2021-05-17T06:54:49-05:00 2020-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2019-07-01 611029768 JEWISH HOSPITAL & ST MARY'S HEALTHCARE INC JEWI 5025403888 ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 TROY HAMMETT DIV SVP CFO 5025403888 2021-05-17 1 MARK STOCKI P00642127 3032989100 2019 2022-09-23 18:48:47Z X LARRY SCHUMACHER ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 282235122 0 X WWW.UOFLHEALTHNETWORK.ORG X 1983 KY TO BE THE PREMIER, INTEGRATED, COMPREHENSIVE HEALTH SYSTEM IN THE COMMUNITY PROVIDING HIGH QUALITY CARE CLOSE TO HOME, REDUCING THE INCIDENCE OF DISEASE AND ELIMINATING INEQUITIES IN ACCESS TO CARE. THE ASSETS OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.(JHSMH) WERE SOLD TO THE UNIVERSITY OF LOUISVILLE ON OCTOBER 31, 2019. X 15 12 5990 300 270695 119504 361846 870128 714634082 239318799 1976156 -65892151 64054500 38975401 781026584 213272177 1002918 375458 0 0 291314846 131141440 0 0 554812 493154127 147023227 785471891 278540125 -4445307 -65267948 878120371 32540758 1082619595 523416973 -204499224 -490876215 X TO BRING HOPE, IMPROVE HEALTH AND CHANGE LIVES. INSPIRED BY OUR CATHOLIC AND JEWISH FAITH HERITAGE, WE SERVE WITH A SPIRIT OF INNOVATION AND COLLABORATION, TRANSFORM HEALTH CARE DELIVERY, PARTNER TO CREATE HEALTHY COMMUNITIES AND ADVOCATE FOR A JUST HEALTH SYSTEM. 0 1 238479447 375458 239318799 SEE SCHEDULE H. 238479447 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 0 0 5990 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 1 1 KY X TROY HAMMETT 4234957452 2525 DE SALES AVENUE CHATTANOOGA TN 37404 LARRY SCHUMACHER DIRECTOR/SVP-OPERATIONS-CEO 5.00 55.00 X X 0 2159587 215816 BRUCE TASSIN MARKET PRESIDENT/DIRECTOR 1.00 55.00 X 0 997775 95406 TANJA OQUENDO SYS SVP TRANSFORM-INTEGRATION 55.00 5.00 X 641921 285046 33320 RUTH WILLIAMS BRINKLEY PRESIDENT/CEO KENTUCKYONE HEALTH 0.00 0.00 X 0 874238 0 RON WALDRIDGE MD MARKET PRESIDENT 55.00 5.00 X 707535 0 41433 TROY HAMMETT DIV SVP CFO 5.00 55.00 X 0 609917 90733 SHARON HAGER SECRETARY/DIV VP SR COUNSEL 5.00 50.00 X 0 558773 25857 DON LOVASZ PRESIDENT 0.00 55.00 X 0 504199 33911 STEVE FRANTZ TREASURER 5.00 55.00 X 0 485609 40246 COLLEEN HOLTON TREASURER/CFO (PARTIAL YEAR) 55.00 5.00 X 481290 0 41638 CHARLES POWELL PRESIDENT 0.00 55.00 X 482063 0 8482 JAMES WENTZ DIV SVP-CFO 0.00 55.00 X 415384 0 0 SHELLEY STANKO MD DIRECTOR 1.00 50.00 X 0 332175 40894 CATHERINE SPALDING DIRECTOR-OPERATIONS 55.00 5.00 X 323065 0 31868 VALERIE BRIONES-PRYOR MD MEDICAL DIRECTOR 55.00 0.00 X 141434 144243 40898 RUTH WHEATLEY FORMER KEY EMPLOYEE 0.00 55.00 X 0 301325 17977 MARTHA MATHER PRESIDENT-OLOP 55.00 0.00 X 243837 0 37507 KRISTIN VONDRAK VP-QUALITY 55.00 0.00 X 270900 0 0 SHIRLEY MCJOHNSTON VP-PATIENT CARE SERVICES 55.00 50.00 X 235974 0 22657 WILLIAM GEORGE SECRETARY 5.00 0.00 X 0 123962 5599 BRADLEY LINCKS FORMER KEY EMPLOYEE 50.00 0.00 X 87637 0 19600 MICHAEL ADES DIRECTOR 1.00 0.00 X 0 0 0 JANE BURKS DIRECTOR 1.00 0.00 X 0 0 0 JANE CHILES DIRECTOR 1.00 0.00 X 0 0 0 FR NORMAN FISCHER DIRECTOR 1.00 0.00 X 0 0 0 DIANA HAN MD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT HEWETT VICE CHAIR 5.00 0.00 X X 0 0 0 MARTHA JONES CHAIR 5.00 0.00 X X 0 0 0 DEBORAH LEE-EDDIE MARKET CEO (PARTIAL YEAR) 50.00 0.00 X 0 0 0 JOHN STEWART II MD DIRECTOR 1.00 0.00 X 0 0 0 SR ELIZABETH WENDELN DIRECTOR 1.00 0.00 X 0 0 0 AVICHAI ERES MD BOARD MEMBER 1.00 0.00 X 0 0 0 DANIEL RODRIQUE MD BOARD MEMBER 1.00 0.00 X 0 0 0 MARY-ALICHA WELDON DIRECTOR 1.00 0.00 X 0 0 0 4031040 7376849 843842 195 1 1 1 AMN HEALTHCARE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 TEMPORARY MEDICAL STAFFING 8504291 UNIVERSITY OF LOUISVILLE HOSPITAL 530 S JACKSON ST LOUISVILLE KY 40202 MEDICAL SERVICES 6628582 UNIVERSITY OF LOUISVILLE PHYSICIANS 401 E CHESTNUT ST LOUISVILLE KY 40202 MEDICAL SERVICES 5075231 G4S SECURE SOLUTIONS USA INC 1395 UNIVERSITY DR JUPITER FL 33458 SECURITY SERVICES 3408740 LOUISVILLE SURGICAL ASSOCIATES 4402 CHURCHMAN AVE STE 202 LOUISVILLE KY 40215 ER PHYSICIAN SUPPORT 2469498 54 69134 800994 870128 NET PATIENT SERVICES 900099 237568542 237568542 0 0 RENTAL INCOME 900099 1717476 1717476 0 0 MEDICARE/MEDICAID 900099 32781 32781 0 0 239318799 3063130 3063130 7664 0 68962945 7664 -68962945 -68955281 -68955281 LEASED EMPLOYEES 561300 35448230 0 0 35448230 SERVICES SOLD 900099 2015777 0 0 2015777 LABORATORY SERVICES 621500 723137 0 270695 452442 788257 788257 38975401 213272177 239318799 270695 -27187445 X 257585 257585 5800 5800 112073 112073 1136066 367452 768614 102431835 97987220 4444615 4694569 4478196 216373 14824705 14099948 724757 8054265 7087753 966512 466696 466696 55203059 38642142 16008887 552030 2138 2138 153797 115348 36911 1538 10224214 511211 9713003 12009958 8406971 3602987 111431 73545 36772 1114 12994 8576 4288 130 7083883 7083883 1902711 1902711 54622 41513 13109 2327186 1791933 535253 MEDICAL SUPPLIES 47783949 47783949 0 0 STATE PROVIDER TAX 5316388 5316388 0 0 REPAIRS AND MAINTENANCE 3189610 3189610 0 0 UNRELATED BUSINESS TAXE 62240 0 62240 0 1118351 1118351 278540125 238479447 39505866 554812 99010 20357 1814597 2718657 605245 616621 118577006 6790283 0 0 0 0 0 0 18209092 0 4851691 0 107568948 107568948 -13915059 0 3299634 3748712 0 0 0 0 0 744579155 18646128 878120371 32540758 454994377 505841823 0 0 20195168 0 0 0 0 0 0 0 0 0 0 607430050 17575150 1082619595 523416973 X -208194594 -497972145 3695370 7095930 -204499224 -490876215 878120371 32540758 X -65267948 95652 -4000 -221200695 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 28021 0 0 0 28021 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $801 CATHOLIC HEALTH ASSOCIATION - $154 KENTUCKY HOSPITAL ASSOCIATION - $27,066 3284036 440499 3724535 3515875 210106 441945 3284036 9255618 224120 363247 6327110 3515875 9575205 68272 387859 9255618 9958499 15675 -398969 9575205 0.00000 1.00000 0.00000 0 0 100000 100000 0 107400287 107400287 0 68661 68661 0 0 OTHER ASSETS 9224380 INTERCOMPANY RECEIVABLES 9421748 18646128 INTERCOMPANY PAYABLES 14094196 OTHER LIABILITIES 3480954 17575150 X PART V, LINE 4: ENDOWED ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT VARIOUS JHSMH PROGRAMS AS DESIGNATED BY THE DONOR. SIGNIFICANT PROGRAMS INCLUDE NURSING AND OTHER MEDICAL SCHOLARSHIPS AND RESEARCH PROGRAMS. PART X, LINE 2: JEWISH HOSPITAL & SAINT MARY'S HEALTHCARE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH'S ASC 740 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2020, READS AS FOLLOWS: COMMONSPIRIT HAS ESTABLISHED ITS STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATES IN WHICH IT OPERATES, AND AS SUCH, IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, COMMONSPIRIT'S EXEMPT ORGANIZATIONS ARE SUBJECT TO INCOME TAXES ON NET INCOME DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, WHICH DOES NOT FURTHER THE ORGANIZATIONS' EXEMPT PURPOSES. NO SIGNIFICANT INCOME TAX PROVISION HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS FOR NET INCOME DERIVED FROM UNRELATED TRADE OR BUSINESS. COMMONSPIRIT'S FOR-PROFIT SUBSIDIARIES ACCOUNT FOR INCOME TAXES RELATED TO THEIR OPERATIONS. THE FOR-PROFIT SUBSIDIARIES RECOGNIZE DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF THEIR ASSETS AND LIABILITIES, ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS, FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. INCOME TAX INTEREST AND PENALTIES ARE RECORDED AS INCOME TAX EXPENSE. FOR THE YEARS ENDED JUNE 30, 2020 AND 2019, COMMONSPIRIT'S TAXABLE ENTITIES RECORDED AN IMMATERIAL AMOUNT OF INTEREST AND PENALTIES AS PART OF THE PROVISION FOR INCOME TAXES. COMMONSPIRIT'S TAXABLE ENTITIES DID NOT HAVE ANY MATERIAL UNRECOGNIZED INCOME TAX EXPENSE AS OF JUNE 30, 2020 AND 2019. COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 SUB-SAHARAN AFRICA 0 0 GRANTMAKING 97783 0 0 0 0 0 0 97783 0 97783 SUB-SAHARAN AFRICA GRANTMAKING N/A 112073 EQUIPMENT AND SUPPLIES BOOK 1 0 0 0 0 0 0 0 PART I, LINE 2: JEWISH HOSPITAL & ST. MARYS HEALTHCARE, INC. (JHSMH) ENSURES THAT GRANTS TO RECIPIENTS ARE PROPERLY USED FOR THEIR INTENDED PURPOSE BY ENSURING THAT THE GRANT RECIPIENTS ARE PRIMARILY IRC 501(C)(3) ORGANIZATIONS. JHSMH DOES NOT REQUIRE ACCOUNTING FOR THE GRANT MONIES, SINCE THE RECIPIENT ORGANIZATIONS ARE REQUIRED, AS IRC SEC 501(C)(3) ORGANIZATIONS TO USE THE FUNDS IN FURTHERANCE OF EXEMPT PURPOSES. PART III ACCOUNTING METHOD: 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 7578223 -2251059 9829282 0.03530 79520185 60578436 18941749 0.06800 87098408 58327377 28771031 0.10330 10 6607 850543 850543 0.00310 2 70 74600 74600 0.00030 5 50 78673 78673 0.00030 17 6727 1003816 1003816 0.00370 17 6727 88102224 58327377 29774847 0.10700 1 40 268 268 0.00000 1 0 921 921 0.00000 2 40 1189 1189 0.00000 0 17984013 0 48449238 57238982 -8789744 X 1 1 5 1 JEWISH HOSPITAL SHELBYVILLE 727 HOSPITAL DRIVE SHELBYVILLE KY 40065 HTTPS://WWW.UOFLHEALTHNETWORK.ORG 100385 X X X A 2 FRAZIER REHABILITATION INSTITUTE 220 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HTTPS://WWW.UOFLHEALTHNETWORK.ORG 100244 X X X A 3 ST MARY & ELIZABETH HOSPITAL 1850 BLUEGRASS AVENUE LOUISVILLE KY 40215 HTTPS://WWW.UOFLHEALTHNETWORK.ORG 100254 X X X A 4 JEWISH HOSPITAL 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HTTPS://WWW.UOFLHEALTHNETWORK.ORG 100215 X X X X X A 5 OUR LADY OF PEACE 2020 NEWBURG ROAD LOUISVILLE KY 40205 HTTPS://WWW.UOFLHEALTHNETWORK.ORG 100236 X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART V, PAGE 8 X 1 19 0 1 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X 1 X (SEE PART VI) X (SEE PART VI) X (SEE PART VI) X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 7A, CHNA WEBSITE: HTTPS://WWW.UOFLHEALTHNETWORK.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2020-2022THE ASSETS OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.(JHSMH) WERE SOLD TO THE UNIVERSITY OF LOUISVILLE ON OCTOBER 31, 2019. PART V, SECTION B, LINE 3E: JEWISH HOSPITAL ST. MARY'S HEALTHCARE GATHERED COMMUNITY INPUT AT A SEPTEMBER 2018 KICKOFF EVENT FOR THE HEALTHY LOUISVILLE 2025 EFFORT. IN ADDITION TO THE SURVEYS, FOCUS GROUPS, AND THE FALL 2018 KICKOFF EVENT, JEWISH HOSPITAL ST. MARY'S HEALTHCARE ALSO GATHERED INPUT FROM THE FORCES OF CHANGE EVENT, AND THE HEALTH EQUITY REPORT.JEWISH HOSPITAL ST. MARY'S HEALTHCARE IS WORKING WITH THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS TO ADDRESS THE ISSUES UNCOVERED IN THE SURVEYS AND FOCUS GROUPS, AND PARTNERING ON THE LARGER HEALTHY LOUISVILLE 2025 EFFORT: AN ACTION PLAN FOR IMPROVING COMMUNITY HEALTH.COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY (CEDIK) FACILITATED THE DEVELOPMENT OF THIS CHNA REPORT TO ADDRESS IDENTIFIED HEALTH NEEDS THROUGH THE VARIOUS EFFORTS DESCRIBED. AS PART OF THIS REPORT, CEDIK PROVIDED COUNTY SPECIFIC SECONDARY DATA AND 2017 HOSPITAL UTILIZATION DATA TO HELP EXAMINE THE SOCIAL DETERMINANTS OF HEALTH. THIS CHNA REPORT SYNTHESIZES COMMUNITY HEALTH NEEDS SURVEY DATA WITH SOCIAL AND ECONOMIC DATA AS WELL AS HEALTH OUTCOMES DATA COLLECTED FROM SECONDARY SOURCES TO HELP PROVIDE CONTEXT FOR THE COMMUNITY DATA.THE CHNA STEERING COMMITTEES REVIEWED SURVEY RESULTS AS WELL AS KEY SECONDARY HEALTH DATA. THE COMMITTEE CONSIDERED EXISTING LOCAL, STATE AND NATIONAL PRIORITIES, CONDUCTED AN OPEN DISCUSSION AND VOTED ON SPECIFIC STRATEGIC INITIATIVES FOR THE COUNTY. MEMBERS IDENTIFIED CURRENT RESOURCES AND POSSIBLE BARRIERS TO RESOURCES THAT RESIDENTS MAY EXPERIENCE. THIS INFORMATION WILL ASSIST THE HOSPITAL AND THE LARGER JEWISH HOSPITAL ST. MARY'S HEALTHCARE NETWORK, TO DEVELOP IMPLEMENTATION PLANS.THE PROCESS OF PRIORITY SELECTION FOLLOWED THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (ACHI) RECOMMENDATIONS TO CONSIDER:* THE MAGNITUDE OF THE PROBLEM (I.E., THE NUMBER OF PEOPLE OR THE PERCENTAGE OF A POPULATION IMPACTED).* THE SEVERITY OF THE PROBLEM (I.E., THE DEGREE TO WHICH HEALTH STATUS IS WORSE THAN THE NATIONAL NORM).* A HIGH NEED AMONG VULNERABLE POPULATIONS.* THE COMMUNITY'S CAPACITY/WILLINGNESS TO ACT ON THE ISSUE.* THE ABILITY TO HAVE A MEASURABLE IMPACT ON THE ISSUE.* COMMUNITY RESOURCES ALREADY FOCUSED ON THE ISSUE.* WHETHER THE ISSUE IS A ROOT CAUSE OF OTHER PROBLEMS.ST. MARY AND ELIZABETH CHNA STEERING COMMITTEE SELECTED THE FOLLOWING PRIORITY AREAS FOR ACTION:* TOBACCO, ALCOHOL AND DRUG ABUSE* ACCESS TO CARE* OBESITYTHE JEWISH HOSPITAL CHNA STEERING COMMITTEE SELECTED THE FOLLOWING PRIORITY AREAS FOR ACTION:* TOBACCO AND DRUG ABUSE* TRANSPORTATION* CONNECTING FAMILIES TO HEALTH AND WELLNESS* HOUSING* OBESITYTHE JEWISH HOSPITAL SHELBYVILLE CHNA STEERING COMMITTEE SELECTED THE FOLLOWING PRIORITY AREAS FOR ACTION:* TOBACCO, ALCOHOL AND DRUG ABUSE* ACCESS TO CARE* OBESITYTHE FRAZIER REHAB INSTITUTE CHNA STEERING COMMITTEE SELECTED THE FOLLOWING PRIORITY AREAS FOR ACTION:* TOBACCO ABUSE* TRANSPORTATION* CONNECTING FAMILIES TO HEALTH AND WELLNESS* HOUSINGOUR LADY OF PEACE CHNA STEERING COMMITTEE SELECTED THE FOLLOWING PRIORITY AREAS FOR ACTION:* INCREASE ACCESS TO HEALTH CARE EDUCATION AND TREATMENT* ALCOHOL AND DRUG ABUSE* MENTAL HEALTH PART V, SECTION B, LINE 16: LINES 16A - 16C: HTTPS://WWW.CHISAINTJOSEPHHEALTH.ORG/FINANCIAL-ASSISTANCETHE ASSETS OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.(JHSMH) WERE SOLD TO THE UNIVERSITY OF LOUISVILLE ON OCTOBER 31, 2019. UP TO THE DATE OF THE ASSET SALE JHSMH ADHERED TO COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY WHICH IS THE SAME POLICY CONTAINED IN LINK ABOVE. PART V, SECTION B, LINE 11: FACILITY #3 STS. MARY & ELIZABETH HOSPITALSTS. MARY & ELIZABETH HOSPITAL'S IDENTIFIED NEEDS GOALS, OBJECTIVES AND STRATEGIES ARE BELOW:TOBACCO, ALCOHOL AND DRUG ABUSE.GOAL: ADDRESS TOBACCO, ALCOHOL AND DRUG ABUSE FROM A KENTUCKYONE HEALTH SYSTEM-WIDE APPROACH, INCLUDING WORKING UPSTREAM TO ADDRESS ISSUES THAT UNDERLIE SUBSTANCE ABUSE, A PRIMARY PREVENTION TO ALCOHOL AND DRUG USE.OUTCOME OBJECTIVE: TO DECREASE TOBACCO, ALCOHOL AND DRUG ABUSE AS MEASURED BY CENTERS FOR DISEASE CONTROL AND PREVENTION AND COUNTY HEALTH RANKINGS AND ROADMAPS. (KY IS #2 IN THE NATION FOR TOBACCO USE AT 24.6%; AND #1 IN CANCERS TIED TO SMOKING.) ACCORDING TO THE CDC, IN 2017, KENTUCKY RANKED 5TH IN THE NATION FOR THE HIGHEST RATES OF DEATH DUE TO DRUG OVERDOSE (37.2 PER 100,000). ALSO, KENTUCKY HAD STATISTICALLY SIGNIFICANT INCREASES IN DRUG OVERDOSE DEATH RATES FROM 2016-2017.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - TOBACCO ABUSE*ADVOCATE FOR SMOKE-FREE SCHOOLS, WORKPLACES AND PUBLIC PLACES.*ADVOCATE FOR INCREASING THE CIGARETTE TAX.*ADVOCATE TO INCREASE THE AGE TO 21 FOR PURCHASE OF TOBACCO PRODUCTS.*PROMOTE AND ENCOURAGE LUNG SCREENINGS FOR CANCERS ASSOCIATED WITH TOBACCO USE. (LUNG CANCER IS THE MOST COMMON CANCER IN MEN AND WOMEN IN THE UNITED STATES.)*ENFORCE TOBACCO-FREE CAMPUS POLICY.*PROVIDE INFORMATION ABOUT SMOKING CESSATION CLASSES AND 1-800-QUIT-NOW.*CONTINUE REPRESENTATION ON THE AMERICAN CANCER SOCIETY'S KENTUCKY ADVISORY BOARD.*COLLABORATE AND SUPPORT KENTUCKY CANCER PROGRAM PLAN TO BE TOBACCO FREE.*COLLABORATE AND SUPPORT FOUNDATION FOR A HEALTHY KENTUCKY TOBACCO-FREE EFFORTS.*CONTINUE PROVIDING EDUCATION AND RESOURCES TO ADDRESS TOBACCO TO ADDRESS USE AND NEGATIVE HEALTH CONSEQUENCES IN THE COMMUNITY.STRATEGIES - ALCOHOL AND DRUG ABUSE*PARTICIPATE AND SUPPORT THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM.*PARTICIPATE AND SUPPORT THE KENTUCKY CHAMBER OF COMMERCE'S OPIOID TASK FORCE.*PROMOTE AND SUPPORT COMMUNITY SUPPORT PROGRAMS SUCH AS ALCOHOLICS ANONYMOUS (AA)AND NARCOTICS ANONYMOUS (NA).*IDENTIFY OPPORTUNITIES TO ADDRESS ALCOHOL AND SUBSTANCE ABUSE.*SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE.*EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING.ACCESS TO CAREGOAL: ADDRESS ACCESS TO CARE FOR ALL PATIENTS.OUTCOME OBJECTIVE: TO CONNECT 80% OF ELIGIBLE PATIENTS AND FAMILIES WITH TRANSPORTATION RESOURCES.STRATEGIES*ADVOCATE FOR LAWS AND POLICIES THAT EXPAND ACCESS TO CARE (I.E., MEDICAID EXPANSION.)*COLLABORATE AND SUPPORT SUPPLIES OVER SEAS.*FOR HIGHER EDUCATION STUDENTS PURSUING CAREERS IN HEALTH CARE, PROVIDE OPPORTUNITIES TOPERFORM SHADOWING, OBSERVATION AND CLINICAL ROTATIONS. THIS INCLUDES, BUT IS NOT LIMITED TO,STUDENTS ENROLLED IN THESE PROGRAMS: NURSING, THERAPY, SOCIAL WORK AND PHARMACY.*WORK WITH CONIFER TO ENROLL/COUNSEL PATIENTS IN HEALTH INSURANCE, INCLUDING SPENDING TIMEON EDUCATION AND ASSISTANCE AS IT PERTAINS TO THE AFFORDABLE CARE ACT AND MEDICAID EXPANSION PLANS.*PROVIDE OUTREACH AND VARIOUS HEALTH SCREENINGS THROUGHOUT THE COMMUNITY.*PROMOTE ACCESS TO CARE AND/OR MEET PATIENTS' NEEDS, THROUGH STS. MARY & ELIZABETH LEADERS SERVING ON COMMITTEES AND BOARDS OF ORGANIZATIONS WITH LIKE MISSIONS.*ASSIST ELIGIBLE PATIENTS WITH TRANSPORTATION NEEDS TO ACCESS CARE.OBESITYGOAL: ADDRESS OBESITY, INCLUDING WELLNESS AND EXERCISE, THROUGH EDUCATION AND PREVENTION.OUTCOME OBJECTIVE: TO DECREASE OBESITY AS MEASURED BY KENTUCKY BEHAVIORAL RISK FACTORSURVEILLANCE SURVEY AND TO INCREASE WELLNESS AND EXERCISE AS MEASURED BY COUNTY HEALTHRANKINGS AND ROADMAPS. (KY RANKS 7TH FOR DIABETES; 8TH FOR OBESITY.)STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITYPARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES*ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY AND CHRONIC DISEASE IN CHILDREN.*PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE.*PROVIDE COMMUNITY-SUPPORTED AGRICULTURE PROGRAM AND/OR FARMERS MARKETS, INCLUDING IROQUOIS URBAN FARM.*CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING, ALONG WITH MEDICAL NUTRITION THERAPY.*PROMOTE WEIGHT MANAGEMENT, INCLUDING BARIATRIC SURGERY WHEN INDICATED.*PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE HEALTHY DIET AND EXERCISE TO PREVENT NEGATIVE HEALTH OUTCOMES.*PROMOTE AND SUPPORT HEALTHY LIFESTYLE CENTERS.*PARTICIPATE AND SUPPORT OPPORTUNITIES FOR THE COMMUNITY TO BE PHYSICALLY ACTIVE.*PARTNER WITH LOUISVILLE AREA COMMUNITY MINISTRIES TO SUPPORT "MEALS ON WHEELS."*PROMOTE UTILIZATION OF ONSITE GYM FOR STAFF.SIGNIFICANT HEALTH NEED(S) NOT ADDRESSEDALL TOP PRIORITIES IDENTIFIED AS NEEDS WILL BE ADDRESSED.FACILITY # 4 JEWISH HOSPITALIN ADDITION TO THE STRATEGIES TO DECREASE TOBACCO AND DRUG ABUSE DESCRIBED ABOVE, JEWISHHOSPITAL IDENTIFIED THE FOLLOWING NEEDS GOALS, OBJECTIVES AND STRATEGIES:TRANSPORTATIONGOAL: ADDRESS COMMUNITY GAPS IN TRANSPORTATION.OUTCOME OBJECTIVE: TO CONNECT 80% OF ELIGIBLE PATIENTS AND FAMILIES WITH TRANSPORTATION RESOURCES.STRATEGIES - TRANSPORTATION*ASSIST ELIGIBLE PATIENTS AND FAMILIES WITH FREE OR SUBSIDIZED TRANSPORTATION.*COLLABORATE WITH FOUNDATION AS A POSSIBLE FUNDING SOURCE.HEALTH AND WELLNESSGOAL: TO CONNECT FAMILIES TO HEALTH AND WELLNESS.OUTCOME OBJECTIVE: TO PROVIDE ASSISTANCE TO 80% OF PATIENTS WHO NEED INFORMATION AND OR RESOURCES TO ATTAIN HEALTH AND WELLNESS; SEEK OPPORTUNITIES TO COLLABORATE WITH COMMUNITY TO BUILD AN AWARENESS ABOUT HEALTH AND WELLNESS.STRATEGIES - HEALTH AND WELLNESS*CONNECT PATIENTS WITHOUT PRIMARY CARE PROVIDERS TO MEDICAL HOMES AND OTHER MEDICAL PROVIDERS AS NEEDED.*ASSIST PATIENTS WITHOUT INSURANCE IN SIGNING UP FOR MEDICARE, MEDICAID OR OTHER PROGRAMS AS APPROPRIATE.*ASSIST PATIENTS WITH PRESCRIPTION ASSISTANCE PROGRAM FOR ELIGIBLE PATIENTS*HOST EDUCATION, OUTREACH, SUPPORT GROUPS AND SEMINARS RELATED TO HEALTH AND WELLNESS,WITH A FOCUS ON TRANSPLANT AND CARDIOVASCULAR CARE.*COLLABORATE FOR BETTER CARE OF COMMUNITY MEMBERS NEEDING HEALTH CARE THROUGH JEWISH HOSPITAL LEADERS DEDICATING TIME TO COMMITTEES AND BOARDS OF ORGANIZATIONS WITH LIKE MISSIONS.*FOR HIGHER EDUCATION STUDENTS PURSUING CAREERS IN HEALTH CARE, PROVIDE OPPORTUNITIES TO PERFORM SHADOWING, OBSERVATION AND CLINICAL ROTATIONS. THIS INCLUDES, BUT IS NOT LIMITED TO,STUDENTS ENROLLED IN THESE PROGRAMS: NURSING, THERAPY, SOCIAL WORK AND PHARMACY, AS WELL AS PARTNERING WITH THE UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE FOR RESIDENTS AND FELLOWS.HOUSINGGOAL: PROVIDE HOUSING FOR PATIENTS IN NEED WHO ARE RECEIVING MEDICAL TREATMENT.OUTCOME OBJECTIVE: TO PROVIDE HOUSING FOR 90% OF PATIENTS WHO MEET CRITERIA AND ARE RECEIVING MEDICAL TREATMENT.STRATEGIES - HOUSING*PROVIDE TEMPORARY SUBSIDIZED HOUSING FOR PATIENTS OR FAMILY MEMBERS DURING THE COURSE OF MEDICAL TREATMENT AS NEEDED AND INDICATED.OBESITYSTRATEGIES - OBESITY*ADVOCATE FOR INITIATIVES THAT ADDRESS THE RISK FACTORS THAT LEAD TO OBESITY AND CHRONIC DISEASE IN CHILDREN.*PROMOTE HEALTHY OPTIONS FOR DIET AND EXERCISE.*PROVIDE COMMUNITY-SUPPORTED AGRICULTURE PROGRAMS AND/OR FARMERS MARKETS.*CONTINUE AVAILABILITY OF DIABETES EDUCATION CLASSES AND INDIVIDUAL COUNSELING, ALONG WITH MEDICAL NUTRITION THERAPY.*PARTICIPATE AND SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PROMOTE HEALTHYDIET AND EXERCISE TO PREVENT NEGATIVE HEALTH OUTCOMES.*PROMOTE AND SUPPORT HEALTHY LIFESTYLE CENTERS.SIGNIFICANT HEALTH NEED(S) NOT ADDRESSEDALL TOP PRIORITIES IDENTIFIED AS NEEDS WILL BE ADDRESSED.FACILITY #1 JEWISH HOSPITAL SHELBYVILLEJEWISH HOSPITAL SHELBYVILLE IDENTIFIED THE FOLLOWING STRATEGIES IN ADDITION TO THE DESCRIBED ABOVE:STRATEGIES - TOBACCO ABUSE*CONTINUE PARTICIPATION WITH COALITIONS/COMMITTEES, (I.E., SHELBY SERVICE PROVIDERS COALITION AND SHELBY PREVENTION.)SEE PART V, SECTION LINE 11 CONTINUED BELOW. PART V, SECTION B, LINE 5: JEWISH HOSPITAL ST. MARY'S HEALTHCARE PARTICIPATED IN A PROCESS LED BY THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS THAT WAS DESIGNED TO GATHER INPUT FROM COMMUNITY MEMBERS ON COMMUNITY HEALTH NEEDS TO INFORM THEIR HEALTHY LOUISVILLE 2025 INITIATIVE. THE PUBLIC HEALTH DEPARTMENT SHARED THEIR SURVEY DATA AND FOCUS GROUP RESULTS SO THAT JEWISH HOSPITAL ST. MARY'S HEALTHCARE COULD USE THIS INFORMATION TO COMPLETE THEIR CHNA PROCESS.IN 2018, THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS COORDINATED 8 FOCUS GROUPS. THE FOCUS GROUPS WERE ORGANIZED SO THAT THE NEEDS OF UNDERREPRESENTED POPULATIONS IN JEFFERSON COUNTY COULD BE HEARD. FOCUS GROUPS WERE HELD WITH RESIDENTS WHO IDENTIFY AS THE FOLLOWING: BLACK MEN AGES 18-24; SOMALIS; SPANISH SPEAKERS, NEPALI OR BUTANESE ELDERS; SYRIAN OR IRAQI; LGBTQ/TRANSIENT; UNDEREMPLOYED PERSONS; AND OLDER ADULTS. A TOTAL OF 82 PEOPLE PARTICIPATED IN THESE FOCUS GROUPS.THE ONLINE AND PAPER SURVEY WAS OFFERED IN 6 LANGUAGES (ENGLISH, SPANISH, ARABIC, FRENCH, SWAHILI, AND NEPALI), AND THE GOAL OF THE SURVEY WAS TO LEARN MORE ABOUT THE ASSETS AND CHALLENGES IN LOUISVILLE, AS WELL AS UNDERSTANDING MORE ABOUT HOW PEOPLE IN LOUISVILLE ACCESS HEALTH CARE.COMMUNITY AND ECONOMIC DEVELOPMENT INITIATIVE OF KENTUCKY AND THE COMMUNITY STEERING COMMITTEE MADE IT A PRIORITY TO GET INPUT FROM POPULATIONS THAT ARE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS OR GAPS IN SERVICE.A HEALTH DEPARTMENT REPRESENTATIVE PARTICIPATED IN THE ASSESSMENT. PART V, SECTION B, LINE 11 CONTINUED: STRATEGIES - ALCOHOL AND DRUG ABUSE*PROVIDE EDUCATION ABOUT OPIATE ADDICTION AND RESOURCES FOR DISPOSING OF MEDICATIONS.STRATEGIES - ACCESS TO CARE*PARTNER WITH NORTH CENTRAL DISTRICT HEALTH DEPARTMENT, MERCY MEDICAL CLINIC/OPERATION CARE AND METRO UNITED WAY TO IDENTIFY LOCAL HEALTH RESOURCES.*PARTNER WITH OUR LADY OF PEACE TO BRING PEACE FOR PARENTS SEMINARS FOR RESIDENTS OF SHELBY COUNTY.*RE-ENGINEER DISCHARGE PLANNING PROCESS TO INCLUDE PRIMARY CARE ACCESS.STRATEGIES - OBESITY*PROVIDE COMMUNITY EDUCATION ABOUT OBESITY AND HEALTH RISKS RELATED TO OBESITY, THROUGH HOSPITAL-SPONSORED PROGRAMS AND/OR EVENTS.FACILITY # 2 FRAZIER REHAB INSTITUTEADDITIONAL FRAZIER REHAB INSTITUTE'S IDENTIFIED NEEDS GOALS, OBJECTIVES AND STRATEGIES ARE BELOW:STRATEGIES - TOBACCO ABUSE*LEVERAGE EXPERTISE IN PULMONARY REHAB TO IDENTIFY AND TREAT THOSE IN NEED OF SERVICES.STRATEGIES - TRANSPORTATION*UTILIZE THE IRON MAN FUND TO PROVIDE TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS ANDTHERAPY FOR SPINAL CORD PATIENTS.*ASSIST PATIENTS AND FAMILIES WITH OBTAINING TARC-3 SERVICES FOR TRANSPORTATION TO HEALTHCARE.*PROVIDE CAB VOUCHERS AS NEEDED TO ASSIST PATIENTS IN RETURNING HOME FROM INPATIENT SERVICES.STRATEGIES - HEALTH AND WELLNESS*LEVERAGE THE OPTIONS AT THE FRAZIER REHAB INSTITUTE COMMUNITY WELLNESS CENTER TO ENGAGETHOSE WITH PARALYSIS AND LIMITED MOBILITY IN THE ADAPTIVE EXERCISE OPTIONS AVAILABLE. PROVIDESCHOLARSHIPS TO QUALIFIED PARTICIPANTS.*PROVIDE SPONSORSHIP AND FIRST AID STATIONS FOR THE LOUISVILLE TRIPLE CROWN EVENTS, AS WELL AS THE URBAN BOURBON EVENT.*IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION AND OTHER DONORS, PROVIDE PULMONARYREHAB SCHOLARSHIPS FOR CONTINUED MAINTENANCE SERVICES AFTER INSURANCE PROVIDED SERVICES ARE EXHAUSTED.*PROVIDE OUTREACH, AS WELL AS HEALTH SCREENINGS AND FOLLOW-UP REFERRALS, IN THE COMMUNITY. THIS OCCURS IN CONJUNCTION WITH HEALTH FAIR PARTICIPATION AND PROPER CAR SEAT FITTING EVENTS.*PROVIDE A CONCUSSION MANAGEMENT PROGRAM TO INCLUDE A CONCUSSION HELPLINE AS A COMMUNITY RESOURCE.*HOST SUPPORT GROUPS AND SEMINARS RELATED TO COPING WITH BRAIN INJURY, PARALYSIS, PULMONARY ILLNESS, MOVEMENT DISORDERS AND STROKE.*FRAZIER REHAB INSTITUTE LEADERS DEDICATE TIME TO COMMITTEES AND BOARDS OF ORGANIZATIONSWITH LIKE MISSIONS. THE GOAL IS TO COLLABORATE FOR BETTER CARE OF COMMUNITY MEMBERSNEEDING REHAB CARE.*FOR STUDENTS IN HIGHER EDUCATION PURSUING CAREERS IN HEALTH CARE, PROVIDE OPPORTUNITIESTO PERFORM SHADOWING, OBSERVATION AND CLINICAL ROTATIONS. THIS INCLUDES, BUT IS NOT LIMITEDTO, STUDENTS ENROLLED IN THESE PROGRAMS: NURSING, THERAPY, SOCIAL WORK AND PHARMACY.STRATEGIES - HOUSING*UTILIZE THE IRON MAN FUND TO PROVIDE TEMPORARY SUBSIDIZED HOUSING FOR SPINAL CORD PATIENTS DURING THE COURSE OF OUTPATIENT THERAPY.SIGNIFICANT HEALTH NEED(S) NOT ADDRESSED*THE DATA AND PRIORITIZATION SHOWED OBESITY TO BE IN THE TOP PRIORITIES, BUT LEADERSHIP CHOSE NOT TO ADDRESS IT IN THE IMPLEMENTATION PLAN. THEY CONCLUDED THERE IS AN ENORMOUS AMOUNT OF WORK BEING DONE TO ADDRESS OBESITY BY MANY FACILITIES AND ORGANIZATIONS IN THE LOUISVILLE AREA, INCLUDING AT OTHER KENTUCKYONE HEALTH FACILITIES.FACILITY #5 OUR LADY OF PEACEOUR LADY OF PEACE IDENTIFIED THE FOLLOWING NEEDS GOALS, OBJECTIVES AND STRATEGIES IN ADDITION TO THE DESCRIBED ABOVE:ACCESS TO HEALTH CARE EDUCATION AND TREATMENTGOAL: TO CONNECT FAMILIES TO HEALTH CARE EDUCATION AND TREATMENT.OUTCOME OBJECTIVE: TO PROVIDE ASSISTANCE TO 80% OF PATIENTS WHO NEED INFORMATION AND/ORRESOURCES TO ATTAIN HEALTH AND WELLNESS; EXPAND AND PROVIDE SERVICES, INCLUDING TREATMENT, THROUGH MOBILE AND TELEHEALTH.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - ACCESS TO HEALTH CARE EDUCATION AND TREATMENT*OFFER MOBILE LEVEL-OF-CARE ASSESSMENTS TO THE COMMUNITY CORRECTIONAL CENTER, THE BRADY CENTER, RECOVERY LOUISVILLE PROGRAM AT THE HEALING PLACE, JEFFERSON COUNTY PUBLIC SCHOOLS, YOUTH RESIDENTIAL FACILITIES, CENTER FOR WOMEN AND FAMILIES, COURT AND YMCA SAFE PLACE.*OFFER MOBILE AND TELEHEALTH ASSESSMENTS AT ALL KENTUCKYONE HEALTH/CHI SAINT JOSEPH HEALTH EMERGENCY DEPARTMENTS.*PROVIDE SPECIALIZED TREATMENT PROGRAMS AND TRANSPORTATION ASSISTANCE FOR PATIENTS ENROLLED IN OLOP'S OUTPATIENT PROGRAMS.*OFFER PEACE FOR PARENTS SEMINARS THROUGHOUT THE LOUISVILLE COMMUNITY TO ADDRESS TOPICSSUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE USE.*PROVIDE SUPPORT GROUPS AT NO CHARGE TO THE COMMUNITY.*ESTABLISH COLLABORATION WITH OUR LADY OF PEACE, FAMILY HEALTH CENTERS, THE FACE IT MOVEMENT TO OFFER AN ANNUAL SOUTH END EVENT (CONVENE-CONNECT-CELEBRATE) TO ADDRESS HEALTH CONCERNS INCLUDING MENTAL HEALTH AND SUBSTANCE USE FOR THAT COMMUNITY.STRATEGIES - ALCOHOL AND DRUG ABUSE*CONTINUE TO PARTICIPATE IN COALITIONS/COMMITTEES SUCH AS THE TREATMENT ADVISORY GROUP, ADVOCACY AND POLICY ADVISORY COMMITTEE, ANNUAL PAR RECOVERY RALLY, SOUTH LOUISVILLE OPIOID TASK FORCE AND HEALTH BABIES LOUISVILLE.*PARTICIPATE IN WLKY'S STATE OF ADDICTION HOTLINE (EVERY TWO MONTHS). PARTICIPATE AND SUPPORT THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE CABINET FOR HEALTH AND FAMILY SERVICES AS PART OF THE KENTUCKY OPIOID RESPONSE EFFORT (KORE), TO LAUNCH THE KENTUCKY STATEWIDE OPIOID STEWARDSHIP (KY SOS) PROGRAM.*OFFER SUPPORT GROUPS AT NO CHARGE TO THE COMMUNITY.*OFFER SPECIALIZED TREATMENT PROGRAMS AND TRANSPORTATION ASSISTANCE FOR PATIENTS ENROLLED IN OUR LADY OF PEACE'S OUTPATIENT PROGRAMS.*OFFER MOBILE LEVEL-OF-CARE ASSESSMENTS TO THE COMMUNITY.*OFFER PEACE FOR PARENTS SEMINARS THROUGHOUT THE LOUISVILLE COMMUNITY TO ADDRESS TOPICS SUCH AS ANXIETY, DEPRESSION, SUICIDE, BULLYING AND SUBSTANCE ABUSE.*SUPPORT LOCAL GROUPS AND EVENTS THAT HAVE A MISSION TO PREVENT ALCOHOL AND SUBSTANCE USE.*EXPLORE THE FEASIBILITY OF EXPANDING TELEHEALTH OPPORTUNITIES FOR ALCOHOL AND DRUG COUNSELING.MENTAL HEALTHGOAL: ADDRESS MENTAL HEALTH BY BUILDING AWARENESS AND SUPPORTING ACTIVITIES IN THE COMMUNITY AND CONTINUED SERVICES AT OUR LADY OF PEACE.OUTCOME OBJECTIVE: BY JUNE 2022, INCREASE MENTAL HEALTH RESOURCES, INCLUDING TELEHEALTH, PARTICIPATION AND COLLABORATION WITH COMMUNITY PARTNERS.STRATEGIES WILL BE ACCOMPLISHED THROUGH PARTICIPATION AND COLLABORATION WITH COMMUNITYPARTNERS. INFORMATION ABOUT AVAILABLE RESOURCES WILL BE PROVIDED WITH EACH OPPORTUNITY.STRATEGIES - MENTAL HEALTH*SUPPORT LEGISLATION CONSIDERING A HOLISTIC APPROACH TO ADDRESS MENTAL HEALTH, INCLUDINGTELEHEALTH.*PURSUE VARIOUS PRIVATE, STATE AND FEDERAL GRANTS TO ADDRESS MENTAL HEALTH NEEDS.*IMPLEMENT AN EVIDENCE-BASED SUICIDE SCREENING TOOL THAT ALL STAFF WILL BE TRAINED TO INCREASE AWARENESS WITHIN THE HOSPITAL.*OFFER WEEKLY NAMI CONNECTION GROUP AND NO CHARGE AFTERCARE AT OUR LADY OF PEACE'S ADULT OUTPATIENT CENTER.*OFFER LAI ANTI-PSYCHOTICS IN OUR LADY OF PEACE'S LAI CLINIC.*PROVIDE QPR TRAINING AT FLAGET MEMORIAL HOSPITAL IN 2019. PARTICIPATE IN THE LOUISVILLE HEALTH ADVISORY BOARD'S BEHAVIORAL HEALTH COMMITTEE - ZERO SUICIDE INITIATIVE, HUMAN TRAFFICKING TASK FORCE, SYSTEMS STRATEGIES - AGENCY COLLABORATIVE, RE-ENTRY COALITION, FACE IT MOVEMENT AND COMMUNITY SHIELD.*IMPLEMENT AN EVIDENCE-BASED SUICIDE SCREENING TOOL THAT ALL OUR LADY OF PEACE STAFF WILL BE TRAINED TO INCREASE AWARENESS WITHIN THE HOSPITAL.*OFFER WEEKLY NAMI CONNECTION GROUP AND NO CHARGE AFTERCARE AT OUR LADY OF PEACE'S ADULT OUTPATIENT CENTER.SIGNIFICANT HEALTH NEED(S) NOT ADDRESSEDALL TOP PRIORITIES IDENTIFIED AS NEEDS WILL BE ADDRESSED. PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD-PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A CHI HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. 19 1 - SPRINGHURST CORF - OUTPATIENT REHAB 4801 OLYMPIA PARK PLAZA 1600 LOUISVILLE KY 40241 OUTPATIENT REHAB FACILITY 2 - SOUTHWEST ORF - OUTPATIENT REHAB 6801 DIXIE HIGHWAY STE 129 LOUISVILLE KY 40258 OUTPATIENT REHAB FACILITY 3 - NORTHEAST OUTPATIENT REHAB 2401 TERRA CROSSING BLVD STE 204 LOUISVILLE KY 40245 OUTPATIENT REHAB FACILITY 4 - FERN VALLEY ORF AND OPS MEDICINE CENTER 100 HIGH RISE DRIVE STE 110 LOUISVILLE KY 40213 OUTPATIENT REHAB FACILITY 4 - MEADE COUNTY ORF - OUTPATIENT REHAB 534 HILLCREST DRIVE BRADENBURG KY 40108 OUTPATIENT REHAB FACILITY 5 - MEDICAL PLAZA - DOCTORS OFFICE BUILDING 100 EAST LIBERTY STREET LOUISVILLE KY 40202 DOCTOR OFFICES 6 - EAST CORF OUTPATIENT REHAB 4912 US HIGHWAY 42 LOUISVILLE KY 40222 OUTPATIENT REHAB FACILITY 7 - NEWBURG CORF - OUTPATIENT REHAB 3430 NEWBURG ROAD STE 111 LOUISVILLE KY 40218 OUTPATIENT REHAB FACILITY 8 - BULLITT COUNTY ORF - OUTPATIENT REHAB 1905 WEST HEBRON LANE SHEPHARDSVILLE KY 40165 OUTPATIENT REHAB FACILITY 9 - SOUTHERN INDIANA ORF - OUTPATIENT REHAB 2201 GREENTREE BOULEVARD NORTH CLARKSVILLE IN 47129 OUTPATIENT REHAB FACILITY 10 - CROSSROADS SOUTH 4606 HAZELWOOD AVE LOUISVILLE KY 40215 MENTAL HEALTH COUNSELING CTR 11 - CORYDON CORF - OUTPATIENT REHAB 313 FEDERAL DRIVE NORTHWEST CORYDON KY 47112 OUTPATIENT REHAB FACILITY 12 - OWSLEY BROWN FRAZIER SPORTS MEDICINE 215 CENTRAL AVENUE STE 200 LOUISVILLE KY 40208 OUTPATIENT REHAB FACILITY 13 - JEWISH HOSPITAL HEALTH CENTER - MEADE CO 534 FAIRWAY DRIVE BRADENBURG KY 40108 DOCTOR OFFICES 15 - STONESTREET ORF - OUPATIENT REHAB 9700 STONESTREET ROAD LOUISVILLE KY 40272 OUTPATIENT REHAB FACILITY 16 - SOUTHERN INDIANA YMCA CORF 4812 HAMBURG PIKE JEFFERSONVILLE IN 47130 OUTPATIENT REHAB FACILITY 17 - MEDICAL CENTER EAST ORF - OUTPATIENT REH 3920 DUTCHMANS LANE LOUISVILLE KY 40207 OUTPATIENT REHAB FACILITY 18 - CANCER BLOOD SPECIALIST 1460 BLUEGRASS AVE LOUISVILLE KY 40215 OUTPATIENT CANCER CARE 19 - MEDICAL PLAZA II 250 E LIBERTY ST LOUISVILLE KY 40202 DOCTOR OFFICES; CORPORATE OFFICES PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE: *THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF THIRTY-FIVE DOLLARS ($35.00) WITH THE CHI HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW THIRTY-FIVE DOLLARS ($35) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. *THE PATIENT'S FAMILY INCOME MUST BE AT OR BELOW 300% OF THE FPG. *THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS AS DESCRIBED [IN THE FAP]. *THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: *RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS; *HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS CLINIC; *PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); *FOOD STAMP ELIGIBILITY; *SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; *ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID SPEND-DOWN); *LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR *PATIENT IS DECEASED WITH NO KNOWN ESTATE. PART I, LINE 6A: JEWISH HOSPITAL & ST MARY'S HEALTHCARE IS INCLUDED IN A COMMUNITY BENEFIT REPORT PREPARED BY KENTUCKYONE HEALTH. PART III, LINE 2: JEWISH HOSPITAL & ST. MARY'S HEALTHCARE HAS REPORTED BAD DEBT EXPENSE AT GROSS CHARGES WRITTEN OFF. THE ORGANIZATION'S BAD DEBT EXPENSE REPRESENTS AMOUNTS BILLED TO PATIENTS THAT WAS DEEMED UNCOLLECTIBLE AND DOES NOT INCLUDE ANY CHARGES THAT WERE ULTIMATELY REIMBURSED OR DISCOUNTED. PATIENT DISCOUNTS ARE RECORDED IN CONTRACTUAL ALLOWANCE OR FINANCIAL ASSISTANCE, AS APPROPRIATE, AS AN OFFSET TO GROSS REVENUE AND ARE NOT INCLUDED IN BAD DEBT EXPENSE. PART III, LINE 3: JEWISH HOSPITAL & ST. MARY'S HEALTHCARE DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE. PART III, LINE 4: JEWISH HOSPITAL & ST. MARY'S HEALTHCARE DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS:COMMONSPIRIT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. UPDATES TO THE HINDSIGHT ANALYSIS IS PERFORMED AT LEAST QUARTERLY USING PRIMARILY A ROLLING EIGHTEEN-MONTH COLLECTION HISTORY AND WRITE-OFF DATA. SUBSEQUENT CHANGES TO ESTIMATES OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO NET PATIENT REVENUE IN THE PERIOD OF CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN A THIRD-PARTY PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE IN PURCHASED SERVICES AND OTHER IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGE IN NET ASSETS. BAD DEBT EXPENSE FOR 2020 WAS NOT SIGNIFICANT. PART III, LINE 8: USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED.JEWISH HOSPITAL & ST. MARY'S HEALTHCARE'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY:TOTAL MEDICARE REVENUE: $48,449,238TOTAL MEDICARE COSTS: $57,238,982SURPLUS OR SHORTFALL $(8,789,744)JEWISH HOSPITAL & ST. MARY'S HEALTHCARE BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENTS AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. PART III, LINE 9B: THE ORGANIZATION'S BILLING AND COLLECTIONS POLICY APPLIES TO ALL INDIVIDUALS PRESENTING FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE POLICY CONTAINS PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO THE ORGANIZATION KNOWS TO QUALIFY FOR FINANCIAL ASSISTANCE EITHER THROUGH THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS OR THROUGH PRESUMPTIVE ELIGIBILITY PROCESSES. BEFORE ENGAGING IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) TO OBTAIN PAYMENT FOR EMCARE, HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IN NO EVENT WILL AN ECA BE INITIATED PRIOR TO 120 DAYS FROM THE DATE THE FACILITY PROVIDES THE FIRST POST-DISCHARGE BILLING STATEMENT (I.E., DURING THE NOTIFICATION PERIOD) UNLESS ALL REASONABLE EFFORTS HAVE BEEN MADE.HOSPITAL FACILITIES WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE, AND THE HOSPITAL FACILITY HAS NOT YET MADE REASONABLE EFFORTS WITH RESPECT TO THE ACCOUNT. FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. PATIENTS WHO QUALIFY FOR MEDICAID ARE PRESUMED TO QUALIFY FOR FULL CHARITY WRITE OFF. ANY CHARGES FOR DAYS OR SERVICES WRITTEN OFF (EXCLUDING MEDICAID DENIALS RELATED TO TIMELINESS OF BILLING, INSUFFICIENT MEDICAL RECORD DOCUMENTATION, MISSING INVOICES, AUTHORIZATION, OR ELIGIBILITY ISSUES) AS A RESULT OF A MEDICAID ARE BOOKED AS CHARITY.SOME MEDICAID PLANS OFFER COVERAGE FOR A LIMITED OR RESTRICTED LIST OF SERVICES. IF A PATIENT IS ELIGIBLE FOR MEDICAID, ANY CHARGES FOR DAYS OR SERVICES NOT COVERED BY THE PATIENT'S COVERAGE MAY BE WRITTEN OFF TO CHARITY WITHOUT A COMPLETED APPLICATION. THIS DOES NOT INCLUDE ANY SHARE OF COST (SOC) OR OTHER PATIENT COST-SHARING AMOUNTS SUCH AS DEDUCTIBLES OR COPAYMENTS, AS SUCH COSTS ARE DETERMINED BY THE STATE TO BE AN AMOUNT THAT THE PATIENT MUST PAY BEFORE THE PATIENT IS ELIGIBLE FOR MEDICAID. HEALTH AND HUMAN SERVICES (HSS) USES THE TERM "SPEND DOWN" INSTEAD OF SHARE OF COST.ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY, A DESIGNATED SUPPLIER, OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. ALL THIRD-PARTY AGREEMENTS GOVERNING COLLECTION AND RECOVERY ACTIVITIES MUST INCLUDE A PROVISION REQUIRING COMPLIANCE WITH THE HOSPITAL FACILITIES' FINANCIAL ASSISTANCE AND BILLING AND COLLECTIONS POLICY AND INDEMNIFICATION FOR FAILURES AS A RESULT OF ITS NONCOMPLIANCE. THIS INCLUDES, BUT IS NOT LIMITED TO, AGREEMENTS BETWEEN THIRD PARTIES WHO SUBSEQUENTLY SELL OR REFER DEBT OF THE HOSPITAL FACILITY. PART VI, LINE 2: IN 2012, KENTUCKYONE HEALTH, INC. WAS FORMED WHEN TWO MAJOR KENTUCKY HEALTHCARE ORGANIZATIONS, SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) AND JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, CAME TOGETHER TO WORK FOR A HEALTHIER KENTUCKY BY INTEGRATING MEDICAL RESEARCH, EDUCATION, TECHNOLOGY AND HEALTH CARE SERVICES WHEREVER PATIENTS RECEIVE CARE.IN NOVEMBER 1, 2019 JEWISH HOSPITAL & ST. MARY'S HEALTHCARE WAS DIVESTED AND BECAME A PARTOF UOFL HEALTH, A FULLY INTEGRATED REGIONAL ACADEMIC HEALTH SYSTEM WITH FIVE HOSPITALS, FOUR MEDICAL CENTERS, NEARLY 250 PHYSICIAN PRACTICE LOCATIONS, MORE THAN 1,000 PROVIDERS, THE FRAZIER REHAB CENTER AND JAMES GRAHAM BROWN CANCER CENTER.FACILITY DESCRIPTIONSJEWISH HOSPITALJEWISH HOSPITAL OPENED IN 1905 WITH A MISSION TO PROVIDE ALL PATIENTS WITH THE HIGHEST QUALITY CARE AND A STRONG EMPHASIS ON RESEARCH AND EDUCATION. TODAY, IT IS A 462-BED, INTERNATIONALLY RENOWNED, HIGH-TECH TERTIARY REFERRAL CENTER LOCATED IN DOWNTOWN LOUISVILLE, DEVELOPING LEADING-EDGE ADVANCEMENTS IN HAND AND MICROSURGERY, HEART AND LUNG CARE, CANCER CARE, HOME CARE, REHAB MEDICINE, SPORTS MEDICINE, ORTHOPEDICS, NEUROSCIENCE, OCCUPATIONAL HEALTH, ORGAN TRANSPLANTATION AND OUTPATIENT AND PRIMARY CARE.JEWISH HOSPITAL IS AT THE VANGUARD OF MEDICAL SCIENCE. IT IS AMONG A SELECT GROUP OF HOSPITALS PERFORMING HEART, LUNG, LIVER, KIDNEY, AND PANCREAS TRANSPLANTATION. IT WAS THESITE OF THE WORLD'S FIRST SUCCESSFUL HAND TRANSPLANT, THE WORLD'S FIRST AND SECOND SUCCESSFUL ABIOCOR IMPLANTABLE REPLACEMENT HEART PROCEDURES, AND WORLD'S FIRST TRIAL OF CARDIAC STEM CELLS IN CHRONIC HEART FAILURE.STS. MARY & ELIZABETH HOSPITALFOUNDED BY THE SISTERS OF CHARITY OF NAZARETH IN 1874, STS. MARY & ELIZABETH HOSPITAL IS A 331-BED PRIMARY CARE HOSPITAL OFFERING ADVANCED TREATMENT IN ORTHOPEDICS, CARDIOLOGY, MEDICAL IMAGING, SURGICAL AND EMERGENCY SERVICES. THREE ON-CAMPUS MEDICAL PLAZAS PROVIDE OFFICE SPACE FOR A WIDE ARRAY OF PHYSICIANS REPRESENTING A NUMBER OF SPECIALTIES.ADDITIONALLY, STS. MARY & ELIZABETH HOSPITAL IS HOME TO KENTUCKYONE HEALTH BARIATRIC CARE,THE REGION'S ONLY WEIGHT LOSS MANAGEMENT PROGRAM UTILIZING THE LAP-BAND SYSTEM. SERVINGTHE SOUTH LOUISVILLE COMMUNITY FOR MORE THAN A CENTURY, STS. MARY & ELIZABETH HAS LITERALLYCARED FOR GENERATIONS OF FAMILIES IN THIS COMMUNITY.FRAZIER REHAB INSTITUTEFRAZIER REHAB INSTITUTE'S SEVENTY-YEAR HISTORY BEGAN IN 1950 WHEN AMELIA BROWN FRAZIER, LEFT AILING AND IN NEED OF REHABILITATION FROM A CAR ACCIDENT IN 1929, WAS TRAVELING ONCE AGAIN TO NEW YORK TO RECEIVE CARE AT THE RUSK INSTITUTE, A LEADER IN THE THEN-EMERGING FIELD OF PHYSICAL MEDICINE AND REHAB. AS A WOMAN OF VISION SADDENED THAT THE VERY BEST WAS NOT AVAILABLE IN KENTUCKY, SHE SET OUT TO CREATE A COMPARABLE FACILITY IN HER HOMETOWN. USING HER SUBSTANTIAL PERSONAL WEALTH AND INFLUENCE, SHE WAS THE CATALYST FOR THE CREATION OF THE REHABILITATION CENTER, INC. IN 1951. IN 1984, THE NAME WAS CHANGED TO THE AMELIA BROWN FRAZIER REHABILITATION CENTER TO HONOR HER LEADERSHIP. IN 1994, FOLLOWING A LONG RELATIONSHIP WITH JEWISH HOSPITAL, FRAZIER REHAB INSTITUTE MERGED WITH JEWISH HOSPITAL HEALTHCARE SERVICES.FRAZIER REHAB INSTITUTE IS A COMPREHENSIVE REHABILITATION SYSTEM WITH A MISSION TO HELP THOSE IMPAIRED BY ACCIDENT OR ILLNESS TO REALIZE THEIR HIGHEST LEVEL OF INDEPENDENCE, PRODUCTIVITY, SOCIAL ADJUSTMENT AND SELF-ESTEEM. IT DOES THIS BY PROVIDING AN IMPRESSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES FOR PEOPLE RANGING IN AGE FROM INFANCY TO SENIOR ADULTHOOD. THE SYSTEM OFFERS SERVICES IN 20 LOCATIONS INCLUDING A 135-BED HOSPITAL IN LOUISVILLE'S DOWNTOWN MEDICAL CENTER.JEWISH HOSPITAL SHELBYVILLEJEWISH HOSPITAL SHELBYVILLE HAS PROVIDED COMPREHENSIVE, HIGH-QUALITY SERVICES TO THE PEOPLE OF SHELBY, HENRY AND SPENCER COUNTIES FOR MORE THAN 100 YEARS. LOCATED JUST 30 MINUTES EAST OF DOWNTOWN LOUISVILLE, THE 42-PRIVATE BED COMMUNITY HOSPITAL PROVIDES A FULL RANGE OF COMPREHENSIVE SERVICES INCLUDING 24/7 EMERGENCY CARE, CRITICAL CARE, STATE OF THE ART DIAGNOSTIC IMAGING, CARDIAC & PULMONARY REHABILITATION, GENERAL AND SPECIALIZED SURGERY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH LANGUAGE PATHOLOGY, PAIN MANAGEMENT, SLEEP MEDICINE, AND WOUND CARE.FOUNDED IN 1906 BY THE KING'S DAUGHTERS & SONS ORGANIZATION, THE HOSPITAL WAS ORIGINALLY LOCATED ON HENRY CLAY STREET IN DOWNTOWN SHELBYVILLE. IN 1954, THE COMMUNITY OPENED A NEWFACILITY IN WHAT WAS THEN THE "FAR WESTERN" PART OF SHELBY COUNTY, OFFERING GROWTH IN SPACE AND NEW SERVICES. IN THE LATE 1980'S, JEWISH HOSPITAL HEALTHCARE SERVICES BEGAN MANAGEMENT OF THE HOSPITAL AND IN 1992 PURCHASED THE FACILITY. SINCE THEN, THE JEWISH HOSPITAL ORGANIZATION HAS INVESTED OVER $45 MILLION IN FACILITY UPDATES AND NEW SERVICES. IN 2009, THE HOSPITAL COMPLETED A $2 MILLION DOLLAR EXPANSION OF ITS EMERGENCY DEPARTMENT, DOUBLING THE SIZE OF THE SPACE TO ACCOMMODATE GROWING COMMUNITY NEED.OUR LADY OF PEACEOUR LADY OF PEACE IS ONE OF THE LARGEST PRIVATE, NONPROFIT PSYCHIATRIC HOSPITALS IN THE COUNTRY. IT TREATS PATIENTS WITH EMOTIONAL, AS WELL AS BEHAVIORAL, PSYCHIATRIC AND SUBSTANCE ABUSE DISORDERS. THE FACILITY OFFERS AN ARRAY OF SPECIALIZED UNITS AND PROGRAMS INCLUDING SHORT-TERM ACUTE/SUB-ACUTE INPATIENT CARE AND INNOVATIVE ALTERNATIVES SUCH AS PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAMS FOR CHILDREN, ADOLESCENTS AND ADULTS.SEE CONTINUED IN PART VI. PART VI, LINE 3: NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE FROM CHI HOSPITAL ORGANIZATIONS SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT NOT BE LIMITED TO: CONSPICUOUS PUBLICATION OF NOTICES IN PATIENT BILLS; NOTICES POSTED IN EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING/REGISTRATION DEPARTMENTS, BUSINESS OFFICES, AND AT OTHER PUBLIC PLACES AS A HOSPITAL FACILITY MAY ELECT; AND PUBLICATION OF A SUMMARY OF THIS POLICY ON THE HOSPITAL FACILITY'S WEBSITE AND AT OTHER PLACES WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL FACILITY AS IT MAY ELECT. SUCH NOTICES AND SUMMARY INFORMATION SHALL INCLUDE A CONTACT NUMBER AND SHALL BE PROVIDED IN ENGLISH, SPANISH, AND OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVED BY AN INDIVIDUAL HOSPITAL FACILITY, AS APPLICABLE. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE CHI HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.IN ADDITION, HOSPITAL REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES. ONCE IT IS DETERMINED THAT THE PATIENT DOES NOT QUALIFY FOR ANY THIRD PARTY FUNDING, THE PATIENT IS VERBALLY NOTIFIED ABOUT THE EXISTENCE OF FINANCIAL ASSISTANCE APPLICATION AND ADDITIONAL SCREENING TAKES PLACE BY A HOSPITAL EMPLOYEE TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY SERVICE PRIOR TO DISCHARGE. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY OF THAT POLICY, AND AN APPLICATION FOR ASSISTANCE. HOSPITAL REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. PATIENTS THAT HAVE BEEN DISCHARGED PRIOR TO CHARITY SCREENING, SUCH AS EMERGENCY ROOM PATIENTS, RECEIVE A WRITTEN NOTIFICATION OF POSSIBLE ELIGIBILITY FOR SERVICES. IF THE PATIENT IS DETERMINED NOT TO BE ELIGIBLE FOR GOVERNMENT ASSISTANCE, HE/SHE MAY NOTIFY THE HOSPITAL THAT THEY SEEK CHARITY ASSISTANCE. THE APPROPRIATE CHARITY FORM IS SENT TO THE PATIENT/GUARANTOR FOR COMPLETION AND THEN RETURNED TO THE HOSPITAL FOR EVALUATION AND QUALIFICATION. ONCE DETERMINATION OF ELIGIBILITY IS MADE, THE PATIENT IS SENT A NOTICE INFORMING HIM/HER IF THEY QUALIFY FOR FULL, PARTIAL, OR NO CHARITY CARE SERVICES.HOSPITAL FACILITIES MUST MAKE REASONABLE EFFORTS THROUGH ITS BILLING AND COLLECTIONS PROCESSES, PURSUANT TO TREAS. REG. 1.501(R)-6(C), TO DETERMINE WHETHER ANY INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART VI, LINE 5: THE ORGANIZATION'S HOSPITAL FACILITIES PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY.MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA,CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES IS COMPOSED OF PROMINENT CITIZENS IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITIES TREAT PERSONS PAYING THEIR BILLS WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH AS A SINGLE MINISTRY IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. COMMONSPIRIT HEALTH IS COMPRISED OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2020, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.2 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.5 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $29.57 BILLION IN FISCAL YEAR 2020, HAS TOTAL ASSETS OF APPROXIMATELY $46.77 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. PART VI, LINE 7, REPORTS FILED WITH STATES KY PART VI, LINES 2 AND 4 CONTINUED: THE HOSPITAL WAS FOUNDED AS AN ADULT HOSPITAL IN 1951 BY THE SISTERS OF CHARITY OF NAZARETHAND CURRENTLY OPERATES 261 INPATIENT BEDS. IN 1989, ITS MISSION EXPANDED TO MEET AN OVERWHELMING NEED FOR QUALITY PEDIATRIC CARE. AS A RESULT, OUR LADY OF PEACE IS NOW THE LARGEST PRIVATE PROVIDER OF YOUTH BEHAVIORAL HEALTH SERVICES IN THE COUNTRY AND HAS MORE INPATIENT BEDS FOR CHILDREN THAN ANY HOSPITAL IN KENTUCKY. IT OFFERS SPECIALTY PROGRAMS FOR CHILDREN AND ADOLESCENTS WHO HAVE COMPLEX TREATMENT NEEDS, SUCH AS INTELLECTUAL OR DEVELOPMENTAL DISABILITIES, FORENSIC ISSUES AND/OR MENTAL ILLNESS AND CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS.ACCORDING TO THE 2020 COUNTY HEALTH RANKINGS, JEFFERSON COUNTY IS THE 37TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES - DROPPING FROM #28. ALSO, IN 2018, THE U.S. CENSUS BUREAU ESTIMATED JEFFERSON COUNTY'S POPULATION TO BE 770,517. OF THE POPULATION IN JEFFERSON COUNTY, 72.0% OF THE POPULATION IS WHITE, 22.2% IS BLACK OR AFRICAN AMERICAN AND 5.7% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $54,357, WELL ABOVE THE STATE'S MEDIAN INCOME OF $43,740 AND ABOVE THE NATION'S MEDIAN INCOME OF $53,889. APPROXIMATELY 15.4% OF JEFFERSON COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 6.3% ARE UNINSURED.SHELBY COUNTY IS THE 7TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ALSO, IN 2018, THE U.S. CENSUS BUREAU ESTIMATED SHELBY COUNTY'S POPULATION TO BE 48,518. OF THE POPULATION IN SHELBY COUNTY, 88.3% OF THE POPULATION IS WHITE, 7.4% IS BLACK OR AFRICAN AMERICAN AND 10.0%IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $64,240, WELL ABOVE THE STATE'S MEDIAN INCOME OF $43,740 AND ABOVE THE NATION'S MEDIAN INCOME OF $53,889. APPROXIMATELY 10.0% OF SHELBY COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 8.0% ARE UNINSURED. 1 CHRISTINE M KLEINERT INSTITUTE 225 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611110645 501(C)(3) 152830 GENERAL SUPPORT UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION 500 S PRESTON ST B BLDG ROOM 208 LOUISVILLE KY 40202 237078461 501(C)(3) 17505 GENERAL SUPPORT 2 0 SCHOLARSHIPS 4 5800 BOOK FINANCIAL ASSISTANCE PART I, LINE 2: WHEN COMMUNITY ORGANIZATIONS SEEK THE SUPPORT AND INVOLVEMENT OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, WE WILL FOCUS ON OPPORTUNITIES THAT MEET ONE (AND PREFERABLY SEVERAL OF) THE FOLLOWING CRITERIA: -IMPROVE THE HEALTH OF OUR COMMUNITY -SUPPORT THE EDUCATION, DEVELOPMENT, RECRUITMENT AND RETENTION OF HIGH QUALITY HEALTH CARE PROFESSIONALS -COMPLEMENT AND ADVANCE AN AREA OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE CLINICAL EXCELLENCE -IMPROVE THE LIVES OF PEOPLE WHO ARE MEDICALLY UNDERSERVED -DEMONSTRATE CLEAR, MEASURABLE ANNUAL GOALS THAT BENEFIT THE COMMUNITY/TARGET POPULATION -DEMONSTRATE THE ACTIVE INVOLVEMENT OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE TEAM MEMBERS EXCLUDED FROM CONSIDERATION ARE: -REQUESTS FROM ORGANIZATIONS OUTSIDE AREAS IN WHICH JEWISH HOSPITAL & ST. MARY'S HEALTHCARE PROVIDES SERVICES -REQUESTS FROM RELIGIOUS ORGANIZATIONS FOR RELIGIOUS PURPOSES -REQUESTS FROM INDIVIDUALS -REQUESTS FROM PRIMARY OR SECONDARY SCHOOLS (UNLESS THE SCHOOL HAS A FORMAL PARTNERSHIP OR CONTRACTUAL RELATIONSHIP EXISTING WITH JEWISH HOSPITAL & ST. MARY'S HEALTHCARE) -REQUESTS FROM POLITICAL ORGANIZATIONS -REQUESTS FOR CAPITAL IMPROVEMENT PROJECTS -REQUESTS FOR ANNUAL OPERATING SUPPORT OR DEBT REDUCTION -GENERALLY, REQUESTS FOR MULTI-YEAR SPONSORSHIPS ARE ALSO EXCLUDED PROCEDURE ---------------- REQUESTS FOR SUPPORT MUST BE SUBMITTED IN WRITING TO THE COMMUNITY INVOLVEMENT COMMITTEE. IF A PERSONAL MEETING IS NEEDED, THE COMMITTEE WILL INITIATE IT AFTER A PRELIMINARY REVIEW. REQUESTS MUST BE SUBMITTED AT LEAST 6 WEEKS IN ADVANCE OF THE DATE OF THE EVENT OR PROJECT; THE COMMITTEE MEETS ONCE A MONTH TO REVIEW REQUESTS. REQUESTS SHOULD BE BRIEF AND INCLUDE: -A BRIEF INTRODUCTION OF THE ORGANIZATION, ITS MISSION AND HISTORY -A CONCISE EXPLANATION OF THE PROPOSED PARTNERSHIP AND HOW IT FURTHERS JEWISH HOSPITAL & ST. MARY'S HEALTHCARE'S MISSION AND/OR FUNDING PRIORITIES INCLUDING DETAILS ABOUT THE EVENT OR PROJECT DATE, LOCATION, ETC. -A CURRENT LISTING OF THE ORGANIZATION'S BOARD OF DIRECTORS RESPONSES WILL BE SENT TO REQUESTORS OF SUPPORT IN WRITING ABOUT THE NEXT STEP, IF ANY, IN THE APPLICATION PROCESS. 1 1 0 0 0 0 0 0 0 LARRY SCHUMACHER DIRECTOR/SVP-OPERATIONS-CEO 0 1124447 0 903053 0 132087 0 189040 0 26776 0 2375403 0 112320 BRUCE TASSIN MARKET PRESIDENT/DIRECTOR 0 672270 0 256948 0 68557 0 77623 0 17783 0 1093181 0 44576 TANJA OQUENDO SYS SVP TRANSFORM-INTEGRATION 466032 85897 126000 146286 49889 52863 15645 0 17210 465 674776 285511 40526 0 RUTH WILLIAMS BRINKLEY PRESIDENT/CEO KENTUCKYONE HEALTH 0 0 0 0 0 874238 0 0 0 0 0 874238 0 0 RON WALDRIDGE MD MARKET PRESIDENT 461606 0 179117 0 66812 0 16675 0 24758 0 748968 0 0 0 TROY HAMMETT DIV SVP CFO 0 524326 0 62927 0 22664 0 63987 0 26746 0 700650 0 0 SHARON HAGER SECRETARY/DIV VP SR COUNSEL 0 377264 0 163900 0 17609 0 16281 0 9576 0 584630 0 0 DON LOVASZ PRESIDENT 0 402170 0 77361 0 24668 0 16675 0 17236 0 538110 0 0 STEVE FRANTZ TREASURER 0 397061 0 64520 0 24028 0 17938 0 22308 0 525855 0 0 COLLEEN HOLTON TREASURER/CFO (PARTIAL YEAR) 316357 0 147318 0 17615 0 16547 0 25091 0 522928 0 0 0 CHARLES POWELL PRESIDENT 18811 0 14821 0 448431 0 8482 0 0 0 490545 0 0 0 JAMES WENTZ DIV SVP-CFO 0 0 0 0 415384 0 0 0 0 0 415384 0 0 0 SHELLEY STANKO MD DIRECTOR 0 331108 0 0 0 1067 0 15755 0 25139 0 373069 0 0 CATHERINE SPALDING DIRECTOR-OPERATIONS 203528 0 114947 0 4590 0 15542 0 16326 0 354933 0 0 0 VALERIE BRIONES-PRYOR MD MEDICAL DIRECTOR 141113 143996 0 0 321 247 0 19845 18010 3043 159444 167131 0 0 RUTH WHEATLEY FORMER KEY EMPLOYEE 0 281092 0 12415 0 7818 0 16525 0 1452 0 319302 0 0 MARTHA MATHER PRESIDENT-OLOP 210720 0 29002 0 4115 0 13095 0 24412 0 281344 0 0 0 KRISTIN VONDRAK VP-QUALITY 0 0 0 0 270900 0 0 0 0 0 270900 0 0 0 SHIRLEY MCJOHNSTON VP-PATIENT CARE SERVICES 210277 0 17436 0 8261 0 12809 0 9848 0 258631 0 0 0 BRADLEY LINCKS FORMER KEY EMPLOYEE 81750 0 5000 0 887 0 9451 0 10149 0 107237 0 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2019, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. DEBORAH LEE-EDDIE REPLACED CHARLES NEUMANN AS AN INTERIM PRESIDENT AND CEO OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. DURING CALENDAR 2019 AND WAS PAID $640,997 BY DLE GROUP, LLC, AN UNRELATED ORGANIZATION. DEBORAH LEE-EDDIE WAS COMPENSATED DURING CALENDAR YEAR 2019 AS INTERIM PRESIDENT AND CEO FOR JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. DEBORAH LEE-EDDIE PROVIDED SERVICES TO JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. AND KENTUCKYONE HEALTH, INC. SCHEDULE J, PART I, LINE 4A: FOR REPORTABLE INDIVIDUALS EMPLOYED PRIOR TO 2019, POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. OFFICERS, KEY EMPLOYEES AND CERTAIN HIGHLY COMPENSATED EMPLOYEES WHO BEGAN EMPLOYMENT AFTER NOVEMBER 1ST OF 2019 ARE COVERED BY A SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM COMMONSPIRIT HEALTH (A RELATED ORGANIZATION) DURING THE 2019 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): CHARLES POWELL $425,822 KRISTIN VONDRAK $270,900 RUTH WILLIAMS BRINKLEY $874,238 JAMES WENTZ $415,384 SCHEDULE J, PART I, LINE 4B: DURING THE 2019 CALENDAR YEAR, COMMONSPIRIT MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/HOSPITAL PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2019 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: TANJA OQUENDO $40,639 BRUCE J. TASSIN $47,616 LAWRENCE P. SCHUMACHER $112,633 CHARLES B. POWELL $21,805 DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2019 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2019, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: TANJA OQUENDO $48,681 PROPERTY, PLANT & EQUIPMENT 2019-11-01 275505450 BOOK VALUE 611293786 UNIVERSITY OF LOUISVILLE GRAWEMEYER HALL 2301 SOUTH TH LOUISVILLE KY 40208 501(C)(3) 0 0 0 0 FORM 990, PART III, LINE 3 THE MAJORITY OF THIS ENTITY WAS DIVESTED ON NOVEMBER 1, 2019. ALL HOSPITAL RELATED OPERATIONS CEASED. THE REMAINING COMPONENT OF THIS ENTITY IS CLINICALLY INTEGRATED NETWORK. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. IS KENTUCKYONE HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN RIGHTS MAY BE RESERVED BY THE CORPORATE MEMBER IN ACCORDANCE WITH THE BYLAWS AND THE LAWS OF THE COMMONWEALTH OF KENTUCKY. THE BUSINESS, PROPERTY, AFFAIRS AND FUNDS OF THE CORPORATION SHALL BE MANAGED, SUPERVISED, AND CONTROLLED BY THE BOARD OF DIRECTORS, IN CONFORMITY WITH APPLICABLE POLICIES, PROCEDURES, AND THE MISSION OF THE CORPORATION AND THE CORPORATE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED AND SIGNED BY THE CHIEF FINANCIAL OFFICER. AFTER THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY THAT EFFECT E-FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH "COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN ENTITY MAY REJECT A PERSON'S REQUEST TO ENTER INTO THE RELATIONSHIP IN QUESTION, OR REQUIRE THE RELATIONSHIP BE SUFFICIENTLY ALTERED TO AVOID A POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B THE MANAGEMENT REVIEW COMMITTEE IS RESPONSIBLE FOR REVIEW AND APPROVAL OF MANAGEMENT COMPENSATION. THE FULL COMMITTEE ADDRESSED THE OVERALL COMPENSATION PHILOSOPHY AND HOW THE ORGANIZATION'S GOALS CAN BE FURTHERED BY THE STRUCTURE OF COMPENSATION. THE INDEPENDENT MANAGEMENT REVIEW COMMITTEE AND ALL INDEPENDENT MEMBERS OF THE FULL BOARD APPROVED MAXIMUM COMPENSATION LEVELS FOR ALL DISQUALIFIED PERSONS. NON-INDEPENDENT DIRECTORS DID NOT PARTICIPATE IN THE DISCUSSION OR VOTE ON COMPENSATION LEVELS FOR INDIVIDUALS. THE MANAGEMENT REVIEW COMMITTEE RETAINED AN OUTSIDE COMPENSATION CONSULTANT FROM A NATIONAL FIRM TO ADVISE IT REGARDING REASONABLE COMPENSATION LEVELS, AND RELIED ON THE CONSULTANT'S OPINION THAT COMPENSATION LEVELS ARE REASONABLE. THE COMMITTEE RECEIVES A MARKET REVIEW ON EACH DISQUALIFIED PERSON FROM THE COMPENSATION CONSULTANT. THE MANAGEMENT REVIEW COMMITTEE APPROVED THE PEER GROUP OF SIMILAR ENTITLES USED TO MEASURE COMPARABLE COMPENSATION LEVELS. THE MANAGEMENT REVIEW COMMITTEE FOLLOWS THE PROCESS NECESSARY TO OBTAIN THE REBUTTABLE PRESUMPTION THAT COMPENSATION LEVELS ARE REASONABLE, INCLUDING CONTEMPORANEOUS DOCUMENTATION OF DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. PART VI, LINE 15A: THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL'S COMPENSATION WAS PAID BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. THE COMMONSPIRIT HEALTH BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR APPROVING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF STEWARDSHIP TRUSTEES. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE AGREEMENT APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED AGREEMENT AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. DEBORAH LEE-EDDIE REPLACED CHARLES NEUMANN AS AN INTERIM PRESIDENT AND CEO OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. DURING CALENDAR 2019 AND WAS PAID $640,997 BY DLE GROUP, LLC, AN UNRELATED ORGANIZATION. DEBORAH LEE-EDDIE WAS COMPENSATED DURING CALENDAR YEAR 2019 AS INTERIM PRESIDENT AND CEO FOR JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. DEBORAH LEE-EDDIE PROVIDED SERVICES TO JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. AND KENTUCKYONE HEALTH, INC. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 13,405,757. MANAGEMENT AND GENERAL EXPENSES 5,553,814. FUNDRAISING EXPENSES 191,511. TOTAL EXPENSES 19,151,082. CONSULTING: PROGRAM SERVICE EXPENSES 213,581. MANAGEMENT AND GENERAL EXPENSES 88,483. FUNDRAISING EXPENSES 3,051. TOTAL EXPENSES 305,115. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,079,465. MANAGEMENT AND GENERAL EXPENSES 1,275,778. FUNDRAISING EXPENSES 43,992. TOTAL EXPENSES 4,399,235. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 13,205,357. MANAGEMENT AND GENERAL EXPENSES 5,470,791. FUNDRAISING EXPENSES 188,648. TOTAL EXPENSES 18,864,796. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,737,982. MANAGEMENT AND GENERAL EXPENSES 3,620,021. FUNDRAISING EXPENSES 124,828. TOTAL EXPENSES 12,482,831. FORM 990, PART XI, LINE 9: LEASE ACCOUNTING CHANGES DUE TO ASC 842 32,607,865. AFFILITE TRANSFERS - ASSET SALES -253,947,810. OTHER CHANGES IN NET ASSETS 139,250. 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