 E Business Way Cincinnati OH 45241 Construction 6916762 Frank Messer & Sons Construction Co 5158 Fishwick Dr Cincinnati OH 45216 Construction 6649364 Compass Emergency Physicians PSC 9600 Colerain Ave Suite 204 Cincinnati OH 45251 Physician Services 6087148 Epic Systems Corporation PO Box 88314 Milwaukee WI 523880314 Technical Services 4933403 ARUP Laboratories Inc PO Box 27964 Salt Lake City UT 84127 Medical Lab Services 3637044 163 29725 1441211 2119464 247522 3590400 NET PATIENT REVENUE 621400 1020652152 1020652152 OTHER RELATED REVENUE 900099 49995194 49995194 PATIENT/EMPLOYEE DRUGS 446110 4624102 2826672 1797430 LABORATORY 621500 67030061 66261271 768790 0 0 0 0 1142301509 21471792 26691 21445101 279485 279485 1957007 2362314 -405307 0 -405307 -405307 369818013 509599 353442608 1839426 16375405 -1329827 15045578 15045578 338026 29725 224472 113554 113554 7110 508 6602 6602 CAFETERIA 722210 3925893 3925893 GIFT SHOP 900099 1542414 1542414 VENDING 453220 102274 102274 0 0 0 0 5570581 1187974194 1136908617 3622153 43853024 X 8763415 8763415 13206006 9361153 3832103 12750 388123247 288634508 99097403 391336 23151784 16411275 6718157 22352 54373767 40300308 14023961 49498 26907056 20270028 6606875 30153 3397809 3397809 654711 654711 34600 34600 1296679 1296179 500 181700581 47385838 134035011 279732 3828858 601442 2993892 233524 3542661 1882208 1616320 44133 13955072 844502 13063651 46919 10319320 841602 9477718 735657 409550 320582 5525 2472827 461300 1919275 92252 5620383 3307595 2312788 66733205 39648415 27084790 5041337 1638724 3402613 MEDICAL SUPPLIES 178453875 175680775 2771619 1481 BAD DEBT 41997202 41997202 GENERAL SUPPLIES 25454634 15178797 10149217 126620 PROVIDER TAX 12550857 12550857 5444858 935710 4441387 67761 1077760401 727105204 349216061 1439136 3558922 3558922 88117156 87130693 2921575 3601682 113052387 121240249 0 3448615 0 7012344 5573148 24964286 27521732 7567850 9929897 1028351418 586700725 426737899 441650693 613832581 726973696 282757000 308973520 4093037 6014340 15073082 13396082 8798758 9284214 1598486877 1768297483 121452180 142120615 6641209 5191317 204322295 190721239 0 247474787 126985107 579890471 465018278 X 895718715 1105217011 5865754 7450380 117011937 190611814 1018596406 1303279205 1598486877 1768297483 X 110213793 81055300 93413706 X false true X true false X false true false false false false true 52662 false true 25230 77892 false 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 $25,230. 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 2017. THE AMOUNT IS $4,287. ST. ELIZABETH HEALTHCARE ALSO ENLISTED THE ASSISTANCE OF LOBBYING CONSULTANTS IN 2017. THE AMOUNT PAID TO THESE CONSULTANTS IS $48,375. 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. 18513564 18513564 496207390 255603201 240604189 13351483 6156621 7194862 458125583 324809382 133316201 42153398 131521 42021877 441650693 UNRESTRICTED 308973520 F 308973520 ANNUITY PAYMENT LIABILITY 103838 ACCRUED PENSION LIABILITY 26473778 OTHER LONG TERM LIABILITIES 6510424 SELF-INSURANCE 53785766 OTHER CURRENT LIABILITIES HOSPITAL 9042779 INTEREST RATE SWAP 3451053 ASSET RETIREMENT OBLIGATION 392469 LT DEBT TO ST REMRKTG ARRANGEMENT 27225000 126985107 X 1228003334 81055300 4660762 85716062 1142287272 1296679 44390243 45686922 1187974194 1036634072 4556667 4556667 1032077405 1296679 44386317 45682996 1077760401 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, 2017, 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, 2014 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 - 224472 Gaming Expenses - 508 Change in FMV Interest Rate Swap - 743291 Rental Expenses - 2362314 Loss on Fixed Asset Disposals - 1330177 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Uncollectible Pledges - 69853 Provision for Bad Debt - 41997202 Expenses booked to Revenue - 1807447 St. Elizabeth Provider Network - 515741 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 ST. ELIZABETH PROVIDER NETWORK - 639196 RENTAL EXPENSES - 2362314 FUNDRAISING EXPENSES - 224472 GAMING EXPENSES - 508 Loss of Fixed Asset Disposals - 1330177 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements ST. ELIZABETH PHYSICIAN SERVICES - 65926 PROVISION FOR BAD DEBT - 41997200 EXPENSES BOOKED TO REVENUE - 1807450 ST. ELIZABETH PROVIDER NETWORK - 515741 Central America and the Caribbean 0 0 Investments N/A 129281783 0 0 0 0 0 0 129281783 0 129281783 true false true true false false Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. X X X X X X X true JAMES E CONNELL AND ASSOCIATES PO BOX 3335 PINEHURST NC 283743335 CONSULTANT FEE false 3600 -3600 BOUTS VENTURE LLC 1521 WOODLAWN AVE SE GRAND RAPIDS MI 49506 CONSULTANT FEE false 31000 -31000 0 34600 -34600 KY OH GOLF PARTEE 264591 17376 247215 3500 89051 3436 43518 STYLE SHOW 53107 10939 42168 9977 17419 2 38144 1410 36734 7695 2596 7566 355842 29725 326117 3500 106723 6032 68503 184758 141359 Schedule G, Part I, Line 2b JAMES E. CONNELL & ASSOCIATES JAMES E. CONNELL & ASSOCIATES PROVIDE CONSULTING SERVICES ON ENDOWMENTS, ESTATE AND GIFT PLANNING, AND CHARITABLE GIFT DEVELOPMENT TO ST. ELIZABETH HEALTHCARE. JAMES E. CONNELL & ASSOCIATES DO NOT PARTICIPATE IN THE SOLICITATION OF CONTRIBUTIONS. Schedule G, Part I, Line 2b(i) BOUTS VENTURES LLC 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. true true X true X false true true true false true true 25111963 11411785 13700178 0.0132 182545320 140338436 42206884 0.0407 0 0 0.0 0 0 207657283 151750221 55907062 0.0539 1209499 1088 1208411 0.0012 5538493 738534 4799959 0.0046 4814924 0 4814924 0.0046 1456129 638418 817711 0.0008 17016296 2250000 14766296 0.0142 0 0 30035341 3628040 26407301 0.0254 0 0 237692624 155378261 82314363 0.0793 204327 204327 0.0002 9419 9419 0.0000 2736242 2736242 0.0026 0 0 0.0 34019 34019 0.0000 548240 2500 545740 0.0005 0 0 0.0 9964 9964 0.0000 0 0 0.0 0 0 3542211 2500 3539711 0.0034 false 41997202 4199720 223722606 233588809 -9866203 X true true BLUEGRASS DIALYSIS LLC RENAL DIALYSIS 0.32 0.0 0.17 4 1 ST ELIZABETH EDGEWOOD 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 www.stelizabeth.com 100500 X X X A 2 ST ELIZABETH FLORENCE 4900 HOUSTON ROAD FLORENCE KY 41042 www.stelizabeth.com 100273 X X X A 3 ST ELIZABETH FORT THOMAS 85 NORTH GRAND AVENUE FORT THOMAS KY 41075 www.stelizabeth.com 100059 X X X A 4 ST ELIZABETH GRANT 238 BARNES ROAD WILLIAMSTOWN KY 41097 www.stelizabeth.com 600062 X X X X A A false false true X X X X X X X X X 15 true true false true X HTTP://WWW.STELIZABETH.COM/COMMUNITY-OUTREACH/COMMUNITY-BENEFITS X true 15 true HTTP://WWW.STELIZABETH.COM/COMMUNITY-OUTREACH/COMMUNITY-BENEFITS false true X 200.0 X true true X X X X true X WWW.STELIZABETH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAMS X WWW.STELIZABETH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAMS X WWW.STELIZABETH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAMS X X X X X X true X false X X X X true X false false 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. Current CHNA Plan (2016 - 2018) Collecting and Analyzing Data The CHNA process and plan development was conducted over a course of five months (February to July of 2015). St. Elizabeth Healthcare's four hospitals worked collaboratively on this CHNA since they are located in the same geographical region and have established cross coverage of services. Prior CHNA Plan Prior to conducting the most recent CHNA (2016 -2018), the assessment began with reviewing the existing Community Health Plan for the years 2013 through 2015 for any pertinent information that may have an impact on the present assessment. The areas of concentration included Heart Disease, Diabetes and Obesity. All areas actively worked towards their intended goals. Activities were tracked and quarterly dashboards were presented to the Board of Trustees for review and input. Diabetes: * Using the American Diabetes Association guidelines developed a curriculum for a Prevent Diabetes Class that is presented at community events. * Has and will continue to participate at health fairs and provide screening opportunities. * Established community support groups. * Began a Nurse Practitioner Outreach Program in Primary Care Physician (PCP) Offices. Obesity: * Provided wellness in-services in the schools. * St. Elizabeth Physicians implemented an action plan to identify and educate patients. * Internally developed and promoted a corporate-based wellness services. * Established best practice alert for medical & surgical pathways as obesity treatment choices for PCPs. * Developed Weight Management educational content for exam room screen savers. Heart & Vascular Institute: * Increased the number of vascular screenings. * Increased the number of physician lead educational events. * Participated in new hospital-based research studies. * Provided educational programs to the community and in area schools. * Offered programs cover issues that also addressed the other chronic diseases of obesity and diabetes. These departments will continue providing these enhanced services. Current CHNA Plan (2016 - 2018) Secondary Data Collection Multiple secondary data sources were used to gather data on population demographics, including: * U.S. Census Bureau (Quick Facts, http://quickfacts.census.gov/qfd/index.html ) * Health status indicators, social and behavioral indicators; health outcomes; prevalence of chronic diseases; access to care; and maternal and child health, (source: Kentucky Health Facts.org, http://kentuckyhealthfacts.org/ * County Health Rankings.org, http://www.countyhealthrankings.org * America's Health Rankings, http://www.americashealthrankings.org/ The secondary data were summarized and tabulated in order of importance. The timeliness of the source data was a consideration in the prioritization process, as dated information may not accurately reflect current healthcare needs that are reported in the Primary Data. Primary Data - Gathering Community Input 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. 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. Summary of Primary Data: Throughout the primary data collection process, when participants were asked -What do you think are the five most significant health problems in your community? - the common themes that emerged were mental health and drug addiction/treatment. Heroin was mentioned as the most serious substance abuse problem in NKY. 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. 32 ST ELIZABETH HEALTHCARE - SURGERY CENTER - EDGEWOOD 580 SOUTH LOOP ROAD EDGEWOOD KY 41017 AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS 380 CENTRE VIEW BLVD CRESTVIEW HILLS KY 41017 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - IMAGING - ALEXANDRIA 7200 ALEXANDRIA PIKE ALEXANDRIA KY 41001 IMAGING CENTER ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - FLORENCE 10095 INVESTMENT WAY FLORENCE KY 41042 SPORTS MEDICINE ST ELIZABETH HEALTHCARE - HEART & VASCULAR - KENWOOD 8251 PINE ROAD CINCINNATI OH 45236 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - SURGERY CENTER - CRESTVIEW HILLS 2845 CHANCELLOR DRIVE CRESTVIEW HILLS KY 41017 AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS 350 THOMAS MORE PARKWAY SUITE 280 CRESTVIEW HILLS KY 41017 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - BUSINESS HEALTH - HEBRON 2200 CONNER ROAD HEBRON KY 41048 BUSINESS HEALTH SERVICES ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - GRANT COUNTY 300 BARNES ROAD WILLIAMSTOWN KY 41097 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - HEART & VASCULAR - FLORENCE 7370 TURFWAY ROAD SUITE 109 FLORENCE KY 41042 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - HOSPICE CENTER - EDGEWOOD 483 SOUTH LOOP DRIVE EDGEWOOD KY 41017 INPATIENT HOSPICE ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - HEBRON 2200 CONNER ROAD HEBRON KY 41048 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - FAMILY PRACTICE CENTER - EDGEWOOD 413 SOUTH LOOP ROAD EDGEWOOD KY 41017 FAMILY MEDICINE ST ELIZABETH HEALTHCARE - BUSINESS HEALTH - MOUNT ZION 10095 INVESTMENT WAY FLORANCE KY 41042 BUSINESS HEALTH SERVICES ST ELIZABETH HEALTHCARE - IMAGING - HEBRON 2200 CONNER ROAD HEBRON KY 41048 IMAGING CENTER ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - WILDER 1018 TOWN DRIVE WILDER KY 41076 SPORTS MEDICINE ST ELIZABETH HEALTHCARE - HAND THERAPY - EDGEWOOD 560 SOUTH LOOP DRIVE 2ND FLOOR EDGEWOOD KY 41017 HAND THERAPY ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - EDGEWOOD 830 THOMAS MORE PARKWAY SUITE 101 EDGEWOOD KY 41017 SPORTS MEDICINE ST ELIZABETH HEALTHCARE - COVINGTON 1500 JAMES SIMPSON JR WAY COVINGTON KY 41011 AMBULATORY CARE CENTER St Elizabeth Healthcare - Falmouth 512 South Maple Ave Falmouth KY 41040 ALCOHOL AND DRUG TREATMENT CENTER St Elizabeth Healthcare - Owenton 120 Progress Way Owenton KY 40359 AMBULATORY CARE CENTER ST ELIZABETH HEALTHCARE - IMAGING - EDGEWOOD 2904 FOLTZ ROAD EDGEWOOD KY 41017 IMAGING CENTER ST ELIZABETH HEALTHCARE - HEART & VASCULAR - EDGEWOOD 900 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - HEART & VASCULAR - AURORA 204 BRIDGEWAY STREET AURORA IN 47001 CARDIOLOGY DIAGNOSTIC TESTS BLUEGRASS DIALYSIS LLC 1500 JAMES SIMPSON JR WAY COVINGTON KY 41011 RENAL DIALYSIS ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - WILDER 1018 TOWN DRIVE WILDER KY 41076 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - CARDIAC REHAB - EDGEWOOD 830 THOMAS MORE PARKWAY SUITE 102 EDGEWOOD KY 41017 CARDIAC REHAB CENTER ST ELIZABETH HEALTHCARE - CARDIAC & THORACIC SURGERY - EDGEWOOD 20 MEDICAL VILLAGE DRIVE SUITE 105 EDGEWOOD KY 41017 CARDIAC DIAGNOSTICS AND CATHETERIZATION ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - WALTON 13260 SERVICE ROAD WALTON KY 41094 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - HEART & VASCULAR - MEDICAL PAVILION 1400 GRAND AVENUE NEWPORT KY 41071 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - LABORATORY - FLORENCE 8726 US 42 FLORENCE KY 41042 LABORATORY SERVICES ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - ALEXANDRIA 7200 ALEXANDRIA PIKE ALEXANDRIA KY 41001 PHYSICAL THERAPY 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 $4,199,720. 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 Net patient accounts are reduced by an allowance for doubtful 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 provision is made for self-pay patient accounts in the period of service based on past collection experience. Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. 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, the provision for bad debts and charity care is presented as a deduction from patient service revenue (net of contractual provisions and discounts). 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 a significant provision for bad debts 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: 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: 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: WWW.STELIZABETH.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAMS; Schedule H, Part VI, Line 2 Needs assessment IN 2017, 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 2017, 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 2017, 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 2017, 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 2017 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 92.9% 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 5.0% OF THE NORTHERN KENTUCKY POPULATION REMAINS UNINSURED (KENTUCKY HEALTH FACTS 2016). 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. NEW HORIZONS MEDICAL CENTER IN OWEN COUNTY. 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 2017 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 1,200 LICENSED BEDS, APPROXIMATELY 8,400 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 true THOMAS MORE COLLEGE 333 THOMAS MORE PARKWAY CRESTVIEW HILLS KY 41017 610448560 501(c)(3) 2896840 Program Support UNIVERSITY OF KENTUCKY UK CENTER OF EXCELLENCE RURAL HEALTH HAZARD KY 41701 616001218 Kentucky 2504500 Program Support HORIZON COMMUNITY FUNDS OF NORTHERN KY INC 50 E RIVERCENTER BLVD STE 434 COVINGTON KY 41011 821388190 501(c)(3) 750000 Program Support ROMAN CATHOLIC DIOCESE OF COVINGTON 1125 MADISON AVE COVINGTON KY 41011 610458380 501(c)(3) 469700 Program Support TRANSITIONS INC 700 FAIRFIELD AVE BELLEVUE KY 41073 610707125 501(c)(3) 259918 Program Support CHILDREN INC 333 MADISON AVE COVINGTON KY 41011 310910787 501(c)(3) 251000 Program Support RITF HUB CORPORATION 1311 VINE ST CINCINNATI OH 45202 455423994 501(c)(3) 225000 Program Support N KY AREA DEVELOPMENT DISTRIC 22 SPIRAL DR FLORENCE KY 41042 610719369 501(c)(3) 170264 Program Support N KY UNIV FOUNDATION 100 NUNN DR AC 239 HIGHLAND HEIGHTS KY 41099 237116528 501(c)(3) 150500 Program Support TRI-COUNTY ECONOMIC DEVELOPMENT FOUNDATION 300 BUTTERMILK PK STE 332 FT MITCHELL KY 41017 611293229 501(c)(3) 150000 Program Support SLAM DUNK SPORTS MARKETING 1012 N UNIVERSITY BLVD MIDDLETOWN OH 45042 861101514 133498 Program Support INDEPENDENCE FIRE DISTRICT PO BOX 175 INDEPENDENCE KY 41051 611201748 Independence 122500 Program Support NORTHERN KENTUCKY REGIONAL ALLIANCE 50 E RIVERCENTER BLVD COVINGTON KY 41011 311489316 501(c)(3) 120000 Program Support HABITAT FOR HUMANITY OF GREATER CINTI 4910 PARA DR CINTI OH 45237 311185975 501(c)(3) 100000 Program Support YMCA OF GREATER CINCINNATI 1105 ELM ST CINCINNATI OH 452027513 310537178 501(c)(3) 100000 Program Support BB&T ARENA AT NORTHERN KY UNIVERSITY 500 NUNN DR HIGHLAND HEIGHTS KY 41099 232511871 Kentucky 76500 Program Support KENTON COUNTY BOARD OF EDUCATION 1055 EATON DR FT WRIGHT KY 41017 616001301 Kenton County 61650 Program Support NORTHERN KENTUCKY UNIVERSITY NUNN DR HC206 COLLEGE OF HEALTH PROFESSIONS HIGHLAND HEIGHTS KY 41099 611010545 Kentucky 56700 Program Support THE CINCINNATI REDS LLC 100 JOE NUXHALL WAY GREAT AMERICAN BALL PARK CINCINNATI OH 452024109 311002055 53675 Program Support WELCOME HOUSE OF NORTHERN KENTUCKY INC 205 PIKE ST COVINGTON KY 41011 611020382 501(c)(3) 53000 Program Support FINITURA INC 1801 AIRPORT RD STE A WAUKESHA WI 53188 471878675 501(c)(3) 52346 Program Support UNITED WAY OF GREATER CINCINNATI PO BOX 632711 CINCINNATI OH 452632711 310537502 501(c)(3) 49767 Program Support DAN BEARD COUNCIL INC 10078 READING ROAD CINCINNATI OH 452414833 310536651 501(c)(3) 40000 Program Support WOMEN'S CRISIS CENTER INC 3580 HARGRAVE DR HEBRON KY 41048 610908752 501(c)(3) 40000 Program Support THE COUNCIL OF STATE GOVERNMENTS PO BOX 11910 LEXINGTON KY 40578 366000818 501(c)(3) 40000 Program Support RIVER CITIES RELAY PO BOX 176002 LAKESIDE PARK KY 41017 820768943 501(c)(3) 33333 Program Support NORTHERN KENTUCKY CHAMBER OF 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STREET LEXINGTON KY 40507 463464828 501(c)(3) 18400 Program Support MCHALE'S CATERING 1622 DIXIE HWY PARK HILLS KY 41011 203810626 17139 Program Support NORTHERN KY FOOTBALL COACHES ASSOCIATION 458 GENERAL DR FT WRIGHT KY 41011 611106788 501(c)(3) 15000 Program Support LUDLOW BOARD OF EDUCATION 525 ELM ST LUDLOW KY 41016 616001318 Ludlow 14500 Program Support NIEHAUS CORPORATON 2335 BUTTERMILK CROSSING SUITE 314 CRESCENT SPRINGS KY 41017 611064722 13743 Program Support STEVEN J ELLIOTT 6933 MASSIES GRANT CINCINNATI OH 45244 401769070 13500 Program Support ARTHRITIS FOUNDATION INC 4665 CORNELL RD STE 109 CINCINNATI OH 45241 581341679 501(c)(3) 13000 Program Support SUPT OF SCHOOLS OF BELLEVUE 219 CENTER ST BELLEVUE KY 41073 616001387 Bellevue 12220 Program Support CONNER HIGH SCHOOL 8330 US HWY 42 FLORENCE KY 41042 616001252 Boone County 12000 Program Support KENTUCKY CHAMBER OF COMMERCE PO BOX 817 464 CHENAULT RD FRANKFORT KY 40602 610405718 11850 Program Support HOLY CROSS HIGH SCHOOL 3617 CHURCH ST COVINGTON KY 41015 621577563 501(c)(3) 11460 Program Support BRIGHTON CENTER PO BOX 325 NEWPORT KY 41072 610673886 501(c)(3) 11109 Program Support BOONE COUNTY FISCAL COURT PO BOX 457 FLORENCE KY 410220457 616000718 Boone County 11046 Program Support KENTON COUNTY FIRE CHIEFS ASSOCIATION 401 GARVEY AVE ELSMERE KY 41018 611339652 501(c)(3) 11000 Program Support CITY OF EDGEWOOD PO BOX 17870 EDGEWOOD KY 41017 610704468 Edgewood 11000 Program Support SPECIAL OLYMPICS KENTUCKY 105 LAKEVIEW CT FRANKFORT KY 40601 610954571 501(c)(3) 10720 Program Support DAYTON INDEPENDENT SCHOOLS 200 CLAY ST DAYTON KY 41074 616001401 Dayton 10600 Program Support COOPER HIGH SCHOOL 2855 LONGBRANCH RD UNION KY 41091 616001252 Boone County 10500 Program Support ST HENRY DISTRICT HIGH SCHOOL 3755 SCHEBEN DR ERLANGER KY 41018 610458380 501(c)(3) 10360 Program Support CATHOLIC CHARITIES INC 3629 CHURCH ST COVINGTON KY 41015 610461728 501(c)(3) 10300 Program Support NEWPORT CENTRAL CATHOLIC HIGH SCHOOL 13 CAROTHERS RD NEWPORT KY 41071 610447243 501(c)(3) 10250 Program Support RPI COLOR SERVICE INC 1 W RIVER CENTER BLVD COVINGTON KY 41011 310994477 10026 Program Support MARCH OF DIMES 10806 KENWOOD RD CINCINNATI OH 45242 131846366 501(c)(3) 10000 Program Support PADDLING FOR CANCER AWARENESS PO BOX 76213 HIGHLAND HEIGHTS KY 41076 263552805 501(c)(3) 10000 Program Support COVINGTON BUSINESS COUNCIL 50 E RIVERCENTER BLVD SUITE 160 COVINGTON KY 41011 310963057 10000 Program Support REDI CINCINNATI LLC 3 E 4TH ST CINCINNATI OH 45202 472090230 10000 Program Support NOTRE DAME ACADEMY 1699 HILTON DR PARK HILLS KY 41011 610476695 501(c)(3) 10000 Program Support PRICHARD COMMITTEE FOR ACADEMIC EXCELLENCE 271 W SHORT ST LEXINGTON KY 40507 611026214 501(c)(3) 10000 Program Support CINCINNATI INSTITUTE OF FINE ARTS PO BOX 630561 CINCINNATI OH 452630561 310537138 501(c)(3) 10000 Program Support AMERICAN NATIONAL RED CROSS CINCINNATI AREA CHAPTER C/O MS TRISH SMITSON CINCINNATI OH 45207 530196605 501(c)(3) 10000 Program Support JEFF RUBY FOUNDATION 700 WALNUT ST CINCINNATI OH 45202 471516976 501(c)(3) 10000 Program Support OUTDOOR ADVENTURE CLUBS OF GREATER CINCINNATI INC 1662 BLUE ROCK ST CINCINNATI OH 45223 474230979 501(c)(3) 10000 Program Support NEWPORT INDEPENDENT SCHOOLS 30 W 8TH ST NEWPORT KY 41071 613001336 Newport 10000 Program Support CINCINNATI USA REGIONAL CHAMBER 3 E 4TH ST STE 200 CINTI OH 45202 310239310 501(c)(3) 8500 Program Support NEW DAY RANCH 10830 BIG BONE CHURCH RD UNION KY 41091 274722366 501(c)(3) 8070 Program Support NORTHERN KENTUCKY OHIO VOLLEYBALL CLUB PO BOX 188071 ERLANGER KY 41018 141858651 501(c)(3) 7500 Program Support ZOOLOGICAL SOCIETY OF CINCINNATI 3400 VINE ST CINCINNATI OH 45220 310537171 501(c)(3) 7000 Program Support WNC OF CINCINNATI LLC 201 JOE NUXHALL WAY FAIRFIELD OH 45014 455086478 6380 Program Support AMER HEART ASSOC 5211 MADSION AVE CINCINNATI OH 45227 135613797 501(c)(3) 6296 Program Support COSMOS GIFTS CORP 4425 MCEWEN RD DALLAS TX 75244 752208029 6278 Program Support NORTHERN KENTUCKY EDUCATION COUNCIL 7310 TURFWAY RD STE 115 FLORENCE KY 41042 203105862 501(c)(3) 6000 Program Support HEALTH MINISTRIES ASSOCIATION PO BOX 60042 DAYTON OH 45406 421351520 501(c)(3) 5900 Program Support LADY'S SPARROW FOUNDATION CO 7121 RIVER RD HEBRON KY 410489728 473929815 501(c)(3) 5500 Program Support PARTNERS FOR MEDICAL RELIEF PO BOX 43254 CINCINNATI OH 45243 821748297 501(c)(3) 5400 Program Support FAMILY NURTURING CENTER OF KENTUCKY 8275 EWING BLVD FLORENCE KY 41042 311011326 501(c)(3) 5264 Program Support NEW PERCEPTIONS INC ONE SPERTI DR EDGEWOOD KY 41017 610705047 501(c)(3) 5120 Program Support POINTARC OF NORTHERN KENTUCKY INC 104 W PIKE ST COVINGTON KY 41011 237259409 501(c)(3) 5000 Program Support HISPANIC CHAMBER CINCINNATI USA INC 2637 ERIE AVE STE 206 CINTI OH 45208 311458839 5000 Program Support CEI PHYSICIANS PSC INC 580 S LOOP RD EDGEWOOD KY 41017 311473421 5000 Program Support ANDY & JORDAN DALTON FOUNDATION INC 59 CAVALIER BOULEVARD STE 310 FLORENCE KY 41042 454066146 501(c)(3) 5000 Program Support THE YEARLINGS INC PO BOX 17903 LAKESIDE PARK KY 41017 611196435 501(c)(3) 5000 Program Support MASTER PROVISIONS INC PO BOX 17245 COVINGTON KY 41017 611262540 501(c)(3) 5000 Program Support SUSAN G KOMEN BREAST CANCER FOUNDATION 6120 S GILMORE RD CINCINNATI OH 45014 752855038 501(c)(3) 5000 Program Support CATHOLIC CHARITIES 1213 16TH ST N ST PETERSBURG FL 33705 590875805 501(c)(3) 5000 Program Support THE HEALTH COLLABORATIVE 615 ELSINORE PL STE 500 CINCINNATI OH 45202 311449807 501(c)(3) 5000 Program Support STEPHEN SILLER TUNNEL TO TOWERS FDN 2361 HYLAN BLVD STATEN ISLAND NY 10306 020554654 501(c)(3) 5000 Program Support HEALTHPOINT FAMILY CARE INC 1401 MADISON AVE COVINGTON KY 41011 610729915 501(c)(3) 5000 Program Support THE LEUKEMIA & LYMPHOMA SOCIETY 4370 GLENDALE-MILFORD RD CINCINNATI OH 45242 135644916 501(c)(3) 5000 Program Support CANCER SUPPORT COMMUNITY PO BOX 4061 LOUISVILLE KY 40204 311287785 501(c)(3) 5000 Program Support NKYHATESHEROINCOMINC PO BOX 75273 FT THOMAS KY 41075 464779369 501(c)(3) 5000 Program Support THE KAREN WELLINGTON FOUNDATION FOR LIVING WITH BREAST CANCER 5090 BOUCHAINE WAY CINTI OH 45208 263768567 501(c)(3) 5000 Program Support RENAISSANCE COVINGTON INC 2 W PIKE ST COVINGTON KY 41011 900126762 501(c)(3) 5000 Program Support 82 15 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X X true true X X X X X false true false false false false false false false GARREN COLVIN PRESIDENT/CEO 938722 0 366131 0 2622 0 33900 0 32805 0 1374180 0 0 0 ROBERT BAKER MD PHYSICIAN / DIRECTOR 0 393351 0 0 0 5560 0 37832 0 24582 0 461325 0 0 DOUG FLORA MD TRUSTEE 0 588654 0 0 0 1695 0 35397 0 29999 0 655745 0 0 HEIDI MURLEY MD TRUSTEE 0 516559 0 4587 0 2533 0 44628 0 31378 0 599686 0 0 GARY BLANK EXECUTIVE VP & COO, CNE 508936 0 154809 0 4902 0 33900 0 13375 0 715922 0 0 0 LAROY KENDALL VP Medical Services, CMO 369191 0 87186 0 1899 0 31250 0 24768 0 514294 0 0 0 BARBARA KROHMAN CORPORATE SECRETARY 115647 0 0 0 2713 0 25132 0 18477 0 161969 0 0 0 ROBERT PRICHARD MD Chief Clinical Integration Officer, SEP President & CEO 647757 0 188873 0 4902 0 33900 0 21476 0 896908 0 0 0 LORI RITCHEY-BALDWIN Senior Vice President/CFO/Treasurer 522631 0 151803 0 2622 0 31250 0 26270 0 734577 0 0 0 WILLIAM BANKS VP MANAGED CARE 342290 0 62324 0 1622 0 33900 0 24128 0 464264 0 0 0 JACOB BAST COO / SECRETARY 390040 0 56078 0 880 0 13250 0 25110 0 485358 0 0 0 JOSEPH BOZZELLI VP MISSION SVCS & PASTORAL CARE 175042 0 25701 0 2404 0 11757 0 11646 0 226550 0 0 0 CHRISTOPER CARLE PRESIDENT & CEO SEPN 359543 0 87926 0 3456 0 33900 0 13288 0 498112 0 0 0 CARRI CHANDLER VP - FOUNDATION 52892 0 160720 0 692 0 0 0 20403 0 234708 0 0 0 PAMELA DEETER VP FINANCE 270451 0 52104 0 1355 0 31000 0 11993 0 366904 0 0 0 LISA FREY VP LEGAL SERVICES/GENERAL COUNSEL 315495 0 52906 0 1561 0 33900 0 12492 0 416353 0 0 0 BRUNO GIACOMUZZI COO Flo FT Cov & SVP Prof Svcs 328235 0 90180 0 3579 0 31250 0 16219 0 469463 0 0 0 SARAH GIOLANDO SVP/CHIEF STRATEGY OFFICER 376649 0 92936 0 1962 0 17876 0 33190 0 522613 0 0 0 VERA HALL SVP System CNE 289040 0 69890 0 964 0 22752 0 23264 0 405908 0 0 0 ANTHONY HELTON VP Revenue Cycle 223117 0 44088 0 2088 0 13250 0 29918 0 312462 0 0 0 BRUCE HENLEY CFO / TREASURER 324240 0 47270 0 4834 0 31250 0 18030 0 425624 0 0 0 JAMES HORN VP/CHIEF QUALITY OFFICER/ PHYSICIAN 389516 0 0 0 757 0 13250 0 22655 0 426178 0 0 0 MATTHEW HOLLENKAMP VP MARKETING AND CONSUMER RELATIONS 180718 0 22199 0 383 0 5539 0 28177 0 237014 0 0 0 KATHY LYNN JENNINGS VP PATIENT CARE/ONCOLOGY 201832 0 29158 0 987 0 12966 0 26664 0 271607 0 0 0 JAMES McCARVILLE VP - QUALITY 197664 0 20218 0 1821 0 5591 0 22992 0 248286 0 0 0 SUSAN MCDONALD VP Nursing - Edgewood 270396 0 40280 0 3921 0 31250 0 13248 0 359095 0 0 0 JOHN MITCHELL SVP - COO FT. THOMAS 202953 0 27054 0 974 0 30436 0 11737 0 273155 0 0 0 ROSANNA NIELDS VP PLANNING & GOVT RELATIONS 188140 0 37074 0 910 0 14653 0 23211 0 263989 0 0 0 MARTIN OSCADAL SVP HUMAN RESOURCES 360316 0 87926 0 5394 0 33900 0 17250 0 504786 0 0 0 ALEXANDER RODRIGUEZ VP CIO 383727 0 74348 0 3697 0 15900 0 24479 0 502151 0 0 0 BENITA UTZ VP Nursing - Florence/Ft. Thomas 258455 0 38028 0 3715 0 33900 0 18800 0 352898 0 0 0 HARRY WATSON Sr. VP Facilities 262622 0 63878 0 3747 0 14553 0 4215 0 349015 0 0 0 DARRYL DIAS MD PHYSICIAN 1262177 0 75000 0 1710 0 31250 0 28416 0 1398554 0 0 0 JEROME SCHUTZMAN MD PHYSICIAN 1339329 0 75000 0 4902 0 31250 0 24820 0 1475302 0 0 0 MOHAMAD SINNO MD PHYSICIAN 1017996 0 55000 0 1026 0 31250 0 27392 0 1132664 0 0 0 ROBERT STRICKMEYER MD PHYSICIAN 1114720 0 75000 0 2622 0 31250 0 18382 0 1241974 0 0 0 DAMODHAR SURESH MD PHYSICIAN 1086849 0 75000 0 2622 0 31250 0 30045 0 1225766 0 0 0 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. A KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009B 521643102 2009-12-09 38150000 PARTIAL REFUNDING OF BONDS ISSUED 6/11/03 false false false B KENTUCKY BOND DEVELOPMENT CORPORATION - 2015A 472650498 2015-12-30 50000000 RENOVATIONS TO HOSPITAL false false false C KENTUCKY BOND DEVELOPMENT CORPORATION - 2015B 472650498 2015-12-30 50000000 RENOVATIONS TO HOSPITAL false false false D KENTUCKY BOND DEVELOPMENT CORPORATION - SERIES 2016 472650498 491210AW0 2016-05-12 98494028 ADVANCE REFUNDING OF SERIES 2009A BONDS ISSUED ON 12/09/09 false false false A 9525000 0 38150000 0 0 0 360000 0 0 0 37790000 0 2003 true false true true B 2325000 0 50483846 0 0 0 245000 0 0 23644126 0 26110874 false false false true C 0 0 50011339 0 0 0 222000 0 0 46655171 0 3122829 false false false true D 2485000 0 98494028 0 0 94985984 0 0 0 0 2475000 0 2009 false true false true A false false true true false 0.0 0.0 0.0 false false true B false false false false true 0.0 0.0 0.0 false false true C false false false true true 0.0003 0.0 0.0003 false false true D false false true true false 0.0 0.0 0.0 false false true A false false false true true false false false true B false true false false false false false false true C false true false false true true PNC BANK NATIONAL ASSOCIATION 30.0 false false false false true D false false false false false false false true true A true B true C true D true 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 0.0347% 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 A KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009a 521643102 49126KGH8 2009-12-09 101960448 SEE STATEMENT true false false A 17700000 84150000 101960448 0 0 0 1430179 0 0 29195269 71335000 0 2009 true false true true A false false true true false 0.0 0.0 0.0 false false true A false false false true false false false false true A true Bill Banks VP Revenue Cycle/Managed Care To fund split dollar life Insurance premiums for supplemental life insurance X 129141 131137 false true true Jacob Bast SVP & COO - SEP To fund split dollar life Insurance premiums for supplemental life insurance X 115969 117717 false true true Gary Blank Exec VP & COO To fund split dollar life Insurance premiums for supplemental life insurance X 245431 249742 false true true Tom Boggs President & CEO - HSN To fund split dollar life Insurance premiums for supplemental life insurance X 69964 71308 false true true Joseph Bozzelli VP Mission Svcs & Pastoral Care To fund split dollar life Insurance premiums for supplemental life insurance X 40855 41117 false true true Chris Carle President & CEO - SEPN To fund split dollar life Insurance premiums for supplemental life insurance X 198045 202257 false true true Garren Colvin President & CEO To fund split dollar life Insurance premiums for supplemental life insurance X 771586 787503 false true true Pam Deeter VP Finance To fund split dollar life Insurance premiums for supplemental life insurance X 31199 31789 false true true Lisa Frey VP Legal Svcs/General Counsel To fund split dollar life Insurance premiums for supplemental life insurance X 39622 40292 false true true Bruno Giacomuzzi VP COO Flo Grant & Prof Svcs To fund split dollar life Insurance premiums for supplemental life insurance X 119139 120936 false true true Sarah Giolando VP COO Flo Grant & Prof Svcs To fund split dollar life Insurance premiums for supplemental life insurance X 155352 158297 false true true Vera Hall SVP System CNE To fund split dollar life Insurance premiums for supplemental life insurance X 32306 32753 false true true Anthony Helton VP Revenue Cycle To fund split dollar life Insurance premiums for supplemental life insurance X 50883 51979 false true true Bruce Henley CFO - SEP To fund split dollar life Insurance premiums for supplemental life insurance X 95929 97939 false true true Matt Hollenkamp VP Marketing & Public Relation To fund split dollar life Insurance premiums for supplemental life insurance X 13292 13551 false true true James Horn VP, Chief Quality Officer To fund split dollar life Insurance premiums for supplemental life insurance X 39163 39926 false true true Kathy Jennings SVP Patient Care Svcs/Cancer Care To fund split dollar life Insurance premiums for supplemental life insurance X 23937 24446 false true true LaRoy Kendall SVP Chief Medical Officer To fund split dollar life Insurance premiums for supplemental life insurance X 72538 73802 false true true Jim McCarville VP Quality To fund split dollar life Insurance premiums for supplemental life insurance X 12170 12426 false true true Susan McDonald VP CNO Edgewood/Cov/Grant To fund split dollar life Insurance premiums for supplemental life insurance X 64192 65592 false true true John Mitchell SVP COO Ft. Thomas/Covington To fund split dollar life Insurance premiums for supplemental life insurance X 22239 22706 false true true Rosanne Nields VP Planning & Govt Relations To fund split dollar life Insurance premiums for supplemental life insurance X 61275 62469 false true true Marty Oscadal SVP Human Resources To fund split dollar life Insurance premiums for supplemental life insurance X 167912 171529 false true true Robert Prichard EVP/CEO - SEP/CCIO To fund split dollar life Insurance premiums for supplemental life insurance X 367021 374814 false true true Lori Ritchey-Baldwin Sr VP Finance/CFO To fund split dollar life Insurance premiums for supplemental life insurance X 142805 145881 false true true Alex Rodriguez VP/Chief Information Officer To fund split dollar life Insurance premiums for supplemental life insurance X 169940 173600 false true true Benita Utz VP, CNO Florence/Ft. Thomas/Falmouth To fund split dollar life Insurance premiums for supplemental life insurance X 80267 81219 false true true Harry Watson SVP Facilities To fund split dollar life Insurance premiums for supplemental life insurance X 50780 51888 false true true 3448615 BEST UPON REQUEST BOARD MEMBER TILLIE HIDALGO LIMA OWNS BEST UPON REQUEST 232893 CONCIERGE SERVICES false 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). X 25 196477 Market value X FOOD/PRIZES 119 51045 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - ST. ELIZABETH HEALTHCARE IS REPORTING THE 25 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Other - FOOD/PRIZES ST. ELIZABETH HEALTHCARE IS REPORTING THE 119ITEMS BASED ON CONTRIBUTIONS RECEIVED. 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 2016. 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: 1109148, Program Service Expense: 5758, Management and General Expenses: 1103390, Fundraising Expenses: ; AMBULANCE SERVICE - Total Expense: 207515, Program Service Expense: 207515, Management and General Expenses: , Fundraising Expenses: ; ANESTHESIOLOGY SERVICE - Total Expense: 1721614, Program Service Expense: 1721614, Management and General Expenses: , Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 6322807, Program Service Expense: 6322807, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY EXPENSE - Total Expense: 3262779, Program Service Expense: 495599, Management and General Expenses: 2767173, Fundraising Expenses: 7; PERFUSION SERVICE - Total Expense: 924022, Program Service Expense: 924022, Management and General Expenses: , Fundraising Expenses: ; RADIATION SERVICE - Total Expense: 624719, Program Service Expense: 624719, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 12855718, Program Service Expense: 9969002, Management and General Expenses: 2886716, Fundraising Expenses: ; CONSULTING SERVICE - Total Expense: 8509363, Program Service Expense: 898469, Management and General Expenses: 7605369, Fundraising Expenses: 5525; COLLECTION SERVICE - Total Expense: 1041408, Program Service Expense: 10376, Management and General Expenses: 1031032, Fundraising Expenses: ; OTHER FEES - Total Expense: 56299, Program Service Expense: 4532, Management and General Expenses: 51767, Fundraising Expenses: ; PURCHASED SERVICE - PATIENT ACCT - Total Expense: 3245640, Program Service Expense: , Management and General Expenses: 3245640, Fundraising Expenses: ; MAINTENANCE & REPAIR - Total Expense: 142, Program Service Expense: 142, Management and General Expenses: , Fundraising Expenses: ; ACQUISITION COSTS - Total Expense: 71, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: 71; ORGANIZED DEVELOP SERVICES - Total Expense: 89303, Program Service Expense: , Management and General Expenses: 89303, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 20485831, Program Service Expense: 10001564, Management and General Expenses: 10221440, Fundraising Expenses: 262827; HARDWARE MAINTENANCE - Total Expense: 6463, Program Service Expense: 37, Management and General Expenses: 6426, Fundraising Expenses: ; RESEARCH PARTICIPATION - Total Expense: 16824, Program Service Expense: 16554, Management and General Expenses: 270, Fundraising Expenses: ; RECRUITMENT ADVERTISING - Total Expense: 105037, Program Service Expense: 15967, Management and General Expenses: 88725, Fundraising Expenses: 345; ACCRUED PURCHASED SERVICES - Total Expense: 8, Program Service Expense: 8, Management and General Expenses: , Fundraising Expenses: ; VEHICLE OPERATION MAINT - Total Expense: 53729, Program Service Expense: 53166, Management and General Expenses: 563, Fundraising Expenses: ; CONSUMABLES - HARDWARE - Total Expense: 8285, Program Service Expense: 4656, Management and General Expenses: 3629, Fundraising Expenses: ; BUSINESS TRANSPORTATION - Total Expense: 20558, Program Service Expense: 10, Management and General Expenses: 20548, Fundraising Expenses: ; JANITORIAL SERVICES - Total Expense: 283148, Program Service Expense: 70628, Management and General Expenses: 212520, Fundraising Expenses: ; BUILDING MAINTENANCE - INTERIOR - Total Expense: 364713, Program Service Expense: 93616, Management and General Expenses: 267137, Fundraising Expenses: 3960; BUILDING MAINTENANCE - EXTERIOR - Total Expense: 623, Program Service Expense: , Management and General Expenses: 623, Fundraising Expenses: ; GROUNDS MAINTENANCE - Total Expense: 156340, Program Service Expense: 18916, Management and General Expenses: 135708, Fundraising Expenses: 1716; VEHICLE MAINTENANCE - Total Expense: 164536, Program Service Expense: 70668, Management and General Expenses: 93868, Fundraising Expenses: ; MAINTENANCE & REPAIRS - Total Expense: 11336449, Program Service Expense: 2196125, Management and General Expenses: 9135043, Fundraising Expenses: 5281; MAINT & REPAIR - HVAC - Total Expense: 46955, Program Service Expense: 26951, Management and General Expenses: 20004, Fundraising Expenses: ; MAINT & REPAIR - MEDICAL EQUIP - Total Expense: 2060, Program Service Expense: 2060, Management and General Expenses: , Fundraising Expenses: ; MAINT & REPAIR - OFFICE EQUIP - Total Expense: 5868, Program Service Expense: , Management and General Expenses: 5868, Fundraising Expenses: ; LATE PAYMENT FEES - Total Expense: 275, Program Service Expense: , Management and General Expenses: 275, Fundraising Expenses: ; MAINT & REPAIR HARDWARE - Total Expense: 11543, Program Service Expense: , Management and General Expenses: 11543, Fundraising Expenses: ; PEST CONTROL - Total Expense: 7676, Program Service Expense: 1919, Management and General Expenses: 5757, Fundraising Expenses: ; FACILITIES - SMALL EQUIP - Total Expense: 75, Program Service Expense: , Management and General Expenses: 75, Fundraising Expenses: ; IC MARKET ADJ EXPENSE - Total Expense: 94741154, Program Service Expense: , Management and General Expenses: 94741154, Fundraising Expenses: ; IC PHYSICIAN FEES - Total Expense: 12545808, Program Service Expense: 12393184, Management and General Expenses: 152624, Fundraising Expenses: ; IC STAFF LEASING EXPENSE - Total Expense: 201232, Program Service Expense: 89627, Management and General Expenses: 111605, Fundraising Expenses: ; IC ADMIN SERVICES EXPENSE - Total Expense: 582918, Program Service Expense: 620109, Management and General Expenses: -37191, Fundraising Expenses: ; IC PHYSICIAN FEES - MEDICAL DIR - Total Expense: 581500, Program Service Expense: 525093, Management and General Expenses: 56407, Fundraising Expenses: ; LABRATORY SERVICES - Total Expense: 425, Program Service Expense: 425, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN FMV OF INTEREST RATE SWAP - 673641; MINIMUM PENSION LIABILITY ADJUSTMENT - 71077699; CHANGE IN FMV OF SPLIT LIFE INSURANCE INTEREST - -9759; TRANSFERS DUE TO/FROM AFFILIATES - 21177679; NET ASSETS RELEASED FROM RESTRICTIONS - 604746; WRITE OFF OF UNCOLLECTIBLE PLEDGES - -69853; CHANGE TO INVESTMENT IN AMSURG - -40447; Sch. H, Part V, Section B, Line 7 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 ST ELIZABETH PHYSICIAN SERVICES 334 THOMAS MORE PARKWAY STE 200 CRESTVIEW HILLS KY 41017 611339639 PHYSICIAN MANAGEMENT SERVICES KY -65926 3838486 ST ELIZABETH MEDICAL CENTER INC SUMMIT MEDICAL GROUP INC 334 THOMAS MORE PARKWAY STE 200 CRESTVIEW HILLS KY 41017 611300608 PHYSICIAN PRACTICE KY 501(c)(3) 3 ST ELIZABETH MEDICAL CENTER INC true Health Care Solutions Network LLC 619 Oak Street Cincinnati OH 45206 472103334 PHO OH HSN Related -633944 0 false 0 true 0.5 St Elizabeth Provider Network Inc One Medical Village Dr Edgewood KY 41017 472862438 Physician-Hospital Org. KY St Elizabeth Medical Center Inc C Corporation 2013224 1 true Charitable Remainder Trust (3) One Medical Village Drive Edgewood KY 41017 Trust KY N/A Trust false true false false false false false false false true true true true false true true true true true ST ELIZABETH PROVIDER NETWORK L 2013224 CASH SUMMIT MEDICAL GROUP INC R 94741154 CASH SUMMIT MEDICAL GROUP INC O 13343340 CASH SUMMIT MEDICAL GROUP INC J 339241 CASH SUMMIT MEDICAL GROUP INC M 582919 CASH