2019-05-13T13:00:26-05:00 2018-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 Inverness Drive West Englewood CO 80112 990 2017-07-01 611029768 JEWISH HOSPITAL & ST MARY'S HEALTHCARE INC JEWI 5025403888 250 E LIBERTY ST STE 500 LOUISVILLE KY 40202 Colleen Holton CFO 2019-05-13 true Pamela Krohn P01210500 3032989100 2017 2019-02-21 02:37:17Z CHARLES NEUMANN 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 886597928 false X http://www.kentuckyonehealth.org/jewish-hospital 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 ORGANIZATION WAS, FOR THE YEAR ENDED 6/30/18, AFFILIATED WITH CATHOLIC HEALTH INITIATIVES ("CHI"). FOLLOWING THE CLOSE OF THE 6/30/2018 TAX YEAR, ON 2/1/19, IN CONNECTION WITH THE ALIGNMENT OF THE CATHOLIC MINISTRIES OF CHI AND DIGNITY HEALTH, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH. 17 16 6850 300 909663 429843 5609350 3921278 844308251 792675471 6041492 18043864 73897900 71715956 929856993 886356569 22980438 33905026 0 304949301 292696265 0 566859 604184977 920602222 932114716 1247203513 -2257723 -360846944 1366291774 875961980 1074943280 1065865030 291348494 -189903050 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. false false 1120172070 33905026 792675471 For hospital program service accomplishments, SEE SCHEDULE H 1120172070 true true false true false false false false true true false false true true true false true false false true true false false true false true true true true true false false false false false false false false true false false false true true true true false false true 0 0 6850 true true true false false false false true true true false false false X 17 16 false false false false true true true true true false false true true true true true true false true true true KY X Colleen Holton 5025874710 200 ABRAHAM FLEXNER WAY 1ST FL LOUISVILLE KY 40202 Jane J Chiles Chair 1.0 8.0 X X 0 0 0 Richard Schultz Vice CHAIR 1.0 9.0 X X 0 0 0 CHARLES NEUMANN INTERIM PRESIDENT & CEO 5.0 13.0 X X 0 0 0 MICHAEL ADES DIRECTOR 1.0 4.0 X 0 0 0 louann atlas DIRECTOR 1.0 4.0 X 0 0 0 Jane Burks Director 1.0 4.0 X 0 0 0 Laura Douglas DIRECTOR 1.0 4.0 X 0 0 0 PAUL EDGETT III Director/CHI SVP 1.0 59.0 X 0 1651960 41570 DAVID FENNELL DIRECTOR 1.0 5.0 X 0 0 0 Diana Han MD DIRECTOR 1.0 4.0 X 0 0 0 ROBERT HEWETT Director 1.0 7.0 X 0 0 0 Martha Jones Director 1.0 5.0 X 0 0 0 Charles Kennedy MD DIRECTOR 1.0 3.0 X 0 0 0 JOHN D STEWART II MD DIRECTOR 1.0 4.0 X 0 0 0 Gerald Temes MD Director 1.0 3.0 X 0 0 0 LOUIS I WATERMAN DIRECTOR 1.0 4.0 X 0 0 0 SR ELIZABETH WENDELN DIRECTOR 1.0 5.0 X 0 0 0 Sherri Craig DIV VP PUBLIC POLICY 40.0 10.0 X 154910 69964 27264 SHARON HAGER SECRETARY/DIV VP SR COUNSEL 1.0 59.0 X 0 479523 13483 COLLEEN HOLTON TREASURER/CFO 55.0 0.0 X 348066 0 40155 JAMES WENTZ Treasurer/DIV SVP-CFO (Partial Year) 55.0 0.0 X 834059 0 28823 TANJA OQUENDO SVP CAO-CHRO 55.0 0.0 X 952232 0 78633 DON LOVASZ PRESIDENT 55.0 0.0 X 525489 0 32481 DAMIAN ALAGIA MD SVP CMO 55.0 0.0 X 728625 0 0 JOSEPH GILENE MARKET PRESIDENT 55.0 0.0 X 855174 0 13115 ERIC CONLEY DIV VP SERVICE LINE 55.0 0.0 X 613269 0 39396 BRUCE TASSIN MARKET PRESIDENT 55.0 0.0 X 563262 274292 87475 JEFFREY GOLDBERG Former Key Employee 50.0 0 X 291748 0 0 BRADLEY LINCKS Former Key Employee 50.0 0 X 217610 0 36019 MARK MILBURN Former Key Employee 50.0 0 X 206578 0 15131 RANDY NAPIER Former Key Employee 50.0 0.0 X 257063 0 0 JENNIFER NOLAN Former Key Employee 50.0 0.0 X 339601 137539 58659 SHELLEY SHAUGHNESSY Former Key Employee 50.0 0 X 479150 0 59369 RUTH WHEATLEY Former Key Employee 50.0 0.0 X 296398 0 17562 RUTH WILLIAMS BRINKLEY PRESIDENT/CEO KENTUCKYONE HEALTH 0.0 55.0 X 0 2596719 25057 7663234 5209997 614192 277 true true true AMN Healthcare Services Inc 2400 High Bluff Dr San Diego CA 92130 Temporary Medical Staffing 9865276 OWENS & MINOR 9120 Lockwood Boulevard Mechanicsville VA 23116 Services & Solutions 5257574 UNIV OF LOUISVILLE PHYSICIANS 401 E Chestnut St Louisville KY 40202 Medical Services 4401093 G4S SECURE SOLUTIONS USA INC 1395 University Dr JUPITER FL 40202 Security services 3650650 LOUISVILLE SURGICAL ASSOCIATES 4402 Churchman Ave Ste 202 LOUISVILLE KY 40215 ER Physician support 3519441 65 X 0 0 390449 264390 1549411 1717028 34307 3921278 Patient Services 900099 785118860 785118860 0 0 Rental Income 900099 6297193 6297193 0 0 Equity changes of unconsolidated orgs 900099 1259418 1259418 0 0 0 0 0 0 0 0 0 0 0 0 0 0 792675471 262141 0 0 262141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13259902 4521820 0 0 13259902 4521820 17781723 0 0 17781723 92700 390449 241359 -148659 0 -148659 0 0 0 0 0 0 0 0 0 0 0 0 Pharmacy Services 446110 56716955 0 0 56716955 Services Sold 900099 9972669 0 0 9972669 Laboratory Services 621500 818613 0 818613 0 4356378 0 91050 4265328 71864615 886356569 792675471 909663 88850157 X 1782925 1782925 31712805 31712805 409296 409296 2928098 947070 1981028 231231379 205007786 26078585 145008 9972698 9024522 941961 6215 30617599 25196751 5399259 21589 17946491 15737278 2209213 1415807 1415807 144348469 101615078 42352087 381304 50586 50586 10504220 7835098 2660719 8403 28539132 1509845 27029287 28663817 19970081 8693736 344225 228531 111943 3751 54085 35907 17589 589 21192156 21192156 5555892 5555892 1540523 1163403 377120 6651664 5102492 1549172 Unrelated Business Taxes 40600 40600 Restructuring / Impairment losses 391778859 391778859 Medical Supplies 193950715 193950715 Miscellaneous Expenses 38560190 38560190 47411282 47411282 0 0 1247203513 1120172070 126464584 566859 333821 344659 17338319 1065647 1735892 892719 119128703 126356883 0 0 0 0 22209585 26119793 2805036 2086783 184601625 200712741 369323454 -16111116 3237034 3535970 110306618 0 0 719873312 731670642 1366291774 875961980 290903521 419218740 0 12531998 19009604 0 0 0 853733 349608 0 770654028 627287078 1074943280 1065865030 X 275661661 -195385144 6431215 1966219 9255618 3515875 291348494 -189903050 1366291774 875961980 X -360846944 -10700669 42970 8446376 -118193277 X false true X true true true X false true false false false true 50476 true 53970 false false 104446 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION $7,910 CATHOLIC HEALTH ASSOCIATION $1,787 KENTUCKY HOSPITAL ASSOCIATION $40,779 ALLOCATED SALARY OF EMPLOYEES INVOLVED WITH ADVOCACY EFFORTS: $53,970 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION $7,910 CATHOLIC HEALTH ASSOCIATION $1,787 KENTUCKY HOSPITAL ASSOCIATION $40,779 ALLOCATED SALARY OF EMPLOYEES INVOLVED WITH ADVOCACY EFFORTS: $53,970 9255618 224120 363247 6327110 3515875 9575205 0 68272 387859 0 0 9255618 9958499 15675 -398969 9575205 8926115 588974 443410 9958499 7651646 33216 1241253 8926115 0.0 1.0 0.0 false false 13171986 13171986 101917417 62102980 39814437 1409148 3356585 -1947437 63480308 133571661 -70091353 4622766 1681515 2941251 -16111116 Other assets 18236310 Investment in Unconsolidated Organizations 1242147 Intercompany Receivables 712192185 731670642 Pension Plan Liability 5769043 Intercompany payables 299624512 Deferred Gain on Sale/Leasback-LT 36918040 Other Liabilities 424796 CHI Debt Program 283993976 Professional Staff fund 552963 Professional/Consulting 3748 627287078 X Schedule D, Part V, Line 1e Other expenditures for facilities and programs Of the $6,327,110, $6,173,699 was transferred to KentuckyOne Health Foundation, a related 501(C)(3) organization, and the remaining amount was expended for facilities and programs. Schedule D, Part V, Line 4 Intended uses of endowment funds 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. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2018, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." true Sub-Saharan Africa 0 0 Grantmaking 409296 0 0 0 0 0 0 409296 0 409296 Sub-Saharan Africa GRANTMAKING 0 N/A 409296 EQUIPMENT AND SUPPLIES BOOK 1 0 false false false false false false Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds 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. Schedule F, Part I, Line 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. DOCTORS' BALL 375600 307200 68400 55132 75600 3500 56925 BOOTS & BBQ 107549 83249 24300 15831 25811 1200 7360 0 483149 390449 92700 70963 101411 4700 64285 241359 -148659 true true X true X 300 true X true true true false true true 20439175 2132965 18306210 0.0150 175001107 132646270 42354837 0.0347 0 0.0 0 0 195440282 134779235 60661047 0.0497 31 28961 1981202 3207 1977995 0.0016 9 1014 2894458 2894458 0.0024 0 0.0 2 393000 393000 0.0003 14 1704 4402947 2491 4400456 0.0036 56 31679 9671607 5698 9665909 0.0079 56 31679 205111889 134784933 70326956 0.0576 2 603 603 0.0000 0 0.0 1 400 1886 1886 0.0000 0 0.0 0 0.0 4 365 25020 25020 0.0000 4 1540 55835 55835 0.0000 0 0.0 0 0.0 11 2305 83344 0 83344 0.0001 false 25582513 0 192832654 215623194 -22790540 X true true 5 1 JEWISH HOSPITAL SHELBYVILLE 727 HOSPITAL DRIVE SHELBYVILLE KY 40065 www.kentuckyonehealth.org/jewish-hospital-shelbyville 100385 X X X A 2 FRAZIER REHABILITATION INSTITUE 220 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 http://www.kentuckyonehealth.org/frazier-rehab-institute 100244 X X X A 3 STS MARY & ELIZABETH HOSPITAL 1850 BLUEGRASS AVENUE LOUISVILLE KY 40215 www.kentuckyonehealth.org/st-mary-st-elizabeth-hospital 100254 X X X A 4 JEWISH HOSPITAL 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 http://www.kentuckyonehealth.org/jewish-hospital 100215 X X X X X A 5 OUR LADY OF PEACE 2020 NEWBURG ROAD LOUISVILLE KY 40205 http://www.kentuckyonehealth.org/our-lady-of-peace 100236 X X A A false false true X X X X X X X X X 15 true false false true X (See Part VI) X true 15 false true false true X 300.0 300.0 X X X X true true X X X true X (See Part VI) X (See Part VI) X (See Part VI) X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED THROUGH THE CHNA AND INCLUDED IN A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS. HEALTH NEEDS WERE PRIORITIZED ACCORDING TO A WEIGHTED RANKING SYSTEM USING THE AFOREMENTIONED DATA SOURCES. JEWISH HOSPITAL CONVENED ITS LEADERSHIP TEAM TO FORMALLY IDENTIFY THE PRIORITY HEALTH NEEDS BASED ON THE DATA AND HOSPITAL RESOURCES. THESE NEEDS HAVE BEEN IDENTIFIED AS: * TOBACCO USE * DIET AND EXERCISE * ALCOHOL AND DRUG USE * ACCESS TO CARE * COMMUNITY SAFETY STS. MARY AND ELIZABETH HOSPITAL CONVENED ITS LEADERSHIP TEAM TO FORMALLY IDENTIFY THE PRIORITY HEALTH NEEDS BASED ON THE DATA AND HOSPITAL RESOURCES. THESE NEEDS HAVE BEEN IDENTIFIED AS: * TOBACCO USE * DIET AND EXERCISE * ALCOHOL AND DRUG USE * ACCESS TO CARE * COMMUNITY SAFETY FRAZIER REHAB INSTITUTE CONVENED ITS LEADERSHIP TEAM TO FORMALLY IDENTIFY THE PRIORITY HEALTH NEEDS BASED ON THE DATA AND HOSPITAL RESOURCES. THESE NEEDS HAVE BEEN IDENTIFIED AS: * TOBACCO USE * DIET AND EXERCISE * ALCOHOL AND DRUG USE * ACCESS TO CARE * COMMUNITY SAFETY JEWISH HOSPITAL SHELBYVILLE CONVENED ITS LEADERSHIP TEAM TO FORMALLY IDENTIFY THE PRIORITY HEALTH NEEDS BASED ON THE DATA AND HOSPITAL RESOURCES. THESE NEEDS HAVE BEEN IDENTIFIED AS: * TOBACCO USE * ALCOHOL AND DRUG USE * COMMUNITY SAFETY Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. DURING 2015-2016, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR EACH OF THE FIVE HOSPITALS TO SUPPORT THEIR MISSION TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES BY IDENTIFYING HEALTH NEEDS IN THESE COMMUNITIES AND PRIORITIZING THE ALLOCATION OF HOSPITAL RESOURCES TO MEET THOSE NEEDS. ADDITIONALLY, THE COMPLETION OF THIS REPORT AND SUBSEQUENT APPROVAL AND ADOPTION BY THE KENTUCKYONE HEALTH BOARD OF DIRECTORS COMPLIES WITH CHNA REQUIREMENTS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND FEDERAL TAX-EXEMPTION REQUIREMENTS. SPECIAL CHNA REQUIREMENTS FROM CATHOLIC HEALTH INITIATIVES (CHI) ARE ALSO REFLECTED IN THIS REPORT. COMMUNITY INPUT * PRIMARY DATA FROM THE COMMUNITY SERVED BY THE HOSPITAL WAS SOLICITED BY THE KENTUCKYONE HEALTH LOUISVILLE HOSPITALS (INCLUDING JEWISH HOSPITAL), NORTON HEALTHCARE, BAPTIST HEALTH KENTUCKY AND THE LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS BETWEEN APRIL 2015 AND SEPTEMBER 2015. THESE ORGANIZATIONS SHARED A SURVEY MONKEY LINK WITH COUNCILS, WORKGROUPS, PATIENTS, COUNTY GOVERNMENT AND COMMUNITY MEMBERS TO SOLICIT FEEDBACK ABOUT THEIR PERCEPTION OF HEALTH AND SAFETY IN THE COMMUNITY. TWO SURVEYS-A COMMUNITY SURVEY AND A PHYSICIAN/HEALTH CARE PROVIDER SURVEY-WERE CIRCULATED WIDELY. THE COMMUNITY SURVEY LINK WAS ALSO MADE AVAILABLE ON THE KENTUCKYONE HEALTH WEBSITE WHEN THE SURVEY WAS ACTIVE. THE PROVIDER LINK WAS CIRCULATED MULTIPLE TIMES INTERNALLY TO KENTUCKYONE HEALTH PROVIDERS FROM AUGUST 2015-SEPTEMBER 2015. LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS (LMDPHW) NORTH CENTRAL DISTRICT HEALTH DEPARTMENT (NCDHD) * PRIMARY DATA COLLECTION WAS COMPLETED IN CONJUNCTION WITH THE LMDPHW. THE LMDPHW STAFF PROVIDED SURVEY ANALYSIS AND DISTRIBUTED THE SURVEYS INTERNALLY TO THEIR STAFF TEAMS. * PRIMARY DATA FROM THE COMMUNITY SERVED BY THE HOSPITAL WAS SOLICITED BY JEWISH HOSPITAL SHELBYVILLE AND THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT BETWEEN DECEMBER 2015 AND FEBRUARY 2016. BOTH ORGANIZATIONS SHARED A SURVEY MONKEY LINK WITH COUNCILS, WORKGROUPS, PATIENTS, COUNTY GOVERNMENT AND COMMUNITY MEMBERS TO SOLICIT THEIR FEEDBACK REGARDING THE PERCEPTION OF HEALTH AND SAFETY IN THE COMMUNITY. THE SURVEY LINK WAS ALSO MADE AVAILABLE ON JEWISH HOSPITAL SHELBYVILLE'S SECTION OF THE KENTUCKYONE HEALTH WEBSITE WHEN THE SURVEY WAS LIVE: HTTP://WWW.KENTUCKYONEHEALTH.ORG/JEWISH-HOSPITAL-SHELBYVILLE. * FEEDBACK FROM THE LMDPHW FURTHER REPRESENTS FEEDBACK FROM THE UNDERSERVED, INCLUDING THE SENIOR POPULATION, IN JEFFERSON COUNTY DUE TO SPECIAL KNOWLEDGE THAT LMDPHW HAS BECAUSE OF THE SERVICES PROVIDED BY LOCAL HEALTH DEPARTMENTS. * THE ANONYMOUS SURVEYS ASKED COMMUNITY MEMBERS AND HEALTH CARE PROVIDERS TO PRIORITIZE THEIR HEALTH NEEDS, IDENTIFY BARRIERS TO GOOD HEALTH AND RATE RISKY HEALTH BEHAVIORS IN THE COMMUNITY. THE SURVEY ASKED ABOUT PERCEPTIONS OF COMMUNITY SAFETY AND WHERE COMMUNITY MEMBERS ACCESS HEALTH INFORMATION. THE SURVEY ALSO ASKED BASIC DEMOGRAPHIC QUESTIONS TO CROSS-WALK SPECIFIC NEEDS TO CERTAIN POPULATIONS. THE PROVIDER SURVEY HAD ADDITIONAL QUESTIONS ABOUT THE PATIENT POPULATIONS SERVED AND PERCEPTIONS OF PATIENT ACCESS. BOTH SURVEYS WERE DESIGNED BY THE LMDPHW WITH INPUT FROM KENTUCKYONE HEALTH, NORTON HEALTHCARE, BAPTIST HEALTH KENTUCKY, AND THE GREATER LOUISVILLE MEDICAL SOCIETY. * SOLICITING INPUT FROM THESE GROUPS SATISFIES THE IRS REQUIREMENT TO TAKE INTO ACCOUNT INPUT FROM LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY-UNDERSERVED POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL. ADDITIONALLY, INPUT FROM THOSE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WAS USED TO PRIORITIZE HEALTH NEEDS, WHICH COMPLIES WITH IRS REQUIREMENTS. * SOLICITING THIS INPUT REGARDING COMMUNITY SAFETY AND SOLICITING INPUT FROM THOSE REPRESENTING THE SENIOR POPULATION SATISFIES THE CHI REQUIREMENT TO INCLUDE THIS INPUT. REGIONAL STRATEGY REPRESENTATIVE * MICHAEL SPINE, SENIOR VICE PRESIDENT, STRATEGY AND BUSINESS DEVELOPMENT FOR KENTUCKYONE HEALTH, PROVIDED FEEDBACK FOR THIS REPORT IN THE FORM OF PRIORITIZING 13 HEALTH NEEDS FOR EACH KENTUCKYONE HEALTH HOSPITAL, INCLUDING JEWISH HOSPITAL IN JANUARY 2016. * SOLICITING MR. SPINE'S INPUT SATISFIES THE CHI REQUIREMENT FOR A REPRESENTATIVE FROM KENTUCKYONE HEALTH'S REGIONAL STRATEGY AND BUSINESS DEVELOPMENT DEPARTMENT TO BE ENGAGED IN THE CHNA PROCESS. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Facility Reporting Group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chedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. 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. 0 SPRINGHURST CORF - OUTPATIENT REHAB 4801 OLYMPIA PARK PLAZA 1600 LOUISVILLE KY 40241 OUTPATIENT REHAB FACILITY SOUTHWEST ORF - OUTPATIENT REHAB 6801 DIXIE HIGHWAY STE 129 LOUISVILLE KY 40258 OUTPATIENT REHAB FACILITY NORTHEAST OUTPATIENT REHAB 2401 TERRA CROSSING BLVD STE 204 LOUISVILLE KY 40245 OUTPATIENT REHAB FACILITY FERN VALLEY ORF AND OPS MEDICINE CENTER 100 HIGH RISE DRIVE STE 110 LOUISVILLE KY 40213 OUTPATIENT REHAB FACILITY MEDICAL PLAZA - DOCTORS OFFICE BUILDING 100 EAST LIBERTY STREET LOUISVILLE KY 40202 DOCTOR OFFICES EAST CORF OUTPATIENT REHAB 4912 US HIGHWAY 42 LOUISVILLE KY 40222 OUTPATIENT REHAB FACILITY NEWBURG CORF - OUTPATIENT REHAB 3430 NEWBURG ROAD STE 111 LOUISVILLE KY 40218 OUTPATIENT REHAB FACILITY BULLITT COUNTY ORF - OUTPATIENT REHAB 1905 WEST HEBRON LANE SHEPHARDSVILLE KY 40165 OUTPATIENT REHAB FACILITY SOUTHERN INDIANA ORF - OUTPATIENT REHAB 2201 GREENTREE BOULEVARD NORTH CLARKSVILLE IN 47129 OUPATIENT REHAB FACILITY CROSSROADS SOUTH 4606 HAZELWOOD AVE LOUISVILLE KY 40215 MENTAL HEALTH COUNSELING CTR CORYDON CORF - OUTPATIENT REHAB 313 FEDERAL DRIVE NORTHWEST CORYDON KY 47112 OUTPATIENT REHAB FACILITY OWSLEY BROWN FRAZIER SPORTS MEDICINE 215 CENTRAL AVENUE STE 200 LOUISVILLE KY 40208 OUTPATIENT REHAB FACILITY JEWISH HOSPITAL HEALTH CENTER - MEADE CO 534 FAIRWAY DRIVE BRADENBURG KY 40108 DOCTOR OFFICE MEADE COUNTY ORF - OUTPATIENT REHAB 534 HILLCREST DRIVE BRANDBURG KY 40108 OUTPATIENT REHAB FACILITY STONESTREET ORF - OUPATIENT REHAB 9700 STONESTREET ROAD LOUISVILLE KY 40272 OUTPATIENT REHAB FACILITY SOUTHERN INDIANA YMCA CORF 4812 HAMBURG PIKE JEFFERSONVILLE IN 47130 OUTPATIENT REHAB FACILITY MEDICAL CENTER EAST ORF - OUTPATIENT REHAB 3920 DUTCHMANS LANE LOUISVILLE KY 40207 OUTPATIENT REHAB FACILITY CANCER BLOOD SPECIALIST 1460 BLUEGRASS AVE LOUISVILLE KY 40215 OUTPATIENT CANCER CARE MEDICAL PLAZA II 250 E LIBERTY ST LOUISVILLE KY 40202 Doctors offices; corporate offices Schedule H, Part VI Lines 2, 4 & 5 and Part II - Needs Assessment and Community Information ORGANIZATION'S MISSION, VISION & TAX-EXEMPT PURPOSE IN 2012, KENTUCKYONE HEALTH, INC. WAS FORMED WHEN TWO MAJOR KENTUCKY HEALTHCARE ORGANIZATIONS, SAINT JOSEPH HEALTH SYSTEM, INC. (SJHS) AND JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, CAME TOGETHER TO WORK FOR A HEALTHIER KENTUCKY BY INTEGRATING MEDICAL RESEARCH, EDUCATION, TECHNOLOGY AND HEALTH CARE SERVICES WHEREVER PATIENTS RECEIVE CARE. KENTUCKYONE HEALTH, INC., IS THE LARGEST HEALTH SYSTEM IN KENTUCKY WITH MORE THAN 200 LOCATIONS INCLUDING HOSPITALS, OUTPATIENT FACILITIES AND PHYSICIAN OFFICES, AND MORE THAN 3,100 LICENSED BEDS. A 20-MEMBER BOARD OF DIRECTORS GOVERNS KENTUCKYONE HEALTH, INC., ITS FACILITIES AND OPERATIONS, WITH THIS MISSION: OUR IDENTITY: WE ARE A COMPREHENSIVE HEALTH SYSTEM STRENGTHENED BY OUR CATHOLIC, JEWISH AND ACADEMIC HERITAGES AND INSPIRED BY OUR SHARED VALUES. OUR PURPOSE: TO BRING WELLNESS, HEALING AND HOPE TO ALL, INCLUDING THE UNDERSERVED. OUR CORE VALUES: *REVERENCE - RESPECTING THOSE WE SERVE AND THOSE WHO SERVE *INTEGRITY - DOING THE RIGHT THINGS IN THE RIGHT WAYS FOR THE RIGHT REASON *COMPASSION - SHARING IN OTHER'S JOYS AND SORROWS *EXCELLENCE - LIVING UP TO THE HIGHEST STANDARDS OUR FUTURE (VISION): TO TRANSFORM THE HEALTH CARE COMMUNITIES, CARE DELIVERY AND HEALTH CARE PROFESSIONS SO THAT INDIVIDUALS AND FAMILIES CAN ENJOY THE BEST OF HEALTH AND WELL-BEING. FACILITY DESCRIPTIONS JEWISH HOSPITAL JEWISH 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 THE SITE 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. ACCORDING TO THE 2018 COUNTY HEALTH RANKINGS, JEFFERSON COUNTY IS THE 28TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ALSO, ACCORDING TO THE 2017 U.S. CENSUS BUREAU, JEFFERSON COUNTY'S POPULATION WAS 771,158. OF THE POPULATION IN JEFFERSON COUNTY, 72.3% OF THE POPULATION IS WHITE, 22.0% IS BLACK OR AFRICAN AMERICAN AND 5.3% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $52,237, ABOVE THE STATE'S MEDIAN INCOME OF $46,535 AND ABOVE THE NATION'S MEDIAN INCOME OF $57,652. APPROXIMATELY 14.1% OF JEFFERSON COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 5.6% ARE UNINSURED. STS. MARY & ELIZABETH HOSPITAL FOUNDED 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 JEWISH BARIATRIC CARE, THE REGION'S ONLY WEIGHT LOSS MANAGEMENT PROGRAM UTILIZING THE LAP-BAND SYSTEM. SERVING THE SOUTH LOUISVILLE COMMUNITY FOR MORE THAN A CENTURY, STS. MARY & ELIZABETH HAS LITERALLY CARED FOR GENERATIONS OF FAMILIES IN THIS COMMUNITY. ACCORDING TO THE 2018 COUNTY HEALTH RANKINGS, JEFFERSON COUNTY IS THE 28TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ALSO, ACCORDING TO THE 2017 U.S. CENSUS BUREAU, JEFFERSON COUNTY'S POPULATION WAS 771,158. OF THE POPULATION IN JEFFERSON COUNTY, 72.3% OF THE POPULATION IS WHITE, 22.0% IS BLACK OR AFRICAN AMERICAN AND 5.3% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $52,237, ABOVE THE STATE'S MEDIAN INCOME OF $46,535 AND ABOVE THE NATION'S MEDIAN INCOME OF $57,652. APPROXIMATELY 14.1% OF JEFFERSON COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 5.6% ARE UNINSURED. FRAZIER REHAB INSTITUTE FRAZIER REHAB INSTITUTE'S SIXTY-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. FRAZIER REHAB INSTITUTE ALSO OPERATES SOUTHERN INDIANA REHAB HOSPITAL, A 60-BED INPATIENT HOSPITAL (OWNED IN PARTNERSHIP WITH FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES AND CLARK MEMORIAL HOSPITAL). ACCORDING TO THE 2018 COUNTY HEALTH RANKINGS, JEFFERSON COUNTY IS THE 28TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ALSO, ACCORDING TO THE 2017 U.S. CENSUS BUREAU, JEFFERSON COUNTY'S POPULATION WAS 771,158. OF THE POPULATION IN JEFFERSON COUNTY, 72.3% OF THE POPULATION IS WHITE, 22.0% IS BLACK OR AFRICAN AMERICAN AND 5.3% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $52,237, ABOVE THE STATE'S MEDIAN INCOME OF $46,535 AND ABOVE THE NATION'S MEDIAN INCOME OF $57,652. APPROXIMATELY 14.1% OF JEFFERSON COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 5.6% ARE UNINSURED. JEWISH HOSPITAL SHELBYVILLE JEWISH 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 NEW FACILITY 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. ACCORDING TO THE 2018 COUNTY HEALTH RANKINGS, SHELBY COUNTY IS THE 3RD HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ALSO, ACCORDING TO THE 2017 U.S. CENSUS BUREAU, SHELBY COUNTY'S POPULATION WAS 47,421. OF THE POPULATION IN SHELBY COUNTY, 88.4% OF THE POPULATION IS WHITE, 7.5% IS BLACK OR AFRICAN AMERICAN AND 9.5% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $63,171 ABOVE THE STATE'S MEDIAN INCOME OF $46,535. APPROXIMATELY 10.8% OF SHELBY COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 7.2% ARE UNINSURED. OUR LADY OF PEACE OUR 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. Schedule H, Part VI Lines 2, 4 & 5 and Part II - Needs Assessment and Community Information THE HOSPITAL WAS FOUNDED AS AN ADULT HOSPITAL IN 1951 BY THE SISTERS OF CHARITY OF NAZARETH AND 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 2018 COUNTY HEALTH RANKINGS, JEFFERSON COUNTY IS THE 28TH HEALTHIEST COUNTY OF KENTUCKY'S 120 COUNTIES. ALSO, ACCORDING TO THE 2017 U.S. CENSUS BUREAU, JEFFERSON COUNTY'S POPULATION WAS 771,158. OF THE POPULATION IN JEFFERSON COUNTY, 72.3% OF THE POPULATION IS WHITE, 22.0% IS BLACK OR AFRICAN AMERICAN AND 5.3% IS HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME WAS $52,237, ABOVE THE STATE'S MEDIAN INCOME OF $46,535 AND ABOVE THE NATION'S MEDIAN INCOME OF $57,652. APPROXIMATELY 14.1% OF JEFFERSON COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL AND 5.6% ARE UNINSURED. PART I FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AT COST JEWISH HOSPITAL COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS/ACTIVITIES - $672,484; $638,137 - HEALTH CARE SUPPORT SERVICES; $34,347 - TRANSPORTATION VOUCHERS/PAYMENTS FOR PATIENT NEEDS. HEALTH PROFESSIONS EDUCATION - $2,071,657 - JEWISH HOSPITAL SERVES AS A CLINICAL SITE FOR MEDICAL PROFESSIONAL STUDENTS INCLUDING NURSING, SOCIAL WORK AND PHARMACY STUDENTS. STANDARD PRACTICE FOR CALCULATION IS 20% OF TOTAL NUMBER OF STUDENT HOURS. RESEARCH - $305,000 GENERALIZED RESEARCH. CASH & IN-KIND CONTRIBUTIONS - $3,616,158; $3,133,442 - ACADEMIC SUPPORT SUPPLEMENTS TO UNIVERSITY OF LOUISVILLE AND SPONSORSHIPS/DONATIONS; $482,716 - IN-KIND DONATIONS OF EQUIPMENT/SUPPLIES/PHARMACEUTICALS TO SUPPLIES OVER SEAS, THE HEALING PLACE AND MISSION TRIPS. STS. MARY & ELIZABETH COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS/ACTIVITIES - $566,046 - $557,057 - HEALTH CARE SUPPORT SERVICES; ACTIVITIES FOR THE COMMUNITY TO EDUCATE, CELEBRATE AND BE PART OF THE COMMUNITY; $8,989 - VP OF HEALTHY COMMUNITIES IS DEDICATED 100% TO COMMUNITY BENEFIT AND COMMUNITY BENEFIT ACTIVITIES. HEALTH PROFESSIONS EDUCATION - $474,851 - STS. MARY & ELIZABETH SERVES AS A CLINICAL SITE FOR MEDICAL PROFESSIONAL STUDENTS INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, PHARMACY, NURSING AND OTHER STUDENTS WHO JOB SHADOW. STANDARD PRACTICE FOR CALCULATION IS 20% OF TOTAL NUMBER OF STUDENT HOURS. CASH & IN-KIND CONTRIBUTIONS - $146,602 - CASH DONATIONS TO ACADEMY TOWERS, SISTERS OF CHARITY OF NAZARETH, BUY LOCAL FAIR, SHIVELY AREA MINISTRIES AND NORTHWEST NEIGHBORHOOD. IN-KIND DONATIONS OF EQUIPMENT/SUPPLIES TO MEALS ON WHEELS, SUPPLIES OVER SEAS, BAXTER COMMUNITY CENTER, MISSION TRIPS, SOUTHWEST COMMUNITY MINISTRIES AND SOUTH LOUISVILLE COMMUNITY MINISTRIES. FRAZIER REHAB INSTITUTE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS/ACTIVITIES - $13,595 - COMMUNITY HEALTH EDUCATION ON A VARIETY OF TOPICS INCLUDING FITNESS AND EXERCISE; HEALTH CARE SUPPORT SERVICES; HEALTH FAIRS; SUPPORT GROUPS INCLUDING BETTER BREATHERS, MENTAL HEALTH AND STROKE. HEALTH PROFESSIONS EDUCATION - $425 - FRAZIER REHAB INSTITUTE SERVES AS A CLINICAL SITE FOR MEDICAL PROFESSIONAL STUDENTS INCLUDING OCCUPATIONAL THERAPY. ALSO, STAFF PROVIDES LECTURES FOR VARIOUS PROFESSIONAL SCHOOLS IN THE LOUISVILLE MARKET. STANDARD PRACTICE FOR CALCULATION IS 20% OF TOTAL NUMBER OF STUDENT HOURS. RESEARCH - $88,000 - SUPPLEMENT TO UNIVERSITY OF LOUISVILLE. CASH & IN-KIND CONTRIBUTIONS - $591,508 - ACADEMIC SUPPORT SUPPLEMENT; SUPPLIES OVER SEAS EQUIPMENT AND SUPPLIES DONATION. JEWISH HOSPITAL SHELBYVILLE COMMUNITY HEALTH IMPROVEMENT SERVICES AND BENEFIT OPERATIONS/ACTIVITIES - $99,795 - $84,398 - HEALTH CARE SUPPORT SERVICES; $4,508 - HEALTH FAIRS AND HEALTH EDUCATION; $10,889 -$10,889 - VP OF HEALTHY COMMUNITIES IS DEDICATED 100% TO COMMUNITY BENEFIT OPERATIONS AND ACTIVITIES. CASH & IN-KIND CONTRIBUTIONS - $33,270 - IN-KIND DONATIONS OF TIME, EQUIPMENT AND SUPPLIES TO SUPPLIES OVER SEAS. COMMUNITY BUILDING ACTIVITIES JEWISH HOSPITAL COMMUNITY BUILDING ACTIVITIES - $18,202 - $9,213 THE DIVISION VP OF PUBLIC POLICY AND ADVOCACY, ADVOCATED FOR LEGISLATION AND POLICIES THAT PROMOTE HEALTH AND SUPPORT THE COMMUNITY AT LARGE. PRIORITIES FOR FY2018 WERE ACCESS TO CARE, QUALITY CARE IN A STABLE ENVIRONMENT AND HEALTHY COMMUNITIES (PHYSICAL AND BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH); $8,989 - VP OF HEALTHY COMMUNITIES IS DEDICATED 100% TO COMMUNITY BENEFIT AND COMMUNITY BENEFIT ACTIVITIES. STS. MARY & ELIZABETH PHYSICAL IMPROVEMENT/HOUSING - $342 - HABITAT FOR HUMANITY RESTORE DONATION. COALITION BUILDING - $6,183 - GREEN TEAM ACTIVITIES WITH THE COMMUNITY TO BENEFIT THE LESS FORTUNATE WITH THINGS SUCH AS CHRISTMAS BASKETS, CLOTHING, ETC. COMMUNITY HEALTH IMPROVEMENT/ADVOCACY - $26,551 - $9,213 THE DIVISION VP OF PUBLIC POLICY AND ADVOCACY, ADVOCATED FOR LEGISLATION AND POLICIES THAT PROMOTE HEALTH AND SUPPORT THE COMMUNITY AT LARGE. PRIORITIES FOR FY2018 WERE ACCESS TO CARE, QUALITY CARE IN A STABLE ENVIRONMENT AND HEALTHY COMMUNITIES (PHYSICAL AND BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH); $17,338 PARTICIPATED IN OPIOID TASK FORCE; AND, DIXIE AREA BUSINESS ASSOCIATION DRUG FORUM FRAZIER REHAB INSTITUTE COALITION BUILDING - $635 - PARTICIPATION ON BOARDS THAT INCLUDE RONALD MCDONALD HOUSE CHARITIES, SAFE KIDS COALITION, KY CONGRESS ON SPINAL CORD INJURIES, PARKINSON SUPPORT CENTER OF KENTUCKIANA AND UNITED STATES QUAD RUGBY ASSOCIATION. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - $9,213 - THE DIVISION VP OF PUBLIC POLICY AND ADVOCACY, ADVOCATED FOR LEGISLATION AND POLICIES THAT PROMOTE HEALTH AND SUPPORT THE COMMUNITY AT LARGE. PRIORITIES FOR FY2018 WERE ACCESS TO CARE, QUALITY CARE IN A STABLE ENVIRONMENT AND HEALTHY COMMUNITIES (PHYSICAL AND BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH). JEWISH HOSPITAL SHELBYVILLE COMMUNITY HEALTH IMPROVEMENT ADVOCACY - $10,858 - THE DIVISION VP OF PUBLIC POLICY AND ADVOCACY, ADVOCATED FOR LEGISLATION AND POLICIES THAT PROMOTE HEALTH AND SUPPORT THE COMMUNITY AT LARGE. PRIORITIES FOR FY2018 WERE ACCESS TO CARE, QUALITY CARE IN A STABLE ENVIRONMENT AND HEALTHY COMMUNITIES (PHYSICAL AND BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH). OUR LADY OF PEACE COMMUNITY HEALTH IMPROVEMENT & OTHER COMMUNITY BENEFIT OPERATIONS/ACTIVITIES -$629,282 - OUR LADY OF PEACE (OLOP) PROVIDED EQUIPMENT, INSURANCE ENROLLMENT ASSISTANCE, HEALTH FAIRS, MENTAL HEALTH EDUCATION SCHOOL BASED EDUCATION PROGRAMS AND TRANSPORTATION FOR THE PATIENTS WHO WERE NOT ABLE TO AFFORD IT. $8,989 - VP OF HEALTHY COMMUNITIES IS DEDICATED 100%. HEALTH PROFESSIONS EDUCATION - $347,525 - OLOP SERVES AS A CLINICAL SITE FOR MEDICAL PROFESSIONAL STUDENTS INCLUDING PHARMACY, NURSING AND SOCIAL WORKERS. STANDARD PRACTICE FOR CALCULATION IS 20% OF TOTAL NUMBER OF STUDENT HOURS. CASH & IN-KIND CONTRIBUTIONS - $15,409 - DONATIONS AND IN-KIND SUPPORT TO THE COMMUNITY INCLUDING SERVING ON BOARDS AND/OR COMMITTEES. PHYSICAL IMPROVEMENTS/HOUSING - $261 - PARTICIPATED IN NEIGHBORHOOD CLEAN-UP. COMMUNITY SUPPORT - $1,886 - ORGANIZED AND PARTICIPATED IN EVENTS SUCH AS AUTISM AND MENTAL HEALTH. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - $9,213 - THE DIVISION VP OF PUBLIC POLICY AND ADVOCACY, ADVOCATED FOR LEGISLATION AND POLICIES THAT PROMOTE HEALTH AND SUPPORT THE COMMUNITY AT LARGE. PRIORITIES FOR FY2018 WERE ACCESS TO CARE, QUALITY CARE IN A STABLE ENVIRONMENT AND HEALTHY COMMUNITIES (PHYSICAL AND BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH). Schedule H, Part V, Section B, Line 7 Hospital Facility's WEBSITE (LIST URL) http://www.kentuckyonehealth.org/2017-2019-jewish-hospital-shelbyville-chna http://www.kentuckyonehealth.org/2017-2019-frazier-rehab-institute-chna http://www.kentuckyonehealth.org/2017-2019-sts-mary-elizabeth-hospital-chna http://www.kentuckyonehealth.org/2017-2019-jewish-hospital-chna http://www.kentuckyonehealth.org/our-lady-of-peace-7782 Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE http://www.kentuckyonehealth.org/JEWISH-HOSPITAL-FINANCIAL-ASSISTANCE http://www.kentuckyonehealth.org/our-lady-of-peace-financial-assistance http://www.kentuckyonehealth.org/frazier-rehab-institute-financial-assistance http://www.kentuckyonehealth.org/financial-assistance-7731 http://www.kentuckyonehealth.org/financial-assistance-7766 Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE http://www.kentuckyonehealth.org/JEWISH-HOSPITAL-FINANCIAL-ASSISTANCE http://www.kentuckyonehealth.org/our-lady-of-peace-financial-assistance http://www.kentuckyonehealth.org/frazier-rehab-institute-financial-assistance http://www.kentuckyonehealth.org/financial-assistance-7731 http://www.kentuckyonehealth.org/financial-assistance-7766 Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE http://www.kentuckyonehealth.org/JEWISH-HOSPITAL-FINANCIAL-ASSISTANCE http://www.kentuckyonehealth.org/our-lady-of-peace-financial-assistance http://www.kentuckyonehealth.org/frazier-rehab-institute-financial-assistance http://www.kentuckyonehealth.org/financial-assistance-7731 http://www.kentuckyonehealth.org/financial-assistance-7766 Schedule H, Part I, Line 3c Financial Assistance Eligibility 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. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Jewish Hospital & St Mary's Healthcare is included in a community benefit report prepared by KentuckyOne Health.. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 25582513 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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 CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED IN THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. 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 PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website A - JEWISH HOSPITAL: Line 16a URL: (See Part VI); Schedule H, Part V, Section B, Line 16b FAP Application website A - JEWISH HOSPITAL: Line 16b URL: (See Part VI); Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - JEWISH HOSPITAL: Line 16c URL: (See Part VI); Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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, WWW.CATHOLICHEALTH.NET, 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. Schedule H, Part VI, Line 5 Promotion of community health 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. Schedule H, Part VI, Line 6 Affiliated health care system THE ORGANIZATION WAS, FOR THE YEAR ENDED 6/30/18, AFFILIATED WITH CATHOLIC HEALTH INITIATIVES ("CHI"). FOLLOWING THE CLOSE OF THE 6/30/2018 TAX YEAR, ON 2/1/19, IN CONNECTION WITH THE ALIGNMENT OF THE CATHOLIC MINISTRIES OF CHI AND DIGNITY HEALTH, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH. THE NARRATIVE BELOW REFLECTS THE ACTIVITIES OF THE ORGANIZATION'S AFFILIATE, CHI, AS OF AND FOR THE YEAR ENDED 6/30/18: CHI, A NONPROFIT, FAITH-BASED HEALTH SYSTEM FORMED IN 1996 THROUGH THE CONSOLIDATION OF FOUR CATHOLIC HEALTH SYSTEMS, EXPRESSES ITS MISSION EACH DAY BY CREATING AND NURTURING HEALTHY COMMUNITIES IN THE HUNDREDS OF SITES ACROSS THE NATION WHERE WE PROVIDE CARE. ONE OF THE NATION'S LARGEST NONPROFIT HEALTH SYSTEMS, ENGLEWOOD, COLORADO-BASED CHI SERVES AS THE PARENT COMPANY OF THE SYSTEM. IT OPERATES IN 18 STATES AND COMPRISES 100 HOSPITALS, INCLUDING TWO ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS AS WELL AS 29 CRITICAL-ACCESS FACILITIES; COMMUNITY HEALTH-SERVICES ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME-HEALTH AGENCIES; LIVING COMMUNITIES; AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2018, CHI PROVIDED MORE THAN $1.1 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 $2.0 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $14.98 BILLION IN FISCAL YEAR 2018, HAS TOTAL ASSETS OF APPROXIMATELY $20.6 BILLION. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARE SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. Schedule H, Part VI, Line 7 State filing of community benefit report KY true Sisters of Charity of Nazareth 134 Main Ave PO Box 267 Nazareth KY 40048 753124022 501(C)(3) 60549 General Support Christine M Kleinert Institute 225 Abraham Flexner Way Louisville KY 40202 611110645 501(C)(3) 247159 General Support CENTER FOR WOMEN & FAMILIES 927 S SECOND ST Louisville KY 40203 610444846 501(C)(3) 113481 General Support Univ Of Louisville Hospital 530 South Jackson St Louisville KY 40202 611293786 501(C)(3) 19605 General Support Univ Of Louisville Research Foundation 500 S Preston St B Bldg Room 208 Louisville KY 40202 611029626 501(C)(3) 60518 General Support Adath Jeshurun Synagogue 2401 Woodbourne Ave Louisville KY 40205 610458363 501(C)(3) 5828 General Support Southern Indiana Rehabilitation Hospital 3104 Blackiston Blvd New Albany IN 47150 351903507 501(C)(3) 38845 General Support WHAS Crusade for Children 520 W Chestnut St Louisville KY 402022235 237075524 501(C)(3) 6057 GENERAL SUPPORT 8 0 Financial Assistance 9205 31455920 BOOK FINANCIAL ASSISTANCE Sponsorships 129 256885 BOOK FINANCIAL ASSISTANCE Schedule I, Part III Financial Assistance JEWISH HOSPITAL AND ST. MARY'S HEALTHCARE RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. CHARITY CARE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS' ACCOUNTS RECEIVABLE. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. WHEN COMMUNITY ORGANIZATIONS SEEK THE SUPPORT AND INVOLVEMENT OF JHSMH, 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 JHSMH 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 JHSMH TEAM MEMBERS EXCLUDED FROM CONSIDERATION ARE: -REQUESTS FROM ORGANIZATIONS OUTSIDE AREAS IN WHICH JHSMH 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 JHSMH) -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 JHSMH'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. X X X X X true true false false false false false false false PAUL EDGETT III Director/CHI SVP 0 662879 0 823271 0 165810 0 15900 0 25670 0 1693530 0 0 RUTH WILLIAMS BRINKLEY PRESIDENT/CEO KENTUCKYONE HEALTH 0 872291 0 1060470 0 663958 0 16075 0 8982 0 2621776 0 412424 Sherri Craig DIV VP PUBLIC POLICY 153497 46139 0 20901 1413 2924 0 12265 2698 12301 157608 94530 0 0 SHARON HAGER SECRETARY/DIV VP SR COUNSEL 0 353442 0 103670 0 22411 0 4055 0 9428 0 493006 0 0 COLLEEN HOLTON TREASURER/CFO 266965 0 28433 0 52668 0 16625 0 23530 0 388221 0 0 0 JAMES WENTZ Treasurer/DIV SVP-CFO (Partial Year) 532825 0 278968 0 22266 0 5173 0 23650 0 862882 0 0 0 JEFFREY GOLDBERG Former Key Employee 0 0 0 0 291748 0 0 0 0 0 291748 0 0 0 BRADLEY LINCKS Former Key Employee 186311 0 28200 0 3099 0 14020 0 21999 0 253629 0 0 0 MARK MILBURN Former Key Employee 46270 0 0 0 160308 0 9719 0 5412 0 221709 0 0 0 RANDY NAPIER Former Key Employee 172 0 0 0 256891 0 0 0 0 0 257063 0 0 0 JENNIFER NOLAN Former Key Employee 301610 71812 0 58754 37991 6973 0 34085 5583 18991 345184 190615 0 29700 SHELLEY SHAUGHNESSY Former Key Employee 367151 0 47999 0 64000 0 35916 0 23453 0 538519 0 60544 0 RUTH WHEATLEY Former Key Employee 281092 0 11243 0 4063 0 0 16218 0 1344 296398 17562 0 0 TANJA OQUENDO SVP CAO-CHRO 493579 0 406119 0 52534 0 56601 0 22032 0 1030865 0 31598 0 DON LOVASZ PRESIDENT 379184 0 116637 0 29668 0 0 16075 4742 11664 530231 27739 0 0 DAMIAN ALAGIA MD SVP CMO 0 0 159419 0 569206 0 0 0 0 0 728625 0 46800 0 JOSEPH GILENE MARKET PRESIDENT 414242 0 199292 0 241640 0 11411 0 1704 0 868289 0 41850 0 ERIC CONLEY DIV VP SERVICE LINE 435322 0 156219 0 21728 0 15554 0 23842 0 652665 0 0 0 BRUCE TASSIN MARKET PRESIDENT 430609 120823 123823 141367 8830 12102 0 62744 5795 18936 569057 355972 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) AND KENTUCKYONE HEALTH DURING THE 2017 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: DAMIAN ALAGIA - $ 522,399.80 RUTH WILLIAMS BRINKLEY - $80,812 JOSEPH GILENE - $109,563 JEFFREY GOLDBERG - $291,748 MARK MILBURN - $159,911 RANDY NAPIER - $256,891 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE 2017 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS/PRESIDENTS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: PAUL W. EDGETT RUTH WILLIAMS BRINKLEY TANJA OQUENDO JOSEPH GILENE BRUCE TASSIN JENNIFER NOLAN SHELLEY N SHAUGHNESSY DURING 2017 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: TANJA OQUENDO - $40,526 BURCE TASSIN - $44,576 JENNIFER NOLAN - $19,018 SHELLEY N SHAUGHNESSY - $18,634 DURING 2017 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: RUTH WILLIAMS BRINKLEY - $427,070 TANJA OQUENDO - $31,602 DAMIAN ALAGIA - $46,807 JOSEPH GILENE - $41,856 JENNIFER NOLAN - $29,704 SHELLEY N SHAUGHNESSY - $48,104 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAD MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION WERE ELIGIBLE TO RECEIVE THEIR 2017 CONTRIBUTIONS IN CASH DURING THE CALENDAR YEAR. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2017, THE FOLLOWING CONTRIBUTIONS AND ASSOCIATED GAINS OR LOSSES THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: PAUL W. EDGETT - $139,620 JOSEPH GILENE - $80,460 RUTH WILLIAMS BRINKLEY - $135,990 X Auction Items, paintings, other 5 34307 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Other - Auction Items, paintings, other number of contributions Form 990, Part VI, Line 15a Top Management Official Compensation CHARLES NEUMANN WAS AN INTERIM PRESIDENT AND CEO FOR JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. AND WAS PAID BY CAMBRIDGE GROUP INC. CATHOLIC HEALTH INITIATIVES (CHI), THE PARENT COMPANY TO JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC., PAID CAMBRIDGE GROUP, INC. FOR CHARLES NEUMANN'S SERVICES. THEREFORE, CHARLES NEUMANN SHOWS $0 REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION OR RELATED ORGANIZATION AS HE WAS PAID DIRECTLY BY CAMBRIDGE GROUP INC. Form 990, Part VI, Line 12c Conflict of Interest Policy THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF ANY CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THE COI POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THE COI POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF A DIFFERENCE OF OPINION EXISTS BETWEEN THE BOARD CHAIR AND ANOTHER TRUSTEE AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THE COI POLICY, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE EXECUTIVE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD. THE BOARD SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH CHI OR A CHI ENTITY IS A PARTY AND IN WHICH THE TRUSTEE OR CORPORATE OFFICER EITHER: * HAS A MATERIAL FINANCIAL INTEREST; OR * IS A TRUSTEE OR CORPORATE OFFICER OF THE OTHER PARTY (OTHER THAN A CHI-AFFILIATED ORGANIZATION). THE BOARD MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE TRUSTEES ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY INDIVIDUAL WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN CHI OR CHI ENTITIES AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, TRUSTEES OR CORPORATE OFFICERS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO CHI OR THE CHI ENTITY. THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICT OF INTEREST (E.G., DISCLOSURE OF NONPUBLIC INFORMATION, COMPETITION WITH CHI OR A CHI ENTITY, FAILURE TO DISCLOSE A CORPORATE OPPORTUNITY, EXCESSIVE GIFTS OR ENTERTAINMENT, ETC.). BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE TRUSTEE OR CORPORATE OFFICER UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF CHI OR THE CHI ENTITY. THE BOARD SHOULD CONSULT WITH THE GENERAL COUNSEL OF CHI OR HIS OR HER DESIGNEE WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. WHEN ANY CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD, THE TRUSTEE OR CORPORATE OFFICER, AS APPROPRIATE, MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE TRUSTEE SHALL NOT VOTE AND THE TRUSTEE OR CORPORATE OFFICER SHALL NOT USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH TRUSTEE OR CORPORATE OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS FROM TRUSTEES, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE TRUSTEE OR CORPORATE OFFICER SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. MINUTES OF THE BOARD SHALL REFLECT THE FOLLOWING: THE INDIVIDUAL MAKING THE DISCLOSURE, THE NATURE OF THE DISCLOSURE, DISCUSSION REGARDING ANY PROPOSED TRANSACTION, THE DECISION MADE BY THE BOARD, AND THAT THE INTERESTED TRUSTEE OR CORPORATE OFFICER WAS EXCUSED DURING THE DISCUSSION, AND THAT THE INTERESTED TRUSTEE ABSTAINED FROM VOTING. IF THE BOARD REASONABLY BELIEVES THAT A TRUSTEE OR CORPORATE OFFICER HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT AS REQUIRED BY THE COI POLICY, THE TRUSTEE OR CORPORATE OFFICER WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN SUCH ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF THE TRUSTEE OR CORPORATE OFFICER, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS MAY BE APPROPRIATE. IF THE BOARD DETERMINES THAT THE TRUSTEE OR CORPORATE OFFICER HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE COI POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. ALL DETERMINATIONS OF CONFLICTS OF INTEREST ARE REPORTED AS REQUIRED BY LAW, REGULATIONS, AND CHI POLICY. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE CORPORATE MEMBER OF JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. IS KENTUCKYONE HEALTH, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE CORPORATE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY the VP OF FINANCE AND AN ELECTRONIC COPY IS PROVIDED TO EACH MEMBER OF THE BOARD. AFTER THE RETURN IS REVIEWED BY THE VP OF FINANCE, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NONSUBSTANTIVE CHANGES NECESSARY THAT EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RESUBMITTED TO THE BOARD. SUBSEQUENT TO THE RETURN BEING FILED, THE PRESIDENT/CEO OF KENTUCKYONE HEALTH, INC., THE SOLE MEMBER OF THE ORGANIZATION, PRESENTS THE RETURN AT A JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy CATHOLIC HEALTH INITIATIVES ("CHI") HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ALL OF ITS ACTIVITIES. THE POLICY APPLIES TO CHI BOARD OF STEWARDSHIP TRUSTEES AND MEMBERS OF ITS COMMITTEES; ALL CHI ENTITY BOARD AND BOARD COMMITTEE MEMBERS; ALL CHI EMPLOYEES; AND ALL CHI RESEARCH PERSONNEL (BOTH EMPLOYED AND NON-EMPLOYED). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON MUST PROMPTLY AND FULLY DISCLOSE TO HIS/HER DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE CHAIR ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST. THE PERSON MUST DISCLOSE THE ACTUAL OR POTENTIAL CONFLICT AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ANY SITUATION WHERE THE PERSON MAY BE IN DOUBT, A FULL DISCLOSURE SHOULD BE MADE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. IN ADDITION TO THE GENERAL ONGOING OBLIGATION, THERE ARE INITIAL DISCLOSURE OBLIGATIONS. AT THE TIME OF INITIAL APPOINTMENT, A COPY OF THE POLICY SHALL BE DISTRIBUTED TO THE BOARD OR COMMITTEE MEMBER ALONG WITH A CONFLICT OF INTEREST DISCLOSURE. THE BOARD OR COMMITTEE MEMBER WILL COMPLETE AND SUBMIT THE DISCLOSURE. THE COMPLETED DISCLOSURE SHALL BE MAINTAINED IN CONFIDENCE AND ACCESS SHALL BE LIMITED TO PERSONS WHO HAVE A REASONABLE NEED TO KNOW THE CONTENTS. AT THE TIME OF HIRING, A COPY OF THE POLICY SHALL BE DISTRIBUTED TO ALL EMPLOYEES. IN ADDITION, A CONFLICT OF INTEREST DISCLOSURE WILL BE PROVIDED. THE EMPLOYEE MUST COMPLETE AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE. THE COMPLETED DISCLOSURE SHALL BE MAINTAINED IN CONFIDENCE AND ACCESS SHALL BE LIMITED TO PERSONS WHO HAVE A REASONABLE NEED TO KNOW THE CONTENTS. IN ADDITION TO THE GENERAL ONGOING AND INITIAL DISCLOSURE OBLIGATIONS, THERE IS AN ANNUAL DISCLOSURE OBLIGATION. ON AN ANNUAL BASIS, THE FOLLOWING PERSONS MUST COMPLETE A NEW CONFLICT OF INTEREST DISCLOSURE: * BOARD AND BOARD COMMITTEE MEMBERS; * EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE; * RESEARCHERS; * SUPPLY CHAIN EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE AND THOSE EMPLOYEES INVOLVED IN CONTRACTING REGARDLESS OF EMPLOYMENT LEVEL; * OTHER EMPLOYEES AS DEEMED APPLICABLE BY CHI LEADERSHIP; DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS INVOLVING FINANCIAL INTERESTS ARE FORWARDED TO THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC"), NATIONAL OR REGIONAL LEGAL SERVICES, NATIONAL, ENTITY, OR RESEARCH CORPORATE RESPONSIBILITY PROGRAM, OR THE EXECUTIVE COMMITTEE OF THE BOARD OR BOARD CHAIR, FOR REVIEW DEPENDING ON THE POSITION OF THE PERSON INVOLVED. AMONG THE FACTORS THAT SHOULD BE CONSIDERED IN DETERMINING WHETHER A CONFLICT EXISTS ARE THE NATURE AND MAGNITUDE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE DEGREE TO WHICH IT IS RELATED TO CHI'S BUSINESS, WHETHER THE PERSON WITH THE CONFLICT IS THE ULTIMATE DECISION-MAKER OR HOLDS SIGNIFICANT INFLUENCE OVER THE ULTIMATE DECISION-MAKER (I.E., DEGREE OF INDEPENDENCE OF THE DECISION-MAKING PROCESS), THE UNIQUE NATURE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE EXISTENCE OF OTHER VIABLE ALTERNATIVES AND THE QUALITY OF THOSE ALTERNATIVES, AND WHAT IS CUSTOMARY AND REASONABLE IN THE HEALTH CARE OR RESEARCH INDUSTRY. WHEN A PERSON HAS, OR IS CONSIDERING INITIATING, A BUSINESS INTEREST OR RELATIONSHIP OUTSIDE OF CHI BUT IS UNCERTAIN WHETHER THE INTEREST CONSTITUTES A CONFLICT OF INTEREST REQUIRING DISCLOSURE UNDER THIS POLICY, THE PERSON SHOULD CONSULT WITH LOCAL CORPORATE RESPONSIBILITY PROGRAM (CRP) STAFF OR CHI LEGAL SERVICES GROUP (LSG) STAFF, AS APPROPRIATE. AS APPROPRIATE, A COI MANAGEMENT PLAN WILL BE DEVELOPED. WITH RESPECT TO THOSE AUDIENCES FOR WHICH THE C-CIRC HAS REVIEW RESPONSIBILITY, THE C-CIRC WILL FACILITATE DEVELOPMENT OF ANY SUCH COI MANAGEMENT PLAN IN COLLABORATION WITH LOCAL CRP STAFF OR CHI LSG STAFF, AS APPROPRIATE. THIS PLAN WILL INCLUDE DOCUMENTATION OF THE C-CIRC'S DETERMINATIONS AND RECOMMENDATIONS. AS NECESSARY, REPORTS TO AN APPROPRIATE GOVERNMENTAL AGENCY OR SPONSOR WILL BE MADE ACCORDING TO THE RELEVANT APPENDICES TO THIS POLICY TO PROVIDE REQUIRED INFORMATION REGARDING HOW THE CONFLICT OF INTEREST WILL BE MANAGED, REDUCED, OR ELIMINATED. DESIGNATED CHI ENTITY STAFF ARE RESPONSIBLE FOR MONITORING THE COI MANAGEMENT PLAN AND FOR DOCUMENTING MONITORING ACTIVITIES. AT ITS SOLE DISCRETION, A CHI 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. THE C-CIRC WILL DETERMINE WHETHER A DISCLOSED OR OTHERWISE IDENTIFIED INTEREST IS A CONFLICT OF INTEREST. IF THE C-CIRC DETERMINES THAT A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS THAT DOES NOT CURRENTLY HAVE APPROPRIATE CONTROLS TO ADDRESS THE CONFLICT OF INTEREST, IT MAY RECOMMEND THAT THE DISCLOSING PERSON BE ALLOWED TO PARTICIPATE IN THE ACTIVITY OR TRANSACTION SUBJECT TO RESTRICTIONS AS OUTLINED IN A WRITTEN COI MANAGEMENT PLAN. ALL DETERMINATIONS OF CONFLICTS OF INTEREST WILL BE REPORTED AS REQUIRED BY LAW, REGULATIONS, AND CHI POLICY. IF A PERSON, OTHER THAN A BOARD OR BOARD COMMITTEE MEMBER OR CORPORATE OFFICER, REQUIRED TO COMPLETE A COI DISCLOSURE DOES NOT AGREE WITH A DETERMINATION MADE BY THE C-CIRC, ITS INTERPRETATION OF THE COI POLICY, STILL SEEKS AN EXEMPTION OR EXCEPTION, OR SEEKS FURTHER CLARIFICATION OF THE C-CIRC'S DECISION, THE FOLLOWING STEPS SHOULD BE FOLLOWED. WITHIN A REASONABLE PERIOD OF TIME AFTER RECEIVING NOTICE OF THE C-CIRC'S DECISION, THE PERSON MUST PRESENT THE MATTER TO THE PERSON'S IMMEDIATE DIRECT MANAGER OR SUPERVISOR (OR IN THE CASE OF A RESEARCHER, TO [FILL IN THE TITLE OR POSITION TO WHOM RESEARCHERS REPORT]) AND REQUEST RECONSIDERATION, SUBMITTING AT THAT TIME ANY NEW OR ADDITIONAL INFORMATION THAT MAY SUPPORT OR RECOMMEND RECONSIDERATION. IF THE PERSON'S MANAGER INDIVIDUALLY OR IN CONSULTATION WITH THE MANAGER'S VICE PRESIDENT (OR HIGHER IF THE MANAGER IS A VICE PRESIDENT) FINDS THAT NEW INFORMATION SUPPORTING RECONSIDERATION HAS BEEN PRESENTED, THE MANAGER WILL CONTACT LOCAL OR NATIONAL CRP STAFF, AS APPROPRIATE, AND REQUEST THAT THE MATTER BE RE-PRESENTED TO THE C-CIRC. THE C-CIRC WILL BE RECONVENED FOR THIS PURPOSE AND, FOLLOWING SUCH RECONSIDERATION, ISSUE A FINAL DETERMINATION. THIS APPEALS PROCESS IS INTENDED TO BE NARROWLY APPLIED, AS PERSONS SEEKING CONFLICT OF INTEREST EXEMPTIONS OR EXCEPTIONS ARE EXPECTED TO OFFER ALL AVAILABLE INFORMATION SUPPORTING AN EXEMPTION OR EXCEPTION AT THE TIME THE MATTER IS FIRST PRESENTED TO THE C-CIRC. MANAGEMENT OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST OF BOARD OR BOARD COMMITTEE MEMBERS AND CORPORATE OFFICERS WILL BE DETERMINED BY THE APPROPRIATE BOARD, AS REFLECTED IN THE POLICY. REVIEWS AND DETERMINATIONS INVOLVING BOARD AND BOARD COMMITTEE MEMBERS AND CORPORATE OFFICERS WILL BE THE RESPONSIBILITY OF THE BOARD, BOARD EXECUTIVE COMMITTEE, OR BOARD CHAIR, WITH GUIDANCE FROM THE LEGAL SERVICES GROUP (LSG). EACH TRUSTEE AND CORPORATE OFFICER MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN ANY SITUATION WHEN A TRUSTEE OR CORPORATE OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, ALL TRUSTEES AND CORPORATE OFFICERS SHALL COMPLETE A COI DISCLOSURE QUESTIONNAIRE ON AN ANNUAL BASIS. A COPY OF THE COI POLICY SHALL BE AVAILABLE TO TRUSTEES AND CORPORATE OFFICERS. DEFINITIONS OF TERMS USED IN THE DISCLOSURE QUESTIONNAIRE/FORM SHALL ALSO BE INCLUDED. EACH TRUSTEE AND CORPORATE OFFICER MUST PROMPTLY COMPLETE THE COI DISCLOSURE. COI DISCLOSURES THAT INVOLVE NO DISCLOSURES OF CONFLICTS OF INTEREST WILL NOT REQUIRE REVIEW. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ON THE COI QUESTIONNAIRE INVOLVING FINANCIAL INTERESTS WILL BE REVIEWED BY NATIONAL OR REGIONAL LSG. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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, Line 19 Required documents available to the public 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 CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINITIATIVES.ORG. Form 990, Part VII, Section A Officers, Directors, Key Employees, & Highest Compensated Employees Charles Neumann served as an Interim President and CEO of KentuckyOne Health, Inc. during fiscal year ended June 30, 2018. He was paid as an independent contractor by KentuckyOne Health, Inc. Dispite the reasonable efforts undertaken to obtain information on his compensation, the organization is unable to obtain such information to report in column E of Sec. A, Line 1 of Part VII. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 4356378, Related or Exempt Function Revenue: , Unrelated Business Revenue: 91050, Revenue Excluded from Tax Under Sections 512, 513, or 514: 4265328; Form 990, Part IX, Line 11g Other Fees Other Fees for Services - Total Expense: 29575604, Program Service Expense: 16097921, Management and General Expenses: 13357424, Fundraising Expenses: 120259; Consulting - Total Expense: 1192383, Program Service Expense: 839297, Management and General Expenses: 349935, Fundraising Expenses: 3151; Contract Services - Total Expense: 69924365, Program Service Expense: 53949089, Management and General Expenses: 15832731, Fundraising Expenses: 142545; Contract Labor - Total Expense: 8913997, Program Service Expense: 6274405, Management and General Expenses: 2616039, Fundraising Expenses: 23553; Purchased Services - Total Expense: 34742120, Program Service Expense: 24454366, Management and General Expenses: 10195958, Fundraising Expenses: 91796; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Asset & Equity Transfers to Related Organizations - -XXX-XX-XXXX; Pension Adjustment - 29300034; Grant Return - -233836; JH AMBULATORY IMAGING LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 203301174 MEDICAL SERVICES KY 0 0 Jewish Hospital and St Mary's Healthcare Inc ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(c)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT CREIGHTON HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(c)(3) 7 ACH true ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA true ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH true BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) Type I SLCHS true BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS true BELLEVILLE ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 274005511 HEALTHCARE TX 501(c)(3) 3 SHSC true BISHOP DRUMM RETIREMENT CENTER 5837 Winwood Dr Johnston IA 50131 420725196 LTERM CARE IA 501(c)(3) 10 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE CO 501(c)(3) Type I CHI true BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING TX 501(c)(3) Type I BRHS true BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 HEALTHCARE TX 501(c)(3) 3 BRHS true BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501(c)(3) 3 SJSC true BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HEALTHCARE CO 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING CO 501(c)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING CO 501(c)(3) Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3) Type I CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3) 10 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTER KS 501(c)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE ND 501(c)(3) 10 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) Type I CHI true CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II SFH true CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HEALTHCARE GA 501(c)(3) 3 MHCS true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) Type I CHI true CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) Type I CHI true CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) Type I CHI true CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CHI true CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER 6624 FANNIN ST 1100 HOUSTON TX 77030 741161938 HEALTHCARE TX 501(c)(3) 3 SLHS true CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(c)(3) 3 CHISVHS true CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) Type II SVIMC true CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(c)(3) 3 CHISVHS true COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(c)(3) Type I AH-CMHMV true CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 LT ACH KY 501(c)(3) 3 SJHS true East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) Type I MHSET true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3) Type I FH true FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3) 10 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3) 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS WA 501(c)(3) 10 CHI true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CHI true GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HEALTHCARE ND 501(c)(3) 3 SAMC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(c)(3) Type I GSH true GOOD SAMARITAN HOSPITAL 110 N MAIN ST STE 500 DAYTON OH 45402 310536981 HEALTHCARE OH 501(c)(3) 3 SHP true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(c)(3) 7 GSH true GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(c)(3) 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3) 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3) 7 HMC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3) Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3) 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) Type II CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(c)(3) 3 CHI true LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING MN 501(c)(3) 7 LHC true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC true LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(c)(3) 3 CHI true LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET true MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(c)(3) 3 SJSC true MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC true MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(c)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(c)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 10 MHCS true MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(c)(3) 3 CHI true MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) Type I MHSET true MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(c)(3) 3 MHSET true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) Type I MF-DM IA true MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(c)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(c)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(c)(3) Type I AHMH-Corning true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(c)(3) Type I MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(c)(3) Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(c)(3) 7 MHDL true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(c)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4th Ave E Newton IA 50314 421470935 PHYSICIANS IA 501(c)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(c)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(c)(3) Type I MMC true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true North Central Health Care Alliance dba PrimeCare Health Group 401 N 9th St BISMARCK ND 585014507 450439894 HEALTHCARE ND 501(c)(3) 7 NHCA true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(c)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(c)(3) Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) Type I MHSET true PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 10 FLC true PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) Type II FLC true PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 10 FLC true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 Sylvester Road SW Burien WA 98166 911170040 HEALTHCARE WA 501(c)(3) 3 FHS true SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial CO 80112 841183335 LTERM CARE CO 501(c)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 10 SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(c)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(c)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(c)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(c)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HEALTHCARE KY 501(c)(3) 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC 701 Bob Olink Dr 200 LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(c)(3) Type I SJHS true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 Fairway Street DICKINSON ND 58601 363418207 FUNDRAISING ND 501(c)(3) Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN ST STE 500 DAYTON OH 45402 020633634 HEALTHCARE OH 501(c)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 N MAIN ST STE 500 DAYTON OH 45402 311107411 HEALTHCARE OH 501(c)(3) Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING NE 501(c)(3) Type I AHMHS true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HEALTHCARE CO 501(c)(3) 3 CHI true ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HEALTHCARE ND 501(c)(3) 3 CHI true ST ANTHONY HOSPITAL 2801 St Anthony Way PENDLETON OR 97801 930391614 HEALTHCARE OR 501(c)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 2801 St Anthony Way PENDLETON OR 97801 930992727 FUNDRAISING OR 501(c)(3) Type I SAH true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HEALTHCARE AR 501(c)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HEALTHCARE KS 501(c)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING KS 501(c)(3) Type I SCH true ST CLARE COMMONS 12469 Five Point Road TOLEDO OH 43551 270163752 LIVING COMM OH 501(c)(3) 10 FLC true ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE CO 501(c)(4) CHI true ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(c)(3) 10 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(c)(3) 10 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HEALTHCARE MN 501(c)(3) 3 CHI true ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUNDRAISING TX 501(c)(3) Type II SJSC true ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(c)(3) 10 SJSC true ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 520591461 HEALTHCARE MD 501(c)(3) 3 CHI true ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS MD 501(c)(3) Type I SJMC true ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(c)(3) 10 SJSC true ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(c)(3) Type I SFH true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HEALTHCARE MN 501(c)(3) 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 Fairway St DICKINSON ND 58601 450226429 HEALTHCARE ND 501(c)(3) 3 CHI true ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(c)(3) 10 FLC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HEALTHCARE TX 501(c)(3) 3 SLCDC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 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Related 76753 84093 false true 0.51 Alegent HealthCreighton St Joseph Managed Care Services Inc 12809 West Dodge Rd Omaha NE 68154 470802396 Managed Care NE CHI Nebraska C Corporation 9217638 22568323 1 true All Saints Insurance Company SPC Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980556913 Insurance CJ CHI C Corporation 0 0 1 true ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 Healthcare TX SJSC C Corporation 236684 699916 1 true Alternative Insurance Management Service Inc 3900 OLYMPIC BLVD STE 400 Erlanger KY 41018 841112049 Management Services KY CHI C Corporation 5601 6045874 1 true AMERICAN NURSING CARE Inc 1700 EDISON DR MILFORD OH 45150 311085414 HOME HEALTH OH CHS C Corporation 91529470 56968045 1 true AMERIMED INC 1700 EDISON DR MILFORD OH 45150 311158699 HOME HEALTH OH ANC C Corporation 21023902 15079827 1 true BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 Fitness Club KY JHSMH C 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