SAINT JOSEPH HEALTH SYSTEM INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: SAINT JOSEPH HEALTH SYSTEM INC (EIN 61-1334601)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-13
IRS object ID: 201511339349301861
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-13T10:00:08-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611334601	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT JOSEPH HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	SAIN	BusinessNameControlTxt
Phone	8593131000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Abraham Flexner Way	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40202	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MELINDA EVANS	PersonNm
Person Title	VP FINANCE	PersonTitleTxt
Signature	2015-04-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PAMELA KROHN	PreparerPersonNm
PTIN	P01210500	PTIN
Phone	3032989100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

Field	Value	IRS element (for citing)
Business Name Line1	RUTH WILLIAMS-BRINKLEY	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 Abraham Flexner Way	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40202	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$745,486,757	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SJHLEX.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	SAINT JOSEPH HEALTH SYSTEM, INC.'S VISION IS TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMUNITY PROVIDING HIGH QUALITY CARE CLOSE TO HOME, REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING THE INEQUITIES IN ACCESS TO HEALTHCARE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5638	TotalEmployeeCnt
Total Volunteers	119	TotalVolunteersCnt
Total Gross UBI	$1,126,963	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$306,154	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$601,099	PYContributionsGrantsAmt
CY Contributions Grants	$1,108,702	CYContributionsGrantsAmt
PY Program Service Revenue	$742,951,794	PYProgramServiceRevenueAmt
CY Program Service Revenue	$712,685,487	CYProgramServiceRevenueAmt
PY Investment Income	$6,301,863	PYInvestmentIncomeAmt
CY Investment Income	$20,261,158	CYInvestmentIncomeAmt
PY Other Revenue	$51,723,101	PYOtherRevenueAmt
CY Other Revenue	$11,233,782	CYOtherRevenueAmt
PY Total Revenue	$801,577,857	PYTotalRevenueAmt
CY Total Revenue	$745,289,129	CYTotalRevenueAmt
PY Grants And Similar Paid	$318,137	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$170,852	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$276,343,705	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$240,980,072	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$517,280,524	PYOtherExpensesAmt
CY Other Expenses	$549,430,902	CYOtherExpensesAmt
PY Total Expenses	$793,942,366	PYTotalExpensesAmt
CY Total Expenses	$790,581,826	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,635,491	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$45,292,697	CYRevenuesLessExpensesAmt
Total Assets BOY	$921,395,358	TotalAssetsBOYAmt
Total Assets EOY	$718,850,166	TotalAssetsEOYAmt
Total Liabilities BOY	$514,363,637	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$365,352,628	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$407,031,721	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$353,497,538	NetAssetsOrFundBalancesEOYAmt
Mission	WE BRING HOPE, IMPROVE HEALTH AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION, TRANSFORM HEALTH CARE DELIVERY, PARTNER TO CREATE HEALTHY COMMUNITIES AND ADVOCATE FOR A JUST HEALTH SYSTEM.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$633,233,349	ExpenseAmt
Grant	$170,852	GrantAmt
Revenue	$712,506,149	RevenueAmt
Desc	SEE SCHEDULE H	Desc
Total Program Service Expenses	$633,233,349	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5638	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5025874710	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Saint Joseph Drive	AddressLine1
City	Lexington	City
State	KY	State
ZIP Code	40504	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MELVIN ALEXANDER
Treasurer/CFO KOH	20.00	41.00	Yes (X)	Yes (X)	$0	$1,521,368	$2,024
RICHARD SCHULTZ
VICE CHAIR	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT HEWETT
Chair	3.00	8.00	Yes (X)	Yes (X)	$0	$0	$0
RUSSELL D WILLIAMS MD
Board of Directors/CFO KOH	2.00	59.00	Yes (X)	Yes (X)	$0	$0	$0
RUTH WILLIAMS BRINKLEY
Board Member/President & CEO KOH	5.00	55.00	Yes (X)	Yes (X)	$0	$1,397,702	$169,553
DAVID FENNELL
Board Member	2.00	5.00	Yes (X)		$0	$0	$0
DAVID L DUNN
BOARD MEMBER	2.00	3.00	Yes (X)		$0	$0	$0
GERALD TEMES MD
BOARD MEMBER	2.00	3.00	Yes (X)		$0	$0	$0
JANE BURKS
BOARD MEMBER	2.00	3.00	Yes (X)		$0	$0	$0
JANE J CHILES
BOARD MEMBER	2.00	3.00	Yes (X)		$0	$0	$0
LOUANN ATLAS
DIRECTOR	2.00	3.00	Yes (X)		$0	$0	$0
MARY SIAS
Board Member	1.00	3.00	Yes (X)		$0	$0	$0
MICHAEL ROWAN FACHE
Board Member/EVP/CHI COO	2.00	68.00	Yes (X)		$0	$2,769,716	$258,055
MIKE ADES
Board Member	2.00	4.00	Yes (X)		$0	$0	$0
MILLER HOFFMAN
Board Member	2.00	4.00	Yes (X)		$0	$0	$0
ROBERT C HUGHES MD
BOARD MEMBER	2.00	4.00	Yes (X)		$0	$0	$0
ROBERT W ROUNSAVALL III
Board of Directors	2.00	5.00	Yes (X)		$0	$0	$0
SR ELIZABETH WENDELN
Board Member	3.00	4.00	Yes (X)		$0	$0	$0
BEV WEBER
Senior VP/COO KOH	25.00	35.00		Yes (X)	$0	$859,654	$33,830
COLLEEN HOLTON
VP FINANCE	5.00	51.00		Yes (X)	$193,791	$0	$13,954
SHARON HAGER
Secretary	1.00	54.00		Yes (X)	$0	$377,027	$32,469
BENNY NOLEN
President Saint Joseph Mount Sterling	59.00	1.00			$0	$242,760	$46,689	Yes (X)
CHRISTY SPITSER
VP Finance London, Martin, Berea	0.00	1.00			$169,826	$0	$37,899	Yes (X)
ERIC GILLIAM
President Saint Joseph East	58.00	2.00			$0	$282,611	$67,966	Yes (X)
GREG GERARD
President London	59.00	1.00			$0	$290,406	$57,498	Yes (X)
JOHN SMITHHISLER
President Saint Joseph Hospital/Market Leader KOH	59.00	1.00			$0	$708,808	$78,703	Yes (X)
KATHY STUMBO
President-Martin	60.00	0.00			$0	$248,090	$61,143	Yes (X)
MELINDA EVANS
Regional VP of Finance	58.00	2.00			$263,816	$0	$30,774	Yes (X)
TANJA OQUENDO
SVP Chief HR Officer KOH	5.00	50.00			$0	$425,904	$45,553	Yes (X)
AQEEL MANDVIWALA
Anesthesiologist	15.00	45.00			$5,875	$503,288	$42,770		Yes (X)
JEFFREY MILAM
Anesthesiologist	60.00	0			$523,278	$0	$36,088		Yes (X)
MUNAWAR SIDDIQI
Anesthesiologist	20.00	40.00			$0	$537,110	$40,814		Yes (X)
SATHYENDRA MYSORE
Anesthesiologist	60.00	0			$591,120	$0	$46,380		Yes (X)
STEVE LIN
Cardiologist	20.00	40.00			$9,862	$642,591	$37,836		Yes (X)
BRUCE KLOCKARS
FORMER CHIEF EXECUTIVE OFFICER	0.00	0.00			$0	$538,387	$43,471			Yes (X)
CARLA WALTER
Former Corp Resp & Privacy Officer	0.00	0.00			$0	$109,836	$20,796			Yes (X)
CARMEL JONES
Former COO/VP Finance - London	0.00	45.00			$245,338	$0	$46,837			Yes (X)
CHRISTINE MAYS
Former COO/CNE - SJH	0.00	0.00			$99,369	$210,861	$48,164			Yes (X)
DANIEL VARGA
Former Chief Medical Officer	0.00	15.00			$656,341	$0	$39,459			Yes (X)
EDWARD CARTHEW
Former Chief Human Resources Officer	0.00	0			$240,599	$0	$24,408			Yes (X)
GARY ERMERS
Former Chief Financial Officer	0.00	0.00			$462,576	$0	$48,868			Yes (X)
KEN HAYNES
Former President-SJH	0.00	0.00			$513,849	$0	$41,311			Yes (X)
MARK STREETY
Former Chief Innovation Officer	0.00	0.00			$335,778	$0	$42,696			Yes (X)
PEGGY GREEN
Former COO/CNO-London	0.00	0			$197,492	$0	$24,173			Yes (X)
TAMMY HOWELL
DIRECTOR OF ACCOUNTING	0.00	50.00			$0	$120,166	$18,933			Yes (X)
VIRGINIA DEMPSEY
Former President-London	0.00	0.00			$386,796	$0	$35,612			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,895,706	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,786,285	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,574,725	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	187	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
ANESTHESIA ASSOCIATES
PO BOX 23261	LEXINGTON	KY	405023400	ANESTHESIA SERVICES	$2,737,036
EAGLE HOSPITAL PHYSICIANS
5901C PEACHTREE DUNWOODY RD STE 350	ATLANTA	GA	30328	HOSPITALISTS	$1,869,019
LOGAN'S HEALTHCARE INC
PO BOX 643958	CINCINNATI	OH	452643958	LAUNDRY & LINEN SERVICES	$1,742,959
PAML LLC
110 WEST CLIFF AVENUE	SPOKANE	WA	99204	LABORATORY SERVICES	$1,668,302
NEW LEXINGTON CLINIC PSC
1221 SOUTH BROADWAY	LEXINGTON	KY	40504	INTEGRATED HEALTHCARE SERVICES	$1,540,534

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	84	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,083,660	RelatedOrganizationsAmt
All Other Contributions	$25,042	AllOtherContributionsAmt
Total Contributions	$1,108,702	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	900099	$707,913,684	$707,913,684
RENTAL INCOME	900099	$3,723,145	$3,543,807	$179,338
EQUITY CHANGES OF UNCONSOLIDATED ORGS	900099	$654,676	$654,676
PROGRAM SERVICE REVENUE	900099	$295,976	$295,976
MEDICARE/MEDICAID	900099	$63,750	$63,750

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,256	TotalRevenueColumnAmt
Related Or Exempt Func Income	$34,256	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$712,685,487	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,641,370	TotalRevenueColumnAmt
Unrelated Business Revenue	-$24,485	UnrelatedBusinessRevenueAmt
Exclusion	$1,665,855	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$18,568,245	SecuritiesAmt
Other	$249,171	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$197,628	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,568,245	SecuritiesAmt
Other	$51,543	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,619,788	TotalRevenueColumnAmt
Exclusion	$18,619,788	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INTERCOMPANY TRANSACTIONS	900099	$3,779,303	$3,779,303
LABORATORY SERVICES	621500	$3,157,372	$2,305,195	$852,177
CAFETERIA	722100	$1,208,272	$1,184,262	$24,010

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,088,835	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$95,923	UnrelatedBusinessRevenueAmt
Exclusion	$2,992,912	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,233,782	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$745,289,129	TotalRevenueColumnAmt
Related Or Exempt Func Income	$712,506,149	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,126,963	UnrelatedBusinessRevenueAmt
Exclusion	$30,547,315	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$170,852	TotalAmt
Program Services	$170,852	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$851,984	TotalAmt
Management And General	$851,984	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$188,178,618	TotalAmt
Program Services	$143,663,258	ProgramServicesAmt
Management And General	$44,515,360	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,661,997	TotalAmt
Program Services	$7,246,498	ProgramServicesAmt
Management And General	$2,415,499	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,023,389	TotalAmt
Program Services	$21,767,542	ProgramServicesAmt
Management And General	$7,255,847	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,264,084	TotalAmt
Program Services	$9,948,063	ProgramServicesAmt
Management And General	$3,316,021	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,662,796	TotalAmt
Management And General	$1,662,796	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Management And General	$5,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$104,126,271	TotalAmt
Program Services	$93,713,644	ProgramServicesAmt
Management And General	$10,412,627	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,766	TotalAmt
Management And General	$12,766	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,877,152	TotalAmt
Program Services	$14,765,714	ProgramServicesAmt
Management And General	$1,111,438	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$31,141,441	TotalAmt
Management And General	$31,141,441	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,658,737	TotalAmt
Program Services	$10,759,926	ProgramServicesAmt
Management And General	$1,898,811	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$565,544	TotalAmt
Program Services	$311,049	ProgramServicesAmt
Management And General	$254,495	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$53,455	TotalAmt
Program Services	$13,364	ProgramServicesAmt
Management And General	$40,091	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,081,369	TotalAmt
Program Services	$13,081,369	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$17,185,680	TotalAmt
Management And General	$17,185,680	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,335,687	TotalAmt
Program Services	$15,001,059	ProgramServicesAmt
Management And General	$18,334,628	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,949,651	TotalAmt
Program Services	$6,810,658	ProgramServicesAmt
Management And General	$138,993	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBTS	$88,974,983	$88,974,983
MEDICAL SUPPLIES	$147,308,078	$147,308,078
INTERCOMPANY ALLOCATIONS	$28,651,103	$28,651,103
PENALTIES, FINES, AND JUDGMENTS	$16,795,000		$16,795,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,046,189	TotalAmt
Program Services	$31,046,189	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$790,581,826	TotalAmt
Program Services	$633,233,349	ProgramServicesAmt
Management And General	$157,348,477	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,763,533	BOYAmt
EOY	$409,418	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$88,403,679	BOYAmt
EOY	$64,496,010	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$114,077,556	BOYAmt
EOY	$118,330,377	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$125,531	BOYAmt
EOY	$126,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,868,137	BOYAmt
EOY	$10,187,583	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$486,234	BOYAmt
EOY	$601,165	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$772,640,972	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$367,959,895	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$429,221,936	BOYAmt
EOY	$404,681,077	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,171,079	BOYAmt
EOY	$2,353,536	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$140,619,470	BOYAmt
EOY	$20,537,747	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,711,233	BOYAmt
EOY	$840,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$119,946,970	BOYAmt
EOY	$96,287,253	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$921,395,358	BOYAmt
EOY	$718,850,166	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$202,252,997	BOYAmt
EOY	$83,520,824	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,884,248	BOYAmt
EOY	$2,489,170	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$309,226,392	BOYAmt
EOY	$279,342,634	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$514,363,637	BOYAmt
EOY	$365,352,628	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$406,996,059	BOYAmt
EOY	$353,496,131	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,662	BOYAmt
EOY	$1,407	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$407,031,721	BOYAmt
EOY	$353,497,538	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$921,395,358	BOYAmt
EOY	$718,850,166	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$45,292,697	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,011,158	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$230,328	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$59,813	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$59,813	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i	FormAndLineReferenceDesc
Explanation	LINE 1F THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION $10,910 CATHOLIC HEALTH ASSOCIATION $3,769 KENTUCKY HOSPITAL ASSOCIATION $45,134	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,793,930	OtherCostOrOtherBasisAmt
Book Value	$16,793,930	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$472,886,254	OtherCostOrOtherBasisAmt
Depreciation	$162,634,721	DepreciationAmt
Book Value	$310,251,533	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,920,585	OtherCostOrOtherBasisAmt
Depreciation	$4,229,762	DepreciationAmt
Book Value	$690,823	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$268,954,286	OtherCostOrOtherBasisAmt
Depreciation	$199,604,685	DepreciationAmt
Book Value	$69,349,601	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,085,917	OtherCostOrOtherBasisAmt
Depreciation	$1,490,727	DepreciationAmt
Book Value	$7,595,190	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$404,681,077	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
YMCA	$500,000
EXECUFLEX	$182,566
CASH SURRENDER VALUE	$26,794
INTERCOMPANY RECEIVABLES	$94,967,859
INVESTMENTS IN UNCONSOLIDATED ORGANIZATIONS	$529,080
DEPOSITS	$80,954

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$96,287,253	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
INTERCOMPANY DEBT	$278,822,045
RENTAL DEPOSITS	$101
CHECK CLEARING	$216,914
SPECIAL PROGRAMS PAYABLE	$6,798
PROFESSIONAL STAFF FUND	$166,158
ENVIRONMENTAL REMDIATION	$113,726
340B PROGRAM	$15,669
CHARITY HEALTH MINISTRY	$1,223

Field	Value	IRS element (for citing)
Total Liability	$279,342,634	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	SAINT JOSEPH HEALTH SYSTEM, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2014, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."	ExplanationTxt

Schedule F IRS990ScheduleF

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	SUB-SAHARAN AFRICA	RegionTxt
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt
Non Cash Assistance	$79,572	NonCashAssistanceAmt
Description Of Non Cash Asst	HOSPITAL EQUIPMENT & SUPPLIES	DescriptionOfNonCashAsstTxt
Valuation Method Used	BOOK	ValuationMethodUsedDesc

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,426,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,007,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,419,048	NetCommunityBenefitExpnsAmt
Total Expense	0.02630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,617,840	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,108,427	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,509,413	NetCommunityBenefitExpnsAmt
Total Expense	0.02070	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$119,044,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,116,101	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,928,461	NetCommunityBenefitExpnsAmt
Total Expense	0.04700	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	79	ActivitiesOrProgramsCnt
Persons Served	28168	PersonsServedCnt
Total Community Benefit Expns	$1,561,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,544,426	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	677	PersonsServedCnt
Total Community Benefit Expns	$1,322,728	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,322,728	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$21,670	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	1248	PersonsServedCnt
Total Community Benefit Expns	$949,945	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$949,945	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	119	ActivitiesOrProgramsCnt
Persons Served	30093	PersonsServedCnt
Total Community Benefit Expns	$3,855,387	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,838,769	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	119	ActivitiesOrProgramsCnt
Persons Served	30093	PersonsServedCnt
Total Community Benefit Expns	$122,899,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,132,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,767,230	NetCommunityBenefitExpnsAmt
Total Expense	0.05250	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	16061	PersonsServedCnt
Total Community Benefit Expns	$42,632	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	121	PersonsServedCnt
Total Community Benefit Expns	$4,244	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,872	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,872	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	16182	PersonsServedCnt
Total Community Benefit Expns	$53,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,748	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$88,974,983	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$200,774,949	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$221,006,738	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,231,789	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	6	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (6 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
SAINT JOSEPH HOSPITAL
1	ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	WWW.KENTUCKYONEHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	A
SAINT JOSEPH - MOUNT STERLING
2	225 FALCON DRIVE	MOUNT STERLING	KY	40353	WWW.KENTUCKYONEHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	A
SAINT JOSEPH - MARTIN
3	11203 Main Street	MARTIN	KY	41649	WWW.KENTUCKYONEHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
SAINT JOSEPH EAST
4	150 NORTH EAGLE CREEK DRIVE	LEXINGTON	KY	40509	WWW.KENTUCKYONEHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	A
SAINT JOSEPH - LONDON
5	1001 ST JOSEPH LANE	LONDON	KY	40741	WWW.KENTUCKYONEHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	A
SAINT JOSEPH - BEREA
6	305 ESTILL STREET	BEREA	KY	40403	WWW.KENTUCKYONEHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.KENTUCKYONEHEALTH.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	false	FPGUsedDeterEligFreeCareInd
FPG Used Determ Elig Dscnt Care	false	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment	(1) A - SAINT JOSEPH HOSPITAL: SAINT JOSEPH HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT AND THE LEXINGTON-FAYETTE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COALITION. OVER 1,200 RESIDENTS PROVIDED INPUT THROUGH A COMMUNITY HEALTH SURVEY. ANOTHER 77 ADULTS PARTICIPATED IN THREE FOCUS GROUPS INTENDED TO IDENTIFY NEEDS IN MINORITY AND LOW-INCOME HOUSEHOLDS AND FIVE INDIVIDUALS WITH SPECIALIZED KNOWLEDGE PARTICIPATED IN KEY INFORMANT INTERVIEWS. IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. THIS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. THE HOSPITAL ENGAGED BKD, LLP TO ASSIST WITH COMPILING SECONDARY DATA AND PRIORITIZING IDENTIFIED HEALTH NEEDS. SUBSEQUENTLY, SAINT JOSEPH LEADERSHIP ENTERED INTO A DIALOGUE TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. ;
Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment	(1) A - SAINT JOSEPH HOSPITAL: HIGHLANDS REGIONAL MEDICAL CENTER CONTINUING CARE HOSPITAL;
Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment	(1) A - SAINT JOSEPH HOSPITAL: EXCESSIVE DRINKING, CHILDREN IN POVERTY AND CHILDREN IN SINGLE-PARENT HOUSEHOLDS WERE NOT ADDRESSED. SAINT JOSEPH HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT TEAM CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF SAINT JOSEPH HOSPITAL. THE FOLLOWING INCLUDE HOW SOME OF THE NEEDS IDENTIFIED IN THE ASSESSMENT ARE ADDRESSED BY OTHERS OR IN A DIFFERENT WAY. SUBSTANCE ABUSE TREATMENT SERVICES ARE OFFERED BY NUMEROUS ORGANIZATIONS WITHIN THE LEXINGTON, KENTUCKY AREA. A PARTIAL LISTING OF TREATMENT FACILITIES CAN BE FOUND AT: HTTP://ALCOHOLISM.ABOUT.COM/OD/TX_LEXINGTON/LEXINGTON_KENTUCKY_TREATMENT_CENTERS.HTM THE STATE OF KENTUCKY PROVIDES VARIOUS FORMS OF ASSISTANCE FOR CHILDREN LIVING IN POVERTY. INFORMATION ABOUT STATE PROGRAMS MAY BE FOUND AT CHFS.KY.GOV CHILDREN LIVING IN SINGLE-PARENT HOUSEHOLDS IS OUT OF SCOPE OF SERVICES THAT SAINT JOSEPH HOSPITAL CAN ADDRESS.;
Schedule H, Part V Sec B, Line 10, Used federal poverty guidelines (FPG) to determine eligibility	(1) A - SAINT JOSEPH HOSPITAL: THE HUD GUIDELINES WERE USED.;
Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care	(1) A - SAINT JOSEPH HOSPITAL: THE HUD GUIDELINES WERE USED.;

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
SAINT JOSEPH OUTPATIENT CARE CENTER - TATES CREEK
1099 Duval Street	LEXINGTON	KY	405156490	OUTPATIENT IMAGING CENTER
ST JOSEPH RADIATIONMEDICAL ONCOLOGY
701 Bob-O-Link Drive	LEXINGTON	KY	40504	OUTPATIENT CANCER CARE CENTER
ST JOSEPH RADIATIONMEDICAL ONCOLOGY
3470 Blazer Parkway	LEXINGTON	KY	40509	OUTPATIENT CANCER CARE CENTER
SAINT JOSEPH OUTPATIENT CARE CENTER RICHMOND
103 Alycia Drive	RICHMOND	KY	40475	OUTPATIENT IMAGING CENTER
COMMONWEALTH CANCER CENTER - LONDON
165 London Mountain View Drive	LONDON	KY	40741	OUTPATIENT CANCER CARE CENTER
COMMONWEALTH CANCER CENTER - CORBIN
1 Trillium Way	CORBIN	KY	40701	OUTPATIENT CANCER CARE CENTER
SAINT JOSEPH JESSAMINE
1250 KEENE ROAD	NICHOLASVILLE	KY	40356	AMBULATORY CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO SAINT JOSEPH HEALTH SYSTEM) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. SAINT JOSEPH HEALTH SYSTEM BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES.
SCHEDULE H, PART I, LINE 6A, COMMUNITY BENEFIT REPORT	SAINT JOSEPH HEALTH SYSTEM, INC. DOES NOT PREPARE ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. HOWEVER, ITS COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT OF A RELATED ORGANIZATION; KENTUCKYONE HEALTH, INC., EIN: 61-1029769
Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING WORKSHEET 2 TO COMPUTE THE COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. WORKSHEET 2 WAS UTILIZED TO COMPUTE THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/14 USING THE FOLLOWING FORMULA: OPERATING EXPENSE (LESS NON-PATIENT CARE ACTIVITIES, MEDICARE PROVIDER TAXES, COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING EXPENSE) DIVIDED BY GROSS PATIENT REVENUE (LESS GROSS CHARGES FOR COMMUNITY BENEFIT PROGRAMS). BASED ON THAT FORMULA, $587,176,501/$1,890,798,350 RESULTS IN A 31.05% COST-TO-CHARGE RATIO.
Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation	88,974,983
Schedule H, Part I, Line 7g, Subsidized Health Services	INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THE FOLLOWING PHYSICIAN CLINICS: ST. JOSEPH PRIMARY CARE ST. ELIZABETH CLINIC ST. JOSEPH PRIMARY CARE CLINIC
Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount	COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 31.05%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Schedule H, Part III, Line 3, Bad Debt Expense Methodology	SAINT JOSEPH HEALTH SYSTEM DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote	SAINT JOSEPH HEALTH SYSTEM DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs	USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. SAINT JOSEPH HEALTH SYSTEM'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. SAINT JOSEPH MARTIN AND SAINT JOSEPH BEREA ARE TWO HOSPITALS WITHIN SAINT JOSEPH HEALTH SYSTEM THAT ARE DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES, SAINT JOSEPH MARTIN AND SAINT JOSEPH BEREA, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, SAINT JOSEPH MARTIN AND SAINT JOSEPH BEREA WILL TYPICALLY NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $200,774,949 TOTAL MEDICARE COSTS: $221,006,738 SURPLUS OR SHORTFALL $(20,231,789) SAINT JOSEPH HEALTH SYSTEM BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance	ST. JOSEPH HEALTH SYSTEM'S DEBT COLLECTION POLICY PROVIDES THAT ST. JOSEPH HEALTH SYSTEM WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH ST. JOSEPH HEALTH SYSTEM'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE ST. JOSEPH HEALTH SYSTEM COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO ST. JOSEPH HEALTH SYSTEM FOR APPROPRIATE FOLLOW-UP. ST. JOSEPH HEALTH SYSTEM REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
SCHEDULE H, PART VI, LINES 2, 4 AND 5	SAINT JOSEPH HEALTH SYSTEM, INC. COMMUNITY BENEFIT NARRATIVE FYE 2014 ORGANIZATION'S MISSION, VISION & TAX-EXEMPT PURPOSE IN 2012, KENTUCKYONE HEALTH, INC. WAS FORMED WHEN TWO MAJOR KENTUCKY HEALTHCARE ORGANIZATIONS, SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) AND JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, CAME TOGETHER TO WORK FOR A HEALTHIER KENTUCKY. THE NONPROFIT SYSTEM IS COMMITTED TO IMPROVING THE HEALTH OF KENTUCKIANS BY INTEGRATING MEDICAL RESEARCH, EDUCATION, TECHNOLOGY AND HEALTH CARE SERVICES WHEREVER PATIENTS RECEIVE CARE. KENTUCKYONE HEALTH, INC. IS THE LARGEST HEALTH SYSTEM IN KENTUCKY WITH MORE THAN 200 LOCATIONS INCLUDING HOSPITALS, OUTPATIENT FACILITIES AND PHYSICIAN OFFICES, AND MORE THAN 3,100 LICENSED BEDS. A 20-MEMBER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, INC., ITS FACILITIES AND OPERATIONS, WITH THIS MISSION: OUR IDENTITY: WE ARE A COMPREHENSIVE HEALTH SYSTEM STRENGTHENED BY OUR CATHOLIC, JEWISH AND ACADEMIC HERITAGES AND INSPIRED BY OUR SHARED VALUES. OUR PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED. OUR FUTURE: TO TRANSFORM THE HEALTH CARE COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING. KENTUCKYONE HEALTH'S VISION IS TO TRANSFORM THE HEALTH CARE COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING. THE FOCUS OF THIS NARRATIVE IS ON SJHS. THE LEGACY OF SJHS BEGAN MORE THAN 130 YEARS AGO WITH THE SISTER OF CHARITY OF NAZARETH AND SISTERS OF DIVINE PROVIDENCE. THE HEART AND SOUL OF THE FOUNDING WOMEN WAS THEIR COMMITMENT TO COMMUNITY OUTREACH TO THE POOR AND UNDERSERVED. THIS TRADITION CONTINUES TODAY AT THE FACILITIES IN SJHS. THEY INCLUDE SAINT JOSEPH LEXINGTON (SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, AND SAINT JOSEPH JESSAMINE RJ CORMAN AMBULATORY CARE CENTER), SAINT JOSEPH LONDON, SAINT JOSEPH MARTIN, SAINT JOSEPH MOUNT STERLING, SAINT JOSEPH BEREA AND FLAGET MEMORIAL HOSPITAL. FOR TAX REPORTING PURPOSES, FLAGET MEMORIAL HOSPITAL HAS A SEPARATE TAX IDENTIFICATION NUMBER AND WILL NOT BE INCLUDED IN THIS NARRATIVE. ORGANIZATION DESCRIPTION SAINT JOSEPH FACILITIES IN THE LEXINGTON REGION SAINT JOSEPH HOSPITAL (SJH), FOUNDED IN 1877, HAS GROWN INTO A 433-BED MEDICAL CENTER, WITH A FULL RANGE OF SERVICES, INCLUDING THE NATIONAL AWARD-WINNING "HTTP://WWW.SJHLEX.ORG/HOSPITAL-HEART-INSTITUTE" HEART INSTITUTE, LEADING EDGE "HTTP://WWW.SJHLEX.ORG/HOSPITAL-DA-VINCI" DA VINCI ROBOTIC SURGERY, AND AIRO MOBILE INTRAOPERATIVE CT. THE LEGACY OF SAINT JOSEPH HOSPITAL BEGAN MORE THAN 130 YEARS AGO WITH THE SISTER OF CHARITY OF NAZARETH. THE HEART AND SOUL OF THE FOUNDING WOMEN WAS THEIR COMMITMENT TO COMMUNITY OUTREACH TO THE POOR AND UNDERSERVED. THIS TRADITION CONTINUES TODAY. ALSO KNOWN AS LEXINGTON'S HEART HOSPITAL, SAINT JOSEPH HAS PIONEERED MANY FIRSTS IN THE HEALTH CARE COMMUNITY. THE HEART INSTITUTE AT SAINT JOSEPH HOSPITAL IS CENTRAL KENTUCKY'S PIONEERING HEART AND VASCULAR CARE CENTER. IT IS HOME TO AN INNOVATIVE NEW CARDIAC CATHETERIZATION LAB, ELECTROPHYSIOLOGY LAB AND THE FIRST FULLY ACCREDITED NONINVASIVE SERVICES DEPARTMENT INCLUDING BOTH ADULT ECHOCARDIOGRAPHY AND VASCULAR ULTRASOUND TESTING IN A PRIVATE HOSPITAL, DEMONSTRATING OUR COMMITMENT TO THE LATEST IN STATE-OF-THE-ART TECHNOLOGY. THE INSTITUTE'S PRIMARY FOCUS IS THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF PATIENTS WITH HEART AND VASCULAR DISEASE. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF SAINT JOSEPH HOSPITAL'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE A HEALTHY COMMUNITY. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF SAINT JOSEPH HOSPITAL DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON GOVERNMENT-SUPPORTED INSTITUTION. SAINT JOSEPH HOSPITAL IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH HOSPITAL, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH EAST SAINT JOSEPH EAST, A COMMUNITY HOSPITAL WITH 217 BEDS, IS LOCATED IN THE RAPIDLY GROWING SOUTHEASTERN PART OF LEXINGTON. SAINT JOSEPH EAST COMPLEMENTS SAINT JOSEPH HOSPITAL'S HEALTH CARE MISSION THROUGH MULTIPLE SERVICES AND SPECIALTIES. AT SAINT JOSEPH EAST, MATERNAL AND CHILDCARE, CARDIOVASCULAR SERVICES, AMBULATORY SURGERY AND 24-HOUR EMERGENCY CARE ARE SUPPORTED THROUGH TRADITIONAL INPATIENT AND OUTPATIENT PROGRAMS. ADDITIONAL SPECIALTY SERVICES INCLUDE THE HEART INSTITUTE, BREAST CENTER, SLEEP WELLNESS CENTER AND THE CENTER FOR WEIGHT LOSS SURGERY. THE WOMEN'S HOSPITAL AT SAINT JOSEPH EAST IS THE ONLY HOSPITAL OF ITS KIND IN LEXINGTON AND CENTRAL KENTUCKY DEDICATED EXCLUSIVELY TO THE HEALTH AND WELL-BEING OF WOMEN. THE WOMEN'S HOSPITAL OFFERS A FULL RANGE OF SERVICES TO MEET THE NEEDS OF EVERY WOMAN NO MATTER WHAT STAGE OF LIFE THEY ARE IN-FROM ADOLESCENCE TO MATURE ADULTHOOD. SAINT JOSEPH EAST IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH EAST, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH BEREA SAINT JOSEPH BEREA, FORMERLY BEREA HOSPITAL, BEGAN IN 1898, AS AN EIGHT-BED COTTAGE ON THE BEREA COLLEGE CAMPUS IN BEREA, KENTUCKY. NOW A 25-BED FACILITY, SAINT JOSEPH - BEREA PROVIDES HEALTH CARE TO RESIDENTS IN MADISON, JACKSON, ROCKCASTLE AND GARRARD COUNTIES. BEREA IS LOCATED IN MADISON COUNTY AND ACCORDING TO THE 2012 COUNTY HEALTH RANKINGS; IT IS THE 20TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ON APRIL1, 2003, BEREA HOSPITAL JOINED CATHOLIC HEALTH INITIATIVES. IN NOVEMBER OF 2005, THE HOSPITAL CONSOLIDATED WITH SAINT JOSEPH HEALTHCARE KENTUCKY (BECOMING SAINT JOSEPH HEALTH SYSTEM IN LEXINGTON IN 2007), TAKING A NEW NAME - SAINT JOSEPH BEREA. AND, IN DECEMBER 2011, SAINT JOSEPH HEALTH SYSTEM BECAME PART OF KENTUCKYONE HEALTH. SAINT JOSEPH BEREA CONTINUES TO BRING QUALITY HEALTH CARE TO THE APPALACHIAN COMMUNITIES THAT IT SERVES REGARDLESS OF THEIR RACE, CREED OR ABILITY TO PAY. SAINT JOSEPH BEREA IS A CRITICAL ACCESS HOSPITAL, WHICH SERVES OVER 19,000 FAMILIES. THE HOSPITAL IS KNOWN FOR PROVIDING EXCELLENCE OF CARE WHILE UTILIZING ADVANCED MEDICAL TECHNOLOGY IN A FRIENDLY, FAMILY-LIKE ATMOSPHERE. COMPETENCE, COMMITMENT AND DEDICATION ARE THE HALLMARKS OF SAINT JOSEPH BEREA. WITH A FULL COMPLEMENT OF INPATIENT AND OUTPATIENT SERVICES, SAINT JOSEPH BEREA IS COMMITTED TO PROVIDING THE HIGHEST QUALITY OF CARE AT A REASONABLE COST IN A PERSONAL AND COMPASSIONATE FAMILY-ORIENTED ENVIRONMENT. THROUGH PROVISION OF A BROAD RANGE OF HOSPITAL AND COMMUNITY SERVICES SAINT JOSEPH BEREA WORKS WITH AN EXTENSIVE MEDICAL STAFF OF PRIMARY CARE PHYSICIANS AND SPECIALISTS TO DELIVER SERVICES AND PROGRAMS THAT EMBRACE SUPERIOR VALUE AND INTEGRITY. SERVICES INCLUDE A FULLY STAFFED 24 HOUR EMERGENCY DEPARTMENT THAT TREATS MORE THAN 22,000 PATIENTS A YEAR AND HAS A 24/7 SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. SERVICES ALSO INCLUDE ACUTE AND INTENSIVE CARE; GENERAL SURGERY; OUTPATIENT SURGICAL SERVICES; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY; DIABETES TREATMENT; DIAGNOSTIC SERVICES INCLUDING MRI, RADIOLOGY AND NUCLEAR MEDICINE; OUTPATIENT LABORATORY; CARDIOPULMONARY SERVICES, AND ONCOLOGY SERVICES. SPECIALTY CLINICS INCLUDE SERVICES IN CARDIOLOGY, GYNECOLOGY, NEUROLOGY, PSYCHOLOGY, ORTHOPEDICS, ONCOLOGY, OPHTHALMOLOGY, PULMONARY, ENT/HEARING TESTS, PODIATRY AND CARDIOTHORACIC SURGERY. SPECIAL DEPARTMENTS OF THE HOSPITAL ARE BEREA FAMILY MEDICINE (A DESIGNATED RURAL HEALTH CARE CLINIC), BREAST CENTER, BEREA SPECIALTY CLINIC, DIABETES AND NUTRITION CENTER, CARDIOVASCULAR SERVICES THROUGH THE SAINT JOSEPH BEREA HEART INSTITUTE, SENIOR RENEWAL CENTER, SLEEP WELLNESS CENTER, SURGICAL SERVICES, PAIN MANAGEMENT CLINIC, MEDWORKS AND WOUND CARE CENTER. (CONTINUED)
SCHEDULE H, PART VI, LINES 2, 4 AND 5	COMMUNITY INVOLVEMENT AND PARTNERSHIPS ARE VERY IMPORTANT TO SAINT JOSEPH BEREA. THE HOSPITAL HAS A CLOSE RELATIONSHIP WITH THE MADISON COUNTY HEALTH DEPARTMENT, LOCAL GOVERNMENT, BUSINESSES, CIVIC ORGANIZATIONS, EDUCATIONAL SYSTEMS AND COMMUNITY AGENCIES. SAINT JOSEPH BEREA IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH BEREA, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH LONDON IN JULY OF 1946 THE SISTERS OF CHARITY OF NAZARETH, KENTUCKY PURCHASED WHAT WAS THEN CALLED PENNINGTON GENERAL HOSPITAL IN LONDON, KENTUCKY AND ASSUMED ITS LEADERSHIP. RENAMED MARYMOUNT - OUR LADY OF THE MOUNTAIN, THE MISSION OF THE SISTERS WAS TO EXTEND THE HEALING MINISTRY OF CHRIST BRINGING QUALITY HEALTH CARE TO THE POOR AND UNDERSERVED OF RURAL KENTUCKY. IN 1997 MARYMOUNT ALONG WITH SEVEN OTHER KENTUCKY FACILITIES, BECAME PART OF CATHOLIC HEALTH INITIATIVES (CHI) AND IN 2008 THOSE SAME EIGHT FACILITIES FORMED SAINT JOSEPH HEALTH SYSTEM. AT THAT TIME THE HOSPITAL NAME WAS CHANGED TO SAINT JOSEPH - LONDON. SAINT JOSEPH LONDON BECAME PART OF KENTUCKYONE HEALTH IN JANUARY 2012. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH LONDON, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH MARTIN IN SEPTEMBER 1947, THREE COURAGEOUS SISTERS OF DIVINE PROVIDENCE OF MELBOURNE, KENTUCKY ASSUMED OWNERSHIP OF A 30 BED HOSPITAL NAMED MARTIN GENERAL HOSPITAL. THE HOSPITAL'S NAME WAS CHANGED TO OUR LADY OF THE WAY HOSPITAL. IN JANUARY 2008, OUR LADY OF THE WAY HOSPITAL BECAME PART OF SAINT JOSEPH HEALTH SYSTEM AND IS PRESENTLY NAMED SAINT JOSEPH MARTIN (SJM). SAINT JOSEPH MARTIN IS A NON-PROFIT CRITICAL ACCESS HOSPITAL (CAH) LOCATED IN MARTIN, KENTUCKY. SAINT JOSEPH MARTIN IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH MARTIN, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH MOUNT STERLING FORMERLY KNOWN AS MARY CHILES HOSPITAL, SAINT JOSEPH MOUNT STERLING (SJMS) IS LICENSED FOR 42 ACUTE CARE BEDS. FROM ITS BEGINNING IN 1921, THE HOSPITAL HAS BEEN COMMITTED TO SERVING THE PEOPLE. ON JUNE 16, 2011, SJMS MOVED TO ITS NEW FACILITY. SAINT JOSEPH MOUNT STERLING OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. SAINT JOSEPH MOUNT STERLING HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. SAINT JOSEPH MOUNT STERLING IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH MOUNT STERLING, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. OUR PURPOSE COMMUNITY BENEFIT APPROACH SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST ARE LOCATED IN FAYETTE COUNTY IN LEXINGTON, KENTUCKY. AS OF 2013, THE LEXINGTON-FAYETTE COUNTY METRO AREA HAS A POPULATION OF 308,428. THE LEXINGTON-FAYETTE METRO AREA IS HOME TO SIX COUNTIES: CLARK, FAYETTE, JESSAMINE, BOURBON, WOODFORD AND SCOTT. ACCORDING TO THE 2012 U. S. CENSUS BUREAU, 78.8% OF THE POPULATION IN FAYETTE COUNTY IS WHITE, 14.9% IS BLACK OR AFRICAN AMERICAN AND 7.0% ARE HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $48,398, ABOVE THE STATE'S MEDIAN INCOME OF $41,086. IN ADDITION, 17.7% OF FAMILIES IN FAYETTE COUNTY LIVE BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE IN FAYETTE COUNTY IS 6.3%. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST HAVE BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAVE BEEN LEADERS IN LOOKING AT AREA HEALTH ISSUES, SET PRIORITIES AND PLANS FOR IMPROVEMENT. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST CONTINUE OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH COLLABORATIONS TODAY. SAINT JOSEPH BEREA SAINT JOSEPH BEREA IS LOCATED IN MADISON COUNTY IN BEREA, KENTUCKY. SAINT JOSEPH BEREA IS ONLY 40 MILES SOUTH OF LEXINGTON, KENTUCKY AND 15 MILES FROM RICHMOND, KENTUCKY. SAINT JOSEPH BEREA SERVES PATIENTS FROM MADISON, ROCKCASTLE, GARRARD, AND JACKSON COUNTIES, ALTHOUGH OVER 63% OF THE DISCHARGES ORIGINATE IN MADISON COUNTY. ALL FOUR OF THE COUNTIES HAVE PERCENTAGES OF POPULATION IN POVERTY AND UNEMPLOYMENT RATES THAT ARE UNFAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES. ACCORDING TO THE 2013 U.S. CENSUS BUREAU, MADISON COUNTY'S POPULATION WAS 85,590. OF THE POPULATION IN MADISON COUNTY, 92% OF THE POPULATION IS WHITE, 4.3% IS BLACK OR AFRICAN AMERICAN AND 2.2% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $42,312, SLIGHTLY ABOVE THE STATE'S MEDIAN INCOME OF $41,086 AND BELOW THE NATION'S INCOME OF $52,762. IN ADDITION, 22.3% OF MADISON COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. THE 2013 UNITED STATES DEPARTMENT OF LABOR DATA REPORTS UNEMPLOYMENT IN MADISON COUNTY TO BE 8.6%. ABOUT ONE QUARTER OF THE COMMUNITY WHO IS BELOW THE POVERTY LEVEL IS UNINSURED AND WITHOUT A MEANS TO PAY FOR MANY OF THEIR MEDICAL EXPENSES. SAINT JOSEPH LONDON SAINT JOSEPH LONDON IS LOCATED IN LAUREL COUNTY IN LONDON, KENTUCKY. LAUREL COUNTY IS A FAIRLY RURAL COMMUNITY IN KENTUCKY. SAINT JOSEPH LONDON SERVES PATIENTS FROM LAUREL, WHITLEY, CLAY, JACKSON AND KNOX COUNTIES; HOWEVER 50.42% OF THE DISCHARGES ORIGINATE IN LAUREL COUNTY. AS OF THE 2013 U.S. CENSUS BUREAU, LAUREL COUNTY'S POPULATION WAS 59,563. OF THE POPULATION IN LAUREL COUNTY, 97.2% OF THE POPULATION IS WHITE, 0.9% IS BLACK OR AFRICAN AMERICAN AND 1.3% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $36,570, BELOW THE STATE'S MEDIAN INCOME OF $41,086 AND WELL BELOW THE NATION'S INCOME OF $52,762. IN ADDITION, 20.7% OF LAUREL COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. THE 2013 UNITED STATES DEPARTMENT OF LABOR DATA REPORT UNEMPLOYMENT IN LAUREL COUNTY TO BE 9.5%. SAINT JOSEPH MARTIN SAINT JOSEPH MARTIN IS LOCATED IN FLOYD COUNTY - EASTERN PART OF KENTUCKY. IN 2013, THE POPULATION OF FLOYD COUNTY WAS 38,728 AND THERE ARE ROUGHLY 634 INDIVIDUALS RESIDING IN THE CITY OF MARTIN. OF THE 38,728 INDIVIDUALS LIVING IN FLOYD COUNTY, 98.3% OF THEM ARE WHITE. THE POVERTY RATE (33.1%) IS SIGNIFICANTLY HIGHER THAN THE NATIONAL RATE OF 11% AND THE MEDIAN HOUSEHOLD INCOME ($30,476) IS ALSO LOWER THAN THE NATIONAL AVERAGE ($52,762). SAINT JOSEPH MARTIN HAS BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAS BEEN A LEADER IN LOOKING AT AREA HEALTH ISSUES, SET PRIORITIES AND PLANS FOR IMPROVEMENT. SAINT JOSEPH MARTIN CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH COLLABORATIONS TODAY. (CONTINUED)
SCHEDULE H, PART VI, LINES 2, 4 AND 5	SAINT JOSEPH MOUNT STERLING SAINT JOSEPH MOUNT STERLING IS LOCATED IN MONTGOMERY COUNTY IN MOUNT STERLING, KENTUCKY. SAINT JOSEPH MOUNT STERLING'S PRIMARY SERVICE AREAS INCLUDE BATH, MENIFEE, MONTGOMERY, AND POWELL COUNTIES, ALTHOUGH 53% OF THE PATIENTS COME FROM MONTGOMERY COUNTY. AS OF 2013 U.S. CENSUS BUREAU, MONTGOMERY COUNTY'S POPULATION WAS 27,251. OF THE POPULATION IN MONTGOMERY COUNTY, 95.3% OF THE POPULATION IS WHITE, 3% IS BLACK OR AFRICAN AMERICAN AND 2.7% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $37,512, BELOW THE STATE'S MEDIAN INCOME OF $41,086 AND WELL BELOW THE NATION'S INCOME OF $52,762. IN ADDITION, 23.5% OF MONTGOMERY COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE IN MONTGOMERY COUNTY IS ESTIMATED TO BE 8.3%. PROCESS SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST'S COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITIES' NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT AND THE LEXINGTON-FAYETTE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COALITION. OVER 1,200 RESIDENTS PROVIDED INPUT THROUGH A COMMUNITY HEALTH SURVEY. ANOTHER 77 ADULTS PARTICIPATED IN THREE FOCUS GROUPS INTENDED TO IDENTIFY NEEDS IN MINORITY AND LOW-INCOME HOUSEHOLDS AND FIVE INDIVIDUALS WITH SPECIALIZED KNOWLEDGE PARTICIPATED IN KEY INFORMANT INTERVIEWS. IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. THIS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. SUBSEQUENTLY, SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST LEADERSHIP ENTERED INTO A DIALOGUE TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS, A RANKING AND PRIORITIZATION PROCESS WAS USED. HEALTH NEEDS WERE RANKED BASED ON THE FOLLOWING SEVEN FACTORS. EACH FACTOR RECEIVED A SCORE BETWEEN 0 AND 4. 1) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE? FOR THIS FACTOR RATINGS WERE BASED ON THE PERCENTAGE OF THE COMMUNITY WHO ARE IMPACTED BY THE IDENTIFIED NEED. THE FOLLOWING SCALE WAS UTILIZED FOR HEALTH OUTCOMES AND FACTORS: GREATER THAN 20% OF THE COMMUNITY POPULATION=4; GREATER THAN 10% AND LESS THAN 20%=3; GREATER THAN 5% AND LESS THAN 10%=2 AND LESS THAN 5%=1. CHRONIC DISEASES WERE RATED BASED ON STATE RANKING FOR INCIDENCE OF THE DISEASE. A FACTOR OF 1-4 WAS ASSIGNED BASED ON WHICH QUARTILE THE STATE WAS REPORTED. 2) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM? IDENTIFIED HEALTH NEEDS WHICH HAVE A HIGH DEATH RATE OR HAVE A HIGH IMPACT ON CHRONIC DISEASES RECEIVED A HIGHER RATING FOR THIS FACTOR. 3) THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS. NEEDS ASSOCIATED WITH VULNERABLE POPULATIONS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WERE RATED FOR THIS FACTOR. 4) HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY. NEEDS IDENTIFIED THROUGH COMMUNITY SURVEYS AND/OR FOCUS GROUPS. 5) PREVALENCE OF COMMON THEMES. DETERMINED BY HOW MANY SOURCES OF DATA (LEADING CAUSES OF DEATH, PRIMARY CAUSES FOR INPATIENT HOSPITALIZATION, HEALTH OUTCOMES AND FACTORS AND PRIMARY DATA) IDENTIFIED THE NEED. 6) HOW CLOSELY DOES THE NEED ALIGN WITH KENTUCKYONE HEALTH STRATEGIES? 7) DOES THE HOSPITAL HAVE EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED?
SCHEDULE H, PART VI, LINES 2, 4 AND 5	SAINT JOSEPH BEREA SAINT JOSEPH BEREA COLLABORATED WITH THE MADISON COUNTY HEALTH DEPARTMENT, THE KENTUCKY HOSPITAL ASSOCIATION AND LOCAL COMMUNITY GROUPS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AN ADVISORY COMMITTEE CONSISTING OF REPRESENTATIVES FROM THE MADISON COUNTY HEALTH DEPARTMENT, BEREA COLLEGE, SENIOR CITIZENS, HEAD START, UNION CHURCH, ST. CLARE'S CATHOLIC CHURCH, MADISON COUNTY SCHOOLS, BEREA POLICE DEPARTMENT, WHITE HOUSE CLINIC AND HOSPITAL LEADERSHIP AND STAFF BEGAN MEETING IN JANUARY 2012 TO DECIDE HOW THE ASSESSMENT WOULD BE CONDUCTED AND WHAT IT WOULD CONSIST OF. ONCE THE PRIMARY SERVICE AREA WAS DETERMINED A SURVEY WAS SENT TO RANDOM HOUSEHOLDS INVITING INDIVIDUALS TO COMPLETE AND RETURN TO SAINT JOSEPH BEREA. THE SURVEY COVERED A BROAD RANGE OF TOPICS FROM ACCESS TO HEALTH CARE TO PERCEPTION ABOUT THE MOST PRESSING HEALTH CARE NEEDS AND RECOMMENDATIONS. THE SURVEY WAS ALSO AVAILABLE ONLINE. IT WAS AVAILABLE IN ENGLISH AND SPANISH. THE SURVEY WAS CONDUCTED FROM SEPTEMBER 1 - NOVEMBER 9, 2012. THERE WERE A TOTAL OF 949 RESPONDENTS. NO ONE RESPONDED IN SPANISH. 74% WERE FROM MADISON COUNTY: 43% OF WHICH WERE FROM BEREA AND 29% FROM RICHMOND, 8% FROM JACKSON COUNTY, 6% FROM ROCKCASTLE COUNTY AND 6% FROM GARRARD COUNTY. THE MAJORITY OF THE RESPONDENTS WERE FEMALE (67%). THE MOST RESPONSES WERE FROM THE 65+ (31%) AGE GROUP; SECOND, 40-54 (26%); THIRD WAS 55-64 (25%) AND THE UNDER 26 GROUPS WERE 18%. THE MAJORITY OF RESPONDENTS WERE CAUCASIAN (96%). ONLY 3% WERE AFRICAN AMERICAN; 1% WAS NATIVE AMERICAN; LESS THAN 1% WAS HISPANIC; 1% WAS OF OTHER ETHNICITIES. THE INFORMATION ON RACE CLOSELY CORRESPONDS TO THAT OF MADISON COUNTY (2011 MCCHIP). SIX FOCUS GROUPS WERE CONDUCTED WITH DIFFERENT COMMUNITY GROUPS TO SEEK THEIR INPUT ON THE HEALTH CARE NEEDS OF THE COMMUNITY. SENIOR CITIZEN ADVISORY GROUP BEREA HEAD START CENTER WITH PARENTS AND ADMINISTRATOR SHANNON JOHNSON ELEMENTARY TEACHERS SAINT JOSEPH BEREA EMPLOYEES/VOLUNTEERS FIRST RESPONDERS GROUP WITH EMS, FIRE AND POLICE DEPARTMENTS FARRISTOWN BAPTIST CHURCH EVENT WITH COMMUNITY MEMBERS THERE WAS A TOTAL OF 61 PARTICIPANTS PLUS FACILITATORS. THE FOCUS GROUPS WERE HELD FROM OCTOBER 3 THROUGH NOVEMBER 16.THE GROUPS REPRESENTED A BROAD SPECTRUM OF THE COMMUNITY INCLUDING AFRICAN AMERICAN, BUSINESS, FIRST RESPONDERS, RELIGIOUS COMMUNITY, EDUCATION, LOWER INCOME, VARIOUS AGE GROUPS, CAREGIVERS AND THOSE WITH MEDICAL NEEDS. SIX INTERVIEWS WERE CONDUCTED WITH PHYSICIANS, COMMUNITY LEADERS, BUSINESS AND COMMUNITY MEMBERS. WE THOUGHT THIS WOULD BE A MORE PERSONAL APPROACH. THE RESPONSES WERE SIMILAR TO THE FOCUS GROUPS BUT WITH A LITTLE MORE DETAIL. IN ADDITION, SECONDARY DATA FROM LOCAL, STATE AND FEDERAL SOURCES WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES FROM INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. IDENTIFIED NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. BY A COMMUNITY ADVISORY GROUP AND GIVEN TO THE HOSPITAL STEERING COMMITTEE FOR REVIEW. ONCE THE PRIMARY HEALTH ISSUES IN THE COMMUNITY WERE IDENTIFIED, SAINT JOSEPH BEREA WENT THROUGH THE PROCESS OF GROUPING AND IDENTIFYING THE HEALTH PRIORITIES TO BE ADDRESSED. SAINT JOSEPH LONDON SAINT JOSEPH LONDON IN COLLABORATION WITH THE LAUREL COUNTY HEALTH DEPARTMENT ENGAGED COMMUNITY LEADERSHIP FROM LOCAL AGENCIES, CHURCH GROUPS, RETIRED PROFESSIONALS, MINORITIES AND INTERESTED CITIZENS TO FORM A HEALTH NEEDS COALITION THAT WOULD GUIDE THE OVERALL PROCESS. THE OBJECTIVES OF THE COALITION WERE TO: L. DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TOOL; 2. IDENTIFY COMMUNITY HEALTH NEEDS; 3. DETERMINE THE PRIORITY HEALTH NEEDS; 4. DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN BASED ON THE IDENTIFIED NEEDS. THROUGH THIS PARTNERSHIP A SURVEY WAS DEVELOPED WITH HELP FROM MEMBERS OF THE COALITION AND DISTRIBUTED WITHIN LAUREL COUNTY IN JUNE AND JULY OF 2012. OVER 1,800 COMPLETED SURVEYS WERE RETURNED THAT PROVIDED BOTH DATA AND INSIGHT INTO INDIVIDUAL'S HEALTH ISSUES. TWO FOCUS GROUPS WERE HELD WITH IDENTIFIED GROUPS; PARTICIPANTS IN AN EMPLOYER WELLNESS PROGRAM FOR DIABETICS (WHO COMPRISE 15% OF THE COMMUNITY) AND A YOUNG ADULT GROUP FOCUSED ON PERCEIVED HEALTH NEEDS OF THE COMMUNITY. THE QUESTIONS PRESENTED TO THESE GROUPS WERE FOCUSED ON HEALTHCARE ISSUES AND HOW THE HOSPITAL MIGHT ASSIST THE COMMUNITY WITH IDENTIFIED ISSUES. THIS DATA WAS REVIEWED AND ANALYZED TO IDENTIFY AND PRIORITIZE HEALTH NEEDS. COUNTY, STATE AND NATIONAL DATA ALSO AIDED IN IDENTIFYING VULNERABLE POPULATIONS FOR CONSIDERATION IN THE PLANNING AND PRIORITIZATION PROCESS. THE POPULATIONS IDENTIFIED WERE: 1. THE UNINSURED, 2. THOSE WITH CHRONIC DISEASE, 3. CHILDREN IMPACTED BY DRUG ABUSE, 4. THOSE SUFFERING FROM MENTAL ILLNESS/ADDICTIONS. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) THE PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. SAINT JOSEPH MARTIN SAINT JOSEPH MARTIN AND HIGHLANDS REGIONAL MEDICAL CENTER JOINED TOGETHER TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT COMPLIES WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ENACTED IN 2010. SAINT JOSEPH MARTIN AND HIGHLANDS REGIONAL MEDICAL CENTER CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) TO ASSIST IN THE PROCESS. ALSO INPUT WAS SOLICITED FROM THE FOLLOWING ORGANIZATIONS TO ASSURE THAT "ALL" PEOPLE WERE REPRESENTED PARTICULARLY THE MOST VULNERABLE: BIG SANDY AREA DEVELOPMENT DISTRICT; MARTIN COUNTY HEALTH DEPARTMENT; FLOYD COUNTY HEALTH DEPARTMENT; JOHNSON COUNTY HEALTH DEPARTMENT; MAGOFFIN COUNTY HEALTH DEPARTMENT; SANDY VALLEY ABUSE SHELTER; BIG SANDY HEALTH CARE - A FEDERALLY QUALIFIED HEALTH CENTER; OPERATION UNITE; SALYERSVILLE NURSING AND REHAB CENTER; MOUNTAIN COMPREHENSIVE CARE CENTER; FLOYD COUNTY SENIOR CITIZENS' CENTERS; AND, COMMUNITY MEMBERS. PRIMARY DATA, SECONDARY DATA, SURVEYS, FOCUS GROUPS AND SUPPLEMENTAL DATA WAS GATHERED TO ASSURE THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS EXTENSIVE AND INCLUDED INPUT FROM THE VOICES OF THE MOST VULNERABLE. TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS, A RANKING AND PRIORITIZATION PROCESS WAS USED BASED ON SIX FACTORS: 1) THE ABILITY OF SAINT JOSEPH MARTIN TO EVALUATE AND MEASURE OUTCOMES. 2) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE? 3) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM? 4) PREVALENCE OF COMMON THEMES. 5) HOW CLOSELY DOES THE NEED ALIGN WITH KENTUCKYONE HEALTH STRATEGIES? 6) DOES THE HOSPITAL HAVE EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED? SAINT JOSEPH MARTIN WILL CONTINUE TO WORK WITH THE COMMUNITY TO EXECUTE THE IMPLEMENTATION PLAN AND REALIZE THE GOALS THAT HAVE BEEN POSITIONED TO BUILD A HEALTHIER COMMUNITY - A HEALTHIER KENTUCKY. SAINT JOSEPH MOUNT STERLING DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH MOUNT STERLING IN COLLABORATION WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: * THE "COMMUNITY" SERVED WAS DEFINED BY UTILIZING INPATIENT DATA ON PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. * POPULATION DEMOGRAPHICS AND SOCIO-ECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTH-RANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. (CONTINUED)
SCHEDULE H, PART VI, LINES 2, 4 AND 5	* THROUGH A PROCESS CONDUCTED COLLABORATIVELY WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT COMMUNITY INPUT WAS OBTAINED THROUGH A SERIES OF MEETINGS INVOLVING COMMUNITY PARTNERS AND LEADERS AND THROUGH A SURVEY (PAPER AND ON-LINE; ENGLISH AND SPANISH) TO THE GENERAL PUBLIC. INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE ABILITY TO EVALUATE OUTCOMES; 2) THE SIZE OF THE PROBLEM; 3) THE SERIOUSNESS OF THE PROBLEM; 4) PREVALENCE OF COMMON THEMES; 5) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 6) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND REPORTED. SUMMARY OF ASSESSMENT FINDINGS SAINT JOSEPH HOSPITAL THE FOLLOWING AREAS WERE IDENTIFIED AS THE PRIORITIES ON WHICH SAINT JOSEPH HOSPITAL WILL FOCUS OVER THE NEXT THREE YEARS: OBESITY, LUNG CANCER/SMOKING CESSATION, CARDIOVASCULAR DISEASE, ACCESS TO SERVICES/HEALTH DISPARITIES, SAFE NEIGHBORHOODS AND MATERNAL AND CHILDREN'S HEALTH. SAINT JOSEPH EAST THE FOLLOWING AREAS WERE IDENTIFIED AS THE PRIORITIES ON WHICH SAINT JOSEPH EAST WILL FOCUS OVER THE NEXT THREE YEARS: OBESITY, LUNG CANCER/SMOKING CESSATION, CARDIOVASCULAR DISEASE, ACCESS TO SERVICES/HEALTH DISPARITIES, SAFE NEIGHBORHOODS AND MATERNAL AND CHILDREN'S HEALTH. SAINT JOSEPH BEREA THE FOLLOWING AREAS WERE IDENTIFIED AS THE PRIORITIES ON WHICH SAINT JOSEPH BEREA WILL FOCUS OVER THE NEXT THREE YEARS: MENTAL HEALTH, OBESITY, SENIOR ISSUES AND COLLABORATION OF CARE. SAINT JOSEPH LONDON AN IMPLEMENTATION PLANNING COMMITTEE COMPRISED OF LEADERSHIP FROM SAINT JOSEPH LONDON LAUREL CO HEALTH DEPARTMENT AND AGENCY/COMMUNITY REPRESENTATIVES MET TO DISCUSS THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND SELECT HEALTH PRIORITIES. PARTICIPANTS BROKE INTO GROUPS TO DISCUSS AND DEVELOP PLANS FOR THE TOP THREE IDENTIFIED ISSUES WITH SCORES OF 22 OR MORE (ON A SCALE OF 28). THE THREE IDENTIFIED: CANCER STROKE/CARDIOVASCULAR DISEASE *MENTAL ILLNESS/ADDICTIONS (DRUG & ALCOHOL) THE COMMITTEE NOTED THAT THERE ARE RELATED HEALTH FACTORS/BEHAVIORS, IDENTIFIED AS PRIORITIES, THAT INFLUENCE THE TOP THREE PRIORITIES AND THAT HAVE TO BE CONSIDERED IN THE IMPLEMENTATION STRATEGY I.E., THE UNINSURED, OBESITY AND LACK OF PHYSICAL ACTIVITY, HIGH BLOOD PRESSURE, ADULT SMOKING, DIABETES ETC. THE IMPLEMENTATION COMMITTEE CONTINUES TO MEET TO DISCUSS AND FURTHER DEVELOP ACTION PLANS THAT ARE COMPREHENSIVE, MEASUREABLE AND WILL HAVE A LONG-TERM IMPACT ON THE WELLBEING OF THE COMMUNITY. SAINT JOSEPH MARTIN UPON COMPLETION OF THE PRIORITIZATION PROCESS, HEART DISEASE, CANCER AND DIABETES WERE IDENTIFIED BY THE IMPLEMENTATION STRATEGY TEAM AS THE TOP PRIORITIES FOR SAINT JOSEPH MARTIN AND WILL BE THE FOCUS OVER THE NEXT THREE YEARS. ALSO, BECAUSE OF THEIR RANKING AND THEIR INTEGRAL RELATIONSHIP TO THE MAJOR IDENTIFIED NEEDS, ADULT SMOKING AND ADULT OBESITY, WILL BE WOVEN INTO THE STRATEGIES OF THE TOP PRIORITIES. SAINT JOSEPH MOUNT STERLING IDENTIFIED NEEDS WERE PRIORITIZED BY A COMMUNITY ADVISORY GROUP AND GIVEN TO THE HOSPITAL IMPLEMENTATION COMMITTEE FOR REVIEW. SUBSEQUENTLY, SAINT JOSEPH MOUNT STERLING LEADERSHIP ENTERED INTO A DIALOGUE WITH REPRESENTATIVES OF THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. THE PRIORITIES ARE POLICY CHANGE, EDUCATION, PREVENTIVE SERVICES AND EARLY DETECTION AND SCREENING. WITH AN UNDERSTANDING THAT COLLABORATIVE EFFORTS HAVE THE GREATEST OPPORTUNITY FOR MEASURABLE, COLLECTIVE IMPACT, SAINT JOSEPH MOUNT STERLING CHOSE STRATEGIES THAT WILL INVOLVE COMMUNITY PARTNERS TO PROMOTE A CULTURE WHERE HEALTHY EATING AND ACTIVE LIVING ARE THE NORM AND FOSTERS AN ENVIRONMENT THAT PROMOTES INCREASED PHYSICAL ACTIVITY, BETTER NUTRITION, HEALTHY PUBLIC POLICY AND ACCESS TO NEEDED RESOURCES AND SERVICES. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST COMMUNITY OUTREACH FOR THE POOR BABY HEALTH SERVICE FOR NEARLY A CENTURY, BABY HEALTH SERVICE HAS PROVIDED FREE, QUALITY HEALTH CARE TO THE CHILDREN OF CENTRAL KENTUCKY. SAINT JOSEPH HOSPITAL IS PLEASED TO OFFER SPACE AND UTILITIES FOR THIS VITAL SERVICE TO THE COMMUNITY. BABY HEALTH SERVICE IS ABOUT HEALTHY FAMILIES AND A HEALTHIER COMMUNITY. THE CLINIC SERVES CHILDREN FROM BIRTH UP TO 18 YEARS OF AGE FROM FAMILIES THAT DO NOT HAVE HEALTH INSURANCE AND DON'T QUALITY FOR MEDICAID. IN CALENDAR 2014, THE CLINIC SERVED 520 CHILDREN, AN INCREASE OF 350 OVER 2013. HEALTH CARE SERVICES OFFERED AT THE CLINIC INCLUDE SICK VISITS, ROUTINE CHECK-UPS, PHYSICALS, LAB TESTS, MEDICATIONS, X-RAYS AND IMMUNIZATIONS. VOLUNTEER PHYSICIANS DONATE NUMEROUS HOURS TO THE CLINIC. SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, AND SAINT JOSEPH JESSAMINE STRIVE TO ENSURE PATIENTS HAVE THE PRESCRIPTIONS NEEDED TO FURTHER THEIR HEALING PROCESS WHEN THEY LEAVE THE FACILITY. A SOCIAL WORKER ASSISTS LOW-INCOME PATIENTS IN FINDING RESOURCES TO PROVIDE THEIR PRESCRIPTION MEDICATION AT LOW OR NO COST. IF THE MEDICATION IS NOT AVAILABLE THROUGH ONE OF THESE PROGRAMS, OR IF THE PATIENT DOES NOT QUALIFY, THE FACILITIES HELP PATIENTS OBTAIN A THREE-DAY SUPPLY OF SELECTED MEDICATIONS VIA THE SAINT JOSEPH HOSPITAL FOUNDATION, WHICH RECEIVES DONATIONS TO SUPPORT THIS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY APPALACHIAN OUTREACH PROGRAM APPALACHIAN OUTREACH PROGRAM IS A COMMUNITY-BASED PROGRAM THAT PROVIDES HOME VISITS FOR PATIENTS DISCHARGED FROM SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, AS WELL AS SAINT JOSEPH BEREA, SAINT JOSEPH MOUNT STERLING AND SAINT JOSEPH LONDON. APPALACHIAN OUTREACH PROVIDES SPIRITUAL CARE, SOCIAL WORK, CLINICAL NUTRITION, AND DIETITIAN CONSULTATION AND EDUCATION FOR PATIENTS, CAREGIVERS AND IMMEDIATE FAMILY. IN FISCAL YEAR 2014, THE PROGRAM MADE 12,067 CONTACTS WITH INDIVIDUALS, INCLUDING 488 FOR MEDICAL NUTRITIONAL THERAPY, 952 FOR DIABETES TREATMENT, AND 961 PROFESSIONAL CONTACTS AND REFERRALS. SAINT JOSEPH CANCER CENTERS STAFF AT THE SAINT JOSEPH CANCER CENTERS UNDERSTAND THAT CANCER AFFECTS THE ENTIRE FAMILY, NOT JUST THE PERSON DIAGNOSED. THE CANCER CENTERS ARE COMMUNITY-BASED AND OFFER FINANCIAL ASSISTANCE, COUNSELING AND SPIRITUAL SUPPORT TO THE FAMILIES SERVED. THE STAFF STRIVE TO BLEND HUMANITY WITH TECHNOLOGY. THE PATIENT AND FAMILY-CENTERED RESOURCES AVAILABLE THROUGH THE SAINT JOSEPH CANCER CENTERS INCLUDE ACCESS TO SUPPORT SERVICES SUCH AS REHABILITATION, MEDICAL AND RADIATION ONCOLOGY TREATMENTS, NUTRITION AND SPIRITUAL CARE; ONE-ON-ONE CONSULTATION WITH A NURSE NAVIGATOR, SOCIAL WORKER, AND CLINICAL DIETITIAN; A LIBRARY WITH MATERIAL FROM NATIONAL CANCER ORGANIZATIONS; AND NETWORKING AND SUPPORT GROUPS. ALL ARE FREE AND CONFIDENTIAL. PERINATAL EDUCATION SAINT JOSEPH EAST WOMEN'S HOSPITAL HAS A WELL-ESTABLISHED COMMUNITY EDUCATION PROGRAM THAT OFFERS BREASTFEEDING, CHILDBIRTH PREPARATION, AND TEEN PARENT CARE FOR NEWBORNS. SAINT JOSEPH EAST WOMEN'S HOSPITAL ALSO HOSTS AN ANNUAL MATERNITY FAIR THAT PROVIDES EDUCATION TO HUNDREDS OF ATTENDEES. IN 2014, APPROXIMATELY 900 PEOPLE ATTENDED THE MATERNITY FAIR. (CONTINUED)
SCHEDULE H, PART VI, LINES 2, 4 AND 5	VIOLENCE PREVENTION/BUILDING SAFE NEIGHBORHOODS SAINT JOSEPH LEXINGTON ENGAGES WITH COMMUNITY PARTNERS TO ADDRESS ISSUES OF VIOLENCE, WITH SPECIFIC FOCUS IN THE WINBURN NEIGHBORHOOD OF LEXINGTON. WINBURN COMMUNITY ACHIEVERS IS AN AFTER SCHOOL PROGRAM (MONDAY - THURSDAY) FOR GRADE AND MIDDLE SCHOOL STUDENTS TO FIND A SAFE AND STABLE PLACE TO GATHER FOR MENTORING, HOMEWORK SUPPORT AND LEARNING WHAT IT MEANS TO BE TOGETHER WITH RESPECT. 2014 WAS ITS FIRST FULL YEAR WITH 12-15 CHILDREN PARTICIPATING ON AVERAGE (SOME ONE DAY A WEEK AND OTHERS MULTIPLE DAYS A WEEK). WINBURN KIDS ON THE MOVE IS A FOUR-WEEK SUMMER "CAMP" EXPERIENCE FOR GRADE AND MIDDLE SCHOOL STUDENTS WHICH INCLUDES PHYSICAL ACTIVITY, MATH AND READING, MUSIC AND DANCE AND OTHER ACTIVITIES TO SUPPORT POSITIVE BEHAVIOR DEVELOPMENT ROOTED IN RESPECT. IN BOTH INITIATIVES, STAFF FROM SAINT JOSEPH LEXINGTON VOLUNTEER AS DO HIGH SCHOOL AND COLLEGE STUDENTS, WHO ARE OFTEN THE BEST MENTORS AND TRUSTED CONFIDANTS TO THE YOUNGER CHILDREN. 2014 WAS THE THIRD YEAR FOR WINBURN KIDS ON THE MOVE WITH AN AVERAGE OF 40 CHILDREN ATTENDING EACH DAY AND A DOZEN YOUTH LEADERS ON SITE (VIA THE LEXINGTON MAYOR'S SUMMER WORK PROGRAM AND A GRANT FROM PARTNERS FOR YOUTH). COMMUNITY PRESENTATIONS SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, AND SAINT JOSEPH JESSAMINE CONDUCT WELLNESS PRESENTATIONS AT LOCAL CHURCHES, SCHOOLS AND BUSINESSES THROUGHOUT CENTRAL KENTUCKY FOR EDUCATION ON HEALTHY LIVING. THEY ALSO PARTICIPATE IN HEALTH FAIRS OFFERING FREE SCREENINGS SUCH AS BLOOD PRESSURE, CHOLESTEROL AND BLOOD GLUCOSE AND PROVIDE EDUCATION TO PARTICIPANTS. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, AND SAINT JOSEPH JESSAMINE PARTNER WITH MANY ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES, INCLUDING: AMERICAN CANCER SOCIETY AMERICAN DIABETES ASSOCIATION AMERICAN RED CROSS AMERICAN HEART ASSOCIATION AMERICAN STROKE ASSOCIATION COMMERCE LEXINGTON LEXINGTON CLINIC FOUNDATION FAYETTE COUNTY HEALTH DEPARTMENT FAYETTE COUNTY SCHOOL DISTRICT PARTNERHIP FOR YOUTH HEALTH PROFESSIONS EDUCATION SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST SERVE AS A CLINICAL EDUCATION SITE FOR MEDICAL PROFESSIONALS OFFERING CLASSES AND RESIDENCY PROGRAMS. HEALTH PROFESSIONALS INCLUDE MEDICAL STUDENTS, FAMILY PRACTICE RESIDENTS, PHARM D STUDENTS, PHYSICAL THERAPY STUDENTS, RESPIRATORY THERAPY STUDENTS, RADIOLOGY STUDENTS, NURSING STUDENTS, SOCIAL WORK STUDENTS, SURGICAL TECHNICIANS, AND STUDENTS EARNING MASTER'S DEGREES IN PUBLIC HEALTH. SAINT JOSEPH BEREA COMMUNITY OUTREACH FOR THE POOR PRESCRIPTION ASSISTANCE PROGRAM WHAT GOES ON BEHIND THE SCENES TO HELP PATIENTS OFTEN GOES UNNOTICED, ESPECIALLY WHEN IT COMES TO PAYING FOR MEDICATIONS. SAINT JOSEPH BEREA KNOWS ALL ABOUT HELPING PATIENTS RECEIVE THE MEDICATIONS THEY NEED BUT CANNOT AFFORD DUE TO LACK OF INSURANCE, LIMITED COVERAGE OR HIGH DEDUCTIBLES. COLLABORATIVE EFFORTS WITH CHAPLAINS, NURSES, PHYSICIANS AND CASE MANAGERS TO FIND ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY WHEN THEY LEAVE THE HOSPITAL. BEREA HEALTH MINISTRIES PARTNERSHIP SJB'S PARTNERSHIP WITH BEREA HEALTH MINISTRIES (BHM), A FAITH-BASED MEDICAL CLINIC, WAS FORMED IN THE SPRING OF 2010. SAINT JOSEPH BEREA PROVIDES IN-KIND SUPPORT THAT INCLUDES OFFICE AND CLINICAL SPACE, MAINTENANCE, CLEANING, INFORMATION TECHNOLOGY AND OTHER SUPPORT AS NEEDED; IN TURN THE CLINIC PROVIDES PRIMARY CARE, EDUCATION AND SUPPORT FOR ALL PEOPLE, BUT PRIMARILY THE POOR, UNINSURED AND UNDERINSURED. NEW OPPORTUNITY SCHOOL FOR WOMEN SINCE 1987, NEW OPPORTUNITY FOR WOMEN (NOSW) HAS WORKED TO IMPROVE THE EDUCATIONAL, FINANCIAL AND PERSONAL CIRCUMSTANCES OF LOW INCOME MIDDLE-AGED WOMEN IN KENTUCKY AND THE SOUTH CENTRAL APPALACHIAN REGION. MANY JUST WANT A SECOND CHANCE TO GAIN NEW SKILLS, AND SJB IS GRATEFUL FOR THE OPPORTUNITY TO HELP MAKE A DIFFERENCE IN THEIR LIVES. SAINT JOSEPH BEREA PROVIDES NOSW PARTICIPANTS WITH PHYSICALS, BLOOD TESTS AND MAMMOGRAMS, PREVENTIVE SERVICES THE WOMEN MAY NOT OTHERWISE QUALIFY FOR. THE SCREENINGS OFFER MORE THAN JOB PREPARATION; THEY ALSO HELP IDENTIFY UNDETECTED HEALTH ISSUES AND BRING PEACE OF MIND TO THE DIVERSE POPULATION OF WOMEN. HENRIETTA CHILD FUND SAINT JOSEPH BEREA'S HENRIETTA CHILD FUND PROVIDES ASSISTANCE FOR UNINSURED BEREA RESIDENTS WHO NEED TO HAVE SMALL PROCEDURES, BUT DO NOT HAVE THE MEANS TO PAY. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SAINT JOSEPH BEREA SERVES AS A CLINICAL EDUCATION SITE FOR EASTERN KENTUCKY UNIVERSITY, SOMERSET COLLEGE, UNIVERSITY OF KENTUCKY, AND BEREA COLLEGE FOR STUDENTS WHO NEED CLINICAL HOURS IN A VARIETY OF MEDICAL PROFESSIONS INCLUDING NURSING, EMERGENCY ROOM, HEALTH INFORMATION, PULMONARY, LABORATORY, PHARMACY, AND RADIOLOGY. HEART AND VASCULAR CARE THE HEART AND VASCULAR CARE CLINIC AT SAINT JOSEPH BEREA HAS FOCUSED ON CARDIOVASCULAR HEALTH AWARENESS BY PROVIDING FREE GLUCOSE, CHOLESTEROL AND BLOOD PRESSURE SCREENINGS AT A VARIETY OF COMMUNITY EVENTS. CATHOLIC HEALTH INITIATIVES VIOLENCE PREVENTION GRANT THE HOSPITAL IS IN THE PLANNING AND GRANT WRITING STAGE FOR A THREE YEAR GRANT TO PROVIDE GREEN DOT TRAINING TO THE TWO LOCAL HIGH SCHOOLS TO DECREASE THE INCIDENCE OF BULLYING. VOLUNTEER PROGRAMS THROUGH THE SAINT JOSEPH BEREA AUXILIARY, THE HOSPITAL RECRUITS AND RETAINS A 65 MEMBER ADULT VOLUNTEER PROGRAM YEAR ROUND AND TRAINS AND SUPERVISES 20 JUNIOR VOLUNTEERS EACH SUMMER. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH BEREA PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * MADISON COUNTY HEALTH DEPARTMENT * LOCAL GOVERNMENT, BUSINESSES, CIVIC ORGANIZATIONS * EDUCATIONAL SYSTEMS AND COMMUNITY AGENCIES AS A RESULT OF SJB'S PARTNERSHIPS AND SPONSORSHIPS, SJB WAS INVOLVED IN THE FOLLOWING EVENTS. * RELAY FOR LIFE * A DAY OF HOPE * SPOONBREAD FESTIVAL * BLOOD DRIVES * MEDICAL SCREENINGS * GO RED FOR WOMEN * HEALTH FAIRS * AGE-FRIENDLY COMMUNITY * LIGHTS FOR LIFE * WALK TO END ALZHEIMER'S * THE LEADER IN ME * HEALTH NOW! CLINIC OF MADISON COUNTY, INC. * BEREA CELTIC FESTIVAL * SUSTAINABLE BEREA * 7TH ANNUAL MIKE'S KIDS EDUCATIONAL FOUNDATION GOLF SCRAMBLE * SPOONBREAD 5K CORPORATE SPONSOR * NEW OPPORTUNITY FOR WOMEN EDUCATIONAL SESSIONS * KIDNEY HEALTH ALLIANCE OF KY "WALK WITH SIDNEY" * TOM JONES MEMORIAL GOLF TOURNAMENT * BEREA ARTS COUNCIL "WALK WITH THE ARTS" * PROJECT GRADUATION FOR MADISON SOUTHERN AND BEREA COMMUNITY HIGH SCHOOLS SAINT JOSEPH LONDON COMMUNITY OUTREACH FOR THE POOR PHARMACEUTICAL ASSISTANCE PROGRAM THE PHARMACEUTICAL ASSISTANCE PROGRAM WAS ESTABLISHED TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS WITH THEIR MEDICATION NEEDS. SERVING LAUREL, WHITLEY, CLAY AND KNOX COUNTIES THE PROGRAM ADDRESSES MEDICATION NEEDS SPECIFIC TO CARDIAC, DIABETES, HYPERTENSION, CHOLESTEROL AND COPD. THIS PROGRAM ASSISTED 440 PEOPLE BY PROVIDING MORE THAN 1,400 FREE PRESCRIPTION MEDICATIONS PROVIDED BY PHARMACEUTICAL COMPANIES AT A MARKET VALUE OF MORE THAN $1 MILLION. SEED LUNCHEONS A NURSE FROM THE HEALTHY COMMUNITY DEPARTMENT PROVIDES BI-MONTHLY HEALTH EDUCATION AT THE LOCAL CATHOLIC CHURCH TO SENIOR ADULTS LIVING ON FIXED INCOMES. THESE PROGRAMS OFFER AN OPPORTUNITY FOR SENIORS TO SOCIALIZE, HAVE LUNCH AND HEAR ABOUT SPECIFIC HEALTH ISSUES. IT IS ALSO A TIME FOR THEM TO ASK QUESTIONS REGARDING HEALTH ISSUES AND HAVE HEALTH CHECKS TO ASSIST IN MONITORING THEIR WELLBEING. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY PREVENTIVE HEALTH WELLNESS BEGINS WITH PREVENTIVE HEALTH. AT SAINT JOSEPH LONDON, THE GOAL IS TO PROVIDE PUBLIC OUTREACH THROUGH HEALTH SCREENINGS, EDUCATION, FLU CLINICS AND SERVICES FOCUSED ON PREVENTIVE HEALTH. THROUGH THE CONGESTIVE HEART PROGRAM WHICH IN JANUARY 2014 WAS EXPANDED TO INCLUDE COPD AND PNEUMONIA PATIENTS, AN OUTREACH NURSE VISITED 308 DISCHARGED PATIENTS TO EDUCATE, SUPPORT AND ASSIST THEM IN IMPROVING AND MAINTAINING THEIR HEALTH AND A HIGHER QUALITY OF LIFE. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH LONDON PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * TRI CANCER COALITION/AMERICAN CANCER SOCIETY * LAUREL COUNTY SCHOOLS * LAUREL COUNTY HEALTH DEPARTMENT * DANIEL BOONE COMMUNITY ACTION * FAMILY LIFE CENTER (PREGNANCY CENTER)S * LAUREL COUNTY EXTENSION OFFICE * SAINT WILLIAM CATHOLIC CHURCH * AREA HEALTH EDUCATION COUNCIL (AHEC) * KENTUCKY CANCER PROGRAM (KCP) (CONTINUED)
SCHEDULE H, PART VI, LINES 2, 4 AND 5	SAINT JOSEPH MARTIN COMMUNITY OUTREACH FOR THE POOR IN SCHOOL YEAR 2013-2014, MORE THAN 2,000 FLOYD COUNTY STUDENTS RECEIVED DENTAL SCREENINGS BY BIG SANDY HEALTH CARE. THE DENTAL/ORAL HEALTH COMMITTEE (COMPRISED OF FLOYD COUNTY HEALTH DEPARTMENT, BIG SANDY HEALTH CARE, FLOYD COUNTY SCHOOLS AND SAINT JOSEPH MARTIN) DECIDED TO EXPAND THE REACH OF SERVICES AND INCLUDE SCREENINGS FOR HIGH SCHOOL STUDENTS BEGINNING IN FALL 2013. WITH THIS EXPANSION, ALL FLOYD COUNTY STUDENTS ARE NOW ELIGIBLE TO PARTICIPATE IN DENTAL/ORAL HEALTH SCREENINGS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY SAINT JOSEPH MARTIN PROVIDES AN ANNUAL SENIOR HEALTH FEST EACH YEAR FOR THOSE 55 AND OVER. A CURRENT TOPIC IS DISCUSSED BY A PHYSICIAN; VENDORS SET UP THAT ARE RELEVANT TO THAT AGE GROUP; AND LUNCH IS PROVIDED ALONG WITH ENTERTAINMENT FROM THEIR AGE GROUP. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH MARTIN, HIGHLANDS REGIONAL MEDICAL CENTER, BIG SANDY HEALTH CARE, FLOYD COUNTY FAMILY RESOURCE AND YOUTH SERVICES CENTERS, AS WELL AS OTHER COMMUNITY RESOURCES, PARTNERED WITH THE FLOYD COUNTY HEALTH DEPARTMENT TO PROVIDE FREE SERVICES TO THE CITIZENS OF FLOYD COUNTY DURING SPRING OF 2014 AS PART OF PROJECT CARE. TO ADDRESS SOME OF THE DISPARITIES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE SERVICE DAYS FOCUSED ON REACHING OUT TO PATIENTS WITHOUT HEALTH INSURANCE. PROJECT CARE PARTICIPANTS WERE OFFERED A VARIETY OF SERVICES INCLUDING DENTAL (SCREENINGS, CLEANINGS, EXTRACTIONS AND FILLINGS), PAP SMEARS, PROSTATE SCREENINGS, LABORATORY WORK, AND ATHLETIC PHYSICALS. SERVICES WERE PROVIDED FOR TWO DAYS AT VARIOUS LOCATIONS AROUND THE COUNTY TO REACH THOSE IN NEED. IN ADDITION TO THE FREE SCREENING SERVICES, PARTICIPANTS RECEIVED EDUCATIONAL INFORMATION ON A VARIETY OF ISSUES SUCH AS NUTRITION, OBESITY, PHYSICAL ACTIVITY, TOBACCO PREVENTION/CESSATION, HYPERTENSION AND DIABETES. HEALTH PROFESSIONS EDUCATION SAINT JOSEPH MARTIN SERVES AS A CLINICAL EDUCATION SITE FOR MEDICAL STUDENTS, PHARM D STUDENTS, PHYSICAL THERAPY STUDENTS, RESPIRATORY THERAPY STUDENTS, RADIOLOGY STUDENTS, NURSING STUDENTS, SOCIAL WORK STUDENTS, AND HIGH SCHOOL STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTH CARE. COMMUNITY BUILDING ACTIVITIES SAINT JOSEPH MARTIN PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * FLOYD COUNTY SCHOOLS * FLOYD COUNTY HEALTH DEPARTMENT * MOUNTAIN REGIONAL PREVENTION CENTER * BIG SANDY DIABETES COALITION * FLOYD COUNTY EXTENSION OFFICE * COMMUNITIES AGAINST DRUG ABUSE * GRACEWAY UNITED METHODIST CHURCH SAINT JOSEPH MOUNT STERLING COMMUNITY OUTREACH FOR THE POOR MOUNT STERLING POST CLINIC ONE OF SAINT JOSEPH MOUNT STERLING'S UNIT MANAGERS DONATES THREE HOURS PER MONTH AWAY FROM THE HOSPITAL AT THE "POST CLINIC". THE CLINIC IS HOUSED IN THE FORMER POST OFFICE BUILDING, WHICH IS NOW OWNED BY THE PRESBYTERIAN CHURCH IN MOUNT STERLING. THE BUILDING SPACE IS MADE AVAILABLE SEVERAL DAYS A WEEK BY THE CHURCH FOR VOLUNTEERS TO PROVIDE FREE MEDICAL CARE TO THE WORKING POOR. THE CLINIC IS MADE POSSIBLE BY DONATED SERVICES, ALONG WITH GRANT MONEY FROM THE UNITED WAY AND DONATIONS FROM VARIOUS ORGANIZATIONS AND PRIVATE DONORS. THE BETTER BREATHER'S CLUB THE BETTER BREATHER'S CLUB IS A FREE SOCIAL/EDUCATIONAL SUPPORT GROUP FOR PATIENTS, THEIR FAMILIES AND/OR FRIENDS WITH CHRONIC LUNG DISEASE SUCH AS COPD. THE BETTER BREATHER'S CLUB HELPS PEOPLE BETTER UNDERSTAND AND DEAL WITH THEIR LUNG DISEASE AND GIVES THEM THE OPPORTUNITY TO DISCUSS THEIR CONCERNS WITH OTHER PEOPLE WITH THE SAME ISSUES. AT EACH MEETING, THERE IS AN AVERAGE OF TEN PARTICIPANTS AND EDUCATIONAL TOPICS ARE DISCUSSED, SUCH AS RESPIRATORY MEDICATIONS, THE DISEASE PROCESS AND ILLNESS PREVENTION, AS WELL AS OTHER TOPICS THAT MAY BE REQUESTED BY THE PATIENTS. THE HEALTHY HEARTS CLUB THE HEALTHY HEARTS CLUB IS A FREE EDUCATIONAL SUPPORT GROUP FOR PATIENTS WITH HEART DISEASE AND THEIR FAMILIES/FRIENDS. HEALTHY HEARTS CLUB OFFERS SUPPORT FOR PEOPLE WHO HAVE BEEN DIAGNOSED WITH HEART PROBLEMS OR PEOPLE WHO ARE TRYING TO PREVENT HEART DISEASE. AN EDUCATIONAL TOPIC IS OFFERED EACH MONTH THAT INFORMS THESE PATIENTS OF NEW TREATMENTS, EXERCISE AND PREVENTION STRATEGIES. THERE IS AN AVERAGE OF TEN PARTICIPANTS EACH MONTH. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY WALK TO REMEMBER PREGNANCY LOSS OR THE DEATH OF A CHILD IS A HEARTBREAK THAT HARDLY FADES WITH TIME. EACH YEAR IN OCTOBER, SJMS SPONSORS A "WALK TO REMEMBER" AND INVITES THOSE WHO HAVE EXPERIENCED SUCH HEARTBREAK TO A SUNDAY AFTERNOON RITUAL OF REMEMBRANCE. THE EVENT THIS YEAR INCLUDED THOSE WHO HAD LOST CHILDREN, AS WELL AS, THOSE WHO HAD LOST ADULTS. EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SAINT JOSEPH MOUNT STERLING SERVES AS A CLINICAL EDUCATION SITE FOR THE FOLLOWING AREAS OF STUDY: NURSING, PHARMACY, AND RADIOLOGY. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH MOUNT STERLING PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * AMERICAN CANCER SOCIETY * AMERICAN RED CROSS * AMERICAN HEART ASSOCIATION * MARCH OF DIMES MARCH FOR BABIES * MONTGOMERY COUNTY HEALTH DEPARTMENT * ST. CLAIRE HOME HEALTH AND HOSPICE * SUPPLIES OVER SEAS * RELAY FOR LIFE * COLON CANCER AWARENESS ACTIVITIES * PINK-A-BOO ACTIVITIES (BREAST CANCER AWARENESS) * QUARTERLY EMPLOYEE BLOOD DRIVES (KENTUCKY BLOOD CENTER) * GO RED FOR WOMEN EVENTS (AMERICAN HEART ASSOCIATION) * BOWL FOR KIDS (BIG BROTHERS/BIG SISTERS OF THE BLUEGRASS)
Schedule H, Part VI, Line 2, Needs assessment.	SAINT JOSEPH HOSPITAL & SAINT JOSEPH EAST DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: THE COMMUNITY SERVED BY WAS DEFINED UTILIZING INPATIENT DATA ON PATIENT ORIGIN. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTY-HEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. THROUGH A COLLABORATIVE PROCESS CONDUCTED BY THE LEXINGTON-FAYETTE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP COALITION, COMMUNITY INPUT WAS OBTAINED THROUGH A HOUSEHOLD SURVEY ADMINISTERED TO 6,000 RANDOMLY SELECTED LEXINGTON-FAYETTE COUNTY HOUSEHOLDS. ADDITIONALLY, THREE FOCUS GROUPS WERE CONDUCTED BY THE COALITION INVOLVING A TOTAL OF 77 ADULTS WHO WERE LOW-INCOME, AFRICAN AMERICAN OR HISPANIC. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST CONDUCTED KEY INFORMANT INTERVIEWS WITH FIVE INDIVIDUALS HAVING SPECIALIZED KNOWLEDGE OF THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. SAINT JOSEPH BEREA DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH BEREA TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: THE COMMUNITY SERVED BY WAS DEFINED UTILIZING INPATIENT AND OUTPATIENT DATA ON PATIENT ORIGIN. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. THROUGH A COLLABORATIVE PROCESS CONDUCTED BY SAINT JOSEPH BEREA WITH THE MADISON COUNTY HEALTH DEPARTMENT, THE KENTUCKY HOSPITAL ASSOCIATION AND THE UNIVERSITY OF KENTUCKY, COMMUNITY INPUT WAS OBTAINED THROUGH A COMMUNITY SURVEY, A SERIES OF SIX FOCUS GROUPS AND SIX KEY INFORMANT INTERVIEWS. SAINT JOSEPH LONDON SAINT JOSEPH LONDON (SJL) HAS HAD A SUCCESSFUL WORKING RELATIONSHIP WITH THE LAUREL COUNTY HEALTH DEPARTMENT (LCHD) SINCE 2005 WHEN WE PARTNERED IN A COLLABORATIVE ENDEAVOR TO STEM CHILDHOOD OBESITY. IN OCTOBER OF 2011, WE HAD A MEETING TO BEGIN DISCUSSIONS AROUND A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TOGETHER WE WORKED TO ENGAGE ORGANIZATIONAL LEADERSHIP FROM COMMUNITY AGENCIES, CHURCH GROUPS, RETIRED PROFESSIONALS, MINORITIES AND INTERESTED CITIZENS TO HELP FORM A HEALTH NEEDS COALITION THAT WOULD GUIDE THE OVERALL PROCESS. THE COALITION CONTINUES TO MEET MONTHLY. THE OBJECTIVES OF THE COALITION ARE TO: 1. DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TOOL, 2. IDENTIFY COMMUNITY HEALTH NEEDS, 3. PRIORITIZE THE IDENTIFIED HEALTH NEEDS, 4. DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN BASED ON THE PRIORITIZED HEALTH NEEDS. WHILE SJL WAS FOCUSED ON CONDUCTING A CHNA, THE LCHD WAS WORKING TOWARD ACCREDITATION UTILIZING THE MAPP PROCESS - MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS. WE WORKED TOGETHER TO DESIGN A COMMUNITY SURVEY THAT WOULD ADDRESS COMMUNITY ASSESSMENT AND HEALTH NEEDS. THE SURVEY WAS DEVELOPED WITH HELP FROM MEMBERS OF THE COMMUNITY COALITION AND DISTRIBUTED WITHIN LAUREL COUNTY MAY THROUGH AND JULY OF 2012. MEMBERS OF THE GENERAL PUBLIC WERE ASKED TO COMPLETE A SURVEY ON THEIR PERCEPTIONS OF THE COUNTIES HEALTH CARE NEEDS. OVER 1,875 SURVEYS WERE COMPLETED IN THE TWO MONTH PERIOD. THE SURVEY WAS AVAILABLE ON-LINE WITH ONLY AN 18% RESPONSE, THE REMAINING WERE HARD COPY SURVEYS DISTRIBUTED AT FAITH-BASED ORGANIZATIONS, PHYSICIAN OFFICES, LOCAL GROCERS, KROGER, WAL-MART, RESTAURANTS, LARGE BAKERY PLANTS I.E. FLOWERS BAKERY AND HEARTHSIDE FOOD SOLUTIONS AS WELL AS AT THE LOCAL ASSISTED LIVING FACILITY. IT WAS ALSO OFFERED TO EMPLOYEES OF THE LCHD AND SJL. IN ADDITION TWO FOCUS GROUPS WERE HELD WITH SPECIFIC GROUPS IN LAUREL AND WHITLEY COUNTIES. THE QUESTIONS PRESENTED TO THESE GROUPS WERE FOCUSED ON HEALTHCARE ISSUES AND HOW THE HOSPITAL MIGHT ASSIST THE COMMUNITY WITH IDENTIFIED ISSUES. SAINT JOSEPH MARTIN DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH MARTIN TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: * THE "COMMUNITY" SERVED BY WAS DEFINED UTILIZING INPATIENT AND OUTPATIENT DATA ON PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. * POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTY-HEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. * AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. * FOUR FOCUS GROUPS WERE CONDUCTED IN THE LATE SUMMER AND EARLY FALL OF 2012. THE FOCUS GROUPS CONDUCTED INCLUDED A SENIOR SUPPORT GROUP, HANDS (HEALTH ACCESS NURTURING DEVELOPMENT SERVICES) PARTICIPANTS AND GENERAL COMMUNITY MEMBERS. SAINT JOSEPH MOUNT STERLING DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH MOUNT STERLING IN COLLABORATION WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: THE "COMMUNITY" SERVED WAS DEFINED BY UTILIZING INPATIENT DATA ON PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. POPULATION DEMOGRAPHICS AND SOCIO-ECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES (SEE REFERENCES IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. *THROUGH A PROCESS CONDUCTED COLLABORATIVELY WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT COMMUNITY INPUT WAS OBTAINED THROUGH A SERIES OF MEETINGS INVOLVING COMMUNITY PARTNERS AND LEADERS AND THROUGH A SURVEY (PAPER AND ON-LINE; ENGLISH AND SPANISH) TO THE GENERAL PUBLIC.
Schedule H, Part VI, Line 3, Patient education of eligibility for assistance.	SAINT JOSEPH HEALTH SYSTEM, INC. ("SJHS") INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SJHS PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN SJHS OUTPATIENT FACILITIES. IN ADDITION, SJHS REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER SJHS'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. SJHS REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. SJHS'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Schedule H, Part VI, Line 5, Promotion of community health	SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, SAINT JOSEPH BEREA, SAINT JOSEPH LONDON, SAINT JOSEPH MARTIN AND SAINT JOSEPH MOUNT STERLING COLLABORATE WITH AN ORGANIZATION CALLED SUPPLIES OVER SEAS (SOS) WHOSE MISSION IS TO RECOVER USABLE MEDICAL SUPPLIES AND SHIP THEM TO THIRD-WORLD COUNTRIES. KENTUCKYONE HEALTH HOSPITALS JOINED THE EFFORT TO HELP IMPROVE HEALTH HERE AND ABROAD. TO COLLECT AS MANY SUPPLIES AS POSSIBLE, BINS ARE PLACED THROUGHOUT THE HOSPITALS IN HIGH-TRAFFIC AREAS SUCH AS SURGERY. FOR EXAMPLE, WHEN A SURGERY PACK IS OPENED AND ONLY A PORTION OF THE ITEMS ARE USED, THE UNUSED SUPPLIES ARE PLACED IN A BIN FOR REDISTRIBUTION INSTEAD OF BEING THROWN AWAY. OWENS MINOR, A HOSPITAL SUPPLY COMPANY, SHIPS SUPPLIES DONATED BY OUR HOSPITALS AT NO COST ACROSS KENTUCKY TO LOUISVILLE WHERE SOS IS HEADQUARTERED. SOS VOLUNTEERS SORT AND REPACKAGE USABLE SUPPLIES AND SEND THEM TO DEVELOPING COUNTRIES THAT LACK MODERN MEDICAL FACILITIES. BY REDISTRIBUTING MEDICAL SUPPLIES, WE ARE HELPING TO CREATE HEALTHIER COMMUNITIES WORLDWIDE. WE ARE ALSO REDUCING OUR CARBON FOOTPRINT BY KEEPING THESE MATERIALS OUT OF LANDFILLS. TO DATE, SOS HAS SHIPPED SUPPLIES TO 90 COUNTRIES AND KENTUCKYONE HEALTH HAS SUPPORTED THIS EFFORT BY DONATING NEARLY 13,500 POUNDS OF SUPPLIES IN 2012.
Schedule H, Part VI, Line 6, Affiliated health care system	SAINT JOSEPH HEALTH SYSTEM INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 92 HOSPITALS, INCLUDING FOUR ACADEMIC MEDICAL CENTERS, AND 24 CRITICAL ACCESS FACILITIES; COMMUNITY HEALTH SERVICE ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME HEALTH AGENCIES; AND OTHER FACILITIES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. TOGETHER, THESE FACILITIES PROVIDED $910 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2014 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. SAINT JOSEPH HEALTH SYSTEM INC., OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS TO SERVE THE HEALTH CARE NEEDS OF THE LEXINGTON-FAYETTE AND SURROUNDING COMMUNITIES

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
BLUEGRASS TOMORROW INC
PO BOX 24185	LEXINGTON	KY	40588	611160137	501(C)(3)	$5,000	SPONSORSHIP
LEXINGTON CLINIC FOUNDATION
350 ELAINE DR	LEXINGTON	KY	40504	616037046	501(C)(3)	$10,000	SPONSORSHIP
THE LEXINGTON CANCER FOUNDATION INC
1504 COLLEGE WAY	LEXINGTON	KY	40502	562472701	501(C)(3)	$5,000	SPONSORSHIP
MARCH OF DIMES FOUNDATION
2102 N PEARL STREET STE 401	TACOMA	WA	98406	131846366	501(C)(3)	$5,000	SPONSORSHIP
AMERICAN HEART ASSOCIATION
4217 PARK PLACE CT	GLEN ALLEN	VA	23060	135613797	501(C)(3)	$6,805	GO RED SPONSORSHIP
ST JOSEPH HOSPITAL FOUNDATION
ONE SAINT JOSEPH DR	LEXINGTON	KY	40504	611159649	501(C)(3)	$6,300	TRANFER TO AFFILIATE
ST JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	311539059	501(C)(3)		ASSET TRANSFER	$63,120	BOOK	ASSET TRANSFER

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	GRANTS AND REQUESTS FOR CONTRIBUTIONS ARE ADMINISTERED BY THE CEO AND VP OF MISSION INTEGRATION. ALL GRANT EXPENDITURES REQUIRE THE SAME APPROVAL AS NON-GRANT EXPENDITURES THROUGH THE ACCOUNTS PAYABLE MATRIX.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRUCE KLOCKARS
FORMER CHIEF EXECUTIVE OFFICER	$0	$78,775	$0	$0	$0	$459,612	$0	$31,152	$0	$12,319	$0	$581,858	$0	$0
MELVIN ALEXANDER
TREASURER/CFO KOH	$0	$402,823	$0	$0	$0	$1,118,545	$0	$0	$0	$2,024	$0	$1,523,392	$0	$38,251
RUTH WILLIAMS BRINKLEY
BOARD MEMBER/PRESIDENT & CEO KOH	$0	$843,588	$0	$505,731	$0	$48,383	$0	$161,273	$0	$8,280	$0	$1,567,255	$0	$0
MICHAEL ROWAN FACHE
BOARD MEMBER/EVP/CHI COO	$0	$1,098,277	$0	$1,471,311	$0	$200,128	$0	$238,353	$0	$19,702	$0	$3,027,771	$0	$175,028
GARY ERMERS
FORMER CHIEF FINANCIAL OFFICER	$0	$0	$0	$0	$462,576	$0	$28,602	$0	$20,266	$0	$511,444	$0	$86,753	$0
TAMMY HOWELL
DIRECTOR OF ACCOUNTING	$0	$119,966	$0	$0	$0	$200	$0	$0	$0	$18,933	$0	$139,099	$0	$0
SHARON HAGER
SECRETARY	$0	$311,659	$0	$44,776	$0	$20,592	$0	$23,502	$0	$8,967	$0	$409,496	$0	$0
COLLEEN HOLTON
VP FINANCE	$169,714	$0	$7,451	$0	$16,626	$0	$13,369	$0	$585	$0	$207,745	$0	$0	$0
BEV WEBER
SENIOR VP/COO KOH	$0	$650,685	$0	$117,934	$0	$91,035	$0	$20,952	$0	$12,878	$0	$893,484	$0	$0
EDWARD CARTHEW
FORMER CHIEF HUMAN RESOURCES OFFICER	$0	$0	$0	$0	$240,599	$0	$21,956	$0	$2,452	$0	$265,007	$0	$0	$0
VIRGINIA DEMPSEY
FORMER PRESIDENT-LONDON	$0	$0	$0	$0	$386,796	$0	$23,502	$0	$12,110	$0	$422,408	$0	$79,540	$0
PEGGY GREEN
FORMER COO/CNO-LONDON	$0	$0	$0	$0	$197,492	$0	$17,409	$0	$6,764	$0	$221,665	$0	$0	$0
KEN HAYNES
FORMER PRESIDENT-SJH	$0	$0	$0	$0	$513,849	$0	$26,052	$0	$15,259	$0	$555,160	$0	$92,898	$0
CARMEL JONES
FORMER COO/VP FINANCE - LONDON	$243,101	$0	$0	$0	$2,237	$0	$27,864	$0	$18,973	$0	$292,175	$0	$0	$0
CHRISTINE MAYS
FORMER COO/CNE - SJH	$98,940	$188,242	$0	$5,400	$429	$17,219	$0	$33,702	$4,821	$9,641	$104,190	$254,204	$0	$0
MARK STREETY
FORMER CHIEF INNOVATION OFFICER	$0	$0	$0	$0	$335,778	$0	$33,702	$0	$8,994	$0	$378,474	$0	$67,141	$0
DANIEL VARGA
FORMER CHIEF MEDICAL OFFICER	$21,932	$0	$0	$0	$634,409	$0	$20,952	$0	$18,507	$0	$695,800	$0	$110,204	$0
CARLA WALTER
FORMER CORP RESP & PRIVACY OFFICER	$0	$0	$0	$0	$0	$109,836	$0	$10,096	$0	$10,700	$0	$130,632	$0	$0
MELINDA EVANS
REGIONAL VP OF FINANCE	$261,344	$0	$0	$0	$2,472	$0	$23,502	$0	$7,272	$0	$294,590	$0	$0	$0
GREG GERARD
PRESIDENT LONDON	$0	$212,072	$0	$40,500	$0	$37,834	$0	$40,288	$0	$17,210	$0	$347,904	$0	$15,749
ERIC GILLIAM
PRESIDENT SAINT JOSEPH EAST	$0	$220,278	$0	$40,500	$0	$21,833	$0	$48,852	$0	$19,114	$0	$350,577	$0	$0
BENNY NOLEN
PRESIDENT SAINT JOSEPH MOUNT STERLING	$0	$179,639	$0	$40,132	$0	$22,989	$0	$34,782	$0	$11,907	$0	$289,449	$0	$0
TANJA OQUENDO
SVP CHIEF HR OFFICER KOH	$0	$348,258	$0	$50,557	$0	$27,089	$0	$28,852	$0	$16,701	$0	$471,457	$0	$0
JOHN SMITHHISLER
PRESIDENT SAINT JOSEPH HOSPITAL/MARKET LEADER KOH	$0	$567,762	$0	$93,980	$0	$47,066	$0	$72,214	$0	$6,489	$0	$787,511	$0	$0
KATHY STUMBO
PRESIDENT-MARTIN	$0	$179,065	$0	$33,366	$0	$35,659	$0	$41,639	$0	$19,504	$0	$309,233	$0	$13,682
CHRISTY SPITSER
VP FINANCE LONDON, MARTIN, BEREA	$167,668	$0	$0	$0	$2,158	$0	$16,747	$0	$21,152	$0	$207,725	$0	$0	$0
STEVE LIN
CARDIOLOGIST	$9,862	$426,350	$0	$214,981	$0	$1,260	$0	$20,952	$0	$16,884	$9,862	$680,427	$0	$0
SATHYENDRA MYSORE
ANESTHESIOLOGIST	$589,860	$0	$0	$0	$1,260	$0	$26,052	$0	$20,328	$0	$637,500	$0	$0	$0
MUNAWAR SIDDIQI
ANESTHESIOLOGIST	$0	$440,176	$0	$95,002	$0	$1,932	$0	$20,952	$0	$19,862	$0	$577,924	$0	$0
JEFFREY MILAM
ANESTHESIOLOGIST	$519,666	$0	$0	$0	$3,612	$0	$20,952	$0	$15,136	$0	$559,366	$0	$0	$0
AQEEL MANDVIWALA
ANESTHESIOLOGIST	$5,875	$393,072	$0	$108,502	$0	$1,714	$0	$20,952	$0	$21,818	$5,875	$546,058	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3, METHODS USED TO ESTABLISH CEO COMPENSATION	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a, Severance or change-of-control payment	SAINT JOSEPH HEALTH SYSTEM, INC.'S SEVERANCE MAY BE OFFERED TO REGULAR FULLTIME OR PART-TIME EMPLOYEES BASED ON YEARS OF SERVICE AND SCHEDULED HOURS. TO BE ELIGIBLE FOR SEVERANCE, AN EMPLOYEE MUST STAY WITH THE ORGANIZATION THROUGH THE END OF THE ANNOUNCED SEPARATION DATE AND NOT ACCEPT ANOTHER REGULAR FULL-TIME OR PART-TIME POSITION WITHIN THE ORGANIZATION. AN EMPLOYEE WILL NOT BE ELIGIBLE FOR SEVERANCE IF HE OR SHE SEPARATES FROM THE ORGANIZATION DUE TO PERFORMANCE ISSUES PRIOR TO THE JOB ELIMINATION DATE. MANAGEMENT HAS THE RIGHT TO CHANGE SEVERANCE PAY AMOUNTS AT ANY TIME AS BUSINESS NEEDS CHANGE. THE SEVERANCE PERIOD WILL IMMEDIATELY FOLLOW TERMINATION OF EMPLOYMENT. EMPLOYEES MUST SIGN A VALID AND COMPLETE WAIVER OF ALL CLAIMS PRIOR TO COMMENCEMENT OF SEVERANCE PAY. IN ADDITION, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2013 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: EDWARD CARTHEW $240,949 VIRGINIA DEMPSEY $309,415 GARY ERMERS $382,899 PEGGY GREEN $199,609 KEN HAYNES $424,176 BRUCE KLOCKARS $352,591 MARK STREETY $270,799 DANIEL VARGA $471,153 CARLA WALTER $112,327
Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan	DURING THE 2013 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MELVIN ALEXANDER, PAUL EDGETT, GREG GERARD, ERIC GILLIAM, BENNY NOLEN, TANJA OQUENDO, MICHAEL ROWAN, JOHN SMITHHISLER, KATHY STUMBO, BEVERLY WEBER AND RUTH WILLIAMS -BRINKLEY. DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: PAUL EDGETT $43,590 GREG GERARD $16,786 ERIC GILLIAM $20,250 BENNY NOLEN $16,066 TANJA OQUENDO $7,900 MICHAEL ROWAN $214,851 JOHN SMITHHISLER $51,262 KATHY STUMBO $16,452 RUTH WILLIAMS -BRINKLEY $135,221 DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: MELVIN ALEXANDER $38,251 PAUL EDGETT $92,265 GREG GERARD $15,749 MICHAEL ROWAN $175,028 KATHY STUMBO $13,682 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2013 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2013, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: BEVERLY WEBER $58,967
Schedule J, Part I, Line 5a, Compensation contingent on revenues of the organization	REPORTABLE PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON "GROSS PROFESSIONAL REVENUE." "GROSS PROFESSIONAL REVENUE" WAS NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL GROSS REVENUE OR ORGANIZATIONAL "GROSS INCOME." RATHER, AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S INDIVIDUAL CONTRIBUTION COMPUTED AS: PHYSICIANS PERSONALLY PERFORMED PROFESSIONAL SERVICES (FOR SERVICES RENDERED BY THE PHYSICIAN TO PATIENTS PERSONALLY) LESS SOME SPECIFICALLY STATED PHYSICIAN REVENUE AND REFUNDS.
Schedule J, Part I, Line 7, Non-fixed payments	SJHS HAS AN INCENTIVE PLAN FOR EMPLOYED PHYSICIANS. THE PLAN IS BASED ON A COMBINATION OF PHYSICIAN PRODUCTIVITY, QUALITY, AND PATIENT SATISFACTION GOALS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee	PURSUANT TO SECTION 7.1 OF THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, INC., THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders	ACCORDING TO THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, INC., THE ENTITY'S SOLE MEMBER IS KENTUCKYONE HEALTH, INC., A KENTUCKY NONPROFIT CORPORATION.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body	ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders	SAINT JOSEPH HEALTH SYSTEM, INC.'S (SJHS) CORPORATE MEMBER IS KENTUCKYONE HEALTH, INC. PURSUANT TO SECTION 4.4.1 OF THE ORGANIZATION'S BYLAWS, NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF THE CORPORATION NOR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION SHALL TAKE ANY ACTION EITHER IN CONTRADICTION OF ANY OF THE FOREGOING POWERS, OR WITHOUT FIRST HAVING SECURED THE NECESSARY APPROVALS OR GIVEN THE APPROPRIATE NOTIFICATIONS AS MAY BE REQUIRED BY THESE BYLAWS. IN ADDITION, PURSUANT TO SECTION 4.4.2 OF THE ORGANIZATION'S BYLAWS, IN EXERCISE OF ITS APPROVAL POWERS, THE CORPORATE MEMBER MAY GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT OF THE CORPORATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body	ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE VP-FINANCE AND AN ELECTRONIC COPY IS PROVIDED TO EACH MEMBER OF THE BOARD. AFTER THE RETURN IS REVIEWED BY THE VP-FINANCE, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY THAT EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. SUBSEQUENT TO THE RETURN BEING FILED, THE PRESIDENT/CEO OF KENTUCKYONE HEALTH, INC., THE SOLE MEMBER OF THE ORGANIZATION, PRESENTS THE RETURN AT A SAINT JOSEPH HEALTH SYSTEM, INC. BOARD MEETING
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy	EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S CEO WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHEN A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S CHIEF EXECUTIVE OFFICER SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THIS POLICY AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DIRECTORS AND OFFICERS MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S CHIEF EXECUTIVE OFFICER. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE BOARD CHAIR. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF ANY CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THIS POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THIS POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF A DIFFERENCE OF OPINION EXISTS BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THIS POLICY, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 15A, PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 18, 2014. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees	SAINT JOSEPH HEALTH SYSTEM, INC.'S EXECUTIVE LEADERSHIP COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE TO THE BOARD. AN OUTSIDE CONSULTANT PROVIDED COMPARATIVE DATA BASED ON BASE COMPENSATION, TOTAL COMPENSATION, AND EXECUTIVE BENEFITS. PHYSICIAN COMPENSATION IS REVIEWED AND APPROVED BY PLC, MANAGEMENT PTRC, BOARD PTRC, AND ULTIMATELY THE FULL BOARD.
FORM 990, PART VI, LINE 16B, FORMAL POLICIES CONCERNING PARTICIPATION IN JOINT VENTURES	SAINT JOSEPH HEALTH SYSTEM, INC. HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINACIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT.
Form 990, Part IX, Line 11g, Other Expenses	OTHER FEES FOR SERVICES - TOTAL EXPENSE: XXX-XX-XXXX, PROGRAM SERVICE EXPENSE: 93713644, MANAGEMENT AND GENERAL EXPENSES: 10412627, FUNDRAISING EXPENSES: ;
Form 990 , Part XI, Line 9, Other changes in net assets or fund balances	NON-CONTROLLING INTEREST - -230328;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
IMAGING CENTER OF MOUNT STERLING LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611334601	MEDICAL IMAGING	KY	$0	$0	SJHS
ONCOLOGY SERVICES OF CENTRAL KENTUCKY
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	270900852	ONCOLOGY	KY	$0	$0	SJHS
JESSAMINE HEALTH SERVICES LLC DBA SAINT JOSEPH HEART INSTITUTE
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611334601	HEALTHCARE	KY	$0	$0	SJHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (158 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HEALTHCARE	NE	501(C)(3)	3	ACH	Yes (true)
ALEGENT CREIGHTON HEALTH
12809 W DODGE RD	OMAHA	NE	68154	470757164	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING	NE	501(C)(3)	7	ACH	Yes (true)
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HEALTHCARE	IA	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HEALTHCARE	IA	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(C)(3)	9	CHI	Yes (true)
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(C)(3)	9	SFH	Yes (true)
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVE	DES MOINES	IA	50314	420725196	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	Yes (true)
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232187242	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes (true)
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(C)(3)	9	NA	Yes (true)
CATHOLIC HEALTH INITIATIVES - COLORADO
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	CO	80112	840405257	HEALTHCARE	CO	501(C)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE	DES MOINES	IA	50314	420680448	HEALTHCARE	IA	501(C)(3)	3	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DR STE 301	COLORADO SPRINGS	CO	80919	840902211	FUNDRAISING	CO	501(C)(3)	7	CHIC	Yes (true)
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DR	COLORADO SPRINGS	CO	80919	270930004	FUNDRAISING	CO	501(C)(3)	11 - Type I	CHI	Yes (true)
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHINS	Yes (true)
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	PHYSICIANS	OR	501(C)(3)	9	MMC	Yes (true)
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	SURGERY CENTER	KS	501(C)(3)	3	CHI	Yes (true)
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	HEALTHCARE	MN	501(C)(3)	9	CHI	Yes (true)
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes (true)
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	Yes (true)
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(C)(3)	9	CHI NS	Yes (true)
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes (true)
CHI NEBRASKA
6940 O ST STE 200	LINCOLN	NE	68510	363233121	HEALTHCARE	NE	501(C)(3)	11 - Type III - FI	CHI	Yes (true)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
6624 FANNIN ST	HOUSTON	TX	77030	741161938	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes (true)
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HEALTHCARE	AR	501(C)(3)	3	CHISVHS	Yes (true)
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(C)(3)	11 - Type II	SVIMC	Yes (true)
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
1 MERCY LANE STE 201	HOT SPRINGS	AR	71913	261125131	HEALTHCARE	AR	501(C)(3)	3	CHISVHS	Yes (true)
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	HOLDING CO	OH	501(C)(2)	N/A	GSH	Yes (true)
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING	IA	501(C)(3)	11 - Type I	AH-CMHMV	Yes (true)
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DR	LEXINGTON	KY	40509	611400619	LT ACH	KY	501(C)(3)	3	SJHS	Yes (true)
COVENANT HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232028429	HOME HEALTH	PA	501(C)(3)	11 - Type II	CHI NHC	Yes (true)
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (true)
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes (true)
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	Yes (true)
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING	WA	501(C)(3)	9	FHS	Yes (true)
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HEALTHCARE	WA	501(C)(3)	3	CHI	Yes (true)
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY	TACOMA	WA	98402	431882377	PHYSICIANS	MO	501(C)(3)	9	CHI	Yes (true)
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	HEALTHCARE	WA	501(C)(3)	9	FHS	Yes (true)
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(C)(3)	9	CHI	Yes (true)
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	Yes (true)
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311778403	EDUCATION	OH	501(C)(3)	2	GSH	Yes (true)
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311206047	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	Yes (true)
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING	NE	501(C)(3)	7	GSH	Yes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST STE 500	DAYTON	OH	45402	237296923	FUNDRAISING	OH	501(C)(3)	7	SHP	Yes (true)
HARRISON MEDICAL CENTER
2520 CHERRY AVE	BREMERTON	WA	98310	910565546	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (true)
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE	BREMERTON	WA	98310	911197626	FUNDRAISING	WA	501(C)(3)	7	HMC	Yes (true)
HEALTH SET
2420 W 26TH AVE STE 460D	DENVER	CO	80211	841102943	LOW INC CARE	CO	501(C)(3)	7	CHIC	Yes (true)
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	Yes (true)
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	910712166	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (true)
HOUSE OF MERCY
1111 6TH AVE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	Yes (true)
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
539 S 4TH ST	LOUISVILLE	KY	40202	611029768	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes (true)
KENTUCKYONE HEALTH MEDICAL GROUP INC
539 S 4TH ST	LOUISVILLE	KY	40202	611352729	HEALTHCARE	KY	501(C)(3)	9	JHSMH	Yes (true)
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(C)(3)	9	CHI	Yes (true)
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
LINUS OAKES INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930821381	SENIOR LIVING	OR	501(C)(3)	9	MMC	Yes (true)
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(C)(3)	11 - Type III - FI	MHSET	Yes (true)
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING	TN	501(C)(3)	7	MHCS	Yes (true)
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HEALTHCARE	TN	501(C)(3)	3	CHI	Yes (true)
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(C)(3)	9	MHCS	Yes (true)
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HEALTHCARE	TX	501(C)(3)	3	CHI	Yes (true)
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HEALTHCARE	TX	501(C)(3)	3	MHSET	Yes (true)
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HEALTHCARE	TX	501(C)(3)	3	MHSET	Yes (true)
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	95904	752721155	PHYSICIANS	TX	501(C)(3)	11 - Type III - FI	MHSET	Yes (true)
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	95902	752492741	HEALTHCARE	TX	501(C)(3)	3	MHSET	Yes (true)
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(C)(3)	11 - Type I	MF-DM IA	Yes (true)
MERCY CLINICS INC
1111 6TH AVE	DES MOINES	IA	50314	421193699	PHYSICIANS	IA	501(C)(3)	9	CHI-IA CORP	Yes (true)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	Yes (true)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE	DES MOINES	IA	50314	237358794	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	Yes (true)
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING	OR	501(C)(3)	7	MMC	Yes (true)
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHMH-CORNING	Yes (true)
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING	ND	501(C)(3)	11 - Type III - FI	MHVC	Yes (true)
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	Yes (true)
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING	ND	501(C)(3)	7	MHDL	Yes (true)
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	Yes (true)
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes (true)
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	Yes (true)
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVE	DES MOINES	IA	50314	421470935	PHYSICIANS	IA	501(C)(3)	9	CHI-IA CORP	Yes (true)
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	Yes (true)
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(C)(3)	11 - Type III - FI	MHSET	Yes (true)
PUEBLO STEPUP
1925 E ORMAN AVE STE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(C)(3)	7	CHIC	Yes (true)
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
12844 MILITARY RD S	TUKWILA	WA	98168	911170040	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes (true)
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DR STE 450	COLORADO SPRINGS	CO	80906	841183335	LTERM CARE	CO	501(C)(3)	7	CHIC	Yes (true)
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	Yes (true)
SAINT CLARE'S FOUNDATION INC
25 POCONO RD	DENVILLE	NJ	07834	222502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	Yes (true)
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(C)(3)	11 - Type II	CHI	Yes (true)
SAINT CLARE'S HOSPITAL INC
25 POCONO RD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(C)(3)	3	SCHS	Yes (true)
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	Yes (true)
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	Yes (true)
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING	NE	501(C)(3)	7	SFMC	Yes (true)
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes (true)
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	611334601	HEALTHCARE	KY	501(C)(3)	3	KOH	Yes (true)
SAINT JOSEPH HOSPITAL FOUNDATION INC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611159649	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	Yes (true)
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes (true)
SAINT JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	311539059	PHYSICIANS	KY	501(C)(3)	3	SJHS	Yes (true)
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes (true)
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH ST	DICKINSON	ND	58601	363418207	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	Yes (true)
SAMARITAN BEHAVIORAL HEALTH INC
601 S EDWIN C MOSES BLVD	DAYTON	OH	45417	020633634	HEALTHCARE	OH	501(C)(3)	7	SHP	Yes (true)
SAMARITAN HEALTH PARTNERS
110 N MAIN ST STE 500	DAYTON	OH	45402	311107411	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	Yes (true)
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMHS	Yes (true)
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	HEALTHCARE	MO	501(C)(3)	3	CHI	Yes (true)
SL AUGUSTA CORP
PO BOX 20269	HOUSTON	TX	77225	760226623	TITLE HOLDING	TX	501(C)(2)	N/A	SLPC	Yes (true)
ST ANTHONY HOSPITAL
1601 SE COURT AVE	PENDLETON	OR	97801	930391614	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes (true)
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVE	PENDLETON	OR	97801	930992727	FUNDRAISING	OR	501(C)(3)	11 - Type I	SAH	Yes (true)
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	Yes (true)
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HEALTHCARE	KS	501(C)(3)	3	CHI	Yes (true)
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	Yes (true)
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	HEALTHCARE	OR	501(C)(4)	N/A	CHI	Yes (true)
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(C)(3)	9	CHI	Yes (true)
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	Yes (true)
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930412495	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH COMMUNITY HEALTH
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	Yes (true)
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes (true)
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	232649362	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	Yes (true)
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	520591461	HEALTHCARE	MD	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	208544021	HEALTHCARE	PA	501(C)(3)	9	BHC	Yes (true)
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	521311775	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	Yes (true)
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	231352211	HEALTHCARE	PA	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH ST	DICKINSON	ND	58601	450226429	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260274448	MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HEALTHCARE	TX	501(C)(3)	3	SLCDC	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HEALTHCARE	TX	501(C)(3)	3	SLCDC	Yes (true)
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes (true)
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING	TX	501(C)(3)	7	SLHS	Yes (true)
ST LUKE'S HEALTH SYSTEM CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536232	MANAGEMENT	TX	501(C)(3)	11 - Type I	CHI	Yes (true)
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760127715	INVESTMENT MGMT	TX	501(C)(3)	11 - Type I	SLHS	Yes (true)
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HEALTHCARE	TX	501(C)(3)	3	SLHS	Yes (true)
ST LUKE'S MEDICAL GROUP
6624 FANNIN ST	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(C)(3)	3	SLHS	Yes (true)
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760531713	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	CHI-SLH	Yes (true)
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760531716	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLHS	Yes (true)
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLCDC-SL	Yes (true)
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVE	NEBRASKA CITY	NE	68410	470443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes (true)
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING	NE	501(C)(3)	7	SMCH	Yes (true)
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	Yes (true)
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HEALTHCARE	AR	501(C)(3)	3	CHI	Yes (true)
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	Yes (true)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HEALTHCARE	OH	501(C)(3)	3	CHI	Yes (true)
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	Yes (true)
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST STE 500	ENGLEWOOD	CO	80112	840927232	HEALTHCARE	CO	501(C)(3)	3	CHIC	Yes (true)
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes (true)
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(C)(3)	9	CHI	Yes (true)
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	Yes (true)
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(C)(3)	9	SLCHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH ST	OMAHA	NE	68116	061786985	OP DIAGNOSTICS	NE	ACH	RELATED	$116,752	$776,649	false	$0	Yes (true)	0.51
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	CHIC	RELATED	$34,991	$8,665,388	false	$0	false	0.501
AVANTAS LLC
11128 JOHN GALT BLVD STE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	AHBMHS	RELATED	-$319,683	$4,762,246	false	-$439,535	false	0.95
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY RD STE 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	RELATED	$142,085	$3,294,472	false	$0	false	0.6394
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	MHCS	RELATED	$57,545	$1,013,237	false	$0	Yes (true)	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BRDWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC IMAGING	KY	SJHS	RELATED	$308,428	$3,317,191	false	$0	false	0.65
CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	462945938	PRACTICE MGMT SRVC	DE	CHI	RELATED	$2,478	$4,571,498	false	$0	Yes (true)	0.8
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146 4502 N SECOND AVE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	NA	RELATED	-$195,425	$216,945	false	-$77,269	Yes (true)	1
CENTRAL NEBRASKA REHAB SERVICE
620 DIERS AVE STE 300	GRAND ISLAND	NE	68803	810653461	PHYSICAL THERAPY	NE	SFMC	RELATED	$2,132,606	$3,494,427	false	$0	false	0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	UNRELATED	$344,962,532	$4,617,413,792	false	$0	Yes (true)	0.928
CHICAMSURG SURGERY CENTERS LLC
188 INVERNESS DRIVE WEST 500	ENGLEWOOD	CO	80112	111222333	SURGERY CENTER	CO	CHIC	RELATED	$0	$0	false	$0	false	0.51
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLDING	WI	SL CDC-V	RELATED	$1,027,057	$105,658,490	false	$0	false	0.51
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	RELATED	$98,584	$3,190,678	false	$97,006	false	1
HEARTLAND ONCOLOGY LLC
2337 E CRAWFORD ST	SALINA	KS	67401	222333444	ONCOLOGY	KS	SCH	RELATED	$0	$0	false	$0	false	0.51
HIGHLINE IMAGING LLC
275 SW 160TH ST	BURIEN	WA	98166	200460005	DIAGNOSTIC IMAGING	WA	HMC	RELATED	$375,761	$1,784,057	false	$0	false	0.8
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	RELATED	$3,465,880	$1,951,221	false	$0	false	0.51
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	RELATED	$1,455,294	$1,013,126	false	$0	false	0.5228
LINCOLN CK LEASING LLC
6003 OLD CHENEY RD	LINCOLN	NE	68516	262496856	REAL ESTATE	NE	SERMC	RELATED	$574,064	$425,034	false	$0	false	0.5376
LOUISVILLE SC LTD
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	062119566	SURGERY CENTER	AL	SCOFL	RELATED	$417,359	$478,373	false	$0	Yes (true)	0.611
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	RELATED	$10,501,730	$17,301,869	false	$0	false	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	RELATED	$81,071	$1,077,536	false	$0	false	0.5745
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	THC	RELATED	$1,846,183	$8,411,844	false	$0	false	0.6
PENINSULA RADIATION ONCOLOGY LLC
315 MLK JR WAY STE 111	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	FHS	RELATED	$256,567	$3,262,002	false	$0	false	0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	CHIC	RELATED	$715,094	$3,489,436	false	$0	false	0.7
PMC HOSPITAL LLC
4600 E SAM HOUSTON PKWY	SOUTH PASADENA	TX	77505	273280598	HOSPITAL	TX	SL CDC-PMC	RELATED	$1,092,540	$20,751,174	false	$0	Yes (true)	0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST STE 102	LINCOLN	NE	68508	204962103	TECH SRVC	NE	AH-IMC	RELATED	$1,011,804	$5,564,586	false	$68,565	Yes (true)	0.6575
PREMIER SURGERY CENTER OF LOUISVILLE LP
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	721378216	SURGERY CENTER	AL	SCA	RELATED	$88,900	$254,399	false	$0	Yes (true)	0.51
PUEBLO AMBULATORY SURGERY CENTER LLC
188 INVERNESS DRIVE WEST 500	ENGLEWOOD	CO	80112	621488737	SURGERY CENTER	CO	CHIC	RELATED	$0	$0	false	$0	false	0.51
SAINT JOSEPH - PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	SJHS	RELATED	-$52,573	$93,769	false	$0	Yes (true)	0.625
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRODSBURG RD	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	SJHS	RELATED	$0	$0	false	$0	Yes (true)	0.51
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	KY	JH	RELATED	$88,608	$256,606	false	$0	false	1
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JH	RELATED	$42,319	$631,595	false	$0	Yes (true)	0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	RELATED	-$130,967	$13,823,763	false	$0	false	0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J ST	TACOMA	WA	98405	911352698	MED OFFICE	WA	FHS	RELATED	$238,717	$19,017,063	false	$0	false	0.5421
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6620 MAIN ST STE 1520	HOUSTON	TX	77030	710959365	DIAGNOSTICS	TX	SLHS HOLDINGS	RELATED	$273,448	$868,814	false	$0	false	0.573
ST LUKE'S HOSPITAL AT THE VINTAGE LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	263734516	HOSPITAL	TX	SLHS	RELATED	-$19,253,743	$69,158,748	false	$0	Yes (true)	0.51
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC-W	RELATED	$1,106,628	$25,874,619	false	$0	Yes (true)	0.51
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTICS	TX	SLHSH	RELATED	$0	$0	false	$0	Yes (true)	0.5
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH ST	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-$200,323	$821,112	false	$0	Yes (true)	0.51
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	SJHS	RELATED	-$200,318	$4,079,584	false	$0	Yes (true)	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JH	RELATED	-$15,452	$396,101	false	$0	Yes (true)	0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (59 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Business Name Line2RelatedOrganizationName/BusinessNameLine2
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE RD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	CHI NEBRASKA	C CORPORATION	$5,312,313	$4,520,865	1	Yes (true)
ALL SAINTS INSURANCE COMPANY SPC LTD
					INSURANCE		CHI	C CORPORATION	$0	$43,866,961	1	Yes (true)	CJ
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	$0	$6,272,746	1	Yes (true)
AMERICAN NURSING CARE INC
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORPORATION	$5,118,606	$51,920,207	1	Yes (true)
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORPORATION	$2,134,392	$14,669,219	1	Yes (true)
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	JHSMH	C CORPORATION	$0	$0	1	Yes (true)
CADUCEUS MEDICAL ASSOCIATES INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621570736	HEALTHCARE	TN	MHCS	C CORPORATION	$0	$1,008	1	Yes (true)
CAPTIVE MANAGEMENT INITIATIVES LTD
				980663022	CAPTIVE MANAGEMENT		CHI	C CORPORATION	$0	$0	1	Yes (true)	CJ	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001
CARMONA-DESOTO BUILDING HORIZONTAL PROPERTY REGIME INC
300 WERNER ST	HOT SPRINGS	AR	71913	710771076	HEALTHCARE	AR	CHI-SVHS	C CORPORATION	$0	$0	1	Yes (true)
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	CIRI	TRUST	-$2,286,538	$1,241,259	1	Yes (true)
CGH REALTY COMPANY INC
2500 BERNVILLE RD	READING	PA	19603	232326801	REAL ESTATE	PA	SJHM	C CORPORATION	$0	$0	1	Yes (true)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONDO ASSOC
6624 FANNIN STE 2505	HOUSTON	TX	77030	455079545	CONDO ASSOC	TX	CHI-SLHBCM	C CORPORATION	$0	$0	1	Yes (true)
CLEARRIVER HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464495960	INSURANCE	TN	PHPSI	C CORPORATION	$0	$0	1	Yes (true)
COMCARE SERVICES INC
5570 DTC PARKWAY	ENGLEWOOD	CO	80111	840904813	INACTIVE	CO	CHIC	C CORPORATION	$0	$0	1	Yes (true)
CONSOLIDATED HEALTH SERVICES
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C CORPORATION	-$879,467	$52,379,487	1	Yes (true)
DES MOINES MEDICAL CENTER INC
1111 6TH AVE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	$67,314	$1,064,032	0.9298	Yes (true)
EAST TEXAS CLINICAL SERVICES INC
2801 VIA FORTUNA 500	AUSTIN	TX	78746	454736213	HEALTHCARE	TX	MHSET	C CORPORATION	$632,545	$16,782	1	Yes (true)
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		CHI	C CORPORATION	$0	$0	1	Yes (true)	CJ	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	CHI	C CORPORATION	$434,854	$718,254	1	Yes (true)
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-$7,280	$180,468	1	Yes (true)
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MGMT	NE	GSH	C CORPORATION	$87,278	$1,377,820	1	Yes (true)
HEALTHCARE MGMT SERVICES ORGANIZATION INC
1717 SOUTH J ST	TACOMA	WA	98405	911865474	HEALTH ORG.	WA	FHS	C CORPORATION	$0	$0	1	Yes (true)
HEARTLANDPLAINS HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464368223	INSURANCE	NE	PHPSI	C CORPORATION	$0	$0	1	Yes (true)
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW STE 170	BURIEN	WA	98166	911586438	MEDICAL SERVICES	WA	HMC	C CORPORATION	-$6,049,147	$5,689,139	1	Yes (true)
MEDQUEST
1602 WEST 11TH ST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION		$1,152,715	1	Yes (true)
MERCY PARK APARTMENTS LTD
1111 6TH AVE	DES MOINES	IA	50314	421202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	$273,525	$1,937,218	1	Yes (true)
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97471	930824308	RETAIL SALES	OR	MMC	C CORPORATION	$0	$142,337	1	Yes (true)
MHI CLINICAL SERVICES
1201 W FRANK AVE	LUFKIN	TX	75904	461967952	HEALTHCARE	TX	MHSET	C CORPORATION	$0	$0	1	Yes (true)
MOUNTAIN MANAGEMENT SERVICES INC
6028 SHALLOWFORD RD	CHATTANOOGA	TN	37421	621570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	$96,044	$6,465,179	1	Yes (true)
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		CHI	C CORPORATION	$0	$0	1	Yes (true)	CJ	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C CORPORATION	-$164,340	$5,488,275	1	Yes (true)
PHYSICIANHEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	FHS	C CORPORATION	$0	$0	1	Yes (true)
PROMINENCE HEALTH PLAN SERVICES INC (FKA COLLABHEALTH PLAN SERVICES INC)
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	PHI	C CORPORATION	-$5,339,325	$38,272,608	1	Yes (true)
PROMINENCE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC)
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	CHI	C CORPORATION	$0	$23,806,707	1	Yes (true)
QCA HEALTH PLAN INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	710794605	INSURANCE	AR	QCHI	C CORPORATION	$0	$0	1	Yes (true)
QUALCHOICE HOLDINGS INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	274075520	HOLDING CO	AR	PHPS	C CORPORATION	$0	$0	1	Yes (true)
QUALCHOICE LIFE AND HEALTH INSURANCE COMPANY INC
12615 CHENAL PARKWAY STE 300	LITTLE ROCK	AR	72211	710386640	INSURANCE	AR	QCH	C CORPORATION	$0	$0	1	Yes (true)
RIVERLINK HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464380824	INSURANCE	OH	PHPS	C CORPORATION	$0	$0	1	Yes (true)
RIVERLINK HEALTH OF KENTUCKY INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464828332	INSURANCE	KY	PHPS	C CORPORATION	$0	$0	1	Yes (true)
SAINT CLARE'S PRIMARY CARE INC
66 FORD RD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-$235,604	$1,361,242	1	Yes (true)
SAMARITAN FAMILY CARE INC
40 W FOURTH ST STE 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	SHP	C CORPORATION	$0	$0	1	Yes (true)
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	FSI	C CORPORATION	-$197,039	$3,331,737	1	Yes (true)
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	LEXINGTON	KY	40503	270164198	MGMT	KY	SJHS	C CORPORATION	$0	$0	1	Yes (true)
SLMT PARKING INC
6624 FANNIN STE 800	HOUSTON	TX	77030	760637140	PARKING	TX	SLHS	C CORPORATION	$1,117,934	$13,768,221	1	Yes (true)
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	PHPS	C CORPORATION	-$154,741	$10,976,973	0.626	Yes (true)
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	$114,663	$2,936,102	1	Yes (true)
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J ST	TACOMA	WA	98405	911480569	RENTAL	WA	FSI	C CORPORATION	$63,164	$11,845,439	1	Yes (true)
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG RD BLDG B70	LEXINGTON	KY	40504	611079899	MGMT	KY	SJHS	C CORPORATION	$0	$882,139	0.85	Yes (true)
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	300355517	CONDO ASSOC	TX	SLPC	C CORPORATION	$0	$0	1	Yes (true)
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN STE 1100	HOUSTON	TX	77030	461517163	MEDICAL CLINIC	TX	CHI-SLH	C CORPORATION	$0	$0	1	Yes (true)
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNER MC4-262	HOUSTON	TX	77030	760377932	PHO	TX	CHI-SLH	C CORPORATION	$6	$0	0.6	Yes (true)
ST LUKE'S HEALTH SYSTEM HOLDINGS INC (FKA SLEHS HOLDINGS INC)
6624 FANNIN STE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	SLHS	C CORPORATION	$1,425,313	$33,114,103	1	Yes (true)
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	300355518	CONDO ASSOC	TX	SLPC	C CORPORATION	$0	$0	1	Yes (true)
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN STE 2505	HOUSTON	TX	77030	760298751	CONDO ASSOC	TX	SLMTC	C CORPORATION	$0	$0	1	Yes (true)
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	SVIMC	C CORPORATION	$2,408,638	$15,225,732	1	Yes (true)
STABLEVIEW HEALTH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	464373713	INSURANCE	KY	PHPS	C CORPORATION	$0	$0	1	Yes (true)
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAY	SUGAR LAND	TX	77478	454270163	MEDICAL CLINIC	TX	SLCDC-SL	C CORPORATION	$0	$0	1	Yes (true)
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN STE 2505	HOUSTON	TX	77030	900064009	CONDO ASSOC	TX	CHI-SLH	C CORPORATION	$0	$0	1	Yes (true)							UILDING COMDOMINIUM ASSOCIATION
TOWSON MANAGEMENT INC
7601 OSLER DR	TOWSON	MD	21204	521710750	MGMT SERVICES	MD	FSI	C CORPORATION	$516,457	$197,196	1	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BLUEGRASS REGIONAL IMAGING (BRI)
J	$111,188	FAIR MARKET VALUE
SURGERY CENTER OF LEXINGTON (LSC)
J	$346,219	FAIR MARKET VALUE
PAML (KLS)
S	$1,677,866	FAIR MARKET VALUE
BLUEGRASS REGIONAL IMAGING (BRI)
S	$182,000	FAIR MARKET VALUE
SURGERY CENTER OF LEXINGTON (LSC)
S	$73,160	FAIR MARKET VALUE