2014-11-12T19:00:26-06:00 2013-12-31 CROWE HORWATH LLP 9600 BROWNSBORO ROAD SUITE 400 LOUISVILLE KY 402411122 990 2013-01-01 610445850 ST ELIZABETH MEDICAL CENTER INC STEL 8596551642 One Medical Village Drive Edgewood KY 41017 LORI RITCHEY - BALDWIN INTERIM CHIEF FINANCIAL OFFICER 2014-11-12 true Rachel Spurlock P00520729 5023263996 2013 2015-11-30 17:44:51Z ST ELIZABETH HEALTHCARE JOHN S DUBIS One Medical Village Drive Edgewood KY 41017 1877972561 false 0928 X WWW.STELIZABETH.COM X 1861 KY AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. ST. ELIZABETH IS THE PREFERRED DESTINATION FOR HEALTHCARE, WHERE INNOVATIVE PROFESSIONALS DELIVER THE HIGHEST QUALITY OF CARE. 18 13 6750 1240 1800698 0 5034255 5165815 900154027 907870854 13073132 66529706 4579313 4806263 922840727 984372638 0 0 0 0 418898107 409709390 74396 31433 925135 415080258 449772313 834052761 859513136 88787966 124859502 1059898773 1245042638 494297373 430679091 565601400 814363547 AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. false false 619942568 907870854 ST. ELIZABETH HEALTHCARE IS ONE OF THE OLDEST, LARGEST AND MOST RESPECTED MEDICAL PROVIDERS IN THE NORTHERN KENTUCKY, SOUTHERN OHIO, AND SOUTHERN INDIANA AREAS. WITHIN OUR THRIVING, MULTI-FACETED ORGANIZATION, SOME OF THE NATION'S TOP MEDICAL PROFESSIONALS ARE WORKING TOGETHER TO DELIVER THE BEST CARE AVAILABLE TO THESE AREAS. ST. ELIZABETH HEALTHCARE HAS INVESTED IN OUR COMMUNITY FOR GENERATIONS. ST. ELIZABETH HEALTHCARE BELIEVES THAT REACHING OUT TO HELP THE UNDERPRIVILEGED AND IMPROVING THE OVERALL HEALTH OF THE COMMUNITY IS THE FOUNDATION OF ITS MISSION TO PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE TO OUR NEIGHBORHOOD AND OUR FAMILIES. IT IS BECAUSE OF THIS BELIEF THAT THE ST. ELIZABETH HEALTHCARE COMMUNITY BENEFIT PROGRAM HELPS OTHERS HAVE ACCESS TO ST. ELIZABETH HEALTHCARE RESOURCES AND SERVICES. IT IS ST. ELIZABETH HEALTHCARE'S INTENTION TO ALWAYS BALANCE FINANCIAL VIABILITY WITH COMPASSONIATE CARE, AND TO STAY TRUE TO ITS NON- PROFIT ROOTS. TOTAL ADMISSIONS: 88,758 TOTAL PATIENT DAYS: 203,599 TOTAL EMERGENCY ROOM VISITS: 198,908 619942568 true true false true false false false false true true false false false true true false true false false false false false true true false true true false false true true false false false false false false false false false true true false false false true true true true false false true 154 0 true 6750 true true true false false false false true true false false false false X 18 13 false false false false false true true true false false true true true true true true true true true true IN KY X LORI RITCHEY - BALDWIN 8596550109 One Medical Village Drive Edgewood KY 41017 FRED A MACKE JR VICE CHAIRMAN 4.00 0.00 X X 23830 0 0 JOHN DUBIS PRESIDENT/CEO 60.00 1.00 X X 1160531 0 248910 TED ROBINSON CHAIRMAN 4.00 0.00 X X 0 0 0 BARI JOSLYN TRUSTEE 4.00 0.00 X 0 0 0 CHRISTOPHER FISTER TRUSTEE 4.00 0.00 X 0 0 0 GARY W MOORE TRUSTEE 4.00 0.00 X 0 0 0 GEORGE S HALL MD TRUSTEE 4.00 0.00 X 344491 0 22267 HEIDI C MURLEY MD TRUSTEE 4.00 40.00 X 0 361967 18761 JAMES ROEBKER TRUSTEE 4.00 0.00 X 2503 0 0 JAMES VOTRUBA TRUSTEE 4.00 0.00 X 674 0 0 JO ANN SIMPSON TRUSTEE 4.00 0.00 X 0 0 0 JOAN WURTENBERGER TRUSTEE 4.00 0.00 X 0 0 0 LAROY KENDALL TRUSTEE 4.00 0.00 X 13751 0 0 MICHAEL A CONNER TRUSTEE 4.00 0.00 X 720 0 0 MICHAEL E JONES TRUSTEE 4.00 0.00 X 842 0 0 MICHAEL J GIBBONS TRUSTEE 4.00 0.00 X 19149 0 0 RICHARD H TAPKE JR TRUSTEE 4.00 0.00 X 0 0 0 THOMAS R DIETZ TRUSTEE 4.00 0.00 X 871 0 0 BARBARA KROHMAN CORPORATE SECRETARY 60.00 0.00 X 115251 0 37314 GARREN COLVIN EXECUTIVE VP/COO 60.00 1.00 X 588434 0 124126 NATHAN VANLANINGHAM SR VP FINANCE/CFO/TREASURER 60.00 1.00 X 489574 0 75332 ALEXANDER RODRIGUEZ VP CIO 40.00 0.00 X 357046 0 63189 BENITA UTZ VP NURSING - FLORENCE / FT. THOMAS 40.00 0.00 X 234205 0 43460 CHRISTOPHER CARLE SVP/COO FLORENCE/CUSTOMER 40.00 0.00 X 333588 0 72560 DOUGLAS CHAMBERS SVP FACILITIES 40.00 0.00 X 719273 0 27999 GARY BLANK SVP PROFESSIONAL SERVICES 40.00 0.00 X 323746 0 58715 GLENN LOOMIS SVP/CEO OF SEP 40.00 20.00 X 636695 0 39890 LARRY WARKOCZESKI VP - ST. ELIZABETH FOUNDATION 40.00 0.00 X 229255 0 52762 LISA FREY AVP LEGAL SERVICES 40.00 0.00 X 221587 0 28913 LORI RITCHEY VP FINANCE 40.00 0.00 X 261295 0 60762 MARTIN OSCADAL SVP HUMAN RESOURCES 40.00 0.00 X 336027 0 70492 ROBERT PRICHARD SVP CMO 40.00 0.00 X 443679 0 72202 RUTH A HENTHORN VP POST ACUTE/CLINICAL SERVICES 40.00 0.00 X 210404 0 27358 SARAH GIOLANDO SVP/CHIEF STRATEGY OFFICER 40.00 0.00 X 383210 0 48769 SUSAN MCDONALD VP NURSING - EDGEWOOD 40.00 0.00 X 268826 0 64832 THOMAS SAALFELD SVP/COO FT. THOMAS/FALMOUT 40.00 0.00 X 327983 0 68281 TREVA JANE SWAIM SVP NURSING/CNO 40.00 0.00 X 352686 0 40480 WILLIAM BANKS VP REVENUE CYCLE 40.00 0.00 X 319112 0 49044 JACKSON PEMBERTON PHYSICIAN 40.00 0.00 X 473560 0 33150 KARL ULICNY PHYSICIAN 40.00 0.00 X 593081 0 46618 MICHAEL GIBSON PHYSICIAN 40.00 0.00 X 592529 0 40267 VICTOR SCHMELZER PHYSICIAN 40.00 0.00 X 694601 0 45373 WILSON CLEMENTS PHYSICIAN 40.00 0.00 X 440772 0 39947 RAYMOND WILL PHYSICIAN 40.00 0.00 X 280720 0 23624 11794501 361967 1645397 237 true true false MILLS SHERMAN GILLIAM & GOODWIN PSC 9600 COLERAIN AVE SUITE 204 CINCINNATI OH 45251 PHYSICIAN FEES 14069972 TOP CONSULTING 2315 LITTLELEAF LANE COLUMBUS OH 43235 CONSULTING SERVICES 5735927 DRESSMAN BENZINGER & LAVELLE 207 THOMAS MORE PARKWAY CRESTVIEW HILLS KY 41017 LEGAL FEES 3100771 DELOITTE & TOUCHE LLP PO BOX 7247-6446 PHILADELPHIA PA 17170 ACCOUNTING FEES 502450 PRESTIGE BILLING SERVICES LTD 20 PRESTIGE PLAZA MIAMISBURG OH 45342 BILLING SERVICES 363732 16 84541 1138774 3942500 90170 5165815 NET PATIENT REVENUE 621400 881649207 881649207 OTHER RELATED REVENUE 900099 15037608 14990550 47058 ELEC HEALTHCARE RECORDS 900099 7087379 7087379 PATIENT/EMPLOYEE DRUGS 446110 3014291 671271 2343020 LABORATORY 621500 1082369 1082369 0 0 0 0 907870854 10222240 10222240 0 0 1818468 1944897 -126429 0 -126429 -126429 946321316 1534284 887302726 4245408 59018590 -2711124 56307466 56307466 241518 84541 106892 134626 134626 0 0 CAFETERIA 722210 3369515 3369515 VENDING 453220 131959 131959 GIFT SHOP 900099 1296592 1296592 0 0 0 0 4798066 984372638 903727136 1800698 73678989 X 0 0 0 0 10116895 2493044 7623851 0 295117266 213886927 80947891 282448 30794069 22377461 8387115 29493 52415360 36920363 15451177 43820 21265800 15109387 6136661 19752 0 2976325 2976105 220 795681 795681 50325 50325 31433 31433 1405994 1405994 142706887 93017616 49574140 115131 1589084 125661 1400575 62848 2895901 875811 1981232 38858 9415098 695711 8695033 24354 0 8358036 973814 7384152 70 323877 263940 57939 1998 0 2651966 334949 2209166 107851 5741369 3226105 2515264 0 52202465 28963318 23228436 10711 6008499 2926999 3081500 MEDICAL SUPPLIES 114434504 110628079 3799808 6617 BAD DEBT 59040930 59040930 GENERAL SUPPLIES 22761756 14062237 8592250 107269 PROVIDER TAX 12549558 12549558 3864058 1470658 2351138 42262 859513136 619942568 238645433 925135 0 3558922 3558922 71052982 131015190 3827484 3979287 108709171 95709659 0 0 0 0 2751222 6568434 19078197 20912896 6009910 6900379 902525126 544039606 345937783 358485520 455200591 545177109 34688452 34246024 3534701 3777613 1598758 366970 3950600 34344635 1059898773 1245042638 68990316 97165351 6198893 6703134 130625000 127275000 0 0 288483164 199535606 494297373 430679091 X 559850086 808749957 5751314 5613590 565601400 814363547 1059898773 1245042638 X 124859502 12207684 111694961 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 49875 true 450 false false 50325 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i THE PORTION OF THE KENTUCKY HOSPITAL ASSOCIATION DUES THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES IS $49,875. A PORTION OF A ST. ELIZABETH HEALTHCARE EMPLOYEE'S SALARY IS RELATED TO DIRECT CONTACT WITH LEGISLATORS REGARDING LEGISLATION. ST. ELIZABETH HEALTHCARE DOES NOT PARTICIPATE IN OR INTERVENE IN, INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS, OF ANY POLITICAL CAMPAIGN ON BEHALF OF, OR IN OPPOSITION TO, ANY CANDIDATE FOR PUBLIC OFFICE. 3729386 700995 7631 4422750 3259752 474814 5180 3729386 3347274 -82691 4831 3259752 2945631 406302 4659 3347274 2332334 618143 4846 2945631 1.00000 0.00000 0.00000 false false 15148443 15148443 472648197 287409325 185238872 6886485 2600976 4285509 343581433 234107715 109473718 64260568 19921590 44338978 358485520 0 ANNUITY PAYMENT LIABILITY 133845 ACCRUED PENSION LIABILITY 127414686 OTHER LONG TERM LIABILITIES 6490018 SELF-INSURANCE 47849187 OTHER CURRENT LIABILITIES HOSPITAL 14558000 INTEREST RATE SWAP 2779786 ASSET RETIREMENT OBLIGATION 310084 199535606 X 945512071 12207684 9378813 21586497 923925574 1406134 59040930 60447064 984372638 805465096 6510194 6510194 798954902 1406134 59152100 60558234 859513136 Schedule D, Part V, Line 4, Intended uses of endowment funds 1) TO SUPPORT TECHNOLOGY FOR THE HEART OF EXCELLENCE PROGRAM, AND 2) TO ESTABLISH PRENATAL CARE FOR WOMEN WITHOUT HEALTHCARE COVERAGE. Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote NO PROVISION HAS BEEN MADE FOR INCOME TAXES SINCE ST. ELIZABETH HEALTHCARE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS CLASSIFIED AS OTHER THAN A PRIVATE FOUNDATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ST. ELIZABETH AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ST. ELIZABETH HEALTHCARE IS NOT CURRENTLY UNDER EXAMINATION BY THE INTERNAL REVENUE SERVICE OR ANY STATE OR LOCAT TAX AUTHORITIES. ST. ELIZABETH HEALTHCARE'S FEDERAL TAX RETURNS FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2010 ARE NO LONGER SUBJECT TO EXAMINATION. Schedule D, Part XI, Line 2d, Other revenues in audited financial statements not in form 990 CHANGE IN FMV OF INTEREST RATE SWAP - 2855159; INVESTMENT IN AMSURG - 2969; CAPITAL LOSS ADJUSTMENT - 10491; INTEREST & DIVIDEND ADJUSTMENT - 119; LOSS ON DISPOSITION OF ASSETS - 2786596; RENTAL EXPENSES - 1944897; SEPS ELIMINATIONS - 1671690; FUNDRAISING DIRECT EXPENSES - 106892; Schedule D, Part XI, Line 4b, Other revenues in form 990 not in audited financial statements PROVISION FOR BAD DEBT - 59040930; Schedule D, Part XII, Line 2d, Other expenses in audited financial statements not in form 990 INTEREST & DIVIDED ADJUSTMENT - 119; LOSS ON DISPOSITION OF ASSETS - 2786596; RENTAL EXPENSES - 1944897; SEPS ELIMINATIONS - 1671690; FUNDRAISING DIRECT EXPENSES - 106892; Schedule D, Part XII, Line 4b, Other expenses in form 990 not in audited financial statements PROVISION FOR BAD DEBTS - 59040930; ST. ELIZABETH PHYSICIAN SERVICES - 111170; X X X X X X X true THE ADVISORY BOARD PO BOX 79461 BALTIMORE MD 212790461 CONSULTANT FEE false 25433 -25433 PRIDE PHILANTHROPY 885 WOODSTOCK ROAD SUITE 430 ROSWELL GA 300752374 CONSULTANT FEE false 4631041 6000 4625041 4631041 31433 4599608 KY GRANT COUNTY GOLF CLASSIC 26888 11210 15678 1429 5343 895 1035 GOLF PARTEE 221985 42783 179202 32172 16464 16464 7396 2 77185 30547 46638 85 9150 16459 326058 84540 241518 0 33686 30957 17359 0 24890 106892 134626 SCHEDULE G, PART I, LINE 2B, PRIDE PHILANTHROPY PRIDE PHILANTHROPY PROVIDES PROFESSIONAL CAMPAIGN COUNSEL SERVICES TO ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE WITH INCLUDES FEASIBILITY STUDIES TO SUPPORT THE GROWTH OF ST. ELIZABETH HEALTHCARE'S FUNDRAISING ACTIVITIES. PRIDE PHILANTHROPY DOES NOT PARTICPATE IN THE SOLICITATION OF CONTRIBUTIONS. SCHEDULE G, PART I, LINE 2B, THE ADVISORY BOARD THE ADVISORY BOARD PROVIDES PROFESSIONAL CONSULTING SERVICES TO ST. ELIZABEH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE WHICH INCLUDES PERFORMANCE IMPROVEMENT SOLUTIONS AND PROVIDES STRATEGIC GUIDANCE IN THE PLANNING AND IMPLEMENTING OF HEALTHCARE MANAGEMENT FUNCTIONS. THE ADVISORY BOARD DOES NOT PARTICIPATE IN THE SOLICITATION OF CONTRIBUTIONS. true true X true X false true true true false true true 52389015 12453184 39935831 0.04990 84815745 63457305 21358440 0.02670 0 0.00000 0 0 137204760 75910489 61294271 0.07660 3104419 0 3104419 0.00390 6902504 2913715 3988789 0.00500 6307788 2037996 4269792 0.00530 246961 0 246961 0.00030 696327 0 696327 0.00090 0 0 17257999 4951711 12306288 0.01540 0 0 154462759 80862200 73600559 0.09200 0 0.00000 1 0 12925 0 12925 0.00000 8 68 88409 0 88409 0.00010 0 0.00000 0 0.00000 0 0.00000 0 0.00000 1 23 149 0 149 0.00000 1 44 940 0 940 0.00000 11 135 102423 0 102423 0.00010 false 59040930 5904093 192188323 212713212 -20524889 X true true BLUEGRASS DIALYSIS LLC RENAL DIALYSIS 0.32 0 0.17 4 1 ST ELIZABETH FLORENCE 4900 HOUSTON ROAD FLORENCE KY 41042 WWW.STELIZABETH.COM 100273 X X X A 2 ST ELIZABETH EDGEWOOD 1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 WWW.STELIZABETH.COM 100500 X X X A 3 ST ELIZABETH GRANT 238 BARNES ROAD WILLIAMSTOWN KY 41097 WWW.STELIZABETH.COM 600062 X X X X A 4 ST ELIZABETH FORT THOMAS 85 NORTH GRAND AVENUE FORT THOMAS KY 41075 WWW.STELIZABETH.COM 100059 X X X A A 1 true X X X X X X X X 12 true true true X www.stelizabeth.com X X X X X X X false false true true 200 false true X X X true true X X X true false X X X X true X false false Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment (1) A - ST. ELIZABETH FLORENCE: ST. ELIZABETH HEALTHCARE INVITED 349 COMMUNITY LEADERS, BUSINESS PESONS, AND RESIDENTS TO PARTICPATE IN EITHER A FOCUS GROUP OR SURVEY. PARTICIPANTS IN THE ASSESSMENT INCLUDED REPRESENTATION FROM ST. ELIZABETH HEALTHCARE, STATE LEGISLATURE, FISCAL COURTS, LAW ENFORCEMENT, HEALTH DEPARTMENTS, CITY OFFICIALS, AREA SCHOOL SYSTEMS, AND OTHER HEALTHCARE & SOCIAL SERVICE PROVIDERS. ORGANIZATIONS AND OTHER GROUPS CONSULTED INCLUDE: - TRACY MANN, EXECUTIVE DIRECTOR OF ACADEMIC & STUDENT SUPPORT SERVICES KENTON COUNTY SCHOOLS - JOHN SCHICKEL, SENATOR OF THE STATE OF KENTUCKY - SHAWN CARROLL, EXECUTIVE DIRECTOR OF NEW PERCEPTIONS - DR. KATHY BURKHARDT, SUPERINTENDENT OF ERLANGER ELSMERE SCHOOLS - MARY BURCH, RN, HEALTH COORDINATOR OF ERLANGER ELSMERE SCHOOLS - CRAIG RICE, PRESIDENT OF BOYS & GIRLS CLUBS OF GREATER CINCINNATI - RICK SKINNER, MAYOR OF THE CITY OF WILLIAMSTOWN - NANCY ATKINSON, COUNCIL MEMBER OF THE CITY OF EDGEWOOD - SR. JEAN HOFFMAN, DIOCESAN CATHOLIC CHILDREN'S HOME - MARK KREIMBORG, KENTON COUNTY FISCAL COURT - ED HUGHES, PRESIDENT OF GATEWAY COMMUNITY COLLEGE - ROSANA AYDT, EXECUTIVE DIRECTOR/DIRECTOR OF PHARMACY OF FAITH COMMUNITY PHARMACY - KEN RECHTIN, SENIOR SERVICES OF NORTHERN KENTUCKY - CHARLES KORZENBORN, SHERIFF OF KENTON COUNTY - STEVE STEVENS, PRESIDENT AND CEO OF NORTHERN KENTUCKY CHAMBER OF COMMERCE - TOM SZURLNSKI, CHIEF OF POLICE OF FLORENCE KENTUCKY - CATHY VOETER, CITY OF DAYTON - LINDA YOUNG, EXECUTIVE DIRECTOR OF WELCOME HOUSE OF NORTHERN KENTUCKY - DENISE BINGHAM, DIRECTOR OF NURSING OF THREE RIVERS DISTRICT HEALTH - DEBBIE JONES, THREE RIVERS DISTRICT HEALTH - TONY KRAMER, CHIEF OF POLICE OF EDGEWOOD KENTUCKY - DR. LYNNE SADDLER, NORTHERN KENTUCKY HEALTH DEPARTMENT; (1) A - ST. ELIZABETH GRANT: ST. ELIZABETH HEALTHCARE INVITED 349 COMNUNITY LEADERS, BUSINESS PESONS, AND RESIDENTS TO PARTICPATE IN EITHER A FOCUS GROUP OR SURVEY. PARTICIPANTS IN THE ASSESSMENT INCLUDED REPRESENTATION FROM ST. ELIZABETH HEALTHCARE, STATE LEGISLATURE, FISCAL COURTS, LAW ENFORCEMENT, HEALTH DEPARTMENTS, CITY OFFICIALS, AREA SCHOOL SYSTEMS, AND OTHER HEALTHCARE & SOCIAL SERVICE PROVIDERS. ORGANIZATIONS AND OTHER GROUPS CONSULTED INCLUDE: - TRACY MANN, EXECUTIVE DIRECTOR OF ACADEMIC & STUDENT SUPPORT SERVICES KENTON COUNTY SCHOOLS - JOHN SCHICKEL, SENATOR OF THE STATE OF KENTUCKY - SHAWN CARROLL, EXECUTIVE DIRECTOR OF NEW PERCEPTIONS - DR. KATHY BURKHARDT, SUPERINTENDENT OF ERLANGER ELSMERE SCHOOLS - MARY BURCH, RN, HEALTH COORDINATOR OF ERLANGER ELSMERE SCHOOLS - CRAIG RICE, PRESIDENT OF BOYS & GIRLS CLUBS OF GREATER CINCINNATI - RICK SKINNER, MAYOR OF THE CITY OF WILLIAMSTOWN - NANCY ATKINSON, COUNCIL MEMBER OF THE CITY OF EDGEWOOD - SR. JEAN HOFFMAN, DIOCESAN CATHOLIC CHILDREN'S HOME - MARK KREIMBORG, KENTON COUNTY FISCAL COURT - ED HUGHES, PRESIDENT OF GATEWAY COMMUNITY COLLEGE - ROSANA AYDT, EXECUTIVE DIRECTOR/DIRECTOR OF PHARMACY OF FAITH COMMUNITY PHARMACY - KEN RECHTIN, SENIOR SERVICES OF NORTHERN KENTUCKY - CHARLES KORZENBORN, SHERIFF OF KENTON COUNTY - STEVE STEVENS, PRESIDENT AND CEO OF NORTHERN KENTUCKY CHAMBER OF COMMERCE - TOM SZURLNSKI, CHIEF OF POLICE OF FLORENCE KENTUCKY - CATHY VOETER, CITY OF DAYTON - LINDA YOUNG, EXECUTIVE DIRECTOR OF WELCOME HOUSE OF NORTHERN KENTUCKY - DENISE BINGHAM, DIRECTOR OF NURSING OF THREE RIVERS DISTRICT HEALTH - DEBBIE JONES, THREE RIVERS DISTRICT HEALTH - TONY KRAMER, CHIEF OF POLICE OF EDGEWOOD KENTUCKY - DR. LYNNE SADDLER, NORTHERN KENTUCKY HEALTH DEPARTMENT; Schedule H, Part V Sec B, Line 4, Other Hospital Facilities included in Needs Assessment (1) A - ST. ELIZABETH FLORENCE: ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMAS ST. ELIZABETH - GRANT COUNTY; (1) A - ST. ELIZABETH GRANT: ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMAS ST. ELIZABETH - GRANT COUNTY; Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment (1) A - ST. ELIZABETH GRANT: THE FOCUS GROUPS GENERATED A LIST OF PRIORITIZED AREAS OF OPPORTUNITY FOR COMMUNITY HEALTH IMPROVEMENT. THE LIST WAS REVIEWED BY THE COMMUNITY BENEFITS STEERING COMMITTEE, COMPOSED OF ST. ELIZABETH HEALTHCARE EXECUTIVES LEADERS, WHO ENGAGED IN ADDITIONAL DIALOGUE, TAKING INTO CONSIDERATION WHAT RESOURCES ARE AVAILABLE THAT WHEN REDIRECTED WOULD HAVE THE MOST POSITIVE HEALTH OUTCOMES. THE COMMITTEE, THEN, BY VOTE, NARROWED THE LIST TO THE TOP FIVE PRIORITIES. NEXT, THE LIST WAS ADVANCED TO THE STRATEGIC PLANNING COMMITTEE OF THE BOARD OF TRUSTEES TO REVIEW, IN WHICH THEY NARROWED THE LIST DOWN TO THE TOP THREE ISSUES TO FOCUS ON THAT WILL HAVE THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE TOP THREE PRIORITIES ARE OBESITY, HEART DISEASE, AND DIABETES. THE FOLLOWING IS A LIST OF HEALTH NEEDS INDENTIFIED BY THE ASSESSMENT, BUT NOT INCLUDED AS ONE OF THE TOP THREE: - ACCESS TO PRIMARY CARE - AVOIDABLE ED VISITS - CANCER - INFANT MORTALITY - LACK OF HEALTH INSURANCE - MEDICATION COSTS - MENTAL HEALTH - SMOKING - SUBSTANCE ABUSE - WELLNESS ST. ELIZABETH HEALTHCARE WILL CONTINUE PROVIDING SERVICES TO SUPPORT THESE IMPORTANT COMMUNITY HEALTH NEEDS. THE FOLLOWING IS A SUMMARY OF MANY OF THE PROGRAMS THAT ARE ALREADY PROVIDED FOR EACH OF THE ISSUES IDENTIFIED: AVOIDABLE ED VISITS/ACCESS TO PRIMARY CARE - ESTABLISHING 100% OF ST. ELIZABETH PHYSICIAN PRACTICES AS CERTIFIED MEDICAL HOMES - DEVELOPING WALK-IN CLINICS AND URGENT CARE OPTIONS THROUGH ST. ELIZABETH PHYSICIANS - PROVIDING TRAINING AND CARE THROUGH THE FAMILY PRACTICE RESIDENCY PROGRAM - CONTINUING TO OFFER THE PARISH NURSING/HEALTH MINISTRY PROGRAM - RECRUITING ST. ELIZABETH HEALTHCARE MEDICAL SPECIALISTS AS IDENTIFIED - TREATING DENTAL PATIENTS NEEDING EMERGENT CARE IN THE EMERGENCY DEPARTMENT - PROVIDING CAB AND BUS VOUCHERS FOR PATIENTS CANCER - PROVIDING CANCER SCREENINGS, SUPPORT GROUPS AND BREAST CANCER NAVIGATORS - PROVIDING DRUG REPLACEMENT SERVICES CHEMOTHERAPY PROVIDED TO THOSE WHO ARE UNINSURED - PROVIDING MOBILE MAMMOGRAPHY VAN NO COST MAMMOGRAMS - OFFERING THE COOPER CLAYTON SMOKING CESSATION PROGRAM - DONATING FINANCIAL / OPERATIONAL SUPPORT TO SEVERAL COMMUNITY HEALTH IMPROVEMENT ORGANIZATIONS INFANT MORTALITY - OFFERING MATERNAL CHILD PROGRAMS: FIRST STEPS POINT OF ENTRY AND NURSE-FAMILY PARTNERSHIPS - PROVIDING OBSTETRICIANS TO HEALTHPOINT FOR PRENATAL CARE - ADMINISTERING IMMUNIZATIONS COCOONING PROJECT - OFFERING PRE-ADMISSION EDUCATION LACK OF HEALTH INSURANCE - SPONSORING A FINANCIAL ASSISTANCE PROGRAM - ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATE MEDICATION COSTS/ACCESS - PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACY MENTAL HEALTH - PROVIDING INPATIENT TREATMENT TO UNINSURED - PROVIDING MULTIPLE SUPPORT GROUPS FOR PATIENTS AND FAMILIES - WORKING WITH MENTAL HEALTH COURTS AND JAILS TO COORDINATE CARE - IMPLEMENTING TELEPSYCHIATRY IN THE EMERGENCY DEPARTMENT TO ASSESS MENTAL HEALTH PATIENTS WELLNESS - PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGS SUBSTANCE ABUSE - PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS - OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONS SMOKING CESSATIONS - ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE - OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES; Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care (1) A - ST. ELIZABETH FLORENCE: ST. ELIZABETH HEALTHCARE HAS A HARDSHIP COMMITTEE WHO REVIEWS PATIENT APPLICATIONS AND APPROVES ADDITIONAL DISCOUNTED CARE BASED ON VARIOUS FACTORS INCLUDING INCOME.; Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined (1) A - ST. ELIZABETH FLORENCE: THE HOSPITAL FACILTY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERICAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.; 28 ST ELIZABETH HEALTHCARE - SURGERY CENTER - EDGEWOOD 580 SOUTH LOOP ROAD EDGEWOOD KY 41017 AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS - CENTRE VIEW 380 CENTRE VIEW BLVD CRESTVIEW HILLS KY 41017 CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE - IMAGING - ALEXANDRIA 7200 ALEXANDRIA PIKE ALEXANDRIA KY 41001 IMAGING CENTER ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - FLORENCE 10095 INVESTMENT WAY FLORENCE KY 41042 SPORTS MEDICINE ST ELIZABETH HEALTHCARE - HEART & VASCULAR - KENWOOD 8257 PINE ROAD CINCINNATI OH 45236 CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE - SURGERY CENTER - CRESTVIEW HILLS 2845 CHANCELLOR DRIVE CRESTVIEW HILLS KY 41017 AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE - HEART & VASCULAR - CRESTVIEW HILLS - THOMAS MORE 350 THOMAS MORE PARKWAY SUITE 280 CRESTVIEW HILLS KY 41017 CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE - HEART & VASCULAR - ARRHYTHMIA CENTER - EDGEWOOD 20 MEDICAL VILLAGE DRIVE SUITE 204 EDGEWOOD KY 41017 CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - GRANT COUNTY 238 BARNES ROAD WILLIAMSTOWN KY 41097 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - HEART & VASCULAR - FLORENCE 7370 TURFWAY ROAD SUITE 109 FLORENCE KY 41042 CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE - HOSPICE CENTER - EDGEWOOD 483 SOUTH LOOP DRIVE EDGEWOOD KY 41017 INPATIENT HOSPICE ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - HEBRON 2200 CONNER ROAD HEBRON KY 41048 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - FAMILY PRACTICE CENTER - EDGEWOOD 413 SOUTH LOOP ROAD EDGEWOOD KY 41017 FAMILY MEDICINE ST ELIZABETH HEALTHCARE - BUSINESS HEALTH - MOUNT ZION 10095 INVESTMENT WAY FLORANCE KY 41042 BUSINESS HEALTH SERVICES ST ELIZABETH HEALTHCARE - IMAGING - HEBRON 2200 CONNER ROAD HEBRON KY 41048 IMAGING CENTER ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - WILDER 1018 TOWN DRIVE WILDER KY 41076 SPORTS MEDICINE ST ELIZABETH HEALTHCARE - HAND THERAPY - EDGEWOOD 560 SOUTH LOOP DRIVE 2ND FLOOR EDGEWOOD KY 41017 HAND THERAPY ST ELIZABETH HEALTHCARE - SPORTS MEDICINE - EDGEWOOD 830 THOMAS MORE PARKWAY SUITE 101 EDGEWOOD KY 41017 SPORTS MEDICINE ST ELIZABETH HEALTHCARE - COVINGTON 1500 JAMES SIMPSON JR WAY COVINGTON KY 41011 AMBULATORY CARE CENTER ST ELIZABETH HEALTHCARE - IMAGING - EDGEWOOD 2904 FOLTZ ROAD EDGEWOOD KY 41017 IMAGING CENTER ST ELIZABETH HEALTHCARE HEART & VASCULAR - EDGEWOOD 900 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE - HEART & VASCULAR - AURORA 204 BRIDGEWAY STREET AURORA IN 47001 CARDIOLOGY DIAGNOSTIC TESTS BLUEGRASS DIALYSIS LLC 1500 JAMES SIMPSON JR WAY COVINGTON KY 41011 RENAL DIALYSIS ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - WILDER 1018 TOWN DRIVE WILDER KY 41076 PHYSICAL THERAPY ST ELIZABETH HEALTHCARE - CARDIAC REHAB - EDGEWOOD 830 THOMAS MORE PARKWAY SUITE 102 EDGEWOOD KY 41017 CARDIAC REHAB CENTER ST ELIZABETH HEALTHCARE - CARDIAC & THORACIC SURGERY - EDGEWOOD 20 MEDICAL VILLAGE DRIVE SUITE 105 EDGEWOOD KY 41017 CARDIAC DIAGNOSTICS AND CATHETERIZATION ST ELIZABETH HEALTHCARE - HEART & VASCULAR - FORT THOMAS - GRAND 85 NORTH GRAND AVENUE 2ND FLOOR FORT THOMAS KY 41075 CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE - PHYSICAL THERAPY - WALTON 13260 SERVICE ROAD WALTON KY 41094 PHYSICAL THERAPY Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care ST. ELIZABETH HEALTHCARE USES FEDERAL POVERTY GUIDELINES AS THE CRITERIA TO DETERMINE ELIGIBILITY FOR FREE CARE. ST. ELIZABETH HEALTHCARE DISCOUNTS ALL PRIVATE PAY PATIENTS WHOSE INCOME IS ABOVE 200% OF FEDERAL POVERTY GUIDELINES AT 47% OF THEIR CHARGES. THIS IS A SELF-PAY DISCOUNT. Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance ST. ELIZABETH HEALTHCARE USED COST TO CHARGE RATIOS FOR DETERMINING COSTS RELATED TO FINANCIAL ASSISTANCE. ST. ELIZABETH HEALTHCARE USED THEIR COST ACCOUNTING SYSTEM TO DETERMINE COSTS RELATED TO UNREIMBURSED MEDICAID. ST. ELIZABETH USED THE ACTUAL COST, OR DIRECT AND INDIRECT COSTS, TO DETERMINE OTHER COSTS IN SECTION 7(G-I). Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation 59,040,930 Schedule H, Part I, Line 7g, Subsidized Health Services ST. ELIZABETH HEALTHCARE'S COSTS, REFLECTED AS SUBSIDIZED HEALTH SERVICES, ARE BASED ON ACTUAL COSTS OR DIRECT AND INDIRECT COSTS. ST. ELIZABETH HEALTHCARE REPORTED THE FOLLOWING AS SUBSIDIZED HEALTH SERVICES: (I) PARISH NURSING-HEALTH MINISTRIES; (II) ATHLETIC TRAINERS AT THE AREA HIGH SCHOOLS; (III) WOMEN'S AND CHILDREN'S SERVICES; AND (IV) BEHAVIOR HEALTH SERVICES. NO PHYSICIAN OFFICES HAVE BEEN REPORTED ON LINE 7G. Schedule H, Part II, Community Building Activities ST. ELIZABETH HEALTHCARE PROVIDES A BROAD RANGE OF PROGRAMS AND SERVICES TO ADDRESS THE NEEDS IDENTIFIED BY OUR PATIENTS AND THE COMMUNITY THAT CONTRIBUTES TO IMPROVE THE HEALTH OF NORTHERN KENTUCKY, SOUTHERN OHIO, AND SOUTHERN INDIANA. ST. ELIZABETH HEALTHCARE PROVIDES PROGRAMS AND SERVICES THAT ENABLE PEOPLE TO MAKE CHANGES IN THEIR HEALTH, BUT MAKING THOSE DECISIONS TO CHANGE RELIES ON THE INDIVIDUAL. IN ADDITION, CHANGING THE HEALTH STATUS OF A COMMUNITY REQUIRES MULTIPLE SYSTEMIC CHANGES THAT ARE BEYOND THE CONTROL OF ST. ELIZABETH HEALTHCARE. THEREFORE, ST. ELIZABETH HEALTHCARE TOOK A THREE PRONGED APPROACH WHERE IT COULD MAKE A DIFFERENCE BY FOCUSING ON OUTCOMES THAT ARE WITHIN ST. ELIZABETH HEALTHCARE'S CONTROL. EACH OF THESE PRONGS HAS ESTABLISHED MEASURES TO MONITOR PROGRESS AND SUCCESS. THE THREE -PRONGED APPROACH INCLUDES: 1) PROVIDING FREE OR DISCOUNTED CARE TO OUR COMMUNITY, AS APPROPRIATE; 2) PROVIDING EDUCATIONAL PROGRAMS AND RESOURCES FOR BOTH HEALTH PROFESSIONALS AND COMMUNITY MEMBERS; AND 3) FOCUSING ON ONE CLINICAL PROGRAM THAT RELATES TO A SPECIFIC NEED IDENTIFIED AS IMPORTANT TO OUR COMMUNITY, WHICH IN THIS PLAN, IS A DIABETES CENTER OF EXCELLENCE. Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount ST. ELIZABETH HEALTHCARE RECOGNIZES PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED FOR, EVEN THOUGH ST. ELIZABETH HEALTHCARE DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS AND CHARITY CARE ARE PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). ST. ELIZABETH HEALTHCARE RECOGNIZES REVENUE WHEN SERVICES ARE RENDERED FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF ST. ELIZABETH HEALTHCARE'S UNINSURED AND UNDERINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES RENDERED. AS A RESULT, ST. ELIZABETH HEALTHCARE RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED AND UNDERINSURED PATIENTS IN THE PERIOD THE SERVICES ARE RENDERED. THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 24B. Schedule H, Part III, Line 3, Bad Debt Expense Methodology THE ESTIMATED AMOUNT OF ST. ELIZABETH HEALTHCARE'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER ST. ELIZABETH HEALTHCARE'S FINANCIAL ASSISTANCE POLICY IS $5,904,093. THE PERCENTAGE OF BAD DEBTS THAT LIKELY COULD BE CHARITY CARE, IF ENOUGH INFORMATION WAS OBTAINED UP FRONT, WAS DEVELOPED WITH THE HELP OF OUR LARGEST COLLECTION AGENCY WHO HAS DETERMINED, BASED ON ACCOUNTS REVIEWED, WHO MAY NOT HAVE HAD THE FINANCIAL ABILITY TO PAY. ST. ELIZABETH HEALTHCARE ALSO BELIEVES THAT MANY PATIENTS FALL INTO THE CATEGORY WHERE THEY DO NOT MEET THE FEDERAL POVERTY GUIDELINES BUT YET HAVE NO INSURANCE AND CANNOT AFFORD THE COST OF THE SERVICES RENDERED. THEREFORE, ST. ELIZABETH HEALTHCARE BELIEVES THESE NON REIMBURSED COSTS SHOULD BE COUNTED AS A BENEFIT TO THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS THAT BAD DEBTS SHOULD BE COUNTED AS A COMMUNITY BENEFIT. Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF ST. ELIZABETH HEALTHCARE, ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. PRIMARILY AS A RESULT OF AN INCREASE IN SELF-PAY PATIENT VOLUMES AND REVENUES, ST. ELIZABETH HEALTHCARE HAS EXPERIENCED HIGHER BAD DEBT AND CHARITY CARE FOR THE YEAR ENDED DECEMBER 31, 2013. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. SETTLEMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS BASED UPON ADDITIONAL INFORMATION, INTERIM SETTLEMENTS, AND FINAL SETTLEMENTS. Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs ST. ELIZABETH HEALTHCARE USES THE STEP DOWN METHODOLOGY TO DETERMINE COSTS FOR MEDICARE. THE REPORTS WERE THEN COMPLETED BY FOLLOWING THE GUIDANCE PROVIDED IN THE INSTRUCTIONS FOR PART III. ST. ELIZABETH HEALTHCARE BELIEVES MEDICARE LOSSES SHOULD BE AN ALLOWABLE COMMUNITY BENEFIT. ST. ELIZABETH HEALTHCARE PROVIDES NEEDED SERVICES TO THE ELDERLY AND DISABLED MEDICARE POPULATION AT A FINANCIAL LOSS TO ST. ELIZABETH HEALTHCARE TO HELP THOSE INDIVIDUALS GET THE CARE THEY NEED IN THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT MEDICARE LOSSES SHOULD BE COUNTED AS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance ST. ELIZABETH HEALTHCARE HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY. Schedule H, Part VI, Line 2, Needs assessment. IN 2009, ST. ELIZABETH HEALTHCARE PARTICIPATED IN A COMMUNITY-WIDE EFFORT TO COMPLETE A COMMUNITY HEALTH ASSESSMENT. THE PROCESS WAS COORDINATED THROUGH THE NORTHERN KENTUCKY INDEPENDENT HEALTH DISTRICT AND VISION 2015 USING A NATIONAL PLANNING PROCESS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). USING THIS FRAMEWORK, THE ASSESSMENT PROCESS INVOLVED MORE THAN 200 PARTICIPANTS WITH 10 REPRESENTATIVES SERVING ON FOUR DIFFERENT COMMITTEES TO ASSESS THE HEALTH STATUS OF THE COMMUNITY. ST. ELIZABETH HEALTHCARE ALSO REVIEWED THE STATISTICS ON INCIDENCE OF DISEASE IN ITS COMMUNITY. THESE DATA SOURCES WERE USED TO DEVELOP ST. ELIZABETH HEALTHCARE'S 2010 THROUGH 2012 COMMUNITY BENEFITS PLAN. IN 2011, ST. ELIZABETH HEALTHCARE BEGAN RESEARCHING AVAILABLE INCIDENCE OF DISEASE RESOURCES IN PREPARATION TO CONDUCT ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN 2012. THE RESULTS OF THIS ASSESSMENT WILL BE USED TO DEVELOP THE COMMUNITY BENEFITS PLAN 2013 THROUGH 2015, FOR EACH OF ST. ELIZABETH HEALTHCARE'S HOSPITALS. IN 2013, ST. ELIZABETH HEALTHCARE WAS A MEMBER OF THE NORTHERN KENTUCKY HEROIN IMPACT TASK FORCE. THE PURPOSE OF THIS TASK FORCE WAS TO COLLECT DATA AND PROVIDE RECOMMENDATIONS FOR DEVELOPING A PLAN TO ADDRESS THIS ISSUE IN OUR COMMUNITY WITH A FOCUS ON ENHANCING PREVENTION AND PROVIDING TREATMENT OPTIONS FOR THE PEOPLE WE SERVE. IN 2013, ST. ELIZABETH HEALTHCARE IDENTIFIED THE NEED IN OUR COMMUNITY FOR A LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) TO ENHANCE THE ACCESS FOR HIGH RISK MOTHER AND BABIES WITH COMPLICATIONS. COLLABORATING WITH CINCINNATI CHILDREN'S HOSPITAL, ST. ELIZABETH HEALTHCARE DEVELOPED A HIGH QUALITY LEVEL III NICU PROGRAM AT THE ST. ELIZABETH HEALTHCARE - EDGEWOOD HOSPITAL FACILITY. THIS INCLUDED THE ON-BOARDING OF A WIDE VARIETY OF STAFF, INCLUDING NEONATOLOGISTS, NEONATAL NURSES, AND RESPIRATORY THERAPISTS WHO ARE AVAILABLE 24 HOURS A DAY. THIS LEVEL III NICU IS ABLE TO CARE FOR BABIES BORN AT ANY VIABLE GESTATIONAL AGE AND PROVIDES MECHANICAL VENTILATION AND IS ABLE TO PERFORM A WIDE RANGE OF SURGICAL PROCEDURES, FROM MINOR PROCEDURES SUCH AS UMBILICAL VESSEL CATHETERIZATION TO MORE COMPLICATED PROCEDURES SUCH AS CARDIOPULMONARY BYPASS. IN 2013, ST. ELIZABETH HEALTHCARE CREATED THE PATIENT AND FAMILY ADVISORY COUNCIL (PAFAC), WHICH MEETS EVERY TWO (2) MONTHS TO IDENTIFY NEEDS OF THE COMMUNITY BASED ON THE FEEDBACK OBTAINED FROM OUR PATIENTS AND FAMILY MEMBERS. CONTINUOUSLY, ST. ELIZABETH EVALUATES DATA FROM SOURCES SUCH AS OUR PATIENT SATISFACTION AND COMMUNITY HEALTH SURVEYS TO IDENTIFY THE NEEDS OF OUR COMMUNITY FOR THE PEOPLE WE SERVE. Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON ST. ELIZABETH HEALTHCARE'S WEB SITE. A WRITTEN COPY IS ALSO INCLUDED IN THE PATIENT HANDBOOK PROVIDED TO INPATIENT ADMISSIONS. A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING INDIVIDUALS ON THE PATIENT BILLS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS TO DETERMINE QUALIFICATION AND A COPY OF THE POLICY IS AVAILABLE TO PATIENTS UPON REQUEST. Schedule H, Part VI, Line 4, Community information. ST. ELIZABETH HEALTHCARE SERVES THE NORTHERN KENTUCKY, SOUTHERN OHIO, AND SOUTHERN INDIANA REGIONS, CONSISTING OF TWLEVE (12) COUNTIES IN NORTHERN KENTUCKY WHICH INCLUDE: BOONE, BRACKEN, CAMPBELL, CARROLL, GALLATIN, GRANT, HARRISON, KENTON, MASON, OWEN, PENDLETON, AND ROBERTSON; HAMILTON COUNTY IN SOUTHERN OHIO; AND DEARBORN COUNTY IN SOUTHERN INDIANA. THESE SERVICE AREAS INCLUDE URBAN, SUBURBAN, AND RURAL AREAS. THE TOTAL POPULATION OF THE SERVICE AREAS IS OVER 500,000 (OF WHICH THE NORTHERN KENTUCKY SERVICE AREA IS 438,647). THE SERVICE AREAS ARE PREDOMINANTLY WHITE WITH AN INCREASE IN AFRICAN-AMERICAN AND HISPANIC ORGINS MOVING INTO THE AREA, WHICH IS ESTIMATED TO BE 24,475 IN 2012 (U.S. DEPARTMENT OF COMMERCE, BUREAU OF CENSUS). MINORITY POPULATIONS REPRESENT APPROXIMATELY 10.1%. APPROXIMATELY 11.7% OF THE POPULATION IS 65 YEARS OLD AND OVER (U.S. DEPARTMENT OF COMMERCE, BUREAU OF CENSUS). THE PERCENT OF PERSONS LIVING IN POVERTY VARIES BY COUNTY WITH THE LOWEST AT 8.3% IN BOONE COUNTY AND THE HIGHEST AT 25.4% IN ROBERTSON COUNTY (U.S. DEPARTMENT OF COMMERCE, BUREAU OF CENSUS). OVERALL, THE PERCENTAGE OF PERSONS LIVING BELOW POVERTY IS 18.6%. APPROXIMATELY 14.13% OF THE NORTHERN KENTUCKY POPULATION IS UNINSURED (HEALTHIERKY.GOV). THERE ARE SIX (6) OTHER HOSPITALS THAT SERVE THE NORTHERN KENTUCKY COMMUNITY. 1. GATEWAY REHABILITATION HOSPITAL IN BOONE COUNTY, 2. CARROLL COUNTY MEMORIAL HOSPITAL IN CARROLL COUNTY, 3. HARRISON MEMORIAL HOSPITAL IN HARRISON COUNTY, 4. HEALTHSOUTH REHABILITATION HOSPITAL IN KENTON COUNTY, 5. MEADOWVIEW REGIONAL MEDICAL CENTER IN MASON COUNTY, AND 6. NEW HORIZONS MEDICAL CENTER IN OWEN COUNTY. THERE IS ONE (1) HOSPITAL THAT SERVES THE SOUTHERN INDIANA COMMUNITY - DEARBORN COUNTY HOPSITAL IN DEARBORN COUNTY. THERE ARE A NUMBER OF HOSPITALS THAT SERVE THE SOUTHERN OHIO COMMUNITY, INCLUDING; THE CHRIST HOSPITAL, TRIHEALTH, MERCY HEALTH, AND THE UNIVERSITY OF CINCINNATI MEDICAL CENTER. THERE ARE NO FEDERALLY DESIGNATED - MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN THE COMMUNITIES. Schedule H, Part VI, Line 5, Promotion of community health ST. ELIZABETH HEALTHCARE FURTHERS ITS EXEMPT PURPOSES IN IMPROVING COMMUNITY HEALTH STATUS BY: 1) ENCOURAGING AND SUPPORTING STAFF TO PARTICIPATE ON VARIOUS COMMUNITY BOARDS/ACTIVITIES THAT SUPPORT AND/OR DEVELOP PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS AND WORKFORCE DEVELOPMENT. 2) ST. ELIZABETH HEALTHCARE'S BOARD OF TRUSTEES IS MADE UP OF COMMUNITY REPRESENTATIVES TO ENSURE THAT ST. ELIZABETH HEALTHCARE ADHERES TO ITS MISSION TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE. 3) THROUGH ITS PRIMEWISE SENIOR SERVICES FOR AGE 50+ PERSONS, ST. ELIZABETH HEALTHCARE SUBSIDIZES COURSE OFFERINGS TO SENIOR CITIZENS INCLUDING DRIVER'S SAFETY, LOW IMPACT EXERCISE, COMPUTER SKILLS, MEDICATION REVIEW AND HEALTH SCREENINGS, ALONG WITH PROVIDING LITERATURE PERTINENT TO THIS AGE GROUP. 4) ON A QUARTERLY BASIS, ST ELIZABETH HEALTHCARE PRODUCES AND DISTRIBUTES TO MORE THAN 60,000 HOUSEHOLDS THROUGHOUT NORTHERN KENTUCKY, LITERATURE ON VARIOUS HEALTHCARE ISSUES AND SCHEDULES PERTAINING TO AREA HEALTH EVENTS AND PROGRAMS. 5) PERIODICALLY, ST. ELIZABETH HEALTHCARE WILL PARTNER WITH COMMUNITY ORGANIZATIONS AND BUSINESS AGENCIES TO PRESENT HEALTH RELATED PROGRAMS AND HEALTH SCREENINGS. 6) THE MAJORITY OF THE GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE WITHIN ST. ELIZABETH'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES OF ST. ELIZABETH, OR INDEPENDENT CONTRATORS OF ST. ELIZABETH (NOR ARE THEIR FAMILY MEMBERS TEHREOF). ST. ELIZABETH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF IT DEPARTMENTS OR SPECIALITIES. 7) ST. ELIZABETH APPLIES SURPLUS FUNDS TO IMPROVE PATIENT CARE BY IMPROVING FACILITIES, ACCESS TO CARE, TECHNOLOGY, RECRUITING AND RETAINING TOP TALENT, AND CONTINUING EDUCATION OF OUR STAFF THROUGH EITHER RESIDENCY OR COLLEGE EDUCATIONAL PROGRAMS. EXAMPLES OF HOW SURPLUS FUNDS WERE APPLIED IN 2013 ARE THE FOLLOWING: A) THE ADDITION OF AN ELECTROPHYSIOLOGY LAB AND VALVE CENTER AND THE ON-BOARDING OF TWO (2) ELECTROPHYSIOLOGISTS AT ST. ELIZABETH HEALTHCARE'S - EDGEWOOD HOSPITAL FACILITY TO BETTER TREAT HEART AND VASCULAR DISEASE. B) THE EXPANSION OF THE MATERNAL FETAL CENTER FOR HIGH RISK PREGNANCIES. C) THE ADDITION OF A DAVINCI ROBOT TO MINIMIZE INVASIVE SURGERIES AT THE ST. ELIZABETH HEALTHCARE'S - FORT THOMAS HOSPITAL FACILITY. D) THE OPENING OF AN URGENT CARE CENTER AND OUTPATIENT FACILITY TO INCREASE THE ACCESS OF CARE FOR OUR FORT THOMAS COMMUNITY. THIS INCLUDED THE ON-BOARDING OF SEVERAL PRIMARY CARE PHYSICIANS AND SPECIALISTS. E) THE RENOVATION OF THE OUTPATIENT ENTRANCE AT THE ST. ELIZABETH HEALTHCARE'S - FLORENCE HOSPITAL FACILITY TO IMPROVE OUTPATIENT ACCESS FOR OUR BOONE COUNTY COMMUNITY. F) THE CONTINUATION OF THE PARTNERSHIP WITH THE MAYO CLINIC CARE NETWORK TO ENHANCE THE QUALITY OF CARE AND IMPROVE THE ACCESS FOR THE PEOPLE WE SERVE TO THE MAYO CLINIC'S SPECIALISTS AND PROTOCOLS. G) THE OUTREACH TO THE COMMUNITIES THROUGH THE MOBILE MAMMOGRAPHY AND MOBILE HEART PROGRAMS. H) THE COHORT EDUCATIONAL PROGRAMS WITH THE NORTHERN KENTUCKY UNIVERSITY (NKU), THOMAS MORE COLLEGE (TMC), AND MT. SAINT JOSEPH UNIVERSITY (MSJU) TO PROVIDE FOR CONTINUING AND/OR ADDITIONAL EDUCATION FOR OUR STAFF. I) THE CONTINUED FINANCIAL ASSISTANCE AND SUPPORT FOR THE FAMILY PRACTICE RESIDENCY PROGRAM WHICH IS COMPRISED OF TWENTY-FOUR (24) FAMILY PRACTICE RESIDENTS WHO LIVE AND STAY IN THE COMMUNITY TO IMPROVE AND ENHANCE THE ACCESS TO PRIMARY CARE FOR THE PEOPLE WE SERVE. J) THE CONTINUED FINANCIAL SUPPORT FOR OUR PARISH NURSING PROGRAM WHICH PROVIDES OUTREACH, EDUCATION, AND PREVENTION INFORMATION TO OVER FORTY (40) CHURCHES IN OUR COMMUNITY. K) THE CONTINUED FINANCIAL SUPPORT FOR PREVENTION AND INJURY TREATMENT FOR ATHLETES ATTENDING SCHOOLS IN OUR COMMUNITIES. L) THE SPONSORSHIP OF COMMUNITY BENEFITS TO ADDRESS THE HEALTHCARE NEEDS FOR DISEASES SUCH AS OBESITY, DIABETES, AND HEART DISEASE FOR THE PEOPLE WE SERVE. Schedule H, Part VI, Line 6, Affiliated health care system ST ELIZABETH HEALTHCARE IS A SYSTEM THAT FEATURES FOUR (4) FACILITIES THROUGHOUT NORTHERN KENTUCKY WHICH ARE: (I) ST. ELIZABETH - EDGEWOOD; (II) ST. ELIZABETH - FLORENCE; (III) ST. ELIZABETH - FORT THOMAS; AND; (IV) ST. ELIZABETH - GRANT EACH OF THESE FACILITIES ADDRESSES THE SPECIFIC NEEDS OF ITS LOCALE AS IDENTIFIED BY THE PATIENTS IN THE COMMUNITY. THE SERVICE AREAS VARY FROM RURAL AREAS TO SUBURBAN AREAS TO URBAN AREAS. ST. ELIZABETH HEALTHCARE OFFERS ALMOST 1,200 LICENSED BEDS, APPROXIMATELY 7,400 EMPLOYEES, 1,200 PHYSICIANS WITH ADMITTING PRIVILEGES AND A WHOLLY OWNED PHYSICIAN ORGANIZATION WHICH INCLUDES OVER 70 PRIMARY CARE AND SPECIALTY OFFICE LOCATIONS. ST. ELIZABETH HEALTHCARE IS SPONSORED BY THE DIOCESE OF COVINGTON. SCHEDULE H, PART VI, LINE 7, COMMUNITY BENEFIT REPORT ST. ELIZABETH HEALTHCARE IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY OF THE STATES IN WHICH IT OPERATES. ST. ELIZABETH HEALTHCARE DOES PRODUCE AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS POSTED ON ITS WEBSITE AND IS MADE AVAILABLE UPON REQUEST TO THE GENERAL PUBLIC. X X true true X X X X X X false true false false false false false false false GLENN LOOMIS SVP/CEO OF SEP 564000 0 70166 0 2529 0 17500 0 22390 0 676585 0 0 0 SARAH GIOLANDO SVP/CHIEF STRATEGY OFFICER 334000 0 47250 0 1960 0 43801 0 4968 0 431979 0 0 0 GEORGE S HALL MD TRUSTEE 276770 0 25405 0 42316 0 0 0 22267 0 366758 0 29728 0 KARL ULICNY PHYSICIAN 580611 0 7568 0 4902 0 17500 0 29118 0 639699 0 0 0 MICHAEL GIBSON PHYSICIAN 583251 0 7568 0 1710 0 17500 0 22767 0 632796 0 0 0 CHRISTOPHER CARLE SVP/COO FLORENCE/CUSTOMER 301000 0 31068 0 1520 0 50299 0 22261 0 406148 0 0 0 ALEXANDER RODRIGUEZ VP CIO 320000 0 35420 0 1626 0 35601 0 27588 0 420235 0 0 0 ROBERT PRICHARD SVP CMO 393000 0 48650 0 2029 0 45949 0 26253 0 515881 0 0 0 BENITA UTZ VP NURSING - FLORENCE / FT. THOMAS 202477 0 18258 0 13470 0 27790 0 15670 0 277665 0 0 0 NATHAN VANLANINGHAM SR VP FINANCE/CFO/TREASURER 449000 0 39055 0 1519 0 74118 0 1214 0 564906 0 0 0 RUTH A HENTHORN VP POST ACUTE/CLINICAL SERVICES 179000 0 9831 0 21573 0 17500 0 9858 0 237762 0 16584 0 WILLIAM BANKS VP REVENUE CYCLE 270000 0 17032 0 32080 0 27395 0 21649 0 368156 0 0 0 SUSAN MCDONALD VP NURSING - EDGEWOOD 250000 0 16505 0 2321 0 47532 0 17300 0 333658 0 0 0 BARBARA KROHMAN CORPORATE SECRETARY 113152 0 441 0 1658 0 17500 0 19814 0 152565 0 0 0 JACKSON PEMBERTON PHYSICIAN 466600 0 0 0 6960 0 0 0 33150 0 506710 0 0 0 MARTIN OSCADAL SVP HUMAN RESOURCES 294000 0 37772 0 4255 0 50264 0 20228 0 406519 0 0 0 TREVA JANE SWAIM SVP NURSING/CNO 281000 0 30518 0 41168 0 17500 0 22980 0 393166 0 33664 0 LISA FREY AVP LEGAL SERVICES 205940 0 14996 0 651 0 17500 0 11413 0 250500 0 0 0 HEIDI C MURLEY MD TRUSTEE 0 359049 0 0 0 2918 0 0 0 18761 0 380728 0 0 JOHN DUBIS PRESIDENT/CEO 910000 0 233519 0 17012 0 216281 0 32629 0 1409441 0 450641 0 DOUGLAS CHAMBERS SVP FACILITIES 236000 0 30457 0 452816 0 0 0 27999 0 747272 0 0 0 LARRY WARKOCZESKI VP - ST. ELIZABETH FOUNDATION 204000 0 22425 0 2830 0 24651 0 28111 0 282017 0 0 0 VICTOR SCHMELZER PHYSICIAN 682131 0 7568 0 4902 0 17500 0 27873 0 739974 0 0 0 WILSON CLEMENTS PHYSICIAN 439545 0 0 0 1227 0 22600 0 17347 0 480719 0 0 0 LORI RITCHEY VP FINANCE 260000 0 0 0 1295 0 33251 0 27511 0 322057 0 0 0 GARY BLANK SVP PROFESSIONAL SERVICES 295962 0 26305 0 1479 0 48221 0 10494 0 382461 0 0 0 GARREN COLVIN EXECUTIVE VP/COO 519000 0 63160 0 6274 0 97775 0 26351 0 712560 0 0 0 THOMAS SAALFELD SVP/COO FT. THOMAS/FALMOUT 293000 0 30743 0 4240 0 49300 0 18981 0 396264 0 0 0 RAYMOND WILL PHYSICIAN 273013 0 300 0 7407 0 0 0 23624 0 304344 0 0 0 Schedule J, Part I, Line 1a, Travel for companions THIS IS PROVIDED TO JOHN DUBIS, GARREN COLVIN, BARBARA KROHMAN, SARAH GIOLANDO, AND GLENN LOOMIS. BOARD RETREAT COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION. Schedule J, Part I, Line 1a, Tax indemnification and gross-up payments TAXABLE BOARD RETREAT COMPENSATION WAS GROSSED UP FOR FICA AND LOCAL TAXES. Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH ST. ELIZABETH HEALTHCARE. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. DURING 2013, THE FOLLOWING EXECUTIVES RECEIVED PAYMENTS: JOHN DUBIS - $ 450,341, TREVA JANE SWAIM - $ 33,664, GEORGE HALL - $ 29,728, AND RUTH HENTHORN - $ 16,584. A KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009A 521643102 49126KGH8 2009-12-09 101960448 CONSTRUCTION OF HOSPITAL FACILITY / PARTIAL REFUNDING OF BOND ISSUED 6/11/03 false false false B KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009B 521643102 2009-12-09 38150000 PARTIAL REFUNDING OF BONDS ISSUED 6/11/03 false false false A 8275000 0 101960448 0 0 0 1430179 0 0 29195269 71335000 0 2009 true false true true B 4450000 0 38150000 0 0 0 360000 0 0 0 37790000 0 2003 true false true true A false true true true false 0.03000 0.00000 0.03000 false false true B false false true true false 0.00000 0.00000 0.00000 false false true A false true false false false false false false true B false true false false true false 0.0 false 0.0 false true A true B true SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS AMOUNT OF BOND PROCEEDS USED FOR CURRENT REFUNDING OF SERIES 2003 BONDS. SCHEDULE K, PART V, PROCEDURES TO UNDERTAKE CORRECTIVE ACTION ST. ELIZABETH MEDICAL CENTER, INC. D/B/A ST. ELIZABETH HEALTHCARE HAS WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED. IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS, ST. ELIZABETH HEALTHCARE WOULD CONTACT ITS BOND COUNSEL REGARDING THE IRS' VOLUNTARY CLOSING AGREEMENT PROGRAM. NORTHERN KENTUCKY WATER DISTRICT BOARD MEMBER FRED MACKE IS A BOARD MEMBER OF THE NORTHERN KENTUCKY WATER DISTRICT 467573 UTILITIES false CHAMPLIN HAUPT ARCHITECTS BOARD MEMBER JOAN TEPE WURTENBERGER IS A PARTNER OF CHAMPLIN HAUPT ARCHITECTS 873087 ARCHITECT FEES false HBC II LLC BOARD MEMBER JOAN TEPE WURTENBERGER'S HUSBAND IS A 30% OWNER OF HBC II, LLC 355212 MANAGEMENT FEES false PERFECT SERVE INC BOARD MEMBER TED ROBINSON IS A 1% OWNER OF PERFECT SERVE, INC. 322237 TELEPHONE MESSAGING SERVICES false RADIOLOGY ASSOCIATES BOARD MEMBER JAMES ROEBKER IS A PHYSICIAN WITH RADIOLOGY ASSOCIATES 887730 RADIOLOGY FEES false FIFTH THIRD BANK BOARD MEMBER CHRIS FISTER IS A BOARD MEMBER OF FIFTH THIRD BANK 1335908 INTEREST EXPENSE, TRUSTEE FEES AND BANK FEES false CINCINNATI REDS BOARD MEMBER CHRIS FISTER IS PART OWNER AND AN OFFICER OF THE CINCINNATI REDS. 98259 PROFESSIONAL SPORTS MILLS SHERMAN GILLIAM & GOODWIN BOARD MEMBER LAROY KENDALL IS A PARTNER WITH MILLS, SHERMAN, GILLIAM, & GOODWIN 14069972 PHYSICIAN FEES SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS WERE AT ARM'S LENGTH (FMV) AND APPROVED BY DISINTERESTED MEMBERS OF THE BOARD. X 14 21773 MARKET VALUE X 3 7159 COST X OFFICE EQUIPMENT 1 10000 COST X FOOD / PRIZES 237 51238 COST 0 false false false Schedule M, Part I, Explanations of reporting method for number of contributions SECURITIES - PUBLICLY TRADED: ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. DRUGS AND MEDICAL SUPPLIES: ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. OTHER: ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. OTHER: ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Schedule M, part I, column (b), Line 9, Number of contributions or items contributed. ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Schedule M, part I, column (b), Line 20, Number of contributions or items contributed. ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=OFFICE EQUIPMENT : ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=FOOD / PRIZES : ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE WILL BE APPOINTED ACCORDING TO THE FOLLOWING SUMMARIZED PROCEDURE: (I) THE BOARD SHALL SUBMIT TO THE BISHOP UP TO THREE NAMES OF CANDIDATES FOR EACH VACANCY; (II) ORDINARILY THE BISHOP WILL CHOOSE TRUSTEES TO FILL THE VACANCIES OR OPENINGS FROM THE RECOMMENDED CANDIDATES AFTER PERSONAL CONSULTATION WITH THE PRESIDENT. IF THE BISHOP DOES NOT CHOOSE ANYONE FROM THE LIST, THE BOARD WILL SUBMIT NEW NAMES AS SOON AS PRACTICAL; (III) THE BISHOP RESERVES THE RIGHT TO SUBMIT OTHER NAMES TO THE BOARD FOR REVIEW AND COMMENT; (IV) IN CONSULTATION WITH THE PRESIDENT OF THE MEDICAL CENTER OR THE BOARD CHAIR, THE BISHOP MAY REMOVE ANY MEMBER OF THE BOARD IF CERTAIN ACTIONS ARE COMMITTED; (V) IF THE BISHOP DECLINES A CANDIDATE OR THE CANDIDATE DECLINES, THE LIST OF CANDIDATES WILL BE REVISITED ACCORDING TO PROCEDURES (I) THROUGH (III) ABOVE. Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE BISHOP: (I) THE AMENDMENT OR REPEAL OF SECTIONS 2(B) OR 2(C) OF THE BYLAWS OR ANY PROVISIONS OF THE GOVERNING DOCUMENTS RELATING TO THE AUTHORITY OF THE BISHOP OR BOARD OF TRUSTEES OF ST. ELIZABETH HEALTHCARE; (II) ANY ACTION THAT RESULTS IN A SUBSTANTIAL CHANGE, AS DETERMINED BY THE BISHOP OR THE BOARD, IN THE PHILOSOPHY OR MISSION OF ST. ELIZABETH HEALTHCARE, OR IN THE USE OF A ST. ELIZABETH HEALTHCARE HOSPITAL FACILITY; (III) THE DISSOLUTION, CONSOLIDATION, MERGER, OR TERMINATION OF EXISTENCE OF ST. ELIZABETH HEALTHCARE; AND (IV) A BORROWING, LEASE, TRANSFER, OR ENCUMBRANCE OF ANY REAL ESTATE OF ST. ELIZABETH HEALTHCARE EXCEEDING $5,000,000. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body ST. ELIZABETH HEALTHCARE'S PROCESS TO REVIEW THE FORM 990 CONSISTS OF REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT AND THE ST. ELIZABETH HEALTHCARE'S BOARD OF TRUSTEES. THE FORM 990 IS REVIEWED WITH AND APPROVED BY THE FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S APPROVAL, BUT PRIOR TO FILING WITH THE IRS, THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy ST. ELIZABETH HEALTHCARE REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR A MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEE WITH THE GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXISTS. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (I) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (II) HAS READ AND UNDERSTANDS THE POLICY, (III) HAS AGREED TO COMPLY WITH THE POLICY, AND (IV) UNDERSTANDS THAT ST. ELIZABETH HEALTHCARE IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. WHEN BUSINESS MATTERS COME BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST: (I) THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT. (II) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (III) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (IV) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (V) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING. FORM 990, PART VI, LINE 13, WHISTLEBLOWER POLICY ST. ELIZABETH MEDICAL CENTER, INC. DBA ST. ELIZABETH HEALTHCARE DOES NOT HAVE A SPECIFIC WHISTLEBLOWER POLICY. HOWEVER, THERE IS A SECTION OF ST. ELIZABETH HEALTHCARE'S CORPORATE RESPONSIBILITY PROGRAM THAT ADDRESSES COMPLIANCE WITH THE FEDERAL FALSE CLAIMS ACT AND WITHIN THAT SECTION, PROTECTION FOR WHISTLEBLOWERS IS SPECIFICALLY ADDRESSED. Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official IN DETERMINING THE COMPENSATION OF ST. ELIZABETH HEALTHCARE'S CHIEF EXECUTIVE OFFICER, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA, AND THEN A COMPENSATION RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL. OTHER KEY EXECUTIVES ARE REVIEWED, AND THE CHIEF EXECUTIVE OFFICER MAKES RECOMMENDATIONS FOR THEIR COMPENSATION TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE THEN EVALUATES AND APPROVES THE COMPENSATION FOR THE OTHER KEY EXECUTIVES. Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees FOR BOTH THE CHIEF EXECUTIVE OFFICER AND OTHER KEY EXECUTIVES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXTERNAL REVIEW OF EXECUTIVE COMPENSATION IS PERFORMED ANNUALLY AND APPROVED BY THE BOARD. THIS WAS LAST PERFORMED IN 2013. Form 990, Part VI, Sec C, Line 19, Required documents available to the public ST. ELIZABETH HEALTHCARE WILL MAKE AVAILABLE , UPON REQUEST, THE FORM 990 AND THE RELATED APPLICABLE SCHEDULES, OF WHICH ARE OPEN TO PUBLIC INSPECTION. ST. ELIZABETH HEALTHCARE WILL NOT MAKE AVAILABE, UPON REQUEST, ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS, OF WHICH ARE NOT OPEN TO PUBLIC INSPECTION. Form 990, Part IX, Line 11g, Other Expenses CONTRACT LABOR - TOTAL EXPENSE: 2050970, PROGRAM SERVICE EXPENSE: 62962, MANAGEMENT AND GENERAL EXPENSES: 1988008, FUNDRAISING EXPENSES: ; AMBULANCE SERVICE - TOTAL EXPENSE: 347216, PROGRAM SERVICE EXPENSE: 346463, MANAGEMENT AND GENERAL EXPENSES: 753, FUNDRAISING EXPENSES: ; ANESTHESIOLOGY SERVICE - TOTAL EXPENSE: 1640247, PROGRAM SERVICE EXPENSE: 1640247, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; LABORATORY SERVICES - TOTAL EXPENSE: 3122339, PROGRAM SERVICE EXPENSE: 3122339, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; LAUNDRY EXPENSE - TOTAL EXPENSE: 2730209, PROGRAM SERVICE EXPENSE: 215133, MANAGEMENT AND GENERAL EXPENSES: 2515076, FUNDRAISING EXPENSES: ; PERFUSION SERVICE - TOTAL EXPENSE: 631771, PROGRAM SERVICE EXPENSE: 631771, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; RADIOLOGY SERVICE - TOTAL EXPENSE: 411365, PROGRAM SERVICE EXPENSE: 411365, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PHYSICIAN FEES - TOTAL EXPENSE: 79628525, PROGRAM SERVICE EXPENSE: 76509679, MANAGEMENT AND GENERAL EXPENSES: 3118846, FUNDRAISING EXPENSES: ; CONSULTING SERVICE - TOTAL EXPENSE: 11534048, PROGRAM SERVICE EXPENSE: 590824, MANAGEMENT AND GENERAL EXPENSES: 10932141, FUNDRAISING EXPENSES: 11083; DATA PROCESSING SERVICE - TOTAL EXPENSE: 125798, PROGRAM SERVICE EXPENSE: 125798, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; COLLECTION SERVICE - TOTAL EXPENSE: 1933194, PROGRAM SERVICE EXPENSE: 93109, MANAGEMENT AND GENERAL EXPENSES: 1840085, FUNDRAISING EXPENSES: ; OTHER FEES - TOTAL EXPENSE: 18925, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 18925, FUNDRAISING EXPENSES: ; PURCHASED SERVICE - TOTAL EXPENSE: 28875559, PROGRAM SERVICE EXPENSE: 7441554, MANAGEMENT AND GENERAL EXPENSES: 21335097, FUNDRAISING EXPENSES: 98908; MAINTENANCE & REPAIR - TOTAL EXPENSE: 9656721, PROGRAM SERVICE EXPENSE: 1826372, MANAGEMENT AND GENERAL EXPENSES: 7825209, FUNDRAISING EXPENSES: 5140; Form 990 , Part XI, Line 9, Other changes in net assets or fund balances CHANGE IN FMV OF INTEREST RATE SWAP - 2855159; MINIMUM PENSION LIABILITY ADJUSTMENT - 76742105; CHANGE IN VALUE SPLIT INTEREST - -9759; CHANGE IN FMV OF INTEREST SWAP - -69650; CHANGE IN INVESTMENT IN ST. ELIZABETH PHYSICIANS - 32166615; CAPITAL LOSS ADJUSTMENT - 10491; Form 990, Part XII, Line 2c, Change of oversight process or selection process ST. ELIZABETH HEALTHCARE'S FINANCE COMMITTEE IS RESPONSIBLE, UNDER ITS GOVERNING DOCUMENTS OR THROUGH DELEGATION BY AND THROUGH ITS GOVERNING BODY, FOR OVERSEEING THE AUDIT OF ST. ELIZABETH'S CONSOLIDATED FINANCIAL STATEMENTS, COUPLED WITH THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM TO PERFORM THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. IT IS ST. ELIZABETH'S INTERNAL POLICY IS TO UNDERTAKE A REQUEST FOR PROPOSAL TO PERFORM THE AUDIT OF ST. ELIZABETH'S CONSOLIDATED FINANCIAL STATEMENTS EVERY FIVE (5) YEARS. IN 2013, ST. ELIZABETH SELECTED A NEW INDEPENDENT ACCOUNTING FIRM TO PERFORM THE AUDIT OF ST. ELIZABETH'S CONSOLIDATED FINANCIAL STATEMENTS. REPRESENTATIVES FROM BOTH ST. ELIZABETH HEALTHCARE AND ST. ELIZABETH PHYSICIANS INTERVIEWED SIX (6) INDEPENDENT ACCOUNTING FIRMS, INCLUDING THE INCUMBENT, AND A NEW INDEPENDENT ACCOUNTING FIRM WAS SELECTED TO PERFORM THE AUDIT OF ST. ELIZABETH'S CONSOLIDATED FINANCIAL STATEMENTS. Schedule M, part I, column (b), Line 9, Number of contributions or items contributed. ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Schedule M, part I, column (b), Line 20, Number of contributions or items contributed. ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=OFFICE EQUIPMENT : ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. Schedule M, part I, column (b), Line other, Number of contributions or items contributed. OTHER=FOOD / PRIZES : ST. ELIZABETH HEALTHCARE IS REPORTING A COMBINATION OF BOTH METHODS. SCH. H, PART V, SECTION B, LINE 7, ST. ELIZABETH FLORENCE (CONTINUED:) NEXT, THE LIST WAS ADVANCED TO THE STRATEGIC PLANNING COMMITTEE OF THE BOARD OF TRUSTEES TO REVIEW, IN WHICH THEY NARROWED THE LIST DOWN TO THE TOP THREE ISSUES TO FOCUS ON THAT WILL HAVE THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THE TOP THREE PRIORITIES ARE OBESITY, HEART DISEASE, AND DIABETES. THE FOLLOWING IS A LIST OF HEALTH NEEDS INDENTIFIED BY THE ASSESSMENT, BUT NOT INCLUDED AS ONE OF THE TOP THREE: - ACCESS TO PRIMARY CARE - AVOIDABLE ED VISITS - CANCER - INFANT MORTALITY - LACK OF HEALTH INSURANCE - MEDICATION COSTS - MENTAL HEALTH - SMOKING - SUBSTANCE ABUSE - WELLNESS ST. ELIZABETH HEALTHCARE WILL CONTINUE PROVIDING SERVICES TO SUPPORT THESE IMPORTANT COMMUNITY HEALTH NEEDS. THE FOLLOWING IS A SUMMARY OF MANY OF THE PROGRAMS THAT ARE ALREADY PROVIDED FOR EACH OF THE ISSUES IDENTIFIED: AVOIDABLE ED VISITS/ACCESS TO PRIMARY CARE - ESTABLISHING 100% OF ST. ELIZABETH PHYSICIAN PRACTICES AS CERTIFIED MEDICAL HOMES - DEVELOPING WALK-IN CLINICS AND URGENT CARE OPTIONS THROUGH ST. ELIZABETH PHYSICIANS - PROVIDING TRAINING AND CARE THROUGH THE FAMILY PRACTICE RESIDENCY PROGRAM - CONTINUING TO OFFER THE PARISH NURSING/HEALTH MINISTRY PROGRAM - RECRUITING ST. ELIZABETH HEALTHCARE MEDICAL SPECIALISTS AS IDENTIFIED - TREATING DENTAL PATIENTS NEEDING EMERGENT CARE IN THE EMERGENCY DEPARTMENT - PROVIDING CAB AND BUS VOUCHERS FOR PATIENTS CANCER - PROVIDING CANCER SCREENINGS, SUPPORT GROUPS AND BREAST CANCER NAVIGATORS - PROVIDING DRUG REPLACEMENT SERVICES CHEMOTHERAPY PROVIDED TO THOSE WHO ARE UNINSURED - PROVIDING MOBILE MAMMOGRAPHY VAN NO COST MAMMOGRAMS - OFFERING THE COOPER CLAYTON SMOKING CESSATION PROGRAM - DONATING FINANCIAL / OPERATIONAL SUPPORT TO SEVERAL COMMUNITY HEALTH IMPROVEMENT ORGANIZATIONS INFANT MORTALITY - OFFERING MATERNAL CHILD PROGRAMS: FIRST STEPS POINT OF ENTRY AND NURSE-FAMILY PARTNERSHIPS - PROVIDING OBSTETRICIANS TO HEALTHPOINT FOR PRENATAL CARE - ADMINISTERING IMMUNIZATIONS COCOONING PROJECT - OFFERING PRE-ADMISSION EDUCATION LACK OF HEALTH INSURANCE - SPONSORING A FINANCIAL ASSISTANCE PROGRAM - ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATE MEDICATION COSTS/ACCESS - PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACY MENTAL HEALTH - PROVIDING INPATIENT TREATMENT TO UNINSURED - PROVIDING MULTIPLE SUPPORT GROUPS FOR PATIENTS AND FAMILIES - WORKING WITH MENTAL HEALTH COURTS AND JAILS TO COORDINATE CARE - IMPLEMENTING TELEPSYCHIATRY IN THE EMERGENCY DEPARTMENT TO ASSESS MENTAL HEALTH PATIENTS WELLNESS - PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGS SUBSTANCE ABUSE - PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS - OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONS SMOKING CESSATIONS - ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE - OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES ST ELIZABETH PHYSICIAN SERVICES 334 THOMAS MORE PARKWAY STE 200 CRESTVIEW HILLS KY 41017 611339639 PHYSICIAN MANAGEMENT SERVICES KY -114140 4298186 ST ELIZABETH MEDICAL CENTER INC SUMMIT MEDICAL GROUP INC 334 THOMAS MORE PARKWAY STE 200 CRESTVIEW HILLS KY 41017 611300608 PHYSICIAN PRACTICE KY 501(C)(3) 3 ST ELIZABETH MEDICAL CENTER INC true NORTHERN KY CHILDREN'S MEDICAL SERVICES LLC 3333 BURNET AVE CINCINNATI OH 45229 260084305 MEDICAL SERVICES OH CHILDREN'S HOSPITAL MEDICAL CENTER RELATED -36249 1907 false false 0.5 ST ELIZABETH HOME CARE SERVICES LLC 1700 EDISON DRIVE MILFORD OH 45150 261236191 HOME HEALTH OH AMERICAN NURSING CARE RELATED 143000 819000 false false 0.5 AMSURG NORTHERN KENTUCKY GI LLC 20 BURTON HILLS BLVD 5TH FLOOR NASHVILLE TN 37215 621719097 AMBULATORY SURGERY CENTER TN NA RELATED 453892 469023 false false 0.49 JLD MANAGEMENT LLC 207 THOMAS MORE PARKWAY CRESTVIEW HILLS KY 41017 205361603 REAL ESTATE PURCHASES KY ST ELIZABETH MEDICAL CENTER INC C CORPORATION -193 0 1 true false false false false false false false false false true true false false false false true true true true JLD MANAGEMENT LLC R 6000 CASH JLD MANAGEMENT LLC S 6193 CASH SUMMIT MEDICAL GROUP INC K 316791 CASH SUMMIT MEDICAL GROUP INC J 424223 CASH SUMMIT MEDICAL GROUP INC P 198846 CASH SUMMIT MEDICAL GROUP INC Q 60358535 CASH