SAINT JOSEPH HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SAINT JOSEPH HEALTH SYSTEM INC (EIN 61-1334601)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349307441
Schema version: 2012v2.1
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T15:01:03-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	470617373	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	611334601	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	8593131000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	424 Lewis Hargett Circle	AddressLine1
City	Lexington	City
State	KY	State
ZIP Code	40503	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	COLLEEN HOLTON	Name
Title	INTERIM CFO	Title
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	PAMELA KROHN	Name
PTIN	P01210500	PTIN
Phone	3032989100	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	424 Lewis Hargett Circle	AddressLine1
City	Lexington	City
State	KY	State
ZIP Code	40503	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	801787268	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SJHLEX.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	SAINT JOSEPH HEALTH SYSTEM, INC.'S VISION IS TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMUNITY PROVIDING HIGH QUALITY CARE CLOSE TO HOME, REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING THE INEQUITIES IN ACCESS TO HEALTHCARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	5807	TotalNbrEmployees
Total Nbr Volunteers	534	TotalNbrVolunteers
Total Gross UBI	1327915	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2668906	ContributionsGrantsPriorYear
Contributions Grants Current Year	601099	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	749748228	ProgramServiceRevenuePriorYear
Program Service Revenue CY	742951794	ProgramServiceRevenueCY
Investment Income Prior Year	3128796	InvestmentIncomePriorYear
Investment Income Current Year	6301863	InvestmentIncomeCurrentYear
Other Revenue Prior Year	51977591	OtherRevenuePriorYear
Other Revenue Current Year	51723101	OtherRevenueCurrentYear
Total Revenue Prior Year	807523521	TotalRevenuePriorYear
Total Revenue Current Year	801577857	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1091897	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	318137	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	291232535	SalariesEtcPriorYear
Salaries Etc Current Year	276343705	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	501743541	OtherExpensePriorYear
Other Expenses Current Year	517280524	OtherExpensesCurrentYear
Total Expenses Prior Year	794067973	TotalExpensesPriorYear
Total Expenses Current Year	793942366	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13455548	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7635491	RevenuesLessExpensesCY
Total Assets BOY	763001063	TotalAssetsBOY
Total Assets EOY	921395358	TotalAssetsEOY
Total Liabilities BOY	364080617	TotalLiabilitiesBOY
Total Liabilities EOY	514363637	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	398920446	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	407031721	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	WE BRING HOPE, IMPROVE HEALTH AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION, TRANSFORM HEALTH CARE DELIVERY, PARTNER TO CREATE HEALTHY COMMUNITIES AND ADVOCATE FOR A JUST HEALTH SYSTEM.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	642530433	Expense
Grants	318137	Grants
Revenue	742892955	Revenue
Description	SEE SCHEDULE H	Description
Total Program Service Expense	642530433	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	5807	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	5025874710	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
BRUCE KLOCKARS
FORMER CHIEF EXECUTIVE OFFICER	50.00	10.00	X	X	0	564715	44649
MELVIN ALEXANDER
CFO KYOne Health, Treasurer Board	20.00	41.00	X	X	0	54742	3825
RICHARD SCHULTZ
Vice Chair	2.00	4.00	X	X	0	0	0
ROBERT HEWETT
Chair	3.00	8.00	X	X	0	0	0
RON FARR
Former Interim CFO KYOne Health/Treasurer	2.00	58.00	X	X	0	802514	115754
RUTH WILLIAMS BRINKLEY
Board of Directors/President & CEO of KOH	5.00	55.00	X	X	0	994417	134196
DAVID FENNELL
Board of Directors	2.00	5.00	X		0	0	0
DAVID L DUNN
Board of Directors	3.00	7.00	X		0	0	0
GERALD TEMES MD
Board of Directors	2.00	4.00	X		0	0	0
JANE BURKS
Board of Directors	2.00	4.00	X		0	0	0
JANE J CHILES
Board of Directors	2.00	4.00	X		0	0	0
LOU ANN ATLAS
Board of Directors	2.00	4.00	X		0	0	0
MICHAEL ROWAN FACHE
Board of Directors/Exec VP/CHI COO	2.00	58.00	X		0	1652367	220553
MIKE ADES
Board of Directors	2.00	4.00	X		0	0	0
MILLER HOFFMAN
Board of Directors	2.00	4.00	X		0	0	0
PAUL EDGETT
Board of Directors/SVP CHI	2.00	58.00	X		0	734377	86500
ROBERT C HUGHES MD
Board of Directors	2.00	6.00	X		0	0	0
ROBERT W ROUNSAVALL III
Board of Directors	2.00	6.00	X		0	0	0
RUSSELL WILLIAMS MD
Board of Directors	2.00	4.00	X		0	0	0
SR ELIZABETH WENDELN
Board of Directors	3.00	4.00	X		0	0	0
THOMAS MECHAS MD
Board Observer	2.00	4.00	X		10775	0	0
BEV WEBER
Senior VP/COO KYOne Health	25.00	35.00		X	526092	0	30396
COLLEEN HOLTON
VP FIN PLANNING/INTERIM VP FIN REPORTING	5.00	55.00		X	0	0	0
GARY ERMERS
Former Chief Financial Officer	24.00	36.00		X	559816	0	68637
SHARON HAGER
Secretary	1.00	54.00		X	0	383074	32011
TAMMY HOWELL
INTERIM VP FIN REPORTING/DIRECTOR OF ACCOUNTING	5.00	55.00		X	0	106301	14575
BENNY NOLEN
President Saint Joseph Mount Sterling	59.00	1.00			204679	0	41964	X
CARLA WALTER
Former Corp Resp & Privacy Officer	60.00	0			0	233528	36872	X
CARMEL JONES
Former COO/VP Finance - London	10.00	45.00			222991	0	43891	X
CHRISTINE MAYS
Former COO/CNE - SJH	60.00	0			302475	0	46247	X
CHRISTY SPITSER
VP Finance London, Martin, Berea	60.00	0			164364	0	35050	X
DANIEL VARGA
Former Chief Medical Officer	44.00	16.00			607918	0	76896	X
EDWARD CARTHEW
Former Chief Human Resources Officer	60.00	0			318697	0	34013	X
ERIC GILLIAM
President Saint Joseph East	58.00	2.00			188206	0	40313	X
GREG GERARD
President London	59.00	1.00			231130	0	45771	X
JOHN SMITHHISLER
President Saint Joseph Hospital/Market Leader KYOne Health	59.00	1.00			251333	0	2498	X
KATHY STUMBO
President-Martin	60.00	0			244367	0	59678	X
KEN HAYNES
Former President-SJH	59.00	1.00			482998	0	65108	X
MARK STREETY
Former Chief Innovation Officer	57.00	3.00			343822	0	57740	X
MELINDA EVANS
Regional VP of Finance	58.00	2.00			243979	0	27003	X
PEGGY GREEN
Former COO/CNO-London	60.00	0			217992	0	26512	X
ROBERT BROCK
Former VP Finance London	59.00	1.00			247958	0	32471	X
TANJA OQUENDO
SVP Chief HR Officer - KYOne Health	5.00	55.00			326822	74956	38945	X
VIRGINIA DEMPSEY
Former President-London	57.00	3.00			416610	0	37542	X
ELISEO COLON
Pulmonologist	60.00	0			12168	484604	41344		X
JEFFREY MILAM
Anesthesiologist	60.00	0			524261	0	35856		X
MUNAWAR SIDDIQI
Anesthesiologist	20.00	40.00			67555	571142	40546		X
SATHYENDRA MYSORE
Anesthesiologist	60.00	0			576555	0	43512		X
STEVE LIN
Cardiologist	20.00	40.00			10802	855338	37604		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7304365	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7512075	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1698473	TotalOtherCompensation
Number Individuals GT100 K	172	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ANESTHESIA ASSOCIATES
PO BOX 23261	LEXINGTON	KY	405023400	ANESTHESIA SERVICES	3401250
CONGLETON-HACKER COMPANY
872 FLOYD DRIVE	LEXINGTON	KY	40505	GENERAL CONSTRUCTION	3277256
LOGAN'S HEALTHCARE INC
PO BOX 643958	CINCINNATI	OH	452643958	LAUNDRY & LINEN SERVICES	2082521
EAGLE HOSPITAL PHYSICIANS
5901C PEACHTREE DUNWOODY RD STE 350	ATLANTA	GA	30328	HOSPITALISTS	1571215
ZANEROCK CONSTRUCTION INC
1101 SE 3RD ST	ANTLERS	OK	74523	CONSTRUCTION	1235102

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	67	NumberOfContractorsGT100K
Related Organizations	589030	RelatedOrganizations
All Other Contributions	12069	AllOtherContributions
Total Contributions	601099	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	900099	737651468	737651468
RENTAL INCOME	900099	3761204	3702365	58839
MEDICAL SERVICES	621300	852443	852443
PROGRAM SERVICE REVENUE	900099	478092	478092
EQUITY CHANGES OF UNCONSOLIDATED ORGS	900099	208587	208587

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	742951794	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2287547	TotalRevenueColumn
Unrelated Business Revenue	-729	UnrelatedBusinessRevenue
Exclusion	$2,288,276	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	4180896	Securities
Other	42831	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	209411	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4180896	Securities
Other	-166580	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4014316	TotalRevenueColumn
Exclusion	$4,014,316	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
INTERCOMPANY TRANSACTIONS	900099	44368676	$44,368,676
CAFETERIA	722100	3103190	$2,826,741	276449
LABORATORY SERVICES	621500	1843574	$1,289,970	553604

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2407661	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	439752	UnrelatedBusinessRevenue
Exclusion	$1,967,909	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	51723101	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	801577857	TotalRevenueColumn
Related Or Exempt Function Income	742892955	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1327915	UnrelatedBusinessRevenue
Exclusion	$56,755,888	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	318137	Total
Program Services	318137	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6719406	Total
Management And General	6719406	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	209513824	Total
Program Services	163751488	ProgramServices
Management And General	45762336	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11651799	Total
Program Services	8917394	ProgramServices
Management And General	2734405	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	32487850	Total
Program Services	24765402	ProgramServices
Management And General	7722448	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	15970826	Total
Program Services	11978120	ProgramServices
Management And General	3992706	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2017703	Total
Management And General	2017703	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	442146	Total
Management And General	442146	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	79241314	Total
Program Services	71317183	ProgramServices
Management And General	7924131	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3449331	Total
Management And General	3449331	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	23900202	Total
Program Services	22227188	ProgramServices
Management And General	1673014	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	29051161	Total
Management And General	29051161	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12537121	Total
Program Services	10656553	ProgramServices
Management And General	1880568	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	848716	Total
Program Services	466794	ProgramServices
Management And General	381922	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	83062	Total
Program Services	20765	ProgramServices
Management And General	62297	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	13310612	Total
Program Services	13310612	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	17568913	Total
Management And General	17568913	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36162619	Total
Program Services	16273179	ProgramServices
Management And General	19889440	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6298045	Total
Program Services	6172084	ProgramServices
Management And General	125961	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
UNRELATED BUSINESS TAX	14045	14045
MEDICAL SUPPLIES	149144217		149144217
INTERCOMPANY ALLOCATIONS	45858567		45858567
BAD DEBTS	71660817		71660817

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	25691933	Total
Program Services	25691933	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	793942366	Total
Program Services	642530433	ProgramServices
Management And General	151411933	ManagementAndGeneral
Fundraising	0	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	58125	BOY
EOY	3763533	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	26349590	BOY
EOY	88403679	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	152818144	BOY
EOY	114077556	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	116952	BOY
EOY	125531	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10222147	BOY
EOY	11868137	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1362985	BOY
EOY	486234	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	791325007	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	362103071	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	445140875	BOY
EOY	429221936	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2059987	BOY
EOY	2171079	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	113236276	BOY
EOY	140619470	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	9134720	BOY
EOY	10711233	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2501262	BOY
EOY	119946970	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	763001063	BOY
EOY	921395358	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	70471885	BOY
EOY	202252997	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2671180	BOY
EOY	2884248	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	290937552	BOY
EOY	309226392	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	364080617	BOY
EOY	514363637	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	398883839	BOY
EOY	406996059	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	36607	BOY
EOY	35662	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	398920446	BOY
EOY	407031721	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	763001063	BOY
EOY	921395358	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7635491	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	5371825	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-4896041	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$23,368	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	23368	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of the activities reported on Lines 1a through 1i	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	LINE 1F THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION $12,070 CATHOLIC HEALTH ASSOCIATION $4,683 KENTUCKY HOSPITAL ASSOCIATION $23,368	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16933430	OtherCostOrOtherBasis
Book Value	16933430	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	487009481	OtherCostOrOtherBasis
Depreciation	172039272	Depreciation
Book Value	314970209	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4971705	OtherCostOrOtherBasis
Depreciation	4090105	Depreciation
Book Value	881600	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	261867710	OtherCostOrOtherBasis
Depreciation	184547345	Depreciation
Book Value	77320365	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20542681	OtherCostOrOtherBasis
Depreciation	1426349	Depreciation
Book Value	19116332	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	429221936	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue
CHI OIP - FIXED INCOME	69414952
CHI OIP - EQUITY SECURITIES	71204518

Field	Value	IRS element (for citing)
Total Of Book Value Securities	140619470	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
YMCA	600000
EXECUFLEX	163834
CASH SURRENDER VALUE	27345
INTERCOMPANY RECEIVABLES	118356903
INVESTMENTS IN UNCONSOLIDATED ORGANIZATIONS	717934
DEPOSITS	80954

Field	Value	IRS element (for citing)
Total Book Value Other Assets	119946970	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLES	$301,803,735
RENTAL DEPOSITS	$458
CHECK CLEARING	$302,186
SPECIAL PROGRAMS PAYABLE	$30,066
PROFESSIONAL STAFF FUND	$168,822
ENVIRONMENTAL REMDIATION	$109,352
340B PROGRAM	$7,820
ACCRUED EXPENSES	$6,803,953

Field	Value	IRS element (for citing)
Total Of Amounts	309226392	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	FIN 48 (ASC 740) footnote	Identifier
Return Reference	Schedule D, Part X, Line 2	ReturnReference
Explanation	SAINT JOSEPH HEALTH SYSTEM, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33040635	TotalCommunityBenefitExpense
Net Community Benefit Expense	33040635	NetCommunityBenefitExpense
Percent Of Total Expense	0.04570	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46926763	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34899086	DirectOffsettingRevenue
Net Community Benefit Expense	12027677	NetCommunityBenefitExpense
Percent Of Total Expense	0.01670	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11402983	TotalCommunityBenefitExpense
Net Community Benefit Expense	11402983	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	91370381	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34899086	DirectOffsettingRevenue
Net Community Benefit Expense	56471295	NetCommunityBenefitExpense
Percent Of Total Expense	0.07820	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	49	NumberOfActivitiesOrPrograms
Persons Served	18174	PersonsServed
Total Community Benefit Expense	1308740	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8850	DirectOffsettingRevenue
Net Community Benefit Expense	1299890	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	387	PersonsServed
Total Community Benefit Expense	440941	TotalCommunityBenefitExpense
Net Community Benefit Expense	440941	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	11	PersonsServed
Total Community Benefit Expense	12457	TotalCommunityBenefitExpense
Net Community Benefit Expense	12457	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	3253	PersonsServed
Total Community Benefit Expense	339151	TotalCommunityBenefitExpense
Net Community Benefit Expense	339151	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	82	NumberOfActivitiesOrPrograms
Persons Served	21825	PersonsServed
Total Community Benefit Expense	2101289	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8850	DirectOffsettingRevenue
Net Community Benefit Expense	2092439	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	82	NumberOfActivitiesOrPrograms
Persons Served	21825	PersonsServed
Total Community Benefit Expense	93471670	TotalCommunityBenefitExpense
Direct Offsetting Revenue	34907936	DirectOffsettingRevenue
Net Community Benefit Expense	58563734	NetCommunityBenefitExpense
Percent Of Total Expense	0.08110	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	4397	PersonsServed
Total Community Building Expense	22972	TotalCommunityBuildingExpense
Net Community Building Expense	22972	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4	PersonsServed
Total Community Building Expense	1125	TotalCommunityBuildingExpense
Net Community Building Expense	1125	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	240	PersonsServed
Total Community Building Expense	2644	TotalCommunityBuildingExpense
Net Community Building Expense	2644	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	8	PersonsServed
Total Community Building Expense	76	TotalCommunityBuildingExpense
Net Community Building Expense	76	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	200	PersonsServed
Total Community Building Expense	69210	TotalCommunityBuildingExpense
Net Community Building Expense	69210	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	4849	PersonsServed
Total Community Building Expense	96027	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	96027	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$71,660,817	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	216298352	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	229071608	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-12773256	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	6	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup	Critical Access HospitalCriticalAccessHospital
SAINT JOSEPH HOSPITAL
1	ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	WWW.KENTUCKYONEHEALTH.ORG	X	X	X	A
SAINT JOSEPH EAST
2	150 NORTH EAGLE CREEK DRIVE	LEXINGTON	KY	40509	WWW.KENTUCKYONEHEALTH.ORG	X	X	X	A
SAINT JOSEPH - LONDON
3	1001 ST JOSEPH LANE	LONDON	KY	40741	WWW.KENTUCKYONEHEALTH.ORG	X	X	X	A
SAINT JOSEPH - MOUNT STERLING
4	225 FALCON DRIVE	MOUNT STERLING	KY	40353	WWW.KENTUCKYONEHEALTH.ORG	X	X	X	A
SAINT JOSEPH - BEREA
5	305 ESTILL STREET	BEREA	KY	40403	WWW.KENTUCKYONEHEALTH.ORG	X	X	X	A	X
SAINT JOSEPH - MARTIN
6	11203 MAIN STREET	MARTIN	KY	41649	WWW.KENTUCKYONEHEALTH.ORG	X	X	X	A	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	false	UsesFPGFree
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SAINT JOSEPH JESSAMINE
1250 KEENE ROAD	NICHOLASVILLE	KY	40356	AMBULATORY CARE CENTER
SAINT JOSEPH OUTPATIENT CARE CENTER RICHMOND
103 ALYCIA DRIVE	RICHMOND	KY	40475	OUTPATIENT IMAGING CENTER
SAINT JOSEPH OUTPATIENT CARE CENTER - TATES CREEK
1099 DUVAL STREET	LEXINGTON	KY	405156490	OUTPATIENT IMAGING CENTER
COMMONWEALTH CANCER CENTER - CORBIN
1 TRILLIUM WAY	CORBIN	KY	40701	OUTPATIENT CANCER CARE CENTER
COMMONWEALTH CANCER CENTER - LONDON
165 LONDON MOUNTAIN VIEW DRIVE	LONDON	KY	40741	OUTPATIENT CANCER CARE CENTER
ST JOSEPH RADIATIONMEDICAL ONCOLOGY
701 BOB-O-LINK DRIVE	LEXINGTON	KY	40504	OUTPATIENT CANCER CARE CENTER
ST JOSEPH RADIATIONMEDICAL ONCOLOGY
3470 BLAZER PARKWAY	LEXINGTON	KY	40509	OUTPATIENT CANCER CARE CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (53 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO SAINT JOSEPH HEALTH SYSTEM) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. SAINT JOSEPH HEALTH SYSTEM BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, LINE 6A	SAINT JOSEPH HEALTH SYSTEM, INC. DOES NOT PREPARE ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. HOWEVER, ITS COMMUNITY BENEFIT REPORT IS CONTAINED IN THE REPORT OF A RELATED ORGANIZATION; KENTUCKYONE HEALTH, INC., EIN: 61-1029769
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING WORKSHEET 2 TO COMPUTE THE COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. WORKSHEET 2 WAS UTILIZED TO COMPUTE THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/13 USING THE FOLLOWING FORMULA: OPERATING EXPENSE (LESS NON-PATIENT CARE ACTIVITIES, MEDICARE PROVIDER TAXES, COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING EXPENSE) DIVIDED BY GROSS PATIENT REVENUE (LESS GROSS CHARGES FOR COMMUNITY BENEFIT PROGRAMS). BASED ON THAT FORMULA, $566,704,937/$1,584,746,734 RESULTS IN A 35.76% COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	71,660,817
Subsidized Health Services	Schedule H, Part I, Line 7g	INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THE FOLLOWING PHYSICIAN CLINICS: ST. JOSEPH PRIMARY CARE ST. ELIZABETH CLINIC ST. JOSEPH PRIMARY CARE CLINIC
Bad debt expense - methodology used to estimate amount	Schedule H, Part III, Line 2	COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 35.76%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Bad debt expense - methodology used to estimate amount as community benefit	Schedule H, Part III, Line 3	SAINT JOSEPH HEALTH SYSTEM DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	SAINT JOSEPH HEALTH SYSTEM DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. SAINT JOSEPH HEALTH SYSTEM'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. SAINT JOSEPH MARTIN AND SAINT JOSEPH BEREA ARE TWO HOSPITALS WITHIN SAINT JOSEPH HEALTH SYSTEM THAT ARE DESIGNATED AS A CRITICAL ACCESS HOSPITAL ("CAH"). CAHS ARE RURAL COMMUNITY HOSPITALS THAT ARE CERTIFIED TO RECEIVE COST-BASED REIMBURSEMENT FROM MEDICARE. THE REIMBURSEMENT THAT CAHS RECEIVE IS INTENDED TO IMPROVE THEIR FINANCIAL PERFORMANCE AND THEREBY REDUCE HOSPITAL CLOSURES. CAHS ARE CERTIFIED UNDER A DIFFERENT SET OF MEDICARE CONDITIONS OF PARTICIPATION (COP). SHORTFALLS ARE CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COSTS OF CARING FOR PROGRAM BENEFICIARIES. BECAUSE SHORTFALLS ARE BASED ON COSTS, NOT CHARGES SAINT JOSEPH MARTIN AND SAINT JOSEPH BEREA, DUE TO THEIR DESIGNATION AS A CAH, RECEIVED COST-BASED REIMBURSEMENT FOR MEDICARE PURPOSES, SAINT JOSEPH MARTIN AND SAINT JOSEPH BEREA WILL TYPICALLY NOT EXPERIENCE MEDICARE RELATED SHORTFALLS. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $216,298,352 TOTAL MEDICARE COSTS: $229,071,608 SURPLUS OR SHORTFALL $(12,773,256) SAINT JOSEPH HEALTH SYSTEM BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	ST. JOSEPH HEALTH SYSTEM'S DEBT COLLECTION POLICY PROVIDES THAT ST. JOSEPH HEALTH SYSTEM WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH ST. JOSEPH HEALTH SYSTEM COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE ST. JOSEPH HEALTH SYSTEM COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO ST. JOSEPH HEALTH SYSTEM FOR APPROPRIATE FOLLOW-UP. ST. JOSEPH HEALTH SYSTEM REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(1) SAINT JOSEPH HOSPITAL - SAINT JOSEPH HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT AND THE LEXINGTON-FAYETTE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COALITION. OVER 1,200 RESIDENTS PROVIDED INPUT THROUGH A COMMUNITY HEALTH SURVEY. ANOTHER 77 ADULTS PARTICIPATED IN THREE FOCUS GROUPS INTENDED TO IDENTIFY NEEDS IN MINORITY AND LOW-INCOME HOUSEHOLDS AND FIVE INDIVIDUALS WITH SPECIALIZED KNOWLEDGE PARTICIPATED IN KEY INFORMANT INTERVIEWS. IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. THIS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. THE HOSPITAL ENGAGED BKD, LLP TO ASSIST WITH COMPILING SECONDARY DATA AND PRIORITIZING IDENTIFIED HEALTH NEEDS. SUBSEQUENTLY, SAINT JOSEPH LEADERSHIP ENTERED INTO A DIALOGUE TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. ;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(2) SAINT JOSEPH EAST - SAINT JOSEPH HOSPITAL IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT AND THE LEXINGTON-FAYETTE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COALITION. OVER 1,200 RESIDENTS PROVIDED INPUT THROUGH A COMMUNITY HEALTH SURVEY. ANOTHER 77 ADULTS PARTICIPATED IN THREE FOCUS GROUPS INTENDED TO IDENTIFY NEEDS IN MINORITY AND LOW-INCOME HOUSEHOLDS AND FIVE INDIVIDUALS WITH SPECIALIZED KNOWLEDGE PARTICIPATED IN KEY INFORMANT INTERVIEWS. IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. THIS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. THE HOSPITAL ENGAGED BKD, LLP TO ASSIST WITH COMPILING SECONDARY DATA AND PRIORITIZING IDENTIFIED HEALTH NEEDS. SUBSEQUENTLY, SAINT JOSEPH LEADERSHIP ENTERED INTO A DIALOGUE TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. ;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(3) SAINT JOSEPH - LONDON - SAINT JOSEPH LONDON (SJL) HAS HAD A SUCCESSFUL WORKING RELATIONSHIP WITH THE LAUREL COUNTY HEALTH DEPARTMENT (LCHD) SINCE 2005 WHEN WE PARTNERED IN A COLLABORATIVE ENDEAVOR TO STEM CHILDHOOD OBESITY. IN OCTOBER OF 2011, WE HAD A MEETING TO BEGIN DISCUSSIONS AROUND A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TOGETHER WE WORKED TO ENGAGE ORGANIZATIONAL LEADERSHIP FROM COMMUNITY AGENCIES, CHURCH GROUPS, RETIRED PROFESSIONALS, MINORITIES AND INTERESTED CITIZENS TO HELP FORM A HEALTH NEEDS COALITION THAT WOULD GUIDE THE OVERALL PROCESS. THE COALITION CONTINUES TO MEET MONTHLY. THE OBJECTIVES OF THE COALITION ARE TO: 1. DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TOOL, 2. IDENTIFY COMMUNITY HEALTH NEEDS, 2. PRIORITIZE THE IDENTIFIED HEALTH NEEDS, 3. DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN BASED ON THE PRIORITIZED HEALTH NEEDS. WHILE SJL WAS FOCUSED ON CONDUCTING A CHNA, THE LCHD WAS WORKING TOWARD ACCREDITATION UTILIZING THE MAPP PROCESS - MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS. WE WORKED TOGETHER TO DESIGN A COMMUNITY SURVEY THAT WOULD ADDRESS COMMUNITY ASSESSMENT AND HEALTH NEEDS. THE SURVEY WAS DEVELOPED WITH HELP FROM MEMBERS OF THE COMMUNITY COALITION AND DISTRIBUTED WITHIN LAUREL COUNTY MAY THROUGH AND JULY OF 2012. MEMBERS OF THE GENERAL PUBLIC WERE ASKED TO COMPLETE A SURVEY ON THEIR PERCEPTIONS OF THE COUNTIES HEALTH CARE NEEDS. OVER 1,875 SURVEYS WERE COMPLETED IN THE TWO MONTH PERIOD. (APPENDIX B) THE SURVEY WAS AVAILABLE ON-LINE WITH ONLY AN 18% RESPONSE, THE REMAINING WERE HARD COPY SURVEYS DISTRIBUTED AT FAITH-BASED ORGANIZATIONS, PHYSICIAN OFFICES, LOCAL GROCERS, KROGERS, WAL-MART, RESTAURANTS, LARGE BAKERY PLANTS I.E. FLOWERS BAKERY AND HEARTHSIDE FOOD SOLUTIONS AS WELL AS AT THE LOCAL ASSISTED LIVING FACILITY. IT WAS ALSO OFFERED TO EMPLOYEES OF THE LCHD AND SJL. IN ADDITION TWO FOCUS GROUPS WERE HELD WITH SPECIFIC GROUPS IN LAUREL AND WHITLEY COUNTIES. THE QUESTIONS PRESENTED TO THESE GROUPS WERE FOCUSED ON HEALTHCARE ISSUES AND HOW THE HOSPITAL MIGHT ASSIST THE COMMUNITY WITH IDENTIFIED ISSUES. ;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(4) SAINT JOSEPH - MOUNT STERLING - SAINT JOSEPH MOUNT STERLING IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT. ROUGHLY 1200 RESIDENTS PROVIDED INPUT VIA COMMUNITY FORUMS AND THROUGH A PAPER AND ON-LINE SURVEY (AVAILABLE IN BOTH ENGLISH AND SPANISH). IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIO-ECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. THIS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. SUBSEQUENTLY, SAINT JOSEPH MOUNT STERLING LEADERSHIP ENTERED INTO A DIALOGUE WITH REPRESENTATION FROM THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. THE PROCESS IDENTIFIED FOUR PRIORITIES TO DEAL WITH HEALTH ISSUES FOR SAINT JOSEPH MOUNT STERLING IN THEIR PRIMARY SERVICE AREA: 1. POLICY CHANGE 2. EDUCATION 3. PREVENTATIVE SERVICES 4. EARLY DETECTION AND SCREENING THE ISSUES OF SUBSTANCE USE DISORDERS, TEEN PREGNANCY AND OBESITY EMERGED AS THE PRIORITIES THAT TASK FORCE GROUPS WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT ARE TARGETING SPECIFICALLY FOR MONTGOMERY COUNTY. THE HOSPITAL AND THE HEALTH DEPARTMENT, ALONG WITH OTHER COMMUNITY PARTNERS, WILL COLLABORATE IN ADDRESSING THESE PRIORITIES WHENEVER POSSIBLE.;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(5) SAINT JOSEPH - BEREA - SAINT JOSEPH BEREA IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH THE MADISON COUNTY HEALTH DEPARTMENT, THE KENTUCKY HOSPITAL ASSOCIATION AND OTHER LOCAL, COUNTY AND COMMUNITY AGENCIES. OVER 1,000 RESIDENTS PROVIDED INPUT VIA COMMUNITY FOCUS GROUPS, INTERVIEWS AND THROUGH AN ON-LINE SURVEY (AVAILABLE IN BOTH ENGLISH AND SPANISH), REPRESENTING A BROAD SPECTRUM OF THE COMMUNITY INCLUDING COMMUNITY LEADERS, BUSINESS, FIRST RESPONDERS, RELIGIOUS COMMUNITY, EDUCATION, PEOPLE OF LOWER-INCOME, VARIOUS AGE GROUPS, CAREGIVERS AND THOSE WITH MEDICAL NEEDS. IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. DATA WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHTS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. SUBSEQUENTLY, SAINT JOSEPH BEREA LEADERSHIP ENTERED INTO A DIALOGUE WITH OTHER KEY COMMUNITY PARTNERS, INCLUDING THE MADISON COUNTY HEALTH DEPARTMENT AND THE CHNA ADVISORY COMMITTEE, TO DISCUSS THE RESULTS OF THE EVALUATION, REVISE RANKINGS, DEBATE ISSUES AND SELECT HEALTH PRIORITIES.;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(6) SAINT JOSEPH - MARTIN - SAINT JOSEPH MARTIN CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) IN THE SPRING OF 2012 TO CONDUCT THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). SAINT JO-SEPH MARTIN ALSO PARTNERED WITH THE HIGHLANDS REGIONAL MEDICAL CENTER TO CONDUCT THE CHNA BECAUSE THEY SHARE A COMMON SERVICE AREA. EACH HOSPITAL IS RESPONSIBLE FOR PRIORITIZING AND CREATING A UNIQUE IM-PLEMENTATION STRATEGY FOR THE IDENTIFIED NEEDS THAT ARISE AS A RESULT OF THE CHNA. CEDIK IS A COOPERATIVE EXTENSION-BASED CENTER AT THE UNIVERSITY OF KENTUCKY THAT PROVIDES TECHNICAL ASSISTANCE TO RURAL HOSPITALS AND HEALTH PROVIDERS IN KENTUCKY. THE COMMUNITY STEERING COMMITTEE IS A VITAL PART TO THE CHNA PROCESS. THESE INDIVIDUALS REPRESENT ORGANIZATIONS AND AGENCIES FROM THE SERVICE AREA. IN PARTICULAR, THE INDIVIDUALS WHO WERE WILLING TO VOLUN-TEER ENABLED THE HOSPITAL TO GET INPUT FROM POPULATIONS THAT WERE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS. CEDIK PROVIDED A LIST OF POTENTIAL AGENCIES AND ORGANIZATIONS THAT WOULD FACILITATE BROAD INPUT. SPECIFICALLY, THE LIST INCLUDED INDIVIDUALS SERVING THE LOCAL HEALTH DEPARTMENT, THE SCHOOL SYS-TEM, COOPERATIVE EXTENSION, PUBLIC HOUSING, SENIOR CITIZENS, LOCAL GOVERNMENT, OTHER HEALTHCARE PROVIDER (EMS, CLINICS, ETC), SOCIAL WORK, AREA DEVELOPMENT DISTRICTS, AND SMALL BUSINESSES, AMONG OTHERS. SAINT JOSEPH MARTIN AND HIGHLANDS REGIONAL MEDICAL CENTER (PRESTONSBURG, KY) CHOSE TO COMBINE THE PROCESS FOR THEIR CHNA BECAUSE BOTH HOSPITALS ARE LOCATED IN THE SAME COUNTY. AS A RESULT, THERE WAS ONE COMMUNITY STEERING COMMITTEE. HIGHLANDS REGIONAL MEDICAL CENTER IS A LARGER HOSPITAL (120 BEDS) AND SERVES A LARGER REGION THAN JUST FLOYD COUNTY. HOWEVER THERE WAS AMPLE REPRESENTATION FROM FLOYD COUN-TY AND SURROUNDING COUNTIES TO ALLOW FOR THIS COMBINED STEERING COMMITTEE. TABLE 1 PROVIDES AN OVERVIEW OF THOSE INDIVIDUALS WHO WERE WILLING TO SERVE ON THE COMMUNITY STEERING COMMITTEE AND THE ORGANIZA-TIONS THEY REPRESENT. THERE WAS TREMENDOUS REPRESENTATION BY THE LOCAL HEALTH DEPARTMENTS, THE REGIONAL PLANNING DISTRICTS (BIG SANDY AREA DEVELOPMENT DISTRICT), OTHER HEALTHCARE PROVIDERS, SENIOR CITIZEN CEN-TER, AND LOCAL GOVERNMENT. ASSESSMENT PROCESS THE ASSESSMENT PROCESS INCLUDED COLLECTING SECONDARY DATA RELATED TO THE HEALTH OF THE COMMUNITY INCLUD-ING ECONOMIC HEALTH. IN ADDITION, CEDIK COMPILED HOSPITAL UTILIZATION DATA TO BETTER UNDERSTAND WHO AND WHY INDIVIDUALS WERE USING THE FACILITY. FINALLY, THROUGH THE ASSISTANCE OF THE COMMUNITY STEERING COMMITTEE, INPUT FROM THE COMMUNITY WAS COLLECTED BOTH THROUGH FOCUS GROUP DISCUSSIONS AND THROUGH SURVEYS. ;
Other Hospital Facilities included in Needs Assessment	Schedule H, Part V Section B, Line 4	(1) SAINT JOSEPH HOSPITAL - HIGHLANDS REGIONAL MEDICAL CENTER CONTINUING CARE HOSPITAL;
Other Hospital Facilities included in Needs Assessment	Schedule H, Part V Section B, Line 4	(2) SAINT JOSEPH EAST - SAINT JOSEPH HOSPITAL CONTINUING CARE HOSPITAL;
Other Hospital Facilities included in Needs Assessment	Schedule H, Part V Section B, Line 4	(6) SAINT JOSEPH - MARTIN - HIGHLANDS REGIONAL MEDICAL CENTER;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(1) SAINT JOSEPH HOSPITAL - EXCESSIVE DRINKING, CHILDREN IN POVERTY AND CHILDREN IN SINGLE-PARENT HOUSEHOLDS WERE NOT ADDRESSED. SAINT JOSEPH HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT TEAM CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF SAINT JOSEPH HOSPITAL. THE FOLLOWING INCLUDE HOW SOME OF THE NEEDS IDENTIFIED IN THE ASSESSMENT ARE ADDRESSED BY OTHERS OR IN A DIFFERENT WAY. SUBSTANCE ABUSE TREATMENT SERVICES ARE OFFERED BY NUMEROUS ORGANIZATIONS WITHIN THE LEXINGTON, KENTUCKY AREA. A PARTIAL LISTING OF TREATMENT FACILITIES CAN BE FOUND AT: HTTP://ALCOHOLISM.ABOUT.COM/OD/TX_LEXINGTON/LEXINGTON_KENTUCKY_TREATMENT_CENTERS.HTM THE STATE OF KENTUCKY PROVIDES VARIOUS FORMS OF ASSISTANCE FOR CHILDREN LIVING IN POVERTY. INFORMATION ABOUT STATE PROGRAMS MAY BE FOUND AT CHFS.KY.GOV CHILDREN LIVING IN SINGLE-PARENT HOUSEHOLDS IS OUT OF SCOPE OF SERVICES THAT SAINT JOSEPH HOSPITAL CAN ADDRESS ;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(2) SAINT JOSEPH EAST - EXCESSIVE DRINKING, CHILDREN IN POVERTY AND CHILDREN IN SINGLE-PARENT HOUSEHOLDS WERE NOT ADDRESSED. SAINT JOSEPH HOSPITAL'S COMMUNITY NEEDS ASSESSMENT TEAM CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF SAINT JOSEPH HOSPITAL. THE FOLLOWING INCLUDE HOW SOME OF THE NEEDS IDENTIFIED IN THE ASSESSMENT ARE ADDRESSED BY OTHERS OR IN A DIFFERENT WAY. SUBSTANCE ABUSE TREATMENT SERVICES ARE OFFERED BY NUMEROUS ORGANIZATIONS WITHIN THE LEXINGTON, KENTUCKY AREA. A PARTIAL LISTING OF TREATMENT FACILITIES CAN BE FOUND AT HTTP://ALCOHOLISM.ABOUT.COM/OD/TX_LEXINGTON/LEXINGTON_KENTUCKY_TREATMENT_CENTERS.HTM THE STATE OF KENTUCKY PROVIDES VARIOUS FORMS OF ASSISTANCE FOR CHILDREN LIVING IN POVERTY. INFORMATION ABOUT STATE PROGRAMS MAY BE FOUND AT CHFS.KY.GOV CHILDREN LIVING IN SINGLE-PARENT HOUSEHOLDS IS OUT OF SCOPE OF SERVICES THAT SAINT JOSEPH HOSPITAL CAN ADDRESS ;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(3) SAINT JOSEPH - LONDON - SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THIS PLAN. IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, THE COMMITTEE CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF SAINT JOSEPH LONDON. THE FOLLOWING CHART OUTLINES THE REMAINING NEEDS IDENTIFIED IN THE ASSESSMENT AND HOW BEING ADDRESSED BY OTHERS OR IN DIFFERENT WAYS: COMMUNITY NEED HOW NEED IS ADDRESSED PHYSICAL INACTIVITY SAINT JOSEPH LONDON HAS A WALKING TRACT, EMPLOYEE WELLNESS PROGRAM. THERE ARE LOCAL GYMS, BODY RECALL PROGRAMS, LAUREL COUNTY HEALTH DEPT. HAS A PUBLIC WALKING TRACK, AND FIRST BAPTIST CHURCH HAS FITNESS PROGRAM OPEN TO PUBLIC FOR NOMINAL FEE. PHYSICAL INACTIVITY WILL ALSO BE CONSIDERED UNDER CARDIOVASCULAR DISEASE/ OBESITY. HOSPITAL CURRENTLY WORKING TO IMPLEMENT TWO COMMUNITY PROGRAMS, 1. WALK WITH A DOC AND 2. SMALL STEPS TO HEALTH THRU UK EXTENSION OFFICE. UNINSURED SAINT JOSEPH LONDON HAS PROGRAMS TO ASSIST: FINANCIAL COUNSELORS, CHARITY PROGRAM, PHARMACEUTICAL ASSISTANCE PROGRAM - WORKING TO ASSIST UNDERINSURED/ UNINSURED WITH MEDICATIONS THROUGH PHARMACEUTICAL INDIGENT PROGRAMS. PARTICIPATE IN "COVER THE UNINSURED WEEK". LACK OF PRIMARY CARE PHYSICIANS SAINT JOSEPH LONDON EMPLOYEES A PHYSICIAN RECRUITER TO MEET NEEDS OF THE COMMUNITY AND HOSPITAL. DIABETIC SCREENING HOSPITAL DIETICIANS HOLD MONTHLY NUTRITIONAL EDUCATION CLASSES, THE HOSPITAL ALSO PARTNERS WITH OTHER AGENCIES AND HOSPITALS TO HOST A YEARLY DIABETIC SYMPOSIUM. LAUREL COUNTY HEALTH DEPT. HOLDS A MONTHLY DIABETIC CLINIC. CHRONIC RESPIRATORY DISEASE SAINT JOSEPH LONDON ESTABLISHED A PULMONARY REHAB DEPT. AND OFFERS A CARDIO-PULMONARY SUPPORT GROUP. HOSPITAL PARTICIPATES WITH OTHER AGENCIES IN HOSTING A YEARLY PULMONARY SYMPOSIUM HIGH BLOOD PRESSURE THE HOSPITAL PARTICIPATES IN HEALTH FAIRS AND SCREENINGS. THIS NEED WILL ALSO BE ADDRESSED IN THE STROKE/CARDIOVASCULAR/OBESITY PRIORITY AS PART OF CHRONIC HEALTH ISSUES IMPACTING HEART DISEASE. CHILD ABUSE/NEGLECT SAINT JOSEPH LONDON IS LEADING COMMUNITY COALITION TO REDUCE RATES OF REPORTED CHILD ABUSE THROUGH A MULTIFACETED APPROACH IN THE COMMUNITY. HOSPITAL HAS IMPLEMENTED IN OB DEPARTMENT EDUCATION ON "SHAKEN BABY SYNDROME" TO ALL PARENTS OF NEWBORNS. ADULT SMOKING SAINT JOSEPH LONDON IS A TOBACCO FREE CAMPUS. CITY OF LONDON - NO SMOKING IN PUBLIC BUILDINGS ORDINANCE, LAUREL COUNTY HEALTH DEPARTMENT OFFERS COOPER/CLAYTON CLASSES. CHILDREN IN POVERTY SAINT JOSEPH LONDON OFFERS FINANCIAL ASSISTANCE PROGRAM, HELP WITH KCHIP APPLICATIONS. DOMESTIC VIOLENCE THIS NEED IS IDENTIFIED AND ADDRESSED IN THE LONG-RANGE ACTION PLAN FOR THE VIOLENCE PREVENTION INITIATIVE CURRENTLY UNDERWAY IN THE COMMUNITY.;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(4) SAINT JOSEPH - MOUNT STERLING - SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THIS PLAN. IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, SAINT JOSEPH MOUNT STERLING'S COMMUNITY NEEDS ASSESSMENT TEAM CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF SAINT JOSEPH MOUNT STERLING. THE FOLLOWING CHART OUTLINES HOW SOME OF THE NEEDS IDENTIFIED IN THE ASSESSMENT ARE ADDRESSED BY OTHERS OR IN DIFFERENT WAYS: COMMUNITY NEED HOW NEED IS ADDRESSED LOWER COST OF HEALTH CARE AND PRESCRIPTION DRUGS SJMS WORKS WITH THE FOUNDATION TO PROVIDE OFF-SETS TO THE COST OF HEALTH CARE THROUGH THE PATIENT AND FAMILY ASSISTANCE FUND. THIS EMERGENCY FUND, AS WELL AS OUR CHARITY CARE, ASSISTS PATIENTS AND FAMILIES WITH THEIR COSTS. SJMS PROVIDES STAFFING FOR THE POST CLINIC (A FREE CLINIC IN MONTGOMERY COUNTY) AND PARTNERS WITH THE HEALTH DEPARTMENT AND STERLING HEALTH SOLUTIONS, INC. (FQHC) TO MEET NEEDS THROUGH LOWER-COST AND/OR FREE PROGRAMS. (SEE UNINSURED EXPLANATION BELOW.) LACK OF PRIMARY CARE PHYSICIANS SJMS HAS CONSISTENTLY WORKED TO RECRUIT AND RETAIN PRIMARY CARE PROVIDERS FOR OUR SERVICE AREA. IN THE LAST YEAR, WE EMPLOYED A PCP AND SUCCESSFULLY RECRUITED ANOTHER PROVIDER WHO BEGINS PRACTICING IN THAT MEDICAL OFFICE IN JULY 2013. SJMS ALSO ASSISTED A LOCAL PEDIATRICIAN IN SUCCESSFULLY RECRUITING ANOTHER PROVIDER FOR THAT MEDICAL OFFICE WITH A START DATE OF MAY 2013. THE HOSPITAL IS WORKING TO ADD ANOTHER EMPLOYED PCP, A GENERAL SURGEON, AND HAS CONTRACTED WITH ANOTHER PEDIATRICIAN TO PROVIDE PEDIATRIC AND NURSERY CALL. SJMS IS EXPLORING THE POSSIBILITY OF PROVIDING PRIMARY CARE THROUGH SCHOOL HEALTH SERVICES, AS WELL. UNINSURED WITH A PRIMARY SERVICE AREA OF MONTGOMERY, BATH AND MENIFEE COUNTIES, STERLING HEALTH SOLUTIONS, INC, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), OPENED IN MOUNT STERLING IN OCTOBER 2012 TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE, INCLUDING MENTAL HEALTH SERVICES TO PERSONS OF ALL AGES REGARDLESS OF THEIR ABILITY TO PAY. THIS PRESENCE OF THIS FACILITY INCREASES ACCESS TO CARE FOR THE UNINSURED. THE FQHC WILL HAVE A 340B PHARMACY, MAKING PRESCRIPTIONS AVAILABLE TO PATIENTS OF THE FQHC AT A REDUCED COST. SJMS ALSO PARTICIPATES IN THE 340B PHARMACY PROGRAM. ADULT SMOKING SJMS AND MONTGOMERY COUNTY HEALTH DEPARTMENT EACH PROVIDE SMOKING CESSATION PROGRAMS. THESE ARE AVAILABLE TO THE PUBLIC THROUGHOUT THE YEAR. THE MONTGOMERY COUNTY BOARD OF HEALTH IS ALSO CONSIDERING A LOCAL SMOKE FREE ORDINANCE, FOR WHICH SJMS WILL PROVIDE SUPPORT. HOSP LEADERSHIP ACTIVELY SUPPORT STATEWIDE SMOKE FREE LAW CHILDREN IN POVERTY SEE THE "UNINSURED" SECTION ABOVE. IN ADDITION, THE STRATEGIES INVOLVED IN THE GOAL OF IMPACTING POLICY CHANGE WITH THE SCHOOL SYSTEM SHOULD ASSIST WITH IDENTIFYING AND ADDRESSING THE NEEDS OF LOCAL CHILDREN WHO LIVE IN POVERTY. ADDICTION/SUBSTANCE THIS ISSUE IS ONE OF THREE TOP STRATEGIC INITIATIVES IDENTIFIED BY COMMUNITY PARTNERS DURING THE COMMUNITY HEALTH ASSESSMENT. CURPAGE 6 ABUSE RENTLY, A COMMUNITY WORKGROUP, WITH REPRESENTATIVES FROM LOCAL GOVERNMENT, LAW ENFORCEMENT, MENTAL HEALTH, PUBLIC HEALTH, SJMS, DRUG TREATMENT, LOCAL BUSINESS AND CONCERNED CITIZENS ARE EXPLORING WAYS TO ADDRESS THIS ISSUE. ACCESS TO FRESH FRUITS AND VEGETABLES VOUCHERS FOR THE LOCAL FARMERS' MARKET ARE PROVIDED TO WIC PROGRAM PARTICIPANTS DURING THE SUMMER MONTHS. MORE SPECIALISTS SJMS CREATED ADDITIONAL TIME SHARE SPACE IN THE NEW MEDICAL OFFICE BUILDING, WHICH OPENED IN 2011 ON THE SJMS CAMPUS. THIS NEW SPACE ALLOWED FOR THE ADDITION OF THE FOLLOWING SERVICES: ONCOLOGY, PAIN MANAGEMENT, AND OB-GYN. WHEN THE NEW HOSPITAL WAS CREATED (OPENED IN 2011), THE FOLLOWING SERVICES WERE ADDED: INFUSION AND CHEMOTHERAPY, ADDITIONAL PEDIATRIC ORAL SURGERY, DIGITAL MAMMOGRAPHY, AND MRIS. CHILDREN IN SINGLE PARENT HOUSEHOLDS THIS GENERAL SITUATION IS OUTSIDE THE SPECIFIC SCOPE OF EXPERTISE OF SJMS ALTHOUGH MANY OF THE SERVICES AND PROGRAMS OFFERED BY BOTH SJMS AND MCHD DIRECTLY AFFECT CHILDREN IN SINGLE PARENT HOUSEHOLDS. ASSISTANCE TO OTHER COMMUNITIES WITH OBTAINING URGENT TREATMENT FACILITIES SJMS HAS ASSISTED OTHER AREAS WITH THE PROVISION OF SERVICES AND ACCESS TO SPECIALISTS, SPECIFICALLY IN STANTON AND CLAY CITY, BY OPENING PRIMARY CARE CLINICS. PRIMARY CARE PROVIDERS ARE ON-SITE IN EACH CLINIC AND SPECIALISTS ARE AVAILABLE THROUGH TELE-HEALTH CONSULTS. PRESCRIPTION COSTS ASSISTANCE MCHD AND THE FQHC PROVIDE ASSISTANCE TO PATIENTS IN OBTAINING PRESCRIPTION DRUGS THROUGH THE KENTUCKY PRESCRIPTION ASSISTANCE PROGRAM. ADDITIONALLY, PATIENTS OF THE FQHC WILL HAVE ACCESS TO PRESCRIPTIONS AT A REDUCED COST THROUGH THE 340B PHARMACY PROGRAM. SJMS ALSO PARTICIPATES IN THE 340B PHARMACY PROGRAM. HELP SUPPORT SCHOOL PROGRAMS DARE, PSI, TATTOO IF AND WHEN THESE PROGRAMS WOULD BE OFFERED IN OUR SCHOOLS SJMS IS WILLING TO CONSIDER SUPPORT AS WE HAVE DONE FOR SOME PRE-SCHOOL AND PRIMARY SCHOOL LITERACY AND CHARACTER-BUILDING PROGRAMS. AFTER HOURS HEALTH CARE SJMS PROVIDES SERVICES IN MANY AREAS, INCLUDING LAB AND IMAGING, ON A 24/7 BASIS. PATIENTS WHO NEED OUT-PATIENT SERVICES ARE NOT RESTRICTED TO WEEKDAYS, AS THE HOUSE ADMINISTRATOR WILL ACCEPT AND PROVIDE TREATMENT TO OUT-PATIENTS WHO PRESENT "AFTER HOURS." THE MED- SURG NURSING UNIT AND OB WILL PROVIDE CARE FOR OBSERVATION PATIENTS 24/7.;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(5) SAINT JOSEPH - BEREA - SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THIS PLAN. IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, SAINT JOSEPH BEREA'S COMMUNITY NEEDS ASSESSMENT TEAM CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF SAINT JOSEPH BEREA. THE FOLLOWING CHART OUTLINES HOW SOME OF THE NEEDS IDENTIFIED IN THE ASSESSMENT ARE ADDRESSED BY OTHERS OR IN DIFFERENT WAYS: COMMUNITY NEED HOW NEED IS ADDRESSED CANCERS PATIENTS ARE REFERRED TO ONCOLOGISTS AT OTHER SITES. SAINT JOSEPH BEREA PROVIDES CHEMOTHERAPY TREATMENTS FOR PATIENTS. SOME ISSUES REGARDING PREVENTION HAVE BEEN ADDRESSED THROUGH EDUCATION WORKSHOPS OFFERED TO THE COMMUNITY. THE HOSPITAL SPONSORS AN ANNUAL EVENT TO PROMOTE INCREASED COLORECTAL CANCER AWARENESS. PROGRAMS OFFERING CANCER AWARENESS EDUCATION WERE POORLY ATTENDED. DIABETES COMMUNITY GROUPS BELIEVE THAT IF THE ISSUE OF OVER-EATING, OBESITY AND EXERCISE CAN BE ADDRESSED, DIABETES WILL DECREASE. DIABETES EDUCATION AND PREVENTION IS PROVIDED BY THE APPALACHIA OUTREACH PROGRAM WHICH IS HELD AT SAINT JOSEPH BEREA. IT IS ALSO ADDRESSED BY THE MADISON COUNTY HEALTH DEPARTMENT IN THE CHNA. ACCESS TO CARE/UNINSURED SJB BEREA FAMILY MEDICINE CURRENTLY SEES PATIENTS WHO NEED SERVICES BUT DO NOT HAVE THE MEANS TO PAY. SERVICES ARE PROVIDED BY THE HEALTH DEPARTMENT, WHITE HOUSE CLINIC AND HEALTH NOW FOR THOSE WHO ARE UNINSURED AND POOR. FINANCIAL COUNSELORS AT ALL THREE AREA HOSPITALS WORK WITH PATIENTS TO FIND PROGRAMS PATIENTS MIGHT QUALIFY FOR. THIS ISSUE IS ALSO ADDRESSED IN THE MADISON COUNTY HEALTH DEPARTMENT CHNA IMPLEMENTATION PLAN. CHILDREN LIVING IN POVERTY/CHILDREN LIVING IN SINGLE PARENT HOUSEHOLDS THERE IS A SAFETY COALITION FOR MADISON COUNTY TRYING TO ADDRESS SOME OF THE ISSUES OF CHILD SAFETY. THE MADISON COUNTY HEALTH DEPARTMENT HAS ALSO FOCUSED ON THIS NEED IN THE CHNA REPORT. ADDICTION/SUBSTANCE ABUSE SAINT JOSEPH BEREA HAS CHOSEN TO IDENTIFY THIS NEED UNDER MENTAL HEALTH ISSUES IN OUR IMPLEMENTATION PLAN AND NOT AS A SEPARATE HEALTH ISSUE. LIMITED ACCESS TO HEALTHY FOODS THIS IS BEING ADDRESSED IN THE COMMUNITY THROUGH SUSTAINABLE BEREA PROGRAM, BEREA FARMERS MARKET, POLICY CHANGES IN LOCAL SCHOOL CAFETERIAS AND IN EDUCATION AWARENESS PROGRAMS. THE MADISON COUNTY EXTENSION OFFICE OFFERS CLASSES IN GROWING YOUR OWN GARDEN AND PRESERVING FOODS THAT YOU GROW. DENTAL THIS IS AN ISSUE WITHIN THE COMMUNITY THAT SAINT JOSEPH BEREA IS UNABLE TO ADDRESS AT THIS TIME. HOWEVER, A DAY OF HOPE IS AN ANNUAL EVENT STARTED BY COMMUNITY CHURCHES TO SERVE UNINSURED CHILDREN AND THEIR PARENTS AND OFFERS FREE DENTAL SCREENINGS.;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(6) SAINT JOSEPH - MARTIN - SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THIS PLAN. IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, THE COMMITTEE CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF SAINT JOSEPH MARTIN. THE FOLLOWING CHART OUTLINES THE RE-MAINING NEEDS IDENTIFIED IN THE ASSESSMENT ARE HOW THEY ARE ADDRESSED BY OTHERS OR IN DIFFERENT WAYS: COMMUNITY NEED HOW NEED IS ADDRESSED MORE SPECIALISTS FLOYD COUNTY IS NOT CONSIDERED A MEDICALLY UNDERSERVED AREA. UNINSURED 15.2% OF SAINT JOSEPH MARTIN INPATIENT VISITS (1-1-11 THROUGH 12-31-11) WERE CHARITY CARE. IN FY 11, 56.2% OF NET PATIENT REVENUES WAS CHARILY CARE. SAINT JOSEPH MARTIN ALSO EMPLOYS THREE FINANCIAL ASSISTANCE CLERKS TO HELP THOSE WHO ARE UNINSURED. LACK OF PRIMARY CARE PHYSICIANS FLOYD COUNTY IS NOT CONSIDERED A MEDICALLY UNDERSERVED AREA. SAINT JOSEPH MARTIN EMPLOYS SIX PRIMARY CARE PHYSICIANS AND TWO MID-LEVEL PROVIDERS. MORE PREVENTIVE SERVICES SAINT JOSEPH MARTIN WILL EVALUATE, DEVELOP AND IMPLEMENT/EXPAND METHOD OF TRACKING SCREENINGS SUCH AS MAMMOGRAMS, COLONOSCOPY, PAP SMEARS, ETC. CHILDREN IN POVERTY THE 2011 KIDS COUNT DATA REPORT STATED THAT 26% OF KENTUCKY CHILDREN ARE IN POVERTY. THE APPALACHIAN REGIONAL COMMISSION LISTS FLOYD COUNTY AS ONE OF THE 32 COUNTIES IN KENTUCKY THAT ARE DISTRESSED ECONOMICALLY - MEANING THAT THE THREE-YEAR AVERAGE UNEMPLOYMENT RATE WAS AT LEAST 1.25 TIMES THE NATIONAL AVERAGE; PER CAPITA MARKET INCOME NO GREATER THAN TWO-THIRDS OF THE NATIONAL AVERAGE; AND POVERTY RATES AT LEAST 1.25 TIMES THE NATIONAL AVERAGE. SAINT JOSEPH MARTIN IS IN THE MIDST OF THESE TROUBLING STATISTICS CARING FOR THE SAME PEOPLE. HELP SUPPORT SCHOOL PROGRAMS SAINT JOSEPH MARTIN HAS HAD A ROBUST COMMUNITY EDUCATION PROGRAM SINCE 1989 AND HAS PROVIDED PREVENTION PROGRAMS FOR ALL SCHOOLS IN FLOYD COUNTY. CHILDREN IN SINGLE PARENT HOUSEHOLDS THIS IS OUT OF SCOPE OF SERVICES THAT SAINT JOSEPH MARTIN CAN ADDRESS PRESCRIPTION COSTS ASSISTANCE IT IS NOT FINANCIALLY FEASIBLE FOR SAINT JOSEPH MARTIN TO EMPLOY A PERSON WHOSE ONLY RESPONSIBILITY WOULD BE TO ASSIST PATIENTS WITH PRESCRIPTION COSTS; HOWEV-ER, SAINT JOSEPH MARTIN OPERATES FOUR RURAL HEALTH CLINICS AND PERSONNEL ASSISTS PATIENTS WHEN NEEDED. ALSO, SOCIAL SERVICES MAINTAINS AN ACCOUNT THAT CAN BE ACCESSED FOR PRESCRIPTION COSTS WHEN SET CRITERIA IS MET. AFTER HOURS HEALTH CARE IT IS NOT FEASIBLE FOR SAINT JOSEPH MARTIN TO ENTER INTO AN AFTER HOURS HEALTH CARE BUSINESS AT THIS TIME. THERE ARE AFTER HOURS CLINICS WITHIN 30 MILES IN ANY DIRECTION FROM SAINT JOSEPH MARTIN. 14 ASSISTANCE TO OTHER COMMUNITIES WITH OBTAINING URGENT TREATMENT FACILITIES OR HAVE HOSPITAL STAFF ASSIST AT THESE FACILITIES. SAINT JOSEPH MARTIN IS A CRITICAL ACCESS HOSPITAL WITH LIMITED MEANS. SAINT JOSEPH MARTIN AND THE OTHER TWO FLOYD COUNTY HOSPITALS HAVE HIGH FUNCTION-ING EMERGENCY DEPARTMENTS. SAINT JOSEPH MARTIN EMPLOYEES ARE ACTIVE MEMBERS OF COMMITTEES THAT CROSS COUNTY BOUNDARIES SUCH AS PIKE/FLOYD ASAP BOARD, TRI-COUNTY DIABETES CO-ALITION AND PROJECTS OF THE BIG SANDY AREA DEVELOPMENT DISTRICT. TEEN BIRTH RATE SAINT JOSEPH MARTIN HAS PROVIDED AN ABSTINENCE BASED PROGRAM FOR SIXTH AND/OR SEVENTH GRADE FEMALES OF FLOYD COUNTY SINCE 1995. MOTOR VEHICLE CRASH RATE THIS IS OUT OF SCOPE OF SERVICES THAT SAINT JOSEPH MARTIN CAN ADDRESS. SEXUALLY TRANSMITTED INFECTIONS SAINT JOSEPH MARTIN HAS PROVIDED AN ABSTINENCE BASED PROGRAM THAT INCLUDES DISCUSSION OF SEXUALLY TRANSMITTED INFECTIONS FOR SIXTH AND/OR SEVENTH GRADE FEMALES OF FLOYD COUNTY SINCE 1995. ALSO, FLOYD COUNTY HEALTH DEPARTMENT CONDUCTS A PROGRAM IN HIGH SCHOOLS THAT ADDRESS THIS NEED.;
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 10	(1) SAINT JOSEPH HOSPITAL - THE HUD GUIDELINES WERE USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(1) SAINT JOSEPH HOSPITAL - THE HUD GUIDELINES WERE USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(2) SAINT JOSEPH EAST - HUD LOW INCOME GUIDELINES WERE USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(3) SAINT JOSEPH - LONDON - HUD LOW INCOME GUIDELINES WERE USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(4) SAINT JOSEPH - MOUNT STERLING - HUD LOW INCOME GUIDELINES WERE USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(5) SAINT JOSEPH - BEREA - HUD LOW INCOME GUIDELINES WERE USED.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(6) SAINT JOSEPH - MARTIN - HUD LOW INCOME GUIDELINES WERE USED.;
Other actions taken before collection actions	Schedule H, Part V Section B, Line 18e	(2) SAINT JOSEPH EAST - NO SUCH EFFORTS HAVE BEEN MADE.;
Other actions taken before collection actions	Schedule H, Part V Section B, Line 18e	(3) SAINT JOSEPH - LONDON - NO SUCH EFFORTS HAVE BEEN MADE.;
Other actions taken before collection actions	Schedule H, Part V Section B, Line 18e	(4) SAINT JOSEPH - MOUNT STERLING - NO SUCH EFFORTS HAVE BEEN MADE.;
Other actions taken before collection actions	Schedule H, Part V Section B, Line 18e	(5) SAINT JOSEPH - BEREA - NO SUCH EFFORTS HAVE BEEN MADE.;
Other actions taken before collection actions	Schedule H, Part V Section B, Line 18e	(6) SAINT JOSEPH - MARTIN - NO SUCH EFFORTS HAVE BEEN MADE.;
LINES 2, 4 AND 5	SCHEDULE H, PART VI	SAINT JOSEPH HEALTH SYSTEM, INC. COMMUNITY BENEFIT NARRATIVE FYE 2013 ORGANIZATION'S MISSION, VISION & TAX-EXEMPT PURPOSE IN 2012, KENTUCKYONE HEALTH, INC. WAS FORMED WHEN TWO MAJOR KENTUCKY HEALTHCARE ORGANIZATIONS, SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) AND JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, CAME TOGETHER TO WORK FOR A HEALTHIER KENTUCKY. THE NONPROFIT SYSTEM IS COMMITTED TO IMPROVING THE HEALTH OF KENTUCKIANS BY INTEGRATING MEDICAL RESEARCH, EDUCATION, TECHNOLOGY AND HEALTH CARE SERVICES WHEREVER PATIENTS RECEIVE CARE. KENTUCKYONE HEALTH, INC. IS THE LARGEST HEALTH SYSTEM IN KENTUCKY WITH MORE THAN 200 LOCATIONS INCLUDING HOSPITALS, OUTPATIENT FACILITIES AND PHYSICIAN OFFICES, AND MORE THAN 3,100 LICENSED BEDS. A 20-MEMBER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, INC., ITS FACILITIES AND OPERATIONS, WITH THIS MISSION: WE BRING HOPE, IMPROVE HEALTH AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE: - SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION - TRANSFORM HEALTH CARE DELIVERY - PARTNER TO CREATE HEALTHY COMMUNITIES - ADVOCATE FOR A JUST HEALTH SYSTEM KENTUCKYONE HEALTH, INC.'S VISION IS TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMONWEALTH PROVIDING HIGH QUALITY CARE AND REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING INEQUITIES IN ACCESS. THE FOCUS OF THIS NARRATIVE IS ON SJHS. THE LEGACY OF SJHS BEGAN MORE THAN 130 YEARS AGO WITH THE SISTER OF CHARITY OF NAZARETH. THE HEART AND SOUL OF THE FOUNDING WOMEN WAS THEIR COMMITMENT TO COMMUNITY OUTREACH TO THE POOR AND UNDERSERVED. THIS TRADITION CONTINUES TODAY AT THE FACILITIES IN SJHS. THEY INCLUDE SAINT JOSEPH LEXINGTON (SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, AND SAINT JOSEPH JESSAMINE RJ CORMAN AMBULATORY CARE CENTER), SAINT JOSEPH LONDON, SAINT JOSEPH MARTIN, SAINT JOSEPH MOUNT STERLING, SAINT JOSEPH BEREA AND FLAGET MEMORIAL HOSPITAL. FOR TAX REPORTING PURPOSES, FLAGET MEMORIAL HOSPITAL HAS A SEPARATE TAX IDENTIFICATION NUMBER AND WILL NOT BE INCLUDED IN THIS NARRATIVE. ORGANIZATION DESCRIPTION SAINT JOSEPH HOSPITAL SAINT JOSEPH HOSPITAL, LEXINGTON'S FIRST HOSPITAL WAS FOUNDED IN 1877, AND HAS GROWN INTO A 433-BED MEDICAL CENTER, WITH A FULL RANGE OF SERVICES, INCLUDING A 24 HOUR/365 DAYS EMERGENCY DEPARTMENT AND THE NATIONAL AWARD-WINNING HEART INSTITUTE AND LEADING EDGE DA VINCI ROBOTIC SURGERY. THE LEGACY OF SAINT JOSEPH HOSPITAL BEGAN MORE THAN 130 YEARS AGO WITH THE SISTER OF CHARITY OF NAZARETH. THE HEART AND SOUL OF THE FOUNDING WOMEN WAS THEIR COMMITMENT TO COMMUNITY OUTREACH TO THE POOR AND UNDERSERVED. THIS TRADITION CONTINUES TODAY. ALSO KNOWN AS LEXINGTON'S HEART HOSPITAL, SAINT JOSEPH HAS PIONEERED MANY FIRSTS IN THE HEALTH CARE COMMUNITY. THE HEART INSTITUTE AT SAINT JOSEPH HOSPITAL IS CENTRAL KENTUCKY'S PIONEERING HEART AND VASCULAR CARE CENTER. IT IS HOME TO AN INNOVATIVE NEW CARDIAC CATHETERIZATION LAB, ELECTROPHYSIOLOGY LAB AND THE FIRST FULLY ACCREDITED NONINVASIVE SERVICES DEPARTMENT INCLUDING BOTH ADULT ECHOCARDIOGRAPHY AND VASCULAR ULTRASOUND TESTING IN A PRIVATE HOSPITAL, DEMONSTRATING OUR COMMITMENT TO THE LATEST IN STATE-OF-THE-ART TECHNOLOGY. THE INSTITUTE'S PRIMARY FOCUS IS THE PREVENTION, DIAGNOSIS, TREATMENT AND MANAGEMENT OF PATIENTS WITH HEART AND VASCULAR DISEASE. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF SAINT JOSEPH HOSPITAL'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE A HEALTHY COMMUNITY. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF SAINT JOSEPH HOSPITAL DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON GOVERNMENT-SUPPORTED INSTITUTION. SAINT JOSEPH HOSPITAL IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH HOSPITAL, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH EAST SAINT JOSEPH EAST, A COMMUNITY HOSPITAL WITH 217 BEDS, IS LOCATED IN THE RAPIDLY GROWING SOUTHEASTERN PART OF LEXINGTON. SAINT JOSEPH EAST COMPLEMENTS SAINT JOSEPH HOSPITAL'S HEALTH CARE MISSION THROUGH MULTIPLE SERVICES AND SPECIALTIES. AT SAINT JOSEPH EAST, MATERNAL AND CHILDCARE, CARDIOVASCULAR SERVICES, AMBULATORY SURGERY AND 24-HOUR EMERGENCY CARE ARE SUPPORTED THROUGH TRADITIONAL INPATIENT AND OUTPATIENT PROGRAMS. ADDITIONAL SPECIALTY SERVICES INCLUDE THE HEART INSTITUTE, BREAST CENTER, SLEEP WELLNESS CENTER AND THE CENTER FOR WEIGHT LOSS SURGERY. THE WOMEN'S HOSPITAL AT SAINT JOSEPH EAST IS THE ONLY HOSPITAL OF ITS KIND IN LEXINGTON AND CENTRAL KENTUCKY DEDICATED EXCLUSIVELY TO THE HEALTH AND WELL-BEING OF WOMEN. THE WOMEN'S HOSPITAL OFFERS A FULL RANGE OF SERVICES TO MEET THE NEEDS OF EVERY WOMAN NO MATTER WHAT STAGE OF LIFE THEY ARE IN-FROM ADOLESCENCE TO MATURE ADULTHOOD. SAINT JOSEPH EAST IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH EAST, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH BEREA SAINT JOSEPH BEREA, FORMERLY BEREA HOSPITAL, BEGAN IN 1898, AS AN EIGHT-BED COTTAGE ON THE BEREA COLLEGE CAMPUS IN BEREA, KENTUCKY. NOW A 25-BED FACILITY, SAINT JOSEPH - BEREA PROVIDES HEALTH CARE TO RESIDENTS IN MADISON, JACKSON, ROCKCASTLE AND GARRARD COUNTIES. BEREA IS LOCATED IN MADISON COUNTY AND ACCORDING TO THE 2012 COUNTY HEALTH RANKINGS; IT IS THE 20TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ON APRIL1, 2003, BEREA HOSPITAL JOINED CATHOLIC HEALTH INITIATIVES. IN NOVEMBER OF 2005, THE HOSPITAL CONSOLIDATED WITH SAINT JOSEPH HEALTHCARE KENTUCKY (BECOMING SAINT JOSEPH HEALTH SYSTEM IN LEXINGTON IN 2007), TAKING A NEW NAME - SAINT JOSEPH BEREA. AND, IN DECEMBER 2011, SAINT JOSEPH HEALTH SYSTEM BECAME PART OF KENTUCKYONE HEALTH. SAINT JOSEPH BEREA CONTINUES TO BRING QUALITY HEALTH CARE TO THE APPALACHIAN COMMUNITIES THAT IT SERVES REGARDLESS OF THEIR RACE, CREED OR ABILITY TO PAY. SAINT JOSEPH BEREA IS A CRITICAL ACCESS HOSPITAL, WHICH SERVES OVER 19,000 FAMILIES. THE HOSPITAL IS KNOWN FOR PROVIDING EXCELLENCE OF CARE WHILE UTILIZING ADVANCED MEDICAL TECHNOLOGY IN A FRIENDLY, FAMILY-LIKE ATMOSPHERE. COMPETENCE, COMMITMENT AND DEDICATION ARE THE HALLMARKS OF SAINT JOSEPH BEREA. WITH A FULL COMPLEMENT OF INPATIENT AND OUTPATIENT SERVICES, SAINT JOSEPH BEREA IS COMMITTED TO PROVIDING THE HIGHEST QUALITY OF CARE AT A REASONABLE COST IN A PERSONAL AND COMPASSIONATE FAMILY-ORIENTED ENVIRONMENT. THROUGH PROVISION OF A BROAD RANGE OF HOSPITAL AND COMMUNITY SERVICES SAINT JOSEPH BEREA WORKS WITH AN EXTENSIVE MEDICAL STAFF OF PRIMARY CARE PHYSICIANS AND SPECIALISTS TO DELIVER SERVICES AND PROGRAMS THAT EMBRACE SUPERIOR VALUE AND INTEGRITY. SERVICES INCLUDE A FULLY STAFFED 24 HOUR EMERGENCY DEPARTMENT THAT TREATS MORE THAN 22,000 PATIENTS A YEAR AND HAS A 24/7 SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. SERVICES ALSO INCLUDE ACUTE AND INTENSIVE CARE; GENERAL SURGERY; OUTPATIENT SURGICAL SERVICES; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY; DIABETES TREATMENT; DIAGNOSTIC SERVICES INCLUDING MRI, RADIOLOGY AND NUCLEAR MEDICINE; OUTPATIENT LABORATORY; CARDIOPULMONARY SERVICES, AND ONCOLOGY SERVICES. SPECIALTY CLINICS INCLUDE SERVICES IN CARDIOLOGY, GYNECOLOGY, NEUROLOGY, PSYCHOLOGY, ORTHOPEDICS, ONCOLOGY, OPHTHALMOLOGY, PULMONARY, ENT/HEARING TESTS, PODIATRY AND CARDIOTHORACIC SURGERY. SPECIAL DEPARTMENTS OF THE HOSPITAL ARE BEREA FAMILY MEDICINE (A DESIGNATED RURAL HEALTH CARE CLINIC), BREAST CENTER, BEREA SPECIALTY CLINIC, DIABETES AND NUTRITION CENTER, CARDIOVASCULAR SERVICES THROUGH THE SAINT JOSEPH BEREA HEART INSTITUTE, SENIOR RENEWAL CENTER, SLEEP WELLNESS CENTER, SURGICAL SERVICES, PAIN MANAGEMENT CLINIC, MEDWORKS AND WOUND CARE CENTER. (CONTINUED)
LINES 2, 4 AND 5	SCHEDULE H, PART VI	COMMUNITY INVOLVEMENT AND PARTNERSHIPS ARE VERY IMPORTANT TO SAINT JOSEPH BEREA. THE HOSPITAL HAS A CLOSE RELATIONSHIP WITH THE MADISON COUNTY HEALTH DEPARTMENT, LOCAL GOVERNMENT, BUSINESSES, CIVIC ORGANIZATIONS, EDUCATIONAL SYSTEMS AND COMMUNITY AGENCIES. SAINT JOSEPH BEREA IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH BEREA, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH LONDON IN JULY OF 1946 THE SISTERS OF CHARITY OF NAZARETH, KENTUCKY PURCHASED WHAT WAS THEN CALLED PENNINGTON GENERAL HOSPITAL IN LONDON, KENTUCKY AND ASSUMED ITS LEADERSHIP. RENAMED MARYMOUNT - OUR LADY OF THE MOUNTAIN, THE MISSION OF THE SISTERS WAS TO EXTEND THE HEALING MINISTRY OF CHRIST BRINGING QUALITY HEALTH CARE TO THE POOR AND UNDERSERVED OF RURAL KENTUCKY. IN 1997 MARYMOUNT ALONG WITH SEVEN OTHER KENTUCKY FACILITIES, BECAME PART OF CATHOLIC HEALTH INITIATIVES (CHI) AND IN 2008 THOSE SAME EIGHT FACILITIES FORMED SAINT JOSEPH HEALTH SYSTEM. AT THAT TIME THE HOSPITAL NAME WAS CHANGED TO SAINT JOSEPH - LONDON. SAINT JOSEPH LONDON BECAME PART OF KENTUCKYONE HEALTH IN JANUARY 2012. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH LONDON, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH MARTIN IN SEPTEMBER 1947, THREE COURAGEOUS SISTERS OF DIVINE PROVIDENCE OF MELBOURNE, KENTUCKY ASSUMED OWNERSHIP OF A 30 BED HOSPITAL NAMED MARTIN GENERAL HOSPITAL. THE HOSPITAL'S NAME WAS CHANGED TO OUR LADY OF THE WAY HOSPITAL. IN JANUARY 2008, OUR LADY OF THE WAY HOSPITAL BECAME PART OF SAINT JOSEPH HEALTH SYSTEM AND IS PRESENTLY NAMED SAINT JOSEPH MARTIN (SJM). SAINT JOSEPH MARTIN IS A NON-PROFIT CRITICAL ACCESS HOSPITAL (CAH) LOCATED IN MARTIN, KENTUCKY. SAINT JOSEPH MARTIN IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH MARTIN, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. SAINT JOSEPH MOUNT STERLING FORMERLY KNOWN AS MARY CHILES HOSPITAL, SAINT JOSEPH MOUNT STERLING (SJMS) IS LICENSED FOR 42 ACUTE CARE BEDS. FROM ITS BEGINNING IN 1921, THE HOSPITAL HAS BEEN COMMITTED TO SERVING THE PEOPLE. ON JUNE 16, 2011, SJMS MOVED TO ITS NEW FACILITY. SAINT JOSEPH MOUNT STERLING OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. SAINT JOSEPH MOUNT STERLING HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. SAINT JOSEPH MOUNT STERLING IS PART OF KENTUCKYONE HEALTH. AN 18-MEMBER VOLUNTEER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, ITS FACILITIES AND OPERATIONS, INCLUDING SAINT JOSEPH MOUNT STERLING, WITH THIS MISSION: PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED; OUR FUTURE: TO TRANSFORM THE HEALTH OF COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELLBEING; AND, OUR VALUES - REVERENCE: RESPECTING THOSE WE SERVE AND THOSE WHO SERVE; INTEGRITY: DOING THE RIGHT THINGS IN THE RIGHT WAY FOR THE RIGHT REASON. COMPASSION: SHARING IN OTHERS' JOYS AND SORROWS; AND, EXCELLENCE: LIVING UP TO THE HIGHEST STANDARDS. OUR PURPOSE COMMUNITY BENEFIT APPROACH SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST ARE LOCATED IN FAYETTE COUNTY IN LEXINGTON, KENTUCKY. AS OF 2011, THE LEXINGTON-FAYETTE COUNTY METRO AREA HAS A POPULATION OF 301,569. THE LEXINGTON-FAYETTE METRO AREA IS HOME TO SIX COUNTIES: CLARK, FAYETTE, JESSAMINE, BOURBON, WOODFORD AND SCOTT. ACCORDING TO THE 2012 U. S. CENSUS BUREAU, 78.8% OF THE POPULATION IN FAYETTE COUNTY IS WHITE, 14.9% IS BLACK OR AFRICAN AMERICAN AND 7.0% ARE HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $48,779, ABOVE THE STATE'S MEDIAN INCOME OF $42,248. IN ADDITION, 18.2% OF FAMILIES IN FAYETTE COUNTY LIVE BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE IN FAYETTE COUNTY IS 8.0%. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST HAVE BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAVE BEEN LEADERS IN LOOKING AT AREA HEALTH ISSUES, SET PRIORITIES AND PLANS FOR IMPROVEMENT. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST CONTINUE OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH COLLABORATIONS TODAY. SAINT JOSEPH BEREA SAINT JOSEPH BEREA IS LOCATED IN MADISON COUNTY IN BEREA, KENTUCKY. SAINT JOSEPH BEREA IS ONLY 40 MILES SOUTH OF LEXINGTON, KENTUCKY AND 15 MILES FROM RICHMOND, KENTUCKY. SAINT JOSEPH BEREA SERVES PATIENTS FROM MADISON, ROCKCASTLE, GARRARD, AND JACKSON COUNTIES, ALTHOUGH OVER 63% OF THE DISCHARGES ORIGINATE IN MADISON COUNTY. ALL FOUR OF THE COUNTIES HAVE PERCENTAGES OF POPULATION IN POVERTY AND UNEMPLOYMENT RATES THAT ARE UNFAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES. ACCORDING TO THE 2010 U.S. CENSUS BUREAU, MADISON COUNTY'S POPULATION WAS 82,916. OF THE POPULATION IN MADISON COUNTY, 90.4% OF THE POPULATION IS WHITE, 4.3% IS BLACK OR AFRICAN AMERICAN AND 2.2% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $41,876, SLIGHTLY BELOW THE STATE'S MEDIAN INCOME OF $42,248 AND BELOW THE NATION'S INCOME OF $52,762. IN ADDITION, 20.3% OF MADISON COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. THE 2011 UNITED STATES DEPARTMENT OF LABOR DATA REPORTS UNEMPLOYMENT IN MADISON COUNTY TO BE 7.7%. ABOUT ONE QUARTER OF THE COMMUNITY WHO IS BELOW THE POVERTY LEVEL IS UNINSURED AND WITHOUT A MEANS TO PAY FOR MANY OF THEIR MEDICAL EXPENSES. SAINT JOSEPH LONDON SAINT JOSEPH LONDON IS LOCATED IN LAUREL COUNTY IN LONDON, KENTUCKY. LAUREL COUNTY IS A FAIRLY RURAL COMMUNITY IN KENTUCKY. SAINT JOSEPH LONDON SERVES PATIENTS FROM LAUREL, WHITLEY, CLAY, JACKSON AND KNOX COUNTIES; HOWEVER 50.42% OF THE DISCHARGES ORIGINATE IN LAUREL COUNTY. AS OF THE 2010 U.S. CENSUS BUREAU, LAUREL COUNTY'S POPULATION WAS 58,849. OF THE POPULATION IN LAUREL COUNTY, 97.2% OF THE POPULATION IS WHITE, 0.9% IS BLACK OR AFRICAN AMERICAN AND 1.3% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $36,787, BELOW THE STATE'S MEDIAN INCOME OF $42,248 AND WELL BELOW THE NATION'S INCOME OF $52,762. IN ADDITION, 20.1% OF LAUREL COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. THE 2011 UNITED STATES DEPARTMENT OF LABOR DATA REPORT UNEMPLOYMENT IN LAUREL COUNTY TO BE 10.8%. SAINT JOSEPH MARTIN SAINT JOSEPH MARTIN IS LOCATED IN FLOYD COUNTY - EASTERN PART OF KENTUCKY. IN 2010, THE POPULATION OF FLOYD COUNTY WAS 39,451 AND THERE ARE ROUGHLY 634 INDIVIDUALS RESIDING IN THE CITY OF MARTIN. OF THE 39,451 INDIVIDUALS LIVING IN FLOYD COUNTY, 98.7% OF THEM ARE WHITE. THE POVERTY RATE (30.3%) IS SIGNIFICANTLY HIGHER THAN THE NATIONAL RATE OF 11% AND THE MEDIAN HOUSEHOLD INCOME ($29,725) IS ALSO LOWER THAN THE NATIONAL AVERAGE ($52,762). SAINT JOSEPH MARTIN HAS BEEN INTIMATELY INVOLVED IN COMMUNITY HEALTH COLLABORATION AND HAS BEEN A LEADER IN LOOKING AT AREA HEALTH ISSUES, SET PRIORITIES AND PLANS FOR IMPROVEMENT. SAINT JOSEPH MARTIN CONTINUES OUR DEEP COMMITMENT AND INVOLVEMENT IN THE COMMUNITY HEALTH COLLABORATIONS TODAY. (CONTINUED)
LINES 2, 4 AND 5	SCHEDULE H, PART VI	SAINT JOSEPH MOUNT STERLING SAINT JOSEPH MOUNT STERLING IS LOCATED IN MONTGOMERY COUNTY IN MOUNT STERLING, KENTUCKY. SAINT JOSEPH MOUNT STERLING'S PRIMARY SERVICE AREAS INCLUDE BATH, MENIFEE, MONTGOMERY, AND POWELL COUNTIES, ALTHOUGH 53% OF THE PATIENTS COME FROM MONTGOMERY COUNTY. AS OF 2010 U.S. CENSUS BUREAU, MONTGOMERY COUNTY'S POPULATION WAS 26,244. OF THE POPULATION IN MONTGOMERY COUNTY, 96.6% OF THE POPULATION IS WHITE, 1.9% IS BLACK OR AFRICAN AMERICAN AND 1.2% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $37,393, BELOW THE STATE'S MEDIAN INCOME OF $42,248 AND WELL BELOW THE NATION'S INCOME OF $52,762. IN ADDITION, 23.2% OF MONTGOMERY COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. THE UNEMPLOYMENT RATE IN MONTGOMERY COUNTY IS ESTIMATED TO BE 11.9%. PROCESS SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST'S COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITIES' NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST IDENTIFIED COMMUNITY HEALTH NEEDS BY UNDERGOING AN ASSESSMENT PROCESS IN COLLABORATION WITH THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT AND THE LEXINGTON-FAYETTE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COALITION. OVER 1,200 RESIDENTS PROVIDED INPUT THROUGH A COMMUNITY HEALTH SURVEY. ANOTHER 77 ADULTS PARTICIPATED IN THREE FOCUS GROUPS INTENDED TO IDENTIFY NEEDS IN MINORITY AND LOW-INCOME HOUSEHOLDS AND FIVE INDIVIDUALS WITH SPECIALIZED KNOWLEDGE PARTICIPATED IN KEY INFORMANT INTERVIEWS. IN ADDITION, SECONDARY DATA WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES AS WELL AS NATIONAL, STATE AND LOCAL SOURCES OF INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. THIS WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. SUBSEQUENTLY, SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST LEADERSHIP ENTERED INTO A DIALOGUE TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT HEALTH PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS, A RANKING AND PRIORITIZATION PROCESS WAS USED. HEALTH NEEDS WERE RANKED BASED ON THE FOLLOWING SEVEN FACTORS. EACH FACTOR RECEIVED A SCORE BETWEEN 0 AND 4. 1) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE? FOR THIS FACTOR RATINGS WERE BASED ON THE PERCENTAGE OF THE COMMUNITY WHO ARE IMPACTED BY THE IDENTIFIED NEED. THE FOLLOWING SCALE WAS UTILIZED FOR HEALTH OUTCOMES AND FACTORS: GREATER THAN 20% OF THE COMMUNITY POPULATION=4; GREATER THAN 10% AND LESS THAN 20%=3; GREATER THAN 5% AND LESS THAN 10%=2 AND LESS THAN 5%=1. CHRONIC DISEASES WERE RATED BASED ON STATE RANKING FOR INCIDENCE OF THE DISEASE. A FACTOR OF 1-4 WAS ASSIGNED BASED ON WHICH QUARTILE THE STATE WAS REPORTED. 2) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM? IDENTIFIED HEALTH NEEDS WHICH HAVE A HIGH DEATH RATE OR HAVE A HIGH IMPACT ON CHRONIC DISEASES RECEIVED A HIGHER RATING FOR THIS FACTOR. 3) THE IMPACT OF THE PROBLEM ON VULNERABLE POPULATIONS. NEEDS ASSOCIATED WITH VULNERABLE POPULATIONS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WERE RATED FOR THIS FACTOR. 4) HOW IMPORTANT THE PROBLEM IS TO THE COMMUNITY. NEEDS IDENTIFIED THROUGH COMMUNITY SURVEYS AND/OR FOCUS GROUPS. 5) PREVALENCE OF COMMON THEMES. DETERMINED BY HOW MANY SOURCES OF DATA (LEADING CAUSES OF DEATH, PRIMARY CAUSES FOR INPATIENT HOSPITALIZATION, HEALTH OUTCOMES AND FACTORS AND PRIMARY DATA) IDENTIFIED THE NEED. 6) HOW CLOSELY DOES THE NEED ALIGN WITH KENTUCKYONE HEALTH STRATEGIES? 7) DOES THE HOSPITAL HAVE EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED?
LINES 2, 4 AND 5	SCHEDULE H, PART VI	SAINT JOSEPH BEREA SAINT JOSEPH BEREA COLLABORATED WITH THE MADISON COUNTY HEALTH DEPARTMENT, THE KENTUCKY HOSPITAL ASSOCIATION AND LOCAL COMMUNITY GROUPS TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). AN ADVISORY COMMITTEE CONSISTING OF REPRESENTATIVES FROM THE MADISON COUNTY HEALTH DEPARTMENT, BEREA COLLEGE, SENIOR CITIZENS, HEAD START, UNION CHURCH, ST. CLARE'S CATHOLIC CHURCH, MADISON COUNTY SCHOOLS, BEREA POLICE DEPARTMENT, WHITE HOUSE CLINIC AND HOSPITAL LEADERSHIP AND STAFF BEGAN MEETING IN JANUARY 2012 TO DECIDE HOW THE ASSESSMENT WOULD BE CONDUCTED AND WHAT IT WOULD CONSIST OF. ONCE THE PRIMARY SERVICE AREA WAS DETERMINED A SURVEY WAS SENT TO RANDOM HOUSEHOLDS INVITING INDIVIDUALS TO COMPLETE AND RETURN TO SAINT JOSEPH BEREA. THE SURVEY COVERED A BROAD RANGE OF TOPICS FROM ACCESS TO HEALTH CARE TO PERCEPTION ABOUT THE MOST PRESSING HEALTH CARE NEEDS AND RECOMMENDATIONS. THE SURVEY WAS ALSO AVAILABLE ONLINE. IT WAS AVAILABLE IN ENGLISH AND SPANISH. THE SURVEY WAS CONDUCTED FROM SEPTEMBER 1 - NOVEMBER 9, 2012. THERE WERE A TOTAL OF 949 RESPONDENTS. NO ONE RESPONDED IN SPANISH. 74% WERE FROM MADISON COUNTY: 43% OF WHICH WERE FROM BEREA AND 29% FROM RICHMOND, 8% FROM JACKSON COUNTY, 6% FROM ROCKCASTLE COUNTY AND 6% FROM GARRARD COUNTY. THE MAJORITY OF THE RESPONDENTS WERE FEMALE (67%). THE MOST RESPONSES WERE FROM THE 65+ (31%) AGE GROUP; SECOND, 40-54 (26%); THIRD WAS 55-64 (25%) AND THE UNDER 26 GROUPS WERE 18%. THE MAJORITY OF RESPONDENTS WERE CAUCASIAN (96%). ONLY 3% WERE AFRICAN AMERICAN; 1% WAS NATIVE AMERICAN; LESS THAN 1% WAS HISPANIC; 1% WAS OF OTHER ETHNICITIES. THE INFORMATION ON RACE CLOSELY CORRESPONDS TO THAT OF MADISON COUNTY (2011 MCCHIP). SIX FOCUS GROUPS WERE CONDUCTED WITH DIFFERENT COMMUNITY GROUPS TO SEEK THEIR INPUT ON THE HEALTH CARE NEEDS OF THE COMMUNITY. SENIOR CITIZEN ADVISORY GROUP BEREA HEAD START CENTER WITH PARENTS AND ADMINISTRATOR SHANNON JOHNSON ELEMENTARY TEACHERS SAINT JOSEPH BEREA EMPLOYEES/VOLUNTEERS FIRST RESPONDERS GROUP WITH EMS, FIRE AND POLICE DEPARTMENTS FARRISTOWN BAPTIST CHURCH EVENT WITH COMMUNITY MEMBERS THERE WAS A TOTAL OF 61 PARTICIPANTS PLUS FACILITATORS. THE FOCUS GROUPS WERE HELD FROM OCTOBER 3 THROUGH NOVEMBER 16.THE GROUPS REPRESENTED A BROAD SPECTRUM OF THE COMMUNITY INCLUDING AFRICAN AMERICAN, BUSINESS, FIRST RESPONDERS, RELIGIOUS COMMUNITY, EDUCATION, LOWER INCOME, VARIOUS AGE GROUPS, CAREGIVERS AND THOSE WITH MEDICAL NEEDS. SIX INTERVIEWS WERE CONDUCTED WITH PHYSICIANS, COMMUNITY LEADERS, BUSINESS AND COMMUNITY MEMBERS. WE THOUGHT THIS WOULD BE A MORE PERSONAL APPROACH. THE RESPONSES WERE SIMILAR TO THE FOCUS GROUPS BUT WITH A LITTLE MORE DETAIL. IN ADDITION, SECONDARY DATA FROM LOCAL, STATE AND FEDERAL SOURCES WAS COMPILED FROM DEMOGRAPHIC AND SOCIOECONOMIC SOURCES FROM INFORMATION ON DISEASE PREVALENCE, HEALTH INDICATORS, HEALTH EQUITY AND MORTALITY. IDENTIFIED NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. BY A COMMUNITY ADVISORY GROUP AND GIVEN TO THE HOSPITAL STEERING COMMITTEE FOR REVIEW. ONCE THE PRIMARY HEALTH ISSUES IN THE COMMUNITY WERE IDENTIFIED, SAINT JOSEPH BEREA WENT THROUGH THE PROCESS OF GROUPING AND IDENTIFYING THE HEALTH PRIORITIES TO BE ADDRESSED. SAINT JOSEPH LONDON SAINT JOSEPH LONDON IN COLLABORATION WITH THE LAUREL COUNTY HEALTH DEPARTMENT ENGAGED COMMUNITY LEADERSHIP FROM LOCAL AGENCIES, CHURCH GROUPS, RETIRED PROFESSIONALS, MINORITIES AND INTERESTED CITIZENS TO FORM A HEALTH NEEDS COALITION THAT WOULD GUIDE THE OVERALL PROCESS. THE OBJECTIVES OF THE COALITION WERE TO: L. DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TOOL; 2. IDENTIFY COMMUNITY HEALTH NEEDS; 3. DETERMINE THE PRIORITY HEALTH NEEDS; 4. DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN BASED ON THE IDENTIFIED NEEDS. THROUGH THIS PARTNERSHIP A SURVEY WAS DEVELOPED WITH HELP FROM MEMBERS OF THE COALITION AND DISTRIBUTED WITHIN LAUREL COUNTY IN JUNE AND JULY OF 2012. OVER 1,800 COMPLETED SURVEYS WERE RETURNED THAT PROVIDED BOTH DATA AND INSIGHT INTO INDIVIDUAL'S HEALTH ISSUES. TWO FOCUS GROUPS WERE HELD WITH IDENTIFIED GROUPS; PARTICIPANTS IN AN EMPLOYER WELLNESS PROGRAM FOR DIABETICS (WHO COMPRISE 15% OF THE COMMUNITY) AND A YOUNG ADULT GROUP FOCUSED ON PERCEIVED HEALTH NEEDS OF THE COMMUNITY. THE QUESTIONS PRESENTED TO THESE GROUPS WERE FOCUSED ON HEALTHCARE ISSUES AND HOW THE HOSPITAL MIGHT ASSIST THE COMMUNITY WITH IDENTIFIED ISSUES. THIS DATA WAS REVIEWED AND ANALYZED TO IDENTIFY AND PRIORITIZE HEALTH NEEDS. COUNTY, STATE AND NATIONAL DATA ALSO AIDED IN IDENTIFYING VULNERABLE POPULATIONS FOR CONSIDERATION IN THE PLANNING AND PRIORITIZATION PROCESS. THE POPULATIONS IDENTIFIED WERE: 1. THE UNINSURED, 2. THOSE WITH CHRONIC DISEASE, 3. CHILDREN IMPACTED BY DRUG ABUSE, 4. THOSE SUFFERING FROM MENTAL ILLNESS/ADDICTIONS. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE IMPACT ON VULNERABLE POPULATIONS; 2) THE IMPORTANCE TO THE COMMUNITY; 3) THE SIZE OF THE PROBLEM; 4) THE SERIOUSNESS OF THE PROBLEM; 5) THE PREVALENCE OF COMMON THEMES; 6) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 7) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. SAINT JOSEPH MARTIN SAINT JOSEPH MARTIN AND HIGHLANDS REGIONAL MEDICAL CENTER JOINED TOGETHER TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT COMPLIES WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ENACTED IN 2010. SAINT JOSEPH MARTIN AND HIGHLANDS REGIONAL MEDICAL CENTER CONTRACTED WITH THE COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) TO ASSIST IN THE PROCESS. ALSO INPUT WAS SOLICITED FROM THE FOLLOWING ORGANIZATIONS TO ASSURE THAT "ALL" PEOPLE WERE REPRESENTED PARTICULARLY THE MOST VULNERABLE: BIG SANDY AREA DEVELOPMENT DISTRICT; MARTIN COUNTY HEALTH DEPARTMENT; FLOYD COUNTY HEALTH DEPARTMENT; JOHNSON COUNTY HEALTH DEPARTMENT; MAGOFFIN COUNTY HEALTH DEPARTMENT; SANDY VALLEY ABUSE SHELTER; BIG SANDY HEALTH CARE - A FEDERALLY QUALIFIED HEALTH CENTER; OPERATION UNITE; SALYERSVILLE NURSING AND REHAB CENTER; MOUNTAIN COMPREHENSIVE CARE CENTER; FLOYD COUNTY SENIOR CITIZENS' CENTERS; AND, COMMUNITY MEMBERS. PRIMARY DATA, SECONDARY DATA, SURVEYS, FOCUS GROUPS AND SUPPLEMENTAL DATA WAS GATHERED TO ASSURE THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS EXTENSIVE AND INCLUDED INPUT FROM THE VOICES OF THE MOST VULNERABLE. TO FACILITATE PRIORITIZATION OF IDENTIFIED HEALTH NEEDS, A RANKING AND PRIORITIZATION PROCESS WAS USED BASED ON SIX FACTORS: 1) THE ABILITY OF SAINT JOSEPH MARTIN TO EVALUATE AND MEASURE OUTCOMES. 2) HOW MANY PEOPLE ARE AFFECTED BY THE ISSUE OR SIZE OF THE ISSUE? 3) WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM? 4) PREVALENCE OF COMMON THEMES. 5) HOW CLOSELY DOES THE NEED ALIGN WITH KENTUCKYONE HEALTH STRATEGIES? 6) DOES THE HOSPITAL HAVE EXISTING PROGRAMS WHICH RESPOND TO THE IDENTIFIED NEED? SAINT JOSEPH MARTIN WILL CONTINUE TO WORK WITH THE COMMUNITY TO EXECUTE THE IMPLEMENTATION PLAN AND REALIZE THE GOALS THAT HAVE BEEN POSITIONED TO BUILD A HEALTHIER COMMUNITY - A HEALTHIER KENTUCKY. SAINT JOSEPH MOUNT STERLING DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH MOUNT STERLING IN COLLABORATION WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: * THE "COMMUNITY" SERVED WAS DEFINED BY UTILIZING INPATIENT DATA ON PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. * POPULATION DEMOGRAPHICS AND SOCIO-ECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTH-RANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. (CONTINUED)
LINES 2, 4 AND 5	SCHEDULE H, PART VI	* THROUGH A PROCESS CONDUCTED COLLABORATIVELY WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT COMMUNITY INPUT WAS OBTAINED THROUGH A SERIES OF MEETINGS INVOLVING COMMUNITY PARTNERS AND LEADERS AND THROUGH A SURVEY (PAPER AND ON-LINE; ENGLISH AND SPANISH) TO THE GENERAL PUBLIC. INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE ABILITY TO EVALUATE OUTCOMES; 2) THE SIZE OF THE PROBLEM; 3) THE SERIOUSNESS OF THE PROBLEM; 4) PREVALENCE OF COMMON THEMES; 5) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 6) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND REPORTED. SUMMARY OF ASSESSMENT FINDINGS SAINT JOSEPH HOSPITAL THE FOLLOWING AREAS WERE IDENTIFIED AS THE PRIORITIES ON WHICH SAINT JOSEPH HOSPITAL WILL FOCUS OVER THE NEXT THREE YEARS: OBESITY, LUNG CANCER/SMOKING CESSATION, CARDIOVASCULAR DISEASE, ACCESS TO SERVICES/HEALTH DISPARITIES, SAFE NEIGHBORHOODS AND MATERNAL AND CHILDREN'S HEALTH. SAINT JOSEPH EAST THE FOLLOWING AREAS WERE IDENTIFIED AS THE PRIORITIES ON WHICH SAINT JOSEPH EAST WILL FOCUS OVER THE NEXT THREE YEARS: OBESITY, LUNG CANCER/SMOKING CESSATION, CARDIOVASCULAR DISEASE, ACCESS TO SERVICES/HEALTH DISPARITIES, SAFE NEIGHBORHOODS AND MATERNAL AND CHILDREN'S HEALTH. SAINT JOSEPH BEREA THE FOLLOWING AREAS WERE IDENTIFIED AS THE PRIORITIES ON WHICH SAINT JOSEPH BEREA WILL FOCUS OVER THE NEXT THREE YEARS: MENTAL HEALTH, OBESITY, SENIOR ISSUES AND COLLABORATION OF CARE. SAINT JOSEPH LONDON AN IMPLEMENTATION PLANNING COMMITTEE COMPRISED OF LEADERSHIP FROM SAINT JOSEPH LONDON LAUREL CO HEALTH DEPARTMENT AND AGENCY/COMMUNITY REPRESENTATIVES MET TO DISCUSS THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND SELECT HEALTH PRIORITIES. PARTICIPANTS BROKE INTO GROUPS TO DISCUSS AND DEVELOP PLANS FOR THE TOP THREE IDENTIFIED ISSUES WITH SCORES OF 22 OR MORE (ON A SCALE OF 28). THE THREE IDENTIFIED: CANCER STROKE/CARDIOVASCULAR DISEASE MENTAL ILLNESS/ADDICTIONS (DRUG & ALCOHOL) THE COMMITTEE NOTED THAT THERE ARE RELATED HEALTH FACTORS/BEHAVIORS, IDENTIFIED AS PRIORITIES, THAT INFLUENCE THE TOP THREE PRIORITIES AND THAT HAVE TO BE CONSIDERED IN THE IMPLEMENTATION STRATEGY I.E., THE UNINSURED, OBESITY AND LACK OF PHYSICAL ACTIVITY, HIGH BLOOD PRESSURE, ADULT SMOKING, DIABETES ETC. THE IMPLEMENTATION COMMITTEE CONTINUES TO MEET TO DISCUSS AND FURTHER DEVELOP ACTION PLANS THAT ARE COMPREHENSIVE, MEASUREABLE AND WILL HAVE A LONG-TERM IMPACT ON THE WELLBEING OF THE COMMUNITY. SAINT JOSEPH MARTIN UPON COMPLETION OF THE PRIORITIZATION PROCESS, HEART DISEASE, CANCER AND DIABETES WERE IDENTIFIED BY THE IMPLEMENTATION STRATEGY TEAM AS THE TOP PRIORITIES FOR SAINT JOSEPH MARTIN AND WILL BE THE FOCUS OVER THE NEXT THREE YEARS. ALSO, BECAUSE OF THEIR RANKING AND THEIR INTEGRAL RELATIONSHIP TO THE MAJOR IDENTIFIED NEEDS, ADULT SMOKING AND ADULT OBESITY, WILL BE WOVEN INTO THE STRATEGIES OF THE TOP PRIORITIES. SAINT JOSEPH MOUNT STERLING IDENTIFIED NEEDS WERE PRIORITIZED BY A COMMUNITY ADVISORY GROUP AND GIVEN TO THE HOSPITAL IMPLEMENTATION COMMITTEE FOR REVIEW. SUBSEQUENTLY, SAINT JOSEPH MOUNT STERLING LEADERSHIP ENTERED INTO A DIALOGUE WITH REPRESENTATIVES OF THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO DISCUSS THE RESULTS OF THE EVALUATION AND SELECT PRIORITIES. PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO REVISE RANKINGS AND DEBATE ISSUES UNTIL A CONSENSUS WAS REACHED ON A COMPOSITE RANKING OF HEALTH ISSUES. THE PRIORITIES ARE POLICY CHANGE, EDUCATION, PREVENTIVE SERVICES AND EARLY DETECTION AND SCREENING. WITH AN UNDERSTANDING THAT COLLABORATIVE EFFORTS HAVE THE GREATEST OPPORTUNITY FOR MEASURABLE, COLLECTIVE IMPACT, SAINT JOSEPH MOUNT STERLING CHOSE STRATEGIES THAT WILL INVOLVE COMMUNITY PARTNERS TO PROMOTE A CULTURE WHERE HEALTHY EATING AND ACTIVE LIVING ARE THE NORM AND FOSTERS AN ENVIRONMENT THAT PROMOTES INCREASED PHYSICAL ACTIVITY, BETTER NUTRITION, HEALTHY PUBLIC POLICY AND ACCESS TO NEEDED RESOURCES AND SERVICES. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST COMMUNITY OUTREACH FOR THE POOR SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST CONTINUE TO IMPROVE ACCESS TO CARE IN RURAL KENTUCKY COMMUNITIES OF POWELL AND WOLFE COUNTIES. IN JULY 2011, THE FIRST VIRTUAL CARE CLINIC OPENED ITS DOORS IN CLAY CITY, AND THE SECOND FACILITY OPENED IN AUGUST 2012 IN CAMPTON. THE CLINICS ARE MODELED ON SAINT JOSEPH HOSPITAL'S CONTINUING CARE CLINIC, WHICH PROVIDES PRIMARY HEALTH CARE SERVICES TO LOW-INCOME RESIDENTS OF CENTRAL KENTUCKY. EACH VIRTUAL CLINIC IS STAFFED BY A NURSE OR NURSE PRACTITIONER, RECEPTIONIST/SCHEDULER AND A SOCIAL WORKER. TELEHEALTH TECHNOLOGY ALLOWS COLLABORATION WITH PHYSICIANS AND SPECIALISTS FOR PATIENT CONSULTATIONS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY STAFF AT THE SAINT JOSEPH CANCER CENTER UNDERSTANDS THAT CANCER AFFECTS THE ENTIRE FAMILY, NOT JUST THE PERSON DIAGNOSED. THE CANCER CENTER IS COMMUNITY-BASED AND OFFERS FINANCIAL ASSISTANCE, COUNSELING AND SPIRITUAL COMFORT TO THE FAMILIES IT SERVES. THE MISSION IS TO BLEND HUMANITY WITH TECHNOLOGY. THE PATIENT AND FAMILY-CENTERED RESOURCES AVAILABLE THROUGH THE SAINT JOSEPH CANCER CENTER INCLUDE ACCESS TO SUPPORT SERVICES SUCH AS REHABILITATION, TREATMENTS, NUTRITION AND SPIRITUAL CARE; ONE-ON-ONE CONSULTATION WITH A NURSE NAVIGATOR, SOCIAL WORKER, CHAPLAIN AND CLINICAL DIETITIAN; A LIBRARY WITH MATERIAL FROM 10 NATIONAL CANCER ORGANIZATIONS; AND NETWORKING AND SUPPORT GROUPS. ALL ARE FREE AND CONFIDENTIAL. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH ALSO, AS PART OF THE FAYETTE COUNTY COMMUNITY, SAINT JOSEPH HOSPITAL, AND SAINT JOSEPH EAST TAKE EXTRA STRIDES TO ENSURE THE NEEDS OF THIS COMMUNITY ARE MET. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST COLLABORATE WITH THE YMCA TO SUPPORTS THE EFFORTS OF THE MULTIPLE SCLEROSIS CENTER AT THE YMCA BEAUMONT CENTER. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST ALSO SUPPORT VIOLENCE PREVENTION EFFORTS IN THE WINBURN COMMUNITY THROUGH SUMMER CAMPS AND AFTER-SCHOOL PROGRAM. HEALTH PROFESSIONS EDUCATION SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST SERVE AS A CLINICAL EDUCATION SITE FOR MEDICAL PROFESSIONALS OFFERING CLASSES AND RESIDENCY PROGRAMS. HEALTH PROFESSIONALS INCLUDE MEDICAL STUDENTS, FAMILY PRACTICE RESIDENTS, PHARM D STUDENTS, PHYSICAL THERAPY STUDENTS, RESPIRATORY THERAPY STUDENTS, RADIOLOGY STUDENTS, NURSING STUDENTS, SOCIAL WORK STUDENTS, SURGICAL TECHNICIANS, AND STUDENTS EARNING MASTER'S DEGREES IN PUBLIC HEALTH. COMMUNITY BUILDING ACTIVITIES SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST PARTNER WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: AMERICAN CANCER SOCIETY AMERICAN RED CROSS AMERICAN HEART ASSOCIATION HABITAT FOR HUMANITY COMMERCE LEXINGTON LEXINGTON CLINIC FOUNDATION FAYETTE COUNTY HEALTH DEPARTMENT SAINT JOSEPH BEREA COMMUNITY OUTREACH FOR THE POOR PRESCRIPTION ASSISTANCE PROGRAM WHAT GOES ON BEHIND THE SCENES TO HELP PATIENTS OFTEN GOES UNNOTICED, ESPECIALLY WHEN IT COMES TO PAYING FOR MEDICATIONS. SAINT JOSEPH BEREA KNOWS ALL ABOUT HELPING PATIENTS RECEIVE THE MEDICATIONS THEY NEED BUT CANNOT AFFORD DUE TO LACK OF INSURANCE, LIMITED COVERAGE OR HIGH DEDUCTIBLES. COLLABORATIVE EFFORTS WITH CHAPLAINS, NURSES, PHYSICIANS AND CASE MANAGERS TO FIND ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY QUALIFY WHEN THEY LEAVE THE HOSPITAL. BEREA HEALTH MINISTRIES PARTNERSHIP SJB'S PARTNERSHIP WITH BEREA HEALTH MINISTRIES (BHM), A FAITH-BASED MEDICAL CLINIC, WAS FORMED IN THE SPRING OF 2010. SAINT JOSEPH BEREA PROVIDES IN-KIND SUPPORT THAT INCLUDES OFFICE AND CLINICAL SPACE, MAINTENANCE, CLEANING, INFORMATION TECHNOLOGY AND OTHER SUPPORT AS NEEDED; IN TURN THE CLINIC PROVIDES PRIMARY CARE, EDUCATION AND SUPPORT FOR ALL PEOPLE, BUT PRIMARILY THE POOR, UNINSURED AND UNDERINSURED. NEW OPPORTUNITY SCHOOL FOR WOMEN SINCE 1987, NEW OPPORTUNITY FOR WOMEN (NOSW) HAS WORKED TO IMPROVE THE EDUCATIONAL, FINANCIAL AND PERSONAL CIRCUMSTANCES OF LOW INCOME MIDDLE-AGED WOMEN IN KENTUCKY AND THE SOUTH CENTRAL APPALACHIAN REGION. MANY JUST WANT A SECOND CHANCE TO GAIN NEW SKILLS, AND SJB IS GRATEFUL FOR THE OPPORTUNITY TO HELP MAKE A DIFFERENCE IN THEIR LIVES. SAINT JOSEPH BEREA PROVIDES NOSW PARTICIPANTS WITH PHYSICALS, BLOOD TESTS AND MAMMOGRAMS, PREVENTIVE SERVICES THE WOMEN MAY NOT OTHERWISE QUALIFY FOR. THE SCREENINGS OFFER MORE THAN JOB PREPARATION; THEY ALSO HELP IDENTIFY UNDETECTED HEALTH ISSUES AND BRING PEACE OF MIND TO THE DIVERSE POPULATION OF WOMEN. (CONTINUED)
LINES 2, 4 AND 5	SCHEDULE H, PART VI	HENRIETTA CHILD FUND SAINT JOSEPH BEREA'S HENRIETTA CHILD FUND PROVIDES ASSISTANCE FOR UNINSURED BEREA RESIDENTS WHO NEED TO HAVE SMALL PROCEDURES, BUT DO NOT HAVE THE MEANS TO PAY. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SAINT JOSEPH BEREA SERVES AS A CLINICAL EDUCATION SITE FOR EASTERN KENTUCKY UNIVERSITY, SOMERSET COLLEGE, UNIVERSITY OF KENTUCKY, AND BEREA COLLEGE FOR STUDENTS WHO NEED CLINICAL HOURS IN A VARIETY OF MEDICAL PROFESSIONS INCLUDING NURSING, EMERGENCY ROOM, HEALTH INFORMATION, PULMONARY, LABORATORY, PHARMACY, AND RADIOLOGY. GET HEALTHY BEREA ANNUALLY SAINT JOSEPH BEREA HOSTS "GET HEALTHY BEREA", AN EVENT COORDINATED WITH LOCAL SCHOOLS AND BUSINESSES TO PROMOTE HEALTH AND WELLNESS. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH BEREA PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * MADISON COUNTY HEALTH DEPARTMENT * LOCAL GOVERNMENT, BUSINESSES, CIVIC ORGANIZATIONS * EDUCATIONAL SYSTEMS AND COMMUNITY AGENCIES AS A RESULT OF THE PARTNERSHIPS, SAINT JOSEPH BEREA PARTICIPATES IN THE FOLLOWING EVENTS: * BOWL FOR KIDS' SAKE * RELAY FOR LIFE * A DAY OF HOPE * BEREA FARMERS' MARKET * SPOONBREAD FESTIVAL * BLOOD DRIVES * MEDICAL SCREENINGS * HEALTH FAIRS SAINT JOSEPH LONDON COMMUNITY OUTREACH FOR THE POOR PHARMACEUTICAL ASSISTANCE PROGRAM THE PHARMACEUTICAL ASSISTANCE PROGRAM WAS ESTABLISHED TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS WITH THEIR MEDICATION NEEDS. SERVING LAUREL, WHITLEY, CLAY AND KNOX COUNTIES THE PROGRAM ADDRESSES MEDICATION NEEDS SPECIFIC TO CARDIAC, DIABETES, HYPERTENSION, CHOLESTEROL AND COPD. THIS PROGRAM ASSISTED 547 PEOPLE BY PROVIDING MORE THAN 2,355 FREE PRESCRIPTION MEDICATIONS PROVIDED BY PHARMACEUTICAL COMPANIES AT A MARKET VALUE OF MORE THAN $1.5 MILLION. SEED LUNCHEONS SAINT JOSEPH LONDON PROVIDES HEALTH EDUCATION AT THE LOCAL CATHOLIC CHURCH TO SENIOR ADULTS LIVING ON FIXED INCOMES. THESE MONTHLY PROGRAMS OFFER AN OPPORTUNITY FOR SENIORS TO SOCIALIZE, HAVE LUNCH AND HEAR ABOUT SPECIFIC HEALTH ISSUES. IT IS ALSO A TIME FOR THEM TO ASK QUESTIONS REGARDING HEALTH ISSUES AND HAVE MONTHLY HEALTH CHECKS TO ASSIST IN MONITORING THEIR HEALTH. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY PREVENTIVE HEALTH WELLNESS BEGINS WITH PREVENTIVE HEALTH. AT SAINT JOSEPH LONDON, THE GOAL IS TO PROVIDE PUBLIC OUTREACH THROUGH HEALTH SCREENINGS, EDUCATION, FLU CLINICS AND SPECIFIC SERVICES FOCUSED ON PREVENTIVE HEALTH. THROUGH THE CONGESTIVE HEART PROGRAM, AN OUTREACH NURSE VISITED 174 DISCHARGED PATIENTS TO EDUCATE, SUPPORT AND ASSIST THEM IN IMPROVING AND MAINTAINING THEIR HEALTH AND A HIGHER QUALITY OF LIFE. EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SAINT JOSEPH LONDON SERVES AS A CLINICAL EDUCATION SITE FOR STUDENTS IN THE FOLLOWING AREAS OF STUDY: NURSING, PUBLIC HEALTH, LABORATORY, RESPIRATORY CARE, PARAMEDICS, PHARMACY, AND RADIOLOGY. CHF OUTREACH THE CONGESTIVE HEART FAILURE OUTREACH PROGRAM BEGAN 6 YEARS AGO AND IS DESIGNED TO HELP REDUCE THE HIGH RATE OF READMISSIONS FOR PATIENTS WITH CHF. THE GOAL IS TO IMPROVE THE DISEASE-MANAGEMENT ABILITIES OF PATIENTS WHO HAD BEEN DISCHARGED WITH A PRIMARY DIAGNOSIS OF CHF BY HAVING A NURSE VISIT THEM IN THEIR HOMES. IN THEIR OWN HOME ENVIRONMENT PATIENTS ARE TAUGHT HOW TO MANAGE THEIR DIET, MEDICATIONS, READ FOOD LABELS AND IN GENERAL SELF-LEARNING FOR SELF-CARE. THERE IS NO CHARGE TO THE PATIENT. SINCE ITS INCEPTION OVER 315 PATIENTS HAVE BEEN SEEN AND IN THE 6 YEARS ONLY 1 PATIENT HAS BEEN READMITTED WITHIN A 30 DAY PERIOD POST DISCHARGE. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH LONDON PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * TRI CANCER COALITION/AMERICAN CANCER SOCIETY * LAUREL COUNTY SCHOOLS * LAUREL COUNTY HEALTH DEPARTMENT * DANIEL BOONE COMMUNITY ACTION * FAMILY LIFE CENTER (PREGNANCY CENTER) * CHRISTIAN SHELTER FOR HOMELESS * COME UNITY COOPERATIVE CARE (CCC) * OLDER PERSON ACTIVITY CENTER (OPAC) * LAUREL COUNTY EXTENSION OFFICE * SAINT WILLIAM CATHOLIC CHURCH * AREA HEALTH EDUCATION COUNCIL (AHEC) * CABINET FOR CHILDREN & YOUTH SERVICES SAINT JOSEPH MARTIN COMMUNITY OUTREACH FOR THE POOR IN SCHOOL YEAR 2012-2013, MORE THAN 2,000 FLOYD COUNTY STUDENTS RECEIVED DENTAL SCREENINGS BY BIG SANDY HEALTH CARE. THE DENTAL/ORAL HEALTH COMMITTEE (COMPRISED OF FLOYD COUNTY HEALTH DEPARTMENT, BIG SANDY HEALTH CARE, FLOYD COUNTY SCHOOLS AND SAINT JOSEPH MARTIN) DECIDED TO EXPAND THE REACH OF SERVICES AND INCLUDE SCREENINGS FOR HIGH SCHOOL STUDENTS BEGINNING IN FALL 2013. WITH THIS EXPANSION, ALL FLOYD COUNTY STUDENTS ARE NOW ELIGIBLE TO PARTICIPATE IN DENTAL/ORAL HEALTH SCREENINGS. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY DIABETES IS MORE PREVALENT IN EASTERN KENTUCKY THAN ANY OTHER AREA OF THE COMMONWEALTH. DIABETES WAS THE TOPIC FOR THE ANNUAL SENIOR HEALTH FEST. THE FLOYD COUNTY DIABETES COALITION, HEADED UP BY THE FLOYD COUNTY HEALTH DEPARTMENT, PROVIDED A DIABETES INFORMATION BOOTH COVERING TOPICS SUCH AS THE IMPORTANCE OF REGULAR EYE EXAMS AND FOOT CARE. SAINT JOSEPH MARTIN IS A CHARTER MEMBER OF THE COALITION. FLU SHOTS WERE ALSO ADMINISTERED TO MORE THAN 120 SENIORS AT THE HEALTH FEST. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH MARTIN, HIGHLANDS REGIONAL MEDICAL CENTER, BIG SANDY HEALTH CARE, FLOYD COUNTY FAMILY RESOURCE AND YOUTH SERVICES CENTERS, AS WELL AS OTHER COMMUNITY RESOURCES, PARTNERED WITH THE FLOYD COUNTY HEALTH DEPARTMENT TO PROVIDE FREE SERVICES TO THE CITIZENS OF FLOYD COUNTY DURING MAY AND JUNE OF 2013 AS PART OF PROJECT CARE. TO ADDRESS SOME OF THE DISPARITIES IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE SERVICE DAYS FOCUSED ON REACHING OUT TO PATIENTS WITHOUT HEALTH INSURANCE. PROJECT CARE PARTICIPANTS WERE OFFERED A VARIETY OF SERVICES INCLUDING DENTAL (SCREENINGS, CLEANINGS, EXTRACTIONS AND FILLINGS), PAP SMEARS, PROSTATE SCREENINGS, LABORATORY WORK, AND ATHLETIC PHYSICALS. SERVICES WERE PROVIDED FOR TWO DAYS AT VARIOUS LOCATIONS AROUND THE COUNTY TO REACH THOSE IN NEED. IN ADDITION TO THE FREE SCREENING SERVICES, PARTICIPANTS RECEIVED EDUCATIONAL INFORMATION ON A VARIETY OF ISSUES SUCH AS NUTRITION, OBESITY, PHYSICAL ACTIVITY, TOBACCO PREVENTION/CESSATION, HYPERTENSION AND DIABETES. HEALTH PROFESSIONS EDUCATION SAINT JOSEPH MARTIN SERVES AS A CLINICAL EDUCATION SITE FOR MEDICAL STUDENTS, PHARM D STUDENTS, PHYSICAL THERAPY STUDENTS, RESPIRATORY THERAPY STUDENTS, RADIOLOGY STUDENTS, NURSING STUDENTS, SOCIAL WORK STUDENTS, AND HIGH SCHOOL STUDENTS INTERESTED IN PURSUING A CAREER IN HEALTH CARE. COMMUNITY BUILDING ACTIVITIES SAINT JOSEPH MARTIN PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * AMERICAN CANCER SOCIETY * AMERICAN HEART ASSOCIATION * FLOYD COUNTY SCHOOLS * FLOYD COUNTY HEALTH DEPARTMENT * MOUNTAIN REGIONAL PREVENTION CENTER * TRI-COUNTY DIABETES COALITION * FLOYD COUNTY EXTENSION OFFICE * COMMUNITIES AGAINST DRUG ABUSE * GRACEWAY UNITED METHODIST CHURCH SAINT JOSEPH MOUNT STERLING COMMUNITY OUTREACH FOR THE POOR MOUNT STERLING POST CLINIC ONE OF SAINT JOSEPH MOUNT STERLING'S UNIT MANAGERS DONATES THREE HOURS PER MONTH AWAY FROM THE HOSPITAL AT THE "POST CLINIC". THE CLINIC IS HOUSED IN THE FORMER POST OFFICE BUILDING, WHICH IS NOW OWNED BY THE PRESBYTERIAN CHURCH IN MOUNT STERLING. THE BUILDING SPACE IS MADE AVAILABLE SEVERAL DAYS A WEEK BY THE CHURCH FOR VOLUNTEERS TO PROVIDE FREE MEDICAL CARE TO THE WORKING POOR. THE CLINIC IS MADE POSSIBLE BY DONATED SERVICES, ALONG WITH GRANT MONEY FROM THE UNITED WAY AND DONATIONS FROM VARIOUS ORGANIZATIONS AND PRIVATE DONORS. THE BETTER BREATHER'S CLUB THE BETTER BREATHER'S CLUB IS A FREE SOCIAL/EDUCATIONAL SUPPORT GROUP FOR PATIENTS, THEIR FAMILIES AND/OR FRIENDS WITH CHRONIC LUNG DISEASE SUCH AS COPD. THE BETTER BREATHER'S CLUB HELPS PEOPLE BETTER UNDERSTAND AND DEAL WITH THEIR LUNG DISEASE AND GIVES THEM THE OPPORTUNITY TO DISCUSS THEIR CONCERNS WITH OTHER PEOPLE WITH THE SAME ISSUES. AT EACH MEETING, THERE IS AN AVERAGE OF TEN PARTICIPANTS AND EDUCATIONAL TOPICS ARE DISCUSSED, SUCH AS RESPIRATORY MEDICATIONS, THE DISEASE PROCESS AND ILLNESS PREVENTION, AS WELL AS OTHER TOPICS THAT MAY BE REQUESTED BY THE PATIENTS. (CONTINUED)
LINES 2, 4 AND 5	SCHEDULE H, PART VI	THE HEALTHY HEARTS CLUB THE HEALTHY HEARTS CLUB IS A FREE EDUCATIONAL SUPPORT GROUP FOR PATIENTS WITH HEART DISEASE AND THEIR FAMILIES/FRIENDS. HEALTHY HEARTS CLUB OFFERS SUPPORT FOR PEOPLE WHO HAVE BEEN DIAGNOSED WITH HEART PROBLEMS OR PEOPLE WHO ARE TRYING TO PREVENT HEART DISEASE. AN EDUCATIONAL TOPIC IS OFFERED EACH MONTH THAT INFORMS THESE PATIENTS OF NEW TREATMENTS, EXERCISE AND PREVENTION STRATEGIES. THERE IS AN AVERAGE OF TEN PARTICIPANTS EACH MONTH. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY WALK TO REMEMBER PREGNANCY LOSS OR THE DEATH OF A CHILD IS A HEARTBREAK THAT HARDLY FADES WITH TIME. EACH YEAR IN OCTOBER, SJMS SPONSORS A "WALK TO REMEMBER" AND INVITES THOSE WHO HAVE EXPERIENCED SUCH HEARTBREAK TO A SUNDAY AFTERNOON RITUAL OF REMEMBRANCE. THE EVENT THIS YEAR INCLUDED THOSE WHO HAD LOST CHILDREN, AS WELL AS, THOSE WHO HAD LOST ADULTS. EDUCATION OF MEDICAL/PARAMEDICAL PROFESSIONALS SAINT JOSEPH MOUNT STERLING SERVES AS A CLINICAL EDUCATION SITE FOR THE FOLLOWING AREAS OF STUDY: NURSING, PHARMACY, AND RADIOLOGY. COLLABORATIVE EFFORTS TO IMPROVE COMMUNITY HEALTH SAINT JOSEPH MOUNT STERLING PARTNERS WITH THE FOLLOWING ORGANIZATIONS IN A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF OUR COMMUNITIES: * AMERICAN CANCER SOCIETY * AMERICAN RED CROSS * AMERICAN HEART ASSOCIATION * MARCH OF DIMES MARCH FOR BABIES * MONTGOMERY COUNTY HEALTH DEPARTMENT * ST. CLAIRE HOME HEALTH AND HOSPICE * SUPPLIES OVER SEAS
Needs assessment.	Schedule H, Part VI, Line 2	SAINT JOSEPH HOSPITAL & SAINT JOSEPH EAST DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: THE COMMUNITY SERVED BY WAS DEFINED UTILIZING INPATIENT DATA ON PATIENT ORIGIN. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTY-HEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. THROUGH A COLLABORATIVE PROCESS CONDUCTED BY THE LEXINGTON-FAYETTE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP COALITION, COMMUNITY INPUT WAS OBTAINED THROUGH A HOUSEHOLD SURVEY ADMINISTERED TO 6,000 RANDOMLY SELECTED LEXINGTON-FAYETTE COUNTY HOUSEHOLDS. ADDITIONALLY, THREE FOCUS GROUPS WERE CONDUCTED BY THE COALITION INVOLVING A TOTAL OF 77 ADULTS WHO WERE LOW-INCOME, AFRICAN AMERICAN OR HISPANIC. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST CONDUCTED KEY INFORMANT INTERVIEWS WITH FIVE INDIVIDUALS HAVING SPECIALIZED KNOWLEDGE OF THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. SAINT JOSEPH BEREA DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH BEREA TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: THE COMMUNITY SERVED BY WAS DEFINED UTILIZING INPATIENT AND OUTPATIENT DATA ON PATIENT ORIGIN. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. THROUGH A COLLABORATIVE PROCESS CONDUCTED BY SAINT JOSEPH BEREA WITH THE MADISON COUNTY HEALTH DEPARTMENT, THE KENTUCKY HOSPITAL ASSOCIATION AND THE UNIVERSITY OF KENTUCKY, COMMUNITY INPUT WAS OBTAINED THROUGH A COMMUNITY SURVEY, A SERIES OF SIX FOCUS GROUPS AND SIX KEY INFORMANT INTERVIEWS. SAINT JOSEPH LONDON SAINT JOSEPH LONDON (SJL) HAS HAD A SUCCESSFUL WORKING RELATIONSHIP WITH THE LAUREL COUNTY HEALTH DEPARTMENT (LCHD) SINCE 2005 WHEN WE PARTNERED IN A COLLABORATIVE ENDEAVOR TO STEM CHILDHOOD OBESITY. IN OCTOBER OF 2011, WE HAD A MEETING TO BEGIN DISCUSSIONS AROUND A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). TOGETHER WE WORKED TO ENGAGE ORGANIZATIONAL LEADERSHIP FROM COMMUNITY AGENCIES, CHURCH GROUPS, RETIRED PROFESSIONALS, MINORITIES AND INTERESTED CITIZENS TO HELP FORM A HEALTH NEEDS COALITION THAT WOULD GUIDE THE OVERALL PROCESS. THE COALITION CONTINUES TO MEET MONTHLY. THE OBJECTIVES OF THE COALITION ARE TO: 1. DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TOOL, 2. IDENTIFY COMMUNITY HEALTH NEEDS, 3. PRIORITIZE THE IDENTIFIED HEALTH NEEDS, 4. DEVELOP A COMMUNITY HEALTH IMPLEMENTATION PLAN BASED ON THE PRIORITIZED HEALTH NEEDS. WHILE SJL WAS FOCUSED ON CONDUCTING A CHNA, THE LCHD WAS WORKING TOWARD ACCREDITATION UTILIZING THE MAPP PROCESS - MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS. WE WORKED TOGETHER TO DESIGN A COMMUNITY SURVEY THAT WOULD ADDRESS COMMUNITY ASSESSMENT AND HEALTH NEEDS. THE SURVEY WAS DEVELOPED WITH HELP FROM MEMBERS OF THE COMMUNITY COALITION AND DISTRIBUTED WITHIN LAUREL COUNTY MAY THROUGH AND JULY OF 2012. MEMBERS OF THE GENERAL PUBLIC WERE ASKED TO COMPLETE A SURVEY ON THEIR PERCEPTIONS OF THE COUNTIES HEALTH CARE NEEDS. OVER 1,875 SURVEYS WERE COMPLETED IN THE TWO MONTH PERIOD. THE SURVEY WAS AVAILABLE ON-LINE WITH ONLY AN 18% RESPONSE, THE REMAINING WERE HARD COPY SURVEYS DISTRIBUTED AT FAITH-BASED ORGANIZATIONS, PHYSICIAN OFFICES, LOCAL GROCERS, KROGER, WAL-MART, RESTAURANTS, LARGE BAKERY PLANTS I.E. FLOWERS BAKERY AND HEARTHSIDE FOOD SOLUTIONS AS WELL AS AT THE LOCAL ASSISTED LIVING FACILITY. IT WAS ALSO OFFERED TO EMPLOYEES OF THE LCHD AND SJL. IN ADDITION TWO FOCUS GROUPS WERE HELD WITH SPECIFIC GROUPS IN LAUREL AND WHITLEY COUNTIES. THE QUESTIONS PRESENTED TO THESE GROUPS WERE FOCUSED ON HEALTHCARE ISSUES AND HOW THE HOSPITAL MIGHT ASSIST THE COMMUNITY WITH IDENTIFIED ISSUES. SAINT JOSEPH MARTIN DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH MARTIN TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: * THE "COMMUNITY" SERVED BY WAS DEFINED UTILIZING INPATIENT AND OUTPATIENT DATA ON PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. * POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTY-HEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. * AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. * FOUR FOCUS GROUPS WERE CONDUCTED IN THE LATE SUMMER AND EARLY FALL OF 2012. THE FOCUS GROUPS CONDUCTED INCLUDED A SENIOR SUPPORT GROUP, HANDS (HEALTH ACCESS NURTURING DEVELOPMENT SERVICES) PARTICIPANTS AND GENERAL COMMUNITY MEMBERS. SAINT JOSEPH MOUNT STERLING DURING 2012, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY SAINT JOSEPH MOUNT STERLING IN COLLABORATION WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO SUPPORT ITS MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES, TO COMPLY WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS, AND TO IDENTIFY HEALTH NEEDS OF THE COMMUNITY TO HELP PRIORITIZE THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND IRS, THE FOLLOWING STEPS WERE COMPLETED AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: THE "COMMUNITY" SERVED WAS DEFINED BY UTILIZING INPATIENT DATA ON PATIENT ORIGIN. THIS PROCESS IS FURTHER DESCRIBED IN COMMUNITY SERVED BY THE HOSPITAL. POPULATION DEMOGRAPHICS AND SOCIO-ECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED USING VARIOUS SOURCES (SEE REFERENCES IN APPENDICES). THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. *THROUGH A PROCESS CONDUCTED COLLABORATIVELY WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT COMMUNITY INPUT WAS OBTAINED THROUGH A SERIES OF MEETINGS INVOLVING COMMUNITY PARTNERS AND LEADERS AND THROUGH A SURVEY (PAPER AND ON-LINE; ENGLISH AND SPANISH) TO THE GENERAL PUBLIC.
COMMUNITY NEEDS ASSESSMENT	SCHEDULE H, PART VI, LINE 2	INFORMATION GATHERED IN THE STEPS ABOVE WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE PRIORITIZED UTILIZING A METHOD THAT WEIGHS: 1) THE ABILITY TO EVALUATE OUTCOMES; 2) THE SIZE OF THE PROBLEM; 3) THE SERIOUSNESS OF THE PROBLEM; 4) PREVALENCE OF COMMON THEMES; 5) HOW CLOSELY THE NEED ALIGNS WITH THE STRATEGIES AND STRENGTHS OF THE HOSPITAL AND KENTUCKYONE HEALTH; AND 6) AN EVALUATION OF EXISTING HOSPITAL PROGRAMS RESPONDING TO THE IDENTIFIED NEED. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND REPORTED.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	SAINT JOSEPH HEALTH SYSTEM, INC. ("SJHS"), ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES ("CHI"). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, SJHS PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN SJHS OUTPATIENT FACILITIES. IN ADDITION, SJHS REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER SJHS'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE SJHS REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. SJHS'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Community information.	Schedule H, Part VI, Line 4	COMMUNITY A COMMUNITY IS DEFINED AS THE GEOGRAPHIC AREA FROM WHICH A SIGNIFICANT NUMBER OF THE PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. WHILE THE COMMUNITY HEALTH NEEDS ASSESSMENT CONSIDERS OTHER TYPES OF HEALTH CARE PROVIDERS, HOSPITALS ARE THE SINGLE LARGEST PROVIDER OF ACUTE CARE SERVICES. FOR THIS REASON, THE UTILIZATION OF HOSPITAL SERVICES PROVIDES THE CLEAREST DEFINITION OF THE COMMUNITY. SAINT JOSEPH HOSPITAL AND SAINT JOSEPH EAST LEXINGTON (OFFICIALLY LEXINGTON-FAYETTE URBAN COUNTY) IS A MAJOR CITY-THE SECOND LARGEST IN THE STATE OF KENTUCKY. AS OF 2011, THE LEXINGTON-FAYETTE METRO AREA HAD A POPULATION OF 301,569, RANKING IT 63RD IN SIZE NATIONALLY. THE LEXINGTON-FAYETTE METRO AREA IS HOME TO SIX COUNTIES: CLARK, FAYETTE, JESSAMINE, BOURBON, WOODFORD AND SCOTT. LEXINGTON-FAYETTE METRO IS LOCATED IN THE CENTER OF THE INNER BLUEGRASS REGION. SAINT JOSEPH BEREA BEREA, POPULATION 13,561 (2010), IS LOCATED IN MADISON COUNTY, KENTUCKY. BEREA IS ONLY 40 MILES SOUTH OF LEXINGTON, KY AND 15 MILES FROM RICHMOND, KY. EMPLOYMENT BASE INCLUDES OVER 3,500 JOBS IN MANUFACTURING. MADISON COUNTY'S POPULATION DENSITY IS JUST OVER 187 PEOPLE PER SQUARE MILE. A LITTLE MORE THAN HALF OF THE RESIDENTS CAN BE FOUND IN RICHMOND (31,364 RESIDENTS), WHICH IS THE COUNTY SEAT, AND IN BEREA (13,561) WITH APPROXIMATELY 38,000 LIVING IN MANY OF MADISON COUNTY'S UNINCORPORATED COMMUNITIES INCLUDING WACO, PAINT LICK, BOONESBORO, BIGHILL, BYBEE, KIRKSVILLE, ROUND HILL, UNION CITY AND VALLEY VIEW OR IN THE MORE RURAL FARMING AREAS. SAINT JOSEPH LONDON SAINT JOSEPH LONDON IS LOCATED IN LONDON, A RELATIVELY SMALL RURAL COMMUNITY IN KENTUCKY AND THE COUNTY SEAT FOR LAUREL COUNTY. AS OF 2010 THE POPULATION OF LAUREL COUNTY WAS 58,849. LAUREL COUNTY HAS A TOTAL AREA OF 443.74 SQ., MILES AND IS LOCATED IN SOUTHEASTERN KENTUCKY. SAINT JOSEPH MARTIN SAINT JOSEPH MARTIN IS LOCATED IN RURAL FLOYD COUNTY. FLOYD COUNTY IS LOCATED IN EASTERN KENTUCKY, IN THE HEART OF APPALACHIA. PIKEVILLE, KY IS THE CLOSEST LARGER CITY IN KENTUCKY. LEXINGTON, KY AND CHARLESTON, WV ARE ROUGHLY EQUIDISTANT, AS THE CROW FLIES. THERE IS LIMITED ROAD ACCESS TO THE REGION. SAINT JOSEPH MOUNT STERLING SAINT JOSEPH MOUNT STERLING IS LOCATED IN MONTGOMERY COUNTY, KENTUCKY. THE 2010 CENSUS LISTED THE POPULATION OF THIS COUNTY AS 26,499. BATH COUNTY IS SITUATED TO THE NORTHEAST; MENIFEE COUNTY IS TO THE SOUTHEAST, AND POWELL COUNTY IS TO THE SOUTH. MOUNT STERLING, THE COUNTY SEAT OF MONTGOMERY COUNTY, IS LOCATED ABOUT 35 MILES EAST OF LEXINGTON ON I-64 AND IS CONSIDERED THE "GATEWAY TO THE MOUNTAINS." SERVICE AREA SAINT JOSEPH HOSPITAL SAINT JOSEPH HOSPITAL DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS INPATIENTS RESIDE. BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES FROM JULY 1, 2011 TO JUNE 30, 2012, MANAGEMENT HAS IDENTIFIED THE COMMUNITY BY THE TOP ZIP CODES IN ITS COMMUNITY WHICH INCLUDES OVER THIRTY PERCENT FROM 40356, 40505, 40504, 40503, 40391 AND 40517 WHEN SPECIFIC INFORMATION IS NOT AVAILABLE BY ZIP CODE, THIS COMMUNITY HEALTH NEEDS ASSESSMENT RELIES ON COUNTY-LEVEL DATA. SAINT JOSEPH EAST SAINT JOSEPH EAST DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS INPATIENTS RESIDE. BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES FROM JULY 1, 2011 TO JUNE 30, 2012, MANAGEMENT HAS IDENTIFIED THE COMMUNITY AS PATIENT ORIGIN OF THE TOP ZIP CODES WHICH INCLUDES OVER THIRTY PERCENT FROM 40509, 40517, 40475 AND 40391 AS ITS COMMUNITY. SAINT JOSEPH BEREA SAINT JOSEPH BEREA PRIMARY SERVICE AREA WAS IDENTIFIED BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES BY ZIP CODE FROM JULY 1, 2011 TO JUNE 30, 2012, WITH OVER 50 PERCENT FROM ZIP CODE 40403. WHEN SPECIFIC INFORMATION IS NOT AVAILABLE BY ZIP CODE, THIS COMMUNITY HEALTH NEEDS ASSESSMENT RELIES ON COUNTY-LEVEL DATA. SAINT JOSEPH LONDON SAINT JOSEPH LONDON DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS PATIENTS RESIDE. BASED ON THE PATIENT ORIGIN OF INPATIENT DISCHARGES FROM JULY 1, 2011 TO JUNE 30, 2012, MANAGEMENT HAS IDENTIFIED THE COMMUNITY BY PATIENT ORIGIN OF THE TOP ZIP CODES IN ITS COMMUNITY. THE MAJORITY OF SAINT JOSEPH LONDON DISCHARGES (50.42%) ORIGINATE IN LAUREL COUNTY WITH WHITLEY COUNTY FOLLOWING WITH 13.45%, CLAY COUNTY 11.95%, JACKSON COUNTY 6.52%, AND KNOX COUNTY 4.45%. FOR THE PURPOSE OF THIS ASSESSMENT THE FOCUS WAS ON LAUREL COUNTY WITH THE LEADING NUMBER OF DISCHARGES. SAINT JOSEPH MARTIN SAINT JOSEPH MARTIN'S COMMUNITY WAS DEFINED AS THE GEOGRAPHICAL AREA FROM WHICH A SIGNIFICANT NUMBER OF THE PATIENTS UTILIZING HOSPITAL SERVICES RESIDE. WHILE THE COMMUNITY HEALTH NEEDS ASSESSMENT CONSIDERS OTHER TYPES OF HEALTH CARE PROVIDERS, HOSPITALS ARE THE SINGLE LARGEST PROVIDER OF ACUTE CARE SERVICES. FOR THIS REASON, THE UTILIZATION OF HOSPITAL SERVICES PROVIDES THE CLEAREST DEFINITION OF THE COMMUNITY. SAINT JOSEPH MARTIN SERVES PRIMARILY THE RESIDENTS OF FLOYD COUNTY. EIGHTY-TWO PERCENT OF THE INPATIENT DISCHARGES AT SAINT JOSEPH MARTIN ORIGINATE FROM FLOYD COUNTY. SAINT JOSEPH MOUNT STERLING SAINT JOSEPH MOUNT STERLING DEFINES ITS SERVICE AREA FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON WHERE THE MAJORITY OF ITS INPATIENTS RESIDE. THE MAJORITY OF SAINT JOSEPH MOUNT STERLING'S DISCHARGES ORIGINATE IN MONTGOMERY COUNTY. WHILE MENIFEE AND POWELL COUNTIES EACH COUNT ONLY AROUND 10% OF ADMISSIONS FOR SAINT JOSEPH MOUNT STERLING, THEY ARE CONSIDERED PART OF THE HOSPITAL'S PRIMARY SERVICE AREA AND DATA FROM THOSE COUNTIES IS INCLUDED. RESIDENTS IN BATH COUNTY ARE ALSO SERVED BY BATH COUNTY MEDICAL CLINIC, ASSOCIATED WITH SAINT JOSEPH MOUNT STERLING, AND POWELL COUNTY RESIDENTS ARE SERVED BY SAINT JOSEPH PRIMARY CARE CLINIC IN CLAY CITY, AFFILIATED WITH KENTUCKYONE HEALTH. DEMOGRAPHICS SAINT JOSEPH HOSPITAL SAINT JOSEPH HOSPITAL'S CHNA COMMUNITY CONSISTS OF ZIP CODES IN EIGHT COUNTIES: FAYETTE, JESSAMINE, CLARK, WOODFORD, SCOTT, MADISON, BOURBON AND MONTGOMERY. ALMOST 50 PERCENT OF THE HOSPITAL'S DISCHARGES CAME FROM JESSAMINE AND FAYETTE COUNTIES. THERE ARE 549, 238 PEOPLE IN THESE SELECTED ZIP CODES AND 79.25% ARE WHITE AND THE MAJORITY'S MEDIAN INCOME IS 25 TO 50 THOUSAND. SAINT JOSEPH EAST SAINT JOSEPH EAST HOSPITAL'S CHNA COMMUNITY CONSISTS OF ZIP CODES IN FOUR COUNTIES: FAYETTE, MADISON, CLARK AND JESSAMINE. OVER 40 PERCENT OF THE HOSPITAL'S DISCHARGES CAME FROM FAYETTE COUNTY. THERE ARE 379,319 PEOPLE IN THESE SELECTED ZIP CODES; 78.01% ARE WHITE AND THE MEDIAN INCOME IS $58,000. SAINT JOSEPH BEREA MADISON COUNTY IS ONE OF KENTUCKY'S FASTEST GROWING AREAS. ACCORDING TO THE 2010 US CENSUS, THE POPULATION OF MADISON COUNTY WAS 82,916, A 17% INCREASE OVER ITS 2000 POPULATION COUNT. BEREA IS THE THIRD FASTEST GROWING CITY IN KENTUCKY AT A RATE OF 34.3%. THIS HAS BROUGHT ADDITIONAL HOUSING, INDUSTRIES AND BUSINESSES, SCHOOLS, AND EXPANDED COMMUNITY RESOURCES. INTERSTATE 75, CROSSING THROUGH THE COUNTY FROM NORTH TO SOUTH INFLUENCED THE GROWTH OF THE COUNTY. INTERSTATE ACCESSIBILITY PROVIDED OPPORTUNITIES BOTH IN AND OUT OF THE COUNTY FOR LABOR, SHOPPING, AND ACCESS TO ADDITIONAL SERVICES NOT AVAILABLE LOCALLY. SAINT JOSEPH LONDON DEMOGRAPHICS, AVERAGE INCOME & EDUCATION ATTAINMENT THE LAUREL COUNTY COMMUNITY COVERS 443.74 SQUARE MILES. LAUREL COUNTY HAS A POPULATION OF 58,849. THIS POPULATION REPRESENTS AN 11.6% INCREASE SINCE 2000, WHICH IS MORE THAN THE STATE INCREASE OF 7.3% AND THE NATIONAL INCREASE OF 9.7%. THERE IS LITTLE ETHNIC DIVERSITY WITHIN THE 7 COUNTY AS CAN BE SEEN FROM THE 2010 CENSUS BUREAU REPORT. 24.1% OF RESIDENTS ARE UNDER THE AGE OF 18 AND 13.2% OF RESIDENTS ARE 65 YEARS OF AGE OR OLDER. (US CENSUS BUREAU, 2010) LAUREL COUNTY'S 20.1% OF RESIDENTS LIVING BELOW POVERTY IS MORE THAN THE STATE'S 17.7% AND THE U.S. PERCENT OF 13.8% FROM 2006-2010. THE MEDIAN HOUSEHOLD INCOME (2006-2010) WAS $36,787, LOWER THAN THE STATE AT $41,576 AND SIGNIFICANTLY LOWER THAN THE NATIONAL MEDIAN OF $51,914. ALSO LINKED TO POVERTY, INCOME AND HEALTH STATUS ARE HOMEOWNERSHIP RATES (2006-2010), WHICH ARE AT 74.2% IN LAUREL COUNTY, 69.9% IN KENTUCKY AND 66.6% IN THE NATION (US CENSUS BUREAU, 2010). MAJOR EMPLOYERS WITHIN THE COUNTY INCLUDE WAL-MART DISTRIBUTION CENTER, LAUREL CO. SCHOOL SYSTEM, FLOWERS BAKERY (FORMERLY SARA LEE), COOKIE FACTORY, LAUREL GROCERY, ISOM AUTOMOTIVE AND SAINT JOSEPH LONDON. SOCIOECONOMIC CHARACTERISTICS HAVE BEEN SHOWN TO BE IMPORTANT INDICATORS OF HEALTH STATUS. SOCIAL AND ECONOMIC FACTORS AFFECTING HEALTH STATUS INCLUDE, BUT ARE NOT LIMITED TO, EMPLOYMENT, INSURANCE COVERAGE AND EDUCATION.
COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4	UNEMPLOYMENT RATES HAVE DRAMATICALLY INCREASED IN RECENT YEARS. THE MOST CURRENT UNITED STATES DEPARTMENT OF LABOR (2011) DATA SHOW UNEMPLOYMENT RATES OF 10.8% FOR LAUREL COUNTY, 9.5% FOR KENTUCKY, AND 9.1% FOR THE U.S. ADDITIONALLY, THE MOST RECENT HEALTH INSURANCE ESTIMATES SHOW AN UNINSURED RATE OF 15% FOR LAUREL COUNTY, 18% FOR KENTUCKY, AND 16.3% FOR THE US IN 2010 (US CENSUS BUREAU, 2011). SAINT JOSEPH MARTIN - DEMOGRAPHICS, AVERAGE INCOME & EDUCATION ATTAINMENT THE FOLLOWING EXHIBIT PROVIDES AN OVERVIEW OF THE BASIC SOCIAL AND ECONOMIC FACTORS IN FLOYD COUNTY. OF THE 39,451 INDIVIDUALS LIVING IN FLOYD COUNTY, 98.7% OF THEM ARE WHITE. ROUGHLY 69% OF THOSE OVER THE AGE OF 24 HAVE GRADUATED FROM HIGH SCHOOL COMPARED TO A STATE AVERAGE OF 81% AND A NATIONAL AVERAGE OF 92%. MORE THAN ONE-THIRD OF THE POPULATION RATES THEMSELVES AS HAVING FAIR OR POOR HEALTH AND 36.9 OF CHILDREN ARE MEMBERS OF A SINGLE-PARENT HOUSEHOLD. THESE STATISTICS ARE CONSISTENT WITH MANY OF KENTUCKY'S APPALACHIA COUNTIES. THE POVERTY RATE (30.3%) IS SIGNIFICANTLY HIGHER THAN THE NATIONAL RATE OF 11% AND THE MEDIAN HOUSEHOLD INCOME ($29,725) IS ALSO LOWER THAN THE NATIONAL AVERAGE ($52,762). THE UNEMPLOYMENT RATE WAS ABOUT 2% HIGHER IN FLOYD COUNTY THAN IN KENTUCKY. IN TOTAL, THERE ARE CURRENTLY 16, 255 JOBS IN THE COUNTY. SAINT JOSEPH MOUNT STERLING - DEMOGRAPHICS, AVERAGE INCOME & EDUCATION ATTAINMENT THE SOCIO-ECONOMIC CHARACTERISTICS OF A GEOGRAPHIC AREA INFLUENCE THE WAY RESIDENTS ACCESS HEALTH CARE SERVICES AND PERCEIVE THE NEED FOR THEM. THE ECONOMIC STATUS OF AN AREA MAY BE ASSESSED BY EXAMINING MULTIPLE VARIABLES WITHIN THE COMMUNITY. SAINT JOSEPH MOUNT STERLING'S PRIMARY SERVICE AREA INCLUDES 57,009 PEOPLE. STATISTICS SHOW SIGNIFICANTLY LITTLE RACIAL AND ETHNIC DIVERSITY, RATHER AN ALMOST 97% WHITE POPULATION. ALL OTHER RACIAL POPULATIONS COULD BE CONSIDERED MINORITY GROUPS. MEDIAN HOUSEHOLD INCOMES RANGE FROM $28,279 TO $37,393. ALL THE COUNTIES HAVE PERCENTAGES OF POPULATIONS IN POVERTY AND UNEMPLOYMENT RATES THAT ARE UNFAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES. THE AVERAGE ANNUAL RESIDENT UNEMPLOYMENT RATES FOR THE 2007 - 2011 PERIODS FOR COUNTIES IN SAINT JOSEPH MOUNT STERLING'S DEFINED COMMUNITY ROSE SHARPLY REACHING 16.4 PERCENT IN 2009 AND HAS BEEN DROPPING SLIGHTLY, BUT CONTINUES TO BE DOUBLE DIGITS. THE EDUCATIONAL ATTAINMENT OF COMMUNITY RESIDENTS MAY IMPACT THE LOCAL ECONOMY. HIGHER LEVELS OF EDUCATION GENERALLY LEAD TO HIGHER WAGES, LESS UNEMPLOYMENT AND JOB STABILITY. THESE FACTORS MAY INDIRECTLY INFLUENCE COMMUNITY HEALTH. MENIFEE, MONTGOMERY AND POWELL COUNTY RESIDENTS HAVE A LOWER GRADUATION RATE (78 PERCENT, 68 PERCENT AND 76 PERCENT RESPECTIVELY) THAN STATE (81 PERCENT) AND NATIONAL (85 PERCENT) AVERAGES; PERCENTAGE OF RESIDENTS IN ALL FOUR COUNTIES OBTAINING A BACHELOR'S DEGREE (10 TO 13 PERCENT) IS BELOW THE STATE AVERAGE (20.30 PERCENT) AND HALF THE NATIONAL AVERAGE (27.9 PERCENT). BASED ON THE ABOVE STATISTICS THE VULNERABLE POPULATIONS IN THE SAINT JOSEPH MOUNT STERLING SERVICE AREA COULD BE IDENTIFIED AS: LOW-INCOME POPULATION, ESPECIALLY CHILDREN LIVING IN POVERTY POPULATION WITH LOW EDUCATIONAL ATTAINMENT UNEMPLOYED POPULATION ELDERLY POPULATION UNINSURED POPULATION BLACK POPULATION *HISPANIC POPULATION AVERAGE INCOME SAINT JOSEPH HOSPITAL MEDIAN HOUSEHOLD INCOMES RANGE FROM $20,703 TO $86,367. ZIP CODE 40508 HAS MEDIAN HOUSEHOLD INCOME BELOW THE FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR. THESE SAME ZIP CODES HAVE PERCENTAGES OF POPULATION IN POVERTY WHICH IS UNFAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES. UNEMPLOYMENT RATES FOR SAINT JOSEPH HOSPITAL'S CHNA COMMUNITY ARE SLIGHTLY FAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES FOR ALMOST ALL ZIP CODES. SAINT JOSEPH EAST MEDIAN HOUSEHOLD INCOMES RANGE FROM $20,703 TO $72,490. ZIP CODE 40508 HAS MEDIAN HOUSEHOLD INCOME BELOW THE FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR. THIS SAME ZIP CODE HAS A PERCENTAGE OF POPULATION IN POVERTY WHICH IS UNFAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES. UNEMPLOYMENT RATES FOR SAINT JOSEPH EAST HOSPITAL'S CHNA COMMUNITY ARE SLIGHTLY FAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES FOR ALMOST ALL ZIP CODES. SAINT JOSEPH BEREA THE MEDIAN INCOME RANGES FROM $21,448 TO $41,876. JACKSON COUNTY HAS A MEDIAN HOUSEHOLD INCOME BELOW THE FEDERAL POVERTY LEVEL FOR A FAMILY OF FOUR. ALL FOUR COUNTIES (GARRAD, JACKSON, MADISON AND ROCKCASTLE), HAVE PERCENTAGES OF POPULATION IN POVERTY AND UNEMPLOYMENT RATES( 20.9% & 10.3%; 35.6% & 16.2%; 20.3% & 7.7%; 29.2% & 11.7% RESPECTIVELY) THAT ARE UNFAVORABLE COMPARED TO STATE AND NATIONAL AVERAGES. EDUCATION LEVEL SAINT JOSEPH HOSPITAL SAINT JOSEPH HOSPITAL'S PRIMARY SERVICE AREA INCLUDES JESSAMINE, FAYETTE, CLARK, WOODFORD, SCOTT AND BOURBON COUNTIES. FAYETTE COUNTY RESIDENTS OBTAIN A BACHELOR'S DEGREE OR HIGHER (39.10%) GREATER THAN STATE AND NATIONAL AVERAGES AND BOURBON COUNTY WAS LOWEST AT 16% FOR THE SERVICE AREA. SAINT JOSEPH EAST FAYETTE COUNTY RESIDENTS OBTAIN A BACHELOR'S DEGREE OR HIGHER (39.10%) GREATER THAN STATE AND NATIONAL AVERAGES AND BOURBON COUNTY WAS LOWEST AT 16% FOR THE SERVICE AREA. SAINT JOSEPH BEREA EDUCATION MADISON COUNTY RESIDENTS OBTAIN A BACHELOR'S DEGREE OR HIGHER AT RATES GREATER THAN STATE AND NATIONAL AVERAGES; IN MADISON COUNTY THE RATE IS 26.4 PERCENT. HEALTH INSURANCE COVERAGE SAINT JOSEPH HOSPITAL SAINT JOSEPH HOSPITAL'S PRIMARY SERVICE AREA'S UNINSURED RUNS FROM 13.2 PERCENT IN SCOTT COUNTY TO 20.6 PERCENT IN BOURBON COUNTY. THE STATE AVERAGE IS 17.5 PERCENT UNINSURED. SAINT JOSEPH EAST SAINT JOSEPH EAST'S PRIMARY SERVICE AREA'S UNINSURED RUNS FROM 17.7 PERCENT IN CLARK COUNTY TO 18.9 PERCENT IN MADISON COUNTY. THE STATE AVERAGE IS 17.5 PERCENT UNINSURED. SAINT JOSEPH BEREA SAINT JOSEPH BEREA COMMUNITY HAS MORE UNINSURED THAN BOTH KENTUCKY AND THE US BENCHMARK FOR UNINSURED. ABOUT ONE QUARTER OF THE COMMUNITY WHO IS BELOW POVERTY LEVEL IS UNINSURED AND WITHOUT A MEANS TO PAY FOR MANY OF THEIR MEDICAL EXPENSES. SAINT JOSEPH LONDON MEDICAID ELIGIBLE BENEFICIARIES IN LAUREL COUNTY INCLUDED 14,638 OR 24.9% IN 2010. THIS IS COMPARED TO 19.6% IN KENTUCKY. MEDICARE ENROLLMENT WAS 9,846 OR 16.7% IN 2010, COMPARED TO 17% OF THE STATE. . IN ADDITION, 19.7% ARE REPORTED TO BE UNINSURED IN LAUREL COUNTY. KCHIP ENROLLMENT WAS 7,705 FOR LAUREL COUNTY IN 2012. (KENTUCKY DEPARTMENT OF MEDICAID SERVICES). SAINT JOSEPH MARTIN APPROXIMATELY 50% OF THE TOTAL INPATIENT VISITS WERE PAID FOR BY MEDICARE, 17.4% BY MEDICAID, 15.2% WERE CLASSIFIED AS CHARITABLE CARE AND 8.5% WERE PAID BY COMMERCIAL INSURANCE. THE AVERAGE CHARGES WERE HIGHEST FOR COMMERCIAL INSURANCE AND OTHER FEDERAL PROGRAMS AND THE LOWEST CHARGES FOR ONE OF THE NEW MEDICAID CARE ORGANIZATIONS (COVENTYCARES), SELF-PAY, WORKERS COMPENSATION, AND CHARITABLE PAY. SAINT JOSEPH MOUNT STERLING SAINT JOSEPH MOUNT STERLING PRIMARY SERVICE AREA'S UNINSURED RUNS FROM 18.1 PERCENT IN MONTGOMERY TO 20.9 PERCENT IN MENIFEE COUNTY. THE STATE AVERAGE IS 17.5 PERCENT UNINSURED. HEALTHCARE COVERAGE SAINT JOSEPH HOSPITAL THERE ARE A LARGE NUMBER OF HOSPITALS IN SAINT JOSEPH HOSPITAL'S SERVICE AREA WITH 2,075 LICENSED ACUTE CARE BEDS, 31 PSYCHIATRIC BEDS, 56 NEO-NATAL LEVEL II BEDS AND 58 NEO-NATAL LEVEL III BEDS. THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES REPORTS TWO AMBULATORY CARE CLINICS WITHIN SAINT JOSEPH HOSPITAL'S SERVICE AREA. THE TOTAL NUMBER OF AMBULATORY CARE CLINICS REPORTED FOR THE ENTIRE STATE OF KENTUCKY IS 20. THERE ARE LICENSED FACILITIES OTHER THAN HOSPITALS AND AMBULATORY CARE CLINICS IN THE LEXINGTON-FAYETTE METRO AREA. THESE FACILITIES INCLUDE HOME HEALTH, HOSPICE, ADULT DAY CARE, AMBULATORY SURGERY CENTERS, REHABILITATION AGENCIES AND PRIVATE DUTY NURSING PROVIDERS. THERE ARE SEVERAL COUNTY HEALTH DEPARTMENTS LOCATED WITHIN SAINT JOSEPH HOSPITAL'S CHNA COMMUNITY: LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT (LFCHD); JESSAMINE COUNTY HEALTH DEPARTMENT; CLARK COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, MADISON COUNTY HEALTH DEPARTMENT, MONTGOMERY COUNTY HEALTH DEPARTMENT AND BOURBON COUNTY HEALTH DEPARTMENT. SAINT JOSEPH EAST THERE ARE A LARGE NUMBER OF HOSPITALS IN SAINT JOSEPH EAST'S SERVICE AREA WITH 1,975 LICENSED ACUTE CARE BEDS, 31 PSYCHIATRIC BEDS, 56 NEO-NATAL LEVEL II BEDS AND 58 NEO-NATAL LEVEL III BEDS. THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES REPORTS TWO AMBULATORY CARE CLINICS WITHIN SAINT JOSEPH EAST'S SERVICE AREA. (CONTINUED)
COMMUNITY INFORMATION CONTINUED	SCHEDULE H, PART VI, LINE 4	THERE ARE LICENSED FACILITIES OTHER THAN HOSPITALS AND AMBULATORY CARE CLINICS IN THE LEXINGTON-FAYETTE METRO AREA. THESE FACILITIES INCLUDE HOME HEALTH, HOSPICE, ADULT DAY CARE, AMBULATORY SURGERY CENTERS, REHABILITATION AGENCIES AND PRIVATE DUTY NURSING PROVIDERS. THERE ARE SEVERAL COUNTY HEALTH DEPARTMENTS LOCATED WITHIN SAINT JOSEPH EAST'S CHNA COMMUNITY: LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT (LFCHD); JESSAMINE COUNTY HEALTH DEPARTMENT; CLARK COUNTY HEALTH DEPARTMENT AND MADISON COUNTY HEALTH DEPARTMENT. SAINT JOSEPH EAST HAS RELIED ON INFORMATION PROVIDED BY THE LEXINGTON-FAYETTE COUNTY HEALTH DEPARTMENT SINCE A LARGE PERCENTAGE OF THE HOSPITAL'S DISCHARGES ORIGINATE IN LEXINGTON-FAYETTE METRO AREA. SAINT JOSEPH BEREA THE FOLLOWING DESCRIBES THE AVAILABILITY OF HEALTH CARE RESOURCES TO THE RESIDENTS OF SAINT JOSEPH BEREA'S SERVICE AREA. HOSPITALS MADISON COUNTY HAS ONE OTHER HOSPITAL BESIDES SAINT JOSEPH BEREA. BAPTIST HEALTH (FORMERLY PATTY A CLAY) IS LOCATED IN RICHMOND, 14 MILES NORTH OF BEREA. A THIRD HOSPITAL IN THE AREA IS ROCKCASTLE REGIONAL, IN ROCKCASTLE COUNTY. THERE ARE SEVERAL AVAILABLE AMBULATORY CARE CENTERS AND THE MAJORITY ARE IN FAYETTE COUNTY, OTHER LICENSED FACILITIES THERE ARE LICENSED SERVICES OTHER THAN HOSPITALS AND AMBULATORY CARE CLINICS IN MADISON COUNTY. THESE INCLUDE HOME HEALTH, HOSPICE, ADULT DAY CARE, AMBULATORY SURGERY CENTERS, REHABILITATION AGENCIES AND PRIVATE DUTY NURSING PROVIDERS. HEALTH DEPARTMENTS MADISON COUNTY HEALTH DEPARTMENT IS THE ONLY HEALTH DEPARTMENT IN MADISON COUNTY TWO OFFICES, ONE IN RICHMOND AND ONE IN BEREA. SAINT JOSEPH BEREA HAS A VERY GOOD COLLABORATIVE RELATIONSHIP WITH THEM, ESPECIALLY THE OFFICE IN BEREA. SAINT JOSEPH LONDON SAINT JOSEPH LONDON IS THE ONLY HOSPITAL IN LAUREL COUNTY. IT IS A 120 BED, ACUTE CARE, PRIVATE, NON-PROFIT HOSPITAL. (KENTUCKY BOARD OF MEDICAL LICENSURE, KENTUCKY BOARD OF DENTISTRY, KENTUCKY BOARD OF NURSING, AND KENTUCKY BOARD OF PHARMACY) REPORTED 60 PRIMARY PHYSICIANS, AND 40 DENTISTS PER 100,000 POPULATION IN LAUREL COUNTY. A HOSPITAL IS LOCATED IN FOUR OF THE SEVEN COUNTIES SURROUNDING LAUREL COUNTY. IN PULASKI COUNTY, CUMBERLAND REGIONAL MEDICAL CENTER (33 MILES TO THE WEST), ROCKCASTLE COUNTY: ROCKCASTLE REGIONAL HOSPITAL AND RESPIRATORY CARE CENTER, AN INPATIENT, OUTPATIENT FACILITY - THE ONLY FACILITY IN KENTUCKY THAT SPECIALIZES IN CARING FOR VENTILATOR-DEPENDENT ADULTS & CHILDREN (APPROXIMATELY 20 MILES NORTH OF LONDON). CLAY COUNTY IS NORTHEAST OF LONDON HOME TO MANCHESTER MEMORIAL HOSPITAL (APPROXIMATELY 20 MILES FROM LONDON.) BAPTIST REGIONAL MEDICAL CENTER IS LOCATED IN CORBIN (WHITLEY COUNTY) APPROXIMATELY 15 MILES SOUTH OF LONDON. CLAY AND KNOX COUNTIES ARE DESIGNATED BY THE FEDERAL GOVERNMENT AS MEDICALLY UNDERSERVED AND HEALTH PROFESSIONAL SHORTAGE AREAS. SAINT JOSEPH MARTIN FLOYD COUNTY IS NOT CONSIDERED A MEDICALLY UNDERSERVED AREA; HOWEVER, ADJOINING KNOTT COUNTY IS CONSIDERED MEDICALLY UNDERSERVED. KNOTT COUNTY IS SAINT JOSEPH MARTIN'S SECOND LARGEST SERVICE AREA. THERE ARE THREE HOSPITALS IN FLOYD COUNTY; HIGHLANDS REGIONAL MEDICAL CENTER, PRESTONSBURG, KY - 184 BEDS, 50 ACTIVE PHYSICIANS AND TWO CLINICS IN FLOYD COUNTY; MCDOWELL APPALACHIAN REGIONAL HOSPITAL, MCDOWELL, KY - 25 BEDS, 77 ACTIVE PHYSICIANS AND THREE CLINICS; AND, SAINT JOSEPH MARTIN - 25 BEDS, 22 ACTIVE PHYSICIANS AND FOUR RURAL HEALTH CLINICS. HIGHLANDS REGIONAL MEDICAL CENTER AND MCDOWELL APPALACHIAN REGIONAL HOSPITAL OPERATE HOME HEALTH SERVICES. THERE IS ONE HEALTH DEPARTMENT IN FLOYD COUNTY LOCATED IN PRESTONSBURG, KY; HOWEVER, THERE ARE SATELLITE CLINICS IN WHEELWRIGHT AND BETSY LAYNE AREAS. BIG SANDY HEALTH CARE (BSHC), A FEDERALLY QUALIFIED HEALTH CENTER, HAS BEEN IN OPERATION SINCE 1974 AND OPERATES TWO MEDICAL CLINICS IN FLOYD COUNTY. ALSO BSHC OPERATES CLINICS IN PIKE, MAGOFFIN AND MARTIN COUNTIES OF THE BIG SANDY AREA DISTRICT. SAINT JOSEPH MOUNT STERLING HEALTH CARE RESOURCES TO THE RESIDENTS OF SAINT JOSEPH MOUNT STERLING'S SERVICE AREA ARE AS FOLLOWS: SAINT JOSEPH MOUNT STERLING, LOCATED IN MONTGOMERY COUNTY, IS THE ONLY HOSPITAL IN THE FOUR COUNTY PRIMARY SERVICE AREA. IT HAS 42 LICENSED ACUTE CARE BEDS. CLARK REGIONAL MEDICAL CENTER IN WINCHESTER, CLARK COUNTY IS LOCATED JUST TO THE WEST OF MONTGOMERY COUNTY AND SAINT CLAIRE MEDICAL CENTER IN MOREHEAD, ROWAN COUNTY, IS LOCATED JUST TO THE EAST OF BATH COUNTY. THE KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES REPORTS 20 AMBULATORY CARE CLINICS IN KENTUCKY BUT THERE ARE NONE WITHIN SAINT JOSEPH MOUNT STERLING'S PSA. THERE ARE LICENSED FACILITIES OTHER THAN HOSPITALS IN MONTGOMERY, BATH, MENIFEE AND POWELL COUNTIES. STERLING HEALTH SOLUTIONS, A FQHC, WAS RECENTLY OPENED (FALL, 2012) IN MOUNT STERLING TO PROVIDE SERVICE TO MONTGOMERY, MENIFEE AND BATH COUNTIES. BATH FAMILY HEALTH, AFFILIATED WITH SAINT JOSEPH MOUNT STERLING, IS LOCATED IN OWINGSVILLE, BATH COUNTY, AND SAINT JOSEPH PRIMARY CARE CLINIC, AFFILIATED WITH KENTUCKYONE HEALTH IS LOCATED IN CLAY CITY IN POWELL COUNTY. THE "POST" CLINIC IN MOUNT STERLING SERVES THE WORKING POOR IN MOUNT STERLING. OTHER FACILITIES INCLUDE HOME HEALTH, HOSPICE, ADULT DAY CARE, REHABILITATION AGENCIES AND PRIVATE DUTY NURSING PROVIDERS. ACCORDING TO THE KENTUCKY BOARD OF MEDICAL LICENSURE AND THE KENTUCKY BOARD OF DENTISTRY, ALL COUNTIES RANK SIGNIFICANTLY LOWER THAN THE STATE AVERAGE OF PRIMARY CARE PHYSICIANS, SPECIALIST PHYSICIANS AND DENTISTS. THERE ARE SEVERAL COUNTY HEALTH DEPARTMENTS LOCATED WITHIN SAINT JOSEPH MOUNT STERLING'S CHNA COMMUNITY: MONTGOMERY COUNTY HEALTH DEPARTMENT AS WELL AS THE GATEWAY DISTRICT HEALTH DEPARTMENT (WHICH INCLUDES BATH AND MENIFEE COUNTIES ALONG WITH TWO OTHERS). AS STATED EARLIER, SAINT JOSEPH MOUNT STERLING COLLABORATED WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT TO CONDUCT ITS COMMUNITY HEALTH NEEDS ASSESSMENT AS THE MAJORITY OF INPATIENTS ORIGINATE IN MONTGOMERY COUNTY. MONTGOMERY COUNTY HEALTH DEPARTMENT'S (MCHD) 34 MEMBER STAFF IS MADE UP OF PUBLIC HEALTH NURSES, HEALTH EDUCATORS, COMMUNITY OUTREACH WORKERS, AND OTHER PUBLIC HEALTH PROFESSIONALS, ALL OF WHICH ARE COMMITTED TO PROTECTING AND IMPROVING HEALTH IN MONTGOMERY COUNTY. MONTGOMERY COUNTY HEALTH DEPARTMENT OPERATES CLINICAL AND EDUCATIONAL PROGRAMS FOR COMMUNITY MEMBERS REGARDLESS OF THEIR ABILITY TO PAY. SOME SERVICES ARE PROVIDED TO CLIENTS REGARDLESS OF THEIR COUNTY OF RESIDENCE. NON-RESIDENT CLIENTS REQUIRING EXPANDED SERVICES, SUCH AS TB TREATMENT AND FOLLOW-UP, MAY BE REFERRED TO THEIR HOME COUNTY FOR ONGOING CARE, AS INDICATED. ALTHOUGH MONTGOMERY COUNTY HEALTH DEPARTMENT PROVIDES LIMITED FAMILY PLANNING SERVICES AND DOES NOT PROVIDE DIRECT PRENATAL OR PRIMARY CARE SERVICES, THE DEPARTMENT PARTNERS WITH EXPERTS IN THE FIELD TO ASSURE ACCESS TO THESE SERVICES FOR THE WHOLE COMMUNITY. THE DEPARTMENT'S PRIMARY PARTNER AGENCIES INCLUDE SAINT JOSEPH MOUNT STERLING HOSPITAL, STERLING HEALTH SOLUTIONS, INC., (A FEDERALLY QUALIFIED HEALTHCARE CENTER) AND OTHER COMMUNITY HEALTH CARE PROVIDERS. NON-TRADITIONAL PARTNERS INCLUDE MONTGOMERY COUNTY SCHOOLS, CHAMBER OF COMMERCE, AND COOPERATIVE EXTENSION. THE DEPARTMENT ALSO WORKS WITH COMMUNITY PARTNERS TO PLAN AND PREPARE TO RESPOND TO PUBLIC HEALTH DISASTERS AND EMERGENCIES AND STANDS READY TO IMPLEMENT MASS VACCINATION IN RESPONSE TO INFECTIOUS DISEASE OUTBREAKS.
Promotion of community health	Schedule H, Part VI, Line 5	SAINT JOSEPH HOSPITAL, SAINT JOSEPH EAST, SAINT JOSEPH BEREA, SAINT JOSEPH LONDON, SAINT JOSEPH MARTIN AND SAINT JOSEPH MOUNT STERLING COLLABORATE WITH AN ORGANIZATION CALLED SUPPLIES OVER SEAS (SOS) WHOSE MISSION IS TO RECOVER USABLE MEDICAL SUPPLIES AND SHIP THEM TO THIRD-WORLD COUNTRIES. KENTUCKYONE HEALTH HOSPITALS JOINED THE EFFORT TO HELP IMPROVE HEALTH HERE AND ABROAD. TO COLLECT AS MANY SUPPLIES AS POSSIBLE, BINS ARE PLACED THROUGHOUT THE HOSPITALS IN HIGH-TRAFFIC AREAS SUCH AS SURGERY. FOR EXAMPLE, WHEN A SURGERY PACK IS OPENED AND ONLY A PORTION OF THE ITEMS ARE USED, THE UNUSED SUPPLIES ARE PLACED IN A BIN FOR REDISTRIBUTION INSTEAD OF BEING THROWN AWAY. OWENS MINOR, A HOSPITAL SUPPLY COMPANY, SHIPS SUPPLIES DONATED BY OUR HOSPITALS AT NO COST ACROSS KENTUCKY TO LOUISVILLE WHERE SOS IS HEADQUARTERED. SOS VOLUNTEERS SORT AND REPACKAGE USABLE SUPPLIES AND SEND THEM TO DEVELOPING COUNTRIES THAT LACK MODERN MEDICAL FACILITIES. BY REDISTRIBUTING MEDICAL SUPPLIES, WE ARE HELPING TO CREATE HEALTHIER COMMUNITIES WORLDWIDE. WE ARE ALSO REDUCING OUR CARBON FOOTPRINT BY KEEPING THESE MATERIALS OUT OF LANDFILLS. TO DATE, SOS HAS SHIPPED SUPPLIES TO 90 COUNTRIES AND KENTUCKYONE HEALTH HAS SUPPORTED THIS EFFORT BY DONATING NEARLY 13,500 POUNDS OF SUPPLIES IN 2012.
Affiliated health care system	Schedule H, Part VI, Line 6	SAINT JOSEPH HEALTH SYSTEM INC.,ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS.
State filing of community benefit report	Schedule H, Part VI, Line 7	KY

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	8750	GO RED SPONSORSHIP
COMMERCE LEXINGTON
PO BOX 1968	LEXINGTON	KY	40588	610258800	501(C)(3)	8250	SPONSORSHIP
KENTUCKY BLOOD CENTER
3121 BEAUMONT CENTER CIRCLE	LEXINGTON	KY	40513	616058138	501(C)(3)	30000	CAPITAL CAMPAIGN
LEXINGTON STRIDES AHEAD
330 EAST MAIN STREET	LEXINGTON	KY	40507	611322448	501(C)(3)	10000	ECONOMIC DEVELOPMENT
MARCH OF DIMES
207 EAST REYNOLDS ROAD	LEXINGTON	KY	40517	131846366	501(C)(3)	6500	SPONSORSHIP
SAINT JOSEPH HOSPITAL FOUNDATION
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611159649	501(C)(3)	7600	SPONSORSHIP
THE LYRIC THEATRE
300 EAST THIRD STREET	LEXINGTON	KY	40508	272608879	501(C)(3)	25000	SPONSORSHIP
SAINT JOSEPH MEDICAL FOUNDATION
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	311539059	510(C)(3)	142820	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (31 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BENNY NOLEN
PRESIDENT SAINT JOSEPH MOUNT STERLING	173809	0	6000	0	24870	0	29535	0	12429	0	246643	0	0	0
BEV WEBER
SENIOR VP/COO KYONE HEALTH	509625	0	0	0	16467	0	20596	0	9800	0	556488	0	0	0
BRUCE KLOCKARS
FORMER CHIEF EXECUTIVE OFFICER	0	431476	0	61455	0	71784	0	30596	0	14053	0	609364	0	0
CARLA WALTER
FORMER CORP RESP & PRIVACY OFFICER	0	104485	0	48113	0	80930	0	24000	0	12872	0	270400	0	0
CARMEL JONES
FORMER COO/VP FINANCE - LONDON	204607	0	17860	0	524	0	25073	0	18818	0	266882	0	0	0
CHRISTINE MAYS
FORMER COO/CNE - SJH	280905	0	20000	0	1570	0	33096	0	13151	0	348722	0	0	0
CHRISTY SPITSER
VP FINANCE LONDON, MARTIN, BEREA	146669	0	14341	0	3354	0	15808	0	19242	0	199414	0	0	0
DANIEL VARGA
FORMER CHIEF MEDICAL OFFICER	490529	0	65799	0	51590	0	57315	0	19581	0	684814	0	36064	0
EDWARD CARTHEW
FORMER CHIEF HUMAN RESOURCES OFFICER	123179	0	24095	0	171423	0	23096	0	10917	0	352710	0	20882	0
ELISEO COLON
PULMONOLOGIST	12168	340017	0	132798	0	11789	0	20596	0	20748	12168	525948	0	0
ERIC GILLIAM
PRESIDENT SAINT JOSEPH EAST	187696	0	0	0	510	0	20907	0	19406	0	228519	0	0	0
GARY ERMERS
FORMER CHIEF FINANCIAL OFFICER	248822	0	38290	0	272704	0	48198	0	20439	0	628453	0	32217	0
GREG GERARD
PRESIDENT LONDON	179603	0	22601	0	28926	0	32688	0	13083	0	276901	0	19189	0
JEFFREY MILAM
ANESTHESIOLOGIST	522329	0	0	0	1932	0	20596	0	15260	0	560117	0	0	0
JOHN SMITHHISLER
PRESIDENT SAINT JOSEPH HOSPITAL/MARKET LEADER KYONE HEALTH	229625	0	0	0	21708	0	0	0	2498	0	253831	0	0	0
KATHY STUMBO
PRESIDENT-MARTIN	178888	0	25469	0	40010	0	39608	0	20070	0	304045	0	30074	0
KEN HAYNES
FORMER PRESIDENT-SJH	211308	0	0	0	271690	0	44684	0	20424	0	548106	0	35703	0
MARK STREETY
FORMER CHIEF INNOVATION OFFICER	154213	0	27080	0	162529	0	47313	0	10427	0	401562	0	25142	0
MELINDA EVANS
REGIONAL VP OF FINANCE	221247	0	22063	0	669	0	20047	0	6956	0	270982	0	0	0
MICHAEL ROWAN FACHE
BOARD OF DIRECTORS/EXEC VP/CHI COO	0	1010071	0	468458	0	173838	0	201012	0	19541	0	1872920	0	150422
MUNAWAR SIDDIQI
ANESTHESIOLOGIST	67555	374577	0	194633	0	1932	20596	0	325	19625	88476	590767	0	0
PAUL EDGETT
BOARD OF DIRECTORS/SVP CHI	0	440982	0	214258	0	79137	0	64715	0	21785	0	820877	0	57444
PEGGY GREEN
FORMER COO/CNO-LONDON	124682	0	5000	0	88310	0	19709	0	6803	0	244504	0	0	0
ROBERT BROCK
FORMER VP FINANCE LONDON	217360	0	29384	0	1214	0	25583	0	6888	0	280429	0	0	0
RON FARR
FORMER INTERIM CFO KYONE HEALTH/TREASURER	0	437424	0	5000	0	360090	0	108055	0	7699	0	918268	0	289263
RUTH WILLIAMS BRINKLEY
BOARD OF DIRECTORS/PRESIDENT & CEO OF KOH	0	816304	0	90508	0	87605	0	126221	0	7975	0	1128613	0	0
SATHYENDRA MYSORE
ANESTHESIOLOGIST	575295	0	0	0	1260	0	23096	0	20416	0	620067	0	0	0
SHARON HAGER
SECRETARY	0	289225	0	73384	0	20465	0	23096	0	8915	0	415085	0	0
STEVE LIN
CARDIOLOGIST	10802	404852	0	449201	0	1285	0	20596	0	17008	10802	892942	0	0
TANJA OQUENDO
SVP CHIEF HR OFFICER - KYONE HEALTH	224847	59216	0	15563	101975	177	22142	0	11924	4879	360888	79835	9233	0
VIRGINIA DEMPSEY
FORMER PRESIDENT-LONDON	267985	0	0	0	148625	0	23096	0	14446	0	454152	0	13542	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
METHODS USED TO ESTABLISH CEO COMPENSATION	SCHEDULE J, PART I, LINE 3	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Severance or change-of-control payment	Schedule J, Part I, Line 4a	SAINT JOSEPH HEALTH SYSTEM, INC.'S SEVERANCE MAY BE OFFERED TO REGULAR FULLTIME OR PART-TIME EMPLOYEES BASED ON YEARS OF SERVICE AND SCHEDULED HOURS. TO BE ELIGIBLE FOR SEVERANCE, AN EMPLOYEE MUST STAY WITH THE ORGANIZATION THROUGH THE END OF THE ANNOUNCED SEPARATION DATE AND NOT ACCEPT ANOTHER REGULAR FULL-TIME OR PART-TIME POSITION WITHIN THE ORGANIZATION. AN EMPLOYEE WILL NOT BE ELIGIBLE FOR SEVERANCE IF HE OR SHE SEPARATES FROM THE ORGANIZATION DUE TO PERFORMANCE ISSUES PRIOR TO THE JOB ELIMINATION DATE. MANAGEMENT HAS THE RIGHT TO CHANGE SEVERANCE PAY AMOUNTS AT ANY TIME AS BUSINESS NEEDS CHANGE. THE SEVERANCE PERIOD WILL IMMEDIATELY FOLLOW TERMINATION OF EMPLOYMENT. EMPLOYEES MUST SIGN A VALID AND COMPLETE WAIVER OF ALL CLAIMS PRIOR TO COMMENCEMENT OF SEVERANCE PAY. IN ADDITION, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: EDWARD CARTHEW $115.841 VIRGINIA DEMPSEY $34,512 GARY ERMERS $152,350 PEGGY GREEN $72,934 KEN HAYNES $203,931 MARK STREETY $112,486 CARLA WALTER $53,308 POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR JEWISH HOSPITAL AND ST. MARY'S HEALTHCARE ("JHSMH") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM JHSMH (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: RONALD FARR -$7,881
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MELVIN ALEXANDER, EDWARD CARTHEW, VIRGINIA DEMPSEY, PAUL EDGETT, GARY ERMERS, GREG GERARD, ERIC GILLIAM, KEN HAYNES, BRUCE KLOCKARS, BENNY NOLEN, TANJA OQUENDO, MICHAEL ROWAN, JOHN SMITHHISLER, MARK STREETY, KATHY STUMBO, DANIEL VARGA, BEVERLY WEBER AND RUTH WILLIAMS -BRINKLEY. DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MELVIN ALEXANDER $3,825 PAUL EDGETT $36,619 GARY ERMERS $20,102 GREG GERARD $16,457 KEN HAYNES $19,088 BENNY NOLEN $15,751 TANJA OQUENDO $1,546 MICHAEL ROWAN $177,916 MARK STREETY $14,217 KATHY STUMBO $16,560 DANIEL VARGA $36,719 RUTH WILLIAMS-BRINKLEY $103,125 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: EDWARD CARTHEW $20,882 VIRGINIA DEMPSEY $13,542 PAUL EDGETT $57,444 GARY ERMERS $32,217 GREG GERARD $19,189 KEN HAYNES $35,703 TANJA OQUENDO $9,233 MICHAEL ROWAN $150,422 MARK STREETY $25,142 KATHY STUMBO $30,074 DANIEL VARGA $36,064 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2012 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2012, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: VIRGINIA DEMPSEY $23,206 BRUCE KLOCKARS $38,453 DURING THE 2012 CALENDAR YEAR JEWISH HOSPITAL AND ST. MARY'S HEALTHCARE ("JHSMH"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: RONALD FARR DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY JHSMH TO THE DEFERRED COMPENSATION PLAN: RONALD FARR -$75,000 DURING 2012 THE DEFERRED COMPENSATION PLANS FULLY VESTED AND WERE INCLUDED AS COMPENSATION IN THE 2012 FORM W-2 FOR THE FOLLOWING INDIVIDUALS. THE AMOUNTS REPORTED BELOW ARE THE AMOUNTS INCLUDED IN 2012 INCOME AND NOT NECESSARILY THE AMOUNT DISTRIBUTED DURING 2012 FROM THE COMPENSATION PLAN: RONALD FARR -$364,263
Compensation contingent on revenues of the organization	Schedule J, Part I, Line 5a	REPORTABLE PHYSICIANS RECEIVE INCENTIVE COMPENSATION BASED ON "GROSS PROFESSIONAL REVENUE." "GROSS PROFESSIONAL REVENUE" WAS NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL GROSS REVENUE OR ORGANIZATIONAL "GROSS INCOME." RATHER, AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S INDIVIDUAL CONTRIBUTION COMPUTED AS: PHYSICIANS PERSONALLY PERFORMED PROFESSIONAL SERVICES (FOR SERVICES RENDERED BY THE PHYSICIAN TO PATIENTS PERSONALLY) LESS SOME SPECIFICALLY STATED PHYSICIAN REVENUE AND REFUNDS.
Non-fixed payments	Schedule J, Part I, Line 7	SJHS HAS AN INCENTIVE PLAN FOR EMPLOYED PHYSICIANS. THE PLAN IS BASED ON A COMBINATION OF PHYSICIAN PRODUCTIVITY, QUALITY, AND PATIENT SATISFACTION GOALS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
New program services	Form 990, Part III, Line 2	DURING FISCAL YEAR 2013, SAINT JOSEPH HEALTH SYSTEM, INC. HAD THE FOLLOWING PROGRAM SERVICES ADDED: * SAINT JOSEPH LEXINGTON PURCHASED RICHMOND OPEN MRI IN NOVEMBER 2012. THE FACILITY BECAME SAINT JOSEPH OUTPATIENT CARE CENTER RICHMOND. * SAINT JOSEPH LEXINGTON OPENED SAINT JOSEPH OUTPATIENT CARE CENTER - TATES CREEK IN DECEMBER 2012. * SAINT JOSEPH LONDON OPENED THE CORBIN CANCER CENTER IN FEBRUARY 2013. * SAINT JOSEPH LONDON OPENED THE CARDIAC CARE CENTER IN NOVEMBER 2012.
Delegate broad authority to a committee	Form 990, Part VI, Section A, Line 1a	PURSUANT TO SECTION 7.1 OF THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, INC., THE BOARD OF DIRECTORS MAY SET THE QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS OF THE CORPORATION. COMMITTEES MAY INCLUDE PERSONS OTHER THAN DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ACCORDING TO THE BYLAWS OF SAINT JOSEPH HEALTH SYSTEM, INC., THE ENTITY'S SOLE MEMBER IS KENTUCKYONE HEALTH, INC., A KENTUCKY NONPROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	SAINT JOSEPH HEALTH SYSTEM, INC.'S (SJHS) CORPORATE MEMBER IS KENTUCKYONE HEALTH, INC. PURSUANT TO SECTION 4.4.1 OF THE ORGANIZATION'S BYLAWS, NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF THE CORPORATION NOR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION SHALL TAKE ANY ACTION EITHER IN CONTRADICTION OF ANY OF THE FOREGOING POWERS, OR WITHOUT FIRST HAVING SECURED THE NECESSARY APPROVALS OR GIVEN THE APPROPRIATE NOTIFICATIONS AS MAY BE REQUIRED BY THESE BYLAWS. IN ADDITION, PURSUANT TO SECTION 4.4.2 OF THE ORGANIZATION'S BYLAWS, IN EXERCISE OF ITS APPROVAL POWERS, THE CORPORATE MEMBER MAY GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT OF THE CORPORATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE INTERIM CFO AND AN ELECTRONIC COPY IS PROVIDED TO EACH MEMBER OF THE BOARD. AFTER THE RETURN IS REVIEWED BY THE INTERIM CFO, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY THAT EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. SUBSEQUENT TO THE RETURN BEING FILED, THE PRESIDENT/CEO OF KENTUCKYONE HEALTH, INC., THE SOLE MEMBER OF THE ORGANIZATION, PRESENTS THE RETURN AT A SAINT JOSEPH HEALTH SYSTEM, INC. BOARD MEETING.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S CEO WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHEN A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S CHIEF EXECUTIVE OFFICER SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THIS POLICY AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DIRECTORS AND OFFICERS MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S CHIEF EXECUTIVE OFFICER. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE BOARD CHAIR. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF ANY CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THIS POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THIS POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF A DIFFERENCE OF OPINION EXISTS BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THIS POLICY, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OF DIRECTORS.
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	FORM 990, PART VI, LINE 15A	THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	SAINT JOSEPH HEALTH SYSTEM, INC.'S EXECUTIVE LEADERSHIP COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE TO THE BOARD. AN OUTSIDE CONSULTANT PROVIDED COMPARATIVE DATA BASED ON BASE COMPENSATION, TOTAL COMPENSATION, AND EXECUTIVE BENEFITS. PHYSICIAN COMPENSATION IS REVIEWED AND APPROVED BY PLC, MANAGEMENT PTRC, BOARD PTRC, AND ULTIMATELY THE FULL BOARD.
FORMAL POLICIES CONCERNING PARTICIPATION IN JOINT VENTURES	FORM 990, PART VI, LINE 16B	SAINT JOSEPH HEALTH SYSTEM, INC. HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINACIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT.
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	RETURNED GRANT - -48442; NON-CONTROLLING INTEREST - -494133; CAPITAL RESOURCE POOL CONTRIBUTION - -4828692; CHI CONNECT DEPRECIATION - 475226;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
IMAGING CENTER OF MOUNT STERLING LLC
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	611334601	MEDICAL IMAGING	KY	0	0	SJHS
ONCOLOGY SERVICES OF CENTRAL KENTUCKY
ONE SAINT JOSEPH DRIVE	LEXINGTON	KY	40504	270900852	ONCOLOGY	KY	0	0	SJHS
JESSAMINE HEALTH SERVICES LLC DBA SAINT JOSEPH HEART INSTITUTE
424 LEWIS HARGETT CIRCLE SUITE 160	LEXINGTON	KY	40503	611334601	HEALTHCARE	KY	0	0	SJHS

Form990 Schedule R Part II Form990ScheduleRPartII (153 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Business Name Line2NameOfDisregardedEntity/BusinessNameLine2
ALEGENT CREIGHTON CLINIC
12809 WEST DODGE ROAD	OMAHA	NE	68154	HEALTHCARE	NE	501(C)(3)	3	ACH	true
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROAD	OMAHA	NE	68154	HEALTHCARE	NE	501(C)(3)	3	NA	true
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROAD	OMAHA	NE	68124	HEALTHCARE	NE	501(C)(3)	3	ACH	true
ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	HEALTHCARE	IA	501(C)(3)	3	AHIMC	true
ALEGENT HEALTH FOUNDATION
12809 WEST DODGE ROAD	OMAHA	NE	68154	FUNDRAISING	NE	501(C)(3)	7	ACH	true
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
6901 NORTH 72ND STREET	OMAHA	NE	68122	HEALTHCARE	NE	501(C)(3)	3	ACH	true
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE
104 W 17TH STREET	SCHUYLER	NE	68661	HEALTHCARE	NE	501(C)(3)	3	AHIMC	true
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	true
ALVERNA APARTMENTS
300 SE 8TH AVENUE	LITTLE FALLS	MN	56345	LTERM CARE	MN	501(C)(3)	9	CHI	true
APPLETREE COURT
601 OAK STREET	BRECKENRIDGE	MN	56520	SENIOR HOMES	MN	501(C)(3)	9	SFH	true
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUE	DES MOINES	IA	50314	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	true
BORNEMANN HEALTH CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	true
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREET	CARRINGTON	ND	58421	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	9	NA	true
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	FUNDRAISING	CO	501(C)(3)	7	CHIC	true
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	true
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	FUNDRAISING	CO	501(C)(3)	9	CHI	true
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES
1111 6TH AVENUE	DES MOINES	IA	50314	HEALTHCARE	IA	501(C)(3)	3	CHI	true
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	PHYSICIANS	OR	501(C)(3)	9	MMC	true
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	SURGERY CNTR	KS	501(C)(3)	3	CHI	true
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAY SOUTH	FARGO	ND	58104	HEALTHCARE	ND	501(C)(3)	9	CHI	true
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400	ERLANGER	KY	41018	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	true
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	9	CHI NHC	true
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	true
CHI NEBRASKA
6940 O STREET	LINCOLN	NE	68510	HEALTHCARE	NE	501(C)(3)	11 - Type I	CHI	true
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET - ACCOUNTING 3 WEST	CINCINNATI	OH	45206	DIALYSIS	OH	501(C)(2)	N/A	GSH	true
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHCMH	true
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVE	LEXINGTON	KY	40509	LTACH	KY	501(C)(3)	3	SJHS	true
COVENANT HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HOME HEALTH	PA	501(C)(3)	11 - Type II	NA	true
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUE	ENUMCLAW	WA	98022	HEALTHCARE	WA	501(C)(3)	3	FHS	true
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	HEALTHCARE	KY	501(C)(3)	3	KOH	true
FLAGET MEMORIAL HOSPITAL FOUNDATION
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	true
FRANCISCAN FOUNDATION
1717 SOUTH J STREET	TACOMA	WA	98405	FUNDRAISING	WA	501(C)(3)	9	FHS	true
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STREET	TACOMA	WA	98405	HEALTHCARE	WA	501(C)(3)	3	CHI	true
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUE	TACOMA	WA	98405	HEALTHCARE	WA	501(C)(3)	9	FHS	true
FRANCISCAN VILLA OF SOUTH MILWAUKEE
3601 SOUTH CHICAGO AVENUE	SOUTH MILWAUKEE	WI	53172	HEALTHCARE	WI	501(C)(3)	9	CHI	true
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUE	GETTYSBURG	SD	57442	HEALTHCARE	SD	501(C)(3)	3	SMHC	true
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	true
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK STREET - ACCOUNTING 3 WEST	CINCINNATI	OH	45206	EDUCATION	OH	501(C)(3)	2	GSH	true
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET - ACCOUNTING 3 WEST	CINCINNATI	OH	45206	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	true
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STREET	KEARNEY	NE	68847	FUNDRAISING	NE	501(C)(3)	7	GSH	true
ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK
6624 FANNIN	HOUSTON	TX	77030	PHY PRACTICES	TX	501(C)(3)	3	SLHS	true
HEALTH SET
4200 WEST CONEJOS PLACE 436	DENVER	CO	80204	LOW INC.CARE	CO	501(C)(3)	7	CHIC	true
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	true
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	HEALTHCARE	WA	501(C)(3)	3	FHS	true
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVE	TOWSON	MD	21204	HEALTHCARE	MD	501(C)(3)	9	SJMC	true
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	true
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
539 S 4TH STREET	LOUISVILLE	KY	40202	HEALTHCARE	KY	501(C)(3)	3	KOH	true
JEWISH PHYSICIAN GROUP INC
539 S 4TH STREET	LOUISVILLE	KY	40202	HEALTHCARE	KY	501(C)(3)	9	JHSMH	true
KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	HEALTHCARE	KY	501(C)(3)	9	CHI	true
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTH	BAUDETTE	MN	56623	HEALTHCARE	MN	501(C)(3)	3	CHI	true
LINUS OAKES INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	SENIOR LIVING	OR	501(C)(3)	9	MMC	true
LISBON AREA HEALTH SERVICES
905 MAIN STREET	LISBON	ND	58054	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	FUNDRAISING	TN	501(C)(3)	7	MHCS	true
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	HEALTHCARE	TN	501(C)(3)	3	CHI	true
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	HEALTHCARE	TN	501(C)(3)	9	MHCS	true
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	AUXILIARY	IA	501(C)(3)	11 - Type I	CHI-IA CORP	true
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUE	DES MOINES	IA	50314	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	true
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUE	DES MOINES	IA	50314	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	true
MERCY FOUNDATION INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	FUNDRAISING	OR	501(C)(3)	7	MMC	true
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMH	true
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	FUNDRAISING	ND	501(C)(3)	11 - Type III - FI	MHVC	true
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVE	COUNCIL BLUFFS	IA	51503	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	true
MERCY HOSPITAL OF DEVILS LAKE
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	FUNDRAISING	ND	501(C)(3)	7	CHI	true
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER
1301 15TH AVENUE WEST	WILLISTON	ND	58801	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	true
MERCY MEDICAL CENTER INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	HEALTHCARE	OR	501(C)(3)	3	CHI	true
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WEST	WILLISTON	ND	58801	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	true
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUE	DES MOINES	IA	50314	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MLIFECARES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	PROPERTY MGMT	MO	501(C)(3)	11 - Type I	SJRMC	true
MNMCH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	KS	501(C)(3)	3	SJRMC	true
MT ST JOSEPH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	NURSING CARE	OR	501(C)(3)	11 - Type I	CHI	true
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREET	LINCOLN	NE	68526	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREET	OAKES	ND	58474	HEALTHCARE	ND	501(C)(3)	3	CHI	true
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STREET	OAKES	ND	58474	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	true
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52	PUEBLO	CO	81004	COMMUNITY	CO	501(C)(3)	7	CHIC	true
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DRIVE SUITE 450	COLORADO SPRINGS	CO	80906	LTERM CARE	CO	501(C)(3)	7	CHIC	true
SAINT CLARE'S COMMUNITY CARE
25 POCONO ROAD	DENVILLE	NJ	07834	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	true
SAINT CLARE'S FOUNDATION
25 POCONO ROAD	DENVILLE	NJ	07834	FUNDRAISING	NJ	501(C)(3)	7	SCHS	true
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROAD	DENVILLE	NJ	07834	MANAGEMENT	NJ	501(C)(3)	7	CHI	true
SAINT CLARE'S HOSPITAL
25 POCONO ROAD	DENVILLE	NJ	07834	HEALTHCARE	NJ	501(C)(3)	3	SCHS	true
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREET	LINCOLN	NE	68510	FUNDRAISING	NE	501(C)(3)	7	SERMC	true
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREET	LINCOLN	NE	68510	HEALTHCARE	NE	501(C)(3)	3	SERMC	true
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREET	LINCOLN	NE	68510	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER
2620 WEST FAIDLEY	GRAND ISLAND	NE	68803	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	FUNDRAISING	NE	501(C)(3)	7	SFMC	true
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREET	BEREA	KY	40403	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160	LEXINGTON	KY	40503	HEALTHCARE	KY	501(C)(3)	3	CHI	true
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	PHY PRACTICES	KY	501(C)(3)	3	SJHS	true
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRIVE	MOUNT STERLING	KY	40353	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREET	DICKINSON	ND	58601	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	true
SAMARITAN BEHAVIORAL HEALTH
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	HEALTHCARE	OH	501(C)(3)	3	SHP	true
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	FUNDRAISING	OH	501(C)(3)	7	SHP	true
SAMARITAN HEALTH PARTNERS
110 NORTH MAIN STREET	DAYTON	OH	45402	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	true
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREET	SCHUYLER	NE	68661	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMHS	true
SJMGROUP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	true
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	MO	501(C)(3)	3	CHI	true
SL AUGUSTA CORP
PO BOX 20269	HOUSTON	TX	77225	TITLE HOLDING	TX	501(C)(2)	N/A	SL PROPERTIES	true
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	true
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL PROPERTIES	true
ST ANTHONY HOSPITAL
1601 SE COURT AVENUE	PENDLETON	OR	97801	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUE	PENDLETON	OR	97801	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	true
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVE	MORRILTON	AR	72110	HEALTHCARE	AR	501(C)(3)	3	SVIMC	true
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	HEALTHCARE	KS	501(C)(3)	3	CHI	true
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	true
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREET	ONTARIO	OR	97914	HEALTHCARE	OR	501(C)(4)	N/A	CHI	true
ST FRANCIS HOME
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	LTERM CARE	MN	501(C)(3)	9	CHI	true
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROAD	DENVILLE	NJ	07834	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	true
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST JOHN'S MERCY REGIONAL FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	FUNDRAISING	MO	501(C)(3)	7	SJRMC	true
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVENUE SW	ALBUQUERQUE	NM	87102	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	true
ST JOSEPH HOSPITAL FOUNDATION INC
ONE SAITN JOSEPH DRIVE	LEXINGTON	KY	40504	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	true
ST JOSEPH MEDICAL CENTER FOUNDATION
7601 OSLER DRIVE	TOWSON	MD	21204	FUNDRAISING	MD	501(C)(3)	7	SJMC	true
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE	TOWSON	MD	21204	HEALTHCARE	MD	501(C)(3)	3	CHI	true
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	9	BHC	true
ST JOSEPH PHYSICIAN ENTERPRISE INC
7601 OSLER DRIVE	TOWSON	MD	21204	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	true
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	3	CHI	true
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUE	PARK RAPIDS	MN	56470	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREET	DICKINSON	ND	58601	HEALTHCARE	ND	501(C)(3)	3	CHI	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true	R LAND HOSPITAL
ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	CHI	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	INVESTMENT MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE SUITE 855	HOUSTON	TX	77004	FUNDRAISING	TX	501(C)(3)	7	SLHS	true
ST LUKE'S MEDICAL CENTER
6624 FANNIN	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUE	PIERRE	SD	57501	HEALTHCARE	SD	501(C)(3)	3	CHI	true
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	FUNDRAISING	NE	501(C)(3)	7	SMH	true
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	true
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	HEALTHCARE	AR	501(C)(3)	3	CHI	true
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	HEALTHCARE	AR	501(C)(3)	9	SVIMC	true
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL CDC - SL	true
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	HEALTHCARE	OH	501(C)(3)	3	CHI	true
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500	LINCOLN	NE	68503	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	true
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	3	CHIC	true
UNITY FAMILY HEALTHCARE
815 SE 2ND STREET	LITTLE FALLS	MN	56345	HEALTHCARE	MN	501(C)(3)	3	CHI	true
VILLA NAZARETH INC
801 PAGE DRIVE	FARGO	ND	58103	LT CARE	ND	501(C)(3)	9	CHI	true
VISITING NURSE ASSOCIATION OF ST CLARE'S
191 WOODPORT ROAD	SPARTA	NJ	07871	HOME HEALTH	NJ	501(C)(3)	9	SCHS	true
WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL
16251 SYLVESTER RD SW	BURIEN	WA	98166	AUXILIARY	WA	501(C)(3)	11 - Type II	HMC	true
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY SUITE 170	THE WOODLANDS	TX	77384	PHY PRACTICES	TX	501(C)(3)	9	SL CHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII (38 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	CHIC	RELATED	34991	8665388	false	$0	false	0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	AHBMHS	RELATED	-210405	4806071	false	-$439,536	false	0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	MHCS	RELATED	57545	1013237	false	$0	true	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC	KY	SJHS	RELATED	308428	3317191	false	$0	false	0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	NA	RELATED	228435	675251	false	$0	true	1
CENTRAL NEBRASKA REHAB SERVICES
3004 W FAIDLEY AVE	GRAND ISLAND	NE	68802	810653461	PHYSICAL THERAPY	NE	SFMC	RELATED	1710199	2712656	false	$0	false	0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	UNRELATED	344962532	4617413792	false	$0	true	0.7992
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	RELATED	98583	3190677	false	$0	false	1
MRI AT ST JOSEPH MEDICAL CENTER LLC
7253 AMBASSADOR ROAD	BALTIMORE	MD	21244	521958002	MEDICAL IMAGING	MD	SJMC	RELATED	423167	2174155	false	$0	true	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	RELATED	81071	1077536	false	$0	false	0.5745
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVE	TOWSON	MD	21204	521682964	REAL ESTATE	MD	TMI	RELATED	9490	0	false	$0	true	0.6658
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	THC	RELATED	1846153	8411844	false	$0	false	0.6
PENINSULA RADIATION ONCOLOGY LLC
315 MARTIN LUTHER KING JR WAY 111	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	FHS	RELATED	256567	3262002	false	$0	false	0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	CHIC	RELATED	715094	3489436	false	$0	false	0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201	BALTIMORE	MD	21204	522095835	SURGERY CENTER	MD	SJMC	RELATED	-69345	0	false	$0	true	0.51
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRDOSBURG ROAD	LEXINGTON	KY	40504	453801157	OP SURGERY	DE	SJHS	RELATED	0	0	false	$0	true	0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JH	RELATED	3388	666017	false	$0	true	0.51
ST FRANCIS LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	RELATED	-130967	13823763	false	$0	false	0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREET	TACOMA	WA	98405	911352698	MED. OFFICE	WA	FHS	RELATED	238717	1907063	false	$0	false	0.5846
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	SJHS	RELATED	30446	1149003	false	$0	true	0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREET	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-200323	821112	false	$0	true	0.51
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	SJHS	RELATED	-200318	4079584	false	$0	true	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JH	RELATED	-15452	396101	false	$0	true	0.51
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREET	OMAHA	NE	68116	061786985	OP DIAGNOSTICS	NE	ACH	RELATED	116752	776649	false	$0	true	0.51
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	RELATED	142085	3294472	false	$0	false	0.6394
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	RELATED	3465880	1951221	false	$0	false	0.516
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	RELATED	1455294	1013126	false	$0	false	0.5228
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STREET	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	RELATED	10501730	17301869	false	$0	false	0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST 102	LINCOLN	NE	68508	204962103	TECH SERVICES	NE	AH-IMC	RELATED	1011804	5564586	false	$68,565	true	0.627
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRIVE SUITE 300	MILFORD	OH	45150	263330545	HOME HEALTH	KY	JH	RELATED	3208139	9684824	false	$0	false	0.969
LINCOLN CK LEASING LLC
8770 BRYN MAWR SUITE 1370	CHICAGO	IL	60631	262496856	REAL ESTATE	NE	SERMC	RELATED	397452	439334	false	$0	false	0.5376
HIGHLINE IMAGING LLC
275 SW 160TH ST	BURIEN	WA	98166	200460005	DIAGNOSTIC	WA	HMC	RELATED	840222	1784058	false	$0	false	0.8
HC SL VINTAGE I LLC
18000 WEST SARAH LANE SUITE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLD	WI	SL CDC - VINTAGE	RELATED	1027057	105658490	false	$0	false	0.51
ST LUKES HOSPITAL AT THE VINTAGE LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	263734516	HOSPITAL	TX	SL CDC - VINTAGE	RELATED	-19253743	69158748	false	$0	true	0.51
PMC HOSPITAL LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	273280598	HOSPITAL	TX	SL CDC - PMC	RELATED	1092540	20751174	false	$0	true	0.51
ST LUKES DIAGNOSTIC CATH LAB LLP
6620 MAIN ST SUITE 1520	HOUSTON	TX	77030	710959365	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	273448	868814	false	$0	false	0.573
ST LUKES LAKESIDE HOSPITAL LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC - WOODLANDS	RELATED	1106628	25874619	false	$0	true	0.51
ST LUKES THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	462795726	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	0	0	false	$0	false	0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (49 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line2NameOfRelatedOrg/BusinessNameLine2
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	6272746	1	true
AMERICAN NURSING CARE
1700 EDISON DRIVE	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORPORATION	5118606	51920207	1	true
AMERIMED INC
1700 EDISON DRIVE	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORPORATION	2134392	14669219	1	true
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	JH	C CORPORATION	0	0	1	true
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1008	1	true
CAPTIVE MANAGEMENT INITIATIVES
				980663022	CAPTIVE MANAGEMENT		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	CIRI	C CORPORATION	-2286538	1241259	1	true
CGH REALTY COMPANY INC
2500 BERNVILLE RD	READING	PA	19603	232326801	REAL ESTATE	PA	SJHM	C CORPORATION	0	0	1	true
COMCARE SERVICES
4231 W 16TH AVENUE	DENVER	CO	80204	840904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	1	true
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVE	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C CORPORATION	-879467	52379487	1	true
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	61204	1064032	0.9298	true
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	CHI	C CORPORATION	-7868	718254	1	true
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-257418	180468	1	true
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C CORPORATION	87278	1377820	1	true
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET ST	TACOMA	WA	98402	911865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1	true
MEDQUEST
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION	153510	1152715	1	true
MERCY PARK APARTMENTS LTD
1111 6TH AVENUE	DES MOINES	IA	50314	421202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	369231	1937218	1	true
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930824308	RETAIL SALES	OR	MMC	C CORPORATION	-440596	1423377	1	true
MHSERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	431457881	DME	MO	SJRMC	C CORPORATION	0	0	1	true
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	96044	6465179	1	true
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C CORPORATION	-164340	5488275	1	true
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1	true
SAINT CLARES PRIMARY CARE INC
66 FORD ROAD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-357263	1361242	1	true
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	SHP	C CORPORATION	0	0	1	true
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	FSI	C CORPORATION	-197039	3331737	1	true
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160	LEXINGTON	KY	40503	270164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	1	true
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	114663	2936102	1	true
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2408638	15225732	1	true
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREET	TACOMA	WA	98405	911480569	RENTAL	WA	FSI	C CORPORATION	655478	12357418	1	true
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70	LEXINGTON	KY	40504	611079899	MANAGEMENT	KY	SJHS	C CORPORATION	0	882139	0.85	true
TOWSON MANAGEMENT INC
7601 OSLER DRIVE	TOWSON	MD	21204	521710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION	516457	197196	1	true
COLLABHEALTH MANAGED SOLUTIONS INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	CHI	C CORPORATION	0	23806707	1	true
COLLABHEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	CHMS	C CORPORATION	-1082933	38272608	1	true
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW 170	BURIEN	WA	98166	911407026	MEDICAL SERVICES	WA	HMC	C CORPORATION	-6049147	5689139	1	true
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S SUITE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	CHPS	C CORPORATION	-154741	10976973	0.556	true
SLEHS HOLDINGS INC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	SLHS	C CORPORATION	1425313	33114103	1	true
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	461517163	MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	1	true
SLMT PARKING INC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	760637140	PARKING	TX	SLHS	C CORPORATION	1117934	13768221	1	true
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	300355517	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	1	true
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNER	HOUSTON	TX	77030	760377932	PHO	TX	SLMC	C CORPORATION	6	0	0.6	true
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	300355518	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	1	true
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	760298751	CONDOMINIUM ASSOC	TX	SLMTC	C CORPORATION	0	0	1	true
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAY	SUGAR LAND	TX	77478	454270163	MEDICAL CLINIC	TX	SL CHS	C CORPORATION	-1159411	566590	1	true
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	900064009	CONDOMINIUM ASSOC	TX	SLMC	C CORPORATION	0	0	1	true							UILDING CONDOMINIUM ASSOCIATION
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE ROAD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	ACH	C CORPORATION	5312313	4520865	1	true
ALL SAINTS INSURANCE COMPANY SPC LTD
					INSURANCE		SLHS	C CORPORATION	0	43866961	1	true	PO BOX 69 GT 720 WEST BAY ROAD	GEORGETOWN	GRAND CAYMAN	CJ	KY-1102	CJ
VINTAGE DOCTOR GROUP
6624 FANNIN SUITE 1100	HOUSTON	TX	77030		MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	1	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BLUEGRASS REGIONAL IMAGING
J	110195	FMV
KENTUCKY LABORATORY SERVICES
J	33450	FMV
SURGERY CENTER OF LEXINGTON
J	339431	FMV
KENTUCKY LABORATORY SERVICES
S	751333	FMV
BLUEGRASS REGIONAL IMAGING
S	518586	FMV
SURGERY CENTER OF LEXINGTON
S	151411	FMV
SAINT JOSEPH MEDICAL FOUNDATION
B	142820	FMV
SAINT JOSEPH HOSPITAL FOUNDATION
C	477465	FMV