2021-11-11T12:01:01-06:00 2020-12-31 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2020-01-01 610445850 St Elizabeth Medical Center Inc STEL 8596551642 One Medical Village Drive Edgewood KY 41017 LORI RITCHEY-BALDWIN CFO 2021-11-11 true LORI RITCHEY-BALDWIN 999009999 Kim Scifres P01316095 5023263996 2020 2022-09-23 18:48:47Z Garren Colvin One Medical Village Drive Edgewood KY 41017 1869697199 false X www.stelizabeth.com X 1861 KY AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. 18 16 9021 1033 4223327 0 9475982 66333643 1207741060 1314551472 70078529 45811279 6279258 10071262 1293574829 1436767656 4171294 4584772 0 559111950 588746185 60000 60000 2377004 600196355 668081025 1163539599 1261471982 130035230 175295674 2162310495 2573879630 646749497 817952234 1515560998 1755927396 AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. false false 782071519 4584772 1304917315 St. Elizabeth Healthcare is one of the oldest, largest and most respected medical providers in the Northern Kentucky, Southern Ohio and Southern Indiana Areas. For more than 150 years, St. Elizabeth has been the heart and soul of healthcare in Northern Kentucky. Founded with one small hospital in 1861, St. Elizabeth Healthcare now operates six facilities throughout Northern Kentucky and Southeast Indiana - St. Elizabeth Covington, St. Elizabeth Edgewood, St. Elizabeth Florence, St. Elizabeth Ft. Thomas, St. Elizabeth Grant and St. Elizabeth Dearborn. St. Elizabeth Healthcare is sponsored by the Diocese of Covington and provided approximately $59 million in uncompensated care and benefit to the community in 2020. Within our thriving, multi-faceted organization, some of the nation's top medical professionals are working together to deliver the best care available to these areas. Our mission is to provide comprehensive and compassionate care that improves the health of the people we serve. We accomplish this through state-of the-art technology and our dedicated associates, led by a well-respected board and executive leadership team who love this organization and our community. St. Elizabeth Healthcare's state-of-the-art technology includes a secure, internal electronic medical records system that not only gives providers access to their patients' medical records at any St. Elizabeth Healthcare or St. Elizabeth Physicians facility, but also gives the patient, faster, more convenient access to their personal medical records, test results and healthcare providers through a web portal called "MyChart." St. Elizabeth Healthcare also became the first and only healthcare system in Kentucky, Ohio or Indiana to pass Mayo Clinic's rigorous review process and become a member of the Mayo Clinic Care Network, a collaboration that allows physicians from St. Elizabeth Healthcare to consult with Mayo Clinic physicians, providing even better care to our patients. St. Elizabeth Healthcare has invested in our community for generations. St. Elizabeth Healthcare believes that reaching out to help the underprivileged and improving the overall health of the community is the foundation of its mission to provide comprehensive and compassionate care to our neighborhood and our families. It is because of this belief that the St. Elizabeth Healthcare community benefit program helps others have access to St. Elizabeth Healthcare resources and services. It is St. Elizabeth Healthcare's intention to always balance financial viability with compassionate care, and to stay true to its non-profit roots. During 2020 St. Elizabeth Healthcare had total admissions of 93,383; total patient visits of 192,316 and total emergency room visits of 155,159. 782071519 true true false true false false false false false true true false false true true false true false false true false false true true true true true true false true true true false false false false true false true false false true false false false true true true true true false true 541 0 true 9021 true true true false false false false true true false false false false true false X 18 16 false false false false false true true true true false false true true true true true true true true true true IN KY X LORI RITCHEY-BALDWIN 8596551642 ONE MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 GARREN COLVIN PRESIDENT/CEO 50.0 5.0 X X 1478596 0 81717 AJ SCHAEFFER TRUSTEE 4.0 0 X 0 0 0 Bob Hoffer TRUSTEE 4.0 0 X 0 0 0 BRIAN ROBINSON TRUSTEE 4.0 0 X 22202 0 0 DEBBIE SIMPSON Trustee 4.0 0 X 0 0 0 JACKIE SWEENEY MD TRUSTEE 4.0 0 X 0 0 0 JAMES ROEBKER MD TRUSTEE 4.0 0 X 0 0 0 JAMES VOTRUBA Chairman 4.0 0 X 0 0 0 JASON JACKMAN TRUSTEE 4.0 0 X 0 0 0 JOE KOESTER TRUSTEE 4.0 0 X 194 0 0 MARSHA CROXTON TRUSTEE 4.0 0 X 384 0 0 MEREDITH DONNELLY MD TRUSTEE 4.0 0 X 26233 0 0 MICHAEL E JONES MD TRUSTEE 4.0 0 X 0 0 0 ROBERT BAKER MD TRUSTEE 4.0 50.0 X 0 227055 61580 ROGER PETERMAN TRUSTEE 4.0 0 X 15265 0 0 THOMAS R DIETZ TRUSTEE 4.0 0 X 17439 0 0 TILLIE HIDALGO LIMA Trustee 4.0 0 X 15265 0 0 TODD KIRCHHOFF MD TRUSTEE/PRESIDENT 4.0 0 X 20709 0 0 GARY BLANK EXECUTIVE VP & COO 50.0 1.0 X 820072 0 65303 LISA FREY VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY 50.0 1.0 X 534383 0 62181 LORI RITCHEY-BALDWIN Senior Vice President/CFO/Treasurer 50.0 5.0 X 845146 0 69167 BRUNO GIACOMUZZI COO Flo FT Cov & SVP Prof Svcs 50.0 0 X 484946 0 68383 CHRISTOPER CARLE PRESIDENT & CEO SEPN, COO - DEARBORN 50.0 0 X 573039 0 65079 HARRY WATSON Sr. VP Facilities 50.0 0 X 350298 0 50069 JAMES PARSONS SVP HUMAN RESOURCES 50.0 0 X 486060 0 41234 JOHN MITCHELL SVP - COO FT. THOMAS 50.0 0 X 342289 0 61277 KATHY LYNN JENNINGS SVP PATIENT CARE/ONCOLOGY 50.0 0 X 309225 0 71245 LAROY KENDALL MD SVP Medical Services, CMO 50.0 4.0 X 547430 0 62316 ROBERT PRICHARD MD Chief Clinical Integration Officer, SEP President & CEO 25.0 25.0 X 1032746 0 76113 SARAH GIOLANDO SVP/CHIEF STRATEGY OFFICER 50.0 0 X 516975 0 54992 VERA HALL SVP System CNE 50.0 0 X 407779 0 71139 JEROME SCHUTZMAN MD PHYSICIAN 50.0 0 X 1117655 0 63476 JON HAYS MD PHYSICIAN 50.0 0 X 1054578 0 68991 KARL ULICNY MD PHYSICIAN 50.0 0 X 957561 0 76813 MOHAMAD SINNO MD PHYSICIAN 50.0 0 X 1159226 0 69743 VICTOR SCHMELZER MD PHYSICIAN 50.0 0 X 947499 0 87215 14083196 227055 1328030 740 false true false Turner Construction Company 250 West Court St Suite 300 Cincinnati OH 45202 Construction 49148728 Messer Construction 88718 Expedite Way Chicago IL 60695 Construction Services 21588490 Software Information Systems LLC PO Box 440214 Nashville TN 37244 Hardware Maintenance 7059882 NKUMOB LLC 200 Park Avenue Suite 220 Orange Village OH 44122 Construction Servcies 6511880 Compass Emergency Physicians PSC PO Box 638685 Cincinnati OH 452638685 Physician Services 6496573 276 17444 57828881 8487318 211102 66333643 NET PATIENT REVENUE 622110 1128461542 1128461542 OTHER RELATED REVENUE 900099 70052117 70052117 PATIENT/EMPLOYEE DRUGS 446110 45288272 35888738 3961213 5438321 LABORATORY 621511 70749541 70514918 234623 0 0 0 0 1314551472 24769697 27491 24742206 40005 40005 3210394 2457521 752873 0 752873 752873 448656187 2657513 428172621 2139502 20483566 518011 21001577 21001577 256770 17444 157399 99371 99371 2595 2500 95 95 CAFETERIA 722310 3151375 3151375 GIFT SHOP 900099 1246843 1246843 VENDING 453220 58860 58860 4761845 0 0 4761845 9218923 1436767656 1304917315 4223327 61293371 X 4584772 4584772 9746888 7164751 2560566 21571 455398567 334754763 119635933 1007871 32603667 22816276 9718583 68808 59265825 43172920 15967206 125699 31731238 23360422 8292062 78754 2676379 0 2676379 0 673536 89667 583869 0 29500 29500 60000 60000 1752200 0 1751750 450 230696498 72652187 158027184 17127 6955198 419402 6088574 447222 4795446 2505661 2194201 95584 17768770 1306479 16391504 70787 13794134 911843 12882291 0 372317 244692 125646 1979 1644646 209690 1290615 144341 7793685 84004 7709681 0 66285985 0 66285985 0 8848914 0 8848914 0 MEDICAL SUPPLIES 257793460 252478836 5314622 2 GENERAL SUPPLIES 23161720 13474972 9485159 201589 PROVIDER TAX 15666702 0 15666702 0 Dues and Memberships 2010899 857961 1149441 3497 5361036 952721 4376592 31723 1261471982 782071519 477023459 2377004 3558922 3558922 66108429 124548881 9430638 11841427 134459344 145956158 11337621 10439773 0 0 12989291 26756545 30744149 39778791 12241745 10571825 1280168248 639753819 535149289 640414429 540776600 1142082349 675191039 267808908 12024412 21311951 12647499 10685499 105651517 118124172 2162310495 2573879630 181131028 237296009 4132944 104216650 275881716 266395606 0 0 185603809 210043969 646749497 817952234 X 1285769354 1501872803 19973528 27842387 209818116 226212206 1515560998 1755927396 2162310495 2573879630 X 175295674 71210026 -6139302 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 40458 false true 36095 76553 false Schedule C, Part II-B, Line 1j OTHER ACTIVIITIES THE PORTION OF THE KENTUCKY HOSPITAL ASSOCIATION DUES AND SPONSORSHIP THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES IS $36,095. Schedule C, Part II-B, Line 1g Direct contact with legislators A PORTION OF TWO ST. ELIZABETH HEALTHCARE EMPLOYEES' SALARIES IS RELATED TO DIRECT CONTACT WITH LEGISLATORS AS IT RELATES TO LEGISLATION FOR THE TAX YEAR 2020. THE AMOUNT IS $7,300. ST. ELIZABETH HEALTHCARE ALSO ENLISTED THE ASSISTANCE OF LOBBYING CONSULTANTS IN 2020. THE AMOUNT PAID TO THESE CONSULTANTS IS $29,500. ST. ELIZABETH HEALTHCARE ALSO PAID $3,658 IN SPONSORSHIP DOLLARS. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ST. ELIZABETH HEALTHCARE hired lobbying consultants to provide lobbying support at the state and local levels on legislative issues being considered by the Kentucky General Assembly or by cities and counties in our community. Primarily, the consulting work includes monitoring bills, notifying St. Elizabeth if there are issues of concern or bills introduced that are of concern, assistance in talking with legislators or other government officials about these concerns, sharing positions on bills or issues with our legislators, and summarizing actions that have taken place on a weekly basis during the session. We have hired the consulting firm because they are based in Frankfort, Kentucky and can be at the meetings and hearings every day during the session so that we can be more timely in responding if issues arise. 23461270 23461270 728019156 297265189 430753967 17518433 8834646 8683787 457852636 333519900 124332736 53316753 134084 53182669 640414429 UNRESTRICTED 267808908 F 267808908 ANNUITY PAYMENT LIABILITY 78961 ACCRUED PENSION LIABILITY -11853188 OTHER LONG TERM LIABILITIES 57465032 SELF-INSURANCE 59968164 OTHER CURRENT LIABILITIES HOSPITAL INTEREST RATE SWAP 27486933 ASSET RETIREMENT OBLIGATION 441514 LEASE LIABILITIES LONG TERM 55157156 MEDICARE PAYABLE 3677355 MEDICAID PAYABLE 986723 OTHER CURRENT LIABILITIES 9776167 LEASE LIABILITIES CURRENT 6859152 210043969 X 1492531908 71210026 4380664 75590690 1416941218 1752200 18074238 19826438 1436767656 1259332958 5280623 5280623 1254052335 1752200 5667447 7419647 1261471982 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote NO PROVISION HAS BEEN MADE FOR INCOME TAXES SINCE ST. ELIZABETH HEALTHCARE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ST. ELIZABETH AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ST. ELIZABETH HEALTHCARE IS NOT CURRENTLY UNDER EXAMINATION BY THE INTERNAL REVENUE SERVICE OR ANY STATE OR LOCAL TAX AUTHORITIES. ST. ELIZABETH HEALTHCARE'S FEDERAL TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2017 AND PRIOR YEARS ARE NO LONGER SUBJECT TO EXAMINATION AS THE STATUTE OF LIMITATIONS HAS EXPIRED FOR THOSE YEARS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 FUNDRAISING EXPENSES - 157399 GAMING EXPENSES - 2500 SEPN - 1763244 RENTAL EXPENSES - 2457521 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements UNCOLLECTIBLE PLEDGES - 33895 PENSION EXPENSE BOOKED TO REVENUE - 3373779 SEPN - 1334805 5 LABS - 440852 CHANGE IN FMV IN INT RATE SWAP - 12372896 LOSS/GAIN ON FIXED ASSETS - 518011 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 SEPN - 2663203 RENTAL EXPENSES - 2457521 FUNDRAISING EXPENSES - 157399 GAMING EXPENSES - 2500 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PENSION EXPENSE BOOKED TO REVENUE - 3373779 5 LABS - 440852 SEPN - 1334805 LOSS/GAIN ON FIXED ASSETS - 518011 Central America and the Caribbean 0 0 Investments N/A 166305802 0 0 0 0 0 0 166305802 0 166305802 true false true true false false Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING PROGRAM RELATED INVESTMENTS ST. ELIZABETH HEALTHCARE MAINTAINS RECORDS TO SUBSTANTIATE AMOUNTS AND ELIGIBILITY TO BE USED FOR THE CRITERIA FOR SELECTING PROGRAM RELATED INVESTMENTS. ST. ELIZABETH HEALTHCARE'S PROGRAM RELATED INVESTMENTS ARE CONSIDERED TO BE LOW RISK AND HAVE LOW VOLATILITY TO THE MARKETPLACE. ST. ELIZABETH HEALTHCARE MONITORS THEIR PROGRAM RELATED INVESTMENTS BY HAVING AN INDEPENDENT INVESTMENT CONSULTANT RECEIVE, ON A QUARTERLY BASIS, SEPARATE FINANCIAL REPORTS FOR EACH INVESTMENT AND ON AN ANNUAL BASIS, AUDITED FINANCIAL STATEMENTS PERFORMED BY THIRD PARTY INDEPENDENT AUDITORS FOR EACH INVESTMENT. THESE REPORTS AND FINANCIAL STATEMENTS ARE REVIEWED BY THE INDEPENDENT INVESTMENT CONSULTANT AND PERFORMANCE IS CALCULATED BASED ON ACTUAL AND PROJECTED CASH FLOWS FOR EACH INVESTMENT. THIS PERFORMANCE IS COMPARED TO BENCHMARKED INDUSTRY STANDARDS. IN ADDITION, RATES OF RETURN ARE COMPARED TO WHAT IS ACTUALLY REPORTED AND WHAT THE INDUSTRY STANDARDS PROVIDE. ANY SIGNIFICANT DISPARITIES ARE DISCUSSED WITH ST. ELIZABETH HEALTHCARE'S INVESTMENT COMMITTEE. FURTHERMORE, IF NECESSARY, AN INVESTMENT TEAM WILL REVIEW THE STRATEGY, PERFORMANCE, AND GOALS OF THE PROGRAM RELATED INVESTMENT(S) TO ENSURE THAT THE FUNDS ARE BEING USED FOR THEIR PROPER PURPOSE AND ARE NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE. X X X X X X X true HILLARY LYONS ASSOCIATESBOUTS VENTURE LLC 139 Bridge Street Dimondale MI 48821 Consulting Fee false 60000 -60000 0 60000 -60000 IN KY OH GOLF PARTEE 235555 4355 231200 2500 992 87661 26661 STYLE SHOW 38659 13089 25570 31476 8109 0 274214 17444 256770 2500 992 119137 34770 157399 99371 2595 2500 true 1.0 2595 2500 KY true false true false 0.0 1.0 LISA SPEIER 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41014 false LISA SPEIER 3598 Supervision and management of the gaming operations. X true 95 Schedule G, Part I, Line 2b(i) Hillary Lyons Associates/Bouts Ventures LLC Hillary Lyons Associates/Bouts Ventures LLC is a consulting firm working in the field of ongoing fund development and community relations exclusively for non-profit health care institutions. Hillary Lyons Associates/Bouts Ventures LLC do not participate in the solicitation of contributions. Schedule G, Part III, Line 17 Distributions required under state law STATE=KENTUCKY,MANDATORY DISTRIBUTION AMOUNT=95; true true X true X true X true true true false true true 22524786 10595677 11929109 0.0095 197843677 158842383 39001294 0.0309 0 0 0 0.0 0 0 220368463 169438060 50930403 0.0404 2921912 2921912 0.0023 5583301 1938033 3645268 0.0029 1177694 541862 635832 0.0005 0 0 0 0.0 18168486 18168486 0.0144 0 0 27851393 2479895 25371498 0.0201 0 0 248219856 171917955 76301901 0.0605 0 0 0.0 55 55 0.0000 827356 827356 0.0007 0 0 0.0 0 0 0.0 16234 16234 0.0000 0 0 0.0 22609 22609 0.0000 2659 2659 0.0000 0 0 868913 0 868913 0.0007 true 38914893 3891489 218621511 237123878 -18502367 X true true BLUEGRASS DIALYSIS LLC RENAL DIALYSIS 0.32 0.0 0.17 5 5 ST ELIZABETH DEARBORN 600 WILSON CREEK ROAD LAWRENCEBURG IN 47025 www.stelizabeth.com X X X A 1 ST ELIZABETH EDGEWOOD 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 www.stelizabeth.com 100500 X X X A 2 ST ELIZABETH FLORENCE 4900 HOUSTON ROAD FLORENCE KY 41042 www.stelizabeth.com 100273 X X X A 3 ST ELIZABETH FORT THOMAS 85 NORTH GRAND AVENUE FORT THOMAS KY 41075 www.stelizabeth.com 100059 X X X A 4 ST ELIZABETH GRANT 238 BARNES ROAD WILLIAMSTOWN KY 41097 www.stelizabeth.com 600062 X X X X A A false false true X X X X X X X X X 18 true true false true X HTTPS://WWW.STELIZABETH.COM/COMMUNITY-OUTREACH/COMMUNITY-BENEFITS X true 18 true https://www.stelizabeth.com/community-outreach/community-benefits false true X 200.0 400.0 X X X X true true X X X X true X https://www.stelizabeth.com/care/pay-my-bill X https://www.stelizabeth.com/care/pay-my-bill X https://www.stelizabeth.com/care/pay-my-bill X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas. For the 2013 - 2015 CHNA, ST. ELIZABETH HEALTHCARE INVITED 349 COMMUNITY LEADERS, BUSINESS PERSONS, AND RESIDENTS TO PARTICIPATE IN EITHER A FOCUS GROUP OR SURVEY. PARTICIPANTS IN THE ASSESSMENT INCLUDED REPRESENTATION FROM ST. ELIZABETH HEALTHCARE, STATE LEGISLATURE, FISCAL COURTS, LAW ENFORCEMENT, HEALTH DEPARTMENTS, CITY OFFICIALS, AREA SCHOOL SYSTEMS, AND OTHER HEALTHCARE & SOCIAL SERVICE PROVIDERS. ORGANIZATIONS AND OTHER GROUPS CONSULTED INCLUDE: -TRACY MANN, EXECUTIVE DIRECTOR OF ACADEMIC & STUDENT SUPPORT SERVICES KENTON COUNTY SCHOOLS -JOHN SCHICKEL, SENATOR OF THE STATE OF KENTUCKY -SHAWN CARROLL, EXECUTIVE DIRECTOR OF NEW PERCEPTIONS -DR. KATHY BURKHARDT, SUPERINTENDENT OF ERLANGER ELSMERE SCHOOLS -MARY BURCH, RN, HEALTH COORDINATOR OF ERLANGER ELSMERE SCHOOLS -CRAIG RICE, PRESIDENT OF BOYS & GIRLS CLUBS OF GREATER CINCINNATI -RICK SKINNER, MAYOR OF THE CITY OF WILLIAMSTOWN -NANCY ATKINSON, COUNCIL MEMBER OF THE CITY OF EDGEWOOD -SR. JEAN HOFFMAN, DIOCESAN CATHOLIC CHILDREN'S HOME -MARK KREIMBORG, KENTON COUNTY FISCAL COURT -ED HUGHES, PRESIDENT OF GATEWAY COMMUNITY COLLEGE -ROSANA AYDT, EXECUTIVE DIRECTOR/DIRECTOR OF PHARMACY OF FAITH COMMUNITY PHARMACY -KEN RECHTIN, SENIOR SERVICES OF NORTHERN KENTUCKY -CHARLES KORZENBORN, SHERIFF OF KENTON COUNTY -STEVE STEVENS, PRESIDENT AND CEO OF NORTHERN KENTUCKY CHAMBER OF COMMERCE -TOM SZURLNSKI, CHIEF OF POLICE OF FLORENCE KENTUCKY -CATHY VOETER, CITY OF DAYTON -LINDA YOUNG, EXECUTIVE DIRECTOR OF WELCOME HOUSE OF NORTHERN KENTUCKY -DENISE BINGHAM, DIRECTOR OF NURSING OF THREE RIVERS DISTRICT HEALTH -DEBBIE JONES, THREE RIVERS DISTRICT HEALTH -TONY KRAMER, CHIEF OF POLICE OF EDGEWOOD KENTUCKY -DR. LYNNE SADDLER, NORTHERN KENTUCKY HEALTH DEPARTMENT -Transitions, Inc. DURING 2015, ST. ELIZABETH HEALTHCARE CONDUCTED ITS NEXT REQUIRED CHNA FOR YEARS 2016 -2018. -PRIMARY DATA WAS COLLECTED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH. REPRESENTATION INCLUDED AREA HEALTH DEPARTMENTS, LOCAL GOVERNMENTAL/CIVIC AGENCIES, HEALTHCARE PROVIDERS, COMMUNITY BASED SOCIAL SERVICE AGENCIES AND AREA SCHOOL DISTRICTS. - THE METHODOLOGY USED TO COLLECT THE DATA INCLUDED ONE-ON-ONE MEETINGS, PRESENTATIONS TO GROUPS, PHONE CALLS, AND AN ON-LINE SURVEY. THE PROCESS INCLUDED AN EXPLANATION OF THE CHNA REQUIREMENTS AND HOW THE DATA GARNERED WILL BE USED TO DEVELOP THE CHNA PLAN. PARTICIPANTS WERE THEN ASKED TO LIST IN ORDER FROM MOST IMPORTANT TO LEAST IMPORTANT WHAT THEY BELIEVE ARE THE TOP FIVE COMMUNITY HEALTH NEEDS THAT NEED TO BE ADDRESSED AND/OR CONSIDERED IN THIS ASSESSMENT. THIS PRIMARY DATA WAS SUMMARIZED AND TABULATED. -CONCENTRATING ON SOCIAL SERVICE AGENCIES, SCHOOL DISTRICTS AND CIVIC SERVICES ENSURED THAT THE CHNA IDENTIFIED AND RECEIVED DATA ON THE MOST PRESSING HEALTH NEEDS WITHIN THE COMMUNITY SERVED. TWO LOCAL COMMUNITY ORGANIZATIONS THAT WORK IN COLLABORATION WITH LIKE COMMUNITY PROVIDERS ARE THE SAFETY NET ALLIANCE AND THE NORTHERN KENTUCKY EDUCATION COUNCIL. THEY PERMITTED ST. ELIZABETH TO USE THEIR MEMBERSHIP EMAIL LISTING TO SEND INFORMATION ABOUT THE CHNA AND THE REQUEST FOR INPUT. THE FOLLOWING IS A LISTING OF THE COMMUNITY PARTICIPANTS: SOCIAL SERVICE AGENCIES: -AHEC HISPANIC HEALTH EDU SURVEY -APPRISEN -BE CONCERNED -BRIGHTON CENTER, INC. -CAMPBELL CTY FISCAL COURT - ASSISTANCE PROGRAM -CATHOLIC CHARITIES -CHILDREN HOME OF NKY -CHILDREN INC. -CHILDREN'S LAW CENTER -CINCINNATI VA -CITY HEIGHTS HEALTH CENTER -FAITH COMMUNITY PHARMACY -HOSEA HOUSE -INTERACT FOR HEALTH -ITN GREATER CINCINNATI -JACC, INC. -KY Office for the Blind -Life Learning Center -Life Point Solutions -NKU NACU Ctr City Heights -Rosedale Green -The Butler Foundation -Transitions, Inc. -Welcomed House of NKY Inc. BUSINESSES: -ANTHEM MEDICAID -CARESOURCE & HUMANA -NKY CHAMBER OF COMMERCE -BUSINESS BENEFITS SCHOOLS: -BELLEVUE INDEPENDENT SCHOOLS -BOONE CTY SCHOOLS- NORTH POINTE -CAMPBELL COUNTY SCHOOLS -CAYWOOD ELEMENTARY -COLLINS ELEMENTARY SCHOOL -COVINGTON INDEPENDENT PUBLIC SCHOOLS -DAYTON HIGH SCHOOL -ERLANGER-ELSMERE INDEPENDENT SCHOOLS -GRANT COUNTY MIDDLE SCHOOL -GRANT COUNTY SCHOOLS -KENTON COUNTY SCHOOL DISTRICT -LARRY A. RYLE HIGH SCHOOL -LAWRENCEBURG COMMUNITY SCHOOL -LLOYD MEMORIAL HIGH SCHOOL -NORTHERN KENTUCKY UNIVERSITY -OCKERMAN MIDDLE SCHOOL -PENDLETON COUNTY HIGH SCHOOL -PINER ELEMENTARY -REILEY ELEMENTARY HEALTH DEPARTMENTS: -NKY INDEPENDENT HEALTH DEPARTMENT -THREE RIVERS DISTRICT HEALTH DEPT. -DEARBORN COUNTY HEALTH DEPARTMENT CIVIC SERVICES: -KENTON COUNTY DETENTION CENTER -BOONE COUNTY DETENTION CENTER -CAMPBELL COUNTY DETENTION CENTER -NKY AREA DEVELOPMENT DISTRICT -KENTON COUNTY FISCAL COURT -CAMPBELL COUNTY FISCAL COURT CITIES: -EDGEWOOD -FORT WRIGHT -INDEPENDENCE HEALTHCARE: -HEALTHPOINT FAMILY CARE (FQHC) -ST. ELIZABETH HEALTHCARE (SEH) -SEH CARE COORDINATION -SEH COVINGTON EMERGENCY DEPARTMENT -SEH EDGEWOOD EMERGENCY DEPARTMENT -SEH FAMILY MEDICAL RESIDENCY PROGRAM -SEH GRANT EMERGENCY DEPARTMENT -SEH HEALTH MINISTRIES PROGRAM -ST. ELIZABETH PHYSICIANS (73 RESPONDENTS MULTIPLE OFFICE LOCATIONS) DURING 2018, ST. ELIZABETH HEALTHCARE CONDUCTED ITS NEXT REQUIRED CHNA FOR YEARS 2019 -2021. From the 2018 CHNA, primary data was collected from persons who represent the broad interests of the community, including those with expertise in public health. Representation included area health departments, local governmental/civic agencies, other healthcare providers, community-based social service agencies and area school districts The methodology used to collect the data included presentations to groups, phone calls and an online survey. The process included an explanation of the CHNA requirements and how the data garnered would be used to develop the CBIP. Participants were then asked to list in order from most important to least important what they believed were the top five community health needs that should be addressed and/or considered in the assessment. Concentrating on social service agencies, school districts and civic services ensured that the CHNA identified and received data on the most pressing health needs within the community served. The following is a listing of the community participants: Social Service Agencies: Brighton Center Catholic Charities Children's Home of NKY Children's Law Center Covington Partners Faith Community Pharmacy Henry Hosea House Interact for Health Life Learning Center NKU NACU Butler Foundation (Corporex) NKY Community Action Commission Schools: Kenton County Schools Notre Dame Academy Beechwood Schools Erlanger-Elsmere Schools Covington Schools Fort Thomas Schools Newport Schools Southgate Schools Health Departments: NKY Health Department Three Rivers District Health Department Civic Services: Grant County Fiscal Court Pendleton County Fiscal Court Gallatin County Fiscal Court Cities: Alexandria Butler Crittenden First Responders: Campbell Co Fire District #1 Dry Ridge Fire/EMS Petersburg Fire District Ludlow Fire Department Newport Fire/EMS Pendleton County EMS Owen County EMS Union Fire District Burlington Fire/EMS Central Campbell Co Fire District Southgate/Wilder EMS Erlanger Fire/EMS St. Elizabeth: St. Elizabeth Healthcare (81 respondents) St. Elizabeth Physicians (63 respondents) Prioritization of Identified Health Needs Like many communities in Kentucky, heart disease, cancer, stroke, obesity, diabetes, mental health and substance abuse are prevalent in all of the NKADD counties. After the assessment data was gathered, it was summarized into categories and tabulated. The findings were presented to the System's Community Benefits Steering Committee for review and thoroughly discussed. The committee was tasked with ranking the community's most important health needs and providing suggestions for hospital priorities. Many of the needs listed are currently being addressed by St. Elizabeth Healthcare or community providers. A vote was taken to determine which of the needs identified should be addressed in the new Plan. The three top needs identified to be addressed were Mental Health, Drug Addiction/Treatment and Heart Disease. The prioritized list along with the assessment findings were presented to the Strategic Planning Committee of the Board for review, discussion and a combination of the identified priorities. This step in the CHNA process is significant because the priorities identified drive the development of an implementation strategy and the related goals. The top three significant health needs were: Mental Health, Drug Addiction/Treatment, and Heart Disease Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - ST. ELIZABETH DEARBORN. ST. ELIZABETH DEARBORN'S ASSETS AND MEDICARE NUMBER WERE PURCHASED DURING THE TAX YEAR AND THE HOSPITAL WAS FORMED. ST. ELIZABETH DEARBORN HAS ADOPTED ALL ST. ELIZABETH POLICIES INCLUDING FINANCIAL ASSISTANCE POLICY, BAD DEBT, MEDICARE, AND COLLECTION PRACTICES. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - ST. ELIZABETH HEALTHCARE. ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMAS ST. ELIZABETH - GRANT COUNTY ST. ELIZABETH - DEARBORN Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas. From the 2018 CHNA, primary data was collected from persons who represent the broad interests of the community, including those with expertise in public health. Representation included area health departments, local governmental/civic agencies, other healthcare providers, community-based social service agencies and area school districts. The methodology used to collect the data included presentations to groups, phone calls and an online survey. The process included an explanation of the CHNA requirements and how the data garnered would be used to develop the CBIP. Participants were then asked to list in order from most important to least important what they believed were the top five community health needs that should be addressed and/or considered in the assessment. Concentrating on social service agencies, school districts and civic services ensured that the CHNA identified and received data on the most pressing health needs within the community served. The following is a listing of the community participants: Social Service Agencies: Brighton Center Catholic Charities Children's Home of NKY Children's Law Center Covington Partners Faith Community Pharmacy Henry Hosea House Interact for Health Life Learning Center NKU NACU Butler Foundation (Corporex) NKY Community Action Commission Schools: Kenton County Schools Notre Dame Academy Beechwood Schools Erlanger-Elsmere Schools Covington Schools Fort Thomas Schools Newport Schools Southgate Schools Health Departments: NKY Health Department Three Rivers District Health Department Civic Services: Grant County Fiscal Court Pendleton County Fiscal Court Gallatin County Fiscal Court Cities: Alexandria Butler Crittenden FIRST RESPONDERS: Campbell Co Fire District #1 Dry Ridge Fire/EMS Petersburg Fire District Ludlow Fire Department Newport Fire/EMS Pendleton County EMS Owen County EMS Union Fire District Burlington Fire/EMS Central Campbell Co Fire District Southgate/Wilder EMS Erlanger Fire/EMS St. Elizabeth: St. Elizabeth Healthcare (81 respondents) St. Elizabeth Physicians (63 respondents) Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas. Prioritization of Identified Health Needs: Like many communities in Kentucky, heart disease, cancer, stroke, obesity, diabetes, mental health and substance abuse are prevalent in all of the NKADD counties. After the assessment data was gathered, it was summarized into categories and tabulated. The findings were presented to the System's Community Benefits Steering Committee for review and thoroughly discussed. The committee was tasked with ranking the community's most important health needs and providing suggestions for hospital priorities. Many of the needs listed are currently being addressed by St. Elizabeth Healthcare or community providers. A vote was taken to determine which of the needs identified should be addressed in the new Plan. The three top needs identified to be addressed were Mental Health, Drug Addiction/Treatment and Heart Disease. The prioritized list along with the assessment findings were presented to the Strategic Planning Committee of the Board for review, discussion and a combination of the identified priorities. This step in the CHNA process is significant because the priorities identified drive the development of an implementation strategy and the related goals. The top three significant health needs were: Mental Health, Drug Addiction/Treatment, and Heart Disease St. Elizabeth plan to address these needs is as follows: Mental Health: Goal * Collaborate with community partners to develop programs/services to educate, treat, prevent and assist residents of Northern Kentucky, with mental health issues. * Develop comprehensive behavioral health care services based on proven best practice models. Measure: * Increase treatment capacity both inpatient and outpatient services. Strategies/Tactics: * Add 5-7 new providers. * Develop a child\teen program. * Integrate behavioral health services within primary care physician offices. * Improve coordination with community partners such as social services, schools, and county officials to extend the continuum of care. * Improve access to education in the community. Drug Addiction/Treatment: Goal: * Reduce substance abuse to protect the health, safety and quality of life for all. * Take a leadership role in education and data distribution. Measure: * Increase treatment capacity for inpatient and outpatient services. * Reduce overdoses in Northern Kentucky. * Reduce drug induced deaths. Strategies/Tactics: * Work with community partners to educate residents on the dangers of the use/addiction of heroin and prescription opioid painkillers. * Increase access to substance abuse treatment services, including Medication-Assisted Treatment (MAT), for opioid addiction. * Expand access to and training for administering naloxone to reduce opioid overdose deaths. * Help local jurisdictions to put these effective practices to work in communities where drug addiction is common, e.g., local detention centers. * Work collaboratively with community partners in the continuity of care and wraparound services. * Recruit additional addictionologists. * Develop support services for addicted mother and babies born with neonatal abstinence syndrome. Heart Disease: Goal: * To develop a Heart & Vascular Institute which encompasses a comprehensive integrated approach to the prevention, diagnosis and treatment of heart disease with a focus on research. Measure * Reduce heart-related deaths in Northern Kentucky by 25 percent by the end of 2025. * Work collaboratively with physicians, community stakeholders and industry to identify new treatments and technology through initiation of research activities. Strategies/Tactics: * Provide prevention and wellness services to the community with the goal of catching heart and vascular disease early or preventing it all together. * Support ongoing research for the community. * Implement strategies identified by St. Elizabeth Physicians. * Improve information received from EMS prior to arrival at the hospital. * Increase community education on heart attack symptoms, the importance of timely response to symptoms and the importance of calling 911. * Promote development of walkable and active communities. Community Healthcare Resources St. Elizabeth Healthcare has and will continue to work collaboratively with the various healthcare resources that are accessible to the residents of Northern Kentucky when applicable. 2017 Accomplishments towards the 2016-2018 Community Health Needs Assessment Plan Mental Health * Provided four community talks addressing separate mental illness topics. * Expanded the number or Medicine Assisted Therapy (MAT) providers to 6, including 3 MDs and 3 APPs. * Developed a telemedicine therapy project to service outlying St. Elizabeth Physician (SEP) medical practices. * With the coordination of the Behavioral Health providers and staff, redesigned the entire intake process to provide a seamless entry point for our patients and referral sources. * Partnered with SUN Behavioral Health and started building a new comprehensive behavioral health center for Northern Kentucky. Drug Addiction/Treatment * Expanded current services offered at SEP Addiction Medicine and Recovery Center to provide increased access to current services and expand new services. * Recruited 1.2 FTE more prescribers. * Developed a system of inpatient rounding providers at all three SEH hospitals. These providers will be able to provide services to addicted patients with existing medical conditions. * Developed an educational program providing guidance to physicians on new prescription guidelines. * Added a program to address the needs of pregnant women with SUD and their newborns called Baby Steps. * Distributed Narcan to first responders, including training on use. * Distributed Narcan to families of patients with overdoses. * Partnered with Northern Kentucky Counties to establish a Helpline. Heart Disease * Increased cardiovascular screening provided to 230 dates through the Cardiovascular Mobile Health Unit (CVMHU). * Increased individuals reached through prevention education by the CVMHU department to 1,563. * Increased participation in smoking cessation programs to 76 individuals. * Increased My Heart Rocks (MHR) programs for local elementary schools reaching 21 schools and 1,867 students. * Increased participation in the Take Time for your Heart (TTFYH) prevention and wellness class to 70 individuals. * Increase participation in the Women Take Heart program to 1,038 women. * Increased the number of active research studies to 18. * Decreased inpatient heart attack mortality to 3.8% by improving information received from EMS prior to arrival and increasing community education on heart attack symptoms/911. * Increased community education on hands only CPR reaching 3,636 individuals. 2018 ACCOMPLISHMENTS TOWARDS THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN: HEART * Completed 226 screenings with the CardioVascular Mobile Health Unit (CVMHU) * Reached 4,219 individuals through education efforts from the CVMHU * Held 20 My Heart Rocks events in local schools * Reached 169 individuals through Take Time for Your Heart prevention & wellness classes * Evaluated 5 new Heart and Vascular research studies * Instructed 1,536 individuals in hands-only CPR * Maintained heart attack mortality rate of 2.0% which is below national avg of 5.96% SUD * Provided educational opportunities to interested parties on how they can develop, improve and implement a SUD service line by speaking at Beckers National Convention, Kentucky MGMA, Catholic Conference, and National Opioid Legation Summit * Implemented policy governing the prescribing and management of controlled substances * Added physicians, therapists, and a case manager to focus on patients with addiction * Implemented an Intensive Outpatient Program MENTAL HEALTH * Provided physician coverage for SUN Behavioral Health * Added Behavioral Health providers to PCP offices in Walton, Greendale, and Fort Thomas * Developed telemedicine therapy project to support Crestview Hills PCP office Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas. Heart Disease * Deployed CardioVascular Mobile Health Unit (CVMHU) to 235 screening locations * Reached 6,529 individuals with prevention education through the CVMHU * Held 21 "My Heart Rocks" events at local elementary schools * Reached 175 individuals through "Take Time for Your Heart" wellness classes * 131 individuals attended Fresh Start smoking cessation classes Cancer * Provided 10 community education events focused on cancer awareness, screening and/or prevention * Continued construction of Cancer Center * Implemented 3 disease management teams * Completed 4,188 lung screenings Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - St. Elizabeth Healthcare - Florence, Edgewood, Grant & Ft. Thomas (continued). 2019 ACCOMPLISHMENTS TOWARDS THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN: Mental Health * Developed a comprehensive telemedicine system for therapy * Assisted Brighton Center with getting access to Vivitrol to treat patients * Added Behavioral Health specialists to 3 primary care offices * Convened and/or sponsored 9 community education events focused on depression and suicide awareness Substance Abuse * Implemented comprehensive opioid prescribing guidelines, tracking system, education and surveillance for all SEP prescribers * Developed a plan for a set of meaningful outcomes measures for the treatment of substance use disorder * Assisted NKY Regional Steering Committee with development of NKY Strategic Plan to address Substance Use Disorder (SUD) * Collaborated with state and local agencies and community partners to develop a continuum of care model for pregnant women with SUD 2020 ACCOMPLISHMENTS TOWARDS THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN: SUD * Referred 1,345 individuals to Journey Recovery Center * Provided 2 Medication Assisted Treatment Waiver trainings * Finalized an opioid stewardship committee to address pain management * Chemical Dependency Educators visited over 1,300 inpatients at our 5 hospital campuses Mental Health * Implemented the transition planning strategy developed in 2019 with SUN assuring that new adult SEP patients upon discharge have access to aftercare * Supported 8 community education events through Activating Hope Collaborative * Placed 2 Nurse Practitioners at Brighton Women's Recovery Center Heart Disease * Provided 167 screening dates through the CardioVascular Mobile Health Unit * Reached 790 individuals through community education despite COVID restrictions * Provided tobacco cessation support to 94 individuals through the Fresh Start program Oncology * Provided 29 education/best-practice events to other healthcare organizations virtually and in person for the Lung Screening program * Provided 3,843 lung screenings to patients 27 ST ELIZABETH HEALTHCARE - NKU MEDICAL OFFICE 2626 ALEXANDRIA PIKE HIGHLAND HEIGHTS KY 41076 ORTHOPEDIC ST ELIZABETH HEALTHCARE - ORTHOPEDIC - EDGEWOOD 560 SOUTH LOOP DRIVE 2ND FLOOR EDGEWOOD KY 41017 ORTHOPEDIC ST ELIZABETH HEALTHCARE - COVINGTON 1500 JAMES SIMPSON JR WAY COVINGTON KY 41011 AMBULATORY CARE CENTER ST ELIZABETH HEALTHCARE - HOSPICE CENTER - EDGEWOOD 483 SOUTH LOOP DRIVE EDGEWOOD KY 41017 INPATIENT HOSPICE ST ELIZABETH HEALTHCARE - SURGERY CENTER - EDGEWOOD 580 SOUTH LOOP ROAD EDGEWOOD KY 41017 AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE - SURGERY CENTER - CRESTVIEW HILLS 2845 CHANCELLOR DRIVE CRESTVIEW HILLS KY 41017 AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE - WOMEN'S CENTER 610 MEDICAL VILLAGE DR EDGEWOOD KY 41017 HEALTH SCREENING ST ELIZABETH HEALTHCARE - OWENTON 120 PROGRESS WAY Owenton KY 40359 AMBULATORY CARE CENTER ST ELIZABETH HEALTHCARE - BUSINESS HEALTH 4123 OLYMPIC BLVD ERLANGER KY 41018 BUSINESS HEALTH SERVICES ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY AND IMAGING - HEBRON 2200 CONNER ROAD HEBRON KY 41048 PHYSICAL THERAPY AND IMAGING CENTER ST ELIZABETH HEALTHCARE - CARDIAC REHAB - EDGEWOOD 830 THOMAS MORE PARKWAY SUITE 102 EDGEWOOD KY 41017 CARDIAC REHAB CENTER ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - EDGEWOOD 830 THOMAS MORE PARKWAY SUITE 101 EDGEWOOD KY 41017 SPORTS MEDICINE ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY AND IMAGING - ALEXANDRIA 7200 ALEXANDRIA PIKE ALEXANDRIA KY 41001 PHYSICAL THERAPY AND IMAGING CENTER ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - FLORENCE 10095 INVESTMENT WAY FLORENCE KY 41042 SPORTS MEDICINE BLUEGRASS DIALYSIS LLC 1500 JAMES SIMPSON JR WAY SUITE 302 COVINGTON KY 41011 RENAL DIALYSIS ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY AND SPORTS MEDICINE - WILDER 106 Corssing Drive WILDER KY 41076 PHYSICAL THERAPY AND SPORTS MEDICINE ST ELIZABETH HEALTHCARE - HIGHPOINT MED CANCER SUITE 606 Wilson Creek Rd Lawrenceburg IN 47025 INFUSION ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - GRANT COUNTY 300 BARNES ROAD WILLIAMSTOWN KY 41097 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - HEART & VASCULAR - EDGEWOOD 900 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - CARDIAC & THORACIC SURGERY - EDGEWOOD 20 MEDICAL VILLAGE DRIVE SUITE 105 EDGEWOOD KY 41017 CARDIAC DIAGNOSTICS AND CATHETERIZATION ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS 380 CENTRE VIEW BLVD CRESTVIEW HILLS KY 41017 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS 350 THOMAS MORE PARKWAY SUITE 280 CRESTVIEW HILLS KY 41017 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - WALTON 1 SERVICE ROAD WALTON KY 41094 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - INDEPENDENCE DIAGNOSTIC 135 COURTHOUSE CROSSING INDEPENDENCE KY 41051 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - LABORATORY - FLORENCE 8726 US 42 FLORENCE KY 41042 DIAGNOSTICS ST ELIZABETH HEALTHCARE - HEART & VASCULAR - FLORENCE 7370 TURFWAY ROAD SUITE 109 FLORENCE KY 41042 CARDIOLOGY DIAGNOSTIC TESTS ST ELIZABETH HEALTHCARE - FAMILY PRACTICE CENTER - EDGEWOOD 413 SOUTH LOOP ROAD EDGEWOOD KY 41017 FAMILY MEDICINE Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount ST. ELIZABETH HEALTHCARE RECOGNIZES PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED FOR, EVEN THOUGH ST. ELIZABETH HEALTHCARE DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS AND CHARITY CARE ARE PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). ST. ELIZABETH HEALTHCARE RECOGNIZES REVENUE WHEN SERVICES ARE RENDERED FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF ST. ELIZABETH HEALTHCARE'S UNINSURED AND UNDERINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES RENDERED. AS A RESULT, ST. ELIZABETH HEALTHCARE RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED AND UNDERINSURED PATIENTS IN THE PERIOD THE SERVICES ARE RENDERED. FOR FINANCIAL STATEMENT PURPOSES, ST. ELIZABETH HEALTHCARE HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ST. ELIZABETH HEALTHCARE'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ESTIMATED AMOUNT OF ST. ELIZABETH HEALTHCARE'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ST. ELIZABETH HEALTHCARE'S FINANCIAL ASSISTANCE POLICY IS $3,891,489. THE PERCENTAGE OF BAD DEBTS THAT LIKELY COULD BE CHARITY CARE, IF ENOUGH INFORMATION WAS OBTAINED UP FRONT, WAS DEVELOPED WITH THE HELP OF OUR LARGEST COLLECTION AGENCY WHO HAS DETERMINED, BASED ON ACCOUNTS REVIEWED, WHO MAY NOT HAVE HAD THE FINANCIAL ABILITY TO PAY. ST. ELIZABETH HEALTHCARE ALSO BELIEVES THAT MANY PATIENTS FALL INTO THE CATEGORY WHERE THEY DO NOT MEET THE FEDERAL POVERTY GUIDELINES BUT YET CANNOT AFFORD THE COST OF THE SERVICES RENDERED, OR HAVE INSURANCE THAT MAY NOT COVER THE COST OF SERVICES. THEREFORE, ST. ELIZABETH HEALTHCARE BELIEVES THESE NON REIMBURSED COSTS SHOULD BE COUNTED AS A BENEFIT TO THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS THAT BAD DEBTS SHOULD BE COUNTED AS A COMMUNITY BENEFIT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Patient accounts are reported at the net consideration in which St. Elizabeth Healthcare expects to be entitled to in exchange for providing patient care. The portfolio approach is used to determine the reduction to accounts 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 price concessions are made for self-pay patient accounts in the period of service based on past collection experience and are reported at the net amount St. Elizabeth Healthcare expects to collect. St. Elizabeth Healthcare recognizes patient service revenue at the time in which performance obligations are satisfied. These amounts are due from patient, third-party payers, (including managed care and governmental programs), and others are subject to contractual adjustments, discounts and implicit price concessions. Patient service revenue is reported at the net consideration in which St. Elizabeth Healthcare expects to be entitled to in exchange for providing patient care. Settlements are recorded on an estimated basis in the period the related services are rendered and adjusted in future periods based upon additional information, filed cost reports, interim settlements, and final settlements. St. Elizabeth Healthcare recognizes patient service revenue at the time services are rendered even though they do not assess the patient's ability to pay. As a result, implicit price concessions are presented as a deduction from patient service revenue (net of contractual provisions and discounts). Amounts determined to qualify as charity care are not reported as patient service revenue. For uninsured and underinsured patients that do not qualify for charity care, St. Elizabeth Healthcare recognizes revenue when services are provided. Based on historical experience, a significant portion of St. Elizabeth Healthcare's uninsured and underinsured patients will be unable or unwilling to pay for the services provided. Thus, St. Elizabeth Healthcare records significant implicit price concessions related to uninsured and underinsured patients in the period the services are provided. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs ST. ELIZABETH HEALTHCARE USES THE STEP DOWN METHODOLOGY TO DETERMINE COSTS FOR MEDICARE. THE REPORTS WERE THEN COMPLETED BY FOLLOWING THE GUIDANCE PROVIDED IN THE INSTRUCTIONS FOR PART III. ST. ELIZABETH HEALTHCARE BELIEVES MEDICARE LOSSES SHOULD BE AN ALLOWABLE COMMUNITY BENEFIT. ST. ELIZABETH HEALTHCARE PROVIDES NEEDED SERVICES TO THE ELDERLY AND DISABLED MEDICARE POPULATION AT A FINANCIAL LOSS TO ST. ELIZABETH HEALTHCARE TO HELP THOSE INDIVIDUALS GET THE CARE THEY NEED IN THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT MEDICARE LOSSES SHOULD BE COUNTED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ST. ELIZABETH HEALTHCARE HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, CERTAIN COLLECTION PRACTICES DO NOT APPLY. Schedule H, Part V, Section B, Line 16a FAP website A - ST. ELIZABETH FLORENCE: Line 16a URL: https://www.stelizabeth.com/care/pay-my-bill; Schedule H, Part V, Section B, Line 16b FAP Application website A - ST. ELIZABETH FLORENCE: Line 16b URL: https://www.stelizabeth.com/care/pay-my-bill; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - ST. ELIZABETH FLORENCE: Line 16c URL: https://www.stelizabeth.com/care/pay-my-bill; Schedule H, Part VI, Line 2 Needs assessment IN 2020, ST. ELIZABETH HEALTHCARE CONTINUED TO WORK WITH THE NORTHERN KENTUCKY HEROIN IMPACT TASK FORCE TO ADDRESS THE HEROIN EPIDEMIC, ALSO PROVIDING FINANCIAL SUPPORT FOR THE HEROIN HOTLINE. THIS INCLUDED PROVIDING DATA AND SUPPORT TO THE STATE OF KENTUCKY LEGISLATURE TO ENACT NEW LEGISLATION DIRECTED TOWARDS EXPANDING TREATMENT. IN ADDITION, ST. ELIZABETH HEALTHCARE DEVELOPED AN INTERNAL WORKGROUP FOCUSED ON ENHANCING PREVENTION AND PROVIDING TREATMENT FOR THE COMMUNITIES IT SERVES. IN 2020, ST. ELIZABETH HEALTHCARE CONTINUED TO COLLABORATE WITH PHYSICIANS AND THE NORTHERN KENTUCKY HEALTH DEPARTMENT TO ENSURE EMERGENCY PREPAREDNESS MEASURES WERE IN PLACE SHOULD ANY MEMBER OF THE COMMUNITY (PATIENT, RESIDENT, AND/OR VISITOR) EXHIBIT SYMPTOMS OF EBOLA. PREPAREDNESS MEASURES INCLUDED (I) FOLLOWING PROTOCOLS FOR REVIEWING ST. ELIZABETH HEALTHCARE'S INFECTION CONTROL POLICIES AND PROCEDURES, (II) PROVIDING PERSONAL PROTECTIVE EQUIPMENT, AND (III) PROVIDING TRAINING AND EDUCATION TO STAFF MEMBERS, WHICH INCLUDED CONSTRUCTING A SIMULATION ROOM FOR TRAINING EXERCISES AND A SPECIALIZED EBOLA RESPONSE TEAM WAS ORGANIZED. IN 2020, ST. ELIZABETH HEALTHCARE CONTINUED TO SUPPORT A PERTUSSIS COCOONING PROJECT TO HELP PREVENT THE DEADLY EFFECTS OF INFANT PERTUSSIS BY SURROUNDING INFANTS WITH A PROTECTIVE "COCOON" AND IMMUNIZED MOTHERS, FAMILY MEMBERS, AND CAREGIVERS. PERTUSSIS, ALSO KNOWN AS WHOOPING COUGH, IS A HIGHLY CONTAGIOUS RESPIRATORY DISEASE CAUSED BY THE BORDETELLA PERTUSSIS BACTERIUM. WHOOPING COUGH IS KNOWN FOR CONTROLLABLE, VIOLENT COUGHING WHICH OFTEN MAKES IT HARD FOR INFANTS TO BREATHE. IN 2020, ST. ELIZABETH HEALTHCARE CONTINUED TO PROVIDE THE PATIENT AND FAMILY ADVISORY COUNCIL (PAFAC), WHICH MEETS EVERY TWO (2) MONTHS TO IDENTIFY NEEDS OF THE COMMUNITY BASED ON THE FEEDBACK OBTAINED FROM OUR PATIENTS AND FAMILY MEMBERS. CONTINUOUSLY, ST. ELIZABETH EVALUATES DATA FROM SOURCES SUCH AS OUR PATIENT SATISFACTION AND COMMUNITY HEALTH SURVEYS TO IDENTIFY THE NEEDS OF OUR COMMUNITY FOR THE PEOPLE WE SERVE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON ST. ELIZABETH HEALTHCARE'S WEB SITE. A WRITTEN COPY IS ALSO INCLUDED IN THE PATIENT HANDBOOK PROVIDED TO INPATIENT ADMISSIONS. A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING INDIVIDUALS ON THE PATIENT BILLS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS TO DETERMINE QUALIFICATION AND A COPY OF THE POLICY IS AVAILABLE TO PATIENTS UPON REQUEST. PATIENT FINANCIAL ASSISTANCE PROGRAM INFORMATION IS POSTED AT EACH SITE (THERE IS A FRAMED SIGN POSTED IN SPANISH AND ENGLISH) -IN ADDITION, THERE IS A 1-PAGE DESCRIPTION OF OUR FINANCIAL ASSISTANCE PROGRAM THAT IS ATTACHED TO THE "PATIENT RIGHTS AND RESPONSIBILITIES" DOCUMENT, AND ALL PATIENTS ARE GIVEN THESE DOCUMENTS UPON REGISTRATION. -IF A PATIENT DOES NOT HAVE INSURANCE, THEY ARE ALSO OFFERED AN APPLICATION PACKET FOR FINANCIAL ASSISTANCE. PATIENTS ARE NOTIFIED OF THEIR FINANCIAL RESPONSIBILITY -THE PATIENT RIGHTS AND RESPONSIBILITIES DOCUMENT GIVEN TO ALL PATIENTS STATES THEY HAVE A RESPONSIBILITY TO "PROVIDE NECESSARY FINANCIAL INFORMATION TO ASSURE ACCURATE BILLING AND MEET FINANCIAL COMMITMENTS." -THE FINANCIAL ASSISTANCE PLAN DOCUMENT THEY ARE GIVEN PROVIDES DETAILED INFORMATION ON ELIGIBLE FINANCIAL AID SERVICES, AND ALSO STATES THAT "FINANCIAL ASSISTANCE IS NOT CONSIDERED AN ALTERNATIVE OPTION TO PAYMENT, AND PATIENTS MAY BE ASSISTED IN FINDING OTHER MEANS OF PAYMENT FOR FINANCIAL ASSISTANCE BEFORE APPROVAL FOR ST. ELIZABETH FINANCIAL ASSISTANCE PROGRAM." Schedule H, Part VI, Line 4 Community information ST. ELIZABETH HEALTHCARE SERVES THE NORTHERN KENTUCKY COUNTIES, WHICH INCLUDE: BOONE, BRACKEN, CAMPBELL, CARROLL, GALLATIN, GRANT, HARRISON, KENTON, MASON, OWEN, PENDLETON, ROBERTSON, AND SOUTHEASTERN INDIANA COUNTIES: DEARBORN, FRANKLIN, RIPLEY, OHIO, AND SWITZERLAND. THESE SERVICE AREAS INCLUDE URBAN, SUBURBAN, AND RURAL AREAS. THE TOTAL POPULATION OF THE SERVICE AREAS IS OVER 580,000. ST. ELIZABETH HEALTHCARE'S PRIMARY SERVICE AREAS DURING 2020 WAS DETERMINED BY IDENTIFYING WHERE 90% OF ITS PATIENT POPULATION ORIGINATES. THIS APPROACH ENSURES THAT THE ASSESSMENT WAS NOT LIMITED TO CERTAIN GEOGRAPHIC AREAS BUT INCLUDED THE MAJORITY OF THE POPULATION SERVED. THE DATA REVEALED THAT 90.9% OF THE PATIENT POPULATION RESIDES IN THE COUNTIES THAT MAKE UP THE NORTHERN KENTUCKY AREA DEVELOPMENT DISTRICT (NKADD). THE NKADD ENCOMPASSES THE COUNTIES OF BOONE, CAMPBELL, CARROLL, GALLATIN, GRANT, KENTON, OWEN AND PENDLETON, AND REPRESENTS OVER 464,000 RESIDENTS. WITH THE EXCEPTION OF ST. ELIZABETH DEARBORN, ALL OTHER HOSPITALS IN THE ST. ELIZABETH HEALTHCARE SYSTEM ARE LOCATED IN THIS REGION. THE PRIMARY SERVICE AREAS ARE PREDOMINANTLY NORTHERN KENTUCKY AND SOUTHEAST INDIANA. POPULATION BY ORIGIN: 90.8% WHITE, 3.05% BLACK, 3.08% HISPANIC, 1.28% ASIAN, 1.79% OTHER. POPULATION BY AGE: 0-19; 23.56%; 20 - 64; 60.71%; 65+; 15.73% (SOURCE: WWW.CENSUS.GOV/QUICKFACTS). PERSONS BELOW POVERTY LEVEL IN NKY, ALL AGES: 10.22% DUE TO THE ENACTMENT OF THE AFFORDABLE CARE ACT, IT IS ESTIMATED THAT APPROXIMATELY 6.04% OF THE NORTHERN KENTUCKY AND SOUTHEASTERN INDIANA POPULATION OVER AGE 65 REMAINS UNINSURED . THE POVERTY LEVEL OF THE REGION IS AS FOLLOWS: CARROLL COUNTY - 15.2%, OWEN COUNTY - 15.7%, GRANT COUNTY - 13.3%, CAMPBELL COUNTY - 10.9%, KENTON COUNTY - 11.2%, BOONE COUNTY - 7.1%, GALLATIN COUNTY - 13.3%, PENDLETON COUNTY - 12.4%, DEARBORN COUNTY - 9.3%, FRANKLIN COUNTY - 9.2%, RIPLEY COUNTY - 9.1%, SWITZERLAND COUNTY - 14.5%, OHIO COUNTY - 9.6%. THERE ARE SIX (6) OTHER HOSPITALS THAT SERVE THE NORTHERN KENTUCKY COMMUNITY. 1. GATEWAY REHABILITATION HOSPITAL IN BOONE COUNTY, 2. CARROLL COUNTY MEMORIAL HOSPITAL IN CARROLL COUNTY, 3. HARRISON MEMORIAL HOSPITAL IN HARRISON COUNTY, 4. ENCOMPASS REHABILITATION HOSPITAL IN KENTON COUNTY, 5. MEADOWVIEW REGIONAL MEDICAL CENTER IN MASON COUNTY, AND 6. SUN BEHAVORIAL HEALTH IN ERLANGER. THERE IS ONE (1) OTHER HOSPITAL THAT SERVES THE SOUTHERN INDIANA COMMUNITY - MARGARET MARY HEALTH HOSPITAL IN RIPLEY COUNTY. THERE ARE A NUMBER OF HOSPITALS THAT SERVE THE SOUTHERN OHIO COMMUNITY, INCLUDING; THE CHRIST HOSPITAL, TRIHEALTH, MERCY HEALTH, AND THE UNIVERSITY OF CINCINNATI MEDICAL CENTER. THERE ARE A FEW FEDERALLY DESIGNATED - MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN THE COMMUNITIES. Schedule H, Part VI, Line 5 Promotion of community health ST. ELIZABETH HEALTHCARE FURTHERS ITS EXEMPT PURPOSES IN IMPROVING COMMUNITY HEALTH STATUS BY: 1) ENCOURAGING AND SUPPORTING STAFF TO PARTICIPATE ON VARIOUS COMMUNITY BOARDS/ACTIVITIES THAT SUPPORT AND/OR DEVELOP PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS AND WORKFORCE DEVELOPMENT. 2) ST. ELIZABETH HEALTHCARE'S BOARD OF TRUSTEES IS MADE UP OF COMMUNITY REPRESENTATIVES TO ENSURE THAT ST. ELIZABETH HEALTHCARE ADHERES TO ITS MISSION TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE. THE MAJORITY OF THE GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE WITHIN ST. ELIZABETH'S PRIMARY SERVICE AREA. ST. ELIZABETH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. 3) THROUGH ITS PRIMEWISE SENIOR SERVICES FOR AGE 50+ PERSONS, ST. ELIZABETH HEALTHCARE SUBSIDIZES COURSE OFFERINGS TO SENIOR CITIZENS INCLUDING DRIVER'S SAFETY, LOW IMPACT EXERCISE, COMPUTER SKILLS, MEDICATION REVIEW AND HEALTH SCREENINGS, ALONG WITH PROVIDING LITERATURE PERTINENT TO THIS AGE GROUP. 4) Each year, St. Elizabeth Healthcare produces and distributes more than 600,000 different pieces of health-related information or invitations to health-related educational events throughout the community - which is an average of nearly 4 pieces of information per Northern Kentucky household. 5) PERIODICALLY, ST. ELIZABETH HEALTHCARE WILL PARTNER WITH COMMUNITY ORGANIZATIONS AND BUSINESS AGENCIES TO PRESENT HEALTH RELATED PROGRAMS AND HEALTH SCREENINGS. 6) ST. ELIZABETH APPLIES SURPLUS FUNDS TO IMPROVE PATIENT CARE BY IMPROVING FACILITIES, ACCESS TO CARE, TECHNOLOGY, RECRUITING AND RETAINING TOP TALENT, AND CONTINUING EDUCATION OF OUR STAFF THROUGH EITHER RESIDENCY OR COLLEGE EDUCATIONAL PROGRAMS. EXAMPLES OF HOW SURPLUS FUNDS WERE APPLIED IN 2020 ARE AS FOLLOWS: A) ST. ELIZABETH HEALTHCARE CONTINUES TO PARTNER WITH THE MAYO CLINIC CARE NETWORK TO ENHANCE THE QUALITY OF CARE AND IMPROVE THE ACCESS FOR THE PEOPLE WE SERVE TO THE MAYO CLINIC'S SPECIALISTS AND PROTOCOLS. B) ST. ELIZABETH HEALTHCARE PROVIDED OUTREACH TO THE COMMUNITIES THROUGH THE MOBILE MAMMOGRAPHY AND MOBILE HEART PROGRAMS. C) ST. ELIZABETH HEALTHCARE PROVIDED COHORT EDUCATIONAL PROGRAMS WITH THE NORTHERN KENTUCKY UNIVERSITY (NKU), THOMAS MORE UNIVERSITY (TMU), AND MT. SAINT JOSEPH UNIVERSITY (MSJU) TO PROVIDE FOR CONTINUING AND/OR ADDITIONAL EDUCATION FOR OUR STAFF. D) THE CONTINUED FINANCIAL ASSISTANCE AND SUPPORT FOR THE FAMILY PRACTICE RESIDENCY PROGRAM WHICH IS COMPRISED OF TWENTY-FOUR (24) FAMILY PRACTICE RESIDENTS WHO LIVE AND STAY IN THE COMMUNITY TO IMPROVE AND ENHANCE THE ACCESS TO PRIMARY CARE FOR THE PEOPLE WE SERVE. E) ST. ELIZABETH HEALTHCARE CONTINUES FINANCIAL SUPPORT FOR OUR PARISH NURSING PROGRAM WHICH PROVIDES OUTREACH, EDUCATION, AND PREVENTION INFORMATION TO OVER EIGHTY-ONE (81) CHURCHES AND NINE (9) COMMUNITY SITES. F) ST. ELIZABETH HEALTHCARE CONTINUES FINANCIAL SUPPORT FOR PREVENTION AND INJURY TREATMENT FOR ATHLETES ATTENDING SCHOOLS IN OUR COMMUNITIES. G) ST. ELIZABETH HEALTHCARE SPONSORS COMMUNITY BENEFITS TO ADDRESS THE HEALTHCARE NEEDS FOR DISEASES SUCH AS OBESITY, DIABETES, AND HEART DISEASE FOR THE PEOPLE WE SERVE. H) ST. ELIZABETH PHYSICIANS PRIMARY CARE PROVIDED ENHANCED SERVICES FOR EDUCATION AND RESOURCES TO THOSE IN THE COMMUNITY WE SERVE WHO STRUGGLE WITH OBESITY AND ENSUING CO-MORBIDITIES. Schedule H, Part VI, Line 6 Affiliated health care system ST. ELIZABETH HEALTHCARE IS A SYSTEM THAT FEATURES FIVE (5) FACILITIES THROUGHOUT NORTHERN KENTUCKY WHICH ARE: (I) ST. ELIZABETH - EDGEWOOD; (II) ST. ELIZABETH - FLORENCE; (III) ST. ELIZABETH - FORT THOMAS; (IV) ST. ELIZABETH - GRANT (V) ST. ELIZABETH - COVINGTON; PLUS ST. ELIZABETH - DEARBORN IN SOUTHEAST INDIANA. EACH OF THESE FACILITIES ADDRESSES THE SPECIFIC NEEDS OF ITS LOCALE AS IDENTIFIED BY THE PATIENTS IN THE COMMUNITY. THE SERVICE AREAS VARY FROM RURAL AREAS TO SUBURBAN AREAS TO URBAN AREAS. ST. ELIZABETH HEALTHCARE OFFERS OVER 1,100 LICENSED BEDS, OVER 10,100 EMPLOYEES , 756 PHYSICIAN PROVIDERS WITH FULL ADMITTING PRIVILEGES AND A WHOLLY OWNED PHYSICIAN ORGANIZATION (SEP) WHICH INCLUDES OVER 134 PRIMARY CARE AND SPECIALTY OFFICE LOCATIONS. ST. ELIZABETH HEALTHCARE IS SPONSORED BY THE DIOCESE OF COVINGTON Schedule H, Part VI, Line 7 State filing of community benefit report KY true UNIVERSITY OF KENTUCKY PO BOX 632711 CINCINNATI OH 452632711 310537502 501(c)(3) 1001000 Program Support NORTHERN KENTUCKY UNIVERSITY NUNN DR HC206 COLLEGE OF HEALTH PROFESSIONS HIGHLAND HEIGHTS KY 41099 611010545 Kentucky 622000 Program Support AMERICAN HEART ASSOCIATION INC 5211 MADSION AVE CINCINNATI OH 45227 135613797 501(c)(3) 525000 Program Support THOMAS MORE UNIVERSITY INC 333 THOMAS MORE PARKWAY CRESTVIEW HILLS KY 41017 610448560 501(c)(3) 371000 Program Support ROMAN CATHOLIC DIOCESE OF COVINGTON 1125 MADISON AVE COVINGTON KY 41011 610458380 501(c)(3) 345750 Program Support NORTHERN KENTUCKY AREA DEVELOPMENT 22 SPIRAL DR FLORENCE KY 41042 610719369 Kentucky 105318 Program Support LEARNING GROVE 333 Madison Ave Covington KY 41011 310910787 501(c)(3) 100750 Program Support CHILDREN'S HOME OF NORTHERN KENTUCKY INC 3629 CHURCH ST COVINGTON KY 41015 610461728 501(c)(3) 100000 Program Support GIRL SCOUTS OF KENTUCKY'S 500 TECHNOLOGY WAY FLORENCE KY 41042 610608104 501(c)(3) 100000 Program Support NORTHERN KENTUCKY CHAMBER OF COMMERCE PO BOX 17416 FT MITCHELL KY 41017 610679408 501(c)(3) 82690 Program Support UNITED WAY OF GREATER CINCINNATI PO BOX 632711 CINCINNATI OH 452632711 310537502 501(c)(3) 61917 Program Support NOTRE DAME ACADEMY 1699 HILTON DR PARK HILLS KY 41011 610476695 501(c)(3) 60000 Program Support HORIZON COMMUNITY FUNDS OF NORTHERN KENTUCKY INC 50 E RIVERCENTER BLVD STE 434 COVINGTON KY 41011 821388190 501(c)(3) 55000 Program Support KENTON COUNTY BOARD OF EDUCATION 1055 EATON DR FT WRIGHT KY 41017 616001301 Kenton County 52200 Program Support COVINGTON PARTNER INC PO BOX 426 COVINGTON KY 41012 201515753 501(c)(3) 50000 Program Support NORTHERN KENTUCKY REGIONAL ALLIANCE INC HEALTH DEPARTMENT 610 MEDICAL VILLAGE DR EDGEWOOD KY 41017 311489316 501(c)(3) 50000 Program Support KENTUCKY CHAMBER OF COMMERCE 464 CHENAULT RD FRANKFORT KY 40601 610405718 Kentucky 45499 Program Support A-L TIER II LLC 2692 MADISON RD STE N1-414 CINCINNATI OH 45208 474230979 501(c)(3) 45000 Program Support BOONE COUNTY BOARD OF EDUCATION 99 CENTER STREET FLORENCE KY 41042 616001252 Boone County 40000 Program Support SLAM DUNK SPORTS MARKETING 1012 N UNIVERSITY BLVD MIDDLETOWN OH 45042 861101514 For-Profit 32483 Program Support NATIONAL FOOTBALL LEAGUE ALUMNI INC 5725 WHITE BIRCH LN LIBERTY TOWNSHIP OH 45044 591782262 501(c)(3) 30000 Program Support THE CARNEGIE VISUAL AND PERFORMING 1028 SCOTT BLVD COVINGTON KY 41011 610897319 501(c)(3) 30000 Program Support FAITH COMMUNITY PHARMACY INC 6080 DEER CROSSING CT MILFORD OH 45150 472192098 501(c)(3) 29400 Program Support CATALYTIC DEVELOPMENT FUNDING CORP OF NORTHERN KENTUCKY 50 E RIVERCENTER BLVD COVINGTON KY 41011 263389252 501(c)(3) 25000 Program Support DIOCESAN CATHOLIC CHILDRENS HOME INC 75 ORPHANAGE RD FT MITCHELL KY 41017 610463943 501(c)(3) 25000 Program Support GAMBLE SPORTS PROPERTIES LLC 2536 Teaberry Ct Burlington KY 41005 272508231 For-Profit 25000 Program Support KENTUCKY CENTER FOR PUBLIC SERVICE 644 BRADDOCK CT EDGEWOOD KY 41017 463464828 501(c)(3) 25000 Program Support CINCINNATI REDS COMMUNITY FUND PO BOX 630561 CINCINNATI OH 452630561 310537138 501(c)(3) 22300 Program Support HONOR RUN FOUNDATION 6297 REMINGTON COVE BURLINGTON KY 41005 465547770 501(c)(3) 20000 Program Support LIFE LEARNING CENTER 20 W 18TH ST COVINGTON KY 41011 203454261 501(c)(3) 20000 Program Support NORTHERN KENTUCKY EDUCATION COUNCIL 7310 TURFWAY RD STE 115 FLORENCE KY 41042 203105862 501(c)(3) 20000 Program Support THE NORTHERN KENTUCKY ATHLETIC PO BOX 6464 CINCINNATI OH 45201 263768567 501(c)(3) 20000 Program Support THE HEALTH COLLABORATIVE 615 ELSINORE PL STE 500 CINCINNATI OH 45202 311449807 501(c)(3) 18333 Program Support BEECHWOOD BOARD OF EDUCATION 50 Beechwood Rd Ft Mitchell KY 41017 616001268 Beechwood 17700 Program Support CATHOLIC CHARITIES DIOCESE OF COVINGTON 3629 CHURCH ST COVINGTON KY 41015 610461728 501(c)(3) 17500 Program Support NORTHERN KENTUCKY COMMUNITY ACTION PO BOX 17416 FT MITCHELL KY 41017 610667805 501(c)(3) 15500 Program Support CINCINNATI INSTITUTE OF FINE ARTS PO BOX 630561 CINCINNATI OH 452630561 310537138 501(c)(3) 15000 Program Support GATEWAY COMMUNITY AND TECHNICAL 500 TECHNOLOGY WAY FLORENCE KY 41042 611239550 Kentucky 15000 Program Support COVINGTON BUSINESS COUNCIL 50 E RIVERCENTER BLVD SUITE 160 COVINGTON KY 41011 310963057 501(c)(6) 14500 Program Support BB&T ARENA AT NORTHERN KY UNIVERSITY 500 NUNN DR HIGHLAND HEIGHTS KY 41099 232511871 Kentucky 13465 Program Support RIDE CINCINNATI FOUNDATION LLC 71 ORPHANAGE RD FT MITCHELL KY 41017 204899800 501(c)(3) 11855 Program Support FORT THOMAS EDUCATION FOUNDATION PO BOX 75090 FT THOMAS KY 41075 611393646 501(c)(3) 11250 Program Support SUPT OF SCHOOLS OF BELLEVUE 219 CENTER ST BELLEVUE KY 41073 616001387 Bellevue 11100 Program Support LUDLOW BOARD OF EDUCATION 525 ELM ST LUDLOW KY 41016 616001318 Ludlow 10500 Program Support NORTHERN KENTUCKY INDEPENDENT HEALTH DEPARTMENT 610 MEDICAL VILLAGE DR EDGEWOOD KY 41017 611008505 Kentucky 10200 Program Support ARTHRITIS FOUNDATION INC 59 CAVALIER BOULEVARD STE 310 FLORENCE KY 41042 454066146 501(c)(3) 10000 Program Support HOLY CROSS HIGH SCHOOL 3617 CHURCH ST COVINGTON KY 41015 621577563 501(c)(3) 10000 Program Support NEW DAY RANCH INC 5725 WHITE BIRCH LN LIBERTY TOWNSHIP OH 45044 274722366 501(c)(3) 10000 Program Support NEWPORT INDEPENDENT SCHOOLS 30 W 8TH ST NEWPORT KY 41071 613001336 Newport 10000 Program Support PRICHARD COMMITTEE FOR ACADEMIC EXCELLENCE 271 W SHORT ST LEXINGTON KY 40507 611026214 501(c)(3) 10000 Program Support RENAISSANCE COVINGTON INC 71 ORPHANAGE RD FT MITCHELL KY 41017 900126762 501(c)(3) 10000 Program Support SOS INTERNATIONAL INC 2655 CRESCENT SPRINGS RD COVINGTON KY 41017 320350542 501(c)(3) 10000 Program Support STRATEGIC ADVISERS LLC 425 YORK ST NEWPORT KY 41071 311495560 For-Profit 10000 Program Support SUPT OF SCHOOLS 219 CENTER ST BELLEVUE KY 41073 616001387 Bellevue 10000 Program Support SUSAN G KOMEN BREAST CANCER FOUNDATION 6120 S Gilmore Rd Suite 206 CIncinnati OH 45014 752855038 501(c)(3) 10000 Program Support THE ABERCRUMBIE GROUP 10301 GIVERNY BLVD CINCINNATI OH 45241 300520187 For-Profit 10000 Program Support WOMEN'S CRISIS CENTER INC 3580 HARGRAVE DR HEBRON KY 41048 610908752 501(c)(3) 10000 Program Support SIDE EFFECTS INC 1125 MADISON AVE COVINGTON KY 41011 610458380 For-Profit 8500 Program Support WELCOME HOUSE OF NORTHERN KENTUCKY INC PO BOX 632711 CINCINNATI OH 452632711 611020382 501(c)(3) 8060 Program Support MARCH OF DIMES INC 10806 KENWOOD RD CINCINNATI OH 45242 131846366 501(c)(3) 8000 Program Support NIEHAUS CORPORATON 2335 BUTTERMILK CROSSING SUITE 314 CRESCENT SPRINGS KY 41017 611064722 For-Profit 7824 Program Support ELEGANT FARE 1042 BURLINGTON LN FRANKFORT KY 40601 473944426 501(c)(3) 7658 Program Support NORTHERN KENTUCKY SYMPHONY INC HEALTH DEPARTMENT 610 MEDICAL VILLAGE DR EDGEWOOD KY 41017 611008505 For-Profit 7000 Program Support ZOOLOGICAL SOCIETY OF CINCINNATI 3400 VINE ST CINCINNATI OH 45220 310537171 501(c)(3) 7000 Program Support PARTNERS FOR MEDICAL RELIEF PO BOX 43254 CINCINNATI OH 45243 821748297 501(c)(3) 6900 Program Support Cancer Support Community PO BOX 4061 LOUISVILLE KY 40204 311287785 501(c)(3) 6070 Program Support AMERICAN CANCER SOCIETY INC 402 COOMER ST SOMERSET KY 42503 131788491 501(c)(3) 6000 Program Support BOONE COUNTY EDUCATION FOUNDATION 8330 US Hwy 42 Florence KY 41042 611288796 Boone County 6000 Program Support NEW PERCEPTIONS INC ONE SPERTI DR EDGEWOOD KY 41017 610705047 501(c)(3) 6000 Program Support FORT THOMAS INDEPENDENT SCHOOLS PO BOX 75090 FT THOMAS KY 41075 611393646 Ft. Thomas 5550 Program Support COMMONWEALTH FUND FOR KET INC 2355 DIXIE HWY FT MITCHELL KY 41017 616001915 Ft. Mitchell 5000 Program Support CYSTIC FIBROSIS FOUNDATION GREATER CINCINNATI 4420 CARVER WOODS DR CINCINNATI OH 45242 131930701 501(c)(3) 5000 Program Support DEARBORN COUNTY CHAMBER OF COMMERCE GREATER CINCINNATI 4420 CARVER WOODS DR CINCINNATI OH 45242 351092955 501(c)(6) 5000 Program Support HISPANIC CHAMBER CINCINNATI USA 2637 ERIE AVE STE 206 CINTI OH 45208 311458839 501(c)(6) 5000 Program Support HISPANICS AVANZANDO HISPANICS 2637 Erie Ave Suite 204 CIncinnati OH 45208 542159187 501(c)(3) 5000 Program Support NKYHATESHEROINCOMINC PO BOX 75273 FT THOMAS KY 41075 464779369 501(c)(3) 5000 Program Support NORTHERN KENTUCKY YOUTH ATHLETICS 600 BACK COUNTRY DR HEBRON KY 41048 464119935 501(c)(3) 5000 Program Support OVARIAN CANCER ALLIANCE OF GREATER PO Box 42277 CIncinnati OH 45242 823862604 501(c)(3) 5000 Program Support Paddling for Cancer Awareness Inc PO BOX 76213 HIGHLAND HEIGHTS KY 41076 263552805 501(c)(3) 5000 Program Support REDWOOD SCHOOL & REHABILITATION CTR INC 71 ORPHANAGE RD FT MITCHELL KY 41017 616013702 501(c)(3) 5000 Program Support TRANSITIONS INCORPORATED 1650 RUSSELL ST COVINGTON KY 41011 610707125 501(c)(3) 5000 Program Support 72 9 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. St. Elizabeth has an established and standardized review and approval process used to monitor grant requests. First, all requests for sponsorship must be submitted on a completed Sponsorship Request Form, including a letter of request on the organization's letterhead and a breakdown of all sponsorship levels that include benefits. St. Elizabeth asks that all organizations submit requests a minimum of 60 days prior to the publication of any marketing materials for the event and/or their sponsorship deadline. All requests that are received less than 60 days in advance risk being excluded from consideration. All sponsorships are subject to an annual review and evaluation. The St. Elizabeth Sponsorship Committee meets monthly to evaluate and make sponsorship recommendations. All decisions are based on consistency with the criteria mentioned above. However, due to the overwhelming number of requests and limited availability of funds, a request may be denied, even if it fits the criteria. An official notification of approval or denial comes in the form of a letter or email. X true true X X X X X false true false false false false false false false GARREN COLVIN PRESIDENT/CEO 1097911 0 369803 0 10882 0 47500 0 34217 0 1560312 0 0 0 ROBERT BAKER MD TRUSTEE 0 175783 0 44533 0 6738 0 36300 0 25280 0 288635 0 0 GARY BLANK EXECUTIVE VP & COO 688097 0 122558 0 9417 0 50300 0 15003 0 885375 0 0 0 LISA FREY VP LEGAL SERVICES/GENERAL COUNSEL/CORPORATE SECRETARY 456404 0 73618 0 4362 0 47500 0 14681 0 596565 0 0 0 LORI RITCHEY-BALDWIN Senior Vice President/CFO/Treasurer 628099 0 209244 0 7802 0 36300 0 32867 0 914313 0 0 0 CHRISTOPER CARLE PRESIDENT & CEO SEPN, COO - DEARBORN 451519 0 117182 0 4338 0 50300 0 14779 0 638118 0 0 0 BRUNO GIACOMUZZI COO Flo FT Cov & SVP Prof Svcs 360098 0 117891 0 6958 0 36300 0 32083 0 553329 0 0 0 SARAH GIOLANDO SVP/CHIEF STRATEGY OFFICER 393064 0 121492 0 2419 0 27435 0 27557 0 571967 0 0 0 VERA HALL SVP System CNE 355234 0 49542 0 3003 0 39800 0 31339 0 478918 0 0 0 KATHY LYNN JENNINGS SVP PATIENT CARE/ONCOLOGY 238108 0 68556 0 2561 0 46288 0 24957 0 380470 0 0 0 LAROY KENDALL MD SVP Medical Services, CMO 422009 0 121350 0 4071 0 36300 0 26016 0 609746 0 0 0 JOHN MITCHELL SVP - COO FT. THOMAS 256298 0 83186 0 2806 0 47500 0 13777 0 403566 0 0 0 JAMES PARSONS SVP HUMAN RESOURCES 379823 0 103409 0 2827 0 18377 0 22856 0 527294 0 0 0 ROBERT PRICHARD MD Chief Clinical Integration Officer, SEP President & CEO 771324 0 251740 0 9682 0 50300 0 25813 0 1108859 0 0 0 HARRY WATSON Sr. VP Facilities 276753 0 68920 0 4625 0 36300 0 13769 0 400367 0 0 0 JON HAYS MD PHYSICIAN 949599 0 101002 0 3978 0 36300 0 32691 0 1123569 0 0 0 VICTOR SCHMELZER MD PHYSICIAN 826183 0 112611 0 8705 0 53100 0 34115 0 1034714 0 0 0 JEROME SCHUTZMAN MD PHYSICIAN 1071405 0 37308 0 8942 0 36300 0 27176 0 1181130 0 0 0 MOHAMAD SINNO MD PHYSICIAN 1050239 0 105168 0 3819 0 36300 0 33443 0 1228969 0 0 0 KARL ULICNY MD PHYSICIAN 832474 0 112611 0 12476 0 53100 0 23713 0 1034374 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use WILLIAM BANKS IS PROVIDED A HOUSING ALLOWANCE THAT IS TREATED AS TAXABLE COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Certain individuals listed in Part VII participated in a split dollar life insurance plan. Please refer to Schedule L for participants, premiums and outstanding loan amounts. A KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009B 521643102 2009-12-09 38150000 PARTIAL REFUNDING OF BONDS ISSUED 6/11/03 false false false B KENTUCKY BOND DEVELOPMENT CORPORATION - 2015A 472650498 2015-12-30 50000000 RENOVATIONS TO HOSPITAL false false false C KENTUCKY BOND DEVELOPMENT CORPORATION - 2015B 472650498 2015-12-30 50000000 RENOVATIONS TO HOSPITAL false false false D KENTUCKY BOND DEVELOPMENT CORPORATION - SERIES 2016 472650498 491210AW0 2016-05-12 98494028 ADVANCE REFUNDING OF SERIES 2009A BONDS ISSUED ON 12/09/09 false false false A 13825000 0 38150000 0 0 0 360000 0 0 0 37790000 0 2003 true false true true B 6150000 0 50716101 0 0 0 245000 0 0 50471101 0 0 2018 false false true true C 3925000 0 50015044 0 0 0 222000 0 0 49793044 0 0 2018 false false true true D 10480000 0 85000000 0 0 0 1123044 0 0 0 99936150 0 2009 false true true true A false false true true false 0.0 0.0 0.0 false false true B false false false false true 0.0 0.0 0.0 false false true C false false false true true 0.0003 0.0 0.0003 false false true D false false true true false 0.0 0.0 0.0 false false true A false false false true true false false false true B false false false true false false false false true C false false false true true true PNC BANK NATIONAL ASSOCIATION 30.0 false false false false true D false true false false false false false true true A true B true C true D true Schedule K, Part V Procedures to Undertake Corrective Action St. Elizabeth Medical Center, Inc. d/b/a St. Elizabeth Healthcare has written procedures to ensure that violations of federal tax requirements are timely identified. If self-remediation is not available under applicable regulations, St. Elizabeth Healthcare would contact its bond counsel regarding the IRS' voluntary closing agreement program. Schedule K, Part III, Line 4 Research Agreement Revenue The amount of revenue from the Research Agreements is de minimis representing less than 0.0263% of the Total Operating Revenue. Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE DIFFERENCE BETWEEN SERIES 2015A ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART i, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2015B ISSUE PRICE (ISSUE DATE 12/30/2015) IN PART i, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2016 ISSUE PRICE (ISSUE DATE 05/12/2016) IN PART i, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. DIFFERENCE BETWEEN SERIES 2019A ISSUE PRICE (ISSUE DATE 06/26/2019) IN PART i, COLUMN E AND TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS INVESTMENT EARNINGS DURING THE PROJECT PERIOD. Schedule K, Part IV, Line 2c COLUMN A Issuer name: KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009B The calculation for computing no rebate due was performed on 06/04/2014 Schedule K, Part IV, Line 2c COLUMN B Issuer name: KENTUCKY BOND DEVELOPMENT CORPORATION - 2015A The calculation for computing no rebate due was performed on 02/11/2021 Schedule K, Part IV, Line 2c COLUMN C Issuer name: KENTUCKY BOND DEVELOPMENT CORPORATION - 2015B The calculation for computing no rebate due was performed on 02/11/2021 A KENTUCKY BOND DEVELOPMENT CORPORATION - 2019A 472650498 2019-06-26 75000000 RENOVATIONS TO HOSPITAL false false false A 2366546 75414456 0 560800 75853656 0 2020 false false true true A false false true true true true 0.0 false false true A false true false false true true Fifth Third Financial Risk Solutions 30.0 false false false false true A true BRUNO GIACOMUZZI SVP COO FLO GRANT & PROF SVCS To fund split dollar life Insurance premiums for supplemental life insurance X 459514 479037 false true true CHRIS CARLE PRESIDENT & CEO SEPN; DEARBORN To fund split dollar life Insurance premiums for supplemental life insurance X 825055 863315 false true true GARREN COLVIN PRESIDENT & CEO To fund split dollar life Insurance premiums for supplemental life insurance X 3469195 3625835 false true true GARY BLANK EXEC VP COO To fund split dollar life Insurance premiums for supplemental life insurance X 1081183 1128392 false true true HARRY WATSON SVP FACILITIES To fund split dollar life Insurance premiums for supplemental life insurance X 235083 244489 false true true JAMES PARSONS SVP, HUMAN RESOURCES To fund split dollar life Insurance premiums for supplemental life insurance X 46692 47142 false true true JOHN MITCHELL SVP COO FT. THOMAS/COVINGTON To fund split dollar life Insurance premiums for supplemental life insurance X 259027 267277 false true true KATHY JENNINGS SVP PATIENT CARE SVCS/CANCER CARE To fund split dollar life Insurance premiums for supplemental life insurance X 139334 144706 false true true LAROY KENDALL SVP CHIEF MEDICAL OFFICER To fund split dollar life Insurance premiums for supplemental life insurance X 266618 277724 false true true LISA FREY SVP LEGAL SVCS/GENERAL COUNSEL To fund split dollar life Insurance premiums for supplemental life insurance X 300208 311566 false true true LORI RITCHEY-BALDWIN SVP FINANCE/CFO/TREASURER To fund split dollar life Insurance premiums for supplemental life insurance X 512082 537998 false true true ROBERT PRICHARD EVP/CEO - SEP/CCIO To fund split dollar life Insurance premiums for supplemental life insurance X 1404382 1472629 false true true SARAH GIOLANDO SVP CHIEF STRATEGY OFFICER To fund split dollar life Insurance premiums for supplemental life insurance X 670741 700373 false true true VERA HALL SVP SYSTEM CNE To fund split dollar life Insurance premiums for supplemental life insurance X 327914 339290 false true true 10439773 BEST UPON REQUEST BOARD MEMBER TILLIE HIDALGO LIMA OWNS BEST UPON REQUEST 778849 CONCIERGE SERVICES false CULTURE INDEX LLC Board Member A.J. Schaeffer 117500 RECRUITING SERVICES false Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS WERE AT ARM'S LENGTH (FMV) AND APPROVED BY DISINTERESTED MEMBERS OF THE BOARD. Schedule L, Part II To fund split dollar life Insurance premiums for supplemental life insurance The Organization has entered into a split-dollar life insurance with a number of its executive and key employees in order to provide supplemental life insurance benefits. Premiums under the arrangement, as opposed to contributions to a standard non-qualified plan, are not an expense for accounting purposes. In addition, all of the premiums, treated as split-dollar loans in accordance with IRS rules, will be recovered by the Organization with interest at the death of the individual(s), which will help further the Organization's charitable mission (see the associated receivable in Part X). X 7670 Market value X 3790 Cost X 12 49542 Market value X 466 138159 Cost X FOOD/PRIZES 22 11941 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - FOOD/PRIZES ST. ELIZABETH HEALTHCARE IS REPORTING THE 22 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Books and publications - BOOKS - ST. ELIZABETH HEALTHCARE IS REPORTING 960 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Clothing and household goods - BABY APPAREL, HOUSEHOLD GOODS AND CLOTHING - ST. ELIZABETH IS REPORTING THE 15 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Securities - Publicly traded - ST. ELIZABETH HEALTHCARE IS REPORTING THE 12 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Drugs and medical supplies - ST. ELIZABETH HEALTHCARE IS REPORTING THE 466 ITEMS BASED ON CONTRIBUTIONS RECEIVED. Form 990, Part VI, Line 13 WHISTLEBLOWER POLICY ST. ELIZABETH HEALTHCARE DOES NOT HAVE A SPECIFIC WHISTLEBLOWER POLICY. HOWEVER, THERE IS A SECTION OF ST. ELIZABETH HEALTHCARE'S CORPORATE RESPONSIBILITY PROGRAM THAT ADDRESSES COMPLIANCE WITH THE FEDERAL FALSE CLAIMS ACT AND WITHIN THAT SECTION, PROTECTION FOR WHISTLEBLOWERS IS SPECIFICALLY ADDRESSED. Form 990, Part VI, Line 1a Delegate broad authority to a committee The members of the following committees act in an advisory capacity to the Board of Trustees and make recommendations to the Board, they are: Investment, Strategic Planning, Audit, Finance, Governance and Quality/Patient Care. In addition, the Compensation Committee members have actual voting and decision power such that they are an "authorized body" of the Board of Trustees. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE WILL BE APPOINTED ACCORDING TO THE FOLLOWING SUMMARIZED PROCEDURE: (I) THE BOARD SHALL SUBMIT TO THE BISHOP UP TO THREE NAMES OF CANDIDATES FOR EACH VACANCY; (II) ORDINARILY THE BISHOP WILL CHOOSE TRUSTEES TO FILL THE VACANCIES OR OPENINGS FROM THE RECOMMENDED CANDIDATES AFTER PERSONAL CONSULTATION WITH THE PRESIDENT. IF THE BISHOP DOES NOT CHOOSE ANYONE FROM THE LIST, THE BOARD WILL SUBMIT NEW NAMES AS SOON AS PRACTICAL; (III) THE BISHOP RESERVES THE RIGHT TO SUBMIT OTHER NAMES TO THE BOARD FOR REVIEW AND COMMENT; (IV) IN CONSULTATION WITH THE PRESIDENT OF THE MEDICAL CENTER OR THE BOARD CHAIR, THE BISHOP MAY REMOVE ANY MEMBER OF THE BOARD IF CERTAIN ACTIONS ARE COMMITTED; (V) IF THE BISHOP DECLINES A CANDIDATE OR THE CANDIDATE DECLINES, THE LIST OF CANDIDATES WILL BE REVISITED ACCORDING TO PROCEDURES (I) THROUGH (III) ABOVE. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE BISHOP: (I) THE AMENDMENT OR REPEAL OF SECTIONS 2(B) OR 2(C) OF THE BYLAWS OR ANY PROVISIONS OF THE GOVERNING DOCUMENTS RELATING TO THE AUTHORITY OF THE BISHOP OR BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE; (II) ANY ACTION THAT RESULTS IN A SUBSTANTIAL CHANGE, AS DETERMINED BY THE BISHOP OR THE BOARD, IN THE PHILOSOPHY OR MISSION OF ST. ELIZABETH HEALTHCARE, OR IN THE USE OF A ST. ELIZABETH HEALTHCARE HOSPITAL FACILITY; (III) THE DISSOLUTION, CONSOLIDATION, MERGER, OR TERMINATION OF EXISTENCE OF ST. ELIZABETH HEALTHCARE; AND (IV) A BORROWING, LEASE, TRANSFER, OR ENCUMBRANCE OF ANY REAL ESTATE OF ST. ELIZABETH HEALTHCARE EXCEEDING $5,000,000. Form 990, Part VI, Line 11b Review of form 990 by governing body ST. ELIZABETH HEALTHCARE'S PROCESS TO REVIEW THE FORM 990 CONSISTS OF REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT AND THE ST. ELIZABETH HEALTHCARE'S BOARD OF TRUSTEES. THE FORM 990 IS REVIEWED WITH AND APPROVED BY THE FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S APPROVAL, BUT PRIOR TO FILING WITH THE IRS, THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS. Form 990, Part VI, Line 12c Conflict of interest policy ST. ELIZABETH HEALTHCARE REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR A MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEE WITH THE GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXISTS. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (I) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (II) HAS READ AND UNDERSTANDS THE POLICY, (III) HAS AGREED TO COMPLY WITH THE POLICY, AND (IV) UNDERSTANDS THAT ST. ELIZABETH HEALTHCARE IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. WHEN BUSINESS MATTERS COME BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST: (I) THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT. (II) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (III) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (IV) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (V) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING. Form 990, Part VI, Line 15a Process to establish compensation of top management official IN DETERMINING THE COMPENSATION OF ST. ELIZABETH HEALTHCARE'S CHIEF EXECUTIVE OFFICER, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA, AND THEN A COMPENSATION RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL. Form 990, Part VI, Line 15b Process to establish compensation of other employees OTHER KEY EXECUTIVES ARE REVIEWED, AND THE CHIEF EXECUTIVE OFFICER MAKES RECOMMENDATIONS FOR THEIR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE THEN EVALUATES AND APPROVES THE COMPENSATION FOR THE OTHER KEY EXECUTIVES. FOR BOTH THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EXECUTIVES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXTERNAL REVIEW OF EXECUTIVE COMPENSATION IS PERFORMED ANNUALLY AND APPROVED BY THE BOARD. THIS WAS LAST PERFORMED IN 2020. Form 990, Part VI, Line 19 Required documents available to the public UPON REQUEST, ST. ELIZABETH HEALTHCARE WILL MAKE AVAILABLE THE FORM 990 AND THE RELATED APPLICABLE SCHEDULES, OF WHICH ARE SUBJECT TO AND OPEN TO PUBLIC INSPECTION. Form 990, Part VII, Section A Compensation of Key Employees All key employees have been evaluated and only those meeting the definition of key employees were included on Part VII for calendar year 2020. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous - Total Revenue: 4761845, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4761845; Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - CLINICAL - Total Expense: 5981430, Program Service Expense: 1710936, Management and General Expenses: 4270494, Fundraising Expenses: 0; AMBULANCE SERVICE - Total Expense: 813462, Program Service Expense: 813462, Management and General Expenses: 0, Fundraising Expenses: 0; ANESTHESIOLOGY SERVICE - Total Expense: 4753517, Program Service Expense: 4753517, Management and General Expenses: 0, Fundraising Expenses: 0; LABORATORY SERVICES - Total Expense: 2463612, Program Service Expense: 2423565, Management and General Expenses: 40047, Fundraising Expenses: 0; LAUNDRY EXPENSE - Total Expense: 3609641, Program Service Expense: 259647, Management and General Expenses: 3349994, Fundraising Expenses: 0; PERFUSION SERVICE - Total Expense: 1155212, Program Service Expense: 1155212, Management and General Expenses: 0, Fundraising Expenses: 0; RADIATION SERVICE - Total Expense: 1061832, Program Service Expense: 1061832, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN FEES - Total Expense: 11857343, Program Service Expense: 10483200, Management and General Expenses: 1374143, Fundraising Expenses: 0; CONSULTING SERVICE - Total Expense: 6243222, Program Service Expense: 912703, Management and General Expenses: 5326719, Fundraising Expenses: 3800; COLLECTION SERVICE - Total Expense: 1040758, Program Service Expense: 39, Management and General Expenses: 1040719, Fundraising Expenses: 0; OTHER FEES - Total Expense: 457011, Program Service Expense: 190, Management and General Expenses: 456821, Fundraising Expenses: 0; PURCHASED SERVICE - PATIENT ACCT - Total Expense: 3479675, Program Service Expense: 0, Management and General Expenses: 3479675, Fundraising Expenses: 0; ORGANIZED DEVELOP SERVICES - Total Expense: 210524, Program Service Expense: 0, Management and General Expenses: 210524, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 21681582, Program Service Expense: 7744597, Management and General Expenses: 13931399, Fundraising Expenses: 5586; RESEARCH PARTICIPATION - Total Expense: 7576, Program Service Expense: 7576, Management and General Expenses: 0, Fundraising Expenses: 0; RECRUITMENT ADVERTISING - Total Expense: 195306, Program Service Expense: 10257, Management and General Expenses: 185049, Fundraising Expenses: 0; VEHICLE OPERATION MAINT - Total Expense: 13330, Program Service Expense: 3271, Management and General Expenses: 10059, Fundraising Expenses: 0; CONSUMABLES - HARDWARE - Total Expense: 115189, Program Service Expense: 57328, Management and General Expenses: 57861, Fundraising Expenses: 0; HRIP-UPL KHREF FEES - Total Expense: 113198, Program Service Expense: 0, Management and General Expenses: 113198, Fundraising Expenses: 0; JANITORIAL SERVICES - Total Expense: 579431, Program Service Expense: 200838, Management and General Expenses: 378593, Fundraising Expenses: 0; BUILDING MAINTENANCE - INTERIOR - Total Expense: 548600, Program Service Expense: 108249, Management and General Expenses: 440351, Fundraising Expenses: 0; GROUNDS MAINTENANCE - Total Expense: 236424, Program Service Expense: 9590, Management and General Expenses: 226834, Fundraising Expenses: 0; VEHICLE MAINTENANCE - Total Expense: 198708, Program Service Expense: 76100, Management and General Expenses: 122608, Fundraising Expenses: 0; MAINTENANCE & REPAIRS - Total Expense: 13436405, Program Service Expense: 1773479, Management and General Expenses: 11662926, Fundraising Expenses: 0; MAINT & REPAIR - HVAC - Total Expense: 249825, Program Service Expense: 30240, Management and General Expenses: 219585, Fundraising Expenses: 0; MAINT & REPAIR - MEDICAL EQUIP - Total Expense: 1968, Program Service Expense: 1968, Management and General Expenses: 0, Fundraising Expenses: 0; MAINT & REPAIR - OFFICE EQUIP - Total Expense: 11597, Program Service Expense: 1714, Management and General Expenses: 9883, Fundraising Expenses: 0; HARDWARE MAINTENANCE - Total Expense: 82969, Program Service Expense: 187, Management and General Expenses: 82782, Fundraising Expenses: 0; PEST CONTROL - Total Expense: 17093, Program Service Expense: 4202, Management and General Expenses: 12891, Fundraising Expenses: 0; FACILITIES - SMALL EQUIP - Total Expense: 476, Program Service Expense: 0, Management and General Expenses: 476, Fundraising Expenses: 0; OUTSOURCING SERVICES - Total Expense: 46564, Program Service Expense: 46564, Management and General Expenses: 0, Fundraising Expenses: 0; PHYSICIAN FEES-CMA - Total Expense: 3376031, Program Service Expense: 95411, Management and General Expenses: 3280620, Fundraising Expenses: 0; PHYSICIAN SERVICES - Total Expense: 270507, Program Service Expense: 0, Management and General Expenses: 270507, Fundraising Expenses: 0; NETWORK /DATA CONNECTION - Total Expense: 6542, Program Service Expense: 747, Management and General Expenses: 5795, Fundraising Expenses: 0; MAINT AND REPAIR TELECOM - Total Expense: 356, Program Service Expense: 0, Management and General Expenses: 356, Fundraising Expenses: 0; CONTRACT LABOR - NON CLINICAL - Total Expense: 2267377, Program Service Expense: 168441, Management and General Expenses: 2098936, Fundraising Expenses: 0; PLP LABORATORY SERVICES - Total Expense: 15085283, Program Service Expense: 20912607, Management and General Expenses: -5827324, Fundraising Expenses: 0; LATE PAYMENT FEES - Total Expense: -3130, Program Service Expense: 0, Management and General Expenses: -3130, Fundraising Expenses: 0; FIRE LIFE SAFETY SECURITY - Total Expense: 600, Program Service Expense: 600, Management and General Expenses: 0, Fundraising Expenses: 0; BUILDING MAINTENANCE - EXTERIOR - Total Expense: 10563, Program Service Expense: 0, Management and General Expenses: 10563, Fundraising Expenses: 0; CAM - COMMON AREA MAINTENANCE - Total Expense: 883383, Program Service Expense: 172545, Management and General Expenses: 710838, Fundraising Expenses: 0; IC MARKET ADJ EXPENSE - Total Expense: XXX-XX-XXXX, Program Service Expense: 0, Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: 0; IC PHYSICIANS FEES - Total Expense: 16592101, Program Service Expense: 16216337, Management and General Expenses: 375764, Fundraising Expenses: 0; IC PHYSICIANS FEES - MEDICAL DIR - Total Expense: 795662, Program Service Expense: 606592, Management and General Expenses: 189070, Fundraising Expenses: 0; IC STAFF LEASING EXPENSE - Total Expense: 421912, Program Service Expense: 411759, Management and General Expenses: 2412, Fundraising Expenses: 7741; IC AMDIN SERVICES EXPENSE - Total Expense: 418405, Program Service Expense: 416685, Management and General Expenses: 1720, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN FMV OF INTEREST RATE SWAP - -12442545; MINIMUM PENSION LIABILITY ADJUSTMENT - 5949450; CHANGE IN FMV OF SPLIT LIFE INSURANCE INTEREST - -14188; TRANSFERS DUE TO/FROM AFFILIATES - -1925402; NET ASSETS RELEASED FROM RESTRICTIONS - PPE - 2158957; WRITE OFF OF UNCOLLECTIBLE PLEDGES - -33895; CHANGE TO INVESTMENT IN AMSURG - -16654; INVESTMENT IN HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY, INC. - 26123; FIVE LABS DISTRIBUTION - 158852; Schedule H, Part V, Section B, Line 11 HOW HOSPITAL FACILITY IS ADDRESSING NEEDS IDENTIFIED IN CHNA (Continued:) ST. ELIZABETH FLORENCE NEXT, THE LIST WAS ADVANCED TO THE STRATEGIC PLANNING COMMITTEE OF THE BOARD OF TRUSTEES TO REVIEW, IN WHICH THEY NARROWED THE LIST DOWN TO THE TOP THREE ISSUES TO FOCUS ON THAT WILL HAVE THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE TOP THREE PRIORITIES ARE OBESITY, HEART DISEASE, AND DIABETES. THE FOLLOWING IS A LIST OF HEALTH NEEDS INDENTIFIED BY THE ASSESSMENT, BUT NOT INCLUDED AS ONE OF THE TOP THREE: - ACCESS TO PRIMARY CARE - AVOIDABLE ED VISITS - CANCER - INFANT MORTALITY - LACK OF HEALTH INSURANCE - MEDICATION COSTS - MENTAL HEALTH - SMOKING - SUBSTANCE ABUSE - WELLNESS ST. ELIZABETH HEALTHCARE WILL CONTINUE PROVIDING SERVICES TO SUPPORT THESE IMPORTANT COMMUNITY HEALTH NEEDS. THE FOLLOWING IS A SUMMARY OF MANY OF THE PROGRAMS THAT ARE ALREADY PROVIDED FOR EACH OF THE ISSUES IDENTIFIED: AVOIDABLE ED VISITS/ACCESS TO PRIMARY CARE - ESTABLISHING 100% OF ST. ELIZABETH PHYSICIAN PRACTICES AS CERTIFIED MEDICAL HOMES - DEVELOPING WALK-IN CLINICS AND URGENT CARE OPTIONS THROUGH ST. ELIZABETH PHYSICIANS - PROVIDING TRAINING AND CARE THROUGH THE FAMILY PRACTICE RESIDENCY PROGRAM - CONTINUING TO OFFER THE PARISH NURSING/HEALTH MINISTRY PROGRAM - RECRUITING ST. ELIZABETH HEALTHCARE MEDICAL SPECIALISTS AS IDENTIFIED - TREATING DENTAL PATIENTS NEEDING EMERGENT CARE IN THE EMERGENCY DEPARTMENT - PROVIDING CAB AND BUS VOUCHERS FOR PATIENTS CANCER - PROVIDING CANCER SCREENINGS, SUPPORT GROUPS AND BREAST CANCER NAVIGATORS - PROVIDING DRUG REPLACEMENT SERVICES CHEMOTHERAPY PROVIDED TO THOSE WHO ARE UNINSURED - PROVIDING MOBILE MAMMOGRAPHY VAN NO COST MAMMOGRAMS - OFFERING THE COOPER CLAYTON SMOKING CESSATION PROGRAM - DONATING FINANCIAL / OPERATIONAL SUPPORT TO SEVERAL COMMUNITY HEALTH IMPROVEMENT ORGANIZATIONS INFANT MORTALITY - OFFERING MATERNAL CHILD PROGRAMS: FIRST STEPS POINT OF ENTRY AND NURSE-FAMILY PARTNERSHIPS - PROVIDING OBSTETRICIANS TO HEALTHPOINT FOR PRENATAL CARE - ADMINISTERING IMMUNIZATIONS COCOONING PROJECT - OFFERING PRE-ADMISSION EDUCATION LACK OF HEALTH INSURANCE - SPONSORING A FINANCIAL ASSISTANCE PROGRAM - ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATE MEDICATION COSTS/ACCESS - PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACY MENTAL HEALTH - PROVIDING INPATIENT TREATMENT TO UNINSURED - PROVIDING MULTIPLE SUPPORT GROUPS FOR PATIENTS AND FAMILIES - WORKING WITH MENTAL HEALTH COURTS AND JAILS TO COORDINATE CARE - IMPLEMENTING TELEPSYCHIATRY IN THE EMERGENCY DEPARTMENT TO ASSESS MENTAL HEALTH PATIENTS WELLNESS - PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGS SUBSTANCE ABUSE - PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS - OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONS SMOKING CESSATIONS - ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE - OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES ST ELIZABETH PHYSICIAN SERVICES 334 THOMAS MORE PARKWAY STE 200 CRESTVIEW HILLS KY 41017 611339639 PHYSICIAN MANAGEMENT SERVICES KY 0 3806065 ST ELIZABETH MEDICAL CENTER INC SEH Holdings Inc 1 Medical Village Dr Edgewood KY 41017 830817636 Holding Company KY -317880 -1053582 St Elizabeth Medical Center Inc Next Daybreak Inc 1 Medical Village Dr Edgewood KY 41017 832843631 Physician Management Services KY 37545 -864153 St Elizabeth Medical Center Inc SUMMIT MEDICAL GROUP INC 1360 Dolwick Drive Suite 200 Erlanger KY 41018 611300608 PHYSICIAN PRACTICE KY 501(c)(3) 3 ST ELIZABETH MEDICAL CENTER INC true Healthcare Advocates of Northern Kentucky 1 Medical Village Drive Edgewood KY 41017 832875231 Advance Healthcare quality and availability in Northern KY KY 501(c)(4) St Elizabeth Medical Center Inc true Health Care Solutions Network LLC 619 Oak Street Cincinnati OH 45206 472103334 PHO OH HSN Related -52849 24918 false true 0.447 Preferred Lab Partners LLC One Medical Village Drive Suite B Edgewood KY 41707 824758763 Laboratory KY NA Related 112541 8129231 false true 0.5 Bioskills Lab LLC 4123 Olympic Blvd Erlanger KY 41018 320571870 Bioskills Lab KY SEMC Related -362150 -427499 false true 0.75 St Elizabeth Provider Network Inc One Medical Village Dr Edgewood KY 41017 472862438 Physician-Hospital Org. KY St Elizabeth Medical Center Inc C Corporation -899959 -4193344 1 true Charitable Remainder Trust (3) One Medical Village Drive Edgewood KY 41017 Trust KY N/A Trust false true false false false false false false false true true true true false true true true true true ST ELIZABETH PROVIDER NETWORK L 4193344 CASH SUMMIT MEDICAL GROUP INC R 109907426 CASH SUMMIT MEDICAL GROUP INC O 18719919 CASH SUMMIT MEDICAL GROUP INC J 238914 CASH SUMMIT MEDICAL GROUP INC M 418404 CASH HEALTHCARE ADVOCATES OF NORTHERN KENTUCKY INC B 416445 CASH