ST ELIZABETH MEDICAL CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: ST ELIZABETH MEDICAL CENTER INC (EIN 61-0445850)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-12
IRS object ID: 202513169349307126
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-12T15:23:40+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4801 Olympia Park Plaza Suite 4000	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	610445850	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Elizabeth Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STEL	BusinessNameControlTxt
Phone	8596551642	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Medical Village Drive	AddressLine1Txt
City	Edgewood	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Lori Ritchey-Baldwin	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2025-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum
Preparation	2025-11-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Garren Colvin	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Medical Village Drive	AddressLine1Txt
City	Edgewood	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,587,039,444	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.stelizabeth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1861	FormationYr
Legal Domicile State	KY	LegalDomicileStateCd
Activity Or Mission	AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	10327	TotalEmployeeCnt
Total Volunteers	1169	TotalVolunteersCnt
Total Gross UBI	$645,159	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$216,021	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,158,395	PYContributionsGrantsAmt
CY Contributions Grants	$11,643,756	CYContributionsGrantsAmt
PY Program Service Revenue	$1,903,566,200	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,063,988,859	CYProgramServiceRevenueAmt
PY Investment Income	$5,176,640	PYInvestmentIncomeAmt
CY Investment Income	$103,782,818	CYInvestmentIncomeAmt
PY Other Revenue	$6,761,386	PYOtherRevenueAmt
CY Other Revenue	$6,795,586	CYOtherRevenueAmt
PY Total Revenue	$1,922,662,621	PYTotalRevenueAmt
CY Total Revenue	$2,186,211,019	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,022,846	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,328,231	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$758,532,276	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$814,357,057	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$65,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$60,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,073,480	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,040,460,934	PYOtherExpensesAmt
CY Other Expenses	$1,169,390,726	CYOtherExpensesAmt
PY Total Expenses	$1,809,081,056	PYTotalExpensesAmt
CY Total Expenses	$1,993,136,014	CYTotalExpensesAmt
PY Revenues Less Expenses	$113,581,565	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$193,075,005	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,176,981,553	TotalAssetsBOYAmt
Total Assets EOY	$3,365,327,819	TotalAssetsEOYAmt
Total Liabilities BOY	$864,226,849	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$840,477,830	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,312,754,704	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,524,849,989	NetAssetsOrFundBalancesEOYAmt
Mission	AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,216,367,135	ExpenseAmt
Grant	$9,328,231	GrantAmt
Revenue	$2,063,621,578	RevenueAmt
Desc	St. Elizabeth Healthcare is one of the oldest, largest, and most respected medical providers in the Northern Kentucky, Southwestern Ohio and Southeastern Indiana areas. For more than 150 years, St. Elizabeth has been the heart and soul of healthcare in Northern Kentucky. Founded with one small hospital in 1861, St. Elizabeth Healthcare now operates six facilities throughout Northern Kentucky and Southeast Indiana: St. Elizabeth Covington, St. Elizabeth Edgewood, St. Elizabeth Florence, St. Elizabeth Ft. Thomas, St. Elizabeth Grant, and St. Elizabeth Dearborn. St. Elizabeth Healthcare is sponsored by the Diocese of Covington and provided approximately $49 million in uncompensated care and benefit to the community in 2024. Within our thriving, multi-faceted organization, some of the nation's top medical professionals are working together to deliver the best care available to these areas. Our mission is to provide comprehensive and compassionate care that improves the health of the people we serve. We accomplish this through state-of-the-art technology and our dedicated associates, led by a well-respected board and executive leadership team who love this organization and our community. St. Elizabeth Healthcare's state of the art technology includes a secure internal electronic medical records system that not only gives providers access to their patients' medical records at any St. Elizabeth Healthcare or St. Elizabeth Physicians facility, but also gives the patient faster, more convenient access to their personal medical records, test results, and healthcare providers through a web portal called "MyChart." St. Elizabeth Healthcare has invested in our community for generations. St. Elizabeth Healthcare believes that reaching out to help the underprivileged and improving the overall health of the community is the foundation of its mission to provide comprehensive and compassionate care to our neighborhood and our families. It is because of this belief that the St. Elizabeth Healthcare community benefit program helps others have access to St. Elizabeth Healthcare resources and services. It is St. Elizabeth Healthcare's intention to always balance financial viability with compassionate care and to stay true to its non-profit roots. During 2024, St. Elizabeth Healthcare had total admissions of 107,694, total patient days of 215,222, and total emergency room visits of 211,097.	Desc
Total Program Service Expenses	$1,216,367,135	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	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	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	571	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	10327	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LORI RITCHEY-BALDWIN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8596551642	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 MEDICAL VILLAGE DRIVE	AddressLine1Txt
City	EDGEWOOD	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	41017	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
Garren Colvin
PRESIDENT/CEO	50.0	5.0	Yes (X)	Yes (X)	$1,657,850	$0	$52,122
AJ Schaeffer
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Bob Stevens
TRUSTEE/CHAIR	4.0	0	Yes (X)		$0	$0	$0
Debbie Simpson
TRUSTEE	4.0	0	Yes (X)		$3,000	$0	$0
Donald Price MD
TRUSTEE	4.0	50.0	Yes (X)		$0	$459,367	$59,546
Jackie Sweeney MD
TRUSTEE	4.0	0	Yes (X)		$648	$0	$0
Jason Jackman
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Jeanne Schroer
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Joe Koester
TRUSTEE	4.0	0	Yes (X)		$734	$0	$0
John Hawkins
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Kris Knochelmann
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Kristi Nelson
TRUSTEE/CHAIR-ELECT	4.0	0	Yes (X)		$27,796	$0	$0
Marsha Ladenburger
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Michael Jones MD
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Robert Moorhead
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Sylvia Buxton
TRUSTEE	4.0	0	Yes (X)		$0	$0	$0
Lisa Frey
EXECUTIVE VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	50.0	1.0		Yes (X)	$704,957	$0	$36,705
Lori Ritchey-Baldwin
EXECUTIVE VP/CFO/TREASURER	50.0	5.0		Yes (X)	$826,289	$0	$52,290
Vera Hall
EXECUTIVE VICE PRESIDENT & COO	50.0	1.0		Yes (X)	$547,148	$0	$23,998
Bruce Henley
SEP CFO/TREASURER	15.0	35.0			$368,866	$0	$50,803	Yes (X)
Bruno Giacomuzzi
COO FLO FT COV & SVP PROF SVCS	50.0	0			$280,502	$0	$35,365	Yes (X)
Gene Barber
SENIOR VP FACILITIES	50.0	0			$469,593	$0	$15,647	Yes (X)
Harry Watson
SENIOR VP FACILITIES	50.0	0			$253,822	$0	$21,242	Yes (X)
Heidi Murley MD
SEP PRESIDENT/CEO	25.0	25.0			$805,218	$0	$62,765	Yes (X)
Jacob Bast
SEP SENIOR VP/COO	15.0	35.0			$594,321	$0	$57,710	Yes (X)
James Horn MD
EXECUTIVE VP & CHIEF CLINICAL OFFICER	50.0	0			$534,114	$0	$57,100	Yes (X)
Julie McGregor
SENIOR VP HUMAN RESOURCES	50.0	0			$628,277	$0	$59,406	Yes (X)
Kathy Jennings
SVP PATIENT CARE/ONCOLOGY	50.0	0			$304,600	$0	$43,836	Yes (X)
Kevin Gessner
SVP SITE ADMINISTRATOR FTT COV & HVI	50.0	0			$309,005	$0	$48,113	Yes (X)
LaRoy Kendall MD
SENIOR VP CHIEF MEDICAL OFFICER	50.0	4.0			$574,256	$0	$43,281	Yes (X)
Latonya Brown-Puryear MD
VP CHIEF QUALITY OFFICER	50.0	0.0			$406,134	$84,401	$49,005	Yes (X)
Sarah Giolando
SVP/CHIEF STRATEGY OFFICER THRU 11/21/2024	50.0	0			$634,241	$0	$56,838	Yes (X)
Mario Castillo-Sang MD
PHYSICIAN	50.0	0			$1,311,962	$0	$25,013		Yes (X)
Mark Jordan
PHYSICIAN	50.0	0			$1,074,480	$0	$60,199		Yes (X)
Saadeddine Dughman MD
PHYSICIAN	50.0	0			$1,057,366	$0	$23,088		Yes (X)
Saeb Khoury MD
PHYSICIAN	50.0	0			$1,068,633	$0	$59,049		Yes (X)
Stephen Schutzman MD
PHYSICIAN	50.0	0			$1,111,290	$0	$60,546		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,555,102	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$543,768	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,053,667	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1425	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/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUALIVIS LLC
5930 CORNERSTONE CT W SUITE 30	SAN DIEGO	CA	92121	STAFFING AGENCY	$31,289,818
MESSER CONSTRUCTION CO
88718 Expedite Way	Chicago	IL	60695	CONSTRUCTION SERVICES	$18,857,205
SEVEN HILLS ANESTHESIA LLC
10191 EVENDALE COMMONS DR	CINCINNATI	OH	45241	MEDICAL SERVICES	$17,243,783
SKANSKA USA BUILDING INC
389 INTERPACE PKWY STE 5	PARSIPPANY	NJ	07054	CONSTRUCTION SERVICES	$7,944,569
COMPASS EMERGENCY PHYSICIANS PSC
1 MEDICAL VILLAGE DR	EDGEWOOD	KY	41017	MEDICAL SERVICES	$7,531,177

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	229	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$14,224	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$5,757,035	GovernmentGrantsAmt
All Other Contributions	$5,872,497	AllOtherContributionsAmt
Noncash Contributions	$3,340,861	NoncashContributionsAmt
Total Contributions	$11,643,756	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT REVENUE	622110	$1,700,165,259	$1,700,165,259	$0	$0
OTHER RELATED REVENUE	900099	$95,046,607	$95,046,607	$0	$0
PHARMACY	456110	$145,043,318	$144,898,778	$144,540	$0
LABORATORY	621511	$123,733,675	$123,510,902	$222,773	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,063,988,859	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$54,722,170	TotalRevenueColumnAmt
Unrelated Business Revenue	$277,846	UnrelatedBusinessRevenueAmt
Exclusion	$54,444,324	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$513	TotalRevenueColumnAmt
Exclusion	$513	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,976,551	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,051,914	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$75,363	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$75,363	TotalRevenueColumnAmt
Exclusion	-$75,363	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$441,499,425	SecuritiesAmt
Other	$3,934,291	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$391,966,979	SecuritiesAmt
Other	$4,406,602	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$49,532,446	SecuritiesAmt
Other	-$472,311	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,060,135	TotalRevenueColumnAmt
Exclusion	$49,060,135	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$451,534	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$14,224	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$402,930	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,604	TotalRevenueColumnAmt
Exclusion	$48,604	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA	722310	$4,674,717	$0	$4,674,717
GIFT SHOP	900099	$2,074,029	$0	$2,074,029
VENDING	445123	$73,599	$0	$73,599

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$6,822,345	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,186,211,019	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,063,621,546	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$645,159	UnrelatedBusinessRevenueAmt
Exclusion	$110,300,558	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	$9,328,231	TotalAmt
Program Services	$9,328,231	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,695,108	TotalAmt
Program Services	$7,962,550	ProgramServicesAmt
Management And General	$2,713,380	ManagementAndGeneralAmt
Fundraising	$19,178	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$44,243	TotalAmt
Program Services	$44,243	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$633,059,585	TotalAmt
Program Services	$471,304,029	ProgramServicesAmt
Management And General	$160,620,305	ManagementAndGeneralAmt
Fundraising	$1,135,251	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,129,521	TotalAmt
Program Services	$23,683,586	ProgramServicesAmt
Management And General	$9,388,974	ManagementAndGeneralAmt
Fundraising	$56,961	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$93,478,809	TotalAmt
Program Services	$67,485,340	ProgramServicesAmt
Management And General	$25,825,263	ManagementAndGeneralAmt
Fundraising	$168,206	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$43,949,791	TotalAmt
Program Services	$33,108,738	ProgramServicesAmt
Management And General	$10,765,172	ManagementAndGeneralAmt
Fundraising	$75,881	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$653,696	TotalAmt
Program Services	$56,837	ProgramServicesAmt
Management And General	$596,859	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$455,325	TotalAmt
Management And General	$455,325	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$60,000	TotalAmt
Fundraising	$60,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$13,167,459	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$13,167,459	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$379,947,716	TotalAmt
Program Services	$132,629,555	ProgramServicesAmt
Management And General	$247,317,933	ManagementAndGeneralAmt
Fundraising	$228	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,650,667	TotalAmt
Program Services	$508,744	ProgramServicesAmt
Management And General	$5,683,861	ManagementAndGeneralAmt
Fundraising	$458,062	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,950,303	TotalAmt
Program Services	$14,343,629	ProgramServicesAmt
Management And General	$6,397,701	ManagementAndGeneralAmt
Fundraising	$208,973	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$32,837,530	TotalAmt
Program Services	$3,402,079	ProgramServicesAmt
Management And General	$29,321,493	ManagementAndGeneralAmt
Fundraising	$113,958	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$26,442,066	TotalAmt
Program Services	$2,054,635	ProgramServicesAmt
Management And General	$24,386,548	ManagementAndGeneralAmt
Fundraising	$883	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,106,537	TotalAmt
Program Services	$835,176	ProgramServicesAmt
Management And General	$1,097,308	ManagementAndGeneralAmt
Fundraising	$174,053	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$961,243	TotalAmt
Program Services	$597,858	ProgramServicesAmt
Management And General	$355,233	ManagementAndGeneralAmt
Fundraising	$8,152	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,213,897	TotalAmt
Program Services	$116,481	ProgramServicesAmt
Management And General	$10,097,416	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$94,813,338	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$94,813,338	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$18,041,677	TotalAmt
Program Services	$631	ProgramServicesAmt
Management And General	$18,041,046	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$438,766,181	$430,656,915	$8,036,691	$72,575
PROVIDER TAX	$69,033,279	$0	$69,033,279	$0
GENERAL SUPPLIES	$25,085,095	$13,826,519	$10,770,319	$488,257
MAINTENANCE AND REPAIRS	$22,232,129	$4,159,080	$18,071,254	$1,795

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,032,588	TotalAmt
Program Services	$262,279	ProgramServicesAmt
Management And General	$6,739,242	ManagementAndGeneralAmt
Fundraising	$31,067	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,993,136,014	TotalAmt
Program Services	$1,216,367,135	ProgramServicesAmt
Management And General	$773,695,399	ManagementAndGeneralAmt
Fundraising	$3,073,480	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,558,922	BOYAmt
EOY	$3,558,922	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$162,652,668	BOYAmt
EOY	$223,187,495	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,098,062	BOYAmt
EOY	$9,830,447	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$155,272,876	BOYAmt
EOY	$149,126,895	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$18,153,063	BOYAmt
EOY	$23,453,917	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	$49,241,591	BOYAmt
EOY	$59,444,511	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$50,735,361	BOYAmt
EOY	$51,310,224	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,845,400	BOYAmt
EOY	$16,495,573	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,552,693,263	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$775,689,955	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$785,913,570	BOYAmt
EOY	$777,003,308	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$625,189,716	BOYAmt
EOY	$620,606,349	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$999,475,385	BOYAmt
EOY	$1,159,658,212	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$32,684,954	BOYAmt
EOY	$31,705,773	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,511,131	BOYAmt
EOY	$7,992,968	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$266,648,854	BOYAmt
EOY	$231,953,225	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,176,981,553	BOYAmt
EOY	$3,365,327,819	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$288,666,975	BOYAmt
EOY	$272,744,068	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$725,191	BOYAmt
EOY	$400,560	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$342,576,953	BOYAmt
EOY	$331,155,745	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$232,257,730	BOYAmt
EOY	$236,177,457	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$864,226,849	BOYAmt
EOY	$840,477,830	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,274,692,221	BOYAmt
EOY	$2,484,673,962	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,062,483	BOYAmt
EOY	$40,176,027	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,312,754,704	BOYAmt
EOY	$2,524,849,989	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,176,981,553	BOYAmt
EOY	$3,365,327,819	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$193,075,005	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$56,844,668	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$37,824,388	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$66,333,643	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$33,852,804	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,922,809	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,158,395	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,643,756	CurrentTaxYearAmt
Total	$128,911,407	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$66,333,643	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$33,852,804	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,922,809	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,158,395	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,643,756	CurrentTaxYearAmt
Total	$128,911,407	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$128,911,407	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$27,992,605	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$29,581,356	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,763,192	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$51,312,780	CurrentTaxYearMinus1YearAmt
Current Tax Year	$56,565,729	CurrentTaxYearAmt
Total	$207,215,662	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,322,793	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,728,419	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,053,831	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$603,474	CurrentTaxYearMinus1YearAmt
Current Tax Year	$645,159	CurrentTaxYearAmt
Total	$15,353,676	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,218,923	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,914,260	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,586,967	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,421,197	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,822,345	CurrentTaxYearAmt
Total	$32,963,692	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$384,444,437	TotalSupportAmt
Gross Receipts Rltd Activities	$8,607,840,808	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.33532	PublicSupportCY170Pct
Public Support PY170	0.3594	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II, Line 10 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - CAFETERIA, COLUMN A - 3151375.0, COLUMN B - 3489197.0, COLUMN C - 3889805.0, COLUMN D - 4395281.0, COLUMN E - 4674717.0, COLUMN F - 19600375.0; DESCRIPTION - GIFT SHOP, COLUMN A - 1246843.0, COLUMN B - 1370321.0, COLUMN C - 1628987.0, COLUMN D - 1932656.0, COLUMN E - 2074029.0, COLUMN F - 8252836.0; DESCRIPTION - VENDING, COLUMN A - 58860.0, COLUMN B - 54742.0, COLUMN C - 68175.0, COLUMN D - 93260.0, COLUMN E - 73599.0, COLUMN F - 348636.0; DESCRIPTION - MISCELLANEOUS, COLUMN A - 4761845.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 4761845.0;	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$108,248	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$46,123	OtherActivitiesAmt
Total Lobbying Expenditures	$154,371	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule C, Part II-B, Line 1j OTHER ACTIVIITIES	THE PORTION OF THE KENTUCKY HOSPITAL ASSOCIATION DUES AND SPONSORSHIP THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES IS $46,123
Schedule C, Part II-B, Line 1g Direct contact with legislators	A PORTION OF TWO ST. ELIZABETH HEALTHCARE EMPLOYEES' SALARIES IS RELATED TO DIRECT CONTACT WITH LEGISLATORS AS IT RELATES TO LEGISLATION FOR THE TAX YEAR 2024. THE AMOUNT IS $7,900. ST. ELIZABETH HEALTHCARE ALSO ENLISTED THE ASSISTANCE OF LOBBYING CONSULTANTS IN 2024. THE AMOUNT PAID TO THESE CONSULTANTS IS $96,000. ST. ELIZABETH HEALTHCARE ALSO PAID $4,348 IN SPONSORSHIP DOLLARS.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	ST. ELIZABETH HEALTHCARE hired lobbying consultants to provide lobbying support at the state and local levels on legislative issues being considered by the Kentucky General Assembly, Indiana General Assembly, or by cities and counties in our community. Primarily, the consulting work includes monitoring bills, notifying St. Elizabeth if there are issues of concern or bills introduced that are of concern, assistance in talking with legislators or other government officials about these concerns, sharing positions on bills or issues with our legislators, and summarizing actions that have taken place on a weekly basis during the session. We hired the consulting firm because they are based in Frankfort, Kentucky and can be at the meetings and hearings every day during the session so that we can be timelier in responding if issues arise.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,824,511	OtherCostOrOtherBasisAmt
Book Value	$27,824,511	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$986,137,318	OtherCostOrOtherBasisAmt
Depreciation	$410,896,694	DepreciationAmt
Book Value	$575,240,624	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,860,072	OtherCostOrOtherBasisAmt
Depreciation	$13,588,959	DepreciationAmt
Book Value	$5,271,113	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$503,254,356	OtherCostOrOtherBasisAmt
Depreciation	$351,069,363	DepreciationAmt
Book Value	$152,184,993	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,617,006	OtherCostOrOtherBasisAmt
Depreciation	$134,939	DepreciationAmt
Book Value	$16,482,067	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$777,003,308	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (11 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
Private Equity Fund	$11,248,066	F
Hedge Fund of Funds	$92,110,920	F
Emerging Market Fund	$55,309,287	F
Commingled Funds	$444,816,050	F
Infrastructure Funds	$143,266,034	F
Private Debt	$118,515,459	F
Putwrite Fund/Defensive Equity Fund	$100,866,716	F
Venture Capital	$5,732,072	F
Real Estate Funds	$187,793,608	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,159,658,212	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (18 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS - INDIGENT RECEIVABLES	$43,491,522
OTHER ASSETS - NET RIGHT OF USE OPERATING LEASE ASSETS	$72,632,015
457(b) Participants Accounts	$71,983,905
INVESTMENT - CCRC	$8,627,760
INVESTMENT - B/FMP LAND CO	$4,310,000
OTHER ASSETS - BENEFICIAL INTEREST IN CHARITABLE TRUST	$130,692
OTHER ASSETS - PROFESSIONAL INSURANCE RECEIVABLE	$5,273,622
OTHER ASSETS - WORKERS' COMP. INSURANCE RECEIVABLE	$1,929,826
OTHER ASSETS - REC RETENTION BONUSES	$488,327
Notes Rec - Catalytic Fund	$1,000,000
PREMIER TAX RECEIVABLE LT	-$230,321
ASC842 DEF RENT REC IC LEASE	$2,379,276
BEN INT ASSETS HELD HOR	$3,000,000
GAIN OR LOSS ON IHCF	$1,552,534
ACCRUED PENSION LIABILITY	$1,766,692
INTEREST RATE SWAP RECEIVABLE	$8,788,234
WORKDAY IMPLEMENTATION COSTS	$4,812,690
CSV INSURANCE TRUST	$16,451

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$231,953,225	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDesc	AmtAmt
Federal Income Taxes
MEDICARE PAYABLE	$7,472,954
MEDICAID PAYABLE	$427,376
OTHER CURRENT LIABILITIES	$12,185,581
LEASE LIABILITIES CURRENT	$8,941,590
LEASE LIABILITIES LONG TERM	$67,955,740
RESERVE FOR SELF-INSURANCE	$54,508,955
ASSET RETIREMENT OBLIGATION	$459,462
INTEREST RATE SWAP	$205,981
OTHER LONG TERM LIABILITIES	$84,019,818

Field	Value	IRS element (for citing)
Total Liability	$236,177,457	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,144,134,054	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$56,844,668	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$90,000	DonatedServicesAndUseFcltsAmt
Other Revenue	$11,813,467	OtherRevenueAmt
Revenue Not Reported	$68,748,135	RevenueNotReportedAmt
Revenue Subtotal	$2,075,385,919	RevenueSubtotalAmt
Investment Expenses Not Incld	$13,167,459	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$97,657,641	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$110,825,100	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,186,211,019	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,989,893,520	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$90,000	DonatedServicesUseFcltsAmt
Other Expenses Included	$11,909,679	OtherExpensesIncludedAmt
Expenses Not Reported	$11,999,679	ExpensesNotReportedAmt
Expenses Subtotal	$1,977,893,841	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$13,167,459	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$2,074,714	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$15,242,173	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,993,136,014	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	No provision has been made for income taxes since St. Elizabeth Healthcare is exempt from federal income taxes under Internal Revenue Code Section 501(c)(3) and is classified as other than a private foundation by the Internal Revenue Service. Management has analyzed the tax positions taken by St. Elizabeth Healthcare and has concluded that as of December 31, 2024, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the consolidated financial statements. St. Elizabeth Healthcare is not under review by any state or local tax authorities. St. Elizabeth Healthcare's federal tax returns for the year ended prior to December 31, 2021 and prior years are no longer subject to examination as the statute of limitations has expired for those years.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	FUNDRAISING EXPENSES - 402930 RENTAL EXPENSES - 4051915 SEPN - 7358622
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	CHANGE IN FMV IN INTEREST RATE SWAP - -3594470 LOSS/GAIN ON FIXED ASSET DISPOSALS - -472311 UNCOLLECTIBLE PLEDGES - 63056 PENSION EXPENSE BOOKED TO REVENUE - 92216 SEPN - 2454812 PENSION SETTLEMENT - 99114338
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	FUNDRAISING EXPENSES - 402930 RENTAL EXPENSES - 4051915 SEPN - 7454834
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	LOSS/GAIN ON FIXED ASSET DISPOSAL - -472311 PENSION EXPENSES BOOKED TO REVENUE - 92216 SEPN - 2454809

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Investments	N/A	$229,085,851
Europe (Including Iceland and Greenland)	0	0	Investments	N/A	$24,649,568

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$253,735,419	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$253,735,419	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HILLARY LYONS ASSOCIATESBOUTS VENTURE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	139 Bridge Street	AddressLine1Txt
City	Dimondale	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48821	ZIPCd

Field	Value	IRS element (for citing)
Activity	Consulting Fee	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Retained By Contractor	$60,000	RetainedByContractorAmt
Net To Organization	-$60,000	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$60,000	TotalRetainedByContractorsAmt
Total Net To Organization	-$60,000	TotalNetToOrganizationAmt
Licensed States	IN	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	OH	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF PARTEE	Event1Nm
Gross Receipts Event1	$292,591	GrossReceiptsEvent1Amt
Charitable Contri Event1	$7,261	CharitableContriEvent1Amt
Gross Revenue Event1	$285,330	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,630	CashPrizesEvent1Amt
Non Cash Prizes Event1	$73,777	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$29,264	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$35,943	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$13,698	OtherDirectExpensesEvent1Amt
Event2	GOLF CLASSIC	Event2Nm
Gross Receipts Event2	$74,920	GrossReceiptsEvent2Amt
Charitable Contri Event2	$3,000	CharitableContriEvent2Amt
Gross Revenue Event2	$71,920	GrossRevenueEvent2Amt
Cash Prizes Event2	$345	CashPrizesEvent2Amt
Non Cash Prizes Event2	$5,043	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$14,300	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$12,650	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$6,735	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$98,247	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$3,963	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$94,284	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$7,064	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$61,871	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$102,960	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$2,975	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$34,675	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$465,758	GrossReceiptsTotalAmt
Charitable Contributions Tot	$14,224	CharitableContributionsTotAmt
Gross Revenue Total Events	$451,534	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,975	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$85,884	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$105,435	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$151,553	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$2,975	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$55,108	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$402,930	DirectExpenseSummaryEventsAmt
Net Income Summary	$48,604	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule G, Part I, Line 2b(i) Hillary Lyons Associates/Bouts Ventures LLC	FormAndLineReferenceDesc
Explanation	Hillary Lyons Associates/Bouts Ventures LLC is a consulting firm working in the field of ongoing fund development and community relations exclusively for non-profit health care institutions. Hillary Lyons Associates/Bouts Ventures LLC do not participate in the solicitation of contributions.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,804,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,847,614	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,957,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$280,580,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$394,227,397	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$308,385,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$409,075,011	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,957,378	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,003,448	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,002,708	NetCommunityBenefitExpnsAmt
Total Expense	0.00201	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,895,086	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,771,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,123,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00056	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,566,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,204,778	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,361,752	NetCommunityBenefitExpnsAmt
Total Expense	0.00269	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,612,912	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,612,912	NetCommunityBenefitExpnsAmt
Total Expense	0.01034	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$48,077,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,977,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,100,810	NetCommunityBenefitExpnsAmt
Total Expense	0.01560	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$356,462,993	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$426,052,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,058,188	NetCommunityBenefitExpnsAmt
Total Expense	0.02210	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$551,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$551,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00028	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$72,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00004	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,395,371	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,395,371	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$485,181	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$485,181	NetCommunityBenefitExpnsAmt
Total Expense	0.00024	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,539,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,539,617	NetCommunityBenefitExpnsAmt
Total Expense	0.00127	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$261,435,073	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$297,675,466	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$36,240,393	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
BLUEGRASS DIALYSIS LLC
RENAL DIALYSIS	0.32	0.0	0.17
Heritage Development Partners LLC
Ambulatory Surgery Center	0.5	0	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	5	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
ST ELIZABETH EDGEWOOD - Covington
1	1 MEDICAL VILLAGE DRIVE	EDGEWOOD	KY	41017	www.stelizabeth.com	100500	Yes (X)	Yes (X)	Yes (X)	A
ST ELIZABETH FLORENCE
5	4900 HOUSTON RD	FLORENCE	KY	41042	WWW.STELIZABETH.COM	100273	Yes (X)	Yes (X)	Yes (X)	A
ST ELIZABETH FORT THOMAS
2	85 NORTH GRAND AVENUE	FORT THOMAS	KY	41075	www.stelizabeth.com	100059	Yes (X)	Yes (X)	Yes (X)	A
ST ELIZABETH GRANT
3	238 BARNES ROAD	WILLIAMSTOWN	KY	41097	www.stelizabeth.com	600062	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
ST ELIZABETH DEARBORN
4	600 WILSON CREEK ROAD	LAWRENCEBURG	IN	47025	www.stelizabeth.com	005077	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	5	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.stelizabeth.com/care/community-outreach-menu/community-health-needs-assessment-implement	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.stelizabeth.com/care/community-outreach-menu/community-health-needs-assessment-implement	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.STELIZABETH.COM/CARE/PAY-MY-BILL/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.STELIZABETH.COM/CARE/PAY-MY-BILL/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.STELIZABETH.COM/CARE/PAY-MY-BILL/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	ST. ELIZABETH HEALTHCARE CONDUCTED OUR LATEST CHNA IN 2024. THROUGH THIS PROCESS, WE IDENTIFIED, ANALYZED AND PRIORITIZED COMMUNITY HEALTH NEEDS AND DEVELOPED A THREE-YEAR (2025-2027) ACTION PLAN TO ADDRESS TOP PRIORITIES. TOP PRIORITIES IDENTIFIED THAT WILL BE ADDRESSED FOR YEARS 2025, 2026, AND 2027: 1. EQUITABLE ACCESS TO PREVENTATIVE CARE 2. HEALTH PROMOTION & WELLNESS 3. BEHAVIORAL HEALTH PLANS TO ADDRESS THESE PRIORITIES INCLUDE, BUT ARE NOT LIMITED TO, FOCUSED EFFORTS AROUND REDUCING CARE GAPS BETWEEN IDENTIFIED HEALTH EQUITY GROUPS FOR VARIOUS CANCER SCREENINGS, EXPANDING OPPORTUNITIES WITH COMMUNITY PARTNERS PROVIDING CARE TO UNINSURED/UNDERINSURED POPULATIONS, INCREASING PUBLIC HEALTH EDUCATION, PARTICULARLY AROUND HEALTHY WEIGHT MANAGEMENT, PHYSICAL ACTIVITY AND TOBACCO AND VAPING FREE LIVING AND EXPANDING ASSISTANCE WITH BOTH SUBSTANCE ABUSE AND MENTAL HEALTH. THE HEALTH NEEDS IDENTIFIED BY THE COMMUNITY AND HEALTH REPORTING RESOURCES WERE SUMMARIZED AND TABULATED INTO A PRIORITIZED LIST. THE COMMUNITY BENEFITS STEERING COMMITTEE (CBSC), WHICH INCLUDES ST. ELIZABETH HEALTHCARE EXECUTIVE LEADERS, REVIEWED THIS LIST. THIS COMMITTEE ENGAGED IN ADDITIONAL COMMUNICATION AND CONSIDERED AVAILABLE RESOURCES THAT, WHEN REDIRECTED, WOULD HAVE THE MOST SIGNIFICANT POSITIVE IMPACT ON HEALTH OUTCOMES. A COMMUNITY BENEFITS IMPLEMENTATION PLAN (CBIP) WAS THEN DEVELOPED TO ADDRESS THESE TOP PRIORITY HEALTH NEEDS.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - ST. ELIZABETH HEALTHCARE - EDGEWOOD, FLORENCE, FT. THOMAS, GRANT AND DEARBORN. During 2024, St. Elizabeth Healthcare conducted its next required CHNA for years 2025-2027. In preparation for the 2025 CHNA, data was collected from persons who represent the broad interests of the community, including those with expertise in public health. Representation included area health departments, local government/civic agencies, other healthcare providers, community-based social service agencies, and area school districts. The methodology used to collect the data included emails and a survey. The process included an explanation of the CHNA requirements and how the data garnered would be used to develop the CHNA. Participants were asked a variety of questions to determine the top health needs in the communities. Concentrating on social service agencies, school districts, and civic services ensured the CHNA identified and received data on the most pressing health needs within the communities served. The following is a list of community agencies that provided their agency names when completing the survey. Please note that only 135 of the more than 250 respondents included this information. An asterisk () before an agency name indicates that the agency serves low-income, medically underserved, or minority populations and/or that the respondent identifies as a minority. Based on the organizations represented, the survey responses included input from a wide range of populations, including individuals experiencing homelessness, families living below the poverty line, racial and ethnic minorities, and those with limited access to healthcare or transportation. Agencies such as Welcome House, Faith Community Pharmacy, and the Northern Kentucky Community Action Commission specifically serve vulnerable populations, ensuring that the voices of those most impacted by health disparities were reflected in the assessment. Be Concerned, Inc BE NKY Boone County Jail Campbell County Fiscal Court CHNK Behavioral Health City of Erlanger Fire/EMS City of Florence City of Wilder DCCH Center for Children and Families Dearborn County Clearinghouse for Emergency Aid Easterseals Redwood Erlanger Elsmere Schools Faith Community Pharmacy, Inc Family Nurturing Center Florence Christian Church Disciples of Christ Florence Fire/EMS Dept. For Family By Family Greendale Police INcompass Healthcare Ivy Tech Community College Kawa Kiwanis Lakeside Park/Crestview Hills Police Lawrenceburg Community School Corporation Lighthouse Mental Health, LLC NC AHEC and CareNet Pregnancy Services of NKY Northern Kentucky Community Action Commission Northern Kentucky University NorthKey Community Care Nurse Advocacy Center for the Underserved One Dearborn Economic Development Perfetti van Melle USA Pregnancy Care Center of SE IN Purdue Extension Nutrition Education Program Ripley County Community Foundation, Inc. South Dearborn Comm. School Corp. South Ripley Community School Corporation Southgate Independent School District SOUTHGATE WILDER EMERGENCY MEDICAL SERVICE The Center for Great Neighborhoods U.S. Bank Welcome House Williamstown Kiwanis Southgate Fire Department
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - ST. ELIZABETH HEALTHCARE. St. Elizabeth Dearborn St. Elizabeth Edgewood St. Elizabeth Florence St. Elizabeth Ft. Thomas St. Elizabeth Grant
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - ST. ELIZABETH HEALTHCARE - DEARBORN, EDGEWOOD, FLORENCE, FT. THOMAS, GRANT. 2024 Accomplishments towards the 2022-2024 Community Health Needs Assessment Plan: Addressing Social Determinants of Health: - Established new Department of Community Health and Partnerships to bolster our collective efforts in promoting health equity and improving the well-being of underserved populations and communities - Followed up with 263 (100%) of St. Elizabeth Physician patients who identified a food security need - Followed up with 2,887 (100%) of St. Elizabeth Physician patients who received a referral for transportation assistance - Worked with Volunteers of America and Life Learning Center to implement a treatment housing program for pregnant women with SUD and their children - Continued Adopt-A-Class program in Ludlow and Covington that connects associates to be mentors with students from underserved communities - Engaged with schools in our region to connect more students and staff with mental health resources, particularly at Holmes High School; worked with both Boone County, KY and Dearborn County, IN youth mental summits - Achieved Lift-Up reentry goal of 350, bringing total served to date to 1,662 Providing Equitable Access to Care: - Opened clinic at the Emergency Shelter of Northern Kentucky to provide healthcare services to their guests including, urgent care, treatment for various illnesses and infections, as well as on-site testing - Converted over 50% self-pay patients to federal/state coverage - Provided three English and three Spanish education events to minority populations around lung/colon/breast/diabetes screenings - Increased access to virtual health services through two modalities and reimbursement methodologies, including expansion of remote patient monitoring using telemonitoring and telesitting Enhancing/Educating for Health Behaviors: - Hosted 17 education events on the importance of exercise and nutrition to youth in schools - Completed 13 community education events on the dangers of vaping to youth in schools - Offered 16 Freedom From Smoking education sessions Managing/Reducing Chronic Diseases: - Hosted 34 heart-related education events in the community - Performed 10,696 lung screenings - Performed 38,763 breast screenings - Performed 88,468 colon cancer screenings (ages 45-75) - Related to the prior year's Mental Health Summit, established three work groups (Adolescents, Adults, Geriatrics), all with sub-groups, that include various community partners - Decreased percentage of Journey Recovery Center (JRC) patients who reported using alcohol to 21% and illicit drugs to 17% 30 days post treatment

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ST ELIZABETH HEALTHCARE HEART & VASCULAR INSTITUTE
711 Medical Village Drive	Edgewood	KY	41017	CARDIOLOGY DIAGNOSTIC TESTS
ST ELIZABETH HEALTHCARE NKU MEDICAL OFFICE
2626 Alexandria Pike	Highland Heights	KY	41076	ORTHOPEDIC
ST ELIZABETH HEALTHCARE ENDOSCOPY BUILDING
7370 Turfway Road	Florence	KY	41042	MEDICAL OFFICE
ST ELIZABETH HEALTHCARE - COVINGTON
1500 James Simpson Jr Way	Covington	KY	41011	AMBULATORY CARE CENTER
ST ELIZABETH HEALTHCARE ORTHOPEDIC BUILDING
560 South Loop Road	Edgewood	KY	41017	ORTHOPEDIC
ST ELIZABETH HEALTHCARE HEBRON IMAGING CENTER
2200 Connor Road	Hebron	KY	41005	MEDICAL OFFICE / IMAGING
ST ELIZABETH HEALTHCARE HOSPICE
483 South Loop Road	Edgewood	KY	41017	INPATIENT HOSPICE
ST ELIZABETH HEALTHCARE OUTPATIENT SURGERY CENTER
580 South Loop Road	Edgewood	KY	41017	AMBULATORY SURGERY CENTER
ST ELIZABETH HEALTHCARE CHANCELLOR SURGERY CENTER
2845 Chancellor Drive	Crestview Hills	KY	41017	AMBULATORY SURGERY CENTER
ST ELIZABETH HEALTHCARE WOMEN'S CENTER
610 Medical Village Drive	Edgewood	KY	41017	HEALTH SCREENING
ST ELIZABETH HEALTHCARE BUSINESS HEALTH
4123 Olympic Blvd	Erlanger	KY	41018	BUSINESS HEALTH SERVICES
ST ELIZABETH HEALTHCARE OWENTON MOB
120 Progress Way	Owenton	KY	40359	AMBULATORY CARE CENTER
ST ELIZABETH HEALTHCARE FAMILY PRACTICE CENTER
900 Medical Village Drive	Edgewood	KY	41017	FAMILY MEDICINE
ST ELIZABETH HEALTHCARE PHYSICAL THERAPY
741 Centre View Blvd	Crestview Hills	KY	41017	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE EDGEWOOD FAMILY PRACTICEINTERNAL MEDICINE
830 Thomas More Parkway	Edgewood	KY	41017	MEDICAL OFFICE
ST ELIZABETH HEALTHCARE ALEXANDRIA PHYSICAL THERAPY AND IMAGING CENTER
7200 Alexandria Pike	Alexandria	KY	41001	PHYSICAL THERAPY AND IMAGING CENTER
ST ELIZABETH HEALTHCARE FLORENCE SPORTS MEDICINE
10095 Investment Way	Florence	KY	41042	SPORTS MEDICINE
ST ELIZABETH HEALTHCARE VEVAY PRIMARY CAREPHYSICAL THERAPY
1035 W Main Street	Vevay	IN	47043	HEART & VASCULAR
ST ELIZABETH HEALTHCARE SPECIALTY PHARMACY
850 Thomas More Parkway	Edgewood	KY	41017	PHARMACY
ST ELIZABETH HEALTHCARE WILDER PHYSICAL THERAPY
106 Crossing Drive	Wilder	KY	41076	PHYSICAL THERAPY
BLUEGRASS DIALYSIS LLC
1500 James Simpson Jr Way Suite 302	Covington	KY	41011	RENAL DIALYSIS
ST ELIZABETH HEALTHCARE INDEPENDENCE DIAGNOSTICS
135 Courthouse Crossing	Independence	KY	41051	XRAY/LAB
ST ELIZABETH HEALTHCARE GRANT COUNTY PHYSICAL THERAPY
300 Barnes Road	Williamstown	KY	41097	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE VERSAILLES PHYSICAL THERAPY
476 W US 50	Versailles	IN	47042	PHYSICAL THERAPY
ST ELIZABETH HEALTHCARE NEUROLOGY
2670 Chancellor Drive Suite 100	Crestview Hills	KY	41017	MEDICAL OFFICE
ST ELIZABETH HEALTHCARE FLORENCE PHLEBOTOMY LAB
8724 US 42	Florence	KY	41042	DIAGNOSTICS
ST ELIZABETH HEALTHCARE CRESTVIEW HILLS PHLEBOTOMY LAB
334 Thomas More Parkway	Crestview Hills	KY	41017	DIAGNOSTICS

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	ST. ELIZABETH HEALTHCARE RECOGNIZES PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH ST. ELIZABETH HEALTHCARE DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS AND CHARITY CARE ARE PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). ST. ELIZABETH HEALTHCARE RECOGNIZES REVENUE WHEN SERVICES ARE RENDERED FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF ST. ELIZABETH HEALTHCARE'S UNINSURED AND UNDERINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES RENDERED. AS A RESULT, ST. ELIZABETH HEALTHCARE RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED AND UNDERINSURED PATIENTS IN THE PERIOD THE SERVICES ARE RENDERED. FOR FINANCIAL STATEMENT PURPOSES, ST. ELIZABETH HEALTHCARE HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ESTIMATED AMOUNT OF ST. ELIZABETH HEALTHCARE'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ST. ELIZABETH HEALTHCARE'S FINANCIAL ASSISTANCE POLICY IS $0. THE PERCENTAGE OF BAD DEBTS THAT LIKELY COULD BE CHARITY CARE, IF ENOUGH INFORMATION WAS OBTAINED UP FRONT, WAS DEVELOPED WITH THE HELP OF OUR LARGEST COLLECTION AGENCY WHO HAS DETERMINED, BASED ON ACCOUNTS REVIEWED, WHO MAY NOT HAVE HAD THE FINANCIAL ABILITY TO PAY. ST. ELIZABETH HEALTHCARE ALSO BELIEVES THAT MANY PATIENTS FALL INTO THE CATEGORY WHERE THEY DO NOT MEET THE FEDERAL POVERTY GUIDELINES BUT YET CANNOT AFFORD THE COST OF THE SERVICES RENDERED, OR HAVE INSURANCE THAT MAY NOT COVER THE COST OF SERVICES. ST. ELIZABETH HEALTHCARE BELIEVES THESE NON REIMBURSED COSTS SHOULD BE COUNTED AS A BENEFIT TO THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS THAT BAD DEBTS SHOULD BE COUNTED AS A COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FROM 2024 AUDITED FINANCIAL STATEMENTS, 1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (PG 9): PATIENT ACCOUNTS RECEIVABLE: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING ST. ELIZABETH HEALTHCARE'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. ST. ELIZABETH HEALTHCARE PERFORMS PERIODIC ASSESSMENTS TO DETERMINE IF AN ALLOWANCE FOR EXPECTED CREDIT LOSSES IS NECESSARY. INCURRED LOSS EXPERIENCE IS CONSIDERED AND ADJUSTED FOR KNOWN AND EXPECTED EVENTS AND OTHER CIRCUMSTANCES. IN ESTIMATING ITS EXPECTED CREDIT LOSSES, ST. ELIZABETH HEALTHCARE MAY CONSIDER CHANGES IN THE LENGTH OF TIME ITS RECEIVABLES HAVE BEEN OUTSTANDING, CHANGES IN CREDIT RATINGS FOR ITS PAYORS, AND NOTICES OF PAYOR BANKRUPTCIES OR PAYORS ENTERING RECEIVERSHIP. BECAUSE ST. ELIZABETH HEALTHCARE'S ACCOUNTS RECEIVABLE IS TYPICALLY PAID FOR BY HIGHLY-SOLVENT, CREDITWORTHY PAYORS, SUCH AS MEDICARE, OTHER GOVERNMENTAL PROGRAMS, AND HIGHLY REGULATED COMMERCIAL INSURERS ON BEHALF OF THE PATIENT, ST. ELIZABETH HEATHCARE'S CREDIT LOSSES HAVE BEEN INFREQUENT AND INSIGNIFICANT IN NATURE. AMOUNTS RECOGNIZED FOR ALLOWANCES FOR EXPECTED CREDIT LOSSES ARE IMMATERIAL TO THE FINANCIAL STATEMENTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, ST. ELIZABETH HEALTHCARE RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PATIENT SERVICE REVENUE (PG 13): ST. ELIZABETH HEALTHCARE RECOGNIZES PATIENT SERVICE REVENUE AT THE TIME IN WHICH PERFORMANCE OBLIGATIONS ARE SATISFIED. THE AMOUNTS FROM PATIENT, THIRD-PARTY PAYORS, (INCLUDING MANAGED CARE AND GOVERNMENTAL PROGRAMS), AND OTHERS ARE SUBJECT TO CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS AND INCLUDES VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS, AND INVESTIGATIONS. PATIENTS ARE GENERALLY BILLED WHEN DISCHARGED, THOUGH THEY MAY BE BILLED ON AN INTERIM BASIS FOR LONGER STAYS. ST. ELIZABETH HEALTHCARE DETERMINES THE TRANSACTION PRICE BASED ON GROSS CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO UNINSURED PATIENTS. ST. ELIZABETH HEALTHCARE DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON THE HISTORICAL COLLECTION EXPERIENCE, ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. ST. ELIZABETH HEALTHCARE PROVIDES CARE, WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS PATIENT SERVICE REVENUE. GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. ST. ELIZABETH HEALTHCARE ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SELF-PAY REVENUES ARE DERIVED FROM PATIENTS WHO DO NOT HAVE ANY FORM OF HEALTHCARE COVERAGE AS WELL AS FROM PATIENTS WITH THIRD-PARTY HEALTHCARE COVERAGE RELATED TO THE PATIENT RESPONSIBILITY PORTION, INCLUDING DEDUCTIBLES AND CO-PAYMENTS. ST. ELIZABETH HEALTHCARE ESTIMATES THE TRANSACTION PRICE FOR SELF-PAY PATIENTS AND THE PATIENT RESPONSIBILITY PORTION USING VARIOUS METRICS, SUCH AS HISTORICAL CASH COLLECTION EXPERIENCE AND ENVIRONMENTAL TRENDS. BECAUSE ST. ELIZABETH HEALTHCARE PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, MANAGEMENT HAS DETERMINED THAT THE DIFFERENCE BETWEEN THE AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS ST. ELIZABETH HEALTHCARE EXPECTS TO COLLECT REPRESENT IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED TO CREDIT LOSS EXPENSE: PATIENTS WHO MEET ST. ELIZABETH HEALTHCARE'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. ST. ELIZABETH HEALTHCARE DOES NOT REPORT A CHARITY CARE PATIENT'S CHARGE IN REVENUES OR ACCOUNTS RECEIVABLE AS IT IS POLICY NOT TO PURSUE COLLECTION OF AMOUNTS RELATED TO THESE PATIENTS, AND THEREFORE, CONTRACTS WITH THESE PATIENTS DO NOT EXIST.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	ST. ELIZABETH HEALTHCARE USES THE STEP DOWN METHODOLOGY TO DETERMINE COSTS FOR MEDICARE. THE REPORTS WERE THEN COMPLETED BY FOLLOWING THE GUIDANCE PROVIDED IN THE INSTRUCTIONS FOR PART III. ST. ELIZABETH HEALTHCARE BELIEVES MEDICARE LOSSES SHOULD BE AN ALLOWABLE COMMUNITY BENEFIT. ST. ELIZABETH HEALTHCARE PROVIDES NEEDED SERVICES TO THE ELDERLY AND DISABLED MEDICARE POPULATION AT A FINANCIAL LOSS TO ST. ELIZABETH HEALTHCARE TO HELP THOSE INDIVIDUALS GET THE CARE THEY NEED IN THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT MEDICARE LOSSES SHOULD BE COUNTED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ST. ELIZABETH HEALTHCARE HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, CERTAIN COLLECTION PRACTICES DO NOT APPLY.
Schedule H, Part V, Section B, Line 16a FAP website	A - ST ELIZABETH FLORENCE: Line 16a URL: WWW.STELIZABETH.COM/CARE/PAY-MY-BILL/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - ST ELIZABETH FLORENCE: Line 16b URL: WWW.STELIZABETH.COM/CARE/PAY-MY-BILL/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - ST ELIZABETH FLORENCE: Line 16c URL: WWW.STELIZABETH.COM/CARE/PAY-MY-BILL/;
Schedule H, Part VI, Line 2 Needs assessment	In 2024, St. Elizabeth Healthcare continued to work with the Northern Kentucky Office of Drug Control Policy and other community partners to address the issue of behavioral health (mental health and substance use), including the provision of financial support to the Northern Kentucky Addiction Helpline, providing data and support to community partners and local/state legislators to advocate for policies and funding that support treatment and recovery of substance use disorders, working with community partners to provide recovery support focused on employment/financial stability for people with substance use disorder, working with Safety Net Alliance and other partners to address the social determinants of health, and working with community mental health agencies in the promotion of mental health among youth and suicide prevention for all ages. St. Elizabeth Healthcare also expanded its Journey Recovery Center, an outpatient drug and alcohol treatment program, to allow for increased recovery options. In 2024, St. Elizabeth continued its support of Faith Community Pharmacy's prescription medication programs. These programs provide life-sustaining prescription medications, free of charge, to those unable to pay, ensuring our Northern Kentucky community does not go without needed medications due to affordability. In 2024, St. Elizabeth Healthcare supported community partners' efforts to address community health and social determinants of health factors, including: - Emergency Shelter of Northern Kentucky - The Ion Center for Violence Prevention - Freestore Foodbank - Last Mile Food Rescue - GO Pantry - Master Provisions - Transitions - LIVESTRONG Program at the YMCA - LiveWell Coalitions - American Heart Association and American Cancer Society
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT FINANCIAL ASSISTANCE PROGRAM INFORMATION IS POSTED AT EACH SITE (THERE IS A FRAMED SIGN POSTED IN SPANISH AND ENGLISH). IN ADDITION, THERE IS A 1-PAGE DESCRIPTION OF OUR FINANCIAL ASSISTANCE PROGRAM THAT IS ATTACHED TO THE "PATIENT RIGHTS AND RESPONSIBILITIES" DOCUMENT, AND ALL PATIENTS ARE GIVEN THESE DOCUMENTS UPON REGISTRATION. IF A PATIENT DOES NOT HAVE INSURANCE, THEY ARE ALSO OFFERED AN APPLICATION PACKET FOR FINANCIAL ASSISTANCE. PATIENTS ARE NOTIFIED OF THEIR FINANCIAL RESPONSIBILITY, THE PATIENT RIGHTS AND RESPONSIBILITIES DOCUMENT GIVEN TO ALL PATIENTS STATES THEY HAVE A RESPONSIBILITY TO "PROVIDE NECESSARY FINANCIAL INFORMATION TO ASSURE ACCURATE BILLING AND MEET FINANCIAL COMMITMENTS." THE FINANCIAL ASSISTANCE PLAN DOCUMENT THEY ARE GIVEN PROVIDES DETAILED INFORMATION ON ELIGIBLE FINANCIAL AID SERVICES, AND ALSO STATES THAT "FINANCIAL ASSISTANCE IS NOT CONSIDERED AN ALTERNATIVE OPTION TO PAYMENT, AND PATIENTS MAY BE ASSISTED IN FINDING OTHER MEANS OF PAYMENT FOR FINANCIAL ASSISTANCE BEFORE APPROVAL FOR ST. ELIZABETH FINANCIAL ASSISTANCE PROGRAM." THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON ST. ELIZABETH HEALTHCARE'S WEB SITE. A WRITTEN COPY IS ALSO INCLUDED IN THE PATIENT HANDBOOK PROVIDED TO INPATIENT ADMISSIONS. A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING INDIVIDUALS IS PRINTED ON THE PATIENT BILLS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS TO DETERMINE QUALIFICATION AND A COPY OF THE POLICY IS AVAILABLE TO PATIENTS UPON REQUEST.
Schedule H, Part VI, Line 4 Community information	St. Elizabeth Healthcare serves the Northern Kentucky counties, which include: Boone, Bracken, Campbell, Carroll, Gallatin, Grant, Harrison, Kenton, Mason, Owen, Pendleton, Robertson, and Southeastern Indiana counties: Dearborn, Franklin, Ripley, Ohio, and Switzerland. These service areas include urban, suburban, and rural areas. The total population of the service areas is over 639,000. St. Elizabeth Healthcare's service areas during 2024 were determined by identifying where at least 90% of its patient population originates. This approach ensures that the assessment was not limited to a certain geographical area, but included the majority of the population served. The data revealed that over 94% of the patient population resides in the eight counties that comprise the Northern Kentucky Area Development District (NKADD) and five counties of Southeast Indiana. The NKADD encompasses the counties of Boone, Campbell, Carroll, Gallatin, Grant, Kenton, Owen, and Pendleton. Southeast Indiana includes the counties of Dearborn, Franklin, Ohio, Ripley, and Switzerland. The 2024 estimated population of these combined areas was over 487,000. All hospitals in the St. Elizabeth Healthcare system are located in these two geographical regions. The primary service areas are predominantly Northern Kentucky and Southeast Indiana. Population by origin: 86.7% White, 8.8% Black, 5.0% Hispanic, 1.8% Asian, 0.3% American Indian and Alaska Native, 0.1% Native Hawaiian and Other Pacific Islander, and 2.3% identifying as two or more races. Population by age is 5.8% under age 5, 22.5% under age 18, 53.9% between ages 18-64, and 17.8% age 65 and older. Persons below the poverty level in Northern Kentucky, all ages, account for 16.4%. Due to the enactment of the Affordable Care Act, it is estimated that approximately 6.5% of the Northern Kentucky and Southeastern Indiana population under age 65 remains uninsured. The median household income of the region in 2024 is as follows: Carroll County - $52,300, Owen County - $58,100, Grant County - $67,200, Campbell County - $74,500, Kenton County - $78,300, Boone County - $94,200, Gallatin County - $60,100, Pendleton County - $60,400, Dearborn County - $82,000, Franklin County - $77,800, Ripley County - $72,300, Switzerland County - $68,200, and Ohio County - $67,100. The poverty level of the region in 2024 is as follows: Carroll County - 15.9%, Owen County - 14.2%, Grant County - 12.7%, Campbell County - 9.2%, Kenton County - 10.5%, Boone County - 7.1%, Gallatin County - 12.9%, Pendleton County - 14.1%, Dearborn County - 10.3%, Franklin County - 13.8%, Ripley County - 11.7%, Switzerland County - 13.2%, and Ohio County - 8.9%. There are six (6) other hospitals that serve the Northern Kentucky community: (1) Gateway Rehabilitation Hospital in Boone County (2) Carroll County Memorial Hospital in Carroll County (3) Harrison Memorial Hospital in Harrison County (4) Encompass Health Rehabilitation Hospital in Kenton County (5) Meadowview Regional Medical Center in Mason County (6) SUN Behavioral Health in Kenton County. There is one other hospital that serves the Southern Indiana community: Margaret Mary Health in Ripley County. There are a number of hospitals that serve the Southern Ohio community, including The Christ Hospital, TriHealth, Mercy Health, and the University of Cincinnati Medical Center. There are a few federally designated medically underserved areas or populations in the communities.
Schedule H, Part VI, Line 5 Promotion of community health	St. Elizabeth Healthcare furthers its exempt purposes in improving community health status by: 1) St. Elizabeth Healthcare's Board of Trustees is made up of community representatives to ensure that St. Elizabeth Healthcare adheres to its mission to improve the health of the people we serve. The majority of the governing body is comprised of persons who reside within St. Elizabeth's primary service area. St. Elizabeth extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. 2) Encourages and supports staff to participate on various community boards/activities that support and/or develop programs that address community health needs and workforce development. 3) Through its PrimeWise Network, St. Elizabeth Healthcare connects adults 50+ to programs including low-impact exercise, health education and screenings, community events, wellness programs, and driver's safety. 4) Each year, St. Elizabeth Healthcare produces and distributes more than 600,000 different pieces of health-related information or invitations to health-related educational events throughout the community - which is an average of nearly 4 pieces of information per Northern Kentucky household. 5) t. Elizabeth Healthcare partners with community organizations and business agencies to present health-related programs and health screenings. 6) St. Elizabeth applies surplus funds to improve patient care by improving facilities, access to care, technology, recruiting and retaining top talent, and continuing education of our staff through either residency or college educational programs. Examples of how surplus funds were applied in 2024 are as follows: A. St. Elizabeth Healthcare provided outreach to the communities through the Mobile Mammography and Mobile Heart programs. B. St. Elizabeth Healthcare provided cohort educational programs with Northern Kentucky University (NKU), Thomas More University (TMU), and Mt. Saint Joseph University (MSJU) to provide for continuing and/or additional education for our staff. C. Continued financial assistance and support for the St. Elizabeth Family Medicine Residency Program, which is comprised of thirty (30) family practice residents who live and stay in the community to improve and enhance the access to primary care for the people we serve. D. St. Elizabeth Healthcare continues financial support for our Parish Nursing Program, which provides outreach, education, and prevention information to more than 60 congregations across seven Northern Kentucky and Ohio counties. E. St. Elizabeth Healthcare continues financial support for prevention and injury treatment for athletes attending schools in our communities. F. St. Elizabeth Healthcare sponsors community benefits to address the healthcare needs for diseases such as obesity, diabetes, and heart disease for the people we serve. G. St. Elizabeth Physicians Primary Care provided enhanced services for education and resources to those in the community we serve who struggle with obesity and ensuing comorbidities.
Schedule H, Part VI, Line 6 Affiliated health care system	ST. ELIZABETH HEALTHCARE IS A SYSTEM THAT FEATURES FIVE (5) FACILITIES THROUGHOUT NORTHERN KENTUCKY AND SOUTHEAST INDIANA. LOCATED IN NORTHERN KENTUCKY ARE: (I) ST. ELIZABETH - EDGEWOOD; (II) ST. ELIZABETH - FLORENCE; (III) ST. ELIZABETH - FORT THOMAS; (IV) ST. ELIZABETH - GRANT; AND (V) ST. ELIZABETH - DEARBORN - WHICH IS LOCATED IN SOUTHEAST INDIANA. EACH OF THESE FACILITIES ADDRESSES THE SPECIFIC NEEDS OF ITS LOCALE AS IDENTIFIED BY THE PATIENTS IN THE COMMUNITY. THE SERVICE AREAS VARY FROM RURAL AREAS TO SUBURBAN AREAS TO URBAN AREAS. ST. ELIZABETH HEALTHCARE OFFERS OVER 1,199 LICENSED BEDS, OVER 10,300 EMPLOYEES, 1,005 PHYSICIAN PROVIDERS WITH FULL ADMITTING PRIVILEGES AND A WHOLLY OWNED PHYSICIAN ORGANIZATION (SEP) WHICH INCLUDES OVER 210 PRIMARY CARE AND SPECIALTY OFFICE LOCATIONS. ST. ELIZABETH HEALTHCARE IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF COVINGTON.
Schedule H, Part VI, Line 7 State filing of community benefit report	IN, KY

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (97 entries)

Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ADOPT A CLASS FOUNDATION
202587299	501(c)(3)	$20,000	Program Support
ADVENTURE CREW
474230979	501(c)(3)	$5,000	Program Support
AMARILLO JUNIOR COLLEGE DISTRICT
756000031	State of Texas	$10,000	Program Support
AMERICAN CANCER SOCIETY INC
131788491	501(c)(3)	$85,000	Program Support
AMERICAN HEART ASSOCIATION INC
135613797	501(c)(3)	$225,000	Program Support
AMERICAN LUNG ASSOCIATION
131632524	501(c)(3)	$5,000	Program Support
AMERICAS RIVER ROOTS EXPERIENCE
921828855	501(c)(3)	$20,000	Program Support
BEECHWOOD BOARD OF EDUCATION
616001268	501(c)(3)	$15,000	Program Support
BLUE NORTH KY INC
870822775	501(C)(3)	$250,000	Program Support
BOONE COUNTY BOARD OF EDUCATION
616001252	Boone County	$40,000	Program Support
BOONE COUNTY FISCAL COURT
616000718	Boone County	$50,000	Program Support
CALVARY CHRISTIAN SCHOOL
610507064	501(c)(3)	$5,000	Program Support
CANCER SUPPORT COMMUNITY GREATER CINCINNATI-NORTHERN KENTUCKY
311287785	501(c)(3)	$25,000	Program Support
CATALYTIC DEVELOPMENT FUNDING CORP OF NORTHERN KENTUCKY
263389252	501(c)(3)	$25,000	Program Support
CATHOLIC CHARITIES DIOCESE OF COVINGTON
610461728	501(c)(3)	$15,000	Program Support
CINCINNATI SCHOLARSHIP FOUNDATION
310603619	501(c)(3)	$10,000	Program Support
CINCINNATI STATE TECHNICAL & COMMUNITY COLLEGE
315157043	State of Ohio	$30,000	Program Support
CINCINNATI USA REGIONAL CHAMBER
310239310	501(c)(6)	$20,000	Program Support
COMMONWEALTH FUND FOR KET INC
616001915	City of Ft. Mitchell	$10,000	Program Support
COVINGTON BUSINESS COUNCIL
310963057	501(c)(6)	$8,550	Program Support
DAYTON INDEPENDENT SCHOOLS
616001401	501(c)(3)	$95,294	Program Support
DIOCESAN CATHOLIC CHILDRENS HOME INC
610463943	501(c)(3)	$25,000	Program Support
EMERGENCY SHELTER OF NORTHERN KENTUCKY
260851019	501(c)(3)	$120,000	Program Support
FAITH COMMUNITY PHARMACY INC
611378914	501(c)(3)	$100,000	Program Support
FAMILY NURTURING CENTER OF KENTUCKY INC
311011326	501(c)(3)	$7,500	Program Support
FORT THOMAS INDEPENDENT SCHOOLS
611393646	501(c)(3)	$126,500	Program Support
FREESTORE FOODBANK INC
237122205	501(c)(3)	$100,000	Program Support
GALEN HEALTH INSTITUTES INC
611140524		$30,000	Program Support
GAMBLE SPORTS PROPERTIES LLC
272508231		$38,000	3rd Party Payment to support NKY High School sports programs
GATEWAY COMMUNITY AND TECHNICAL COLLEGE
611239550	501(c)(3)	$353,390	Program Support
GO PANTRY CORPORATION
465637704	501(c)(3)	$30,000	Program Support
HISPANIC CHAMBER CINCINNATI USA
311458839	501(c)(6)	$10,000	Program Support
HOLLAND FOUNDATION FOR SIGHT RESTORATION INC
842983479	501(c)(3)	$100,000	Program Support
HOLY CROSS HIGH SCHOOL
621577563	501(c)(3)	$10,000	Program Support
HONOR RUN FOUNDATION
465547770	501(c)(3)	$45,000	Program Support
HORIZON COMMUNITY FUNDS OF NORTHERN KY
821388190	501(c)(3)	$24,400	Program Support
IVY TECH FOUNDATION INC
237073977	501(c)(3)	$10,000	Program Support
JARO OF KY INC
610932219		$15,000	3rd Party Payment
KENTON COUNTY BOARD OF EDUCATION
616001301	Kenton County	$61,738	Program Support
KENTUCKY CENTER FOR PUBLIC SERVICE
463464828	501(c)(3)	$15,000	Program Support
KENTUCKY CHAMBER OF COMMERCE
610405718	501(c)(6)	$15,500	Program Support
KENTUCKY COMMUNITY AND TECHNICAL COLLEGE
611351918	501(c)(3)	$10,000	Program Support
KENTUCKY COUNCIL ON POSTSECONDARY EDUCATION
610600439	State of Kentucky	$1,000,000	Program Support
LAST MILE FOOD RESCUE INC
834495745	501(c)(3)	$25,000	Program Support
LAWRENCEBURG MAIN STREET INC
200456048	501(c)(3)	$10,000	Program Support
LEADERSHIP KENTUCKY FOUNDATION INC
311096215	501(c)(3)	$5,000	Program Support
LIFE LEARNING CENTER INC
203454261	501(c)(3)	$1,196,667	Program Support
LUDLOW BOARD OF EDUCATION
616001318	City of Ludlow	$10,000	Program Support
MARCH OF DIMES INC
131846366	501(c)(3)	$7,500	Program Support
MASTER PROVISIONS INC
611262540	501(c)(3)	$75,000	Program Support
MELANOMA KNOW MORE
260505222	501(c)(3)	$5,000	Program Support
METROPOLITAN CLUB INC
611188518		$15,000	3rd Party Payment for awards dinner sponsorship
MILAN COMMUNITY SCHOOL CORPORATION
356002642	City of Milan	$10,000	Program Support
MISSING ALEXIS LLC
463485926	501(c)(3)	$6,000	Program Support
NATIONAL UNDERGROUND RAILROAD
311436217	501(c)(3)	$5,000	Program Support
NEW PERCEPTIONS INC
610705047	501(c)(3)	$5,000	Program Support
NEWPORT BOARD OF EDUCATION
613001336	City of Newport	$10,000	Program Support
NORTHERN KENTUCKY AREA DEVELOPMENT
610719369	501(c)(3)	$115,728	Program Support
NORTHERN KENTUCKY BRANCH NAACP
912157483	501(c)(3)	$9,000	Program Support
NORTHERN KENTUCKY CHAMBER OF COMMERCE
610679408	501(c)(6)	$46,024	Program Support
NORTHERN KENTUCKY COMMUNITY ACTION COMMISSION INC
610667805	501(c)(3)	$5,000	Program Support
NORTHERN KENTUCKY EDUCATION COUNCIL
203105862	501(c)(3)	$20,000	Program Support
NORTHERN KENTUCKY REGIONAL ALLIANCE INC
311489316	501(c)(3)	$250,000	Program Support
NORTHERN KENTUCKY SYMPHONY INC
311190635	501(c)(3)	$10,000	Program Support
NORTHERN KENTUCKY UNIVERSITY
611010545	State of Kentucky	$1,248,998	Program Support
NORTHERN KENTUCKY YOUTH ATHLETICS INC
464119935	501(c)(3)	$5,000	Program Support
NORTHERN KY BRANCH NAACPBOWLES CENTER
202652162	501(c)(4)	$5,000	Program Support
NOTRE DAME ACADEMY INC
260710957	501(c)(3)	$10,000	Program Support
NOTRE DAME URBAN EDUCATION CENTER
270205323	501(c)(3)	$5,000	Program Support
ONE DEARBORN INC
815269669	501(c)(3)	$5,000	3rd Party Payment for community investment
OVARIAN CANCER ALLIANCE OF GR CINCINNATI
823862604	501(c)(3)	$7,500	Program Support
PINK RIBBON GOOD INC
320020270	501(c)(3)	$5,000	Program Support
PREGNANCY CENTER OF NORTHERN KENTUCKY
611351706	501(c)(3)	$5,000	Program Support
PRICHARD COMMITTEE FOR ACADEMIC EXCELLENCE
611026214	501(c)(3)	$5,000	Program Support
REDWOOD SCHOOL & REHABILITATION CTR INC
616013702	501(c)(3)	$11,000	Program Support
ROMAN CATHOLIC DIOCESE OF COVINGTON
610458380	501(c)(3)	$732,825	Program Support
SOCIETY OF ST VINCENT DE PAUL COUNCIL OF NORTHERN KENTUCKY INC
320350542	501(c)(3)	$17,500	Program Support
SPECIAL OLYMPICS KY INC
610954571	501(c)(3)	$5,000	Program Support
SUPT OF SCHOOLS OF BELLEVUE
616001387	City of Bellevue	$10,000	Program Support
SWITZERLAND COUNTY SCHOOL CORPORATION
352116640	501(c)(3)	$26,000	Program Support
TEAL WE FIND A CURE INC
825210142	501(c)(3)	$5,000	Program Support
THE ABERCRUMBIE GROUP
300520187		$15,000	3rd Party Payment - DEI program support
THE CARNEGIE VISUAL AND PERFORMING
610897319	501(c)(3)	$10,000	Program Support
THE CINCINNATI REDS LLC
311002055		$57,655	Program Support
THE LABORATORY SAFETY INSTITUTE INC
043210285	501(c)(3)	$8,000	Program Support
THE NORTHERN KENTUCKY ATHLETIC
611038755		$40,000	3rd Party Payment - Local High School sports support
THOMAS MORE UNIVERSITY INC
610448560	501(c)(3)	$1,038,141	Program Support
TRANSITIONS INC
610707125	501(c)(3)	$35,000	Program Support
TRI-COUNTY ECONOMIC DEVELOPMENT
832547630	501(c)(3)	$200,000	Program Support
UNIVERSITY OF CINCINNATI
316000989	State of Ohio	$130,942	Program Support
UNIVERSITY OF KENTUCKY
616001218	State of Kentucky	$30,000	Program Support
VILLA MADONNA ACADEMY INC
610541637	501(c)(3)	$25,000	Program Support
VOLUNTEERS OF AMERICA MID-STATES INC
610480950	501(c)(3)	$200,000	Program Support
WOMEN'S CRISIS CENTER INC
610908752	501(c)(3)	$20,000	Program Support
XAVIER UNIVERSITY
310537516	501(c)(3)	$10,000	Program Support
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER CINCINNATI
310537178	501(c)(3)	$80,900	Program Support
ZOOLOGICAL SOCIETY OF CINCINNATI
310537171	501(c)(3)	$10,000	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	84	Total501c3OrgCnt
Total Other Org	13	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	St. Elizabeth has an established and standardized review and approval process used to monitor grant requests. First, all requests for sponsorship must be submitted on a completed Sponsorship Request Form, including a letter of request on the organization's letterhead and a breakdown of all sponsorship levels that include benefits. St. Elizabeth asks that all organizations submit requests a minimum of 60 days prior to the publication of any marketing materials for the event and/or their sponsorship deadline. All requests that are received less than 60 days in advance risk being excluded from consideration. All sponsorships are subject to an annual review and evaluation. The St. Elizabeth Sponsorship Committee meets monthly to evaluate and make sponsorship recommendations. All decisions are based on consistency with the criteria mentioned above. However, due to the overwhelming number of requests and limited availability of funds, a request may be denied, even if it fits the criteria. An official notification of approval or denial comes in the form of a letter or email.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Garren Colvin
PRESIDENT/CEO	$1,306,811	$0	$309,649	$0	$41,390	$0	$19,800	$0	$32,322	$0	$1,709,972	$0	$0	$0
Donald Price MD
TRUSTEE	$0	$372,286	$0	$61,459	$0	$25,622	$0	$19,800	$0	$39,746	$0	$518,913	$0	$0
Lisa Frey
EXECUTIVE VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	$527,564	$0	$146,797	$0	$30,596	$0	$19,800	$0	$16,905	$0	$741,662	$0	$0	$0
Vera Hall
EXECUTIVE VICE PRESIDENT & COO	$473,799	$0	$44,359	$0	$28,990	$0	$19,800	$0	$4,198	$0	$571,146	$0	$0	$0
Lori Ritchey-Baldwin
EXECUTIVE VP/CFO/TREASURER	$568,122	$0	$221,009	$0	$37,158	$0	$19,800	$0	$32,490	$0	$878,579	$0	$0	$0
Jacob Bast
SEP SENIOR VP/COO	$445,587	$0	$145,543	$0	$3,191	$0	$19,800	$0	$37,910	$0	$652,031	$0	$0	$0
Latonya Brown-Puryear MD
VP CHIEF QUALITY OFFICER	$381,866	$35,150	$0	$47,388	$24,268	$1,863	$19,800	$0	$26,716	$2,489	$452,650	$86,890	$0	$0
Kevin Gessner
SVP SITE ADMINISTRATOR FTT COV & HVI	$153,587	$0	$131,475	$0	$23,943	$0	$19,800	$0	$28,313	$0	$357,118	$0	$0	$0
Bruno Giacomuzzi
COO FLO FT COV & SVP PROF SVCS	$125,242	$0	$146,300	$0	$8,960	$0	$19,800	$0	$15,565	$0	$315,867	$0	$0	$0
Sarah Giolando
SVP/CHIEF STRATEGY OFFICER THRU 11/21/2024	$345,896	$0	$116,283	$0	$172,062	$0	$19,800	$0	$37,038	$0	$691,079	$0	$0	$0
Bruce Henley
SEP CFO/TREASURER	$312,068	$0	$24,921	$0	$31,877	$0	$19,800	$0	$31,003	$0	$419,669	$0	$0	$0
James Horn MD
EXECUTIVE VP & CHIEF CLINICAL OFFICER	$384,797	$0	$121,673	$0	$27,644	$0	$19,800	$0	$37,300	$0	$591,214	$0	$0	$0
Kathy Jennings
SVP PATIENT CARE/ONCOLOGY	$233,794	$0	$43,249	$0	$27,557	$0	$18,669	$0	$25,167	$0	$348,436	$0	$0	$0
LaRoy Kendall MD
SENIOR VP CHIEF MEDICAL OFFICER	$432,741	$0	$111,428	$0	$30,087	$0	$19,800	$0	$23,481	$0	$617,537	$0	$0	$0
Julie McGregor
SENIOR VP HUMAN RESOURCES	$450,352	$0	$138,049	$0	$39,876	$0	$19,800	$0	$39,606	$0	$687,683	$0	$0	$0
Heidi Murley MD
SEP PRESIDENT/CEO	$576,278	$0	$221,272	$0	$7,668	$0	$19,800	$0	$42,965	$0	$867,983	$0	$0	$0
Harry Watson
SENIOR VP FACILITIES	$164,231	$0	$84,027	$0	$5,564	$0	$19,800	$0	$1,442	$0	$275,064	$0	$0	$0
Gene Barber
SENIOR VP FACILITIES	$310,135	$0	$100,000	$0	$59,458	$0	$0	$0	$15,647	$0	$485,240	$0	$0	$0
Mario Castillo-Sang MD
PHYSICIAN	$1,153,680	$0	$132,012	$0	$26,270	$0	$19,800	$0	$5,213	$0	$1,336,975	$0	$0	$0
Saadeddine Dughman MD
PHYSICIAN	$961,826	$0	$68,556	$0	$26,984	$0	$19,800	$0	$3,288	$0	$1,080,454	$0	$0	$0
Mark Jordan
PHYSICIAN	$982,302	$0	$65,356	$0	$26,822	$0	$19,800	$0	$40,399	$0	$1,134,679	$0	$0	$0
Saeb Khoury MD
PHYSICIAN	$954,674	$0	$69,583	$0	$44,376	$0	$19,800	$0	$39,249	$0	$1,127,682	$0	$0	$0
Stephen Schutzman MD
PHYSICIAN	$1,018,044	$0	$65,356	$0	$27,890	$0	$19,800	$0	$40,746	$0	$1,171,836	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	COMPANION TRAVEL WAS PROVIDED FOR SPOUSES OF BOARD MEMBERS AT ANNUAL EDUCATIONAL RETREAT FOR SIX (6) BOARD MEMBERS / EXECUTIVES AND WAS TREATED AS FULLY TAXABLE.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	PAYMENT FOR INSURANCE PREMIUMS FOR BRUNO GIACOMUZZI WHO RETIRED IN 2024 WAS GROSSED UP FOR FICA AND TREATED AS FULLY TAXABLE.
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	HOUSING ALLOWANCE PAYMENT WAS MADE PER EMPLOYMENT CONTRACT WITH ONE (1) PERSON LISTED.
Schedule J, Part I, Line 4a Severance or change-of-control payment	SARAH GIOLANDO RECEIVED SEVERANCE $142,716 IN 2024.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Certain individuals listed in Part VII participated in a split dollar life insurance plan. Please refer to Schedule L for participants, premiums and outstanding loan amounts.
Schedule J, Part I, Line 7 Non-fixed payments	Persons listed in Part VII received Board-approved bonuses, reported on Schedule J, Part II, Column B(ii). These are nonfixed payments, contingent on performance, subject to Committee discretion, and not guaranteed.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY
A	521643102	2009-12-09	$38,150,000	PARTIAL REFUNDING OF BONDS ISSUED 6/11/03	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION
B	472650498	2015-12-30	$50,000,000	RENOVATIONS TO HOSPITAL	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION
C	472650498	2015-12-30	$50,000,000	RENOVATIONS TO HOSPITAL	false	false	false
KENTUCKY BOND DEVELOPMENT CORPORATION
D	472650498	2016-05-12	$98,494,028	ADVANCE REFUNDING OF SERIES 2009A BONDS	false	false	false	491210AW0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$20,225,000	$0	$38,150,000	$0	$0	$0	$360,000	$0	$0	$0	$37,790,000	$0	2003	Yes (true)	false	Yes (true)	Yes (true)
B	$11,675,000	$0	$50,716,101	$0	$0	$0	$245,000	$0	$0	$50,471,101	$0	$0	2018	false	false	Yes (true)	Yes (true)
C	$9,600,000	$0	$50,015,016	$0	$0	$0	$222,000	$0	$0	$49,793,016	$0	$0	2018	false	false	Yes (true)	Yes (true)
D	$22,675,000	$0	$101,059,194	$0	$0	$0	$1,123,044	$0	$0	$0	$99,936,150	$0	2009	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	0.0094	0.0094	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0053	0.0053	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0069	0.0069	false	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	false	false	0.0111	0.0111	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
(no name)
A	false	false	false	Yes (true)	Yes (true)	false	0.0	false	false	false	0	false	false	Yes (true)
(no name)
B	false	false	false	Yes (true)	false	false	0	false	false	false	0	false	false	Yes (true)
PNC Bank National Association
C	false	false	false	Yes (true)	Yes (true)	Yes (true)	30.0	false	false	false	0	false	false	Yes (true)
(no name)
D	false	false	Yes (true)	false	false	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part V Procedures to Undertake Corrective Action	St. Elizabeth Medical Center, Inc. d/b/a St. Elizabeth Healthcare has written procedures to ensure that any potential violations of federal tax requirements are timely identified. If self-remediation is not available under applicable regulations, St. Elizabeth Healthcare would contact its bond counsel regarding the IRS's Voluntary Closing Agreement Program.
Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE	SERIES 2015A - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART I, LINE B, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN B, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2015B - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART I, LINE C, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN C, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2016 - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 5/12/2016) IN PART I, LINE D, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN D, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2019A - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 06/26/2019) IN PART I, LINE A, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN A, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. SERIES 2021A - DIFFERENCE BETWEEN ISSUE PRICE (ISSUE DATE 10/20/2021) IN PART I, LINE A, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, COLUMN A, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD.
Schedule K, Part IV, Line 2c DATE REBATE COMPUTATION PERFORMED	COLUMN A - SERIES 2009 (ISSUE DATE 12/09/2009) - JUNE 4, 2014 COLUMN B - SERIES 2015A (ISSUE DATE 12/30/2015) - FEBRUARY 11, 2021 COLUMN C - SERIES 2015B (ISSUE DATE 12/30/2015) - FEBRUARY 11, 2021 COLUMN D - SERIES 2016 (ISSUE DATE 05/12/2016) - THE SERIES 2016 BONDS WERE AN ADVANCE REFUNDING WITH AN ESCROW YIELD THAT WAS BELOW THE SERIES 2016 BOND YIELD. THEREFORE, A REBATE COMPUTATION WAS NOT REQUIRED. COLUMN A - SERIES 2019A (ISSUE DATE 6/26/2019) - 7/5/2024
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY The calculation for computing no rebate due was performed on 06/04/2014
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: KENTUCKY BOND DEVELOPMENT CORPORATION The calculation for computing no rebate due was performed on 02/11/2021
Schedule K, Part IV, Line 2c COLUMN C	Issuer name: KENTUCKY BOND DEVELOPMENT CORPORATION The calculation for computing no rebate due was performed on 02/11/2021
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: KENTUCKY BOND DEVELOPMENT CORPORATION The calculation for computing no rebate due was performed on 07/05/2024

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
KENTUCKY BOND DEVELOPMENT CORPORATION
A	472650498	2019-06-26	$75,000,000	RENOVATIONS TO HOSPITAL	false	false	false
NATIONAL FINANCE AUTHORITY
B	521304598	2021-10-20	$57,508,798	RENOVATIONS TO HOSPITAL	false	false	false	63609WAP7

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,277,376	$0	$75,414,457	$0	$0	$0	$560,800	$0	$0	$74,853,657	$0	$0	2020	false	false	Yes (true)	Yes (true)
B	$700,000	$0	$57,953,078	$0	$0	$0	$507,417	$0	$0	$57,445,661	$0	$0	2024	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0085	0.0085	false	false	0	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0	0.0088	0.0088	false	false	0	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Fifth Third Bank Risk Solutions
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	30.0	false	false	false	0	false	false	Yes (true)
(no name)
B	false	Yes (true)	false	false	false	false	0	false	false	false	0	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (17 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
GARREN COLVIN
PRESIDENT/CEO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$7,198,848	$7,719,450	false	Yes (true)	Yes (true)
LORI RITCHEY-BALDWIN
EXECUTIVE VP/CFO/TREASURER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,396,061	$1,491,146	false	Yes (true)	Yes (true)
HEIDI MURLEY
SEP PRESIDENT/CEO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$270,788	$284,209	false	Yes (true)	Yes (true)
LISA FREY
EXECUTIVE VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$927,818	$984,194	false	Yes (true)	Yes (true)
SARAH GIOLANDO
SVP/CHIEF STRATEGY OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,439,417	$1,538,274	false	Yes (true)	Yes (true)
JULIE MCGREGOR
SENIOR VP HUMAN RESOURCES	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$128,685	$135,495	false	Yes (true)	Yes (true)
JACOB BAST
SEP COO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$705,136	$758,574	false	Yes (true)	Yes (true)
VERA HALL
EXECUTIVE VICE PRESIDENT & COO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,194,982	$1,264,811	false	Yes (true)	Yes (true)
JAMES HORN
EXECUTIVE VP & CHIEF CLINICAL OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,098,031	$1,161,951	false	Yes (true)	Yes (true)
BRUCE HENLEY
SEP CFO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$1,363,660	$1,454,840	false	Yes (true)	Yes (true)
KEVIN GESSNER
SVP SITE ADMINISTRATOR FTT COV & HVI	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$302,189	$308,674	false	Yes (true)	Yes (true)
KATHY JENNINGS
SVP PATIENT CARE/ONCOLOGY	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$538,573	$571,253	false	Yes (true)	Yes (true)
BRUNO GIACOMUZZI
COO FLO FT COV & SVP PROF SVCS	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$952,508	$1,021,217	false	Yes (true)	Yes (true)
HARRY WATSON
SENIOR VP FACILITIES	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$646,538	$688,656	false	Yes (true)	Yes (true)
GARY BLANK
FORMER VP & COO	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$2,844,952	$3,036,491	false	Yes (true)	Yes (true)
LAROY KENDALL
SENIOR VP CHIEF MEDICAL OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$783,778	$835,380	false	Yes (true)	Yes (true)
LATONYA BROWN-PURYEAR
VP CHIEF QUALITY OFFICER	To fund split dollar life Insurance premiums for supplemental life insurance	Yes (X)	$189,498	$199,302	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$23,453,917	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHRIS RITCHEY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SON OF OFFICER LORI RITCHEY-BALDWIN	RelationshipDescriptionTxt
Transaction	$44,243	TransactionAmt
Transaction	WAGES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS

BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS WERE AT ARM'S LENGTH (FMV) AND APPROVED BY DISINTERESTED MEMBERS OF THE BOARD.

Schedule L, Part II To fund split dollar life Insurance premiums for supplemental life insurance

The Organization has entered into a split-dollar life insurance with a number of its executive and key employees in order to provide supplemental life insurance benefits. Premiums under the arrangement, as opposed to contributions to a standard non-qualified plan, are not an expense for accounting purposes. In addition, all of the premiums treated as split-dollar loans in accordance with IRS rules will be recovered by the Organization with interest at the death of the individual(s), which will help further the Organization's charitable mission (see the associated receivable in Part X).

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$300	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$1,500	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$19,102	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$3,300,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Food/Prizes	46	$11,655	Cost
Yes (X)	Signage	2	$3,239	Cost
Yes (X)	Jewelry	1	$65	Cost
Yes (X)	Decorations	1	$5,000	Cost

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - Food/Prizes - Contributions Other - Signage - Contributions Clothing and household goods - Contributions Other - Jewelry - Contributions Art - Works of art - Contributions Securities - Publicly traded - Contributions Other - Decorations - Contributions Real estate - Commercial - Items received	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY	ST. ELIZABETH HEALTHCARE DOES NOT HAVE A SPECIFIC WHISTLEBLOWER POLICY; HOWEVER, THERE IS A SECTION OF ST. ELIZABETH HEALTHCARE'S CORPORATE RESPONSIBILITY PROGRAM THAT ADDRESSES COMPLIANCE WITH THE FEDERAL FALSE CLAIMS ACT AND WITHIN THAT SECTION PROTECTION FOR WHISTLEBLOWERS IS SPECIFICALLY ADDRESSED.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The members of the following committees act in an advisory capacity to the Board of Trustees and make recommendations to the Board: Investment, Strategic Planning, Audit, Finance, Governance, and Quality/Patient Care. In addition, the Compensation Committee members have actual voting and decision power such that they are an "authorized body" of the Board of Trustees.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	MOST REVEREND CATHOLIC BISHOP IFFERT OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE WILL BE APPOINTED ACCORDING TO THE FOLLOWING SUMMARIZED PROCEDURE: (I) THE BOARD SHALL SUBMIT TO THE BISHOP UP TO THREE NAMES OF CANDIDATES FOR EACH VACANCY; (II) ORDINARILY THE BISHOP WILL CHOOSE TRUSTEES TO FILL THE VACANCIES OR OPENINGS FROM THE RECOMMENDED CANDIDATES AFTER PERSONAL CONSULTATION WITH THE PRESIDENT. IF THE BISHOP DOES NOT CHOOSE ANYONE FROM THE LIST, THE BOARD WILL SUBMIT NEW NAMES AS SOON AS PRACTICAL; (III) THE BISHOP RESERVES THE RIGHT TO SUBMIT OTHER NAMES TO THE BOARD FOR REVIEW AND COMMENT; (IV) IN CONSULTATION WITH THE PRESIDENT OF THE MEDICAL CENTER OR THE BOARD CHAIR, THE BISHOP MAY REMOVE ANY MEMBER OF THE BOARD IF CERTAIN ACTIONS ARE COMMITTED; (V) IF THE BISHOP DECLINES A CANDIDATE OR THE CANDIDATE DECLINES, THE LIST OF CANDIDATES WILL BE REVISITED ACCORDING TO PROCEDURES (I) THROUGH (III) ABOVE.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	MOST REVEREND CATHOLIC BISHOP IFFERT OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE BISHOP: (I) THE AMENDMENT OR REPEAL OF SECTIONS 2(B) OR 2(C) OF THE BYLAWS OR ANY PROVISIONS OF THE GOVERNING DOCUMENTS RELATING TO THE AUTHORITY OF THE BISHOP OR BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE; (II) ANY ACTION THAT RESULTS IN A SUBSTANTIAL CHANGE, AS DETERMINED BY THE BISHOP OR THE BOARD, IN THE PHILOSOPHY OR MISSION OF ST. ELIZABETH HEALTHCARE, OR IN THE USE OF A ST. ELIZABETH HEALTHCARE HOSPITAL FACILITY; (III) THE DISSOLUTION, CONSOLIDATION, MERGER, OR TERMINATION OF EXISTENCE OF ST. ELIZABETH HEALTHCARE; AND (IV) A BORROWING, LEASE, TRANSFER, OR ENCUMBRANCE OF ANY REAL ESTATE OF ST. ELIZABETH HEALTHCARE EXCEEDING $5,000,000.
Form 990, Part VI, Line 11b Review of form 990 by governing body	ST. ELIZABETH HEALTHCARE'S PROCESS TO REVIEW THE FORM 990 CONSISTS OF REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT AND ST. ELIZABETH HEALTHCARE'S BOARD OF TRUSTEES. THE FORM 990 IS REVIEWED WITH AND APPROVED BY THE FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S APPROVAL, BUT PRIOR TO FILING WITH THE IRS, THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS.
Form 990, Part VI, Line 12c Conflict of interest policy	ST. ELIZABETH HEALTHCARE REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR A MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEE WITH THE GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXISTS. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (I) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (II) HAS READ AND UNDERSTANDS THE POLICY; (III) HAS AGREED TO COMPLY WITH THE POLICY; AND (IV) UNDERSTANDS THAT ST. ELIZABETH HEALTHCARE IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. WHEN BUSINESS MATTERS COME BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST: (I) THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT; (II) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (III) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (IV) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (V) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	IN DETERMINING THE COMPENSATION OF ST. ELIZABETH HEALTHCARE'S CHIEF EXECUTIVE OFFICER, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA. A COMPENSATION RECOMMENDATION IS THEN PRESENTED TO THE BOARD FOR APPROVAL.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	OTHER KEY EXECUTIVES ARE REVIEWED AND THE CHIEF EXECUTIVE OFFICER MAKES RECOMMENDATIONS FOR THEIR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE THEN EVALUATES AND APPROVES THE COMPENSATION FOR THE OTHER KEY EXECUTIVES. FOR BOTH THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EXECUTIVES, THE PROCESS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXTERNAL REVIEW OF EXECUTIVE COMPENSATION IS PERFORMED ANNUALLY AND APPROVED BY THE BOARD. THIS WAS LAST PERFORMED IN 2024.
Form 990, Part VI, Line 19 Required documents available to the public	UPON REQUEST, ST. ELIZABETH HEALTHCARE WILL MAKE AVAILABLE THE FORM 990 AND THE RELATED APPLICABLE SCHEDULES OF WHICH ARE SUBJECT TO AND OPEN TO PUBLIC INSPECTION.
Form 990, Part VII, Section A Compensation of Key Employees	All key employees have been evaluated and only those meeting the definition of key employees were included on Part VII for calendar year 2024.
Form 990, Part IX, Line 11g Other Fees	CONTRACT LABOR - Total Expense: 41439699, Program Service Expense: 37984935, Management and General Expenses: 3454764, Fundraising Expenses: 0; AMBULANCE SERVICE - Total Expense: 1540005, Program Service Expense: 1539775, Management and General Expenses: 230, Fundraising Expenses: 0; ANESTHESIOLOGY SERVICE - Total Expense: 16762549, Program Service Expense: 16762549, Management and General Expenses: 0, Fundraising Expenses: 0; LABORATORY SERVICES - Total Expense: 1324717, Program Service Expense: 1324717, Management and General Expenses: 0, Fundraising Expenses: 0; LAUNDRY EXPENSE - Total Expense: 3759248, Program Service Expense: 241165, Management and General Expenses: 3518083, Fundraising Expenses: 0; PERFUSION SERVICES - Total Expense: 1984879, Program Service Expense: 1984879, Management and General Expenses: 0, Fundraising Expenses: 0; RADIATION SERVICES - Total Expense: 1722862, Program Service Expense: 1722862, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 17921972, Program Service Expense: 12275861, Management and General Expenses: 5646111, Fundraising Expenses: 0; CONSULTING SERVICE - Total Expense: 8721142, Program Service Expense: 1402732, Management and General Expenses: 7318410, Fundraising Expenses: ; COLLECTION SERVICE - Total Expense: 1016851, Program Service Expense: 0, Management and General Expenses: 1016851, Fundraising Expenses: 0; OTHER FEES - Total Expense: 300218, Program Service Expense: 1932, Management and General Expenses: 298256, Fundraising Expenses: 30; PURCHASED SERVICES - Total Expense: 42242283, Program Service Expense: 17009607, Management and General Expenses: 25232676, Fundraising Expenses: 0; ORGANIZATIONAL DEVELOP SERVICES - Total Expense: 72859, Program Service Expense: 0, Management and General Expenses: 72859, Fundraising Expenses: 0; HRIP-UPL KHREF FEES - Total Expense: 2034635, Program Service Expense: 0, Management and General Expenses: 2034635, Fundraising Expenses: 0; JANITORIAL SERVICES - Total Expense: 1187690, Program Service Expense: 321059, Management and General Expenses: 866631, Fundraising Expenses: 0; RESEARCH - Total Expense: 162322, Program Service Expense: 162322, Management and General Expenses: 0, Fundraising Expenses: 0; PEST CONTROL - Total Expense: 45006, Program Service Expense: 16806, Management and General Expenses: 28200, Fundraising Expenses: 0; OUTSOURCING SERVICES - Total Expense: 17390, Program Service Expense: 17390, Management and General Expenses: 0, Fundraising Expenses: 0; FIRE LIFE SAFETY SECURITY - Total Expense: 60285, Program Service Expense: 16825, Management and General Expenses: 43460, Fundraising Expenses: 0; INTERCOMPANY - Total Expense: XXX-XX-XXXX, Program Service Expense: 24604719, Management and General Expenses: 197003402, Fundraising Expenses: 0; NON-PHYSICIAN SERVICES - Total Expense: 646, Program Service Expense: 646, Management and General Expenses: 0, Fundraising Expenses: 0; RADIOLOGY SERVICES - Total Expense: 179, Program Service Expense: 179, Management and General Expenses: 0, Fundraising Expenses: 0; DATA PROCESSING SERVICES - Total Expense: 3916, Program Service Expense: 3216, Management and General Expenses: 700, Fundraising Expenses: 0; RECRUITMENT EXPENSE - Total Expense: 821722, Program Service Expense: 38859, Management and General Expenses: 782665, Fundraising Expenses: 198; PLP LABORATORY SERVICES - Total Expense: 15196520, Program Service Expense: 15196520, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FMV OF INTEREST RATE SWAP - 3524820; CONTRIBUTION - WRITE OFF/ADJUST - -63056; NET ASSET RELEASED FROM RESTRICTIONS - PPE - 106817; MINIMUM PENSION LIABILITY ADJ - 41348816; TRANSFERS DUE TO/FROM AFFILIATES - -20105286; CHANGE TO INVESTMENT IN AMSURG - -204906; NET ASSET RELEASED FROM RESTRICTIONS - BDF - 6781850; PENSION SETTLEMENT DUE TO PLAN ANNUITIZATION - -99114338; APPLICATION OF FAS 158 - 29900895; Total - -37824388;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST ELIZABETH PHYSICIAN SERVICES
334 THOMAS MORE PARKWAY STE 200	CRESTVIEW HILLS	KY	41017	611339639	PHYSICIAN MANAGEMENT SERVICES	KY	$0	$3,558,922	ST ELIZABETH MEDICAL CENTER INC
SEH Holdings Inc
1 Medical Village Dr	Edgewood	KY	41017	830817636	Holding Company	KY	$116,777	-$1,732,682	St Elizabeth Medical Center Inc
Next Daybreak Inc
1 Medical Village Dr	Edgewood	KY	41017	832843631	Physician Management Services	KY	$0	-$875,432	St Elizabeth Medical Center Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SUMMIT MEDICAL GROUP INC
1360 Dolwick Drive Suite 200	Erlanger	KY	41018	611300608	PHYSICIAN PRACTICE	KY	501(c)(3)	3	ST ELIZABETH MEDICAL CENTER INC	Yes (true)
Healthcare Advocates of Northern Kentucky
1 Medical Village Drive	Edgewood	KY	41017	832875231	Advance Healthcare quality and availability in Northern KY	KY	501(c)(4)		St Elizabeth Medical Center Inc	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Health Care Solutions Network LLC
619 Oak Street	Cincinnati	OH	45206	472103334	PHO	OH	HSN	Related	$410,560	$970,837	false	Yes (true)	0.9029
Bioskills Lab LLC
4123 Olympic Blvd	Erlanger	KY	41018	320571870	Bioskills Lab	KY	SEMC	Related	$0	$0	false	Yes (true)	0.65

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
St Elizabeth Provider Network Inc
1 Medical Village Dr	Edgewood	KY	41017	472862438	Physician-Hospital Org.	KY	St Elizabeth Medical Center Inc	C Corporation	$7,358,621	$1,701,679	1	Yes (true)
Charitable Remainder Trust (3)
1 Medical Village Drive	Edgewood	KY	41017		Trust	KY		Trust

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SUMMIT MEDICAL GROUP INC
R	$193,031,738	COST
SUMMIT MEDICAL GROUP INC
O	$65,082,285	COST
SUMMIT MEDICAL GROUP INC
K	$225,484	COST
SUMMIT MEDICAL GROUP INC
M	$2,678,479	COST
ST ELIZABETH PROVIDER NETWORK
L	$6,569,799	COST
HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY INC
B	$173,025	COST
SUMMIT MEDICAL GROUP INC
J	$9,679,469	COST
SUMMIT MEDICAL GROUP INC
Q	$75,060	COST
SUMMIT MEDICAL GROUP INC
L	$7,460,705	COST