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      <Description>1. Acute Care and Outpatient Services -------------------------------------- Jewish Hospital --------------- Jewish Hospital opened in 1905 with a mission to provide all patients with the highest quality care and a strong emphasis on research and education. Today, Jewish Hospital is a 462-bed, internationally renowned, high-tech tertiary referral center developing leading-edge advancements in service lines including but not limited to hand and microsurgery, heart and lung care, orthopaedics, neuroscience, organ transplantation and outpatient care. Many of the hospital's clinical programs have achieved national rankings for excellence. In 2010, Jewish Hospital received the American Stroke Association's Get With The Guidelines - Stroke (GWTG-Stroke) Gold Performance Achievement Award, their highest honor. The award recognizes both hospitals' commitment and success in implementing a higher standard of stroke care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations. In addition, the facility received the Anthem Blue Cross and Blue Shield Blue Distinction Award for Hip, Knee and Spine Surgery, recognizing the experience and training of the program's surgeons, the quality management programs, integrated care and patient education. Noted for numerous medical "firsts" in Kentucky, the nation and the world, Jewish Hospital is the site of the nation's first successful hand transplant, Kentucky's first double hand transplant and the world's first and second successful AbioCor Implantable Replacement Heart transplants. The hospital is federally designated to perform all five solid organ transplants - heart, lung, liver, kidney and pancreas. In 2010, the hospital opened the Center for Advanced Heart Failure and Cardiothoracic Transplantation, a one-stop location for patients experiencing heart failure. Patients can learn about clinical trials, Ventricular Assist Devices, transplantation options along with other potential treatment plans and visit with a physician and a clinical coordinator. The facility also opened a designated Chest Pain Observation Unit. In addition the hospital partnered with the Louisville Science Center and Greater Louisville Medical Society to create Pulse of Surgery, a program that broadcasts live heart surgeries to the Science Center for school groups to learn about wellness and potential healthcare careers. Other services at Jewish Hospital include: Inpatient Care 24/7 Emergency Care Full Range of Diagnostic Services Surgical Care including: outpatient surgery and the da Vinci S Surgical System for minimally invasive procedures Heart Care including: a full continuum of care from prevention to rehabilitation Neuroscience Orthopaedics Wound Healing Center Vascular Care Sts. Mary &amp; Elizabeth Hospital ------------------------------ Built on a tradition of care and energized by advancements in 21st century medicine, Sts. Mary &amp; Elizabeth Hospital is one of Louisville's best community hospitals. This 331-bed primary care hospital offers advanced treatment in vascular care, cancer care, cardiac care, wound care, lung disease, orthopaedics, general surgery and emergency services. Serving the south Louisville community for more than a century, Sts. Mary &amp; Elizabeth Hospital has cared for generations of families in this community. In 2010, Anthem Blue Cross and Blue Shield in Kentucky has designated Sts. Mary &amp; Elizabeth Hospital (SMEH) as Blue Distinction Centers for Knee and Hip Replacement. The Blue Distinction designation is awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare in the areas of bariatric surgery, cardiac care, complex and rare cancers, knee and hip replacement, spine surgery and transplants. Located on the Sts. Mary's &amp; Elizabeth Hospital medical campus, The Women's Center, offers the latest medical technology for breast and bone health in a women-only environment The Center offers the latest in digital technology including, soft-pad mammography, computer-aided detection, stereotactic breast biopsies, ultrasound and bone-density testing. Sts. Mary &amp; Elizabeth Hospital is also home to Jewish Bariatric Care, a surgical weight-loss solution - known as the LAP-BAND System - with a long-term, comprehensive support program. In 2010, the American Society of Metabolic and Bariatric Surgery and the Surgical Review Corporation announced that Jewish Bariatric Care at Sts. Mary &amp; Elizabeth Hospital (SMEH), along with Louisville Bariatric Surgical Associates were approved for renewal as a Bariatric Surgery Center of Excellence. In addition, Sts. Mary &amp; Elizabeth Hospital has a Sleep Disorders Center and Wound Healing Center. The Sleep Center is accredited by the American Academy of Sleep Medicine. It provides treatment for patients with all types of sleep disorders, including sleep apnea and narcolepsy, and is equipped to meet the special needs of patients including those who are handicap and those suffering from obesity. A multitude of diagnostic and treatment options are available for patients at the Wound Healing Center, including state of the art Hyperbaric Oxygen Chambers. Sts. Mary &amp; Elizabeth Hospital has the largest chambers available in the state. Hyperbaric chambers provide an oxygen-rich environment allowing the body's natural wound-healing mechanisms, which are oxygen dependent, are able to function more efficiently. Other services at Sts. Mary &amp; Elizabeth Hospital include: Inpatient Care 24/7 Emergency Care Full Range of Diagnostic Services including: digital technology and interventional radiology Outpatient Care including St. Mary's Surgery Center and lab services Orthopaedics Sleep Disorders Center The Women's Center (digital technology) Bariatric Care Wound Healing Center Vascular Care Jewish Hospital Shelbyville --------------------------- Jewish Hospital Shelbyville was founded in 1906 by the King's Daughters and Sons Organization, and purchased by Jewish Hospital &amp; St. Mary's HealthCare in 1992. This 76-bed hospital provides excellence in care to the residents of Shelby, Henry and Spencer counties. Located just 30 minutes east of downtown Louisville, Jewish Hospital Shelbyville provides a full range of comprehensive inpatient and outpatient services. The focus on growth combined with reinvestment in new technology has made this small, community hospital truly unique in its ability to provide high tech care, usually found only in larger metropolitan areas. The hospital offers: Inpatient Care 24/7 Emergency Care Critical Care General and Specialty Surgeries Orthopedics Spine Surgery Diagnostic Imaging, including: MRI, CT, nuclear studies, digital mammography Skilled Nursing Facility Sleep Studies Lab Cardiac &amp; Pulmonary Rehabilitation Frazier Rehab Institute Wound Healing Center Jewish Hospital Medical Center East ---------------------------------- Offering patients "health care of the future now," Jewish Hospital Medical Center East is a three-story, 210,000 square-foot outpatient facility conveniently located at the corner of Breckenridge and Dutchmans Lanes. Jewish Hospital Medical Center East offers this region's only gender-specific approach to outpatient diagnostic procedures. Services include: 24/7 Emergency Care Full range of Diagnostic Services including digital technology Outpatient Surgery Sleep Lab Frazier Rehab Jewish Hospital Medical Center Northeast ---------------------------------------- Jewish Hospital Medical Center Northeast, a four-story, 120,000 square foot facility located at 2401 Terra Crossing Boulevard, opened in August 2009. Medical Center Northeast is an outpatient diagnostic/treatment and emergency care facility designed with our patients' needs in mind. JHMCNE provides a private, relaxing patient care environment with care delivered by an experienced and highly-trained staff. It is easily accessible and within close proximity to a growing number of neighborhoods and schools. Services offered at the medical center include: 24/7 Emergency services with care provided by Board-certified Emergency Medicine physicians Advanced diagnostic medical imaging - MRI, PET/CT, CT, fluoroscopy, full-field digital mammography, nuclear medicine, x-ray, ultrasound and DEXA/bone density Comprehensive outpatient cancer treatment services including radiation therapy and infusion Holistic medicine - including massage therapy, reflexology and craniosacral therapy Cardiac services including stress testing, EKG, holter monitoring and echocardiography Laboratory services Frazier Rehab Institute outpatient services EmployCare - 24 hour treatment of work-related injuries and illnesses Physician offices - primary care and specialists Jewish Hospital Medical Center Southwest --------------------------------------- Jewish Hospital Medical Center Southwest offers 24/7 emergency services along with medical imaging and other outpatient and diagnostic services w</Description>
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        <Description>2. Rehabilitation Services ------------------------------------- Frazier Rehab and Neuroscience Center ------------------------------------- Frazier Rehab Institute is a comprehensive rehabilitation system providing therapy in an acute care setting for inpatient and outpatient rehab needs. Comprehensive rehab programs, highly skilled therapists, state-of-the-art facilities and innovative therapeutic techniques have earned Frazier Rehab Institute national recognition. Patients span the age range from infancy to geriatrics with a wide variety of diagnoses which include neurological (spinal cord injury, brain injury, movement disorders, and stroke), amputations, multiple trauma, orthopaedic, arthritis, cardiopulmonary, congenital, developmental, degenerative, general medical cases and work injuries. Additionally, Frazier Rehab has a community fitness and wellness gym for individuals (and their families) with permanent physical disabilities. The fully accessible gym is designed to improve cardiovascular/aerobic fitness, muscular strength and flexibility through the use of specialized equipment. In 2010, the facility received a grant to open a second gym, expanding their services, as well as offering scholarships to spinal cord patients in need of assistance to utilize the facility. The facility also partnered with Friends for Michael, Inc. to open the Michael Brent Resource Center, a resource center specifically dedicated to providing various needed resources for spinal cord patients and families in the community.</Description>
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        <Description>3. Psychiatric Health Services ------------------------------------- Our Lady of Peace -------------------- Our Lady of Peace is one of the largest private, not-for-profit psychiatric hospitals in the country, offering a full continuum of psychiatric treatment including inpatient, partial hospitalization and outpatient services for children, adolescents, and adults. Our Lady of Peace has an Access Center open 24/7 for persons in crisis situations. They even have mobile assessment services throughout the Louisville Metro area and psychiatric consultation services at Jewish Hospital and Sts. Mary &amp; Elizabeth Hospital. Our Lady of Peace has a multi-disciplinary team of professionals including attending psychiatrists, nurses, social workers, teachers, activity therapists, behavioral analysts, chaplains and mental health workers. The staff is trained to address an array of emotional/behavioral/psychiatric disorders, such as depression; anxiety; post-traumatic stress; chronic pain; grief and loss; and chemical dependencies. In April 2009, Our Lady of Peace opened Kentucky's first intensive special needs Psychiatric Residential Treatment Facilities (PRTF) serving children ages 12-17. The new facilities were designed and built for children with psychiatric conditions and other special needs including mental retardation, autism or brain injury. The $2.1 million building project includes two, unique facilities in Kentucky designed to serve as "step down" residential centers for children and adolescents coming from inpatient psychiatric hospital care. Each facility includes nine beds, a food preparation area, dining area, bath and classroom. In addition, The Children's Peace Center at Our Lady of Peace serves as the banner for the hospital's children's programs, which include no charge assessments by professional clinicians, inpatient care, day and evening outpatient programs and specialized services such as Peace Academy, a partnership with Jefferson County Public Schools that allows children to continue their class-work while receiving treatment.</Description>
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        <NamePerson>MARK R JONES MD</NamePerson>
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        <Total>4939881</Total>
        <ManagementAndGeneral>4939881</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>277288930</Total>
        <ProgramServices>244507273</ProgramServices>
        <ManagementAndGeneral>32588282</ManagementAndGeneral>
        <Fundraising>193375</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
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        <ProgramServices>18150928</ProgramServices>
        <ManagementAndGeneral>2469665</ManagementAndGeneral>
        <Fundraising>11014</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
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        <ProgramServices>22577509</ProgramServices>
        <ManagementAndGeneral>5191160</ManagementAndGeneral>
        <Fundraising>23063</Fundraising>
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      <PayrollTaxes>
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        <ProgramServices>18042990</ProgramServices>
        <ManagementAndGeneral>2207044</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>2090029</Total>
        <ProgramServices>77312</ProgramServices>
        <ManagementAndGeneral>2011710</ManagementAndGeneral>
        <Fundraising>1007</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>1159499</Total>
        <ProgramServices>7896</ProgramServices>
        <ManagementAndGeneral>1151603</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>147331</Total>
        <ManagementAndGeneral>147331</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>467457</Total>
        <ProgramServices>186727</ProgramServices>
        <ManagementAndGeneral>280730</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>79410133</ProgramServices>
        <ManagementAndGeneral>44574363</ManagementAndGeneral>
        <Fundraising>284068</Fundraising>
      </FeesForServicesOther>
      <Advertising>
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        <ProgramServices>162688</ProgramServices>
        <ManagementAndGeneral>4901738</ManagementAndGeneral>
        <Fundraising>-598</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>217291941</Total>
        <ProgramServices>207374967</ProgramServices>
        <ManagementAndGeneral>9886397</ManagementAndGeneral>
        <Fundraising>30577</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>24917061</Total>
        <ProgramServices>716007</ProgramServices>
        <ManagementAndGeneral>24201054</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>20913665</Total>
        <ProgramServices>14658444</ProgramServices>
        <ManagementAndGeneral>6255221</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>1407554</Total>
        <ProgramServices>1128011</ProgramServices>
        <ManagementAndGeneral>269315</ManagementAndGeneral>
        <Fundraising>10228</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>23396414</Total>
        <ProgramServices>16768094</ProgramServices>
        <ManagementAndGeneral>6626236</ManagementAndGeneral>
        <Fundraising>2084</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>37350783</Total>
        <ProgramServices>28104117</ProgramServices>
        <ManagementAndGeneral>9246633</ManagementAndGeneral>
        <Fundraising>33</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>8299009</Total>
        <ProgramServices>4565765</ProgramServices>
        <ManagementAndGeneral>3733244</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>50997220</Total>
        <ProgramServices>50848600</ProgramServices>
        <ManagementAndGeneral>148620</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TUITION ASSISTANCE</Description>
        <Total>511741</Total>
        <ProgramServices>198031</ProgramServices>
        <ManagementAndGeneral>313210</ManagementAndGeneral>
        <Fundraising>500</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVIDER TAX</Description>
        <Total>14169104</Total>
        <ProgramServices>14169104</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER</Description>
        <Total>8737928</Total>
        <ProgramServices>4737918</ProgramServices>
        <ManagementAndGeneral>2963065</ManagementAndGeneral>
        <Fundraising>1036945</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>UNIV. OF LOUISVILLE ED. SUPPOR</Description>
        <Total>6362788</Total>
        <ProgramServices>6362788</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>903391856</Total>
        <ProgramServices>737693058</ProgramServices>
        <ManagementAndGeneral>164106502</ManagementAndGeneral>
        <Fundraising>1592296</Fundraising>
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        <EOY>13187</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>93074423</BOY>
        <EOY>93600558</EOY>
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      <PledgesAndGrantsReceivable>
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        <EOY>3681347</EOY>
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        <EOY>210195330</EOY>
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        <EOY>398318</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>17035573</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>10748305</BOY>
        <EOY>10880824</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>612267745</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>445123178</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>183857306</BOY>
        <EOY>167144567</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>252025439</EOY>
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      <InvestmentsOtherSecurities>
        <BOY>22313426</BOY>
        <EOY>28517531</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>4614649</BOY>
        <EOY>4654647</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>15270089</BOY>
        <EOY>20922341</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
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        <EOY>809069662</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
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      <TaxExemptBondLiabilities>
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        <EOY>376165000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
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      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>28631</BOY>
        <EOY>22680</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>604844663</BOY>
        <EOY>585057763</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>146106212</BOY>
        <EOY>209069954</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>7161883</BOY>
        <EOY>8127929</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>6131129</BOY>
        <EOY>6814016</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>159399224</BOY>
        <EOY>224011899</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>764243887</BOY>
        <EOY>809069662</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>35904148</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>28708527</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Form4720Filed>false</Form4720Filed>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>147331</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>123886</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>271217</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING EXPENSES</Identifier>
        <ReturnReference>Schedule C, Part II-B, Line I</ReturnReference>
        <Explanation>JSHMH PAYS DUES To professional healthcare organizations. A portion of THESE DUES ARE used for lobbying activities: $88,518 Allocated Salary of employees involved with Advocacy efforts: $38,368</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
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        <Contributions>5013109</Contributions>
        <InvestmentEarningsOrLosses>872333</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>2514297</GrantsOrScholarships>
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        <EndOfYearBalance>14941944</EndOfYearBalance>
      </CurrentYear>
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        <InvestmentEarningsOrLosses>899349</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>256963</GrantsOrScholarships>
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        <EndOfYearBalance>13293634</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>16109452</BeginningOfYearBalance>
        <Contributions>5363451</Contributions>
        <InvestmentEarningsOrLosses>-1165000</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>6823000</GrantsOrScholarships>
        <OtherExpenditures>2176000</OtherExpenditures>
        <EndOfYearBalance>11308903</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <PermanentEndowmentEOYBalance>0.54400</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.45600</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>2500490</OtherCostOrOtherBasis>
        <BookValue>2500490</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>171237143</OtherCostOrOtherBasis>
        <Depreciation>95763956</Depreciation>
        <BookValue>75473187</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>15209992</OtherCostOrOtherBasis>
        <Depreciation>6800546</Depreciation>
        <BookValue>8409446</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>421554817</OtherCostOrOtherBasis>
        <Depreciation>342558676</Depreciation>
        <BookValue>78996141</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1765303</OtherCostOrOtherBasis>
        <BookValue>1765303</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>167144567</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>UNUSED BOND PROCEEDS</Description>
        <Amount>22680</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>22680</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>INCOME TAXES</Identifier>
        <ReturnReference>SCH D, PART X, LINE 2</ReturnReference>
        <Explanation>----------------------- MOST OF THE INCOME RECEIVED BY JHSMH AND CERTAIN AFFILIATES IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. SOME OF ITS SUBSIDIARIES ARE TAXABLE ENTITIES, AND SOME OF THE INCOME RECEIVED BY OTHERWISE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. JHSMH FILES FEDERAL INCOME TAX RETURNS AS WELL AS INCOME TAX RETURNS IN KENTUCKY AND INDIANA. ASC 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DESCRIPTION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. NO AMOUNT HAS BEEN RECORDED RELATED TO ASC 740 AT EITHER DECEMBER 31, 2010 OR 2009.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>INTENDED USES OF ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCH D, PART V, LINE 4</ReturnReference>
        <Explanation>------------------------ Endowed assets are to be held in perpetuity, the income from which is expendable to support various JHSMH programs as designated by the donor. Significant programs include nursing and other medical scholarships and research programs.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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        <FoodAndBeverageEvent2>11466</FoodAndBeverageEvent2>
        <EntertainmentEvent2>3310</EntertainmentEvent2>
        <OtherDirectExpensesEvent2>33067</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>484190</GrossReceiptsTotal>
        <CharitableContributionsTotal>298364</CharitableContributionsTotal>
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        <FoodAndBeverageTotalEvents>32453</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>3310</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>33311</OtherDirectExpensesTotalEvents>
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      </EventsInformation>
      <GamingInformation>
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        <NonCashPrizesOtherGaming>30585</NonCashPrizesOtherGaming>
        <OtherDirectExpensesOtherGaming>3288</OtherDirectExpensesOtherGaming>
        <VolunteerLaborOtherGaming>true</VolunteerLaborOtherGaming>
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        <NonCashPrizesTotalGaming>30585</NonCashPrizesTotalGaming>
        <OtherDirectExpensesTotalGaming>3288</OtherDirectExpensesTotalGaming>
        <DirectExpenseSummaryGaming>33873</DirectExpenseSummaryGaming>
        <NetGamingIncomeSummary>-3334</NetGamingIncomeSummary>
      </GamingInformation>
      <StatesWhereGamingConducted>KY</StatesWhereGamingConducted>
      <Licensed>true</Licensed>
      <LicenseSuspendedEtc>false</LicenseSuspendedEtc>
      <GamingWithNonmembers>false</GamingWithNonmembers>
      <MemberOfOtherEntity>false</MemberOfOtherEntity>
      <PercentageOfGamingOwnFacility>1.00000</PercentageOfGamingOwnFacility>
      <NameOfGamingRecKeeperPerson>CORPORATE ACCOUNTING</NameOfGamingRecKeeperPerson>
      <AddressOfGamingRecKeeperUS>
        <AddressLine1>539 SOUTH FOURTH STREET</AddressLine1>
        <City>Louisville</City>
        <State>KY</State>
        <ZIPCode>40202</ZIPCode>
      </AddressOfGamingRecKeeperUS>
      <ContractWith3rdPartyForGamRev>false</ContractWith3rdPartyForGamRev>
      <GamingManagerNamePerson>CAROL WADE</GamingManagerNamePerson>
      <GamingManagerServicesProvided>MANAGEMENT</GamingManagerServicesProvided>
      <GamingManagerIsDirectorOfficer>X</GamingManagerIsDirectorOfficer>
      <CharitableDistribRequired>true</CharitableDistribRequired>
      <AmountDistributed>3469</AmountDistributed>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
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      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <DirectOffsettingRevenue>4206659</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>28844714</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03380</PercentOfTotalExpense>
      </CharityCareAtCost>
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      </UnreimbursedMedicaid>
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        <NetCommunityBenefitExpense>41135094</NetCommunityBenefitExpense>
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      </CommunityHealthServices>
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      </HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>529974</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </SubsidizedHealthServices>
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      </Research>
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        <NetCommunityBenefitExpense>1450743</NetCommunityBenefitExpense>
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      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>30258706</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>18629719</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11621789</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01300</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>109998428</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>52756883</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06120</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>25323</TotalCommunityBuildingExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>60</TotalCommunityBuildingExpense>
      </CoalitionBuilding>
      <Total>
        <TotalCommunityBuildingExpense>25383</TotalCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>13017732</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>282774075</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>259927494</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>22846581</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>5</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Jewish Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>200 Abraham Flexner Way</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>Frazier Rehabilitation Instiute</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>220 Abraham Flexner Way</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>Sts Mary &amp; Elizabeth Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1850 Bluegrass Avenue</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40215</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>Our Lady of Peace</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2020 Newburg Road</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40205</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>5</FacilityNumber>
        <Name>
          <BusinessNameLine1>SHELBYVILLE HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>727 HOSPITAL DRIVE</AddressLine1>
          <City>SHELBYVILLE</City>
          <State>KY</State>
          <ZIPCode>40065</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Jewish Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Frazier Rehabilitation Instiute</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Sts Mary &amp; Elizabeth Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Our Lady of Peace</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>4</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SHELBYVILLE HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>5</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>31</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEWISH HOSPITAL MEDICAL CENTER EAST</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3920 DUTCHMANS LANE</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40207</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY CARE CENTER EMERGENCY ROOM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>RUDD HEART AND LUNG CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>201 ABRAHAM FLEXNER WAY</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40202</ZIPCode>
          </Address>
          <FacilityType>DOCTOR OFFICES/SUITES CATH LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OUTPATIENT CARE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>225 ABRAHAM FLEXNER WAY</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40202</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY CARE CENTER DOCTOR OFFICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEWISH HOSPITAL MEDICAL CENTER SOUTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1903 WEST HEBRON LANE</AddressLine1>
            <City>SHEPHARDSVILLE</City>
            <State>KY</State>
            <ZIPCode>40165</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY CARE CENTER EMERGENCY ROOM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MEDICAL PLAZA - DOCTORS OFFICE BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>100 EAST LIBERTY STREET</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40202</ZIPCode>
          </Address>
          <FacilityType>DOCTOR OFFICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SOUTHWEST AMBULATORY CARE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9700 STONESTREET ROAD</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40272</ZIPCode>
          </Address>
          <FacilityType>DIAGNOSTIC IMAGING AMBULATORY CARE EMERGENCY ROOM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEWISH HOSPITAL NORTHEAST</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2401 TERRA CROSSING BLVD</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40245</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY CARE CENTER EMERGENCY ROOM</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>VNA NAZARETH HOME CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5000 COMMERCE CROSSING DR STE 100A</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40229</ZIPCode>
          </Address>
          <FacilityType>HOME INFUSION</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CANCER BLOOD SPECIALIST</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1460 BLUEGRASS AVE</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40215</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CANCER CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OPEN MRI &amp; PT SCAN (SKYCARE)</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>200 EAST LIBERTY STREET</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40202</ZIPCode>
          </Address>
          <FacilityType>MRI CENTER MOBILE PET</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MRI BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>221 EAST CHESTNUT</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40202</ZIPCode>
          </Address>
          <FacilityType>MRI CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST MARYS SURGICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4414 CHURCHMAN AVENUE</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40215</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SURGERY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>EAST CORF OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4912 US HIGHWAY 42 STES 102 104</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40222</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEWISH HOSPITAL HEALTH CENTER - MEADE CO</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>534 FAIRWAY DRIVE</AddressLine1>
            <City>BRANDENBURG</City>
            <State>KY</State>
            <ZIPCode>40108</ZIPCode>
          </Address>
          <FacilityType>DOCTOR OFFICE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MEDICAL CENTER EAST ORF -OUTPTNT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3920 DUTCHMANS LANE</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40207</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST MARYS &amp; ELIZABETH HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4402 CHURCHMAN AVE STE 106</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40215</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BULLITT COUNTY ORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1905 WEST HEBRON LANE</AddressLine1>
            <City>SHEPHARDSVILLE</City>
            <State>KY</State>
            <ZIPCode>40165</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>U OF L SPORT MEDICINE - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>201 ABRAHAM FLEXNER WAY STE 102</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40202</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FERN VALLEY ORF AND OPS MEDICINE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>100 HIGH RISE DRIVE STE 110</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40213</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NEWBURG CORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3430 NEWBURG ROAD STE 111</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40218</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>STONESTREET ORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>9700 STONESTREET ROAD</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40272</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SOUTHWEST ORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6801 DIXIE HIGHWAY STE 129</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40258</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OWSLEY BROWN FRAZIER SPORTS MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>215 CENTRAL AVENUE STE 200</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40208</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SPRINGHURST CORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4801 OLYMPIA PARK PLAZA 1600</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40241</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CROSSROADS SOUTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4606 HAZELWOOD AVE</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40215</ZIPCode>
          </Address>
          <FacilityType>MENTAL HEALTH COUNSELING CTR</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JEFFERSONTOWN ORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10216 TAYLORSVILLE RD STE 950</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40299</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SOUTHERN INDIANA ORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2201 GREENTREE BOULEVARD NORTH</AddressLine1>
            <City>CLARKSVILLE</City>
            <State>IN</State>
            <ZIPCode>47129</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SOUTHERN INDIANA YMCA CORF</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4812 HAMBURG PIKE</AddressLine1>
            <City>JEFFERSONVILLE</City>
            <State>IN</State>
            <ZIPCode>47130</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CORYDON CORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>313 FEDERAL DRIVE NORTHWEST</AddressLine1>
            <City>CORYDON</City>
            <State>KY</State>
            <ZIPCode>47112</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NORTHEAST OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2401 TERRA CROSSING BLVD STE 204</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40245</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MEADE COUNTY ORF - OUTPATIENT REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>534 HILLCREST DRIVE</AddressLine1>
            <City>BRANDENBURG</City>
            <State>KY</State>
            <ZIPCode>40108</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE</Identifier>
        <ReturnReference>SCH H, PART I, LINE 3C</ReturnReference>
        <Explanation>JHSMH uses HUD Geographic Very Low-Income Guidelines to determine eligibility for Charity Care. A patient qualifies for 100% assistance if their annual income is below 130% of the HUD Geographic Very Low-Income Guidelines for the Louisville, Kentucky metro region. Discounted Care is provided for patients with annual income greater than 130% but not in excess of 195% of the HUD Geographic Very Low-Income Guidelines. JHMSH's method for determining Free and discounted care provides Free care at approximately 200% of the Federal Poverty Level and Discounted care up to approximately 400% of the Federal Poverty Level. In situations where patients have other assets, liquid assets are defined as investments that could be converted into cash within one year; these will be evaluated as cash available to meet living expenses. Assets that should not be considered as available to meet living expenses include: the patient's primary place of residence; adequate transportation; adequate life insurance; and sufficient financial reserves to provide normal living expenses if the wage earners are unemployed or disabled.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BENEFITS AT COST</Identifier>
        <ReturnReference>SCH H, PART I, LINE 7</ReturnReference>
        <Explanation>JHSMH is a single provider which includes several hospital facilities. Facilities that utilize a cost accounting system calculate amounts reported on Schedule H, Part I, line 7 by utilizing the cost accounting system. For those facilities that do not have a cost accounting system, amounts are determined by multiplying revenue by the cost to charge ratio calulated from Worksheet 2. Bad Debts included in Part IX, Line 25 totaled $50,997,220. This amount has been removed from total expenses calculated in Column f on Schedule H, Part II.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>SCH H, PART III, LINEs 2 and 4</ReturnReference>
        <Explanation>JHSMH is a single provider which includes several hospital facilities. Facilities that utilize a cost accounting system calculate amounts reported on Schedule H, Part III, line 2 by utilizing the cost accounting system. For those facilities that do not have a cost accounting system, amounts are determined by multiplying revenue by the cost to charge ratio calulated from Worksheet 2. Patient receivables and net patient service revenue are derived primarily from patients who reside in Kentucky and southern Indiana. Patient receivables consist of amounts due from third-party payors, including federal and state programs, commercial insurance companies and individual patients, for health care services rendered. Management maintains an allowance for doubtful accounts to reserve for estimated losses based on the length of time the account has been past due and historical collection experience.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CALCULATION OF MEDICARE ALLOWABLE COSTS</Identifier>
        <ReturnReference>SCH H, PART III, LINE 8</ReturnReference>
        <Explanation>Costs reported on Line 6 are obtained from the Medicare cost report which are based on a cost to charge ratio.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES</Identifier>
        <ReturnReference>SCH H, PART III, LINE 9B</ReturnReference>
        <Explanation>For patients known to have Charity eligibility, an approval letter is sent to the patient, which describes JHSMH Policies regarding qualifying for Charity Care as well as contact information for assistance. Before accounts are turned over to collections, JHSMH utilizes a Risk-Assessment Scoring system which predicts the likelihood of a patient qualifying for financial assistance and charity care. This predictive model uses 9,000 database sources comprising more than 2 billion public record sources to provide a socioeconomic score for these underserved patients. JHSMH classifies patients as Charity Care if they qualify for Presumptive Charity based on their Charity Score.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>SCH H, PART VI, QUESTION 2</ReturnReference>
        <Explanation>During 2008 JHSMH initiated a community health needs assessment utilizing the Association for Community Health Improvement's Community Health Needs Assessment approach. JHSMH's approach includes six steps. 1. Establish the Assessment Infrastructure 2. Define the Purpose and Scope of Assessment 3. Collect and Analyze Data 4. Select Priorities 5. Develop Action Plan 6. Document and Communicate Results A community benefit oversight committee was established to coordinate the Community Health Needs Assessment. This committee along with input from JHSMH Leadership, JHSMH Board Mission Committee, and community leaders provided input into this process. As part of this process Key Health Findings were highlighted and communicated to the various groups above. Based on the assessment, as well as further discussions with various JHSMH team members, the following priorities were identified and action plans has been developed for 2009-2010. Cardiovascular Disease Diabetes Cancer Mental Health/Violence Prevention</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>SCH H, PART VI, QUESTION 3</ReturnReference>
        <Explanation>1. Charity care policies and procedures will be in place at all JHSMH-owned facilities to address any instances in which patients may be eligible for financial assistance when accessing services. 2. Signs will be posted in the access areas advising patients of the availability of financial assistance. Staff members will communicate the contents of the signs to people who do not appear to be able to read. 3. Patients receiving emergency services will be treated in accordance with JHSMH emergency services policy, developed in accordance with EMTALA and other requirements. Upon registration, patients without Medicare/Medicaid, other local health care financial assistance or adequate health insurance will receive either (1) a packet of information that addresses the financial assistance policy and procedures or (2) immediate financial counseling assistance from staff. The packet will clearly indicate that JHSMH provides care, without regard to ability to pay, to individuals with limited financial resources, and explain how patients may apply for financial assistance. In instances where there are a significant number of patients not proficient in reading, writing or speaking English, additional information will be provided to complete necessary forms. 4. Upon registration, a non-emergency patient scheduling an admission or other procedure without Medicare/Medicaid, other local health care financial assistance or adequate health insurance shall receive either (1) a packet of information that addresses the financial assistance policy and procedures, including an application for such assistance, or (2) immediate financial counseling assistance from staff, including the presentation of the application for financial assistance. JHSMH's Patient Access personnel should begin the process to assess financial ability as soon as patients contact the hospital to schedule a procedure or when they register as a patient.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>SCH H, PART VI, QUESTION 4</ReturnReference>
        <Explanation>Jewish Hospital &amp; St. Mary's HealthCare, Inc. (JHSMH) is a Kentucky nonstock, nonprofit corporation organized and operated to provide a regional health care network that includes more than 70 health care facilities and 1,925 patient beds in Kentucky and southern Indiana. Kentucky has approximately 684,000 individuals who live below the Federal Poverty level which represents 16.9% of the state's population. This percentage exceeds the national average of 13.4% and ranks Kentucky's poverty level as the 6th highest in the United States. Jefferson County, Kentucky has approximately 102,000 individuals who live below the Federal Poverty LEvel. JHSMH's primary service area is Louisville Metro area and surrounding counties. However, our service area expands to the total state of Kentucky, even the entire country for some of our services provided at our facilities. Our Lady of Peace, one of the largest private, non-profit psychiatric hospitals in the country -- treats patients with emotional/behavioral/psychiatric disorders and/or chemical dependencies. This facility, with specialized units and program areas, offers short-term acute/semi-acute inpatient care programs as well as treatment alternatives such as partial hospitalization and intensive outpatient programs for children, adolescents and adults. Made up of inpatient and outpatient facilities across the region, Frazier Rehabilitation Hospital incorporates a 135-bed hospital on the Jewish Hospital Medical Campus, over twenty community-based outpatient rehab sites in Kentucky and southern Indiana, and Southern Indiana Rehab Hospital, a 60-bed inpatient hospital (owned in partnership with Floyd Memorial Hospital and Health Services and Clark Memorial Hospital). Extensive specialty rehab programs, highly skilled therapists, state-of-the-art facilities and innovative therapeutic techniques have earned national recognition for Frazier Rehab Institute, making it one of the top rehab institutions in the region. Jewish Hospital has long been a leader in heart care serving as home to a number of medical "firsts" including the worlds first Abiocor artificial heart implant, the worlds first phase-one, FDA-approved clinical trial using c-kit positive adult cardiac stem cells and Kentuckys first, nations second implantation of the HeartWare System ventricular assist device (VAD). Treating patients from across the greater Louisville region, the heart care program at Jewish Hospital offers a full continuum of care from prevention to rehabilitation, from ventricular assist devices to transplantation. The Jewish Hospital Hand Care Center serves as the first facility of its type. The Hand Care Center has specially designed hand operating rooms and serves patients needing care for hand, arm and shoulders. In addition, the Emergency Room at Jewish Hospital offers a dedicated Hand Care Emergency Room with specially trained staff on hand 24/7. Patients come from all over to receive treatment from the world-renowned physicians from Kleinert Kutz Hand Care . In addition, the Hand Care Center is home to the nations first four hand transplants and Kentuckys first double hand transplant.</Explanation>
      </Form990ScheduleHPartVI>
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        <Identifier>COMMUNITY BUILDING ACTIVITIES</Identifier>
        <ReturnReference>SCH H, PART VI, QUESTION 5</ReturnReference>
        <Explanation>Activities included in Community Support, Coalition Building and Community Health Improvement Advocacy that promote the health of our community are discussed below: Kids Caf- The Kid's caf is a safe place where kids can come and enjoy a hot nutritious meal at no charge. JHSMH supports Kid's caf' with monetary support. Jewish Hospital &amp; St. Mary's HealthCare (JHSMH) has been working to keep the less fortunate warm during the winter months by supporting the Blanket Louisville program, which began five years ago by the Fedher family of Louisville. Blanket Louisville was created out of a desire to help the homeless and less fortunate. The ultimate mission in collecting these blankets is to not only warm bodies, but also to warm hearts. Conference and meeting facilities within the premises are provided to outside organizations such as support groups, to present and discuss health-related topics. Working with area ministry groups in our primary service area, JHSMH provides meals for persons who are homebound. We provide a hot meal each day that is delivered by volunteers 365 days a year. Staff members at JHSMH lead the coordination and distribution of food and gift baskets for identified economically disadvantaged families in the community. These programs are offered to the community to help alleviate the economic distress brought on during the holiday season. JHSMH Team Members also provide time and support to: -SPAVA- Prevent Aggressiveness &amp; Violence Among Adolescents -Youth Building Activities -Everyone Reads Program through Jefferson County Public Schools -Various Health Coalitions</Explanation>
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        <Identifier>Affiliated Health care system</Identifier>
        <ReturnReference>SCH H, PART VI, QUESTION 6</ReturnReference>
        <Explanation>JHSMH and its subsidiaries are an integrated regional health care system that provide a complete array of health care services, including: three acute care hospitals, outpatient care, cancer care, occupational health, home health care, psychiatric care and rehab medicine. JHSMH is the sole corporate member of nonprofit corporations, JH Properties, Inc. (JH Properties) and Jewish Physician Group at Jewish Hospital &amp; St. Mary's HealthCare, Inc. (JPG).</Explanation>
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        <ReturnReference>SCH I, PART I, LINE 2</ReturnReference>
        <Explanation>Community Involvement --------------------- When community organizations seek the support and involvement of JHSMH, we will focus on opportunities that meet one (and preferably several of) the following criteria: -Improve the health of our community -Support the education, development, recruitment and retention of high quality health care professionals -Complement and advance an area of JHSMH clinical excellence -Improve the lives of people who are medically underserved -Demonstrate clear, measurable annual goals that benefit the community/target population -Demonstrate the active involvement of JHSMH team members Excluded from consideration are: -Requests from organizations outside areas in which JHSMH provides services -Requests from religious organizations for religious purposes -Requests from individuals -Requests from primary or secondary schools (unless the school has a formal partnership or contractual relationship existing with JHSMH) -Requests from political organizations -Requests for capital improvement projects -Requests for annual operating support or debt reduction -Generally, requests for multi-year sponsorships are also excluded PROCEDURE ---------------- Requests for support must be submitted in writing to the Community Involvement Committee. If a personal meeting is needed, the Committee will initiate it after a preliminary review. Requests must be submitted at least 6 weeks in advance of the date of the event or project; the Committee meets once a month to review requests. Requests should be brief and include: -A brief introduction of the organization, its mission and history -A concise explanation of the proposed partnership and how it furthers JHSMHs mission and/or funding priorities including details about the event or project date, location, etc. -A current listing of the organizations Board of Directors Responses will be sent to requestors of support in writing about the next step, if any, in the application process.</Explanation>
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        <Identifier>SEVERANCE PAYMENTS</Identifier>
        <ReturnReference>SCH J, PART I, LINE 4A</ReturnReference>
        <Explanation>------------------------- Severance Payments: Robert Shircliff $562,729 Mark Carter $56,800 Steve Scannell $119,781 Joanne Maamry $92,395 Larry Goldberg $102,149 Lynn Simon $511,713</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>INCENTIVE PLANS</Identifier>
        <ReturnReference>SCH J, PART I, LINE 6A</ReturnReference>
        <Explanation>------------------------- Jewish Hospital &amp; St. Mary's HealthCare, Inc. has management incentive plans for Corporate Officers, Senior Vice-Presidents, Vice-Presidents and Directors. Annual payouts related to these incentive plans have two components: 1. 50% of the annual payout is based on net operating income targets. If these targets are not met, payouts are not made. 2. 50% of the annual payout is based on 3-5 strategic goals set by the individual and their leaders.</Explanation>
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        <Identifier>NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCH J, PART I, LINE 4B</ReturnReference>
        <Explanation>------------------------- RETIREMENT BENEFITS PAID FROM NONQUALIFIED RETIREMENT PLAN: JOANNE BERRYMAN $391,944 ------------------------- INCREASE IN ACTUARIAL VALUE OF NONQUALIFIED RETIREMENT PLAN: THOMAS GESSEL $ 85,076 DEBBIE MOLNAR $ 214,250 RON FARR $ 118,856 DAVID LAIRD $ 187,551 MARTIN BONICK $ 85,231 NOTE: THESE AMOUNTS REPRESENT THE ACCRUED BENEFIT AMOUNT AND ARE SUBJECT TO RISK OF FORFEITURE.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>Form 990, SCHEDULE J, PART I</Identifier>
        <ReturnReference>fORM 990, sCHEDULE j, pART I</ReturnReference>
        <Explanation>JHSMH UTILIZED HURON CONSULTING TO PROVIDE AN INTERIM CHIEF EXECUTIVE OFFICER FOR 2010. PAYMENTS MADE TO HURON CONSULTING FOR INTERIM MANAGEMENT SERVICE OF CHIEF EXECUTIVE OFFICER WERE $513,000.</Explanation>
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        <IssuerEIN>320049006</IssuerEIN>
        <CUSIPNumber>546593ABO</CUSIPNumber>
        <DateIssued>2008-07-10</DateIssued>
        <IssuePrice>330000000</IssuePrice>
        <DescriptionOfPurpose>KY HEALTH FACILITY REV BONDS-2</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <AmountInReserveFund>31041181</AmountInReserveFund>
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        <IssuanceCostsFromProceeds>2317500</IssuanceCostsFromProceeds>
        <CapitalExpenditures>4598903</CapitalExpenditures>
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        <Relationship>See Part V</Relationship>
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        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
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        <Identifier>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</Identifier>
        <ReturnReference>SCH L, PART IV</ReturnReference>
        <Explanation>------------------------- 1) INTERESTED PERSON: FIFTH THIRD BANK RELATIONSHIP: LOUANN ATLAS, TRUSTEE, SERVES AS KEY EMPLOYEE DESCRIPTION AND AMOUNT: BANK FEES $206,163 LOC FEES $123,547 2)INTERESTED PERSON: MICHAEL WATERMAN RELATIONSHIP: FAMILY MEMBER OF LOUIS WATERMAN, TRUSTEE 3)INTERESTED PERSON: MARK ROSEN RELATIONSHIP: FAMILY MEMBER OF LOUANN ATLAS, TRUSTEE</Explanation>
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      <GeneralExplanation>
        <Identifier>ADDITIONAL PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>Form 990, Part III, LINE 4D</ReturnReference>
        <Explanation>------------------------- 4. Foundation, Home Health, Research and Support Services VNA Nazareth Home Health ------------------------ VNA Nazareth Home Care has provided home care and wellness services for more than a century. Their innovative services and preventative health programs recognize the needs of our patients and promote the highest quality of life. In 2010, VNA Nazareth Home Care was once again named one of the top 500 home health agencies in the country, according to the 2010 HomeCare Elite. Now in its fifth year, the HomeCare Elite identifies the top 25 percent of home health agencies in the United States and further highlights the top 100 and top 500 agencies overall. Winners are ranked by an analysis of performance measures in quality outcomes, quality improvement, and financial performance. VNA Nazareth Home Care has a team of registered nurses, social workers, sitters/companions, dieticians, pharmacists, aides and physical, occupational and speech therapists. Working closely with physicians, VNA provides a range of services to meet patients' goals and provides caregivers with the information and skills they need to care for loved ones at home. Programs &amp; Services Include: Safe Sight Better Breathing Falls Prevention Healthy Heart Pharmacy Private Duty (medical care) Hearts to Homes (non-medical care) Wound and Diabetes Management Mental Health/Alzheimer's/Dementia Rehabilitation Stroke Management Telemedicine</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS OF THE ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6 &amp; 7</ReturnReference>
        <Explanation>------------------------- CORPORATE MEMBERS ARE JEWISH HOSPITAL HEALTHCARE SERVICES, INC. (JHHS) AND CHI-KENTUCKY, INC. (CHI). JHHS and CHI appoint a proportionate share of trustees based upon their respective interests in the Corporation at the time of such appointments. Based on the By-Laws of Jewish Hospital &amp; St. Mary's HealthCare, Inc., certain Powers have been reserved to both Corporate Members (CHI AND JHHS). The following actions may be taken by the Corporation only after the approval of both Corporate Members: a. Any amendment of the Articles of Incorporation of the Corporation or these Bylaws; b. Adoption or material modification of any annual operating or capital budgets or business plans (including the Business Plan). For the purpose of this subsection, "material" means (i) with respect to an approved annual operating budget any change equal to or greater than five percent (5%) of operating EBIDA, and (ii) with respect to an approved annual capital budget any change greater than ten percent (10%) of the approved budget; c. Adoption or material modification of strategic plans; d. Discontinuation, closure or relocation of any acute care licensed beds (including psychiatric beds) or licensed facilities; e. Approval of incurrence of all long-term debt of the Corporation or any Subsidiary of the Corporation or any other long-term liabilities of the Corporation or its Subsidiaries that is not within industry capital capacity norms; f. Any material acquisitions, mergers, divestitures, consolidations or reorganizations of the Corporation or any Subsidiary of the Corporation or any sale or other disposition of all or substantially all of the assets of the Corporation or any Subsidiary of the Corporation. For the purpose of this subsection, "material" means an amount equal to or greater than five percent (5%) of the unrestricted net assets of the Corporation derived from the most recent audited consolidated financial statements of the Corporation; g. Any sale, lease, transfer, pledge, encumbrance, exchange or other disposition of any material assets of the Corporation, including any ownership or membership interest of the Corporation in any Subsidiary of the Corporation. For the purpose of this subsection, "material" means an amount equal to or greater than five percent (5%) of the unrestricted net assets of the Corporation derived from the most recent audited consolidated financial statements of the Corporation; h. The dissolution or liquidation of the Corporation or any Subsidiary of the Corporation; i. Except for those home health operations of the Corporation as the same exists at the Effective Time, the Corporation shall not, without the prior approval of both Corporate Members, continue or expand its service locations or operations in Kentucky outside of the Restricted Territory, whether by acquisition or other affiliation, the addition of owned or managed facilities, the placement of employed or contracted physicians or otherwise. Notwithstanding the foregoing, nothing in this Section 4.4.9 shall prohibit JHP or its affiliates from continuing to manage the JHHS Managed Hospitals; j. The establishment of any new Subsidiary of the Corporation; k. Any joint venture or other partnering or affiliation arrangement involving the Corporation or any Subsidiary of the Corporation and any other person or entity that may be material to the assets, operations, financial condition or prospects of the Corporation. For the purpose of this subsection, "material" means an amount equal to or greater than five percent (5%) of the unrestricted net assets of the Corporation derived from the most recent audited consolidated financial statements of the Corporation; L. Approval of the names, or changes to the names, of the Corporation, the JHHS Providers or the Caritas Providers; and m. Any change in the Mission, Vision or Core Values. Section Neither the Board of Trustees nor any officer or employee of the Corporation nor any Subsidiary or affiliate of the Corporation shall take any action in contradiction of any of the foregoing powers without first having secured the necessary approvals and/or given the appropriate notifications as may be required by these Bylaws.</Explanation>
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      <GeneralExplanation>
        <Identifier>REVIEW OF FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>------------------------- The Form 990 is prepared by an independent accounting firm. JHSMH's CFO reviews the Final form 990 with the independent accounting firm. A complete copy of the final Form 990 is provided to board members prior to being filed and any questions are addressed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING THE CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>------------------------- Annual Statements ------------------- Each trustee, director, officer and member of a committee with board delegated powers of JHSMH, Inc, shall annually sign a statement, which affirms that such person: Has received a copy of JHSMH's conflicts of interest policy, Has read and understands this policy, Has agreed to comply with this policy, and Understands that the JHSMH Exempt Entities are charitable organizations and that in order to maintain their federal tax exemptions they must engage primarily in activities that accomplish one or more of their tax-exempt purposes. Annual Questionnaire -------------------- Each trustee, director, officer and member of a committee with board delegated powers of JHSMH, Inc. and key employee of JHSMH, shall annually complete a Conflicts of Interest Questionnaire. Completion of the annual questionnaire is coordinated by General Counsel and JHSMH's Corporate Compliance Officer. Periodic Reviews -------------------- To ensure that each of the JHSMH Exempt Entities operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. The periodic reviews shall, at a minimum, include the following subjects: Whether compensation arrangements and benefits are reasonable and are the result of arm's-length bargaining. Whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further such JHSMH Exempt Entity's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide health care and agreements with other health care providers, employees, and third party payors further such JHSMH Exempt Entity's charitable purposes and do not result in inurement or impermissible private benefit. In conducting such periodic reviews, a JHSMH Exempt Entity may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the governing board of its responsibility for ensuring that periodic reviews are conducted.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</ReturnReference>
        <Explanation>------------------------- The following review and approval process is used by Jewish Hospital &amp; St. Mary's HealthCare, Inc. (JHSMH) for all Disqualified Persons, which includes the CEO and all Senior Vice Presidents. The Management Review Committee consists of approximately 9 independent members of JHSMH's Board, and is responsible for review and approval of top management compensation. The full committee addressed the overall compensation philosophy and how the organization's goals can be furthered by the structure of compensation. The independent Management Review Committee and all independent members of the full Board approved maximum compensation levels for all Disqualified Persons. Non-independent directors did not participate in the discussion or vote on compensation levels for individuals. The Management Review Committee retained an outside compensation consultant from a national firm to advise it regarding reasonable compensation levels, and relied on the consultant's opinion that compensation levels are reasonable. The Committee receives a market review on each Disqualified Person from the compensation consultant. The Management Review Committee approved the peer group of similar entitles used to measure comparable compensation levels. The Management Review Committee follows the process necessary to obtain the rebuttable presumption that compensation levels are reasonable, including contemporaneous documentation of decisions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MAKING DOCUMENTS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 19</ReturnReference>
        <Explanation>------------------------- Jewish Hospital &amp; St. Mary's HealthCare, Inc. does not make its governing documents, conflict of interest policy or financial statements available to the general public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DELEGATION OF MANAGEMENT DUTIES</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>------------------------- JHSMH UTILIZED WELLSPRING PARTNERS TO PROVIDE A TRANSITIONAL CHIEF EXECUTIVE OFFICER DURING 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Audited Financial Statements</Identifier>
        <ReturnReference>Form 990, Part IV, Line 20b</ReturnReference>
        <Explanation>------------------------- JHSMH is not required to attach a copy of their Audited Financial Statements to their 2010 Form 990 as the tax year began prior to March 23, 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>------------------------- OTHER CHANGES IN NET ASSETS: PENSION ADJUSTMENT 9,677,036 TRANSFERS FROM AFFILIATES 6,430,145 NET TRANSFERS -2,130,102 CAPITAL EXPENDITURES 417,111 UNREALIZED GAINS/LOSSES 14,314,337 ---------- 28,708,527</Explanation>
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