2013-11-12T12:16:05-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC 600 E FRONT ST SUITE 300 TRAVERSE CITY MI 49686 990 2012-01-01 610445850 ST ELIZABETH MEDICAL CENTER INC STEL 8596551642 ONE MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 NATHAN VANLANINGHAM 8596551642 2013-11-07 1 P00842339 2319477800 2012 2016-02-24 21:20:13Z ST ELIZABETH HEALTHCARE JOHN S DUBIS ONE MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017 924796487 0 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 10 7000 1283 2425245 0 4446340 5034255 898470837 900154027 10499963 13073132 4421990 4579313 917839130 922840727 0 0 0 0 426219642 418898107 57325 74396 1010931 398483436 415080258 824760403 834052761 93078727 88787966 936028962 1059898773 509456924 494297373 426572038 565601400 X AS A CATHOLIC HEALTHCARE MINISTRY, WE PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE THAT IMPROVES THE HEALTH OF THE PEOPLE WE SERVE. 0 0 609325585 0 894551291 ST. ELIZABETH HEALTHCARE IS ONE OF THE OLDEST, LARGEST AND MOST RESPECTED MEDICAL PROVIDERS IN THE GREATER CINCINNATI REGION. WITHIN OUR THRIVING, MULTI-FACETED ORGANIZATION, SOME OF THE NATION'S TOP MEDICAL PROFESSIONALS ARE WORKING TOGETHER TO DELIVER THE BEST CARE AVAILABLE TO THE GREATER CINCINNATI REGION. ST. ELIZABETH HEALTHCARE HAS INVESTED IN OUR COMMUNITY FOR GENERATIONS. ST. ELIZABETH BELIEVES THAT REACHING OUT TO HELP THE UNDERPRIVILEGED AND IMPROVING THE OVERALL HEALTH OF THE COMMUNITY IS THE FOUNDATION OF ITS MISSION TO PROVIDE COMPREHENSIVE AND COMPASSIONATE CARE TO OUR NEIGHBORHOOD AND OUR FAMILIES. IT IS BECAUSE OF THIS BELIEF THAT THE COMMUNITY BENEFIT PROGRAM HELPS OTHERS HAVE ACCESS TO ST. ELIZABETH RESOURCES AND SERVICES. IT IS ST. ELIZABETH'S INTENTION TO ALWAYS BALANCE FINANCIAL VIABILITY WITH COMPASSONIATE CARE, STAY TRUE TO ITS NON-PROFIT ROOTS.TOTAL ADMISSIONS: 91,093TOTAL PATIENT DAYS: 204,665 TOTAL EMERGENCY ROOM VISITS: 208,259 609325585 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 191 0 1 7000 1 1 1 0 0 0 0 1 1 0 0 0 0 X 18 10 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 KY OH IN X NATHAN VANLANINGHAM CFO 8596551642 401 EAST 20TH STREET COVINGTON KY 41014 JOHN DUBIS 60.00 1.00 X X 996951 0 218275 GEORGE S HALL MD 4.00 0.00 X 329954 0 26372 HEIDI C MURLEY MD 4.00 40.00 X 0 313369 22156 MICHAEL A CONNER 4.00 0.00 X 0 0 0 CHRISTOPHER FISTER 4.00 0.00 X 0 0 0 MICHAEL J GIBBONS 4.00 0.00 X X 0 0 0 BARI JOSLYN 4.00 0.00 X 0 0 0 FRED A MACKE JR 4.00 0.00 X X 0 0 0 GARY W MOORE 4.00 0.00 X 0 0 0 TED ROBINSON 4.00 0.00 X 0 0 0 JAMES ROEBKER 4.00 0.00 X 0 0 0 PAUL A SARTORI 4.00 0.00 X 0 0 0 THOMAS R DIETZ 4.00 0.00 X 0 0 0 MICHAEL E JONES 4.00 0.00 X 0 0 0 LARRY KENDALL 4.00 0.00 X 1000 0 0 JOAN WURTENBERGER 4.00 0.00 X 0 0 0 JAMES VOTRUBA 4.00 0.00 X 0 0 0 JO ANN SIMPSON 4.00 0.00 X 0 0 0 GARREN COLVIN 60.00 1.00 X 576677 0 126517 NATHAN VANLANINGHAM 60.00 1.00 X 462363 0 66182 BARBARA KROHMAN 60.00 0.00 X 116481 0 38140 THOMAS SAALFELD 40.00 0.00 X 338213 0 69592 TREVA JANE SWAIM 40.00 0.00 X 400800 0 74288 GLENN LOOMIS 40.00 40.00 X 577037 0 86609 SARAH GIOLANDO 40.00 0.00 X 372653 0 40726 MARTIN OSCADAL 40.00 0.00 X 336772 0 65964 CHISTOPHER CARLE 40.00 0.00 X 338425 0 79717 GARY BLANK 40.00 0.00 X 286227 0 53038 DOUGLAS CHAMBERS 40.00 0.00 X 271847 0 53399 ROBERT PRICHARD 40.00 1.00 X 450874 0 76209 WILLIAM BANKS 40.00 0.00 X 317847 0 42692 RUTH A HENTHORN 40.00 0.00 X 238694 0 27921 SUSAN MCDONALD 40.00 0.00 X 267193 0 54315 ALEXANDER RODRIGUEZ 40.00 0.00 X 350555 0 62286 PAULA ROE 40.00 0.00 X 212157 0 41304 BENITA UTZ 40.00 0.00 X 231354 0 45392 LISA FREY 40.00 0.00 X 218402 0 27845 RAYMOND WILL 40.00 0.00 X 573818 0 24713 VICTOR SCHMELZER 40.00 0.00 X 644098 0 47974 MICHAEL GIBSON 40.00 0.00 X 533388 0 49851 KARL ULICNY 40.00 0.00 X 565202 0 48069 JACKSON PEMBERTON 40.00 0.00 X 447819 0 50495 MARK REIDINGER 0.00 0.00 X 315822 0 8732 10772623 313369 1628773 265 1 1 0 MILLS SHERMAN GILLIAM & GOODWIN PSC 9600 COLERAIN AVE SUITE 204 CINCINNATI OH 45251 PHYSICIAN FEES 13561638 FRANK MESSER & SONS CONSTRUCTION COMPANY 7384 TURFWAY RD FLORENCE KY 41042 CONSTRUCTION SERVICES 11401150 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 CONSULTING SERVICES 7323372 DRESSMAN BENZINGER & LAVELLE PSC 207 THOMAS MORE PKWY CRESTVIEW HILLS KY 41017 LEGAL FEES 3097632 TRI STATE HEALTHCARE LAUNDRY INC PO BOX 706006 CINCINNATI OH 45270 LAUNDRY SERVICES 2730501 381 175510 1102362 3756383 667328 5034255 NET PATIENT REVENUE 621400 877611990 877611990 OTHER RELATED REVENUE 900099 8530097 8530097 ELEC HEALTHCARE RECORDS 900099 8409204 8409204 PATIENT/EMPLOYEE DRUGS 446110 3804297 608323 3195974 LABORATORY 621500 1798439 1798439 900154027 10967022 10967022 1518312 1765682 -247370 -247370 -247370 2104867 97814 0 96571 2104867 1243 2106110 2106110 93507 175510 93507 0 CAFETERIA/VENDING 722210 3546816 3546816 GIFT SHOP 453220 1261384 1261384 OTHER UBI 900099 18483 18483 4826683 922840727 894551291 2425245 20829936 X 6610269 1363710 5246559 309937742 221135150 88531286 271306 30463931 21913212 8550719 49972994 35183146 14789848 21913171 15441333 6471838 2549394 2548767 627 599369 599369 47181 47181 74396 74396 830355 830355 128778182 84009391 44526441 242350 1920681 194885 1593249 132547 3329112 1062852 2234048 32212 9495912 959045 8520733 16134 8684668 4565573 4113373 5722 299752 255467 43434 851 2901529 374036 2415445 112048 6531311 3761382 2764704 5225 49270829 35852713 13387163 30953 8680996 7360990 1320006 MEDICAL SUPPLIES 101745974 98807373 2938601 BAD DEBT 48640788 48640788 GENERAL SUPPLIES 23412249 14354243 9015033 42973 PROVIDER TAX 12548012 12548012 4813964 1542284 3228093 43587 834052761 609325585 223716245 1010931 3874543 3558922 58883223 71052982 3346784 3827484 97938354 108709171 4810666 2751222 11780429 19078197 5485720 6009910 956751951 610814168 337033171 345937783 370097928 455200591 33583705 34688452 3125503 3534701 2458760 1598758 3610176 3950600 936028962 1059898773 82201628 68990316 6787371 6198893 133850000 130625000 683333 285934592 288483164 509456924 494297373 X 422801928 559850086 3770110 5751314 426572038 565601400 936028962 1059898773 X 88787966 41253675 8987721 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 41473 1 5708 0 0 47181 0 PART IV, SUPPLEMENTAL INFORMATION: PART II-B, LINE 1F: THE PORTION OF THE KENTUCKY HOSPITAL ASSOCIATION DUES ATTRIBUTABLE TO LOBBYING ACTIVITIES IS $41,473. PART II-B, LINE 1B AND 1G: THE PORTION OF TWO ST. ELIZABETH HEALTHCARE EMPLOYEES SALARIES RELATED TO DIRECT CONTACT WITH LEGISLATORS REGARDING LEGISLATION. ST. ELIZABETH HEALTHCARE DOES NOT PARTICIPATE IN OR INTERVENE IN, INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS, ANY POLITICAL CAMPAIGN ON BEHALF OF, OR IN OPPOSITION TO, ANY CANDIDATE FOR PUBLIC OFFICE. 3259752 474814 5180 3729386 3347274 -82691 4831 3259752 2945631 406302 4659 3347274 2332334 618143 4846 2945631 3600819 -1261366 6119 2332334 1.00000 0.00000 0.00000 0 0 15148443 15148443 459198835 271265975 187932860 5828212 2260313 3567899 437933455 318608594 119324861 38643006 18679286 19963720 345937783 ACCRUED PENSION LIABILITY 209728900 ACCRUED THIRD-PARTY 12574293 INTEREST RATE SWAP 5643474 SELF-INSURANCE 47437558 OTHER LONG-TERM LIABILITIES 451431 OTHER CURRENT LIABILITIES HOSPITAL 12647508 288483164 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENT FUNDS INCLUDE TWO FUNDS THAT WERE PART OF THE ST. ELIZABETH HEALTHCARE'S VISION CAMPAIGN: 1) TO SUPPORT TECHNOLOGY FOR THE HEART OF EXCELLENCE PROGRAM, AND 2) TO ESTABLISH PRENATAL CARE FOR WOMEN WITHOUT HEALTHCARE COVERAGE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ST. ELIZABETH HEALTHCARE IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ITS RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(A). AS REQUIRED BY ASC 740, INCOME TAX, ST. ELIZABETH HEALTHCARE COMPLETED AN ANALYSIS OF ITS TAX POSITIONS AT DECEMBER 31, 2012 AND 2011, AND DETERMINED THAT NO MATERIAL AMOUNTS WERE REQUIRED TO BE RECOGNIZED UNDER ASC 740 IN THE CONSOLIDATED FINANCIAL STATEMENTS AT DECEMBER 31, 2012 OR 2011. X X X X X X X 1 PRIDE PHILANATHROPHY 885 WOODSTOCK ROAD STE 350 ROSWELL GA 30075 CONSULTANT FEE 0 0 55000 0 JOHNSON GROSSNICKLE AND ASSOCIATES 29 SOUTH PARK BLVD GREENWOOD IN 46143 CONSULTANT FEE 0 0 19396 0 74396 KY STYLE SHOW 34816 17958 16858 8237 8622 GOLF PAR TEE 207723 140020 67703 28995 15210 15210 8288 2 26478 17532 8946 1473 4920 663 1889 269017 175510 93507 30468 28367 15873 18799 93507 0 1 1 X 1 X 0 1 1 1 0 1 1 47356888 13513701 33843187 0.04310 81622281 68638105 12984176 0.01650 128979169 82151806 46827363 0.05960 62 201370 3149150 86641 3062509 0.00390 33 3931 8299426 3842881 4456545 0.00570 25 31161 6706507 4511425 2195082 0.00280 2 259658 0 259658 0.00030 31 1266 645109 0 645109 0.00080 153 237728 19059850 8440947 10618903 0.01350 153 237728 148039019 90592753 57446266 0.07310 40413 100 40313 0.00010 170042 170042 0.00020 586 586 0.00000 1524 1524 0.00000 757 757 0.00000 213322 100 213222 0.00030 0 48640788 4864079 205107101 227045286 -21938185 X 1 1 1 BLUEGRASS DIALYSIS LLC RENAL DIALYSIS 0.32000 0.00000 0.17000 4 1 ST ELIZABETH EDGEWOOD

1 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017

X X X 2 ST ELIZABETH FLORENCE

4900 HOUSTON ROAD FLORENCE KY 41042

X X X 3 ST ELIZABETH FORT THOMAS

85 NORTH GRAND AVENUE FORT THOMAS KY 41075

X X X 4 ST ELIZABETH GRANT

238 BARNES ROAD WILLIAMSTOWN KY 41097

X X X X ST ELIZABETH EDGEWOOD 1 1 X X X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 200.000000000000 0 1 X 1 1 X X X 1 0 1 X 0 0 ST ELIZABETH FLORENCE 2 1 X X X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 200.000000000000 0 1 X 1 1 X X X 1 0 1 X 0 0 ST ELIZABETH FORT THOMAS 3 1 X X X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 200.000000000000 0 1 X 1 1 X X X 1 0 1 X 0 0 ST ELIZABETH GRANT 4 1 X X X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 200.000000000000 0 1 X 1 1 X X X 1 0 1 X 0 0 27 ST ELIZABETH - COVINGTON

1500 JAMES SIMPSON JR WAY COVINGTON KY 41011

AMBULATORY CARE CENTER ST ELIZABETH HEALTHCARE SURGERY CENTER

580 SOUTH LOOP ROAD EDGEWOOD KY 41017

AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE SURGERY CENTER

2845 CHANCELLOR DRIVE CRESTVIEW HILLS KY 41017

AMBULATORY SURGERY CENTER ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS

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CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS

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CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS

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CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH IMAGING CENTER - EDGEWOOD

2904 FOLTZ ROAD EDGEWOOD KY 41017

IMAGING CENTER ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS

900 MEDICAL VILLAGE DRIVE EDGEWOOD KY 41017

CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH HEALTHCARE CARDIAC DIAGNOS

380 CENTRE VIEW BLVD EDGEWOOD KY 41017

CARDIOLOGY OUTPATIENT CLINIC ST ELIZABETH MATERNAL FETAL CENTER

20 MEDICAL VILLAGE DRIVE SUITE 212 EDGEWOOD KY 41017

MATERNAL FETAL CLINIC ST ELIZABETH IMAGING CENTER - HEBRON

2200 CONNER ROAD HEBRON KY 41048

IMAGING CENTER ST ELIZABETH HOSPICE CENTER

483 SOUTH LOOP DRIVE EDGEWOOD KY 41017

INPATIENT HOSPICE ST ELIZABETH IMAGING CENTER - ALEXANDRI

7200 ALEXANDRIA PIKE ALEXANDRIA KY 41001

IMAGING CENTER ST ELIZABETH HEALTH CARE HAND THERAPY

560 SOUTH LOOP DRIVE EDGEWOOD KY 41017

HAND THERAPY ST ELIZABETH FAMILY PRACTICE CENTER

413 SOUTH LOOP ROAD EDGEWOOD KY 41017

FAMILY MEDICINE ST ELIZABETH HEALTHCARE SPORTS MEDICINE

830 THOMAS MORE PARKWAY EDGEWOOD KY 41017

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PHYSICAL THERAPY ST ELIZABETH PHYSICAL THERAPY CENTER -

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PHYSICAL THERAPY ST ELIZABETH BUSINESS HEALTH - MOUNT ZI

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DIAGNOSTIC TESTS ST ELIZABETH HOLISTIC HEALTH

210 THOMAS MORE PARKWAY EDGEWOOD KY 41017

HOLISTIC HEALTH BLUEGRASS DIALYSIS LLC

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RENAL DIALYSIS PART I, LINE 3C: ST. ELIZABETH HEALTHCARE USES FEDERAL POVERTY GUDELINES AS THE CRITERIA TO DETERMINE ELIGIBILITY FOR FREE CARE. ST. ELIZABETH HEALTHCARE DISCOUNTS ALL PRIVATE PAY PATIENTS WHOSE INCOME IS ABOVE 200% OF FEDERAL POVERTY GUIDELINES AT 47% OF THEIR CHARGES. PART I, LINE 7: ST. ELIZABETH HEALTHCARE USED COST TO CHARGE RATIOS FOR DETERMINING COSTS RELATED TO FINANCIAL ASSISTANCE. COSTS RELATED TO UNREIMBURSED MEDICAID WERE DETERMINED BY USING ST. ELIZABETH HEALTHCARE'S COST ACCOUNTING SYSTEM. OTHER COSTS IN SECTIONS 7(G-I) WERE TAKEN USING THE ACTUAL COSTS OR DIRECT AND INDIRECT COSTS. PART I, LINE 7G: ST. ELIZABETH HEALTHCARE COSTS REFLECTED AS SUBSIDIZED HEALTH SERVICES ARE BASED ON ACTUAL COSTS OR DIRECT AND INDIRECT COSTS. THE REVENUES AND THEIR RELATED EXPENSES HAVE BEEN NETTED TOGETHER IN THE COMMUNITY BENEFIT EXPENSE COLUMN ON LINE 7 OF THE SCHEDULE H. THE ORGANIZATION REPORTED THE FOLLOWING AS SUBSIDIZED HEALTH SERVICES: PARISH NURSING HEALTH MINISTRIES, ATHLETIC TRAINERS AT THE AREA HIGH SCHOOL, WOMEN'S AND CHILDREN'S SERVICES, AND BEHAVIOR HEALTH SERVICES. NO PHYSICIAN OFFICES HAVE BEEN REPORTED ON LINE 7G. PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), THAT IS SUBTRACTED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN IS $48,640,788. PART II: ST. ELIZABETH HEALTHCARE PROVIDES A BROAD RANGE OF PROGRAMS AND SERVICES TO ADDRESS THE NEEDS IDENTIFIED BY OUR PATIENTS AND THE COMMUNITY THAT CONTRIBUTES TO THE IMPROVED HEALTH OF NORTHERN KENTUCKY. ST. ELIZABETH HEALTHCARE PROVIDES PROGRAMS AND SERVICES THAT ENABLE PEOPLE TO MAKE CHANGES IN THEIR HEALTH, BUT MAKING THOSE DECISIONS TO CHANGE RELIES ON THE INDIVIDUAL. IN ADDITION, CHANGING THE HEALTH STATUS OF A COMMUNITY REQUIRES MULTIPLE SYSTEMIC CHANGES THAT ARE BEYOND THE CONTROL OF ONE ORGANIZATION. THEREFORE, THE HOSPITAL TOOK A THREE PRONGED APPROACH WHERE IT COULD MAKE A DIFFERENCE ON FOCUSING ON OUTCOMES THAT ARE WITHIN ITS CONTROL. EACH OF THESE PRONGS HAS ESTABLISHED MEASURES TO MONITOR PROGRESS AND SUCCESS. THE PRONGED APPROACH INCLUDES: 1) PROVIDING FREE OR DISCOUNTED CARE TO OUR COMMUNITY, AS APPROPRIATE; 2) PROVIDING EDUCATIONAL PROGRAMS AND RESOURCES FOR BOTH HEALTH PROFESSIONALS AND COMMUNITY MEMBERS; AND 3) FOCUSING ON ONE CLINICAL PROGRAM THAT RELATES TO A SPECIFIC NEED IDENTIFIED AS IMPORTANT TO OUR COMMUNITY, WHICH IN THIS PLAN, IS A DIABETES CENTER OF EXCELLENCE. PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:NET PATIENT ACCOUNTS ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED UPON THE HISTORICAL COLLECTION EXPERIENCE OF ST. ELIZABETH HEALTHCARE ADJUSTED FOR CURRENT ENVIRONMENTAL RISKS AND TRENDS FOR EACH MAJOR PAYOR SOURCE. AMOUNTS RECOGNIZED ARE SUBJECT TO ADJUSTMENT UPON REVIEW BY THIRD-PARTY PAYORS. SIGNIFICANT PROVISION IS MADE FOR SELF-PAY PATIENT ACCOUNTS IN THE PERIOD OF SERVICE BASED ON PAST COLLECTION EXPERIENCE. OVERALL, THE TOTAL OF SELF-PAY DISCOUNTS AND WRITE-OFFS HAS NOT CHANGED SIGNIFICANTLY FOR THE YEAR ENDED DECEMBER 31, 2012. ST. ELIZABETH HEALTHCARE HAS NOT EXPERIENCED CHANGES IN WRITE-OFF TRENDS AND HAS NOT CHANGED ITS CHARITY CARE POLICY FOR THE YEAR ENDED DECEMBER 31, 2012.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. ST. ELIZABETH HEALTHCARE RECOGNIZES PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH THEY DO NOT ASSESS THE PATIENT'S ABILITY TO PAY. AS A RESULT, THE PROVISION FOR BAD DEBTS AND CHARITY CARE ARE PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, ST. ELIZABETH HEALTHCARE RECOGNIZES REVENUE WHEN SERVICES ARE PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ST. ELIZABETH HEALTHCARE'S UNINSURED AND UNDERINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, ST. ELIZABETH HEALTHCARE RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED AND UNDERINSURED PATIENT IN THE PERIOD THE SERVICES ARE PROVIDED.THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, $4,864,079. THE PERCENTAGE OF BAD DEBTS THAT COULD LIKELY BE CHARITY CARE IF ENOUGH INFORMATION WAS OBTAINED UP FRONT WAS DEVELOPED WITH THE HELP OF OUR LARGEST COLLECTION AGENCY WHO DETERMINED BASED ON THE ACCOUNTS REVIEWED WHO MAY NOT HAVE HAD THE FINANCIAL ABILITY TO PAY. ST. ELIZABETH HEALTHCARE ALSO BELIEVES THAT MANY PATIENTS FALL INTO THE CATEGORY WHERE THEY DO NOT MEET THE POVERTY GUIDELINES BUT YET HAVE NO INSURANCE AND CANNOT AFFORD THE COST OF THE SERVICES PROVIDED. ST. ELIZABETH HEALTHCARE THEREFORE BELIEVES THOSE NON REIMBURSED COSTS SHOULD ALSO BE COUNTED AS A BENEFIT TO THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT BAD DEBTS SHOULD BE COUNTED AS COMMUNITY BENEFIT.THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 8: ST. ELIZABETH HEALTHCARE USES THE STEP DOWN METHODOLOGY TO DETERMINE COSTS FOR MEDICARE. THE REPORTS WERE THEN COMPLETED BY FOLLOWING THE GUIDANCE PROVIDED IN THE INSTRUCTIONS FOR PART III. ST. ELIZABETH HEALTHCARE BELIEVES MEDICARE LOSSES SHOULD BE AN ALLOWABLE COMMUNITY BENEFIT. ST. ELIZABETH HEALTHCARE PROVIDES NEEDED SERVICES TO THE ELDERLY AND DISABLED MEDICARE POPULATION AT A FINANCIAL LOSS TO THE ORGANIZATION TO HELP THOSE INDIVIDUALS GET THE CARE THEY NEED IN THE COMMUNITY WE SERVE. THE AMERICAN HOSPITAL ASSOCIATION'S POSITION IS ALSO THAT MEDICARE LOSSES SHOULD BE COUNTED AS COMMUNITY BENEFIT. PART III, LINE 9B: ST. ELIZABETH HEALTHCARE HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY. ST. ELIZABETH EDGEWOOD PART V, SECTION B, LINE 3: 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 ST. ELIZABETH FLORENCE PART V, SECTION B, LINE 3: 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 ST. ELIZABETH FORT THOMAS PART V, SECTION B, LINE 3: 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 ST. ELIZABETH GRANT PART V, SECTION B, LINE 3: 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 ST. ELIZABETH EDGEWOOD PART V, SECTION B, LINE 4: ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMASST. ELIZABETH - GRANT COUNTY ST. ELIZABETH FLORENCE PART V, SECTION B, LINE 4: ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMASST. ELIZABETH - GRANT COUNTY ST. ELIZABETH FORT THOMAS PART V, SECTION B, LINE 4: ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMASST. ELIZABETH - GRANT COUNTY ST. ELIZABETH GRANT PART V, SECTION B, LINE 4: ST. ELIZABETH - EDGEWOOD ST. ELIZABETH - FLORENCE ST. ELIZABETH - FT. THOMASST. ELIZABETH - GRANT COUNTY ST. ELIZABETH EDGEWOOD PART V, SECTION B, LINE 7: 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- WELLNESSST. 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 PATIENTSCANCER- 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 ORGANIZATIONSINFANT 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 EDUCATIONLACK OF HEALTH INSURANCE- SPONSORING A FINANCIAL ASSISTANCE PROGRAM- ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATEMEDICATION COSTS/ACCESS- PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACYMENTAL 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 PATIENTSWELLNESS- PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGSSUBSTANCE ABUSE- PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS- OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONSSMOKING CESSATIONS- ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE- OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES ST. ELIZABETH FLORENCE PART V, SECTION B, LINE 7: 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- WELLNESSST. 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 PATIENTSCANCER- 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 ORGANIZATIONSINFANT 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 EDUCATIONLACK OF HEALTH INSURANCE- SPONSORING A FINANCIAL ASSISTANCE PROGRAM- ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATEMEDICATION COSTS/ACCESS- PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACYMENTAL 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 PATIENTSWELLNESS- PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGSSUBSTANCE ABUSE- PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS- OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONSSMOKING CESSATIONS- ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE- OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES ST. ELIZABETH FORT THOMAS PART V, SECTION B, LINE 7: 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- WELLNESSST. 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 PATIENTSCANCER- 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 ORGANIZATIONSINFANT 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 EDUCATIONLACK OF HEALTH INSURANCE- SPONSORING A FINANCIAL ASSISTANCE PROGRAM- ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATEMEDICATION COSTS/ACCESS- PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACYMENTAL 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 PATIENTSWELLNESS- PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGSSUBSTANCE ABUSE- PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS- OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONSSMOKING CESSATIONS- ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE- OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES ST. ELIZABETH GRANT PART V, SECTION B, LINE 7: 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- WELLNESSST. 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 PATIENTSCANCER- 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 ORGANIZATIONSINFANT 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 EDUCATIONLACK OF HEALTH INSURANCE- SPONSORING A FINANCIAL ASSISTANCE PROGRAM- ASSISTING PATIENTS ELIGIBLE FOR GOVERNMENT PROGRAMS TO REGISTER FOR THOSE PROGRAMS, PLUS PROVIDES CHARITY CARE WHEN APPROPRIATEMEDICATION COSTS/ACCESS- PROVIDING MEDICATIONS UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT OR INPATIENT AND REFERRAL TO ST. VINCENT DEPAUL PHARMACYMENTAL 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 PATIENTSWELLNESS- PROVIDING TO THE COMMUNITY NUMEROUS PROGRAMS ON VARIOUS HEALTH TOPICS AND SCREENINGSSUBSTANCE ABUSE- PROVIDING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR ADULTS- OFFERING 12-STEP PROGRAMS ON SITE BY COMMUNITY ORGANIZATIONSSMOKING CESSATIONS- ASSURING ALL OF ST. ELIZABETH HEALTHCARE CAMPUSES ARE SMOKE FREE- OFFERING COOPER CLAYTON SMOKING CESSATION CLASSES ST. ELIZABETH EDGEWOOD PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. ST. ELIZABETH FLORENCE PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. ST. ELIZABETH FORT THOMAS PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. ST. ELIZABETH GRANT PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USES THE AVERAGE RATE COMPUTED FROM ITS THREE LARGEST NEGOTIATED COMMERCIAL INSURANCE CARRIERS WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. PART VI, LINE 7: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, DISTRIBUTED TO SHAREHOLDERS, AND IS MADE AVAILABLE UPON REQUEST TO THE GENERAL PUBLIC. PART VI, LINE 2: IN 2009, ST. ELIZABETH HEALTHCARE PARTICIPATED IN A COMMUNITY-WIDE EFFORT TO COMPLETE A COMMUNITY HEALTH ASSESSMENT. THE PROCESS WAS COORDINATED THROUGH THE NORTHERN KENTUCKY INDEPENDENT HEALTH DISTRICT AND VISION 2015 USING A NATIONAL PLANNING PROCESS CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). USING THIS FRAMEWORK, THE ASSESSMENT PROCESS INVOLVED MORE THAN 200 PARTICIPANTS WITH 10 REPRESENTATIVES SERVING ON FOUR DIFFERENT COMMITTEES TO ASSESS THE HEALTH STATUS OF THE COMMUNITY. ST. ELIZABETH HEALTHCARE ALSO REVIEWED THE STATISTICS ON INCIDENCE OF DISEASE IN ITS COMMUNITY. THESE DATA SOURCES WERE USED TO DEVELOP ST. ELIZABETH HEALTHCARES 2010 THROUGH 2012 COMMUNITY BENEFITS PLAN. IN 2011 ST. ELIZABETH HEALTHCARE BEGAN RESEARCHING AVAILABLE INCIDENCE OF DISEASE RESOURCES IN PREPARATION TO CONDUCT ITS COMMUNITY HEALTH NEEDS ASSESSMENT IN 2012. THE RESULTS OF THIS ASSESSMENT WILL BE USED TO DEVELOP THE COMMUNITY BENEFITS PLAN 2013 THROUGH 2015, FOR EACH OF THE SYSTEM'S HOSPITALS. PART VI, LINE 3: THE FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON ST. ELIZABETH HEALTHCARE'S WEB SITE. A WRITTEN COPY IS ALSO INCLUDED IN THE PATIENT HANDBOOK PROVIDED TO INPATIENT ADMISSIONS. A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING INDIVIDUALS ON THE PATIENT BILLS. FINANCIAL COUNSELORS ARE AVAILABLE TO ASSIST PATIENTS TO DETERMINE QUALFICATION AND A COPY OF THE POLICY IS AVAILABLE TO PATIENTS UPON REQUEST. PART VI, LINE 4: ST. ELIZABETH HEALTHCARE SERVES THE NORTHERN KENTUCKY REGION, CONSISTING OF 12 COUNTIES (BOONE, CAMPBELL, GRANT, KENTON, OWEN, PENDLETON, BRACKEN, CARROLL, GALLATIN, HARRISON, MASON, AND ROBERTSON COUNTIES). THE SERVICE AREA INCLUDES URBAN, SUBURBAN, AND RURAL AREAS. THE TOTAL POPULATION OF THE AREA IS OVER 500,000. ST. ELIZABETH HEALTHCARE HAS BEEN EXPANDING SERVICES IN DEARBORN COUNTY, INDIANA.THE AREA IS PREDOMINANTLY WHITE WITH AN INCREASING NUMBER OF PERSONS WITH HISPANIC BACKGROUNDS MOVING INTO THE AREA, ESTIMATED TO BE 13,000 IN 2011. MINORITY POPULATIONS REPRESENT APPROXIMATELY 8.9% OF THE POPULATION. APPROXIMATELY 11.4% OF THE POPULATION IS 65+ YEARS OLD. THE PERCENT OF PERSONS LIVING IN POVERTY VARIES BY COUNTY WITH THE LOWEST AT 9.2% IN BOONE COUNTY AND THE HIGHEST AT 22.6% IN ROBERTSON COUNTY. OVERALL, THE PERCENTAGE OF PERSONS LIVING BELOW POVERTY IS 13.4%. APPROXIMATELY 17.17% OF THE NORTHERN KENTUCKY POPULATION IS UNINSURED. PART VI, LINE 5: ST. ELIZABETH HEALTHCARE FURTHERS ITS EXEMPT PURPOSES IN IMPROVING COMMUNITY HEALTH BY: 1) ENCOURAGING AND SUPPORTING STAFF TO PARTICIPATE ON VARIOUS COMMUNITY BOARDS/ACTIVITIES THAT SUPPORT AND/OR DEVELOP PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS AND WORKFORCE DEVELOPMENT. 2) THE HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF COMMUNITY REPRESENTATIVES TO ENSURE THE ORGANIZATION ADHERES TO ITS MISSION TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE. 3) THROUGH ITS PRIMEWISE SENIOR SERVICES FOR AGE 50+ PERSONS, THE INSTITUTION SUBSIDIZES COURSE OFFERINGS TO SENIOR CITIZENS INCLUDING DRIVER'S SAFETY, LOW IMPACT EXERCISE, COMPUTER SKILLS, MEDICATION REVIEW AND HEALTH SCREENINGS, ALONG WITH PROVIDING LITERATURE PERTINENT TO THIS AGE GROUP. 4) ON A QUARTERLY BASIS, THE HOSPITAL PRODUCES AND DISTRIBUTES TO MORE THAN 60,000 HOUSEHOLDS THROUGHOUT NORTHERN KENTUCKY, LITERATURE ON VARIOUS HEALTHCARE ISSUES AND SCHEDULES PERTAINING TO AREA HEALTH EVENTS AND PROGRAMS. 5) PERIODICALLY, ST. ELIZABETH HEALTHCARE WILL PARTNER WITH COMMUNITY ORGANIZATIONS AND BUSINESS AGENCIES TO PRESENT HEALTH RELATED PROGRAMS AND HEALTH SCREENINGS. PART VI, LINE 6: ST ELIZABETH HEALTHCARE IS A SYSTEM THAT FEATURES FIVE FACILITIES THROUGHOUT NORTHERN KENTUCKY - ST. ELIZABETH EDGEWOOD, ST. ELIZABETH FLORENCE, ST ELIZABETH FORT THOMAS, ST. ELIZABETH GRANT, AND ST. ELIZABETH FALMOUTH. EACH OF THESE FACILITIES ADDRESSES THE SPECIFIC NEEDS OF ITS LOCALE AS IDENTIFIED BY THE PATIENTS IN THE COMMUNITY. THE SERVICE AREAS VARY FROM RURAL AREAS TO SUBURBAN COMMUNITIES TO URBAN AREAS IN GREATER CINCINNATI AND NORTHERN KENTUCKY. ST. ELIZABETH HEALTHCARE OFFERS OVER 1,000 LICENSED BEDS, APPROXIMATELY 7,000 EMPLOYEES, MORE THAN 800 PHYSICIANS WITH ADMITTING PRIVILEGES AND A WHOLLY OWNED PHYSICIAN ORGANIZATION WHICH INCLUDES OVER 60 PRIMARY CARE AND SPECIALTY OFFICE LOCATIONS. ST. ELIZABETH HEALTHCARE IS SPONSORED BY THE DIOCESE OF COVINGTON. X X X 1 1 X X X X X X 1 1 0 0 0 0 0 0 0 JOHN DUBIS 780000 0 205400 0 11551 0 187546 0 30729 0 1215226 0 0 0 GEORGE S HALL MD 261693 0 34613 0 33648 0 0 0 26372 0 356326 0 0 0 HEIDI C MURLEY MD 0 310656 0 0 0 2713 0 0 0 22156 0 335525 0 0 GARREN COLVIN 474001 0 82759 0 19917 0 93688 0 32829 0 703194 0 0 0 NATHAN VANLANINGHAM 392001 0 63109 0 7253 0 63587 0 2595 0 528545 0 0 0 BARBARA KROHMAN 108676 0 6195 0 1610 0 17000 0 21140 0 154621 0 0 0 THOMAS SAALFELD 284001 0 50096 0 4116 0 50265 0 19327 0 407805 0 0 0 TREVA JANE SWAIM 281002 0 115729 0 4069 0 49086 0 25202 0 475088 0 0 0 GLENN LOOMIS 495000 0 78905 0 3132 0 62043 0 24566 0 663646 0 0 0 SARAH GIOLANDO 315001 0 55050 0 2602 0 37580 0 3146 0 413379 0 0 0 MARTIN OSCADAL 284001 0 50096 0 2675 0 50266 0 15698 0 402736 0 0 0 CHISTOPHER CARLE 287000 0 49967 0 1458 0 50610 0 29107 0 418142 0 0 0 GARY BLANK 243000 0 42022 0 1205 0 41628 0 11410 0 339265 0 0 0 DOUGLAS CHAMBERS 229002 0 40737 0 2108 0 25542 0 27857 0 325246 0 0 0 ROBERT PRICHARD 381002 0 67895 0 1977 0 47041 0 29168 0 527083 0 0 0 WILLIAM BANKS 252000 0 48228 0 17619 0 29034 0 13658 0 360539 0 0 0 RUTH A HENTHORN 174000 0 46064 0 18630 0 17000 0 10921 0 266615 0 0 0 SUSAN MCDONALD 242002 0 22939 0 2252 0 41967 0 12348 0 321508 0 0 0 ALEXANDER RODRIGUEZ 308000 0 40981 0 1574 0 35052 0 27234 0 412841 0 0 0 PAULA ROE 200228 0 10173 0 1756 0 18515 0 22789 0 253461 0 0 0 BENITA UTZ 207002 0 22462 0 1890 0 27079 0 18313 0 276746 0 0 0 LISA FREY 199951 0 17811 0 640 0 17000 0 10845 0 246247 0 0 0 RAYMOND WILL 530238 0 29102 0 14478 0 0 0 24713 0 598531 0 0 0 VICTOR SCHMELZER 530238 0 29102 0 84758 0 17000 0 30974 0 692072 0 0 0 MICHAEL GIBSON 530238 0 0 0 3150 0 16082 0 33769 0 583239 0 0 0 KARL ULICNY 530238 0 29102 0 5862 0 17000 0 31069 0 613271 0 0 0 JACKSON PEMBERTON 442518 0 0 0 5301 0 17000 0 33495 0 498314 0 0 0 MARK REIDINGER 22327 0 71860 0 221635 0 2233 0 6499 0 324554 0 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS: THIS IS PROVIDED TO JOHN DUBIS, GARREN COLVIN, BARBARA KROHMAN, GEORGE HALL, SARAH GIOLANDO, AND GLENN LOOMIS. BOARD RETREAT COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: SEE ABOVE LIST OF INDIVIDUALS. TAXABLE BOARD RETREAT COMPENSATION WAS GROSSED UP FOR FICA AND LOCAL TAXES. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE: THIS IS PROVIDED TO NATHAN VANLANINGHAM AND WILLIAM BANKS FOR PART OF MOVING EXPENSES WHICH WAS TREATED AS TAXABLE COMPENSATION IN THE AMOUNT OF $5,535 AND $11,200, RESPECTIVELY. PART I, LINES 4A-B SEVERANCE PAYMENT: THE SEVERANCE RECEIVED BY MARK REIDINGER WAS THE COMPENSATION REQUIRED UNDER THE REMAINING TERM OF HIS CONTRACT, THE PERIOD OF FEBRUARY 1,2011 THROUGH JANUARY 31,2012. SEVERANCE PAYMENTS FOR 2012: MARK REIDINGER $188,243 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO NONQUALIFIED RETIREMENT PLAN PAYMENTS FOR 2012. 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 0 0 0 B KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY - SERIES 2009B 521643102 2009-12-09 38150000 PARTIAL REFUNDING OF BONDS ISSUED 6/11/03 0 0 0 A 6100000 101960448 1430179 29195269 71335000 2009 1 0 1 1 B 3275000 38150000 360000 37790000 2003 1 0 1 1 A 0 1 1 1 0 0.03000 0.00000 0.03000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 11, COLUMNS A AND B: AMOUNT OF BOND PROCEEDS USED FOR CURRENT REFUNDING OF SERIES 2003 BONDS. SCHEDULE K, PART V: ST. ELIZABETH MEDICAL CENTER, INC. HAS WRITTEN PROCEDURES TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED. IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS, THE ORGANIZATION WOULD CONTACT ITS BOND COUNSEL REGARDING THE IRS' VOLUNTARY CLOSING AGREEMENT PROGRAM. NORTHERN KENTUCKY WATER DISTRICT SEH BOARD MEMBER FRED MACKE IS A BOARD MEMBER OF NKWD 572494 UTILITIES 0 CHAMPLIN HAUPT ARCHITECTS SEH BOARD MEMBER JOAN WURTENBERGER IS A PARTNER OF CHA. 292619 ARCHITECT FEES 0 HBC II LLC SEH BOARD MEMBER JOAN WURTENBERGER'S HUSBAND IS A 30% OWNER OF HBC II. 604226 MANAGEMENT FEES 0 87800 0 PERFECT SERVE INC SEH BOARD MEMBER TED ROBINSON IS A 1% OWNER OF PERFECT SERVE, INC. 341140 TELEPHONE MESSAGING SERVICES 0 RADIOLOGY ASSOCIATES SEH BOARD MEMBER JAMES ROEBKER IS A PHYSICIAN WITH RADIOLOGY ASSOCIATES 628365 RADIOLOGY FEES 0 FIFTH THIRD BANK SEH BOARD MEMBER CHRIS FISTER IS A BOARD MEMBER OF FIFTH THIRD BANK 1160539 INTEREST EXPENSE, TRUSTEE FEES AND BANK FEES 0 X 15 634725 LISTED/SELLING PRICE X MEDICAL SUPPLES 3 9479 COST/SELLING PRICE X FOOD/PRIZES 118 23124 COST/SELLING PRICE 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE BOARD OF TRUSTEES OF THE CORPORATION WILL BE APPOINTED ACCORDING TO THE FOLLOWING SUMMARIZED PROCEDURE: (I) THE BOARD SHALL SUBMIT TO THE BISHOP UP TO THREE NAMES OF CANDIDATES FOR EACH VACANCY; (II) ORDINARILY THE BISHOP WILL CHOOSE TRUSTEES TO FILL THE VACANCIES OR OPENINGS FROM THE RECOMMENDED CANDIDATES AFTER PERSONAL CONSULTATION WITH THE PRESIDENT. IF THE BISHOP DOES NOT CHOOSE ANYONE FROM THE LIST, THE BOARD WILL SUBMIT NEW NAMES AS SOON AS PRACTICAL; (III) THE BISHOP RESERVES THE RIGHT TO SUBMIT OTHER NAMES TO THE BOARD FOR REVIEW AND COMMENT; (IV) IN CONSULTATION WITH THE PRESIDENT OF THE MEDICAL CENTER OR THE BOARD CHAIR, THE BISHOP MAY REMOVE ANY MEMBER OF THE BOARD IF CERTAIN ACTIONS ARE COMMITTED; (V) IF THE BISHOP DECLINES A CANDIDATE OR THE CANDIDATE DECLINES, THE LIST OF CANDIDATES WILL BE REVISITED ACCORDING TO PROCEDURES (I) THROUGH (III) ABOVE. FORM 990, PART VI, SECTION A, LINE 7B MOST REVEREND CATHOLIC BISHOP OF COVINGTON KENTUCKY HAS CERTAIN RESERVED POWERS IN REGARD TO MAJOR TRANSACTIONS. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE BISHOP: (I) THE AMENDMENT OR REPEAL OF SECTIONS 2(B) OR 2(C) OF THE BYLAWS OR ANY PROVISIONS OF THE GOVERNING DOCUMENTS RELATING TO THE AUTHORITY OF THE BISHOP OR BOARD OF TRUSTEES OF THE CORPORATION; (II) ANY ACTION THAT RESULTS IN A SUBSTANTIAL CHANGE, AS DETERMINED BY THE BISHOP OR THE BOARD, IN THE PHILOSOPHY OR MISSION OF THE CORPORATION, OR IN THE USE OF A CORPORATION HOSPITAL FACILITY; (III) THE DISSOLUTION, CONSOLIDATION, MERGER, OR TERMINATION OF EXISTENCE OF THE CORPORATION; AND (IV) A BORROWING, LEASE, TRANSFER, OR ENCUMBRANCE OF ANY REAL ESTATE OF THE CORPORATION EXCEEDING $5,000,000. FORM 990, PART VI, SECTION B, LINE 11 ST. ELIZABETH HEALTHCARE'S PROCESS TO REVIEW THE FORM 990 CONSISTS OF REVIEW AND APPROVAL BY CERTAIN MEMBERS OF MANAGEMENT. THE FORM 990 IS REVIEWED WITH THE FINANCE COMMITTEE AND APPROVED BY THE FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S APPROVAL, BUT PRIOR TO FILING WITH THE IRS, THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND MANAGEMENT IS AVAILABLE FOR ANY QUESTIONS OR COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A BOARD COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX EXEMPT PURPOSE. IN ADDITION, ANY OF THESE PERSONS WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. WHEN BUSINESS COMES BEFORE THE BOARD IN WHICH A MEMBER IS INVOLVED AND A POTENTIAL CONFLICT OF INTEREST MAY EXIST, THE MEMBER SHOULD AGAIN MAKE A VERBAL DISCLOSURE TO THE MEMBERSHIP PRESENT. IN ADDITION: (A) THE BOARD SHALL ASK THE INTERESTED MEMBER TO LEAVE THE MEETING DURING DISCUSSION OF THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (B) THE INTERESTED MEMBER SHALL NOT VOTE ON NOR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT; (C) THE INTERESTED MEMBER SHALL NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM AT SUCH MEETING; AND (D) THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE TAKEN, AND WHICH MEMBERS WERE PRESENT AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, AN EVALUATION IS DONE BY THE COMPENSATION COMMITTEE AND EXECUTIVE COMMITTEE USING APPROPRIATE COMPARABLE DATA, AND THEN A COMPENSATION RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL. OTHER KEY EXECUTIVES ARE REVIEWED AND THE CEO MAKES RECOMMENDATIONS FOR THEIR COMPENSATION TO THE COMPENSATION COMMITTEE. THIS COMMITTEE THEN EVALUATES AND APPROVES THE COMPENSATION FOR THE OTHER KEY EXECUTIVES. FOR BOTH THE CEO AND OTHER KEY EXECUTIVES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXTERNAL REVIEW OF EXECUTIVE COMPENSATION IS PERFORMED ANNUALLY AND APPROVED BY THE BOARD - THIS WAS LAST PERFORMED IN 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE THE FORM 990 SCHEDULES, OF WHICH ARE OPEN TO PUBLIC INSPECTION, UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G PURCHASED SERVICES AND PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 84,009,391. MANAGEMENT AND GENERAL EXPENSES 44,526,441. FUNDRAISING EXPENSES 242,350. TOTAL EXPENSES 128,778,182. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FMV OF INTEREST RATE SWAP -78,400. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -9,759. CHANGE IN FMV OF INTEREST SWAP -69,650. MINIMUM PENSION LIABILITY ADJUSTMENT -9,917,712. CAPTIAL CONTRIBUTION FROM SUMMIT MEDICAL GROUP, INC. - 2012 CHANGE IN VALUE 19,063,242. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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