ST ELIZABETH MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ST ELIZABETH MEDICAL CENTER INC (EIN 61-0445850)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201233189349303018
Schema version: 2011v1.2
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 G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T13:15:52-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	381357951	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 E FRONT ST SUITE 300	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49686	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	610445850	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STEL	NameControl
Phone	8596551642	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MEDICAL VILLAGE DRIVE	AddressLine1
City	EDGEWOOD	City
State	KY	State
ZIP Code	41017	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	NATHAN VANLANINGHAM	Name
Title	CFO	Title
Phone	8596551642	Phone
Date Signed	2012-11-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00842339	PTIN
Phone	2319477800	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN S DUBIS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	ONE MEDICAL VILLAGE DRIVE	AddressLine1
City	EDGEWOOD	City
State	KY	State
ZIP Code	41017	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	920843250	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.STELIZABETH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1861	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	ST. ELIZABETH HEALTHCARE IS ONE OF THE OLDEST, LARGEST AND MOST RESPECTED MEDICAL PROVIDERS IN THE GREATER CINCINNATI REGION. WITHIN OUR THRIVING, MULTI-FACETED ORGANIZATION, SOME OF THE NATION'S TOP MEDICAL PROFESSIONALS ARE WORKING TOGETHER TO DELIVER THE BEST CARE AVAILABLE TO THE GREATER CINCINNATI REGION. ST. ELIZABETH HEALTHCARE HAS INVESTED IN OUR COMMUNITY FOR GENERATIONS. ST. ELIZABETH BELIEVES THAT REACHING OUT TO HELP THE UNDERPRIVILEGED AND IMPROVING THE OVERALL HEALTH OF THE COMMUNITY IS THE FOUNDATION OF ITS MISSION TO PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE TO OUR NEIGHBORHOOD AND OUR FAMILIES. IT IS BECAUSE OF THIS BELIEF THAT THE COMMUNITY BENEFIT PROGRAM HELPS OTHERS HAVE ACCESS TO ST. ELIZABETH'S RESOURCES AND SERVICES. IT IS ST. ELIZABETH'S INTENTION TO ALWAYS BALANCE FINANCIAL VIABILITY WITH COMPASSIONATE CARE, STAYING TRUE TO ITS NON-PROFIT ROOTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	6849	TotalNbrEmployees
Total Nbr Volunteers	1233	TotalNbrVolunteers
Total Gross UBI	2465402	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4030667	ContributionsGrantsPriorYear
Contributions Grants Current Year	4446340	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	796602023	ProgramServiceRevenuePriorYear
Program Service Revenue CY	898470837	ProgramServiceRevenueCY
Investment Income Prior Year	8162714	InvestmentIncomePriorYear
Investment Income Current Year	10499963	InvestmentIncomeCurrentYear
Other Revenue Prior Year	26400583	OtherRevenuePriorYear
Other Revenue Current Year	4421990	OtherRevenueCurrentYear
Total Revenue Prior Year	835195987	TotalRevenuePriorYear
Total Revenue Current Year	917839130	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	392950985	SalariesEtcPriorYear
Salaries Etc Current Year	426219642	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	42000	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	57325	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1095016	TotalFundrsngExpCurrentYear
Other Expense Prior Year	367166117	OtherExpensePriorYear
Other Expenses Current Year	398483436	OtherExpensesCurrentYear
Total Expenses Prior Year	760159102	TotalExpensesPriorYear
Total Expenses Current Year	824760403	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	75036885	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	93078727	RevenuesLessExpensesCY
Total Assets BOY	875944968	TotalAssetsBOY
Total Assets EOY	936028962	TotalAssetsEOY
Total Liabilities BOY	459266358	TotalLiabilitiesBOY
Total Liabilities EOY	509456924	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	416678610	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	426572038	NetAssetsOrFundBalancesEOY
Mission Description	AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. ST. ELIZABETH IS THE PREFERRED DESTINATION FOR HEALTHCARE, WHERE INNOVATIVE PROFESSIONALS DELIVER THE HIGHEST QUALITY OF CARE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	630885086	Expense
Grants	0	Grants
Revenue	892140703	Revenue
Description	ST. ELIZABETH HEALTHCARE IS ONE OF THE OLDEST, LARGEST AND MOST RESPECTED MEDICAL PROVIDERS IN THE GREATER CINCINNATI REGION. WITHIN OUR THRIVING, MULTI-FACETED ORGANIZATION, SOME OF THE NATION'S TOP MEDICAL PROFESSIONALS ARE WORKING TOGETHER TO DELIVER THE BEST CARE AVAILABLE TO THE GREATER CINCINNATI REGION.	Description
Total Program Service Expense	630885086	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	194	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	6849	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	NATHAN VANLANINGHAM CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8596551642	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	401 EAST 20TH STREET	AddressLine1
City	COVINGTON	City
State	KY	State
ZIP Code	41014	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
JOHN DUBIS
PRESIDENT/CEO	60.00	X	X	744566	0	189567
GEORGE S HALL MD
TRUSTEE	4.00	X		269962	0	21540
HEIDI C MURLEY MD
TRUSTEE	4.00	X		0	299753	21210
THOMAS C COLVIN
TRUSTEE	4.00	X		0	0	0
MICHAEL A CONNER
TRUSTEE	4.00	X		0	0	0
BARRY L DICK
TRUSTEE	4.00	X		0	0	0
CHRISTOPHER FISTER
TRUSTEE	4.00	X		0	0	0
MICHAEL J GIBBONS
CHAIRMAN	4.00	X	X	0	0	0
RALPH F HULLER
TRUSTEE	4.00	X		0	0	0
BARI JOSLYN
TRUSTEE	4.00	X		0	0	0
FRED A MACKE JR
VICE CHAIRMAN	4.00	X	X	0	0	0
GARY W MOORE
TRUSTEE	4.00	X		0	0	0
TED ROBINSON
TRUSTEE	4.00	X		0	0	0
JAMES ROEBKER
TRUSTEE	4.00	X		0	0	0
PAUL A SARTORI
TRUSTEE	4.00	X		0	0	0
JO ANN SIMPSON
TRUSTEE	4.00	X		0	0	0
JOAN WURTENBERGER
TRUSTEE	4.00	X		0	0	0
GARREN COLVIN
EXECUTIVE VICE PRESIDENT/COO	60.00		X	542796	0	114928
NATHAN VANLANINGHAM
SENIOR VP FINANCE/CFO/TREASURER	60.00		X	332698	0	47283
BARBARA KROHMAN
EXECUTIVE ASSISTANT TO CEO/SECRETARY	60.00		X	116566	0	19894
THOMAS SAALFELD
SVP/COO FT. THOMAS/FALMOUTH	40.00			1287534	0	36967	X
TREVA JANE SWAIM
SVP NURSING/CNO	40.00			1002971	0	36807	X
GLENN LOOMIS
SENIOR VICE PRESIDENT	40.00			431706	0	68801	X
SARAH GIOLANDO
SVP/CHIEF STRATEGY OFFICER	40.00			343284	0	37209	X
MARTIN OSCADAL
SVP HUMAN RESOURCES	40.00			313067	0	69349	X
CHISTOPHER CARLE
SVP/COO FLORENCE/CUSTOMER SERVICES	40.00			308587	0	69801	X
GARY BLANK
SVP PROFESSIONAL SERVICES	40.00			256374	0	53215	X
MARK REIDINGER
SVP AMB & CUSTOMER SERVICES (THRU 1/11)	40.00			242924	0	55667	X
RAYMOND WILL
PHYSICIAN	40.00			599700	0	20010		X
VICTOR SCHMELZER
PHYSICIAN	40.00			591124	0	40927		X
MICHAEL GIBSON
PHYSICIAN	40.00			586932	0	39196		X
KARL ULICNY
PHYSICIAN	40.00			587844	0	40696		X
JACKSON PEMBERTON
PHYSICIAN	40.00			441731	0	43920		X
JOSEPH GROSS
FORMER PRESIDENT/CEO	40.00			535480	0	12807			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9535846	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	299753	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1039794	TotalOtherCompensation
Number Individuals GT100 K	268	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MILLS SHERMAN GILLIAM & GOODWIN PSC
9600 COLERAIN AVE SUITE 204	CINCINNATI	OH	45251	PHYSICIAN FEES	13374337
FRANK MESSER & SONS CONSTRUCTION COMPANY
7384 TURFWAY RD	FLORENCE	KY	41042	CONSTRUCTION SERVICES	11231872
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	CONSULTING SERVICES	6747961
CAREFUSION
3698 COLLECTION CENTER DR	CHICAGO	IL	60693	MEDICAL SUPPLIES & EQUIPMENT	4860664
DRESSMAN BENZINGER & LAVELLE PSC
207 THOMAS MORE PKWY	CRESTVIEW HILLS	KY	41017	LEGAL FEES	3199094

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	113	NumberOfContractorsGT100K
Fundraising Events	281749	FundraisingEvents
Government Grants	1140937	GovernmentGrants
All Other Contributions	3023654	AllOtherContributions
Noncash Contributions	127050	NoncashContributions
Total Contributions	4446340	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT REVENUE	621400	870421418	870421418
OTHER RELATED REVENUE	900099	18683067	18683067
PATIENT/EMPLOYEE DRUGS	446110	4184071		316900	$3,867,171
ELEC HEALTHCARE RECORD	900099	3036218	3036218
LABORATORY	621500	2146063		2146063

Field	Value	IRS element (for citing)
Total Program Service Revenue	898470837	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9458797	TotalRevenueColumn
Exclusion	$9,458,797	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1600509	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1913057	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-312548	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-312548	TotalRevenueColumn
Exclusion	-$312,548	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1741732	Securities
Other	161151	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	861717	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1741732	Securities
Other	-700566	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1041166	TotalRevenueColumn
Exclusion	$1,041,166	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	229346	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	281749	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	229346	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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
CAFETERIA/VENDING	722210	3463727	$3,463,727
GIFT SHOP	453220	1268372	$1,268,372
OTHER UBI	900099	2439		2439

Field	Value	IRS element (for citing)
Total Other Revenue	4734538	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	917839130	TotalRevenueColumn
Related Or Exempt Function Income	892140703	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2465402	UnrelatedBusinessRevenue
Exclusion	$18,786,685	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	7014065	Total
Program Services	1629871	ProgramServices
Management And General	5384194	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	319994619	Total
Program Services	248534397	ProgramServices
Management And General	71166779	ManagementAndGeneral
Fundraising	293443	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	24968566	Total
Program Services	19401162	ProgramServices
Management And General	5546219	ManagementAndGeneral
Fundraising	21185	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	51307543	Total
Program Services	37742071	ProgramServices
Management And General	13526985	ManagementAndGeneral
Fundraising	38487	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	22934849	Total
Program Services	17339481	ProgramServices
Management And General	5576427	ManagementAndGeneral
Fundraising	18941	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2880948	Total
Management And General	2879904	ManagementAndGeneral
Fundraising	1044	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	586844	Total
Management And General	586844	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	39525	Total
Management And General	39525	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	57325	Total
Fundraising	57325	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1070668	Total
Management And General	1070668	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	103759788	Total
Program Services	66231517	ProgramServices
Management And General	37379783	ManagementAndGeneral
Fundraising	148488	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1955720	Total
Program Services	143537	ProgramServices
Management And General	1797981	ManagementAndGeneral
Fundraising	14202	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3855601	Total
Program Services	1309638	ProgramServices
Management And General	2477319	ManagementAndGeneral
Fundraising	68644	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8468208	Total
Program Services	1672116	ProgramServices
Management And General	6743721	ManagementAndGeneral
Fundraising	52371	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	10161987	Total
Program Services	5122760	ProgramServices
Management And General	5031593	ManagementAndGeneral
Fundraising	7634	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	345600	Total
Program Services	263087	ProgramServices
Management And General	80682	ManagementAndGeneral
Fundraising	1831	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2363034	Total
Program Services	524396	ProgramServices
Management And General	1593604	ManagementAndGeneral
Fundraising	245034	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	6706840	Total
Program Services	3984534	ProgramServices
Management And General	2712916	ManagementAndGeneral
Fundraising	9390	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	50762060	Total
Program Services	34512473	ProgramServices
Management And General	16217691	ManagementAndGeneral
Fundraising	31896	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5841835	Total
Program Services	2347548	ProgramServices
Management And General	3494287	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	108261911	107755228	506683
BAD DEBT	52068634	52068634
GENERAL SUPPLIES	23381950	16404747	6926639	50564
PROVIDER TAX	12545828	12545828

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3426455	Total
Program Services	1352061	ProgramServices
Management And General	2039857	ManagementAndGeneral
Fundraising	34537	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	824760403	Total
Program Services	630885086	ProgramServices
Management And General	192780301	ManagementAndGeneral
Fundraising	1095016	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	3874543	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	56714359	BOY
EOY	58883223	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2876033	BOY
EOY	3346784	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	84669893	BOY
EOY	97938354	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	4272264	BOY
EOY	4810666	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10099259	BOY
EOY	11780429	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7192105	BOY
EOY	5485720	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	900207249	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	563174078	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	333514299	BOY
EOY	337033171	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	338878736	BOY
EOY	370097928	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	26363343	BOY
EOY	33583705	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	3664935	BOY
EOY	3125503	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	3756681	BOY
EOY	2458760	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3943061	BOY
EOY	3610176	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	875944968	BOY
EOY	936028962	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	74365730	BOY
EOY	82201628	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	5898925	BOY
EOY	6787371	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	136975000	BOY
EOY	133850000	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	900000	BOY
EOY	683333	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	241126703	BOY
EOY	285934592	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	459266358	BOY
EOY	509456924	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	414033462	BOY
EOY	422801928	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2645148	BOY
EOY	3770110	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	416678610	BOY
EOY	426572038	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	875944968	BOY
EOY	936028962	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	93078727	ReconcilationRevenueExpenses
Reconcilation Other Changes	-83185299	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

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	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$37,300	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$2,225	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	39525	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	PART II-B, LINE 1F: THE PORTION OF THE KENTUCKY HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES IS $37,300. PART II-B, LINE 1B AND 1G: THE PORTION OF TWO ST. ELIZABETH HEALTHCARE EMPLOYEES SALARIES RELATED TO DIRECT CONTACT WITH LEGISLATORS REGARDING LEGISLATION. ST. ELIZABETH HEALTHCARE DOES NOT PARTICIPATE IN OR INTERVENE IN, INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS, ANY POLITICAL CAMPAIGN ON BEHALF OF, OR IN OPPOSITION TO, ANY CANDIDATE FOR PUBLIC OFFICE.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3347274	BeginningOfYearBalance
Investment Earnings Or Losses	-82691	InvestmentEarningsOrLosses
Administrative Expenses	4831	AdministrativeExpenses
End Of Year Balance	3259752	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2945631	BeginningOfYearBalance
Investment Earnings Or Losses	406302	InvestmentEarningsOrLosses
Administrative Expenses	4659	AdministrativeExpenses
End Of Year Balance	3347274	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2332334	BeginningOfYearBalance
Investment Earnings Or Losses	618143	InvestmentEarningsOrLosses
Administrative Expenses	4846	AdministrativeExpenses
End Of Year Balance	2945631	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3600819	BeginningOfYearBalance
Investment Earnings Or Losses	-1261366	InvestmentEarningsOrLosses
Administrative Expenses	6119	AdministrativeExpenses
End Of Year Balance	2332334	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15148443	OtherCostOrOtherBasis
Book Value	15148443	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	440933943	OtherCostOrOtherBasis
Depreciation	255453592	Depreciation
Book Value	185480351	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5772300	OtherCostOrOtherBasis
Depreciation	1897396	Depreciation
Book Value	3874904	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	406449647	OtherCostOrOtherBasis
Depreciation	288404492	Depreciation
Book Value	118045155	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	31902916	OtherCostOrOtherBasis
Depreciation	17418598	Depreciation
Book Value	14484318	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	337033171	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$201,862,145
ACCRUED THIRD-PARTY	$19,403,253
INTEREST RATE SWAP	$5,565,074
SELF-INSURANCE	$43,126,200
OTHER LONG-TERM LIABILITIES	$2,112,943
OTHER CURRENT LIABILITIES HOSPITAL	$13,864,977

Field	Value	IRS element (for citing)
Total Of Amounts	285934592	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ENDOWMENT FUNDS INCLUDE TWO FUNDS THAT WERE PART OF THE ST. ELIZABETH HEALTHCARE'S VISION CAMPAIGN: 1) TO SUPPORT TECHNOLOGY FOR THE HEART OF EXCELLENCE PROGRAM, AND 2) TO ESTABLISH PRENATAL CARE FOR WOMEN WITHOUT HEALTHCARE COVERAGE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	ST. ELIZABETH HEALTHCARE IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ITS RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(A). AS REQUIRED BY ASC 740, INCOME TAX, ST. ELIZABETH HEALTHCARE COMPLETED AN ANALYSIS OF ITS TAX POSITIONS AT DECEMBER 31, 2011 AND 2010, AND DETERMINED THAT NO MATERIAL AMOUNTS WERE REQUIRED TO BE RECOGNIZED UNDER ASC 740 IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2011 OR 2010.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
HILLARY LYONS ASSOCIATES
PO BOX 99	DIAMONDALE	MI	488210099	CONSULTANT FEE	0	0	38500	0
JOHNSON GROSSNICKLE AND ASSOCIATES
29 SOUTH PARK BLVD	GREENWOOD	IN	46143	CONSULTANT FEE	0	0	18825	0

Field	Value	IRS element (for citing)
Total Retained By Contractors	57325	TotalRetainedByContractors
Licensed States	KY	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	150 YEAR GALA	NameOfEvent1
Gross Receipts Event1	234355	GrossReceiptsEvent1
Charitable Contributions Event1	100403	CharitableContributionsEvent1
Gross Revenue Event1	133952	GrossRevenueEvent1
Rent Facility Costs Event1	23126	RentFacilityCostsEvent1
Food And Beverage Event1	63994	FoodAndBeverageEvent1
Entertainment Event1	5965	EntertainmentEvent1
Other Direct Expenses Event1	40867	OtherDirectExpensesEvent1
Name Of Event2	GOLF PAR TEE	NameOfEvent2
Gross Receipts Event2	216070	GrossReceiptsEvent2
Charitable Contributions Event2	147248	CharitableContributionsEvent2
Gross Revenue Event2	68822	GrossRevenueEvent2
Non Cash Prizes Event2	35618	NonCashPrizesEvent2
Rent Facility Costs Event2	13445	RentFacilityCostsEvent2
Food And Beverage Event2	15161	FoodAndBeverageEvent2
Other Direct Expenses Event2	4598	OtherDirectExpensesEvent2
Total Number Of Other Events	4	TotalNumberOfOtherEvents
Gross Receipts Other Events	60670	GrossReceiptsOtherEvents
Charitable Contrib Other Events	34098	CharitableContribOtherEvents
Gross Revenue Other Events	26572	GrossRevenueOtherEvents
Non Cash Prizes Other Events	2359	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	15719	RentFacilityCostsOtherEvents
Food And Beverage Other Events	128	FoodAndBeverageOtherEvents
Entertainment Other Events	291	EntertainmentOtherEvents
Other Direct Expenses Other Events	8075	OtherDirectExpensesOtherEvents
Gross Receipts Total	511095	GrossReceiptsTotal
Charitable Contributions Total	281749	CharitableContributionsTotal
Gross Revenue Total Events	229346	GrossRevenueTotalEvents
Non Cash Prizes Total Events	37977	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	52290	RentFacilityCostsTotalEvents
Food And Beverage Total Events	79283	FoodAndBeverageTotalEvents
Entertainment Total Events	6256	EntertainmentTotalEvents
Other Direct Expenses Total Events	53540	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	229346	DirectExpenseSummaryEvents
Net Income Summary	0	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47191692	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13276310	DirectOffsettingRevenue
Net Community Benefit Expense	33915382	NetCommunityBenefitExpense
Percent Of Total Expense	0.04390	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	78506146	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63728340	DirectOffsettingRevenue
Net Community Benefit Expense	14777806	NetCommunityBenefitExpense
Percent Of Total Expense	0.01910	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	125697838	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77004650	DirectOffsettingRevenue
Net Community Benefit Expense	48693188	NetCommunityBenefitExpense
Percent Of Total Expense	0.06300	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	44	NumberOfActivitiesOrPrograms
Persons Served	147890	PersonsServed
Total Community Benefit Expense	3327615	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4940	DirectOffsettingRevenue
Net Community Benefit Expense	3322675	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Persons Served	1199	PersonsServed
Total Community Benefit Expense	9081857	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4175616	DirectOffsettingRevenue
Net Community Benefit Expense	4906241	NetCommunityBenefitExpense
Percent Of Total Expense	0.00630	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	25194	PersonsServed
Total Community Benefit Expense	4646452	TotalCommunityBenefitExpense
Net Community Benefit Expense	4646452	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	162676	TotalCommunityBenefitExpense
Net Community Benefit Expense	162676	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	32	NumberOfActivitiesOrPrograms
Persons Served	1242	PersonsServed
Total Community Benefit Expense	653172	TotalCommunityBenefitExpense
Net Community Benefit Expense	653172	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	123	NumberOfActivitiesOrPrograms
Persons Served	175525	PersonsServed
Total Community Benefit Expense	17871772	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4180556	DirectOffsettingRevenue
Net Community Benefit Expense	13691216	NetCommunityBenefitExpense
Percent Of Total Expense	0.01760	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	123	NumberOfActivitiesOrPrograms
Persons Served	175525	PersonsServed
Total Community Benefit Expense	143569610	TotalCommunityBenefitExpense
Direct Offsetting Revenue	81185206	DirectOffsettingRevenue
Net Community Benefit Expense	62384404	NetCommunityBenefitExpense
Percent Of Total Expense	0.08060	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	58	PersonsServed
Total Community Building Expense	8649	TotalCommunityBuildingExpense
Net Community Building Expense	8649	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	1716	TotalCommunityBuildingExpense
Net Community Building Expense	1716	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	182	PersonsServed
Total Community Building Expense	1564	TotalCommunityBuildingExpense
Net Community Building Expense	1564	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	22	PersonsServed
Total Community Building Expense	749	TotalCommunityBuildingExpense
Net Community Building Expense	749	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	262	PersonsServed
Total Community Building Expense	12678	TotalCommunityBuildingExpense
Net Community Building Expense	12678	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$52,068,634	BadDebtExpenseAmount
Amount Attributable To	6716854	AmountAttributableTo
Amount Reimbursed By Medicare	210428068	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	224826613	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14398545	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 BLUEGRASS DIALYSIS LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	RENAL DIALYSIS	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.32000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.17000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital	OtherOther
ST ELIZABETH EDGEWOOD
1	1 MEDICAL VILLAGE DRIVE	EDGEWOOD	KY	41017	X	X	X
ST ELIZABETH FLORENCE
2	4900 HOUSTON ROAD	FLORENCE	KY	41042	X	X	X
ST ELIZABETH FORT THOMAS
3	85 NORTH GRAND AVENUE	FORT THOMAS	KY	41075	X	X	X
ST ELIZABETH GRANT
4	238 BARNES ROAD	WILLIAMSTOWN	KY	41097	X	X	X	X
ST ELIZABETH FALMOUTH
5	512 SOUTH MAPLE AVENUE	FALMOUTH	KY	41040	X	X			SUBSTANCE ABUSE SERVICES

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
ST ELIZABETH EDGEWOOD
1	1	1	200.000000000000	0	1	X	1	1	X	1	0	1	X	0	0
ST ELIZABETH FLORENCE
2	1	1	200.000000000000	0	1	X	1	1	X	1	0	1	X	0	0
ST ELIZABETH FORT THOMAS
3	1	1	200.000000000000	0	1	X	1	1	X	1	0	1	X	0	0
ST ELIZABETH GRANT
4	1	1	200.000000000000	0	1	X	1	1	X	1	0	1	X	0	0
ST ELIZABETH FALMOUTH
5	1	1	200.000000000000	0	1	X	1	1	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	26	NumberOfOtherFacilities

Other Facilities OtherFacilities (26 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ST ELIZABETH - COVINGTON
1500 JAMES SIMPSON JR WAY	COVINGTON	KY	41011	AMBULATORY CARE CENTER
ST ELIZABETH HEALTHCARE SURGERY CENTER
580 SOUTH LOOP ROAD	EDGEWOOD	KY	41017	AMBULATORY SURGERY CENTER
ST ELIZABETH HEALTHCARE SURGERY CENTER
2845 CHANCELLOR DRIVE	CRESTVIEW HILLS	KY	41017	AMBULATORY SURGERY CENTER
ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS
350 THOMAS MORE PARKWAY SUITE 280	CRESTVIEW HILLS	KY	41017	CARDIOLOGY OUTPATIENT CLINIC
ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS
7370 TURFWAY ROAD SUITE 109	FLORENCE	KY	41042	CARDIOLOGY OUTPATIENT CLINIC
ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS
8257 PINE ROAD	CINCINNATI	OH	45236	CARDIOLOGY OUTPATIENT CLINIC
ST ELIZABETH IMAGING CENTER - EDGEWOOD
2904 FOLTZ ROAD	EDGEWOOD	KY	41017	IMAGING CENTER
ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS
900 MEDICAL VILLAGE DRIVE	EDGEWOOD	KY	41017	CARDIOLOGY OUTPATIENT CLINIC
ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS
380 CENTRE VIEW BLVD	EDGEWOOD	KY	41017	CARDIOLOGY OUTPATIENT CLINIC
ST ELIZABETH MATERNAL FETAL CENTER
20 MEDICAL VILLAGE DRIVE SUITE 212	EDGEWOOD	KY	41017	MATERNAL FETAL CLINIC
ST ELIZABETH IMAGING CENTER - HEBRON
2200 CONNER ROAD	HEBRON	KY	41048	IMAGING CENTER
ST ELIZABETH HOSPICE CENTER
483 SOUTH LOOP DRIVE	EDGEWOOD	KY	41017	INPATIENT HOSPICE
ST ELIZABETH IMAGING CENTER - ALEXANDRI
7200 ALEXANDRIA PIKE	ALEXANDRIA	KY	41001	IMAGING CENTER
ST ELIZABETH HEALTH CARE HAND THERAPY
560 SOUTH LOOP DRIVE	EDGEWOOD	KY	41017	HAND THERAPY
ST ELIZABETH FAMILY PRACTICE CENTER
413 SOUTH LOOP ROAD	EDGEWOOD	KY	41017	FAMILY MEDICINE
ST ELIZABETH HEALTHCARE SPORTS MEDICINE
830 THOMAS MORE PARKWAY	EDGEWOOD	KY	41017	SPORTS MEDICINE
ST ELIZABETH SPORTS MEDICINE - FLORENCE
10095 INVESTMENT WAY	FLORENCE	KY	41042	SPORTS MEDICINE
ST ELIZABETH HEALTHCARE CARDIOVASCULAR
20 MEDICAL VILLAGE DRIVE SUITE 204	EDGEWOOD	KY	41017	CARDIOLOGY OUTPATIENT CLINIC
ST ELIZABETH SPORTS MEDICINE - SOUTHGAT
525 ALEXANDRIA PIKE SUITE 100	SOUTHGATE	KY	41071	SPORTS MEDICINE
ST ELIZABETH PHYSICAL THERAPY CENTER- H
2200 CONNER ROAD	HEBRON	KY	41048	PHYSICAL THERAPY
ST ELIZABETH PHYSICAL THERAPY CENTER -
5522 TAYLOR MILL ROAD	TAYLOR MILL	KY	41015	PHYSICAL THERAPY
ST ELIZABETH BUSINESS HEALTH - MOUNT ZI
10095 INVESTMENT WAY	FLORANCE	KY	41042	BUSINESS HEALTH
ST ELIZABETH PHYSICAL THERAPY CENTER -
6159 FIRST FINANCIAL DRIVE	BURLINGTON	KY	41005	PHYSICAL THERAPY
WALTON - NICHOLSON DIAGNOSTIC CENTER
1974 WALTON NICHOLSON PIKE	INDEPENCENCE	KY	41051	IMAGING CENTER
ST ELIZABETH UNION DIAGNOSTIC CENTER
10134 OLD UNION ROAD	UNION	KY	41091	DIAGNOSTIC TESTS AND THERAPY
ST ELIZABETH HOLISTIC HEALTH
210 THOMAS MORE PARKWAY	EDGEWOOD	KY	41017	HOLISTIC HEALTH

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3C: ST. ELIZABETH HEALTHCARE USES FEDERAL POVERTY GUDELINES AS THE CRITERIA TO DETERMINE ELIGIBILITY FOR FREE CARE. ST. ELIZABETH HEALTHCARE DISCOUNTS ALL PRIVATE PAY PATIENTS WHOSE INCOME IS ABOVE 200% OF FEDERAL POVERTY GUIDELINES AT 47% OF THEIR CHARGES.
PART I, LINE 6A: N/A
PART I, LINE 7: ST. ELIZABETH HEALTHCARE USED COST TO CHARGE RATIOS FOR DETERMINING COSTS RELATED TO FINANCIAL ASSISTANCE. COSTS RELATED TO UNREIMBURSED MEDICAID WERE DETERMINED BY USING ST. ELIZABETH HEALTHCARE'S COST ACCOUNTING SYSTEM. OTHER COSTS IN SECTIONS 7(G-I) WERE TAKEN USING THE ACTUAL COSTS OR DIRECT AND INDIRECT COSTS.
PART I, LINE 7G: ST. ELIZABETH HEALTHCARE COSTS REFLECTED AS SUBSIDIED HEALTH SERVICES ARE BASED ON ACTUAL COSTS OR DIRECT AND INDIRECT COSTS. THE REVENUES AND THEIR RELATED EXPENSES HAVE BEEN NETTED TOGETHER IN THE COMMUNITY BENEFIT EXPENSE COLUMN ON LINE 7 OF THE SCHEDULE H. THE ORGANIZATION REPORTED THE FOLLOWING AS SUBSIDIZED HEALTH SERVICES: PARISH NURSING HEALTH MINISTRIES, ATHLETIC TRAINERS AT THE AREA HIGH SCHOOL, WOMEN'S AND CHILDREN'S SERVICES, AND BEHAVIOR HEALTH SERVICES.
PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), THAT IS SUBTRACTED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN IS $52,068,634.
PART II: ST. ELIZABETH HEALTHCARE PROVIDES A BROAD RANGE OF PROGRAMS AND SERVICES TO ADDRESS THE NEEDS IDENTIFIED BY OUR PATIENTS AND THE COMMUNITY THAT CONTRIBUTES TO THE IMPROVED HEALTH OF NORTHERN KENTUCKY. ST. ELIZABETH HEALTHCARE PROVIDES PROGRAMS AND SERVICES THAT ENABLE PEOPLE TO MAKE CHANGES IN THEIR HEALTH, BUT MAKING THOSE DECISIONS TO CHANGE RELIES ON THE INDIVIDUAL. IN ADDITION, CHANGING THE HEALTH STATUS OF A COMMUNITY REQUIRES MULTIPLE SYSTEMIC CHANGES THAT ARE BEYOND THE CONTROL OF ONE ORGANIZATION. THEREFORE, THE HOSPITAL TOOK A THREE PRONGED APPROACH WHERE IT COULD MAKE A DIFFERENCE ON FOCUSING ON OUTCOMES THAT ARE WITHIN ITS CONTROL. EACH OF THESE PRONGS HAS ESTABLISHED MEASURES TO MONITOR PROGRESS AND SUCCESS. THE PRONGED APPROACH INCLUDES: 1) PROVIDING FREE OR DISCOUNTED CARE TO OUR COMMUNITY, AS APPROPRIATE; 2) PROVIDING EDUCATIONAL PROGRAMS AND RESOURCES FOR BOTH HEALTH PROFESSIONALS AND COMMUNITY MEMBERS; AND 3) FOCUSING ON ONE CLINICAL PROGRAM THAT RELATES TO A SPECIFIC NEED IDENTIFIED AS IMPORTANT TO OUR COMMUNITY, WHICH IN THIS PLAN, IS A DIABETES CENTER OF EXCELLENCE.
PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF ST. ELIZABETH HEALTHCARE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. SETTLEMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS BASED UPON ADDITIONAL INFORMATION, INTERIM SETTLEMENTS, AND FINAL SETTLEMENTS. MANAGEMENT RECOGNIZES BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL EXPOSURE ADJUSTED FOR CURRENT ECONOMIC TRENDS.THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS GREATER THAN THE AMOUNT REPORTED IN THE 2010 RETURN BECAUSE OF A CHANGE IN THE REPORTING REQUIREMENT PER THE SCHEDULE H INSTRUCTIONS. IN PRIOR YEARS, THIS AMOUNT WAS REQUIRED TO BE REPORTED AT COST AND A COST-TO-CHARGE RATIO WAS APPLIED TO THE BAD DEBT EXPENSE. IN 2011, BAD DEBT IS REQUIRED TO BE REPORTED AT THE EXPENSE AMOUNT AND NOT AT COST. IF THE 2011 BAD DEBT EXPENSE WAS REPORTED AT COST, THE AMOUNT WOULD BE LESS THAN THE AMOUNT REPORTED ON THE 2010 RETURN.THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, $6,716,854. THE PERCENTAGE OF BAD DEBTS THAT COULD LIKELY BE CHARITY CARE IF ENOUGH INFORMATION WAS OBTAINED UP FRONT WAS DEVELOPED WITH THE HELP OF OUR LARGEST COLLECTION AGENCY WHO DETERMINED BASED ON THE ACCOUNTS REVIEWED WHO MAY NOT HAVE HAD THE FINANCIAL ABILITY TO PAY. ST. ELIZABETH HEALTHCARE ALSO BELIEVES THAT MANY PATIENTS FALL INTO THE CATEGORY WHERE THEY DO NOT MEET THE POVERTY GUIDELINES BUT YET HAVE NO INSURANCE AND CANNOT AFFORD THE COST OF THE SERVICES PROVIDED. ST. ELIZABETH HEALTHCARE THEREFORE BELIEVES THOSE NON REIMBURSED COSTS SHOULD ALSO BE COUNTED AS A BENEFIT TO THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT BAD DEBTS SHOULD BE COUNTED AS COMMUNITY BENEFIT.
PART III, LINE 8: ST. ELIZABETH HEALTHCARE USES THE STEP DOWN METHODOLOGY TO DETERMINE COSTS FOR MEDICARE. THE REPORTS WERE THEN COMPLETED BY FOLLOWING THE GUIDANCE PROVIDED IN THE INSTRUCTIONS FOR PART III. ST. ELIZABETH HEALTHCARE BELIEVES MEDICARE LOSSES SHOULD BE AN ALLOWABLE COMMUNITY BENEFIT. ST. ELIZABETH HEALTHCARE PROVIDES NEEDED SERVICES TO THE ELDERLY AND DISABLED MEDICARE POPULATION AT A FINANCIAL LOSS TO THE ORGANIZATION TO HELP THOSE INDIVIDUALS GET THE CARE THEY NEED IN THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT MEDICARE LOSSES SHOULD BE COUNTED AS COMMUNITY BENEFIT.
PART III, LINE 9B: ST. ELIZABETH HEALTHCARE HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY.
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.	ST. ELIZABETH EDGEWOOD
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.	ST. ELIZABETH FLORENCE
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.	ST. ELIZABETH FORT THOMAS
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.	ST. ELIZABETH GRANT
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.	ST. ELIZABETH FALMOUTH
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: ST. ELIZABETH HEALTHCARE IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY OF THE STATES IN WHICH IT OPERATES. ST. ELIZABETH HEALTHCARE DOES PRODUCE AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS POSTED ON THE WEBSITE, DISTRIBUTED TO STAKEHOLDERS, AND AVAILABLE UPON REQUEST TO THE PUBLIC IN GENERAL.
PART VI, LINE 2: IN 2009, ST. ELIZABETH HEALTHCARE PARTICIPATED IN A COMMUNITY-WIDE EFFORT TO COMPLETE A COMMUNITY HEALTH ASSESSMENT. THE PROCESS WAS COORDINATED THROUGH THE NORTHERN KENTUCKY INDEPENDENT HEALTH DISTRICT AND VISION 2015 USING A NATIONAL PLANNING PROCESS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). USING THIS FRAMEWORK, THE ASSESSMENT PROCESS INVOLVED MORE THAN 200 PARTICIPANTS WITH 10 REPRESENTATIVES SERVING ON FOUR DIFFERENT COMMITTEES TO ASSESS THE HEALTH STATUS OF THE COMMUNITY. ST. ELIZABETH HEALTHCARE ALSO REVIEWED THE STATISTICS ON INCIDENCE OF DISEASE IN ITS COMMUNITY. THESE DATA SOURCES WERE USED TO DEVELOP ST. ELIZABETH HEALTHCARES 2010 THROUGH 2012 COMMUNITY BENEFITS PLAN. IN 2011 ST. ELIZABETH HEALTHCARE BEGAN RESEARCHING AVAILABLE INCIDENCE OF DISEASE RESOURCES IN PREPARATION TO CONDUCT ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN 2012. THE RESULTS OF THIS ASSESSMENT WILL BE USED TO DEVELOP THE COMMUNITY BENEFITS PLAN 2013 THROUGH 2015, FOR EACH OF THE SYSTEMS HOSPITALS.
PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON ST. ELIZABETH HEALTHCARE'S WEB SITE. A WRITTEN COPY IS ALSO INCLUDED IN THE PATIENT HANDBOOK PROVIDED TO INPATIENT ADMISSIONS. A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING INDIVIDUALS ON THE PATIENT BILLS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS TO DETERMINE QUALFICATION AND A COPY OF THE POLICY IS AVAILABLE TO PATIENTS UPON REQUEST.
PART VI, LINE 4: ST. ELIZABETH HEALTHCARE SERVES THE NORTHERN KENTUCKY REGION, CONSISTING OF 12 COUNTIES (BOONE, CAMPBELL, GRANT, KENTON, OWEN, PENDLETON, BRACKEN, CARROLL, GALLATIN, HARRISON, MASON, AND ROBERTSON COUNTIES). THE SERVICE AREA INCLUDES URBAN, SUBURBAN, AND RURAL AREAS. THE TOTAL POPULATION OF THE AREA IS OVER 500,000. ST. ELIZABETH HEALTHCARE HAS BEEN EXPANDING SERVICES IN DEARBORN COUNTY, INDIANA.THE AREA IS PREDOMINANTLY WHITE WITH AN INCREASING NUMBER OF PERSONS WITH HISPANIC BACKGROUNDS MOVING INTO THE AREA, ESTIMATED TO BE 13,000 IN 2011. MINORITY POPULATIONS REPRESENT APPROXIMATELY 8.9% OF THE POPULATION. APPROXIMATELY 11.4% OF THE POPULATION IS 65+ YEARS OLD. THE PERCENT OF PERSONS LIVING IN POVERTY VARIES BY COUNTY WITH THE LOWEST AT 9.2% IN BOONE COUNTY AND THE HIGHEST AT 22.6% IN ROBERTSON COUNTY. OVERALL, THE PERCENTAGE OF PERSONS LIVING BELOW POVERTY IS 13.4%. APPROXIMATELY 17.17% OF THE NORTHERN KENTUCKY POPULATION IS UNINSURED.
PART VI, LINE 5: ST. ELIZABETH HEALTHCARE FURTHERS ITS EXEMPT PURPOSES IN IMPROVING COMMUNITY HEALTH BY: 1) ENCOURAGING AND SUPPORTING STAFF TO PARTICIPATE ON VARIOUS COMMUNITY BOARDS/ACTIVITIES THAT SUPPORT AND/OR DEVELOP PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS AND WORKFORCE DEVELOPMENT. 2) THE HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF COMMUNITY REPRESENTATIVES TO ENSURE THE ORGANIZATION ADHERES TO ITS MISSION TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE. 3) THROUGH ITS PRIMEWISE SENIOR SERVICES FOR AGE 50+ PERSONS, THE INSTITUTION SUBSIDIZES COURSE OFFERINGS TO SENIOR CITIZENS INCLUDING DRIVER'S SAFETY, LOW IMPACT EXERCISE, COMPUTER SKILLS, MEDICATION REVIEW AND HEALTH SCREENINGS, ALONG WITH PROVIDING LITERATURE PERTINENT TO THIS AGE GROUP. 4) ON A QUARTERLY BASIS, THE HOSPITAL PRODUCES AND DISTRIBUTES TO MORE THAN 60,000 HOUSEHOLDS THROUGHOUT NORTHERN KENTUCKY, LITERATURE ON VARIOUS HEALTHCARE ISSUES AND SCHEDULES PERTAINING TO AREA HEALTH EVENTS AND PROGRAMS. 5) PERIODICALLY, ST. ELIZABETH HEALTHCARE WILL PARTNER WITH COMMUNITY ORGANIZATIONS AND BUSINESS AGENCIES TO PRESENT HEALTH RELATED PROGRAMS AND HEALTH SCREENINGS.
PART VI, LINE 6: ST ELIZABETH HEALTHCARE IS A SYSTEM THAT FEATURES FIVE FACILITIES THROUGHOUT NORTHERN KENTUCKY - ST. ELIZABETH EDGEWOOD, ST. ELIZABETH FLORENCE, ST ELIZABETH FORT THOMAS, ST. ELIZABETH GRANT, AND ST. ELIZABETH FALMOUTH. EACH OF THESE FACILITIES ADDRESSES THE SPECIFIC NEEDS OF ITS LOCALE AS IDENTIFIED BY THE PATIENTS IN THE COMMUNITY. THE SERVICE AREAS VARY FROM RURAL AREAS TO SUBURBAN COMMUNITIES TO URBAN AREAS IN GREATER CINCINNATI AND NORTHERN KENTUCKY. ST. ELIZABETH HEALTHCARE OFFERS 1,187 LICENSED BEDS, MORE THAN 6,800 EMPLOYEES, MORE THAN 800 PHYSICIANS WITH ADMITTING PRIVILEGES AND A WHOLLY OWNED PHYSICIAN ORGANIZATION WHICH INCLUDES 62 PRIMARY CARE AND SPECIALTY OFFICE LOCATIONS. ST. ELIZABETH HEALTHCARE IS SPONSORED BY THE DIOCESE OF COVINGTON.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

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
JOHN DUBIS
650000	0	83125	0	11441	0	141841	0	47726	0	934133	0	0	0
GEORGE S HALL MD
246154	0	16085	0	7723	0	0	0	21540	0	291502	0	0	0
HEIDI C MURLEY MD
0	296342	0	0	0	3411	0	0	0	21210	0	320963	0	0
GARREN COLVIN
451000	0	71750	0	20046	0	88290	0	26638	0	657724	0	0	0
NATHAN VANLANINGHAM
289423	0	35000	0	8275	0	45163	0	2120	0	379981	0	0	0
THOMAS SAALFELD
273000	0	37564	0	976970	0	16500	0	20467	0	1324501	0	0	0
TREVA JANE SWAIM
273000	0	46025	0	683946	0	16500	0	20307	0	1039778	0	0	0
GLENN LOOMIS
430000	0	0	0	1706	0	44978	0	23823	0	500507	0	0	0
SARAH GIOLANDO
300000	0	42446	0	838	0	34472	0	2737	0	380493	0	0	0
MARTIN OSCADAL
273000	0	37498	0	2569	0	47138	0	22211	0	382416	0	0	0
CHISTOPHER CARLE
272300	0	35400	0	887	0	46886	0	22915	0	378388	0	0	0
GARY BLANK
229000	0	26246	0	1128	0	35017	0	18198	0	309589	0	0	0
MARK REIDINGER
14884	0	26875	0	201165	0	38903	0	16764	0	298591	0	0	0
RAYMOND WILL
522460	0	62762	0	14478	0	0	0	20010	0	619710	0	0	0
VICTOR SCHMELZER
523460	0	62762	0	4902	0	16500	0	24427	0	632051	0	0	0
MICHAEL GIBSON
522460	0	62762	0	1710	0	16500	0	22696	0	626128	0	0	0
KARL ULICNY
522460	0	62762	0	2622	0	16500	0	24196	0	628540	0	0	0
JACKSON PEMBERTON
437464	0	0	0	4267	0	16500	0	27420	0	485651	0	0	0
JOSEPH GROSS
200000	0	326140	0	9340	0	0	0	12807	0	548287	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 1A

TRAVEL FOR COMPANIONS: THIS IS PROVIDED TO JOHN DUBIS, GARREN COLVIN, BARBARA KROHMAN, GEORGE HALL, SARAH GIOLANDO, AND GLENN LOOMIS. BOARD RETREAT COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: SEE ABOVE LIST OF INDIVIDUALS. TAXABLE BOARD RETREAT COMPENSATION WAS GROSSED UP FOR FICA AND LOCAL TAXES. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: THIS IS PROVIDED TO NATHAN VANLANINGHAM FOR PART OF MOVING EXPENSES WHICH IS TREATED AS TAXABLE COMPENSATION.

PART I, LINES 4A-B

SEVERANCE PAYMENT: THE SEVERANCE RECEIVED BY MARK REIDINGER WAS THE COMPENSATION REQUIRED UNDER THE REMAINING TERM OF HIS CONTRACT, THE PERIOD OF FEBRUARY 1, 2011 THROUGH JANUARY 31, 2012. SEVERANCE PAYMENTS FOR 2011: MARK REIDINGER $198,462 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NONQUALIFIED RETIREMENT PLAN PAYMENTS FOR 2011: JANE SWAIM $680,018 TOM SAALFELD $965,211

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY
521643102	49126KGH8	2009-12-09	101960448	CONSTRUCTION OF HOSPITAL FACILITIES/PARTIAL REFUNDING OF BOND ISSUED 6/11/03	0	0	0
KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY
521643102	NONEAVAIL	2009-12-09	38150000	PARTIAL REFUNDING OF BONDS ISSUED 6/11/03	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4000000	101960448	1430179	29195269	71335000	2009	1	0	1	1
2150000	38150000	360000		37790000		1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	1	1	1	0	0.03000	0.03000	1
0	0	1	1	0			1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	1
0	1	0	0	0	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART III, LINE 7:	Identifier
Explanation	ST. ELIZABETH MEDICAL CENTER, INC. HAS WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED. IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS, THE ORGANIZATION WOULD CONTACT ITS BOND COUNCEL REGARDING THE IRS' VOLUNTARY CLOSING AGREEMENT PROGRAM.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
NORTHERN KENTUCKY WATER DISTRICT
SEH BOARD MEMBER FRED MACKE IS A BOARD MEMBER OF NKWD	373746	UTILITIES	0
CHAMPLIN HAUPT ARCHITECTS
SEH BOARD MEMBER JOAN WURTENBERGER IS A PARTNER OF CHA.	349065	ARCHITECT FEES	0
HBC II LLC
SEH BOARD MEMBER JOAN WURTENBERGER'S HUSBAND IS A 30% OWNER OF HBC II.	120530	MANAGEMENT FEES	0
SCHIFF KRIEDLER SHELL
SEH BOARD MEMBER TOM COLVIN IS AN OFFICER OF SKS	843236	INSURANCE	0
FIFTH THIRD BANK
SEH BOARD MEMBER CHRIS FISTER IS A BOARD MEMBER OF FIFTH THIRD BANK.	1286434	INTEREST EXP, TRUSTEE FEES AND BANK FEES	0
PERFECT SERVE INC
SEH BOARD MEMBER TED ROBINSON IS A 1% OWNER OF PERFECT SERVE, INC.	302995	TELEPHONE MESSAGING SERVICES	0
CRANLEY SURGICAL ASSOCIATES
SEH BOARD MEMBER BARRY DICK IS A PHYSICIAN WITH CSA.	623383	WOUND CARE / VASCULAR FEES	0
INTERNAL MEDICINE ASSOCIATES
SEH BOARD MEMBER RALPH HULLER IS A PHYSICIAN WITH IMA.	587629	EKG FEES	0
RADIOLOGY ASSOCIATES
SEH BOARD MEMBER JAMES ROEBKER IS A PHYSICIAN WITH RADIOLOGY ASSOCIATES.	741404	RADIOLOGY FEES	0
CINCINNATI REDS
SEH BOARD MEMBER CHRIS FISTER IS AN OWNER/OFFICER OF THE CINCINNATI REDS.	195115	ADVERTISING AND GAME TICKETS	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	11	NumberOfContributions
Noncash Contribs Rptd F990	70388	NoncashContribsRptdF990
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	MEDICAL SUPPLES	7	29959	COST/SELLING PRICE
X	FOOD/PRIZES	123	26703	COST/SELLING PRICE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7A	MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE BOARD OF TRUSTEES OF THE CORPORATION WILL BE APPOINTED ACCORDING TO THE FOLLOWING SUMMARIZED PROCEDURE: (I) THE BOARD SHALL SUBMIT TO THE BISHOP UP TO THREE NAMES OF CANDIDATES FOR EACH VACANCY; (II) ORDINARILY THE BISHOP WILL CHOOSE TRUSTEES TO FILL THE VACANCIES OR OPENINGS FROM THE RECOMMENDED CANDIDATES AFTER PERSONAL CONSULTATION WITH THE PRESIDENT. IF THE BISHOP DOES NOT CHOOSE ANYONE FROM THE LIST, THE BOARD WILL SUBMIT NEW NAMES AS SOON AS PRACTICAL; (III) THE BISHOP RESERVES THE RIGHT TO SUBMIT OTHER NAMES TO THE BOARD FOR REVIEW AND COMMENT; (IV) IN CONSULTATION WITH THE PRESIDENT OF THE MEDICAL CENTER OR THE BOARD CHAIR, THE BISHOP MAY REMOVE ANY MEMBER OF THE BOARD IF CERTAIN ACTIONS ARE COMMITTED; (V) IF THE BISHOP DECLINES A CANDIDATE OR THE CANDIDATE DECLINES, THE LIST OF CANDIDATES WILL BE REVISITED ACCORDING TO PROCEDURES (I) THROUGH (III) ABOVE.
FORM 990, PART VI, SECTION A, LINE 7B	MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE BISHOP: (I) THE AMENDMENT OR REPEAL OF SECTIONS 2(B) OR 2(C) OF THE BYLAWS OR ANY PROVISIONS OF THE GOVERNING DOCUMENTS RELATING TO THE AUTHORITY OF THE BISHOP OR BOARD OF TRUSTEES OF THE CORPORATION; (II) ANY ACTION THAT RESULTS IN A SUBSTANTIAL CHANGE, AS DETERMINED BY THE BISHOP OR THE BOARD, IN THE PHILOSOPHY OR MISSION OF THE CORPORATION, OR IN THE USE OF A CORPORATION HOSPITAL FACILITY; (III) THE DISSOLUTION, CONSOLIDATION, MERGER, OR TERMINATION OF EXISTENCE OF THE CORPORATION; AND (IV) A BORROWING, LEASE, TRANSFER, OR ENCUMBRANCE OF ANY REAL ESTATE OF THE CORPORATION EXCEEDING $5,000,000.
FORM 990, PART VI, SECTION B, LINE 11	ST. ELIZABETH HEALTHCARE'S PROCESS TO REVIEW THE FORM 990 CONSISTS OF REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT. THE FORM 990 IS REVIEWED WITH THE FINANCE COMMITTEE AND APPROVED BY THE FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S APPROVAL, BUT PRIOR TO FILING WITH THE IRS, THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A BOARD COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. IN ADDITION, ANY OF THESE PERSONS WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. WHEN BUSINESS COMES BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST, THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT. IN ADDITION: (A) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (B) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (C) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (D) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING.
FORM 990, PART VI, SECTION B, LINE 15	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA, AND THEN A COMPENSATION RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL. OTHER KEY EXECUTIVES ARE REVIEWED AND THE CEO MAKES RECOMMENDATIONS FOR THEIR COMPENSATION TO THE COMPENSATION COMMITTEE. THIS COMMITTEE THEN EVALUATES AND APPROVES THE COMPENSATION FOR THE OTHER KEY EXECUTIVES. FOR BOTH THE CEO AND OTHER KEY EXECUTIVES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXTERNAL REVIEW OF EXECUTIVE COMPENSATION IS PERFORMED ANNUALLY AND APPROVED BY THE BOARD - THIS WAS LAST PERFORMED IN 2011.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION WILL PROVIDE THE FORM 990 SCHEDULES, OF WHICH ARE OPEN TO PUBLIC INSPECTION, UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A:	THESE INDIVIDUALS DEVOTE THE FOLLOWING HOURS PER WEEK TO, RELATED ORGANIZATION, ST. ELIZABETH PHYSICIAN SERVICES, FOR WHICH COMPENSATION IS REPORTED IN COLUMNS E & F: HEIDI C. MURLEY 40 HOURS THESE INDIVIDUALS DEVOTE THE FOLLOWING HOURS PER WEEK TO, RELATED ORGANIZATION, SUMMIT MEDICAL GROUP, INC.: JOHN DUBIS 1.00 HOUR GARREN COLVIN 1.00 HOUR NATHAN VANLANINGHAM 1.00 HOUR GLENN LOOMIS 40.00 HOURS
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -16,730,504. CHANGE IN FMV OF INTEREST RATE SWAP -3,059,736. AMORTIZATION OF PREVIOUSLY HEDGED INTEREST RATE SWAP -69,650. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -9,759. CHANGE IN PENSION PLAN ASSETS AND BENEFIT OBLIGATION -58,469,705. CONTRIBUTED CAPITAL TO SUMMIT MEDICAL GROUP, INC. -4,845,945. TOTAL TO FORM 990, PART XI, LINE 5: -83,185,299.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIABETH PHYSICIAN SERVICES	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	334 THOMAS MORE PARKWAY STE 200	AddressLine1
City	CRESTVIEW HILLS	City
State	KY	State
ZIP Code	41017	ZIPCode

Field	Value	IRS element (for citing)
EIN	611339639	EIN
Primary Activities	PHYSICIAN MANAGEMENT SERVICES	PrimaryActivities
Legal Domicile State	KY	LegalDomicileState
Total Income	1090380	TotalIncome
EOY Assets	6475557	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH MEDICAL CENTER INC	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SUMMIT MEDICAL GROUP INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	334 THOMAS MORE PARKWAY STE 200	AddressLine1
City	CRESTVIEW HILLS	City
State	KY	State
ZIP Code	41017	ZIPCode

Field	Value	IRS element (for citing)
EIN	611300608	EIN
Primary Activities	PHYSICIAN PRACTICE	PrimaryActivities
Legal Domicile State	KY	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	LINE 3	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	1	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (4 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	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
NORTHERN KY CHILDREN'S MEDICAL SERVICES LLC
C/O CHMC 3333 BURNET AVE	CINCINNATI	OH	45229	260084305	MEDICAL SERVICES	OH	CHILDREN'S HOSPITAL MEDICAL CENTER	RELATED	465335	114444	0	0	0.50000
ST ELIZABETH HOME CARE SERVICES LLC
1700 EDISON DRIVE	MILFORD	OH	45150	261236191	HOME HEALTH	OH	AMERICAN NURSING CARE	RELATED	661000	677000	0	0	0.50000
VESCENT AESTHETIC SKIN AND LASER CENTER
210 THOMAS MORE PARKWAY	CRESTVIEW HILLS	KY	41017	273137980	COSMETIC SERVICES (DISSOLVED 10/1/11)	KY	ST ELIZABETH MEDICAL CENTER INC	RELATED	-95335		0	0	0.50000
AMSURG NORTHERN KENTUCKY GI LLC
20 BURTON HILLS BLVD 5TH FLOOR	NASHVILLE	TN	37215	621719097	AMBULATORY SURGERY CENTER	TN		RELATED	323878		0	0	0.49000	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	JLD MANAGEMENT LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	207 THOMAS MORE PARKWAY	AddressLine1
City	CRESTVIEW HILLS	City
State	KY	State
ZIP Code	41017	ZIPCode

Field	Value	IRS element (for citing)
EIN	205361603	EIN
Primary Activity	REAL ESTATE	PrimaryActivity
Legal Domicile State	KY	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ELIZABETH MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Share Of Total Income	-35326	ShareOfTotalIncome
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
JLD MANAGEMENT LLC
R	32285	CASH
JLD MANAGEMENT LLC
Q	67611	CASH
SUMMIT MEDICAL GROUP INC
J	436838	CASH
SUMMIT MEDICAL GROUP INC
I	262145	CASH
SUMMIT MEDICAL GROUP INC
B	4845945	CASH
SUMMIT MEDICAL GROUP INC
P	1074217	CASH
SUMMIT MEDICAL GROUP INC
O	31599259	CASH
VESCENT AESTHETIC SKIN AND LASER CENTER
O	100957	CASH